• Title/Summary/Keyword: back stress

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Facet Joint Syndrome (추간관절 증후군)

  • Kang, Jeom-Deok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.2
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    • pp.93-97
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    • 2009
  • Anatomy: Facet joint syndrome most often affects the lower back and neck and refers to pain that occurs in the facet joints, which are the connections between the vertebrae in the spine that enable the spine to bend and twist. Many physicians have believed that the usual lesion of facet syndrome was an anatomical impairments of facet joint itself.. Facet joint injection using local anesthetics is a reliable method for the diagnosis and treatment for facet syndrome. Etiology: One of many possible causes is imbalances that can occur in stress levels, hormone levels, and nutritional levels. These imbalances can adversely affect posture, which can lead to neck and back pain. The common disorder called facet syndrome exhibits lower back pain, with or without, radiating pain to buttock and thigh due to facet joint arthropathy. Pain in the facet joint is supposedly the secondary effect of narrowing of joint space by sustained muscle contracture around joints. Syndrome: Facet joint syndrome tends to produce pain or tenderness in the lower back that increases with twisting or arching the body, as well as pain that moves to the buttocks or the back of the thighs. Other symptoms include stiffness or difficulty standing up straight or getting out of a chair. Pain can be felt in other areas such as the shoulders or mid-back area. Treatment: Non-drug treatments include hot packs, ultrasound, electrical stimulation, and therapeutic exercises. Stimulating blood flow using massage or a hot tub may also help. Alternative treatments include yoga and relaxation therapy. If your pain persists after trying these treatments, a surgical procedure called radiofrequency rhizotomy, which destroys the sensory nerves of the joint, may bring relief. Facet joint injection has been helpful in diagnosis and therapy for this facet syndrome. Radiofrequency thermocoagulation of medial branches is known to be an effective method of relieving pain caused by facet joint problems. We conclude that spasmolytic treatment of muscles connecting the two vertebral articular space would be better for treatment and diagnosis of facet syndrome rather than facet block with local anesthetic and steroid only.

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Job stress of customer service representatives: focusing on the tertiary care hospitals and acute general hospitals (상급종합병원과 종합병원의 민원처리 담당 직원의 직무 스트레스 비교 분석)

  • Hong, Jinhyuk;Kwon, Young Dae;Noh, Jin-Won;Park, Jumin;Back, Seungjun
    • Korea Journal of Hospital Management
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    • v.19 no.2
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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.

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A Study on the stress condition of apprentice doctorf who were in Oriental Medical Hospital (대구 시내 한방병원(韓方病院) 수련의의 스트레스 양상(樣相)에 관(關)한 조사(調査) 연구(硏究))

  • Woo Joo-Young;Jung Dae-Kyoo
    • Journal of Oriental Neuropsychiatry
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    • v.7 no.1
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    • pp.65-75
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    • 1996
  • This paper is for studying stress condition of apprentice doctors who were in Oriental Medical Hospital. This study was done on 35 apprentice doctors who were in Kyungsang University Oriental Medical Hospital and Bulgy Oriental Medical Hospital. The Seven-Minute Stress Test of Thomas E. Sttats and 10 questions which were made by the present writer shows the following results.1. The Body stress scale was the highest point. In order of high percent, this shows Whole scale, Mind scale, Situation scale. 2. In comparison of the stress scale of men and women doctors, all the stress scale of women doctors were higher than men doctors. 3. In comparison of the stress scale of Interne and Resident doctors, Whole and Situation stress scale of Resident doctors were higher than Interne doctors, Body and Mind stress scale of Interne doctors were higher than Resident doctors. 4. The personal relation with other people was harmonious, the worst relation of the other colleague was the administrative staff, the next were nurses, senior apprentice doctors orderly. 5. In order of high percent of stressors, this shows personal relation, many works and troubles of care, the lack of private life, unsatisfactory administration system and equipment, the class system and overbearing atmospheres, education and continuous stress, bad conditions and fatigue, economic problems. 6. In order of high percent of systemic stress diseases, this shows musculo- skeletal disease, nervous disease, digestive disease, neurosis, urinary and genital disorder, opthalomo-otolaryngo disease, immunity disorder and vascular disease. In order of high percent of stress symptom, this show headache, fatigue, shoulder pain, back and leg pain, pantalgia and abdominal pain, diarrhea and dismenorrhea, stiffness of neck dizziness indigestion languor after a meal insomnia, neurasthenia lacking interest constipation menorrhalgia bloodshot eyes otitis media allergy thirst flushing edema. 7. In order of the seven mode of emotions in relation to stress, this shows anger, anxiety, isolation, melancholy, fright, sorrow, terror, overjoy.

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DHC Characteristics of M11 Pressure Tube in Wolsong Unit 1

  • Kim, Sung-Soo;Kim, Young-Suk
    • Nuclear Engineering and Technology
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    • v.32 no.1
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    • pp.1-9
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    • 2000
  • Delayed hydride cracking (DHC) velocity and threshold stress intensity factor for DHC ($K_{IH}$) tests in the radial direction on M11 pressure tube material in Wolsong unit 1 were carried out following the Atomic Energy Canada Limited (AECL) standard test procedure in order to identify the effect of undercooling on DHCV and to acquire the $K_{IH}$ data. The results showed that $K_{IH}$ 's were 8.8$\pm$0.8 MPa√m in the back offcut and 11.4$\pm$0.7 MPa√m in the front offcut. The fact that $K_{IH}$ in the front offcut is about 20% higher than that in the back offcut is attributed to the microstructural difference between the materials of the front and back ends. $K_{IH}$ 's in M11 pressure tube appeared to be higher than the values from the tubes made of double melted ingot reported earlier. This can be interpreted by the fact that very small amounts of Chlorine (Cl) and Phosphorus (P) are contained in the ingot and that the content of the harmful elements in the M11 pressure tube is equivalent to that made of a quadruple melting process. DHC velocities at 25$0^{\circ}C$ in the front offcut in the radial direction are measured to be 5~8$\times$10$^{-8}$ m/s. The results show that the prior thermal history change the DHC velocity significantly. This effect was confirmed by the experiment of undercooling prior to the DHC tests.DHC tests.

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Study on the Determination of the Maximum Injection Pressure for Groundwater Rechargement (지하수 함양시 최대 주입압력 결정을 위한 연구)

  • Choi, Jin O;Jeong, Hyeon Cheol;Chung, Choong Ki;Kim, Chang Yong
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.42 no.4
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    • pp.501-508
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    • 2022
  • Required essential technique is to determine the maximum recharge pressure in the well with condition of non-ground failure for the recovery of the groundwater. Based on the classical soil mechanics, the maximum recharge pressure was estimated with the numerical anlaysis and laboratory triaxial test. In the numerical analysis, the maximum recharge pressure is defined as the ground failure stress. The ground failure of the sand was defined as the piping and the one of the caly was to the undrained failure by the confined pressure increment. In the triaxial test, the recharge pressure in the ground was modified by the back pressure in the specimen. In case of sand, the volume strain was dramatically increased at the 93 % of the maximum back pressure, same meaning of the 0 effective stress state. In case of clay, the only radial volume strain was to reached 1.5 % without failure. Therefore, The maximum recharge pressure could be determined with the numerical analysis and triaxial test.

A Study from a Highly Populated Country : Risk Factors Associated with Lower Back Pain in Middle-Aged Adults

  • Feda Anisah Makkiyah;Tasya Anggraini Sinaga; Namira Khairunnisa
    • Journal of Korean Neurosurgical Society
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    • v.66 no.2
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    • pp.190-198
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    • 2023
  • Objective : Low back pain (LBP) is a global health problem that affects the productivity of the patients. Several factors such as individual, occupational, and psychosocial factors increase the risk of LBP. However, only a few studies investigated those factors, especially in middle adulthood in Indonesia. Indonesia is a country with a young population that has been rapidly developing in recent years. This study was conducted to find out the factors associated with LBP in middle adulthood. Methods : This study is a cross-sectional observational analytic study using a convenience sampling method with a total sample of 3005 respondents. Data were collected using a questionnaire which was then analyzed using the chi-square test, Kolmogorov-smirnov, Spearman's Rank, and logistic regression test. Results : From the result of this study, it was found that the 12-month prevalence of LBP in middle-aged adults was 44,29%. Female (odds ratio [OR], 1.3; 95% confidence interval [Cl], 1.098-1.545; p=0.002), lack of physical exercises (OR, 0.87; 95% Cl, 0.794-0.959; p=0.005), high body mass index (OR, 1.09; 95% Cl, 1.009-1.187; p=0.002), stress level (OR, 1.26; 95% Cl, 1.088-1.458; p=0.002), and years of work experience (OR, 1.1; 95% Cl, 1.001-1.225; p=0.047) were determined as risk factors that significantly associated with LBP. Conclusion : LBP is quite common among middle-aged adults in Indonesia. Female gender, higher body mass index, lack of physical activity, stress level, and years of work experience were all potential risk factors for LBP in middle-aged adults. Middle-aged adults in Indonesia should be aware of LBP and avoid disabilities by identifying risk factors that may worsen LBP in the future.

A Study on the Estimation of Underground Parameters by Coupling of Finite and Boundary Elements (유한요소 - 경계요소 조합에 의한 지반매개변수 추정에 관한 연구)

  • 김문겸;장정범;오금호
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 1995.04a
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    • pp.28-34
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    • 1995
  • Behavior of underground structural systems is usually complicated because of various unknown parameters. In order to construct those structural systems safely and economically, exact identification of the system parameters and accurate analysis of the system behaviors are essentially required. In this study, a forward analysis program, which is able to eliminate numerical errors due to far field boundary effect, is developed by coupling finite and boundary elements. In this coupled analysis, boundary elements are used in the semi-infinite domain where stress variation is small, and finite elements in the stress concentration region where material nonlinearity should be considered. Then, a back analysis program which can identify the system parameters is developed using the direct method to be combined with the forward analysis program. The elastic modulus and initial stress, which are most important in the description of the behavior of underground structures, are taken as the system parameters. A simple example is examined 0 show that the method can be used effectively.

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Steel-Ball-Impact fracture Behavior of Soda-Lime Glass Plates Bonded with Glass Fabric/Epoxy Prepreg (직물형 유리섬유/에폭시 프리프레그로 피막된 판유리의 강구 충격 파괴 거동)

  • 김형구;최낙삼
    • Proceedings of the Korean Society For Composite Materials Conference
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    • 2000.04a
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    • pp.20-25
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    • 2000
  • In order to study the impact fracture behavior of brittle materials, a steel-ball-impact experiment was Performed. Five kinds of materials were used in this study : soda-lime glass plates, glass/epoxy prepreg-one layer-bonded and unbonded glass plates, glass/epoxy prepreg-three layers-bonded and unbonded glass plates. Fracture patterns, the maximum stress and absorbed fracture energy were observed according to various impact velocities 40-120m/s. With increasing impact velocity, ring crack, cone crack, radial crack and lateral crack took place in the interior of glass plates. The generation of such cracks was largely reduced with glass/epoxy prepreg coating. Consequently, it is thought that the characteristics of the dynamic Impact fracture behavior could be evaluated using the absorbed fracture energy and the maximum stress measured at the back surface of glass plates.

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The Related Factor of Job Characteristics and Occupational Stress on Musculoskeletal Symptom for Caregiver Working in Hospital (병원에 근무하는 간병인의 업무적 특성과 직무스트레스가 근골격계 자각증상에 미치는 요인)

  • Choi, Yul-Jung;Sim, Hyun-Po
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.1
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    • pp.19-29
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    • 2012
  • Background: This study was conducted to investigate subjective musculoskeletal symptom and the related factor of caregiver. Methods: For 300 caregiver, we used the self-administered questionnaires to examine occupational stress and subjective musculoskeletal symptom designed by KOSHA. The collected data were analyzed chi-square test, independent t-test and multiple logistic regression analysis using SPSS 12.0. Results: The multiple logistic regression analysis showed that the caregiver working in the general hospital significantly increased the subjective musculoskeletal symptom in their neck, shoulder, hand/wrist/finger, back, leg/foot. For the caregiver working in hospital showed significantly increased the subjective musculoskeletal symptom in their hand/wrist/finger and leg/foot. Conclusions: With the above results, continuous and systematic prevention program should be established, which include the ergonomics and psychosocial factor for the caregiver's musculoskeletal symptom.

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Tabu search based optimum design of geometrically non-linear steel space frames

  • Degertekin, S.O.;Hayalioglu, M.S.;Ulker, M.
    • Structural Engineering and Mechanics
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    • v.27 no.5
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    • pp.575-588
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    • 2007
  • In this paper, two algorithms are presented for the optimum design of geometrically nonlinear steel space frames using tabu search. The first algorithm utilizes the features of short-term memory (tabu list) facility and aspiration criteria and the other has long-term memory (back-tracking) facility in addition to the aforementioned features. The design algorithms obtain minimum weight frames by selecting suitable sections from a standard set of steel sections such as American Institute of Steel Construction (AISC) wide-flange (W) shapes. Stress constraints of AISC Allowable stress design (ASD) specification, maximum drift (lateral displacement) and interstorey drift constraints were imposed on the frames. The algorithms were applied to the optimum design of three space frame structures. The designs obtained using the two algorithms were compared to each other. The comparisons showed that the second algorithm resulted in lighter frames.