• 대한통합의학회지
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• 제8권1호
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• pp.15-25
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• 2020

Purpose : Sexual harassment cases involving health and medical workers, including physical therapists, nurses and psychotherapists, are on the rise. Despite the increased incidence of sexual harassment, prior studies show that physical therapists, nursing assistants and caregivers are not doing well cope with sexual harassment. Therefore this study examines the factors associated with sexual harassment damage experience among physical therapists, as well as the relationship between sexual harassment damage experience and job-related aspects. It is intended to prepare basic data for programs and research that can mediate these issues. Methods : We conducted a self-reported questionnaire survey of 200 physical therapists working at medical institutions in the Seoul metropolitan area. The survey items included sexual harassment experience and job-related aspects such as satisfaction, stress, burnout, and engagement. A correlation analysis was conducted to clarify the relationship between sexual harassment experience and job-related factors, and multiple regression analysis was conducted to verify the correlations of sexual harassment experience on physical therapists' job. Results : There was a weak correlation between sexual harassment experience, job satisfaction, and job engagement, and a moderate correlation between sexual harassment experience, job stress, and job burnout. The impact of sexual harassment experience on job had a significant correlation on job satisfaction, job stress and burnout. Conclusions : Sexual harassment damage experience among physical therapists had a significant impact on many job aspects. Thus, there is a need for countermeasures and education to prevent sexual harassment, or at least effectively cope with the consequences. It is proposed to expand to other local or national units as follow-up studies, to study other factors affecting sexual harassment damage experience, and to develop and verify programs to cope with or prevent sexual harassment damage experience.

• 한국병원경영학회지
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• 제19권2호
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• pp.66-72
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• 2014

Although stress has been implicated to be a risk factor that can threaten physical and mental health, there have been no sufficient studies that analyze the different levels of stress among employees working in the different levels of the hospitals. We aim to identify the general characteristics of hospitals at different levels, to compare the stress levels among customer service representatives working in the tertiary care hospitals as well as acute general hospitals. In addition, we also wanted to analyze the relationship between the types of hospitals and the stress level. The work stress was measured using the Korean Occupational Stress scale. Study subjects' demographic characteristics and lifestyle factors were analyzed using analysis of frequency and multiple regression analysis. Our study revealed that the levels of medical facility were significantly associated with the levels of job stress(P=0.043), and the stress levels of employees working in the acute general hospital's medical facilities were higher than those who were working in tertiary care facilities. We also found that those with higher depression level tended to have higher job stress (P<0.001). Therefore, it is urgent to implement some kind of job stress interventions, especially in the acute general hospital's medical facilities. Moreover, further studies including social and policy research are necessary in order to analyze the overall impact of stress on physical and mental health and to reduce health inequalities among healthcare workers.

• The Korean Journal of Physiology and Pharmacology
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• 제15권2호
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• pp.67-81
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• 2011

Epilepsy is a chronic disease occurring in approximately 1.0% of the world's population. About 30% of the epileptic patients treated with availably antiepileptic drugs (AEDs) continue to have seizures and are considered therapy-resistant or refractory patients. The ultimate goal for the use of AEDs is complete cessation of seizures without side effects. Because of a narrow therapeutic index of AEDs, a complete understanding of its clinical pharmacokinetics is essential for understanding of the pharmacodynamics of these drugs. These drug concentrations in biological fluids serve as surrogate markers and can be used to guide or target drug dosing. Because early studies demonstrated clinical and/or electroencephalographic correlations with serum concentrations of several AEDs, It has been almost 50 years since clinicians started using plasma concentrations of AEDs to optimize pharmacotherapy in patients with epilepsy. Therefore, validated analytical method for concentrations of AEDs in biological fluids is a necessity in order to explore pharmacokinetics, bioequivalence and TDM in various clinical situations. There are hundreds of published articles on the analysis of specific AEDs by a wide variety of analytical methods in biological samples have appears over the past decade. This review intends to provide an updated, concise overview on the modern method development for monitoring AEDs for pharmacokinetic studies, bioequivalence and therapeutic drug monitoring.

• Molecular & Cellular Toxicology
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• 제4권4호
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• pp.360-365
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• 2008

In the last several years, studies on the association of oxidative stress damage with exposure in the work place have been conducted. Xenobiotics create an imbalance of the homeostasis between oxidant molecules and antioxidant defense. By monitoring oxidative stress biomarkers, information was obtained on damages induced by oxidative stress and the toxicity of xenobiotics. In the present study, a Job Exposure Matrix (JEM) was constructed using the data from the Working Environment Measurement (WEM) of painters in the shipyard industry from the past 3 years to assess the exposure status. Additionally, by measuring the concentration of urinary malondialdehyde (MDA), the effect of lipid peroxidation was examined. The subjects consisted of 68 workers who were exposed to mixed organic solvents in the painting process and 25 non-exposure controls. The exposure indices of the exposure groups were significantly different (sprayer: 0.83, touchup: 0.54, assistant: 0.13, P<0.05). The urinary MDA concentration of the exposure group was 48.60${\pm}$ 39.23 ${\mu}mol$/mol creatinine, which was significantly higher than 18.03${\pm}$16.33 ${\mu}mol$/mol creatinine of the control group (P<0.05). From the multiple regression analysis of urinary MDA, the regression coefficient for exposure grade was statistically significant. In future studies, evaluation of the antioxidant levels of subjects should be performed simultaneously with quantitative exposure measurements.

• 디지털융복합연구
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• 제15권9호
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• pp.335-343
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• 2017

다수 연구들에서는 외로움을 많이 느끼는 청소년들은 스트레스를 더 받으며, 그들은 외로움과 스트레스를 달래기 위하여 쉽게 스마트폰 중독에 빠짐을 제시하고 있다. 또한, 관련 연구들은 청소년들의 스마트폰 중독이 청소년들에게 정신적으로 부정적인 영향들을 미치고 있음을 규명하고 있다. 이와 같은 연구주제들과 관련하여, 본 연구는 청소년들의 외로움, 스트레스, 스마트폰 중독의 영향관계를 규명하고자 하였다. 본 연구주제들을 규명하기 위하여, 본 연구는 실증분석을 위한 청소년들을 대상으로 설문조사를 2017년 4월 1일부터 4월 15일 동안 실시하였다. 총 356명이 설문조사에 참가하였으며, 이 가운데 327명의 설문조사 내용을 본 연구의 실증분석의 자료로 활용하였다. 본 연구의 실증분석 결과, 스마트폰 중독의 4개 하부 요인들인 일상생활 장애, 가상세계 지향, 금단, 내성이 모두가 청소년들이 지각하고 있는 외로움과 스트레스의 영향관계를 매개하는 것으로 나타났다. 본 연구의 실증분석 결과는 청소년들의 스마트폰 중독은 청소년들의 정신적 건강, 특히 외로움과 스트레스에 부정적인 결과를 가져오는 것으로 나타났다.

• 근관절건강학회지
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• 제7권2호
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• pp.227-240
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• 2000

The purpose of this article was to identify trend in Arthritis research and to provide ba an approach of Arthritis research. The results of analysis of 69 Arthritis articles public year of between 1970-1999 found that most articles(27.6%, n=19) were published since few(10.1%, n=7) were before 1994. Vast majority of articles(79.8%, n=55) were printed in The Journal of Rheumatology Health, and 79.8%(n=55) of those were quantitative research, 8.7%(n=6) were qualitative research, and 14%(n=1) was methodological research. 29.0%(n=20) of quantitative research were carried in experimental design and over half(50.8%, n=35) in nonexperimental design. Having concerned the types of treatment(or intervention) used in experimental study, the most common treatment was 'exercise' (45.0%, n=9), and other less common were 'self-help education(15.0%, n=3), home care(10.0%, n=2) supportive care(10.0%, n=2), flexibility exercise combined with local heat therapy(5.0%, n=1), relaxation training(5.0%, n=1). Of the types of exercise, aquatic exercise was 30.0%(n=6). The effect of exercise on outcome variable was found to be most strong among the other types of treatment. 18 articles of nonexperimental research were correlational research. From the analysis of correlational research, 29 concepts were identified, and the relationship between depression and other variable were strongly reported. In descriptive studies, most commonly physiological variables were examined in 5 articles(29.5%). Only one study(5.9%) explored patient's perception of the causal factors and those causality. In qualitative researches, two study were carried out by the means of grounded theory. Majority of those subjects were RA patients, and the largest number of sample were 23 and the smallest was 1 In two studies, patient's perceived causality of RA was identified as a research problems, and an experience of ADL, fatigue Phenomenon, an experience of having a total knee replacement with osteoarthritis were each found in one study. Methodological research was carried out to test validity and reliability of the RA Fatigue Scale.

• 아동학회지
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• 제2권
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• pp.83-103
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• 1981

1. Outline of the Study A boom of baby hotels is taking place in Japan. Baby hotel means day care centers that renders services day and night for babies of working mothers. These baby hotels are thriving because many mothers welcome the system because of their needs. However, accidents occurred in a row recently and therefore baby hotel has suddenly become a social issue. According to the ministry of health welfare, there are 587 baby hotels in Japan accommodating about 10,000 children and they are mostly located around amusement centers. The reasons that these baby hotels thrive in spite of the fact that there are 22,000 day care centers in Japan are : (1) shortage of day care centers compared to the needs (2) most centers do not take in babies below 1 year. This study aims to describe the present status of the baby hotels and the background of the phenomena that made it possible for them to thrive with no permission from the government. This study mostly deals with the phenomena in Tokyo. 2. Day Care Policy in Japan and the Problems of Baby Hotels The present review deals with the problems from the following 6 dementions. (1) the shortage of day care centers (2) inadequate system for the care of babies (3) inadequate daily hours of day care centers (4) Unflexable enrollment system of day care centers (5) imperfect enfollment process & guidelines (6) lack of alternative institutions 3. Result The Ministry of Health & Welfare affered the following ways to cape with the problems of baby hotels : (1) restraint of the baby hotels (2) utilization of existing day care centers for the care of babies. In my opinion, these suggestions seem too superficial in solving the problems. I would rather suggest that the Japanese government review the whole system of child welfare administration. The Child welfare Law of Japan made a clear statement in its article 24 that, "if day care centers are not available, alternative institution for proper care of children must be sought for." My suggestions for the alternative care are : (1) public nursing rooms (2) family day care (3) extention of kindergarten hours (4) foster family care.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권3호
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• pp.57-69
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• 2017

Purpose: This study aims to emphasize interrelation between healthcare policies, design standards and hospital architecture of the United States since 1950s; to examine spatial characteristics of inpatient care facilities through case studies; and to consider the social implication of these spatial changes. Methods: In this study, reviewing the overall healthcare system, design standards and inpatient care facilities of the United States since 1950s, a total of five inpatient care facilities, one for each period, were selected in order to analyze the spatial characteristics. The spatial maps of Space Syntax were employed for analyzing five case studies. Results: The distance between the nursing station, the support service, and inpatient room were getting closer. The spatial structure of inpatient care facilities is transformed from tree structures to annular tree structures. This result shows that the efficiency between patient, staff and support service is higher and the depth of the spaces is getting deeper, which indicates that efficiency for improving healthcare quality affect the spatial structure of inpatient care facilities. Implications: In the future, if Korea's health policy is changed to a demand-oriented health care policy, this conclusion predicts medical planning of hospital will be focused on the efficiency.

• 한국산업보건학회지
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• 제29권3호
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• pp.383-393
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• 2019

Objectives: The proportion of those working beyond 53 hours a week in 2018 has reached 16.8% of the total number of workers in the Republic of Korea (Statistics Korea, 2018). Although there are many studies that have dealt with the correlation of long working hours and increasing risk of work-related health problems, studies dealing with the factors impacting work-related health problems of workers according to their working hours are few. This study aims to ascertain factors impacting work-related health problems of workers based on their working hours through thorough research on their work environment. Methods: Necessary factors for this study were extracted from 'the 4th Korean Working Conditions Survey to analyze details on normal characteristics and work environments used for the study analysis, work hours, and health problems related to work. Results: The results are as follows: First, men showed a greater probability of exposure to work-related health problems than did women, especially in the 50s age group, which showed the highest potential for health problems from work among age groups. Second, service providers and sales professionals showed a higher probability of work-related health problems. Third, for the work environment, health problems at work related to vibration, noise, chemical and poison exposure, exhaustion, pain, standing position, and repeated motion showed a higher probability if the work hours are long. Conclusions: This study suggests that the minimization of overtime labor would prevent work-related health problems and diseases, improve the well-being of workers, and decrease the negative impact on workers in the subject area.

• 스트레스연구
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• 제25권2호
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• pp.86-92
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• 2017

본 연구의 목적은 메타분석 방법을 이용하여 음악중재가 아동 및 청소년의 불안에 미치는 영향을 알아보는 것이다. 이때 연구 대상 논문은 음악중재가 불안에 미치는 영향을 분석한 선행연구이며, 최종적으로 학술지 5편, 학위논문 28편이 분석에 사용되었다. 연구의 출판 편향은 Funnel plot과 Fail-safe N 계수를 활용하여 확인하였으며, 분석 결과 출판 편향이 연구에 영향을 줄 만큼 크지 않은 것으로 나타났다. 동질성 검증을 실시한 결과 효과크기는 이질 하였고 이에 랜덤효과 모형으로 분석을 실시한 결과 전체 효과크기는 -1.034이었다. 또한 범주형 변인에 따른 효과 차이 분석 결과는 대상 구분(Classification), 중재 장소(Intervention location)에 따라 유의하였으며, 연속형 변인에 따른 분석 결과도 규모(Size)에 따라 유의하였다.