• Title/Summary/Keyword: Occupational Disease

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Evaluation of Chromium and Manganese Exposure in Welders and Establishment of Efficient Preventive Measures for Fume Exposure (철강용접자의 크롬 및 망간 노출평가와 산업위생관리 대책에 관한 연구)

  • Lee, Young-Sei;Yoon, Chong-Guk;Park, Jong-An;Lee, Song-Kwon;Chae, Jong-Hong;Kim, Ek-Soo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.10 no.1
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    • pp.45-57
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    • 2000
  • Results of environmental monitoring for 35 steel industry welders exposed to manganese and chromium fume were evaluated. Efficiency of respiratory protectors, welding face shields and local exhaust ventilation were also evaluated to establish more efficient preventive measures that can protect welders from occupational disease as related to welding fume. The results are as follows; 1. Total fume from $CO_2$ arc welding with mild steel occurred 1.5 to 2.2 times more than that from shielded metal arc welding. Chromium and nickel fume from welding with stainless steel occurred 27 to 59 times and 18 to 30 times, respectively, than those with mild steel. 2. Proportions of water-soluble chromium(VI) and insoluble chromium(VI) Compare to total chromium occurring from $CO_2$ arc welding with stainless steel were 10.5% and 8.7%, respectively, while those with mild steel were 57.1 to 63.2% and 31.6 to 38.1%, respectively. 3. The efficiencies of 4 types of respiratory protectors to reduce welding fume exposure were evaluated as 54.4 to 64.4%. 4. The reducing effect of head type welding face shield was 67.6%, and that of hand type welding face shield was 58.5%. The highest reducing effect was shown in air supply welding face shield as 99.2%, although it is not convenient to wear. 5. When welding face shield and respiratory protectors were worn together, the reducing efficiency increased to 79.0 to 87.5%. 6. When local exhaust ventilation was installed in workplace, the reducing efficiencies varied from 31.5 to 73.1% according to the types of welding.

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A survey of leisure participation and leisure exploration of community dwelling stroke patients (지역사회 거주 뇌졸중 환자의 여가 참여 및 여가 탐색 조사)

  • Jeong, Eun-Hwa
    • Journal of Industrial Convergence
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    • v.18 no.4
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    • pp.41-49
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    • 2020
  • The purpose of this study was to provide basic information on leisure participation and leisure exploration of community-dwelling stroke patients through a multi-dimensional leisure participation evaluation tool. The subjects in this study were 35 people living with stroke in the community. As a result of study, the most involved leisure activities were in order of watching TV, communicating, and exercise alone. Most of the satisfaction level of leisure participation was 7-10 points, but exercise alone was 5.2 points due to the purpose of health management. Leisure exploration was the most frequent exercise alone and sports, and interest was 8-10 points. The most important obstacles for leisure participation were physical problems depending on the nature of the stroke disease. Through the results of this study, it is necessary to activate a stroke patient's discharge plan and activate a community stroke patient's leisure intervention program so that they can participate in leisure activities of their choice through voluntary leisure exploration.

A Systematic Review on the Effects of Intervention for Caregivers of People with Dementia to Reduce Their Burden (치매환자 돌봄제공자의 부양부담감(Burden)을 감소시키기 위한 중재프로그램: 체계적 문헌 고찰)

  • Kim, Yeon-Ju
    • Therapeutic Science for Rehabilitation
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    • v.3 no.1
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    • pp.19-29
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    • 2014
  • Objective : The purpose of this study was to look at a systematic review on the effects of intervention for caregivers of people with dementia to reducing burden. Through this study, we have to analysis the studies. Methods : We systematically examined papers published in journal from 2005 to 2014, using RISS, Pubmed, 9 studies were included in the analyses. Results : Selected 9 studies were Pedro score from 3.5 to 7. The most using intervention is educational intervention and the Zarit Burden Interview(ZBI) was used in all studies for measured the degree of burden of caregivers. Conclusion : The studeis about interventions for caregivers to reduce their burden are limited in Korea. In the future, the research and development of studies for intervention for caregivers of people with dementia must be activate.

Effect of a Telerehabilitation Exercise Program on the Gait, Knee function and Quality of life In Patients with Knee Osteoarthritis (원격재활 운동프로그램이 무릎골관절염 환자의 근 기능과 삶의 질에 미치는 영향)

  • Kim, Jae-Yun;Lee, Dong-Woo;Jeong, Mo-Beom
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.143-152
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    • 2020
  • PURPOSE: This study examined the effects of videoconferencing-based telerehabilitation exercise program on the gait, knee function, and quality of life of patients with knee osteoarthritis. METHODS: Forty-eight subjects, who were diagnosed with osteoarthritis of the knee by the radiologic findings, history, and a physical examination, were assigned randomly to a Control group, Experiment group I, and Experiment group II. The control group did not perform any exercise program and were educated in understanding and managing the disease of knee osteoarthritis for only one hour. Experimental groups I and II were provided with an exercise guidelines book for knee osteoarthritis, and the same exercise programs were conducted by face-to-face visits and non-face-to-face using telerehabilitation for eight weeks, respectively. To verify the effectiveness of each exercise program, the gait speed, knee disability index, and health related quality of life were measured. All assessments were conducted twice before and after the intervention. RESULTS: The participants who underwent both face-to-face and telerehabilitation exercise programs showed an improved gait speed, knee function, and health-related quality of life. In particular, there was no significant difference between the telerehabilitation exercise group and the direct face-to-face exercise group in improving the knee joint function and health related quality of life. CONCLUSION: A these findings the telerehabilitation exercise program for patients with knee osteoarthritis can alternate or supplement the face-to-face exercise program. Therefore, the telerehabilitation exercise program should be used not only as a substitute supplement program but also as an intervention for various diseases.

Is the Risk Unloaded on Dispatch and Service Supplier?: Influence of Indirect Employment on Safety, Health and Satisfaction (위험은 파견, 용역 직원에게 외주화 되는가?: 간접 고용이 안전, 건강, 만족에 미치는 효과)

  • Moon, Kwangsu;Ahn, Ji Yeon;Jang, Tong Il;Oah, Shezeen
    • Journal of the Korean Society of Safety
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    • v.32 no.3
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    • pp.90-98
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    • 2017
  • The purpose of this study was to examine the effect of employment type(direct employment, dispatch and service supplier) on risk factor exposure, health and satisfaction. The data of the 4th wave of Korean Working Conditions Survey (KWCS) conducted by Korea Occupational Safety and Health Agency (KOSHA) in South Korea was used. Business support service industry and manufacturing industry were selected as appropriate industries for analysis. In the final analysis, 5,865 in the manufacturing industry and 1,361 in the service support industry were included. Various variables related risk, safety, satisfaction and health such as risk factor exposure, MSDs exposure, work environment satisfaction, injury probability, dangerous work, workload, physical health problem, perceived health, positive emotions, stress, participation for decision making and experience of accident/disease were analyzed and company size and age was controled. An ANCOVA was conducted to identify significant mean differences of risk, safety, satisfaction and health related variables among direct employed workers, dispatch and service supplier workers. The results showed that all the variables except stress showed a significant difference depending on employment type in the service supply industry. In the manufacturing industry, there were significant difference in the risk factor exposure, MSDs exposure, work environment satisfaction, workload, physical health problem, perceived health, and participation depending on employment type. These results indicated that the risks are unloaded to subcontract and outsourcing company workers. Based on these results, the implications of this study and suggestions for future research were discussed.

A Study on the Effects of Alcohol-Reducing Program Applied to Works under 5 Employee (5인 미만 사업장에서의 근로자 절주 프로그램 적용 효과)

  • Kim, Hee-Girl;Nam, Hye-Kyung;Yun, Soon Nyoung
    • Korean Journal of Occupational Health Nursing
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    • v.9 no.2
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    • pp.132-142
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    • 2000
  • This paper tried to understand the effects of alcohol-reducing program on drinkings behaviour of workers on works under 5 employees. For these, this paper understood a change of drinkings custom and degree of alcohol-reducing strategy practice by enforcement of alcohol reducing program over 7 times during 3 months Reaults from analyses are as follows 1) A health problems related to drinkings were a chronic fatigue and indigestion, 15.5% was over 5 items among items related to liver disease. 2) The subjector of investigation all was involved over 2 items among items that a drinking custom must be collecred. 3) The change of drinkings custom between before and after on enforcement of alcohol reducing program showed a effective difference. 4) For a degree of the alcohol-reducing strategy practice, "reducing drinkings days" was 82.9%. "bearing drinkings impulse" 70.7%, "exchanging drinkings custom" 56.1%, "avoiding drinkings friends" 51.2%, Yet, "avoiding drinking place" and "preparing leisure activity to exchange drinkings" showed a low practice ratio. 5) For correlation between drinkings drinkings behaviour and degree of alcohol-reducing strategy practice, the more drinkings times before program paticipatance the higher alcohol-reducing strategy practice, alcohol dependency and drinkings times, alcohol-reducing strategy and drinkings times, befere drinking custom had an effective negative corelation, after drinkings custom and alcohol-reducing strategy a strong effective positive corelation. 6) workers writing drinkings paper decreased drinkings times. Implications from results are as follows The alcohol-reducing program is necessary to works under 5 employees, and needs to he operated continously. Especially, in works under 5 emplyees, the alcohol-reducing programt needs to be operated by firm or government.

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Influencing Factors for and Medical Expenditures of Metabolic Syndrome among Public Officials (공무원의 대사증후군 관련 요인 및 대사증후군에 따른 의료비 지출)

  • Kim, Ahrin;Kwak, Chanyeong;Yim, Eun Shil
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.3
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    • pp.209-220
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    • 2012
  • Purpose: This study examined the influencing factors for metabolic syndrome and the annual medical expenditures of metabolic syndrome among public officials. Methods: The National Health Insurance data in 2009 were collected for 364,932 public officials and the heath examination results and annual medical expenditures were analyzed using PASW 18.0 program. Results: The prevalence of metabolic syndrome is 17.6%, and it was higher in male officials than that of females in all age groups. In men, the influencing factors for metabolic syndrome were: age, family history of stroke, cardiovascular disease, hypertension, and diabetes mellitus, smoking, alcohol consumption, exercise, and obesity. However, in women, health-related behaviors such as smoking, alcohol consumption and exercise did not affect metabolic syndrome. People who had metabolic syndrome showed significantly higher medical expenditures than those without metabolic syndrome. The odds ratios of having the highest quartile in medical expenditures were 1.372 (95% CI 1.252~1.504, p<.001) in women with metabolic syndrome and 1.213 (95% CI: 1.184~1.243, p<.001) in men. Conclusion: The results implied that health-related behaviors were associated with metabolic syndrome, and resulted in higher medical expenditures. In order not only to decrease the risk of metabolic syndrome but also reduce medical expenditures, nurses should plan health promotion strategies to educate public officials about healthy life strategies.

Record Keeping of Employee Exposure to Chemical Hazards under Industrial Safety and Health Law (근로자의 화학물질 노출관련 기록 보존에 관한 연구)

  • Oh, Sangmin;Park, Donguk;Yu, SeoungJae;Jung, Jin Woo;Lim, KyungTaek;Lee, Jaehwan;Ha, Kwonchul
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.23 no.4
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    • pp.367-373
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    • 2013
  • Objectives: Employee exposure record refers to a record containing information about environmental (workplace) monitoring or measuring of a toxic substance or harmful physical agent. The aims of this study were to examine problems related to exposure records and provide some amendments to the Korean Industrial Safety & Health Act for the effective management of chemical substances under the law. Methods: This study performed a literature search and review on legal provisions related to exposure records of a number of different countries, including Korea, the USA, Japan, EU, Germany, and the UK. They were compared and investigated and the amendment of articles was suggested. Results: The results of this study were provided as suggested amendments to the related act. There were a variety of ways of improvement, including a 30-year retention period and the introduction of new access methods, contents, transfer, and maintenance methods. All exposure data elements have to be standardized, including reference to a similar exposure group (SEG), sampling strategy, and circumstances of exposure (e.g., date, shift length, use of personal protective equipment, etc.). The SEGs are described by process, job, task, and environmental agent. Conclusions: This study is expected to provide for the amendment of the related act in order to ensure effective management of exposure records and is helpful for solving the cause and result of occupational disease by keeping exposure records according to the Industrial Safety & Health Act.

Bridging Basic Knowledge and Clinical Practice in the Education of Traditional Korean Medicine: A case of Pubescent Angelica usages in Internal Bodily Elements section, Treasured Mirror of Eastern Medicine (동의보감·내경편 독활(獨活)의 용법을 통해 본 한의학 기초와 임상의 연계 교육 방안)

  • Hong, Jiseong;Kang, Inhye;Lee, Youngmi;Lee, Hoon-Yeon;Kang, Yeonseok
    • The Journal of Korean Medical History
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    • v.33 no.1
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    • pp.1-9
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    • 2020
  • Pubescent Angelica is generally used in musculoskeletal diseases of lower extremity, itching, external contraction (外感) and furuncle, with the effect of dispelling wind, draining dampness, dispersing the external (解表) and stopping pain. The disease parts of Treasured Mirror of Eastern Medicine (東醫寶鑑) contain 121 examples of the usage of Pubescent Angelica. Cases of musculoskeletal diseases and itching are mainly in the External Bodily Elements section (外形篇), and those of external contraction and furuncle are mainly in the Miscellaneous Disorder section (雜病篇). Internal Bodily Elements section (內景篇) has 10 prescriptions that involve Pubescent Angelica, in Dreams (2), Voice (1), Uterus (4), Parasites (1), and Feces (2) chapters. Their specific symptoms are insomnia and sleep paralysis (Dreams), loss of voice due to external contraction (Voice), uterine hemorrhage (Uterus), phthisis (Parasites), and constipation and diarrhea (Feces). It is not easy for students beginning their clinical training to link the effects of Pubescent Angelica and its actual usage, especially in the area of internal medicine. By Analyzing the whole cases of Pubescent Angelica in the Treasured Mirror, we found various usages out of reach of basic knowledge of the herb. Such method can be utilized not only in developing herbal knowledge-based products, but also in improving Korean medicine education, by enhancing the occupational competency bridging basic and clinical knowledge.

A Study of Cancer Cases by Industry in Kwangju-Chonnam Area - Based on Industrial Medical Insurance Record - (광주, 전남지역에서의 업종별 악성종양 발생에 관한 연구 - 1종 의료보험 자료를 중심으로 -)

  • Kim, Yong-Sik;Oh, Won-Moon;Park, Hyung-Cheol;Choi, Jin-Su;Song, In-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.23 no.2 s.30
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    • pp.207-215
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    • 1990
  • In order to investigate the occurrence characteristics of cancer in terms of industry in Kwangju-Chonnam area, medical utilization records of industrial medical insurance corporations during the period of 1987 to 1988 were reviewed for the identification of neoplastic disease. The cases obtained from the medical records were followed up for the verification and to get additional information. Standardized incidence data were compared by occupational characteristics. Multiple logistic regression analysis was applied to analyze the difference of incidence or distribution of cancer as a whole or of some selected cancer. Total cases of cancer identified were 242 during the study period. Annual incidence rate was calculated as 123.1 per 100,000 person. The frequent types of cancer were cancers of stomach, liver, lung, colon and rectum, bladder and lymphoma in descending order. Employees of mine and other sand handling industries showed significantly higher risks for cancer of stomach and cancer as a whole. Employees of the transportation industry showed the higher risk for cancer of liver, Workers in small-sized industry (${\leqq}100$) had a higher risk for cancer than who in large-sized industry (<100). These findings suggested the effect of occupational environmental exposure to cancer development.

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