• 보건행정학회지
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• 제32권3호
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• pp.304-316
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• 2022

Background: As prevention of coronavirus disease 2019 (COVID-19) transmission in healthcare settings has become a critical component in its effective management, COVID-19 specific infection prevention and control (IPC) guidelines were developed and implemented by numerous countries. Although largely based on the current evidence-base, guidelines show much heterogeneity, as they are influenced by respective health system capacities, epidemiological risk, and socioeconomic status. This study aims to analyze the variations and concurrences of these guidelines to draw policy implications for COVID-19 response and future guidelines development. Methods: The contents of the COVID-19 IPC guidelines were analyzed using the categories and codes developed based on "World Health Organization guidelines on core components." Data analysis involved reviewing, appraising and synthesizing data from guidelines, which were then arranged into categories and codes. Selection of countries was based on the country income level, availability of COVID-19 specific IPC guideline developed at a national or district level. Results: The guidelines particularly agreed on IPC measures regarding application of standard precautions and providing information to patients and visitors, monitoring and audit of IPC activities and staff illnesses, and management of built environment/equipments. The guidelines showed considerable differences in certain components, such as workplace safety measures and criteria for discontinuation of precautions. Several guidelines also contained unique features which enabled a more systematic response to COVID-19. Conclusion: The guidelines generally complied with the current evidence-based COVID-19 management but also revealed variances stemming from differences in local health system capacity. Several unique features should be considered for benchmark in future guidelines development.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권5호
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• pp.281-285
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• 2023

Background: Dentists bend needles prior to certain injections; however, there are concerns regarding needle fracture, lumen occlusion, and sharps handling. A previous study found that a 30-gauge needle fractures after four to nine 90° bends. This fatigue life study evaluated how many 90° bends a 30-gauge dental needle will sustain before fracture when bent using a needle guide. Methods: Two operators at Element Materials Technology, an independent testing, inspection, and certification company tested 48 30-gauge needles. After applying the needle guide, the operators bent the needle to a 90° angle and expressed the anesthetic from the tip. The needle was then bent back to a 0° angle, and the functionality was tested again. This process was repeated until the anesthetic failed to pass through the end of the needle due to fracture or obstruction. Each operator tested 24 needles (12 needles from each lot), and the number of sustained bends before the needle fracture was recorded. Results: The average number of sustained bends before needle failure was 40.33 (95% confidence interval = 37.41-43.26), with a minimum of 20, median of 40, and a maximum of 54. In each trial, the lumen remained patent until the needle fractured. The difference between the operators was statistically significant (P < 0.001). No significant differences in performance between needle lots were observed (P = 0.504). Conclusion: Our results suggest that using a needle guide increases the number of sustained bends before needle fracture (P < 0.000001) than those reported in previous studies. Future studies should further evaluate the use of needle guides with other needle types across a variety of operators. Furthermore, additional opportunities lie in exploring workplace safety considerations and clinical applications of anesthetic delivery using a bent needle.

• 한국직업건강간호학회지
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• 제6권2호
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• pp.144-155
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• 1997

In December 1990, Occupational Safety and Health Law was amended to reinforce employer's responsibilities on employees' health and safety. Among the amended law it was important to expand the role of an occupational health nurse to the role of an occupational health manager. An occupational health manager should take charge of coordinating periodic health examination and environmental hazard evaluation, providing primary care, monitoring employees' health status, giving the workplace walk-through, selecting safe protection equipment, providing health information, counseling and health education, independently. This position of occupational health nurse is equivalent to the role of doctors or occupational hygienists. In 1991, government made a master plan to prevent occupational disease and injury. Under the plan, Korea Industrial Nursing Association (KINA) was established in 1994 with the purpose of improving health services and upgrading career opportunities for members. Therefore, this study was designed to analyze the transition of occupational health nursing education with the changes of law and policy in Korea between 1991 and 1996. In details, it was to analyze the rate of school providing occupational health nursing practice based lecture, lecture hours, lecture contents in undergraduate curriculum, program contents of graduate school, kinds of continuing education, etc. For this purpose, we conducted survey two times. In February 1991, baseline study was conducted with all nursing programs in Korea (19 BSN programs and 43 nursing departments of junior college). From April to May in 1996, the second survey was conducted with all nursing programs (38 BSN programs and 69 junior colleges). The first response rate was 66.1% and the second was 40.6%. Structured questionnaires were mailed to the deans or the community health nursing faculties. In the case of graduate school, telephone survey was conducted with 10 school of public health or environmental health area. Data from the yearbook of Industrial Safety Training Institute (ISTI), the history of Korea Industrial Health Association, and the journals of KINA were also included in the analysis. As the results, we found that there were remarkable improvement in undergraduate and graduate programs, obligatory as well as voluntary continuing education in terms of occupational health nursing expertise between 1991 and 1996. 1) The number of school providing occupational health nursing practice-based lecture was increased with the rate from 7.3% to 25.6%. The rate of school giving over 15 class-hours was increased from 33.3% to 46.6%. 2) Content areas were composed of introduction of occupational health, occupational epidemiology, industrial hygiene, occupational disease and injury, law and policy, health education, concept of occupational health nursing, role of occupational health nurse, occupational health nursing process, etc. Of content areas, occupational health nursing process was more emphasized with the increased rate from 43.9% to 88.4%. 3) In the case of graduate school, occupational health programs were increased from 4 to 10. One of them has developed occupational health nursing program as an independent course since 1991. 4) The law increased educational hours from 28 hours to 36 hours for introductory course at the time of appointment, and from 14 hours to 24 hours every 2 years for continuing education. Course contents were Occupational safety and health law, introduction of occupational health, health education methodology, planning and evaluation, periodic health exam, occupational disease care, primary care, emergency care, management, industrial environment evaluation, etc. In 1996, Korea Industrial Nursing Association has begun to provide continuing education after Industrial Safety Training Institute. 5) Various educational programs in voluntary base were developed such as monthly seminar, CE articles, annual academic symposium, etc. It was shown that changes of law and policy led rapid growth of occupational health nursing education in various levels. From this trend, it is expected that occupational health nurse expertise be continuously to be enhanced in Korea. Legal and political supports should proceed for the development of occupational health nursing in early stage.

• 패션비즈니스
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• 제13권6호
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• pp.61-75
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• 2009

The objective of this research is to the enhance the color function of work clothing : to research and analyze the hue and tone of work clothing colors to be used for machinery and heavy industries in national industrial complexes, Through this research, the color using problems which related with safety workers will be revealed. For this project, total 42 sets of work suits were sampled from 12 different companies in the machinery and construction industries in the national industrial complexes of Gyeongsang Namdo Province and 16 sets of work suits currently being sold in the market. The collected work suits samples were classified according to item types and design. Color measurements were taken thus: After calibration according to ASTM D1729 specifications of standardized configuration settings to match standardized luminous source D65(Daylight 6500K) in color cabinet BOTECK SuperLight-VI, the RGB values of the work suits were calculated using PANTONE Color Cue TX. The RGB values of the colors thus derived were converted into V/C values using the Munsell Conversion 9.0.6 and analyzed with Munsell's 10-color system and PCCS. The results were presented according to Munsell's color wheel and color and brightness distributions were expressed in table form, as well as presented as a tone map. Following analysis, color hue distribution was found to be concentrated around PB, and brightness distribution toward the low end and mid range of the scale. Saturation values were distributed mostly around the low end of the scale. Following color tone analysis according to PCCS, it became apparent that colors were mainly distributed around dkg, ltg, and g, at low- and mid-brightness and low-saturation. Therefore, it may be concluded that colors used in work suits in the machinery and heavy industries are mainly cool colors, at low- and mid-brightness and low saturation. It is conjectured that such colors were applied uniformly in the workplace in order to serve certain functions, such as concealment of stains and contamination. Therefore, it follows that the utilization of colors, among other functions served by working clothings, must be taken into consideration in order to enhance safety and efficiency.

• 한국화재소방학회논문지
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• 제34권2호
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• pp.86-93
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• 2020

본 연구는 옥외저장탱크에서 발생한 화재·폭발사고의 근본적인 사례분석을 통해 저장탱크의 안전을 유지할 목적으로 수행되었다. 이 사고는 저장탱크 야드에 사업장 외에서 날아온 풍등이 저장탱크 주변 잔디에 떨어지며 발생한 잔재 화재가 서서히 확산되어 탱크 내부의 유증기와 만나 폭발·화재로 이어진 사고였다. 사고의 원인을 밝혀내기 위하여 CCTV영상분석을 통한 대기확산 조건 도출, 전산유체역학을 이용한 풍향 분석, 플러팅 루프가 최저 위치일 때의 탱크 내부 유증기 발생량, 최고 위치일 때의 탱크 내부 유증기 거동을 통하여 저장탱크의 폭발이 일어난 원인을 밝혀내어 저장탱크의 레벨을 내부부상형 지붕 이하로 유지했을 경우 위험물이 충전되면서 그 공간에 있던 유증기가 내부 부상지붕위에 정체될 가능성이 있으므로 저장탱크의 Low liquid level이 폰튠 서포트 밑에 위치하지 않도록 운전절차를 개선하고, 오픈 벤트에는 화염방지기를 설치하여 화염이 저장탱크로 유입하지 못하도록 하는 대책을 제시하고자 한다.

• 한국산업보건학회지
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• 제6권1호
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• pp.144-155
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• 1996

During the 1990s the workplace has grown more complex and business competition has increased world-wide. All organizations, whether for-profit or non-profit have been forced to respond to market changes. More advanced information and technology, greater product diversity, shorter product life cycles, increased quality requirements, more regulation oversight, decreasing productivity, more competitors, and increasing overhead costs have motivated organizations to focus on ways to deliver products cheaper, better, and faster. Many organizations are searching for ways to reduce costs through downsizing, reengineering business processes, implementing quality management, outsourcing, and improving cost management. Support departments that provide services internal to an organization such as human resources, legal, and environmental, safety, and health (ES&H) are often the first organization targeted for cost reduction and cost control initiatives because these functions are part of a rapidly increasing overhead cost. Recently, ES&H functions are incresingly being integrated into the business of business to contribute value to organization beyond mere compliance with ES&H regulations. The discussions and development of the ISO compatible Environmental Management Standards or Occupational Safety and Health Management Standards is another impetus to integrate ES&H function into the business of business. Thus, ES&H professional need new skills to analyze the cost of their function and communicate the value of the products and services they provide. In recent years, the need for and the importance developing cost management and business skills by ES&H professionals have been emphasized in the literature. Communicating with decision makers in terms of cost and value to the organization, and by using business language and business arguments is the first step toward effectively integrating ES&H activities into the business of business. Activity-based costing (ABC) is a cost management method that measures the cost of a product or service based on the actual use of resources by activities, and based on the actual amount of activities used to produce a product or service. ABC is recommended as a tool for managers of ES&H organizations to determine the cost of developing and providing ES&H products within a for-profit firm or non-profit agency. This paper discusses the trend of integration of ES&H functions into the mainstream of business activities within an organization. The general principles of treditional cost accounting are presented as a bases for understandging why and how ABC will provide more accurate estimates of cost. The principles and concepts of ABS are presented as a tool for determining more accurately the true cost of ES&H products and services.

• 한국콘텐츠학회논문지
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• 제17권11호
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• pp.303-311
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• 2017

국내의 철도작업자의 안전사고는 열차 운행 기관사의 부주의, 선로변 작업자의 감각차단 현상 및 신호수의 실수 등으로 인해 추돌사고가 주요 원인으로 매년 꾸준히 발생하고 있으며 이러한 안전사고를 예방할 수 있는 대책 마련이 시급하다. 따라서 철도 작업 시, 선로변 작업자가 청각과 시각적으로 열차접근을 검지하여 열차 접근으로부터 대피할수 있는열차접근경보시스템을 개발하였다. 이 시스템은 철도 작업장에서 1.5km 이상 전후방 선로에 열차자동겸지장치를 설치하여 자동으로 열차 진입을 검지하도록 하고 작업장에 설치된 실시간 경보장치에 유무선으로 검지 신호를 전달하도록 하며, 검지신호를 수신한 실시간 경보장치는 LED 경보등 및 사이렌 등으로 작업자에게 경보신호를 주는 방식으로 작동된다. 이전의 시스템에 비해 원거리에 있는 열차접근의 검지가 가능하고 주로 무선통신방식을 채택하여 통신배선작업이 불필요하며 충전식 배터리와 태양광 충전장치를 통해 외부 전원 공급이 어려운 현장의 상황에 적합한 이점이 있다. 시스템의 현장검증을 통하여 열차자동검지장치와 실시간 경보장치의 성능평가를 실시하였고 100%구동을 확인하여 신뢰성을 검증하였다.

• 한국산업보건학회지
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• 제15권2호
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• pp.90-103
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• 2005

Objective: This study was carried out to assess the status of working environments, to improve the working environments, and to be helpful to prevent occupational disease. Methods: The authors measured the noise level, concentration of dust, heavy metals, organic solvents, and other chemicals at 95 industries (22 working processes) by type of working process in manufacturing industry of parts and accessories for motor vehicles and its engines from January to December 2003. Samples were measured and analyzed by regulations of Korea Ministry of Labor, manuals of National Institute for Occupational Safety and Health (NIOSH) and Occupational Safety and Health Administration (OSHA). Results: Results are as follows. 1. Major processes exceeding mean noise levels provided the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value (TLV) were shakeout [97.5 dB(A)]. shot-blast [94.2 dB(A)], pressing [92.9 dB(A)], crushing [91.2 dB(A)], and cleaning [90.6 dB(A)]. 2. Mean concentrations of dusts were not exceeded to the TLV. But concentration on some points of processes as like welding (6.50 mg/m3), foundry (5.24 mg/m3) were exceeded. 3. Mean concentrations of heavy metals were not exceeded to the TLV. 4. Mean concentrations of organic solvents and chemicals were not exceeded to the TLV. 5. Improving rate for working environment were significantly higher in industries with health manager than without (p<0.05), and by increasing the year of working environmental measurement (p<0.01). Conclusions: The results suggest that working processes of exceeding to the TLV will be needed rapid improvement of the working environment, and also the others will be needed positive management of the working environment. Health managers must be recommended to employ in the workplace, and further studies for relationship between working environment and health effects for the workers must be carried out.

• 한국산업보건학회지
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• 제3권2호
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• pp.177-187
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• 1993

The exposure levels of mixed organic solvents for 66 exposed workers in six paint manufacturing plants were evaluated. In 66 exposed workers and 30 control subjects, we also determined the concentrations of toluene and xylene metabolites, hippuric acid, ($o^-$, $m^-$, and $p^-$)methylhippuric acid. The results were as follow ; 1. Seven organic compounds, which on averge accounted for approximately 90% of the identified mass in each painting plants air samples, were selected for quantification : methyl ethyl ketone, ethyl acetate, methyl isobutyl ketone, toluene, butyl acetate, ethyl benzene, ($o^-$, $m^-$, $p^-$)xylene. 2. The average mixed organic solvent exposure levels in 66 points with workplce were 3.8ppm of MEK, 12.2ppm of ethyl acetate, 4.0ppm of MIBK, 28.7ppm of toluene, 3.8ppm of butyl acetate, 10.2ppm of ethyl benzene, 14.6ppm of xylene, respectively. 3. For the total 66 points with workplace, the rate of them of which mixed solvents in air was exceeded th TLV of 1.0 were obtained for 23%(15/66 point). 4. The concentrations of hippuric acid in urine of exposed group and control were $0.94{\pm}0.65g/g$ of creatinine, $0.16{\pm}0.11g/g$ of creatinine, respectively. 5. There was a linear correlation between the end shift hippuric acid acid levels in urine and exposed toluene in air : y=0.02079X+494.2, r=0.6488, n=55 y:hippuric acid in urine(mg/g of creatinine), x:toluene levels in air(ppb) Toluene levels of 100ppm in air have been caculated to hippuric acid of 2.57g/g of creatinine in urine. 6. There was a linear correlation between the end shift methylhippuric acid acid levels in urine and exposed xylene in air : y=0.01664X+31.6, r=0.7264, n=55 y:methylhippuric acid in urine(mg/g of crea.), x:xylene levels in air(ppb) Xylene levels of 100ppm in air have been caculated to methylhippuric acid of 1.69g/g of creatinine in urine.

• 한국식품위생안전성학회지
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• 제19권2호
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• pp.74-83
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• 2004

Raw-fish food contains a lot of moisture and is a high-protein food. It is a first-stage processed food taking a lot of manual work. Therefore, it is classified as a PHF food, very liable to cause a bacterial food-poisoning. But its manufacturers are usually small-sized and a systematic sanitation management is difficult to expect. But the manufacturer participating in this study produces chilled fresh raw-fish food. Fish are sliced into two fillets, which are packaged under vacuum, kept and distributed in refrigerators, and sold within a day. It is a newly-developed kind of raw-fish food, and a more improved kind of raw-fish food making possible a systematic sanitation management. The HACCP (Hazard Analysis and Critical Control Point) is a systematic and continuous process-control method which is very efficient for controling food sanitation and reducing the expenses. A new HACCP model has been developed to be applied to a large-sized chilled fresh raw-fish food manufacturer. To ascertain its efficiency, the baterial examination was done to its workplace and products. The significance test was done on its data by "SPSS 12.0 for Window" and "Mann-Whitney U Test". The numbers of bacteria on its final products were significantly different in flatfish and porgy. The number of bacteria tended to decrease in each time-differential sampling (P＜.00l). The final food products showed no food-poisoning bacteria in all the time-differential tests and in all the samplings, which proves that the CCP of the HACCP system is under control. After the SSOP program was applied, no pathogenic bacteria were found in the work-place, and the kinds and numbers of bacteria decreased. The numbers of general bacteria and colon bacilli also showed a significant difference from those before the SSOP program in the filleting board (P＜.05), in the skinning board (P＜.0l), in the neck-removing knife (P＜.05), and in the filleting knife (P＜.01). The working equipments, periodically disinfected, also showed a significant difference in sanitary conditions (in the dehydrator, P＜.05). The number of bacteria found on the food-touching surface was within the standard (below 500/l00 cm$^2$) After the SSOP program was applied, the general bacteria and colon bacilli were not found. The quality of water used in the food processing was also within the standard. The numbers of bacteria falling from the air in the work-place were negligible in all the samplings (＜30CFU/l000ι). The staphylococci and fungi were not found.