• 제목/요약/키워드: Health Worker

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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.

한의대 교과목으로서 의료윤리에 관한 고찰 (A Study on the Medical Ethics Education at Colleges of Korean Medicine)

  • 이정원;이해웅
    • 대한예방한의학회지
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    • 제22권2호
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    • pp.13-24
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    • 2018
  • Objectives : According to the data from the 2016 Yearbook of Traditional Korean Medicine, 10 out of 12 medical schools of Korean medicine are offering medical ethics. Medical ethics has become essential in Korean medicine education, but there has been no agreement on the content of education yet, so initial discussions are necessary with respect to the content and methods of education. Methods : In this study, basic data were collected by searching papers, reports, books, and media articles on medical ethics related to Korean medicine education, and by studying the website of medical schools of Korean medicine nationwide. Based on the collected data, the status of medical ethics lectures were determined and compared with the current state of medical ethics lectures by western medical schools. The contents suitable for medical ethics education at medical schools of Korean medicine were discussed. Results : The topics of the medical ethics include: the basic concepts of medical ethics, the ethics of birth, the ethics associated with genetics, the ethics associated with death, and the ethics regarding doctor-patient interaction, the ethics of medical research, medical rationing ethics, ethics between medical staffs, medical law and ethics, philosophical base of medical ethics, ethics of doctor as professional, and moral personality formation of doctor. The contents of medical ethics in traditional Korean medicine reflected views on the human body and life based on "Huangdi's Internal Classic"and medical ethics from the viewpoints of Buddhism and Confucianism. Conclusions : Medical schools of Korean medicine are medical training institutions, and medical ethics education is essential to become a Korean medicine doctor as professional worker, medical practitioner, and biomedical researcher. There is no fundamental difference in the basic principles of medical ethics in both western and Korean medicine, and there are differences in contents depending on the clinical practice. The contents of medical ethics on clinical practice should be modified for Korean medicine doctors, and traditional Korean medicine ethics would be set up upon that. In the national licensing examination, medical ethics needs to be added as one part so that all the ethical problems related to the clinical situation can be solved.

의료기관 방사선작업종사자들의 방사선/능 방어에 대한 인식도 및 수행도 분석: 부산지역 의료기관을 중심으로 (An Analysis of the Awareness and Performance of Radiation Workers' Radiation/Radioactivity Protection in Medical Institutions: Focused on Busan Regional Medical Institutions)

  • 박철구;황철환;김동현
    • 대한방사선기술학회지:방사선기술과학
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    • 제40권1호
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    • pp.101-108
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    • 2017
  • 본 연구는 의료기관에 종사하는 방사선작업종사자들의 방사선/능 방어에 대한 안전관리 인식과 행동조사에 관한 연구를 시행하였다. 자료 수집은 구조화된 설문지를 사용하여 의료기관에 근무하는 방사선작업종사자 267명을 대상으로 하였다. 그 결과, 40대, 50대 그룹과, 고학력 그룹에서 방사선 안전관리 인식도와 수행도가 높은 것으로 분석되었다. 방사선 안전관리 지식에 따른 분석은 "매우 잘 알고 있다" 그룹에서 인식도와 수행도 점수가 높은 것으로 분석되었다. 안전관리 노력 정도에 따른 분석은 "다양한 교육을 받거나 책을 통해 안전관리 내용을 공부하고 있다" 그룹에서 높은 인식척도와 수행척도를 나타냈다. 하부요인들간 상관관계의 경우 종사자 개인측면의 인식도와 환자 및 환자보호자 측면의 인식도에서 가장 높은 정적상관을 나타냈다. 따라서 의료기관에 근무하는 방사선작업종사자들의 다양한 경로를 통한 지속적인 방사선 안전관리 교육 습득을 통해 종사자 및 환자 그리고 환자보호자에 대한 방사선 안전관리가 이루어져야 할 것으로 사료된다.

미래 집단급식 식중독 발생 양상 예측 (Outbreak Pattern Forecasting of Food-borne Disease in Group Food Services in Korea)

  • 조서희;김초일;하상도
    • 한국식품위생안전성학회지
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    • 제24권1호
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    • pp.19-26
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    • 2009
  • 본 연구는 집단급식 안전성 확보 및 식중독 방지를 위해 단체급식 안전성에 관하여 전문가를 대상으로 국내 집단급식 식중독 원인을 조사하고, 미래 집단급식 식중독 발생을 예측하였다. 델파이 설문 결과 국내 집단급식 식중독 원인은 '식재료 위생관리 미흡', '손세척', '구역구분', '유통업체 보관' 등이 가장 크게 영향을 주는 것으로 나타났다. 미래 집단급식 식중독 발생 예측 조사 결과 Vibrio parahaemolyticus, Escherichia coli(EPEC), non-typhoid Salmonella serotypes, Staphylococcus aureus, Escherichia coli(ETEC), Norovirus, hepatitis A virus가 지속적으로 식중독을 발생시킬 것으로 예측하였으며, 집단급식에서 식중독 유발 가능성이 높은 식재료로는 영유아(1-6세), 초등학생(7-12세), 중 고등학생(13-19세)의 식재료 섭취량과 식중독 유발 가능성을 고려해 볼 때 '과일류', '우유', '생선류', '돼지고기', '계란', '쇠고기'였으며, 식단 메뉴로는 '비빔밥', '콩나물무침', '시금치나물', '오이생채', '잡채', '돼지불고기'가 위해도가 높을 것으로 예측되었다. 집단급식소에서 사용빈도가 높을 것으로 예측된 가공식품은 '냉동, 냉장보관식품' 이었으며, 살균방법은 '가열처리', '화학적 살균소독제'로 나타났다. 저장법은 '냉장($10^{\circ}C$ 이하)', '냉동($-20^{\circ}C$ 이하)'법이, 배식형태는 '집단급식소에서 직접 배식' 형태가 집단급식소에서 향후 사용빈도가 높을 것으로 예측되었다. 본 설문조사 결과는 집단급식 전 과정의 체계적인 위생관리시스템의 도입과 식중독예방 식단 구성을 위한 기초자료로 활용될 것으로 사료된다.

도시지역 직장인들의 외식행동에 관한 연구(I) - 일반적 특성과 외식행동과의 관련성 중심으로- (A Study on the Eating-out Behavior of City Workers (I) -The Relationship between General Characteristics and Eating-Out Behavior-)

  • 김덕희;백경연
    • 한국식품영양학회지
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    • 제18권3호
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    • pp.241-253
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    • 2005
  • This study was carried out to investigate the relationship between demographic characteristics and conscious behavior of 287 workers. The results of the study are as follows: The participants of the study were composed of 139 males $(48.4\%)$ and 148 females $(51.6\%)$. 75 workers are 25 years old or younger $(26.1\%)$. Regarding the frequency of eating out, 211 workers $(73.6\%)$ answered that they had eating out ever once a week. Males ate out more frequently than females (p<0.001). The motives for eating out was mostly for meals. This response was more frequent for female than male. To the contrary, more males answered that they ate out for the purpose of social intercourse. As the level of average monthly income increases, the purpose of eating out changed from the purpose of meals to the purpose of social intercourse (p<0.001). For cost of eating out, the older workers and those who had higher monthly income spent significantly more expenditure. However gender difference didn't make any significant difference in the eating out expenses per person. The average monthly eating out expenses were significantly higher for female than male, for the order workers than the younger, for the married than the single, and for those who have higher monthly income than lower. However, the expenses were not significantly different in occupation. Regarding the types of restaurants that the workers preferred for eating out, the most workers preferred Korean restaurant. The types of restaurants that workers preferred significantly related to all the demographic characteristics (p<0.01). In general, participants had eating out with their family. However, younger, single, and low income workers seemed to more eat out with their friends. The most preferred menu was pork dishes. Male rather than female, the married rather than the single, and those who have a professional occupation appeared to like it more. It is necessary to research the major customers' demographic characteristics and their preferences, and then to develop new goods which fit to the customers before entering the restaurant business. It may be concluded that it should be important to develop nutritious, safe, and delicious foods.

방제복에 대한 농약의 체류성, 발수성 및 침투성 측정 (Measurement of Retention, Repellency and Penetration of Pesticide for Protective Clothing)

  • 김종환;조유진;송종욱;김정한;서종수
    • 한국환경농학회지
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    • 제35권4호
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    • pp.263-269
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    • 2016
  • 본 연구에서는 방제복의 액체침투저항성을 측정하는 방법 중 피펫법을 적용하여 국내 시판중인 5종의 방제복과 일반 shirt에 대해서 체류성, 발수성 그리고 침투성을 측정하였다. ISO 22608 Guideline 'Liquid penetration resistance-Pipette test'에서 요구하는 장치를 사용하였고 시험농약으로는 pendimethalin을 처리하여 GC/MS로 분석하였다. 5종의 방제복은 침투성이 0.0~5.4%로 매우 낮은 침투성을 보였으며 발수성은 67.0~98.1%로 농약이 쉽게 투과되지 않고 물 또는 액체에 의해서 제거될 수 있을 것으로 보였지만, 일반 shirt는 높은 침투성과 낮은 발수성이 확인되어 농약살포 시 손쉽게 피부에 노출될 수 있을 것으로 확인되었다. 현재 국내에서는 방제복에 대한 침투저항성 측정법과 기준이 마련되어 있지 않기 때문에, 본 연구는 방제복의 성능측정의 기준시험법 마련에 도움을 줄 수 있을 것으로 사료된다.

전북지역(全北地域) 산업근로자(産業勤勞者)의 산업재해(産業災害)에 관(關)한 조사연구(調査硏究) (A Study on Industrial Accidents of Workers in Jeonbug Areas)

  • 황인담;박영수;서석관
    • Journal of Preventive Medicine and Public Health
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    • 제14권1호
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    • pp.89-96
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    • 1981
  • Of 2,740 industries in Jeonbug area which are covered by industrial insurance policy, 462 facilities which the accidents related to industry occured during the year of 1979 were studied. and the results are summarized as follows: 1. The accidents related to industry occured in 462 industries of the total 2,740 industrial facilities in Jeonbug area as of 1979. 2. The incidence rate of accident per 1,000 workers was 34.3 (49.2 in male workers and 12.8 in female workers), the frequency rate of the total industries in jeonbug area was 13.36, and severity rate was 1.3. 3. The frequency rates and severity rates by type of industry in study area were quite different to compare with those of national rates. 4. The incidence rate of construction industry was 223.6 per 1,000 workers, and that of transportation-communication industries were 78.6. 5. The proportion of industrial accidents of $20{\sim}24$ age group was 22.1 per cent of the total accidents, and the proportions decreased according to age increase. 6. The incidence rate in the industry having less than 49 workers was 20.6 per 1,000 workers, that of industry with $50{\sim]99$ workers was 26.7, that of industry with $100{\sim}199$ was 51.9, that of industry with $200{\sim}499$ was 80.2 and that of with more than 500 worker was 40.7. 7. The accidents which occured in the workers with experience of less than one year was 69.4 per cent of the total accidents, otherwise, the longer the workers have worked the less accident they have. 8. The most accidents occured in tile shift between 10 to 12 o'clock, and 16 to 18 hour 9. The primary causes of the industrial accidents were found to be collisions, machinery falling objects and falls. 10. The site of injury by type of industry were quite different, and the major site of injury was finger. 11. The laceration and open injuries of the accidents related to industry were 37.2 per cent of the total cases, and fractures or dislocations were 23.5 per cent, and contusions were 6.5 per cent. 12. Death rate of industrial accident was 5.0 per 10,000 workers, and those of industry were 47.6 in transportation, 42.8 in construction industry, 24.4 in mine industry, and 2.0 in manufacturing industry.

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좀진드기 교상에 의한 피부 질환의 집단 발생에 관한 역학 조사 (An Epidemiologic Study on Occupational Dermatosis Associated with Mites)

  • 임현술;김지용;정해관;성열오;이한일
    • Journal of Preventive Medicine and Public Health
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    • 제28권1호
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    • pp.13-26
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    • 1995
  • An outbreak of dermatosis occurred in a livestock fodder factory at Kyongju in May 1994. Authors conducted a questionnaire survey on 60 workers in the factory and a dermatologist examined their skin lesion. Authors also collected mites and identified them. The obtained results were summarized as follows; 1. Twenty-eight cases of dermatosis were identified with attack rate of 46.7%. Attack rate was not different by department, age, sex, educational level and employment duration. Attack rate was 67.5% in productive worker and 5.0% in clerical workers (p<0.01) but was not significantly different between departments among productive workers (p>0.05). 2. Three cases among 28 dermatosis cases and one subject among 32 non-cases had a history of same dermatosis last year. Only one of dermatosis cases had a history of dermatosis among family members. History of other skin lesion and allergy was very rare in both cases and non-cases. 3. Skin lesions of the cases were rice-sized erythematous rapules or vesicles with a central biting point. Onset date of dermatosis was between May 1 and June 10. Duration was from one day to more than 30 days. Skin lesion was most frequent at the back(75.0%), and also observed at the arms(64.3%), abdomen(60.7%), legs(57.1%), chest(32.1%) and neck (25.0%). Skin lesion was aggravated while workers are sweeping the floor(35.7%), working at the workplace(21.4%) and in bed at night(28.6%). 4. Total 1,637 mites were collected and identified into 3 suborder, 7 families and 17 species. Dermatophagoides farinae was most frequent md most of the species identified were blood sucking mites. Authors concluded that the. outbreak of dermatosis was brought about by mite-bites and grain beetle parasitizing Acarophenax tribolii was the most suspected species. Further studies to identify the specific species causing dermatosis and route of import are needed.

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방사선사(放射線士)의 동무(勤務) 실태(實態)에 관한 조사연구(調査硏究) (Survey on Working Condition of Radiological Technologists)

  • 최종학;전만진;박영선
    • 대한방사선기술학회지:방사선기술과학
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    • 제9권1호
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    • pp.51-63
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    • 1986
  • We got the following results from the 324 radiologic technologists as we surveyed their working condition by using the questionaire, who were working in the medical institutions (general hospitals and doctor's clinics) situated in the area of Seoul city, Kyung ki-do and Chung-chong-do since June to December 1985. 1. Their daily average working time was almost within 10 hours (in 93.9% of general hospitals, 66.1% of clinics). 2. About the numbers of holidays, 85.5% of general hospitals have one holiday per week,41.3% of clinics have one holiday per week or 38.5% of clinics have one holiday per two weeks. 3. Duty appointment of radiologic technologists in the department of radiology is taking charge of each part after serving for a certain part for some period (42.8%), taking charge of the special part continually or by turns in other working parts (35.3%). On the other hand in the clinics they took charge of all parts continually (53.2%) or by turns with their own situations. (30.3%). 4. Their daily working amount is too much in 51.6% of general hospitals or 45.8% of clinics. 5. They answered it was hard in 81.4% of general hospitals or 43.1% of clinics about the degree of difficulty of their work. 6. Their monthly salary is higher in the clinics than in the general hospitals and higher in Seoul area than in Kyung-ki or Chung-chong area. 7. Their yearly bonus .ate is 400%-600% (69.2%) in almost general hospitals, 100%-300% (57.8%) in th. clinics. 8. Danger allowance is paid with the monthly salary in 62.8% of the general hospitals or 19.2% of clinics and license allowance is paid in 44.7% of general hospitals or in 12.8% of clinics. 9. Their initial salary (except bonus) is about 200,000 won (in 76.8% of general hospitals, in 67.8% of clinics). 10. Their salary is raised regulary every year in 52.6% of general hospitals, but it is irregulary in 73.4% of clinics. 11. Promotion system is managed in 48.4% of the general hospitals or in 14.7% of clinics. 12. Retirement allowance is assured in 96.9% of the general hospitals or in 63.3% of clinics. 13. Main cause of their retirement is moving to more paid hospitals, better hospitals in working condition or facilities, moving to another cities, to the hospitals with more opportunities of promotion or choosing other jobs etc. 14. Human relationship with doctors, nurses or co-worker technologists as a member of medical team appeared almost intimate and good.

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작업관련성 근골격계 질환의 국내 연구동향분석 (Research Trends of Work-Related Musculoskeletal Disorders in Korean Literature)

  • 고연석;박상훈;이정한;차윤엽;정원석;신병철;전찬용;고호연;선승호;장보형;송윤경;고성규
    • 한방재활의학과학회지
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    • 제23권2호
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    • pp.95-104
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    • 2013
  • Objectives : The purpose of this study is to analyze internal research trends of work-related musculoskeletal disorders(WMSDs) and provide problems of researches forward. Methods : 6 Korean databases were searched for articles of WMSDs published from 2000 to 2012, and 264 research were systematic reviewed. An analytical method was used descriptive statistics, an actual number and percentage. Results : The results of distribution by year were reported more than 20 articles after 2004, and 45 articles in 2009. Industrial classification distribution of research subjects the manufacturing industry was many most at the 84. Research contents in most description were 147 whether it was risk factor and relation. Research design type of articles was most description survey research 226. In the research field 89 articles were reported to the journal related to technologies. Conclusions : It is considered to be necessary that ergonomic approach would cooperate with other approaches such as integrated health management system as well as industrial medicine considering psychosocial factors.