Kim, Kooksun;Kim, Minji;Kim, Joonghee;Song, Jeonghyo;Shin, Jungbae;Yun, Jonghyun;Choi, Boah
Journal of the Korea Furniture Society
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v.26
no.1
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pp.61-70
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2015
There is an increasing trend each year in the number of subway users due to increase in the traffic volume. As the number of train service has risen, the subway drivers are given heavy work and from the same, are put at risk of mental health deterioration due to stress. As this is directly connected to safety, there is an urgent need for improvement of the situation. Therefore, as a way to appropriately relieve such stress, resting space where mental and physical energy can be recharged is necessary. Thus, this research conducted a survey of demand with subway drivers as subjects in order to provide resting space that can offer healthy rest and increase work effectiveness. 50 subway drivers were the subjects of this survey. As a result of analyzing the contents of the survey, environmental satisfaction was shown to be the lowest compared to psychological and morphological satisfaction. In the case of sleeping room, they wanted more comfortable and individual space. And the waiting room had the highest rate of usage frequency. The storage space was where the subway drivers showed the strongest attachment and was shown to be the only personal space. Most were shown to be satisfied with the outdoor space, but it had the lowest usage frequency. In addition, it is nessasery customized storage cabinet designed for subway drivers should be produced, which can effectively arrange the limited space. I hope that these direction of improvement can increase the healthy rest and work effectiveness of the locomotive engineers as it is directly being connected to the health and safety of the citizens.
Journal of the Korean Society of Clothing and Textiles
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v.34
no.4
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pp.553-562
/
2010
This survey investigates the conditions of summer working uniforms for contracted foodservice workers. The data were obtained from 67 workers through in-depth interviews (July 2005~October 2005). The results of study are as follows: The working environment changed to menu and cooking method (air temperature $28\sim37^{\circ}C$, humidity 72~86 %RH, radiant temperature $27\sim37^{\circ}C$, air velocity 0.14~0.37m/sec). They answered that the working environment has high temperatures, humidity, excessive noise, and liability to slide. The typical accidents were burns, cuts, slide, and ligament injuries in the workplace. Work duties consisted of cooking, serving food, washing, and cleaning up leftover food. All the employees carried out multi tasks. The primary working postures and motions were standing, crouching, and lifting. The female workers usually wore underwear (panty and brassiere), upper and lower work wear, aprons, waterproof-aprons, cotton-gloves, rubber-gloves, socks, and rubber-boots. The satisfaction of the uniform was relatively low for trousers and waterproof-aprons. The answer about the fit was generally "comfortable." They answered "back," "chest," and "head" were wet with perspiration during work. The uncomfortable parts were the crotch and neck. Questions concerning their satisfaction with the material of uniforms indicated a high rate of dissatisfaction, particularly for ventilation and absorbency. In case of the colors of the working uniform, workers preferred white color for the upper part, and black color for the lower part.
Purpose: This study evaluated the efficacy of an intra-articular injection of sodium hyaluronate in the treatment of early stage osteoarthritis of the ankle. Materials and Methods: Early stage ankle osteoarthritis (Takakura stage I and II) patients who received hyaluronic acid injection therapy were retrospectively reviewed. Patients underwent intra-articular injections of 2 mL of sodium hyaluronate for 3 consecutive weeks. Clinical evaluation and Visual Analogue Scale (VAS) scoring were performed at every three months after treatment. Results: Total 27 patients were involved and mean age was 55 year old (range 33 to 77 years). There were 13 male and 14 female patients. Mean follow up duration was 13 month and. Pre-intra-articular VAS score was $8.9{\pm}0.7$ and three month follow up score was $3.8{\pm}2.8$. VAS score of last follow up was $3.2{\pm}3.4$. The effect of hyaluronic acid continued about one year when analyzed the VAS score change of the patients followed for more than one year. Patients' satisfaction was "very satisfied" in nine, "satisfied" in 12, "fair" in one, and "not satisfied" in five patients. Overall satisfaction rate was 82%. There were no ankle osteoarthritis stage changes in serial follow up radiograph. Conclusion: Symptomatic relief of signs and symptoms of osteoarthritis of the ankle was achieved by injection of an intra-articular hyaluronate injection. Efficacy of Hyaluronate acid injection persisted more than 1 year in our study. Intra-articular hyaluronate injection to ankle osteoarthritis is safe and effective as knee joint and should be considered as a valid conservative treatment for ankle osteoarthritis.
Background: This study intends to evaluate the benefits of the administation of continuous infusion and demand doses of 0.125% ropivacaine compared with 0.125% bupivacaine after addition of fentanyl using patient controlled epidural analgesia (PCEA) for pain control during labor. Methods: Thirty-nine American Society of Anesthesiologists physical status 1 or 2 parturients were randomized by double blind design to receive either 0.125% bupivacaine with fentanyl 1 ug/ml or equivalent concentration of ropivacaine/fentanyl using PCEA; with 6~8 ml/hr basal rate, 3 ml bolus, 5 min lockout, 30 ml/hr dose limit. We assessed analgesia, the amount of study solution used in PCEA, sensory levels, motor block (0~3 scales), side effects and patient satisfaction. A postpartum questionnaire was carried out afterward. Results: There were no differences in visual analogue scores (VAS) for pain, hourly study solution use, sensory levels, side effects and patient satisfaction between groups. However, patients administered ropivacaine/fentanyl had significantly less demand, less administered in PCEA, less numbness and restriction of movement compared with patients in the bupivacaine/fentanyl group. Conclusions: Ropivacaine 0.125% with fentanyl, when administerd epidurally by PCEA for labor analgesia, was equally efficious as bupivaciane 0.125% with fentanyl, having with minimal numbness and restriction of motion.
Kim, Hak-Jun;Kim, Taik-Seon;Yoon, Jeong-Ro;Kim, Kyoung-Soo;Noh, Haeng-Kee;Yoon, Kwang-Sup
Journal of Korean Foot and Ankle Society
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v.8
no.2
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pp.171-175
/
2004
Purpose: We evaluated the clinical and radiological results of arthroscopic ankle fusion using 2 medial screws which had advantages of less morbidity, early weight-bearing and high union rate. Material and Methods: From April, 2002 to March, 2004, 8 patients who had ankle osteoarthritis were treated by ankle fusion using 2 medial screws under arthroscopy; five patients with post-traumatic osteoarthritis, two with post-infectious arthritis and one with paralytic foot. There were 5 male and 3 female. Average age was 67 years old ranging from 57 to 71 years. We evaluated them clinically preoperative and postoperative using AOFAS score, VAS pain scale and patient's satisfaction. In regard to radiological fusion, we checked them by simple AP, lateral and mortise view. Follow up period was average 11 months (range, $6{\sim}24$ months). Results: All ankles were successfully fused with 2 medial screws under arthroscopy. The mean time of fusion was 10.5 weeks (range, $8{\sim}14$ weeks). Patient's satisfaction checked at 6 months after operation had favorable results (excellent and good 75%). One case had pain on medial malleolar area because of screw's protrusion. Conclusion: Arthroscopic ankle fusion using 2 medial screws was good modality of ankle fusion with less morbidity and early weight-bearing in some cases of ankle arthritis.
Kim, In-Soon;Lee, Kyoo-Il;An, Sung-Joon;Lee, Young-Hwan
Journal of The Korea Institute of Healthcare Architecture
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v.17
no.4
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pp.39-47
/
2011
Population ageing and the disabled population is increasing. so disabled population and elderly people in the physical environment for Barrier-Free recently has been getting attention. according to a recent welfare paradigm shift of life support promoting for the housing remodeling. but basic remodeling made of simple living environment improvement and facilities installation for the type of disability customised housing remodeling. efficient housing remodeling plan for remodeling before and after through change the safety accidents occurred ratio. living environment for the improvement of housing and reconstruction for the benefit of comprehensively considering for disability subject in Indoor living type and the type of disability, housing type etc. and personalize house was remodeling for corresponding each space problem for identify obstacles and living types. as a result satisfaction changes & safety accident rate changes as follow. first, have complained that there was a in to residents environment furniture for reconstruction of the former housing remodeling needs survey. 80.2% of total for the percentage of households with high needs remodeling. second, The survey did not meet the 29 furniture as after the construction for died about recipient & up sticks & long absence. this leave out after the safety accident Corporation about 101 housing in the 88% of households did not happen. as a result, the lower the ratio of safety accidents occurring very revealed. third, grasp the meaning for indoor living type. showed that each approach(83%), front porch(90%), kitchen, living room(91%), bedroom(93%), toilet(92%) for each space remodeling satisfaction flow through customized housing remodeling.
Because 6sigma is doing innovative success In management whole, estimate that can exert direct effect in interior Design management. Therefore, this study did by purpose that 6sigma that is scientific method that do customers satisfaction by ultimate purpose acts as basic study that can heighten practical use Possibility and result of interior Design management and value by interior design standardization process. Need to use marketing data that is scientific design component at schematic design step for successful interior design that can improve result. Hereupon, this study is doing to big dimension that utilizes 6sigma and makes standard process of only Interior Design, and did to dimension that present study phase verifies if '6sigma' is practical use possibility by intoner design process. Did by method that verification method of 6sigma practical use possibility analyzes "Information transmission efficiency improvement of department store display space" 6sigma project example. When see that example project is analyzed on Improvement constituent that "Design improvement" out of Vital few Xs of statistical analysis item must heighten the customers satisfaction rate conclusively, target process might be established because design becomes center of gravity if did design improvement very first time. Finally, possibility that 6sigma can utilize in process of interior design is verified, and it is scientific methodology that can utilize to all business members that there are not any special category of business even if is in practical use. Such scientific 6sigma method need persistent study that make standard process analyzing a lot of problems that is expected to be beaconed and happens substantially in here after to management development of interior design.
Journal of Korean Library and Information Science Society
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v.42
no.4
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pp.243-262
/
2011
The aim of this study was to investigate musculo-skeletal symtoms and working conditions of university library's librarians to search for the risk factors related to musculo-skeletal symptoms. The study subjects were 266 librarians who were working at 20 university libraries. A self-recording questionnaire was used to investigate the general characteristics, working conditions, job intensity, job satisfaction and stress, education of musculoskeletal disorders and nature of musculoskeletal symptom. Statistical analysis was done by using t-test and multiple regression analysis. The complaint proportion of self-reported positive musculoskeletal symptoms was 62.5% and that of severe musculoskeletal symptoms was 26.1%. Multiple regression analysis showed that low satisfaction of working conditions, high job intensity, irregular mealtime, job stress were closely related to the positive rate of musculoskeletal symptoms. Therefore, it will be necessary to make efforts to reduce the prevalence of musculoskeletal disorders improving working conditions and mitigating the job intensity.
In order to investigate the prevalence and the factors related to the depression and burnout among private practice physicians, a SDS(self-rating depression scale) and MBI(Maslach burnout inventory) -based questionnaire study was performed on 344 private practice physicians in Kwangju and Chonnam area. The results were summarized as follows. 1. Mean SDS score was 38.3 in total subjects and the prevalence rate of depression was 48.8%. As for the frequency order of the items of the SDS, decreased libido, diurnal variation and hopelessness were relatively high, and suicidal rumination, constipation and agitation were noted low. 2. Noticeable factors related with depression were smoking, coffee use, sleeping time and satisfaction with income. 3. As a result a factor analysis with the MBI data, five factors named as emotional exhaustion, depersonalization, personal accomplishment, involvement and self-interest were extracted. Statistical analysis of the data demonstrated that 48.8% of the physician sample reported high scores on emotional exhaustion, and 45.3% scored high on depersonalization. Personal accomplishment scores remained high with 45.3% reporting high personal accomplishment. 4. Variables related to the burnout were age, sleeping time, family size religion, medical speciality, duration of practice setting, visiting patient number, closing day per month and job satisfaction. 5. In the relationship with depression, burnout was closely related to depression. Above results showed that the high percentage of private practice physicians experiencing depression and burnout suggests the need for further research to establish trends, to identify causal factors, and to develop avenues to reduce stress.
Purpose: The safety of radiation therapy after breast reconstruction using transverse rectus abdominis myocutaneous (TRAM) flap is still being debated, and few studies exist on the outcome of irradiation after immediate TRAM breast reconstruction. Some authors presented satisfactory outcomes after adjuvant radiation therapy on reconstructed breast with pedicled TRAM flap, while others reported significant post radiation changes of the flap. Effect of radiation therapy on TRAM flap was evaluated to see whether adjuvant radiation therapy was tolerable. Methods: 1000 immediate TRAM breast reconstruction was done by a single surgeon from July, 2001 to December, 2009. Among them 105 patients required adjuvant radiation therapy because of advanced disease or locoregional recurrence. Fat necrosis, radiation fibrosis, mastectomy skin flap necrosis, need for secondary touch up procedures, patient satisfaction were evaluated. Results: The incidence of fat necrosis was 10.5% and significant radiation fibrosis occurred in only one patient. Delayed wound problem did not occur during or after irradiation. Secondary touch-up procedures were performed in 12.3%, the most common being fat graft (8.6%). Average patient satisfaction score was 8.62/10, which was not significantly different from the authors' previous report involving all the TRAM patients (8.50). Conclusion: Radiation therapy did not increase the complication rate significantly. Aesthetic result was affected but was tolerated in most cases. The fear of adjuvant radiation is not a negative factor in selecting immediate breast reconstruction with TRAM flap.
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