• 디지털융복합연구
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• 제13권7호
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• pp.293-304
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• 2015

본 연구에서는 국내 임상재활 현장에서 적용된 컴퓨터 기반 가상현실 프로그램의 효과를 알아보기 위하여 ICF 분류 기준을 근거하여 메타분석을 실시하였다. 국내 논문 데이터베이스에서 1995년~2014년까지 게재된 연구들 중 15편을 선정하였다. 연구의 질적 평가는 PEDro score를 사용하였고 대상 논문들의 표본수와 사전-사후 평균, 표준편차를 사용하여 메타분석을 실시하였다. 연구결과 선정된 연구는 PEDro score 6점 이상이었고 연구 대상자는 338명이었다. 효과크기 분석 결과 분석대상의 통합된 효과크기는 1.030, ICF 분류의 활동과 참여 1.120, 감각기능 1.199로 큰 효과크기를 보였고 정신기능의 효과크기는 0.557로 중간효과크기를 나타내었다. 본 연구의 결과로 임상재활 현장에서 가상현실 프로그램이 전통적인 재활 치료에 대한 대체 또는 보조적 치료 프로그램으로서의 효과가 입증되었다. 특히 ICF 분류의 활동과 참여, 신체기능의 감각기능에 대한 효과가 입증되었고 신체기능의 정신기능에 대한 효과는 통계적 근거가 미흡하였다.

• 대한통합의학회지
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• 제9권4호
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• pp.1-9
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• 2021

Purpose : The purpose of this study was to investigate functional disability for the elderly in rural Korea and to identify influencing factors of functional disability. Methods : The data were collected for 76 community-dwelling elderly in rural area and above 65 years. We assessed cognitive function, functional disability, depression using LACLS, WHODAS 2.0, SGDS-K. Data were analyzed using descriptive statistics for general characteristics of subjects, Spearman's correlation among LACLS, SGDS-K, WHODAS 2.0, age, educational levels. And multiple regression was used to find influencing factors of functional disability. Results : As a result of this study, we identified that WHODAS 2.0 total score was 50.59, summary score was 9.94 and functional disability of the elderly in rural area is in the 70^th percentile. The highest level of disability occurred in areas related to 'life activities (household)', 'participation in society' and the lowest level of disability occured in areas of 'self-care', 'getting along with people'. Functional disability was significantly correlated with age (r=.398), cognitive function (r=-.547), depression (r=-.563) but not educational levels (r=-.215). Finally, we confirmed that depression (𝛽=.371), cognitive function (𝛽=-.263), widowed status (𝛽=.303), age (𝛽=.272), non-participation of community program (𝛽=.165) was significantly influencing factors of functional disability and the explanatory power of these factors was 52.80 %. Conclusion : This study revealed important factors of functional disability. Therefore, we need to consider these factors when we developed program related to health for the elderly (aged > 65 years) in rural Korea. Further, we need to standardize WHODAS 2.0 in order to enhance its applicability in clinical practices.

• 한국산업보건학회지
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• 제31권4호
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• pp.304-316
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• 2021

Objectives: By comparing and analyzing the legal system for risk assessment in South Korea with other advanced countries, the study is designed to identify the key elements of risk assessment and seek improvement measures while focusing on solutions to the execution of risk assessment violations. Methods: The study started with an awareness of the need to improve the legislation on the risk assessment of businesses in Korea. In order to reflect this problem consciousness in Korea's industrial safety and health legislation, risk assessment legislation in Japan, Britain, Germany, and Korea was analyzed in comparative terms through the literature. Results: Unlike the other advanced countries, the concept of risk assessment is defined in Korea in a broad sense that includes measures to reduce risk, and risk assessment in the manufacturing and design stages is not institutionalized. In the case of worker participation, there is a problem regarding effectiveness. It is problematic that compared to the other foreign countries there is a possibility that general risk assessment will be neutralized because it is recognized as a uniform general risk assessment for a particular risk assessment, as well as inadequate risk assessment. Conclusions: The areas diagnosed with problems compared to the legislation in other advanced countries should be improved by revising laws and administrative rules and supplementing the explanatory guidelines, etc. by referring to the legislation of these countries. In particular, the issue of enforcement for violations of risk assessment must be improved in order to ensure the effectiveness of risk assessment.

• 한국산업보건학회지
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• 제31권4호
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• pp.353-366
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• 2021

Objectives: An appropriate level of cost support is being proposed to maximize the participation rate. In addition, as the amount of support is highly concentrated at the level of the limit under the current level of supports, the level of cost support is low when the actual level of cost of measuring the working environment exceeds the limit. This paper describes the adjustment of an appropriate cost support rate. Methods: First, this paper analyzes the current cost support status using data from the KOSHA. Second, an alternative for adjusting the cost support rate is presented in consideration of the incentive aspect. Third, we present simulation results for the average cost support rate, the impact of each alternative on finance, and more. Fourth, the most desirable adjustment method is presented after comparing and analyzing the results of various alternatives. Results: In this paper, we present a new scale model. This model is a mixture of flat-rate, fixed rate, and subside cap. It is expected that the new model will not only facilitate participation in businesses with low measurement costs, but also have the effect of controlling measurement costs for institutions that incur greater costs. It is also expected that setting a cap will have the effect of considering government finances and inducing excessively costly institutions to reduce costs. Thus, the new model is likely to be superior to others. If the fourth plan is applied to new businesses and the fifth plan is applied to sustainable businesses, the average cost support rates will be 87.68 percent and 65.18 percent, respectively, and the needed finances will be 2.5 billion won, 18.8 billion won, and 21.3 billion won in total. Conclusions: It seems most desirable to introduce a new model that combines flat-rate, fixed-rate, and subsidy cap systems and achieve an appropriate cost support rate through this model.

• 한국직업건강간호학회지
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• 제7권1호
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• pp.33-46
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• 1998

Introduction : In Korea, national attention to the workplace health promotion programs (HPP) for employees began in early 1990s. Governmental supports for the HPP and education programs have given to the employees. The purpose of this study is to find the performance degree of employees' health promoting lifestyle(HPL). Subjects and Methods : For this study, 615 employees who attended governmental educations were selected as research samples. The tool for measuring HPL used in this study was developed for Korean by In-Sook Park in 1995. It is composed of 4-point scaled 60 items and divided into 11 subcategories. The data were collected by self reporting questionnaires from June to December in 1997. Those data were analyzed percentile, mean, standard deviation, ANOVA, t-test with SAS program. Major findings are as follows; 1. The total mean score of the employees' HPL performance was 2.66. The average scores of 'harmonious relationships' category were the highest as 3.11, whereas the one of 'professional health maintenance' were the lowest as 2.02. The remains were 'sanitary life'(2.90), 'emotional support(2.85), 'regular diet'(2.84), 'self achievement'(2.78), 'healthy diet'(2.56), 'rest and sleep'(2.56), 'exercise and activity'(2.54), 'diet control'(2.53), 'self-control'(2.52). 2. The factors affecting HLP were category of industries and sex, age, marital status, education level, major, educational experience of health promotion, among personal characteristics. The employees of service industries, female, older age, married, nurse, educated for health promotion, graduated from junior college performed HLP more than the others. 3. The participation rates of employees for HPP were 12.4%, because of limited time and facilities and equipments. Recommendations; 1. The regulation for performing the health promotion programs in the industries is essential for activating industrial health promoting movement. 2. More governmental supports for educations and services for health promotion programs in the industries are needed. 3. For behavioral changes of the employees, the contents of educations have to consist of exercise and activity, rest and sleep, diet and smoking habits. 4. The evaluating studies for ready made health promotion programs in the industries are expected.

• 대한감각통합치료학회지
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• 제15권1호
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• pp.1-9
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• 2017

목적 : 본 문헌은 대한감각통합치료학회가 창립 20주년을 맞이하여 개최한 감각통합과 놀이를 연결하는 PLAY inSIde 캠프에 대한 보고이다. 본론 : 캠프의 주요 프로그램은 만 5~6세 발달장애아동을 대상으로 감각통합에 근거를 둔 그룹 활동으로 구성되었다. 캠프는 오프닝 전체 활동 프로그램, 조별 활동 프로그램, 조별 포스트 활동 프로그램, 클로징 전체 활동 프로그램으로 진행되었고, 아동들이 놀이 활동에 참여하는 동안 부모들은 감각통합 부모교육에 참여하였다. 캠프에 참여한 치료사들은 사전 모임과 리허설 시간을 가지며 활동을 계획 및 진행하였고 이 과정에서 치료사들 간의 토의와 서포터의 지원이 있었다. 캠프 후 설문과 토의를 진행 결과, 치료사와 보호자는 캠프 참여에 만족하였고 공동작업을 의미 있게 경험하였다. 결론 : 캠프를 통해 아동들은 다른 아동들과 함께 놀이 활동을 경험하고, 치료사는 다른 치료사들과 전문성을 나누며 교류하고, 학회는 그간 축적된 자원들을 사회에 기여하였다. PLAY inSIde가 초석이 되어 향후 감각통합에 근거를 둔 사회 참여 활동들이 활발해지기를 기대해 본다.

• 한국인구학
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• 제29권3호
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• pp.1-27
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• 2006

본 연구는 이공계 전공자들의 노동시장 성과, 특히 사회적 위신이 타 전공자들에 비해 낮다는 논의에 대한 경험적 검증이다. 대학졸업자의 전공계열에 따라 고용 확률, 고위직, '좋은 직업' 획득 확률에 차이가 있는지를 2000년 인구주택총조사의 2% 표본을 이용하여 분석하였다. 표본 선택편향을 수정한 2단계 프로빗 모형 분석 결과, 이학계와 공학계열 전공자가 인문사회계열 전공자에 비해 고용, 고위직, '좋은 직업' 획득 확률이 유의하게 낮다는 증거는 발견되지 않았다. 하지만 공학계 전공자의 경우 노동생애 초기에는 인문사회계 전공자에 비해 유의하게 높은 '좋은 직업' 획득 확률을 가지지만 연령 증가와 더불어 이러한 이점이 빠르게 사라져 40대 이후로는 인문사회계보다 '좋은 직업' 획득 확률이 낮다. 이는 공학계에서는 현장 경험에 의한 인적 자본의 축적률이 낮고, 대학에서 습득한 기술이 급격히 노화되기 때문일 가능성을 시사한다.

• 한국환경보건학회지
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• 제37권3호
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• pp.226-233
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• 2011

Exactly 25 years after the Chernobyl nuclear disaster, 11th of March 2011 the Fukushima nuclear accident occurred in Japan and was ranked at level 7 same to the Chernobyl. A Korean and Japanese joint civil survey was conducted around Fukushima on April 13-17. The radiation survey data clearly shows a large hotspot area between 20 km and 50 km radius north and west direction from the accident reactors, with the highest radiation recorded being 55.64 ${\mu}Sv/hr$ in the air, 99.89 ${\mu}Sv/hr$ in the surface air, and 36.16 ${\mu}Sv/hr$ in a car, respectively. 3.65 ${\mu}Sv/hr$ in the air and 6.89 ${\mu}Sv/hr$ in the surface air were detected at the playground of an elementary school in Fukushima City. Spring came with full cherry blossoms in Fukushima, but it was silent spring of radiation contamination. Interviews with Fukushima nuclear refugees reveal serious problems about Japanese nuclear safety systems, such as there was no practical evacuation drill within 1-10 km and no plan at all for 10-30 km areas. Several reforms items for Korean nuclear safety system can be suggested: minimization of accident damage, clear separation of regulatory and safety bureaus with a new and independent administrating agency, community participation and agreement regarding the safety system and levels, which is the major concern of 80% Korean. To tackle threats of nuclear disaster in neighboring nations like China, a new position entitled 'Ambassador for nuclear safety diplomacy' is highly necessary. The nuclear safety of Korea should no longer be the monopoly of those nuclear engineers and limited technocrats criticized as a 'nuclear mafia'.

• 한국산업보건학회지
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• 제31권3호
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• pp.266-273
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• 2021

Objective: The objective of this study was to suggest improvement methods for investigations and systems through a review of musculoskeletal risk factor investigation reports conducted in the workplace. Methods: A total of 34 reports on musculoskeletal risk factor investigations were reviewed. To confirm the appropriateness of the evaluation, reevaluation was conducted through a field investigation using other evaluation tools. In order to understand the effectiveness of the improvement plan, a survey was conducted with those in charge of tasks with ergonomic burdens. Results: As a result of performing a field survey using the work sampling method recommended by the KOSHA (Korea Occupational Safety and Health Agency) for ten tasks, eight tasks were determined to pose an ergonomic burden. When 30 tasks were evaluated with RULA (rapid entire body assessment), 90% of them were evaluated at a higher level than the results of the workplace survey. Among the improvement measures, only 36% of the field workers affirmed them, and in only 19% of the workplaces were actual improvements made. Conclusions: In order to improve the ergonomic investigation system for risk factors in the ergonomic burden task, it is necessary to secure the objectivity of the evaluation performed by the institution and enable the active participation of workers in improvement activities.

• 한국환경보건학회지
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• 제48권5호
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• pp.255-265
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• 2022

Background: Research in environmental health (EH) is of crucial strategic importance for contemporary society. It is becoming even more critical in light of the increasingly rapid pace of environmental changes, opportunities, and threats. Objectives: This study aimed to identify trends and the prospective of environmental health research using SWOT analysis. Methods: The trends in environmental health research were reviewed in previous studies and reports. Reviewed manuscripts were searched for using the keywords of 'environmental health' and 'environmental hygiene' in the KCI (Korean Journal of Citation Index), KISS (Korean Academic Information), PubMed, and Google Scholar. Results: It is essential to center the EH research agenda around key priorities focusing on technological innovation, job creation, and the increasingly prominent role of the private sector. Given the rapidly evolving global sustainability agenda, greater clarity on the ever-increasing sources of complexity and growing expectations of the public might be needed. This requires the identification of criteria to identify EH research priorities with the ultimate goal of maximizing societal benefit. Public health relevance, such as extent and severity of health impact, level of exposure, and inequalities of effects, could be included. Conclusions: Considering the recent interest in and importance of environmental health, a comprehensive approach to environmental health research should be required through the application of the latest science and technology, citizen participation, and environmental health surveillance systems.