• Title/Summary/Keyword: High risk service

검색결과 495건 처리시간 0.033초

직업군별 좌식시간과 고위험음주에 따른 고요산혈증의 유병률과 위험도에 관한 연구 (A Study on the Prevalence and Risk of Hyperuricemia according to Sitting time and High-Risk Drinking by Occupational group)

  • 전영은;강민주;최정민;정득;이종석
    • 융합정보논문지
    • /
    • 제11권7호
    • /
    • pp.278-287
    • /
    • 2021
  • 본 연구는 직업군별 좌식시간과 고위험음주가 고요산혈증의 유병률과 위험도에 차이가 있는지 성별 분석을 중심으로 수행되었다. 이를 위해 국민건강영양조사 자료를 활용하였으며, 연구대상으로 16,366명을 선정하였다. 분석방법으로 카이제곱 독립성 검정과 로지스틱 회귀분석을 사용하였다. 남성은 여성보다 좌식시간과 고위험음주에 따른 고요산혈증 유병률이 각각 22.2%와 25.2%로 상대적으로 높았으며 위험도는 1.274와 1.310으로 유의하였다. 고요산혈증에 대한 좌식시간의 유병률과 위험도는 남성에서만 '농림어업종사자' 직업군에서 유의하였다. 반면, 고위험음주의 유병률과 위험도는 남녀 모두 '관리자, 전문가 및 관련종사자', '사무종사자'에서 유의한 차이를 보였으며, 여성에서만 '서비스 및 판매종사자', '기능원, 장치 및 기계조립 종사자', '무직'에서 유의한 차이를 보였다. 이러한 결과는 남성에서 고요산혈증의 유병률과 위험도가 높다는 것을 알릴뿐만 아니라 직업군별로 이를 예방할 수 있는 보건의료정책과 의료서비스가 필요함을 시사한다.

A Case Report of Lung Cancer in a Horse Trainer Caused by Exposure to Respirable Crystalline Silica: An Exposure Assessment

  • Yoon, Jin-Ha;Kim, Boowook;Choi, Byung-Soon;Park, So Young;Kwag, Hyun-Suk;Kim, In-Ah;Jeong, Ji Yeon
    • Safety and Health at Work
    • /
    • 제4권1호
    • /
    • pp.71-74
    • /
    • 2013
  • Here, we present a case of lung cancer in a 48-year-old male horse trainer. To the best of our knowledge, this is the first such case report to include an exposure assessment of respirable crystalline silica (RCS) as a quartz. The trainer had no family history of lung cancer. Although he had a 15 pack/year cigarette-smoking history, he had stopped smoking 12 years prior to his diagnosis. For the past 23 years, he had performed longeing, and trained 7-12 horses per day on longeing arena surfaces covered by recycled sands, the same surfaces used in race tracks. We investigated his workplace RCS exposure, and found it to be the likely cause of his lung cancer. The 8-hour time weight average range of RCS was 0.020 to $0.086mg/m^3$ in the longeing arena. Horse trainers are exposed to RCS from the sand in longeing arenas, and the exposure level is high enough to have epidemiological ramifications for the occupational risk of lung cancer.

Cancer Perceptions Among Smokeless Tobacco Users: A Qualitative Study of US Firefighters

  • Jitnarin, Nattinee;Poston, Walker S.C.;Jahnke, Sara A.;Haddock, Christopher K.;Kelley, Hannah N.
    • Safety and Health at Work
    • /
    • 제11권3호
    • /
    • pp.284-290
    • /
    • 2020
  • Background: Prevalence rates of smokeless tobacco (SLT) use among firefighters are remarkably high and substantially higher than similar occupational groups and the general U.S. population. The purpose of this study was to explore the perspectives of fire service personnel regarding cancer and its associations with tobacco and SLT use. Methods: This descriptive study used a qualitative approach. Key informant interviews were conducted in 39 career firefighters and fire service administration from across the U.S. Discussion were recorded, transcribed verbatim and transferred to NVivo software for narrative analysis. Topics explored included cancer perceptions, attitudes and beliefs, and cultural factors related to SLT use behaviors. Results: Major themes that emerged among fire service personnel included concerns about cancer and its risk factors including firefighting tasks, such as fire overhaul operations, and from their lifestyle behaviors, such as alcohol and tobacco use. Firefighters also suggested a number of reasons for their increased SLT use, such as fire department tobacco-free policy and fire service culture. Conclusion: The current study provides a rich foundation for future research, prevention, and intervention efforts for the fire service and research communities regarding tobacco and SLT use and cancer risk. Additional research on firefighters' cancer beliefs deserves future research in order to improve messaging about the risks of cancer due to firefighting.

The Effects of ESG Performance on the Relationship between Tax Risk and Cost of Capital: An Empirical Analysis of Korean Multinational Corporations

  • Jeong-Yeon Kang;Im-Hyeon Kim
    • Journal of Korea Trade
    • /
    • 제27권1호
    • /
    • pp.1-18
    • /
    • 2023
  • Purpose - Using a sample of Korean multinational corporations, we examine whether the relationship between tax risk and the implied cost of capital discriminates between the environmental, social, and corporate governance (ESG) of highly rated firms. Design/methodology - Firms with high tax risks have an increased uncertainty of future cash flows. Therefore, as the volatility of future cash flow increases, information asymmetry and the required return increases. Highly rated ESG firms can reduce information asymmetry, thereby weakening the positive relationship between tax risk and cost of capital. We employ the standard deviation of the cash effective tax rate as proxy of tax risk. We utilize the ESG rating data of the Korea Corporate Governance Service (KCGS). We use a PEG model, MPEG model, and GM model to measure the implied cost of capital. Findings - We find a positive association between the implied cost of capital and tax risk. The positive relationship between tax risk and the implied cost of capital weakens in highly rated ESG firms. Highly rated ESG firms prefer a stable tax position to invest after-tax cash flows into sustainable management. Therefore, the negative effects of tax risk on cost of capital can be reduced. Originality/value - This study provides empirical evidence that ESG activities can mitigate the negative impact of tax risk on the cost of capital for Korean multinational corporations. In a business environment where ESG activities are more important, the empirical results that ESG activities can reduce the corporate risk of Korean FDI companies are expected to provide implications for the ESG activities of multinational corporations.

경북지역 집합유와 젖소에서 큐열 항체 보유율 조사 (Seroprevalence of Coxiella burnetii in bulk-tank milk and dairy cattle in Gyeongbuk province, Korea)

  • 우인옥;서민구;도재철;김인경;조민희;곽동미
    • 한국동물위생학회지
    • /
    • 제36권4호
    • /
    • pp.243-248
    • /
    • 2013
  • Q fever is a rickettsial infection caused by Coxiella burnetii that is transmitted from animals to humans. Modes of transmission to humans include inhalation, tick bites and ingestion of unpasteurized milk or dairy products. This survey was aimed at monitoring the seroprevalence of C. burnetii in bulk-tank milk (BTM) in Gyeongbuk province. In addition, the seroprevalence of C. burnetii was investigated at the herd level of dairy cattle in eastern Gyeongbuk province in which many dairy cattle are reared. Among 324 BTM samples collected from 20 country areas, 175 (54%) BTM samples from 15 (75%) country areas were positive for C. burnetii by ELISA. By regions, the seroprevalence of BTM samples in eastern, central, western and northern areas of Gyeongbuk province were 62.7%, 48.4%, 45.1%, and 41.4%, respectively. When analyzed in the dairy cattle reared in the eastern area where high seroprevalence occurred in BTM samples, 119 (24.2%) out of 492 dairy cattle were positive for C. burnetii. Seroprevalence of C. burnetii in dairy cattle was increased with daily milk yield of farm (P<0.05) and age (P<0.001). Since seroprevalence of C. burnetii is relatively high in both BTM samples and dairy cattle reared in Gyeongbuk province, further studies on the high risk farms and herds are needed to evaluate infection status and appropriate control programs in this region.

전통시장 화재 발생 및 확대 위험요인에 관한 연구 (A Study on the Risks Factors of Fire Occurrence and Expansion for Traditional Markets)

  • 김정곤;박창일;정재욱;김성곤
    • 한국재난정보학회 논문집
    • /
    • 제17권1호
    • /
    • pp.60-67
    • /
    • 2021
  • 연구목적: 전통시장은 시간적인 차이를 두고 필요에 의하여 공간이 생성 및 구획되어 불규칙적인 공간 활용 패턴을 갖는 경우가 많다. 그 영향으로 내적으로는 시설노후화, 점포의 과밀화 등과 같은 문제로 화재발생 위험성이 높고, 외적으로는 노후 주거 및 상업 시설과 인접한 경우가 많아 화재확산의 위험성이 높다. 연구방법: 본 논문에서는 기존 전통시장 대형화재 자료를 활용하여 황학동과 동대문 일대의 전통시장을 대상으로 화재 위험요인 및 화재 확산 위험성에 대하여 현장조사를 실시하고 화재 발생과 확대 위험요인에 대해 검토하였다. 연구결과: 분석결과, 노후화시설과 점포과밀화로 인한 높은 화재하중 및 안전의식 부재 등과 같은 다양한 문제점이 존재하는 것으로 파악되었다. 특히, 전통시장주변의 좁은 골목과 함께 발달한 노후주거시설은 화재확산 위험성이 매우커서 대책마련이 필요하다. 전통시장은 상인회를 중심으로 화재 및 재난관리를 하는 반면 주변 주거지역은 제대로 관리되고 있지 못하였다. 결론: 전통시장과 함께 주변의 노후주거시설을 함께 관리할 필요가 있으며, 전통시장과 노후주거시설에서 발생한 화재에 대하여 신속한 대피가 가능하도록 조기경보체계와 정보연계가 필요하다.

울진·봉화 일대 금강소나무 고사 피해 특성 분석 (Risk Assessment of Pine Tree Dieback in Uljin and Bonghwa)

  • 김은숙;이기웅
    • 한국농림기상학회지
    • /
    • 제25권3호
    • /
    • pp.117-128
    • /
    • 2023
  • 2010년대 이후, 보전·육성 가치가 높은 금강소나무 핵심 서식지인 봉화군과 울진군 일대에서 소나무 고사 현상이 발생하고 있다. 이에, 남부지방산림청에서는 금강소나무 군락지의 고사피해 현황 파악과 추가적인 병해충 피해 예방을 위해 2020년부터 금강소나무 고사목 발생 모니터링 사업을 수행하고 있다. 본 연구에서는 고사목 발생 모니터링 자료를 바탕으로 울진·봉화일대 금강소나무의 고사 피해발생 특성과 위험지역 분석을 수행하였다. 그 결과, 울진·봉화지역 금강소나무 고사목은 해발고도가 높은 산능선부위, 건조한 남쪽사면, 연령이 높은 임분, 겨울철 기온상승이 높은 지역에서 많이 발생한 특성을 보였다. 이러한 특성을 이용하여 전체 연구 대상지에 대한 고사목 발생 위험성 평가를 실시한 결과, 소나무림 약 85천ha 중 6.2%인 5,294 ha 임분이 고사발생 위험 특성을 보유하고 있는 것으로 평가되었다. 고사발생 위험지역에서는 고온 및 가뭄과 관련된 기후변화 이벤트가 발생할 경우 고사 피해가 실제로 발생 가능성이 높으므로 소나무의 생육 스트레스를 기본적으로 낮춰주기 위한 상시적인 산림관리 활동이 필요하며, 보호 우선순위가 높은 소나무 임분에 대한 우선적인 관리조치가 수행될 필요가 있다. 본 연구 결과는 이상기상 및 기후변화로 인해 피해 위험성이 높은 지역을 사전에 제시함으로써 기후변화 적응 산림관리 이행의 기초자료로 활용될 수 있다.

소 도축 관련 종사자에서 브루셀라증의 혈청유병률 및 위험요인 (Seroprevalence and Risk Factors of Brucellosis among Slaughterhouse Workers in Korea)

  • 유석주;최영실;임현술;이관;박미연;주재신;강영아
    • Journal of Preventive Medicine and Public Health
    • /
    • 제42권4호
    • /
    • pp.237-242
    • /
    • 2009
  • Objectives : The incidence of zoonoses in Korea has increased recently. However, the study of high risk groups for zoonoses has not been conducted to date in Korea. Thus, we did this study to obtain data on brucellosis among slaughterhouse workers in Korea. Methods : We evaluated the structure of slaughterhouses and the process of slaughtering by reviewing the relevant literature and doing field studies. We visited 73 slaughterhouses and 62 residual products handle houses across the country. In addition, we conducted a questionnaire survey of the work activities, and obtained blood samples in order to determine the seroprevalence and risk factors of brucellosis. The titers of brucellosis antibodies were measured using the standard tube agglutination test SAT). We diagnosed subjects as seropositive for Brucellosis if the titers were more than 1:160. The data collected was evaluated using SPSS ver. 17.0. Results : We included 1,503 subjects and obtained 1,482 blood samples among them: 849 workers involved in slaughtering, 351 handlers of residual products, 190 inspectors and their assistants, and 92 grading testers and their assistants. The seroprevalence of brucellosis among the slaughterhouse workers was 0.8% (95% CI=0.4-1.5). Broken down, the seroprevalence of brucellosis among the workers involved in slaughtering was 0.7% (95% CI=0.3-1.6), the handlers of residual products was 1.7% (95% CI=0.7-3.9) respectively. Risk factors for contracting brucellosis among slaughterhouse workers were being splashed with cattle blood around the mouth, cattle secretions around the body and not putting on protective apron while at work. Conclusions : An educational program is needed for high risk groups on zoonoses about the prevention of infection. Thus, effective working guidelines for workers who participate in the slaughter of animals must be developed in order to protect them from zoonoses.

Incidence, Risk Factors, and Prediction of Myocardial Infarction and Stroke in Farmers: A Korean Nationwide Population-based Study

  • Lee, Solam;Lee, Hunju;Kim, Hye Sim;Koh, Sang Baek
    • Journal of Preventive Medicine and Public Health
    • /
    • 제53권5호
    • /
    • pp.313-322
    • /
    • 2020
  • Objectives: This study was conducted to determine the incidence and risk factors of myocardial infarction (MI) and stroke in farmers compared to the general population and to establish 5-year prediction models. Methods: The farmer cohort and the control cohort were generated using the customized database of the National Health Insurance Service of Korea database and the National Sample Cohort, respectively. The participants were followed from the day of the index general health examination until the events of MI, stroke, or death (up to 5 years). Results: In total, 734 744 participants from the farmer cohort and 238 311 from the control cohort aged between 40 and 70 were included. The age-adjusted incidence of MI was 0.766 and 0.585 per 1000 person-years in the farmer and control cohorts, respectively. That of stroke was 0.559 and 0.321 per 1000 person-years in both cohorts, respectively. In farmers, the risk factors for MI included male sex, age, personal history of hypertension, diabetes, current smoking, creatinine, metabolic syndrome components (blood pressure, triglycerides, and high-density lipoprotein cholesterol). Those for stroke included male sex, age, personal history of hypertension, diabetes, current smoking, high γ-glutamyl transferase, and metabolic syndrome components (blood pressure, triglycerides, and high-density lipoprotein cholesterol). The prediction model showed an area under the receiver operating characteristic curve of 0.735 and 0.760 for MI and stroke, respectively, in the farmer cohort. Conclusions: Farmers had a higher age-adjusted incidence of MI and stroke. They also showed distinct patterns in cardiovascular risk factors compared to the general population.

국내 성인환자에서 죽상동맥경화성 심혈관질환 위험도와 스타틴 처방 현황 (Atherosclerotic Cardiovascular Disease Risk and Statin Prescription Status in Korean Adult Patients)

  • 김종윤;유기연
    • 한국임상약학회지
    • /
    • 제31권3호
    • /
    • pp.198-204
    • /
    • 2021
  • Background: Cardiovascular (CV) disease is known as one of the major causes of death from disease worldwide. Statin therapy plays a pivotal role in atherosclerotic cardiovascular disease (ASCVD) lowering the LDL-cholesterol level effectively. The purpose of this study was to evaluate the association of the intensity of statin therapy in adult patients of Korea and the risk of ASCVD of the patient group. Methods: We used data from sample of patients from the Health Insurance Review and Assessment Service (HIRA-NPS-2018). We analyzed the patterns of prescribing statins including types of statin, statin intensity, and number of patients with ASCVD or risk of ASCVD. Results: 155,512 patients were included in the analysis, and 27,950 patients (18.0%) was over 75 years. High-intensity statin usage was increased in ASCVD patients compared with the low-intensity statin use. The OR (odds ratio) of high-intensity statin were increased in myocardial infarction patients compared with low-intensity statin use showing the highest OR; 12.40 (95% CI; 9.48-16.22). At patient groups of angina, ischemic heart disease and carotid disease, high-intensity statin prescription rate was increased compared with low-intensity statin. However, there was no statistical significance between both statin prescription rates in patients of peripheral arterial disease, abdominal aneurysm, diabetic mellitus and atherosclerosis. Conclusion: The statin prescription rate showed intensity increasing tendency according to the risk of ASCVD. More aggressive statin therapy might be beneficial for the ASCVD patients based on the recent guidelines of dyslipidemia.