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Environmental Investigation of a Long-term Care Hospital with Respect to COVID-19
Min Woo Park,신승환(Seung Hwan Shin),차정옥(Jeong Ok Cha),임현정(Hyeon Jeong Lim),김준년(Jun Nyun Kim) 한국환경보건학회 2020 한국환경보건학회지 Vol.46 No.5
Objectives: Coronavirus disease 2019 (COVID-19) first emerged in December 2019 in Wuhan, China, and has rapidly become a global pandemic with over 26.4 million confirmed cases and approximately 871,000 fatalities worldwide as of this writing. In the Republic of Korea, disease clusters frequently occurred in long-term care hospitals where the majority of residents are elderly with underlying medical conditions. Despite the fact that public health authorities and local community health centers have put tremendous efforts into preventing the spread of disease, positive cases have continued to occur. Thus, the Korea Centers for Disease Control & Prevention rapid response team decided to conduct an environmental investigation of a long-term care hospital to identify whether environmental contamination has remained and contributed to the spread of COVID-19. Methods: An environmental investigation was conducted at Hospital A. The characteristics of the facility and its HVAC system were assessed by checking the layout and interviewing the people in charge. A total of 64 surface samples were collected from areas of concern, including patient rooms, toilets, elevators, and nurses’ station. These samples were tested by a regional health and environmental research institute using real-time reverse transcription polymerase chain reaction. Results: All samples from Hospital A were confirmed to be negative. Through interviews with high-level personnel at the regional community health center, we found that extensive disinfection is frequently performed on potentially contaminated areas in Hospital A in accordance with government guidelines. Conclusion: The environmental control measures implemented in Hospital A had been sufficient for mitigating the risk of further infection, suggesting that such measures may also be effective for other long-term health care facilities.
지역사회 허리질환 운동재활서비스: 한국체육대학교 리빙랩 구축을 통한 효과성 검증
김응준 ( Kim Eung-joon ),신성득 ( Shin Sung-deuk ),임현정 ( Lim Hyeon-jeong ),송재영 ( Song Jae-young ) 한국체육대학교 체육과학연구소 2023 스포츠사이언스 Vol.41 No.3
본 연구의 목적은 한국전자통신연구원이 주관으로 개발한 빅데이터 플랫폼 연계 AI 기반 개인맞춤형 운동재활 서비스 기술(ARES: Ai based Rehabilitation Exercise Service)을 지역사회 허리질환 운동재활 서비스를 제공한 한국체대 리빙랩 구축 및 운영에 대한 효과성을 검증하는데 목적이 있다. 이러한 연구의 목적을 달성하기 위해 단일군 전후설계 방식으로 연구를 진행하였다. 대상자는 만 40세 이상, 병원에서 치료 후 지역사회로 나와 의사로부터 신체활동이 필요하다 권고 받은 자로 허리 질환을 가지고 있지만 운동재활프로그램 적용이 가능하고 연구 참여에 적합하다고 판단된 61명을 대상으로 설정하였다. 지원자 중 연구 참여를 철회한 7명을 제외 한 54명(60.0±5.9세)의 자료를 최종 분석에 활용하였다. ARES를 기반으로 한 허리재활운동을 24회 동안 진행하고 중재 전후로 허리 질환자의 기능적 능력, 건강 관련 삶의 질, 복횡근 활성화 능력, 체력 수준(하지 근기능, 평형성, 유연성)을 측정하였다. 수집된 자료는 jamovi 2.3을 이용하여 분석하였으며, paired t-test를 통해 변화에 대한 차이를 확인하였다. 확인 결과, 한국체대 리빙랩에 참여한 허리질환자의 기능적 능력, 건강 관련 삶의 질, 복횡근 활성화 능력, 하지 근기능, 평형성, 유연성에서 개선된 결과가 나타났다. 따라서 지역사회 허리질환 운동재활서비스는 참여자의 허리기능 개선 및 체력 증진에 있어 효과적인 프로그램 적용이었다고 볼 수 있다. The aim of this study was to verify the effectiveness of establishing and operating a Korea National Sport University Living Lab for providing community-based lumbar rehabilitation services using an AI-based personalized exercise rehabilitation service technology called ARES (AI-based Rehabilitation Exercise Service). To achieve this research objective, a single-group pre-post design was employed. The participants were adults aged 40 years and older with lumbar disorders who had been recommended for physical activity by their doctors, were suitable for exercise rehabilitation program application, and were capable of participating in the study. A total of 61 individuals who met these criteria were initially recruited, and after 7 individuals withdrew from the study, the final analysis was conducted on 54 participants (age: 60.0 ± 5.9 years). Rehabilitation exercises for low back pain based on ARES were conducted over a period of 24 sessions. Before and after the intervention, functional capacity for patients with low back pain, health-related quality of life, activation capacity of transverse abdominal muscle, and physical fitness (lower limb function, balance, flexibility) were measured. The collected data were analyzed using Jamovi 2.3. Paired t-tests were employed to assess differences in the observed changes. The results confirmed improvements in functional capacity, health-related quality of life, transverse abdominal muscle activation capacity, lower limb function, balance, and flexibility among patients with low back pain who participated in the KNSU Living Lab. Therefore, It was effective in improving the participant’s functional ability in patients with back pain and physical fitness.
문권배 ( Kwon Bae Moon ),박문영 ( Moon Young Park ),황성호 ( Sung Ho Hwang ),이은정 ( Eun Jung Lee ),홍기명 ( Ki Myong Hong ),임현정 ( Hyeon Jeong Lim ),이경무 ( Kyoung Mu Lee ) 한국산업보건학회 2015 한국산업보건학회지 Vol.25 No.1
Objectives: The purpose of this study was to assess excavator drivers in order to determine the proportion showing subjective symptoms of musculoskeletal disorders and to evaluate the association between the symptoms and characteristics of the subjects. Methods: A questionnaire survey was conducted to collect the information on participants’ age, average working hours per day, duration of career (years), work-related musculoskeletal symptoms, and more. The final dataset included 141 excavator drivers. Frequency and percentage were summarized and then the associations between the characteristics of the subjects and symptoms were evaluated as odds ratios (ORs) and 95% confidence intervals (CIs) using multiple logistic regression analysis. Results: Seventy-six percent of the currently reported musculoskeletal symptoms. Those who have musculoskeletal symptoms attributed their symptoms to unstable posture at work, mental stress or vibrations. There was a significant association between symptoms of musculoskeletal disorders and career of excavator drivers (P for trend=0.04). Conclusions: The results of this study suggest that the prevalence of musculoskeletal disorders may be high among excavator drivers and warrants well-designed studies on work-related disorders among excavator drivers.