• Journal of Preventive Medicine and Public Health
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• 제36권2호
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• pp.137-146
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• 2003

과거 군 복무 기간 동안 청력에 영향을 미치는 사격 및 포격 등 소음에 노출된 군 경력이 현재 소음 노출 근로자에게 어떤 청각학적 영향을 미치며, 소음성 난청의 발생과 관련이 있는지를 평가하고자 하였다. 중소규모 선박수리 및 건조업체 15개 사업체 440명을 대상으로 근로자의 일반 사항, 임상증상, 현재의 청력과 관련한 과거 이과적 병력, 군 복무시 충격소음의 상시적 노출 등의 군 경력, 이명 등의 자각증상에 관한 설문조사와 순음청력검사 및 중이검사를 시행하였다. 현 직종에서의 소음 노출군 중 과거 군에서 소음 노출군이 각 주파수별 청력역치와 평균 청력역치가 가장 컸으며, 특히 2-8kHz의 주파수 역치에서 차이가 크게 나타났다. 청력손실자의 비율 및 중증도의 정도가 현 직종에서의 소음 노출군 중 과거 군에서 소음 노출군이 가장 높은 비율을 보였으며, 특히 감각신경성 난청으로서 소음성 난청자가 통계적으로 유의하게 더 많았다. 이명은 현재 소음 노출 직종에 있는 군에서 높았으며, 그중 군 소음 노출군이 46.2%로 유의하게 더 높았다. 소음성 난청 여부를 종속변수로 한 로지스틱 회귀분석 결과, 연령, 현 직종 근무기간, 군 소음 노출력, 현 직종에서의 소음 노출 여부가 유의한 독립변수로 작용하였다. 우측 귀의 경우, 소음성 난청에 대한 군 소음 노출력의 비차비는 4.5이었고, 현 직종의 소음 노출의 비차비는 7.9이었다. 군 소음 노출 및 현 작업 소음 노출 여부에 따른 각 군별 좌우측 귀의 4 kHz 청력역치와 평균 청력역치는 I군에서 좌우측 귀 모두 나이 및 근무기간이 증가할수록 가장 크게 영향을 미치며 유의하게 증가하였으며 II군, III군, IV군 순으로 청력 역치가 증가하였다. 군에서 노출되는 충격소음은 청력손실과 이명 등 청각학적 영향을 미치며 사업장에서 소음 노출에 따른 소음성 난청의 발생에도 부가적인 영향을 미친다. 따라서 군에서의 소음 노출에 따른 청각학적 영향을 예방하기 위해서뿐만 아니라 소음 노출 근로자에 대한 청력 관리 측면에서도 이의 조기 진단, 치료, 보상 및 재활을 위해서는 군에서의 소음 노출 문제까지 함께 다루어야 함을 시사한다.

• 상하수도학회지
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• 제29권3호
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• pp.381-393
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• 2015

This study is carried out in order to propose a drought risk assessment methodology. This methodology is required to deal with practical questions that a variety of stakeholder often raise in the course of discussions on mitigation measures. With a focus on the socioeconomic aspect of drought, more particularly, residents' hardship from water scarcity, it suggests basic concepts and a system of methods in order to assess hazard, exposure, vulnerability and risk. The case study shows a considerable possibility of the methodology in evaluating potential levels of damages in a certain area, in identifying the boundary of districts where risk is disproportionately concentrated, and also in understanding the underlying risk factors of those districts. The authors think that the proposed methodology is able to offer risk information in terms of socioeconomic damages, and therefore contribute to reducing information gaps that policy-makers are currently encountered with.

• 대한안전경영과학회지
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• 제16권3호
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• pp.219-229
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• 2014

Employees used computer significantly(IT employee) is increased by technological development in workplace. This study tried to find the magnitude of IT employees and the profile of their working conditions and ill health experiences in South Korea. Korean Working Conditions Survey was used with descriptive and mean difference test in order to find the difference working conditions and ill health status among the groups classified by the degree of using computer during work. Some of working conditions was positively correlated with the density of computer use such as work autonomy, the exposure of repetitive movement of hand and arms. The pain of upper extreme was also more frequently found in the highest user group of computer than lower user groups. Based on the result of hierarchical regression analysis, the effect of computer using on the experience of work-related symptoms after controlling other factors was shown as U shape. This study as heuristic one suggest that some of depth analysis with hypothesis will be done to identify the causes and pathway of impact of computer use.

• 한국직업건강간호학회지
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• 제23권3호
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• pp.180-188
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• 2014

Purpose: The purpose of this study was to compare the health status between foreign workers and native workers and to examine the influencing factors of health status of foreign and native workers. Methods: This was a secondary analysis of the data collected from the 3rd (2011) Korean Working Conditions Survey (KWCS). The sample included 101 foreign workers and 101 native workers matched by age and gender. Results: The difference in health status between foreign workers and native workers was not statistically significant. The most commonly complained health problem of foreign workers was muscle pain of the upper limbs. Among foreign workers, hazard exposure, coworker support and supervisor support were significant predictors of health status. Among native workers, income level and obesity were significant predictors of health status. Conclusion: For health management and health promotion of foreign workers, employers and health providers need to establish coworker supporting systems in workplace and improvement strategies of work environment. Particularly, they must pay closer attention to management of foreign workers' musculoskeletal disorder.

• Safety and Health at Work
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• 제6권4호
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• pp.279-288
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• 2015

Background: In this study, the measurement of job stress of electric overhead traveling crane operators and quantification of the effects of operator and workplace characteristics on job stress were assessed. Methods: Job stress was measured on five subscales: employee empowerment, role overload, role ambiguity, rule violation, and job hazard. The characteristics of the operators that were studied were age, experience, body weight, and body height. The workplace characteristics considered were hours of exposure, cabin type, cabin feature, and crane height. The proposed methodology included administration of a questionnaire survey to 76 electric overhead traveling crane operators followed by analysis using analysis of variance and a classification and regression tree. Results: The key findings were: (1) the five subscales can be used to measure job stress; (2) employee empowerment was the most significant factor followed by the role overload; (3) workplace characteristics contributed more towards job stress than operator's characteristics; and (4) of the workplace characteristics, crane height was the major contributor. Conclusion: The issues related to crane height and cabin feature can be fixed by providing engineering or foolproof solutions than relying on interventions related to the demographic factors.

• 대한인간공학회지
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• 제27권1호
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• pp.45-51
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• 2008

The purpose of this survey was to identify ergonomic risk factors of work-related musculoskeletal disorders (MSD) and understand the current MSD risk status in the wholesale/retail industry. The field survey was conducted at 120 wholesale/retail establishments, and the cause of MSD occurred from the national industrial accident statistics by the Ministry of Labor in 2006 was analyzed in terms of company size, a term of work, job title, and cause of occurrence. The numbers of disasters on MSD were 602 which were included 432 disasters who met with low back pain by incident. A checklist was developed by KOSHA to use for the field survey. A total of 419 tasks were identified at the 120 establishments surveyed. The highest frequency was Task 2(45%) which was mostly observed in repetitive work (e.g. displaying, scanning, cutting or wrapping of goods). The second and third were Task 9(34%) and Task 8(14%) which were identified in manual materials handling (e.g. lifting, lowering, carrying or stocking of goods). The results suggest that the three Tasks should be first considered for the control in wholesale/retail industry and that exposure to MSD risk factors in those Tasks should be primarily addressed in order to reduce MSD risk in that industry.

• 분석과학
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• 제25권1호
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• pp.69-75
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• 2012

본 연구에서는 학교 주변 문방구에서 쉽게 구입할 수 있는문규류 4개 제품군(연필, 지우개, 노트, 색종이) 22종의 학용품을 조사대상 시료로 선정하여 환경보건법의 환경유해인자로서 관리되고 있는 프탈레이트 8종의 함유특성을 파악하였다. 본 연구결과 조사대상 8종의 프탈레이트류 중 Benzyl butyl phthalate (BBP), Di-n-octyl phthalate (DNOP) 및 Diisodecyl phthalate (DIDP)는 모든 시료에서 검출한계 미만(불검출)으로 나타나 문구류에서는 사용하고 있지 않는 것으로 나타났다. A군의 경우에는 일부 시료에서 Di(2-ethylhexyl) phthalate (DEHP) 및 Diisononyl phthalate (DINP)가 22%~28% 검출되었으며, A-1, A-3 및 A-4의 시료에서는 DINP가 각각 28%, 24% 및 28% 검출되었으며, B군은 조사대상 시료 6건 모두 규제농도인 1,000 ppm 이하로 검출되었다. 또한, C-2 시료에서 Dibutyl phthalate (DBP)가 1% 검출되었으며, C-1 및 C-6 시료에서 DEHP가 0.3% 정도 검출되었으며, D-3 시료에서 Di(2-ethylhexyl) adipate (DEHA)가 0.1% 수준으로 검출되었다. 본 연구결과 조사대상 프탈레이트류 중 DINP는 주로 지우개에서만 가장 높은 농도로 검출되었으며, 지우개는 저학년일수록 많이 사용하는 학용품으로 피부 접촉을 통해 노출될 가능성이 큰 물질인 것으로 판단되었다.

• Molecular & Cellular Toxicology
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• 제1권2호
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• pp.73-77
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• 2005

Nickel is the one of potent environmental, the occupational pollutants and the classified human carcinogens. It is a serious hazard to human health, when the metal exposure. To prevent human diseases from the heavy metals, it is seemingly important that understanding of how nickel exerts their toxicity and carcinogenic effect at a molecular and a genomic level. The process of nickel absorption has been demonstrated as phagocytosis, iron channel and diffusion. Uptaked nickel has been suggested to induce carcinogenesis via two pathways, a direct DNA damaging pathway and an indirect DNA damaging pathway. The former was originated from the ability of metal to generate Reactive Oxygen Species (ROS) and the reactive intermediates to interact with DNA directly. Ni-generated ROS or Nickel itself, interacts with DNAs and histones to cause DNA damage and chromosomal abnormality. The latter was originated from an indirect DNA damage via inhibition of DNA repair, or condensation and methylation of DNA. Cells have ability to protect from the genotoxic stresses by changing gene expression. Microarray analysis of the cells treated with nickel or nickel compounds, show the specific altered gene expression profile. For example, HIF-I (Hypoxia-Inducible Factor I) and p53 were well known as transcription factors, which are upregulated in response to stress and activated by both soluble and insoluble nickel compounds. The induction of these important transcription factors exert potent selective pressure and leading to cell transformation. Genes of metallothionein and family of heat shock proteins which have been known to play role in protection and damage control, were also induced by nickel treatment. These gene expressions may give us a clue to understand of the carcinogenesis mechanism of nickel. Further discussions on molecular and genomic, are need in order to understand the specific mechanism of nickel toxicity and carcinogenicity.

• 한국재난정보학회 논문집
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• 제9권4호
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• pp.449-461
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• 2013

최근 발생한 경북 구미의 불산 누출 및 경남 울산의 염산 누출사고의 예와 같이 화학공장에서 발생되는 사고중대 부분은 저장탱크나 운송배관 및 플랜지호스 등의 손상에 의한 휘발성 유독성물질의 대량누출이며, 이 경우 누출된 지역의 자연환경과 대기 조건에 따른 유독성물질의 확산 거동이 인적, 물적 피해의 중요한 변수가 되기 때문에 위험성평가는 가장 중요한 관심 대상이 된다. 따라서 본 연구에서는 누출물질에 대한 대기 중 확산을 모사하기 위하여 불산 저장탱크에서 누출된 경우를 예제로 선택하여, 수치해석과 ALOHA(Areal Location of Hazardous Atmospheres)의 확산 시뮬레이션을 이용한 결과해석을 수행하였다. 먼저 공정위험분석으로 정성적 평가인 HAZOP(Hazard Operability) 결과를 살펴보면 첫째 공정흐름상(flow) 위험 요소로서 플렌지, 밸브와 호스의 균열 등 손상으로 인한 누출에 의한 운전지연 또는 독성가스누출 등이 발생할 수 있고, 둘째 온도, 압력, 부식으로부터는 화재, 질소공급과 압 그리고 탱크나 파이프 이음관의 내부 부식으로 인한 독성누출의 가능성이 높은 것으로 분석되었다. 다음 결과 영향분석 기법인 ALOHA를 운용한 결과를 살펴보면 Dense Gas Model에 대한 입력 자료값에 따라 미치는 결과 영향이 다소 차이가 있음을 발견하였으나 기상조건으로서 대기안정도 보다는 풍향 및 풍속이 가장 영향을 미치는 것으로 분석 되었다. 또한 풍속이 빠를수록 누출물질의 확산이 잘 일어났고, 수치해석결과인$LC_{50}$과 ALOHA의 AEGL-3(Acute Exposure Guidline Level)과 결과를 비교했을 때 확산길이는 다소 차이가 있지만 확산농도 측면에서는 액체와 증기누출인 경우에 있어서 거의 비슷한 결과를 보였다. 따라서 ALOHA 모델을 운영한 결과 각 시나리오별 경향은 상당히 일치함을 볼 수 있었다. 따라서 추후 수치해석과 확산모델링에 의한 예측농도를 국제적인 기준치인 IDLH(Immediately Dangerous to Life and Health), ERPG(Emergency Response Planning Guideline), AEGL(Acute Exposure Guidline Level)과 비교 함 으로서 독성 가스의 대한 완충거리를 결정 할 수 있고, 이와 같은 연구방법은 유독성물질 누출에 따른 위험성평가를 보다 효율적으로 수행하는데 도움을 줄 것이며, 지역사회 비상대응체계 수립 시 적절하게 활용할 수 있을 것이다.

• Journal of Gastric Cancer
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• 제14권4호
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• pp.252-258
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• 2014

Purpose: The macroscopic diagnosis of tumor invasion through the serosa during surgery is not always distinct in patients with gastric cancer. The prognostic impact of the difference between macroscopic findings and pathological diagnosis of serosal invasion is not fully elucidated and needs to be re-evaluated. Materials and Methods: A total of 370 patients with locally advanced pT2 to pT4a gastric cancer who underwent curative surgery were enrolled in this study. Among them, 155 patients with pT3 were divided into three groups according to the intraoperative macroscopic diagnosis of serosal invasion, as follows: serosa exposure (SE)(-) (no invasion, 72 patients), SE(${\pm}$) (ambiguous, 47 patients), and SE(+) (definite invasion, 36 patients), and the clinicopathological features, surgical outcomes, and disease-free survival (DFS) were analyzed. Results: A comparison of the 5-year DFS between pT3_SE(-) and pT2 groups and between pT3_SE(+) and pT4a groups revealed that the differences were not statistically significant. In addition, in a subgroup analysis of pT3 patients, the 5-year DFS was 75.1% in SE(-), 68.5% in SE(${\pm}$), and 39.4% in SE(+) patients (P<0.05). In a multivariate analysis to evaluate risk factors for tumor recurrence, macroscopic diagnosis (hazard ratio [HR], SE(-) : SE(${\pm}$) : SE(+)=1 : 1.01 : 2.45, P=0.019) and lymph node metastasis (HR, N0 : N1 : N2 : N3=1 : 1.45 : 2.20 : 9.82, P<0.001) were independent risk factors for recurrence. Conclusions: Gross inspection of serosal invasion by the surgeon had a strong impact on tumor recurrence in gastric cancer patients. Consequently, the gross appearance of serosal invasion should be considered as a factor for predicting patients' prognosis.