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Bone and Blood Lead Levels of Middle Aged Koreans not Occupationally Exposed to Lead
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Nam Soo Kim, Sung Woo Choi, Jin Ho Kim, Jung O Ham, Hae Yoon Park, Kyu Dong Ahn, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 2007;19(4):285-292. Published online December 31, 2007
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DOI: https://doi.org/10.35371/kjoem.2007.19.4.285
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In order to investigate the level and the association between bone lead and blood lead levels of non-occupationally, lead-exposed Koreans, the authors studied the lead biomarkers of 137 middle aged Koreans (86 males and 51 females) older than whose age were above 40 years. METHODS The tibia lead level was selected as the bone lead indicator of cortical bone, and the blood lead level was also measured. The tibia lead level was measured by K-shell XRF with 30-minute measurement of each subjects. The blood lead level was analyzed by AAS method. RESULTS The mean (SD) of the tibia lead level of the 137 study subjects was 3.49 (4.99) microgram/g, and tended to be higher. The mean (SD) of tibia lead level in male subjects (was 3.90 (4.88) microgram/g) and larger than in that of female subjects (2.80 (5.14) microgram/g), but without no statistical significance was observed. The mean (SD) of blood lead level of all total subjects was 3.70 (1.35)microgram/dl, and tended to be higher. The mean (SD) of blood lead level in male subjects (was 3.93 (1.25) microgram/dl) and larger than in that of female subjects (3.30 (1.42) microgram/dl), but without no statistical significance was observed. In multiple regression analysis of blood lead levels after adjusting for covariates, age was a significant independent variable. A weak association of age with tibia lead in female subjects was also observed in multiple regression analysis. CONCLUSION The mean (SD) of tibia and blood lead levels of middle aged Koreans whose ages were over 40 years old were 3.49 (4.99) microgram/g and 3.70 (1.35) microgram/dl, respectively. Age and sex were positive predictors of blood lead level in multiple regression analysis after controlling for the covariates. However, in multiple regression analysis whereas age was weakly association with tibia lead level only in female subjects in multiple regression analysis.
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- Blood lead concentration and related factors in Korea from the 2008 National Survey for Environmental Pollutants in the Human Body
Seong Wook Jeong, Chae Kwan Lee, Chun Hui Suh, Kun Hyung Kim, Byung Chul Son, Jeong Ho Kim, Jong Tae Lee, Soo Woong Lee, Yeong Beom Park, Jong Wha Lee, Seung-Do Yu, Chan Seok Moon, Dae Hwan Kim, Sang Yoon Lee International Journal of Hygiene and Environmental Health.2014; 217(8): 871. CrossRef - National estimates of blood lead, cadmium, and mercury levels in the Korean general adult population
Nam-Soo Kim, Byung-Kook Lee International Archives of Occupational and Environmental Health.2011; 84(1): 53. CrossRef
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Effect of Cumulative Blood Lead and Cumulative Blood ZPP as Lead Body Burden on Renal Lead Biomarkers
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Gang Ho Yoon, Nam Soo Kim, Jin Ho Kim, Hwa Sung Kim, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 2006;18(4):298-306. Published online December 31, 2006
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DOI: https://doi.org/10.35371/kjoem.2006.18.4.298
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- OBJECTIVE: To evaluate the possibility of cumulative blood lead and blood ZPP as surrogates of lead body burden and to investigate their association with renal function as an index of lead body burden.
METHODS The study subjects comprised 678 lead workers with past blood lead and blood ZPP data from their employment. Cumulative blood and ZPP were calculated by accumulating the every year mean value of both indices from the new employment since 1983. To assess the cumulative data of lead workers who started their lead work before 1983, the years before 1983 were simulated with the first available data from 1983. Study variables for lead body burden were tibia bone lead and DMSA chelatable lead, whereas those for current lead biomarkers were blood lead and blood ZPP. BUN and serum creatinine were selected as clinical renal biomarkers, while NAG (N-acetyl-D-glucosamine) and RBP (Retinol binding protein) were selected as early renal biomarkers. RESULTS The association between cumulative blood lead and blood ZPP with tibia bone lead was statistically significant with determinant coefficients (r(2)) of 0.72 and 0.567, respectively, and their relationships were better explained by the curvilinear regression model. In multiple regression analysis of current lead biomarkers on the renal biomarkers after controlling for possible confounders (age, sex, job duration, smoking and drinking status), blood lead was associated only with log-transformed NAG, whereas blood ZPP was associated with 3 other renal biomarkers. On the other hand, in multiple regression analysis of biomarkers of lead body burden on renal biomarkers after controlling for possible confounders (age, sex, job duration, smoking and drinking status), cumulative blood ZPP and tibia bone lead were associated with all 4 renal function biomarkers, whereas cumulative blood lead and DMSA chelatable lead were associated with 3 renal biomarkers except BUN. CONCLUSION Cumulative blood and ZPP were demonstrated to be good surrogates of lead burden. Furthermore, the cumulative blood ZPP was confirmed to have a better association than the cumulative blood lead.
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The Effect of ALAD and VDR Polymorphism on the Hematopoietic Biomarkers in Lead Exposed Workers
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Sung Soo Lee, Nam Soo Kim, Jin Ho Kim, Yong Bae Kim, Young Hwangbo, Hwa Sung Kim, Kyu Dong Ahn, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 2005;17(4):343-351. Published online December 31, 2005
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DOI: https://doi.org/10.35371/kjoem.2005.17.4.343
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This study was conducted with new workers who entered lead industries from 1992 to 2001 to evaluate the genetic susceptibility of ALAD (delta-aminolevulinic acid dehydratase) and VDR (vitamin D receptor) gene on health effect of lead exposure. METHODS Among the subjects of the database of lead industries at the Soonchunhyang University Institute of Industrial Medicine, only new workers were selected for this study. The total of eligible workers for this category was 3,540 workers, including non lead exposed workers of same lead industries. From stored blood in specimen bank of Soonchunhyang University, genotype of ALAD and VDR were measured using PCR method. Variables for this study were blood lead as an index of lead exposure, ZPP (zinc protoporphyrin in blood), urine ALA (delta-aminolevulinic acid), and hemoglobin as an index of hematopoietic effect of lead. Information on sex, job duration, and weight were collected for personal information. The data were analyzed using SAS (version 8.2) with descriptive analysis of t-test and multiple regression analysis. RESULTS Among 3,540 new employed study subjects during period of 1992-2001, 3,204 workers (90.5%) had ALAD genotype 1-1, while 336 workers (9.5%) had variant type of ALAD (1-2 or 2-2). For VDR genotype, 2,903 workers (89.7%) out of total tested 3,238 workers were belonged to type bb and 335 workers (10.5%) were type bB or BB. The distribution of genotype of ALAD and VDR were not different according to the job duration in male workers, but were different in female workers. The effect of ALAD and VDR genotype on blood lead were positively significant in the analysis of all cumulative data of new employed workers for 10 years. The effect of VDR genotype on blood lead were stronger than that of ALAD. While the variant ALAD gene made decrease of mean ZPP and ALA in urine after controlling for blood lead and other covariate, the variant VDR gene made increased the mean ZPP and ALA in urine in all cumulative data analysis and cross sectional analysis by job duration. For hemoglobin, ALAD and VDR genotype did not affect the mean value. CONCLUSIONS From the above our results, we found that ALAD and VDR genotype exerted significant effect in various way. We confirmed that the finding of a cross sectional study of protective effect of variant ALAD on the effect of blood lead on blood ZPP in our retrospective study design. It was found that VDR did not exert protective effect for lead exposure as the variant ALAD did.
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Associations of ALAD Genotype with Renal Function Indices in Lead Workers
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Sung Soo Lee, Jin Ho Kim, Nam Soo Kim, Hwa Sung Kim, Kyu Dong Ahn, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 2004;16(2):200-209. Published online June 30, 2004
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DOI: https://doi.org/10.35371/kjoem.2004.16.2.200
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delta-Aminolevulinic acid dehydratase (ALAD) is a polymorphic enzyme that has two alleles, ALAD1 (ALAD1-1 as genotype) and ALAD2 (ALAD1-2 or ALAD2-2 as genotype). ALAD genotype has been reported to modify the pharmacokinetics and toxicity of lead. The authors investigated the influence of ALAD genotype polymorphism on renal function in lead workers METHODS: We studied 935 male lead workers and 87 male non-lead workers in the same industries. For cross-sectional renal indices, blood urea nitrogen (BUN), serum creatinine, serum uric acid and urine total protein were selected. Blood lead level was also measured an index of lead exposure. Information on weight, age, job duration, and smoking and drinking habits was collected. RESULTS Whereas the mean blood lead level of lead workers was 25.4+/-10.9 microgram/dL, that of non-lead workers in the same premise was 10.1+/-2.8 microgram/dL, and the difference between the two groups was statistically significant. Whereas the prevalence of the variant allele, ALAD2 in 935 lead workers was 10.6%, that in 87 non-lead workers was 4.6%. However there was no difference of prevalence between the two groups. The mean blood lead level of subjects with ALAD1 was 23.9+/-11.4 microgram/dL, which was slightly lower than that of subjects with ALAD2 (25.8+/-10.7 microgram/dL). However, this difference was not statistically significant. After adjustment for the covariates, the subjects with ALAD2 allele were 12.8% less likely to have a median value or more of BUN than subject with ALAD1. The adjusted odds ratio was 0.59 (95% confidence interval; 0.38-0.91). After adjustment for the covariates, the subjects with ALAD2 allele were 9.3% less likely to have a median value or more of serum creatinine than subject with ALAD1. The adjusted odds ratio was 0.64 (95% confidence interval; 0.41-0.98). CONCLUSIONS From the above results, it was found that the variant allele, ALAD2 appeared to modify the association of lead and renal function, and that ALAD2 genotype may be supportive for the protective effect of lead.
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- Effects of Factors Associated with Urine Hippuric Acid Correction Values in Urinary Creatinine by HPLC and Jaffe Method and Specific Gravity HPLC Jaffe Method
Key-Young Kim, Jong-Gyu Kim, Ki-Nam Yoon, Wha-Me Park, Hun-Hee Park Journal of Korean Society of Occupational and Environmental Hygiene.2015; 25(4): 493. CrossRef - Environmental Exposure to Lead (Pb) and Variations in Its Susceptibility
Jina Kim, Youngeun Lee, Mihi Yang Journal of Environmental Science and Health, Part C.2014; 32(2): 159. CrossRef
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A Study on Liver Function Indices in Male Lead Workers
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Young Hwangbo, Yong Bae Kim, Gap Soo Lee, Sung Soo Lee, Kyu Dong Ahn, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 2002;14(3):270-279. Published online September 30, 2002
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DOI: https://doi.org/10.35371/kjoem.2002.14.3.270
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To evaluate the effects of lead on the liver function indices in male lead workers. METHODS The study comprised of 274 lead workers and 113 non-lead workers who were confirmed not to have HBsAg (Hepatitis B surface Antigen). Blood lead (PbB), blood zinc protoporphyrin (ZPP) and urinary delta-aminolevulinic acid (ALAU) were selected as parameters for monitoring exposure to lead while aspartate aminotransferase (SGOT), alanine aminotransferase (SGPT) and gamma-glutamyltransferase (gamma-GTP) were chosen as parameters for monitoring liver function. Demographic information, such as age, smoking and drinking histories were collected. The duration of work for the lead workers, and their BMI(body mass index), were also obtained. RESULTS After adjusting for possible confounders {age, BMI, work duration, smoking (pack-year) and drinking (bottles of Soju consumed per week)}, blood lead was observed to be a significant variable from the logistic regression analysis of the abnormalities of SGOT( >35 IU/L), with an odds ratio of 1.04 (95 % CI, 1.008-1.066). The amount of alcohol drunk (odds ratio 1.28: 95 % CI, 1.054-1.549) and BMI (odds ratio 1.24: 95 % CI, 1.075-1.421) were also significant variables. From the multiple linear regression analyses, blood lead was significantly, and positively, associated with SGOT (p<0.05). CONCLUSIONS These findings suggest that exposure to lead may have an effect on SGOT in male lead workers.
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- Effect of Pork Consumption on Renal and Hematochemical Indices in Workers Occupationally Exposed to Unclean Environments
Chan-Kyu Han, Jeong-Hae Rho, Bog-Hieu Lee Korean Journal for Food Science of Animal Resources.2008; 28(1): 91. CrossRef
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Associations between Lead Exposure and Dose and Protein Kinase C Activation in Erythrocytes Among Lead Workers
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Kyu Yoon Hwang, Young Hwangbo, Hyun Cheol Ahn, Yong Bae Kim, Gap Soo Lee, Sung Soo Lee, Kyu Dong Ahn, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 2001;13(4):369-375. Published online December 31, 2001
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DOI: https://doi.org/10.35371/kjoem.2001.13.4.369
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Protein kinase C(PKC), a calcium and phospholipid dependent enzyme, is activated by lead in vitro at picomolar concentrations. However, the effect of lead on PKC has never been studied in a human population. The purpose of the study was to evaluate whether lead exposure was associated with PKC mediated-phosphorylation in erythrocytes among lead workers. METHODS Two hundred and twelve lead workers were studied. To determine the levels of phosphorylation in vivo, an in vitro back phosphorylation technique was used by adding PKC and gamma-32P to preparations of erythrocyte membranes. We measured back phosphorylations of erythrocyte membrane proteins, spectrin, and 52 kDa and 48 kDa, as an indirect measure of PKC activation in vivo. RESULTS The mean(SD) age and exposure duration was 39.1(10.0) years and 8.1(6.5) years, respectively. Tibial lead ranged from 0.8 to 290.8 microgram Pb/g bone mineral with a mean(SD) of 34.4(35.2) microgram Pb/g bone mineral. The means(SD) of back phosphorylation levels of the three proteins were 540.7(304.1), 198.6(78.2), and 247.7(83.3) photostimulated luminescence units(PSL), respectively, by phosphoimager. After adjustment for potential confounding factors, tibial lead and exposure duration were significantly and inversely associated with back phosphorylation levels. One unit of increase in tibial lead(1 microgram Pb/g bone mineral) is associated with a decline in spectrin, band 4.9 52 kDa, and band 4.9 48 kDa back phosphorylation levels by 1.4(P<0.05), 0.34(P<0.05), and 0.47(P<0.01), respectively. However, there were no associations between the back phosphorylation levels and either blood lead or ZPP levels. CONCLUSIONS These findings suggest that the PKC activity in erythrocytes is increased by chronic lead exposure and that erythrocyte membrane protein phosphorylation may be a biomarker of lead exposure.
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The Effect of ALAD Polymorphism on the Relationship of Blood and Bone Lead with Hematologic Biomarkers in Lead Exposed Workers
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Hwa Sung Kim, Sung Soo Lee, Yong Bae Kim, Young Hwangbo, Gap Soo Lee, Kyu Dong Ahn, Bong Ki Jang, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 2001;13(1):75-86. Published online March 31, 2001
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DOI: https://doi.org/10.35371/kjoem.2001.13.1.75
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To evaluate the effect of ALAD polymorphism on the relationship of blood and bone lead with hematologic biomarkers in lead exposed workers, 450 lead exposed workers and 85 non-lead exposed workers were selected. METHODS Blood lead and tibia bone lead were selected as parameters of lead exposure and blood ZPP, urinary ALA (ALAU), hemoglobin (Hb) and hematocrit (Hct) were chosen as parameters of hematologic effect of lead exposure. Genotype of each subject was assayed and expressed as ALAD1 and ALAD2. Demographic information such as sex, age and personal habit of smoking and drinking were collected. Job duration of lead exposed workers was also obtained. RESULTS The overall prevalence of the variant allele, ALAD2 in lead exposed workers was 9.6 %(43 out of 450 lead workers) which was not differed from control workers (9.4 % : 8 out of 85). The means of tibial lead and blood ZPP in lead workers with ALAD2 were lower than those of lead workers with ALAD1, but the differences were not statistically significant. After adjusting for possible confounders (sex, job duration, BMI, drinking and smoking status) only blood lead and bone lead contributed negatively to the level of hemoglobin with statistical significance without any contribution of ALAD genotype. On the other hand, no significant effect of blood lead, bone lead and ALAD genotype were observed on the level of hematocrit after controlling possible confounder. ALAD genotype in the multiple regression analysis of blood lead and bone lead with log transformed urinary ALA (LogALAU) after adjusting for possible confounders showed significant main and interaction effect on LogALAU simultaneously, which resulted lower LogALAU in lead exposed workers of ALAD2 than ALAD1. It was also observed only main effect of ALAD gene type on blood ZPP after adjusting possible confounder resulting lower ZPP in lead workers of ALAD2 than ALAD1. CONCLUSIONS With above results, it was found that ALAD polymorphism did not affect on the level of hemoglobin and hematocrit, but ALAD polymorphism made significant effect on the association of blood and bone lead with urinary ALA and blood ZPP. The lower urinary ALA and blood ZPP in ALAD2 lead workers suggested that ALAD2 genotype may be supportive for the protective effect of lead.
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The Relationship between Psychosocial Distress and Lead Exposure Indices in Lead Workers
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Yong Bae Kim, Hyun Cheol Ahn, Young Hwangbo, Gap Soo Lee, Kyu Yoon Hwang, Sung Soo Lee, Kyu Dong Ahn, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 2000;12(1):128-138. Published online March 31, 2000
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DOI: https://doi.org/10.35371/kjoem.2000.12.1.128
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This study was carried out to assess psychosocial distress of lead workers and to examine the relationship between lead exposure indices and psychosocial distress. METHODS The study design was cross-sectional and research subjects were 234 lead workers in primary smelting industry.
General characteristics, job characteristics and social support were obtained by self-administered questionnaire and history taking.
Psychosocial distress was measured using PWI(Psychosocial Well-being Index), a 45-item self-administered instrument. Blood lead(PbB), zinc protoporphyrin(ZPP), -aminolevulinic acid in urine(ALAU) were selected as indicators of lead exposure. RESULTS There was significant difference in PWI according to lead exposure level and job characteristics. The results of correlation analysis showed that PWI was significantly correlated with PbB(r=0.203, P=0.002). CONCLUSIONS Our results supported the association between lead exposure and psychosocial distress. The inclusion of psychosocial distress measurement as a special health examination for lead workers was highly recommended for the effective health management.
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Occupational Lead Exposure of Storage Battery Industry Workers in Korea
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Pil Kyu Kang, Yong Bae Kim, Ik Soo Ahn, Jong Kyu Lee, Ku Seok Han, Hwa Sung Kim, Kyu Yoon Hwang, Gap Soo Lee, Kyu Dong Ahn, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 1998;10(4):438-449. Published online December 31, 1998
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DOI: https://doi.org/10.35371/kjoem.1998.10.4.438
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- In order to investigate the level of lead absorption of lead workers and to evaluate the effect of blood lead on blood zinc protoporphyrin (ZPP) and prevalence of lead related symptoms, 1,782 lead workers(male: 1,506, female: 276) from 8 storage battery industries were studied. Selected variables as indices of lead exposure were blood lead, blood ZPP, and hemoglobin (HB). Fifteen questionnaires of lead related symptoms were provided to all lead workers and filled up by themselves and confirmed by medical doctors. Personal variables such as age, work duration, smoking and drinking habits were also collected. The results were follows : 1. While the mean blood lead of lead workers of all lead companies was 31.0+/-3.0 ug/100ml (male: 31.5+/-2.9 ug/100ml, female: 27.9+/-3.3 ug/100m1), the mean blood ZPP of all lead workers was 66.7+/-4.1 ug/100ml (male: 59.6+/-3.3, female: 105.3+/-3.0 ug/100ml). The mean hemoglobin of male lead workers was 15.7+/-.3 gm/100ml and that of female lead workers was 13.0+/-.3 gm/100ml. 2. The percentage of lead workers whose blood lead was over 60.0 ug/100m1 and 40.0-59.9 ug/100ml was 2.81 % and 19.08 %, respectively. On the other hand, the percentage of lead workers whose blood ZPP was over 150 ug/100ml and 100-149 ug/100ml was 5.89 % and 8.31 %, respectively. 3. The slopes of simple linear regression of blood lead (independent variable) and blood ZPP in female lead workers was significantly steeper than that of male lead workers. The slope of storage battery industries with better working condition in terms of low air concentration of lead were less steeper than those with poor working condition with high mean air concentration of lead. 4. Stepwise multiple regression analysis, using overall symptom prevalence as a dependent variables, blood lead, blood ZPP, hemoglobin, age, work duration, drinking and smoking habits as independent variables, indicated that only drinking habit and age were significantly contributed to the dependent variable.
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- Occupational Lead Exposure from Indoor Firing Ranges in Korea
Won-Ju Park, Suk-Ho Lee, Se-Ho Lee, Hye-Sik Yoon, Jai-Dong Moon Journal of Korean Medical Science.2016; 31(4): 497. CrossRef - Blood lead levels of Korean lead workers in 2003–2011
Ji-Hye Kim, Eun-A Kim, Dong-Hee Koh, Kiwhan Byun, Hyang-Woo Ryu, Sang-Gil Lee Annals of Occupational and Environmental Medicine.2014;[Epub] CrossRef
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Some Renal Function Indices in Workers Occupationally Exposed to Lead
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Je Sung Nam, Yong Bae Kim, Hyun Cheol Ahn, Hwa Sung Kim, Gap Soo Lee, Kyu Yoon Hwang, Sung Soo Lee, Kyu Dong Ahn, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 1998;10(2):139-148. Published online May 31, 1998
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DOI: https://doi.org/10.35371/kjoem.1998.10.2.139
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- The influence of lead exposure on renal function was studied. Three hundred forty two male lead exposed workers who worked in 3 storage battery factories, 5 secondary smelting factories and 3 litharge making factories, and 60 male control workers who were not exposed to lead occupationally were chosen for this study. Blood lead (PbB), zinc protoporphyrin in whole blood (ZPP) and delta-aminolevulinic acid in urine (DALA) were selected as indicators of lead exposure. As indicators of renal function blood urea nitrogen(BUN) , serum creatinine(S-Cr), serum uric acid (S-UA), N-acetyl-beta-D-glucosaminidase in urine (NAG) and urine protein (U-TP) were selected. While the mean values of lead exposure indicators of lead workers were significantly different from non-exposed ones, the mean values of renal function indicators of exposed except S-UA were significantly different from non-exposed. The frequency of workers whose value of renal function indicators were over the nor mal criteria (BUN>20 mg/dl ; S-Cr>1.2 mg/dl ; S-UA>7.0 mg/dl ; NAG>8.0 U/liter; U-TP>8.0 mg/dl) by the level of lead absorption in terms of PbB, ZPP and DALA were calculated. Age adjusted odds ratio of over the normal value of BUN and NAG were statistically significant by the level of ZPP and that of BUN only showed the dose-dependant relationship. But the frequency of over the normal criteria of renal function indicators were not increased by the level of PbB and DALA. On stepwise multiple regression using renal function indicators as a dependent variable and each lead exposure indicator and age as independent variables, only BUN, NAG and U-TP were contributed by the lead exposure indicators. It was found that only NAG of renal function indices was most reliable indicator who showed dose-response relationship with lead exposure and the measurement of NAG for lead workers whose relatively high exposure is highly recommended.
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- Effect of Pork Consumption on Renal and Hematochemical Indices in Workers Occupationally Exposed to Unclean Environments
Chan-Kyu Han, Jeong-Hae Rho, Bog-Hieu Lee Korean Journal for Food Science of Animal Resources.2008; 28(1): 91. CrossRef
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A Study of the Correlation Between the Activity of Erythrocyte Pyrimidine 5'-Nucleotidase and Urinary N-Acetyl-beta-D-Glucosaminidase in Lead Exposed Workers
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Soung Hoon Chang, Cheon Hyun Hwang, Won Jin Lee, Soung Soo Lee, Byung Kook Lee, Hong Kyu Suh, Jae Wook Choi
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Korean Journal of Occupational and Environmental Medicine 1997;9(2):258-266. Published online June 30, 1997
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DOI: https://doi.org/10.35371/kjoem.1997.9.2.258
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- In this study, we measured the activity of the erythrocyte pyrimidine 5'-nucleotidase (P5N) and urinary N-acetyl-beta-D-glucosaminidase (NAG) from 154 workers exposed to lead and 43 workers not exposed. We analyzed the correlation of the P5N activity and NAG activity with other biological exposure indices of lead such as blood lead (PbB) and zinc protoporphyrin (ZPP). The measurement was performed by using high performance liquid chromatography (HPLC), spectrophotometer and atomic absorption spectrophotometer. The results are as follows: 1. The mean value of P5N activity for workers exposed to lead was 9.50+/-.13 micromol uridine/hr/g Hb and 11.60+/-.2 micromol uridine/hr/g Hb for workers not exported. The P5N activity showed a normal distribution, but the other indices of lead showed logarithmic normal distributions. 2. The P5N activity and ZPP were decreased as PbB wag increased. But the NAG activity had no correlation with changes of PbB. 3. The correlation coefficients of the P5N activity with other biological exposure indices of lead such as PbB, ZPP, NAG activity were -0.72, -0.55, and 0.05, respectively. We speculated that the P5N activity can be used as a reliable biological exposure index of lead but NAG activity can be used as a biological management index of lead.
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A Study on the Lead Exposure of Workers in Secondary Smelting and Litharge Making Industries
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Je Myung Chae, Gap Soo Lee, Sung Soo Lee, Kyu Dong Ahn, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 1997;9(1):131-139. Published online February 28, 1997
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DOI: https://doi.org/10.35371/kjoem.1997.9.1.131
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- Two hundred and six male lead workers (86 lead workers from secondary smelting industries and 120 lead workers from litharge making industries) and 212 office workers who were not exposed to lead occupationally were studied to investigate the effect of lead on the health of lead workers in high risk operation to lead. Blood lead (PbB), zinc protoporphyrin in whole blood (ZPP), delta-aminolevulinic acid in urine (ALAU), Hematocrit (Hct) and hemoglobin (Hb) were selected as an index of lead exposure. Questionnaires of 15 lead related symptoms were provided to all study subject and filled up by themselves and reconfirmed the symptom answers by interviewing medical doctor. While the mean value of PbB, ZPP and ALAU of lead workers in secondary smelting industries were 62.7+/-14.6 microgram/dl, 103.1+/-60.5 microgram/dl and 7.4+/-10.3 mg/liter, those of lead workers in litharge making industries were 58.8+/-14.1 microgram/dl, 74.2+/-45.2 microgram/dl and 5.3+/- 7.9 mg/liter respectively, and there were statistically significant difference of mean values between two groups. Simple linear regression analysis of PBB on ZPP and ALAU shoved the steeper slope in secondary smelting industries than litharge making industries. Higher symptom prevalence rates of lead exposed group were observed in lead colic related symptom (S4) and neuromuscular symptoms compared with non-exposed workers. The prevalence of neuromuscular symptoms only showed dose-response relationship by the increase of PBB and ZPP. But more statistical significances were observed in neuromuscular symptoms by the increase of PBB than ZPP. On stepwise multiple regression using total symptom score as a dependent variable and PBB, ZPP, ALAU, Hct, Hb, age and work duration as a independent variables only ZPP and age contributed to the lead related symptoms.
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- The association between cadmium and lead exposure and blood pressure among workers of a smelting industry: a cross-sectional study
Hyun Chan An, Joo Hyun Sung, Jiho Lee, Chang Sun Sim, Sang Hoon Kim, Yangho Kim Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef - Blood lead levels of Korean lead workers in 2003–2011
Ji-Hye Kim, Eun-A Kim, Dong-Hee Koh, Kiwhan Byun, Hyang-Woo Ryu, Sang-Gil Lee Annals of Occupational and Environmental Medicine.2014;[Epub] CrossRef
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Comparison of Renal Function Indices Between Occupationally lead Exposed Females and Healthy Non-exposed Females
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Du Shin Jeong, Joo Hee Park, Kyu Dong Ahn, Byung Kook Lee, Joung Soon Kim
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Korean Journal of Occupational and Environmental Medicine 1994;6(2):153-165. Published online September 30, 1994
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DOI: https://doi.org/10.35371/kjoem.1994.6.2.153
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Abstract
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- This study was to investigate the effect of lead on the selected clinical renal function in female lead workers. The 123 female lead workers from 9 lead industry and 177 females who were not occupationally exposed were examined. Females who had history of renal disease or oral medication were excluded. Blood lead, zinc protoporhphyrin in blood, delta-aminolevulinic acid and haemoglobin were examined as of lead exposure indices and blood urea nitrogen, serum creatinine, serum uric acid and urine protein were examined as of renal function indices. Mean concentration of lead were 40.7(+/-13.02)ug/dl for lead workers and 10.7(+/-3.56)ug/dl for non-lead workers. Differences between lead workers and non-lead workers in blood lead, zinc protoporhphyrin in blood and delta-aminoleuvulinic acid were statistically significant. There were significant differences between lead workers and non-lead workers in blood urea nitrogen, serum creatinine, serum uric acid except urine protein but their mean concentrations were all within normal limits. Serum creatinine and urine protein were not increasing according to the increasing blood lead. When cut off points of 20mg/dl in blood urea nitrogen, 1.2mg/dl in serum creatine, 7.0mg/dl in serum uric acid, 8.0mg/dl in urine protein and 40ug/dl in blood lead, 100ug/dl in zinc-protoporhphyrin in blood, 7.0mg/l in delta-aminoleuvulinic acid were accepted, comparison between frequencies of blood urea nitrogen, serum creatine, serum uric acid, urin protein by the level of blood lead, zinc-protoporhphyrin in blood and delta-aminoleuvulinic acid respectively was not statistically different. There were no dose-repsonse relationships in risk ratios by the level of blood lead and zinc-protoporphyrin in blood respectively. In summary, there were no significant effect of lead on the selected clinical renal function among the female lead workers at level of blood lead 40ug/dl that is the permissible level of lead poisoning in Korea.
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- Pollutant levels in ambient air and blood in Korea
Chan-Seok Moon, Masayuki Ikeda Environmental Health and Preventive Medicine.1996; 1(1): 33. CrossRef
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Relationship between lead exposure indices and renal functions in lead exposed workers
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Kyu Dong Ahn, Sung Soo Lee, Byung Kook Lee, Doo Hie Kim
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Korean Journal of Occupational and Environmental Medicine 1993;5(1):58-75. Published online February 28, 1993
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DOI: https://doi.org/10.35371/kjoem.1993.5.1.58
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Abstract
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- No abstract available.
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- Renal Dysfunction Indicators in Lead Exposed Workers
Kap‐Yeol Jung, Sang‐Ju Lee, Joon‐Youn Kim, Young‐Seoub Hong, Sung‐Ryul Kim, Dong‐II Kim, Jue‐Bok Song Journal of Occupational Health.1998; 40(2): 103. CrossRef - Lead concentrations in blood among the general population of Korea
Jeong Sun Yang, Seong Kyu Kang, In Jeong Park, Kyung Yong Rhee, Young Hahn Moon, Dong Hwan Sohn International Archives of Occupational and Environmental Health.1996; 68(3): 199. CrossRef
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21
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Blood and urine cadmium levels in non-exposed Korean to cadmium
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You Yong Yeon, Kyu Dong Ahn, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 1992;4(1):70-80. Published online February 29, 1992
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DOI: https://doi.org/10.35371/kjoem.1992.4.1.70
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- No abstract available.
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- Time trend of cadmium intake in Korea
Chan-Seok Moon, Hye-Ran Yang, Haruo Nakatsuka, Masayuki Ikeda Environmental Health and Preventive Medicine.2016; 21(3): 118. CrossRef - Relationship between Heavy Metal Concentrations in the Soil with the Blood and Urine of Residents around Abandoned Metal Mines
Bong-Ki Jang, Sang-Il Park, Nam-Soo Kim, Kyung-Sick Jung, Byung-Kook Lee, Jong-Wha Lee Korean Journal of Environmental Health Sciences.2011; 37(5): 348. CrossRef - National estimates of blood lead, cadmium, and mercury levels in the Korean general adult population
Nam-Soo Kim, Byung-Kook Lee International Archives of Occupational and Environmental Health.2011; 84(1): 53. CrossRef - Blood Cadmium Concentrations of Male Cigarette Smokers Are Inversely Associated with Fruit Consumption
Hyesook Kim, Hee Jung Lee, Ji-Yun Hwang, Eun-Hee Ha, Hyesook Park, Mina Ha, Ja Hyeong Kim, Yun-Chul Hong, Namsoo Chang The Journal of Nutrition.2010; 140(6): 1133. CrossRef - Pollutant levels in ambient air and blood in Korea
Chan-Seok Moon, Masayuki Ikeda Environmental Health and Preventive Medicine.1996; 1(1): 33. CrossRef
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The effect of respiratory protection with biological monitoring on the health promotion of lead workers
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Yoon Bo Shim, Byung Kook Lee
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Korean Journal of Occupational and Environmental Medicine 1992;4(1):1-13. Published online February 29, 1992
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DOI: https://doi.org/10.35371/kjoem.1992.4.1.1
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- No abstract available.
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- Lead Exposure Indices, Workloads, and Environmental Factors in Battery Manufacturing Workplace
Kwang Sung Cho, Byung Yong Jeong Journal of the Ergonomics Society of Korea.2013; 32(3): 259. CrossRef
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The study of lead related symptoms and biological indices of leadabsorption in lead workers
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Byung Kook Lee, Je Seong Nam, Kyu Dong Ahn, Taek Sung Nam
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Korean Journal of Occupational and Environmental Medicine 1991;3(1):65-75. Published online February 28, 1991
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DOI: https://doi.org/10.35371/kjoem.1991.3.1.65
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Abstract
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- No abstract available.
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A Study on Urinary Hippuric Acid and Subjective Symptoms in Toluene Exposed Workers
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Joo Ja Kim, Jung O Ham, Kyu Dong Ahn, Byung Kook Lee, Taik Sung Nam, Nam Won Paik
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Korean Journal of Occupational and Environmental Medicine 1989;1(2):206-217. Published online November 30, 1989
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DOI: https://doi.org/10.35371/kjoem.1989.1.2.206
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Abstract
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- To study the relationship between the urinary hippuric acid and subjective symptoms in toluene exposed workers, urinary hippuric acid was measured and subjective symptoms questionnarire was surveyed in 93 toluene exposed male workers and 96 non-exposed office male workers.
The results are as follows: 1. Mean concentration of urinary hippuric acid, which is significantly higher in exposed group than in non-exposed group, was 1.3 g/l, 1.2(GM, GSD respectively) in exposed group and 0.6 g/l, 1.2(GM, GSD respectively) in non-exposed group.
2. Mean concentration of toluene in the air in the workplace, which is significantly higher in the department of coater than in the department of mixing, was 23.4 ppm, 6.2(GM, GSD respectively) in the department of mixing and 59.8 ppm, 3.4(GM, GSD respectively) in the department of coater.
3. Complained rates of subjective symptoms were significantly higher in exposed group than in non exposed group in all items.
4. In exposed group, complained rate of CNS related symptoms was higher than that of irritation related symptoms in the first part but there was no significant difference and complained rate of irritation related symptoms in the second part was significantly higher than that of CNS related symptoms.
5. In exposed group, complained rates of subjective symptoms were not compatible with dose-response relationship by the concentration of urinary hippuric acid, duration of work, department of work, and age group retrospectively.
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- A Study of Working Environment for Automotive Painting in Auto Repair Shops and Workers' Exposure to Hazardous Chemicals
Sang-Hyo Sim, Chun-Hwa Jeoung, Jin-Suk Lim, Hyung-Gu Lee, Yoon-Shin Kim Korean Journal of Environmental Health Sciences.2009; 35(3): 153. CrossRef
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The Effect of Maintenance Free Respirator on the Prevention of Lead Absorption in Lead Using Workers of Korea
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Kyu Dong Ahn, Byung Kook Lee, Taik Sung Nam
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Korean Journal of Occupational and Environmental Medicine 1989;1(2):180-185. Published online November 30, 1989
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DOI: https://doi.org/10.35371/kjoem.1989.1.2.180
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Abstract
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- One year field study of 400 lead workers on the effect of maintenance free respirator(MFR) to alleviate the lead burden revealed that MFR protection program with biological monitoring with simple measurement of zinc protoporphyrin in whole blood could be applied as an interim method to prevent lead workers from lead burden even in fairly bad working condition until fundamental environmental control will be taken in korea.
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- Occupational Health Management in the Lead Industry: The Korean Experience
Byung-Kook Lee Safety and Health at Work.2011; 2(2): 87. CrossRef
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