• 제목/요약/키워드: safety evaluation indicators

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The relationship between skeletal muscle mass and the KOSHA cardiovascular risk in obese male workers

  • Hyo Won Chong;JunSeok Son;Changho Chae;Changho Jae
    • Annals of Occupational and Environmental Medicine
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    • 제35권
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    • pp.40.1-40.10
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    • 2023
  • Background: Efforts for the prevention and management of cardiovascular diseases (CVDs) in workers have been actively pursued. Obesity is one of the important risk factors related to CVDs. Obesity has various metabolic characteristics, and some individuals can be metabolically healthy. Body composition including skeletal muscle mass is known to have protective effect in obesity. The study aims to investigate the association between skeletal muscle mass and Korea Occupational Safety and Health Agency (KOSHA) CVD risk among obese male manufacturing workers in Korea and to identify appropriate indicators of skeletal muscle mass for predicting risk of CVDs. Methods: The study was conducted on 2,007 obese male workers at a manufacturing industry aged more than 19 years. Skeletal muscle mass, skeletal muscle index (SMI), skeletal muscle mass percent (SMM%) and skeletal muscle to body fat ratio (MFR) were used to evaluate body composition and these indicators were divided into quartiles. The odds ratios (ORs) and 95% confidence intervals (CIs) for the KOSHA CVD risk groups according to quartiles of skeletal muscle mass indicators were estimated using ordinal logistic regression analysis. Results: The OR for the KOSHA CVD risk groups in the highest quartile of SMI was 1.67 (95% CI: 1.42-1.92), while the ORs for the KOSHA CVD risk groups in the highest quartiles of SMM%, SMM/body mass index (BMI), and MFR were 0.47 (95% CI: 0.22-0.72), 0.51 (95% CI: 0.05-0.76), and 0.48 (95% CI: 0.23-0.74), respectively. Conclusions: We found that high SMI increase the likelihood of high risk of CVDs, while high SMM%, SMM/BMI, and MFR lower the likelihood of high risk of CVDs. Accurate evaluation of skeletal muscle mass can help assess the cardiovascular risk in obese male workers.

위탁급식업체 급식안전사고 실태 및 조리종사원의 조리작업안전에 대한 인식 (Assessment of Accidents Occurrence and Cuisine Employees' Awareness of Workplace Safety in Contract Foodservice Management Company)

  • 김옥선;오세인
    • 대한영양사협회학술지
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    • 제16권4호
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    • pp.299-317
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    • 2010
  • The study was conducted in two phase. In phase I, workplace safety accidents were investigated that happened from 2004 to 2008 in 52 medium-sized contract managed foodservice companies located in Seoul. In phase II, a survey was conducted to examine the cuisine employees' awareness of workplace safety. The survey was administered to the same foodservice management companies from April 12 to April 20, 2009. The final response rate was 84% (N=336), and the data were analyzed using SPSS Windows (ver. 12.0). The analysis showed that more accidents occurred in the age groups of 51~60 and 41~50 and among women. Forty-four percents of the accidents were reported by the employees who had been engaged in foodservice for 1~4 years. The majority of the safety accidents occurred in May~June of the year and the injuries were related to the 'hands and arms'. Approximately 38.5% of the injuries happened during 'movement and transportation'. More than half of the accidents were not managed as 'industrial accidents'. By type of injuries, 28.6% of the accidents were 'fractures'. In terms of the companies' actions, 44% of the accidents were dealt by companies' paying medical bills. The results of this study could be useful to develop evaluation indicators for safety education programs, decrease cuisine employees' safety accidents, protect assets, and prevent various worker and industrial accidents to create a pleasant work environment.

토지이용을 고려한 보행환경 평가지표 개발 및 적용에 관한 연구 (A Study on Assessment Indicator of Walking Environment Considering Land Use Characteristics)

  • 김숙희;이규진;최기주
    • 대한토목학회논문집
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    • 제34권3호
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    • pp.931-938
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    • 2014
  • 본 연구는 효율적인 보행로 관리에 기여하기 위한 목적으로, 토지이용 특성이 반영된 보행로 유형에 따라 보행자가 인식하는 보행환경 만족도의 평가척도는 다를 것이라는 인식을 전제로, 보행로에 대한 보행환경 평가방법을 제시하였다. 연구결과, 신도시, 구도심, 상업지, 지하철역, 하천 공원에 대한 보행로별 보행환경 평가지표와 각 평가지표의 상대적 중요도는 통계적으로도 유의미한 차이가 존재하는 것으로 판명되었다. 본 연구에서 구축한 보행환경 평가모형을 수원시 일부 보행로에 적용한 결과, 본 모형은 현상을 비교적 현실적으로 묘사할 수 있는 것으로 확인되었다. 본 연구결과는 지자체의 보행환경 개선 우선순위 결정 등에 기여할 것으로 기대된다.

고속도로 건설이 지역경제에 미치는 기여도 분석연구: 강일~춘천 고속도로 (Impact of Highway Construction on the Regional Economy: Gangil-Chuncheon Highway)

  • 나성용;이두헌;김현우
    • 한국산업융합학회 논문집
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    • 제25권6_3호
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    • pp.1183-1190
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    • 2022
  • Recently, the Ministry of Strategy and Finance announced a plan to reduce the proportion of economic evaluation in non-metropolitan areas and strengthen balanced development evaluation through the reorganization of the preliminary feasibility study system. In addition, the social value of the quality of life, such as job, environment, and safety, which may be affected by the implementation of transportation facility investment projects, was reflected as the main item of policy evaluation. In this study, the ripple effect of the project in terms of social value was reviewed for the Gangil-Chuncheon. The effect of highway opening was investigated by reviewing the feasibility report, post-evaluation report, and statistical indicators. Recently, the Gangil-Chuncheon highway is getting used by around 110,000 people per day. The number of tourists in Chuncheon rapidly has increased from 5 million a year to more than 11 million now. In addition, it was confirmed to produce effects such as population migration, net inflow and land price increase, improvement of living convenience, and expansion of emergency medical care. Although this ripple effect was influenced by various socio-economic factors as well as the opening of the highway, it is clear that it is difficult to occur without the opening of the highway. It is judged that the evaluation of indirect benefits and social values due to the opening of the highway can be quantified through continuous research and data construction. Post-evaluation of construction works, including project efficiency evaluation and ripple effect evaluation, is performed for construction works with a construction cost of more than 50 billion won. In the future, we will continuously improve the evaluation system in order to evaluate the indirect benefits and social values of public investment projects.

환자안전을 위한 병원건축 설계지침과 디자인 기본구조 비교조사 - 미국과 영국을 중심으로 (Comparative Study of Hospital Architecture Design Guidelines and Frameworks for the Patient Safety - Focused on the US and UK)

  • 김영애;이현진;송상훈
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제27권3호
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    • pp.27-37
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    • 2021
  • Purpose: The purpose of this study is to compare the changes in hospital accreditation evaluations, the changes in hospital building design guidelines, and the development of design indicators for reducing medical accidents in the state-of-the-art healthcare providers. Methods: The changes and tools were carefully investigated and compared that had been taken place and used in the building certification standards, design guidelines, and patient safety design standards to reduce accidents in the United States and the United Kingdom. Results: First, medical accidents are recognized as multiple defense layers rather than personal ones, and a public reporting and learning system is created, reporting the accidents in question publicly and suggesting ways to improve them based on the data at a time. Second, for the accreditation institute that secures the service quality of medical institutions, detailed standards for patient safety are continuously updated with focus on clinical trials. The United States is in charge of the private sector, but on the other hand the United Kingdom is in charge of the public sector. Third, the design guidelines are provided as web-based tools that complement various guidelines for patient safety, and are improved and developed as well. Fourth, detailed approaches are continuously developed and provided to secure patient safety and reduce medical accidents through appropriate research, evidence-based design and strict evaluations. Implications: When medical institutions make efforts to strength patient safety methods through valid design standards, accidents are expected to decrease, whereby hospital finances are also to be improved. A higher level of medical quality service will sure be secured through comprehensive certification evaluation.

사고대비물질 상위 및 하위규정수량의 적정성 평가 (Evaluation of Adequacy of Upper and Lower Tier Qualifying Quantities for the Substance Requiring Preparation for Accidents)

  • 김효동;김혜리;서청민;전진우;박교식
    • 한국안전학회지
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    • 제37권2호
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    • pp.10-17
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    • 2022
  • Currently, in Korea, lower and upper tier qualifying quantities of the 97 substances requiring preparation for accidents have been designated. The information on the submission of chemical accident prevention management plan varies depending on whether the handling volume is above or below the lower or upper qualifying quantity. Because the criteria of the lower and upper qualifying quantities of substance requiring preparation for accidents are not stipulated in the Chemical Substances Control Act, this study attempted to establish a criterion through significance verification. In addition, the study investigated whether these qualifying quantities are related to the Globally Harmonized System of Classification and Labelling of Chemicals (GHS), toxic concentration endpoint, and National Fire Protection Association (NFPA). Finally, by comparing the risk categorization of the GHS, endpoint, and NFPA, it was evaluated whether the circulation-volume-based risk categorization of the substance requiring preparation for accidents that are in the top 13 is appropriate. The qualifying quantities of benzene, toluene, and sulfuric acid needed to be adjusted upward, while those of methyl alcohol and ammonia were adjusted downward from the current qualifying quantities. It is required to establish a quantified criterion that fully reflects the domestic situations in Korea and various indicators such as toxicity, physicochemical properties, and circulation volume for the qualified criterion of hazardous chemical substances. The study is expected to be helpful in establishing an efficient system by systematizing the criterion for qualifying quantity.

고교시설 디자인 지표의 적용 분석 연구 - 경기도 고등학교를 중심으로 - (A Study on the Application of Design Indicators of the High School Facilities - Focused on High School in Gyeonggi-do -)

  • 조경식;아이게림
    • 교육시설 논문지
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    • 제24권6호
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    • pp.45-53
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    • 2017
  • The purpose of this study is to provide the fundamental data to improve a school building through comparing and analyzing facilities of high schools located in Gyeonggi - do Province on the basis of the Design Indicator for the Korean Educational Buildings. Two types of high schools were examined for this study. Some of them are high schools selected by Korean Ministry of Education as a school equipped with superior facilities and the others are high schools equipped with general facilities. 8 items such as safety, comfort, the function of education, utilization, the public, eco-friendliness, technology performance, economical efficiency were examined by 5 point Likert scale. Findings showed that all facilities of both types of high schools received high ratings in terms of safety, utilization, and technology performance. However, the evaluation index on 'various used outdoor space' and 'public buildings harmonized with surroundings' of the education function of both types of high schools was low, which implies that the facility related to the education function needs to be improved. It infers that facilities are simplified and harmony with surroundings disappears when altering the design of the school building due to the convenience of building and the problem of the budget. Therefore, these need to be primarily controlled. Additionally, in high schools with general facilities, the evaluation index on 'aesthetic interior and exterior design of comfort', 'the responsive space to the demand for teaching and learning of the function of education', and eco-friendless were so low that these factors need to be considered when designing the school building.

AHP분석을 통한 학교건축 개축 판단 분석 (Analyzing School Architecture Renovation Determination by AHP Analysis)

  • 임재현;이용환
    • 교육녹색환경연구
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    • 제21권4호
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    • pp.13-20
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    • 2022
  • 최근 교육시설정책의 일환으로 전체 학교시설 중 40년 이상 경과된 건축물을 대상으로 공간혁신 차원의 개축사업이 진행 중이다. 노후화 정도 또한 증가하여 안전상의 위험을 초래하여 교직원과 학생의 거주 안전성을 위협하거나 미래 교육과정에 대응되지 못하는 열악한 환경으로 학교건축에 대한 증개축의 필요성이 급격하게 증가하고 있다. 학교건축은 교육과정을 수행하는 교육환경으로 대응하기 위해서는 국가 교육과정의 이해와 교육적 효과를 지원하는 교육공간의 명확한 관계 판단 기준이 필요하다. 본 연구는 노후 학교건축의 평가 기준을 정하기 위해서는 정량적 분석과 체계화된 평가지표의 연구와 평가방법을 관련 담당자들이 활용할 수 있도록 정량화, 정확성을 중심으로 판단자료를 제시하고자 하였다.

한국 의료기관의 방사선 영상검사 평가 현황 및 과제 (A Study on the Status and Improvement Direction of Radiographic Imaging Examination Assessment in Korea Medical Institutions)

  • 조영권
    • 한국방사선학회논문지
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    • 제17권4호
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    • pp.565-572
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    • 2023
  • 본 연구에서는 국내 공공 부문에서 실시하고 있는 의료기관 평가 중 영상검사와 관련된 현황을 살펴보고 개선 방향을 제시하고자 하였다. 의료기관 평가 중 영상검사와 관련된 주요 평가는 의료기관 인증평가와 영상검사 적정성 평가가 있으며, 의료기관 인증평가에서는 영상검사 운영과정, 정확한 결과 제공, 안전관리 절차 준수 등을 평가하고 있다. 영상검사 적정성 평가에서는 인력, 장비와 관련된 구조 지표, 환자평가 실시율, 피폭 저감 프로그램 등이 포함되어 있었다. 하지만 좀 더 안전하고 질 높은 영상검사를 위해서는 의료기관의 인증평가 참여율을 높이는 방안 마련이 필요하며, 영상검사 적정성 평가의 인력지표 개선과 인센티브 지급에 대한 고려도 필요하다. 마지막으로 국가 차원의 방사선 노출 통합관리도 함께 병행되어야 할 것이다.

교량 안전점검 지표별 내하성능 상관관계 분석 (Correlation Analysis of Load-carrying Capacity by Safety Inspection Indicators in Bridges)

  • 정규산;서동우;김재환;조한민;박기태;신연우
    • 한국방재안전학회논문집
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    • 제15권3호
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    • pp.89-99
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    • 2022
  • 교량은 경제 및 사회적 활동에 토대가 되는 핵심적인 사회기반시설이다. 우리나라의 교량은 70년대 경제발전과 함께 건설되기 시작하여 80~90년대에 집중적으로 건설되었다. 최근, 공용년수가 30년을 초과하는 교량의 수가 증가하고 있어서 교량의 안전을 확보하기 위해서는 지속적인 유지관리가 필요하다. 특히, 교량 노후화에 대응하기 위하여 ICT 기술을 활용한 유지관리, 예방적 유지관리, 생애주기 비용 절감, 교량 장수명화와 같은 기술 개발 연구들이 활발히 추진되고 있다. 본 논문은 교량의 내하성능 추정 모델 개발 연구의 일환으로 교량의 안전성 평가 자료에 기초한 상관관계 분석 결과를 제시한다. 분석 결과를 통해, 교량의 내하성능과 상관성이 높은 지표를 도출하였다.