• 제목/요약/키워드: Korean Association Of Health Promotion

검색결과 596건 처리시간 0.027초

한국인에서 ${\beta}_3AR$, UCP2 유전자의 다형성과 체질량지수의 관련성 (Association Analyses of ${\beta}_3AR$ Trp64Arg and UCP-2 -866G/A Polymorphisms with Body Mass Index in Korean)

  • 정홍수;이주현;사공준;배성욱;김정희;김재룡
    • Journal of Yeungnam Medical Science
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    • 제24권2호
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    • pp.252-261
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    • 2007
  • 비만은 서구와 우리나라에서 가장 흔한 영양 관련 질환이며, 유전적, 환경적, 생활습관인자들에 의해 초래된다. 이 연구에서는 성인750명을 대상으로 ${\beta}_3AR$ Trp64Arg, UCP2 -866G/A 유전자 다형성을 PCR-RFLP법으로 조사한 후, 체질량지수와 비교하여 어떤 유전자의 다형성이 비만과 관련 있는지 분석하였다. ${\beta}_3AR$의 Trp64Arg의 다형성 분포는 Arg64Arg의 경우 체질량지수 27이상인 비만인에서만 관찰되었지만, 전체적으로 비만인과 정상인에서 통계적으로 유의한 차이가 없었다. UCP2 -866G/A 다형성의 분포는 G/A의 경우 비만인 에서, A/A의 경우 정상인에서 더 통계적으로 유의하게 높았다(p<0.05). 이상의 결과로부터 ${\beta}_3AR$ Trp64Arg 다형성에 비해 UCP2 -866G/A 다형성이 한국인에서 비만과 비만관련 질병을 예측하는데 더 유용한 것으로 판단된다.

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출산력 억제정책의 영향과 변천에 관한 고찰 (Change in the Korean Fertility Control Policy and its Effect)

  • 홍문식
    • 한국인구학
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    • 제21권2호
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    • pp.182-227
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    • 1998
  • 정부는 1960년대 초기의 높은 인구증가율이 경제개발의 저해 요인임을 인식하여 1962년부터 시작되는 5개년 단우의 경제개발 장기계획의 일환으로 가족계획사업을 출산조절정책 수단으로 수용하였다. 초창기부터 가족계획사업은 정부의 보건조직망을 통하여 가족계획요원에 의한 피임보급 활동과 지정시술의사에 의한 자궁내장치 및 불임시술 서비스 등이 무료로 제공되었고 특히 피임방법별 목표량 제도와 규제 및 보상 등 사회제도적 지원시책으로 1980년대까지 지속적으로 사업이 강화되었다. 민간단체의 지원활동으로는 대한가족계획협회에 의한 계몽교육사업과 한국 보건사회연구원(초창기에는 가족계획연구원)에 의한 사업평가 및 조사연구사업이 활발히 이루어 졌다. 결과적으로 1960년에 6명 수준이던 합계출산율이 1980년대 중반에 대치수준(2.1)으로 저하되어 30년도 못되는 단기간에 인구전환을 이룩하는 획기적인 성과를 갖게 되었다. 그후 합계출산율은 1.6에서 1.7 범위의 저출산을 유지하고 있으며 이러한 수준이 지속된다면 현 1% 미만인 인구성장률은 2028년에 총인구가 5,060만 수준에서 그 성장을 멈추고 그 후로는 인구의 감소가 초래될 것으로 예상된다. 이에 정부는 1996년 6월에 기존의 인구억제정책을 전면적으로 폐지하고 인구자질향상에 역점을 두는 방향으로 공식적인 정책전환을 이룩하였다. 한편 남아선호사상 등 영향으로 태아의 성감별에 의한 성선별적 인공임신중절로 인하여 출생성비의 불균형이 심화되고 유배우 부인의 인공임신중절도 아직 상당수준으로 높게 지속되고 있어 삶의질 차원에서의 새로운 인구자질향상 정책이 특히 모자보건과 노인보건을 포함하는 전반적인 국민건강증진 프로그램과 함께 더욱 효과적으로 추진되어 복지사회 구현에 기여할 수 있는 사업으로 발전되는 것이 바람직할 것이다.

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대한치과위생사협회 및 산하단체에서 제안한 한국 치위생학 연구의제 분포 (Distribution of the Korean Dental Hygiene Research Agenda Suggested by the Korean Dental Hygienists Association and Affiliated Groups)

  • 이가영;이선미;김창희;배수명;김남희
    • 치위생과학회지
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    • 제16권5호
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    • pp.393-399
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    • 2016
  • 치위생학이 독립적인 학문으로서 전문성을 가지기 위해서는 연구의 세부영역이 확립되어야 한다. 따라서 본 연구는 국내 치위생학 관련 기관 중 대한치과위생사협회 및 그 산하단체를 대상으로 델파이 조사를 이용하여 연구의제를 수집하여 연구요구를 파악하고자 하였다. 델파이 조사는 대한치과위생사협회 및 산하단체 총 8개 기관의 기관장에게 유선으로 연구 목적을 설명하고 전자우편으로 델파이 설문지를 배포 및 수거하였다. 연구의제는 한국 치위생학 학문 분류와 미국 NDHRA의 분류를 이용하여 분류하였고, IBM SPSS를 이용하여 기관별 분류된 연구의제 수에 차이가 있는지 교차분석을 통해 확인하였다. 그 결과 총 316개의 연구의제가 수집되었다. 한국 치위생학 학문분류로 연구의제를 분류한 결과 '임상치위생(36.7%)'에 관련된 연구의제를 가장 많이 제안하였고, 기관별 유의한 차이가 있었다(p<0.001). 또 제시된 연구의제를 미국 NDHRA 분류로 분류한 결과 기관별 제시한 연구의제 수가 유의한 차이가 없었고(p=0.054), '건강증진 및 질병예방(27.8%)'에 관한 연구의제가 가장 많았다. '기초치위생'에 관련된 연구요구는 대한치위생(학)과교수협의회에서 높았고, '임상치위생'에 관련된 연구요구는 한국치위생학회, 대한치과위생학회, 한국치위생감염관리학회, 대한치과위생사협회 임상회에서 높았으며, '사회치위생'에 관련된 연구요구는 대한치과위생사협회, 한국치위생과학회, 대한치과위생사협회 보건회에서 높았다. 이상의 결과 각 기관에서는 창설 목적과 유사한 연구의제를 제시하였다. 그러나 유사학문과 비교해보았을 때, 국내 치위생학관련 전문기관들은 비교적 기관별로 뚜렷한 특성을 나타내지 못하고 있는 것으로 보인다. 즉, 치위생학 연구의 세부영역이 확립되기 위해서는 각 기관에서 치위생학 학문분류에 따른 특성을 뚜렷이 하고, 그에 맞는 연구의제를 제시해야 할 것이다. 또한 연구자들이 연구결과를 투고 시 본인의 연구영역을 미리 분류하게 하여 세부영역을 확립하게 해야 할 것이다.

진료협력간호사의 역할규명을 위한 직무분석 - 교육상담간호사와 진료코디네이터간호사 중심 - (Job Analysis for Role Identification of Clinical Nurses with Expanded Role - Clinical Nurse with Education and Clinical Nurse with Coordination -)

  • 성영희;임난영;박광옥;정정희;권인각;김을순;황문숙
    • 임상간호연구
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    • 제15권2호
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    • pp.139-155
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    • 2009
  • Purpose: The purpose of this study was to identify role through job analysis (duties and tasks) of nurses who work as clinical nurses with education and clinical nurse with patient coordination within the hospital. Methods: The DACUM committee was organized with 8 nurses each, clinical nurses with education and clinical nurses with coordination. The committee derived the duties and tasks of the two groups of clinical nurses from their actual work in the hospital through a DACUM workshop. Validity of the derived duties and tasks was tested by 12 nurses at each of 3 hospital. Results: For clinical nurse with education, 8 duties and 45 tasks were identified, which included patient education and consultation, patient advocacy, management of the therapeutic process, direct nursing care, activities work directed at improvement, management of health promotion events, administration work, and self-improvement. For clinical nurse with coordination, 10 duties and 54 tasks were identified, and included client consultation, client education, direct nursing care, coordination of therapeutic flow, employee education, public relations with the community, planning and operation of meetings, administration work, work directed at improvement, and self-improvement. Conclusion: The results of this study contribute to not only the work of the participants but also basic data for human resource management in the hospital.

폭포상위를 가진 검진자의 신체적 요인 및 비만상태 분석 (Analysis of Physical Factors and Obesity Condition in Cascade Stomach Group)

  • 박명제;지태정;임인철
    • 대한방사선기술학회지:방사선기술과학
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    • 제30권4호
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    • pp.343-347
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    • 2007
  • 폭포상위는 비만형의 체격을 가진 사람에게 더 현저하다고 알려져 있다. 이에 본 연구에서는 폭포상위를 가진 자의 신체적 요인인 성별, 나이, 신장, 몸무게 및 비만상태를 조사 분석하여 폭포상위와 연관성이 있는지를 알아보고자 하였다. 일부지역 한 검진기관 2007년 1월부터 12월까지 상부위장관조영술을 실시한 3,320명 중 폭포상위를 가진 자 564명을 연구대상자로 하여 다음과 같은 결론을 얻을 수 있었다. 1. 폭포상위의 정도는 3.320명 중 564명(16.9%)으로 나타났다. 2. 폭포상위를 가진 자 564명 중 비만도 120% 이상인 자는 226명(40.1%)으로 높게 나타났다. 3. 비만도 120% 이상인 자 중 성별에서는 여성이 63.7%로 남성보다 높게 나타났으며, 연령에서는 $50{\sim}59$세 45.6%, 신장은 $151{\sim}160\;cm$에서 49.1%로 나타났으며, 몸무게는 76 kg 이상에서 31.0%로 가장 높게 나타났다. 4. 폭포상위를 가진 자의 증상과 비만인 자의 증상과는 무증상이 62.6%, 57.5%로 나타났으며, 다음으로 소화불량증 16.8%, 17.3%, 속쓰림 10.8%, 15.0% 순으로 나타났다. 결론적으로 폭포상위는 비만일수록 높게 나타난다는 사실을 알 수 있었으며, 비만일수록 성별에서는 남성보다 여성이, 연령별에서는 50대, 신장에서는 $151{\sim}160\;cm$, 몸무게에서는 76 kg 이상에서, 증상으로는 무증상 다음으로 소화불량증, 속쓰림 순으로 높게 나타남을 알 수 있었다. 이는 통계에 의한 조사이므로 폭포상위와 비만과의 연관성을 사실적인 확인을 할 수는 없었으나 앞으로 폭포상위와 비만과의 관계에 대해 더욱 더 많은 연구가 이루어져야 하겠다고 사료된다.

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당귀(當歸) 추출물이 피부 각질형성세포의 염증반응에 미치는 영향 (Effect of Angelicae Gigantis Radix for Inflammatory Response in HaCaT Cells)

  • 허정;박호연;김엄지;김은영;손영주;정혁상
    • 대한본초학회지
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    • 제37권3호
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    • pp.9-19
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    • 2022
  • Objectives : Angelicae Gigantis Radix (AG) is a plant of the Ranunculus family. AG have been reported to have various pharmacological effects on human health which include uterine growth promotion, anti-inflammatory, analgesic, and immune enhancement. However, research on dermatitis disease is insufficient. Therefore, we investigated the effects of AG on tumor necrosis factor-α (TNF-α)/interferon-γ (IFN-γ) stimulated HaCaT cell. Methods : To investigate the effect of AG on HaCaT cell, HaCaT cells were pre-treated with AG for 1 hour and then stimulated with TNF-α/IFN-γ. After 24 hours, media and cells were harvested to analyze the inflammatory mediators. Concentration of human interleukin-1beta (IL-1β), monocyte chemoattractant protein-1 (MCP-1), granulocyte-macrophage colony-stimulating factor (GM-CSF), and TNF-α in the media were assessed by ELISA. mRNA expression of human thymus and activation-regulated chemokine (TARC), IL-6, and IL-8 were analyzed by RT-PCR. Additionally, the mechanisms of mitogen-activated protein kinases (MAPKs) and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) signaling pathway were investigated by Western blot. Results : The treatment of AG inhibited gene expression levels of IL-6, IL-8, and TARC and protein expression levels of IL-1β, MCP-1, and GM-CSF. Also, AG significantly reduced extracellular signal-regulated kinase (ERK) phosphorylation and NF-κB translocation in TNF-α/IFN-γ stimulated HaCaT cell. Conclusions : Taken together, these results demonstrate that AG can alleviate inflammatory diseases such as atopic dermatitis by regulating the expression of inflammatory cytokines. Also, it suggest that AG may a promising candidate drug for the treatment of inflammatory disease such as atopic dermatitis.

한국중재의 영역확대 방안에 관한연구 (A Study on the Expansion of Arbitration's Area of Coverage in Korea)

  • 김석철
    • 한국중재학회지:중재연구
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    • 제20권3호
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    • pp.47-69
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    • 2010
  • From the review of Korean arbitration systems with the comparison of those of other countries, we can summarize some issues to be tackled as follows: First, Korean arbitration system started with the purpose of export promotion. This may be the main reason that various domestic disputes have not been resolved by arbitration. Second, the Korean Arbitration Law applies to private disputes. The Law's arbitration scope is wider than that of China and France, but narrower than that of the U.S.A. that encompasses a variety of disputes in the filed of consumer, labor, medical services, patents, etc. Third, active judges or public officials in Korea can not be arbitrator and there is no arbitration court. However, if chief judge allows the necessity, court's judges in the UK can be arbitrator with the mutual agreement of the parties and also arbitration system is operated in the court. Fourth, the Korean Commercial Arbitration Board(KCAB), the only representative institution for arbitration in Korea, is under the Ministry of Knowledge Economy(MKE). This makes it difficult for the KCAB to handle other disputes related to the Ministry of Health and Welfare, the Ministry of Strategy and Finance, the Ministry for Food, Agriculture, Forestry and Fisheries, the Ministry of Employment and Labor, etc. Fifth, as mentioned, the KCAB is the unique institution for arbitration by the Law in Korea, while other countries allow have a diversity of arbitration agencies such as maritime arbitration organization, consumer arbitration institution, arbitration court, etc. Therefore, we suggest some ideas to expand the arbitration's area of coverage in Korea as follows: First, there should be more active policies that promote various domestic disputes to be settled by the arbitration system. Second, it is quite needed to expand the scope of arbitration to cover many disputes in the fields of consumer, labor, medical service, advertising, fair trade, etc. Third, there should be discussions to allow court judges as arbitrator and to introduce the arbitration court. Fourth, the KCAB should strengthen its status and roles as general arbitration organization to overcome the limited scope of commercial disputes. For this, there should be the strong support and coordination among the MKE and other government agencies. Fifth, to reduce the burden of the court's complicated and expensive procedures, more efficient disputes resolution systems should be established on the basis of the parties' free will. Each central government agency should streamline the legal barriers to allow industrial organizations under its control to establish their own or joint arbitration system with the KCAB.

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한국 소아치과의 현재와 전망 - 치아우식증관리 분야를 중심으로 - (PRESENT SITUATION AND PROSPECT OF PEDIATRIC DENTISTRY IN KOREA - FOCUSED ON MANAGEMENT OF DENTAL CARIES -)

  • 이상호
    • 대한소아치과학회지
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    • 제39권2호
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    • pp.206-225
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    • 2012
  • General status of pediatric dentistry in Korea is to conduct vigorous academic activities and specialized medical care centering the Korean Association of Pediatric Dentistry (KAPD) that has about 1,000 pediatric dentists as members, pediatric dentistry departments of 11 Colleges of Dentistry, numbers of pediatric dentistry training institutions and private clinics specialized in children. From 1996, the accredited pediatric dentists were produced by the KAPD and from 2008, the state began to produce the accredited pediatric dentists. Since then, doctors with expertise in pediatric care had opened private clinics in addition to the university hospitals, it became the basis of a momentum to deepen the specialty of pediatric dentistry. The Dentistry community of Korea is going through rapid and profound changes recently, and the underlying reasons for such changes can be classified largely into a few categories: (1) Decreasing population and structural changes in population (2) Increase in numbers of dentists, (3) Changes in the pattern of dental diseases and (4) Changes in medical environment. In Korea, the children population in the age range of 0 ~ 14 years old had been decreased by 2 million in 2010 compared to that of 2000 due to reduction of birth rate. The current population of children in the age range of 0 ~ 4 years old in 2010 takes up 16.2% of the total population, but it is estimated that such percentage would decrease to 8.0% by 2050. Such percentage is largely behind the estimated mean global population of 19.6% by 2050. On the other hand, the number of dentists had been largely increased from 18,000 in 2000 to 25,000 in 2010. And it is estimated that the number will be increased to 41,000 by 2030. In addition, the specialized personnel of Pediatric dentistry had been shown as increased by 2.5 times during past 10 years. For the changes in the pattern of dental diseases, including dental caries, each df rate of 5 years old children and 12 years old children had been decreased by 21.9% and 16.7% respectively in 2010 compared to 2000. Each df Index also had been decreased by 2.5 teeth and 1.2 teeth respectively. The medical expenditure of Korea is less than that of OECD and more specifically, the expenditure from the National Health Plan is less than OECD but the expenditure covered by households is larger than OECD. These facts indicate that it is considered as requiring the coverage of the national health plan to be reinforced more in the future and as such reinforcement needs continuous promotion. In medical examination pattern of Pediatric dentistry, the preventive and corrective treatment were increased whereas the restorative treatment was decreased. It is considered that such change is caused from decrease of dental caries from activation of the prevention project at national level. For the restorative treatment, the restorations in use of dental amalgam, pre-existing gold crowning and endodontic treatment had been decreased in their proportion while the restorative treatment in use of composite resin had been increased. It is considered that such changes is caused by the change of demands from patients and family or guardians as they desired more aesthetic improvement along with socio-economic growth of Korean society. Due to such changes in dentistry, the pediatric dentistry in Korea also attempts to have changes in the patterns of medical examination as follows; It tends to implement early stage treatment through early diagnosis utilizing various diagnostic tools such as FOTI or QLF. The early stage dental caries so called white spot had been included in the subjects for dental care or management and in order to do so, the medical care guidelines essentially accompanied with remineralization treatment as well as minimally invasive treatment is being generalized gradually. Also, centering the Pediatric dentists, the importance of caries risk assessment is being recognized, in addition that the management of dental caries is being changed from surgical approach to internal medicinal approach. Recently, efforts began to emerge in order to increase the target patients to be managed by dentists and to expand the application scope of Pediatric dentistry along with through such changes. The interest and activities of Pediatric dentists which had been limited to the medical examination room so far, is now being expanded externally, as they put efforts for participating in the preventive policy making process of the community or the state, and to support the political theories. And also opinions are being collected into the direction that the future- oriented strategic political tasks shall be selected and researches as well as presentations on the theoretical rationale of such tasks at the association level.

병원구매업무에 있어서의 전자상거래 도입에 관한 연구 - 구매부서 관리자의 인식도를 중심으로 - (A Study on the Introduction of Electronic Commerce for Purchasing Section in Hospitals - Focused on the Understanding of Purchasing Managers -)

  • 황은범;남상요;하호욱;이창은
    • 한국병원경영학회지
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    • 제6권3호
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    • pp.69-89
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    • 2001
  • This study is focused that the electronic commerce(EC) on the purchasing section may improve the efficiency and transparency of the hospitals management. After reviewing the purchasing activity of hospitals, I study the introduction, expected effects, and problems of EC. So, I am going to provide basic information for activating EC. The samples are managers of 170 hospitals, which are located on Seoul. As a result of collection this survey, I analyze 79 hospitals. For data analysis, I use $X^2$-test and ANOVA for purchasing management and the relevance of EC according to the level of care. The results of this study are 1. The problems on the management of purchasing section are: firstly, they don't have sufficient time to study market. Secondly, it is difficult to find competitive suppliers. And, lastly, they cannot gather a lot of information about the price of products. 2. There are many answers of the needs on the introduction of B2B. However, some hospitals think they don't need it. But, the most answers are that the EC will be settled within 4 years. So, we can realize that these hospitals are getting interested on the EC. On the other hand, I find that they prefer outside EC companies for the introduction of EC. 3. On the expected effects on EC, first is the effectiveness of the market survey. The next is to collect information of adequate price of products owing to clear transaction, find easier new suppliers and gather useful data. 4. On the external problems of the introduction of EC, there is low credibility related to the security and the weakness of suppliers' information system. Especially, on the Real Transaction Price Payment system, the bigger bed size, the higher understanding on these problems. On the internal problems of the introduction of EC, first is the burden of the introduction of EC and operating cost. Especially, on the burden of the disclosure of revenue source, the smaller bed size, the higher understanding on this problem So, this is a point which deserves my attention statistically. However, this shows relatively little understanding about incomplete the standard of product category and the weak information system of hospital. Through this study, I am going to suggest 3 points for the activation of the introduction of EC on hospitals. 1. The reform of the Real Transaction Price Payment System on medical supplies and materials for medical treatment 2. The establishment of the standard of product category 3. The promotion of information system based on network.

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소방관의 근골격계 증상과 직무 스트레스에 관한 연구 (The study for musculoskeletal symptoms and job stress in firemen)

  • 김정만;서병성;정갑열;김동일;김원술;조한석;김진욱;권재;윤동영;김정일;노영만
    • 한국산업보건학회지
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    • 제17권2호
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    • pp.111-119
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    • 2007
  • Firemen are directly exposed to various harmful chemicals, physical factors and mental stress during rescue and fire-fighting. In fire extinguishing, unstable posture, poisonous gas, dust, high temperature and heavy equipments are possible hazardous factors. The alertness for emergency, shift work, job strain and stress are also possibly hazardous. Therefore, this study aimed to investigate the prevalence of musculo-skeletal symptoms and job stress and to determine risk factors in firemen. This study was carried out in a group of 226 firemen in Busan City, Korea. Standardized Nordic Questionnaire was used to investigate the prevalence of musculo-skeletal symptoms and Psycho-social Well-being Index (abbreviated PWI) was used to investigate the prevalence of job stress. General and occupational characteristics were included education, marital status, alcohol and smoking history, working duration, and work shift system. Body mass index (BMI) scores were calculated by physical examination including height and weight. Concerning musculo-skeletal complaints, the commonest site was neck, and shoulder, lower back, upper back were the next. Complaint site above one area of body was about 80%. From multiple logistic regression analysis, working duration was significant variable in musculo-skeletal symptoms. Odds ratio were 15.4 in working duration. About 16.8% was high risk stress group. From multiple logistic regression analysis, shift work and alcohol drinking were significant variables in PWI scores. Odds ratios were 2.25 in shift work. Accordingly, interventions are needed for health promotion of long term and shift worker.