• 대한예방한의학회지
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• 제5권2호
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• pp.40-68
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• 2001

In this study, grade of subjective symptom appealed by laborer of Jeollabuk-do was evaluated using questionary regarding factor made effect on musculoskeletal disease and in addition, studied relationship with health promotion life style of them. Based on the result, relationship of general characteristics of musculoskeletal subjective symptom and life-style of the subjects was concluded as below. 1. General characteristics of study subjects were as following. Ratio of male was higher as 57.7% of male and 42.2% female and age distribution was 5.1% of 20s, 34.99% of 30s, 36.3% of 40s and 23.7% of 50s and therefore, $30{\sim}40$ aged groups showed highest ratio. Most subjects (74.9%) was married status and in case of education level, high-school graduate and dropout (23.3%) and over-college graduate (46.8%) showed highest distribution. $1{\sim}2$ Mil. KRW (29.5%) and $2{\sim}2.99$ Mil. KRW (21.2%) is the main income distribution and however there was high ratio of non-reply (29.0%). In case of employment period, $10{\sim}14$ years (15.3%) and over 15 years (29.6%) showed highest ratio and there were many non-reply (39.4%) and in addition, 67.6% replied as own house and 14.3% as lease on deposit base in question of residence type. 2. Subjects showed high ratio of subjective symptom appeal of 62.79% and many cases (50.23%) appealed 1 or 2 symptoms. Symptom by body region was 29.8% (waist), 27% (shoulder), 21.2% (knee), 15.5% (neck), 9.5% (ankle), 8.1% (wrist) and 5.0% (elbow) in order. In case of relationship with general characteristics, female comparing with male, non-residence of own house, subjects with lower education level and employment period of $10{\sim}14$ years showed higher appeal rate and kind of symptoms than others. Therefore, it was concluded that rate of musculoskeletal symptom appeal have close relationship with gender, level of living, education level, age and employment period. 3. In case of severe pain of upper body except waist and ankle, it was appealed in both or right side and it means that upper body pain is originated from right side and right region pain is transited to both region pain. In addition, there was 39.41% of non-reply to existence of right-left region pain and therefore, it was evaluated that, in may cases, there was no awareness of their own symptom condition even on subjective symptom. 4. Degree of pain was, as pain over middle level, evaluated as 2.79 on full mark of 4.0 and in order of waist (2.97), ankle (2.83), knee (2.82), wrist (2.82), neck (2.79), shoulder (2.70) and elbow (2.62). In addition, 71.97% appealed $2{\sim}3$ cases for the latest 1 week. Owing to subjective symptom, 54.95% drop into hospital or pharmacy, 10.32% made temporary retirement or absence, 7.99% transferred into more comfortable duty and $39.4{\sim}54%$ experienced one or more managing mentioned above. 5. Fulfillment of health promotion life style of subjects was evaluated on full mark of 4.0 and total score was 2.63. Average mark of each area was personal relationship (3.05), self-realization (2.92), stress management (2.63), health control (2.48), physical exercise (2.19) and nutrition management (2.19) and personal relationship was highest and physical exercise and nutrition management were lowest. As general characteristics influencing health promotion life style, gender, residence style and employment period showed significant difference. Male showed higher mark than female and showed higher mark in order of own house, others, lease on deposit base, monthly rent. Subjects with longer employment period showed higher mark with significant difference. 6. Accounting of factor influencing each area of health promotion life style, self-realization showed significance in marriage status, income, residence style and education level and health control in age, residence style and employment period. Physical exercise showed significant difference in gender, age, residence style and employment period and nutrition in gender, age, residence style and employment period. Stress management showed significant difference in residence style and employment period and however not in personal relationship. 7. Health promotion life style relating with existence and kind of pain showed significant difference in all area except personal relationship area. In absence of pain, there was statistically significant high score in all area even in total health promotion life style and all area. Accounting of kind of pain, cases of $1{\sim}2$ kinds of pain and $5{\sim}6$ kinds of pain showed relatively high score and it was lower than mark of subject stated absence of pain. 8. Subjects appeal symptom were classified by symptom region and difference of total and each areas were evaluated. General area (p=0.002), self-realization (p=0.012), health management (p=0.023), physical exercise (p=0.028), nutrition management (p=0.028) and stress control (p=0.001) showed statistically significant difference and not in personal relationship area. Especially, elbow, shoulder and neck area marked high and group appealed pain of knee, arm and elbow, foot and ankle marked low. Based on those results, subjective symptom should be accounted seriously in diagnosis of occupational musculoskeletal disease of laborer and among subjective symptom, general characteristics of gender, age, condition of living, education level and employment period make effect. Generally subject appeal symptom marked lower than subject without symptom appeal and it means that life management of subject appealing musculoskeletal pain make important role in management and treatment of occupational musculoskeletal disease.

• 대한예방한의학회지
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• 제5권2호
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• pp.69-92
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• 2001

The purposes of this study were to offer foundation making more certain standards of musculoskeletal disorder diagnosis, We researched musculoskeletal symptoms degrees, frequencies, and cares and then examined relation between musculoskeletal symptoms and diagnosis of musculoskeletal conditions using moire topography among workers at an automobile manufacturing plant. Therefore we propose the possibility of moire topography as diagnosing utilities of musculoskeletal disorders. Methods: This study was to examine the general characteristics, complaints of musculoskeletal symptoms, and work-related musculoskeletal disorder rates of cervicobrachial and lumbar area by survey among 435 workers at an automobile manufacturing plant and then to show each frequency and percentage, In the diagnosis using moire topography, we studied pain control necessity of cervicobrachial and lumbar area, 435 subjects were classified by 5 levels: A(no symptoms), B(need management), C(need treatment) and then more divided by B1(light symptoms)/B2(heavy symptoms), C1(light symptoms)/C2(heavy symptoms), And musculoskeletal areas were divided by 2 parts, cervicobrachial area(neck, shoulder, arm&elbow, and wrist&hand) and lumbar area, Then, frequency and percentage of each musculoskeletal areas(cervicobrachial and lumbar area) were appeared. At last, Pearson's chi-square test analysis was utilized to observe the relation between diagnosis using moire topography and general characteristics and the relation between diagnosis using moire topography and work-related complaint of musculoskeletal symptoms of cervicobrachial and lumbar area, Results: The subjects employed for this research were categorized into; by gender, all of them were males(l00%): by age, under 35 years 12 %, 36-40 years 56.3%, 41-45 years 26.3 %, and above 46 years 5.3% with 36-40 years accounting for most of it. By living location, owned houses represented 69.7%, rented houses 23.4%, monthly-rented 1.6%, the others 5.3%; by education, middle school and lower represented 3.0%, high school 89.4%, and junior college and higher 7.6% with high school occupying most of the group. By marital status, married represented 95.2%, unmarried 4.1%, and the others 0.7% with most of them married; by alcohol, drinking represented 81.8% and non-drinking 18.2%; by smoking status, smoking represented 53.6%, non-smoking 46.4% with no big difference between them. By working time(hours/week), below 50 represented 26.9%, 50-60 67.6%, above 60 5.5%; by working time(hours/day), below 9 represented 21.6%, 10-12 73.1%, above 13 5.3%; by job tenure(years), below 10 represented 25.1%, 11-15 54.3%, 16-20 15.2%, above 21 5.5%. By personal income per year, below 30 million won represented 11.0%, 30-40 84.8%, above 40 4.1%; by sleeping hours, below 6 hours represented 26.7%, 7-8 hours 69.9%, above 9 hours 3.4%. Complaint rates of musculoskeletal symptoms and work-related musculoskeletal disorder rates were 63.9% and 54.9% with shoulder area occupying most of both them. By pain degree of musculoskeletal symptoms, shoulder area represented $2.73{\pm}0.84$, lumbar area $2.66{\pm}0.86$, wrist and hand area $2.59{\pm}0.86$, neck area $2.55{\pm}0.74$, and arm and elbow area $2.48{\pm}0.71$. By cares about musculoskeletal symptoms, taking medication or care represented 34.4%-46.7%, absence or leave 15.4%-28.7%, and job transfer 6.3%-11.5%. So experienced cases more than one thing among cares about musculoskeletal symptoms represented 39.6%-54%. In the diagnosis using moire topography, pain control necessity of cervicobrachial area was shown below; A(no symptoms) 20.7%, B1(need management/light symptoms) 64.6%, B2(need management/heavy symptoms) 11.5%, C1(need treatment/light symptoms) 3.0%, C2(need treatment/heavy symptoms) 0.2%. By lumbar area, A(no symptoms) 8.7%, B1(need management/light symptoms) 52.2%, B2(need management/heavy symptoms) 30.3%, C1(need treatment/light symptoms) 8.7%, C2(need treatment/heavy symptoms) was none. In the relation between pain control necessity and general characteristics, age(P=0.013), education(P=0.000), and job tenure(P=0.012) with pain control necessity showed differences with significance. The relation between pain control necessity and complaint of musculoskeletal symptoms of cervicobrachial and lumbar area showed no difference with significance; in cervicobrachial area represented P=0.708, lumbar area P=0.318 Conclusions: This study for musculoskeletal symptoms on workers at automobile manufacturing plant showed that complaint rates of musculoskeletal symptoms for cervicobrachial and lumbar area were so high, 63.9%. But Pearson's chi-square test analysis was utilized to study the relation between musculoskeletal symptoms and the diagnosis using moire topography, showed no differences with significance. They have no differences with significance, but the prevalence rates of diagnosis using moire topography for cervicobrachial and lumbar area were more higher than complaint rates of musculoskeletal symptoms; complaint rates of musculoskeletal symptoms were 52.4%, 34.5% and the diagnosis using moire topography were 79.3%, 91.3% for cervicobrachial and lumbar area. The results of this study indicate that the diagnosis using moire topography can find weak musculoskeletal disorders that an individual can not feel, not be judged work-related musculoskeletal disease. Therefore, this study has an important meaning that diagnosis using moire topography can predict and control own physical condition complete musculoskeletal disorders beforehand, since oriental medicine theory considers that prevention is important.

• 자원환경지질
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• 제5권4호
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• pp.187-209
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• 1972

발파(發破)에 있어서 천공배치(穿孔配置)는 발파효과에 영향(影響)을 미치는 가장 중요(重要)한 요소중(要素中)의 하나다. Burn-cut 의 폭발(爆發)의 여러 요소(要素)에 관(關)한 연구(硏究)는 Brown, Cook에 의(依)해 발표(發表)된 바 있으나 본연구(本硏究)에 있어서는 Burn-cut 와 Pyramid-cut의 천공배치(穿孔配置)의 대비(對比)와 폭원(爆源)과 자유면(自由面)사이의 역학적(力學的) 응력해석(應力解析)에 중점(重點)을 두어 이등교수(伊藤敎授)가 전개(展開)한 이론(理論)에서 다루지 않은 주정천공배치(週正穿孔配置)에 의(依)한 Burn-cut의 효과을 연결(連結)시켰다. 종래(從來)의 이론(理論)에 의(衣)하면 단일자유면발파(單一自由面發破)에 있어서는 압축응력외(壓縮應力外)에 자유면(自由面)에서 반사(反射)되는 인장응력(引張應力)의 영향(影響)을 추가(追加)로 받는다. 본(本) 신천공(新穿孔) 배치(配置)에 의(依)한 Burn-cut는 자유면수(自由面數)의 증가(增加)와 거리(距離)의 축소(縮少)를 꾀하므로서 이효과(效果)는 더욱 증대(增大)된다. 이와 같은 효과를 위(爲)해서는 다음 두가지 점(點)을 고려해야 한다. 첫째 심기공(心技孔)의 무장약공(無裝藥孔)은 보조응력(補助應力)을 크게 하기위(爲)해 가능(可能)한 대구경(大口徑)으로 깊게 천공(穿孔)해야 한다. 둘째 각 심기공간(心技孔間)의 거리(距離)를 접근(接近)시켜 완전(完全) 발파(發破)를 기(期)해야 한다. 그 까닭은 구경(口徑)이 증가(增加)됨에 따라 2차(次) 자유면(自由面)은 넓어지고 거리가 가까울수록 장약공(裝藥孔)과 무장약공(無裝藥孔)사이의 인장응력(引張應力)은 더욱 발달(發達)되기 때문이다. 선진국(先進國)에서는 심기공(心技孔)사이의 거리(距離)를 4"로 함이 이상적(理想的)이라고 알려지고 있으나 본실험(本實驗)에 의(依)하면 더 욱 근접(近接)될수록 파괴암석(破壞岩石)이 증가(增加)되고 굴진장(掘進長)도 깊어짐이 밝혀졌다. 나아가서는 굴진장(掘進長)을 더욱 증대(增大)시키기 위(爲)해 Burn-cut로 부터 Large hole Burn-cut를 개발(開發)하여 발파회수(發破回數) max 7회(回)/일(日)로서 1발파당(發破當) 3.1m까지 시도(試圖)함으로서 고속도굴진(高速度掘進)의 기원(起源)을 마련했다. 또한 대구경(大口徑) Burn-cut에서는 큰 저항(抵抗)을 극복하기 위해 금속초유폭약(金屬硝油爆藥)을 사용(使用)함이 더욱 효과적(效果的)임이 입증(立證)됐다. 최근(最近)에 와서 저렴(低廉)한 가격(價格)과 취급안전(取扱安全)으르 각광을 받고있는 AN-FO는 비료용 또는 공업용(工業用) 초안(硝安)에 연료유(燃料油)를 혼합(混合)한 것으로서 외관(雷管)만으로는 순감(純感)하여 폭발(爆發)하지 않으나 Gelatin Dynamite등(等)의 폭발성(爆發性) 예감제(銳感劑)에 의(依)해 발파공내(發破孔內)에서 일단 기폭(起爆)되면 종래(從來)의 초안폭약(硝安爆藥)에 상당(相當)한 위력(威力)을 발휘(發揮)케 한다. AN-FO 폭제(爆劑)의 성능(性能)에 관(關)해서는 많은 보고(報告)가 있었으나 본(本) 실험(實驗)에 의(依)하면 초유혼합비(硝油混合比)는 분상(粉狀)은 93.5:6.5, prill상(狀)은 94:6이 최적(最適)이며 분상(粉狀) AN-FO는 prill상(狀) AN-FO보다 항상(恒常) 폭속(爆速)이 높다. 또한 기폭감도(起爆感度), 충격감도(衝擊感度), 진거감도(塵據感度) 등(等) 제감도(諸感度)는 타화약(他火藥)에 비(比)해 몹시 경감(鏡感)하며 전폭성(傳爆性)은 prill상(狀)이 분상(粉狀)보다 우수(優秀)함을 얻었다. 발파후(發破後) Gas도 양호(良好)하며 AN-FO는 제조후(製造後) 7일(日) 전후(前後)가 최대효과를 갖는다. 종래(從來) AN-FO는 지난 여러해 동안 로천굴(露天掘)에만 사용(使用)하여 왔으나 필자(筆者)는 AN-FO의 기초성능시험(基礎性能試驗)을 토대(土臺)로 이를 이용(利用)한 신종폭제(新種爆劑)로서 금속초유폭약(金屬硝油爆藥)과 수중폭약(水中爆藥)을 발전(發展)시켰다. 금속초유(金屬硝油)의 폭약(爆藥)은 AN-FO와 Al 금속분말의 혼합물(混合物)이며 수중폭약(水中爆藥)은 종래폭약(從來爆藥)과 AN-FO로 제조(製造)한 바 이에 관(關)해서는 다른 논문(論文)에 기술(記述)했다. 본(本) 연구(硏究)에 있어서는 단일자유면(單一自由面) 발파(發破)에 있어서 격유폭약류(隔油爆藥類)를 사용(使用)한바 그 효과(效果)가 매우 양호(良好)하였음을 확인(確認)하였다.