• 대한인간공학회지
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• 제36권5호
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• pp.569-578
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• 2017

Objective: The purposes of this experiment are an analysis of accuracy between target force level and subjective rating for the Target Force Level and an analysis of the patterns of subjective rating depending on target force level when there is no feedback from males for analysis. Background: The study of perceived exertion about the static contraction is processed with using among the matching procedure method between contralateral limbs, Exertion vs. Borg CR-10 scale and Exertion vs. %MVC (Maximum Voluntary Contraction). However, when there is no feedback, there is lack of the study on whether the subject can distinguish the subjective rating of the force depending on the target force levels. Method: Total 30 males, healthy subjects are measured the maximum grip strength, MVC, and then, each subject is measured the subjective rating and the accuracy with the random target force level (10, 20, 30, 40, 50, 60, 70, 80, and 90% MVC). Results: In the MVC study, males exerted 256.87N (${\pm}51.33$). In the subjective rating of grip strength increased for each Target Force Level (9 levels), higher subjective rating evaluated (p<0.05). In accuracy examination between target force level and subjective rating of grip strength by each %MVC, 10, 30, 40, 50, 70, 90% target force levels showed accurate strength (p>0.05). However, at 20% target force level, the subjects evaluated less subjective rating of grip strength than the target force (Underestimation), and at 60% and 80% target force level, the subjects evaluated more subjective rating of grip strength than the target force (Overestimation) (p<0.05). Conclusion: In the experiment, the MVC showed 256.87N (${\pm}51.33$) for the male adults and as the subjective rating value increased for each Target Force Level (9 levels), higher subjective rating evaluated (p<0.05). Moreover, the results of the accuracy test between target forces and subjective rating of the subjects showed that most participants rated a fairly accurate assessment of subjective rating of grip strength for Target Force Level (9 levels), except for 20%, 60%, and 80%MVC. Application: This experimental result would be used for basic data for the subjective rating of grip strength pattern by the target force level when the voluntary muscle is contracted.

• 한국직업건강간호학회지
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• 제11권1호
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• pp.63-80
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• 2002

Objectives: The objective of this study is to evaluate the job characteristics of container terminal workers by applying the Job Strain model, and to assess the relationship among the general characteristics, job characteristics and psychosocial distress. Methods: A self-administrated questionnaire survey was performed to the container terminal workers in Pusan. Among the 200 male workers who answered the questionnaires, white-collar workers and blue-collar workers were 100, respectively. Karaseks Job Content Questionnaire was utilized to evaluate the job characteristics and Psychosocial well-being index (PWI) was applied to measure the extent of their psychosocial stress. Results: In white-collar workers, the skill discretion, created skill, decision-making authority, decision-making latitude, psychological job demand, and supervisor support of the job characteristics were significantly high, while in blue-collar workers physical exertion was significantly high. The result of Psychosocial well-being index (PWI) reveals that blue-collar workers were more stressed than white-collar workers, especially, the indices of depression (factor 2), sleeping disturbance and anxiety (factor 3), General well-being and vitality (factor 4) were significantly increased; whereas, in white-collar workers, only the index of social performance and self-confidence (factor 1) was significantly increased. And PWI scores were significantly increased in the lower social support and psychological job demand. By the multiple logistic regression analysis for PWI, blue-collar workers had increased odds ratio of 2.66(95% CI;1.11-6.41) compared with white-collar workers. The unmarried workers increased odds ratio of 3.54(95% CI;1.18-10.62) compared with married workers. And workers who have not own house increased odds ratio of 2.35(95% CI;1.15-4.79) compared with workers who have own house. Particularly, odds ratio of work-shift in blue-collar workers was 11.10(2.14-57.64). Conclusion: Skill discretion, created skill, decision-making authority, decision-making latitude, psychological job demand, and supervisor support were increased in white-collar workers. Decreased skill discretion and increased physical exertion were found in blue-collar workers, which is supported the Job Strain model. Job stress of blue-collar workers was comparatively higher than that of white-collar workers, especially, skill discretion, decision-making authority, decision-making latitude, job insecurity, physical exertion were noticeable factors. Especially, sleeping, smoking, and work shifting turned out to be a main cause that increases stress. Therefore, in order to decrease the job stress, a health promotion program to change the health behaviors should be activated and an organized job stress management program should be introduced. Especially, working condition for blue-collar such as physical exertion and work-shift should be improved.

• 한국체육학회지인문사회과학편
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• 제55권5호
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• pp.127-142
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• 2016

본 연구는 해양레저스포츠 참여자의 호기심, 운동강도, 운동정서가 운동지속행동에 어떤 영향을 주는지를 규명하는데 목적이 있었다. 연구대상은 대학교 해양레저스포츠 교과목(스쿠버다이빙, 윈드서핑, 요트) 수강자 491명을 편의표집 하였다. 그들은 4종류의 설문지에 응답하였으며, 자료처리는 SPSS 18.0을 이용하여 기술분석, 신뢰도 분석이 실시되었으며, 연구모형의 타당성 검증을 위해 AMOS 18.0을 이용하여 상관관계분석, 확인적 요인분석이 실시되었으며, 변인 간 인과적 관계 규명을 위해 구조방정식 모형 검증이 실시되었다. 구체적인 연구결과로는 첫째, 해양레저스포츠 최초 참여자의 호기심은 운동정서에 정적인 인과관계가 나타났으며, 운동정서는 운동지속행동에 정적인 인과관계가 확인되었으며, 호기심은 운동지속행동에 정적인 인관관계가 확인되었다. 또한, 운동정서는 호기심과 운동지속행동의 부분적인 매개변인으로 판명되었다. 둘째, 해양레저스포츠 최초 참여자의 운동강도가 높으면 긍정적 정서는 낮고, 부정적 정서는 높게 나오며, 운동강도가 높으면 운동지속행동의 가능성, 경향성, 강화성이 낮게 나타났으며, 운동정서가 긍정적이면 운동지속행동의 가능성, 경향성, 강화성이 높아 운동지속 의지가 높은 것으로 확인되었으며, 운동정서는 운동강도와 운동지속행동의 부분적인 매개변인으로 판명되었다.

• 대한한의학회지
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• 제40권4호
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• pp.84-90
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• 2019

Objectives: Chronic fatigue syndrome (CFS) is a debilitating illness impairing seriously quality of life, while CFS would be an optimized target disorder of Korean medicine. This study aims to present the recent information especially in aspect of medical policy and new diagnosis criteria for CFS. Methods: The literature survey was conducted using the terms of "chronic fatigue syndrome", "myalgic encephalomyelitis" and "fibromyalgia" in PubMed database and Google database in its entirety from January 2011 to February 2019. The in-depth review was made focusing on the changes in policy and medical perspective for CFS. Results: Recently large medical attentions and researches for CFS have been existed worldwide. By supporting of USA government, IOM made a report which leaded to a turning point in clinical practices and research in 2015. This report recommended a new name of CFS to systemic exertion intolerance disease (SEID), and new diagnostic criteria focusing on post-exertional malaise, unrefreshing sleep, cognitive impairment and orthostatic intolerance. The medical perspective also was changed into "a serious, chronic, complex, systemic disease" from a psychological-like disorder, and then UAS and EU governments sharply increased the research grants. Conclusions: This study provided practitioners in Korean medicine (KM) a core information about the recent changes in CFS-related perspectives. This review would be helpful for KM-derived researches or therapeutics development for CFS.

• Journal of Yeungnam Medical Science
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• 제27권1호
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• pp.63-68
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• 2010

Lymphangioleiomyomatosis (LAM) is a rare, cystic lung disease that is associated with mutation in the tuberous sclerosis genes, renal angiomyolipomas, lymphatic spread and a remarkable female gender predilection. The pathology of LAM is represented by the proliferation of immature smooth muscle cells in the walls of airways, and venules and lymphatic vessels in the lung. The clinical course of LAM is characterized by progressive dyspnea on exertion, recurrent pneumothorax and collections of chylous fluid. The diagnosis of pulmonary LAM can be made on chest X-ray, a high-resolution CT scan and lung biopsy. We experienced a case of pulmonary lymphangioleiomyomatosis in a 28-years-old female patient who had suffered from progressive dyspnea on exertion, so we report on it along with a brief review of the relevant literature.

• 한방재활의학과학회지
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• 제21권4호
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• pp.219-226
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• 2011

Objectives: The aim of this pilot study is to investigate qigong as a trailing method to treat diseases and improve the quality of life. Methods: We used a controlled clinical study in this research qigong group(n=34) practiced the zhan zhuang gong for 2 minutes. Control group(n=33) did low intensity walking for 2 minutes. Changes of grip strength, heat rate and rating of perceieved exertion were measured before and after treatment. Paired t-tests and independent t-tests were applied for statistical analysis. Results: Qigong group showed significant improvement in grip strength(p<0.05), whereas the control group showed insignificant changes(p<0.05). Both groups demonstrate significant changes in heart rate(p<0.05). In rating of perceieved exertion, significant difference showed between groups(p<0.05). Conclusions: The zhan zhuang gong, a kind of qigong improved grip strength by 2 minutes of practice. We may conclude that zhan zhuang gong could be a method of improving physical strength.

• Safety and Health at Work
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• 제2권2호
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• pp.194-200
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• 2011

Objectives: Stressors in nursing put high demands on cognitive control and, therefore, may increase the risk of cognitive failures that put patients at risk. Task-related stressors were expected to be positively associated with cognitive failure at work and job control was expected to be negatively associated with cognitive failure at work. Methods: Ninety-six registered nurses from 11 Swiss hospitals were investigated (89 women, 7 men, mean age = 36 years, standard deviation = 12 years, 80% supervisors, response rate 48%). A new German version of the Workplace Cognitive Failure Scale (WCFS) was employed to assess failure in memory function, failure in attention regulation, and failure in action exertion. In linear regression analyses, WCFS was related to work characteristics, neuroticism, and conscientiousness. Results: The German WCFS was valid and reliable. The factorial structure of the original WCF could be replicated. Multilevel regression task-related stressors and conscientiousness were significantly related to attention control and action exertion. Conclusion: The study sheds light on the association between job characteristics and work-related cognitive failure. These associations were unique, i.e. associations were shown even when individual differences in conscientiousness and neuroticism were controlled for. A job redesign in nursing should address task stressors.

• Journal of Chest Surgery
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• 제22권5호
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• pp.823-828
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• 1989

Aortoenteric fistula is an uncommon important complication of aortic reconstruction with a prosthetic graft. The complication often is difficult to diagnose and is associated with poor prognosis. Aortoenteric fistula could be divided into true aortoenteric fistula and paraprosthetic-enteric fistula. In case of true aortoenteric fistula, an actual communication between the gastrointestinal tract and the aortic lumen is present. So, massive gastrointestinal hemorrhage is the presenting manifestation. In paraprosthetic-enteric fistula, characterized by communication between the gastrointestinal tract and the external surface of synthetic vascular prosthesis without actual fistularization into the vascular lumen, the predominant clinical manifestation were sepsis, fever and anemia. We experienced one case of paraprosthetic-enteric fistula in a 16 years old male after abdominal aortic reconstruction with a prosthetic graft. The interval from the operation to onset of symptoms was 40 months. The initial clinical manifestation was sepsis, fever and anemia without massive gastrointestinal hemorrhage. Surgical treatment consists of complete excision of infected graft, two layers closure of jejunal wall defect and pledgets suture of aortic stump with surrounding health tissue. Anatomic revascularization was not able to be done: because of extensive retroperitoneal inflammation and extraanatomic revascularization did not performed due to adequate distal blood supply through rich collateral circulation. After operation, he complained numbness on left foot on moderate exertion and felt coldness on left leg compared with right leg but not showed skin color change. 43 days after operation, he discharged without gait disturbance except numbness on left foot on moderate exertion.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.430-435
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• 2022

Objective: This study was conducted to investigate the effect of active movement with skin mobilization on range of motion, pain, and rating of perceived exertion in patients diagnosed with axillary web syndrome after axillary lymph node dissection. Design: A Case report Methods: It was performed on 7 patients diagnosed with axillary web syndrome after lymph node dissection. The subjects experienced a decrease in the range of joint motion and pain in movement when raising their arms in their daily lives, and complained of discomfort. The active range of motion, numeric rating scale, and modified Borg scale of shoulder joint flexion were measured, and the differences after active movement with skin mobilization were compared. Results: All subjects increased by 24.9 degree on average in active range of motion after active movement with skin mobilization intervention. There was no pain in the maximum range of joint motion measured before intervention, and rating of perceived exertion was significantly reduced. Conclusions: Active movement with skin mobilization can be a very useful way to help improve and treat axillary web syndrome, and it is recommended for improving the function and quality of life of axillary web syndrome patients. and It is also believed that it can be used steadily at home through the education of patients and families.

• 대한한방내과학회지
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• 제42권6호
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• pp.1341-1348
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• 2021

The purpose of this study is to report the effect of Korean medicine on a squamous cell lung cancer patient with chemotherapy induction peripheral neuropathy (CIPN). A 61-year old male patient, who had received 4 cycles of chemotherapy after lung surgery from squamous cell lung cancer, was treated with acupuncture and herbal medicines, including Uchasingi-hwan and Samchilchoongcho-capsule, to control CIPN and dyspnea on exertion. The degree of pain was assessed by a numeric rating scale (NRS). After receiving acupuncture and herbal medicines, the NRS score for CIPN symptoms was reduced from 4 to 1 and the NRS score for dyspnea on exertion decreased from 3 to less than 1. Korean medicine could therefore be useful in reducing peripheral neuropathy occurring after chemotherapy and dyspnea after lobectomy.