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Effect Assessment of Worksite-based, Post-examination, Health Care Management System
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Kang Jin Lee, Young Hee Choi, Cha Jae Oh, Hoo Rak Lee, Hyoung June Im, Moon Young Hwang, Byung Mann Cho, Ji Ho Lee
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Korean Journal of Occupational and Environmental Medicine 2006;18(1):1-14. Published online March 31, 2006
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DOI: https://doi.org/10.35371/kjoem.2006.18.1.1
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Abstract
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This study was conducted to develop a worksite-based, post-examination, health care management system for continuous and systematic management of workers with hypertension, diabetes mellitus, hyperlipidemia, and abnormal LFT detected by periodic health examination and to assess the effectiveness such a system as an intervention study. METHODS Study subjects were selected from workers with hypertension, diabetes mellitus, hyperlipidemia, and abnormal LFT according to the selection criteria. The intervention group, but not the control group, received medical treatment of disease, follow up examination, and health education which consisted of information about the disease and the importance of life-style modification through periodic interview using the resources of occupational health service center in the worksite. To assess the effectiveness of this system, we compared follow up examination data from the intervention group with periodic examination data from the worksite control group. RESULTS In the intervention group a significant reduction trend was recorded for systolic and diastolic blood pressure, fasting blood sugar, postprandial 2 hour glucose, total cholesterol, triglyceride, LDL-cholesterol, AST, ALT, and gamma-GTP, and a rising trend for HDL-cholesterol. Significant group differences ware recorded for fasting blood sugar, postprandial 2 hour glucose, total cholesterol, AST, and ALT. CONCLUSIONS The worksite-based, post-examination, health care management system was effective for the continuous and systematic management of workers who had abnormal findings detected by periodic health examination.
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Citations
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- The Change Analysis about Health Behavior and Examination Result of Periodical Medical Examiner
Tae-Yong Lee, Dal-Sik Yoon Journal of the Korea Academia-Industrial cooperation Society.2014; 15(2): 923. CrossRef - The Effect of Metabolic syndrome Management Program Applying Participatory Action-Oriented Training Principle
Seong-Yong Yoon, Kuck-Hyeun Woo, Hwa-Sung Kim, Yong-Bae Kim, Jin-Seok Kim, Seong-Yong Jo, Sung-Soo Lee Korean Journal of Health Education and Promotion.2014; 31(5): 81. CrossRef - The Effects of Hypertension Self-help Program on Hypertension-related Knowledge, Self-efficacy, Self-management Compliance and Physiological Parameters in Workers
Mi-Young Gi, Young-Hae Park Korean Journal of Occupational Health Nursing.2012; 21(1): 1. CrossRef
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The Association between Pneumoconiosis and Genetic Polymorphism of GSTM1, GSTT1, GSTP1, NAT2, CYP2E1 and CYP1A1
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Cha Jae Oh, Moon Young Hwang, Kang Jin Lee, Hoo Rak Lee, Byung Mann Cho
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Korean Journal of Occupational and Environmental Medicine 2005;17(2):85-94. Published online June 30, 2005
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DOI: https://doi.org/10.35371/kjoem.2005.17.2.85
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Abstract
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To investigate effects of genetic polymorphism of glutathione S-transferase M1 (GSTM1), glutathione S-transferase T1 (GSTT1), glutathione S-transferase P1 (GSTP1), N-acetyltransferase (NAT2), cytochrome P450 2E1 (CYP2E1) and cytochrome P450 1A1 (CYP1A1) on pneumoconiosis. METHODS Eighty-five pneumoconiosis patients and 122 age and sex matched healthy controls were enrolled. Direct interview and standard questionnaire were conducted and the genotypes of GSTM1, GSTT1, GSTP1, NAT2, CYP2E1 and CYP1A1 were investigated using multiplex PCR or PCR-RFLP methods with DNA extracted from venous blood. The relationship was investigated between the severity of pneumoconiosis and the polymorphism of GSTM1, GSTT1, GSTP1, NAT2, CYP2E1 and CYP1A1, and also with various environmental factors including smoking. RESULTS We observed a significantly higher rate of genetic polymorphism in pneumoconiosis patients than in normal subjects. The odds ratio (95% CI) of NAT2 was 2.09 (1.19-3.68). In addition, smoking was related significantly with pneumoconiosis (OR 2.89, 95% CI 1.40-5.95). In multiple logistic regression analyses, NAT2 and smoking were significant risk factors for the development of pneumoconiosis (OR 1.84, 95% CI 1.00-3.37; OR 2.98, 95% CI 1.40-6.35, respectively). The age of onset of the disease and smoking were significantly related with moderate or severe pneumoconiosis (OR 0.91, 95% CI 0.83-0.99; OR 6.94, 95% CI 1.54-31.30, respectively). However there was no significant difference between the rate of genetic polymorphism of GSTM1, GSTT1, GSTP1, CYP2E1 and CYP1A1 in the two groups. CONCLUSION NAT2 genetic polymorphism was higher in pneumoconiosis patients than in normal subjects. The age of onset of the disease and smoking were significantly related with pneumoconiosis. However, the genetic polymorphism of GSTM1, GSTT1, GSTP1, CYP2E1 and CYP1A1 was not related with development or severity of pneumoconiosis.
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Exfoliative Dermatitis and Toxic Hepatitis Associated with Occupational Exposure to Trichloroethylene
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Hong Jae Chae, Seong Kwan Lee, Kang Jin Lee, Jong Youl Kim, Seung Chul Lee, Dong Hyeon Shin, Jai Dong Moon
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Korean Journal of Occupational and Environmental Medicine 2003;15(1):111-117. Published online March 31, 2003
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DOI: https://doi.org/10.35371/kjoem.2003.15.1.111
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Abstract
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- A 28-year-old male began working as a degreaser. The solvent used in the degreasing operation was trichloroethylene. Over the next month the man experienced fever, chills, and an erythematous skin rash and itching. At that time he had a marked elevation in his liver enzyme, with cholestasis. Over the next few days the rash persisted then peeled. There was an elevation of Ig E, and a positive patch test reaction to trichloroethylene. His dermatitis and hepatitis were considered to be mediated by a hypersensitivity mechanism.
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- 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 - 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 - Follow-up assessment of two cases of trichloroethylene hypersensitivity syndrome: A case report
Yong-Shun Huang, Han-Lin Huang, Qi-Feng Wu, Li-Hua Xia, Ming Huang, Xin-Xiang Qiu, Shan-Yu Zhou Experimental and Therapeutic Medicine.2016; 12(2): 895. CrossRef - Trichloroethylene Hypersensitivity Syndrome Is Potentially Mediated through Its Metabolite Chloral Hydrate
Yongshun Huang, Lihua Xia, Qifeng Wu, Zifang Zeng, Zhenlie Huang, Shanyu Zhou, Jiachun Jin, Hanlin Huang, Edda Fiebiger PLOS ONE.2015; 10(5): e0127101. CrossRef - Severe acute hepatitis in a printing company worker: A case study
Shoji Kubo, Koichi Matsuzaki, Toshihito Seki, Masahiko Ohsawa, Shinji Kumagai, Ginji Endo Journal of Occupational Health.2015; 57(1): 87. CrossRef - Trichloroethylene Hypersensitivity Syndrome: A Disease of Fatal Outcome
Hyun Gul Jung, Hyung Hun Kim, Bong Gun Song, Eun Jin Kim Yonsei Medical Journal.2012; 53(1): 231. CrossRef - Hypersensitivity syndrome due to trichloroethylene exposure: A severe generalized skin reaction resembling drug‐induced hypersensitivity syndrome
Hideaki WATANABE The Journal of Dermatology.2011; 38(3): 229. CrossRef - Occupational Skin Diseases in Korea
Yeon-Soon Ahn, Min-Gi Kim Journal of Korean Medical Science.2010; 25(Suppl): S46. CrossRef - Occupational Hepatic Disorders in Korea
Hyoung Ryoul Kim, Tae Woo Kim Journal of Korean Medical Science.2010; 25(Suppl): S36. CrossRef - Occupational trichloroethylene exposure as a cause of idiosyncratic generalized skin disorders and accompanying hepatitis similar to drug hypersensitivities
Michihiro Kamijima, Naomi Hisanaga, Hailan Wang, Tamie Nakajima International Archives of Occupational and Environmental Health.2007; 80(5): 357. CrossRef
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Characteristics of Work-Related Musculoskeletal Disorders and Effect of Intervention Program in Shipyard Workers
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Hong Jae Chae, Seong Kwan Lee, Kang Jin Lee, Jai Dong Moon
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Korean Journal of Occupational and Environmental Medicine 2002;14(4):468-477. Published online December 31, 2002
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DOI: https://doi.org/10.35371/kjoem.2002.14.4.468
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This study was conducted to estimate the characteristics of work-related musculoskeletal disorders and the effect of intervention program in shipyard workers. METHODS Information on work related absences,due to musculoskeletal disorders, were collected between January, 1 2000 and August, 31 2002. Age, duration of work, job type, anatomical site of disease, cause and duration of absence due to sickness were investigated. RESULTS From a total of 158 cases there were 108(68.4%)and 50(31.6%)cases of back, and other musculoskeletal complaints,respectively. 55(34.8%)of the cases were caused by repetitive trauma and 103(65.2%)were due to non-repetitive causes. 90(83.3%)of the back complaint cases were due to non-repetitive causes, but there was a repetitive cause of other musculoskeletal complaints in 37(74.0%)cases. Back complaints were higher in workers carrying heavy materials, but other musculoskeletal complaints were higher in painting workers.Half of workers after an absence due to sickness had returned to work within 32.0 weeks and 25.4 weeks,in the cases of back and other musculoskeletal complaints, respectively. After the application of an intervention program for musculoskeletal disease, the incidence rate of absence due to work-related musculoskeletal disorders was reduced significantly. CONCLUSION The introduction of a musculoskeletal intervention program reduced absences due to work-related musculoskeletal disorders.
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- A study on Related Factor and Knowledge of Back Pain in Workers Employed at Cement factory
Gi-Yeol Kim, Jung-Lim Oh, Kyoung-Ok Hwang Journal of the Korea Academia-Industrial cooperation Society.2015; 16(1): 536. CrossRef - Ergonomic Research Trends in the Shipbuilding Industry: Present and the Future
Yu-Chang Kim Journal of the Ergonomics Society of Korea.2012; 31(1): 131. CrossRef - 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 - Related Factors to Musculoskeletal Discomfort Symptoms on Some Middle·High school Teachers
Jae-Yoon Lee, Byeong-Yeon Moon, Youn-Hong Jeong, Hyun-Kyung Woo Journal of the Korea Academia-Industrial cooperation Society.2012; 13(1): 264. CrossRef
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Survey on the Prevalence of Carpal Tunnel Syndrome in Simple Repetitive Workers Who Use Upper Extremities
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Ji Eun Son, Tae Woon Jang, Yoon Kou Kim, Young Seoub Hong, Kap Yeol Jung, Dong Ill Kim, Kang Jin Lee, Nam Jin Ha, Sang Boum Kim, Joon Youn Kim
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Korean Journal of Occupational and Environmental Medicine 2001;13(3):209-219. Published online September 30, 2001
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DOI: https://doi.org/10.35371/kjoem.2001.13.3.209
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Abstract
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This study was carried out to survey on the prevalence of Carpal Tunnel Syndrome(CTS) in high risk jobs(meat and fish processing plant and wood plant), by application of Nerve Conduction Study(NCS), a confirmatory diagnostic method. METHODS Experimental group was 69 workers sampled from meat and fish processing plants and 17 workers sampled from wood plants, who were simple, repetitive workers using upper extremities and control group was 28 workers sampled from managers, secretaries and keepers. All employees were examined through work history, physical examination and NCS. RESULTS 18 workers(26.09%) in meat and fish processing plants, and 5 workers(29.41%) in wood plants had compatible findings to NIOSH diagnostic criteria for CTS. The experimental group had more symptoms(complaint of upper extremities, Visual Analogue Scale >or= 4(VAS: total 10 point)), signs(Tinel and Phalen test) and prevalence of CTS than control group ( p<0.05). The prevalence of symptoms and signs were higher in short term worke r s (<7 years), but the prevalence of CTS was higher in long term workers(>or=7 years). CONCLUSIONS The prevalence of CTS in meat and fish processing plant and wood plant were 26.09% and 29.41% respectively. Authors propose that meat and fish processing and wood plants should be managed as a risk job category which were designated by OSHA in 1996
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- Distribution of age, gender, and occupation among individuals with carpal tunnel syndrome based on the National Health Insurance data and National Employment Insurance data
Il-Ho Lee, Young-Ki Kim, Dong-Mug Kang, Se-Yeong Kim, In-Ah Kim, Eun-Mi Kim Annals of Occupational and Environmental Medicine.2019;[Epub] CrossRef - Prevalence and Related Characteristics of Carpal Tunnel Syndrome Among Orchardists in the Gyeongsangnam-do Region
Ho-Yeon Jung, Min Sik Kong, Seung Hun Lee, Chang Han Lee, Min-Kyun Oh, Eun Shin Lee, Heesuk Shin, Chul Ho Yoon Annals of Rehabilitation Medicine.2016; 40(5): 902. CrossRef - Prevalence of Musculoskeletal Disorders Among Korean Police Personnel
Hak Young Rhee, Jae Hwan Cho, Jong Min Seok, Taek Sang Cho, Woo Jin Jeon, Jin Gu Lee, Sung Kyu Kim Archives of Environmental & Occupational Health.2015; 70(4): 177. CrossRef
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Low Back Pain Assessment Using Surface Electromyography and Digital Infrared Thermographic Imaging
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Kang Jin Lee, In Sung Choi, So Young Lee, Jae Young Han, Sam Gyu Lee, Hong Jae Chai, Seong Kwan Lee, Jai Dong Moon
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Korean Journal of Occupational and Environmental Medicine 2001;13(3):306-314. Published online September 30, 2001
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DOI: https://doi.org/10.35371/kjoem.2001.13.3.306
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Abstract
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We studied the efficacy of surface electromyography(SEMG) and digital infrared thermographic imaging(DITI) in the assessment of low back pain both(LBP) quantitatively and qualitatively. METHODS We compared electromygraphic signals from electrodes placed in the lumbar area and the digital thermographic images in 16 LBP patients and 16 control subjects. The LBP patients and the control subjects were matched for age, gender, and body mass index(BMI) to adjust for any confounding effects RESULTS: In the static analyses of SEMG, median value was 198.1 microV for the LBP patients and 161.3 microV for the controls on the right side, and they were 194.2 microV and 180.5 microV on left side respectively. There was a statistically significant difference between the two groups on the right side(p<0.01), but not on the left side. In the dynamic analyses of the SEMG, the median values of the extension per flexion ratio of right side were 1.12 for LBP patients and 1.39 for controls. and those on the left side were 1.08 and 1.21 respectively. There were statistically significant differences in both sides(p<0.05). The sensitivity and specificity were 100% and 81.3% in DITI, 78.6% and 72.2% in SEMG . CONCLUSIONS These results indicate that SEMG and DITI are useful methods for indirect assessments of LBP, and that DITI is more sensitive and specific than SEMG.
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Won-Sik Bae, Hyun-Ok Lee, Jae-Wook Shin, Keon-Cheol Lee Journal of Physical Therapy Science.2016; 28(5): 1636. CrossRef
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