• 제목/요약/키워드: Work impairment

검색결과 88건 처리시간 0.029초

섬유근통 자조관리 프로그램이 여성 섬유근통 증후군에 미치는 영향 (Impact of a Cryotherapy and Tai Chi Self-help Program on Women with Fibromyalgia Syndrome)

  • 이혜영;박원숙;최정현;이순희;엄애용
    • 성인간호학회지
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    • 제23권1호
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    • pp.10-19
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    • 2011
  • Purpose: The purpose of this study was to evaluate the impact of a protocol of cryotherapy and Tai Chi on women with Fibrolmyalgia Syndrome. Methods: The study design was a pretest and posttest quasi-experimental, nonrandom assignment. The subjects were 48 outpatients with a diagnosis of fibromyalgia based on the American College of Rheumatology Standards. The setting was a University Medical Center in S city. The protocol was self administered ten times a week, for a two week period resulting in twenty treatments. Results: A protocol of cryotherapy and Tai Chi self-help program showed significant improvement in the fibromyalgia impact as measured by reports of physical impairment, feeing good, number of missed work days, ability to perform work, reports of pain, fatigue, rest, stiffness, anxiety and depression as reported by the comparison group (p<.001). No significant differences between the two regarding in reports of the tender points (p=.062). Conclusion: The results suggested that a protocol of cryotherapy and Tai Chi self-help program may be a promising multidisciplinary strategy for fibromyalgia patients.

간호대학생을 대상으로 한 한국어 버전 학생 프리젠티즘 측정도구(K-PSS)의 신뢰도와 타당도 분석 (Reliability and Validity of the Korean Version of Presenteeism Scale for Students (K-PSS) in Nursing Students)

  • 김진희;전재희
    • 근관절건강학회지
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    • 제26권3호
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    • pp.281-289
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    • 2019
  • Purpose: This study aims to develop the Korean version of Presenteeism Scale for Students and verify its reliability and validity. Methods: This study conducted a survey with 320 undergraduate students who are attending nursing departments at three universities. The survey was conducted twice, from June 1 to August 31, 2017. Results: The Cronbach's α of K-PSS was .70 indicating high reliability. As a result of testing the content validity of K-PSS was verified by calculating the Item level-Content Validity Index (I-CVI) of .87. The correlation between Medical Outcome Study 36-item Short Form Health Survey (SF-36) score and Work Impairment Score (WIS), Work Output Score (WOS), Hours of absenteeism (HA) was analyzed to verify the concurrent validity of K-PSS. SF-36 score was correlated with WIS, WOS, HA. To test the differentiated validity of K-PSS, a total of 38 subjects were assessed by the paired t-test. As a result, only WIS score showed a significant difference between pre-test and post-test. Conclusion: Since the reliability and validity of the K-PSS developed through this study have been verified, it is expected to be used in various studies related to the presenteeism of students.

도시 초·중·고교 학생 시력저하 및 굴절이상에 관한 보건조사 (A Survey of the Visual Impairment and the Refractive Errors in Urban School Children in Korea)

  • 구본술;김재찬;양한남
    • 한국학교보건학회지
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    • 제1권1호
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    • pp.103-113
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    • 1988
  • The analysis of the visual impairment and refractive errors among 4,004 school children in Seoul in 1986 with ancilliary questionnaire on various socio-environmental and visual factors was conducted. The number of the student with subnormal vision (0.7 or less) was 1,552 (38,8 %), and the rate of subnormal vision was increased with the higher grading of the school classes. Rate of myopes among the 1,552 students vision 0.7 or less consists of 52 % in primary school, 83.5 % in middle school, and 94 % in high school, and they were increased with the higher grading of the school class. The acutest increase of rates were observed at the stages of 2nd year class of male, and 1st year class of female at the middle school. Among the glasses-wearer of myopic students of vision 0.5 or less, the rate of adequately corrected cases was 42.5 %, whereas the overcorrected in 6.8 %, and undercorrected in 49.3 %. The main reasons of glasses negligence among the non-possessor of glasses with the vision of 0.5 or less were indicated in prominence of numbers of' "no complaints without glasses" (42 %). "unawareness of visual disturbance" (20%), "annoyance with wearing glasses" (13.4%), and "no permission from parents" (11.5 %) rather than the "economical reasons". The amblyopic components were estimated 126 cases (3.2%) in combination of refractive errors. According to the analysis of ancilliary questionnaire, the-conclusion with the statistical significance was that the myopization of the children's eyes appeared susceptible with a number of socio-environmental factors including the eating habits, length of T.V. watching period and distance, reading distance and type of illumination during near work, and school achievement. The possibility of prevention in some extents of progress of the myopia following the improvement of the relevant environmental factors in younger stage of children would be considered as deducible one.

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공황장애에서 1회기 집단인지행동치료의 효능 ; 예비 연구 (A Pilot Study of the Effectiveness of a Session of Group Cognitive Behavioral Therapy for Patients with Panic Disorder)

  • 장은진;정영은;서호준;채정호
    • 대한불안의학회지
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    • 제5권1호
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    • pp.36-41
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    • 2009
  • Objectives : The purpose of this pilot study was to investigate the potential clinical benefits a single group session of cognitive behavioral therapy in the treatment of patients with panic disorder. Methods : The study participants were 18 patients (14 males, 4 females; mean age=38.9 years), all of whom were assessed as meeting the DSM-IV-TR criteria for panic disorder. All participants attended one two-hour session of structured group cognitive behavioral therapy (CBT). Clinical symptoms was assessed before and eight weeks after the single therapy session using the Panic Disorder Severity Scale (PDSS). Results : Eight weeks after a single session of group CBT significant improvements were found in panic attack frequency, distress during panic attacks, severity of anticipatory anxiety, agoraphobic fear/avoidance, panic-related sensation fear/avoidance, impairment in work functioning, impairment in social functioning. Conclusions : One session of group CBT appears to be an effective treatment of panic disorder by reducing the severity of all symptoms assessed on the PDSS. An attempt should be made to replicate the findings of this pilot study in a larger and controlled, comparative clinical trial.

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기능제한(Functional Limitation) 관점에서 본 뇌성마비인의 일상생활수행능력과 취업여부의 관계에 대한 연구 (A Study on the Relationship between Activity of Daily Living and Job Status of the Disabled from the Functional Limitation Perspectives)

  • 김정우;김봉선
    • 한국사회복지학
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    • 제59권1호
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    • pp.223-249
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    • 2007
  • 본 연구는 개인에 대한 직업재활서비스의 적격성이 장애 등급만으로 결정될 수 있는지를 탐색하기 위해 수행되었다. 이론적 검토를 통해 '기능제한(functional limitation)'개념이 이에 대한 대안이 될 수 있음을 확인하였고 변형바델지수(Modified Barthel Index)를 이용하여 기능제한 정도를 측정하였다. 전체 381명의 뇌성마비인을 대상으로 신체적 손상(impairment)과 기능제한 그리고 취업여부의 관계를 파악한 결과, 뇌성마비유형과 부위 등 신체적 손상과 관련된 변인은 취업여부에 직 간접적 영향을 미치지 않았으나 통증문제와 이동능력은 간접적인 경로를 통해, 자기관리능력은 직접적인 경로를 통해 취업여부에 영향을 미침을 알 수 있었다. 이러한 연구결과를 통해 향후 각종 장애관련 연구나 서비스 전달체계의 적격성을 파악하는 과정에서 무엇을 '장애'로 규정할 것인지에 대해 고민해야 하며, 그 대안으로 신체적 '기능제한' 정도를 개념화 하는 것에 대한 추가적인 연구가 수행되어야 함을 알 수 있었다.

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재활의료로봇의 발전 전망 (Prospects for the Development of Rehabilitation Medical Robots)

  • 문정은;조용진
    • 디지털융복합연구
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    • 제19권6호
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    • pp.393-398
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    • 2021
  • 사회가 복잡해지고 고도화 될수록 사고의 위험 또한 늘어날 수밖에 없고, 이는 선천적 장애 뿐 아니라 후천적 장애의 발생을 높이는 계기가 되고 있다. 이러한 상황에서 첨단기술의 복합체인 재활 로봇의 활용은 앞으로 꾸준히 늘어나게 될 전망이다. 이에 저자들은 국내·외 재활 로봇의 기술 동향과 향후 발전 전망에 대한 살펴보고자 한다. 지금까지의 장애 보조 로봇 기술은 보행 장애나 작업제한 장애 지원영역에서 주로 발전을 이루어왔다. 그러나 인구의 고령화는 인지장애 대상자가 늘어날 것이라는 점을 잠재하고 있기 때문에 사용자의 안전성을 확보한 장애 보조 로봇 개발이 추진되어야 하고, 이를 위해 다양한 형태의 임상연구를 통해 재활 로봇의 치료 효과에 대한 실증적 결과들이 도출, 융합되어야 할 것이라 생각된다.

Protection Management for Guaranteed User-Driven Virtual Circuit Services in Dynamic Multi-domain Environments: Design Issues and Challenges

  • Lim, Huhnkuk
    • ETRI Journal
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    • 제37권2호
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    • pp.369-379
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    • 2015
  • Fault management of virtualized network environments using user-driven network provisioning systems (NPSs) is crucial for guaranteeing seamless virtual network services irrespective of physical infrastructure impairment. The network service interface (NSI) of the Open Grid Forum reflects the need for a common standard management API for the reservation and provisioning of user-driven virtual circuits (VCs) across global networks. NSI-based NPSs (that is, network service agents) can be used to compose user-driven VCs for mission-critical applications in a dynamic multi-domain. In this article, we first attempt to outline the design issues and challenges faced when attempting to provide mission-critical applications using dynamic VCs with a protection that is both user-driven and trustworthy in a dynamic multi-domain environment, to motivate work in this area of research. We also survey representative works that address inter-domain VC protection and qualitatively evaluate them and current NSI against the issues and challenges.

전악수복 후 발생한 TMD에 대한 검사법의 유용성 (Diagnostic Considerations in TMD patients)

  • 신수연
    • 대한치과의사협회지
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    • 제49권2호
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    • pp.72-76
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    • 2011
  • Temporomandibular disorders refer to a large group musculoskeletal disorders that originate from the masticatory structures. The AADR recognize that temporomandibular (TMDs) encompass a group of musculoskeletal and neuromuscular conditions that involve the temporomandibular joints (TMJs), the masticatory muscles, and all associated tissues. The signs and symptoms associated with these disorders are diverse, and may include difficulties with chewing, speaking, and other orofacial functions. They also are frequently associated with acute or persistent pain, and the patients often suffer from other painful disorders. The chronic forms of TMD pain may lead to absence from or impairment of work or social interactions, resulting in an overall reduction in the quality of life. However, the consensus of recent scientific literature about currently available technological diagnostic devices for TMDs is that, except for various imaging modalities, none of them shows the sensitivity and specificity required to separate normal subjects from TMD patients or to distinguish among TMD subgroups. This article reviews the various instruments to aid in the diagnosis of TMDs, and the overall validity and practical use of the Electromyography.

Animal Models of Cognitive Deficits for Probiotic Treatment

  • Kwon, Oh Yun;Lee, Seung Ho
    • 한국축산식품학회지
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    • 제42권6호
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    • pp.981-995
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    • 2022
  • Cognitive dysfunction is a common symptom of neurodegenerative diseases, such as Alzheimer's disease, Parkinson's disease, and Huntington's disease, and is known to be caused by the structural and functional loss of neurons. Many natural agents that can improve cognitive function have been developed and assessed for efficacy using various cognitive deficit animal models. As the gut environment is known to be closely connected to brain function, probiotics are attracting attention as an effective treatment target that can prevent and mitigate cognitive deficits as a result of neurodegenerative diseases. Thus, the objective of this review is to provide useful information about the types and characteristics of cognitive deficit animal models, which can be used to evaluate the anti-cognitive effects of probiotics. In addition, this work reviewed recent studies describing the effects and treatment conditions of probiotics on cognitive deficit animal models. Collectively, this review shows the potential of probiotics as edible natural agents that can mitigate cognitive impairment. It also provides useful information for the design of probiotic treatments for cognitive deficit patients in future clinical studies.

Work Hours and Cognitive Function: The Multi-Ethnic Study of Atherosclerosis

  • Charles, Luenda E.;Fekedulegn, Desta;Burchfiel, Cecil M.;Fujishiro, Kaori;Hazzouri, Adina Zeki Al;Fitzpatrick, Annette L.;Rapp, Stephen R.
    • Safety and Health at Work
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    • 제11권2호
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    • pp.178-186
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    • 2020
  • Background: Cognitive impairment is a public health burden. Our objective was to investigate associations between work hours and cognitive function. Methods: Multi-Ethnic Study of Atherosclerosis (MESA) participants (n = 2,497; 50.7% men; age range 44-84 years) reported hours per week worked in all jobs in Exams 1 (2000-2002), 2 (2002-2004), 3 (2004-2005), and 5 (2010-2011). Cognitive function was assessed (Exam 5) using the Cognitive Abilities Screening Instrument (version 2), a measure of global cognitive functioning; the Digit Symbol Coding, a measure of processing speed; and the Digit Span test, a measure of attention and working memory. We used a prospective approach and linear regression to assess associations for every 10 hours of work. Results: Among all participants, associations of hours worked with cognitive function of any type were not statistically significant. In occupation-stratified analyses (interaction p = 0.051), longer work hours were associated with poorer global cognitive function among Sales/Office and blue-collar workers, after adjustment for age, sex, physical activity, body mass index, race/ethnicity, educational level, annual income, history of heart attack, diabetes, apolipoprotein E-epsilon 4 allele (ApoE4) status, birth-place, number of years in the United States, language spoken at MESA Exam 1, and work hours at Exam 5 (β = -0.55, 95% CI = -0.99, -0.09) and (β = -0.80, -1.51, -0.09), respectively. In occupation-stratified analyses (interaction p = 0.040), we also observed an inverse association with processing speed among blue-collar workers (adjusted β = -0.80, -1.52, -0.07). Sex, race/ethnicity, and ApoE4 did not significantly modify associations between work hours and cognitive function. Conclusion: Weak inverse associations were observed between work hours and cognitive function among Sales/Office and blue-collar workers.