Annals of Occupational and Environmental Medicine

Jung-wan Koo

3 Articles

Diagnosis of perinuclear anti-neutrophil cytoplasmic antibody-associated microscopic polyangiitis in silicotics: case report: Ji-Won Lee, Jun-Pyo Myong, Yeong-Jin Choi, Seyoung Lee, Bum Seak Jo, Jung-Wan Koo; Ann Occup Environ Med 2016;28:21. Published online May 14, 2016; DOI: https://doi.org/10.1186/s40557-016-0108-1

Background

An association between silica exposure and autoimmune diseases including rheumatoid arthritis, systemic sclerosis, systemic lupus erythematosus, and anti-neutrophil cytoplasmic autoantibody (ANCA)-associated vasculitis has been made.

Case presentation

A 56-year-old male presented with silicosis and had an occupational history of precious metal processing for 30 years and a 30 pack-year smoking history. The patient was diagnosed with pneumoconiosis and received compensation. No other complications were reported for pneumoconiosis. The patient suddenly presented with a non-specific headache for several days and microscopic hematuria was identified upon examination in the outpatient clinic. Following several weeks, the patient presented with aggravated dyspnea and hemoptysis, and his Modification of Diet in Renal Disease estimated glomerular filtration rate indicated acute kidney injury. Diagnostic analysis revealed perinuclear ANCA-associated microscopic polyangiitis (p-ANCA-associated MPA).

Conclusion

Exposure to silica dust was likely one of the cause of p-ANCA-associated MPA. Possible pathogenic mechanisms of autoimmune diseases in silicotics and emphasis of the necessity for early diagnosis are discussed.

Citations

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Occupational Silica Exposure as a Potential Risk for Microscopic Polyangiitis
Alper Alp, Melike Ersoy, İbrahim Meteoğlu, Nesibe Kahraman Çetin, Hakan Akdam, Yavuz Yeniçerioğlu
Wilderness & Environmental Medicine.2023; 34(4): 543. CrossRef
Renal involvement in a silicosis patient – case report and literature review
Fei-Fei Chen, Hai-Yan Tang, Feng Yu, Cheng-Li Que, Fu-de Zhou, Su-Xia Wang, Guang-Fa Wang, Ming-Hui Zhao
Renal Failure.2019; 41(1): 1045. CrossRef
IL-10-Producing B Cells Suppress Effector T Cells Activation and Promote Regulatory T Cells in Crystalline Silica-Induced Inflammatory Response In Vitro
Yiping Lu, Fangwei Liu, Chao Li, Ying Chen, Dong Weng, Jie Chen
Mediators of Inflammation.2017; 2017: 1. CrossRef

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The effect of organisational system on self-rated depression in a panel of male municipal firefighters: Se-Jin An, Yun Kyung Chung, Bong Hyun Kim, Kyeong Min Kwak, Jun-Seok Son, Jung-wan Koo, Young-Su Ju, Young-Jun Kwon; Ann Occup Environ Med 2015;27:1. Published online January 14, 2015; DOI: https://doi.org/10.1186/s40557-014-0044-x

Abstract PDF PubReader ePub

Objectives

The present study evaluated the effects of job stress, including organisational system to self-rated depression through a panel study of male municipal firefighters in the Republic of Korea.

Methods

A panel of 186 municipal firefighters reported self-rated depressive symptoms according to the Beck Depression Inventory (BDI). The effects of job stress were evaluated using the Korea Occupational Stress Scale, taken one year earlier and classified by the median value. Panel members were classified into Depression or Control groups according to BDI scores, with a cut-off level of ‘over mild depression’ in a follow-up survey.

Results

The Depression group included 17 (9.1%) workers. Firefighters who scored high on occupational system had an 8.3 times greater risk of being assigned to the Depression group than those who had not (adjusted odds ratio [OR] = 8.03, 95% confidence interval (CI) = [1.73–37.22]). In contrast, job stress from a ‘difficult physical environment’ revealed negative risks related to being classified in the Depression group (AOR = 0.20, 95% CI = [0.04–0.92]).

Conclusions

Although the healthy worker effect may be involved, job stress based on perceptions of organisational system was a strong risk factor for depression. A comprehensive approach should be considered that encompasses social issues when assessing or mental health in high-risk groups, as well as the practical issue of physiochemical hazards.

Citations

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A comprehensive review of heavy metals (Pb 2+ , Cd 2+ , Ni 2+ ) removal from wastewater using low-cost adsorbents and possible revalorisation of spent adsorbents in blood
Y.B. Nthwane, B.G. Fouda-Mbanga, M. Thwala, K. Pillay
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OCCUPATIONAL BURNOUT AMONG UNIFORMED SERVICES CAUSES AND WAYS TO COUNTERACT IT ON THE EXAMPLE OF FIREFIGHTERS
Bogdan Waldemar Stefanowski
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Relationship Between Work-Family Conflict and Depressive Symptoms Among Male Firefighters in China
Yebo Yu, Fan Yang, Mingqi Fu, Farooq Ahmed, Muhammad Shahid, Jing Guo
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The allostatic load model: a framework to understand the cumulative multi-system impact of work-related psychosocial stress exposure among firefighters
Somkene Igboanugo, John G. Mielke
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Margaret Whitley, Ashley Banks
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Health outcomes of psychosocial stress within firefighters: A systematic review of the research landscape
Somkene Igboanugo, Philip L Bigelow, John G Mielke
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Association between Shift Work and Neurocognitive Function among Firefighters in South Korea: A Prospective before–after Study
Kyeongmin Kwak, Bong-Kyu Kim, Tae-Won Jang, Chang Sun Sim, Yeon-Soon Ahn, Kyeong-Sook Choi, Kyoung Sook Jeong
International Journal of Environmental Research and Public Health.2020; 17(13): 4647. CrossRef
Association between organizational justice and depressive symptoms among securities company workers
HyunSuk Lee, KangHyun Um, YoungSu Ju, Sukkoun Lee, Min Choi, Domyung Paek, Seong-Sik Cho
Annals of Occupational and Environmental Medicine.2019;[Epub] CrossRef
Prevalence and associated factors of post-traumatic stress disorder among emergency responders of Addis Ababa Fire and Emergency Control and Prevention Service Authority, Ethiopia: institution-based, cross-sectional study
Yodit Habtamu Bezabh, Solomon Mekonnen Abebe, Tolesa Fanta, Agitu Tadese, Mikiyas Tulu
BMJ Open.2018; 8(7): e020705. CrossRef
Exposure assessment of particulate matter and blood chromium levels in people living near a cement plant
Sung Ho Hwang, Jae Bum Park, Kyung Jong Lee
Environmental Geochemistry and Health.2018; 40(4): 1237. CrossRef
Relationship between Occupational Stress, 5-HT2A Receptor Polymorphisms and Mental Health in Petroleum Workers in the Xinjiang Arid Desert: A Cross-Sectional Study
Ting Jiang, Hua Ge, Jian Sun, Rong Li, Rui Han, Jiwen Liu
International Journal of Environmental Research and Public Health.2017; 14(4): 402. CrossRef
The relationship between serum vitamin D levels and sleep quality in fixed day indoor field workers in the electronics manufacturing industry in Korea
Young Saeng Jung, Chang Ho Chae, Young Ouk Kim, Jun Seok Son, Chan Woo Kim, Hyoung Ouk Park, Jun Ho Lee, Young Hoo Shin, Ho Sung Kwak
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Environmental health centers for asbestos and their health impact surveys and activities
Dong-Mug Kang, Jong-Eun Kim, Yong-Jin Lee, Hyun-Hee Lee, Chang-yeol Lee, Seong-Jae Moon, Min-Sung Kang
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Factors associated with suicide ideation among subway drivers in Korea
Junsu Byun, Hyoung-Ryoul Kim, Hye-Eun Lee, Se-Eun Kim, Jongin Lee
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Employment and occupation effects on late-life depressive symptoms among older Koreans: a cross-sectional population survey
Hyun Park, Young Hwangbo, Yong-Jin Lee, Eun-Chul Jang, Wook Han
Annals of Occupational and Environmental Medicine.2016;[Epub] CrossRef
Psychophysiological relationships between a multi-component self-report measure of mood, stress and behavioural signs and symptoms, and physiological stress responses during a simulated firefighting deployment
Alexander Wolkow, Brad Aisbett, Sally A Ferguson, John Reynolds, Luana C Main
International Journal of Psychophysiology.2016; 110: 109. CrossRef
The impact of sleep restriction while performing simulated physical firefighting work on cortisol and heart rate responses
Alexander Wolkow, Brad Aisbett, John Reynolds, Sally A. Ferguson, Luana C. Main
International Archives of Occupational and Environmental Health.2016; 89(3): 461. CrossRef
The Effects of Human Touch on Turnover Intention of Airport Ground Handling Employees
Min-Hoo Lee, Yung-Kil Lee, Ki-Woong Kim, Youn-Chul Choi, Sung-Sik Park
Journal of the Korean Society for Aviation and Aeronautics.2016; 24(2): 31. CrossRef
Emphysema prevalence related air pollution caused by a cement plant
Hyun Seung Lee, Chul Gab Lee, Dong Hun Kim, Han Soo Song, Min Soo Jung, Jae Yoon Kim, Choong Hee Park, Seung Chul Ahn, Seung Do Yu
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Relationships between inflammatory cytokine and cortisol responses in firefighters exposed to simulated wildfire suppression work and sleep restriction
Alexander Wolkow, Brad Aisbett, John Reynolds, Sally A. Ferguson, Luana C. Main
Physiological Reports.2015; 3(11): e12604. CrossRef

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Work-related COPD after years of occupational exposure: YounMo Cho, JongIn Lee, Min Choi, WonSeon Choi, Jun-Pyo Myong, Hyoung-Ryoul Kim, Jung-Wan Koo; Ann Occup Environ Med 2015;27:6. Published online February 19, 2015; DOI: https://doi.org/10.1186/s40557-015-0056-1

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Background

Cigarette smoking is known as the most important risk factor of chronic obstructive pulmonary disease (COPD). However, occupational exposure to other substances can result in COPD.

Case report

A 76-year-old man with occupational exposures to mixtures of silica dust, gas, and fumes for 10 years and with a 25 pack-year smoking history was diagnosed with COPD. His computed tomogram scan revealed some hyperinflation with emphysematous change in both upper lobes. In the pulmonary function tests, his post-bronchodilator forced vital capacity (FVC), forced expiratory volume in one second (FEV₁), and FEV₁/FVC% were 2.20 L (67% of the predicted value), 1.12 L (52% of the predicted value), and 51%, respectively, indicating moderate COPD. This case of COPD was confirmed as a work-related disease by the Occupational Lung Disease Research Institute in Korea Workers’ Compensation & Welfare Service.

Conclusion

Exposure to various substances such as silica dust, gas, and fumes from furnace and boiler installation was likely the cause of COPD in this patient. Thus, occupational exposure should be considered an important risk factor of COPD.

Citations

Citations to this article as recorded by

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Association Between COPD Symptoms and Psychological Distress Among Farmers
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IMMUNOLOGICAL EVALUATION OF INFLAMMATORY PROCESS IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE OF PROFESSIONAL ETIOLOGY
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Non-smoking Chronic Obstructive Pulmonary Disease Attributed to Occupational Exposure to Silica Dust
Kazuo Tsuchiya, Mikio Toyoshima, Yosuke Kamiya, Yutaro Nakamura, Satoshi Baba, Takafumi Suda
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