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The General Characteristics and Results of the Cold Provocation Test in the Risk Group of HAVS
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Jae Kook Yoon, Chang Sun Sim, Myoung Soon Oh, Joo Hyun Sung, Ji Ho Lee, Choong Ryeol Lee, Yangho Kim, Cheol In Yoo, Hun Lee
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Korean Journal of Occupational and Environmental Medicine 2012;24(3):207-216. Published online September 30, 2012
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DOI: https://doi.org/10.35371/kjoem.2012.24.3.207
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 Abstract
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- OBJECTIVES
The cold provocation test for diagnosing the vascular component in hand-arm vibration syndrome (HAVS) is likely to be accepted as an objective test, and a few studies have been performed. However, controversy has continued regarding the diagnostic performance of this method. Although objective methods such as plethysmography and laser doppler flowmetry have been studied, they have not received as much attention as other diagnostic methods. Therefore, our study aim was to spread the awareness of HAVS by reporting the results of the cold provocation test in a hand-transmitted vibration exposure group.
METHODS
The study subjects were 549 workers who had been exposed to hand-transmitted vibrations and reported symptoms in their hands. While the subject immersed both their hands in 10degrees C water for 10 minutes, the skin temperature of 10 fingers was recorded from pre-immersion time to 20 minute postimmersion including 10 minutes immersion time. The recovery rates were calculated from the recorded skin temperatures. The 'decreased recovery rate' criteria were less than 30% at 5 minutes post-immersion and 60% at 10 minute post-immersion.
RESULTS
Of the subjects, 69.1% and 30.9% had more severe symptoms in the right and left hands, respectively. The mean finger skin temperature of the right hand after cold-water immersion for 10 minutes was approximately 10degrees C, which increased gradually with time, but they did not reach the baseline temperature at 20 minutes post-immersion. The deviations of the skin temperature in the subjects were higher in the recovery phase than in the baseline and cold immersion phase. The 3rd finger of both hands showed the lowest 5-minute recovery rate among the fingers examined, and the left 4th finger and right 3rd finger showed the lowest 10-minute recovery rate. Of the subjects, 37.6% and 10.4% of subjects showed a lower recovery rate at 5 and 10 minutes in at least one finger, respectively, while 10.2% showed a lower recovery rate at both 5 and 10 minutes simultaneously in at least one finger.
CONCLUSIONS
The larger deviations in the recovery phase than in the other phases indicated that interindividual differences are more prominent in the recovery phase. There might be no benefit in observing the finger skin temperature for an additional 10 minutes after 10 minutes post-immersion. Overall, approximately 10% of the subjects in the HAVS risk group had HAVS.
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Citations
Citations to this article as recorded by  - Technetium-99m hand perfusion scintigraphy (Raynaud’s scan) as a method of verification in hand arm vibration syndrome: a review
Taewoong Ha, Hyeoncheol Oh, Jungwon Kim
Annals of Occupational and Environmental Medicine.2022;[Epub] CrossRef - Trend of Human Vibration Research in Korea
Hee-Sok Park
Journal of the Ergonomics Society of Korea.2013; 32(4): 293. CrossRef
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Two Case of Erythroleukemia and Myelodysplastic Syndrome in a Non-Destructive Inspector
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Myoung Soon Oh, Jae Kook Yoon, Hyun Soo Kim, Hawk Kim, Jin Kyung Lee, Ji Ho Lee, Yang Ho Kim
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Korean Journal of Occupational and Environmental Medicine 2011;23(4):471-479. Published online December 31, 2011
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DOI: https://doi.org/10.35371/kjoem.2011.23.4.471
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Abstract
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- BACKGROUND
Ionizing radiation is a group 1 carcinogen according to the IARC(International Agency for Research on Cancer) classification. With the development of the radiation related industry, the number of radiation exposed workers has been increasing. There have been several reports on AML(Acute Myeloid Leukemia) on exposure to ionizing radiation; however, there are no reports of occupational malignant lymphohematopoietic disease related to non-destructive inspection.
CASE
REPORT 1: A 35-years-old male, who had worked for 10 years in non-destructive inspection, was diagnosed with myelodysplastic syndrome. He worked 8 hours a day, for three weeks per months, where he was exposed to 192Ir and 60Co radiation sources. Because he had not worn a film badge for monitoring his radiation exposure dose, the accurate exposure dose was not reported. The estimate exposure dose calculated via a chromosomal study was 1.20 Gy, which exceed the dose limits of Korean radiation dose standards, which are 50 and 100 mSv annually and quinquennially respectively.
CASE
REPORT 2: A 26-years-old male, who had worked for 2.5 years in the same company was also diagnosed with myelodysplastic syndrome.
CONCLUSION
Non-destructive inspection is the main source of ionizing radiation in the workplace, which could be the cause of malignant lymphohematopoietic diseases. Therefore, more practical plans and guidelines are needed to prevent non-destructive inspectors from workplace radiation exposure.
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Citations
Citations to this article as recorded by - Assessment of working environment and personal dosimeter-wearing
compliance of industrial radiographers based on chromosome aberration
frequencies
Younghyun Lee, Songwon Seo, Young Woo Jin, Seongjae Jang
Journal of Radiological Protection.2020; 40(1): 151. CrossRef - Probability of causation for occupational cancer after exposure to ionizing radiation
Eun-A Kim, Eujin Lee, Seong-Kyu Kang, Meeseon Jeong
Annals of Occupational and Environmental Medicine.2018;[Epub] 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 - Consecutive results of blood cell count and retrospective biodosimetry: useful tools of health protection regulation for radiation workers
Seongjae Jang, Jin Kyung Lee, Minsu Cho, Su San Yang, Seung Hyun Kim, Wan Tae Kim
Occupational and Environmental Medicine.2016; 73(10): 694. CrossRef - Retrospective biodosimetry using translocation frequency in a stable cell of occupationally exposed to ionizing radiation
Min Su Cho, Jin Kyung Lee, Keum Seok Bae, Eun-Ae Han, Seong Jae Jang, Wi-Ho Ha, Seung-Sook Lee, Joan Francesc Barquinero, Wan Tae Kim
Journal of Radiation Research.2015; 56(4): 709. CrossRef - Exposure Assessment and Management of Ionizing Radiation
Eun-Kyo Chung, Kab-Bae Kim, Se-Wook Song
Journal of Korean Society of Occupational and Environmental Hygiene.2015; 25(1): 27. CrossRef - Physical Agents and Occupational Disease Compensation: Noise, Vibration, Radiation, and Other Physical Agents
Jiho Lee, Jungwon Kim
Journal of Korean Medical Science.2014; 29(Suppl): S72. CrossRef
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