• Safety and Health at Work
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• v.9 no.2
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• pp.203-209
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• 2018

Background: Night shift work is associated with many problems such as sleep deprivation, sleepiness, decreased cognitive performance, increased human errors, and fatigue. This study set out to measure cognitive performance, melatonin rhythms, and sleep after different consecutive night shifts (7 vs. 4) among control room operators (CORs). Methods: The participants included 60 CORs with a mean age of 30.2 years (standard deviation, 2.0) from a petrochemical complex located in Southern Iran. Cognitive performance was assessed using the n-back task and continuous performance test. To evaluate melatonin, saliva was collected and tested by enzyme-linked immunosorbent assay. To assess sleep and sleepiness, the Pittsburgh Sleep Quality Index and Karolinska Sleepiness Scale were used, respectively. Results: Individuals who worked 7 consecutive night shifts had a significantly better cognitive performance and sleep quality than those who worked 4 consecutive night shifts. However, salivary melatonin profile and sleepiness trend were not affected by shift type. Conclusion: The main duty of CORs working night shifts at the studied industry included managing safety-critical processes through complex displays; a responsibility that demands good cognitive performance and alertness. It is suggested that an appropriate number of consecutive night shifts in a rotating shift system should be planned with the ultimate aim of improving CROs performance/alertness and enhancing safety.

• Journal of Korean Public Health Nursing
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• v.31 no.3
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• pp.451-463
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• 2017

Purpose: The purpose of this study is to investigate the drinking, stress, and sleep on depression of Korean obese women. Methods: The data of this study were derived from the Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-3), conducted from January to December 2015 by Korea Centers for Disease Control and Prevention. The study subjects were 935 adult women between 20 and 70 years old (Body Mass Index${\geq}25$). The data were analyzed by the complex sampling design method applying the weights to the IBM SPSS 23.0 program. Results: The study result showed that the frequency of binge drinking, stress perception, sleeping time and depression of Korean obese women showed significant differences according to age group. In the 20-30's, the stress and sleeping time, the 40-50's were drinking at once, the frequency of drinking and stress, and the drinking and stress at 60-70's were significantly associated with an increased risk of depression in obese women. Conclusion: The intervention program for the management of depression in Korean obese women should include the strategies for managing stress and drinking, taking into account differences according to age.

• Journal of Oral Medicine and Pain
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• v.45 no.1
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• pp.1-11
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• 2020

Purpose: The purpose of this study was to assess influences of psychological factors on sleep disturbances in young adults through the revised version of the Minnesota Multiphasic Personality Inventory (MMPI-2). Methods: Two hundred and ninety nine college students in Gyeonggi-do completed the MMPI-2 and a questionnaire related to sleep disturbances and collected data were analyzed by logistic regression. Results: The odds of tooth grinding increased significantly with the increase of T-score of hysteria (Hy) scale. The increase of T-score of hypomania (Ma) and social introversion (Si) scale significantly contributed to the risk of insomnia. The occurrence of insomnia increased significantly as T-score of somatic complaints (RC1) and psychoticism (PSYC) scale increased. The odds of tooth grinding increased significantly as T-score of anxiety (ANX) and family problems (FAM) scale increased. The occurrence of insomnia decreased significantly with the increase of T-score of type A behavior (TPA) scale. The increase of T-score of dominance (Do) scale significantly contributed to the risk of tooth clenching. The odds of tooth grinding decreased significantly as T-score of MacAndrew alcoholism-revised (MAC-R) scale increased, whereas it increased significantly as T-score of addiction potential scale (APS) increased. No scale of MMPI-2 significantly affected the occurrence of snoring. Conclusions: T-scores of Hy, ANX, FAM, Do, MAC-R, and APS scales on MMPI-2 affected the risk of bruxism. T-scores of Ma, Si, RC1, PSYC, and TPA scales on MMPI-2 influenced the occurrence of insomnia. The psychometric instrument such as MMPI-2 is helpful in understanding and managing bruxism and insomnia.

• The Journal of the Korea Contents Association
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• v.18 no.2
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• pp.378-387
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• 2018

With the advent of the fourth industrial revolution in recent years, the field of health care services is getting attention again. Accordingly, personalized medical systems through smart products are emerging in various forms. With the use of wearable tech and sensor system, health management and monitoring can be done anytime, anywhere without help of others. However, healthcare services for pregnant women are very scarce. Due to the low fertility rate the number of obstetrics and gynecology is decreasing and as a result, environment surrounding the uncomfortable pregnant women is getting worse. Pregnant women are unable to take a comfortable sleeping posture due to pregnancy. Various environmental factors such as noise, temperature and humidity decrease the quality of sleeping of pregnant women and hinder happy preaching. The purpose of this study is to develop a UI design that can manage sleeping by providing good sleeping posture information and improved sleeping environment for the health of pregnant women. We expect to apply the sensor technology of the 4th industrial age to maximize the sleep quality and quality of life of expectant mothers.

• The Journal of the Korea Contents Association
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• v.16 no.2
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• pp.456-466
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• 2016

The purpose of this study was to identify factors affecting clinical practice-related fatigue among undergraduate nursing students. The data were collected from a questionnaire distributed among 129 juniors and seniors (3rd and 4th year students) in nursing college at the G city, who were at the end of clinical practice. Multiple regression analysis found that the significant major predictors of clinical practice-related fatigue among nursing students were sleep quality (${\beta}=.30$), anxiety (${\beta}=.26$), exercise frequency (${\beta}=-.21$) and clinical practice stress (${\beta}=.19$). These variable factors could explain 33.6% of clinical practice-related fatigue among nursing students. This study suggests that sleep quality, anxiety, exercise frequency, and clinical practice stress are significant factors of clinical practice-related fatigue among nursing students. Therefore, strategies improving sleep quality and exercise and managing anxiety and stress should be developed to reduce the fatigue for nursing students during clinical exposure.

• Women's Health Nursing
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• v.25 no.4
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• pp.423-433
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• 2019

Purpose: The study aimed to examine the effects of sleep pattern, stress, and attitude towards menstruation, and behavior that causes a reduction in exposure to endocrine disrupting chemicals (EDCs) in the course of premenstrual syndrome (PMS) in female adolescents. Method: In total, 200 girls attending middle school in K city were recruited via convenience sampling between December 11 and 31, 2018, and 192 subjects were selected for the analysis. Data were analyzed using descriptive statistics, an independent t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Results: Overall, 9 (4.7%), 152 (79.2%), and 31 (16.1%) students had morning-, intermediate-, and evening-type sleep pattern, respectively. The mean scores for school-related stress were highest. Scores for stress regarding relationships with friends were the lowest. The mean score for attitudes toward menstruation was 72.33 out of 147. The mean score for behavior that led to a reduction in EDCs exposure was 56.57 out of 85. The mean scores for PMS severity were 25.30 and 38.39 out of 60. Analysis of factors affecting PMS revealed that severity of menstrual pain (β=.28), use of analgesics during menstruation (β=.17), family history of PMS (β=-.16), stress (β=.19), and behavior that reduces EDCs exposure (β=-.17) exerted significant effects on PMS. The explanatory power of these variables was 37%. Conclusion: The findings propose the necessity of a health intervention program including educational information, which can reduce PMS in adolescents, induce the behaviors which can decrease exposure to EDCs, and activities for managing the stress levels.

• Journal of the Korean Society of Food Science and Nutrition
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• v.36 no.7
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• pp.840-848
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• 2007

This study was performed in order to investigate the stress levels, sleep, anthropometric measurement and nutrient intakes their correlations of college students. General characteristics, stress scores using a stress test, sleep scores using a sleep test, anthropometric measurement, body composition using Inbody 3.0 and nutrient intakes using 3-day recalls were measured in 353 subjects (183 males and 170 females). Mean total stress score of the male students was 68.2${\pm}$45.0 and that of the female students was 86.5${\pm}$48.7. Stress for study, future, economic and value-related factors were higher than other factors in both male and female students. Female students were more stressed than male in friend, family, study, future and value-related factors. Mean sleeping time and sleep scores of the male students were 7.0 hrs and 40.6${\pm}$5.7, respectively and that of the female students were 7.1 hrs and 41.5${\pm}$5.3, respectively. Mean height, weight, percent body fat (PBF) and waist-hip ratio (WHR) of the male students were 174.8 cm, 73.3 kg, 19.0% and 0.84, respectively. Mean height, weight, PBF, and WHR of the female students were 161.7 cm, 55.3 kg, 28.7% and 0.81, respectively. Mean energy and protein intakes of the male students were 2026.3 kcal (77.9% EER) and 83.0 g (150.9% RI) and those of the female students were 1538.2 kcal (73.2% EER) and 60.7 g (134.9% RI), respectively. In male students, sleep duration, professor and future problem showed significantly negative correlation (p<0.05). For both male and female students, in correlations between sleep scores, life stress experience frequency and importance, the total scores showed significantly negative correlation (p<0.01). Sleep scores (sleep quality) have more significant correlation than sleep duration in life stress. In male students, correlations between economic problem and weight, waist circumference and hip circumference showed significantly negative correlation. In female students, correlations between different gender problem and body mass index (p<0.05), PBF (p<0.01), WHR (p<0.01) and obesity degree (p<0.05) showed significantly negative correlation while correlation between study problem and PBF (p<0.05), WHR (p<0.05) showed significantly positive correlation. In male students, there were significantly positive correlations between life stress experience frequency and carbohydrate calcium, iron, vitamin A; correlation between importance and calcium, iron as well as correlation between total life stress scores and iron (p<0.05). In female students, correlation between life stress experience frequency and thiamin along with correlation between importance and thiamin showed significant negative correlation (p<0.05). College students need to practice good life habits for the purpose of correctly managing life stress.

• Health Policy and Management
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• v.34 no.2
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• pp.141-155
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• 2024

Background: This study aimed to identified the relationship between the risk of obstructive sleep apnea, subjective health, and health-related quality of life among the middle-aged and elderly population in Korea. Methods: Adults aged 40 or older were extracted from the total 22,559 respondents to the 2019-2020 Korea National Health and Nutrition Examination Survey VIII, and secondary analysis was conducted on a total of 6,659 middle-aged and elderly people with no missing values. Logistic regression analysis and multiple regression analysis were conducted to examine the relationship between obstructive sleep apnea risk factors and subjective health as well as quality of life. Results: The subjective health status decline in the high-risk group compared to the non-risk group for obstructive sleep apnea was statistically significantly higher, with an odds ratio of 1.84 (p<0.001). The health-related quality of life was also statistically significantly lower by 0.02 points (β, -0.02; p<0.001). As a result of subgroup analysis on specific variables, the association between the risk of obstructive sleep apnea and subjective health and health-related quality of life was statistically significant depending on gender, sleep time, presence of depression, household income, and number of household members. Based on the obstructive sleep apnea risk group, women had a higher correlation with low subjective health and lower health-related quality of life scores than men. Sleeping time of more than 8 hours or less than 6 hours was more associated with low subjective health and lower health-related quality of life score than sleeping time of 6-8 hours. Patients with depression were more likely to have low subjective health than those without depression. The lower the household income level and the smaller the number of household members, the higher the association with low subjective health and the lower the health-related quality of life score. Conclusion: It is essential to recognize that the risk of obstructive sleep apnea not only directly affects sleep disorders but also impacts individuals' subjective health and quality of life. Consequently, social support and education should be provided to raise awareness of this issue. Particularly, programs for preventing and managing obstructive sleep apnea should target vulnerable groups such as women, individuals in single-person households, low household income, and those with depression, aiming to improve their subjective health and quality of life.

• Proceedings of the Korea Information Processing Society Conference
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• 2020.11a
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• pp.232-235
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• 2020

본 논문은 코골이 및 폐쇄성 무호흡 환자들의 수면의 질 향상을 위한 자세 교정 및 건강관리를 제공하는 스마트 침대를 제안한다. 기존 코골이 및 폐쇄성 무호흡 환자들을 위한 베개 및 자세변환 시스템은 코골이를 방지해 주거나, 혹은 폐쇄성 무호흡 환자들을 위한 용도로만 존재해왔다. 이에 본 논문에서는 사용자의 코골이, 폐쇄성 무호흡뿐만 아니라 개별적으로 존재하는 질병을 침대에서 사용자의 수면 상태 정보, 산소포화도, 뒤척임 정보를 수집하여 개인별 차별화된 자세를 추천 및 교정해준다. 또한 전용 애플리케이션의 건강 신호등 시스템으로 사용자에게 자신의 건강을 직관적으로 확인 시켜 줄 수 있다. 이를 통해 본 논문은 코골이로 인한 소음, 무호흡증을 완화하고 숙면을 돕는 서비스 개발을 목적으로 한다.

• Archives of Craniofacial Surgery
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• v.18 no.2
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• pp.97-104
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• 2017

Background: Nasal bone fracture is one of the most common facial bone fracture types, and the surgical results exert a strong influence on the facial contour and patient satisfaction. Preventing secondary deformity and restoring the original bone state are the major goals of surgeons managing nasal bone fracture patients. In this study, a treatment algorithm was established by applying the modified open reduction technique and postoperative care for several years. Methods: This article is a retrospective chart review of 417 patients who had been received surgical treatment from 2014 to 2015. Using prepared questionnaires and visual analogue scale, several components (postoperative nasal contour; degree of pain; minor complications like dry mouth, sleep disturbance, swallowing difficulty, conversation difficulty, and headache; and degree of patient satisfaction) were evaluated. Results: The average scores for the postoperative nasal contour given by three experts, and the degree of patient satisfaction, were within the "satisfied" (4) to "very satisfied" (5) range (4.5, 4.6, 4.5, and 4.2, respectively). The postoperative degree of pain was sufficiently low that the patients needed only the minimum dose of painkiller. The scores for the minor complications (dry mouth, sleep disturbance, swallowing difficulty, conversation difficulty, headache) were relatively low (36.4, 40.8, 65.2, 32.3, and 34 out of the maximum score of 100, respectively). Conclusion: Satisfactory results were obtained through the algorithm-oriented management of nasal bone fracture. The degree of postoperative pain and minor complications were considerably low, and the degree of satisfaction with the nasal contour was high.