This study compared the lifestyle patterns, dietary patterns, and health care practices of Korean middle-aged people by household type, and ultimately analyzed their relationship with different risk factors for the prevalence and severity of metabolic syndrome. We analyzed the data from 4,755 subjects who were from 40 to 64 years old, and gathered our sample from participants of the Korea National Health and Nutrition Examination Survey from 2013 to 2015. Our results showed that single-person households had lower economic income levels, lower subjective health statuses, and higher levels of food instability than households with two or more individuals. The incidence of metabolic syndrome was 1.64 times higher in single-person households than in households with two or more individuals. After adjusting for potential confounding factors (sex, age, education, household income, smoking status, health status, and dietary factors), single-person households showed 1.75 times higher hypertriglyceridemia ORs than non-single-person households. In the conclusion of our study, we suggest that middle-aged people in single-person households may be at greater risk for metabolic syndrome and hypertriglyceridemia.

The current study explored the epidemiological associations between the 2016/18 highly pathogenic avian influenza (HPAI) epidemics and spatial factors, including the distance from a poultry farm to the closest groundwater source, migratory bird habitat, eco-natural area, and poultry farm altitude. We included 14 spatial factors as independent variables. The variables were used in the original continuous measurement format. In total, 288 poultry farms (144 HPAI-confirmed and 144 non-confirmed) were used as the dependent variable. In addition, the variables’ continuous measurement was converted to a categorical measurement format by using a general additive model. For risk factor analysis based on the continuous measurements of spatial factors, the non-graded eco-natural area distance (odds ratio [OR]: 1.00) and the grade one eco-natural area distance (OR: 0.99) were statistically significant independent variables. However, in the risk factor analysis based on the categorical measurement format of the spatial factors, the non-graded eco-natural area distance (OR: 0.08) and poultry farm altitude (OR: 0.44) were statistically significant independent variables in both a univariate and multiple logistic regression model. In other words, when a poultry farm was located far from the non-graded eco-natural area or in a highland area, the likelihood of an HPAI epidemic would decrease. From an HPAI control perspective, it is recommended that the government apply increased levels of biosecurity measures, such as bird-nets, fences, intensive disinfection of equipment, and regular bird health monitoring, for poultry farms located near non-graded eco-natural areas or in a lowland area.

In this study, the risk factors of coastal purse seine fisherman were analyzed through a survey of fishery workers of coastal purse seine fishery and the accident compensation insurance data of the fisheries workers of the National Federation of Fisheries Cooperatives (NFFC). The classified fishing operation accident data was analyzed through 4M (Man, Machine, Media, Management) model of the National Transportation Safety Board (NTSB) and the accident prevention measures were presented using Harvey's 3E (Engineering, Education, Enforcement) model. The rate of accidents on coastal purse seinens each year was 75.8‰, 36.7‰ and 74.8‰ from 2015 to 2017. The accident frequency resulting from slipping was the highest, and the risk of a contact with gear was low. When comparing each insurance data, the average value of the contact with gear accident was the highest. This research result is expected to be important data in identifying and preventing safety hazards of coastal purse seiner fisherman in the future.

Since the first HPAI epidemics in 2003, there has been little epidemiological research on the association between HPAI epidemics and vehicle movements around poultry farms. This study examined the relationship between vehicle movements around poultry farms and the 2014/15 HPAI epidemics in the Republic of Korea using two methods: a boosted regression trees (BRT) model and logistic regression of a generalized linear model (GLM). The BRT model considers the non-linearity association between the frequency of vehicle movements around poultry farms and the HPAI outbreak status per province using a machine learning technique. In contrast, a GLM assesses the relationship based on the traditional frequentist method. Among the three types of vehicle movements (outbound, inbound, and within), only the outbound was found to be a risk factor of the 2014/15 HPAI epidemics according to both the BRT model and multivariate logistic regression of GLM. In the BRT model results, the median relative contribution of the log-transformed outbound variable was 53.68 (range: 39.99 – 67.58) in the 2014 epidemics and 49.79 (range: 33.90 – 56.38) in the 2015 epidemics. In the GLM results, the odds ratio of the log-transformed outbound variable was 1.22 for the 2014 HPAI epidemics (p < 0.001) and 2.48 for the 2015 HPAI epidemics (p < 0.001), respectively. The results indicated that intensive disinfection measures on outbound movement were needed to reduce the risk of HPAI spread. The current BRT models are suitable for risk analysis because the median area under the receiver operating characteristic curve was 0.83 (range: 0.74 – 0.91) and 0.85 (range: 0.73 – 0.87) for the 2014 and 2015 epidemics models, respectively. The Akaike information criterion scores for the multivariate logistic regression of GLM were 150.27 and 78.21 for the 2014 and 2015 epidemics models, respectively. These scores were relatively lower than those from the univariate logistic regression of GLM.

The study evaluated the accuracy and intra-rater reliability for OWAS (Ovako Working posture Analysing System), RULA (Rapid Upper Limb Assessment), REBA (Rapid Entire Body Assessment) to improve their evaluation accuracy and reliability. Participants (n = 163) with undergraduate degree were recruited in this study and trained for 6 hours about the ergonomic assessment methods. Ergonomic assessments were conducted using OWAS, RULA, and REBA for a representative work with dynamic posture found in manufacturing industries. The study compared action categories (overall level) and detailed evaluation scores for individual body part. Action categories of the participants significantly differed from the golden reference defined by ergonomic experts. The participants underrated or omitted scores for truck (37.4% of the participants) and legs (52.8%) in OWAS. Similarly, the participants underrated or omitted additional scores for all body parts except the hand and wrist in RULA (53.5%) and REBA (54.8%). On the other hand, the participants overrated scores for the hand and wrist in RULA (55.2%) and REBA (39.9%). The results found in this study can help of selecting focus points and parts during assessment and education to improve accuracy and reliability of the ergonomic assessment methods.

The adjudication of Korean Maritime Safety Tribunal (KMST) was analyzed to collect basic data to identify the cause of the risk that did not appear in the current data provided by the fishermen’s occupational accidents of the National Federation of Fisheries Cooperative (NFFC) in stow net fishing vessel from 2015 to 2019. The personnel’s carelessness was the most common in 29 out of 33 accidents (87.9%), followed by 25 cases (75.8%) of inadequacy of instructions, 24 cases (72.7%) of inadequacy of education on hazard factor, 20 cases (60.6%) of no personal protection equipment, 18 cases (54.5%) of poor guard, 17 cases (51.5%) of inadequacy of work method, 16 cases (48.5%) of absence of emergency stop button, 14 cases (42.4%) of work practice of poor safety precautions that affected more than 40% of all accidents as accident causes. These causes had a strong influence on each other, and the ratio of accident causes is high. With this relationship, accidents can be prevented or the severity of human injury can be reduced if types of accident process can be estimated with a scenario, and the key points before the accident in the scenario are switched to safe points.

목적 : 건성안의 핵심적인 원인으로 염증이 제시됨에 따라 본 연구에서는 한국 20대 성인을 대상으로 콘택트렌즈 착용 및 각막굴절교정술이 염증성 건성안(inflammatory dry eye syndrome)에 미치는 영향을 알아보고자 하였다. 방법 : 안질환이 없는 20대 성인 81명(162안)을 대상으로 염증 생체지표인 ‘기질금속단백분해효소’(MMP-9: Matrix Metalloproteinase-9)의 활성도와 염증성 건성안 감별진단법으로 제시된 ‘안구표면질환지수(OSDI, Ocular Surface Disease Index)/결막충혈’ 검사법으로 염증성 건성안을 감별진단하였다. 각막굴절교정술 및 콘택트렌즈 착용 여부에 따른 유병률과 위험요인은 χ2-test 검정과 하였고, 위험비(odds ratio, OR)는 로지스틱 회귀분석으 로 검정하였으며 유의수준은 0.050 이하로 하였다. 결과 : 전체 대상자의 염증성 건성안 유병률은 MMP-9 검사, ’OSDI, 결막충혈’ 검사 기준 각각 77.15%, 64.31% 로 나타났다. 콘택트렌즈 착용군의 염증성 건성안 비율은 검사법 기준으로 각각 85.23%, 75.00%로 미착용군의 67.57%, 52.70% 보다 높았고, 염증성 건성안 발생 가능성이 2.77배(OR 2.77, 95% CI 1.29~5.99), 2.69배 (OR 2.69, 95% CI 1.39~5.23)로 높게 나타났다. 각막굴절교정술을 받은 군의 염증성 건성안 비율은 검사법 기준 각각 81.25%, 75.00%로 수술을 받지 않은 군의 76.71%, 63.69%보다 높았으나 통계적으로 유의한 차이는 아니 었다(p=0.682), (p=0.370). 결론 : 20대 한국 성인의 염증성 건성안 비율은 매우 높고, 콘택트렌즈를 착용한 경우에 염증성 건성안의 발병 확률은 미착용안에 비해 2배 이상 높은 것으로 나타나 콘택트렌즈 착용자의 경우 이를 예방하기 위한 콘택트렌즈 관리교육이 중요할 것으로 생각된다.

이 연구는 그간 수행된 중도입국청소년의 교육 경험을 다룬 연구 중 질적 연구를 선택하여 질적 메타 분석을 실시하고 중도입국청소년들의 교육 적응 과정에서의 위험요인과 보호요인은 무엇인지 살펴보고자 하였다. 질적 메타분석방법은 유사한 주제에 대하여 수행된 질적 연구물을 선정하여 종합 분석함으로써 연구결과의 해석을 확장하는데 기여한다. 분석을 위해 학술연구정보서비스(RISS)를 활용하여 주제어 검 색을 통해 2010년부터 2019년까지 출간된 등재후보지 이상의 논문을 검색하였고, 분석대상으로 최종 선 정된 연구 논문은 총 13편이다. 선정된 개별 연구물에 대해서는 연구의 목적, 연구참가자, 주요 연구주제 들에 대해 살펴보았다. 연구들 간 비교·종합에서는 각 연구에 참여한 중도입국청소년의 배경 특성과 이주 계기 등을 종합하여 제시하였다. 그리고 각 연구의 연구결과를 비교하고 종합하는 과정에서 중도입국청소 년의 교육관련 경험을 이들의 적응에 부정적 측면으로 작용하는 위험요인과 적응을 돕는 보호요인으로 범 주화하였으며, 각 하위 범주는 개인차원, 가족차원, 학교/교육기관, 사회문화 차원으로 구분하여 개별 연구 에서 제시한 세부 내용을 분류하고 재구성하였다. 이러한 과정을 통해 중도입국청소년의 교육 적응을 도 울 수 있는 지원방안 모색에 시사점을 제공하고자 하였다.

The purpose of this study is to propose a policy improvement plan by analysis of the extinction risk factors reflecting the specificity of fishing villages, fishing village support policies, and settlement conditions of fishing villages as one of the solutions to the immediate problem of fishing village extinction. The results of the study show the higher the level of number of fishing ports, number of returning rural population, and housing diffusion rate, the dependent variable extinction risk index was a positive effect while vacant house ratio and aged house ratio was analyzed to be in was a negative (-) relationship with the dependent variable.The policy implications through this study were to prepare an effective policy to reduce the risk of extinction, to improve urgent settlement conditions, and to prepare a condition to convert returning rural population into fishery population.

배경/목적: 경피경간담도경 검사(PTCS)는 진단과 치료에 널리 사용되고 있다. PTCS 관련 합병증(담관염, 담관천공, 혈액담즙증)은 드물지 않게 발생한다. 하지만 PTCS와 관련된 합병증의 위험인자에 대한 정보는 제한적이다. 따라서 본 연구에서는 이러한 PTCS와 관련된 합병증의 위험인자를 조사하고자 한다. 방법: 2006년 1월부터 2014년 10월까지 3차 의료기관에서 PTCS를 시행한 232명의 환자를 대상으로 연구하였다. 후향적으로 분석하여 최종 212명의 환자가 등록되었다. 환자들은 합병증이 발생한 그룹과 발생하지 않은 그룹으로 나누어 분석하였다. 결과: 112명의 남성과 100명의 여성으로 구성되었으며, 평균 나이는 64.5세였다. 212명의 환자 중 32명(15.1%)에서 합병증이 발생하였고, 담관염(14건, 6.2%), 담관손상(6건, 2.8%), 혈액담즙증(2건, 0.9%) 등이 발생하였다. 단변량 분석에서 고령, 경로 확장을 여러 번 하지 않은 경우, CT에서 간경화가 있거나 간내담관이 늘어나 있지 않은 경우 등은 PTCS와 관련된 합병증이 증가하였다. 다변량 분석에서는 고령과 경로 확장을 여러 번 하지 않은 경우 그리고 CT에서 간내담관이 늘어나 있지 않은 경우가 PTCS와 관련된 합병증을 예측할 수 있는 인자였다. 경로 확장을 2번 이상에 걸쳐서 시행한 환자는 95명(44.8%)이며, 합병증에는 영향을 주지 않았다. 하위그룹 분석에서는 경로 확장 간의 간격이 3일 이하인 경우, PTCS와 관련된 합병증과 관련이 있었다. 결론: 고령의 환자와 CT에서 늘어나 있지 않은 간내담도를 가진 환자에서는 시술 시 주의 깊게 시술해야 한다. 단계적인 경로 확장과 3일 이상의 긴 간격이 PTCS 관련 합병증을 줄이는 데 도움이 될 수 있다.

PURPOSES: The purpose of this study is to identify the key factors that influence a driver’s trust in road-freezing risk information METHODS : A survey was designed and conducted in the metropolitan area to analyze drivers’perception towards road-freezing risk information. A binary logistic regression model was developed based on the survey responses. The statistically significant model coefficients were determined and their odds ratios were calculated. Finally, they were considered as the key factors influencing drivers’trust in roadfreezing risk information. RESULTS : The developed binary logistic regression model was validated through statistical tests. The final results indicated that previous experiences of accidents on slippery roads, as well as route choice patterns are statistically significant, having 95% confidence levels. CONCLUSIONS : Previous experiences of accidents on slippery roads and road choice patterns are the factors that most significantly influence drivers’trust in road-freezing risk information. The findings of this study will be used as fundamental data in establishing tailored road-freezing risk mitigation procedures and services.

This research carried out a study on the job characteristics of the skipper of the coastal composite fishing vessels in order to find a way to prevent the ship collision caused by the highest human error among the marine casualty of fishing boats. Video observation was used as the research method in which six CCD cameras were installed on the vessel to collect image data and data extracted from the image were analyzed to derive the results of the functional activity of skipper according to the fishing operation process of experimental fishing vessel. The results are as follows. The working process of the experimental fishing vessel consisted of navigation for fishing ground, setting line, waiting for hauling line, hauling line and navigation to homeport. In these processes, the skipper was performing watchkeeping in the wheelhouse in which he carried out a single task, a dual task that performed two tasks simultaneously, and a triple task that performed two or more tasks simultaneously. In addition, one of the risk factors causing the collision was a no watchkeeping in the wheelhouse for navigating for fishing ground, waiting for hauling line, and hauling line at 25.4%, 64.6% and 0.3%, respectively among the marine casualty while drowsiness caused 1.2% of the marine casualty in navigating for fishing ground. Concurrent tasks that simultaneously perform two or more tasks that can overlook any other important duties while carrying out watchkeeping in the wheelhouse include 51.3% of navigation for fishing ground, 81.9% of setting line, 19.0% of waiting for hauling line, 87.9% of hauling, and 88.7% of navigation to homeport. The above concurrent tasks yielded an average of 66.1%. Experimental fishing vessels are required to focus on ship handling operations related to fishery operations, and the skipper is assigned more activities and attention to fishery related tasks. Therefore, it is considered desirable to build a collision prevention system that is appropriate to the characteristics of the skipper’s work, escaping from transferring the responsibility of ship collision to the skipper completely.

본 연구는 심뇌혈관질환 예방프로그램이 지역사회 노인의 심혈관 위험요인과 삶의 질에 미치는 효과를 확인하고자 실시하였다. 유사실험설계의 비동등성 대조군 전후설계를 이용하였다. 연구대상자는 지역사회 노인으로 실험군 22명, 대조군 22명 총 44명을 편의표집하였고, 심뇌혈관질환 예방프로그램을 제 공하고 심혈관 위험요인과 삶의 질을 측정하였다. 심뇌혈관 예방프로그램에 참여한 실험군은 대조군에 비해 심혈관 위험요인인 수축기 혈압(t=-2.419, p= .020), 이완기 혈압(t=-2.226, p= .031), 혈당(t=-2.071, p= .045)이 유의하게 감소하였고 삶의 질은 향상되었다(t=2.511, p= .016). 그러나 총콜레스테롤과 고밀도 지단백콜레스테롤은 유의한 변화가 없었다. 이에 심뇌혈관질환 예방프로그램이 지역사회 노인의 심혈관 위험요인 감소와 삶의 질 향상에 효과적임을 확인할 수 있었다.

우리나라 해역에서 발생하는 해양사고 중 어선사고가 약 70%를 차지하고 있음에도 불구하고, 대부분의 연구는 해양사고 전체를 대상으로 하고 있으며 단순히 사고 발생률에 대한 분석과 사고 발생 빈도를 줄이기 위한 대책 마련에 중점을 두고 있다. 그러나 효과적인 사고 저감 대책의 수립과 이를 실행하기 위해서는 정량적인 사고 위험도 예측 및 평가가 반드시 선행되어야 한다. 본 연구에서는 해양안전심판원의 최근 5년간의 어선사고 통계에 근거하여 9가지 사고유형에 대한 위험도를 연도별로 비교하였다. 또한 현재 우리나라의 경우 객관적인 위험도 평가기준이 없다는 점을 고려하여 이에 대한 대안으로 사고 유형별 사고 빈도와 사고 피해의 조합을 4사분면 상에 표시하는 2차원 사고 빈도-피해 매트릭스를 제안하고 이를 이용하여 사고 빈도와 사고 피해의 영향을 쉽게 확인할 수 있도록 하였다. 이러한 과정을 통한 위험도 평가 결과는 저감대책을 수립하고 안전대책을 마련하는 정책 제안자로 하여금 보다 다양하고 현실적인 사고 저감 대책을 마련하는데 도움을 줄 것이다. 또한 위험도 평가 매트릭스를 이용하여 각 사고유형에 대한 인적오류를 포함한 사고 원인의 상대적인 빈도 및 결과를 비교함으로써 사고 유형별로 원인에 따른 차별화된 위험 저감 대책을 수립할 수 있다.

PURPOSES: This study aims to contribute to a better road environment, which can result in accident reduction from two-wheeled vehicles, by analyzing factors affecting the two-wheeled vehicles’ accident severities in Incheon Metropolitan City. METHODS: In this study, the two-wheeled vehicles’ accident severity was classified into four categories (fatal injury, serious injury, minor injury, and injury report) as a dependent variable, and 97 independent variables out of 14 categories were considered to construct an ordered probit model. To determine the factors affecting accident severity, the statistical package LIMDEP was used. RESULTS: Among the variables used in the analysis, variables related to accident occurrence date (first quarter), region (8-district), accident type (passing the edge of the road of the vehicle for a pedestrian accident, fixed object collision, and overturn of vehicle-only accident), violation type (unobtained safety distance, failure to perform safe driving, violation of intersection driving, and violation of others), the type of road (at the intersection, near the intersection, at the crosswalk, near the crosswalk, etc.), gender of assailant (male), vehicle of victim (pedestrian and motorcycle), and age of victim (under 20) were found to have a statistically significant effect on the severity of the accident. CONCLUSIONS: The variables related to accident type (fixed object collision and overturn of vehicle-only accident), gender of assailant (male), and vehicle of victim (pedestrian and motorcycle) have turned out increasing the accident severity. In addition, accident occurrence for two-wheeled vehicles is more diverse and vulnerable to damage than automobile accidents. Therefore, it is time to recognize the seriousness of two-wheeled vehicle accidents and to improve the environment and systems for safe driving.