• Journal of Preventive Medicine and Public Health
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• 제35권3호
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• pp.205-213
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• 2002

장기간의 소음노출에 의한 혈압상승 또는 고혈압의 발생에 대해서는 많은 연구에도 불구하고 결과가 다양하고 논란이 많은 실정이다. 이에 연구자는 혈압에 대한 소음의 영향을 보다 정확히 평가하기 위해서 일개 사업장을 대상으로 유사 노출군의 코호트를 구성하고 9년간의 추적조사를 실시하였다. 여기서 얻은 자료를 이용하여 소음노출수준별로 혈압의 연도별 변화경향을 파악하고, 혼란변수를 통제한 상태에서도 혈압의 변화에 대해 소음노출이 영향을 미치는가를 파악하고자 하였다. 부산지역의 일개 금속제품 제조업에서 근무하고 있는 530명의 남자 근로자를 1991년부터 1999년까지 혈압을 9년간 매년 계속 추적조사 하였으며, 조사 대상자들을 근무여건과 노출되는 소음수준(noise level category, 이하 NLC로 약함)에 따라 NLC-I (사무실 근로자, 60dB(A) 미만으로 노출, 155명), NLC-II(현장 기술지원자 및 검사원, 소음에 비정기적으로 노출, 75명), NLC-III (현장근로자, 85 dB(A)이하로 노출, 귀마개 또는 귀덮개를 착용, 167명), NLC-IV (현장근로자, 85 dB(A) 초과 노출, 귀마개와 귀덮개를 동시에 착용, 133명) 의 4군으로 구분하였다. 추적기간동안 소음수준별 혈압은 분산 분석을 이용하여 비교하였고, 혼합선형모형을 이용하여 추적기간동안(1992-1999년)의 보정된 통합평균혈압을 구하고 소음노출수준별로 비교하였다. 고려된 혼란변수는 기준연도(1991년)의 연령, 흡연여부, 음주량, 운동, 고혈압 가족력, 수축기 및 확장기 혈압과 체질량지수의 변화였다. 기준연도의 혈압과 혼란변수를 보정한 상태에서 각 연도별 혈압을 비교한 결과 수축기혈압은 9년째에서, 확장기 혈압은 2년째에서 대조군과 통계적으로 유의한 차이가 있었으며, 대조군의 평균 혈압이 전반적으로 증가되었다. 추적기간동안 혼란변수를 보정한 통합수축기 혈압은 대조군인 NLC-I과의 차이가 NLC-II는 1.7 mmHg, NLC-III는 2.0 mmHg, NLC-IV는 3.8 mmHg이었고, NLC-IV의 경우 그 차이가 통계학적으로 유의하였다. 확장기혈압의 경우에는 소음노출수준별로 유의한 차이가 없었다. 본 연구는 남성근로자에서 장기간의 소음노출은 혈압의 상승에 독립적인 영향이 있음을 시사하였다.

• PNF and Movement
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• 제18권2호
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• pp.275-286
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• 2020

Purpose: The purpose of this study is to understand and analyze the current status of dementia management and rehabilitation services in Busan, South Korea, in response to the rapid increase of people with dementia due to the aging of the population. Methods: To investigate the current status of dementia rehabilitation in Busan, a survey was disseminated to dementia safety centers and day- and night-care centers in 16 districts/counties in Busan. Of the 209 day- and night-care centers, 23 institutes were registered in the National Health Insurance Service and received the highest grade (Grade A) in the institute evaluation that was implemented in each district. A telephone interview was conducted, and survey questions were related to the existence of an ongoing dementia rehabilitation program, program presenter, number of participants, progress method, program time, program duration, program contents, and participation path. Results: Dementia safety centers were implementing dementia prevention program, cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient. The majority of the presenters of all four dementia-related programs were occupational therapists. The highest number of participants in the dementia prevention program was 15, and the highest number of participants in the cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient was 10. All institutes' programs delivered group therapy. As for the time and frequency of the program, most dementia program included three-hour sessions five times a week. Most dementia prevention program, cognitive enhancing program, self-help meeting and education program for family of dementia patient included 60-minute sessions once a week. The most frequently observed program duration for the dementia prevention program and cognitive enhancing program was six months, and the most frequently observed duration for the dementia program was three months. Lastly, study participants most often reported that self-help meeting and education program for family of dementia patient lasted for two months. Among day- and night-care centers in Busan, programs related to cognition were implemented in 18 institutes, and the majority of the program presenters were social workers. Conclusion: In response to the rapidly growing number of dementia patients due to the aging of the population, this study examined the current status of dementia rehabilitation in Busan. The study results underscore the need to develop systems that consider the circumstances in Busan and continuously and systematically support dementia programs.

• 한국산업보건학회지
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• 제15권2호
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• pp.114-123
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• 2005

We analyzed the demographic and job features of 197 shipyard workers with work-related musculoskeletal disorders(WMSDs) compensated by the Industrial Accident Compensation Insurance Act, and the features of the disorders, the causes of operation and the induced behaviors. The three shipbuilding companies surveyed were located in Busan Metropolitan city and Gyungsangnam-do. The results were as follows. 1. The ages of WMSDs patients in shipyard were $43.6{\pm}8.6$ and the job tenure was $14.3{\pm}5.6$. The 40's of them was 40.1%, and the 30's was 29.4%. Patients less than 5 year-work duration were 85.3%, and ones more than 16 year-work duration 6.6%. In occupations, welders were 32.5%, pre-welders 17.3%, and setting engineers 6.6%. 2. The causes of WMSDs in shipyard were works(95.4%) and outer crash or accident shock (3.6%). Based on the standard of the NIOSH induced behaviors, the causes were awkward posture (62.9%), excessive movement(19.3%) and repetitive movement(13.7%). 3. The compensated WMSDs by body part was the highest, 36%, in the spines, 32.0% in both the upper limbs and the spines, and 14% in the upper limbs. The number of cases of WMSDs in body were 96 in the cervical, 79 in the lumbar and 72 in the shoulders. 4. As a result of chi-square test(${\chi}^2$) between diagnosis and operation in body, welding and spot welding had the most diagnoses in all parts of the body among other occupations. Chi-square test(${\chi}^2$) between diagnosis and induced behavior in body showed that awkward postures recorded the highest rate and repetitive movements was the second. 5. The most hazardous occupation was the welding(incidence rate=9.7) and the most hazardous behavior was the awkward posture.

• 한국식품위생안전성학회지
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• 제35권1호
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• pp.6-12
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• 2020

본 연구에서는 비브리오 패혈증 예방과 치료에 유용한 항생제를 제시하기 위해 V. vulnificus의 독소유전자 분포와 항생제 내성을 분석하였다. 2015년부터 2017년까지 3년간 전남지역에서 발생한 비브리오 패혈증 환자로부터 분리되어 보관된 18균주와 전남지역에서 채취된 어패류 및 횟집 수족관수에서 분리된 5균주, 총 23균주를 대상으로 하였다. 실험에 사용된 V. vulnificus 23균주 모두 V. vulnificus로 재확인되었다. V. vulnificus 균주의 독소유전자를 분석한 결과, 23균주 중 19균주(82.6%)에서 RtxA 독소유전자가 확인되었고, 23균주 모두에서 viuB와 vvhA 독소유전자가 검출되었다. 이러한 결과는 독소유전자의 검출율이 기존 보고에 비해 높은 것이며, 실험에 사용한 모든 V. vulnificus 균주가 1개 이상의 독소유전자를 보유한 것으로 생선회 섭취와 상처를 통한 비브리오 패혈증 감염의 위험성이 상존하고 있었다. 따라서 횟집 종사자 등에 대한 비브리오 패혈증 예방 교육이 필요한 것으로 판단되었다. V. vulnificus에 대한 항생제 내성 실험결과 cefoxitin 항생제에 94.4%가 내성을 나타내었고, chloramphenicol과 tetracycline 등 14종의 항생제에 감수성을 나타내었다. 비브리오 패혈증 치료에 chloramphenicol과 tetracycline 항생제를 사용하는 현 치료법이 유용한 것으로 판단되었다.

• 한국산업보건학회지
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• 제27권3호
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• pp.170-179
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• 2017

Objectives: This study aims to investigate the occupational radiation exposures of emergency medical technicians(EMTs) in emergency medical centers in Korea. The results will provide a basis for developing prevention programs to minimize adverse health effects relating to radiation exposure among emergency medical technicians working in this area. Methods: Radiation exposure doses were measured for twenty-two EMTs working in six emergency medical centers. Thermo Luminescent Dosimeters(TLD) were placed on three representative body parts, including chest, neck, and a finger. Measurements were conducted over the entire working hours of the participants for foor weeks. Dosimeters were analyzed according to a standard method by a KFDA-designated lab. Detection rate, annual radiation exposure dose, and relative levels to dose limit were derived based on the measured doses from the dosimeters. SPSS/Win 18.0 software(IBM, US) was used for statistical analysis. Results: Detection rates were 45.5%, 36.4%, and 45.5% for the dosimeters sampled from chest, neck, and a finger, respectively. The average annual doses were $2.39{\pm}3.44mSv/year$(range 0.38-10.0 mSv/year) for the chest, $2.72{\pm}3.05mSv/year$(2.00-11.34) for the neck, and $20.98{\pm}17.57mSv/year$(1.25-53.50) for the hand dose. The average annual eye dose was estimated to $3.61{\pm}2.37mSv/year$(1.50-8.34). The exposure dose levels of EMTs were comparable to those of radiologists, who showed relatively higher radiation dose among health care workers, as reported in another study. Conclusions: EMTs working in emergency medical centers are considered to be at risk of radiation exposure. Although the radiation exposure dose of EMTs does not exceed the dose limit, it is not negligible comparing to other professionals in health care sectors.

• 자원ㆍ환경경제연구
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• 제31권4호
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• pp.693-710
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• 2022

ESG 경영, 중대재해처벌법 시행 등으로 산업안전보건에 대한 사회적 관심이 높아지고 있다. 본 연구는 에너지 기업의 산업안전 수준인 산업재해 현황을 살펴보고, 2015~2021년 기간에 걸쳐 산업재해가 에너지 기업의 경영성과(매출액, 영업이익액, 매출영업이익률)에 미치는 영향을 실증분석하였다. 분석결과, 업종별 평균 산업재해 현황을 보면 에너지 기업의 산업재해 수준은 우리나라 산업재해에 비하면, 사고재해율은 낮은 편이나 질병재해율은 높았다. 또한, 산업재해가 에너지 기업의 경영성과에 미치는 영향 분석결과, 재해율 증가는 1인당 매출액, 1인당 영업이익액, 매출영업이익률을 감소시키는 것으로 추정되었다. 본 연구를 통해 에너지 기업의 산업재해 취약성에 대해 확인하였고, 산업재해의 직간접적인 비용으로 인해 경영성과에 부정적인 영향을 정량적으로 제시하였다. 본 연구결과를 참고하여, 에너지 기업은 소중한 근로자의 인명을 보호하고 지속적인 경영성과를 창출할 수 있도록 안전보건투자 증대 등으로 산재 예방 노력을 강화해야 할 것이다.

• 한국재난정보학회 논문집
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• 제19권3호
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• pp.719-728
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• 2023

연구목적: 이동식크레인은 높은 사망률에 기여하는 기계로 최근 6년간(2016~2021) 사고사망사례 중 건설업 2,574건을 분석한 고위험요인(SIF)정보에서 이동식크레인의 사고는 총 61건의 재해가 발생하였다. 현장의 안전대책에도 불구하고 제대로 활용이 안되고 있다. 본 연구에서는 표준 리스크 평가 지수를 제시하여 사고예방에 기여하고자 한다. 연구방법: 전문가 면담과 사망사고 사례분석, 현장실태분석, 문헌조사를 통해 위험성평가의 4M방식의 표준 리스크 평가 지수 방법을 제시하고자 한다. 연구결과: 현장 8개현장 위험성평가를 분석한 결과 재해예방에 실질적인 기여를 할 수 없다는 결론을 얻었으며, 표준 리스크 평가 지수 방식의 개선방안으로 적용하여야 한다. 결론: 건설현장에서 표준 리스크 평가 지수방식으로 전환함으로써 안전보건관계자 및 근로자가 쉽게 이용할 수 있고 재해감소에 기여할 수 있을 것으로 제안한다.

• 한국산업융합학회 논문집
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• 제26권5호
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• pp.845-853
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• 2023

The Ministry of Employment and Labor announced a roadmap for reducing serious accidents to create a "safe and healthy workplace, happy Korea" and ordered a risk assessment for all work processes in all workplaces on November 30, 2022. Accordingly, even workplaces that handle new chemicals must conduct risk assessment when introducing new chemicals, but the risk assessment techniques currently proposed by the government focus on preventing conventional accidents such as falls, getting caught, and bumping. Currently, there is a Chemical Hazard Risk Management (CHARM) technique that is most commonly used for chemical risk assessment, but in small and medium-sized businesses that lack professional manpower related to chemical substances, there are many technical terms in the technique and it is difficult to interpret, so its utilization is very low. Therefore, the purpose of this study is to present a method that can make risk assessment easier and simpler before handling new chemicals so that it can be used well in small and medium-sized businesses that lack professional manpower related to chemical substances. Through actual cases, the method of using CHARM was confirmed step by step, and based on this, risk reduction establishment and execution methods were derived. Based on the results of this study, it is expected that it will be used as the best tool for preventing accidents such as acute poisoning when handling chemicals in small and medium-sized workplaces that lack professional manpower related to chemical substances and make every effort to protect workers' health.

• 한국산업보건학회지
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• 제15권2호
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• pp.90-103
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• 2005

Objective: This study was carried out to assess the status of working environments, to improve the working environments, and to be helpful to prevent occupational disease. Methods: The authors measured the noise level, concentration of dust, heavy metals, organic solvents, and other chemicals at 95 industries (22 working processes) by type of working process in manufacturing industry of parts and accessories for motor vehicles and its engines from January to December 2003. Samples were measured and analyzed by regulations of Korea Ministry of Labor, manuals of National Institute for Occupational Safety and Health (NIOSH) and Occupational Safety and Health Administration (OSHA). Results: Results are as follows. 1. Major processes exceeding mean noise levels provided the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value (TLV) were shakeout [97.5 dB(A)]. shot-blast [94.2 dB(A)], pressing [92.9 dB(A)], crushing [91.2 dB(A)], and cleaning [90.6 dB(A)]. 2. Mean concentrations of dusts were not exceeded to the TLV. But concentration on some points of processes as like welding (6.50 mg/m3), foundry (5.24 mg/m3) were exceeded. 3. Mean concentrations of heavy metals were not exceeded to the TLV. 4. Mean concentrations of organic solvents and chemicals were not exceeded to the TLV. 5. Improving rate for working environment were significantly higher in industries with health manager than without (p<0.05), and by increasing the year of working environmental measurement (p<0.01). Conclusions: The results suggest that working processes of exceeding to the TLV will be needed rapid improvement of the working environment, and also the others will be needed positive management of the working environment. Health managers must be recommended to employ in the workplace, and further studies for relationship between working environment and health effects for the workers must be carried out.

• 대한치과기공학회지
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• 제34권4호
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• pp.403-412
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• 2012

Purpose: This study is conducted to evaluate the job stressors for dental technicians in Ulsan city. Methods: The Korean standard job stressors assessment tool developed by Korea Occupational Safety and Health Agency (KOSHA) was used to compare the survey result with Korean reference value. The questionnaire on the social, demographic and job characteristics of dental technicians was also used to find the factors affecting to job stressors by using multiple linear regression analysis. Results: A total of 155 questionnaire was collected from 2010 to 2011. Among the eight fields of stressors, the physical environment (men 50.0, women; 58.3) and job demands (men 57.1, women 57.1) were higher than the median value of the Korean Workers. By multiple linear regression analysis, the significant factors to the physical environment were the satisfaction degree of indoor odor, number of employee, duty and working hours. In terms of the job demand, duty, working hours, age, and the satisfaction to the efficiency of space utilization were significantly associated to the score of job demand. Conclusion: Based on these results, it is necessary to manage appropriate workload, control indoor odor and design an efficient work space for prevention of job stress of dental technicians.