• 한국화재소방학회논문지
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• 제28권1호
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• pp.58-63
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• 2014

본 연구는 소방공무원 현장활동 안전성을 확보하기 위한 개선 방안을 제시하고자 시도되었다. 연구결과 첫째, 안전한 현장활동을 위한 소방관서의 근무환경과 장비에 대한 만족도가 대다수의 소방공무원들에서 낮은 것으로 나타나 안전한 현장활동을 수행하는 데 충분치 않은 것으로 인식하고 있었다. 둘째, 안전한 현장활동을 위협하는 영향요인을 주로 불안정한 현장요인 등으로 인식하고 있었다. 셋째, 안전성 확보를 위한 전반적인 개선방향으로 근무환경의 개선이 가장 시급한 것으로 인식하고 있었다. 각 차원별로는 제도면에서 현장 인력확충을, 환경면에서 적성과 인성을 고려한 업무배치와 소방공무원 전문병원 설립을, 장비면에서는 안전장비 개발 및 보급과 공기호흡기 면체의 주기적 교환 및 점검이 시급히 이루어져야 하는 것으로 인식하고 있었다.

• Safety and Health at Work
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• 제13권2호
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• pp.255-260
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• 2022

Background: The coronavirus disease 2019 (COVID-19) pandemic has demonstrated the importance of implementing strategic management that prioritizes the safety of frontline nurse professionals. In this sense, this research was aimed at identifying factors associated with the illness of nursing professionals caused by COVID-19 according to socio-demographic, clinical, and labor variables. Methods: A cross-sectional study was conducted in three Brazilian university hospitals with 859 nursing professionals, which include nurses, technicians, and nursing assistants, between November 2020 and February 2021. We present data using absolute and relative frequency. We used Chi-square test for hypothesis testing and multiple logistic regression for predictive analysis and chances of occurrence. Results: The rate of nursing professionals affected by COVID-19 was 41.8%, and the factors associated with contamination were the number of people in the same household with COVID-19 and obesity. Being a nurse was a protective factor when the entire nursing team was considered. The model is significant, and its variables represent 56.61% of the occurrence of COVID-19 in nursing professionals. Conclusion: Obesity and living in the same household as other people affected by COVID-19 increases the risk of contamination by this new coronavirus.

• Safety and Health at Work
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• 제13권4호
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• pp.401-407
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• 2022

Background: The present study aimed to digitally evaluate the risk of overwork-related adverse effects (OrAEs) among employees from various occupational categories in Taiwan. Methods: Anonymous data of employees from seven companies/factories providing occupational health services were analyzed. The studied population comprised 5505 employees, and the data analyzed included employment duration, working hours, shift work schedules, and health checkup results. The risk for OrAEs was assessed by an index, Karo index (0-4, the larger the value, the higher the risk for OrAEs) obtained using a risk matrix made up of cardiocerebral and occupational risk factors. Karo index values of 3 and 4 were categorized as at high risk for OrAEs (h-OrAEs). Results: The 5505 employees had an average employment duration of 8.5 years and a mean age of 39.4 years. The prevalence rates for h-OrAEs of the seven companies/factories ranged from 3.9% to 34.2%. There were significant differences in prevalence rates for h-OrAEs between employees of retail stores and high-tech manufacturing factories. Multivariate analysis results indicated that workers of high-tech manufacturing factories had significantly higher risk for h-OrAEs compared with retail store workers. Conclusion: In terms of satisfying health risk management and legal requirements in Taiwan, the newly issued Karo index, which covers a wide range of occupational risk factors, can serve as an assessment and a warning tool for managing the risk of OrAEs in workplaces. To reduce risks for h-OrAEs, active and prudent control of cerebrocardiovascular risks and working hours is recommended.

• Safety and Health at Work
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• 제15권1호
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• pp.110-113
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• 2024

Numerous studies have indicated that organic fertilizers (OFer) might contain heavy metals (HMs) that present health risks to organic farmers (OFar). This study compared the concentrations of six HMs (Zn, Ni, Cd, Cu, Pb, Cr) in the blood of two distinct groups of farmers: 30 OFar from a designated organic area in eastern Taiwan, and 74 conventional farmers (CFar) from neighboring non-organic designated regions. The findings revealed that the OFar exhibited higher levels of Zn (1202.70 ± 188.74 ㎍/L), Cr (0.20 ± 0.09 ㎍/L), and Ni (2.14 ± 1.48 ㎍/L) in their blood compared to the CFar (988.40 ± 163.16 ㎍/L, 0.18 ± 0.15 ㎍/L, and 0.77 ± 1.23 ㎍/L), respectively. The disparities in Zn, Cr, and Ni levels were measured at 214.3 ㎍/L, 0.02 ㎍/L, and 1.37 ㎍/L, respectively. Furthermore, among the OFar, those who utilized green manures (GM) displayed significantly elevated blood levels of Zn (1279.93 ± 156.30 ㎍/L), Cr (0.24 ± 0.11 ㎍/L), and Ni (1.94 ± 1.38 ㎍/L) compared to individuals who exclusively employed chemical fertilizers (CFer) (975.42 ± 165.35 ㎍/L, 0.19 ± 0.16 ㎍/L, and 0.74 ± 1.20 ㎍/L), respectively. The differences in Zn, Cr, and Ni levels were measured at 304.51 ㎍/L, 0.05 ㎍/L, and 1.20 ㎍/L, respectively. As a result, OFar should be careful in choosing OFer and avoid those that may have heavy metal contamination.

• 한국방사선학회논문지
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• 제16권4호
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• pp.477-490
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• 2022

2022년 1월 27일부터 중대재해처벌법이 시행되었다. 본 연구는 핵의학과 실무자를 대상으로 현 시점에서 중대재해처벌법의 전반적인 현황에 대한 지식과 인식 정도를 파악하고, 이를 기초연구로 활용하고자 한다. 의료기관 중 핵의학과에 근무하는 실무자 총 51명을 대상으로 설문하였다. 대상의 일반적인 특성으로 성별, 근무병원의 규모, 근무경력, 세부직종으로 분류하였으며, 성별에서 결측 1명, 직종에서 결측 2명의 결과를 반영 적용하였다. 근무병원은 핵의학과가 있는 상급종합병원, 대학병원, 준종합병원으로, 근무경력은 3년 미만, 3년 이상 ~ 5년 미만, 5년 이상 ~ 10년 미만, 10년 이상으로 분류하였다. 또한, 세부직종은 체내검사(영상실) 방사선과와 방사선안전관리자, 기타로 분류하여 적용하였다. 이로 인한 업무상의 부담감은 준종합병원에서 근무하며, 경력이 3년 이상 ~ 5년 미만이고, 직종에 따라 방사선안전관리자가 높았다. 소속기관의 관련 체계 구축 정도는 준종합병원, 경력이 3년 미만이며, 직종에 따라 방사선안전관리자가 긍정적으로 설문하였다. 중대산업재해와 관련된 경우는 혈액전파성 질병, 급성 방사선증(홍반, 탈모 등), 무형성 빈혈순으로 답하였다. 또한 중대시민재해와 관련된 경우는 방사성의약품 투약오류, 환자낙상, 불필요한 방사선피폭, 의료기기사고, 방사성동위원소분실, 차폐체 등 고중량 물체에 의한 사고 순으로 답하였다. 실질적인 법적용을 위한 관련법의 개선, 시설점검 및 관련예산의 확보, 안전관련 전문인력이 확충 된다면 법적용에 따라 실효성을 높이고 안정적인 방사선 이용과 환자의 안전을 확보할 수 있을 것으로 사료된다.

• 한국식품위생안전성학회지
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• 제22권3호
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• pp.165-172
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• 2007

전라북도내 병원, 학교, 사업체 등의 집단급식소 98개소를 대상으로 작업 단계별 식품의 일반위생 관리항목의 실행 실태와 영양사의 중요성 인식도를 조사하였다. 식품의 구매 및 검수 단계의 위생관리 항목에 대해서는 59.2-98.0%의 실행율을 나타내어 다른 단계에 비해 상대적으로 잘 실행이 되고 있었다. 전처리 단계에서 '바닥에서 식품 취급 안하기'라는 항목은 병원의 경우 실행율이 53.8%로 나타나 사업체(32.5%)와 학교(34.2%)보다 상대적으로 높았으며, 사업체와 학교 급식소에서의 전처리 작업 방법의 개선이 요구된다. 조리 단계에서는 위생관리 항목 실행율이 모두 30% 이하로 나타나 전반적인 개선이 필요하였으며, 저장 단계에서는 학교와 사업체의 작업 과정 개선이 필요하였다. 배식 단계에서는 전반적으로 위생관리 항목에 대한 실행율이 낮아 개선이 필요하였다. 위생관리 항목에 대한 영양사의 인식도 조사 결과 각 단계별로 전반적인 위생관리 실행에 대한 교육 및 인식의 변화가 필요한 것으로 나타났다.

• 방사선산업학회지
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• 제9권1호
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• pp.47-55
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• 2015

Research and investigation is required for the exposure dose of radiation workers to work in the dental hospital as increasing interest in exposure dose of the dental hospital recently accordingly, study aim to minimize radiation exposure by making a follow-up study of individual exposure doses of radiation workers, analyzing the status on individual radiation exposure management, prediction the radiation disability risk levels by radiation, and alerting the workers to the danger of radiation exposure. Especially given the changes in the dental hospital radiation safety awareness conducted the study in order to minimize radiation exposure. This study performed analyses by a comparison between general and dental hospital, comparing each occupation, with the 116,220 exposure dose data by quarter and year of 5,811 subjects at general and dental hospital across South Korea from January 1, 2008 through December 31, 2012. The following are the results obtained by analyzing average values year and quarter. In term of hospital, average doses were significantly higer in general hospitals than detal ones. In terms of job, average doses were higher in radiological technologists the other workes. Especially, they showed statistically significant differences between radiological technologists than dentists. The above-mentioned results indicate that radiation workers were exposed to radiation for the past 5 years to the extent not exceeding the dose limit (maximum $50mSv\;y^{-1}$). The limitation of this study is that radiation workers before 2008 were excluded from the study. Objective evaluation standards did not apply to the work circumstance or condition of each hospital. Therefore, it is deemed necessary to work out analysis criteria that will be used as objective evaluation standard. It will be necessary to study radiation exposure in more precise ways on the basis of objective analysis standard in the furture. Should try to minimize the radiation individual dose of radiation workers.

• 대한치과마취과학회지
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• 제8권1호
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• pp.22-28
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• 2008

Background: Cerebral palsy (CP) is non-progressive disorder of motion and posture. In CP patient, there are difficulties in dental treatment because of uncontrolled movement of limb and head, and conjoined disabilities such as cognitive impairment, sensory loss, seizures, communication and behavioral disturbances. It is reported that CP patients have high incidence in caries and a higher prevalence of periodontal disease. But, despite the need for oro-dental care, these patients often are unlikely to receive adequate treatment without sedation or general anesthesia because of uncontrolled movements of the trunk or head. Methods: We reviewed the 58 cases of 56 patients with CP who underwent outpatient general anesthesia for dental treatment at the clinic for the disabled in Seoul National University Dental Hospital. Results: The mean age was 19 (2-54) years. The number of male patient was 40 and that of female was 18. They all had severe spastic cerebral palsy and 22 had sever mental retardation, 15 epilepsy, 8 organic brain disorder, 1 blindness, 2 deafness and cleft palate. For anesthesia induction, 14 cases was needed physical restriction who had sever mental retardation and cooperation difficulty, but 44 cases showed good or moderate cooperation. Drugs used for anesthesia induction were thiopental (37 cases), sevoflurane (14 cases), ketamine (3 cases ) and propofol (4 cases). All patients except one were done nasotracheal intubation for airway management and 4 cases were needed difficult airway management and 1 patient already had tracheostomy tube. Mean total anesthetic time was $174{\pm}56$ min and staying time at PACU was $88{\pm}39$ min. There was no death or long term hospitalization because of severe complications. Conclusion: If general anesthesia is needed, pertinent diagnostic tests and workup about anomaly, and appropriate anesthetic planning are essential for safety.

• 부모자녀건강학회지
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• 제6권1호
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• pp.31-45
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• 2003

This study is designed to produce basic data on the nursing intervention between infants and mothers after discharge from hospitals. This research is carried by investigating the nursing intervention during their after-delivery staying in the hospitals located in Pusan. The object of this study includes the neonatal wards of 51 hospitals. Data collection was carried from the 3rd of September, 2001 to the 4th of October in the same year. Tools for measurement using in this research is the nursing checklist designed by these researchers. The data were analyzed by using SPSS and the output was produced in frequency and percentage considering general characteristics and nursing activities. On the course of investigation, it was revealed that the average number of items checked are as follows; total beds in one hospital came up to 360.1, the beds in each newborn infant ward came up to 36.1, in each ward the numbers of incubators came up to 9.2 and intensive care unit to 1.7. In each ward 8.4 nurses and 2.9 nurse aids were working at that time. In each hospital, secure of air way, physical examination, eye care, umbilical cord care, maintenance of body temperature, identification of infant, nutritive condition, safety and danger management, infection management, mother-infantile interaction, medical assistant to doctor, medication and discharge education were comparatively well done. But, in case of emotional, social and cognitive aspect of nursing activities through interactions between newborn infants and nurses as substitutes are not reached to the adequate level. In the end, this study hereby suggests that further investigation on the device to facilitate the interaction between newborn infant and nurse as a nursing intervention of high quality.

• 대한한의학회지
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• 제28권2호통권70호
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• pp.205-212
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• 2007

Objectives : Combined treatment (CT) of oriental herbal medicine and prescribed drugs is now being increasingly used among cancer patients around the world. However, in Korea, clinical information on the frequency, efficacy and safety of CT among cancer patients has not yet been thoroughly reported. This study aimed to identify the status and adverse effects of CT for the management of cancer patients. Methods : A questionnaire and medical record survey by oriental medical doctors or physicians were performed at two oriental medical hospitals and one general hospital. Of the initial 400 in-patients, 368 participated in this survey, representing a response rate of 92.0%. Results : Among cancer patients in oriental medical hospitals, the proportion of CT was 45.9%. In contrast, the proportion of CT in the general hospital was only 0.6%. The proportion of CT among breast cancer patients (20) and gastric cancer patients (35) were 85.0% and 51.4%, respectively. The proportion of CT among cancer patients was high in younger, female or married patients groups. 10 respondents (11.1%) among 90 cancer patients experienced several adverse effects including nausea, fatigue, etc. Conclusions : This study suggests that many more patients in oriental medical hospitals than general hospitals use combined treatment of oriental herbal medicine and prescribed drugs for management of cancer. Therefore, medical professionals should provide comprehensive and up-to-date clinical information about potential benefits and risks of CT to cancer patients in Korea.