• 대한안전경영과학회지
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• 제4권2호
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• pp.57-70
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• 2002

Back pain is painful for people at a lower lumber(L4/L5 or L5/S1). It is experienced as a most frequent disaster 70％ of workers have suffered from back-pain. Especially, the occurrence rate of back pain for nurses is very high. Therefore, this study investigates female nurses who worked as a part of a medical cost management team, which mainly deal with the medical insurance in a general hospital at Seoul area. These nurses had different job tasks, which used computers for 50％ of their time, so it can be treated as VDT workers. As a first step of this project, a muscle fatigue was measured for these special VDT workers. First, survey for nurses was conducted to figure out what is a real problem of them. Second, to evaluate an experimental data, a medical cost management team was chosen for subjects. Areas of measurement were 3 places that were the trapezius (TR), the medial deltoid (MD), and the erector spine muscle (ES: L4/L5). These areas are most frequently used, so they were chosen for this study. Measurements were taken before work and after work. From these measurements, it was revealed that a fatigue really comes from their main VDT task excluding natural fatigue after work, so their work environment need to be corrected.

• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.1.1-1.11
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• 2023

Background: Although it is well known that the usage of visual display terminal (VDT) at the workplace causes computer vision syndrome (CVS), previous studies mainly focused on computer use and the health of white-collar workers. In this study, we explored the relationship between the usage of VDT including various devices, and symptoms related to CVS in a large population including pink-collar workers and blue-collar workers. Methods: 21,304 wage workers over the age of 20 years were analyzed from the 6th Korean Working Conditions Survey. To investigate the association between VDT use at work and symptoms related to CVS among wage workers, odds ratios (ORs) and 95% confidence interval (CI) were calculated by multivariate logistic regression models. Results: In the group with the highest VDT usage at work, the OR of headache/eyestrain was 2.16 (95% CI: 1.86-2.52). The OR of suspected CVS patients was significantly increased in the highest group of usage of VDT at work (OR: 1.69; 95% CI, 1.39-2.06). Compare with the reference group, the OR for headache/eyestrain in the highest group of VDT usage was 2.81 (95% CI: 2.13-3.70) in white-collar workers, 1.78 (95% CI: 1.32-2.40) in pink-collar workers, and 1.59 (95% CI: 1.18-2.15) in blue-collar workers. Conclusions: We observed a relationship in which the use of VDT in the workplace increases the risk of headache/eyestrain regardless of occupational classification. Our findings emphasize the importance of paying attention to the health of VDT workers and making plans to improve their working conditions.

• Journal of Acupuncture Research
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• 제18권2호
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• pp.37-50
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• 2001

Objects : This study is to be applied effectively to the acupuncture treatment for VDT syndrome. Methods : I referred to occidental and oriental medical records. Results and Conclusion : VDT syndrom is the concept focalizing work environment and labor load, and named all that symptoms according to excessive VDT works. The disorders of VDT syndrome is divided into 2 groups with muscaloskeletal disorders and non-musculoskeletal disorders, and non-musculoskeletal disorders is secondly divided into 3 groups with visual disorders, stress disorders and others. The risk factor of VDT syndrome is divided 4 groups with repetitive acts, consistent works, uncomfortable work postures, unprofitable light environments, jobs needs for excessive power and mental or physical fatigues. In oriental medicine area, I apply VDT syndrome to Kyunbitong(jianbeitong, 肩臂痛) to base on similarities of the risk factors and disorders between VDT syndrome and Kyunbitong(jianbeitong, 肩臂痛), that is painful illness on shoulders, arms, hands and fingers. And, Kyunbitong(jianbeitong, 肩臂痛) is divided 3 groups into Susamuhm(shousanyin, 手三陰), Susamyang(shousanyang, 手三陽) and Joktaeyang(zutaiyang, 足太陽) on the ground of meridian. Disorders related to Kyunbitong(jianbeitong, 肩臂痛) is grounded on kyungmaek(Jingmai, 經脈) disorder called sidongbyung(shidongbing, 是動病) and sosaengbyung(suoshengbing, 所生病) and Kyungkeun(Jingjin,經筋) disorder related to Kyunbitong(jianbeitong, 肩臂痛). As a result of this study, there is many similarities between VDT syndrome and Kyunbitong (jianbeitong, 肩臂痛). On acupuncture treatment, VDT syndrome can be applied to Kyunbitong(jianbeitong, 肩臂痛)'s on the basis of meridians, because of similarities of risk factors and disorders between VDT syndrome and Kyunbitong(jienbeitong, 肩臂痛).

• 핵의학기술
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• 제14권1호
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• pp.61-66
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• 2010

VDT는 Video Display Terminals의 약어로 시각 표시 단말기를 뜻한다. 최근 핵의학과에 VDT가 대량 보급되면서 점차적으로 사용자들이 늘어남과 동시에 사용 기간이 급증함에 따라 VDT 증후군에 관심이 높아지고 있다. 본 연구는 서울대학교병원 핵의학과를 대상으로 VDT 유해 요인 평가 도구를 적용하여 그 실태를 조사하고 문제점을 발견하여 향후 개선에 관한 방안을 도출함으로써 VDT 증후군에 관한 의식을 정립하고 궁극적으로 예방하는 데 목적이 있다. 서울대학교병원 핵의학과를 본원 핵의학과, 소아 핵의학과, PET 센터의 3개 파트로 분류하고, 2009년 4월 한 달 동안 현재 근무 중인 방사선사 23명을 대상으로 근무 부서를 직접 방문하여 유해 요인을 평가하였다. 평가에 사용한 도구는 원진 노동환경건강연구소의 "VDT작업에 관한 체크리스트"를 적용하였고 VDT 작업 조건, 업무 책상의 조건, 의자의 조건, 키보드의 조건, 모니터의 조건, 작업 자세, 보건 관리 특성, 기타 작업 환경의 8개 부문, 총 55개 항목을 통하여 현장 조사 및 평가하였으며 이에 대한 분석 결과는 한림대학교 성심병원 산업의학과에서 검증하였다. 서울대학교병원 핵의학과의 VDT 작업 조건은 비교적 양호한 수준이었다. 책상의 경우 최근 도입한 경우에는 인체공학적 설계로 사용자에게 적합하였으나 기존 책상의 15%는 기준치에 미달하였다. 의자의 경우는 기준에 적합하였지만 노후화로 인하여 적정 기능을 상실한 것이 5%였다. 키보드는 98%가 기준에 적합하였고 모니터는 화면의 각도 조절은 모두 가능하였지만 위치 조절이 불가능한 것이 38%로 조사되었다. 작업 자세의 경우 부적절한 자세로 장시간 노출되는 경우가 10%였으며 일부 항목에서 기준에 적합하지 않은 것으로 조사되었다. 보건 관리 측면에서도 개선의 여지가 있는 것으로 나타났다. 또한 조명과 온도, 소음, 환기 등 기타 작업 환경은 일부 항목에서 문제점이 발견되었지만 권고치를 충족하였다. 핵의학과 업무는 과거에 비하여 육체적인 업무는 줄었으나, 장시간 정적인 자세로 고도의 정밀도와 집중력을 요구하게 되었으며 이는 필연적으로 VDT 증후군을 유발하는 계기가 되었다. VDT 증후군은 앞으로도 지속적으로 발생할 가능성이 높으며 개선에 대한 경제적 비용이 상당하다는 점과 다양한 발병 요인을 내재하며 본인도 모르는 사이에 발생한다는 점에서 보다 구체적이며 효율적인 관리 체계가 필요할 것으로 판단된다. 핵의학과의 VDT 증후군은 인체공학적 사무 환경의 개선, 업무 절차(procedure)의 개선과 업무의 효율화, 직원간의 협동작업(teamwork) 그리고 규칙적인 운동, 꾸준한 스트레칭 체조와 같은 사용자 스스로의 노력, 지속적인 관심과 작은 노력으로 충분히 개선될 수 있으며 적극적으로 예방할 수 있을 것으로 사료된다. 이것은 쾌적한 업무 환경속에서 사용자의 육체적, 정신적 상태를 최상으로 이끌고 업무 효율성의 증대와 함께 내부 고객 만족도 상승으로 이어질수 있을 것으로 판단된다.

• Journal of Preventive Medicine and Public Health
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• 제38권1호
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• pp.45-52
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• 2005

Objectives : To investigate the fatigue subjective symptoms and VDT related risk factors in bank workers. Methods : A total of 2178 workers (62.8% male, 37.2% female) were surveyed with a self-administered and structured questionnaire consisting of 30 fatigue symptoms and other VDT related factors regarding work characteristics, work postures, work environments, personal medical histories, etc. Fatigue subjective symptoms were divided into 3 groups of 10 questions each: a dull, drowsy and exhausted feeling (Group I), a mental decline of working motivation (Group II), or a feeling of incongruity in the body and dysfunction of autonomic nervous system (Group III). Each question was weighted as 0 for 'none', 1 for 'sometimes', and 2 for 'always'. Results : Mean age was $35.8{\pm}7.2$ years ($38.9{\pm}6.0$ in males, $30.6{\pm}5.8$ in females), Mean work duration was $7.7{\pm}7.1$ years ($8.4{\pm}7.4$ in males, $6.5{\pm}6.4$ in females). Mean symptom score in males was $11.0{\pm}8.1$ ($4.9{\pm}3.1$ in Group I, $3.0{\pm}3.1$ in Group II, $3.1{\pm}2.8$ in Group III) and in females was $17.5{\pm}9.5$ ($7.0{\pm}3.8$ in Group I, $4.6{\pm}3.5$ in Group II, $5.9{\pm}3.4$ in Group III). Mean scores were higher in the order of Group I>III>II. Females had significantly higher scores than males in all three groups (p<0.001). Most common symptoms complained of as 'always' or 'sometimes' were feel strained in the eyes' (85.4%) among Group I, 'find difficulty in thinking'(54.2%) among Group II, and 'feel stiff in the shoulders (72.3%) among Group III. In multiple regression analysis, female, non-straight spine at workstation, more VDT work hours, history of physical therapy, glare of screen, overtime work, young age, and non-horizontal elbow position were significantly related with high score of symptoms. Conclusions : More supportive VDT work environment and education for correct work postures for VDT workers are recommended.

• 대한산업공학회지
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• 제16권1호
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• pp.67-81
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• 1990

Effectiveness of physical exercise in reducing work-related musculoskeletal stress was investigated. This was compared to the stress alleviation accomplished by using ergonomically designed work station. Tasks chosen for the study were data entry and file maintenance on the video display terminal (VDT). Three different measures, namely root-mean-square (RMS) values of electromyogram (EMG), subjective rating and task performance were used for the evaluation. Electromyograms were recorded from the neck, the left and right trapezius muscles in the shoulder region, and L2/L3 region of the back. Subjects rated discomfort levels for the same parts of their body. Task performance was measured by recording typing speed and errors. Each of the five subjects was tested for two days (8 hours/day) in two different work stations. These were the ergonomically designed adjustable work station and the fixed work station of traditional design with no adjustable features. Assigned physical exercises were performed for four minutes, every two hours during the breaks, by the subjects while working in the fixed work station. It was concluded that the physical exercise could be helpful in reducing musculoskeletal stress as effectively as the ergonomic design of the VDT work station.

• 한국안광학회지
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• 제17권4호
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• pp.395-401
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• 2012

목적: 발효자색고구마와 블루베리(blueberry)에서 추출한 안토시아닌의 시력보호 및 VDT 증후군 개선효과를 알아보고자 연구하였다. 방법: 실험은 안과질환 및 전신질환이 없고, 굴절이상이 -4.00 D 이상인 19~21세 남 여 20명을 대상으로 실시하였다. 40 mg의 발효자색고구마 및 블루베리 추출 안토시아닌과 대조군으로 위약을 각각 복용, 2시간 후에 근업(VDT)을 2시간 동안 실시하였다. 시력검사는 안토시아닌을 복용하기 전과 2시간 근업 후 각각 타각적 굴절검사 방법으로 측정하였다. 근업 2시간 후 VDT 증후군으로 두통, 안통 및 안정피로, 목, 어깨, 허리 등의 자각증상의 정도를 심함, 보통, 약간, 없음 등으로 구분하여 문진하였다. 결과: 2시간동안 VDT 작업 후 시력보호 효과는 우위안에 대한 굴절 값은 발효 자색고구마 추출 안토시아닌에서는 $0.031{\pm}0.21$ D, 블루베리 추출 안토시아닌에서는 $0.006{\pm}0.32$ D 만큼 근시도가 감소하였고, 위약에서는 $0.144{\pm}0.28$ D(t=2.27, p=0.03) 만큼 유의하게 근시도가 증가하였다. 결론: 발효자색고구마 추출 안토시아닌이 근업 후 굴절이상 값의 증가를 억제하고, 비우위안보다 우위 안에서 시력을 보호하는 것으로 생각된다.

• 한국경영과학회:학술대회논문집
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• 대한산업공학회/한국경영과학회 2000년도 춘계공동학술대회 논문집
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• pp.577-580
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• 2000

종합병원에서는 많은 환자들의 데이터를 효과적으로 관리하기 위해 각종 자료를 전 산화하고 있으며, 그곳에서 근무하는 간호사들은 VDT (Visual Display Terminal) 앞에서 작업시간의 대부분을 보내야만 한다. 간호사들의 요통 유병률이 타 직종에 비해 높은 편이며, 업무와 관련해서 경험한 요통이 간과되는 경향이 있고, 사고보고를 하지 않는 경우가 많아서 실제의 요통 발생률은 보고된 것보다 더 높을 수 있다［1］는 연구결과가 발표된 바 있으며, 이러한 이유에는 여러 원인이 있겠으나, 그 중에서 특히 VDT작업을 하는 간호사들과 작업환경과의 관계를 규명해 보고자 서울 지역의 일부 종합병원 VDT(Visual Display Terminal) 작업 간호사들을 대상으로 실태조사를 하였다. 본 연구의 목적은 VDT 작업 간호사들의 설문지 응답과 직무분석 그리고 작업자세와 작업환경조건 등을 고려하여 VDT증후군에 대한 위험요인을 파악하고, VDT 관련 직업병 예방대책을 마련하고자 하였다. 설문지 분석결과 종합병원 간호사들의 근무환경 및 업무활동과 통증발생 결과간에 관련성이 있음을 알 수 있었다. RULA 프로그램 분석결과인 Level 5가 나왔으며, 이는 3단계 위험수준을 가리키는 것으로 곧 작업환경을 바꾸어야 하는 것으로 나타났다.

• 한국산업보건학회지
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• 제8권1호
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• pp.146-154
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• 1998

This study was designed to investigate the workers' exposure level to electromagnetic field(EMF) in accordance with the VDT arrangement in the work place and distance from VDT. Author compared the exposure strength of EMF in line group(workers exposed to EMF from both front and back side) and in shielding group(workers exposed to EMF exclusively from front side). The levels of EMF at 30cm and 50cm from front side and at 30cm from back side of VDT were also measured. The result were as follows: 1. Mean distance between a monitor and a worker in shielding group ($47.7{\pm}8.7cm$) significantly longer than that in line group($44.3{\pm}7.2cm$). Strength of EMF in shielding group [$1.3{\pm}0.7V/m$ (electric field) and $18.2{\pm}11.5mA/m$ (magnetic field) were lower than in line group [$1.4{\pm}0.6V/m$ and $26.6{\pm}11.6mA/m$, respectively] at the workers' position. 2. The strength of EMF was decreased with the distance from VDT. The strength at 70cm from VDT was nearly the same as the background strength in the ordinary office rooms. 3. Working distance from 9 inch monitor was significantly shorter than that from 14 inch and wider sized monitors. 4. The strength of EMF in extremely low frequency spectrum of color monitors was higher then that of black and white monitor. 5. Metal coated filters significantly decreased the electric field strength of EMF when earth line was connected. Metallic shield was effectively decreased the EMF strength from VDT, but wooden shield was not. From the above results, line type arrangement of VDT in the work place using metallic shield at the back side of VDT, and metal coated filter to monitor with application of earth line were recommended. It is also recommended to maintain workers position to be 60cm or more distance from monitor and 140cm or more between VDTs for minimizing workers' exposure to EMF.

• 대한인간공학회지
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• 제26권4호
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• pp.41-47
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• 2007

This paper suggested the best work conditions including short break time and the number of mouse clicks on the computer work for the prevention of MSDs on VDT work. Fatigue measures included EMG based parameters. The short break time conditions are grouped into 7, 15, and 30 seconds after every work for 10 min and the number of mouse clicks are divided into 10, 20, and 30 clicks/min. The result of the ANOVA of the shift value of %MVC(Maximum Voluntary Contraction) showed the following: 1) There was a considerable difference as regards to the break time except the number of mouse clicks on the upper trapezius muscle(p$<$0.05). The best conditions were shown in 15 sec after every 10 min and 30 clicks/min. 2) There were considerable differences as regards to the number of mouse clicks except the break time on the extensor digitorum muscle and extensor carpi ulnaris muscle(p$<$0.05). The best conditions were shown in 7 sec after every 10min and 10 clicks/min.