• 제목/요약/키워드: physical evidence

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Examples of Holistic Good Practices in Promoting and Protecting Mental Health in the Workplace: Current and Future Challenges

  • Sivris, Kelly C.;Leka, Stavroula
    • Safety and Health at Work
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    • 제6권4호
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    • pp.295-304
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    • 2015
  • Background: While attention has been paid to physical risks in the work environment and the promotion of individual employee health, mental health protection and promotion have received much less focus. Psychosocial risk management has not yet been fully incorporated in such efforts. This paper presents good practices in promoting mental health in the workplace in line with World Health Organization (WHO) guidance by identifying barriers, opportunities, and the way forward in this area. Methods: Semistructured interviews were conducted with 17 experts who were selected on the basis of their knowledge and expertise in relation to good practice identified tools. Interviewees were asked to evaluate the approaches on the basis of the WHO model for healthy workplaces. Results: The examples of good practice for Workplace Mental Health Promotion (WMHP) are in line with the principles and the five keys of the WHO model. They support the third objective of the WHO comprehensive mental health action plan 2013-2020 for multisectoral implementation of WMHP strategies. Examples of good practice include the engagement of all stakeholders and representatives, science-driven practice, dissemination of good practice, continual improvement, and evaluation. Actions to inform policies/legislation, promote education on psychosocial risks, and provide better evidence were suggested for higher WMHP success. Conclusion: The study identified commonalities in good practice approaches in different countries and stressed the importance of a strong policy and enforcement framework as well as organizational responsibility for WMHP. For progress to be achieved in this area, a holistic and multidisciplinary approach was unanimously suggested as a way to successful implementation.

Latissimus dorsi detrusor myoplasty for bladder acontractility: a systematic review

  • Forte, Antonio Jorge;Boczar, Daniel;Huayllani, Maria Tereza;Moran, Steven;Okanlami, Oluwaferanmi O.;Ninkovic, Milomir;Broer, Peter N.
    • Archives of Plastic Surgery
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    • 제48권5호
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    • pp.528-533
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    • 2021
  • Bladder acontractility affects several thousand patients in the United States, but the available therapies are limited. Latissimus dorsi detrusor myoplasty (LDDM) is a therapeutic option that allows patients with bladder acontractility to void voluntarily. Our goal was to conduct a systematic review of the literature to determine whether LDDM is a better option than clean intermittent catheterization (CIC) (standard treatment) in patients with bladder acontractility. On January 17, 2020, we conducted a systematic review of the PubMed/MEDLINE, Cochrane Clinical Answers, Cochrane Central Register of Controlled Trials, Embase, and ClinicalTrials.gov databases, without time frame limitations, to identify articles on the use of LDDM for bladder acontractility. Of 75 potential articles, 4 fulfilled the eligibility criteria. The use of LDDM to treat patients with bladder acontractility was reported in four case series by the same group in Europe. Fifty-eight patients were included, and no comparison groups were included. The most common cause of bladder acontractility was spinal cord injury (n=36). The mean (±standard deviation) operative time was 536 (±22) minutes, postoperative length of hospital stay ranged from 10 to 13 days, and follow-up ranged from 9 to 68 months. Most patients had complete response, were able to void voluntarily, and had post-void residual volume less than 100 mL. Although promising outcomes have been obtained, evidence is still weak regarding whether LDDM is better than CIC to avoid impairment of the urinary tract among patients with bladder acontractility. Further prospective studies with control groups are necessary.

Cross-cultural adaptation and validation of the Turkish Yellow Flag Questionnaire in patients with chronic musculoskeletal pain

  • Koc, Meltem;Bazancir, Zilan;Apaydin, Hakan;Talu, Burcu;Bayar, Kilichan
    • The Korean Journal of Pain
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    • 제34권4호
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    • pp.501-508
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    • 2021
  • Background: Yellow flags are psychosocial factors shown to be indicative of long-term chronicity and disability. The purpose of the study was to evaluate the psychometric properties of the Turkish Yellow Flag Questionnaire (YFQ) in patients with chronic musculoskeletal pain (CMP). Methods: The cross-cultural adaptation was conducted with translation and back-translation of the original version. Reliability (internal consistency and test-retest) was examined for 231 patients with CMP. Construct validity was assessed by correlating the YFQ with the Hospital Anxiety and Depression Scale (HADS), Orebro Musculoskeletal Pain Questionnaire (OMPQ), and Tampa Kinesiophobia Scale (TKS). Factorial validity was examined with both exploratory and confirmatory factorial analysis. Results: The YFQ showed excellent test/retest reliability with an Intraclass correlation coefficient of 0.82. The internal consistency was moderate (Cronbach's alpha of 0.797). As a result of the exploratory factor analysis, there were 7 domains compatible with the original version. As a result of confirmatory factor analysis, the seven-factor structure of YFQ was confirmed. There was a statistically significant correlation between YFQ-total score and OMPQ (r = 0.57, P < 0.001), HADS-anxiety (r = 0.32, P < 0.001), HADS-depression (r = 0.44, P < 0.001), and TKS (r = 0.37, P < 0.001). Conclusions: This study's results provide considerable evidence that the Turkish version of the YFQ has appropriate psychometric properties, including test-retest reliability, internal consistency, construct validity and factorial validity. It can be used for evaluating psychosocial impact in patients with CMP.

『서정주(徐廷柱) 시선(詩選)』과 『신라초(新羅抄)』의 비교분석 - 무속적 상상력을 중심으로 (Analysis of Comparison between Seo Jungjoo Shiseon and Shillacho)

  • 이영주
    • 비교문화연구
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    • 제26권
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    • pp.321-351
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    • 2012
  • This paper attempts to clarify the similarity found in Seo Jungjoo's two books of poems, Seo Jungjoo Shiseon and Shillacho, and thereby to establish the continuity between Seo's early poetry and his mid-period poetry. This attempt arises from the realization that unfamiliar poetic material, background, and narration are merely surface features, and that in fact his early concerns nevertheless persist in terms of his poetic imagination and his Weltanschauung. Furthermore, this continuity seems to originate from shamanistic spiritual chaos that is consubstantially interrelated with the spirit of his deceased lover. After chaos and confusion subsided, the poet's endeavor to discover the lineal origin of his personal shamanism shows itself in Seo Jungjoo Shiseon, and we witness the embodiment of such endeavor in Shillacho. His interest in the skies as it is expressed in my poem, and Shilla as it is intimated by Gwanghwamun are sublimated in saso yeonjag and the words of Queen Seondeog into shamanic wisdom that served as the norm for both spiritual life and physical life in ancient times, and the wisdom is carried on further into the present in Seo's own times. Moreover, the star and the bell sound that were presented as signs of desirable Weltanschauung in Sangrigwawon are transformed into the symbols of shamanic wisdom, and into the inner magic formula that contributes to achieving the wisdom. This analysis offers as its result the evidence embedded in his poems that shows, first, that the two books correspond to merely two separate stages of his poetic concern, and second, that his early poetic concern persists, though transformed through a peculiar manner, into his mid-period poems.

운동 시 대사적 산성화에 관한 고찰 (The Review of Metabolic Acidosis During Exercise)

  • 윤병곤
    • 한국응용과학기술학회지
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    • 제35권4호
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    • pp.1433-1441
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    • 2018
  • 고강도 운동 시 산성화의 과정은 수소이온의 방출과 젖산 나트륨염을 형성하는 젖산의 생산 증가에 따른 것이라 설명되어져 왔다. 이 설명에 의하면, 젖산의 생산 비율이 세포내의 수소이온 완충능력을 초과하였을 때 세포의 수소이온 농도는 증가한다고 한다. 이러한 생화학적 과정을 젖산의 산성화라 한다. 이 이론에 따라 고강도 운동 시 젖산의 생산이 대사적 산성화와 피로의 원인이 되는 것으로 해석되어져 왔다. 그러나, 본 고찰에서는 젖산의 생산이 산성화와 피로의 원인이라는 어떠한 생화학적 근거가 없음을 명확히 제시하고 있다. 오히려 젖산의 생산은 해당과정에서 필요한 $NAD^+$의 지속적인 공급을 위해 필수적이며 수소이온을 소비하는 대사과정이다. 젖산의 축적은 세포와 혈중의 수소이온 농도의 증가를 알려주는 좋은 지표가 될 수는 있지만 그것이 산성화의 직접적인 원인은 아니다.

Workplace Diesel Exhausts and Gasoline Exposure and Risk of Colorectal Cancer in Four Nordic Countries

  • Talibov, Madar;Sormunen, Jorma;Weiderpass, Elisabete;Kjaerheim, Kristina;Martinsen, Jan-Ivar;Sparen, Per;Tryggvadottir, Laufey;Hansen, Johnni;Pukkala, Eero
    • Safety and Health at Work
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    • 제10권2호
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    • pp.141-150
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    • 2019
  • Background: Evidence on associations between occupational diesel exhaust and gasoline exposure and colorectal cancer is limited. We aimed to assess the effect of workplace exposure to diesel exhaust and gasoline on the risk of colorectal cancer. Methods: This case-control study included 181,709 colon cancer and 109,227 rectal cancer cases diagnosed between 1961 and 2005 in Finland, Iceland, Norway, and Sweden. Cases and controls were identified from the Nordic Occupational Cancer Study cohort and matched for country, birth year, and sex. Diesel exhaust and gasoline exposure values were assigned by country-specific job-exposure matrices. Odds ratios and 95% confidence intervals were calculated by using conditional logistic regression models. The results were adjusted for physical strain at work and occupational exposure to benzene, formaldehyde, ionizing radiation, chlorinated hydrocarbons, chromium, and wood dust. Results: Diesel exhaust exposure was associated with a small increase in the risk of rectal cancer (odds ratio - 1.05, 95% confidence interval 1.02-1.08). Gasoline exposure was not associated with colorectal cancer risk. Conclusion: This study showed a small risk increase for rectal cancer after workplace diesel exhaust exposure. However, this finding could be due to chance, given the limitations of the study.

비골신경마비에 대한 국내 한의치료 임상연구 동향 분석 (A Clinical Research Analysis of the Korean Medicine for Peroneal Nerve Palsy)

  • 홍수민;이은정
    • 한방재활의학과학회지
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    • 제29권3호
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    • pp.61-74
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    • 2019
  • Objectives This study aimed to review clinical studies about Korean medicine used in peroneal nerve palsy. Methods In 11 online databases (Earticle, Research Information Sharing Service, Oriental Medicine Advanced Searching Integrated System, KMbase, Korean Traditional Knowledge Portal, National Digital Science Library, MEDLINE/Pubmed, Ebscohost, Cochrane CENTRAL, EMBASE, China National Knowledge Infrastructure), we searched clinical studies about Korean medicine. Among the studies that we've searched, we excluded the studies that are not related to Korean medicine, case reports, randomized controlled trials and retrospective studies. As a result, 16 case studies and 1 randomized controlled trial are included. Results Total number of patients was 123. In these studies, acupuncture (100%), herbal medicine (58.8%), pharmacopuncture (58.8%), Korean physical therapy (58.8%), moxibustion (41.1%), cupping (41.1%) etc. were used. In acupuncture, GB34 and ST36 were most frequently used. Most of the herbal medicines used in these studies were different. Range of movement were most frequently used in outcome measure. Conclusions In this study, we reviewed studies about Korean medicine used in peroneal nerve palsy. It was difficult to clearly determine which intervention has improved the symptom. In the future, Further clinical studies will be needed to retain the evidence for the treatment of peroneal nerve palsy. And also more randomized controlled clinical trials to prove the efficacy of Korean medicine will be needed.

On the Global and Local Environmental Dependence of Type Ia Supernova Luminosity from the Analysis of SALT2 and MLCS2k2 Light-Curve Fitters

  • Kim, Young-Lo;Lee, Young-Wook
    • 천문학회보
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    • 제44권1호
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    • pp.40.3-40.3
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    • 2019
  • There is growing evidence for the dependence of Type Ia supernova (SN Ia) luminosities on the environments. The origin of this correlation, however, is under debate. In order to explore the physical origin of the trend in detail, we analyze SN Ia light-curves by combining a sample of 1231 SNe Ia over a wide redshift range (0.01 < z < 1.37) in various SN surveys and employing two independent light-curve fitters of SALT2 and MLCS2k2. Although SALT2 is the most widely used fitter in the SN community, MLCS2k2 has a novelty in the context of an investigation of the luminosity evolution of SNe Ia. For this reason we use both fitters and analyze them separately. We also determine a stellar mass and a star formation rate (SFR) for a sample of ~600 host galaxies. In addition, because recent low-redshift studies suggest that this dependence manifests itself most strongly when using the local SFR at the SN location, we introduce a new method to infer the local environments by restricting the SN Ia sample in globally star-forming host galaxies to a low-mass host galaxy subset (${\leq}10^{10}M_{\odot}$). We find that SNe Ia in low-mass and star-forming host galaxies are fainter than those in high-mass and passive hosts, after light-curve corrections. Especially, for the first time in host studies, we show that SNe Ia in locally star-forming environments are $0.081{\pm}0.018$ mag fainter ($4.5{\sigma}$) than those in locally passive environments from the sample including SNe at the high-redshift range. Considering the significant difference in the mean stellar population age between these environments, the result would suggest that the origin of the environmental dependence is the luminosity evolution of SNe Ia.

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The Analysis of Korean Clinical Studies on the Effect of Pharmacopuncture for Whiplash Injury after Traffic Accidents

  • Yun, Jung Min;Hur, Na Yeon;Kim, Kyeong Han
    • 대한약침학회지
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    • 제23권4호
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    • pp.262-272
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    • 2020
  • Objectives: Whiplash injury is one of the major diseases in recent times because of increasing traffic accidents. This review aims to analyze the overall trend of studies on pharmacopuncture for whiplash injury after traffic accidents. Methods: We searched through 4 Korean electronic databases from 2001 up to October 2020 for relevant clinical studies for whiplash injury after traffic accidents, regardless of the patients' age, gender, or race. We included studies that had an intervention group receiving pharmacopuncture therapy with or without other additional treatments, and also included studies that had a control group receiving sham treatment or active treatment such as physical therapy and herbal medication. For the clinical outcomes, we did not place any restrictions on evaluation scales if they are objective metrics. Results: We included 6 randomized controlled trials (RCTs) and 10 non-randomized controlled trials (nRCTs). 10 nRCTs were divided into 4 categories that were case-control studies, case series, case report, and retrospective observational study. In RCTs, Hwangryun-haedoktang (黃蓮解毒湯) pharmacopuncture was the most frequently used. In nRCTs, Jungsong-ouhyul (中性瘀血) pharmacopuncture, and bee venom pharmacopuncture were the most frequently used. As target points of Hwangryun-haedoktang pharmacopuncture, Ashi-points, Jianjing (GB21), and Fengchi (GB20) were the most frequently used. As target points of Jungsong-ouhyul pharmacopuncture, Ashi-points were the most frequently used. And as target points of Bee venom pharmacopuncture, Fengchi (GB20) was the most frequently used. Conclusion: Hwangryun-haedoktang pharmacopuncture, bee venom pharmacopuncture, and Jungsong-ouhyul pharmacopuncture were mainly used for whiplash injury, and their usual target points were Jianjing (GB21), Fengchi (GB20), and Ashi-points. However, a high level of evidence should be conducted through studies with systematic methodology in the future.

The Effect of Foreign Direct Investment on Public Health: Empirical Evidence from Bangladesh

  • SIDDIQUE, Fahimul Kader;HASAN, K.B.M. Rajibul;CHOWDHURY, Shanjida;RAHMAN, Mahfujur;RAISA, Tahsin Sharmila;ZAYED, Nurul Mohammad
    • The Journal of Asian Finance, Economics and Business
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    • 제8권4호
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    • pp.83-91
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    • 2021
  • Health is an outset of psychological, social, financial, and physical state. Several macroeconomic factors are entangled with health and mortality. Infant mortality and life expectancy are two keyguard on demographic research context on last few decades. On the other hand, foreign inflows play an unprecedent role for raising economic circulation and providing more opportunities to build a better society. The study aims to investigate the relationship between foreign direct investment (FDI), economic growth, and Bangladesh's health. This study employs time-series data from 1980 to 2018. Results show, with Auto-regressive Distribute Lag (ARDL) model, that there is significant cointegration among variables. Foreign investment and economic output relate significantly and positively to health. On the contrary, education is quasi-linked with a different sign-on different model. For model validation, pitfalls of time-series multicollinearity, heteroscedasiticy, and autocorrelation are not present. Also, CUSUM and CUSUMSQ tests are validating the model as stable and fit for future prediction. Medical assessment and education need more attention from the government as well as the private sector. FDI can play a catalyst role for improving the health sector, raising opportunity in educating and creating a better lifestyle. In order to optimize foreign investment, the government should implement necessary reforms and policies.