Annals of Occupational and Environmental Medicine

Dae Sung Kim

3 Articles

An Assessment of the Needs and the Affecting Factors for Small Scale Enterprise Worker's Health Centers: Ki Chul Nam, Ji Su Park, Jae Woo Koh, Jong Seo Kim, Jong Tae Park, Hae Joon Kim, Jin Joo Chung, Jeong Youn Kim, Dae Sung Kim, Jung Sun Park; Korean Journal of Occupational and Environmental Medicine 2011;23(4):407-419. Published online December 31, 2011; DOI: https://doi.org/10.35371/kjoem.2011.23.4.407

OBJECTIVES
The aim of this paper is to assess the needs and roles of the Worker's Health Centers employed by small scale enterprises by investigating the requested services made to this type of Worker's Health Center.
METHODS
The population of this research was taken from 1,145 business owners or managers of manufacturing companies employing less than fifty people in six industrial estates. Stratified sampling was used. Individual interviews were performed to assess the conditions and needs of these enterprises using a structured questionnaire and professional interviewers.
RESULTS
According to the questionnaire survey, 941(82.2%) of the enterprises wish to use a Worker's Health Center. 946(83.3%) of the enterprises preferred an 'Expert visit to the enterprise or mixed' for the Delivery type. 486(42.4%) of the enterprises preferred the 'in the center of industrial complex' for the location of the Worker's Health Center. 789(69.1%) of the enterprises preferred 6-10 PM for the available open hours. A multiple regression analysis revealed a significantly positive association regarding the intention of using a Worker's Health Center and the Gyeonggi-Banwol (OR 2.49) or Gwangju-Hanam(OR 4.24) for the region. Compared to enterprises employing 1-4 worker, 30-49 worker enterprises show a 3.33 fold preference (95% CI 1.80~6.12) for the use of a Worker's Health Center.
CONCLUSIONS
Generally, the intention regarding the use of a Worker's Health Center was high, Considering the time and spatial limits inherentin small scale enterprises, the 'expert visit to the enterprise' paradigm is important. It should be noted that when providing the service, a customized approach is necessary, determined by size, region, industry, and scale of the business, through the assessment of the small scale enterprises and the nature of the work environment when designing a Worker's Health Center operation.

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Use of video-based telehealth services using a mobile app for workers in underserved areas during the COVID-19 pandemic: A prospective observational study
Hyun Sang Park, Sungmoon Jeong, Ho-young Chung, Jae Young Soh, Young Ho Hyun, Seong Hwan Bang, Hwa Sun Kim
International Journal of Medical Informatics.2022; 166: 104844. CrossRef
Factors Influencing Acceptance of Personal Health Record Apps for Workplace Health Promotion: Cross-Sectional Questionnaire Study
Hyun Sang Park, Kwang Il Kim, Jae Young Soh, Young Ho Hyun, Sae Kyun Jang, Sol Lee, Ga Young Hwang, Hwa Sun Kim
JMIR mHealth and uHealth.2020; 8(6): e16723. CrossRef
Development and Operation of a Video Teleconsultation System Using Integrated Medical Equipment Gateway: a National Project for Workers in Underserved Areas
Hyun Sang Park, Kwang il Kim, Jae Young Soh, Young Ho Hyun, Bang Eun Lee, Jong Hwa Lee, Jung Gwon Jo, Han Chae Lee, Hwa Sun Kim
Journal of Medical Systems.2020;[Epub] CrossRef
Effects of health and safety problem recognition on small business facility investment
Jisu Park, Harin Jeong, Sujin Hong, Jong-Tae Park, Dae-Sung Kim, Jongseo Kim, Hae-Joon Kim
Annals of Occupational and Environmental Medicine.2013;[Epub] CrossRef

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Exposure Level of Trichloroethylene in Stevens-Johnson Syndrome Due to Occupational Exposure: 3 Case Reports and a Review of Other Cases: Sun Wung Lee, Eun A Kim, Dae Sung Kim, Dong hee Koh, Seong Kyu Kang, Byung Kyu Kim, Min Ki Kim; Korean Journal of Occupational and Environmental Medicine 2008;20(2):132-146. Published online June 30, 2008; DOI: https://doi.org/10.35371/kjoem.2008.20.2.132

Abstract PDF

BACKGROUND
Trichloroethylene (TCE) has been reported to be related to severe generalized exfoliative dermatitis frequently accompanied by toxic hepatitis. The measurements of environmental exposure were limited in the previous case reports and the reported exposure values were also diverse. We reviewed three cases of Stevens-Johnson syndrome associated with TCE. The work environment was measured by the Korea Occupational Safety and Health Agency (KOSHA) after the cases occurred. From the study results, we intended to clarify the relationship between TCE exposure level and Stevens- Johnson syndrome.
CASE
REPORT: Case 1. A 24-year-old Filipino female worker developed a skin rash 35 days after starting to use TCE for degreasing. The skin rash developed into a bullous eruption and the liver function findings were abnormal. She was diagnosed with Stevens-Johnson syndrome and toxic hepatitis. She died of hepatic failure 39 days after the onset of the first symptom. She had no previous history of taking medicine or viral infection. The work environment measured 22.0 to 32.3 ppm (personal exposure level) with TWA. Case 2. A 47-year-old Korean male worker developed a skin rash, 20 days after starting to use TCE for degreasing. The skin rash developed into a bullous eruption and the liver function findings were abnormal. He was diagnosed with Stevens-Johnson syndrome, toxic hepatitis and sepsis. He died of hepatic failure and sepsis 42 days after the onset of the first symptom. He had no previous history of taking medicine or viral infection. The work environment measured 30.1 ppm (personal exposure level) and 116.5~229.7 ppm (area exposure level close to the degreasing machine) with TWA. Case 3. A 22-yearold Vietnamese female worker developed a skin rash 30 days after starting to use TCE for degreasing. The skin rash developed into a bullous eruption and the liver function findings were abnormal. She was diagnosed with Stevens-Johnson syndrome and toxic hepatitis. Her symptoms improved and she was discharged 37 days after the onset of the first symptom. She had no previous history of taking medicine or viral infection. The work environment measured 107.2 ppm (personal exposure level) with TWA.
DISCUSSION
These three case reports and the previously reported cases indicated that the majority of people susceptible to TCE develops Stevens-Johnson syndrome after high-level TCE exposure (above the TWA occupational exposure limit of 50 ppm). Therefore, work environmental survey and improvements to the TCE degreasing process are essential to prevent high exposure. Furthermore, considering the consistency of the latency period in symptoms and the possibility of sensitization in low-level exposure, we recommend that the first specific health examination also should be conducted 1 month after workers have commenced working.

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Occupational Inhalation Health Risk Assessment of TCE Exposure in the Korean Manufacturing Industry
Sueji Seo, Saemi Shin, Sanghoon Byeon
Applied Sciences.2024; 14(13): 5510. CrossRef
A case report of toxic hepatitis caused by chloroform in automotive parts manufacturer coating process
Jong Hyun Hwang, Jung Il Kim
Annals of Occupational and Environmental Medicine.2022;[Epub] CrossRef
Trichloroethylene Hypersensitivity Syndrome: Should Be Considered When Diagnosing DRESS Syndrome
Young Joong Kang, Jihye Lee, Jungho Ahn, Soonwoo Park, Mu Young Shin, Hye Won Lee
Journal of Korean Medical Science.2018;[Epub] CrossRef
Acute Occupational Poisoning in Korea
Hyunjoo Kim, Jia Ryu
The Ewha Medical Journal.2016; 39(4): 99. CrossRef
Late-onset trichloroethylene-induced hypersensitivity syndrome after intermittent exposure to low-dose trichloroethylene
Seung Yun Lee, Se Hwan Oh, Hyuck Jae Choi, Woo Young Choi, Jee Young Han, Hong-Lyeol Lee, Cheol-Woo Kim
Allergy, Asthma & Respiratory Disease.2016; 4(2): 145. CrossRef
Compensation for Work-Related Hematologic, Liver, and Infectious Diseases
Jung-Won Kim, Dong-Mug Kang
Journal of Korean Medical Science.2014; 29(Suppl): S66. CrossRef
Occupational Hepatic Disorders in Korea
Hyoung Ryoul Kim, Tae Woo Kim
Journal of Korean Medical Science.2010; 25(Suppl): S36. CrossRef
Extensive changes to occupational exposure limits in Korea
Jee Yeon Jeong, Sangjun Choi, Young Lim Kho, Pan Gyi Kim
Regulatory Toxicology and Pharmacology.2010; 58(2): 345. CrossRef
Occupational Diseases in Korea
Seong-Kyu Kang, Eun A Kim
Journal of Korean Medical Science.2010; 25(Suppl): S4. CrossRef
Current status of liver diseases in Korea: Toxic and alcoholic liver diseases
Kyung-Ah Kim
The Korean Journal of Hepatology.2009; 15(Suppl 6): S29. CrossRef

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Cumulative Trauma Disorders Among Shipyard Workers and Application of Baseline Checklist for Risk Assessment: Sang Hwan Han, Nam Jong Paik, Donghyun Park, Ki Eon Jang, Myung Hag Lee, Jong Tae Park, Dae Sung Kim, Yeon Sook Lee, Kyung Ja Paik, Young Soo Shin, Dong Bin Song; Korean Journal of Occupational and Environmental Medicine 1997;9(4):579-588. Published online December 31, 1997; DOI: https://doi.org/10.35371/kjoem.1997.9.4.579

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Cumulative trauma disorders were surveyed in a cross-sectional study of 100 male ship yard workers and 43 male office workers. And baseline checklist for risk assessment of cumulative trauma disorders was applicated in a ship making process. Cases of cumulative trauma disorders were defined using physical examinations and electronic diagnostic methods. Data on demographics, individual factors (medical condition), work organization and psychosocial aspects of work were obtained by questionnaire. Association between the above factors and cumulative trauma disorders were assessed by multiple logistic regression models. 29(29 %) participants of male shipyard workers and 4(9.2 %) study subjects of male office workers met our case definitions for cumulative trauma disorders. The myofascial pain syndrome of neck muscles(12 % of participants) and carpal tunnel syndrome(5 % of participants) were the major two medical conditions in shipyard workers. The odds of male shipyard workers for cumulative trauma disorders to male office workers was 3.15 after adjustment of age(95 % C.I. :2.25-5.44). And the variables such as duration of present job, HIVD condition, and surges in workload were associated at least one of the cumulative trauma disorders in the final models (p<0.05) . This study indicates that work related upper extremity musculoskeletal disorders are relatively common among shipyard workers, and shows that the psychosocial factors is not likely to be related to the occur rences of these disorders in heavy workers. Also we developed baseline checklist for risk assessment of cumulative trauma disorders. The checklist was unique in that its expected users were industrial hygienists and occupational healthing nurses who did not have much ergonomic background and in that it was targeted to Korean workers in various types. As the first application of the checklist, shipyard workers were evaluated.

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Medical Managements of Musculoskeletal Diseases in Shipbuilding Industry
Jong-Eun Kim, Young-Ki Kim, Dong-Mug Kang
Journal of the Ergonomics Society of Korea.2012; 31(1): 157. CrossRef
Symptom Prevalence of Musculoskeletal Disorders and the Effects of Prior Acute Injury among Aging Male Steelworkers
Won‐Jun Choi, Young‐Joong Kang, Ji‐Young Kim, Sang‐Hwan Han
Journal of Occupational Health.2009; 51(3): 273. CrossRef

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