• Safety and Health at Work
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• 제10권1호
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• pp.39-46
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• 2019

Background: As of now, the impact of low back pain (LBP) and its chronic state, chronic low back pain (CLBP), on mental health-related quality of life (HRQOL) has never been investigated among police officers. The present investigation aims at studying this relationship using a biopsychosocial model. Methods: Between May and October 2014, a Web-based cross-sectional study was conducted among Quebec police officers (Quebec, Canada). Mental HRQOL was measured using the role emotional (RE) and the mental health (MH) domains of the SF-12v2 Health Survey. The impact of CLBP on mental HRQOL (as opposed to acute/subacute LBP or no LBP) was studied with a multivariate linear regression model. Results: Of the 3,589 police officers who participated in the study, 1,013 (28.4%) reported CLBP. The mean age of respondents was $38.5{\pm}8.7years$, and 32.0% were females. The RE (44.1/100) and MH (49.0/100) mean scores of the CLBP group were comparable with the scores found in populations suffering from cancer or heart diseases. Compared to officers without LBP, the presence of CLBP was significantly associated with lower RE (${\beta}$: -0.068; p = 0.003) and MH (${\beta}$: -0.062; p = 0.002) scores. These relationships were not found in the acute/subacute LBP group. Conclusion: Our results underscore how frequent CLBP is among police officers and how burdensome it is. Considering the importance of good physical and mental health for this occupational population, police organizations should be aware of this issue and contribute to the efforts toward CLBP prevention and management in the workplace.

• Safety and Health at Work
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• 제10권1호
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• pp.80-86
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• 2019

Background: Emigration of health-care workers is a problem within global health systems which affects many countries, including Peru. Several factors have caused health-care workers to emigrate, including burnout syndrome (BS). This study aims to identify the association between BS and its dimensions with the intention of physicians and nurses to emigrate from Peru in 2014. Methods: A cross-sectional study, based on a secondary analysis of the National Survey of Health Users (ENSUSALUD - 2014) was conducted. Sampling was probabilistic, considering the 24 departments of Peru. We include the questionnaire for physicians and nurses, accounting for 5062 workers. BS was measured by the Maslach Burnout Inventory-Human Services Survey. Adjusted odds ratio (OR) was calculated using multiple logistic regression. Results: Of the study population, 44.1% were physicians, 37.7% males, and 23.1% were working in Lima. It was found that 2.8% [95% confidence interval (CI): 2.19-3.45] of health-care workers had BS. The overall prevalence of intention to emigrate among health-care workers was 7.4% (95% CI: 6.36-8.40). Association was found between BS and intention to emigrate in Peruvian health-care workers (OR = 2.15; 95% CI: 1.05-4.40). Emotional exhaustion was the BS dimension most associated with intention to emigrate (OR = 1.80; 95% CI: 1.16-2.78). Conclusion: Physicians and nurses from Peru who suffered from BS were more likely to have intention to emigrate. Policies should be established to reduce BS as a strategy to control "brain drain" from health-care workers of Peru.

• 동의신경정신과학회지
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• 제33권1호
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• pp.79-111
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• 2022

Major depressive disorder (MDD) causes a persistent feeling of sadness and loss of interest. It can lead to emotional and physical problems. Treatments such as antidepressant and cognitive behavioral therapy for MDD have many limitations. Traditional East Asian Herbal Medicine (TEAM) is a representative modality of Complementary and Integrative Medicine (CIM) which can be used for MDD. However, no study has systematically reviewed the efficacy or safety of TEAM for MDD so far. Therefore, we performed a systematic review and meta-analysis to evaluate effectiveness and safety of TEAM as a monotherapy for MDD. We only included TEAM that could be used in context of clinical setting in Korean Medicine. Outcomes were the Hamilton Depression Rating Scale (HAMD) and total effective rate (TER). After comprehensive electronic search of 11 databases, we included 28 randomized controlled trials (RCTs) that compared HM as monotherapy with antidepressant for MDD. Meta-analysis showed that TEAM had significant benefits in reducing HAMD (MD=-0.40, 95% CI: -0.67 to -0.13, p=0.003, I²=85%) and improving TER (RR=1.06, 95% CI: 1.02 to 1.10, p=0.003, I²=0%). It also appeared to be safer than antidepressant in terms of adverse effects. Methods used for RCTs were poor and the quality of evidence was graded 'low' or 'moderate'. These findings indicate that the use of HM as a monotherapy might have potential benefits in MDD treatment as an alternative to antidepressant. However, considering the methodological quality of included RCTs, the clinical evidence is uncertain. Further well-designed RCTs are required to confirm these findings.

• Journal of Preventive Medicine and Public Health
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• 제30권3호
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• pp.599-608
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• 1997

6명의 20대 여성을 대상으로 VDT작업으로 인한 조절반응 및 동공대광반사의 작업부과에 따른 변화와 다른 사무작업을 부과할 때와의 차이를 보았다. 그 결과 다음과 같은 결과를 얻었다. 1. VDT작업에서 작업부과 시간이 증가함에 따라 조절 수축속도가 감소했으며 1시간의 휴식시간 후에는 현저하게 증가했고 다시 작업을 부과함에 따라 감소하는 경향을 보였다. 조절 수축속도의 변화보다는 뚜렷하지 않지만 이완속도도 VDT작업부과에 따라 감소되고 휴식에 의한 회복되는 경향을 보였다. 2. 일반 사무작업과 근거리 사무작업에서는 조절 수축속도에서 VDT작업부과때와 같은 반응은 보이지 않았으며, 근거리 사무작업에서 이완속도가 작업부과에 따라 감소하였으나 휴식 후 회복되지 않았다. 3. 동공대광반사에서 최초동공직경, 최초동공면적은 VDT작업에서만 작업시간의 증가에 따라 유의한 감소를 보였는데 휴식 후 회복되지 않았다. 이러한 결과는 조절 수축속도의 변화, 조절 이완속도, 동공직경과 면적의 변화가 VDT작업의 특성을 연구하는데 사용될 가능성을 보여주며, 이를 위해서 연구대상이 개인차, 생체리듬, 감정적 자극 등을 보정한 연구가 필요하다고 생각된다.

• 한국항만경제학회지
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• 제25권2호
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• pp.73-94
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• 2009

본 연구에서는 캄보디아의 내륙수로인 Phnom Penh - Chong Kneas(Siem Reap)항까지의 구간에 교통안전시설을 설치할 경우의 편익에 대해 추정하였다. 먼저 여객선의 승객 및 물동량을 예측하였다. 예측된 여객선의 승객수 및 화물의 종류에 따라 여객선, 일반화물선, 그리고 유류선으로 나누어 각각의 교통량을 예측하였다. 과거의 교통사고 현황을 조사하여 교통안전시설로 인한 안전편익을 추정하였다. 또한 항해자의 심리적 부담경감효과를 화폐가치로 환산한 기타 편익을 산출하였다. 이로써 캄보디아의 해당 내륙수로에서의 2011년부터 2020년까지 교통안전시설에 대한 편익을 추정하였다. Phnom Penh - Chong Kneas(Siem Reap)항의 운항구간에서 내륙수로 교통시설의 안전편익은 비관적, 중도적, 그리고 낙관적 전망에 대해 2011년에 각각 $290, $400, 그리고 $540로 예상되었다. 예측의 최종년도인 2020년에는 안전편익이 각 전망에 따라 $670, $1,360, 그리고 $1,980로 산출되었다. 2011년부터 2020년까지 10년간 총 안전편익을 보면 비관적, 중도적, 그리고 낙관적 전망에 따라 각각 $4,950, $9,420, 그리고 $13,110가 될 것으로 예상되었다. 기타편익은 비관적, 중도적, 그리고 낙관적 전망에 대해 2011년에 각각 $14,700, $20,550, 그리고 $28,000로 예상되었다. 예측의 최종년도인 2020년에는 기타 편익이 각 전망에 따라 $27,650, $61,700, 그리고 $93,250로 산출되었다. 캄보디아의 Phnom Penh - Chong Kneas(Siem Reap)항 구간에서 2011년부터 2020년까지 교통안전시설의 전체 편익은 비관적, 중도적, 그리고 낙관적 전망에 대해 2011년에 각각 $14,990, $20,950, 그리고 $28,540로 예상되었다. 예측의 최종년도인 2020년에는 전체 편익이 각 전망에 따라 $28,320, $63,060, 그리고 $95,230로 추정되었다.

• 한국산학기술학회논문지
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• 제22권4호
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• pp.473-482
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• 2021

자동화된 운항 시스템 도입으로 항공안전은 크게 개선되었지만, 운항을 직접 담당하는 항공기 조종사에게는 새로운 도전이 생겼다. 항공운항 관점에서의 조종사의 스트레스를 Startle과 Surprise구분할 수 있다. Startle을 총소리 같이 갑작스럽거나 위협적인 자극에 대한 짧고 강한 생리적인 반응이며, Surprise는 자신의 예상을 빗나가는 예기치 못한 사건에 대한 인지-감정적 반응이다. Martin 등이 실시한 Startle 효과 실험(2012년)에서 조종사는 Startle 상태에서 반응 지연과 심박 수 증가 등 생리적인 반응을 확인하였고, Rahim의 Startle/Surprise 실험(2020년)에서 사전 계획된 비상조치훈련은 조종사의 호흡수와 맥박수의 변화가 없으나, 비계획된 상황과 항공기가 복잡할수록 호흡 수와 심박 수가 증가되었다는 사실을 확인하였다. 이 실험 결과를 바탕으로 국내 조종사 훈련에서도 기술적 능력을 전달에만 집중하는 것이 아닌 비기술적 능력에 대한 고려가 필요하며, 법령에 의한 기계획된 단순 반복적인 훈련 항목보다는 항공사의 상황을 고려한 비정형화된 다양한 비상조치 훈련의 도입이 필요하다고 하겠다.

• 한국직업건강간호학회지
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• 제12권1호
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• pp.80-88
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• 2003

Rehabilitation has emerged in recent years as major topic for the handicaped in industrial accident compensation insurance(IACI). Specially social support helps the handicaped adjust themselves psychosocially to handicap. This study was conducted to examine different contents and perceived social support, and provide guidlines for specific and proper rehabilitation for the handicaped of IACI. This study is a descriptive study which were collected through two phases using structured questionnaire. In the first stage, surveys were performed via telephone interviews. In the second stage, surveys were performed via home-visit subjects in the first stage included the handicaped of IACI. Finally data were collected from 338 subjects and analyzes by SPSS/PC+10. The instruments of this study were the perceived social support scale which developed by Lee(1996). These scales in the form of 5-point Likert type, consists of 20 items, including 3 subscales of emotional support, informational support, instrumental support. The mean score of social support was 57.2, emotional support 21.0, informational support 21.2 and instrumental support 15.2. The mean of depression for psychosocial factors is 37.5. Threre were significant differences in total perceived social support; age, job status, handicaped degree in IACI, post-traumatic complication and use of instrument. Emotional support was significant differences; age, number of dependent family, job status, handicaped degree in IACI, use of instrument and depression. Informational support was significant differences; job status, posttraumatic complication, use of instrument and depression. Instrumental support was significant differences; sex, job status, handicaped degree in IACI, use of instrument, and depression. The current system of the Labor Welfare institute is not appropriate for solving health problems of the handicaped in IACI. Therefore, it is necessary to develop the plan which can provide the handicaped in IACI high-quality rehabilitation services, so that they must use those services in the community without being dependent on hospitals. This study proposes home visit nursing services as the way to provide various health services within community for the handicaped in IACI.

• Journal of Nutrition and Health
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• 제53권1호
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• pp.54-67
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• 2020

본 연구는 경기지역의 IT 분야 직장인 340명을 대상으로 일반적 특성, 직무스트레스 수준, 건강기능식품 선택속성 및 소비가치에 대한 설문 조사를 실시하였으며, 직무스트레스 수준에 따라 두 개의 집단으로 나누어 집단 간 일반적 특성, 건강기능식품 선택속성 및 소비가치의 차이를 알아보고, 직무스트레스와 건강기능식품 선택속성의 관계에 대한 건강기능식품 소비가치의 매개효과를 분석하였다. 연구 결과, 대상자의 건강기능식품 선택속성과 관련하여 직무스트레스 수준이 낮은 집단이 제품의 성분, 효능의 내재적 속성을 더 고려하는 것으로 나타났다. 대상자의 건강기능식품 소비가치와 관련하여 직무스트레스 수준이 낮은 집단이 건강기능식품 복용으로 건강을 지킬 수 있다는 안정감의 감정적 가치를 중요하게 여기는 반면, 직무스트레스 수준이 높을수록 다른 사람들과 차별화된 건강기능식품 선택이 중요하다는 인지적 가치를 중요하게 여기는 것으로 나타났다. 상관관계 분석 결과, 직무스트레스 수준이 높을수록 건강기능식품 선택속성 중 내재적 속성, 건강기능식품 소비가치 중 감정적 가치 및 가격, 실용성 및 안전성을 중요하게 생각하는 기능적 가치 (p = -0.134)를 고려하지 않는 것으로 나타났다. 매개효과 분석에서는 직무스트레스 수준이 내재적 속성에 직접적으로 영향을 미치는 것이 아니라 기능적 가치와 감정적 가치를 통해 영향을 미치는 완전매개효과를 나타냈다. 연구 결과를 종합해보면 직무스트레스 수준이 낮을수록 건강기능식품 선택속성 및 건강기능식품 소비가치에 긍정적인 영향을 주는 것으로 나타났으며, 직무스트레스 수준과 건강기능식품 선택속성의 관계에서 건강기능식품 소비가치 중 기능적 가치와 감정적 가치가 완전 매개효과를 가지는 것으로 나타났다. IT 분야 직장인들은 직업적 특성 상 지속적으로 스트레스 상황에 놓여 있으며 그로 인해 발생할 수 있는 신체적 이상을 예방하기 위한 건강기능식품 이용이 증가하고 있다. 따라서 올바른 건강기능식품 선택을 통해 효과적으로 건강을 유지할 수 있도록 건강기능식품 소비가치를 개선하기 위한 교육이 필요하다. 소비가치는 소비자의 사고 및 행위를 이끄는 판단기준의 집합으로, 교육 대상자들이 건강기능식품에 대하여 제품이 주는 이미지보다는 성분과 효능 및 안전성 등에 가치를 두고 관심을 가질 수 있도록 하는 교육이 이루어져야 한다.

• 한국직업건강간호학회지
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• 제7권1호
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• pp.33-46
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• 1998

Introduction : In Korea, national attention to the workplace health promotion programs (HPP) for employees began in early 1990s. Governmental supports for the HPP and education programs have given to the employees. The purpose of this study is to find the performance degree of employees' health promoting lifestyle(HPL). Subjects and Methods : For this study, 615 employees who attended governmental educations were selected as research samples. The tool for measuring HPL used in this study was developed for Korean by In-Sook Park in 1995. It is composed of 4-point scaled 60 items and divided into 11 subcategories. The data were collected by self reporting questionnaires from June to December in 1997. Those data were analyzed percentile, mean, standard deviation, ANOVA, t-test with SAS program. Major findings are as follows; 1. The total mean score of the employees' HPL performance was 2.66. The average scores of 'harmonious relationships' category were the highest as 3.11, whereas the one of 'professional health maintenance' were the lowest as 2.02. The remains were 'sanitary life'(2.90), 'emotional support(2.85), 'regular diet'(2.84), 'self achievement'(2.78), 'healthy diet'(2.56), 'rest and sleep'(2.56), 'exercise and activity'(2.54), 'diet control'(2.53), 'self-control'(2.52). 2. The factors affecting HLP were category of industries and sex, age, marital status, education level, major, educational experience of health promotion, among personal characteristics. The employees of service industries, female, older age, married, nurse, educated for health promotion, graduated from junior college performed HLP more than the others. 3. The participation rates of employees for HPP were 12.4%, because of limited time and facilities and equipments. Recommendations; 1. The regulation for performing the health promotion programs in the industries is essential for activating industrial health promoting movement. 2. More governmental supports for educations and services for health promotion programs in the industries are needed. 3. For behavioral changes of the employees, the contents of educations have to consist of exercise and activity, rest and sleep, diet and smoking habits. 4. The evaluating studies for ready made health promotion programs in the industries are expected.

• 한국실내디자인학회논문집
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• 제21권2호
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• pp.3-13
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• 2012

With the emergence of the smart era, interest in future society and new dwelling spaces is growing. This research analyzes the planning items applied to future house pavilions in Korea to examine which functions will be more emphasized and considered importantly in the dwelling spaces. This research paper aims to identify those dwelling functions that will occupy greater importance from the users' point of view. As for the research methodology, it comprised a literature review and an analysis of case studies. The results of this research were as follows; 1) It was arranged that the dwelling functions were safety, amenity, convenience, independence, economics, society, relaxation, aesthetic appearance. 2) For future dwelling environments, environment-friendly technology for conservation of energy was important in addition to intellectual cutting edge technologies, 3) Safety was most basic among all dwelling functions, 4) Planning items related to amenity and economics were found to be most common, indicating that they were important functions in future dwelling environments, 5) With regard to convenience, planning items related to increasing efficiency of household chores through the application of ubiquitous technology were found to be most common, 6) There was no indication of planning items related to independence and society, 7) Cutting edge technology and emotional technology appear to be integrated in planning items related to relaxation and aesthetic appearance, and 8) Each future dwelling pavilion suggested that over 80% of the planning items were related to amenity, convenience, and economics. We expect that the results from our research will be useful in creating a life-centered design of future dwelling spaces that account for dwelling functions.