• Title/Summary/Keyword: Cross-sectional factor

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Meta-Analysis: Association Between Wrist Posture and Carpal Tunnel Syndrome Among Workers

  • You, Doohee;Smith, Allan H.;Rempel, David
    • Safety and Health at Work
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    • v.5 no.1
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    • pp.27-31
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    • 2014
  • Background: Carpal tunnel syndrome (CTS) is a common work-related peripheral neuropathy. In addition to grip force and repetitive hand exertions, wrist posture (hyperextension and hyperflexion) may be a risk factor for CTS among workers. However, findings of studies evaluating the relationship between wrist posture and CTS are inconsistent. The purpose of this paper was to conduct a meta-analysis of existing studies to evaluate the evidence of the relationship between wrist posture at work and risk of CTS. Methods: PubMed and Google Scholar were searched to identify relevant studies published between 1980 and 2012. The following search terms were used: "work related", "carpal tunnel syndrome", "wrist posture", and "epidemiology". The studies defined wrist posture as the deviation of the wrist in extension or flexion from a neutral wrist posture. Relative risk (RR) of individual studies for postural risk was pooled to evaluate the overall risk of wrist posture on CTS. Results: Nine studies met the inclusion criteria. All were cross-sectional or case-control designs and relied on self-report or observer's estimates for wrist posture assessment. The pooled RR of work-related CTS increased with increasing hours of exposure to wrist deviation or extension/flexion [RR = 2.01; 95% confidence interval (CI): 1.646-2.43; p < 0.01: Shore-adjusted 95% CI: 1.32-2.97]. Conclusion: We found evidence that prolonged exposure to non-neutral wrist postures is associated with a twofold increased risk for CTS compared with low hours of exposure to non-neutral wrist postures. Workplace interventions to prevent CTS should incorporate training and engineering interventions that reduce sustained non-neutral wrist postures.

Relationship between body fat distribution and menstrual disorder in Obese Pre-menopausal Korean Women (한국 성인 비만여성의 체지방 분포와 월경 장애의 상관성 분석)

  • Choi, Ga-Ya;Song, Mi-Yeon;Shin, Hyun-Dai;Chung, Won-Suk
    • Journal of Korean Medicine for Obesity Research
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    • v.4 no.1
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    • pp.23-31
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    • 2004
  • Background: Obesity is associated with menstrual disorder. Especially, upper-body obesity affects on female reproductive function. Objectives: The goals were to investigate relation between fat distribution and menstrual disorder in obese pre-menopausal Korean females. The hypothesis were tested that there is a relation between upper body obesity and menstrual disorder. Design: A cross-sectional evaluation of 66 Females (baseline age $32.15{\pm}7,32)$ with body mass index $31.22{\pm}4.05\;kg/m^2$. Body composition was measured using bioimpedence analysis (BIA) and anthropometry was done by same observer. VAS and Multidimensional verval rating scale(MVRS) were checked for menstrual pain. Dual-Energy X-ray Absorptiometry (DXA) was measured for evaluating body fat distribution. Menstrual disorder and body fat distribution were compared using statistical methods. Results: TLFR and WH ratio was higher in menstrual cyclic disorder group than controls. There was negative relationship between VAS and TLFR. Conclusions: The data shows that disorder of menstrual cycle was associated with upper body obesity. WH ratio could be one of the factor of menstrual disorder. VAS was correlated with lower body obesity. Further studies for role of upper body fat distribution on female reproductive function and relationship between menstrual pain and fat distribution thought to be needed.

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A Study of Hyperlipidemia in Koreans -I. Specially Related to physical Characteristics and It's Risk Factors for Hypercholesterolemia- (한국인의 고지혈증에 관한 연구 -I. 고콜레스테롤혈증 소견자의 신체 특성과 그 위험인자를 중심으로-)

  • 허영란
    • The Korean Journal of Food And Nutrition
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    • v.12 no.3
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    • pp.279-289
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    • 1999
  • This study was conducted to investigate the physical characteristics and risk factors for hyperchol-esterolemia (HC) in Korean. 344 adult men who took the annual health check-ups at D or J hospitals were participated in this cross-sectional study. The subjects were grouped by plasma total cholesterol level in to three groups: normal cholesterolemic (n=139) borderline hypercholesterolemic(n=93) and hypercholesterolemic (n=112) groups. The data of height weight and plasma cholesterol level were col-lected from medical records. Body circumferences(midarm, waist, hip, and thight) skinfold thicknesses (biceps, triceps, subcostal, abdomen, and suprailic), and body composition (fat mass and fat free mass) were measured. Body mass index (BMI) height/weight ratio (HWR) waist/hip circumference ratio (WHR) waist/ thigh circumference ratio (WTR) central skinfold thickenss (CSF) and peripheral skin-fold thickness were calculated. The subjects with HC had significantly higher weight BMI waist cir-cumference skinfold thickness and body fat mass than those of the normal subjects. The relative and attributable risks on HC were 1.61 and 0.17 for obesity (BMI$\geq$25) 1,30 and 0.11 for upper body obesity (WTR$\geq$1.30) and 1.54 and 0.18 for central body obesity (CSF$\geq$95.7). Plasma total cholesterol level was positively correlated with several antropometric parameters: BMI (p<0.001) weight(p<0.001) waist circumference(p<0.001) and skinfold thickness of abdomen (p<0.001) spraillic (p<0.01) triceps(p<0.01) subcostal (p<0.01) and biceps (p<0.05) In conclusion the major influencing factors to plasma cholesterol level was BMI. Among the each physical parameters the circumference of waist the skinfol-d thickness of abdomen and the percentage of body fat were closely related to plasma cholesterol level. The important risk factor for hypercholesterolemia was obesity specially upper body obesity and central body obesity.

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UAV Aerial Photogrammetry for Cross Sectional Extraction and Slope Stability Analysis in Forest Area (UAV 항공사진을 이용한 산림지 횡단면도 추출 및 사면안정성 평가)

  • Kim, Taejin;Son, Younghwan;Park, Jaesung;Kim, Donggeun
    • Journal of The Korean Society of Agricultural Engineers
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    • v.60 no.1
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    • pp.67-77
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    • 2018
  • The objective of this study is to extract the shape of the slope from the images acquired using UAV and evaluate its suitability and reliability when applied to slope stability analysis. UAV is relatively inexpensive and simple, and it is possible to make terrain survey by generating point clouds. However, the image acquired from UAV can not be directly photographed by the forest canopy due to the influence of trees, resulting in severe distortion of the terrain. In this study, therefore, the effects of forest canopy were verified and the slope stability analysis was performed. Images acquired in winter and summer were used, because summer images are heavily influenced by the forest canopy and winter images are not. As a result of the study, the winter image is suitable for the extraction of slope shape, but severe terrain distortion occurs in the summer image. Therefore, slope stability analysis using slope shape extracted from summer image is impossible, so it should be modified for slope stability analysis. The modified slope did not completely eliminate the distortion of the terrain, but it could express the approximate shape of the slope. As a result of the slope stability analysis, the location and shape of the failure surface are the same, and the error of the safety factor is less than 0.2, which is close to the actual slope.

The Hematologic Study as risk factors on premature examination of stroke (PES) (중풍위험인자로서의 혈액학적 소견 연구 - 중풍조기검진 326명에 대한 분석 -)

  • Han, Deok-hee;Seol, In-chan;Kim, Yoon-sik
    • Journal of Haehwa Medicine
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    • v.13 no.2
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    • pp.221-229
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    • 2004
  • 1.Purpose Stroke is the most frequent cause of mortality and morbidity rate in Korea with ischemic heart disease and cancer. Recent recurrence rate of stroke is high, but little attention had been given to the features of its' cause. The purpose of this studies is to examine the hematologic states in Korean normal adults through premature-examination of stroke(PES). 2.Method The study group consisted of 326 cases that they had no significant results by CT through premature examination of stroke(PES) in Cheonan oriental hospital of Daejeon university. We tested RBC, hemoglobin, hematocrit, WBC, PT, PTT, PLT, total protein, albumin, total bilirubin, direct bilirubin, GOT, GPT, $\gamma$-GTP, total cholesterol, triglyceride, HDL-C, glucose, BUN, creatinine, Na, K and evaluated by cross sectional study. 3.Result In the PES, there were many patients with low RBC(11%), shorten PT(26.7%), delayed PTT(19.3%), high TP, GPT, ${\gamma}$ -GTP(respective1y 16.9%, 14.4%, 13.5%), high cholesterol level and triglyceride level(respectively 18.7%, 28.2%). We didn't found significant cases in hemoglobin, hematocrit, WBC, PLT, albumin, total bilirubin, direct bilirubin, GOT, HDL-C, glucose, BUN, creatinine, Na, K. 4.Conclusion In this study, we demonstrated that short PT, high triglyceride level are special views in PES. Also prospective studies are needed continuously to search the preventing methods of the CVA.

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Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses (종합병원 간호사의 밤번고정근무제도와 이직의도에 관한 인식)

  • Lee, Mi-Aie;Cho, Hye-Jin;Ahn, Sung-Hee;Kim, Hyo-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.5
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    • pp.519-529
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    • 2015
  • Purpose: This study was performed to identify perceptions on fixed night shift system and turnover intention of general hospital nurses and to explore a desirable application plan for a fixed night shift system. Methods: This study was a cross-sectional survey. Participants were 300 nurses working at one general hospital in GyeongGi-Do, Korea. Data were collected from November 3 to 7, 2014, with a structured questionnaires and analyzed using SPSS/PC ver 20.0 programs. Results: Of the participants 73.5% had thought about turnover because of night shifts and the preconditions for desirable fixed night shift system were a payment plan differentiated according to work conditions and an adequate number of nursing staff. Economic and administrative supports like 'raising extra-pay for night shift' and 'increasing the number of paid holidays' were very important for a desirable fixed night shift system. Conclusion: The results indicate that the most important factor for a desirable fixed night shift system to decrease nurses' turnover intention is economic and administrative support according to the needs of the nurses. So nursing managers need to find a desirable fixed night shift system considering nurses' demographic characteristics and organizational characteristics.

Enhanced Technique for Fiber Detection of ECC Sectional Image (ECC 화상 단면의 향상된 섬유 검출 기법)

  • Lee, Bang-Yeon;Kim, Yun-Yong;Kim, Jeong-Su;Lee, Yun;Kim, Jin-Keun
    • Proceedings of the Korea Concrete Institute Conference
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    • 2008.04a
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    • pp.1009-1012
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    • 2008
  • The fiber dispersion performance in fiber-reinforced cementitious composites is a crucial factor with respect to achieving desired mechanical performance. However, evaluation of the fiber dispersion performance in the composite PVA-ECC(Polyvinyl alcohol-Engineered Cementitious Composite) is extremely challenging because of the low contrast of PVA fibers with the cement-based matrix. In the present work, an enhanced fiber detection technique is developed and demonstrated. Using a fluorescence technique on the PVA-ECC, PVA fibers are observed as green dots in the cross-section of the composite. After capturing the fluorescence image with a Charged Couple Device(CCD) camera through a microscope. The fibers are more accurately detected by employing a series of process based on a categorization, watershed segmentation, and morphological reconstruction.

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Effects of Chronic Disease Education for Hypertension, Diabetes Patients's Knowledge (만성질환 교육이 고혈압, 당뇨병 환자의 지식수준에 미치는 영향)

  • Lee, Joseph;Yim, Jun;Im, Jeong-Soo;Oh, Dea-Kyu;Han, Jin-Ok
    • Korean Journal of Health Education and Promotion
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    • v.30 no.5
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    • pp.79-90
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    • 2013
  • Objectives: This study is based on Public Care Service for Chronic Diseases in Incheon Metropolitan City featuring Health-Point Service. It is objective to evaluate whether the service could improve self-management ability of hypertension and diabetes patients. Methods: The knowledge about diabetes and hypertension, which can be improved by educational intervention, is considered as one of the most important factor for self-management ability. While the education service have been conducted, 194 patients who have been diagnosed as hypertension and diabetes within 3 months were included. They completed questionnaires two times within 4 months period, which give information about the knowledge, service registration and education experiences. For further inspection, 396 patients who had been diagnosed formerly were studied by cross-sectional analysis. Results: Regardless of service registration or educational intervention, there wasn't statistically meaningful difference between the initial and the follow-up assessments on the knowledge. However, when investigating formerly diagnosed patients, educated patients had better knowledge on hypertension compared with non-educated patients and registered patients, educated patients had the better knowledge on diabetes compared with non-registered patients, non-educated patients. Additionally, analyzing each questions, educated patients got higher grades in questions about definition of hypertension, diabetes managements which they can practice in daily lives. Conclusions: It is probable that long-term service registration and education experiences could improve the knowledge and self-management ability.

Influencing Factors on Alcohol Use of Persons with Severe Mental Illness in the Community (지역사회 만성정신질환자의 알코올 사용 관련요인)

  • Gang, Moonhee
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.585-593
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    • 2013
  • This study was to explore demographic, psycho-social and clinical characteristics and the influencing factors on alcohol use of person with severe mental illness in the community. Cross-sectional descriptive design was used to recruit a convenience sample of 176 participants from four community mental health centers in Korea. The collected data were analyzed using t-tests, $x^2$-test, and logistic regression. Depending on the alcohol use (AUDIT-K), participants were divided into the problem alcohol use group (n=54, 30.7%) and normal group (n=122, 69.3%). The problem alcohol use group was significantly more smoking, anxiety, stress, suicidal thought, and had a lower age of onset, phase of rehabilitation, self-efficacy, and others' support. In logistic regression analysis, factors influencing on alcohol use were smoking, age of onset, phase of rehabilitation and others' support. The findings may provide useful information to develop strategies for prevent from alcohol induced the problems in this populations.

Relationships between Fatigue, Sleep Disturbance, Stress, Self-efficacy and Depression in Hemodialysis Patients (혈액투석환자의 피로와 수면장애, 스트레스, 자기효능감 및 우울 관계)

  • Seo, Nam Sook;Kang, Seung Ja;Kim, Jae Hee;Kim, Sea Ja
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.2
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    • pp.285-297
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    • 2013
  • Purpose: This study was conducted to investigate the differences in sleep disturbance, stress, self-efficacy and depression by fatigue level and to identify the factors influencing fatigue in hemodialysis patients. Methods: This study used a cross-sectional design and the subjects were 195 patients undergoing hemodialysis in a local unit. Data were collected using a structured questionnaire and medical records from June to August 2012. The data were analyzed using descriptive statistics, independent t-test, one way ANOVA, $Scheff{\grave{e}}$ test, and Pearson's correlation coefficients. Also a multiple regression analysis was used to assess the independent association between fatigue status and indices of sleep disturbance, stress, self-efficacy and depression. Results: A total of 99 (50.8%) subjects experienced a high level of fatigue and 96 (49.2%) experienced a low level of fatigue. There were significant differences in the levels of sleep disturbance, stress, self-efficacy and depression between the two groups. Fatigue was significantly correlated to sleep disturbance, stress, self-efficacy and depression. The most important factor related to fatigue was stress, followed by sleep disturbance. These factors explained about 37% of fatigue of the respondents. Conclusion: The results of this study showed that sleep disturbance and stress were significant predictors of fatigue in hemodialysis patients. Possible interventions for minimizing fatigue in patients undergoing long-term hemodialysis should be aimed to manage the known contributing factors.