The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. As a result, as for body part(neck), (waist) and (arms) the degree of risk of work posture measured with the use of job stress(KOSS), psycho-social stress(PWI-SF) and REBA is significantly more affected by fatigue than muscular skeletal disease related consciousness symptom. However, regarding bod(wrist), the degree of risk of work posture measured with the use of job stress(KOSS) and REBA is directly affected by muscular skeletal disease related consciousness symptom. This study is meaningful in that the study clarified the causal relations of the degree of risk of work posture, degree of fatigue, and muscular skeletal disease related consciousness symptoms by each body part measured with the use of work stress(KOSS), psycho-social stress(PWI-SF) and REBA.
This paper was proposed to show the comprehensive review of laws and regulations on the musculoskeletal disorders (MSDs) that are being established and carried out in various countries. Ten countries including USA, Canada, Australia, Japan, and 6 European countries which were regarded as the leaders in the prevention of MSDs were selected for review. Comparative analysis were performed on the laws, regulations, and guidelines of MSDs among different countries. The purpose of this study was to investigate the status of the various efforts of the advanced countries concerning on preventing MSDs and suggest the improvement factors that might be introducible to Korean policies. Some recommendations were made to improve the appropriateness and efficiency of our MSDs prevention policies based on the comprehensive review and comparative analysis. It is expected that the results of this study would be used as valuable information when revising relevant legal system.
The goal of this study is to propose the effective method of investigating the injurious factors and making improved plans that prevents the workers against musculoskeletal disorders at an diesel engine manufacturing company and the same business field with similar working conditions and process. A questionnaire were adopted to analyze the symptoms of workers' musculoskeletal disorders, and an ergonomic assessment method such as RULA, OWAS were performed to find out harmful factors of workplace and working posture. Based on the result of the evaluation, to enhance the working environment, improvement of worktable, working space, tools, and outfit was suggested, and induction of mechanical system was also suggested. It can be concluded that the method and process described in this paper could be helpful for diagnosing the musculoskeletal disorders and making improvement plans to the diesel engine fuel injection system manufacturing company and the same business field with similar working conditions and process.
The goal of this study is to propose the effective method of investigating the injurious factors and make improvement plans that prevents the workers against musculoskeletal disorders at plastic product companies and the same business field with similar working conditions and process. A questionnaire are adopted to analyze the symptoms of workers' musculoskeletal disorders, and ergonomic assessment methods such as RULA, OWAS are performed to find out harmful factors of workplace and working posture. Based on the result of the evaluation, to enhance the working environment, improvement of worktable, working space, tools, and outfit was suggested, and induction of mechanical system was also suggested. It can be concluded that the method and process described in this paper could be helpful for diagnosing the musculoskeletal disorders risk factors and making improvement plans to the plastic product companies and the same business field with similar working conditions and process.
본 연구는 직무 스트레스와 근골격계질환과의 관련성을 알아보기 위하여 단순작업과 반복 작업이 빈번하게 발생하는 전자제품 제조업에 대하여 고용 규모 30인 미만과 300인 이상의 사업장을 구분하여 실시하였다. 연구 대상자 311명은 근골격계질환 관련 자각증상과 한국인 직무 스트레스(KOSS)에 대해 설문 조사 방법을 이용하여 분석하였으며, 그 결과 한국인 직무스트레스(KOSS)영역에서 30인 이하의 사업장이 물리적환경, 직무요구, 직무자율성결여, 직무불안정, 조직체계, 보상부적절, 직장문화의 영역에서 불만족도가 300인 이상사업장에 비하여 스트레스가 높게 나타났다. 근골격계질환 관련 신체 부위별 증상자를 살펴보면 신체부위 목, 허리에 대한 증상 호소자가 가장 많은 것으로 나타났으며, 근로자들이 근무중 회사와의 갈등으로 격는 한국인 직무스트레스(KOSS)에서는 물리적환경, 직무요구, 직무자율성결여, 직무불안정, 조직체계, 보상부적절, 직장문화에 대하여 30인 미만 사업장 소속 근로자들의 스트 레스 노출정도가 높았다. 다만 KOSS부분에서 근로자들의 개인적인 성향을 나타내는 관계갈등부분은 약간의 차이로 300인 이상 고용사업장의 근로자에 대한 스트레스 노 출정도가 높았다. 이에 30인 미만 사업장과 같은 영세업종 근로자들에게 정신사회적 스트레스의 해소를 위한 예방 프로그램이 마련되어야 할 것이다.
The goal of this study is to propose the effective method of investigating the injurious factors and making improved plans that prevents the workers against musculoskeletal disorders at an autoparts company and the same business field with similar working conditions and process. A questionnaire were adopted to analyze the symptoms of workers' musculoskeletal disorders, and an ergonomic assessment method such as RULA, OWAS were performed to find out harmful factors of workplace and working posture. Based on the result of the evaluation, to enhance the working environment, improvement of worktable, working space, tools, and outfit was suggested, and induction of mechanical system was also suggested. It can be concluded that the method and process described in this paper could be helpful for diagnosing the musculoskeletal disorders and making improvement plans to the autopart company and the same business field with similar working conditions and process.
목적 : 본 연구는 work sampling 기법과 단면분석법을 이용하여 제조업 종사 근로자의 근골격계질환 노출 위험수준을 알아보고자 하였다. 연구방법 : 이를 위해 자동차부품 제조업 종사 근로자 29명의 근골격계질환 증상을 자기기입식 설문지로 조사하여, 그 정도를 기준1(KOSHA), 기준2(NIOSH), 기준3(인천노동과학연구소)으로 구분하였다. 그리고 개별 근로자의 작업과정을 고성능카메라로 촬영한 후 OWAS, RULA, REBA를 사용하여 work sampling 기법(1초당 1컷)과 단면분석법으로 근골격계질환 위험수준을 분석하였다. 결과 : 신체부위 중 1부위 이상 통증이 있다고 호소한 근로자는 기준1 24명(82.8%), 기준2 22명(75.9%), 그리고 기준3 19명(65.5%)이었다. 인간공학적 측정도구를 이용한 근골격계질환 노출위험수준은 OWAS는 단면분석-조치단계 4(근골격계에 매우 심한 해를 끼침), work sampling-조치단계 2(근골격계에 약간의 해를 끼침)인 근로자가 3명이었다. 또, RULA는 단면분석-조치단계 4(정밀조사와 즉각적인 개선필요), work sampling-조치단계 3(계속적 관찰과 빠른 작업개선 요함)인 근로자가 2명이었고, REBA에서는 단면분석-조치단계 3(위험 높음), work sampling-조치단계 2(위험 보통)인 근로자가 3명으로 분석되었다. 단면분석과 work sampling 기법에서 고위험군과 저위험군의 일치도는 OWAS Kappa=.4423, RULA Kappa=.4938, 그리고 REBA Kappa=.5193이었다. 결론 : Work sampling 기법을 이용하여 근로자의 근골격계질환 노출위험수준을 객관적으로 분석할 수 있었으며, 결과를 토대로 근로자 작업환경의 개선이 우선적으로 필요한 작업자를 선정하는데 신뢰할만한 방법임이 확인되었다.
Recently, there are many research of musculoskeletal disorders in manufacturing industry because of increasing interest of that disorders, but the research is still lacking in the small business and service industry. So we researched relationship between working characteristics and subjective symptoms associated with musculoskeletal disorders by get information of 145 hairdresser about working hour, work record, position and working pattern. The results of this research show that there are many musculoskeletal disorders of hairdressers' neck, shoulder, arm, knee and also close relationship between working characteristics and subjective symptoms associated with musculoskeletal disorders. Besides, some parts of subjective symptoms have an effect on other parts of body. This information contributes to future reference and a precautionary measure about musculoskeletal disorders for hairdressers.
The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. The risk scores from working posture based on REBA had indirect effects via fatigue factor(MFS) as well as direct effects on symptoms. The factors associated with job stress (KOSS) and psychosocial stress(PWI-SF) had significant effects on symptoms. Specifically, indirect effect of job stress factors via fatigue factors(MFS) had bigger than that of direct effect of job stress on symptom.
Recently, there are many research of musculoskeletal disorders in manufacturing industry because of increasing interest of that disorders, but the research is still lacking in the small business and service industry. So we researched relationship between working characteristics and subjective symptoms associated with musculoskeletal disorders by get information of 145 hairdresser about working hour, work record, position and working pattern. The results of this research show that there are many musculoskeletal disorders of hairdressers' neck, shoulder, arm, knee and also a lot of relationship between working characteristics and subjective symptoms associated with musculoskeletal disorders. Besides, some parts of subjective symptoms have a effect on other parts of body. This study will contribute to using information and a precautionary measure about musculoskeletal disorders for hairdressers.
The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. The risk scores from working posture based on REBA had indirect effects via fatigue factor(MFS) as well as direct effects on symptoms. The factors associated with job stress(KOSS) and psychosocial stress(PWI-SF) had significant effects on symptoms. Specifically, indirect effect of job stress factors via fatigue factors(MFS) had bigger than that of direct effect of job stress on symptom.
The purpose of this study was to examine the path analysis of factors related to musculoskeletal diseases of shipbuilding workers by considering related factors synthetically. The survey was completed by 1,536 shipbuilding workers and except for poor responses, 1,532 were analyzed. The survey consisted of questions about lifestyle, duration of service, physical and mental stress, and musculoskeletal diseases. The collected data was analyzed with SPSS/PC+ (a descriptive statistics program) and with AMOS 4.0 (a statistical program for path modeling) to test whether the hypothesized path model fitted the collected data. The results of the correlation analysis showed that musculoskeletal disease was associated with duration of service (r=-.095), physical stress (r=.077), and mental stress (r=.602). The results of the hypothesized path model satisfied the criteria required in relation to fitting the collected data. Musculoskeletal disease was directly affected by mental stress but not by physical stress, duration of service and life style. Thus, it is suggested that reducing mental stress is a strategy for the prevention for musculoskeletal disease.
Absenteeism is an important index that is related not only to health but also to direct daily activities. It may lead to a student's poor educational performance and overall reduction in educational quality. Particularly, diseases causing school absenteeism are important for environmental health of children's study. However only a few studies regarding the effects of air pollution on school absenteeism due to respiratory disease have been reported. This study was performed to examine the effect of air pollution on absenteeism by respiratory disease, using school attendance reports from March 2002 to December 2004. In this study, we counted absenteeism numbers using school absenteeism data from the first to sixth grade and classified absenteeism into illness-related, non-illness-related and respiratory disease-related illness absences. To this end, we used air pollution data (CO, NO2, PM10, and SO2) and temperature and relative humidity data collected during the study period. Daily counts of absenteeism were analyzed by Generalized Additive Model after the adjustment of several factors such as seasonal variation, day of the week, and meteorological parameter confounders in a nonparametric approach. For each air pollutant, we analyzed illness-related absences, non-illness-related absences, and respiratory- illness related absences. Then, we considered both influenza and non-influenza related absenteeism type. In illness-related absences analysis, absenteeism risks increased to 1.05(1.02-1.08) for CO and 1.06 (1.02-1.10) for NO2 by each interquartile range change with adjustment for influenza. The risks for respiratory-related absences of CO and NO2 increased to 1.05(1.02-1.08) and 1.04(1.01-1.08), respectively by each interquartile range change with adjustment for influenza. However, in the analysis of non-illness-related absences, there were no significant risks for the effect of all air pollution. This result shows that air pollution can affect respiratory-related absences and provides a basis for developing environmental health policy against air pollution.
Traumatic eosinophilic granuloma(TEG) of the oral mucosa is considered to be a reactive benign condition. Histology revealed diffuse mixed infiltration of eosinophil and atypical mononuclear cells. We have described an additional case of TEG simulating oral malignany where immunohistochemistry revealed the presence of CD30+ large atypical cells. The CD30+ lymphoproliferative disorder(LPD) of oral mucosa, although rare, has also been described. In this case, there was scattered distribution of CD30+ cells. After the incisional biopsy, the remainder of oral lesion got disappeared progressively and there is no sign of recurrence. We believe that this case could be a reactive rather than neoplastic process, and it has been suggested that a subset of TEG could be included within the spectrum of CD30+ LPDs. Therefore, oral surgeon and pathologists’ awareness of this condition will reduce the likelihood of misdiagnosis and inappropriate aggressive treatment for this benign, self-limiting lesion.
The main objective of this study is to find factors and typical characteristics on outbreak of musculoskeletal disorders in small sized companies which are located at eastern area in Kangwon-Do. Musculoskeletal disorders are becoming a serious problem in various industrial fields. Many researches have been focused on the analysis on outbreak of musculoskeletal disorders in order to reduce and prevent them. As a similar endeavor, this paper provides factor analysis on outbreak of musculoskeletal disorders. Questionnaire surveys regarding musculoskeletal disorders were conducted for the total number of 250 field workers. For the purpose of this study, seven independent variables(gender, age, career, housework, accident, trouble, and pain) are taken from questionnaires. The provided analysis result will be helpful as a starting point for root cause analysis and reduction of musculoskeletal disorders and also for establishment of safe work environments.
A technological trend of treating or preventing the cardiovascular diseases has reviewed on 381 domestic and foreign patents from the year 1980 to June, 2007. Primarily focused upon countries such as Korea, Japan and the United States; the leading nations concerning cardiovascular disease, this paper delved into a systematic research of the cardiovascular disease utilizing research focused database and research analysts. Korea was showing increased development in the diet and cardiovascular related areas as shown by increase in related patent caseloads and submission since the 2000. Especially within the area of food production, there had been an increase of market share by up to 50% and the frequency of patent submission had also increased. Japan was showing similar trend as Korea with its increase in research, but the only difference was that Japan was focused more upon medical supplies. With the United States, there was no real consistency with the number of patents, therefore harder to make an accurate assessment.
We adapted association rules of data mining in order to investigate the relation among the factors of musculoskeletal disorders and proposed the method of preventing the musculoskeletal disorders associated with multiple logistic regression in previous study. This multiple logistic regression was difficult to establish the method of preventing musculoskeletal disorders in case factors can't be managed by worker himself, i.e., age, gender, marital status. In order to solve this problem, we devised association rules of factors of musculoskeletal disorders and proposed the interactive method of preventing the musculoskeletal disorders, by applying association rules with the result of multiple logistic regression in previous study. The result of correlation analysis showed that prevention method of one part also prevents musculoskeletal disorders of other parts of body.