• 한국환경보건학회지
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• 제45권6호
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• pp.569-576
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• 2019

Objectives: The main purpose of this study was to assess firefighters' daily personal noise exposure and explore noise levels related to specific tasks and their contributions to total noise exposure using 24-hour full-shift noise exposure measurements with task-based data. Methods: Noise exposure was assessed for eight firefighters (two rescuers, two drivers, and four suppressors) using time-activity diaries. We collected a total of 24 full-shift personal noise sample sets (three samples per a firefighter). The 24-hour shift-adjusted daily personal noise exposure level (L_ep,d), eight weekly personal noise exposures (L_eq,w), and 40 task-specific L_eq values (L_{eq activity}) were calculated via the ISO/NIOSH method. Results: The firefighter noise-sample datasets showed that most firefighters are exposed to noise levels above EU recommended levels at a low-action value. The highest noise exposure was for rescuers, followed by drivers and suppressors. Noise measurements with time-at-task information revealed that 82.3% of noise exposure occurred when checking equipment and responding to fire or emergency calls. Conclusions: The results indicate that firefighters are at risk of noise-induced hearing loss. Therefore, efforts at noise-control are necessary for their protection. This task-specific noise exposure assessment also shows that protective measures should be focused on certain tasks, such as checking and testing equipment.

• 한국직업건강간호학회지
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• 제16권2호
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• pp.205-221
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• 2007

Purpose: This research was to investigate the level of importance and performance of daily-activity and environment management related to workplace health promotion and knowledge and opinion of law and regulation related to workplace health promotion. Methods: The subjects were 218 occupational nurses all over the country. Questionnaires were made by the researcher. Data were collected from September 18 to October 20, 2006 and analyzed by SPSS WIN 12.0. Results: Prevention of accident and emergency treatment got the highest score in the awareness of importance. Regular check-up got the highest score in performance level. Providing and wearing of the personal protective equipments got the highest score both importance and performance level. In occupational nurses' knowledge about law and regulation, ratio of correct answer was 55 percentages that was low intellectual level. The mandatory employment of occupational health nurse or occupational nurse in 50 - 500 person workplaces got the highest score in revision opinion of law and regulations. Conclusion: Result of these studies will provide baseline data for selecting the order of priority according to awareness of importance of daily-activity, environmental management and law and regulation in the occupational health promotion and operating health promotion program.

• 보건교육건강증진학회지
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• 제32권5호
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• pp.73-81
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• 2015

Objectives: We tried to confirm physical activity of 1,000 Kcal per week was a meaningful point in controlling coronary artery disease risks in female older adults. Methods: Participants were 66 female older adults recruited from senior welfare center. Participants were provided with accelerometer (e-step, Kenz, Japan) for measuring daily energy expenditure. Graded exercise test was done for measuring aerobic fitness. Blood glucose and lipid were analyzed. Framingham risk score was calculated based on blood glucose, blood lipid, and smoking. These variables were compared between the group expended more than 1,000 Kcal/week and the group with energy expenditure below 1,000 Kcal/week. Results: The group expended over 1,000kcal/week showed to be superior to the counterpart group in following variables; AC(Abdominal Circumference), %BF, $HR_{rest}$(resting heart rate), $VO_{2peak}$, FBG, LDL-C, TG, BDI-II, QOL, AR(Absolute Risk), RR(Relative Risk). Conclusions: The group expended over 1,000 Kcal/week was likely to have less probability in CAD than group expended less than 1,000 Kcal/week. The result of this study suggests the important role of active daily life that can be replaced with that of regular exercise especially for those who are not available to do structured exercise.

• 한국직업건강간호학회지
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• 제20권3호
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• pp.289-298
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• 2011

Purpose: The purpose of this study was to explore status of activity of daily living, interpersonal relationship, depression and health-related quality of life in patients with traumatic hand injury and identify factors that influence health-related quality of life. Methods: The participants were 104 outpatients with impending hand microsurgery from D city. The data were analyed using Pearson's correlation, t-test, ANOVA, and hierarchical regression with SPSS/WIN 12.0. Results: There were statistically significant differences in HRQoL to gender, age, marital state, and level of pain. HRQoL had significant correlations with ADL, IADL, relationship change, and depression. In regression analysis, depression, marital state, ADL, and level of pain explained 48% of the HRQoL. Conclusion: Findings of this study allow a comprehensive understanding of patients with traumatic hand injury. It is necessary to develop nursing intervention program for improving the health-related quality of life in patients with traumatic hand injury by considering psychological care for depression as well as physical care.

• 대한물리치료과학회지
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• 제18권1호
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• pp.61-67
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• 2011

Background: The purpose of the present study was to determine correlations between the Berg Balance Scale (BBS), Modified Barthel Index(MBI), Mini-Mental State Examination(MMSE) and Fugl-Meyer motor function Assessment(FMA) in persons with strokes. Methods: We recruited 77 stroke patients from the Seoul Bukbu Geriatric Hospital in Seoul, Korea. Balance was measured by BBS. Activity of Daily Living was assessed using MBI. Cognitive function was examined using MMSE. Motor Recovery was measured using FMA. Data was analyzed using Pearson' correlation. Resurts: There were a statistically significant correlation between BBS and MBI, BBS and MMES, BBS and FMA upper extremity, BBS and FMA lower extremity. There were a statistically significant correlation between MBI and MMSE, MBI and FMA upper extremity, MBI and FMA lower extremity. There were a statistically significant correlated between FMA upper extremity and FMA lower extremity. Conclusions: This study will help rehabilitation program for stroke patients and will be the reference data for selection of therapy and evaluation method.

• 여성건강간호학회지
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• 제15권2호
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• pp.99-107
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• 2009

Purpose: This study was aimed to identify the factors related to the health related quality of life (HRQoL) in elderly women. Method: This study used data from cross-sectional surveys conducted for the 2005 National Health and Nutrition Survey, which was performed by using a face to face interview method. Data was analyzed by ANOVA, t-test, logistic regression and multiple regression using the SPSS program. Demographic characteristics, subject health state, activity limitation, K-ADL, K-IADL, EQ-5D were included in the study instruments. Result: The mean HRQoL index in the subjects was 0.68 $\pm$ 0.25. The significant predictors of the HRQoL were health status, activity limitation, activities of daily living (ADL), instrumental activities of daily living (IADL) and income. The factors accounted for 41.0% of variance in the health related quality of life of female elderly. Conclusion: These results may contribute to development of nursing strategy to improve health related quality of life. The health related quality of life program for the elderly should be planned based on results of the study.

• 국제물리치료학회지
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• 제9권4호
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• pp.1636-1641
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• 2018

The purpose of this study was to investigate the relationship between the needs for environmental improvement and dementia patients' activity of daily living (ADL) and behavior and psychological symptoms of dementia (BPSD) in dementia patients living in urban type dementia care villages. The subjects of this study were 70 households with cognitive impairment and dementia among residents of dementia care village in Gunsan City. The survey was conducted with the permission of their family. Frequency analysis and descriptive statistical analysis were performed on the main variables to analyze the characteristics of the subjects. Bivariate correlation analysis was performed to verify the relationship between the two variables. According to the analysis results, the order of environment improvement was in the order of entrance (51.4%), toilet and stairs (48.6%), kitchen (11.4%), bedroom and laundry room (10.0%). In the relationship between the variables, The ADL was correlated with age (r=.315, p <.01), BPSD (r=.322, p<.01) and living environment inconvenience (r=.640, p<.01) while, living environment inconvenience correlated with environment improvement need (r=.669, p<.01). This study suggests that improvement of the residential environment of dwellers in dementia care villages, especially the stairway and entrance hall is necessary.

• Physical Therapy Rehabilitation Science
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• 제7권2호
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• pp.67-71
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• 2018

Objective: Participation restrictions are serious problems that stroke survivors experience while reintegrating into family, work, community, and social situations after participating in rehabilitation programs. The purpose of this study was to explore the factors affecting participation in activities of daily living (ADL), as well as social and leisure activities of individuals with hemiparetic stroke. Design: Cross-sectional study. Methods: The study involved 96 participants who were diagnosed with a first stroke 6 months before the study (58 men, 38 women; $60.3{\pm}14.3years$). The Berg Balance Scale, Modified Barthel Index, Manual Function test, and Activity Card Sort were used to assess static and dynamic balance function, upper limb function, level of independence, and their level of participation within the community. A regression analysis was used to identify the influence of factors affecting participation in ADL, social and recreational activities. Results: The Activity Card Sort scores were significantly affected by the Manual Function test and Modified Barthel Index scores (p<0.05). Participation in leisure activities was affected by the level of independence. Participation in social activities was affected by the balance function and level of independence of the participants. Conclusions: The results of this study have shown that participation restrictions are affected by upper limb function, balance function, and the level of independence in individuals with hemiparetic stroke.

• 대한족부족관절학회지
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• 제25권1호
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• pp.6-9
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• 2021

The term chronic lateral ankle instability (CLAI) embraces a spectrum of conditions that involve functional and mechanical instability, both in athletes and lower-demand patients. The hallmarks of CLAI are recurrent sprains, persistent pain, and repeated episodes of the ankle giving way. CLAI is the main complication of acute ankle sprains, which can cause discomfort in daily and sports activity. Approximately 10% to 30% of patients with acute ligament ruptures will develop chronic instability over the course of a year from the index injury. An accurate diagnostic approach and successful treatment plan should be established based on a comprehensive understanding of the concept of functional and mechanical instability. Unfortunately, the optimal modality for the management of CLAI is unclear. Even after conservative treatment or surgical intervention, it could result in degenerative changes to the ankle joint in the long term. Thus far, the incidence of ligamentous posttraumatic ankle osteoarthritis was reported to be 13% to 78%. The mean latency time between injury and osteoarthritis was at least 10 to 34.3 years. CLAI is an important pathological condition that can cause discomfort or dysfunction in daily activity in the short term, resulting in joint destruction in the long term. Therefore, it is important to understand the various complications that can occur when CLAI is not treated properly.

• 지역사회간호학회지
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• 제30권3호
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• pp.257-270
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• 2019

Purpose: This study is designed as a non-equivalent, control group pre/post-test for identifying effectiveness of a workplace walking program using a fitness tracker including individual counseling and tailored text messaging. Methods: Seventy-nine employees from two large companies were allocated into an intervention group (n=39) and a control group (n=40). Participants were asked to wear a fitness tracker (Fitbit Charger HR) during 24-hour, 5-days per week, for 10 weeks. The intervention group was provided with daily walking steps measured by Fitbit, weekly counseling with a specifically designed workbook, and seven weekly text messaging, and the control group with the fitness tracker only. Results: At the week 10 measurement, there were significant differences between the intervention and control groups in physical activity self-efficacy (p<.001), physical activity behavior (p<.001), daily walking steps (p<.001), systolic blood pressure (p=.033), and wellness (p<.001). Conclusion: These results suggest that the workplace walking program using a fitness tracker including individual counseling and tailored text messaging is more effective for persons with 10,000 steps/day. Therefore, it is recommended to actively apply this workplace walking program to inactive employees for encouraging regular physical activities and improving their wellness.