보건관리자 직무평가도구의 개발

하은희,박혜숙,김영주 이화여자대학교 의과대학 2003 EMJ (Ewha medical journal) Vol.26 No.2

Objectives : The purpose of this study is to deliver effective worksite health management by specifying job of occupational physician, occupational nurse, occupational hygienist and making job reference manual and health performance audit. Therefore, We can contribute to disease prevention and health promotion of workers by enhancing quality of worksite health management. Method : The methodology of making performance audit is comprised of developing audit questions and weighting the questions. Measures are made by scoring the values. The question-naires were grouped by the categories and sections. This occupational audit was distributed to the health personnel of 350 workplaces by mail. The self-administered results were returned and analyzed, Results : We plot the field of occupational health service by basic policy, preventive health service, health care, administration, and other services. We gave the weight A on the primary job, B on the supplementary job, and C on the minor job. This weight was made through the delphi procedures where 30 specialists joined. Basic policy got score of 16.1% preventive health service got 36.5%, health care 20.4%, administration 10.9%, and other services 10.1%. Further weightings on the questionnaire sections were made through the survey on specialists and final weighting on each questionnaire was made by making formula considering weights of each stage. The audit was composed of 96 questions which has dichotomos scales and full score was 1,000. Person-nels from 80 workplaces (23%) replied the audit and the scores of physicians, nurses, and hygienists were 608.6, 587.1 and 535.4, respectively, all a little higher than 500. Discussion : The health performance audit can be used by the sorksite health personnels providing health service. However, this work would not be complete without further comprehe-sion and application in the real settings. 목적: 본 연구에서는 사업장 보건과리를 활성화하기 위하여 사업장에서 수행되고 있는 산업보건관리직무를 객관적으로 평가할 수 잇는 사업장 보건관리직무 평가항목과 평가척도를 개발하고자 하였다. 방법: 평가항목은 산업보건서비스의 내용별로 대항목, 소항목, 세부항목으로 구분하였다. 평가도구의 타당성을 검증하고 실제 사업장에서의 직무활동을 평가하여 평가의 기준을 현실에 맞게 설정하고자 위의 과정을 거쳐 만들어진 평가도구를 350개 사업장의 보건관리자에게 설문조사를 통해 적용하였다. 연구대상자는 산업간호사와 산업위생관리기사의 경우 한국산업안전공단 안전교육원에서 실시하는 보수교육자 이수자명단을 이용하였으며 설문실시기간은 1996년 7월 24일부터 8월 24일가지로 하여 우편설문의 형식을 취하였다. 결과: 1차 설문조사결과 산업보건의사, 산업간호사, 산업위생관리기사의 평균점수를 보면 기본방침 14.5%, 예방보건 서비스 39.0%, 치료서비스 18.0%, 관리 및 행정서비스 17.2%, 기타서비스 10.3%로 예방보건서비스가 가장 높은 점수를 보였다. 이 결과를 다시 1차 설문에 응하여준 응답자에게 통보하고 2차 Delphi를 시행한 결과 기본방침 16.1%, 예방보건서비스 36.5%, 치료서비스 20.4%, 관리 및 행정서비스 16.9%, 기타서비스 10.1%로 예방보건 서비스의 점수는 다소 낮아지고 기본방침과 치료서비스의 점수가 올라가는 결과를 보여주었다. 산업보건학계, 대행기관, 사업장 실무 인력인 산업보건의사 10인, 산업간호사 10인, 산업위생관리기사 10인을 대상으로 한 설문조사를 통해 대항목 각각을 100%로 하였을 때의 소항목의 점수(백분율)를 구하였다. 기본방침 중에서는 기본방침의 설정이 가장 높은 점수를 보였으며 예방보건서비스중에서는 건강상담 및 보건교육이 가장 높은 점수를 보였다. 치료서비스 중에서는 환자치료가 관리 및 행정 서비스에서는 기록 및 보고가 높은 점수를 보였다. 우편설문을 보낸 350개 사업장중 85개 사업장, 110명의 보건관리자에서 직무평가설문에 응답하였으며 응답사업장 보건관리자들의 직종별 인원수는 의사 41명, 간호사 78명, 산업위생관리기사 24명, 환경관리기사 65명, 기타 2명으로 산업위생관리기사 대신 환경관리기사를 채용한 사업장이 많았다. 응답사업장의 업종은 대부분이 제조업이었으나 매우 다양하였고 규모별로는 300인 미만이 38.5%, 300~999인 사업장이 32.5%, 1000인 이상이 28.8%었다. 결론: 본 평가도구가 개발목적에 부합되기 위해서는 사업장에 실제로 적용하여 사업장에서 실제 사용해 보고 이 결과를 바탕으로 사업장 규모별, 업종별로 내용을 분석하여 직무를 평가함으로써 문제를 파악하고 특히 보건관리 인력을 얼마만큼 투입할 것인가를 결정할 때에 반영되어야 할 것이다. 그리고 보건관리자의 직무 즉, 사업장내 산업보건서비스를 올바로 수행하기 위한 보건관리자의 교육훈련제도지에 대한 정책이 마련되어야 할 것이다.

청소년 자기행동 평가척도(K-YSR)의 신뢰도와 타당도

하은혜 숙명여자대학교 아동연구소 2005 兒童硏究 Vol.18 No.1

The purpose of this study was to examine the reliability and validity of the Korean Youth Self Report(K-YSR), Which had been developed to access adolescents emotional and behavioral problems by Achenbach(1991). The participants were nationwide standardized sample, that is 6570 middle and high school student(2549 boys and 4021 girls) completed K-YSR. To examine the construct validity many symptom scales were administered 1909 students(936 boys and 937 girls). To confirm the construct validity of K-YSR it was administered the correlation analysis between K-YSR and K-CBCL(Korean Child Behavior Checklist), and for the external validity it was administered the correlation analysis between K-YSR and many symptom assessment scales, that is CES-D(Center for Epidemiological Studies-Depression Scale), RCMAS(Revised Children's Manifest Anxiety Scale), K-CATS(Korean-Children Automatic Thoughts Scale), PS-1 of OSIQ(Psychological Self-1 of Offer's Self Image Questionnaire) and LDQ(Latent Delinquency Questionnaire). It was showed high internal consistency coefficient between .63 and .85. The criterion validity was revealed by high correlations between the Internalizing Behavior problems including Withdrawn, Anxious/Depressed, and Somatic Complaints. And it was showed that high correlations between the Externalizing Behavior Problems including Delinquent Behavior and Aggressive Behavior. The construct validity was showed high correlations between K-YSR and K-CBCL subscales. Moderate and high correlations was obtained between Internalizing Behavior Problems in K-YSR and RCMAS as well as CES-D and K-CATS. It was obtained high correlations between Externalizing Behavior problems in K-YSR and PS-1 of OSIQ as well as LDQ. In conclusion, K-YSR appears to be a highly reliable and valid measure to assess adolescents' emotional and behavioral problems.

유아교육기관의 운영관리 및 유아기 프로그램 평가

이소은,하진희,류혜선,박영주,주은혜,이종순 충북대학교 교육생활연구소 2001 생활과학연구논총 Vol.4 No.-

This purposes of this study were to assess the state of current administration and program contents in early childhood institutes. Using APECP(Assessnt Profile for Early Childhood Programs), assesment data were gathered from 27 apprentices in child care centers and 6 apprentices in Kindergarten in Cheongju. Descriptive statistics and Mann-Whitney test were used to analyze data. The result were as follows : (1) The distribution of percentile rate in administration was from 55% to 78%, and the area of Program Development scored the lowest. The assessments for Kindergarten were higher than those of child care center in the areas of Physical Facility, Food Service, and Program Management. (2) As for the program contents, percentile rate was from 62% to 80%, and generally the assessments for Kindergarten were higher than those of child care center. It appears that the certification and assessment system for ealry childhood institutions should be supervised more strongly in order to improve the qulaity of those institutions.

황사 기간 동안에 어린이, 성인, 노인에서의 자각증상과 예방행동에 대한 조사연구

이보은,하은희,박혜숙,권지숙,신경림 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: Recently there are scientific evidences for the health effects of Asian dust-storms. Particularly in 2002, the daily average of PM_(10) exceeded 600 and 700 ㎍/㎥ in March and April respectively. We examined the effects of Asian dust-storms on perceived symptoms and preventive behaviors among children, adults, and elders. Method: The subjects of this study were 425 children, 444 adults and 60 elders. A questionnaire survey was carried out on the children and the adults by teachers and on the elders by interviewers to obtain information on demographic variables, perceived symptoms and preventive behaviors, previous respiratory disease, environmental tobacco smoke, and proximity between the house and the road during Asian dust-storms. We analyzed using descriptive statistics, X_(2) test and multiple logistic regression models. After adjustment for potential confounders, we estimated the odds ratios and 95% confidence intervals of the children and the elders for perceived symptoms and preventive behaviors. Result: The elders had a significantly higher prevalence of respiratory symptoms than the other groups. The children had a significantly higher prevalence than the adults in getting URI (1.51), coughing (1.68), rhinorrhea (1.46), fever (2.39) and medication for allergy or asthma (1.90). The children had better behaviors than the elders in closing windows (3.57), taking less outdoor recreational activity (2.59) and staying home (2.60).

Whole-genome resequencing analysis of 20 Micro-pigs

Da‑Hye Son,Nam‑Hyun Hwang,Won‑Hyong Chung,Ha‑Seung Seong,Hyungbum Lim,Eun‑Seok Cho,Jung‑Woo Choi,Kyung‑Soo Kang,Yong‑Min Kim 한국유전학회 2020 Genes & Genomics Vol.42 No.3

Background Miniature pigs have been increasingly used as mammalian model animals for biomedical research because of their similarity to human beings in terms of their metabolic features and proportional organ sizes. However, despite their importance, there is a severe lack of genome-wide studies on miniature pigs. Objective In this study, we performed whole-genome sequencing analysis of 20 Micro-pigs obtained from Medi Kinetics to elucidate their genomic characteristics. Results Approximately 595 gigabase pairs (Gb) of sequence reads were generated to be mapped to the swine reference genome assembly (Sus scrofa 10.2); on average, the sequence reads covered 99.15% of the reference genome at an average of 9.6-fold coverage. We detected a total of 19,518,548 SNPs, of which 8.7% were found to be novel. With further annotation of all of the SNPs, we retrieved 144,507 nonsynonymous SNPs (nsSNPs); of these, 5968 were found in all 20 individuals used in this study. SIFT prediction for these SNPs identified that 812 nsSNPs in 402 genes were deleterious. Among these 402 genes, we identified some genes that could potentially affect traits of interest in Micro-pigs, such as RHEB and FRAS1. Furthermore, we performed runs of homozygosity analysis to locate potential selection signatures in the genome, detecting several loci that might be involved in phenotypic characteristics in Micro-pigs, such as MSTN, GDF5, and GDF11. Conclusion In this study, we identified numerous nsSNPs that could be used as candidate genetic markers with involvement in traits of interest. Furthermore, we detected putative selection footprints that might be associated with recent selection applied to miniature pigs.

산업 근로자의 구강건강실태 및 구강질환 관련요인에 관한 연구

김혜진,박천만,우극현,이은숙,이종렬,하은경 대한보건협회 2002 대한보건연구 Vol.28 No.2

To maintain and improve workers' oral health, I investigated and analyzed the oral health status of workers, who are working at companies located in Koomi City. The results of the investigation and analysis are as follows. 1. Regarding the general properties of investigated objects, the male ratio of whole objects(1299 persons) occupied 86.6% the larger percentage, the persons from 20ages to 29ages in terms of age distribution occupied 35.6%, and the high school graduators in the respect of education occupied 75.3%. As for the property of duties, technical workers occupied 83.6% the larger percentage. In the drinking frequency of habits, one or two times drinking per week occupied 34.1% in case of male, and no drinking occupied 62.9% in case of female. 2. In the existence and nonexistence of oral disease depends on the general property of each objects, many females have an oral disease in comparison with males(p<.05), many persons with low education level have an oral disease(p<.001), and lots of self-boarding persons have an oral disease compared to the persons stayed at own home or dormitory(p<.05). In the existence and nonexistence of oral disease depends on living habits, the more male has a drinking capacity, the more has an oral disease(p<.05). And, the more male is smoking, the more has an oral disease(p<.05). When examine oral disease in accordance with cubjective healthy condition, there were many respondents answered that I have a decayed tooth or periodontitis in comparison with respondents did that I' m healthy(p<.001). In the existence and nonexistence of oral disease depends on oral health control practices and recognition, the persons received scaling for the latest one year had show a few of oral diseases significantly(p<.001). 3. As a result of Logistics Regression Analysis by putting oral disease as a dependent variable, the person who does not receive scaling, does smoking, has a low education level, does work at company for a short time, experiences lots of subjective symptoms, and does drinking, has a possibility that he/she can be infected easily with oral disease. As a whole of the above results, regular oral checkup every year shall be strengthen in its quality and quantity. In particular, the activation of oral health education to prevent oral disease may make workers' oral health and their life quality to be improved. Accordingly, in oral health education for workers, the more systematic and effective program shall be developed and the supports in government policy shall be needed.

C.V.D. 방법에 의한 Cd_0.78Zn_0.22 S박막 성장과 광전기적 특성연구

유상하,이상렬,홍광준,서상석,김혜숙,전승룡,윤은희,문종대 조선대학교 기초과학연구소 1993 自然科學硏究 Vol.16 No.1

We had grown Cd_0.78Zn_0.22S polycrystal thin films on slide substrate using chemical vapour deposition(CVD) method. We measured X-ray diffraction patterns in order to study Cd_0.78Zn_0.22S polycrystal structure. We studied its band gap using transmission curves and photocurrent and also analyzed photoluminescence using configurational coordinate model. We measured Hall effect·on this sample by Van der Pauw method and studied on carrier density and mobility depending on temperature.

n-CdS_(0.46)Se_(0.54)/p-Cu_92-x)S_(0.46)Se_(0.54) 이종접합 태양전지의 제작과 그 특성에 관한 연구

유상하,최승평,이상열,홍광준,서상석,김혜숙,전승룡,윤은희,문종대,신영진,정태수,신현길,김택성,유기수 全北大學校 基礎科學硏究所 1994 基礎科學 Vol.16 No.-

승화방법에 의해 CdS_0.46Se_0.54 단결정을 성장하여 결정구조를 조사하고, Van der Pauw 방법으로 Hall effect를 측정하여 carrier density의 온도 의존성과 mobility의 온도 의존성을 조사하였다. 성장된 CdS_0.46Se_0.54 단결정을 치환반응하여 n-CdS_0.46Se_0.54/p-Cu_2-xS_0.46Se_0.54 이종접합 태양전지를 제작하였다. Spectral response, 전류-전압특성 및 전력변환 효율을 조사하여 그 결과로부터 개방전압은 0.48V, 단락 전류 밀도는 21mA/㎠, fill factor와 전력변환효율은 각각 0.75와 9.5%를 얻었다. CdS_0.46Se_0.54 single crystal was grown by a sublimation method. The crystal structure and the temperature dependence of carrier density and mobility of CdS_0.46Se_0.54 single crystal were studied. Heterojunction solar cells on n-CdS_0.46Se_0.54/p-Cu_2-xS_0.46Se_0.54 were fabricated by the substitution reaction. The spectral response, the J-U characteristics and the conversion efficiency of the n-CdS_0.46Se_0.54/p-Cu_2-xS_0.46Se_0.54 heterojunction solar cells were studied. The open-cricuit voltage, short-circuit density, fill factor and conversion efficiency of n-CdS_0.46Se_0.54/p-Cu_2-xS_0.46Se_0.54 heterojunction solar cells under 80mW/㎠ illumination were found to be 0.48V, 21mA/㎠, 0.75 and 9.5%, respectively.

유사노출군별 건강진단 방법에 대한 전문가 의견조사

김정연,하은희,박혜숙 이화여자대학교 의과대학 2003 EMJ (Ewha medical journal) Vol.26 No.2

Objectives: This study aims to survey of the health examination for occupational disease using similar exposure group(SEG). Methods : We surveyed industrial hygienists and occupational physicians about the health screening using SEG. We randomly sampled 100 industrial hygienists and 100 occupational physicians from the membership lists. We collected the heneral characteristics and professional opinion of health examination for occupational disease screening using SEG. The self-reported questionnaires were collected by mail from July 1st to July 20th in 1999. Results : Seventy three percent of respondents answered they knew the concepts of SEG. Occupational hygienists were more likely to know the SEG than occupational physician, but it was not statistically significant. Both of occupational hygienists and physicians pointed out that "Improvement of hazardous exposure monitoring" should be on the first assumption for develop-ment of health examination using SEG. The second assumption would be "Advance of toxicologic knowledge". And next was "Improvement of appraisal for health effect" from occupational physician, but "Administrative will to reform" from occupational hygienist. Conclusions : It is desirable to health examination based on SEG rather than on individual hazardous exposure. For this approach, we have to improve the monitoring of hazardous exposure first. 목적: 유사노출군별 건강진단방법과 복합유해인자 노출, 보건문제별 건강진단 방법을 고려한 '복합유해인자 노출에 따른 건강진단 방법 개발'에 대하여 산업보건 전문가의 의견을 수렴하고자 국내의 산업의학전문가와 산업위생전문가를 대상으로 설문조사를 실시하였다. 방법: 대한산업의학회와 대한산업위생학회에서 회원 명부를 구하여 이중 각각 100명을 무작위로 추출한 총 200명을 대상으로 "복합유해인자 노출에 따른 건강진단 방법 개발"의 타당성을 검증 받기 위한 조사내용 항목 선정작업을 하였으며 자기기입식 설문방식으로 우편설문조사를 실시하였다. 총 200명의 설문대상자 중 주소지 불명으로 되돌아온 10명을 제외한 190명중 응답한 사람은 81명으로 응답률은 42.6%이었다. 조사기간은 1999년 7월 1일부터 7월 20일까지 이었다. 자료처리 및 통계분석은 SPSS 8.0 package를 이용하여 기술통계량을 구하고 각 군간의 비교를 위하여는 chi-square test를 하였다. 결과: 유사노출군(Similar Exposure Group) 개념에 대해서는 대다수(73.1%)가 알고 있다고 응답하였으며 산업위생 전문가들이 약간 더 많이 알고 있었으나 통계적으로 유의한 차이는 없었다. 복합유해인자 노출에 따른 건강진단 방법이 개발될 경우 가장 먼저 전제가 되어야 할 것으로는 산업의학과 산업위생 전문가 모두 "복합유해물질 노출평가에 대한 전문성의 향상"을 가장 중요한 것으로 지적하였고 그 다음으로 "유해물질 상호작용에 대한 독성학 연구 진전", 산업의학전문가들은 "산업의학 전문의의 건강영향 평가 능력의 향사", 산업위생전문가들은 "노동부의 제도 개선의지" 라고 각각 지적하였다. 결론: 근로자 건강진단에서 발견하고자 하는 것은 근로자가 어떤 유해인자에 노출되고 있는가를 밝혀내는 것이 아니라 유해인자 노출에 다라 어떤 건강장해를 가지고 있는 가하는 것에 있으므로 앞으로의 건강진단은 유해인자별 건강진단 보다는 근로자의 보건문제를 중심으로 건강진단을 실시하는 것이 바랍직할 것이며 유사노출군으로 노출을 파악하고, 유사노출군별 가능한 건강장해를 파악함으로써 건강진단 항목을 구성하는 방향으로 나아가야 할 것이다.

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주상희,하은혜,이병욱,전덕인,김영현,송동호 한국정신신체의학회 2002 정신신체의학 Vol.10 No.1