• 치위생과학회지
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• 제15권5호
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• pp.679-687
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• 2015

본 연구는 치과위생사를 대상으로 직무스트레스 수준과 사회심리적 스트레스 수준을 파악하고, 사회심리적 스트레스와 관련성이 있는 위험요인을 분석하여 치과위생사의 스트레스 관리를 위한 프로그램 개발에 필요한 기초자료를 마련하고자 실시하였다. 치과 병의원에 근무하고 있는 치과위생사 349명을 대상으로 실시하여 다음과 같은 결과를 얻었다. 직무스트레스 총점의 중위수는 46.0이었고, 사회심리적 스트레스의 평균은 23.67이었다. 인구학적 특성과 사회심리적 스트레스를 살펴본 결과 연령과 근무경력이 낮을수록, 일주일에 1~2회 음주를 하는 경우가 사회심리적 스트레스의 고위험군의 비율이 높았다(p<0.05). 직무스트레스에 따른 사회심리적 스트레스를 살펴본 결과, 직무스트레스가 높은 집단이 사회심리적 스트레스 고위험군의 비율이 높았다(p<0.05). 직장문화의 스트레스가 낮은 집단에 비해 높은 집단이 사회심리적 스트레스 고위험군의 위험비가 보정 전 3.6배(95% CI=2.080-6.218), 보정 후 3.4배(95% CI=1.921-6.090) 높았다. 직장스트레스 총점이 낮은 집단에 비해 높은 집단이 사회심리적 스트레스 고위험군의 위험비는 보정 전 2.3배(95% CI=1.104-4.925), 보정 후 2.7배(95% CI=1.1199-6.082) 높았다. 이러한 결과를 토대로 직무스트레스를 관리 할 수 있는 프로그램 개발뿐만 아니라 각 개인도 스트레스를 저하시킬 수 있는 꾸준한 자기관리를 통하여 자기만의 방법으로 해소하려는 노력도 필요할 것이다.

• 한국가스학회지
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• 제20권2호
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• pp.35-42
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• 2016

포름아미드(formamide)는 암모니아 냄새의 무색 액체로 흡입 시 자극성이 강하며, 급성독성 $LD_{50}$ 5,577 mg/kg(랫드), 표적장기(간장) 전신독성의 무유해영향농도(NOAEL)는 113 mg/kg/day) 및 생식독성물질(1B)로 작업환경 노출기준은 10 ppm이었다. 포름아마이드 취급사업장에 대한 작업환경 측정결과는 25개 시료 모두가 노출기준보다 매우 낮은 농도를 보였다. 그러나 작업강도, 국소배기장치의 가동 및 보호구(방독마스크)의 착용 여부 등 작업환경에 따라 노출농도가 변할 수 있어 가상 노출 시나리오별 노출량을 산출한 결과 노출량은 $5.16mg/m^3$, $1.72mg/m^3$, $0.43mg/m^3$으로 산출되었다. 이를 전신독성 및 생식독성의 유해성을 고려한 위험성을 평가한 결과 평균값은 0.02-0.58, 누적 90% 값은 0.02-0.66, 95% 값은 0.02-0.69로 모두 1보다 낮은 대체로 안전한 값으로 산출되었다. 단, 작업 상황에 따라 순간적 고농도에 노출될 위험도 있으며, 간독성 및 생식독성 물질이기에 건강장해 예방을 위해 노출되지 않도록 취급 시 주의가 요망된다.

• 한국보건간호학회지
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• 제31권2호
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• pp.376-388
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• 2017

Purpose: The triglyceride-to-high-density lipoprotein-cholesterol (TG/HDL-C) ratio is one of the main predictive indices for cardiovascular disease. This study was examined the relationship between TG/HDL-C ratio and metabolic syndrome (MetS) in male office workers. Methods: Secondary analysis was conducted to determine the risk between the TG/HDL-C ratio and MetS in male office workers. A total of 765 people underwent the 'regular workplace health checkups in 2014'. Among the subjects who were male and responded to the questionnaire and health lifestyle survey, 470 (61.4%) excluding those with missing and/or abnormal values were analyzed. The association between MetS, MetS components, and the TG/HDL-C ratio was examined by a Chi-square test, One-way ANOVA, Turkey post-hoc test and Logistic regression analysis. Results: The number of males with MetS was 70 (14.9%) and the number of MetS components increased with increasing TG/HDL-C ratio (p<.001). Logistic regression analysis with an adjustment for potential confounders revealed a 31.8 times higher odds ratio of the Quartile4 group for MetS than that of the Quartile1 group (p<.001). Conclusion: These results show that the likelihood of MetS, particularly the risk of MetS in the Quartile4, increases with increasing TG/HDL-C ratio.

• 한국학교보건학회지
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• 제33권3호
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• pp.194-202
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• 2020

Purpose: The purpose of the study was to develop educational materials on field practice safety based on existing field practice data and accident cases regarding vocational high schools and apply them to identify their impact. Methods: The existing data, accumulated since 2010, on field practices of vocational high schools were analyzed, and educational materials regarding field practices were developed by six experts. 195 students in three vocational high schools were surveyed before and after being taught with the materials. The survey asked about their knowledge of industrial safety and health and attitudes toward industrial safety and health. Results: As a result of the study, harmful environments for field practices of vocational high schools were physical, chemical, ergonomic, and emotional labor, and the consequences were accidents, death by overwork, musculoskeletal diseases, etc. The materials covered students' rights and how to respond to workplace accidents in the 1st round, how to organize a workshop in the 2nd round, workplace safety and health signs in the 3rd round, prevention of musculoskeletal diseases in the 4th round, management of physical risk factors in 5th round, management of hazardous chemicals in 6th round, wearing and managing protective equipment in 7th round, first aid depending on the situation in the 8th round, CPR and defibrillator in the 9th round, sexual harassment in the 10th round, and prevention of sexual violence in the 11th round. After completing the education, their knowledge of industrial safety and health increased significantly from 6.52 points to 7.01 points. Conclusion: The results of this study suggest: first, to statistically organize the data on accidents that have occurred during field practices of vocational high schools; second, to develop a systematic curriculum for high school 1st to 3rd graders on accidents that may happen during field practices of vocational high schools.

• Safety and Health at Work
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• 제7권3호
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• pp.213-217
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• 2016

Background: The objective of this study is to identify high-risk groups for industrial accidents by setting up 2003 as the base year and conducting an in-depth analysis of the trends of major industrial accident indexes the index of industrial accident rate, the index of occupational injury rate, the index of occupational illness and disease rate per 10,000 people, and the index of occupational injury fatality rate per 10,000 people for the past 10 years. Methods: This study selected industrial accident victims, who died or received more than 4 days of medical care benefits, due to occupational accidents and diseases occurring at workplaces, subject to the Industrial Accident Compensation Insurance Act, as the study population. Results: According to the trends of four major indexes by workplace characteristics, the whole industry has shown a decreasing tendency in all four major indexes since the base year (2003); as of 2012, the index of industrial accident rate was 67, while the index of occupational injury fatality rate per 10,000 people was 59. Conclusion: The manufacturing industry, age over 50 years and workplaces with more than 50 employees showed a high severity level of occupational accidents. Male workers showed a higher severity level of occupational accidents than female workers. The employment period of < 3 years and newly hired workers with a relatively shorter working period are likely to have more occupational accidents than others. Overall, an industrial accident prevention policy must be established by concentrating all available resources and capacities of these high-risk groups.

• 한국독성학회:학술대회논문집
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• 한국독성학회 2002년도 국제심포지움
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• pp.1-19
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• 2002

It is well established that the initiating event in chemical carcinogenesis is the binding of reactive carcinogens to DNA. Thus, a number of analytic methods have been developed for determining levels of carcinogen-DNA adducts in humans as a marker of individual exposure and, potentially, of risk for cancer development. In addition, reactive carcinogens also bind to protein suggesting protein adducts can be used as a surrogate for DNA adducts in some situations. We have developed monoclonal and polyclonal antibodies to carcinogen-DNA and protein adductis and highly sensitive ELISA and immunohistochemical assays for determining levels of adducts in human tissues. These studies have demonstrated higher levels of adducts in those with higher exposure as a result of workplace, dietary, chemotherapy, environmental of lifestyle (smoking) exposures. Elevated levels of adducts have been found in lung and liver cancer cases compared to controls. We have also used DNA adducts to determine efficacy of an antiosidant vitamin intervention. DNA adduct studies have demonstrated very different levels of damage in those with similar exposure levels. These interindividual differences are likely the result genetic differences in capacity to activate carcinogens, detoxify reactive intermediates and repair DNA adducts once formed. We are currently investigating the relationship between polymorphisms in a number of these genes to determine their relationship to adduct levels as well as their ability to confer increased risk for cancer development. The ability to identify high risk individuals will allow the targeting of screening and preventive strategies to those most likely to benfit.

• 한국직업건강간호학회지
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• 제28권1호
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• pp.21-35
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• 2019

Purpose: The purpose of this study is to propose directions for the development of Occupational Health Nursing Intervention by identifying the current status and quality of Occupational Health Nursing Intervention Research in domestic industries. Methods: Between 2000 and August of 2018, total of 1,181 Occupational Health Nursing related published references were searched using 4 domestic databases, and of the total, 29 final theses that suited the requirements were analysed In this research, the quality assessment of literature that were selected as suitable was conducted using a tool for assessing the biasing risk of non-randomized studies, RoBANS(Risk of Biasing Assessment Tool for Non-randomized Study). Results: For all research, nonequivalent control group pre-posttest design was the most used as quasi-experimental designs. The effectiveness of intervention was found both in terms of physical and psychological aspects, and the result of the risk of biasing assessment showed a high risk levels in both "confounding variables" and "detection bias". Conclusion: Occupational Health Nursing Intervention have been steadily making improvements in terms of both quality and quantity, and as for more effective intervention developments that improves the physical and mental health of the workers, supplementation in strict research design and in ethical aspects deems necessary.

• 한국가스학회지
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• 제19권3호
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• pp.1-8
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• 2015

본 연구는 신발, 타이어, 접착제 제조에 많이 사용되는 클로로프렌(chloroprene)에 대해 취급근로자의 건강장해 예방을 위해 유해성을 조사하고, 취급사업장에 대해 작업환경을 측정 노출농도 및 용량반응을 통해 위험성을 평가하였다. 클로로프렌은 국제암연구소(IARC)로부터 발암추정물질(2B), 표적장기 전신독성 및 생식독성물질로 국내 취급 사업장은 27개소, 연간 약 1,300톤이 사용되었으며, 노출 위험성은 노출환경에 따라 Monte-carlo simulation을 이용하여 산출하였다. 그 결과 국소배기장치가 없으며 1일 4시간 초과 작업시 발암을 일으킬 수 있는 위험성의 평균값은 26,404로, 국소배기장치가 있으며 15분 미만의 단시간 작업 경우 2,199에 비교해 매우 높은 위험성을 보였다. 그리고 표적장기 전신독성의 경우도 169.06으로 단시간 작업 경우 4.10에 비교해 표적장기 전신독성 발생 위험이 높은 것으로 평가되어 물질의 노출시간 및 환기방식에 깊은 상관관계가 있는 것으로 나타났다. 따라서 클로로프렌 노출에 의한 근로자의 건강장해 예방하기 위해 국소배기장치의 가동과 방독마스크의 착용 등 노출저감을 위한 작업환경 관리의 필요성이 있었다. 특히 클로로프렌은 발암성, 생식독성 물질로 미국 산업안전보건청(OSHA)에서는 TWA를 5 ppm($18mg/m^3$) 이하로 관리하고 있으며, 본 유해성조사 결과에서도 현행 노출기준 10 ppm이하에서 표적장기독성, 생식기 장해 등 생체에 미치는 영향이 있는 것으로 나타나 있어, 위험성이 강하게 예측되므로 현재 사용하고 있는 우리나라 작업환경 노출기준(TWA 10 ppm)도 5 ppm 수준으로 강화하여 근로자 건강장해 예방에 기여할 필요성이 있는 것으로 판단되었다.

• 한국재난정보학회 논문집
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• 제16권2호
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• pp.402-410
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• 2020

연구목적: 본 연구의 목적은 '스마트 안전관리 시스템'의 통신 음영지역을 해소하는 것이다. '스마트 안전관리 시스템'은 고위험 작업장(산업현장, 재난현장)에서 일하는 근로자의 실시간 데이터를 모니터링하고 중계할 수 있다. 데이터는 구조팀에게 구조작업 시 '골든 타임'을 제공한다. 연구방법: 이 연구에서 안전 태그는 사용자의 중계기 역할을 하도록 설계 및 구현되었다. 연구결과: 다시 말해, 안전 태그와 지휘부의 통신 구간에서 통신 음영이 생길 경우, 안전 태그는 해당 지역의 다른 안전 태그에 대한 중계기 역할을 한다. 결론: 이 연구는 개발한 안전 태그가 통신 음영지역이 있는 특정 건물에서 통신두절 문제가 해소되는지 테스트했다. 먼저, 안전 태그와 지휘부 단말기 사이에서 통신 음영지역을 확인했다. 동일한 상황에서 추가 안전 태그를 배포한 결과 통신 음영지역이 해소된 것으로 나타났다. 중계기 역할을 하는 안전 태그는 테스트 빌딩에서 최대 지하 3층 까지 통신 음영지역을 해소할 수 있었다.

• 대한지역사회영양학회지
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• 제21권3호
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• pp.237-246
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• 2016

Objectives: To investigate the effect of a worksite-based dietary intervention program for the management of metabolic syndrome (MS) among male employees. Methods: A dietary intervention program combining individual and environmental approach was implemented targeting white-collar employees at a worksite located in Seoul for 10 weeks. Out of 104 employees having agreed to participate in the program, those having three or more out of five components of MS and having two components, including a waist circumference component were classified into "the high risk group" (n=41) and received group nutrition education and individual nutrition counseling three times each. The rest of the study subjects were considered as "the low risk group" (n=63). The food environment at the worksite, where both the high and low risk groups were exposed, was changed to promote healthy eating. Physical data including MS components were collected and a questionnaire on dietary behaviors was administered before and after the intervention. The data from the high risk group (n=17) and the low risk group (n=20), excluding the subjects ineligible for or failed to complete the study (n=67), were analyzed. The difference before and after intervention was tested for significance by Wilcoxon signed-rank tests. Results: Weight, body mass index (BMI), waist circumference, blood pressure, HDL-cholesterol, and HbA1c and the healthy dietary practice score improved significantly after intervention in the high risk group. The median number of MS components decreased significantly from 3.0 to 1.0 in the high risk group. In the low risk group, only HbA1c significantly decreased. Conclusions: The 10-week worksite-based dietary intervention program combining individual and environmental approach was found to be effective for managing MS of male employees.