• 대한지역사회작업치료학회지
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• 제1권2호
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• pp.45-59
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• 2011

목적 : 본 연구는 복지국가의 개념과 사회복지영역을 살펴보고, 우리나라 장애인복지정책의 발전을 비교 분석해 보기 위함이다. 연구방법 : 문헌고찰을 통하여 복지국가의 개념과 사회복지의 영역을 기술하였고, 우리나라의 사회복지정책과 장애인정책을 각 정부별로 비교 분석하였으며 마지막으로 노무현 정부의 장애인정책을 분석하였다. 결과 : 경제성장과 더불어 복지정책과 장애인복지정책은 '선택적 복지'에서 '보편적 복지'의 형태로 발전하였다. 사회복지정책의 영역에 있어서도 과거 이승만 정부시절의 '최소한의 보장'에서 노무현 정부의 '참여복지'에 이르기까지 영역의 확대가 이루어지고 있으며 이러한 현상은 장애인 복지정책에서도 나타나는 현상이다. 결론 : 지역사회 작업치료사는 오늘날 '보편적 사회복지'의 큰 틀에서 등록 장애인 뿐 만 아니라 지역사회의 드러나지 않는 장애를 지닌 일반인과 노인을 위한 방문재활서비스와 같은 미 충족 작업치료서비스를 발견하고 제공해야 할 것이다.

• 한국사회복지학
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• 제58권2호
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• pp.143-166
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• 2006

본 연구는 우리나라 기업복지가 지속적으로 성장할 것이라는 기존 연구들(1990년대 초 중반)의 전망을 경험적으로 검증하였다. 분석결과, 외환위기를 전 후로 한 노동력 유연화의 결과 기업복지는 축소되었으며 비용통제가 가능하고 비용효율적인 선택적 복리후생제도의 도입, 고정비용적이기보다는 성과배분적인 사내근로복지기금출연금의 성장과 같은 현상이 나타났다. 기존 연구결과에 따르면 복지국가 위기 이후 국가복지 축소/기업복지 확대의 경로를 보인 국가들도 있지만 국가복지확대/기업복지 축소의 경로를 보인 국가들도 있다. 우리나라는 국가복지확대/기업복지 축소의 한 경험적 사례로 제시될 수 있다.

• 한국사회복지학
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• 제36권
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• pp.71-99
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• 1998

20세기 말기에 접어들면서 선진국가의 복지구도가 경제와 사회분야가 분리지향적이며 국가단일주도형 복지국가에서 통합지향적이며 민관공동 주도형태로 전환하는 추세 속에서 기업복지의 중요성은 점차적으로 부각되고 있다. 그러나 한국기업복지제도는 자체의 생산성향상기능이 의문시되면서 IMF의 개입으로 인해 야기된 산업분야의 전면적 구조재조정의 여파 속에서 위기를 맞고 있다. 한국기업복지제도가 기업복지의 대상인 근로자의 수요, 욕구, 기호 등을 도외시한 채 사용자의 편의 위주로 무분별하게 제공되어온 기업복지는 근로자의 사기진작이나 직무만족도 향상을 통해 생산성을 높이는 기능이 제대로 이루어지지 못하고 있으며 그것은 기업복지무용론으로 직결되는 현실에 처해 있다. 이러한 상황에서 과학적이고 체계적이며 수혜자위주의 진일보한 기업복지제도로서 근로자협조프로그램이 본 논문에서 실제적 대안으로 제시되었으며 그 프로그램의 정의, 실시동기, 기능, 주요요인, 모형이 소개되었고 역사적 변천배경과 경제적 효율성(비용효과)이 상세히 기술되었다. 근로자협조프로그램의 설립 필연성과 적절성에 대해 심도있는 분석이 가해졌으며 미래의 대안이 구체적 목표로 자리잡기 위해 수행해야 할 과제가 제시되었다 이러한 노력은 갈림길에 서 있는 한국기업복지제도에 새로운 돌파구를 마련해 줄 뿐만 아니라 사회복지계 전체분야를 활성화하는 효과가 있고 여태까지 소홀히 취급되었던 분야를 다시 개척함으로서 사회복지계에 새로운 지평을 열고 넓히는 의미가 있다.

• Safety and Health at Work
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• 제4권1호
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• pp.71-74
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• 2013

Here, we present a case of lung cancer in a 48-year-old male horse trainer. To the best of our knowledge, this is the first such case report to include an exposure assessment of respirable crystalline silica (RCS) as a quartz. The trainer had no family history of lung cancer. Although he had a 15 pack/year cigarette-smoking history, he had stopped smoking 12 years prior to his diagnosis. For the past 23 years, he had performed longeing, and trained 7-12 horses per day on longeing arena surfaces covered by recycled sands, the same surfaces used in race tracks. We investigated his workplace RCS exposure, and found it to be the likely cause of his lung cancer. The 8-hour time weight average range of RCS was 0.020 to $0.086mg/m^3$ in the longeing arena. Horse trainers are exposed to RCS from the sand in longeing arenas, and the exposure level is high enough to have epidemiological ramifications for the occupational risk of lung cancer.

• Safety and Health at Work
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• 제5권2호
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• pp.91-96
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• 2014

Background: Chronic obstructive pulmonary disease (COPD) is an important cause of occupational mortality in miners exposed to coal mine dust. Although the inflammatory mediators involved in COPD have not been defined, many studies have shown that inflammatory mediators such as reactive oxygen and nitrogen species are involved in orchestrating the complex inflammatory process in COPD. Methods: To investigate the relevance of exhaled biomarkers of oxidative and nitrosative stress in participants with COPD, we determined the levels of hydrogen peroxide, malondialdehyde (MDA), and 3-nitrotyrosine (3-NT) in exhaled breath condensate (EBC) in 90 retired elderly coal miners (53 non-COPD and 37 COPD participants). Results: Mean levels of MDA (4.64 nMvs. 6.46 nM, p = 0.005) and 3-NT (3.51 nMvs. 5.50 nM, p = 0.039) in EBC were significantly higher in participants with COPD. The median level of MDA did show statistical difference among the COPD severities (p = 0.017), and the area under the receiver operating characteristic curve forMDA (0.67) for the diagnostic discrimination of COPD indicated the biomarker. The optimal cutoff values were 5.34 nM (64.9% sensitivity and 64.2% specificity) and 5.58 nM (62.2% sensitivity and 62.3% specificity) forMDA and 3-NT, respectively. The results suggest that high levels ofMDA and 3-NT in EBC are associated with COPD in retired elderly miners. Conclusion: These results showed that the elevated levels of EBC MDA and EBC 3-NT in individuals with COPD are biomarkers of oxidative or nitrosative stress.

• 한국직업건강간호학회지
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• 제25권3호
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• pp.188-198
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• 2016

Purpose: The present study was conducted to examine the effects of a health counseling program by occupational health nurses on the unemployed visiting the Employment Welfare Plus Center. Methods: The one-group pretest-posttest design was used. The study presented a secondary analysis of the data collected in a health counseling program run by occupational health nurses for the unemployed visiting the Employment Welfare Plus Center. Kolmogorov-Smirnov, Shapiro-Wilk test, ${\chi}^2$ test and Wilcoxon signed rank test were used to analyze 158 data collected between October 5, 2015 and January 5, 2016. Results: After the intervention, the participants showed a significant decrease in the level of stress index (uBioMacpa), stress (discomfort), musculoskeletal pain and depression. In addition, the participants showed a significant increase in self-rated general health, exercise and regular eating behavior. Conclusion: The health counseling program offered by occupational health nurses is an effective intervention to improve the physical and mental health of the unemployed individuals visiting the Employment Welfare Plus Center.

• 한국콘텐츠학회논문지
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• 제22권5호
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• pp.765-778
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• 2022

본 연구에서는 장애인근로사업장 발달장애인의 일과 복지서비스 경험을 질적 사례연구방법을 통해 심층적으로 고찰하고자 하였다. 이러한 연구목적을 달성하기 위하여 국내 G장애인근로사업장내 발달장애인 8명을 대상으로 반구조화된 질문을 활용하여 심층 인터뷰하였으며, 이를 토대로 사례 내 분석과 사례 간 분석을 실시하였다. 또한, 장애인근로사업장의 일과 복지서비스와 관련된 문서자료, 현장관찰, 문헌 검토 등을 실시하고 분석하여 이들의 상호작용을 고찰하였다. 연구결과, 장애인근로사업장 발달장애인의 일과 복지서비스 경험은 총 10개의 구성요소와 22개의 하위구성요소로 도출되었으며, 이를 통해 장애인근로사업장 발달장애인의 일과 복지서비스 경험의 본질은 총 5개로 도출되었다. 장애인근로사업장에서 근무하는 발달장애인의 일과 복지서비스 경험의 본질은 경제적 자립의 안정과 자부심, 일 자체의 즐거움과 책임감, 사회 속에 정규직이라는 성취감, 직장 내 사람들의 인정 및 지지적 교류, 복지지원 및 참여확대에 대한 기대 등으로 나타났다. 본 연구의 결과를 토대로 장애인근로사업장 발달장애인을 위한 일과 복지서비스 지원의 국내 직업재활 정책적 방향과 함의를 제언하였다.

• Safety and Health at Work
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• 제4권4호
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• pp.216-220
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• 2013

A 46-year-old man who had worked as a bumper spray painter in an automobile body shop for 15 years developed lung cancer. The patient was a nonsmoker with no family history of lung cancer. To determine whether the cancer was related to his work environment, we assessed the level of exposure to carcinogens during spray painting, sanding, and heat treatment. The results showed that spray painting with yellow paint increased the concentration of hexavalent chromium in the air to as much as $118.33{\mu}g/m^3$. Analysis of the paint bulk materials showed that hexavalent chromium was mostly found in the form of lead chromate. Interestingly, strontium chromate was also detected, and the concentration of strontium chromate increased in line with the brightness of the yellow color. Some paints contained about 1% crystalline silica in the form of quartz.

• 한국직업건강간호학회지
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• 제3권호
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• pp.5-20
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• 1993

This study was aimed to investigate the actual condition of the performance of the occupational health nursing services, and to analyze a main cause which affects on the execution of its duties for occupational health nurses in occupational group health service. It had been surveyed by responsed data from the 105 respondents out of 180 persons. The results were as follows : 1. In performance of occupational health nursing services by the number of assigned plant, participation rate of health examination tended to significantly increase with decreasing the number of assigned and it was observed that the visiting rate of every month was also significantly higher on touring inspection of work plant, recommendation of facility improvement for work environment, understanding the modification of manufacturing process, and inspection of welfare and sanitation facilities. 2. While they executed their nursing services according to duration of service, the more, their duration of service was, the higher, participation rate of health examination, health check in returning to work for injured workers, talk with other health managers on promoting welfare, service evaluation for a year plan, record of health statistic, and experience of first aid service were. And it was found out that the visiting rate of every month was also significantly higher on touring inspection of work plant. 3. In regard to occupational health nursing services by age, the participation rate of health examination and the experience of first aid service were significantly higher as the age increased. And also the visiting rate of every month was significantly higher on touring inspection of work plant, compared with young ones. 4. In performance of occupational health nursing services by the time required visiting plant, The shorter, the time required visiting plant was, the higher, the visiting rate of every month was, on time of health consultation for diseased workers, and inspection of welfare and sanitation facilities. 5. The subjects of health education were mostly liver disease and occupational hearing loss and video tape was used mostly in health education, monthly health education was the highest in 1-3 times(74.5%) and its duration was the highest in about 60 minutes(33.3%). 6. Vaccination of hepatitis among the specific health services was the highest accounting for 64.7%.

• Journal of Preventive Medicine and Public Health
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• 제20권1호
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• pp.158-164
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• 1987

The purpose of this study is to analyze occupational history of coal miners with pneumoconiosis. In this study, occupational characteristics of 49 coal miners with pneumoconiosis were compared with those of 45 coal miners without pneumoconiosis but in similar age category($43{\sim}52$ years of age) based on interview survey. Various indices on occupational characteristics were developed for the following areas: duration of employment, perception of working condition, working density, dust concentration, temperature, humidity, and experience of respirator wearings. Perception of working condition were measured in 5 points scales but experiences of respirator wearing was measured in 3 points scale. Each index was multiplied by duration of employment. From the analysis, only the experience of respirator wearing showed statistically significant difference between the two groups. Therefore, respirator wearing seemed to be effective in reducing occurrence of pneumoconiosis.