업무상 질병 인정기준의 현재와 미래

김인아 대한직업환경의학회 2016 대한직업환경의학회 학술대회 논문집 Vol.2016 No.11

소방공무원의 건강관리 및 업무 적합성 평가

김인아,송재철 대한의사협회 2008 대한의사협회지 Vol.51 No.12

Due to the various toxic chemicals, accidents and job stress, the firefighter has been known as a dangerous job. However, in Korea, there is no proper system to improve their health or job fitness. The authors tried to look into the current state of occupational health problems of firefighters and to suggest some important points to improve their health and fitness for work. The injury incidence of firefighters was higher than that of other jobs and their life expectancy was shorter than any other public servants. Even though the health examination for firefighters was applied since 2004, there is no appropriate approach to examine the health and to assess the fitness for firefighting work. A standardized periodic special health examination based on their work conditions or health risks, for instance various chemicals, physical factors and psychosocial factors, is needed. We suggest that the other health examination system that firefighters can take a specialized health examination in case of uncommon situation to be a risk on health. In addition, the fitness test for injured or ill workers is necessary. As a conclusion, the comprehensive occupational health management system is necessary to make firefighters healthy and for the citizens' safety.

노동분야의 「기업의 사회적 책임(CSR)」과 노동법적 과제

김인재(金仁在) 서울대학교 노동법연구회 2005 노동법연구 Vol.0 No.18

코로나19가 미얀마에 미치는 위협과 이에 대한 대응

김인아 한국외국어대학교 동남아연구소 2020 東南亞硏究 Vol.30 No.2

Compared to Europe and the United States, Myanmar is considered to be relatively good at responding to the COVID19 virus. While Southeast Asia is generally regarded as an exemplary case in terms of responding to these infectious diseases, the actual internal situation is different. The reality is that effective, immediate and accurate responses are difficult to take place due to various factors such as the laxity of the inspection system, lack of expertise, and lack of medical infrastructure. When choosing the right strategy for Myanmar, one must carefully examine the dynamics between the potential seriousness of the disease and the side effects of the policy. Myanmar has a very high death toll from diseases such as tuberculosis, malaria, rabies, hepatitis and AIDS, which are sufficiently preventable by increasing health spending. If Myanmar points out that its long-standing quarantine system and investment in infectious diseases have been very poor, the current response to COVID19 will also require a number of improvements. Nevertheless, there is also a positive assessment of the current response to Myanmar's disease. They include measures to expand investment by involving leaders of each community to prepare various information-sharing systems or by announcing emergency funding to Myanmar's economic bank to alleviate the economic impact of the Korona virus. However, while Korea is in the same situation, it is true that most of Myanmar's attention remains only on follow-up tests and quarantine measures. It is necessary to actively consider and analyze the response systems of neighboring countries, and to find practical reference systems and guidelines for political activities such as cooperation between central and local governments, cooperation with medical institutions, and analysis of emergency action systems in response to emergencies. Thus, at the same time as continuous casting, comparative studies of the surrounding area cases will need to be carried out continuously. In addition to the spread of COVID19, fiscal investment will also have to be actively made to prevent mass unemployment and income declines and the threat of livelihood. Simple social distinctions and containment of external human inflow are bound to be short-term and fragmentary. Research on securing a social safety net as well as the health and medical sectors will have to be carried out continuously. 전 세계적으로 코로나19의 확산은 공포수준으로 빠르고 강력하다. 이에 대한 각국의 대응은 모두 상이하게 나타나는데, 미국과 유럽 등의 선진국에 비해 대응의 속도나 체계에 있어 선전하고 있다고 평가받고 있는 동남아에 대한 연구는 필수적이다. 특히 미얀마의 경우 주변 동남아에 비해 상대적으로 훨씬 적은 수치의 확진건수를 나타낸다. 그러나 이러한 데이터는 신빙성에 있어서 많은 문제를 내포하고 있다. 산간지역으로의 접근이 용이하지 않은 점은 물론, 무장 반군 지역에 대한 검사는 전무하다시피하다. 또한 미얀마는 도시 거주 인구보다 시골 거주 인구가 훨씬 많은데, 시골의 병원 입원자수는 훨씬 낫게 나타난다는 점 또한 코로나19 증상을 지닌 유병자들의 실제 수치를 예측하고 검사를 진행하는데 난점으로 작용한다. 뿐만아니라 태국 국경을 통해 고국으로 유입해들어오는, 태국내 감염된 미얀마인 노동자들에 대한 조사 또한 제대로 이루어지지 않아 실제 확진건수는 발표된 바에 비해 훨씬 높을 것으로 추정된다. 이렇듯 전체적인 보건의료역량과 재정적 투자, 리더십, 방역체계 등이 허술하고 검사건수도 턱없이 적어 실제적인 현실을 반영하고 있지 못한 실정이다. 따라서 본 논문은 미얀마의 코로나19에 현재적 대응과 현황을 분석함을 통해 잠정적으로 대안을 고찰해보는 데에 있다. 미얀마의 확진건수에 대한 낮은 신뢰도, 미얀마 지역 전반에서 나타나는 감염병에 대한 취약성, 그리고 코로나19 사태가 야기할 수 있는 정치적, 경제적, 사회적 타격 등을 고려할때 미얀마에서 나타나고 있는 코로나19에 대한 초기대응과 현황을 종합적으로 검토하는 일은 반드시 필요한 일이 아닐 수 없다. 현재도 코로나19 사태가 진행중이라는 점에서 미얀마의 방역대책에 대한 최종적인 결론을 도출하기는 이르지만, 지속적인 검토를 통해 대응책을 강구하는 작업은 반드시 필요할 것이다. 이를 위해 본 연구는 다음과 같은 사항을 살펴보고자 한다. 우선 코로나19의 미얀마 내 확산 요인을 분석할 것이다. 여러 정부기관의 데이터를 통해 확산 현황과 그 특징을 다룰것이다. 두번째는 코로나19가 야기하는 정치적, 경제적, 사회적 위협을 살펴본다. 취약한 방역시스템으로 타격을 입은 각 부문들을 분석하고 그 특징을 주요 내용으로 다룰 것이다. 세번째로는 미얀마 정부가 감염병에 대응하는 현황을 살펴보고 잠정적인 대응방안을 제시할 것이다. 의료적 대응이 어떻게 이루어졌는지를 검토하고, 정부의 대책이 실효를 거두기 위해서 필수적인 여러 방안을 고찰해 볼 것이다. 이러한 분석을 통해 본 연구는 향후 미얀마의 감염병에 대처하는 방안 마련을 위한 초석을 마련하고자 한다.

「기오(祇王)」의 근현대적 재생산 양상 ― 島村抱月 『平清盛』와 武者小路実篤 『清盛と仏御前』의 비교고찰 ―

김인아 한국일본학회 2017 日本學報 Vol.112 No.-

『헤이케모노가타리』 권 1에 수록되어 있는 「기오」 설화는 크게 두 가지로 연구되어왔다. 한 가지는 시라뵤시였던 네 명의 여인이 출가하여 함께 왕생을 이루었다는 전형적인 유형을 지니고 있다는 점에서 여인 왕생담으로 분석된다. 또 다른 한 가지는 「기오」설화가 『헤이케모노가타리』 중에서도 전반부에 위치하고 있으며, 기오와 호토케를 대하는 기요모리의 태도를 바탕으로 기요모리의 성격 구축의 의도를 지니고 『헤이케모노가타리』 속에 수용되었을 것이라고 보는 시각이다. 본고에서는 기존에 연구되어 왔던 방식을 바탕으로 「기오」 설화가 근현대에는 어떻게 재해석 되었는지를 살펴보았다. 그 대상으로 1911년에 발표된 시마무라 호우게츠의 『다이라노 기요모리』 그리고 1913년에 발표한 무샤노코지 사네아쓰의 『기요모리와 호토케고젠』 두 작품을 비교 고찰해 보았다. 두 작품은 비슷한 시기에 발표되었다는 점과 제목의 유사성, 그리고 두 작품 모두 희곡이라는 동일한 장르라는 공통점은 지니고 있으나 「기오」 설화를 보는 시각은 전혀 달랐다. 시마무라는 작품 내에 등장하는 노래를 중심소재로 삼아 성공한 자 또한 언젠가 멸망한다는 『헤이케모노가타리』의 기본적인 주제를 작품 속에 투영시켰다. 무샤노코지의 작품의 경우 그는 ‘기요모리의 성격 구축’ 에 중점을 두었는데, 원전에서는 기요모리의 인물상에 대한 묘사와 추측만 가능할 뿐 제대로 된 설명은 존재하지 않았다. 무사노코지의 기요모리도 원전과 크게 다르지 않는다. 그러나 호토케 기오와의 관계를 통해서 기요모리의 성격 구축의 과정이 구체적이며 기요모리의 인물상에 대해서 새로운 측면을 제시한다. 이러한 과정에서 기존의 「기오」와 재해석된 「기오」의 차이점을 파악하고 시대의 흐름에 따라 작품의 수용이 어떠한 형태로 일어났는지를 확인 할 수 있다. The “Gio” fable in vol 1. of “Heikemonogatari” has been researched largely in two streams. The first is the story of women’s passing to the next world (Wangsaengdam) in the context of four women, who were Sirabyosi and who left their home, and passed to the next world together. The other is the view that the fable “Gio” is located in the front part among “Heikemonogatari” and it could be included in “Heikemonogatari” with the intention of the establishment of Kiyomori’s character based on his attitude toward Gio and Hotoke. This research investigated how the fable “Gio” was reinterpreted in modern times based on the existing research method. As the research target, this research compared and considered two works, Shimamura Hougetu’s “Tairano Kiyomori” published in 1911 and Mushanokoji Saneas’ “Kiyomori and Hotokegozen” published in 1913. These two works have the common ground that they were published in a similar period, with similar titles and in the same genre, drama; however, the view of the fable “Gio” was completely different. Shimamura imposed the basic theme of “Heikemonogatari’ onto the work by considering that a successful person also falls someday. In Mushanokoji’s work, he focused on ‘the establishment of Kiyomori’s character’; however, the only possibility is that of the description and supposition of the character image of Kiyomori, with no proper explanation in the original version. Furthermore, there is no significant difference between the original and Mosanokoji’s Kiyomori. Nevertheless, the process of establishment of Kiyomori’s character is concrete through the relationship with Hotoke, Gio, and it suggests a new aspect of Kiyomori’s character image of Kiyomori. This process enables the difference between the existing 「Gio」 and the reinterpreted 「Gio」 to be comprehended and the type of acceptance of work along with the time stream to be determined.

농업 · 농촌정책 추진방향

김인중(金仁中) 한국농약과학회 2017 한국농약과학회 학술발표대회 논문집 Vol.2017 No.11

산재보험의 사회보장으로서의 역할과 발전방향

김인아 참여연대사회복지위원회 2019 월간 복지동향 Vol.- No.246

우리나라 노인장기요양 방문간호 현황분석: 2020년 방문간호 근로실태 조사를 기반으로

김인아,노준희,박미현,유경순,이종은,임지영,전은영,Kim, In A,Noh, Jun Hee,Park, Mihyun,Yu, Kung Sun,Lee, Jong-Eun,Lim, Ji Young,Jun, Eun-Young 한국가정간호학회 2021 가정간호학회지 Vol.28 No.1

Purpose: This study was conducted to understand the operation status of visiting nursing centers nationwide and the working conditions of visiting nurses. Methods: This is a secondary data analysis study to understand the working conditions of visiting nurses working at the center. The primary study was the 'Long-Term Care Visiting Nursing Work Survey for the Elderly', jointly investigated by the Korean Home Health Care Nurses Association and the KVN Korean Visiting Nursing Association. in September 2020. Results: 74.5% of visiting nursing centers operated home-vising care, home-visting bathing, day and day and night care at the same time. On average, 4 people were working at the visiting nursing center, and 39.1% of them were regular workers. Visiting nurse safety accidents were in the order of traffic accidents, needle cuts, falls, and infections. The most frequent diseases of visiting nursing were musculoskeletal diseases, and there were various diseases. The most frequent service provision time was more than 30 minutes and less than 60 minutes. There were significant differences in the application of nursing courses according to the size of the city where visiting nurses work. Conclusion: The state should come up with various support measures for the successful transition of home-visit nursing to integrated in-home services. Academics and organizations should operate a business know-how education program that can provide competency-based job training and integrated home service for the specialization of home-visit nursing. Home-visit nursing long-term care institutions should make efforts to improve the working environment of visiting nurses and to efficiently operate the business.

태반조기박리의 3년간 관찰(1984~1986)

김인아 이화여자대학교 의과대학 1988 梨花醫學誌 Vol.- No.20

Abruptio Placentae, 3 years Review(1984∼1986) Abruptio placentae is one of the obstetric hemorrhagic diseases that need emergency treatment and serious cause of maternal death & fetal loss especially in our country having high incidence of toxemia. This data are based on the 36 cases of abruptio placentae among 6618 deliveries at the Department of Obstetrics & Gynecology, Ewha Woman's University Hospital, Seoul during the period 3 years from 1984 to 1986. 1) The incidence of abruptio placentae was 0.54$. 2) The causative predisposing factors of abruptioplacentae were preeclampsia & eclampsia(57.8%), unknown cause(33.3%) and shortness of umbilical cord(15.2). 4) The incidence of abruptio placentae in nulliparous woman was 57.8% and in multiparous woman was 68.6%. 5) The many cases of abruptio placentae occured between 35 and 39 weeks of gestational age. But a half of cases(50.0%) occured before 37 weeks of gestational age, this showed the tendency of preterm delivery. 6) The most common symptom was viginal bleeding (72.2%). Abdominal pain & tenderness was found in 40%. 7) Viginal deliveries were performed in 61.1%, cesarean section in 36.0% and cesarean hystrectomy in 2.8%. 8) the average amount of thransfusion was about 5pints is severe cases and 2pints in mild & moderate cases. 9) The complications of abruptio placentae were followed. Covelaire uterus occured in 17.0%, DIC in 8.3% and postpartum hemorrage in 5.6%. 10) The perinatal motality rate was 25% including stillbirth (16.7%) and neonatal death (8.3%). The three-fourths (75.0%) of cases that had not been undergone prenatal care were resulted in perinatal death. The fetal survival rate admitted within 6 hours after it's onset was 71.4% but significantly decreased in delayed cases.

Current Situation and Issue of Industrial Accident Compensation Insurance

김인아,Jeongbae Rhie,Jo-Duk Yoon,김진수,원종욱 대한의학회 2012 Journal of Korean medical science Vol.27 No.-

Industrial Accident Compensation Insurance (IACI) has a history of about 50 yr, and is the oldest social insurance system in Korea. After more than 20 times of revision improvements in benefits, its contents and claim systems have been upgraded. It became the protector of injured workers and their families, and at the same time became the system which could cope with both financial burden of employers and their responsibilities. However, there are some issues to be reformed to upgrade the IACI: 1) the problems in the approval system of occupational diseases, 2) quality improvement of workers‘ compensation medical care,3) vocational rehabilitation and return to work, 4) workers‘ compensation premiums and out-of-pocket money of injured workers, 5) issues in application of IACI. Growth of IACI cannot be achieved by an effort of an individual. Efforts by workers, owners, and government, in addition to physicians and welfare professionals toward the same goal are required for the next level improvement of IACI.