• 대한물리치료과학회지
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• 제3권2호
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• pp.1011-1019
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• 1996

The incidence of spinal cord injury increase due to traffic accident, industrial accident and leisure sports. Spinal cord injury damages motor and sensory function below the injury level, also affects autonomic functions associated with voiding and defecation. Sexual dysfunction and psychosocial, vocational maladaptations are also some of the unwanted consequences of injury. The purpose of this study is look for means to prevent and to manage complications in spinal cord injury through investigation and analysis. The subjects of this study in spinal cord injured patients were admitted to the department of physical therapy, Kwangju christian Hospital, Nam Kwang Hospital, Chun Nam university Hospital and Cho Sun university Hospital, from April, 1, 1995 to March, 31, 1996. The results are as follows: 1. The subjects comprised 96 cases of spinal cord injury, ranging from 17 to 85(mean-40.8 yrs) and included 72 males and 24 females. Among these patients, 58 were cervical injury, 20 were thoracic injury and 18 were lumbar injury. 2. As for a major causative of spinal cord injury were traffic accident(59.4%), fall down (27.1 %), and motocycle(4.2%).. 3. The bladder control were taken by indwelling cathetar(41.7%), Crede maneuver(37.5%) and self voiding(16.7%). The bowel control were taken by all aid(61.5%), assitance(32.3%) and self defecation(6.2%). 4. Possible of sexual function were 35 cases (47.9%). 5. The device of transfer used wheel chair(69.8%) and bed(16.7%). 6. The patients with higher cord lesion got more serious pain than lower cord lesion. Also the patients with higher cord lesion got a serious spasticity. 7. The incidence of decubitus ulcer among 96 patients were in case 46(47.9%). The largest group of the pressure sore sites were sacral portion(82.0%), less than 1 month of onset occured a large numbers(50%). Incidence of pressure sore by spasticity occured many patients in case of mild or moderate. Incidence of pressure sore by pain occured many patients in case of severe pain.

• 한국안전학회지
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• 제38권2호
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• pp.52-59
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• 2023

Due to the routine nature of social distancing in accordance with the COVID-19 pandemic, the logistics industry is under rapid development, given that offline demand is focused on online platforms. The number of warehouse workplaces and workers are steadily increasing per annum, and the industrial accident rate of transportation, warehouse, and telecommunication industries to which warehouse employees belong is higher than the total industrial accident rate in Korea. In previous studies, warehouse workers reported exposure to health hazards such as musculoskeletal disorders due to the handling of heavy objects and improper working postures. Accordingly, in this study, a survey was conducted to investigate symptoms of musculoskeletal disorders with focus on parcel delivery workers nationwide. The questionnaire included a musculoskeletal disorder symptom survey table to identify information such as worker occupational history, work type, and signs or symptoms of musculoskeletal disorders. Survey response data from 453 people were obtained to determine the influence of delivery business characteristics on occupational musculoskeletal disorders, and the influencing factors were analyzed. Based on the results, in the analysis of pain with respect to body part, the duration, degree, and frequency of pain were highest in the leg part, and as a result, the average value for the leg part exhibited a significant difference from those of other body parts. In addition, 52.32% of workers exhibited symptoms of musculoskeletal disorders, and a high number of patients with musculoskeletal disorders was observed in the work group with less than three years of service and with ages ranging from 30-39. The results of this study can serve as basic data for the derivation of a management plan that meets the characteristics of musculoskeletal disorders that impact logistics workers overburdened with work due to the rapid increase in parcel delivery volume in accordance with an increase in online consumption.

• 한국산업보건학회지
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• 제22권2호
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• pp.107-118
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• 2012

Objectives: This study examines the occurrence of disease resulting from low back pain and factors of working environment meaningfully influencing the occurrence of lumbago as well as analyzes '2nd Korean Working Condition Survey (KWCS)' conducted in 2010 so as to establish the prevention and improvement measures. Methods: The analysis method is that it is to compare the prevalence rate of low back pain according to working environment via odds ratio and to implement the test about the factors having the difference in working environment between low back pain group and normal group through weighted t-test. Results: As a result, it indicates that there is a meaningful difference for prevalence rate of low back pain according to age, status in employment and education level which are socio-demographical factors. The analysis in working hours shows that the period of work is a factor raising the prevalence rate of low back pain rather than weekly working hours. The analysis in the work risk factor indicates that the increase in prevalence rate of low back pain takes place to either workers with repetitive movement and continuously standing posture or those with heavy stress and emotional labour. Conclusions: Workers with low back pain have suffered from accident, depression, anxiety disorder and sleep. The factors in which the prevalence rate of low back pain decrease are to provide information on health and safety and working speed, and enough rest.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.178-187
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• 2012

Purpose: In Korea, the nation's medical expenses were 12 billion won in 2010. The medical costs for individuals can also be overwhelming. If a patient has sustained severe trauma, his/her insurance company responsible may pay only part of the medical bills. In Korean, there are diverse types of medical insurance, such as health insurance, automobile insurance, and industrial accident compensation insurance. And each insurance system has a different type of payment system. Our study will be essential for establishing the optimal medical expense payment system. Methods: From January to December 2011, we retrospectively reviewed the medical charts of 161 patients who were admitted to our hospital's emergency room after having undergone severe trauma. Of those 161 patients, 125 were retrospectively reviewed. Written permission was obtained from all of the patients. We analysed the demographic characteristics, clinical outcomes, data of the trauma, type of the patient's insurance, and the entire bill when the patient was discharged. Results: Seventy-one patients had health insurance, 48 automobile insurance, and six industrial accident compensation insurance. High-deductible insurance included health insurance and industrial accident compensation insurance, with the deductibles up to 20.6% and 19.1%, respectively. We attempted to analyze the cause of the high deductible rate. In patients with health insurance, medicines, primarily sedatives, pain killers, antibiotics, and fluids. comprised a large proportion. On the other hand, industrial accident compensation insurance deducted for a high-grade hospital room charge. Conclusion: We found that medical expenses were diverse according to the type of insurance. In particular, health insurance forced patients to pay too much of the medical expenses. Therefore, in Korea we should try to identify the insurance problems and improve the wage system.

• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2008년도 춘계학술대회
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• pp.149-156
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• 2008

The main objective of this study is to find factors and typical characteristics on outbreak of musculoskeletal disorders in small sized companies which are located at eastern area in Kangwon-Do. Musculoskeletal disorders are becoming a serious problem in various industrial fields. Many researches have been focused on the analysis on outbreak of musculoskeletal disorders in order to reduce and prevent them. As a similar endeavor, this paper provides factor analysis on outbreak of musculoskeletal disorders. Questionnaire surveys regarding musculoskeletal disorders were conducted for the total number of 250 field workers. For the purpose of this study, seven independent variables(gender, age, career, housework, accident, trouble, and pain) are taken from questionnaires. The provided analysis result will be helpful as a starting point for root cause analysis and reduction of musculoskeletal disorders and also for establishment of safe work environments.

• 한국안전학회지
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• 제24권5호
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• pp.84-91
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• 2009

It is well known that Korea has got in an aged-society, and the speed of ageing is remarkably fast that has never seen before in the world. In spite of that, government officers and managers who are in charge of industrial safety seldom have interest in ageing workers, and much less ageing workers for themselves in the industrial fields. In the meanwhile the number of injured aged workers keeps going on and even increasing. Therefore this research was carried out to investigate the characteristics of aged workers on one hand, and to grasp the self-consciousness level of industrial workers on the problem of ageing. Furthermore, to develop countermeasures, opinions and hopes of middle managers in small- and medium-sized enterprises who were in charge of industrial safety and health were collected also. Though the reply rate was not so high as expected, opinions of safety and health managers were somewhat appropriate. They replied that the most urgent counterplan for ageing would be improvements of work environments followed by work assignments based upon personal aptitude. On the other hand, the self-consciousness level of aged workers was lower than middle managers, and they mainly complained of surgical disorders such as musculoskeltal disorders including lower back pains. However, they did not seem to recognize they are getting lose their physical function in maintaining body equilibrium.

• 대한안전경영과학회지
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• 제17권3호
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• pp.115-123
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• 2015

The study conducted statistical analysis of survey on the 239 workers participating in national Tower Crane installation/dismantlement in order to identify work environment and health hazard exposure of Tower Crane workers. Consequently for work related safety status of Tower Crane workers, the number of installation/dismantlement work was the highest at 15-20 times per month, and safety equipments were not arranged at work and they felt highly anxious when boarding on the Tower Crane. Furthermore, it is found that they feel anxious working in the influence of the weather, noise, vibration, wind, the sun ray, and structure characteristic. They have very low satisfaction in the insecureness of workplace and the work environment, and recognizes that their work affect highly on the health. 81.6% of workers have experienced accident at work, the cause of accidents were mainly due to poor work environment, and the health abnormality they have experienced were mostly fatigue and concentration reduction. For job stress, job demand and conflict in relationship were the highest sections. Total 66.5% of workers complained of musculoskeletal disorder related subjective symptom, and back pain patients were the highest of all groups.

• Journal of Preventive Medicine and Public Health
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• 제31권2호
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• pp.228-239
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• 1998

Visual display terminal(VDT) is popular in majority of office in modern countries. Musculoskeletal pain due to repetitive work with VDT is a serious industrial accident at present. In recent studies, shoulder pain in VDT users is the most common problem in Korea. The purpose of this study was to evaluate and compare the effect of excercises on shoulder dysfunction in VDT-related female office workers. Of the 119 patients with shoulder dysfunction, 32 patients entered into the study. 16 patients(Group I) were not prescribed excercises, other 16 patients (Group II) performed throughout the specific shoulder excercises such as pendular excercises(for-ward, backward and circumduction) and sidelying external rotation excercises with weights. After 3 months of excercises, the two groups were compared in term of the pain rating scale, disability questionnaire score and range of motion score. The results were summarized as follows ; 1. The pain rating scale in Group I before and after 3 months were not differenced significantly(p value=0.784) and in Group II, the scale before and after excercises were differenced significantly(p value=0.0005). 2. The disability questionnaire scores in Group I before and after 3 months were not differenced significantly(p value=0.437) and in Group II, the scores before and after excercises were differenced significantly(p value=0.0002). 3. The ROM scores of the affected shoulder in Group I before and after 3 months were not differenced significantly(p value=0.876) and in Group II, the scores before and after excercises were differenced significantly(p value=0.0017). In conclusion, that the specific shoulder excercises on shoulder dysfunction in VDT-related female office workers are encouraged.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제19권2호
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• pp.191-199
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• 1997

Mandibular trauma is developed due to traffic accident, fall down, industrial injury, and others. TMJ disorder is usually also developed after facial traumatic injury. Many authors suggested that disc displacement or tearing, acute synovitis, TMJ ankylosis, traumatic arthritis, or effusion are developed after facial trauma. It is still very controversible what is the best treatment of TMJ injury such as condylar fracture and meniscal injury. In TMJ injury, synovial inflammation is developed and pain mediators such as prostaglandin E2 or leukotriene B4 are released from the synovial membrane. This can be a cause of TMJ disorder. I present a variety of experimental study about the condylar fracture and meniscal injury and enzyme-immunoassay of synovial fluid after mandibular trauma that have been studied since 1992 and establish the treatment criteria of traumatic TMJ injury. I think that the treatment option of condylar fracture depends upon the surgeon's criteria exclusively. There are no significant differences between conservative and surgical treatment. If the aggressive functional physical therapy and long-term followup be performed, the favorable functional recovery of TMJ can be obtained. And I think that the initial surgical management of meniscus of TMJ is unnecessary in condylar fracture. And also arthrocentesis can be available to release the patient's subjective symptoms and improve the healing of injured TMJ.

• 한국안전학회지
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• 제27권4호
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• pp.96-100
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• 2012

Low back pain (LBP) is a major issue in modern industrialized society which is mainly caused by manual material handling (MMH) tasks. The objective of this study was to provide scientific data for establishing work standard for Korean workers throughout the laboratory experiment including some specific lifting tasks. Thirty male college students were recruited as participants. The maximum voluntary contraction (MVC), recommended weight limit (RWL), and psychophysical safety weight using Borg's CR-10 scale were studied. Results showed that the RWL was 8.4% MVC higher than the proposed psychophysical safety weight. Based on this result, it is suggested that the NIOSH lifting equation (NLE) should not be directly applied to Korean without reasonable modifications. The ratio of psychophysical safety weight to MVC was ranged from 20.1 to 26.4%. It is expected that use of the methodology in this study may provide better expectation of the work ability of Korean for reducing lower back pains caused by MMH.