• 제목/요약/키워드: Washing hands

검색결과 137건 처리시간 0.034초

지속적 외래 복막투석(CAPD) 환자의 CAPD 관리실태와 감염발생빈도 (CAPD Management and CAPD Related Infection in CAPD Patients)

  • 박옥순;나경희;허경숙;박선남
    • Journal of Korean Biological Nursing Science
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    • 제6권2호
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    • pp.43-55
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    • 2004
  • Purpose : This study was conducted to identify the peritonitis occurence of CAPD, by which a basis for efficient patient management could be provided. Method: Data were collected by questionnaires and hospital record from 55 people who underwent or were going through CAPD from January 1998 to April 2004 in a university subsidiary hospital kidney department. Result: 1) There were many elderly people of 61 years or above taking up 50.9%, 75% had low levels of education with middle school graduation or less, and the cases where separate individual rooms enabling the exchange of CAPD were not possessed was shown to be 61.8%. 2) With the management feature of CAPD, those who bathed once or less per 7 days made up 60.0%, and 60% washed their hands well before exchanging solutions which meant that 40% did not wash well or just washed moderately, and in terms of CAPD education, the proportion of those receiving education both before and after dialysis was 29.1%. also, with nutrition conditions, cases where the level of serum albumin was lower than 3.0 made up 38.2%, and those who were conducting self CAPD management was 65.5%, and cases where the management was done by the spouse or family members was revealed to be 34.5%. 3) There were Peritonitis occurrences in 40% of cases, and the number of Peritonitis occurrences within the period was 36, with an occurrence rate of $0.65{\pm}0.99$. Also, 66.7% of the causing bacteria were no growth, Gram positive bacteria made up 27.8%, and Gram negative bacteria consisted of 5.5%. 4) No significant difference was found peritionitis occurrence according to general and management characteristics. Lower peritionitis occurrence were shown with those who had spouses or family members conducting CAPD management as opposed to self-managing patients(p=0.037). Conclusion: Elderly patients there needs to be the participation of family or other support resources rather than subjecting them to self-management of solution exchange and entry/exit. Also, The high occurrence rate from Gram positive bacteria is shown so the importance of CAPD management education including bathing and hand washing needs to be emphasized.

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Analysis of influential factors on respiratory symptoms of nail shop workers

  • Kim, Jung-ae;Kim, Su-min
    • International Journal of Advanced Culture Technology
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    • 제5권3호
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    • pp.24-34
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    • 2017
  • Nail art is a kind of nail painting or decoration that adds to the beauty. Throughout making nail art, the worker was on a dusty operation with the smoothing of chemicals and nails. People working at nail shops not only use a variety of chemicals, but also experience a lot of fine powder during the process of nail trimmings. While drying the chemical adhesive, the workers often complain of eye, nose and throat discomfort. In addition, the acrylic brush is characterized by a lot of smell when washed with washing solution. Also nail art workers directly influence the worker's breathing through the work done by placing the guest's hands in a work space called a nail table. Chemical ingredients used in nail art procedures include acetone, ethyl acetic acid, toluene, butyl acetic acid, glue, and top coating of nail varnishes. Prolonged inhalation of these substances may cause dizziness, vomiting, as well as impaired respiratory system. The purpose of this study is to investigate the respiratory symptoms of nail shop workers who are likely to be affected by work in nail shop and to find out which factors have the greatest influence if they have respiratory symptoms. Therefore this study is to provide basic data on the health management system of people engaged in nail shop and to develop health education program. For this study, the data collection was collected on July 7, 2017 for the nail shop workers attending the nail art trend seminar held in Gwangju, in Korea. The data were all 236. However, except for the poor data, 208 data were used for the final analysis. The questionnaire consisted of 30 in general questions, questions about self-efficacy in 24 questions. elf-efficacy measuring tool developed by A.Y, Kim, I. Y, Park(2001). The self-efficacy questionnaire consists of 24 items and is self-reported 7-point Likert scale. The reliability of this tool was cronbach alpha = .934.The collected data were analyzed using spss 18.0. Information of Research participant performed frequency analysis. To examine the effects of personal characteristics on self-efficacy, $X^2$ analysis was conducted. And also $X^2$ analysis was conducted to analyze the coughing symptom appearance according to individual and environmental factors. A hierarchical regression analysis was used to determine which of the personal and environmental factors influenced cough symptoms.

미래 집단급식 식중독 발생 양상 예측 (Outbreak Pattern Forecasting of Food-borne Disease in Group Food Services in Korea)

  • 조서희;김초일;하상도
    • 한국식품위생안전성학회지
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    • 제24권1호
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    • pp.19-26
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    • 2009
  • 본 연구는 집단급식 안전성 확보 및 식중독 방지를 위해 단체급식 안전성에 관하여 전문가를 대상으로 국내 집단급식 식중독 원인을 조사하고, 미래 집단급식 식중독 발생을 예측하였다. 델파이 설문 결과 국내 집단급식 식중독 원인은 '식재료 위생관리 미흡', '손세척', '구역구분', '유통업체 보관' 등이 가장 크게 영향을 주는 것으로 나타났다. 미래 집단급식 식중독 발생 예측 조사 결과 Vibrio parahaemolyticus, Escherichia coli(EPEC), non-typhoid Salmonella serotypes, Staphylococcus aureus, Escherichia coli(ETEC), Norovirus, hepatitis A virus가 지속적으로 식중독을 발생시킬 것으로 예측하였으며, 집단급식에서 식중독 유발 가능성이 높은 식재료로는 영유아(1-6세), 초등학생(7-12세), 중 고등학생(13-19세)의 식재료 섭취량과 식중독 유발 가능성을 고려해 볼 때 '과일류', '우유', '생선류', '돼지고기', '계란', '쇠고기'였으며, 식단 메뉴로는 '비빔밥', '콩나물무침', '시금치나물', '오이생채', '잡채', '돼지불고기'가 위해도가 높을 것으로 예측되었다. 집단급식소에서 사용빈도가 높을 것으로 예측된 가공식품은 '냉동, 냉장보관식품' 이었으며, 살균방법은 '가열처리', '화학적 살균소독제'로 나타났다. 저장법은 '냉장($10^{\circ}C$ 이하)', '냉동($-20^{\circ}C$ 이하)'법이, 배식형태는 '집단급식소에서 직접 배식' 형태가 집단급식소에서 향후 사용빈도가 높을 것으로 예측되었다. 본 설문조사 결과는 집단급식 전 과정의 체계적인 위생관리시스템의 도입과 식중독예방 식단 구성을 위한 기초자료로 활용될 것으로 사료된다.

대학생(大學生)들의 보건실태( 保健實態)에 관한 조사 연구 (Attitude and Practice Survey on Health Care Among University Students)

  • 이주열
    • 한국학교보건학회지
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    • 제6권1호
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    • pp.69-77
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    • 1993
  • The purpose of this study is to obtain some basic data necessary for more effective health education by questionnaire survey on the knowledge, attitude and preventive health behavior. The questionnaire forms were delivered to 500 university students in seoul during periods from 24 to 28, september, from 7 to 19, October, 1991. The result of this study can be summarized as follows: 1) Washing hands after using toilet has relationship to sex (fece: $X^2=51.55$, urine: $X^2=36.25$, p<0.05). Index of female was higher than that of male. 2) Tooth brushing has relationship to sex ($X^2=13.28$, p<0.05). The tendency of practice of male and female was similar. 3) Changing of underwear 1~3 days were the highest and it has relationship to sex ($X^2=162.846$, p<0.05), birth place ($X^2=97.18$, p<0.05). Index of female was higher than that of male. 4) Bathing has relationship to sex ($X^2=80.92$, p<0.05). birth place ($X^2=54.18$, p<0.05, pocket money ($X^2=33.04$, p<0.05). 5) The attitude on occurrence of epidemic disease has relationship to sex ($X^2=70.33$, p<0.05). A female was more senstive than male. 6) In case of slight disease, a cold, illness from fatigue, the utilization of drug store was higher. The utilization of medical center according to disease has relationship to sex ($X^2=69.84$, p<0.05). 7) Medical behaviorism has relationship to school year ($X^2=35.18$, p<0.05), sex ($X^2=42.18$, p<0.05). 8) The utilization of school health center has relationship to sex ($X^2=10.73$, p<0.05), the school year ($X^2=72.09$, p<0.05), the pocket money ($X^2=38.80$, p<0.05). 9) The experience of health education has relationship to school year ($X^2=10.96$, p<0.05). No experence is 95.4%. 10) The subject for health-medical knowledge is necessary. The need for subject has relationship to sex ($X^2=10.86$, p<0.05).

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3~6세(歲) 아동(兒童)의 행동발달(行動發達)과 부모(父母)의 기대(期待)에 관(關)한 연구(硏究) (A Study on Children(3~6 years old)'s Behavior Development and Parent's Expectation)

  • 박위상
    • 아동학회지
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    • 제2권
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    • pp.17-30
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    • 1981
  • This study is designed to analyze the child's behaviour development and consider parent's expectation toward it. In the research of the aspect of child's behaviour development, first, this study will analyze the change and development a child shows according to his age, sex, and the community where he is brought up, and then, the relationship between child's behaviour development and parent's expectation toward it. (1) Child's Behaviour Development. a) According to Age. At the age of three ; In such behaviours as wiping nose, dressing, brushing teeth, putting on coat alone, going to toilet for B.M., going on errands, and playing contentedly alone, washing hands, greeting his elders, a child at the age of three to four shows a rapid development, and therefore it seems better to train a child in these behaviors age of three. At the age of four ; In such behaviors sharing cakes with friends, riding on a tricycle, a child shows great development, at the age of four to five, and therefore it seems better to train him in them at the age of four. At the age of five ; In such behaviors as combing hair, putting toys away in proper place, telephoning a child shows great development at the age of five to six, and therefore it seems better to train him in them at the age of five. b) According to sex and community. As a whole, there is little difference between sexes and the communities. It can be estimated from this that sex or the community has on the whole no great influence on the basic aspects of child's behavior development. (2) Parent's expectation. On the whole parent's expectation falls short of a child's development in behaviors ; especially, bathing himself, dressing, going to toilet for B.M, going to toilet to urinate, telephoning, etc. This tendency is consficuous in the case of three or four year old children. This results from parent's protecting in excess their children and reducing the opportunities to encourage the children's independence by delaying the babyhood. (3) The relationship between child's behaviour development and parent's expectation. a) On the whole, the behaviour of a child is at a higher level than parent's expectation. b) As a child grows from three years to six, his behaviour develops on the whole in accordance with the increase of parent's expectation. But the level of the former is lower than that of the latter. c) According to computing a coefficient of correlation is as follows. 3 years old ; .84 4 years old ; .90 5 years old ; .87 6 years old ; .89 It shows there is a high correlation between child's Behaviour and Parent's Expectation.

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일부 치위생과 학생들의 신종인플루엔자 인식도 및 예방태도 (Dental hygiene students' knowledge, attitude in an influenza A (H1N1))

  • 이향님;심형순
    • 한국치위생학회지
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    • 제11권3호
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    • pp.301-311
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    • 2011
  • Objectives : In order to identify the awareness of influenza A (H1N1) having currently high frequency and risk as an infectious disease, to find problems and to reflect them on curriculum improvements from students before/after clinical practices. Methods : The data was collected from 279 dental hygiene students of 1st and 2nd years at G health college university from December 6th 2010 to December 10th 2010. The questionnaire were consisted of awareness of influenza A (H1N1), preventive attitude, sociodemographic characteristics. Results : 1. 1st year was 51.6%, the case having dental experience was 51.2%, in the infection control training experience 'had' was 46.6%. In the route acquiring the information, the mass media was 70.6%, in obtained information, personal hygiene was 82.1%. In the impact on human body, 'great impact' was 58.1%. In terms of the most need for response and preparedness, vaccination was the highest, 67.4%. People who experienced influenza A (H1N1) were 10.7%. 2. Awareness of influenza A (H1N1) was 0.71 points, and treatment and spreading mechanism was 0.78 points, prevention was 0.63 points, causes and definition was 0.53 points. 3. In the attitude for infection prevention of influenza A (H1N1), 'washing hands before practice' was the highest, 0.99 points and 'wear the mask only in case of contact with patient within 1~2 meters upon occurrence of no aerosol' was the lowest, 0.72 points. 4. Awareness of influenza A (H1N1) according to sociodemographic characteristics showed the significant differences upon the impacts on systemic health (p<0.05). Preventive attitude didn't show a significant difference in grade, clinical experience, experience in infection control training, acquiring rmation routes, the possibility for occurrence, impact on systemic health, the most need for prevention, experience in influenza A (H1N1) (p>0.05). 5. The significantly correlated between awareness of influenza A (H1N1) and preventive attitude(p<0.01). Conclusions : Information and preventive attitude for influenza A (H1N1) as well as systematic training programs to identify actual affecting factors and to improve the practice are needed. Also government's institutional support is needed.

일부 간호대학생의 혈액매개질환 예방 지침에 대한 지식과 실천 정도 (Knowledge and Performance of Universal Precautions by Nursing Students)

  • 김경미;김민아;정여숙;김남초
    • 대한간호학회지
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    • 제29권4호
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    • pp.929-939
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    • 1999
  • The purpose of this study was to identify knowledge of universal precautions and its performance in practice. The research was conducted from November 2 to 30, 1998. A total 515 student nurses ; 249 from a baccalaureate nursing college and 266 from second and third year of a 3-year community nursing college were surveyed. The results are as following : 1. The average score for universal precautions knowledge was 270.41$\pm$19.43/300(range 150-300). The results showed that 99.2% of students avoid injury from used needles, 98.6% answered that they always wash their hands if they had contact with the patient's blood and they always dispose of used needles in special collectors (97.7%) for needles. But, 39.2% responsed that they dispose of used needles after recapping them. 2. The average score for universal precautions knowledge of the senior students in the 4-year college was the highest (277.65$\pm$13.99). 3. The average score for the performance of universal precautions knowledge was 53.18 $\pm$5.91(range 14-70). The items : ‘I cautiously avoid injury from the used needles’(4.92$\pm$0.33), ‘I always wash my hands if there has been contact with the patient's blood’(4.91$\pm$0.34), and ‘I always disposed of used needles in the appropriate collector’(4.89$\pm$0.42) showed the highest performance. However ‘I always dispose of used needles after recapping them’(2.19$\pm$1.39) and ‘I always use protection goggles when in danger of contamination’(2.19$\pm$1.20) showed low performance level. 4. The highest average score for universal precautions performance was shown among the second year students in 3-year nursing college (54.19$\pm$6.92) between the groups. It showed that the level of the universal precautions performance was higher for those who had education on university precautions prior to performance of the universal precautions than for those without any prior education. 5. The percentage of students who reported the experience of direct contact with patients' blood and/or body fluids was 42.30%. The experience of direct contact with blood and/or body fluids of the educational group was significantly higher than those were not educated. 6. The most frequent cause of the direct contact was ‘needle pricking and/or skin cut’(63.04%). The most frequent substance with which the students contact was ‘blood’(59.85%). The majority of the sample had answered that the mode of contamination was ‘unknown’(63.54%). The majority of the sample answered that strategies used after contamination included ‘washing with soap’(33.61%). Reviewing the chart of patients or asking other health professionals(28.85%). 7. The number of students who had the experience of a needle stick and/or skin cut was 145(28.16%). The clinical practice places where the incidents occurred were mainly in the internal medicine unit (45.07%) and the surgical unit (31.92%) followed by the intensive care unit and the emergency unit in order. The experience of a needle stick and/or skin cut happened during on intra-muscular injection 47.34% and intravenous injection 21.81%. The causes of the needle stick and/or skin cut were ‘putting the needle cap back on 77(35.81%)’. The number of students who took an appropriate post management blood test and/or vaccination was 27(18.62%). 8. The Pearson Correlation Coefficient between the knowledge of universal precautions and performance of universal precautions in practice showed a positive correlation.

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대구지역 초등학교 4, 5학년 대상 어린이 식생활 안전관리 교육 프로그램 개발 및 효과 평가 (Development of Children Food Safety Education Program for 4th and 5th Grade Elementary School Students in Daegu and Evaluation of Its Effects)

  • 김정미;이난희
    • 한국식품영양과학회지
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    • 제41권2호
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    • pp.213-220
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    • 2012
  • 대구광역시 소재 4개의 교육청별 관할 46개 초등학교 4 5학년 학생 8,370명을 대상으로 어린이 식생활 안전관리 교육을 실시한 결과를 요약하면 다음과 같다. 4학년 3,932명, 5학년 4,438명으로 교육청별로는 A 교육청 3,268명, B 교육청 2,890명, C 교육청 1,672명, D 교육청 540명을 대상으로 실시하였으며, 교육 장소는 방송실에서 교육한 학교가 31개교였고 교육 받은 학생 수는 6,925명(82.7%)으로 가장 많았으며, 교육 장소 간에 교육 받은 학생 수는 유의한 차이가 있었으며(p<0.001), 교육시간도 1교시 전에 교육 받은 학생수가 2,586명(30.9%)으로 가장 많았으며, 교육 시간에 따른 교육 받은 학생 수는 유의한 차이가 있었다(p<0.001). 어린이들의 간식 섭취이유는 고열량 저영양 식품(p<0.01), 부정 불량식품(p<0.001), 어린이 정서저해식품(p<0.001) 모두 '맛있어서'가 가장 높았으며, 항목 간 유의한 차이가 있었다. 교육내용 인지도에 대한 교육 전후 비교는 어린이 식생활 안전관리 특별법과 관련된 6개의 항목으로 어린이 식생활 안전관리 특별법, 어린이 식품안전보호구역(Green Food Zone), 어린이 기호식품 품질인증표시, 고열량 저영양 식품, 부정 불량식품, 어린이 정서저해식품 등을 '알고 있느냐'의 질문으로 6개 항목 모두 교육 전에 비하여 교육 후 유의한 수준으로 인지도가 증가하였다(p<0.001). 고열량 저영양 식품, 부정 불량식품, 정서저해식품의 섭취이유에 대한 항목 중 '맛있어서'는 고열량 저영양 식품이 81.6%로 가장 높게 대답하였으며, '호기심에서'는 어린이 정서저해식품이 28.0%로 가장 높게 응답하였고, '가격이 저렴해서'는 부정 불량식품이 27.1%로 가장 많이 답하였다. '어린이 식생활 안전관리 교육의 필요성'은 교육 전 '있다' 92.4%, 교육 후 93.6%로 유의하게 증가하였으며(p<0.05), 교육 전후 손씻기에 대한 비교는 '씻는다'가 교육 전 60.7%에서 교육 후 62.9%로 다소 증가하였으나 유의성은 없었다. 현재 초등학교에 영양교사가 근무하고 있기는 하나, 학교 사정에 따라 영양교육이 체계적으로 이루어지고 있지 않으며, 영양교육을 실시하는 일부 학교에서는 정규 시간이 아닌 재량활동시간, 수업 전시간 등을 활용하여 교육이 이루어지고 있는 실정이어서 이번 어린이 식생활 안전관리 교육이 비록 1회이지만 가능한 많은 어린이들에게 교육의 기회를 제공하고자 대구지역의 일부 학교가 아닌 4개 교육청 관할 학교 4, 5학년 남녀 학생을 고른 분포로 교육을 실시하였다. 이번 연구결과로 볼 때 1회 교육으로 인지도는 향상되었으나, 실천율 변화는 미흡하였으므로 향후 관련 연구에서는 반복적인 교육프로그램을 개발하여 어린이들이 바람직한 식생활을 실천할 수 있도록 해야 할 것으로 사료된다.

부산지역 일부 고등학생의 급식 위생 중요도 수행도 평가 (Importance and Performance of High School Foodservice Hygiene in Busan)

  • 박정선;류은순
    • 한국식품영양과학회지
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    • 제43권11호
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    • pp.1757-1765
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    • 2014
  • 본 연구는 부산지역 10개 고등학생 634명을 대상으로 학생개인 급식 위생 및 학교 급식 위생에 대한 중요도 및 수행도 조사를 통해 급식 위생의 문제점을 파악하여 학생들의 급식 위생 향상에 기초자료를 제공하고자 시도되었다. 본 연구결과에서 조사대상 학생의 49.1%가 위생교육 경험이 있었다. 개인 급식 위생 중요도 전체 평균점수는 3.81/5.00점, 수행도 3.48/5.00점이며, 학교 급식 위생에 대한 전체 평균점수 중요도 4.37점, 수행도 3.67점으로 개인 급식 위생이 학교 급식 위생보다 중요도와 수행도 점수가 낮았다. 개인급식 위생 중요도는 남학생이 여학생보다 '식사 전 손 씻기'와 '올바른 방법대로 손 씻기'(P<0.05), '식사 중 이동하거나 화장실 가지 않음'(P<0.01)에서 유의적으로 높음 점수를 보였다. 개인 급식 위생 수행도는 남학생이 여학생보다 '올바른 방법대로 손 씻기'에서 유의적(P<0.01)으로 높은 점수를 보였다. 학교 급식 위생 중요도는 여학생이 남학생보다, 2학년이 1학년보다 음식 위생과 환경 위생을 유의적(P<0.05)으로 높게 평가하였고, 학교 급식 위생 수행도에서는 여학생이 남학생보다, 2학년이 1학년보다 음식 위생, 기기 시설 위생을 유의적(P<0.05)으로 높게 평가하였다. 위생교육 경험자가 미경험자보다 개인 급식 위생의 중요도와 수행도 점수가 유의적(P<0.05)으로 높았고, 학교 급식 위생 중요도 평가점수도 경험자가 미경험자보다 환경 위생(P<0.05), 기기 시설 위생(P<0.05)에서 유의적으로 높은 점수를 보였다. 중요도 수행도의 격자도 분석에서 중요도는 높으나 수행도가 낮은 영역으로 개인 급식 위생은 '식사 전 손 씻기', '정수기 이용 시 지정된 컵 사용', '잔반통 주위에 음식 흘리지 않기'가 해당되었고, 학교 급식 위생은 '식판에 이물질 없음'이 해당되었다. 이상의 결과를 살펴볼 때 학생들의 손 씻기 실천을 비롯한 개인 급식 위생 실천이 미흡하므로 학교에서는 다양한 캠페인 및 홍보물 부착을 통한 위생교육을 강화시켜야 하겠다. 학교급식 위생에서는 식기류가 청결하지 않았으므로 이에 대한 원인 파악 및 개선과 더불어 급식 시설 환경 관련 항목들에서 수행도가 평균점수보다 낮은 항목들에 대한 영양(교)사들의 집중적인 관심이 필요하겠다. 무엇보다도 중학생들에 대한 위생교육 실시가 부족한 실정이므로 학생들의 개인 및 학교 급식 위생에 대한 중요도 인식 부각 및 실천 증진을 위해서는 학교에서의 집중적인 위생교육이 실시될 수 있도록 정책적인 방안도 필요하겠다.

수박 시설재배에서 살충제 Acetamiprid 사용 시 전신노출법에 의한 농작업자의 노출 및 위해성평가 (Exposure and Risk Assessment for Operator Exposure to Insecticide Acetamiprid during Water Melon Cultivation in Greenhouse using Whole Body Dosimetry)

  • 김은혜;이지호;성정희;이종화;신용호;김정한
    • 농약과학회지
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    • 제18권4호
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    • pp.247-257
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    • 2014
  • 수박 시설 재배에서 acetamiprid 수화제의 살포액 조제 및 살포 시 농작업자의 피부 및 호흡 노출량을 측정하였다. 국내 최초로 피부 노출은 전신노출법을 이용하였으며, 폴리에스테르와 면이 함유된 겉작업복과 면으로 된 내복을 사용하여 측정하였다. 손 노출은 nitrile 장갑을 끼고 조제/살포 후 장갑 및 손을 세척하여 측정하였고, 머리의 노출은 세척액으로 적신 거즈로 얼굴/목을 닦아서 측정하였다. 호흡 노출은 개인용 공기펌프와 IOM sampler (glass fiber filter)를 작업자 어깨에 고정하여 2 L/min으로 공기를 포집하여 측정하였다. 분석법의 정량한계는 2.5 ng/mL이었고, 각 노출 시료의 matrix matched 표준용액의 직선성은 0.99 이상이었다. 재현성은 C.V 8.7% 이하였으며, 각 노출시료의 회수율은 70~119%, 포장회수율은 77~95%이었다. 조제 시 손 노출량($229.7{\mu}g$)이 살포시 노출량($20.9{\mu}g$)의 10배 이상의 결과를 보였다. 살포시 전체 피부 노출량은 $1207.4{\mu}g$이었고, 이 중 정강이의 노출량은 $1132.1{\mu}g$로 전체의 93.8 %를 차지하였다. 호흡 노출량은 조제 및 살포 시 모두 검출되지 않았다. 위해성평가를 위한 MOS는 한국 남자 평균 체중(70 kg)과 농작업자 노출 허용량($124{\mu}g/kg/day$)을 고려하여 산정하였다. MOS 값 산출결과, 100이상으로 위해성이 낮음을 확인하였다.