• 대한지역사회작업치료학회지
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• 제5권1호
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• pp.45-53
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• 2015

목적 : 본 연구는 주거환경 인식도 및 중요도에 관하여 알아보고 주거환경개선의 기초자료를 마련하고자 한다. 연구방법 : 2015년 4월부터 2015년 5월까지 일반인 165명을 직접 만나 설문조사 하였다. 분석방법은 SPSS 18.0을 이용하여 기술통계, 빈도분석, t검정, 분산분석, 사후검정을 사용하였다. 결과 : 주거환경개선의 인식도를 살펴보면 44.8%가 집안 구조변경, 26.7%가 치료방법이라고 응답하였으며 건축사가 할 것 같다는 응답이 28.5%인 것에 반하여 작업치료사가 할 것 같다는 응답은 9.1%로 보여 졌다. 주거환경개선의 중요성에 관하여 대부분 중요하다고 생각하지만 성별, 연령별 차이는 없었다(p>.05). 주거환경개선이 삶의 질을 높여줄 것 같다는 응답은 45.9%인 것에 반해 독립성이 증가될 것 같다는 응답은 7.6%로 보여 졌고, 주거환경개선은 돈이 많이 들어가기(81.1%) 때문에 중요하지 않다고 응답하였다. 결론 : 주거환경개선의 인식은 부족하였으나 중요도가 높은 것으로 보아 추후 주거환경개선의 필요성은 공감하고 있었다. 장애인을 위한 주거환경개선에서 경제적 지원 및 작업치료사의 진출 및 제도적 지원이 필요할 것으로 사료된다.

• 한국환경보건학회지
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• 제36권5호
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• pp.373-382
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• 2010

A number of recent studies have shown that occupational stress is closely associated with increased fatigue and decreased job satisfaction. This study was designed to assess stress in workers in the field of EIA (environment impact assessment) from July 2009 through september 2009, and questionnaires were uesd to analyze the stress scores and identify the primary factors influencing stress in this occupation. The number of respondents was 272 working in the Capital (Seoul and Kyunggido), Chungcheongdo, Jejudo area. A structured questionnaire was used to evaluate the participants' socio-demographics, job-related factors, health-related behaviors, occupational stress, reaction factor (self-perceived fatigue, job satisfaction) and buffer factor (social support). Occupational stress and self-perceived fatigue were assessed using the Korean Occupational Stress Scale-Short Form (KOSS-SF) and the Multidimensional Fatigue Scale (MFS), respectively. The analysis revealed a strong correlation between occupational stress, job satisfaction, and social support, with occupational stress being associated with an increased risk of fatigue and decreased job satisfaction. In the multiple regression analysis(stepwise), the main factors influencing occupational stress were found to be job satisfaction, supervisor, fatigue, working time, no. of personnel, career. The results of this study suggest that occupational stress is a determinant predictor of self perceived fatigue and job satisfaction. Thus, a strong recommendation is made for a stress management program for reduction of occupational stress, and for the development of relevant experts on the health and quality of life of environment impact assessment workers.

• 한국산업보건학회지
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• 제31권2호
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• pp.147-155
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• 2021

Objective: The purpose of this study was to find ways for strengthening occupational health services through monitoring exposure to health hazards. Methods: About 70,000 workplaces that have conducted the work environment measurement(WEM) over the last three years(2017~2019) were classified according to the Korean Standard Industry Classification(KSIC), and the current status of WEM by industry was analyzed. The authors considered ways to monitor exposure to health hazards in order to strengthen occupational health services and protect workers' health. Results: Based on the KSIC, 934 of the 1,196 total sub-classified industries have conducted WEM in at least one workplace over the last three year(2017~2019). In the case of manufacturing, out of a total of 477 sub-classified industries, 474 have conducted WEM at more than one workplace. However, in some industries, WEM was not conducted or the implementation rate was low, so it was necessary to examine whether WEM should be expanded based on a detailed analysis of the WEM database. To this end, it is necessary to form an exposure monitoring committee in which various experts from different fields can participate. The committee needs to discuss the overall matters necessary for selecting industries that require detailed investigation or research, review the results, and prepare a final recommendation. Conclusion: In conclusion, the government needs to come up with a plan to strengthen occupational health services through surveys and research on the current status of WEM and work environment management models by industry.

• Safety and Health at Work
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• 제8권3호
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• pp.322-326
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• 2017

In 1992, the quality control program was introduced in Republic of Korea to improve the reliability of the work environment monitoring, which was introduced in the 1980s. The commission entrusted by the Ministry of Employment and Labor, the Occupational Safety and Health Research Institute has conducted the program for industrial hygiene laboratories including designated monitoring institutions and spontaneously participating agencies. The number of institutions that participated in the program has increased from 30 to 161. The initial conformance ratio in the participants was 43% (organic solvents) and 52% (metals). Thereafter, the conformance ratio increased rapidly and it has remained in a stable state at more than 89% since 1996. As subject materials, 13 kinds of organic solvents and 7 kinds of metals were used. To improve the capability of measurement and analysis of private institutions, educational courses were conducted annually. An assessment at the actual sites of participants was additionally introduced into the program in 2013. Thus, the program turned into a system that administrates the overall process of participants. For the future, the scope of target materials will be extended through additional items. Thus, the reliability of the results of the work environment monitoring is expected to increase accordingly.

• 한국산업보건학회지
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• 제30권3호
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• pp.299-305
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• 2020

Objectives: The most important occupational health activity is work environment measurement(WEM) along with the health examination. The preventive function of the WEM system could be achieved on the assumption that all subjected workplaces are performing correctly the WEM. To achieve properly the original purpose of WEM, we suggested a policy for subjected workplaces that they should register whether subjected or not. Methods: We made registration draft through reviewing laws, reports and thesis for WEM. And we conducted Focus Group Interview for industrial health experts using structured questionnaire about the registration. Results: There were 412 occupational deaths from 2013 to 2017. And it was found that only 130(31.6%) workplaces which involved in these occupational deaths had conducted the WEM. In order to operate the WEM system with effect, the subjected workplaces should register the subject status. Such registration must be completed at the stage of industrial accident insurance enrollment. Conclusions: Conducting WEM is the first step to prevent intoxication accident in workpalces. To operate properly WEM we should correctly understand subjected workplaces. So it is needed for all subjected workplaces to register whether they are subjected or not.

• 한국보육지원학회지
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• 제8권6호
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• pp.241-256
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• 2012

본 연구는 어린이집 전문성지원환경과 보육교사의 이직의도 및 전직의도의 관계에서 보육 효능감의 매개효과를 검증하고자 하였다. 연구의 목적을 달성하기 위해, 보육교사 237명을 대상으로 설문조사를 실시하였다. 그에 따른 연구결과는 다음과 같다. 첫째, 어린이집이 보육교사의 전문성을 지원할수록 보육교사의 보육효능감이 높고, 이직 및 전직의도가 낮았다. 둘째, 보육교사의 이직의도는 교사 및 원장과의 관계, 교사의 자율성과 의사결정이 낮을수록 높았다. 전직의도는 교사와 유아에 대한 기대가 낮을수록 높았다. 셋째, 전문성지원 환경과 전직의도와의 관계에서 보육효능감의 매개효과가 나타났다. 근무하는 어린이집의 전문성지원환경이 열악하다고 인식하는 보육교사는 낮은 보육효능감을 갖게 되며, 이는 다른 직업으로의 전직의도를 높이는 것으로 나타났다.

• 한국산업보건학회지
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• 제27권2호
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• pp.87-96
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• 2017

Objectives: Improvement of the reliability of work environment measurement results is one of the principal subjects to be resolved in the field of industrial hygiene. Thus, this study was conducted in order to review domestic programs for enhancing the reliability of work environment measurement results and propose a more efficient management plan for workplace monitoring. Materials and Methods: The current domestic programs reviewed in this study are the quality control system and evaluation system for industrial hygiene laboratories, the reliability system accompanied by KOSHA (the Korea Occupational Safety and Health Agency), the system of permissible exposure limits and observed inspection system for permissible exposure limits. Their contents and data were analyzed by reviewing articles, reports, and guidelines related to reliability improvement for work environment measurement results. Results: As a result of the literature review, all the domestic programs investigated in this study had both merits and demerits in terms of considering the reliability of work environment measurement results. In particular, the fact that preliminary notification is provided to the head of a workplace before implementation would be an obstacle for elevating the reliability of work environment measurement results. Conclusions: Based on the review results obtained from this study, it is proposed that on-site measurement without preliminary notification should be considered for a more efficient inspection system that would enhance the reliability of workplace monitoring.

• Safety and Health at Work
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• 제3권2호
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• pp.92-100
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• 2012

Objectives: The French National Occupational Diseases Surveillance and Prevention Network (RNV3P) is a French network of occupational disease specialists, which collects, in standardised coded reports, all cases where a physician of any specialty, referred a patient to a university occupational disease centre, to establish the relation between the disease observed and occupational exposures, independently of statutory considerations related to compensation. The objective is to compare the relevance of disproportionality measures, widely used in pharmacovigilance, for the detection of potentially new disease ${\times}$ exposure associations in RNV3P database (by analogy with the detection of potentially new health event ${\times}$ drug associations in the spontaneous reporting databases from pharmacovigilance). Methods: 2001-2009 data from RNV3P are used (81,132 observations leading to 11,627 disease ${\times}$ exposure associations). The structure of RNV3P database is compared with the ones of pharmacovigilance databases. Seven disproportionality metrics are tested and their results, notably in terms of ranking the disease ${\times}$ exposure associations, are compared. Results: RNV3P and pharmacovigilance databases showed similar structure. Frequentist methods (proportional reporting ratio [PRR], reporting odds ratio [ROR]) and a Bayesian one (known as BCPNN for "Bayesian Confidence Propagation Neural Network") show a rather similar behaviour on our data, conversely to other methods (as Poisson). Finally the PRR method was chosen, because more complex methods did not show a greater value with the RNV3P data. Accordingly, a procedure for detecting signals with PRR method, automatic triage for exclusion of associations already known, and then investigating these signals is suggested. Conclusion: This procedure may be seen as a first step of hypothesis generation before launching epidemiological and/or experimental studies.

• 한국산업보건학회지
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• 제22권2호
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• pp.107-118
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• 2012

Objectives: This study examines the occurrence of disease resulting from low back pain and factors of working environment meaningfully influencing the occurrence of lumbago as well as analyzes '2nd Korean Working Condition Survey (KWCS)' conducted in 2010 so as to establish the prevention and improvement measures. Methods: The analysis method is that it is to compare the prevalence rate of low back pain according to working environment via odds ratio and to implement the test about the factors having the difference in working environment between low back pain group and normal group through weighted t-test. Results: As a result, it indicates that there is a meaningful difference for prevalence rate of low back pain according to age, status in employment and education level which are socio-demographical factors. The analysis in working hours shows that the period of work is a factor raising the prevalence rate of low back pain rather than weekly working hours. The analysis in the work risk factor indicates that the increase in prevalence rate of low back pain takes place to either workers with repetitive movement and continuously standing posture or those with heavy stress and emotional labour. Conclusions: Workers with low back pain have suffered from accident, depression, anxiety disorder and sleep. The factors in which the prevalence rate of low back pain decrease are to provide information on health and safety and working speed, and enough rest.

• Safety and Health at Work
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• 제12권2호
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• pp.268-271
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• 2021

Lung granulomas are uncommon in Thailand. The disease typically develops from an occupational environment and is mostly caused by infection. Herein is a case report of a female patient, aged 48, working as a nurse in an Accident and Emergency Department at a hospital. Eighteen years prior to admission the patient was diagnosed with myasthenia gravis and pulmonary tuberculosis. The chest X-ray and CT scans showed a solitary pulmonary nodule in the lower left lung. The patient received an open thoracotomy with a left lobectomy. Granulomatous and nonseptate hyphae were found in the pathology diagnosis. The patient was thus diagnosed as having a lung granuloma. The galactomannan antigen test was positive. The solitary pulmonary nodule-found from the use of a Polymerase Chain Reaction (PCR) test-was an Aspergillus spp. The fungus culture was collected from air samples. The air samples were collected by the impaction technique using a microbial air sampler. Three types of Aspergillus spp. were found as well as Penicillium spp. and Monilia sitophila. The Aspergillus spp. was a match for the patient's disease. The patient was diagnosed as having a lung granuloma possibly Aspergillus nodule which was caused by airborne Aspergillus spp. from the occupational environment.