• 대한소아치과학회지
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• 제39권3호
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• pp.267-272
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• 2012

치과의사는 감염, 알레르기, 시력장애 등 다양한 직업적 위험에 노출되어 있으며, 그 중에서도 비교적 최근 들어 새롭게 제기된 문제가 청력손상이다. 치과 진료실에서 발생하는 소음이 작업장 소음 기준을 초과한다는 조사 결과가 발표된 바 있고, 특히 소아치과 의사는 각종 치과 소음에 더하여 어린이의 울음소리라는 부가적 소음원에도 일상적으로 노출되고 있다. 본 연구는 소아치과 의사에게 영향을 미칠 수 있는 소음 환경에 대해 조사하고, 이에 따른 청력 손상 가능성을 고찰해 볼 목적으로 시행되었다. 휴대용 소음계를 이용하여, 각종 치과용 기구, 어린이의 울음소리, 양자가 동시에 발생할 때의 소음 크기를 각각 측정하고, 소아치과 의사가 소음 환경에 노출되는 시간을 설문을 통해 조사하였다. 이 결과를 National Institute for Safety and Health(NIOSH) 및 Occupational Safety and Health Act (OSHA)의 소음 역치 기준, CRA News letter의 청력 손상을 유발하는 소음 기준과 각각 비교하였다. 그 결과, 소아치과 의사가 노출된 소음 환경은, 강도와 노출 시간을 고려했을 때 허용된 작업장 소음 기준을 초과하며, 어린이의 울음소리는 한 번의 노출로도 영구적 청력 손상을 야기할 수 있는 수준으로 나타났다. 따라서 일반 치과의사와 비교하여 소아치과 의사는 직업적 청력 손상의 위험성이 더 높으며, 이를 최소화하기 위한 적극적인 대책이 필요하다는 결론을 내릴 수 있었다.

• Journal of Preventive Medicine and Public Health
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• 제38권2호
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• pp.203-207
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• 2005

Objectives: Recently, the American Diabetes Association (ADA) redefined the criteria of prediabetes, which has lowered the diagnostic level of fasting plasma glucose (FPG) from 110 to 125 mg/dl, down to levels between 100 to 125mg/dl. The purpose of this study was to determine the predictive cutoff level of FPG as a risk for the development of diabetes mellitus in Korean men. Methods: A retrospective cohort study was conducted on 11,423 (64.5%) out of 17,696 males $\leq$30 years of age, and who met the FPG of $\leq$125 mg/dl and hemoglobin A1c of $\leq$ 6.4% criteria, without a history of diabetes, and who were enrolled at the screening center of a certain university hospital between January and December 1999. The subjects were followed from January 1999 to December 2002 (mean follow-up duration; 2.3(${\pm}0.7$) years). They were classified as normal (FPG <100mg/dl), high glucose (FPG $\geq$100mg/dl and <110mg/dl) and impaired fasting glucose (FPG $\geq$110mg/dl and $\leq$125mg/dl) on the basis of their fasting plasma glucose level measured in 1999. We compared the incidence of diabetes between the 3 groups by performing Cox proportional hazards model and used receiver operating characteristic analyses of the FPG level, in order to estimate the optimal cut-off values as predictors of incident diabetes. Results: At the baseline, most of the study subjects were in age in their 30s to 40s (mean age, 41.8(${\pm}7.1$) year). The incidence of diabetes mellitus in this study was 1.19 per 1,000 person-years (95% CI=0.68-1.79), which was much lower than the results of a community-based study that was 5.01 per 1,000 person-years. The relative risks of incident diabetes in the high glucose and impaired fasting glucose groups, compared with the normal glucose group, were 10.3 (95% CI=2.58-41.2) and 95.2 (95% CI= 29.3-309.1), respectively. After adjustment for age, body mass index, and log triglyceride, a FPG greater than 100mg/dl remained significant predictors of incident diabetes. Using the receiver operating characteristic (ROC) curve, the optimal cutoff level of FPG as a predictor of incident diabetes was 97.5 mg/dl, with a sensitivity and a specificity of 81.0% and 86.0%, respectively. Conclusion: These results suggest that lowering the criteria of impaired fasting glucose is needed in Korean male adults. Future studies on community-based populations, including women, will be required to determine the optimal cutoff level of FPG as a predictor of incident diabetes.

• 한국가스학회지
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• 제15권4호
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• pp.7-14
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• 2011

20 L 구형 폭발시험장치와 시차주사열량계(DSC)를 사용하여 반응성 유기물 분진의 폭발 및 열분해 특성을 실험적으로 조사하였다. 그 결과 97 % Benzoyl peroxide(BPO), Phthalic anhydride(PA), 1-Hydroxybenzotri azol(HBT)의 폭발하한은 매우 낮은 농도인 10~15 g/$m^3$의 범위로 측정되어 착화위험성이 높은 것으로 나타났다. HBT, PA 및 97 % BPO의 폭발지수는 각각 251, 146, 80 [bar m/s]로서, HBT는 폭발등급 2에 해당한다. 또한 밀폐계 분진폭발의 화염전파 특성을 추정하기 위하여 용기면에의 화염도달시간과 폭발압력을 고려하여 화염전파속도를 예측하였다. 97 % BPO 및 HBT의 열분해 개시온도와 발열량은 각각 $107^{\circ}C$(1025 J/g), $214^{\circ}C$(1666 J/g)로 나타났는데, 이와같이 낮은 열분해 온도와 큰 발열량이 폭발특성에 영향을 주는 것으로 판단된다.

• 한국산업보건학회지
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• 제28권3호
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• pp.257-266
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• 2018

Objectives: The objective of this study was to evaluate asphalt fumes and PAHs exposure among asphalt road paving workers. Methods: Task-based personal air samplings(n=41) were carried out in 3 asphalt road paving construction sites using PTFE (polytetrafluorethylene) filters for asphalt fume and XAD-2 with glass fiber filters for PAHs. The concentration of fumes and PAHs were showed by four different job(paver finisher operator, paving laborer(raker), macadam roller operator and tire roller operator). Results: The geometric mean(GM) concentration of asphalt fumes as benzene soluble aerosol was highest at paving laborers($42.32{\mu}g/m^3$), followed by in order, paver finisher operators($41.57{\mu}g/m^3$), macadam roller operators($31.9{\mu}g/m^3$), and tire roller operators($30.31{\mu}g/m^3$). The GM of total PAHs concentration was highest at paver finisher operators($37.5{\mu}g/m^3$), followed by in order, paving laborers($20.13{\mu}g/m^3$), tire roller operators($8.66{\mu}g/m^3$), and macadam roller operators($6.23{\mu}g/m^3$). The results of the evaluation of 16 compounds of PAHs showed that the concentrations of naphthalene, achenaphthylene, achenaphthene, pyrene, fluorene and benz (a) anthracene was higher than those of other PAHs compounds and as the carcinogenic substances, benzo(a)pyrene, and debenz(a,h) anthracene were detected. The benzo(a)pyrene equivalent concentration(BaPeq) was $2.81{\mu}g/m^3$ at paver finisher operators, $2.07{\mu}g/m^3$ at paving laborers, $0.41{\mu}g/m^3$ at tire roller operators and $0.22{\mu}g/m^3$ at macadam roller operators. Asphalt road paving workers have higher benzo(a)pyrene equivalent(BaPeq) values even though at lower total PAHs concentration than workers in steel pipe coating and tar industry. Conclusions: Asphalt road paving workers were found to have risk of carcinogen exposure due to higher Benzo(a)pyrene equivalent concentration(BaPeq) than other PAHs exposure occupations. This study confirmed the carcinogenic hazards among asphalt paving workers.

• 대한감각통합치료학회지
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• 제16권2호
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• pp.50-63
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• 2018

목적 : 본 연구는 부모-아동 상호작용치료가 장애아동 부모의 양육기술과 아동의 문제행동에 미치는 영향을 메타분석으로 검증하여 중재 방법의 근거를 제공하고자 한다. 연구방법 : 본 연구는 2007년 1월부터 2018년 3월까지 출판된 연구 중 장애아동을 대상으로 부모-아동 상호작용 프로그램을 사용한 연구를 대상으로 하였다. 논문 검색은 PubMed, CINAHL, EBSCOhost, Science Direct를 이용하였고, 이차적으로 검색논문의 참고문헌을 추가 검색하였다. 총 7편의 연구가 선정기준에 적합하였고, 최종 논문에 대해 Jadad scale를 이용하여 질적 평가를 수행하였다. R-meta 분석프로그램을 사용하여 통계적 검정을 실시하였다. 결과 : 부모-아동 상호작용치료의 양육기술 효과크기는 큰 효과크기를 나타냈으며, 양육 스트레스 효과크기는 중간크기를 나타냈다. 아동의 문제행동 또한 중간 효과크기를 나타냈으며 모든 p값은 통계적으로 유의하였다(p<.0001). 결론 : 본 연구는 부모-아동 상호작용치료가 부모의 양육기술과, 양육 스트레스, 아동의 문제행동에 미치는 영향을 살펴보았다. 앞으로 아동작업치료에서 가족참여 중재에 대한 근거 마련을 위한 연구가 필요하다.

• 대한임상검사과학회지
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• 제55권1호
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• pp.29-36
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• 2023

이 연구는 특수건강진단 폐활량검사 시 아시안 외국인 근로자들에게 적절한 예측식을 제안하는 것이다. 연구 대상은 지리적 분포에 따라 중앙아시아, 동북아시아, 남아시아태평양 그룹으로 나누었으며, 그룹별 폐활량검사 결과와 예측식간 일치도를 확인하였다. 이를 기준으로 국내 외국인 근로자들에게 폐활량검사 시 적절한 예측식을 제안하였고, 제안한 예측식을 적용할 수 없는 폐활량검사기에는 보정계수를 제안하였다. Global lung function initiative 2012 (GLI2012)-동북아시안식과 동남아시안식의 해석일치도는 남성 0.819, 여성 0.770이었고, GLI2012-동남아시안식과 남아시안식의 해석 일치도는 남성 0.881, 여성 0.886이었다. GLI2012-동북아시안식과 중앙아시안식의 해석일치도는 남성 0.831, 여성 0.833이었다. 따라서 동북아시안, 중앙아시안 그룹에 속하는 외국인 근로자는 GLI2012-동북아시안식을 적용하고, 동남아시안, 남아시안 그룹에 속하는 외국인 근로자는 GLI2012-동남아시안식을 제안한다. GLI2012-동남아시안식을 선택할 수 없는 폐활량검사기의 경우 최정근식(Dr. Choi equation)에 보정계수 0.87을 적용할 것을 제안한다.

• 한국산업보건학회지
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• 제32권1호
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• pp.10-20
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• 2022

Objectives: The aim of this study is to evaluate exposure levels of the extremely low frequency magnetic fields(ELF-MF) radiated from various electric facilities in Liquid Crystal Display(LCD) manufacturing processes. Methods: This study measured the exposure levels of personal and local ELF-MF for the electronic facilities installed in two LCD manufacturing companies. Samplers were installed around workers' waist during working hours to identify personal exposure levels, and direct reading equipment were located at 3 cm, 10 cm, and 30 cm away from the surface of the electronic facilities to measure local exposure levels. Average and maximum(ceiling) values were calculated for personal and local exposure levels. Results: Average and maximum of personal exposure levels for each worker were 0.56(mean) ± 0.02(SE) µT and 6.31 ± 0.75 µT, respectively. Statistical analyses of the study found that maximum of the personal exposure levels for engineers was significantly higher than that for operators since engineers spend more time near the electronic facilities for repairing. The range of maximum personal exposure levels was 0.50 ~ 43.50 µT and its highest level was equivalent to 4.35 % of ACGIH(American Conference of Governmental Industrial Hygienists) exposure limit value(1 mT). Maximum of local exposure levels was 8.18 ± 0.52 µT and the electronic facilities with higher exposure levels were roof rail and electric panel, which were not related to direct manufacturing. The range of maximum local exposure levels was 0.60 ~ 287.20 µT and its highest level was equivalent to 28.7 % of the ACGIH exposure limit value. Lastly, the local exposure levels significantly decreased as the measurement distance from the electronic facilities increased. Conclusions: Maximum of personal and local exposure levels did not exceed the exposure limit value of ACGIH. However, it is recommended to keep the workers as far as possible from the sources of ELF-MF.

• 한국산업보건학회지
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• 제34권2호
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• pp.166-178
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• 2024

Objectives: The 12 occupational exposure limits(OELs) for chromium and its compounds in Korea were set by applying the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Values (TLVs). However, this is significantly different from the TLVs after the existing TLVs were integrated and withdrawn in 2018, so it is necessary to review the revision. Methods: Various documents related to chromium OELs were reviewed, including the ACGIH TLV Documentations for chromium and its compounds. A field survey was conducted targeting workplaces handling chromium and its compounds. Based on this, a revised OELs were proposed and a socio-economic evaluation was conducted. Results: The OELs for chromium compounds in Korea was first enacted in 2002, and in 2007, the OELs for chromium (hexavalent) compounds (insoluble) was lowered from 0.05 mg/m³ to 0.01 mg/m³. In 2008, the OELs for strontium chromate was newly established as 0.0005 mg/m³, and in 2018, the OELs for calcium chromate was newly established as 0.001 mg/m³. Total chromium and hexavalent chromium were measured for each of 6 samples at 2 welding sites, 4 plating sites, and 2 spray coating sites. When omparing the average of the results measured by ICP, a total chromium analysis method, and the analysis results by IC, a hexavalent chromium analysis method, only workplace 4 was the same, and total chromium was evaluated more, and total chromium was evaluated at 0.0004 to 0.0027 mg/m³. And hexavalent chromium was evaluated as non-detection ~ 0.0014 mg/m³. Amendment ①: The exposure standard for hexavalent chromium is not divided into water soluble, insoluble, chromium ore processing, and other hexavalent chromium compounds, and is integrated into 0.01 mg/m³, which is the level of chromium (hexavalent) compound (insoluble)., OELs for chromium (metal) and chromium (trivalent) compounds are integrated into chromium (trivalent) compounds, and the exposure level is maintained. Amendment ②: As in the amendment ①, the OELs are integrated, but the level is lowered to 0.005 mg/m³, which is the OELs of OSHA, and there is a grace period of 4 years. Amendment ③: As in the amendment ①, the OELs are integrated, but the level is lowered to 0.0002 mg/m³, which is the exposure standard of ACGIH, and there is a grace period of 5 years. Conclusions: Amendment ①: The change in the OELs is insignificant, so the cost required is small, and the benefit/cost ratio is greater than 1, so there is no problem in applying the amendment. Amendment ②: In all scenarios except chromium 6(insoluble), the benefit/cost ratio is greater than 1, so it is thought that there will be no major problem in applying the amendment. Amendment ③: Since the benefit/cost ratio is less than 1 in all scenarios, it is thought that the total social benefit that can be obtained when applying the amendment is not large.

• 한국조리학회지
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• 제22권4호
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• pp.240-253
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• 2016

본 연구는 외식전공 대학생의 외식산업분야 직업에 대한 인식을 파악하고, 응답자 특성에 따라 외식산업분야의 직업평가에 어떠한 차이를 보이는지 실증적으로 분석하였다. 연구의 목적을 달성하기 위하여 2014년 5월 19일부터 5월 30일까지 설문조사를 진행하여 211부를 SPSS 18.0을 이용하여 빈도분석, 탐색적 요인분석, 신뢰도분석, 상관관계분석, t-test, One way ANOVA를 시행하였다. 직업존중감에 대한 척도는 긍정적 가치, 사회적 평판, 부정적 대우, 상대적 효익으로 구성하였으며, 각 구성개념들은 통계적으로 유의한 타당성과 신뢰성을 확보하였다. 인구통계적 특성에 따른 직업존중감의 요인 별 차이를 분석한 결과, 성별에 따라 사회적 평판을 다르게 지각하고 있는 것을 확인하였고, 학년의 차이에 따라 긍정적 가치를 다르게 인식하고 있다는 것을 검증하였다. 또 전공에 따라 긍정적 가치와 부정적 대우에 대해 인지하는 정도가 다르다고 분석되었으며, 미래 희망직업에 따라 상대적 효익과 부정적 대우를 다르게 지각하고 있다는 것을 파악하였다. 이는 직업존중감이 높아지면 전공만족도와 진로결정수준이 높아진다는 선행연구의 결과에 따라 외식전공 대학생의 직업존중감을 높일 수 있는 방안을 모색해야 함을 시사하고 있다. 특히 외식산업분야 직업에 대해 가장 부정적으로 인식하고 있는 사회적 평판과 부정적 대우에 대한 보다 실질적인 개선책을 마련해야함을 강조하고자 한다.

• 한국환경보건학회:학술대회논문집
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• 한국환경보건학회 2005년도 Proceedings of KSEH.Minamata Forum
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• pp.87-94
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• 2005

Results from previous studies revealed that metal level in the body is related to certain types of diseases. For example. serum copper level with chronic heart failure, iron and transferrin in the blood serum with acute cerebral vascular diseases, Zn in the CNS, lead with neurotoxicity, hypertension, genetic damage, arsenic with cancer skin lesion, Al with neurobehavioral function (cognitive impairment and memory disorder), and etc. The rate of stroke has increased in recent years and several metals were found to be responsible for causing stroke. This study compared several blood metal concentrations between stroke and non-stroke patients. Patients with stroke (116 samples) and non-stroke (111 samples including lowback pain and others) participated in this study. Total of 227 blood samples were collected and participants completed questionnaires regarding age, gender, occupation, residence, alcohol, smoking, and etc. To be qualified into the stroke group, patients have never experienced stroke previously. Subjects only included ischemic stroke and intracerebral hemorrhage patients diagnosed by brain CT and brain MRI. Patients with high risk of metal exposure such as herbal intake and job related exposure were excluded. 10ml of blood samples were analyzed by ICP-MS method at the Center of Nature and Science at Sangji University. Metal geometric mean (SD) concentrations in blood of study subjects showed higher values, 2.64-36.12%, than WHO reference values in Mn, Ni, Hg, Se, and As. Metal concentration in blood of stroke patients non-adjusted for potential confounders was higher except for Hg and also higher except for Ni in adjusted for potential confounders. Co was significantly higher in stroke patients (p=0.002) than non-stroke patients adjusted for potential confounders. Regression coefficient values of stroke patients was 0.17-8.25 in each metals. Odd ratio of stroke patients had 0.96 (Ni)-2.68 (Co) compared to non-stroke cases. This result means that Co increase of 1 raises the risk ratio of stroke by 2.86 times. Based on the results, metal concentration in blood seems to affect incidence of stroke.