피로와 의료이용, 업무상 사고 및 질병결근

장세진,고상백,강동묵,김성아,정진주,이철갑,강명근,현숙정,조정진,차봉석,박종구 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Objectives: This study examined the relationship of fatigue to medical utilization, occupational accident and sickness absence. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project, 2002~2004). A total of 30,146 employees categorized within the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were recruited. A structured-questionnaire was used to assess the participants' sociodemo-graphics, job-related factors, health-related behaviors, personality trait, self=perceived fatigue (MFS) and the frequency of medical utilization, occupational accident and sickness absence. Data on medical utilization and occupational accident were confirmed from company health records. Chi-square test and logistic regression analysis were used to elucidate the relationship of self-perceived fatigue to medical utilization, occupational accident and sickness absence. Results: In logistic regression analyses, self-perceived fatigue was associated with medical utilization (outpatient), occupational accident and sickness absence although the strength of the associations was higher in the blue collar workers except for medical utilization. For medical utilization, the white collar worker's adjusted odds ratios of outpatient utilization for workers scoring in the third quartile and the highest quartile, compared to workers scoring in the lowest quartile were 1.50 (95% CI: 1.20-1.87) and 2.16 (95% CI: 1.69-2.75), respectively. The blue collar workers' adjusted odds ratios of outpatient utilization for workers scoring in the second (OR: 1.23, 95% CI: 1.06-1.43), third (OR: 1.42, 95% CI: 1.22-1.66) and highest quartile (OR:1.83, 95% CI: 1.55-2.17), respectively, compared to workers scoring in the lowest quartile were statistically significant. However, no associations were found between fatigue and inpatient utilization for either the white or blue collar workers. The blue collar workers' adjusted odds ratios of being injured for workers scoring in the second, third and highest quartile were 1.41 (95% CI: 1.00-2.00), 1.57 (95% CI: 1.10-2.22) and 2.41 (95% CI: 1.69-3.44), respectively, compared to those scoring in the lowest quartile, but, those of the white collar workers were not significant. There was more likely to an increased risk of sickness absence in workers scoring in the second, third and highest quartile compared to those scoring in the lowest quartile in both white and blue collar workers, but the magnitudes of risk were higher in the blue collar workers than the white collars workers. Conclusion: This result suggests that fatigue is a determinant predictor of medical utilization, occupational accident and sickness absence, and that the pattern of risks for the three outcomes differs according to the occupational type. Some limitations of this study and considerations for future study were also discussed.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

화학기상응축법으로 제조한 Fe-Co 나노입자의 구조 및 자기적 상태에 관한 뫼스바우어 분석

오세진,최철진,권순주,진상호,김병기 대한금속재료학회 2003 대한금속·재료학회지 Vol.41 No.7

Nine nano-sized Fe-Co particle samples synthesized by Chemical Vapor Condensation(CVC) were analyzed using Mo¨ssbauer spectroscopy, XRD, BET and HRTEM. The synthesized nanoparticles consisted of metallic core and oxide shell structures, and their surfaces were covered with a-FeOOH, γ-FeOOH and Fe_(3)O_(4). The increase of cobalt content enhanced magnetic field. However, when the decomposition temperature and the oxygen content in the carrier gas (Ar) increased, the magnetic field of nanoparticles reduced with decreasing the average particle size. with increasing the vacuum pressure, the average particle size and the magnetic field increased.

퍼지 전문가 시스템을 이용한 BLDC 전동기의 자동조정 PID 속도제어에 관한 연구

진광식,윤태성,권세현 國立 昌原大學校 産業技術硏究所 1998 産技硏論文集 Vol.12 No.-

This paper proposes the rule-based expert system with auto-turning of PID controller gain and shows the efficiency of fuzzy expert system for the speed control of BLDC motor. The PID controller gain tuned using RZN(refined ZN) formula to initial tuning and fuzzy expert system to subsequent tuning. The fuzzy expert PID control method proposed in this paper results in the reduction of overshoot, the rapid response and the robustness for disturbances and noise.

스트레스 측정도구의 표준화 방안

장세진,차봉석,박종구,이은경 연세대학교 원주의과대학 1994 원주의대논문집 Vol.7 No.1

서울 주거지역내 주거블록의 공간구조에 관한 연구

손세관,신진희 대한건축학회 2003 대한건축학회논문집 Vol.19 No.4

This study is on the characteristics of spatial structure blocks of Seoul afterwards the modernized residential development has been take place in Seoul. In this study, residential blocks of Seoul are analysed focusing on the urban spatial structure and characteristics of house types. Five different areas are selected for case study; and each case represents different period anf house type. The Bomun built up with Korean urban traditional housing from 1930 to 1960's, Hwagok with large settlement, Mia, multi-family houses which has become the typical model of residential block in Seoul after mid 1980's, and Ch'ongdam in Kangnam as high-society houses which play an important role in differentiating residential block in Seoul. This study discusses the organization pattern of block-street-lots-house system, and its interactive relation to the type of house. Therefore, this study clarifies physical and spatial changes appeared on urban residential areas of Seoul, and suggests the relationship between part(house) and whole(spatial structure of residential block) of the city.

철근콘크리트 휨부재의 피로특성에 관한 실험적 연구

김영진,노병철,장세창,변근주 연세대학교 산업기술연구소 1991 논문집 Vol.23 No.2

In recent years, considerable interest has developed in the fatigue strength of reinforced concrete members subjected to cyclic loading for the wide-spread adoption of ultimate strength design procedures, the higher strength materials and the new recognition of the effect of repeated loading on structures such as bridges, concrete pavements and offshore structures. In this study, a series of experiments is carried out to investigate the fatigue characteristics of deformed bars and underreinforced simply supported beams, The 69 reinforcing bar specimens with grade SD30 and designation of D16, D22, D25, and 24 beam specimens with D16 bars are prepared for this study. From these series of tests, it is found that ⅰ) the decrease of the bar diameter results in increased fatigue life, ⅱ) the fatigue life of the bars embedded as main reinforcement within a concrete is longer than that of bars in the air. ⅲ) the fatigue strength of beams at ?? cycles with steel ratio of 0.61% and 1.22% is 64.5% and 63.2% of the yielding strength, respectively. It is concluded that the low steel ratio has no significant effect on fatigue strength of underreinforced beams and the fatigue life underreinforced concrete beams can be predicted conservatively by the fatigue life of reinforcing bar.

等力性과 等長性 運動選手에 있어서 持續的 運動이 心臟의 形態 및 機能에 미치는 效果에 關한 硏究

陳世眞,裵鍾華,朴淳永 慶熙大學校 1990 論文集 Vol.19 No.-

To assess cardiac structure and function in sustained exercise of two different training modes, 32 subjects were studied. Matched 10 healthy Young men(Control group), 12 isotonic exercise athletes of 12 soccers(Group 1) and 10 isometric exercise weight lifters(Group 2) were evaluated by echocardiography at resting state and at maximal exercise state. The following results were obtained. 1. In isotonic exercise Group 1 of resting state, significantly increased left ventricular mass due to significantly increased diastolic left ventricular dimension and left ventricular dimension and left ventricular end-diastolic volume than controls of resting state. 2. In isometric exericise Group 2 of resting state, significantly increased left ventricular mass was due to not only increased diastolic left ventricular dimension and left ventricular end-diastolic volume but also increased septal wall thickness than controls of resting state. 3. Fractional shortening, ejection fraction, systolic velocity integral and peak acceleration were increased significantly in both isotonic and isometric exercise groups of resting state than controls of resting state. 4. Even though there were no changes in diastolic left ventricular dimenion and left ventricular end diastolic volume between isotonic and isometric exercise groups of resting state, systolic left ventricular dimension and left ventricular end-systolic volume were significantly decreased in isometric exercise group of resting state. Fractional shortening ejection fraction and peak acceleration were significantly increased in isomeric exercise group of resting state than isotonic exercise group of resting state. Moreover, the increment of septal wall thickness was greater in isometric exercise group of resting state than in isotonic exercise group of resting state. 5. In isotonic exercise group of maximal exercise state, left ventricular end-systolic volum and end-diastolic volume were significantly increased than controls of maximal exercise state. There were significant increases of diastolic left ventricular dimension and left ventricular end-diastolic volume in isometric exercise group of maximal exercise state than in controls of maximal exercise state, but there was no change of left ventricular end-systolic volume between those two groups. The left ventricular wall thcikness was mostly increased significantly in isometric exercise, group of maximal state than in controls of maximal exercise state. 6. Fractional shortening and ejection fraction were significantly increased in isometric exercise group of maximal exercise state than controls of maximal exercise state. 7. There were significant decrease of left ventricular dimensions and volumes, and significant increase of fractional shortening, ejection fraction and peak acceleration in isometric exercise group of maxmal exercise state than isotonic exercise group of maximal exercise state. In conclusion, isotonic exercise caused increased left ventricular dimension and increased myocardial contractility, whereas isometric exercise caused increased left ventricular dimension, wall thickening and myocardial contractility. At maximal exercise state, isotonic exercise showed more increased ventricular dimension with increased left ventricular wall thickness and myocardial contractility.

육상 200m 경기의 곡선주로에서 직선주로 진입 시 운동학적 특성분석

오세진 한국운동역학회 2002 한국운동역학회지 Vol.12 No.2

본 연구는 200m 경기의 곡선주로에서 직선주로 진입 시 나타나는 운동학적 특성을 파악하기 위해 실시하였다. 이를 위해 단거리 육상선수 4명을 대상으로 실시하였으며 곡선주로에서 직선주로로 연결되는 구간 10m를 설정하여 비디오 카메라로 촬영하였다. 공간의 좌표를 이미알고 있는 통제점 틀을 사용하여 분석구간을 모두 포함할수있도록 설치하였으며 대상자 별로 5번씩 실시하여 이중 가장 좋은 기록을 보인 동작을 실제 분석하였다. 10m 구간에서 대상자들은 평균 4.5±0.41번의 보폭을 보이는 것으로 나타났으며, 소요시간은 1.42±0.04sec.를 보였다. 평균보폭의 신장비는 1.25±0.20%를 보였으며, 평균속도는 7.06±0.19m/s를 보였다. 곡선주로에서 직선주로로 연결되는 구간에서 인체중심변위는 곡선의 안쪽 코스를 따라 이동하고 있었으며 외측(오른쪽)에 위치하는 다리의 변위가 내측(왼쪽)에 위치하는 다리의 변위보다 크게 나타났다. 좌우측 손분절 속도에서 내측에 위치하는 왼손의 속도보다는 외측에 위치하는 오른손의 속도가 다소 빠르게 나타났는데, 곡선주로에서는 외측에 위치하는 팔의 속도를 크게하여 질주방향으로 나아가는 것으로 나타났다. 어깨관절각도는 상완이 전측에 위치할 때 보다는 후측에 위치할 때가 보다 큰 각도를 보이고 있었으며 몸통측면각도는 곡선주로의 외측에 위치하는 오른발이 이지할 때 보다는 내측에 위치하는 왼발이 이지할 때 더 작은 값을 보이고 있었으며 직선주로에 근접할수록 몸통 측면각도가 작아지는 것으로 나타났다. 몸통회전각은 외측에 위치하는 오른발이 지지할 때 몸통을 전방으로 회전시켜 나아가는 것으로 나타났다. This study sought to identify the kinematic characteristics at entrance to the straight course from the curvilinear course in t he 200m-track game. For this purpose, this study was conducted for 4 sprinters by setting the 10m-section combined from the curvilenear track to the straight course and shooting them with the camcorder. It was set up to include all the sections of analysis by using the framework of the control point knowing the coordinate of the space and actual analysis was conducted on the motion showing the best records by conducting it for each subject five times. As a result, the following conclusion was drawn: It was found that the subjects showed the average stride of 4.5±0.41 times at the 10-meter section and the required time of 1.42±0.04sec. They showed the ratio average stride to height of 1.25±0.20% and the average speed of 7.06±0.19m/s. The displacement in the center of gravity of the human body at the section combined from the curvilinear course to the straight course was moving along the inward course of the curvilinear course, and the displacement of the leg located at the outward direction(right) was found to be larger than that of the leg located at the inward direction(left). In the speed of the left and right hand segments, it was found that the speed of the right hand located in the outward direction was faster than that of the left hand located at the inward, and it was found that the subjects progressed in the curvilinear course. The subjects showed the larger angle of the shoulder joint when the upper arm was located in the forward direction than when the it was located in the backward direction. In the curvilinear course, they showed the lower value of the lateral angle of the trunk when the right foot located at the outward direction left the ground than when the left foot located at the inward direction left the ground. And it was found that the lateral angle of the trunk became lower with approaching the straight course.

非營利組織의 經營戰略에 관한 연구 : 의료부문의 전략계획을 중심으로

吳世進 강남대학교 1998 (강남대학교)논문집 Vol.32 No.3