• 한국산업보건학회지
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• 제29권2호
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• pp.259-269
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• 2019

Objective: This study was conducted to prepare fundamental data and assess the relationship between level of exposure to airborne respirable dust, chest radiation findings, and the results of pulmonary function tests among workers in a cloth manufacturing factory. Methods: The number of total subjects was 144 (124 female and 20 male) workers in a cloth manufacturing factory in the city of Busan. This study measured the concentration of airborne respirable dust by gravimetric analysis and performed pulmonary function testing, and got chest radiation findings from December 1, 2016 to March 31, 2017. Collected data was analyzed using the IBM SPSS statistical package program (ver. 24.0). Results: The mean concentration of respirable dust was the highest in the cutting process. The effecting factors on $FEV_1/FVC$ were age, sex, and working process. The effecting factors on chest radiation findings were doing no exercise and concentration of respirable dust. Conclusions: Based on the above results, the authors consider there to be a need to secure sufficient working space and improve the engineering systems, for example the overall or local ventilation, in order to minimize the exposure to respirable dust. Health education and health promotion activities should also be improved in order to maintain optimal health status. The authors expect further studies to be performed on pulmonary function testing, chest radiation findings, and symptoms related to pulmonary function, including continuous observation, among workers in a cloth manufacturing factory.

• Radiation Oncology Journal
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• 제23권4호
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• pp.243-252
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• 2005

목적: 지하에 위치한 방사선치료 관련시설 내의 실내공기 질은 근무자뿐만 아니라 장기간 치료받는 환자들의 건강에도 중요하다. 저자들은 근무자들의 빌딩증후군 증상유무의 확인과 함께 실내공기 질과 관련된 여러 인자들을 측정, 분석하여 그 원인을 찾고 해결책을 제시하고자 하였다. 대상 및 방법: 근무자들을 대상으로 자각증상 및 근무환경 인식과 관련된 설문조사를 하였고, 예비조사를 바탕으로 실내공기 질과 관련된 항목들(온 습도, 미세먼지, 이산화탄소, 일산화탄소, 포름알데히드, 총휘발성유기화합물, 라돈)에 대해 근무자들이 주로 머무르는 지역들을 중심으로 일정기간 측정하였다. 아울러 환기(공조) 시스템의 효율 및 주변 환경에 대한 평가를 동시에 진행하였으며, 실외공기와의 비교평가를 위해 1층(실외)에서도 같은 항목들을 측정하였고, 측정 자료들은 국내외 환경관련 기관들의 권고 수치를 기준으로 각각 평가하였다. 결과: 설문조사에서 근무자들은 악취, 습도, 먼지 등에 대해 불만족을 보였으며, 근골격계 증상, 신경계 증상, 점막 자극 증상 등을 주로 호소하였다. 대부분의 실내공기 질 관련 항목들은 기준치를 넘지 않았으나 총휘발성유기화합물 수치가 기존 미국 사무실 측정 수치에 비해 $3{\sim}4$배 높게 나왔다. 환기 횟수나 환기량에서는 문제가 없었으나 실외공기 유입구와 실내공기 배출구의 위치 문제로 인해 오염된 공기의 유입 가능성이 있었다. 총휘발성유기화합물을 배출할 수 있는 현상액과 같은 화학물질의 관리에 주의가 필요했으며, 오염된 공기의 재유입 문제를 해결하기 위해 환기 시스템의 위치조정이 시급한 상황이었다. 결론: 저자들은 실내공기 질에 대한 평가에서 일부 화학물질 및 부적절한 환기 시스템으로 인해 근무자들이 주관적인 증상을 호소할 수 있음을 확인하였다. 지하 공간에서 장시간 거주하는 근무자들의 근무여건 개선과 함께 면역저하를 동반한 환자들의 건강관리를 위해 실내공기 질에 대한 평가는 반드시 필요하며, 그 자료를 바탕으로 향후 방사선종양학과의 설계나 기존 시설의 환경개선 등에 적극적으로 이용해야 하겠다.

• Nuclear Engineering and Technology
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• 제56권1호
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• pp.92-99
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• 2024

To minimize the cumulative radiation dose, various path-finding approaches for single agent have been proposed. However, for emergence situations such as nuclear power plant accident, these methods cannot be effectively utilized for evacuating a large number of workers because no multi-agent method is valid to conduct the mission. In this study, a novel algorithm for solving the multi-agent path-finding problem is proposed using the conflict-based search approach and the objective function redefined in terms of the cumulative radiation dose. The proposed method can find multi paths that all agents arrive at the destinations with reducing the overall radiation dose. To verify the proposed method, three problems were defined. In the single-agent problem, the objective function proposed in this study reduces the cumulative dose by 82% compared with that of the shortest distance algorithm in experiment environment of this study. It was also verified in the two multi-agent problems that multi paths with minimized the overall radiation dose, in which all agents can reach the destination without collision, can be found. The method proposed in this study will contribute to establishing evacuation plans for improving the safety of workers in radiation-related facilities.

• 한국직업건강간호학회지
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• 제32권4호
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• pp.131-140
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• 2023

Purpose: We reviewed the cases of occupational diseases that occurred in healthcare workers from 2010 to 2019 and the cases of epidemiological investigations conducted by the Occupational Safety and Health Research Institute for them. Methods: In this study, gender, age, working period, occupational characteristics, and disease characteristics by occupation, which are general characteristics of healthcare workers approved for occupational diseases. In addition, 32 cases of epidemiological investigation of healthcare workers conducted by the Institute for Occupational Safety and Health for the past 10 years (2010~2019) were analyzed. Results: The gender, age, working period, occupational characteristics, and disease characteristics by occupation of medical workers recognized as occupational diseases were all statistically significant (p<.001). In the epidemiological investigation, ionizing radiation( 50.0%) and stress (33.3%) were recognized as disease-related factors, and even in cases of disapproval, ionizing radiation (60.0%) and shift work (25.5%) were designated as related factors. And it was statistically significant (p=.008). Conclusion: The current study identified the types of diseases, various causes, and general characteristics and occupational characteristics that occur frequently in healthcare workers. Therefore, if this study is used as basic information to set the priority and direction of disease prevention project for healthcare workers, it is judged that it will be helpful in preventing industrial accidents.

• 대한지역사회영양학회지
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• 제13권5호
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• pp.713-722
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• 2008

The purpose of this study was to investigate the association among nutrient intakes and health-related lifestyles with cardiovascular disease risk assessed by blood lipid profile according to Apolipoprotein E genotypes. Middle-aged industrial male workers who had completed their annual medical examination were recruited and data of 675 subjects who finished the nutrient survey were used in the analysis. Anthropometric parameters, dietary assessment (FFQ), health-related lifestyles and blood profiles were used for statistical analyses. Apo E genotype groups were classified into the following three genotypes: Apo E2 group (including E2/E2, E2/E3, E2/E4), Apo E3 group (including E3/E3), Apo E4 group (including E3/E4, E4/E4). The frequency of Apo E2, E3, and E4 allele were 13.3%, 75.0% and 11.7% respectively. There were no significant differences in the anthropometric parameters depending on different Apo E genotypes. Also, no significant differences in the nutrient intakes were found according to the genotype groups. The nutrient intakes of all subjects were similar to or higher than the level of KDRIs (Dietary Reference Intakes For Koreans) except for intakes of calcium (67.44% of KDRIs), vitamin A (73.83% of KDRIs) and vitamin $B_2$ (78.02% of KDRIs). Also, there were no significant differences of health-related lifestyles according to Apo E genotype groups. As for the lipid profiles, Apo E4 group had significantly higher total and LDL-cholesterol concentrations than the Apo E2 group (p < 0.05). We confirmed that plasma total and LDL-cholesterol concentrations were greatly influenced by Apo E genotypes. However, nutrient intakes and health-related lifestyles were not associated with Apo E genotypes.

• 한국산업보건학회지
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• 제31권3호
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• pp.226-236
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• 2021

Objectives: Concerns have been raised about the possible health effects of radon on both workers and consumers with the spread of social attention to the impact of radon exposure. Thus, an entire raw material handling workshop was investigated, and standards for radon levels in the workplace were newly established at 600 Bq/m³. However, regulations on the management of workers exposed to radon are still insufficiently developed. Therefore, by comparative analysis of overseas and domestic radon-related regulations for workplaces, this study aims to suggest improvement plans of protection regulations under the Occupational Safety and Health Act (OSH Act) for the prevention of health disorders of radon-exposed workers. Methods: For overseas case studies, we consulted radon-related laws and reports officially published on the websites of the European Union (EU), the United States (U.S.) and the United Kingdom (UK) government agencies. Domestic law studies were conducted mainly on the Act on Protective Action Guidelines against Radiation in the Natural Environment and the OSH Act. Results: In Europe, the basic safety standards for protection against risks arising from radon (Council Directive 2013/59/EURATOM of 5 December 2013) was established by the EU. They recommend that the Member States manage radon level in workplaces based on this criterion. In the U.S., the standards for workplaces are controlled by the Occupational Safety and Health Administration (OSHA) and the Mine Safety and Health Administration (MSHA). Action on radon in the UK is specified in "Radon in the workplace" published by the Health and Safety Executive (HSE). Conclusions: The Act on Protective Action Guidelines against Radiation in the Natural Environment mainly refers to the management of workplaces that use or handle raw materials but does not have any provisions in terms of protecting naturally exposed workers. In the OSH Act, it is necessary to define whether radon is included in radiation for that reason that its current regulations have limitations in ensuring the safety workers who may be exposed to naturally occurring radon. The management standards are needed for workplaces that do not directly deal with radon but are likely to be exposed to radon. We propose that this could be specified in the regulations for the prevention of health damage caused by radiation, not in Article 125 of the OSH Act.

• Journal of Preventive Medicine and Public Health
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• 제43권2호
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• pp.185-192
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• 2010

Objectives: We conducted a meta-analysis to investigate the relationship between low external doses of ionizing radiation exposure and the risk of cancer mortality among nuclear power plant workers. Methods: We searched MEDLINE using key words related to low dose and cancer risk. The selected articles were restricted to those written in English from 1990 to January 2009. We excluded those studies with no fit to the selection criteria and we included the cited references in published articles to minimize publication bias. Through this process, a total of 11 epidemiologic studies were finally included. A publication bias was tested for using Egger's test. The homogeneity test was performed before the integration of each of the standardized mortality ratios (SMRs) and the result proved that the studies were heterogeneous. Results: We found significant decreased deaths from all cancers (SMR = 0.75, 95% CI = 0.62 - 0.90), all cancers excluding leukemia, solid cancer, mouth and pharynx, esophagus, stomach, rectum, liver and gallbladder, pancreas, lung, prostate, lymphopoietic and hematopoitic cancer. The findings of this meta-analysis were similar with those of the 15 Country Collaborative Study conducted by the International Agency for Research on Cancer. A publication bias was found only for liver and gallbladder cancer (p = 0.015). Heterogeneity was observed for all cancers, all cancers excluding leukemia, solid cancer, esophagus, colon and lung cancer. Conclusions: Our findings of low mortality for stomach, rectum, liver and gallbladder cancers may explained by the health worker effect. Yet further studies are needed to clarify the low SMR of cancers, for which there is no useful screening tool, in nuclear power plant workers.

• 한국치위생학회지
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• 제17권6호
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• pp.1053-1065
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• 2017

Objectives: The purpose of this study is to evaluate radiation safety education, knowledge and practice of dental hygienists in using handheld portable intraoral X-ray equipment and to suggest the need for radiation safety education in using handheld portable intraoral X-ray equipment. Methods: We surveyed 223 dental hygienists from July, 2017 to August in the dental clinics of Daejeon, Seoul and Gyeonggi area. Results: Radiation safety educational experience was higher in a year's career (72.9%), than 3 years experience (32.5%) (p<0.05). 82.7% of dental clinic workers took university education for radiation safety education while 55.6% of dental hospital workers took company training (p<0.05). More than 70% of the subjects did not have experience of radiation safety education about using portable intraoral X-ray. Radiation safety knowledge was highest in a year's career (p<0.05). The cumulative dose, radiation sensitivity, and lead defense knowledge were high in all subjects, but knowledge related to scattering radiation and scattering radiation sources was low. Practice of portable intraoral X-ray safety was significantly lower than knowledge. Conclusions: Knowledge of portable intraoral radiography safety is available, but performance is poor. Even with the small amount of radiation exposure, the risk is perceivable. There is a need to actively utilize the provided radiation protection products. In order to do this, efforts should be made to improve knowledge and performance of radiation safety through not only college education but also postemployment training.

• 대한방사선치료학회지
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• 제18권1호
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• pp.7-12
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• 2006

목 적: 방사선사로서 근무부서에 따라 보건복지부령 제349호에 따른 '방사선관계종사자'와 원자력법 제2조 21항의 '방사선 작업종사자'로 분류되고 있다. 따라서 방사선관계종사자와 방사선작업종사자에 따른 법률, 시행령, 시행규칙을 분석하여 방사선관계 법 개정 시 체계적으로 구축하는데 도움을 주고자 한다. 2차, 3차 의료기관에서는 보건복지부와 과학기술부에서 이중규제를 받으므로 의료기관에서의 방사선관계법 적용에 관하여 보건복지부로 이관하여 법적용이 이루어지도록 하고자 한다. 대상 및 방법: 방사선사에 관하여 의료기사 등에 관한 법률 시행령 시행규칙과 방사선관계 종사자에 관하여는 진단용방사선발생장치의 안전관리에 관한 규칙 그리고 방사선작업종사자에 관하여 원자력법 시행령 시행규칙을 수집하여 근무부서에 따른 명칭, 유효선량한도, 보수교육 및 교육 훈련, 방사선사의 건강진단 시기, 방사선구역, 방사선안전관리책임자 자격기준, 방사선 기기의 검사 시기 등을 비교 분석하였다. 결 과: 방사선사 중에서도 진단방사선과에 근무하는 경우에는 의료법에 의해 '방사선관계종사자'라는 명칭을 사용하고 있으며, 방사선종양학과나 핵의학과에 근무하는 방사선사는 원자력법에 의해 '방사선작업종사자'라는 명칭을 사용하고 있다. 유효선량한도는 연간 20 mSv로 동일하지만 방사선관계종사자의 경우는 피폭선량관리센터를 구축 중에 있는 반면, 방사선작업종사자의 피폭선량은 2002년 국가방사선작업종사자 안전관리센터를 발족하여 현재 시행 중에 있다. 방사선사 보수교육은 연간 8시간 이상 받게 되어 있으며, 방사선관계종사자는 진단용 방사선 안전관리책임자의 자체교육훈련으로 실시하는 반면에 방사선작업종사자는 작업종사전 교육 훈련을 20시간, 정기적 교육 훈련을 매년 6시간 이상이며, 건강진단 시기는 진단용 방사선발생장치의 안전관리에 관한 규칙에서 방사선관계종사자는 2년마다 실시하고 있으며, 원자력법 시행규칙에 의한 방사선작업종사자는 매년 실시하고 있다. 진단용방사선발생장치를 설치한 장소 중 외부방사선량이 1주당 $300{\mu}Sv$ 이상인 곳을 '방사선구역'으로 설정하고 있는 반면에 외부 방사선량률이 $400{\mu}Sv$을 초과하는 구역을 '방사선관리구역'으로 설정하고 있다. 임신이 확인된 여성의 방사선작업종사자는 임신이 확인된 시점부터 출산 시까지 하복부 표면에서의 등가선량한도를 2 mSv로 명시되어 있는데, 임신이 확인된 여성의 방사선관계종사자의 선량한도는 누락되어 있다. 결 론: 방사선사로서 근무 환경에 따라 방사선관계종사자나 방사선작업종사자의 명칭과 방사선구역이나 방사선관리구역의 용어, 그리고 건강진단 시기의 통일과 외부방사선량률에 대한 수치도 통일되어야 할 것이다. 방사선사 보수교육과 방사선작업종사자의 정기적 교육 훈련이 따로 관리되고 있지만 방사선작업종사자의 정기적 교육 훈련이 더 엄격하게 진행되므로, 부서 관의 협력으로 방사선사 보수교육에 합산하는 방안이 필요할 것이다. 임신이 확인된 방사선관계종사자의 피폭관리도 새로이 반영되어야 할 것이다. 따라서 업무의 특성상 사용되는 특별한 용어 외에 공통적으로 사용되는 용어의 통일은 반드시 필요하며, 방사선분야의 법, 시행령, 시행규칙, 고시 등의 개정 시 반드시 방사선 관련 부서의 해당기관과 합의하여 개정되어야 할 것이고, 대한방사선사협회에서는 방사선사에 대한 법률을 구체적이고 체계적으로 명시할 필요성이 있다고 생각된다.

• Journal of Radiation Protection and Research
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• 제48권1호
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• pp.20-27
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• 2023

Background: As the number of nuclear facilities nearing their pre-determined design life increases, demand is increasing for technology and infrastructure related to the decommissioning and decontamination (D&D) process. It is necessary to consider the nature of the dismantling environment constantly changing and the worker doing new tasks. A method was studied that can calculate the effect of learning and the change in work time on the work process, according to the learning-forgetting curve model (LFCM). Materials and Methods: The LFCM was analyzed, and input values and scenarios were analyzed for substitution into the D&D process of a nuclear facility. Results and Discussion: The effectiveness and efficiency of the training were analyzed. It was calculated that skilled workers can receive a 16.9% less collective radiation dose than workers with only basic training. Conclusion: Using these research methods and models, it was possible to calculate the change in the efficiency of workers performing new tasks in the D&D process and the corresponding reduction in the work time and collective dose.