• 지역사회간호학회지
• /
• 제4권2호
• /
• pp.139-145
• /
• 1993

The purpose of this study was to identify the degree and the relationship of the Knowledge, Attitude and Practice of industrial health care services of workers. This information will provide useful data for an effective industrial health care service. The was collected from 600 data employees in Kwang-ju city & Chonnam province. The data was gathered by questionnaire from Dec 20, 1992 to Jan 20, 1993. The questionnaire was developed by the Academic Affairs of Community Health Nursing Academy. Data was analyzed by using the statistical computer package, SPSS to manipulate the data along with percentages, means, standard deviations, modes, t-test and ANOVA. The results in this study were summarized as follows: 1. General characteristics of workers: Distributions of workers was laborer(76.2%). in the 25-34 age group(50.2%), married(63.3%), males comprised(77.5%), the educational level with the highest percentage was high school graduates (71.1%), with a monthly income of 300-700 thousand won(43.8%), and has been working in the present career over seven years (31.5%). 2. The Knowledge, Attitude and Practice levels of employees about industrial health care services The levels were measured according to a five point scale. The total mean score of knowledge was 2.92 points out of 4. The following are the scores of Knowledge of special medical examination and location of industrial clinic(3.48), periodic medical examination (3.18), occupational disease(3.08), personal protective equipment (2.92), and health education(1.37). The total mean score of Attitude was 2.77 point out of 4. The following are the scores of Attitude in order of working environment (3.35), necessity of periodic medical examination and health education(3.15), the worker's perception influence on the working environment to health was high(3.11). But, the level of satisfaction in the content of periodic medical examination was low(2.19). The total mean score of Practice was 2.70 points out of 4. The scores of Practice in order were, practice of periodic medical examination(3.70), utilization of industrial clinic(2.92), and to participate in health education(1.47). 3. The relationship of general characteristics to Knowledge, Attitude, and Practice of workers: Knowledge had a significant difference by sex (P<.01), marital status(P<.01), education level (P<.05) and monthly income(P<.01). Attitude was significantly different with sex(P<.05) and Practice was significantly related to monthly income (P<.01).

• Journal of Preventive Medicine and Public Health
• /
• 제39권6호
• /
• pp.505-510
• /
• 2006

Objectives : The purpose of this study is to evaluate the association of the angiotensin converting enzyme (ACE) insertion/deletion (I/D) polymorphism with cardiovascular disease risk factors. Methods : Out of a total of 608 middle-aged adults who visited local health centers, 424 subjects (104 male, 320 female) who had not been diagnosed with hypertension, diabetes mellitus, or hyperlipidemia were included in this study. ACE genotypes were determined in all subjects by polymerase chain reaction methods. Results : Statistical differences in high-density lipoprotein (HDL) cholesterol levels according to ACE genotype were observed using ANOVA (p<0.05), but no differences were found in other cardiovascular risk factors. Specifically, men with the DD and DI genotypes had significantly lower HDL cholesterol levels than those with the 11 genotype based on the LSD multi-comparison test (p<0.05). Conclusions : In men, the D-allele of the ACE I/D polymorphism was significantly associated with reduced HDL cholesterol levels. In the future, larger studies are needed to confirm this relationship between ACE I/D polymorphism and HDL cholesterol.

• Asian Pacific Journal of Cancer Prevention
• /
• 제13권12호
• /
• pp.6391-6395
• /
• 2012

Background: Ovarian cancer is ranked as the fifth most common cause of cancer death in women. In Malaysia, it is the fourth most common cancer in females. CA125 has been the tumor marker of choice in ovarian cancer but its diagnostic specificity in early stages is only 50%. Hence, there is a critical need to identify an alternative tumor marker that is capable of detecting detect ovarian cancer at an early stage. HE4 is a new tumor marker proposed for the early diagnosis of ovarian cancer and disease recurrence. Currently, none of the normal ranges of HE4 quoted in the literature are based on data for a multiethnic Asian population. Therefore, the aim of this study was to determine reference intervals for HE4 in an Asian population presenting in University Malaya Medical Centre, a tertiary reference hospital. Materials and Methods: 300 healthy women were recruited comprising 150 premenopausal and 150 postmenopausal women, aged from 20-76 years. All women were subjected to a pelvic ultrasonograph and were confirmed to be free from ovarian pathology on recruitment. Serum HE4 levels were determined by chemiluminescent microparticle immunoassay (CMIA, Abbott Architect). The reference intervals were determined following CLSI guidelines (C28-A2) using a non-parametric method. Results: The upper limits of the $95^{th}$ percentile reference interval (90%CI) for all the women collectively were 64.6 pmol/L, and 58.4 pmol/L for premenopausal) and 69.0 pmol/L for postmenopausal. The concentration of HE4 was noted to increase with age especially in women who were more than 50 years old. We also noted that our proposed reference limit was lower compared to the level given by manufacturer Abbott Architect HE4 kit insert (58.4 vs 70 pmol/L for premenopausal group and 69.0 vs 140 pmol/L in the postmenopausal group). The study also showed a significant difference in HE4 concentrations between ethnic groups (Malays and Indians). The levels of HE4 in Indians appeared higher than in Malays (p<0.05), while no significant differences were noted between the Malays and Chinese ethnic groups. Conclusions: More data are needed to establish a reference interval that will better represent the multiethnic Malaysian population. Probably a larger sampling size of equal representation of the Malay, Chinese, Indians as well as the other native ethnic communities will give us a greater confidence on whether genetics plays a role in reference interval determination.

• 대한인간공학회지
• /
• 제31권3호
• /
• pp.445-453
• /
• 2012

The aim of this paper was to prove that if the risk level in combined tasks was improved through evaluation of postural load of liquid weight measurement process, the workload level and ratio of exposure time would be changed, and the time of process would be seen concurrently. Background: According to results of epidemiological studies conducted by Korea Occupational Safety & Health Agency, 122 musculoskeletal disorders occurred during 1992 to 2008, in which manufacturing industry covers 96(78.7%) of total. However, this is an insufficient level and only occupies 39% based on the South Korea's manufacturing standard industrial classification(246 industries). Method: Firstly, the number of batches weighed on one day(460min) was investigated based on the work performed and Weight measured weekly. VCR recording was taken based on the level of liquid ingredients prescribed for 1batch using the Camcorder. After dividing a 356 sec video into 1 sec using the screen capture function in Gom player, the job classification was performed by analyzing the change of working postures, which revealed 148 working postures. Time measurement was decided by time of the postures was being maintained. Then, the REBA analysis was performed for the working postures. The ratio of Exposure time was calculated based on the measurement time and REBA Score. In addition, the recommendations were designed and implementation was carried out for the working postures with REBA Score higher than 3. Finally, after the intervention, REBA measurement, time measurement, and ratio of exposure time were calculated for the comparison of works before and after improvement. Results: The number of work elements was decreased by 30.4% from 148 to 103 after improvement. The results of time measurement showed that the time was reduced by 46.3% from 356 sec to 191 sec. And the ratio of exposure time was also improved by 52.1% from 0% to 52.1% after improvement. Conclusion: The reduction of time was found to improve the productivity of management. Furthermore, because the reduction of ratio of exposure time and the improvement of workload level are the improvement of discomfort, it would contribute to the improvement of the worker's psychological working posture. Application: These results would contribute to musculoskeletal disease prevention and management performance. Further studies for other industries would be needed based on this case study.

• Journal of Preventive Medicine and Public Health
• /
• 제21권2호
• /
• pp.357-364
• /
• 1988

충청북도 단양지역 착암 근로자 79명과 착암기를 사용하지 않는 광산 근로자 39명을 대상으로 1987년 6월 10일부터 1987년 6월 19일까지 면접 조사 및 집단 검사를 시행하여 다음과 같은 결과를 얻었다. 1. 창백지(white finger)는 오른쪽 손에 더 많이 나타났다. 2. 창백지 발현에 진동 노출량, 연령, 음주 및 흡연 여부가 통계학적으로 유의한 변수로 선정되었다. 3. 진동 증후군 증상자의 수지부 통각역치가 대조군에 비해 증가되었다. 4. 냉수 침적후 진동 증후군의 피부온도가 대조군에 비해 낮았으며 회복은 대조군에 비해 지연되는 경향을 보였다.

• 한국사회복지학
• /
• 제57권2호
• /
• pp.41-70
• /
• 2005

본 연구는 사회경제적 구조변화에 따른 빈곤형태의 변화를 고찰하고 신빈곤층의 탈빈곤을 위한 정책을 모색하는데 목적이 있다. 그동안 빈곤정책은 노령, 실업, 장애, 질병 등 노동능력 상실과 관련된 절대빈곤층에 초점을 두어 왔다. 그러나 경제위기 후 증가하는 빈곤의 특성은 노동시장 참여가 더 이상 탈빈곤의 요인으로 작용하지 않게 되었다. 본 연구는 근로빈민을 대상으로 경제위기이후 경제상황변화, 복지상황, 사회적 위험에 대한 경험 및 대응방식에 대해 경험적으로 조사하고 이를 기반으로 탈빈곤정책을 모색하고자 하였다. 연구결과 근로빈민층은 경제위기이후 실업, 소득감소 등 다양한 형태의 사회적 위험을 경험했으며 불안정한 고용상황, 취약한 복지상황을 보여주고 있으며 이를 기반으로 탈빈곤정책으로 소득안정정책, 직업훈련 및 기술교육정책, 적극적인 사회복지정책 등을 제시하였다.

• 지역사회간호학회지
• /
• 제4권1호
• /
• pp.14-24
• /
• 1993

The Purpose of this study was to explore the condition of periodic medical examination and the health care services of industries in order to offer some basic data on developing industrial nursing care. To achieve this goal a self - administered questionnaire (developed by the academic affairs of community health nursing) was provieded to the nurses in 56 industries from Dec. 10, 1992 to Jan. 20, 1993. The statistical computer package, SPSS, was used to manipulate the data along with T-test and ANOVA. The results were as follows : 1. General characteristics: The greater part of the industries were manufacturing company, and below 300 employees of industry were 55.4%. The shift system was mostly one shift(66.1%) and three shift(23.2%), and 50.0% them organized the Industrial Safety and Health Commitee. Average a number of employees was 631 person. 2. Periodic Medical Examination: Most of the workers were receiving periodic medical examination from the designated hospital (95.71%). From the about 12.89% were gone through a colse medical examination. In colse medical examination 58.41% were decided 'C' and 36.73% were decided 'D'. About 6.23% off those who had any clinical findings were work-time shortening(7.84%), work-transition(8.12%), recoverating at home. The majority of the workers receive the result of the periodic medical examination individually (78.5%). 3. Special medical examination: The rate of those who are receiving special medical examination were 76.82% and about 8.24% were decided 'C' and 1.23% were decided 'D' Those who had any health problems were receiving follow-up checking (9.10%) and medical treatment while working (15.04%). The health managers in the company can consult (85.7%) those who had any suspicious sign and symptoms of occupational disease. 4. Health care services: The average score of health care services were 17.57 point out of 28 point, and the score was lower in health assessment and environmental hygiene than medical diagnosis and health education. There were significant differences in environmental hygine (F=3.72, P=0.017), health care services(F=3.94, P=0.013) according to the size of the size of the industries The other's significancy is not shown by any type of industrial nurse. The level of health care services were higher in the wokers who had better health and showed no singificant differences(T=-0.73, P=0.470).

• 한국산업보건학회지
• /
• 제22권4호
• /
• pp.337-344
• /
• 2012

Objectives: This study was conducted to assess the trend of work-related accident rate in the past 10 years (2002~2011) in Gusan district, Ministry of Employment and Labor, Korea. Methods: To analyze the change of work-related accident rate in the past 10 years in Gunsan District, we analyzed the work-related accident and disease by the type of business, business scale and analyzing the victim's age and job period using workplace information management system(PKMS) in the Ministry of Employment and Labor. Results: The average rate of work-related accidents in Gunsan district was 0.96% in the past 10 years and it was a little higher than that of national average 0.75%. The rates of work-related accidents tended to decrease from 1.11% in 2002, to 1.09% in 2006, and to 0.79% in 2011. Mortality (per 10,000) rates also tended to decrease in the years 2002, 2006, and 2011 as 3.07, 2.46, and 1.53. By the type of business, the average rate of work-related accidents in the past 10 years was the highest in agriculture as 1.77%, followed by forestry farming at 1.76%. By the business scale, the average rate of work-related accidents was the highest in the group of under 5 employees as 2.05% and it was the lowest in the group of more than 300 employees as 0.50%. The ratio of work-related accidents in the 30's age group was decreased from 41.7% in 2002 to 25.2% in 2011 and the ratio for the 50's age group was increased from 28.6% in 2002 to 49.5% in 2011. Conclusions: Although the rate of work-related accident was decreased in the past 10 years, the polarization of work-related accidents rated by the business scale and age groups show a significant difference. So it is needed that the planning and implementing of work-related accidents prevention policies.

• 한국산업보건학회지
• /
• 제25권2호
• /
• pp.202-210
• /
• 2015

Objectives: The purpose of this study was to examine clean room(C/R) structure, air conditioning and contamination control systems and to provide basic information for identifying a correlation between the semiconductor work environment and workers' disease. Methods: This study was conducted at 200 mm and 300 mm semiconductor wafer fabrication facilities. The C/R structure and air conditioning method were investigated using basic engineering data from documentation for C/R construction. Furthermore, contamination parameters such as airborne particles, temperature, humidity, acids, ammonia, organic compounds, and vibration in the C/R were based on the International Technology Roadmap for Semiconductors(ITRS). The properties of contamination control systems and the current status of monitoring of various contaminants in the C/R were investigated. Results: 200 mm and 300 mm wafer fabrication facilities were divided into fab(C/R) and sub fab(Plenum), and fab, clean sub fab and facility sub fab, respectively. Fresh air(FA) is supplied in the plenum or clean sub fab by the outdoor air handling unit system which purifies outdoor air. FA supply or contaminated indoor air ventilation rates in the 200 mm and 300 mm wafer fabrication facilities are approximately 10-25%. Furthermore, semiconductor clean rooms strictly controlled airborne particles(${\leq}1,000{\sharp}/ft^3$), temperature($23{\pm}0.5^{\circ}C$), humidity($45{\pm}5%$), air velocity(0.4 m/s), air change(60-80 cycles/hr), vibration(${\leq}1cm/s^2$), and differential pressure(atmospheric pressure$+1.0-2.5mmH_2O$) through air handling and contamination control systems. In addition, acids, alkali and ozone are managed at less than internal criteria by chemical filters. Conclusions: Semiconductor clean rooms can be a pleasant environment for workers as well as semiconductor devices. However, based on the precautionary principle, it may be necessary to continuously improve semiconductor processes and the work environment.

• 한국식품위생안전성학회지
• /
• 제27권1호
• /
• pp.50-54
• /
• 2012

살모넬라와 부루셀라는 가축에 심각한 질병을 유발하며, 축산업과 식품산업에 많은 경제적 손실을 초래하고 있다. 본 연구에서는, 이산화염소와 베타인 염산염을 주성분으로 한 소독제 바이탈옥사이드의 $Salmonella$ $typhimurium$과 $Brucella$ $ovis$에 대한 효력시험을 수행하였다. 배지희석법을 이용한 살균효력시험은 $4^{\circ}C$에서 30분 동안 시험 세균을 희석 소독제에 노출시켜 소독제의 가장 효과적인 낮은 희석배수를 결정하는 시험이다. 바이탈옥사이드와 시험 세균들을 처리조건에 따라 증류수, 경수, 그리고 유기물 등으로 희석하여 반응을 시켰다. 유기물 조건에서, $Salmonella$ $typhimurium$과 $Brucella$ $ovis$에 대한 바이탈옥사이드의 살균력은 경수조건에서의 살균력과 비교하여 낮게 나타났는데, 이는 유기물들에 의한 소독제의 살균 유효성분에 대한 저해작용에 따른 것으로 생각된다. 바이탈옥사이드는 $Salmonella$ $typhimurium$과 $Brucella$ $ovis$와 같은 가축병원성 질병들에 대해 살균효과를 갖고 있기 때문에, 이 소독제는 세균성 질병의 확산을 제어하는데 이용될 수 있을 것으로 사료된다.