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Work-related olfactory disorder: a case series and review
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Soon Woo Park, Young Joong Kang, Huisu Eom, Hyun-Jin Cho, Jungho Ahn, Sang-Gil Lee
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Ann Occup Environ Med 2018;30:18. Published online March 12, 2018
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DOI: https://doi.org/10.1186/s40557-018-0230-3
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Abstract
PDFPubReaderePub
- Background
The olfactory bulb is anatomically exposed and thus can be directly damaged by external stimulation. This can occur as an occupational injury owing to contact with organic solvents or other causes. We present cases of eight patients who sustained occupation-related exposure to potentially toxic substances and later presented with signs and symptoms of anosmia. We examined the occupational and medical characteristics of the patients and evaluated their work-relatedness. Case presentationCase 1: A 50-year-old man performed high-frequency heat treatments for approximately 11 years. He experienced decreased senses for olfaction and taste during the later years culminating in the diagnosis of anosmia after 3 years (high work-relatedness). Case 2: A 54-year-old man whose work involved exposure to various organic solvents, such as spray painting and application of paint and thinners for approximately 4 years, was subsequently diagnosed with anosmia based on rhinorrhea, headache, and loss of olfaction (high work-relatedness). Case 3: A 44-year-old-man who performed spray painting for approximately 17 years developed anosmia (high work-relatedness). Case 4: A 44-year-old man was involved in ship engine cleaning once a month, for approximately 7 h per cleaning session; he was diagnosed with anosmia based on loss of olfaction (low work-relatedness). Case 5: A 41-year-old man worked in ship building block construction for approximately 13 years; anosmia diagnosis was based on loss of olfaction (low work-relatedness). Case 6: A 47-year-old woman performed product inspection and labeling at a plant manufacturing automobile parts; anosmia diagnosis was based on decreased olfaction and taste (low work-relatedness). Case 7: A 50-year-old woman performed epoxy coating in a plant manufacturing automobile parts; anosmia diagnosis was based on diminishing olfaction (low work-relatedness). Case 8: A 57-year-old woman performed cleaning of the area where mobile phone parts were manufactured; anosmia diagnosis was based on diminishing olfaction (low work-relatedness). ConclusionThe study results confirmed work-relatedness when the subject was young, and the duration of exposure was long without any other cause of anosmia. Regarding compensation for occupational diseases, work-relatedness can be recognized as a relative concept.
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- Predictors of Olfactory Decline in Aging: A Longitudinal Population-Based Study
Ingrid Ekström, Maria Larsson, Debora Rizzuto, Johan Fastbom, Lars Bäckman, Erika J Laukka, Anne B Newman The Journals of Gerontology: Series A.2020; 75(12): 2441. CrossRef
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Ovarian cancer in a former asbestos textile factory worker: a case report
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Sunwook Park, Jaechan Park, Eunsoo Lee, Huisu Eom, Mu Young Shin, Jungwon Kim, Dongmug Kang, Sanggil Lee
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Ann Occup Environ Med 2018;30:65. Published online November 16, 2018
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DOI: https://doi.org/10.1186/s40557-018-0277-1
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Abstract
PDFPubReaderePub
- Background
The International Agency for Research on Cancer (IARC) defined that asbestos is a group 1 substance that causes lung cancer, mesothelioma (pleura and peritoneum), laryngeal cancer, and ovarian cancer in humans. Many studies on lung cancer, and mesothelioma caused by asbestos exposure have been conducted, but there was no case report of ovarian cancer due to asbestos exposure in Korea. We describe a case of ovarian cancer caused by asbestos exposure in a worker who worked at an asbestos textile factory for 3 years and 7 months in the late 1970s. Case presentationA 57-year-old woman visited the hospital because she had difficulty urinating. Ovarian cancer was suspected in radiologic examination, and exploratory laparotomy was performed. She was diagnosed with epithelial ovarian cancer. The patient did not undergo postoperative chemotherapy and recovered. She joined the asbestos factory in March 1976 and engaged in asbestos textile twisting and spinning for 1 year, 2 years and 7 months respectively. In addition, she lived near the asbestos factory for more than 20 years. There was no other specificity or family history. ConclusionConsidering the patient’s occupational and environmental history, it is estimated that she had been exposed to asbestos significantly, so we determined that ovarian cancer in the patient is highly correlated with the occupational exposure of asbestos and environmental exposure is a possible cause as well. Social devices are needed to prevent further exposure to asbestos. It is also necessary to recognize that ovarian cancer can occur in workers who have previously been exposed to asbestos, and the education and social compensation for those workers are needed.
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- Asbestos-Related Diseases and Its Impact on Health: An Updated Review Article
Wasey Ali Yadullahi Mir, Ayusha Poudel, Anurag Adhikari, Dhan Bahadur Shrestha, Yubraj Sedhai, Peter LaCamera, Andrew Moraco Current Pulmonology Reports.2023; 12(4): 244. CrossRef - Primary Ovarian Mesothelioma: A Case Series with Electron Microscopy Examination and Review of the Literature
Luigi Vimercati, Domenica Cavone, Maria Celeste Delfino, Biagio Bruni, Luigi De Maria, Antonio Caputi, Stefania Sponselli, Roberta Rossi, Leonardo Resta, Francesco Fortarezza, Federica Pezzuto, Gabriella Serio Cancers.2021; 13(9): 2278. CrossRef - Parkinson's disease in a worker exposed to insecticides at a greenhouse
Yangwoo Kim, Inah Kim, Jung-Min Sung, Jaechul Song Annals of Occupational and Environmental Medicine.2021;[Epub] CrossRef
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The current condition of the workers’ general health examination in South Korea: a retrospective study
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Young Joong Kang, Jun-Pyo Myong, Huisu Eom, Bowha Choi, Jong Heon Park, Eun-A L Kim
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Ann Occup Environ Med 2017;29:6. Published online March 7, 2017
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DOI: https://doi.org/10.1186/s40557-017-0157-0
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Abstract
PDFPubReaderePub
- Background
Business owners in the Republic of Korea must take part in the workers’ general health examination. However, there have been few formal analyses of the uptake of this examination by employees. In the present study, we examined the rates of participation in medical examinations according to age group, health insurance type, and enterprise size, and then compared these results with those of the national general health screening. Furthermore, we determined the distribution of patients with abnormal results for diabetes and hypertension, and outlined the significance and history of domestic health examinations. MethodsWe started by comparing participation rates extracted from the among health examination data of the National Health Insurance Service from 2006–2013 by sex, age, insurance type, and enterprise size of workplace health insurance beneficiaries (i.e., those whose insurance is provided by their workplace). In addition, we analyzed the prevalence rates of abnormal results for hypertension and diabetes, and explored the history and significance of health examinations in the Republic of Korea. ResultsThe overall participation rate in the primary health examination in 2006 was 56%, and this increased to 72% in 2013. However, the rates of the secondary screening did not increase much. Among workplace policyholders (i.e., those whose insurance is provided by their workplace), the participation rates of workers in enterprises with less than 50 employees were lower than were those in enterprises with 50 or more employees. Notably, the rates and odds ratios of patients with abnormal results for diabetes and hypertension were relatively high, particularly among those working in smaller enterprises. ConclusionsAlthough the workers’ general health examination has been replaced with the national general health screening, it remains necessary to ensure uniform health management services among all workers in the Republic of Korea. This can, in turn, promote occupational health and improve working conditions throughout the Republic of Korea.
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Tae Kyung Yoo, Kyung-Do Han, Eun-Jung Rhee, Won-Young Lee Diabetes & Metabolism Journal.2024; 48(2): 265. CrossRef - Altered Risk of Incident Gout According to Changes in Metabolic Syndrome Status: A Nationwide, Population‐Based Cohort Study of 1.29 Million Young Men
Yeonghee Eun, Kyungdo Han, Seung Woo Lee, Kyunga Kim, Seonyoung Kang, Seulkee Lee, Hoon‐Suk Cha, Eun‐Mi Koh, Hyungjin Kim, Jaejoon Lee Arthritis & Rheumatology.2023; 75(5): 806. CrossRef - Association with Combined Occupational Hazards Exposure and Risk of Metabolic Syndrome: A Workers' Health Examination Cohort 2012–2021
Dongmug Kang, Eun-Soo Lee, Tae-Kyoung Kim, Yoon-Ji Kim, Seungho Lee, Woojoo Lee, Hyunman Sim, Se-Yeong Kim Safety and Health at Work.2023; 14(3): 279. CrossRef - Increased risk of incident gout in young men with metabolic syndrome: A nationwide population-based cohort study of 3.5 million men
Yeonghee Eun, Kyungdo Han, Seung Woo Lee, Kyunga Kim, Seonyoung Kang, Seulkee Lee, Hoon-Suk Cha, Eun-Mi Koh, Hyungjin Kim, Jaejoon Lee Frontiers in Medicine.2022;[Epub] CrossRef - Alcohol use during pregnancy: findings from a gender-based violence survey in Mongolia
Bolormaa Erdenetuya, Dayoon Kwon, Sugy Choi, Seung-Ah Choe Archives of Women's Mental Health.2022; 25(4): 789. CrossRef - National General Health Screening Program in Korea: history, current status, and future direction
Dong Wook Shin, Juhee Cho, Jae Hyun Park, BeLong Cho Precision and Future Medicine.2022; 6(1): 9. CrossRef - Development of a Chatbot Program for Follow-Up Management of Workers’ General Health Examinations in Korea: A Pilot Study
Byeong Jin Ye, Ju Young Kim, Chunhui Suh, Seong Pil Choi, Maro Choi, Dong Hyun Kim, Byung Chul Son International Journal of Environmental Research and Public Health.2021; 18(4): 2170. CrossRef - Reliability and Validity of a Nationwide Survey (the Korean Radiation Workers Study)
Dalnim Lee, Wan Young Lim, Soojin Park, Young Woo Jin, Won Jin Lee, Sunhoo Park, Songwon Seo Safety and Health at Work.2021; 12(4): 445. CrossRef - Evaluation of occupational noise exposure and general health of workers in industrial sites: A case study
Kamal Ebrahimi, Reza Tajik, Taybeh Karami, Samira Rahimnejad, Farshad Arghavani Work.2021; 68(1): 115. CrossRef - Occupational health nurses’ personal attitudes toward smoking: A cross-sectional study
Jihye Lee, Saerom Lee, Minkyu Lee, Young Joong Kang Journal of Occupational Health.2021;[Epub] CrossRef - Urinary bisphenol A, phthalate metabolites, and obesity: do gender and menopausal status matter?
Jung-eun Lim, BongKyoo Choi, Sun Ha Jee Environmental Science and Pollution Research.2020; 27(27): 34300. CrossRef - A Cohort Study of Korean Radiation Workers: Baseline Characteristics of Participants
Soojin Park, Songwon Seo, Dalnim Lee, Sunhoo Park, Young Woo Jin International Journal of Environmental Research and Public Health.2020; 17(7): 2328. CrossRef - The cumulative incidence and trends of rare diseases in South Korea: a nationwide study of the administrative data from the National Health Insurance Service database from 2011–2015
Sung-Shil Lim, Wanhyung Lee, Yeong-Kwang Kim, Jihyun Kim, Jong Heon Park, Bo Ram Park, Jin-Ha Yoon Orphanet Journal of Rare Diseases.2019;[Epub] CrossRef - Disparities in the utilisation of preventive health services by the employment status: An analysis of 2007-2012 South Korean national survey
SangJune Kim, Jee Hey Song, Yoo Min Oh, Sang Min Park, Geofrey Musinguzi PLOS ONE.2018; 13(12): e0207737. CrossRef - The Relationship between Workplace Environment and Metabolic Syndrome
Hwee-Soo Jeong The International Journal of Occupational and Environmental Medicine.2018; 9(4): 176. CrossRef - Erratum to: The current condition of the workers’ general health examination in South Korea: a retrospective study
Young Joong Kang, Jun-Pyo Myong, Huisu Eom, Bowha Choi, Jong Heon Park, Eun-A L Kim Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef
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Participation inequality in the National General Health Examination based on enterprise size
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Young Joong Kang, Jong Heun Park, Huisu Eom, Bohwa Choi, Seyoung Lee, Ji-Won Lee, Jun-Pyo Myong
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Ann Occup Environ Med 2017;29:3. Published online February 22, 2017
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DOI: https://doi.org/10.1186/s40557-017-0159-y
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Abstract
PDFPubReaderePub
- Background
Health examinations are performed so that diseases can be identified and treated earlier. Several studies have evaluated the determinants of participation in health examinations including cancer screening, but few have evaluated the relationship between the size of the enterprise and their participation in Workers’ General Health Examinations (WGHE). The aim of the present study was to estimate the association of WGHE participation with the size of the enterprise and the type of policyholder. MethodsThe eligible population from 2006 through 2013 was extracted from the National Health Insurance Service (NHIS) database. The population size ranged from 14–17 million. After adjustment for age and gender, multiple logistic regression analysis was performed to estimate the odds ratios of participating in the WGHE (by age group) based on the type of policyholder (reference: public officers) and the size of the enterprise (reference: enterprise size ≥300 employees), respectively. ResultsWorkers employed at enterprises with <50 persons were less likely to participate in WGHEs than those employed at enterprises with ≥300 persons. After policyholders were stratified by type (non-office workers vs. public officers), a disparity in the WGHE participation rate was found between the different types of policyholders at enterprises with <50 employees (reference: those employed at enterprises with ≥300 employees); the odds ratios for subjects in their 40s and 50s were 0.2–0.3 for non-office workers vs. 0.8–2.0 for public officers. ConclusionWorkplace policyholders at small enterprises comprised a vulnerable group less likely to participate in WGHEs. Efforts should be made to raise the WGHE participation rate among the vulnerable employees belonging to small enterprises, as well as among their dependents.
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- Income-based inequality in nationwide general health checkup participation in Japan
A. Shimoda, Y. Saito, C. Ooe, N. Kondo Public Health.2021; 195: 112. CrossRef - Employment conditions and use of gastric cancer screening services in Korea: a nationwide survey
Hye-Young Shim, Jae Kwan Jun, Ji-Yeon Shin BMC Public Health.2019;[Epub] CrossRef - Factors Associated with General Health Screening Participation among Married Immigrant Women in Korea
Jinhee Jeong, Yunhee Lee, Sung Hee Kwon, Jun-Pyo Myong International Journal of Environmental Research and Public Health.2019; 16(20): 3971. CrossRef - Healthcare consumers’ sensitivity to costs: a reflection on behavioural economics from an emerging market
Quan-Hoang Vuong, Tung-Manh Ho, Hong-Kong Nguyen, Thu-Trang Vuong Palgrave Communications.2018;[Epub] CrossRef - The roles of doctors, nurses, and industrial hygienists in the healthcare management services in Korea: a comparison of the opinions of specialized health management institutions and entrusted enterprises
Bo-Young Jang, Dong-Mug Kang, Young-Ki Kim, Se-Young Kim, Kyung-Sun Ko Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef
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Effectiveness of workers’ general health examination in Korea by health examination period and compliance: retrospective cohort study using nationwide data
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Huisu Eom, Jun-Pyo Myong, Eun-A Kim, Bohwa Choi, Soon Woo Park, Young Joong Kang
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Ann Occup Environ Med 2017;29:2. Published online February 17, 2017
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DOI: https://doi.org/10.1186/s40557-017-0160-5
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Abstract
PDFPubReaderePub
- Background
Our study evaluated the effectiveness of the Workers’ General Health Examination by health examination period and compliance. MethodsA retrospective cohort of the health examination participants in 2006 (baseline year: N = 6,527,045) was used. We identified newly occurring cardio-cerebrovascular disease over 7 years (from 2007 to 2013). After stratification by age, sex, and national health insurance type, we identified 7 years’ cumulative incidence of cardio-cerebrovascular disease by health examination compliance and estimated its relative risk by health examination period and compliance. ResultsThe compliant group presented a lower cumulative incidence of cardio-cerebrovascular disease than the non-compliant group; this result was consistent across sex, working age (40s and 50s), and workplace policyholder. Relative risk of cardio-cerebrovascular disease by health examination period (1 and 2 years) showed statistically significant results in ischemic heart disease for male participants. Of men in their 40s, office workers (over a 2-year period) presented statistically higher relative risk of ischemic heart disease than non-office workers (over a 1-year period: 1.03; 95% confidence interval, 1.02–1.03). However, there were no consistent results in ischemic cerebrovascular disease and hemorrhagic cerebrovascular disease for men or cardio-cerebrovascular disease for women. ConclusionA 1-year period of Workers’ General Health Examinations in non-office workers had a more significant prevention effect on ischemic heart disease than a 2-year period in office workers among working age (40s–50s) men. It is, however, necessary to consider that prevention of cardio-cerebrovascular disease can be partially explained by their occupational characteristics rather than by health examination period.
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- Investigating and prioritizing of the barriers of performing periodic occupational examinations in industries of Kashan city in 2019
Marzieh Sadaf, MasoudMotalebi Kashani, HamidReza Saberi, Hossein Akbari, SedigheDehghani Bidgoli, Mitra Hannani International Archives of Health Sciences.2021; 8(2): 122. CrossRef
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Practice status of specialized agencies for occupational health management of small- to medium-size enterprises and the factors improving their performance: a cross-sectional survey study
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Saerom Lee, Jun-Pyo Myong, Eun-A Kim, Huisu Eom, Bowha Choi, Young Joong Kang
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Ann Occup Environ Med 2017;29:4. Published online February 27, 2017
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DOI: https://doi.org/10.1186/s40557-017-0161-4
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Abstract
PDFPubReaderePub
- Background
We examined the current status of specialized agencies for occupational health management (SAs) and their workforce. Furthermore, we aimed to clarify the current practice status of SA healthcare professionals and factors that influence their performance. MethodsTo examine the current SA workforce, we analyzed data from the 2014 Survey of Current Status of SA and their Workforce from the Ministry of Employment and Labor (MOEL). Furthermore, we mailed out an original questionnaire to SA professionals to determine their current health management status and factors that affect their performance. Data from the respondents (N = 384) were analyzed. ResultsIn 2014, the workforce performing health management in SAs comprised 232 physicians, 507 nurses, and 312 occupational hygienists, with no significant regional differences in the distribution of physicians and nurses. According to the findings of the questionnaire, the average daily number of worker consultations by physicians and nurses was 22.8, while the average time taken for health management ranged from 74.3 to 104.3 min, depending on the size of the firm. Most of the respondents (41.5%) answered that they were following-up on more than 80% of individuals with illnesses. Among health management tasks, performance scores of “consultations for general diseases” and “consultations for lifestyle habits” were relatively high, whereas health promotion activities at workplaces were relatively low. There was a significant correlation between the utilization of general and special health examination results and task performance. ConclusionAmong health management tasks, follow-up management of individuals with illnesses and consultations for disease/lifestyle habits were relatively well performed, whereas health promotion activities at workplaces were not performed well. Among factors that positively influenced SA performance at workplaces, only the utilization of health examination results had significant effects. Therefore, to accomplish health management goals and perform effective health management at workplaces, there is a need to establish a comprehensive system of occupational health service outsourcing integrating health examinations and health management services. Furthermore, the current task system, which focuses on follow-up management, should be expanded to incorporate preventive and health promotion functions—the fundamental functions of occupational health services (OHS).
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- Underestimation of smoking hazards and smoking cessation intervention efficiency among healthcare professionals: A cross-sectional study among Korean occupational health nurses
Jihye Lee, Saerom Lee, Woncheol Lee, Seung Hyeun Lee, Won Gun Kwack, Young Joong Kang Tobacco Induced Diseases.2023; 21(May): 1. CrossRef - Acute myeloid leukemia in a farmer with long term exposure to pesticides in Korea
Ye-eun Jeon, Jea Chul Ha, Seonggyu Kim, Mi Hwa Heo, Young Rok Do, Insung Chung Medicine: Case Reports and Study Protocols.2022; 3(1): e0189. CrossRef - Occupational health nurses’ personal attitudes toward smoking: A cross-sectional study
Jihye Lee, Saerom Lee, Minkyu Lee, Young Joong Kang Journal of Occupational Health.2021;[Epub] CrossRef - Daytime and nighttime heat wave characteristics based on multiple indices over the China–Pakistan economic corridor
Safi Ullah, Qinglong You, Waheed Ullah, Daniel Fiifi Tawia Hagan, Amjad Ali, Gohar Ali, Yuqing Zhang, Mushtaq Ahmad Jan, Asher Samuel Bhatti, Wenxin Xie Climate Dynamics.2019; 53(9-10): 6329. CrossRef - The roles of doctors, nurses, and industrial hygienists in the healthcare management services in Korea: a comparison of the opinions of specialized health management institutions and entrusted enterprises
Bo-Young Jang, Dong-Mug Kang, Young-Ki Kim, Se-Young Kim, Kyung-Sun Ko Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef - Erratum to: Practice status of specialized agencies for occupational health management of small- to medium-size enterprises and the factors improving their performance: a cross-sectional survey study
Saerom Lee, Jun-Pyo Myong, Eun-A Kim, Huisu Eom, Bowha Choi, Young Joong Kang Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef
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Erratum to: The current condition of the workers’ general health examination in South Korea: a retrospective study
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Young Joong Kang, Jun-Pyo Myong, Huisu Eom, Bowha Choi, Jong Heon Park, Eun-A L Kim
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Ann Occup Environ Med 2017;29:20. Published online June 20, 2017
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DOI: https://doi.org/10.1186/s40557-017-0174-z
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- Increased Incidence of Thyroid Cancer in Occupational Radiation Epidemiology: Attribution to Screening among Radiation Workers
Songwon Seo, Soojin Park, Dal Nim Lee, Eun Shil Cha, Sunhoo Park, Young Woo Jin Radiation Research.2021;[Epub] CrossRef
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A case of azoospermia in a non-destructive testing worker exposed to radiation
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Jaechan Park, Sanggil Lee, Chulyong Park, Huisu Eom
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Ann Occup Environ Med 2017;29:33. Published online August 10, 2017
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DOI: https://doi.org/10.1186/s40557-017-0190-z
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Abstract
PDFPubReaderePub
- Background
Interest in radiation-related health problems has been growing with the increase in the number of workers in radiation-related jobs. Although an occupational level of radiation exposure would not likely cause azoospermia, several studies have reported the relation between radiation exposure and azoospermia after accidental or therapeutic radiation exposure. We describe a case of azoospermia in a non-destructive testing (NDT) worker exposed to radiation and discuss the problems of the related monitoring system. Case presentationA 39-year-old man who was childless after 8 years of marriage was diagnosed with azoospermia through medical evaluations, including testicular biopsy. He did not have any abnormal findings on biochemical evaluations, other risk factors, or evidence of congenital azoospermia. He had been working in an NDT facility from 2005 to 2013, attaching and arranging gamma-ray films on the structures and inner spaces of ships. The patient’s thermoluminescent dosimeter (TLD) badge recorded an exposure level of 0.01781 Gy for 80 months, whereas results of his florescence in situ hybridization (FISH) translocation assay showed an exposure level of up to 1.926 Gy of cumulative radiation, which was sufficient to cause azoospermia. Thus, we concluded that his azoospermia was caused by occupational radiation exposure. ConclusionThe difference between the exposure dose records measured through TLD badge and the actual exposure dose implies that the monitor used by the NDT worker did not work properly, and such a difference could threaten the health and safety of workers. Thus, to protect the safety and health of NDT workers, education of workers and strengthening of law enforcement are required to ensure that regulations are strictly followed, and if necessary, random sampling of NDT workers using a cytogenetic dosimeter, such as FISH, should be considered.
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- Working conditions and values of average annual effective doses for nondestructive testing operators in the Russian Federation and abroad
S. Yu. Bazhin, E. N. Shleenkova, V. Yu. Bogatyreva Radiatsionnaya Gygiena = Radiation Hygiene.2023; 16(3): 118. CrossRef - Assessment of working environment and personal dosimeter-wearing
compliance of industrial radiographers based on chromosome aberration
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Younghyun Lee, Songwon Seo, Young Woo Jin, Seongjae Jang Journal of Radiological Protection.2020; 40(1): 151. CrossRef - Reproductive toxic agents in work environments and related cases in Korea
Chulyong Park Yeungnam University Journal of Medicine.2020; 37(1): 22. CrossRef - Retrospective biodosimetry techniques: Focus on cytogenetics assays for individuals exposed to ionizing radiation
C. Herate, L. Sabatier Mutation Research/Reviews in Mutation Research.2020; 783: 108287. CrossRef - Acute radiation syndrome in a non-destructive testing worker: a case report
Ji-Sung Ahn, Jai-Dong Moon, Wonyang Kang, Hyeong-Min Lim, Seunghyeon Cho, Dae-Young Lim, Won-Ju Park Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef
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