• Pediatric Infection and Vaccine
• /
• 제22권3호
• /
• pp.186-193
• /
• 2015

목적: 소아병원 의료기관 종사자들의 손 위생 수행률을 계량화하고 분석함으로써 소아병원 종사자의 손 위생 수행실태에 대한 기본 자료를 구축하고자 수행되었다. 방법: 3차 의료기관이며 대학병원인 313병상 소아병원의 533명 직원을 대상으로 WHO 손 위생 모니터링 도구로 2010년도 11월 1일부터 12월 31일까지 직접관찰법으로 자료를 수집하였다. 결과: 총 관찰건수 2,999으로, 손 위생 수행률은 95.3%였고, 직종별로 간호사(97.7%), 의사(89.2%), 이송직(72.1%) (P<0.001), 부서별로 중환자실(92.5%), 외래(95.4%), 응급실(97.2%), 수술실(97.2%) 이었으며(P<0.001), 의사직급별로 전임의(97.5%), 교수(93.9%), 전공의(89.7%), 인턴(80.9%)이었다(P<0.001). 손 마찰(81.1%)을 많이 사용하였고, 손 씻기는 '환자 체액 노출 후'(37.7%), '환자 환경 접촉 후' (28.5%)에 많이 사용하였다. 손 위생 방법은 부서별로 차이가 없었으나(P=0.083), WHO 5 Moments 별로 차이가 있었다(P<0.001). 직종별 WHO 5 Moments 분포는 차이가 있었다(P<0.001). 손 위생 이행 odds ratio는 의사직 0.353 (95% CI, 0.241-0.519), 중환자실 0.291 (95% CI, 0.174-0.487), 외래 0.484 (95% CI, 0.281-0.834)이었다. 결론: 손 위생 수행은 직종별, 부서별로 차이가 있었다. 직종별, 부서별로 효과적인 손 위생 교육 및 훈련 프로그램 개발이 필요하다.

• 한국보건간호학회지
• /
• 제7권1호
• /
• pp.67-79
• /
• 1993

This study was designed to identify the general health conditions and high risk factors of the male & female environmental workers. Thereby. the results of this study were to provide useful data as a contribution to knowledge for health protection and promotion. The data used for this study were environmental workers' physical examination cards; the male environmental workers were 52 persons. and the female environmental workers 52 persons. The data were analyzed by descriptive statistics, t-test, Pearson correlation, and distinction analysis, using the SPSS program. The results of this study can be summarized as follows; 1. Thers was a significant statistical difference between the two groups as to height. eyesight. serum GPT, hematocrit. The variables having little difference between two groups were weight. systolic blood pressure. total cholesterol. creatinine. 2. The rate of revealed in significant health examination was extra-health discrimination rate $28.8\%$, significant result of illness rate $12.5\%$. injury-inflicting rate $7\%$. second-time urine test $5.7\%$. antigen positive 3.8%. hearing impairment $2.8\%$, urine protein positive $1.9\%$. and urine sugar positive $1.9%$. 3. The workers diagnosed as extra-health discrimination were 30 persons or $28.8\%$. There was a difference between two groups on the prevalence. In the male environmental workers. ten times live problems and six times pulmonary tuberculosis and three times circulatory problems were revealed the higher than thoes of the female environmental workers. 4. In the male environmental workers, the relationship between age and systolic blood pressure revealed a significant correlation (r=0.22. p<0.05). In the female environmental workers. there was a negative correlation between age and weight (r= 0.25, p<0.05). the relationship between age and total cholesterol correlated positively (r=0.30, p<'0.05). 5. In the male environmental workers, there was a negative correlation between working career and creatinine(r=-0. 22, p<0.05) In the female environmental workers, there was a positive correlation between working career and total cholesterol (r= 0.58, p<0.01). 6. There were significant differences on working career and creatinine accdording to the male and female environmental workers who had any problems through x-ray inspection. 7. There were significant differences on height. eyesight. serum GPT according to the male and female environmental workers who were diagnosed as extra-health discrimination. 8. The female environmental workers who were diagnosed as 'care' were positively correlated with weight (r= 0.26. p<0.05)' and systolic blood pressure (r= 0.30. p<0. 05). on the other hand. the left and right eyesight correlated nagatively(r=-0.15. r=-0.33. p<0.01). 9. The most influential variables on the male and female environmental workers' health condition were working career, height. and weight. And these three variables could help determine the two groups at the level of 81. 8 percentage.

• 한국의료질향상학회지
• /
• 제21권1호
• /
• pp.36-49
• /
• 2015

In Intensive Care Units (ICUs), where severely ill patients are treated, importance of reducing Hospital Acquired Infection (HAI) cannot be overstated. One of the simplest and most effective actions against HAI is proper hand hygiene (HH) behavior of Health Care Workers (HCWs). However, compliance varies across different cultures and different job types of HCWs (physicians, residents and nurses). This study aims to understand determinants of HH behavior by HCWs' job types in Korea. Qualitative analysis was performed based on Reasoned Action Approach style interviews with staff physicians, residents and nurses across 7 teaching hospitals. We found that all HCWs strongly believe HH is important in reducing HAI. There were, however, job type-specific HH behavior modifying factors; staff physicians stated feeling pressure to be HH behavior role model. Residents identified Quality Improvement team that measured compliance as a facilitator; a notable barrier for residents was senior physicians not washing their hands, because they were afraid of appearing impudent to their seniors. Nurses designated their chief nurse as a key referent. All participants mentioned heavy workload and lack of access to alcohol-based sanitizer as situational barriers, and sore and dry hand as deterrents to HH compliance.

• 한국방사선학회논문지
• /
• 제16권3호
• /
• pp.327-334
• /
• 2022

본 연구에서는 방사선(학)과 재학 중 교내 실습의 만족도에 대한 설문과 방사선관계종사자 및 방사선작업종사자의 현황 등을 조사해 방사선(학)과에 대한 원자력안전법의 규제에 대한 실효성 및 타당성에 대한 기초 연구에 목적을 두었다. 방사선(학)과 재학 중 수시출입자로 지정되어 교내 실습 중 방사선 발생장치를 취급 및 조작하지 못한 종사자의 실습 만족도는 만족하지 못한다가 34.62%로 나타났다. 반면 재학 중 방사선작업종사자로 지정되거나 원자력안전법의 규제 이전에 재학하여 방사선 발생장치를 취급 및 조작한 종사자의 실습 만족도는 만족한다가 50%로 나타났다. 또한 교육기관의 방사선작업종사자의 연간 피폭선량은 0.05 mSv 이하로 나타났다. 방사선작업종사자와 방사선관계종사자의 추이를 보면 방사선(학)과를 졸업한 학생들은 의료기관 중에서도 방사선관계종사자로 등록된 진단용 방사선 발생장치를 취급하는 분야로 가장 많은 취업을 한다는 것을 알 수 있다. 따라서 현재의 원자력안전법의 규제를 완화하거나 의료법 및 진단용 방사선 발생장치의 안전관리에 관한 규칙 등을 개정하여 의료기사 등에 관한 법률에서 정한 방사선(학)과 학생들의 학습권을 보장하고 실무 중심의 교육이 이루어질 수 있도록 하는 것이 필요하다고 사료된다.

• 한국식품조리과학회지
• /
• 제27권1호
• /
• pp.21-31
• /
• 2011

The purposes of this study were to investigate the gap in perceived importance-performance between dietitians and food service workers regarding school food service sanitation and to analyze items that should be given priority for improvement. Data were collected by 440 food service workers and 71 dietitians in Gyeongbuk province. All statistical analyses were conducted using the SAS package program (version 8.2 for Windows) for descriptive analysis, t-test, and importance-performance analysis (IPA). According to the performance analysis, there were significant differences between dietitians and food service workers in 18 out of the 20 items. In all of 18 items, the evaluated performance scores according to the food service workers were higher than those of the dietitians. In addition, the results of IPA confirmed the following areas as improvement priorities: proper hand washing of food service workers, cleanliness of trays and utensils, monitoring of temperature of refrigerated/frozen foods and quality of the food materials during inspection, proper washing and disinfection of raw vegetables and fruits and maintenance of CCP records, and control of food holding temperature and methods. In conclusion, dietitians should perform education about sanitation management items that have low perceived importance and should make a plan to improve sanitation management after understanding the gap in perceived importance-performance between dietitians and food service workers.

• 대한한의학회지
• /
• 제30권5호
• /
• pp.16-25
• /
• 2009

Objectives: This study was designed to analyze the results of body composition test by Oriental medical examination. The subjects were workers in the automobile manufacturing industry. Methods: The subjects consisted of 24,077 industrial workers who had received Oriental medical examination and completed questionnaires about drinking history and smoking history, during 9 months from March to November. They were categorized by sex, age, job class, drinking history and smoking history. The percentage of body fat(%BF) and abdominal obesity(AO) were measured by using bioelectrical impedance analysis (Jawon Medical, Seoul, Korea). We analyzed the relationship between sex, age, job class, drinking history, smoking history and %BF and AO using x$^2$-test of the SPSS Ver. 14.0. Results: Regarding the relationship between sex and %BF, AO, there was statistically significant difference as men had a significant higher level of %BF and AO than women. There was a positive correlation between age and both %BF and AO. Workers in their 40s especially showed a high level of AO. In job class, office workers and sales personnel were apt to have a higher level of %BF and AO than factory workers. %BF and AO of the drinker group showed a higher level than the non-drinker group. On the other hand, %BF and AO of the non-smoker group were higher than those of the smoker group. Conclusions: Companies should manage obesity closely and educate the workers to quit smoking for their health promotion. Furthermore, continuous health checkups need to be done systematically.

• 기업가정신과 벤처연구
• /
• 제20권1호
• /
• pp.19-33
• /
• 2017

우리는 본 논문에서 자영업의 변화가 국민경제에 미치는 영향 분석을 통해 올바른 정책 방향을 제시하고자 한다. 즉, 자영업의 현황 및 자영업자 지원의 정책 방향을 제시하고자 한다. 우리는 변수들의 동태적 관계를 파악하기에 위해 VAR 모형을 사용하여 자영업 추이와 경시경제 변수 간의 상호 영향을 파악하였다. 분석 결과 자영업자 비중의 외생적 충격은 실질성장률에 대해 유의한 영향이 없으나, 고용 있는 자영업자와 고용 없는 자영업자로 구분하여 분석할 경우 고용 있는 자영업자의 비중의 증가는 실질성장에 긍정적 영향이 있는 것으로 나타났다. 향후 연구에서는 자영업자 비중 변화에 대한 거시경제 변수의 단기적 효과를 추정하기 위해 분기별 자료 등으로 추가 분석을 시도할 필요가 있다.

• 대한안전경영과학회지
• /
• 제6권2호
• /
• pp.35-48
• /
• 2004

The purpose of this study is to find injurious factors and to propose an improvement plan on workers' musculoskeletal disorders at a bakery workplace through analyzing the symptom, work posture and quantitative estimate. For this study, a survey and ergonomic estimate methods were adopted. According to the survey, it was analyzed that 429 workers corresponding to 68.2% of the response have been experienced the symptoms of musculoskeletal disorders such as an ache, prickle and numbness. The result of QEC analysis shows that shoulder and waist are highly exposed to musculoskeletal disease. The result of RULA analysis shows that injurious factors of muscle, weight and repeated operations are a little higher than those of operation posture. The result of SI estimate shows that pre-treatment of making bread requiring highly repeated operation gets the highest point of 81, on the other hand, chocolate-coating job requiring relatively low speed and short time gets the point of 4.5. Based on the analyzed results, improvement plan to prevent the musculoskeletal disorders against injurious working process of a bakery workplace. The goal of this study is to propose the improved scheme that prevents the workers against musculoskeletal disorders. A questionnaire and an ergonomic assessment method were adopted to analyze the symptoms of workers' musculoskeletal disorders, and an analysis of working postures and a quantitative assessment on various processes were performed to find out harmful factors of workplace.

• Journal of Preventive Medicine and Public Health
• /
• 제12권1호
• /
• pp.31-37
• /
• 1979

By evaluating the health status of 152 male workers engaged in a metal-product factory by Cornell Medical Index in conjunction with their experience of industrial accident, I attempted to find out whether any health condition may effect on the occurence of industrial accident. Differences in frequency of complaints in each section of CMI between control workers and accident workers were statistically tested by T-test. On the other hand, influence of neuropsychiatric factors (section M-R) on the occurence of accidents was analyzed by $X^2-test$ with Fukamachi's classification. The followings were the results obtained in this study. 1. The average number (26.42) of physical complaints in accident group is significantly more than in control group (18.70). 2. The average number (17.70) of mental complaints in accident group is very significantly more than in control group (11.70). 3. Differences in frequencies of complaints by sections between accident group and control group was all significant except C (cardiovascular system), H (genitourinary system), I (fatigue) & J (frequency of disease). 4. frequency rate of neurotic workers who were identified by Fukamachi's classification was significantly higher in accident group (72%) than in control group (51%).

• International Journal of Industrial Entomology and Biomaterials
• /
• 제32권1호
• /
• pp.26-34
• /
• 2016

The present study was developed in order to evaluate the effect of five essential oils on the workers of the leaf-cutting ants; Atta sexdens rubropilosa and Acromyrmex subterraneus molestans by contact with a treated surface and ingestion with a treated leaves.. The essential oils of cinnamon, clove and mustard had generally more effective with 5, 10 and 15% concentrations after 24, 48, 72 and 96 h against workers of A. sexdens rubropilosa and A. subterraneus molestans in contact bioassay, but mustard was the most effective in ingestion bioassay on both species. On the other hand, there was no significant difference among the essential oils with 1% concentration and control after 24, 48 and 72 h of treatment in contact and ingestion bioassays against workers of A. sexdens rubropilosa . However, Andiroba oil had less efficiency values in all concentrations been used. Therefore, the essential oils of mustard, cinnamon and clove have contact and ingestion effects on workers of A. sexdens rubropilosa and A. subterraneus molestans, and may be promising on the leaf-cutting ant control.