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Perception of and attitude toward ethical issues among Korean occupational physicians
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Junghye Choi, Chunhui Suh, Jong-Tae Lee, Segyeong Lee, Chae-Kwan Lee, Gyeong-Jin Lee, Taekjoong Kim, Byung-Chul Son, Jeong-Ho Kim, Kunhyung Kim, Dae Hwan Kim, Ji Young Ryu
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Ann Occup Environ Med 2017;29:23. Published online June 24, 2017
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DOI: https://doi.org/10.1186/s40557-017-0182-z
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Abstract
PDFPubReaderePub
- Background
Occupational physicians (OPs) have complex relationships with employees, employers, and the general public. OPs may have simultaneous obligations towards third parties, which can lead to variable conflicts of interests. Among the various studies of ethical issues related to OPs, few have focused on the Korean OPs. The aim of the present survey was to investigate the ethical contexts, the practical resolutions, and the ethical principles for the Korean OPs. MethodsAn email with a self-administered questionnaire was sent to members of the Korean Society of Occupational and Environmental Medicine, comprising 150 specialists and 130 residents. The questionnaire was also distributed to 52 specialists and 46 residents who attended the annual meeting of the Korean Association of Occupational and Environmental Clinics in October 2015, and to 240 specialists by uploading the questionnaire to the online community ‘oem-doctors’ in February 2016. The responses to each question (perception of general ethical conflicts, recognition of various ethical codes for OPs, core professional values in ethics of occupational medicine, and a mock case study) were compared between specialists and residents by the chi-squared test and Fisher’s exact test. ResultsResponses were received from 80 specialists and 71 residents. Most participants had experienced ethical conflicts at work and felt the need for systematic education and training. OPs suffered the most ethical conflicts in decisions regarding occupational health examination and evaluation for work relatedness. Over 60% of total participants were unaware of the ethical codes of other countries. Participants thought ‘consideration of worker’s health and safety’ (26.0%) and ‘neutrality’ (24.7%) as the prominent ethical values in professionality ofoccupational medicine. In mock cases, participants chose beneficence and justice for fitness for work and confidential information acquired while on duty, and beneficence and respect for autonomy in pre-placement examinations. ConclusionsThis study evaluated the current perception of and attitude toward ethical issues among the Korean OPs. These findings will facilitate the development of a code of ethics and the ethical decision-making program forthe Korean OPs. Electronic supplementary materialThe online version of this article (doi:10.1186/s40557-017-0182-z) contains supplementary material, which is available to authorized users.
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The effect of applying ethnicity-specific spirometric reference equations to Asian migrant workers in Korea
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Nami Kim, Se-Yeong Kim, Yoojun Song, Chunhui Suh, Kun-Hyung Kim, Jeong-Ho Kim, Byung-Chul Son, Chae-Kwan Lee, Jong-Tae Lee
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Ann Occup Environ Med 2015;27:14. Published online May 18, 2015
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DOI: https://doi.org/10.1186/s40557-015-0065-0
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Abstract
PDFPubReaderePub
- Objectives
Asian migrant workers in Korea have various ethnicities. The purpose of this study was to evaluate the difference in spirometric interpretation made using the set of third National Health and Nutrition Examination Survey (NHANES III) reference equations and the relevant ethnicity-specific reference sets. MethodsSpirometry was performed on 166 migrant and 498 Korean male workers between March and November 2012. We analyzed the spirometric data of healthy never-smokers. Spirometric patterns were evaluated using the NHANES III reference set and some relevant ethnicity-specific equations (Eom’s equation for Koreans, Ip’s equation for East Asians, Crapo’s equation for Central Asians, Memon’s equation for South Asians, and Gnanou’s equation for Southeast Asian people). ResultsIn all migrant groups except the Central Asian group, the forced expiratory volume in 1 second percentage (FEV1%) and forced vital capacity percentage (FVC%) calculated using each of the ethnicity-specific reference equations considered were significantly higher than those calculated using the NHANES III reference set. This study showed that in the evaluation of the spirometric result of subjects from Southeast Asia or South Asia, the percentage of cases with an abnormal FEV1 or FVC increased when the NHANES III set of equations was used as compared to when the ethnicity-specific equations were used. ConclusionsWe found that the spirometric results of all ethnic groups were higher and the composition of the abnormal spirometric result was lower when the ethnicity-specific reference equations were used instead of the NHANES III reference set.
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Citations
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Hwa-Yeon LEE, Yonglim WON Korean Journal of Clinical Laboratory Science.2023; 55(1): 29. CrossRef - Effect of Race and Ethnicity on Pulmonary Function Testing Interpretation
Darcy D. Marciniuk, Ellen A. Becker, David A. Kaminsky, Meredith C. McCormack, Sanja Stanojevic, Nirav R. Bhakta, Christian Bime, Vikram Comondore, Clayton T. Cowl, Sharon Dell, Jeffrey Haynes, Fred Jaffe, Carl Mottram, Nneka Sederstrom, Mary Townsend, Jo CHEST.2023; 164(2): 461. CrossRef - Reference equations for evaluation of spirometry function tests in South Asia, and among South Asians living in other countries
Wei Yee Leong, Ananya Gupta, Mehedi Hasan, Sara Mahmood, Samreen Siddiqui, Sajjad Ahmed, Ian Y. Goon, Marie Loh, Theresia H. Mina, Benjamin Lam, Yik Weng Yew, Joanne Ngeow, Jimmy Lee, Eng Sing Lee, Elio Riboli, Paul Elliott, Geak Poh Tan, Sanjay H. Chotir European Respiratory Journal.2022; 60(6): 2102962. CrossRef - Spirometry reference values for a Kyrgyz population
Denis Vinnikov, Paul D. Blanc, Nurlan Brimkulov The Clinical Respiratory Journal.2018; 12(2): 826. CrossRef
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Decline in non-smoking workers’ urine cotinine levels after increased smoking regulation in Korea
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Ju-Hyoung Park, Chae-Kwan Lee, Se-Yeong Kim, Chunhui Suh, Kun-Hyung Kim, Jeong-Ho Kim, Byung-Chul Son, Jong-Tae Lee, Seung-Do Yu, Wookhee Choi, Hosub Im
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Ann Occup Environ Med 2015;27:17. Published online June 10, 2015
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DOI: https://doi.org/10.1186/s40557-015-0066-z
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Abstract
PDFPubReaderePub
- Objectives
To identify any association between implementing smoking regulation policies and workers’ urine cotinine concentration levels in Korea. MethodsFrom the first stage of the Korean National Environmental Health Survey conducted by the National Institute of Environmental Research from 2009 to 2011, 2,475 non-smoking workers selected. We analyzed the trend in the changes of cotinine concentration in urine using the general linear model and linear regression, in various jobs as categorized by the National Center for Health Statistics (NCHS) and Korea Standard Classification of Occupations (KSCO). ResultsThe urine cotinine concentration tended to decrease every year (2.91 ng/ml in 2009, 2.12 ng/ml in 2010, and 1.31 ng/ml in 2011), showing a decreasing trend (P < 0.001). The total subjects’ decreased cotinine concentration in urine between 2009 and 2011 was 2.72 ng/ml (54.1 % relative decrease). The changes in each subgroup’s urine cotinine concentration ranged from 1.59 to 6.03 ng/ml (33.2 to 77.5 %). All groups except for the managerial group (n = 49), which had a small sample size, had statistically significant negative regression coefficients (p < 0.05). The ranges of the decrease in urine cotinine were 2.75 ng/ml (53.6 %) for males and 2.72 ng/ml (54.9 %) for females. The negative slope in urine cotinine level was statistically significantly greater in men than women. The changes in urine cotinine by occupation as classified by the NCHS occupational categories ranged from 2.43 to 3.36 ng/ml (46.6 to 61.5 % relative decrease). The negative slopes in urine cotinine levels of the white-collar and farm workers were statistically significantly greater than those of the service workers and blue-collar workers. The change by occupation as classified by the KSCO ranged from 1.59 to 6.03 ng/ml (a 33.2 to 77.5 % relative decrease). The negative slopes in urine cotinine levels of the professionals and related workers and clerks were statistically significantly greater than those of the service workers and plant and machine operators and assemblers. ConclusionsThe cotinine concentration in urine among non-smoking worker groups tended to decline from 2009 to 2011. Such a result may be an indirect indicator of the effectiveness of smoking regulation policies including the revision of the National Health Promotion Act.
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- Time trend of exposure to secondhand tobacco smoke and polycyclic aromatic hydrocarbons between 1995 and 2019 in Germany – Showcases for successful European legislation
Therese Burkhardt, Max Scherer, Gerhard Scherer, Nikola Pluym, Till Weber, Marike Kolossa-Gehring Environmental Research.2023; 216: 114638. CrossRef - Effects of municipal smoke-free ordinances on secondhand smoke exposure in the Republic of Korea
Siwoo Kim, Yuri Lee, Changwoo Han, Min Kyung Kim, Ichiro Kawachi, Juhwan Oh Frontiers in Public Health.2023;[Epub] CrossRef - Association between Pb, Cd, and Hg Exposure and Liver Injury among Korean Adults
Do-Won Kim, Jeongwon Ock, Kyong-Whan Moon, Choong-Hee Park International Journal of Environmental Research and Public Health.2021; 18(13): 6783. CrossRef - Public support for health taxes and media regulation of harmful products in South Korea
Kyae Hyung Kim, EunKyo Kang, Young Ho Yun BMC Public Health.2019;[Epub] CrossRef - Female non-smokers’ environmental tobacco smoking exposure by public transportation mode
Seyoung Kim, Jin-Soo Park, Minkyu Park, Yeji Kim, Sinye Lim, Hye-Eun Lee Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef - Exposure to environmental chemicals among Korean adults-updates from the second Korean National Environmental Health Survey (2012–2014)
Wookhee Choi, Suejin Kim, Yong-Wook Baek, Kyungho Choi, Keejae Lee, Sungkyoon Kim, Seung Do Yu, Kyunghee Choi International Journal of Hygiene and Environmental Health.2017; 220(2): 29. CrossRef
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Effectiveness of a Comprehensive Stress Management Program to Reduce Work-Related Stress in a Medium-Sized Enterprise
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Shin-Ae Kim, Chunhui Suh, Mi-Hee Park, Kunhyung Kim, Chae-Kwan Lee, Byung-Chul Son, Jeong-Ho Kim, Jong-Tae Lee, Kuck-Hyun Woo, Kabsoon Kang, Hyunjin Jung
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Ann Occup Environ Med 2014;26:4-4. Published online February 13, 2014
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DOI: https://doi.org/10.1186/2052-4374-26-4
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Abstract
PDFPubReaderePub
- Objectives
To assess the effectiveness of a comprehensive workplace stress management program consisting of participatory action-oriented training (PAOT) and individual management. MethodsA comprehensive workplace stress management program was conducted in a medium-sized enterprise. The baseline survey was conducted in September 2011, using the Korean Occupational Stress Scale (KOSS) and Worker’s Stress Response Inventory (WSRI). After implementing both organizational and individual level interventions, the follow up evaluation was conducted in November 2011. ResultsMost of the workers participated in the organizational level PAOT and made Team-based improvement plans. Based on the stress survey, 24 workers were interviewed by a researcher. After the organizational and individual level interventions, there was a reduction of several adverse psychosocial factors and stress responses. In the case of blue-collar workers, psychosocial factors such as the physical environment, job demands, organizational system, lack of rewards, and occupational climate were significantly improved; in the case of white-collar workers, the occupational climate was improved. ConclusionsIn light of these results, we concluded that the comprehensive stress management program was effective in reducing work-related stress in a short-term period. A persistent long-term follow up is necessary to determine whether the observed effects are maintained over time. Both team-based improvement activities and individual interviews have to be sustainable and complementary to each other under the long-term plan.
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- Production and reception of human resource management practices for health promotion
Beatriz Cintra Storti, Marina Greghi Sticca, Amalia Raquel Pérez-Nebra Frontiers in Psychology.2023;[Epub] CrossRef - Mental Health Promotion and Intervention in Occupational Settings: Protocol for a Pilot Study of the MENTUPP Intervention
Ella Arensman, Cliodhna O’Connor, Caleb Leduc, Eve Griffin, Grace Cully, Doireann Ní Dhálaigh, Carolyn Holland, Chantal Van Audenhove, Evelien Coppens, Fotini Tsantila, Victoria Ross, Birgit Aust, Arlinda Cerga Pashoja, Johanna Cresswell-Smith, Laura Cox, International Journal of Environmental Research and Public Health.2022; 19(2): 947. CrossRef - Work Stressors and Occupational Health of Young Employees: The Moderating Role of Work Adaptability
Houyu Zhou, Quangquang Zheng Frontiers in Psychology.2022;[Epub] CrossRef - Perceived job demands: a qualitative study of workplace stress in the Iranian healthcare workers (HCWs)
Masoume Zeinolabedini, Alireza Heidarnia, Ghodratollah Shakerinejad, Mohammad Esmaeil Motlagh BMJ Open.2022; 12(11): e061925. CrossRef - Workplace interventions to reduce depression and anxiety in small and medium-sized enterprises: A systematic review
Bridget Hogg, Joan Carles Medina, Itxaso Gardoki-Souto, Ilinca Serbanescu, Ana Moreno-Alcázar, Arlinda Cerga-Pashoja, Evelien Coppens, Mónika Ditta Tóth, Naim Fanaj, Birgit A. Greiner, Carolyn Holland, Kairi Kõlves, Margaret Maxwell, Gentiana Qirjako, Lar Journal of Affective Disorders.2021; 290: 378. CrossRef - Effectiveness of Ergonomics Job Stress Intervention (ERGO-JSI) on the Work Ability Index and Job Stress of Workers in an Auto Parts Manufacturers
Anooshirvan Safari, Shahnaz Tabatabaei, Mahnaz Sareme Journal of Ergonomics.2021; 9(1): 1. CrossRef - Interventions for common mental disorders in the occupational health service: a systematic review with a narrative synthesis
Iben Axén, Elisabeth Björk Brämberg, Marjan Vaez, Andreas Lundin, Gunnar Bergström International Archives of Occupational and Environmental Health.2020; 93(7): 823. CrossRef - Occupational Safety and Health Act for the Protection of Workers' Mental Health
Jin-Ha Yoon Journal of Korean Neuropsychiatric Association.2020; 59(2): 115. CrossRef - Medical Surveillance, Continuous Health Promotion and a Participatory Intervention in a Small Company
Nicola Magnavita International Journal of Environmental Research and Public Health.2018; 15(4): 662. CrossRef - Stress Factors and Stress Management Interventions: the Heuristic of “Bottom Up” an Update From a Systematic Review
Silvia Riva, Ezekiel Chinyio Occupational Health Science.2018; 2(2): 127. CrossRef - Work-related stress: Implications for physical and mental health
Ricard Navinés, Rocío Martín-Santos, Victòria Olivé, Manuel Valdés Medicina Clínica (English Edition).2016; 146(8): 359. CrossRef - Estrés laboral: implicaciones para la salud física y mental
Ricard Navinés, Rocío Martín-Santos, Victòria Olivé, Manuel Valdés Medicina Clínica.2016; 146(8): 359. CrossRef - Anxiety symptoms and occupational stress among young Korean female manufacturing workers
Kang Ho Lee, Chang Ho Chae, Young Ouk Kim, Jun Seok Son, Ja-Hyun Kim, Chan Woo Kim, Hyoung Ouk Park, Jun Ho Lee, Young Saeng Jung Annals of Occupational and Environmental Medicine.2015;[Epub] CrossRef - Work-related depression and associated factors in a shoe manufacturing factory in Haiphong City, Vietnam
Khue Pham Minh International Journal of Occupational Medicine and Environmental Health.2014; 27(6): 950. CrossRef - Iron Deficiency Increases Blood Cadmium Levels in Adolescents Surveyed in KNHANES 2010–2011
Byung-Kook Lee, Suk Hwan Kim, Nam-Soo Kim, Jung-O Ham, Yangho Kim Biological Trace Element Research.2014; 159(1-3): 52. CrossRef
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High lead exposure in two leaded bronze ingot foundry workers
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Yoojun Song, Chunhui Suh, Shin-Ae Kim, Nami Kim, Sung-Min Kim, Seong-Wook Jeong, Se-Yeong Kim, Kun-Hyung Kim, Jeong-Ho Kim, Byung-Chul Son, Chae-Kwan Lee, Jong-Tae Lee
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Ann Occup Environ Med 2014;26:38. Published online December 1, 2014
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DOI: https://doi.org/10.1186/s40557-014-0038-8
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Abstract
PDFPubReaderePub
- Background
Awareness about lead poisoning in South Korea has increased; however, occupational exposures occurring in small-scale businesses have not been thoroughly investigated. We report two cases of high lead exposure in a leaded bronze ingot foundry. Case presentationTwo employees, a 54-year-old primary operator and a 46-year-old assistant, at a small-scale metalworking company who had been employed for 18 years and 1 month, respectively, showed elevated blood lead levels (61.1 μg/dL and 51.7 μg/dL, respectively) at an occupational health checkup. Neither worker complained of abnormal symptoms nor signs related to lead poisoning. Health assessment follow-ups were conducted and biological exposure indices of lead were calculated every four weeks. After the initial follow-up assessment, both workers were relocated from the foundry process to the metalworking process. In addition, a localized exhaust system was installed after the second follow-up. ConclusionsFoundry workers in a small-scale businesses might be at high risk of lead exposure because these businesses might be vulnerable to poor industrial hygiene. Therefore, regular occupational health checkups are required.
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Ziyao Huang Frontiers in Public Health.2022;[Epub] CrossRef - A systematic review of clinical and laboratory findings of lead poisoning: lessons from case reports
Saeed Samarghandian, Farshad M. Shirazi, Farhad Saeedi, Babak Roshanravan, Ali Mohammad Pourbagher-Shahri, Emad Yeganeh Khorasani, Tahereh Farkhondeh, Jan Olav Aaseth, Mohammad Abdollahi, Omid Mehrpour Toxicology and Applied Pharmacology.2021; 429: 115681. CrossRef - Exposure to lead and other toxic metals from informal foundries producing cookware from scrap metal
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Gilseung Ahn, Sun Hur, Myung-Chul Jung International Journal of Occupational Safety and Ergonomics.2020; 26(2): 336. CrossRef - Challenges in diagnosing lead poisoning: A review of occupationally and nonoccupationally exposed cases reported in India
Monica Shirley Mani, Divyani Gurudas Nayak, Herman Sunil Dsouza Toxicology and Industrial Health.2020; 36(5): 346. CrossRef - Lead Poisoning at an Indoor Firing Range
Kyung Wook Kang, Won-Ju Park Journal of Korean Medical Science.2017; 32(10): 1713. CrossRef - 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
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Prevalence of the Metabolic Syndrome among Korean Workers by Occupational Group: Fifth Korean National Health and Nutrition Examination Survey (KNHANES) 2010
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Ji Young Ryu, Sukwoo Hong, Chang-Hyo Kim, Sangyoon Lee, Jeong-Ho Kim, Jong-Tae Lee, Dae Hwan Kim
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Ann Occup Environ Med 2013;25:13-13. Published online August 5, 2013
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DOI: https://doi.org/10.1186/2052-4374-25-13
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Abstract
PDFPubReaderePub
- Objectives
The prevalence of the metabolic syndrome has increased rapidly in South Korea over the past 10 years. However, the occurrence of the metabolic syndrome in workers grouped according to the specific type of work is not well understood in Korea. In this study, we assessed the differences in the prevalence of the metabolic syndrome by occupational group and evaluated the risk of the metabolic syndrome among occupational groups. MethodsFrom the Fifth Korean National Health and Nutrition Examination Survey (2010), 3,303 employed participants were included in this study. The unadjusted and age-adjusted prevalences of the metabolic syndrome were estimated and multiple logistic regression analysis was conducted using the presence of the metabolic syndrome as a dependent variable, and adjusting for age, education level, household income, drinking behavior, smoking status, physical activity, work hours, and work scheduling pattern. ResultsAmong male workers, non-manual workers had the greatest age-adjusted prevalence (26.4%, 95% CI: 22.3-30.5%) among the occupational groups. In a logistic regression analysis, male manual workers had a significantly lower odds ratio for the metabolic syndrome relative to non-manual workers (0.59, 95% CI: 0.41-0.85). ConclusionOur study demonstrated differences in the prevalence of the metabolic syndrome by occupational group and identified the greatest risk for the metabolic syndrome in male non-manual workers.
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Ching-Yuan Lin, Chih-Ming Lin International Journal of Environmental Research and Public Health.2020; 17(20): 7539. CrossRef - Occupational Differences in C-Reactive Protein Among Working-Age Adults in South Korea
Yongjoo Kim, Masayoshi Zaitsu, Kanami Tsuno, Xiaoyu Li, Sunmin Lee, Soong-nang Jang, Ichiro Kawachi Journal of Occupational & Environmental Medicine.2020; 62(3): 194. CrossRef - Differences in Metabolic Syndrome Prevalence by Employment Type and Sex
Duk Youn Cho, Jung-Wan Koo International Journal of Environmental Research and Public Health.2018; 15(9): 1798. CrossRef - Serum Fibroblast Growth Factor 21 and New-Onset Metabolic Syndrome: KoGES-ARIRANG Study
Jung Ran Choi, Jang-Young Kim, Il Hwan Park, Ji Hye Huh, Ki Woo Kim, Seung-Kuy Cha, Kyu-Sang Park, Joon Hyung Sohn, Jong Taek Park, Sang Baek Koh Yonsei Medical Journal.2018; 59(2): 287. CrossRef - Factors associated with metabolic syndrome among Korean office workers
Hosihn Ryu, Dal Lae Chin Archives of Environmental & Occupational Health.2017; 72(5): 249. CrossRef - Gender Difference in Association with Socioeconomic Status and Incidence of Metabolic Syndrome in Korean Adults
Jeong Mi Seo, Nam-Kyoo Lim, Joong Yeon Lim, Hyun-Young Park The Korean Journal of Obesity.2016; 25(4): 247. CrossRef - Effects of an internet-based lifestyle intervention on cardio-metabolic risks and stress in Korean workers with metabolic syndrome: A controlled trial
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Discordance in Spirometric Interpretations Based on Korean and Non-Korean Reference Equations
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Nami Kim, Mi-Hee Park, Se-yeong Kim, Chunhui Suh, Sangyoon Lee, Kun-Hyung Kim, Chae-Kwan Lee, Dae-Hwan Kim, Jong-Tae Lee
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Ann Occup Environ Med 2013;25:42-42. Published online December 27, 2013
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DOI: https://doi.org/10.1186/2052-4374-25-42
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Abstract
PDFPubReaderePub
- Objectives
Korean regression models for spirometric reference values are different from those of other ethnic groups. The purpose of this study was to evaluate discordance in spirometric interpretations based on using Korean reference equations versus non-Korean reference equations. MethodsSpirometry was performed on 825 Korean male workers from April 2009 to November 2011. The spirometric patterns and disease severity were evaluated using two Korean equations (Choi's and Lee's) and three equations for Caucasians (NHANES III, Morris's, and Knudson's), and the results of Choi's equation were compared with the non-Korean equations. The spirometric patterns were defined as normal, restrictive, and mild and moderate obstructive. ResultsThe mean differences in the FEV1% and FVC% between the two Korean equations were 2.0 ± 1.3% and 3.5 ± 2.2%, respectively. Morris's equation had the greatest difference in the FEV1% from Choi's equation: 32.9 ± 8.5%. Knudson's equation had the greatest difference in the FVC% from Choi's equation: 10.5 ± 6.5%. ConclusionsThe two Korean equations shared similar characteristics of spirometric interpretation. The spirometric interpretations of Choi's equation were significantly different from those of Morris's equation and Knudson's equation.
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- Advances in spirometry testing for lung function analysis
Agnaldo José Lopes Expert Review of Respiratory Medicine.2019; 13(6): 559. CrossRef
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