• 환경위생공학
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• 제13권1호
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• pp.123-134
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• 1998

The study was performed to investigate the differences among various evaluation criteria for noise-induced hearing loss(NIHL). The subjects were 100 workers who had received detailed audiometric examinations after the periodic annual examination for hearing loss. The evaluation criteria included were as follows: The criterion I was NIHL of 50dB or greater at 4,000Hz in either ear which is one of the legal requirements for determining occupational hearing loss in Korea. The criterion II was NIHL of 40dB or greater by 4-divided classification(a+b+c+d/4 at 500Hz(a), 1,000Hz(b), 2,000Hz(c), 4,000Hz(d)) which is also one of the legal requirements for determining occupational hearing loss in Korea. The criterion III was NIHL of 31dB of greater by 6-divided classification(a+2b+2c+d/6) which is the workers' compensation standard. The criterion IV was NIHL of 40dB or greater by 6-divided classification(a+2b+2c+d/6), the criterion used to prohibite workers to be employed in the noisy workplace. The criterion V was NIHL of 40dB or greater by 3-divided classification(a+b+c/3) which is the guideline of the Japanes Labour Department. The results were as follows; 1. The percentage of workers with NIHL by the criterion I was the highest(96%) and covered all workers with NIHL diagnosed by other criteria. Therefore, this criterion was the most sensitive one for early detection of NIHL among various evaluation criteria. 2. The percentage of workers with NIHL by the criterion II was 29% of the subjects, but all of them could be diagnosed as having NIHL by the criterion I and 33.1% of the NIHL by the criterion III could not be covered by the criterion II. Thus, this criterion was not considered suitable as an initial step for determining occupational hearing loss. 3. The percentage of workers with NIHL by the criterion III was 45% of the subjects. This percentage was 46.9% of the NIHL by the criterion I and was estimated to cover 3.6% of all noise exposed workers. 4. The percentage of workers with NIHL by the criterion IV was 28% of the subjects, but 37.8% of the NIHL by the criterion III and 70.8% of the NIHL by the criterion I were not covered by the criterion. Therefore, these workers could have been employed in the noisy workplaces. 5. Employed relocation which was one of the post management methods was an option in the criterion I in Korea and in the criterion V in Japan. The number of NIHL by the criterion I was 6.7times greater than that by the criterion V. Thus, although employee relocation was not used exclusively, many more workers with NIHL could have been relocated. In conclusion, this study revealed that the criteria being used for managing occupational hearing loss showed a lack uniformity among them. In addition, since these criteria are all relied on the total threshold shifts caused by the noise exposure at the time of hearing test with no consideration given to the past noise exposure history nor age, it can be said that they are not an effective tool for occupational hearing loss management. Since legal requirements are usually followed after being diagnosed as having NIHL, it is recommended that a uniform diagnostic criterion should be used to minimize confusion. Pre-employment hearing tests should also be utilized so as to managing occupational hearing loss after employment rather than being used as a legal roadblock of prohibiting workers with mild hearing loss from being employed. Thus, what is needed is an establishment of a rational criterion for occupational hearing loss management rather than for legal requirements.

• 한국방사선학회논문지
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• 제11권3호
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• pp.109-115
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• 2017

본 연구의 목적은 128 MDCT(Multi-detector computed tomography)의 CareDose 4D 선량감소 효과와 임상적 유용성을 평가하고자 시행되었다. Phantom과 임상 복부 검사 연구라는 두 가지 방법을 통해 128 MDCT CareDose 4D 시스템 적용 전후의 피사체 피폭선량과 영상 평가를 실시하였다. Phantom 연구에서는 CareDose 4D 적용 전후의 두 그룹에 대하여 중앙과 3, 6, 9, 12시의 방향으로 ROI(Region of interest)를 위치시켰고, 임상 연구에서는 간의 각 8구획에 대하여 CareDose 4D 적용 전 후 두 그룹에 대하여 ROI를 위치하여 CT Number, Noise, DLP(Dose length product)선량을 측정하였다. 측정결과 Phantom 및 임상연구에서 CT Number는 적용 전 후 값에 차이가 없었고(p>.05), 선량관련 CTDIvol(CT dose index volume) 측정값 및 유효선량은 CareDose 4D 적용 후가 낮았다 (p<.05). 결론적으로 CareDose 4D를 사용하면 영상의 화질을 저하시키지 않고 최적의 영상정보를 획득하면서 환자 선량이 감소되는 효과를 얻을 수 있다.

• 대한방사선기술학회지:방사선기술과학
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• 제38권4호
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• pp.347-353
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• 2015

디지털 흉부단층합성법 검사에서 부가필터 사용에 따른 환자의 선량과 화질의 특성을 비교해보고자 하였다. 부가필터의 종류는 구리, 알루미늄, 니켈을 사용하였으며, 이 때 각 각의 부가필터에 따른 유효선량, 면적선량을 측정해 보았고, 화질의 물리적 평가방법으로 signal to noise ratio (SNR)과 contrast to noise ratio (CNR)을, 시각적 평가방법으로 contrast detail (CD) phantom을 이용한 CD 곡선을 비교하였다. 그 결과 부가필터별 조사선량이 비슷한 두께는 0.3 mmCu, 3 mmAl, 0.3 mmNi 였으며 부가필터를 사용하지 않았을 때 보다 조사선량 값이 평균 33.1% 감소하였다. 각 필터 별 dose area product (DAP) 선량값을 측정한 결과 Ni를 사용하였을 때 선량이 72.9% 감소하여 가장 낮았으며, 필터별 DAP 값은 통계적으로 유의한 차이를 보였다(p<0.01). 유효선량은 Ni를 사용하였을 때 가장 낮은 선량 값을 보였고, 필터를 사용하지 않았을 때 0.102 mSv에 비해 48.0% 감소하였다. CD phantom에 의한 시각적 화질평가에서는 각 필터별로 비슷한 양상을 나타냈으며, 3가지 부가필터를 사용 하였을 때 S NR과 CNR은 평균 19.07, 1 8.17% 감소함을 보였다. 결론적으로 디지털 흉부 단층합성법 검사에서 부가필터로 Ni을 사용할 경우 유효선량 및 DAP 선량 감소, 화질에서 가장 적절함을 알 수 있었다.

• 한국산업보건학회지
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• 제16권2호
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• pp.131-144
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• 2006

For the purpose of preparing the fundamental data on working environment of small scale manufacturing industries and preventing the occupational diseases of workers in these industries, authors surveyed the status of working environment to several chemical substances and physical agents by types of industry and types of process in the small scale manufacturing industries with less than five workers in Gimhae including 235 workplaces, 14 types of industry and 25 types of process from January 2002 to December 2004. This measurement method was work environment measurement method (established in Ministry of Labor, Korea), analytical methods (2nd Ed.) of Occupational Safety and Health Administration (OSHA) and manual of analytical methods (4th Ed.) of National Institute for Occupational Safety and Health (NIOSH) and collected data was analyzed by using SPSS 10.0 for windows, the results were as follows: 1. Noise generated in 14 types of industry and 22 types of process. an actual level of mean exposure (90.7 dB(A)) exceeded threshold limit values (TLVs) in manufacture of other transport equipment. An actual level of mean exposure (90.2dB) exceeded TLVs in the process of wire-drawing and 90.4dB in the process of wire-stranding. 2. Dusts of type I, II, III were generated in 9 types of industry and 8 types of process. Its mean concentration did not exceed TLVs. 3. Heavy metals (Pb, Mn, Cr, Ni) were generated in 7 types of industry and 7 types of process. Its mean concentration did not exceed TLVs. 4. 16 kinds of organic solvents were generated in 11 types of industry and 6 types of process. Its mean concentration did not exceed TLVs. As the above results, chemical substances and physical agents were generated in the several different types of industry and process of the manufacturing industry with less than five workers, and only mean level of noise was exceeded TLVs. In case of exceeding threshold limit values, improvement of work environment is actively needed, and work environment management should be performed continuously for prevention of an occupational diseases and work related diseases.

• Safety and Health at Work
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• 제2권1호
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• pp.70-82
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• 2011

Objectives: Ischemic heart disease (IHD) is a major cause of death in Korea and known to result from several occupational factors. This study attempted to estimate the current magnitude of IHD mortality due to occupational factors in Korea. Methods: After selecting occupational risk factors by literature investigation, we calculated attributable fractions (AFs) from relative risks and exposure data for each factor. Relative risks were estimated using meta-analysis based on published research. Exposure data were collected from the 2006 Survey of Korean Working Conditions. Finally, we estimated 2006 occupation-related IHD mortality. Results: For the factors considered, we estimated the following relative risks: noise 1.06, environmental tobacco smoke 1.19 (men) and 1.22 (women), shift work 1.12, and low job control 1.15 (men) and 1.08 (women). Combined AFs of those factors in the IHD were estimated at 9.29% (0.3-18.51%) in men and 5.78% (-7.05-19.15%) in women. Based on these fractions, Korea's 2006 death toll from occupational IHD between the age of 15 and 69 was calculated at 353 in men (total 3,804) and 72 in women (total 1,246). Conclusion: We estimated occupational IHD mortality of Korea with updated data and more relevant evidence. Despite the efforts to obtain reliable estimates, there were many assumptions and limitations that must be overcome. Future research based on more precise design and reliable evidence is required for more accurate estimates.

• 한국산업보건학회지
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• 제27권4호
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• pp.324-332
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• 2017

Objectives: Much scientific evidence indicate a positive association between moldy environments and respiratory illnesses and/or symptoms. However, few comprehensive assessments of mold have been performed for such settings. Spore counts or microscopic enumeration only may not be sufficient for evaluating fungal exposure. Recently, Mold Specific QPCR technology developed by the US EPA (Environmental Relative Moldiness Index, ERMI) has been widely used worldwide and great performance for assessing fungal exposure has been shown. Methods: We aimed to develop a Korean version of ERMI suitable for the distribution of fungal flora in Korea. Thirty dwellings in the Seoul and Incheon area were selected for sampling, and each was classified as 'Flooded, 'Water-damaged' or 'Non-water-damaged'. Results: Dust on the floor and airborne sampling were collected using an MAS100 and a 'Dustream' collector. Samples were analyzed by quantitative polymerase chain reaction(QPCR) for the 36 molds belonging to ERMI. Student t-test and ANOVA tests were carried out using SAS software. The median ERMI values of flooded, water damaged, and non-water damaged dwellings were 8.24(range: -5.6 to 27.9), 5.47(-25. 4 to 32.7), and -15.30(-24.6 to 14.8), respectively. Significant differences were observed between flooded and non-water damaged dwellings (P=0.001) and between water-damaged and non-water damaged dwellings (P=0.032). Conclusion: Our findings indicate that ERMI values attributed to dust samples in Korea could be applicable for the identification of flooded or water damaged buildings. However, much data is needed for continuously developing the Korean version of ERMI values.

• 한국산업보건학회지
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• 제29권3호
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• pp.383-393
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• 2019

Objectives: The proportion of those working beyond 53 hours a week in 2018 has reached 16.8% of the total number of workers in the Republic of Korea (Statistics Korea, 2018). Although there are many studies that have dealt with the correlation of long working hours and increasing risk of work-related health problems, studies dealing with the factors impacting work-related health problems of workers according to their working hours are few. This study aims to ascertain factors impacting work-related health problems of workers based on their working hours through thorough research on their work environment. Methods: Necessary factors for this study were extracted from 'the 4th Korean Working Conditions Survey to analyze details on normal characteristics and work environments used for the study analysis, work hours, and health problems related to work. Results: The results are as follows: First, men showed a greater probability of exposure to work-related health problems than did women, especially in the 50s age group, which showed the highest potential for health problems from work among age groups. Second, service providers and sales professionals showed a higher probability of work-related health problems. Third, for the work environment, health problems at work related to vibration, noise, chemical and poison exposure, exhaustion, pain, standing position, and repeated motion showed a higher probability if the work hours are long. Conclusions: This study suggests that the minimization of overtime labor would prevent work-related health problems and diseases, improve the well-being of workers, and decrease the negative impact on workers in the subject area.

• 대한안전경영과학회지
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• 제17권3호
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• pp.115-123
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• 2015

The study conducted statistical analysis of survey on the 239 workers participating in national Tower Crane installation/dismantlement in order to identify work environment and health hazard exposure of Tower Crane workers. Consequently for work related safety status of Tower Crane workers, the number of installation/dismantlement work was the highest at 15-20 times per month, and safety equipments were not arranged at work and they felt highly anxious when boarding on the Tower Crane. Furthermore, it is found that they feel anxious working in the influence of the weather, noise, vibration, wind, the sun ray, and structure characteristic. They have very low satisfaction in the insecureness of workplace and the work environment, and recognizes that their work affect highly on the health. 81.6% of workers have experienced accident at work, the cause of accidents were mainly due to poor work environment, and the health abnormality they have experienced were mostly fatigue and concentration reduction. For job stress, job demand and conflict in relationship were the highest sections. Total 66.5% of workers complained of musculoskeletal disorder related subjective symptom, and back pain patients were the highest of all groups.

• 대한방사선기술학회지:방사선기술과학
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• 제44권1호
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• pp.39-46
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• 2021

This study confirmed the usefulness of the copper filter according to the mode change by comparing and analyzing the energy change according to the application of the copper filter and the change in effective dose and image quality according to the distance to the subject in the DR(Digital Radiography) system. The average energy increased when the copper filter was applied and the reduction rate by 50% of mAs was increased as the thickness of the copper filter increased according to the application of the 10 kVp rule in AEC mode. The effective dose decreased as the thickness increased when the copper filter was applied in AEC(Automatic Exposure Control) mode and manual mode according to the application of the 10 kVp rule, and the decrease rate decreased with increasing 10 kVp increments. As a result of analyzing the dicom images for AEC mode and manual mode with Image J. the PSNR(Peak Signal to Noise Ratio) values were approximate values of less than 30 dB for each mode and for each copper filter thickness. When the copper filter was applied, the average energy increased, so when the 10 kVp rule was applied, the mAs for each mode could be reduced, and the effective dose could also be reduced. However, as the distance and tube voltage increased, the reduction rate of mAs decreased, and the quality of the image was found to decrease when the copper filter was applied, but there was no difference in quality of the image when the copper filter thickness increased.

• 한국방사선학회논문지
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• 제17권5호
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• pp.717-723
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• 2023

간 질환을 포함한 여러 복부 질환은 사망에 영향을 줄 수 있다. 복부 질환 진료 시 전산화단층검사는(CT; Computed Tomography) 필수적으로 사용되고 있다. 판독에 유리한 영상을 만들기 위해서 높은 방사선 노출이 따르는데, 이에 대한 화질관리와 환자의 피폭 관리를 위한 다양한 노력이 필요하다. 복부 CT 영상의 화질개선을 위해서 후처리 방식의 웨이블릿(Wavelet) 알고리즘을 제안하였다. 웨이블릿은 입력 영상의 종류에 따라 역치(Threshold) 값을 설정해 주어야 하는 단점이 있기 때문에 본 연구에서는 역치 값을 실험적으로 제안하였고 화질 평가도 하였다. 실험결과, 복부 CT 영상의 최적 역치 값은 50으로 계산되었다. 실험영상 1의 경우 49%, 실험 영상 2의 경우 29% 노이즈가 개선되었고, 대조도도 크게 상승 하였다. 본 연구 결과를 저선량 복부 CT 영상을 획득 후 후처리 방법으로 적용한다면, 화질을 개선시킬 수 있어 질병 판독에 도움을 줄 것으로 판단한다.