• 제목/요약/키워드: health workers

검색결과 4,269건 처리시간 0.031초

Association between Dietary Behavior and Esophageal Squamous Cell Carcinoma in Yanting

  • Zhao, Lin;Liu, Chun-Ling;Song, Qing-Kun;Deng, Ying-Mei;Qu, Chen-Xu;Li, Jun
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.8657-8660
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    • 2014
  • Background: Yanting is one of high risk areas for esophageal cancer and the screening program was therefore initiated there. This study was aimed to investigate the dietary behaviors on the risk of esophageal squamous cell carcinoma (ESCC), among the individuals with normal and abnormal esophagus mucosa. Materials and Methods: A frequency matched case-controls study was proposed to estimate the different distribution of dietary behavior between individuals of control, esophagitis and cancer groups. Cancer cases were selected from hospitals. Esophagitis cases and controls were selected from screening population for ESCC. Health workers collected data for 1 year prior to interview, in terms of length of finishing a meal, temperature of eaten food and interval between water boiling and drinking. Chi-square, Kruskal-Wallis tests and unconditional logistic regression model were used to estimate differences and associations between groups. Results: Compared with controls, length of finishing a meal ${\geq}15mins$ was related to a reduced OR for cancer (OR=0.46, 95%CI, 0.22-0.97) and even compared with cases of esophagitis, the OR of cancer was reduced to 0.30 (95%CI, 0.13-0.72). The OR for often eating food at a high temperature was 2.48 (95%CI 1.06, 5.82) for ESCC as compared with controls. Interval between water boiling and drinking of ${\geq}10mins$ was associated with lower risk of cancer: the OR was 0.18 compared with controls and 0.49 with esophagitis cases (p<0.05). Conclusions: Length of eating food ${\geq}15mins$ and interval between water boiling and drinking ${\geq}10mins$ are potentially related to reduced risk of esophageal SCC, compared with individuals with normal and abnormal esophageal mucosa. Recommendations to Yanting residents to change their dietary behaviors should be made in order to reduce cancer risk.

알루미늄 연속주조 용탕의 탈 가스 일체화 장치 개발 (Development of a monolithic apparatus for degasing aluminum continuous casting molten metal)

  • 이용중;김태원;김기대;류재엽;이형우
    • 한국공작기계학회:학술대회논문집
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    • 한국공작기계학회 2004년도 추계학술대회 논문집
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    • pp.145-149
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    • 2004
  • It is necessary for managing a perfect process for degasing aluminum molten metal according to the increase of a grade of aluminum and its alloy products. There are some methods that have been used to manage a degasing process in recent years, such as an injection method that uses aluminum molten metal powder and chemicals supplier and input method that supplies argon and nitrogen, or chlorine gas by using a gas blow-tube. However, these methods show some problems, and it shows that it is a difficult process to handle. pollution due to the producing a lot of toxic gases like chlorine and fluoride gas. irregular effects, and lowering work efficiency due to the excessive processing time. The problems that are the most fatal are the producing a lot of sludge due to the reaction of aluminum molten metal with chemicals. loss of metals, and decreasing the life of refractory materials. In order to solve these problems. this paper develops a technology that is related to aluminum continuous casting molten metal and monolithic degasing apparatus. A degasing apparatus developed in this study improved the exist ing methods and prevented environmental pollution wi th smokeless. odor less, and harmlessness by using a new method that applies argon and nitrogen gas in which the methods used in the West and Japan are eliminated. The developed method can significantly reduce product faults that are caused by the production of gas and oxidation because it uses a preprocessed molten metal with chemicals. In addition. the amount of the produced sludge can also be reduced by 60-80% maximum compared with the existing methods. Then. it makes it possible to minimize the loss of metals. Moreover. the molten metal processing and settling time is also shortened by comparing it with the existing methods that are applied by using chemicals. In addition, it does much to improve the workers' health, safety and environment because there is no pollution. The improvement of productivity and prevent ion effects of disaster from the results of the development can be summarized as follows. It will contribute to the process rationalization because it does not have any unnecessary processes that the molten metal will be moved to an agitator by using a ladle and returned to process for degasing like the existing process due to the monolithic configuration. There are no floating impurities due to the oxidation caused by the contact with the air as same as the existing process. In addition. it can protect the blending of precipitation impurities. Because it has a monolithic configuration. it can avoid the use of additional energy to compensate the temperature decreasing about 60t that is caused by the moving of molten metal. It is not necessary to invest an extra facilities in order to discharge the gas generated from a degasing process by using an agitator. The working environment can be improved by the hospitable air in the factory because the molten metal is almost not exposed in the interior of the area.

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감정노동이 카지노 딜러의 소진과 우울에 미치는 영향 (The Effects of Emotional Labor on Casino Dealers' Burnout and Depression)

  • 김혜자;강종수
    • 한국산학기술학회논문지
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    • 제18권12호
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    • pp.276-285
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    • 2017
  • 이 연구는 서비스업 종사자인 카지노 딜러를 대상으로 감정노동이 소진과 우울에 미치는 영향을 분석하였다. 서비스업 종사자의 소진은 전문성과 그들이 제공하는 서비스의 효과성과 효율성을 저하시키는 심각한 문제이고, 또한 우울은 개인의 정신건강에 중대한 영향을 미치는 핵심 요소이다. 이를 위해 H리조트 카지노 딜러 606명을 대상으로 구조화된 설문조사를 실시한 후에 자료를 분석하였다. 소진은 CBI를 통해 업무관련 소진과 고객관련 소진을 측정하였고, 우울은 BDI를 사용하였다. 연구 결과 첫째, 카지노 딜러의 감정노동(3.50)과 업무관련 소진(3.86), 고객관련 소진(3.91)은 비교적 높은 수준으로 나타났고 둘째, 감정노동은 우울과 소진 모두에서 정(+)의 상관관계가 있는 것으로 나타났으며 셋째, 남성에 비해 여성의 감정노동이 높았으며, 소진은 딜러가 관리직보다 높게 그리고 20대가 가장 높게 나타났다. 넷째, 감정노동은 소진과 우울 모두에 영향을 미치는 것으로 나타났다. 이러한 결과를 바탕으로 감정노동에 종사하는 카지노 딜러의 소진을 예방하고 우울을 줄이기 위한 법률의 제정 및 근로자지원 프로그램(EAP) 등의 조직 및 개인차원의 전략과 함의를 도출하였다.

한국 중·장년층의 직업이동경로에 따른 직업교육훈련 및 직업역량의 차이 (Differences between vocational education and training and vocational competency according to the career movement path of middle-aged Koreans)

  • 이수정;김윤정
    • 디지털융복합연구
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    • 제18권10호
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    • pp.491-499
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    • 2020
  • 본 연구에서는 직업이동의 경험이 있는 한국의 중·장년층(만 40세~64세)을 대상으로 하여 직업이동경로에 따른 직업교육훈련 및 직업역량의 차이를 파악하는 데 연구의 목적이 있다. 2020년 2월 한 달간 설문조사를 하였고, 1,224명의 자료 중, 최근 5년 이내에 직업이동을 한 중·장년 845명을 선별하여 분석에 활용하였다. 첫째, 직업이동을 한 경우는 69.0%였고, '고용→고용상태'로 직업이동을 한 경우가 48.2%로 가장 많았고, '실업→고용상태'로 직업이동은 28.4%로 2순위였다. 둘째, 모든 집단에서 직업교육훈련에 참여한 경험이 없는 비율이 높은 가운데, '가사(육아)→고용상태'의 경우에는 80.6%가 직업교육훈련에 참여하지 않았다. 셋째, '고용→고용상태' 집단의 직업기초능력과 직무능력 유용성에 대한 인식 및 구직기술이 다른 집단에 비해서 가장 높았다. 본 연구결과, '실업 상태와 가사(육아)에서 고용상태'로 직업이동을 한 중·장년층의 직업역량이 다른 집단에 비해 직업역량이 다소 낮은 것으로 나타나 이 집단에 대한 정책적 관심이 요구됨을 제안하였다.

저농도 혈중연과 혈장레닌활성도 및 혈압과의 관련성 (The Relationship of Lew-Level Blood Lead to Plasma Renin Activity and Blood Pressure)

  • 박순우;김두희
    • Journal of Preventive Medicine and Public Health
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    • 제24권4호
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    • pp.516-530
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    • 1991
  • 일상생활을 통한 연섭취로 인한 고혈압 발생 가능성 및 이때 연이 혈압에 영향을 미칠 수 있는 기전을 밝히기 위한 연구의 일환으로 환자 대조군 연구를 실시하였다. 대상자로서 울산 및 그 인근지역의 직업적 연폭로 과거력이 없는 남자 근로자 중 고혈압 환자 72명, 대조군 69명을 선택하였다. 혈중 연과 혈장레닌활성도(Plasma renin activity, PRA)를 측정하였으며 동시에 흡연유무, 음주유무, 고혈압 가족력 유무를 확인하고 body mass index(BMI), 혈청 소디움, 포타시움, 이온화 칼슘, 크레아티닌 및 총 콜레스테롤을 측정하였다. 고혈압군의 혈중 연농도는 $19.8{\pm}5.5{\mu}g/dl$로서 대조군의 $12.5{\pm}4.7{\mu}g/dl$에 비해 유의하게 높았고(p<0.01) 또한 혈중 연의 고혈압발생에 대한 교차비(odds ratio)가 1.38로서 역시 유의하였다(p<0.01). PRA나 In(PRA)가 고혈압군과 대조군 사이에 유의한 차이가 없었으나 고혈압군에서 혈중 연농도가 증가함에 따라 PRA도 어느정도 증가하는 양상을 보였고(p<0.1), In(PHA)를 종속변수로 하는 중회귀분석을 실시하였을 때 혈중 연농도(회귀계수 ; 0.037)가 10% 수준에서 유의하였다. 본 연구를 통해 볼 때, 지금까지 알려진 정상치 범위 이내의 혈중 연과 고혈압 발생간의 인과 관계에 대해 계속 연구해 볼 필요성을 느끼며 이때 PRA의 변화가 작용 기전의 일부에 관여할 가능성이 있을 것으로 추측된다.

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톨루엔 폭로근로자의 혈장중 마뇨산과 공기중 톨루엔과의 상관관계 (The Relationship Between Hippuric Acid in Blood Plasma and Toluene Concentration in the Air of Workplace)

  • 황천현;이원진;장성훈;김형아
    • Journal of Preventive Medicine and Public Health
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    • 제33권1호
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    • pp.45-50
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    • 2000
  • Objectives : This study was undertaken to evaluate correlation between the levels of hippuric acid in blood plasma (HAP) and those of toluene concentration in the workplace air. Methods : Study subjects were composed of two groups; 21 workers who were occupationally exposed to toluene and 25 rural-area residents who were not exposed to any known occupational toluene source, as an exposed group and a reference group, respectively. Mean age and work duration of the exposed was 42 years and five years, respectively. Mean age of the reference was 42 years. To determine toluene concentrations in the workplace air, air sampling has been conducted for more than six hours using a personal sampler, and analyzed by a gas chromatography-flame ionization detector. Concentrations of hippuric acid in biological samples were determined by a high performance liquid chromatography-ultraviolet detector. Results : Geometric mean(geometric standard deviation) of HAP and hippuric acid in urine(HAU) for the exposed was 1.39(2.21) mg/L and 2.77(1.46) g/L, respectively, which were significantly different from those of the reference [HAP, 9.45(2.94); HAU, 0.37(0.45)]. Teluene concentration in the workplace air was 86.92(range: $45.18\sim151.23$)ppm. The level of HAP or HAU was significantly correlated (r=0.70 and r=0.63, respectively) with that of toluene in the workplace air. The estimated regression equation was logHAP(mg/L)=-3.60+1.93 log(toluene, ppm) or logHAU(g/L)=-0.85+0.67 log(toluene, ppm). The magnitude of correlation was further enhanced when analyzing relationship between toluene concentrations lower than 100 ppm and its corresponding HAP levels. Conclusion : Overall, plasma hippuric acid levels were well correlated with toluene concentrations in the workplace air, and a statistically significant correlation was observed for the samples with toluene concentration lower than 100 ppm.

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국내 가정 호스피스 운영 실태 (The Status of Home-Based Hospice Care in Korea)

  • 박재순;윤수진;정연
    • Journal of Hospice and Palliative Care
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    • 제16권2호
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    • pp.98-107
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    • 2013
  • 목적: 본 연구는 우리나라의 가정 호스피스 기관의 서비스 실태와 문제점을 파악함으로써 가정 호스피스의 개념을 재정립하고, 가정 호스피스의 표준 설정과 제도화, 다양한 호스피스 유형들의 연계 체계 구축의 기초자료로 활용하고자 시도되었다. 방법: 2011년 5월을 기준으로 확인된 호스피스 기관 166개 중 의학적 돌봄을 포함하는 가정 호스피스를 운영한다고 응답한 29개 기관 전수의 질문지가 자료 분석에 사용되었다. 결과: 대상 기관 중 호스피스 입원 병실이 있는 경우는 51.7%, 순수 가정형은 34.5%이었다. 팀 구성원은 간호사와 자원봉사자가 각각 62.0%, 62.1%, 팀 구성원의 방문은 간호사와 자원봉사자가 각각 평균 8.84회와 6.0회, 팀 회의는 월평균 2.65회, 비용은 대부분 무료로, 필요한 재원을 마련하는 방법에는 개인의 기부가 가장 많았다. 하루 평균 방문 환자 수는 평균 2.46명, 비암성 환자는 6.9%의 기관만이 돌보고 있었다. 58.6% 기관에서 협력의뢰를 위한 공식적인 체계를 구축하고 있었으며, 방문 범위는 44.8%에서 거리나 시간에 제한을 두고 있었다. 제공되는 서비스는 가족 상담과 서비스 연계가 가장 많았고, 가정 호스피스 의뢰방법은 환자 및 가족의 직접 의뢰가 51.7%로 가장 많았다. 대부분은 서비스 제공을 위한 기본 의료장비 및 물품을 갖추고 있는 반면 특수 장비는 부족하였다. 호스피스 전용병상이 있는 경우는 대부분 정부 및 공공기관의 후원으로 이루어지고 서비스 측면에서는 팀 회의, 통증조절, 증상조절이 잘 이루어지고 있었다. 기관운영 장애요인으로는 재정문제, 인력부족, 호스피스 인식 부족의 순위를 보였으며, 이를 위해 가장 먼저 해결해야 할 과제로는 '수가제도화'라고 주장하였다. 결론: 현재 우리나라의 가정 호스피스는 호스피스 본연의 목적을 달성하기에는 많은 제한이 있으므로 빠른 제도화와 서비스 표준 확립이 이루어져야 할 것이다.

유치원 급식의 위생관리 실태조사 및 미생물적 품질평가 (Evaluation of Sanitation Management Practices and Microbiological Quality of Foods in Kindergarten Foodservice Settings)

  • 이주은;최경숙;강영재;곽동경
    • 한국식품조리과학회지
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    • 제28권5호
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    • pp.515-530
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    • 2012
  • This research aims to audit foodservice sanitation management practices and to assess microbiological quality of foods and their food contact environments in kindergartens. Sanitation auditing was conducted in 10 kindergartens in Seoul, Gyeonggi, and Incheon areas to assess the levels of safety practices. Results revealed that the surveyed kindergartens scored 41.4 out of 100 points, on average. The average scores of each category were 6.4/11 (58.1%) for facilities sanitation, 4.2/12 (35.0%) for equipment sanitation, 2.4/10 (24.0%) for personal hygiene, 5.1/10 (51.0%) for food ingredients management, 6.0/17 (35.3%) for production process, 5.4/10 (54.0%) for environmental sanitation, 2.0/6 (33.3%) for kitchen utensils sanitation, and 2.2/6 (96.7%) for safety management. Microbiological quality of raw, prepared foods, personal sanitation (hands), environmental sanitation, and drinking water were assessed. Total plate counts (TPC) of the following menus exceeded the critical limit: seasoned leek (5 log CFU/g), cucumber (5.0 log CFU/g), panbroiled fish paste (TNTC at $10^4$), tangpyeongchae (5.3 log CFU/g), egg rolls (6.1 log CFU/g), panbroiled sausage (TNTC at $10^4$), and soft tofu pot stew (TNTC at $10^4$). Coliform which exceeded the standard limit were detected from seasoned leek (2 log CFU/g), cucumber (2.5 log CFU/g), panbroiled fish paste (2.0 log CFU/g), egg roll (3.8 log CFU/g), tangpyeongchae (4.0 log CFU/g), panbroiled sausage (2.3 log CFU/g), and soft tofu pot stew (3.7 log CFU/g). For seasoned foods (muchim), S. aureus ranged 2.2~2.9 log CFU/g. In food workers' hands, microbial profiles ranged 3.8~7.9 log CFU/hand for TPC, ND~4.5 log CFU/hand for coliforms, ND~4.7 log CFU/hand for S. aureus, and ND~5.3 log CFU/hand for Enterobacteriaceae. Microbiological profiles of food contact surface of knives, cutting boards, dish-clothes, and trays showed possibilities of cross-contamination. General bacteria were 2.1~4.5 logCFU/ml in 4 purified water samples and E. coli were found in the kitchen of one kindergarten. These results suggested that environmental sanitation management practices need more strict improvement: effective sanitation education methods and practices were strongly required, and more strict sanitation management for cooking utensils and equipment were required.

부산지역 조선업 용접공들의 진폐증에 관한 역학적 조사연구 (The Epidemiologial Study on the Welders' Pneumoconiosis among Shipyard Welders in Pusan Area)

  • 이채언;이종태;손혜숙;김성천;배기택;박형종;김용완;윤임중
    • Journal of Preventive Medicine and Public Health
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    • 제22권1호
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    • pp.153-161
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    • 1989
  • Authors studied on the prevalence of 94 cases of pneumoconiosis who were found out through the screening test on 1,062 workers engaged in welding process at 36 shipyard in Pusan area from March 1st, 1986 to November 30th, 1986. The result were as follows; 1. Dust concentration was measured $4.49{\pm}0.54mg/m^3$ in the small scale shipyard while it was $6.25{\pm}1.08mg/m^3$ in the large one. 2. The prevalence of welder's lung was 8.9% (male:8.5%, female:12.0%) and this is consist of 4.9% suspected pneumoconiosis and 4.0% pneumoconiosis more than category 1/0. 3. The prevalence was significantly increased according to the duration of dust exposure(p<0.05), and it showed the increasing tendency by the age group. 4. The prevalence was significantly higher in the large scale shipyard than is the small scale one(p<0.01). 5. The type and shape of opacities were 71.4% of p type and 28.6% of q type, however no pneumoconiosis with r type observed in this study. 6. The main subjective symptoms were the sputum(29.8%), coughing(25.5%), shortness of breath(20.2%), fatique(6.4%), and chest pain(5.3%). In other hand, 57.4% of pneumoconiosis were asymptomatic. 7. The prevalence of pulmonary tuberculosis was radiologically 1.7% in all subjects including 5.3% in pneumoconiosis and 1.3% in no pneumoconiosis(p<0.01).

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여성근로자(女性勤勞者)의 피하지방측정(皮下脂肪測定)에 의(衣)한 총지방량(總脂肪量) (A Study on the Measurements of Total Body Fat in Korean Women Worker)

  • 빈순덕;류총근
    • Journal of Preventive Medicine and Public Health
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    • 제6권1호
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    • pp.17-25
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    • 1973
  • For purpose of understanding of women worker's nutritional status in Korea, the author had studied oil 668 workers who are working in textile industry, chemical industry, manufacture of electrical machinery and supplies, manufacture of rubber and transportation (bus-guider). Skin-fold caliper was applicated and measured five positions. As a results of this study the following conclusions were obtained; 1. The mean skin-fold thickness were; arm: $$9.08{\pm}3.40\;mm\;(7.23{\sim}10.50\;mm)$$ back: $$16.23{\pm}5.25\;mm\;(13.18{\sim}17.20\;mm)$$ waist : $$17.86{\pm}5.82\;mm\;(13.27{\sim}19.31\;mm)$$ abdomen : $$15.45{\pm}5.04\;mm\;(10.82{\sim}16.43\;mm)$$ knee: $$13.49{\pm}4.16\;mm\;(10.80{\sim}14.04\;mm)$$ The lowest mean skin-fold thickness by age was $12.26{\pm}3.50\;mm$ at 16 year-old and the highest mean skin-fold thickness was $14.57{\pm}5.55\;mm$ at 19 yesr-old respectively. 2. Fat amounts The lowest body fat weight was 10.77 kg at 16 year-old and the highest was 12.09kg at 19 year-old, respectively. The mean body fat weight was 11.76 kg. The lowest %Fat was 20.67% at 26 year-old, the highest was 23.89% at 18 year-old and the average was 22.76%, respectively. The mean FFW was 39.94 kg and the lowest was 37.91 kg at 17 year-old, the highest was 41.64 kg at 27 year-old. The ratio of fat weight and total body mass (FW/TBM) were 21.04% at 27 year-old 23.75% at 19 year-old and average was 22.75%, respectively. The ratio of fat free weight and total body mass (FFW/TBM) were 76.25% at 19 year-old and 78.96% at 27 year-old, respectively. The average was 77.25%. The ratio of fat weight and fat free weight (FW/FFW) were 27.31% at 27 year-old and 31.15% at 19 year-old. The average was 29.44%.

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