• 제목/요약/키워드: health assessment index

검색결과 864건 처리시간 0.027초

복지관 이용 노인의 건강상태와 건강행위 관련요인 (Health Status and Factors related to Health Behaviors of Older Adults Using a Senior Center)

  • 하지연;박연환
    • 성인간호학회지
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    • 제27권4호
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    • pp.428-437
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    • 2015
  • Purpose: The aim of this study was to describe health status and to identify the factors related to health behavior in older adults in South Korea. Methods: A cross-sectional survey was conducted with a convenience sample of 186 older people (mean age =68.2yrs, 65.1% Female) registered at one senior center. Data were collected by self-report questionnaires or through face to face interview. The instruments were the Modified Health Behavior Assessment Scale, Stanford Research Instruments for Chronic Disease, Self-Efficacy, SOF Frailty Index and Quality of life questionnaire. The data were analyzed using t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. Results: 58.6% older adults perceived their health status positively. Education level and economic status were significantly related to health behaviors of older adults. Self-rated health, sleep, stress, quality of life, health distress, depression, and frailty were significantly correlated with the health behaviors of older adults. Frailty, education level, and sleep disturbance were the significant factors predicting the health behaviors. Conclusion: The findings from this study suggest that nurses should take into consideration education level of older adults to promote their health behaviors and health promotion program which focuses on maintaining the quality of sleep and preventing frailty.

씹기근육 수축을 동반한 머리목굽힘운동이 목통증 환자의 깊은목뼈굽힘근의 수축두께와 목장애지수에 미치는 영향 (Effect of Craniocervical Flexion Exercise with Masticatory Muscle Contraction on Deep Cervical Muscle Thickness and Neck Disability Index in Patient with Neck Pain)

  • 박은수;최호석;신원섭
    • 대한물리의학회지
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    • 제11권4호
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    • pp.139-146
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    • 2016
  • PURPOSE: The purpose of this study was to determine the effect of craniocervical flexion exercise with masticatory muscle contraction in patients with neck pain. Patients with neck pain also experience muscle weakness and limitation of activities of daily living. Craniocervical flexion exercise with masticatory muscle contraction may increase the thickness of the deep cervical flexor muscles, thereby reducing pain and limitations on activities of daily living. METHODS: Twenty-six volunteers participated in this study. The subjects were randomly divided into an experimental group (n=13) and a control group (n=13). Both groups performed craniocervical flexion exercise using a pressure biofeedback unit; the experimental group performed craniocervical flexion exercise with masticatory muscle contraction for 20 minutes, 3 times a week for 4 weeks. Assessment tools included ultrasonography for measurement of muscle thickness and the Neck Disability Index for the level of pain and function. RESULTS: The rate of change in muscle thickness in both groups significantly increased (p<.05), with a significantly greater increase in the experimental group than in the control group (p<.05). The Neck Disability Index score significantly improved (p<.05) in both groups, with significantly greater improvement in the experimental group compared with the control group (p<.05). CONCLUSION: These results suggest that craniocervical flexion exercise with masticatory muscle contraction can be effective in increasing muscle thickness and improving the Neck Disability Index score in patients with neck pain.

학교 교실 공기질 관리를 위한 건강영향 기반 실내공기질지수 개발 (Indoor Air Quality Index for School Classrooms Based on Health Effects)

  • 김도윤;권지유;이태정;박영구;조영민
    • 환경영향평가
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    • 제30권6호
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    • pp.380-392
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    • 2021
  • 어린 학생들에 대한 HQ (Hazard Quotient) 기반으로 학교교실 실내 공기질 지수 (IAQI-S)를 개발하였다. IAQI-S는 PM10, PM2.5, CO2를 포함하며, IAQI-S의 기준농도는 지정된 HQ값을 통해 산출하였다. 본 연구에서 개발한 IAQI-S를 이용하여 2017년 11월부터 2020년 12월까지 실시간으로 측정한 전국 46개 학교 123개 학급을 평가해보았다. 종합지수 평가 결과, PM10의 93.1%, PM2.5의 94%가 '좋음'과 '보통' 등급에 포함되었다. 8시간 예측 이동 평균을 기반으로 한 IAQI-S는 CAI(Comprehensive Air-quality Index) 및 외국에서 발표되었던 IAQI와 비교하였다. IAQI-S는 CO2를 포함하며 대기질지수 (CAI)에 비해 더 엄격한 수준으로 구성되어 있음을 알 수 있었다.

Damage detection using both energy and displacement damage index on the ASCE benchmark problem

  • Khosraviani, Mohammad Javad;Bahar, Omid;Ghasemi, Seyed Hooman
    • Structural Engineering and Mechanics
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    • 제77권2호
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    • pp.151-165
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    • 2021
  • This paper aims to present a novelty damage detection method to identify damage locations by the simultaneous use of both the energy and displacement damage indices. Using this novelty method, the damaged location and even the damaged floor are accurately detected. As a first method, a combination of the instantaneous frequency energy index (EDI) and the structural acceleration responses are used. To evaluate the first method and also present a rapid assessment method, the Displacement Damage Index (DDI), which consists of the error reliability (β) and Normal Probability Density Function (NPDF) indices, are introduced. The innovation of this method is the simultaneous use of displacement-acceleration responses during one process, which is more effective in the rapid evaluation of damage patterns with velocity vectors. In order to evaluate the effectiveness of the proposed method, various damage scenarios of the ASCE benchmark problem, and the effects of measurement noise were studied numerically. Extensive analyses show that the rapid proposed method is capable of accurately detecting the location of sparse damages through the building. Finally, the proposed method was validated by experimental studies of a six-story steel building structure with single and multiple damage cases.

시화호로 유입되는 지표수 및 방류수의 급·만성 생태독성평가 (Acute and Chronic Ecotoxicity Assessment of Ambient and Effluent Water Discharged to the Lake Shihwa)

  • 지경희;장신혜;김영숙;김은주;김지영;서은정;박윤석;박수정;최경호
    • 한국물환경학회지
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    • 제23권1호
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    • pp.144-154
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    • 2007
  • The acute and chronic toxicity of ambient and effluent water discharged to Lake Shihwa were investigated by using Vibrio fischeri, Daphnia magna and Oryzias latipes. Physicochemical characteristics including biochemical oxygen demand (BOD) and nine heavy metals in a total of 15 water samples were evaluated and were satisfied with relevant Korean Water Quality Standards (KWQS) except for Hg in one sample. Acute toxicity was observed in five samples collected from three sampling locations. When impacts on reproduction and growth after chronic exposure were evaluated with D. magna, all the samples showed significant chronic effects. Reproduction appeared relatively more sensitive endpoint. In 21 days chronic tests on O. latipes, survival, mean egg number per female per day, hatching success rate and time to hatch were affected by increasing sample concentration. The organ-level changes such as gonadosomatic index (GSI), and hepatosomatic index (HSI), and molecular biomarker of vitellogenin (Vtg) induction that evaluated with O. latipes increased as exposure concentrations increased. It is noteworthy that the samples that did not exceed the KWQS resulted in acute and chronic toxicities. The results suggested that numeric criteria based on physicochemical parameters may not be protective of aquatic ecosystem. Acute and chronic toxicity tests with organisms representing different trophic groups should be supplemented in order to provide adequate level of environmental protection.

Work Ability Index: Psychometric Testing in Aeronautical Industry Workers

  • Maria Eugenia Gonzalez-Dominguez;Elena Fernandez-Garcia;Olga Paloma-Castro;Regina Maria Gonzalez-Lopez;Maria Paz Rivas Perez;Luis Lopez-Molina;Jesus Garcia-Jimenez;Jose Manuel Romero-Sanchez
    • Safety and Health at Work
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    • 제15권1호
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    • pp.80-86
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    • 2024
  • Background: The Work Ability Index (WAI) is an instrument that measures work ability. The wide dispersion of the WAI internationally has led to its adaptation for use in different countries. This study aimed to evaluate the psychometric properties of the Spanish version of the WAI. Methods: A methodological design was used over an opportunistic sample of 233 workers in the aeronautical industry in Spain. Reliability was evaluated through internal consistency. Factorial validity, known groups, and convergent validity were tested. Results: The Cronbach's alpha and item-total correlation indicated an adequate internal consistency. The confirmatory factor analysis, performed to evaluate the factorial validity, found adequate fit indices for a two-factor solution with a high correlation between the factors. Factor 1, "Subjectively estimated work ability and resources", was composed of 3 subscales and factor 2, "Ill-health-related", of 2 subscales. Subscales 4 and 6 had loading in both factors. Workers under 45 years of age obtained higher significant scores than older ones. Convergent validity was also evidenced since WAI was highly correlated with self-assessment of health status. Conclusions: The Spanish version of the WAI has shown evidence of reliability and validity in this study, supporting its use in individual and collective health surveillance by occupational health professionals. The factorial solution that was found has previously been reported in another international context. However, further research is needed to resolve the discrepancies detected in the role of some subscales between other national and international studies.

Preliminary Psychometric Properties of the Chinese Version of the Work-Related Quality of Life Scale-2 in the Nursing Profession

  • Lin, Shike;Chaiear, Naesinee;Khiewyoo, Jiraporn;Wu, Bin;Johns, Nutjaree Pratheepawanit
    • Safety and Health at Work
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    • 제4권1호
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    • pp.37-45
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    • 2013
  • Objectives: As quality of work-life (QWL) among nurses affects both patient care and institutional standards, assessment regarding QWL for the profession is important. Work-related Quality of Life Scale (WRQOLS) is a reliable QWL assessment tool for the nursing profession. To develop a Chinese version of the WRQOLS-2 and to examine its psychometric properties as an instrument to assess QWL for the nursing profession in China. Methods: Forward and back translating procedures were used to develop the Chinese version of WRQOLS-2. Six nursing experts participated in content validity evaluation and 352 registered nurses (RNs) participated in the tests. After a two-week interval, 70 of the RNs were retested. Structural validity was examined by principal components analysis and the Cronbach's alphas calculated. The respective independent sample t-test and intra-class correlation coefficient were used to analyze known-group validity and test-retest reliability. Results: One item was rephrased for adaptation to Chinese organizational cultures. The content validity index of the scale was 0.98. Principal components analysis resulted in a seven-factor model, accounting for 62% of total variance, with Cronbach's alphas for subscales ranging from 0.71 to 0.88. Known-group validity was established in the assessment results of the participants in permanent employment vs. contract employment (t = 2.895, p < 0.01). Good test-retest reliability was observed (r = 0.88, p < 0.01). Conclusion: The translated Chinese version of the WRQOLS-2 has sufficient validity and reliability so that it can be used to evaluate the QWL among nurses in mainland China.

Health Risk Assessment for Artificial Turf Playgrounds in School Athletic Facilities: Multi-route Exposure Estimation for Use Patterns

  • Kim, Ho-Hyun;Lim, Young-Wook;Kim, Sun-Duk;Yeo, In-Young;Shin, Dong-Chun;Yang, Ji-Yeon
    • Asian Journal of Atmospheric Environment
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    • 제6권3호
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    • pp.206-221
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    • 2012
  • Hazardous chemicals can be released from artificial turf used in some school playgrounds. To distinguish between Health risk assessment (HRA) exposure scenarios for this study, the ratio of elementary, middle and high schools was considered before final selection. Considering exposure pathways (inhalational, oral and dermal), media and materials were examined, targeting hazardous chemicals released from artificial turf playground-related products. Upon evaluation, the quantity of infill chips was shown to exceed the domestic product content standard (90 mg/kg) at eight (16%) out of 50 schools. PAHs were shown to exceed standards (10 mg/kg) at two (4%) out of the 50 schools. The excess cancer risk (ECR) of carcinogens was shown to be $1{\times}10^{-6}$ in most users for the worst exposure scenario. In children with pica, who represented the most extreme exposure group, the ECR was expected to be as high as $1{\times}10^{-4}$, showing the low risk level of carcinogens. The hazard index (HI) for individual chemicals was shown to be low, at around 0.1 or less, except for children with pica, according to the mean exposure scenario of artificial turf playground exposure. However, the HI was shown to exceed 1.0 in children with pica. Therefore, no direct health risk was found in using artificial turf playgrounds and urethane flooring tracks for the mean exposure scenario, except in children with pica.

광양광산 갱내수에 의한 하천 생태계 영향 평가 및 갱내수의 처리

  • 이근영;김주용;이병태;김경웅;안광국;권영호;김정연;박영석
    • 한국지하수토양환경학회:학술대회논문집
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    • 한국지하수토양환경학회 2005년도 총회 및 춘계학술발표회
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    • pp.397-401
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    • 2005
  • Acid mine drainage and waste of abandoned mine area have caused serious water pollution and destruction of an ecosystem because of exposing to environment without an appropriate treatment. Gwang-yang mine area also has a serious problem in the nearby residential area and waterway ecosystems. The objectives of this research are to develop the most suitable remediation system for acid mine drainage by using waste materials, and to diagnose stream environments impacted by acid mine drainage through the new ecological health assessment methodology, and thus ultimately providing a restoring methodology to mining regions. In the water system health assessment, the result of ESHI model, RBP and Karr suggested by US EPA is revised by ecological features of our country, come to ESHI score 13; 'Very poor' at some points. Together with pH value and heavy metal concentration, it's the aggravation of ecological health index caused by chemical disturbances. In the acid mine drainage treatment, we apply marine shells and slags to this system. Slags had the best removal ability for heavy metals, but pH value was more than 10 exceeding the standard for drain water. In case of marine shells, pH of treated water maintained 7 to 8, and concentrations of Fe and Zn decreased significantly after treatment.

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영유아를 위한 한국형 우식위험관리 평가도구의 내용 타당도 검증 (Content Validity of the Korean Version of Caries Management By Risk Assessment (CAMBRA) for Children Aged 0-5)

  • 강유민;여안나;이수영
    • 대한통합의학회지
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    • 제7권1호
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    • pp.47-56
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    • 2019
  • Purpose: The present study confirms the content validity and understanding level of the questions of the Korean version of caries management by risk assessment (CAMBRA). Methods: To develop the Korean version of CAMBRA for children aged 0-5 years, a series of steps were followed: first, translation and reverse-translation processes were conducted by an expert committee. To establish content validity, CAMBRA was modified to adapt to the conditions in Korea by 17 dental hygiene professionals with a master's or a higher degree. The responses were analyzed using analysis of frequency and descriptive statistics. Content validity was verified by calculating the content validity index (CVI). The survey was administered to 64 mothers and caregivers to assess the understanding level of questions of the Korean version of CAMBRA. Results: Content validity of each of the items showed an S-CVI/AVE value of 0.79, but the content validities varied from 0.63 to 1.0. The understanding level of each question was between 3.56 and 4.46, thus showing favorable results. Conclusion: It was concluded that the test items verified for content validity were suitable for assessing caries risk for children of ages 0-5 years. This study would contribute to improving children's oral health and disease prevention by providing timely intervention.