Annals of Occupational and Environmental Medicine

Volume 25; 2013

Research Article

Discordance in Spirometric Interpretations Based on Korean and Non-Korean Reference Equations: Nami Kim, Mi-Hee Park, Se-yeong Kim, Chunhui Suh, Sangyoon Lee, Kun-Hyung Kim, Chae-Kwan Lee, Dae-Hwan Kim, Jong-Tae Lee; Ann Occup Environ Med 2013;25:42-42. Published online December 27, 2013; DOI: https://doi.org/10.1186/2052-4374-25-42

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.

Methods

Spirometry 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.

Results

The 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%.

Conclusions

The 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.

Citations

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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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Research Article

Association between Workplace Risk Factor Exposure and Sleep Disturbance: Analysis of the 2nd Korean Working Conditions Survey: Yong-Seok Heo, Sei-Jin Chang, Shin-Goo Park, Jong-Han Leem, Sung-Hwan Jeon, Bum-Joon Lee, Kyung-Yong Rhee, Hwan-Cheol Kim; Ann Occup Environ Med 2013;25:41-41. Published online December 27, 2013; DOI: https://doi.org/10.1186/2052-4374-25-41

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Objectives

Sleep is essential for human beings to live and work properly. This study was conducted to investigate the relationship between occupational exposures to workplace risk factors and sleep disturbance in Korean workers.

Methods

The data were drawn from the second Korean Working Conditions Survey (KWCS); a total of 7,112 paid workers were analyzed. The independent variables were occupational exposures such as physical, chemical, biological, and psychosocial risk factor in the workplace, and psychosocial risk factor was divided into five categories (job demand, job control, social support, job insecurity, lack of reward). We estimated the relationship between various occupational exposures and sleep disturbance using multivariate logistic regression analysis.

Results

The results showed that people who exposed to physical, chemical, biological, and psychosocial (high job demand, inadequate social support, lack of reward) risk factors were more likely to increase the risk of sleep disturbance. Furthermore, after adjusting for general and occupational characteristics, we found significant positive associations between exposures to physical (odds ratios [OR] 1.47, 95% confidence interval [CI] 1.05-2.07) and psychosocial (high job demand (OR 2.93, 95% CI 2.16-3.98), inadequate social support (OR 1.57, 95% CI 1.14-2.15), lack of reward (OR 1.45, 95% CI 1.08-1.96)) risk factors and sleep disturbance.

Conclusion

These results suggest that occupational exposures to physical and psychosocial workplace risk factors are significantly related to sleep disturbance.

Citations

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Association between ergonomic risk exposures and insomnia symptoms: a mediation analysis of the 5th Korean working conditions survey
Seong-Sik Cho, Tae-Won Jang, Mo-Yeol Kang
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Il Yun, Seung Hwan Lee, Sohee Park, Suk-Yong Jang, Sung-In Jang
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Xiaoyan Li, Jie He, Qiuhua Sun
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Factors associated with reduced risk of musculoskeletal disorders among office workers: a cross-sectional study 2017 to 2020
Bukhari Putsa, Wattana Jalayondeja, Keerin Mekhora, Petcharatana Bhuanantanondh, Chutima Jalayondeja
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Hyun-Jeong Oh, Chang Sun Sim, Tae-Won Jang, Yeon Soon Ahn, Kyoung Sook Jeong
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Components of Stress and Their Associations With Sleep Problems
Marianna Virtanen, Saana Myllyntausta, Petri Karkkola, Jaana Pentti, Annina Ropponen, Jussi Vahtera, Sari Stenholm
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Variation on Work Demands and Sleep Disturbances Concerning Fixed and Rotating Shifts in the Water, Sanitation, and Waste Sector
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Sleep Health.2022; 8(5): 521. CrossRef
Association between physical risk factors and sleep disturbance among workers in Korea: The 5th Korean Working Conditions Survey
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Ellen Sweeney, Yunsong Cui, Zhijie Michael Yu, Trevor J.B. Dummer, Vanessa DeClercq, Cynthia Forbes, Scott A. Grandy, Melanie R. Keats, Anil Adisesh
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Multiple environmental and psychosocial work risk factors and sleep disturbances
Hamidreza Mokarami, Vahid Gharibi, Haji Omid Kalteh, Mehdi Faraji Kujerdi, Reza Kazemi
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Sergio Salas-Nicás, Grace Sembajwe, Albert Navarro, Salvador Moncada, Clara Llorens, Orfeu M. Buxton
Sleep Health.2020; 6(3): 262. CrossRef
The association between quality of direct supervisor's behavior and depressive mood in Korean wage workers: the 4th Korean Working Conditions Survey
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Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova.2018; 118(4): 43. CrossRef
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Research Article

Occupational Factors Associated with Changes in the Body Mass Index of Korean Male Manual Workers: In-Woong Song, Kuck-Hyun Woo, Jin-Seok Kim, Seong-Yong Yoon, Joo-Yong Na, Jin-Hyun Yu, Seong-Yong Cho; Ann Occup Environ Med 2013;25:40-40. Published online December 27, 2013; DOI: https://doi.org/10.1186/2052-4374-25-40

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Objectives

This study was carried out to analyze and compare the occupational factors that could influence changes in body mass index (BMI) in male manual workers stratified into short-term and long-term work experience groups.

Methods

The subjects were 299 male manual workers (sampled systematically) from 27 workplaces, who had undergone travelling medical examinations at a university hospital between March 28 and May 10, 2013, and had also undergone medical examinations at the same hospital in 2012. Their general and occupational characteristics were investigated through a structured, self-administered questionnaire. The BMI at each point in time was calculated based on the anthropometric results of the medical examinations. Multiple regression analyses were conducted on outcomes of the BMI change and predictors composed of the general and occupational characteristics, with the subjects stratified into groups with 5 years or less (short-term) versus more than 5 years (long-term) of work experience at the present post.

Results

In the short-term work experience group, the BMI increases of 3-shift workers and groups reporting disagreement with feeling “insufficient job control” and “lack of reward” at work, two of the subscales of job stress, were significantly higher than those of daytime workers and high-stress groups, respectively. In the long-term work experience group, However, although the BMI increase for 3-shift workers was also significantly higher than that of daytime workers, none of the job stress factors were significantly associated with a BMI increase, whereas the social factors of education and marital status were significant, and some lifestyle factors (such as smoking and regular exercise) were also significant.

Conclusion

This study showed that, except for 3-shift work, the factors associated with BMI increase could differ depending on the length of job experience. Consequently, different strategies may be needed for workers with short-term versus long-term job experience when designing interventions for preventing their obesity.

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Férfi fizikai dolgozók testösszetételének jellemzői: középpontban az életkor
Zsolt Szakály, Zsófia Pápai, Zsuzsanna Liszkai, József Bognár, Csaba András Dézsi
Orvosi Hetilap.2023; 164(3): 96. CrossRef
Obesity trend in the United States and economic intervention options to change it: A simulation study linking ecological epidemiology and system dynamics modeling
H.-J. Chen, H. Xue, S. Liu, T.T.K. Huang, Y.C. Wang, Y. Wang
Public Health.2018; 161: 20. CrossRef
Job Stress and Job Satisfaction among Health-Care Workers of Endoscopy Units in Korea
Seung-Joo Nam, Hoon Jai Chun, Jeong Seop Moon, Sung Chul Park, Young-Jae Hwang, In Kyung Yoo, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yoon Tae Jeen, Hong Sik Lee, Chang Duck Kim
Clinical Endoscopy.2016; 49(3): 266. CrossRef
Demographic, health-related, and work-related factors associated with body mass index and body fat percentage among workers at six Connecticut manufacturing companies across different age groups: a cohort study
Jennifer L. Garza, Alicia G. Dugan, Pouran D. Faghri, Amy A. Gorin, Tania B. Huedo-Medina, Anne M. Kenny, Martin G. Cherniack, Jennifer M. Cavallari
BMC Obesity.2015;[Epub] CrossRef
Association between shift work and obesity according to body fat percentage in Korean wage workers: data from the fourth and the fifth Korea National Health and Nutrition Examination Survey (KNHANES 2008–2011)
ManKi Son, Byeong Jin Ye, Jung-Il Kim, ShinUk Kang, Kap-Yeol Jung
Annals of Occupational and Environmental Medicine.2015;[Epub] CrossRef

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Review

Underwater and Hyperbaric Medicine as a Branch of Occupational and Environmental Medicine: Young Il Lee, Byeong Jin Ye; Ann Occup Environ Med 2013;25:39-39. Published online December 19, 2013; DOI: https://doi.org/10.1186/2052-4374-25-39

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Exposure to the underwater environment for occupational or recreational purposes is increasing. As estimated, there are around 7 million divers active worldwide and 300,000 more divers in Korea. The underwater and hyperbaric environment presents a number of risks to the diver. Injuries from these hazards include barotrauma, decompression sickness, toxic effects of hyperbaric gases, drowning, hypothermia, and dangerous marine animals. For these reasons, primary care physicians should understand diving related injuries and assessment of fitness to dive. However, most Korean physicians are unfamiliar with underwater and hyperbaric medicine (UHM) in spite of scientific and practical values.

From occupational and environmental medicine (OEM) specialist’s perspective, we believe that UHM should be a branch of OEM because OEM is an area of medicine that deals with injuries caused by physical and biological hazards, clinical toxicology, occupational diseases, and assessment of fitness to work. To extend our knowledge about UHM, this article will review and update on UHM including barotrauma, decompression illness, toxicity of diving gases and fitness for diving.

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Oxy-Inflammation in Humans during Underwater Activities
Alessandra Vezzoli, Simona Mrakic-Sposta, Andrea Brizzolari, Costantino Balestra, Enrico Maria Camporesi, Gerardo Bosco
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The acclimatization of Haenyeo to a cold environment and occupational characteristics evaluated by orexin and irisin levels
Inho Lee, Yong-Jin Lee, Eun-Chul Jang, Soon-Chan Kwon, Young-Sun Min, Jisuk Yun, Taehwan Park, Hye-Jin Lee, Eonah Choo, Jeong-Beom Lee
Annals of Occupational and Environmental Medicine.2022;[Epub] CrossRef
Hyperbaric Oxygen Therapy as a Complementary Treatment in Glioblastoma—A Scoping Review
Diogo Alpuim Costa, Mafalda Sampaio-Alves, Eduardo Netto, Gonçalo Fernandez, Edson Oliveira, Andreia Teixeira, Pedro Modas Daniel, Guilherme Silva Bernardo, Carla Amaro
Frontiers in Neurology.2022;[Epub] CrossRef
Predictive modeling to determine oxygen and ozone doses applicable to in situ remediation of polluted water bodies
Jacobo Tabla-Hernandez, Alejandro V Dellepere, Ernesto Mangas-Ramírez
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Asti Melani Astari, Fatimah, Sri Andarini
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Occupational Safety and Health in a Community of Shellfish Divers: A Community-Based Participatory Approach
Marie A. Garrido, Manuel Parra, Juana Díaz, Julia Medel, Dennis Nowak, Katja Radon
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Marie Astrid Garrido Campos, Benedikt Anselm Hindelang, Denise Siqueira de Carvalho, Ilse Urzúa Finke, Ronald Herrera, Katja Radon
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Research Article

Long Working Hours and Emotional Well-Being in Korean Manufacturing Industry Employees: Kyoung-Hye Lee, Jong-Eun Kim, Young-Ki Kim, Dong-Mug Kang, Myeong-Ja Yun, Shin-Goo Park, Jae-Seok Song, Sang-Gil Lee; Ann Occup Environ Med 2013;25:38-38. Published online December 5, 2013; DOI: https://doi.org/10.1186/2052-4374-25-38

Abstract PDF PubReader ePub

Objectives

Korea is well known for its long work hours amongst employees. Because workers of the manufacturing industry are constantly exposed to extended work hours, this study was based on how long work hours affect their emotional well-being.

Methods

The analysis was done using the secondary Korean Working Condition Survey (KWCS). Long work hours were defined to be more than 48 hours, and they were subcategorized into units of 52 hours and 60 hours. Based on the WHO (five) well-being index, emotional state was subdivided into three groups - reference group, low-mood group, and possible depression group- where 28 points and 50 points were division points, and two groups were compared at a time. Association between long work hours and emotional state was analyzed using binary and multinomial logistic regression analysis.

Results

Working for extended working hours in the manufacturing industry showed a statistically significant increase (t test p < 0.001) in trend among the possible depression group when compared to the reference group and the low-mood group. When demographical characteristics, health behaviors, socioeconomic state, and work-related characteristics were fixed as controlled variables, as work hours increased the odds ratio of the possible depression group increased compared to the reference group, and especially the odds ratio was 2.73 times increased for work hours between 48–52 and 4.09 times increased for 60 hours or more and both were statistically significant. In comparing the low-mood group and possible depression group, as work hours increased the odds ratio increased to 1.73, 2.39, and 4.16 times, and all work hours from working 48–52 hours, 53–60 hours, and 60 hours or more were statistically significant. Multinomial logistic regression analysis also showed that among the reference group and possible group, the possible depression group was statistically significant as odds ratio increased to 2.94 times in working 53–60 hours, and 4.35 times in 60 hours or more.

Conclusions

Long work hours have an adverse effect on emotional well-being. A more diversified research towards variables that affect long work hours and emotional well-being and how they interact with each other and their relationship to overall health is imperative.

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Hayoung Lee
International Review of Public Administration.2021; 26(1): 92. CrossRef
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So Young Lee, Jinhwa Lee, Min Kwon
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The negative impact of long working hours on mental health in young Korean workers
Sungjin Park, Hyungdon Kook, Hongdeok Seok, Jae Hyoung Lee, Daeun Lim, Dong-Hyuk Cho, Suk-Kyu Oh, Sergio A. Useche
PLOS ONE.2020; 15(8): e0236931. CrossRef
Associations among working hours, sleep duration, self-rated health, and health-related quality of life in Korean men
Darae Woo, Yeonjin Lee, Sangshin Park
Health and Quality of Life Outcomes.2020;[Epub] CrossRef
Association Between Presenteeism/Absenteeism and Well-being Among Korean Workers
Wonjeong Jeong, Yun Kyung Kim, Sarah Soyeon Oh, Jin-Ha Yoon, Eun-Cheol Park
Journal of Occupational & Environmental Medicine.2020; 62(8): 574. CrossRef
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Ju-Youn An, Youngmi Eun, Ha-Na Kim, Sang-Wook Song, Yun-A Lee, Sung-Goo Kang
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Zan Li, Junming Dai, Ning Wu, Yingnan Jia, Junling Gao, Hua Fu
International Journal of Environmental Research and Public Health.2019; 16(24): 4980. CrossRef
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Hye‐Jin Kim, Jin‐Young Min, Kyoung‐Bok Min
American Journal of Industrial Medicine.2019; 62(9): 783. CrossRef
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Inah Kim, Min Ji Koo, Hye-Eun Lee, Yong Lim Won, Jaechul Song
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Seoyeon Ahn
International Archives of Occupational and Environmental Health.2018; 91(3): 273. CrossRef
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Hye Sun Hyun, Yunyoung Kim
Journal of International Medical Research.2018; 46(6): 2307. CrossRef
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Yeogyeong Yoon, Jia Ryu, Hyunjoo Kim, Chung won Kang, Kyunghee Jung-Choi
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Seong-Jin Kim, Dirga Kumar Lamichhane, Shin-Goo Park, Bum-Joon Lee, So-Hyun Moon, Sung-Min Park, Hyun-Suk Jang, Hwan-Cheol Kim
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Nien-Chih Hu, Jong-Dar Chen, Tsun-Jen Cheng
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Case Report

A Case of Lead Poisoning due to a Mixture of Talisman Ash: Han Hui Ye, Jae Uk Jeong, Nak Joon Baek, Chang Yul Choi, Man Joong Jeon, Joon Sakong; Ann Occup Environ Med 2013;25:37-37. Published online November 28, 2013; DOI: https://doi.org/10.1186/2052-4374-25-37

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Background

Lead is a metal that has no biological function useful for the human body. In Korea, non-occupational exposure to lead has mostly occurred through taking oriental medicine. However, in this paper we report a case of lead poisoning caused by ingesting talisman material.

Case presentation

A 16-year-old male patient complained of severe abdominal pain after taking cinnabar, a talisman material. He was diagnosed with lead poisoning accompanied by acute hepatitis. We confirmed that the cinnabar the patient took contained about 10% elemental lead. After symptom management, the patients’ symptoms, liver function test results, and blood lead concentration level improved.

Conclusion

Lead poisoning can be accompanied by hepatitis, although rarely. As we have confirmed that cinnabar as a talisman material is harmful to the human body, measures to prevent its misuse are needed.

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Research Article

Acute Symptoms in Firefighters who Participated in Collection Work after the Community Hydrogen Fluoride Spill Accident: Seong-Yong Cho, Kuck-Hyun Woo, Jin-Seok Kim, Seong-Yong Yoon, Joo-Yong Na, Jin-Hyun Yu, Yong-Bae Kim; Ann Occup Environ Med 2013;25:36-36. Published online November 28, 2013; DOI: https://doi.org/10.1186/2052-4374-25-36

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Objectives

This study aimed to analyze the relationship between clinical status and work characteristics of firefighters and other public officers who engaged on collection duties in the site of the hydrogen fluoride spill that occurred on September 27, 2012, in Gumi City, South Korea.

Methods

We investigated the clinical status, personal history, and work characteristics of the study subjects and performed physical examination and several clinical examinations, including chest radiography, echocardiography, pulmonary function test, and blood testing in 348 firefighters, police officers, volunteer firefighters, and special warfare reserved force who worked at the hydrogen fluoride spill area.

Results

The subjects who worked near the accident site more frequently experienced eye symptoms (p = 0.026), cough (p = 0.017), and headache (p = 0.003) than the subjects who worked farther from the accident site. The longer the working hours at the accident area, the more frequently the subjects experienced pulmonary (p = 0.027), sputum (p = 0.043), and vomiting symptoms (p = 0.003). The subjects who did not wear respiratory protective devices more frequently experienced dyspnea than those who wore respiratory protective devices (p = 0.013). In the pulmonary function test, the subjects who worked near the accident site had a higher decease in forced vital capacity than the subjects who worked farther from the site (p = 0.019); however, no statistical association was found between serum calcium/phosphate level, echocardiography result, chest radiographic result, and probation work characteristics.

Conclusions

The subjects who worked near the site of the hydrogen fluoride spill, worked for an extended period, or worked without wearing respiratory protective devices more frequently experienced upper/lower respiratory, gastrointestinal, and neurological symptoms. Further follow-up examination is needed for the workers who were exposed to hydrogen fluoride during their collection duties in the chemical plant in Gumi City.

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Research Article

Relationship between Work Hours and Smoking Behaviors in Korean Male Wage Workers: Sung-Mi Jang, Eun-hee Ha, Hyesook Park, Eunjeong Kim, Kyunghee Jung-Choi; Ann Occup Environ Med 2013;25:35-35. Published online November 19, 2013; DOI: https://doi.org/10.1186/2052-4374-25-35

Abstract PDF PubReader ePub

Objectives

The purposes of this study are 1) to measure the prevalence of smoking according to weekly work hours by using data from the Korean Labor and Income Panel Study (KLIPS), and 2) to explain the cause of high smoking prevalence among those with short or long work hours by relative explanatory fraction.

Methods

Data from a total of 2,044 male subjects who responded to the questionnaire in the 10th year (2007) and 11th year (2008) of the Korean Labor and Income Panel Study were used for analysis. Current smoking, smoking cessation, continuous smoking, start of smoking, weekly work hours, occupational characteristics, sociodemographic and work-related factors, and health behavior-related variables were analyzed. Log-binomial regression analysis was used to study the relationship between weekly work hours and smoking behaviors in terms of the prevalence ratio.

Results

The 2008 age-adjusted smoking prevalence was 64.9% in the short work hours group, 54.7% in the reference work hours group, and 60.6% in the long work hours group. The smoking prevalence of the short work hours group was 1.39 times higher than that of the reference work hours group (95% confidence interval of 1.17-1.65), and this was explained by demographic variables and occupational characteristics. The smoking prevalence of the long work hours group was 1.11 times higher than that of the reference work hours group when the age was standardized (95% confidence interval of 1.03-1.19). This was explained by demographic variables. No independent effects of short or long work hours were found when the variables were adjusted.

Conclusion

Any intervention program to decrease the smoking prevalence in the short work hours group must take into account employment type, job satisfaction, and work-related factors.

Citations

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Frontiers in Public Health.2023;[Epub] CrossRef
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Journal of Occupational Health.2021;[Epub] CrossRef
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Ju-Ok Son, In-Sun Kang, Hong-Jun Cho
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Bo-Guen Kim, Do-Dam Pang, Young-Jun Park, Jong-In Lee, Hyoung-Ryoul Kim, Jun-Pyo Myong, Tae-Won Jang
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Research Article

Cardiovascular Disease Risk of Bus Drivers in a City of Korea: Seung Yong Shin, Chul Gab Lee, Han Soo Song, Sul Ha Kim, Hyun Seung Lee, Min Soo Jung, Sang Kon Yoo; Ann Occup Environ Med 2013;25:34-34. Published online November 11, 2013; DOI: https://doi.org/10.1186/2052-4374-25-34

Abstract PDF PubReader ePub

Objective

To prevent the occurrence of CV events such as MI and stroke among professional drivers in Korea, bus drivers were compared to other occupations through the Framingham risk scoring system (FRS) or metabolic syndrome (MS) of cardiovascular disease (CVD) risk assessment methods.

Methods

In October 2012, a health examination survey was conducted for 443 male bus drivers in a big city. Their CVD risk factors were compared to those of a ‘total employed’ (A group) and ‘crafts and machine operators’ (B group) extracted from Fifth Korea National Health and Nutrition Examination Survey (KNHANES, 2010) data by using FRS and MS. We calculated proportions of the CVD risk factors distribution between bus drivers and the A, B groups by the bootstrapping method. The Odds ratio (OR) between CV event risk combining MS with CHD equivalent risk of FRS and occupational factors like shift patterns and professional driving duration/age ratios (PDAR) of bus drivers was calculated through multinominal logistic regression.

Results

The proportion of BMI ≥ 25 kg/m² was 53.9% and waist circumference ≥ 90cm was 40.9% among bus drivers. Hypertension and MS prevalence of bus drivers was 53.3%, 49.9% which is higher than 17.6%, 22.6% in the A group and 19.7%, 23.8% in the B group respectively. OR of high CV event risk in alternate shift was 2.58 (95% CI 1.33~5.00) in comparison with double shift pattern and OR in PDAR ≥ 0.5 was 2.18 (95% CI 1.15~4.14).

Conclusion

Middle aged male drivers in a big city of Korea stand a higher chance of developing CV event than other professions of the same age.

Citations

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Research Article

The Association between Shift Work and the Metabolic Syndrome in Female Workers: Han Hui Ye, Jae Uk Jeong, Man Joong Jeon, Joon Sakong; Ann Occup Environ Med 2013;25:33-33. Published online November 1, 2013; DOI: https://doi.org/10.1186/2052-4374-25-33

Abstract PDF PubReader ePub

Objective

This study aimed to determine identify any association between shift work and the metabolic syndrome by comparing the prevalence rates of the metabolic syndrome in shift work groups and daytime work groups for female workers.

Methods

Based on data from health examinations carried out from April to December of 2012, we selected as our subjects 254 female workers from the Daegu area Dyeing Industrial Complex. We diagnosed the metabolic syndrome using the examination results, and information about age, whether or not they did shift work, job type, smoking habits, drinking habits, exercise habits, and past medical history was collected through self-administered questionnaire surveys and face-to-face interviews. The variables found in a univariate analysis to be significant in the occurrence of the metabolic syndrome - age, drinking habits, exercise habits, and shift work - were included in a logistic regression analysis of the risk of the metabolic syndrome for female workers.

Results

The prevalence rates of the metabolic syndrome for the total group of study subjects was 11.8%, for daytime workers was 2.8%, and for shift workers was 15.3%. A logistic regression analysis of the odds of the metabolic syndrome for female workers was conducted that included factors associated with the occurrence of the metabolic syndrome: age, drinking habits, exercise habits, and shift work. The results revealed that the odds ratio of the metabolic syndrome in the shift work group, 6.30 (95% CI 1.24-32.15), was significantly higher when compared with the daytime work group.

Conclusion

Shift work appears to have an association with the metabolic syndrome in female workers. Accordingly, we believe that the attention of government agencies and business owners is needed together with the individual practice of health behaviors to manage the metabolic syndrome for the prevention of cardiovascular disease in female shift workers.

Citations

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Case Report

Multiple chemical sensitivity caused by exposure to ignition coal fumes: a case report: Myeong-Ja Yun, Dong-Mug Kang, Kyoung-Hye Lee, Young-Ki Kim, Jong-Eun Kim; Ann Occup Environ Med 2013;25:32-32. Published online November 1, 2013; DOI: https://doi.org/10.1186/2052-4374-25-32

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Background

Although multiple chemical sensitivity (MCS) is a well-known disorder caused by environmental exposures, MCS caused by occupational exposure has been reported in Korea. Therefore, we report a MCS case caused by environmental exposure to ignition coal after a differential diagnosis to exclude other diseases.

Case report

Since 2011, a 55-year-old woman had experienced edema, myalgia, and other symptoms when she smelled ignition coal near her workplace. She had been diagnosed with fibromyalgia syndrome(FMS) and was treated, with no improvement of symptoms. Since then, she showed the same symptoms after exposure to city gas, the smell of burning, and exhaust gas. To avoid triggering substances, she moved to a new house and used an air purifier. She quit her job in November 2012. After visiting our hospital, she underwent a differential diagnosis for FMS, chronic fatigue syndrome, and somatization disorder. She was diagnosed with MCS by the Korean version of the Quick Environment Exposure Sensitivity Inventory (QEESI). She was educated about the disease and to avoid triggering substances. She received ongoing treatment for her symptoms.

Conclusion

This case showed that symptoms began after smelling ignition coal. After that, her triggers was increased such as the smell of city gas, burning, and exhaust gas. This case is the first reported in Korea of MCS due to environmental exposure after ruling out other diseases.

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International Journal of Environmental Research and Public Health.2020; 17(18): 6551. CrossRef

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Case Report

Two Cases of Methemoglobinemia Induced by the Exposure to Nitrobenzene and Aniline: Chang Hwan Lee, Soo Hyeon Kim, Do Hyung Kwon, Keun Ho Jang, Yong Hoon Chung, Jai Dong Moon; Ann Occup Environ Med 2013;25:31-31. Published online November 1, 2013; DOI: https://doi.org/10.1186/2052-4374-25-31

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Objective

To report two cases of methemoglobinemia induced by inhaled nitrobenzene and dermally absorbed aniline.

Methods

We have evaluated a 37-year-old male worker exposed to nitrobenzene by inhalation while conducting maintenance job of mononitrobenzene pump and a 25-year-old male worker exposed dermally to aniline while unloading.

Results

The first case is a 37-year-old male exposed to nitrobenzene. His blood methemoglobin concentration level was initially 19.8%, and chest X-ray was normal. After oxygen therapy, the blood methemoglobin concentration level decreased to 2.1%, and the symptoms were alleviated. The second case is a 25-year-old male exposed dermally to aniline. His chest X-ray was normal, but blood methemoglobin concentration level reached maximally 46.8%. He was treated with methylene blue due to relatively high blood methemoglobin level. Gradually after the treatment, his methemoglobin concentration level was normalized to 0.8% and simultaneously symptoms were resolved.

Conclusions

After the thorough exposure investigations and medical evaluations, we have concluded that these cases were methemoglobinemia induced by occupational exposure to nitrobenzene and aniline. We suggest that businesses which handle methemoglobinemia-causing substances control the engineering process strictly, implement periodic screening, and establish emergency patient management system.

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Yang Lin Ting, Jonathan Zhao Min Lim, Pei Ming Yeo, Wen Yuan Sim
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Methaemoglobinaemia due to nitrobenzene poisoning
K. Chandrasekhar, P. Chandana Sree, Bhattaram Siddhartha Kumar, Mounika Nemilete
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Guillaume Mortamet, Mehdi Oualha, Sylvain Renolleau, Christian Moesch, Jean-Marc Treluyer
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Methemoglobinemia resulting from exposure in a confined space: Exothermic self-polymerization of 4,4′-methylene diphenyl diisocyanate (MDI) material
Philip A. Smith, Jeffrey Lodwick, Joe Dartt, Jenny R. Amani, Kathleen M. Fagan
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Case Report

Malignant Fibrous Histiocytoma of the Maxillary Sinus in a Spray Painter from an Automobile Repair Shop: Seok-Hwan Choi, Se-Yeong Kim, Man-Ki Son, Hui-Seok Yang, Sun-Woo Lee, Jung-Il Kim, Kap-Yeol Jung; Ann Occup Environ Med 2013;25:30-30. Published online November 1, 2013; DOI: https://doi.org/10.1186/2052-4374-25-30

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Background

We report a case of a spray painter who developed malignant fibrous histiocytoma (MFH) of the maxillary sinus following long-term exposure to chromium, nickel, and formaldehyde, implying that these agents are probable causal agents of MFH.

Case report

The patient developed right-sided prosopalgia that began twenty months ago. The symptom persisted despite medical treatment. After two months, he was diagnosed with MFH through imaging studies, surgery, and pathological microscopic findings at a university hospital in Seoul. His social, medical, and family history was unremarkable.

The patient had worked for about 18 years at an automobile repair shop as a spray painter. During this period, he had been exposed to various occupational agents, such as hexavalent chromium, nickel, and formaldehyde, without appropriate personal protective equipment. He painted 6 days a week and worked for about 8 hours a day.

Investigation of the patient’s work environment detected hexavalent chromium, chromate, nickel, and formaldehyde.

Conclusions

The study revealed that the patient had been exposed to hexavalent chromium, formaldehyde, and nickel compounds through sanding and spray painting. The association between paranasal cancer and exposure to the aforementioned occupational human carcinogens has been established. We suggest, in this case, the possibility that the paint spraying acted as a causal agent for paranasal cancer.

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Research Article

The Relationship between Waist Circumference and Work-related Injury in Reference to the Fourth Korea National Health and Nutrition Examination Survey: Sung-Kyung Kim, Ji-Min Son, Jae-Young So, Hyocher Kim, Kyungsuk Lee, Sung-Soo Oh, Sang Baek Ko; Ann Occup Environ Med 2013;25:29-29. Published online November 1, 2013; DOI: https://doi.org/10.1186/2052-4374-25-29

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Objective

This study aims to investigate the relationship between waist circumference and work-related injury in reference to the fourth Korea National Health and Nutrition Examination Survey.

Methods

By analyzing data from the fourth Korea National Health and Nutrition Examination Survey conducted from 2007 to 2009, we estimated the rate of injury experience according to socioeconomic status, including occupational property, of 8,261 subjects. We performed logistic regression analysis with work-related injury experience rate as dependent variable and waist circumference as an independent variable, Odds ratios (OR) were calculated, which reflect the likelihood of work-related injury experience rate, and 95% confidence interval (95% CI) while controlling for relevant covariates with stratifying by sex, age, nature of injury, site of injury and occupational group.

Results

Among 797 persons who had injury experience over the past 1 year, 293 persons (36.8%) had work-related injury experience. After adjusting the confounding variables, the work-related injury was related to abnormal waist circumference (OR = 1.35; 95% CI: 1.02 ~ 1.78). In subgroups, ORs were higher in men (OR = 1.42; 95% CI: 1.02 ~ 1.98), professional, manager, and administrator (OR = 2.41; 95% CI: 1.10 ~ 5.28). Higher rate of injuries were noted in back and waist (OR = 2.92; 95% CI: 1.49 ~ 5.73), and transport accident had increased risk (OR = 1.60; 95% CI: 1.13 ~ 2.28).

Conclusions

Work-related injury rate differed depending on the waist circumference. The abdominal obesity was associated with higher risk of work-related injury. This study would be useful in selecting appropriate priorities for work-related injury management in Korea.

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Work–life prevalence of self-reported occupational injuries in mothers of a birth cohort
Joana Amaro, Ana Catarina Queiroga, João Amaro, Ingrid Sivesind Mehlum, Raquel Lucas
International Journal of Occupational Safety and Ergonomics.2022; 28(2): 798. CrossRef

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Research Article

Mothers’ Working Hours and Children’s Obesity: Data from the Korean National Health and Nutrition Examination Survey, 2008–2010: Goeun Lee, Hyoung-Ryoul Kim; Ann Occup Environ Med 2013;25:28-28. Published online October 25, 2013; DOI: https://doi.org/10.1186/2052-4374-25-28

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Objectives

The aim of this study is to find the association between mothers’ working hours and obesity of their children according to children’s age and gender.

Methods

This study used data from the second and third year of KNHANES IV and the first year in KNHANES V (2008–2010). We calculate odds ratio (OR) and 95% confidence interval (CI) by using survey logistic regression to assess association of mother’s working hours with overweight or obesity of her children. The model was adjusted with household income, mothers’ education and obesity and mothers’ job characteristics.

Results

13–18 aged boys whose mothers worked under 40 hours per week were higher risk for obesity and overweight (including obesity) than 13–18 aged boys whose mothers worked 40–48 hours. 6–12 aged girls whose mothers worked 49–60 hours per week were more overweight (including obesity) than girls whose mothers worked 40–48 hours per week. 13–18 aged girls whose mothers worked over 60 hours were more overweight (including obesity) than the reference.

Conclusion

This study showed that girls’ obesity was associated with mothers’ long working hours. Long working hours can influence health of workers’ family.

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Research Article

The Relevance of Hyperuricemia and Metabolic Syndrome and the Effect of Blood Lead Level on Uric Acid Concentration in Steelmaking Workers: Deul Lee, Won-Jun Choi, Jae-Seok Oh, Min-Kee Yi, Sung-Woo Han, Jong-Wan Yun, Sang-Hwan Han; Ann Occup Environ Med 2013;25:27-27. Published online October 25, 2013; DOI: https://doi.org/10.1186/2052-4374-25-27

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Objectives

Uric acid concentration is known to increase the prevalence of metabolic syndrome by affecting its components, resulting in increased risk of cerebrovascular and cardiovascular diseases, and long-term lead exposure is known to affect this serum uric acid level. In this study, we aimed to examine the association between the causes of hyperuricemia and metabolic syndrome, and to determine whether an increased blood lead level affects hyperuricemia.

Method

Anthropometric measurements, surveys, and blood tests were conducted between May and June 2012 in 759 men working in the steelmaking process at a domestic steel company. Workers were divided into 2 groups according to the presence or absence of hyperuricemia, and an analysis was performed to examine its association with metabolic syndrome. In addition, the workers were divided into 3 groups according to the blood lead level to analyze the association between blood lead and hyperuricemia.

Results

The geometric mean (standard deviation) of the blood lead levels in the hyperuricemia group was significantly higher than that of the healthy group (3.8 [1.8] vs. 3.3 [1.8] μg/dL). The adjusted odds ratio for metabolic syndrome of the hyperuricemia group increased significantly to 1.787 (1.125–2.839) compared with the healthy group. In addition, the adjusted odds ratios for the occurrence of hyperuricemia in the tertile 2 (2.61–4.50 μg/dL) and tertile 3 groups (>4.50 μg/dL) according to blood lead level significantly increased to 1.763 (1.116–2.784) and 1.982 (1.254–3.132), respectively, compared with the tertile 1 group (< 2.61 μg/dL).

Conclusion

Hyperuricemia is believed to function as an independent risk factor for metabolic syndrome, while lead seems to increase the serum uric acid level even at a considerably low blood level. Therefore, attention should be given to patients with hyperuricemia and metabolic syndrome who are prone to lead exposure, and a prospective study should be conducted to identify their causal relationship.

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Wonkil Jung, Yunkyung Kim, Hoseob Lihm, Jihun Kang
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Alexey A. Tinkov, Tommaso Filippini, Olga P. Ajsuvakova, Jan Aaseth, Yordanka G. Gluhcheva, Juliana M. Ivanova, Geir Bjørklund, Margarita G. Skalnaya, Eugenia R. Gatiatulina, Elizaveta V. Popova, Olga N. Nemereshina, Marco Vinceti, Anatoly V. Skalny
Science of The Total Environment.2017; 601-602: 741. CrossRef

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Research Article

Effects of health and safety problem recognition on small business facility investment: Jisu Park, Harin Jeong, Sujin Hong, Jong-Tae Park, Dae-Sung Kim, Jongseo Kim, Hae-Joon Kim; Ann Occup Environ Med 2013;25:26-26. Published online October 23, 2013; DOI: https://doi.org/10.1186/2052-4374-25-26

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Objectives

This study involved a survey of the facility investment experiences, which was designed to recognize the importance of health and safety problems, and industrial accident prevention. Ultimately, we hope that small scale industries will create effective industrial accident prevention programs and facility investments.

Methods

An individual survey of businesses’ present physical conditions, recognition of the importance of the health and safety problems, and facility investment experiences for preventing industrial accidents was conducted. The survey involved 1,145 business operators or management workers in small business places with fewer than 50 workers in six industrial complexes.

Results

Regarding the importance of occupational health and safety problems (OHS), 54.1% said it was “very important”. Received technical and financial support, and industrial accidents that occurred during the past three years were recognized as highly important for OHS. In an investigation regarding facility investment experiences for industrial accident prevention, the largest factors were business size, greater numbers of industrial accidents, greater technical and financial support received, and greater recognition of the importance of the OHS. The related variables that decided facility investment for industry accident prevention in a logistic regression analysis were the experiences of business facilities where industrial accidents occurred during the past three years, received technical and financial support, and recognition of the OHS. Those considered very important were shown to be highly significant.

Conclusions

Recognition of health and safety issues was higher when small businesses had experienced industrial accidents or received financial support. The investment in industrial accidents was greater when health and safety issues were recognized as important. Therefore, the goal of small business health and safety projects is to prioritize health and safety issues in terms of business management and recognition of importance. Therefore, currently various support projects are being conducted. However, there are issues regarding the limitations of the target businesses and inadequacies in maintenance and follow-up. Overall, it is necessary to provide various incentives for onsite participation that can lead to increased recognition of health and safety issues and practical investments, while perfecting maintenance and follow up measures by thoroughly revising existing operating systems.

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Khaled A. Hafez
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Michela Bonafede, Marisa Corfiati, Diana Gagliardi, Fabio Boccuni, Matteo Ronchetti, Antonio Valenti, Alessandro Marinaccio, Sergio Iavicoli
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Case Report

A Case of Occupational Asthma in a Plastic Injection Process Worker: Jong Suk Lee, Hyun Seok Kwak, Byung Soon Choi, So Young Park; Ann Occup Environ Med 2013;25:25-25. Published online October 22, 2013; DOI: https://doi.org/10.1186/2052-4374-25-25

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Objectives

We report a case of death due to asthma attack in a plastic injection process worker with a history of asthma.

Methods

To assess task relevance, personal history including occupational history and medical records were reviewed. Samples of the substances utilized in the injection process were collected by visiting the patient’s workplace. The work environment with the actual process was reproduced in the laboratory, and the released substances were evaluated.

Results

The medical records confirmed that the patient’s conventional asthma was in remission. The analysis of the resins discharged from the injection process simulation revealed styrene, which causes occupational asthma, and benzenepropanoic acid, 3,5-bis(1,1-dimethylethyl)-4-hydroxy-, and octadecyl ester. Even though it was not the case in the present study, various harmful substances capable of inducing asthma such as formaldehyde, acrolein, and acetic acid are released during resin processing.

Conclusion

A worker was likely to occur occupational asthma as a result of the exposure to the harmful substances generated during the plastic injection process.

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Mohammed D. Y. Oteef, Mustafa S. Elhassan
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Non‐malignant respiratory disease among workers in the rubber manufacturing industry: A systematic review and meta‐analysis
Nirmala Thapa, Suzanne E. Tomasi, Jean M. Cox‐Ganser, Randall J. Nett
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Randall J. Nett, Jean M. Cox‐Ganser, Ann F. Hubbs, Avima M. Ruder, Kristin J. Cummings, Yuh‐Chin T. Huang, Kathleen Kreiss
American Journal of Industrial Medicine.2017; 60(2): 163. CrossRef
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Research Article

Subclinical interstitial lung damage in workers exposed to indium compounds: Sungyeul Choi, Yong-Lim Won, Dohyung Kim, Gwang-Yong Yi, Jai-Soung Park, Eun-A Kim; Ann Occup Environ Med 2013;25:24-24. Published online October 21, 2013; DOI: https://doi.org/10.1186/2052-4374-25-24

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Objectives

The present study was designed to determine whether there is a relationship between indium compound exposure and interstitial lung damage in workers employed at indium tin oxide manufacturing and reclaiming factories in Korea.

Methods

In 2012, we conducted a study for the prevention of indium induced lung damage in Korea and identified 78 workers who had serum indium or Krebs von den Lungen-6 (KL-6) levels that were higher than the reference values set in Japan (3 μg/L and 500 U/mL, respectively). Thirty-four of the 78 workers underwent chest high-resolution computed tomography (HRCT), and their data were used for statistical analysis.

Results

Geometric means (geometric standard deviations) for serum indium, KL-6, and surfactant protein D (SP-D) were 10.9 (6.65) μg/L, 859.0 (1.85) U/mL, and 179.27 (1.81) ng/mL, respectively. HRCT showed intralobular interstitial thickening in 9 workers. A dose–response trend was statistically significant for blood KL-6 levels. All workers who had indium levels ≥50 μg/L had KL-6 levels that exceeded the reference values. However, dose–response trends for blood SP-D levels, KL-6 levels, SP-D levels, and interstitial changes on the HRCT scans were not significantly different.

Conclusions

Our findings suggest that interstitial lung changes could be present in workers with indium exposure. Further studies are required and health risk information regarding indium exposure should be communicated to workers and employers in industries where indium compounds are used to prevent indium induced lung damage in Korea.

Citations

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Pulmonary effects of exposure to indium and its compounds: cross-sectional survey of exposed workers and experimental findings in rodents
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Particle and Fibre Toxicology.2022;[Epub] CrossRef
Toxicokinetics and systematic responses of differently sized indium tin oxide (ITO) particles in mice via oropharyngeal aspiration exposure
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Environmental Pollution.2021; 290: 117993. CrossRef
Assessment of Occupational Exposure to Indium Dust for Indium-Tin-Oxide Manufacturing Workers
Boo Wook Kim, Wonseok Cha, Sungwon Choi, Jungah Shin, Byung-Soon Choi, Miyeon Kim
Biomolecules.2021; 11(3): 419. CrossRef
Biomonitorization of concentrations of 28 elements in serum and urine among workers exposed to indium compounds
Nan Liu, Yi Guan, Bin Li, Sanqiao Yao, Yi Hu
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The early onset and persistent worsening pulmonary alveolar proteinosis in rats by indium oxide nanoparticles
Sung-Hyun Kim, Soyeon Jeon, Dong-Keun Lee, Seonghan Lee, Jiyoung Jeong, Jong Sung Kim, Wan-Seob Cho
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Effects of indium exposure on respiratory symptoms: a retrospective cohort study in Japanese workers using health checkup data
Toshiharu Mitsuhashi
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Application of the ICRP respiratory tract model to estimate pulmonary retention of industrially sampled indium-containing dusts
Aleksandr B. Stefaniak, M. Abbas Virji, Melissa A. Badding, Kristin J. Cummings
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Respirable indium exposures, plasma indium, and respiratory health among indium‐tin oxide (ITO) workers
Kristin J. Cummings, M. Abbas Virji, Ji Young Park, Marcia L. Stanton, Nicole T. Edwards, Bruce C. Trapnell, Brenna Carey, Aleksandr B. Stefaniak, Kathleen Kreiss
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Indium oxide (In2O3) nanoparticles induce progressive lung injury distinct from lung injuries by copper oxide (CuO) and nickel oxide (NiO) nanoparticles
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Interstitial lung disorders in the indium workers of Korea: An update study for the relationship with biological exposure indices
Sungyeul Choi, Yong Lim Won, Dohyung Kim, Mi‐Young Lee, Yoon jung Choi, Jai‐Soung Park, Hyoung‐Ryoul Kim, Jung Im Jung, Sang‐Gil Lee, Eun‐A Kim
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Tissue distribution of indium after repeated intratracheal instillations of indium‐tin oxide into the lungs of hamsters
Akiyo Tanaka, Miyuki Hirata, Nagisa Matsumura, Yutaka Kiyohara
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Beryllium and other metal-induced lung disease
Annyce Mayer, Nabeel Hamzeh
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Investigating the potential exposure risk to indium compounds of target manufacturing workers through an analysis of biological specimens
Yong Lim Won, Yoon Jung Choi, Sungyeul Choi, Eun-A Kim
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Early Changes in Clinical, Functional, and Laboratory Biomarkers in Workers at Risk of Indium Lung Disease
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Research Article

Factors Associated with Metabolic Syndrome and Related Medical Costs by the Scale of Enterprise in Korea: Hyung-Sik Kong, Kang-Sook Lee, Eun-shil Yim, Seon-Young Lee, Hyun-Young Cho, Bin Na Lee, Jee Young Park; Ann Occup Environ Med 2013;25:23-23. Published online October 21, 2013; DOI: https://doi.org/10.1186/2052-4374-25-23

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Objectives

The purpose of this study was to identify the risk factors of metabolic syndrome (MS) and to analyze the relationship between the risk factors of MS and medical cost of major diseases related to MS in Korean workers, according to the scale of the enterprise.

Methods

Data was obtained from annual physical examinations, health insurance qualification and premiums, and health insurance benefits of 4,094,217 male and female workers who underwent medical examinations provided by the National Health Insurance Corporation in 2009. Logistic regression analyses were used to the identify risk factors of MS and multiple regression was used to find factors associated with medical expenditures due to major diseases related to MS.

Result

The study found that low-income workers were more likely to work in small-scale enterprises. The prevalence rate of MS in males and females, respectively, was 17.2% and 9.4% in small-scale enterprises, 15.9% and 8.9% in medium-scale enterprises, and 15.9% and 5.5% in large-scale enterprises. The risks of MS increased with age, lower income status, and smoking in small-scale enterprise workers. The medical costs increased in workers with old age and past smoking history. There was also a gender difference in the pattern of medical expenditures related to MS.

Conclusions

Health promotion programs to manage metabolic syndrome should be developed to focus on workers who smoke, drink, and do little exercise in small scale enterprises.

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Case Report

A Case of Tracheal Adenoid Cystic Carcinoma in a Worker Exposed to Rubber Fumes: Dohyung Kim, Yang-In Hwang, Sungyeul Choi, Chulyong Park, Naroo Lee, Eun-A Kim; Ann Occup Environ Med 2013;25:22-22. Published online October 17, 2013; DOI: https://doi.org/10.1186/2052-4374-25-22

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Background

Primary tracheal tumors occur infrequently, accounting for less than 0.1% of all tumors. Adenoid cystic carcinoma (ACC) is the second most common type of malignancy of the trachea after squamous cell carcinoma (SCC). Little has been reported on the risk factors for tracheal ACC. The purpose of this study is to describe a case of tracheal ACC in a patient who had been exposed to rubber fumes, and to review the relationship between tracheal ACC and rubber fumes.

Case report

A 48-year-old man who had been experiencing aggravation of dyspnea for several months was diagnosed as having ACC of the trachea on the basis of a pathologic examination of a biopsy specimen obtained via laser microscopy-guided resection. The patient had been exposed to rubber fumes for 10 years at a tire manufacturing factory where he worked until ACC was diagnosed. His job involved preheating and changing rubber molds during the curing process.

Conclusion

ACC of both the trachea and the salivary glands show very similar patterns with regard to histopathology and epidemiology and are therefore assumed to have a common etiology. Rubber manufacturing is an occupational risk factor for the development of salivary gland tumors. Further, rubber fumes have been reported to be mutagenic. The exposure level to rubber fumes during the curing process at the patient’s workplace was estimated to be close to or higher than British Occupational Exposure Limits. Therefore, tracheal ACC in this case might have been influenced by occupational exposure to rubber fumes.

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Research Article

Assessment of Arsenic Exposure by Measurement of Urinary Speciated Inorganic Arsenic Metabolites in Workers in a Semiconductor Manufacturing Plant: Kiwhan Byun, Yong Lim Won, Yang In Hwang, Dong-Hee Koh, Hosub Im, Eun-A Kim; Ann Occup Environ Med 2013;25:21-21. Published online October 11, 2013; DOI: https://doi.org/10.1186/2052-4374-25-21

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Objectives

The purpose of this study was to evaluate the exposure to arsenic in preventive maintenance (PM) engineers in a semiconductor industry by detecting speciated inorganic arsenic metabolites in the urine.

Methods

The exposed group included 8 PM engineers from the clean process area and 13 PM engineers from the ion implantation process area; the non-exposed group consisted of 14 office workers from another company who were not occupationally exposed to arsenic. A spot urine specimen was collected from each participant for the detection and measurement of speciated inorganic arsenic metabolites. Metabolites were separated by high performance liquid chromatography-inductively coupled plasma spectrometry-mass spectrometry.

Results

Urinary arsenic metabolite concentrations were 1.73 g/L, 0.76 g/L, 3.45 g/L, 43.65 g/L, and 51.32 g/L for trivalent arsenic (As³⁺), pentavalent arsenic (As⁵⁺), monomethylarsonic acid (MMA), dimethylarsinic acid (DMA), and total inorganic arsenic metabolites (As³⁺ + As⁵⁺ + MMA + DMA), respectively, in clean process PM engineers. In ion implantation process PM engineers, the concentrations were 1.74 g/L, 0.39 g/L, 3.08 g/L, 23.17 g/L, 28.92 g/L for As³⁺, As⁵⁺, MMA, DMA, and total inorganic arsenic metabolites, respectively. Levels of urinary As³⁺, As⁵⁺, MMA, and total inorganic arsenic metabolites in clean process PM engineers were significantly higher than that in the non-exposed group. Urinary As³⁺ and As⁵⁺ levels in ion implantation process PM engineers were significantly higher than that in non-exposed group.

Conclusion

Levels of urinary arsenic metabolites in PM engineers from the clean process and ion implantation process areas were higher than that in office workers. For a complete assessment of arsenic exposure in the semiconductor industry, further studies are needed.

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Jin-Yong Chung, Hyoun-Ju Lim, Young-Jin Kim, Ki-Hoon Song, Byoung-Gwon Kim, Young-Seoub Hong
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Research Article

The Relationship between Musculoskeletal Symptoms and Work-related Risk Factors in Hotel Workers: Jin Woo Lee, Ju Jong Lee, Hyeon Je Mun, Kyung-Jae Lee, Joo Ja Kim; Ann Occup Environ Med 2013;25:20-20. Published online October 11, 2013; DOI: https://doi.org/10.1186/2052-4374-25-20

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Objectives

To identify work-related musculoskeletal symptoms and any associated work-related risk factors, focusing on structural labor factors among hotel workers.

Methods

A total of 1,016 hotel workers (620 men and 396 women) were analyzed. The questionnaire surveyed participants’ socio-demographics, health-related behaviors, job-related factors, and work-related musculoskeletal symptoms. Work-related musculoskeletal symptoms were assessed using the Nordic musculoskeletal questionnaire. All analyses were stratified by gender, and multiple logistic regression modeling was used to determine associations between work-related musculoskeletal symptoms and work-related risk factors.

Results

The risk of developing work-related musculoskeletal symptoms was 1.9 times higher among male workers in the kitchen department than males in the room department (OR = 1.92, 95% CI = 1.03-3.79), and 2.5 times higher among male workers with lower sleep satisfaction than those with higher sleep satisfaction (OR = 2.52, 95% CI = 1.57-4.04). All of the aforementioned cases demonstrated a statistically significant association with work-related musculoskeletal symptoms. Moreover, the risk of developing work-related musculoskeletal symptoms was 3.3 times higher among female workers aged between 30 and 34 than those aged 24 or younger (OR = 3.32, 95% CI = 1.56-7.04); 0.3 times higher among females in the back office department than those in the room department (OR = 0.34, 95% CI = 0.12-0.91); 1.6 times higher among females on shift schedules than those who were not (OR = 1.60, 95% CI = 1.02-2.59); 1.8 times higher among females who performed more intensive work than those who performed less intensive work (OR = 1.88, 95% CI = 1.17-3.02), and; 2.1 times higher among females with lower sleep satisfaction than those with higher sleep satisfaction (OR = 2.17, 95% CI = 1.34-3.50). All of the aforementioned cases also displayed a statistically significant association with work-related musculoskeletal symptoms.

Conclusion

This study focused on structural risk factors in the working environment, such as the gender-based division of labor, shift work and labor intensity, that demonstrated a statistically significant correlation with the work-related musculoskeletal symptoms of hotel workers. Both men and women reported different prevalence rates of work-related musculoskeletal symptoms among different departments. This could indicate that a gender-based division of labor produces different ergonomic risk factors for each gender group. However, only females displayed a statistically significant correlation between shift work and labor intensity and musculoskeletal symptoms. Thus, minimizing ergonomic risk factors alone does not suffice to effectively prevent musculoskeletal diseases among hotel workers. Instead, work assignments should be based on gender, department, working hours and work intensity should be adjusted to address multi-dimensional musculoskeletal risk factors. In addition, an approach that seeks to minimize shift work is needed to reduce the incidence of musculoskeletal disorders.

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Case Report

A Case of Hypersensitivity Pneumonitis with Giant Cells in a Female Dental Technician: Yong-Hyun Kim, Yun Kyung Chung, Changhwan Kim, Eun suk Nam, Hyun-Jun Kim, Youngsu Joo; Ann Occup Environ Med 2013;25:19-19. Published online October 4, 2013; DOI: https://doi.org/10.1186/2052-4374-25-19

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Objectives

Dental technicians are exposed to methyl methacrylate(MMA) and hard metal dusts while working, and several cases of hypersensitivity pneumonitis caused by the exposure have been reported. The authors experienced a case of hypersensitivity pneumonitis in a female dental technician who had 10 years’ work experience and report the case with clinical evidence.

Method

The patient’s work, personal, social, and past and present medical histories were investigated based on patient questioning and medical records. Furthermore, the workplace conditions and tools and materials the patient worked with were also evaluated. Next, the pathophysiology and risk factors of pneumonitis were studied, and studies on the relationship between hypersensitivity pneumonitis and a dental technician’s exposure to dust were reviewed. Any changes in the clinical course of her disease were noted for evaluation of the work-relatedness of the disease.

Results

The patient complained of cough and sputum for 1 year. In addition, while walking up the stairs, the patient was not able to ascend without resting due to dyspnea. She visited our emergency department due to epistaxis, and secondary hypertension was incidentally suspected. Laboratory tests including serologic, electrolyte, and endocrinologic tests and a simple chest radiograph showed no specific findings, but chest computed tomography revealed a centrilobular ground-glass pattern in both lung fields. A transbronchial biopsy was performed, and bronchoalveolar washing fluid was obtained. Among the findings of the laboratory tests, microcalcification, noncaseating granuloma containing foreign body-type giant cells, and metal particles within macrophages were identified histologically. Based on these results, hypersensitivity pneumonitis was diagnosed. The patient stopped working due to admission, and she completely quit her job within 2 months of restarting work due to reappearance of the symptoms.

Conclusion

In this study, the patient did not have typical radiologic findings, but pathological evaluation of the lung biopsy from the bronchoscope led to the suspicion of pneumonitis. Under the microscope, the sample contained fibrotic changes in the lung, multinucleated giant cells, and particles in macrophages and was diagnosed as dental technician pneumoconiosis by the pathology. Working as a dental technician had directly exposed her to light metal dust and MMA, and her clinical symptoms and radiologic findings subsided after withdrawal from exposure to the workplace. These outcomes led to the diagnosis of hypersensitity pneumonitis due to MMA exposure and strong work-relatedness.

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Case Report

Four Cases of Abnormal Neuropsychological Findings in Children with High Blood Methylmercury Concentrations: Young-Seoub Hong, Dae-Seon Kim, Seung-Do Yu, Seong-Hwan Kim, Jong-Kuk Kim, Yu-Mi Kim, Jae-Ho Yu, Ji-Hyun Jung, Byoung-Gwon Kim; Ann Occup Environ Med 2013;25:18-18. Published online September 24, 2013; DOI: https://doi.org/10.1186/2052-4374-25-18

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Background

Methylmercury (MeHg) easily crosses the blood–brain barrier and accumulates in the brain. Accumulated MeHg will cause neurological symptoms. We report four pediatric cases of neuropsychological findings with high blood MeHg concentrations.

Case presentation

Four children were admitted for follow-up study because their total mercury (THg) concentration in the blood was found to be high during a national survey. Case 1 was a 9-year-old female with a 16.6 μg/ℓ blood THg concentration in the survey. During admission, the blood THg, hair THg, and blood MeHg concentration(mercury indices) were 21.4 μg/ℓ, 7.2 μg/g, and 20.1 μg/ℓ, respectively. In our neuropsychological examination, cognitive impairment and attention deficit were observed. Her diet included fish intake 2–3 times per week, and she had been diagnosed with epilepsy at 3 years of age. Case 2 was a 12-year-old male with blood THg of 15.4 μg/ℓ in the survey and the mercury indices were 12.7 μg/ℓ, 5.7 μg/g, and 11.8 μg/ℓ, respectively, on admission. He was also observed to have attention-deficit/hyperactivity disorder. Case 3 was a 10-year-old male child with blood THg of 17.4 μg/ℓ in the survey, and the mercury indices on admission were 21.6 μg/ℓ, 7.5 μg/g and 21.5 μg/ℓ, respectively. In his case, mild attention deficit was observed. Case 4 was a 9-year-old male with blood THg of 20.6 μg/ℓ in the survey and the mercury indices were 18.9 μg/ℓ, 8.3 μg/g, and 14.4 μg/ℓ, respectively, on admission. Mild attention difficulty was observed.

Conclusion

We suggest that fish consumption may be the main source of MeHg exposure, and that MeHg may have been the cause of the neuropsychological deficits in these cases.

Citations

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Selenium Status: Its Interactions with Dietary Mercury Exposure and Implications in Human Health
Ujang Tinggi, Anthony V. Perkins
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Characteristics, Treatment, and Prognosis of Elemental Mercury Intoxication in Children
Deniz Güven, İmran Özbek
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Oral methylmercury intoxication aggravates cardiovascular risk factors and accelerates atherosclerosis lesion development in ApoE knockout and C57BL/6 mice
Janayne L. Silva, Paola C. L. Leocádio, Jonas M. Reis, Gianne P. Campos, Luciano S. A. Capettini, Giselle Foureaux, Anderson J. Ferreira, Cláudia C. Windmöller, Flávia A. Santos, Reinaldo B. Oriá, Maria E. Crespo-López, Jacqueline I. Alvarez-Leite
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Research Article

Acute Symptoms after a Community Hydrogen Fluoride Spill: Joo-Yong Na, Kuck-Hyun Woo, Seong-Yong Yoon, Seong-Yong Cho, In-Ung Song, Joo-An Kim, Jin-Seok Kim; Ann Occup Environ Med 2013;25:17-17. Published online September 19, 2013; DOI: https://doi.org/10.1186/2052-4374-25-17

Abstract PDF PubReader ePub

Objectives

This study was conducted to describe the demographic characteristics, and clinical signs and symptoms of patients who visited a general hospital because of the release of chemically hazardous hydrogen fluoride that occurred on September 27, 2012 in Gumi City, Korea.

Methods

The medical records at 1 general hospital 9 km from the accident site were reviewed using a standardized survey format. There were 1,890 non-hospitalized and 12 hospitalized patients exposed to hydrogen fluoride between September 27 and October 13 2012.

Results

Among the 12 hospitalized patients, 11 were discharged within 1 week and the other was hospitalized for 10 days. The chief complaints were respiratory symptoms such as hemoptysis and shortness of breath, gastrointestinal symptoms, neurologic symptoms, sore throat, and lip burn.

The number of non-hospitalized patients exhibited a bimodal distribution, peaking on the first and twelfth days after the accident. Their chief complaints were sore throat (24.1%), headache (19.1%), cough (13.1%), and eye irritation (9.2%); some patients were asymptomatic (6.2%). Patients who visited the hospital within 3 days (early patients) of the spill more often had shortness of breath (27.0%) and nausea (6.3%) as the chief complaints than patients who visited after 3 days (late patients) (3.5% and 2.6%, respectively). However, cough and rhinorrhea were more common in the late patients (14.0% and 3.3%, respectively) than in the early patients (5.0% and 0.0%, respectively). Patients who were closer to the accident site more often had shortness of breath and sputum as the chief complaints than patients who were farther away. The mean serum calcium concentration was 9.37 mg/dL (range: 8.4–11.0 mg/dL); none of the patients had a decreased serum calcium level. Among 48 pulmonary function test results, 4 showed decreased lung function. None of the patients had abnormal urine fluoride levels on the eighth day after exposure.

Conclusions

Patients hospitalized due to chemical hazard release of hydrogen fluoride had acute respiratory, gastrointestinal, and neurologic health problems. Non-hospitalized patients have acute symptoms mainly related to upper respiratory irritation.

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Lessons learned from reviewing a hospital’s disaster response to the hydrofluoric acid leak in Gumi city in 2012
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Case Report

Two Cases of Lung Cancer in Foundry Workers: Inchul Jeong, Innshil Ryu, Boowook Kim, Inhyo Park, Jong-Uk Won, Eun-A Kim, Inah Kim, Jaehoon Roh; Ann Occup Environ Med 2013;25:16-16. Published online September 16, 2013; DOI: https://doi.org/10.1186/2052-4374-25-16

Abstract PDF PubReader ePub: Background
Iron and steel foundry workers are exposed to various toxic and carcinogenic substances including crystalline silica, polycyclic aromatic hydrocarbons, and arsenic. Studies have been conducted on lung cancer in iron and steel founding workers and the concentration of crystalline silica in foundries; however, the concentration of crystalline silica and cases of lung cancer in a single foundry has never been reported in Korea. Therefore, the authors report two cases of lung cancer and concentration of crystalline silica by the X-ray diffraction method.
Case presentation
A 55-year-old blasting and grinding worker who worked in a foundry for 33 years was diagnosed with lung cancer. Another 64-year-old forklift driver who worked in foundries for 39 years was also diagnosed with lung cancer. Shot blast operatives were exposed to the highest level of respirable quartz (0.412 mg/m³), and a forklift driver was exposed to 0.223 mg/m³.
Conclusions
The lung cancer of the two workers is very likely due to occupationally related exposure given their occupational history, the level of exposure to crystalline silica, and epidemiologic evidence. Further studies on the concentration of crystalline silica in foundries and techniques to reduce the crystalline silica concentration are required.

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Research Article

Association between work-related health problems and job insecurity in permanent and temporary employees: Won-Wook Lee, Jae-Bum Park, Kyoung-Bok Min, Kyung-Jong Lee, Min-Su Kim; Ann Occup Environ Med 2013;25:15-15. Published online September 11, 2013; DOI: https://doi.org/10.1186/2052-4374-25-15

Abstract PDF PubReader ePub

Objectives

This research was conducted with an aim of determining the correlation between job insecurity and an employee’s work-related health problems among permanent and temporary workers.

Methods

Using the data from the First Korean Working Conditions Survey conducted in 2006, a total of 7,071 workers, excluding employers and the self-employed, were analyzed. Work-related health problems were categorized as backache, headache, abdominal pain, muscular pain, stress, fatigue, insomnia, anxiety or depression. Each problem was then analyzed for its relationship to job insecurity through logistic regression analysis.

Results

Among the 7,071 workers, 5,294 (74.9%) were permanent workers and 1,777 (25.1%) were temporary workers. For the permanent workers, presence of high or moderate job insecurity appeared more closely linked to backache, headache, abdominal pain, muscular pain, stress, fatigue, insomnia, anxiety, and depression compared to absence of job insecurity. However, for the temporary workers, only depression appeared to be associated with the presence of high job insecurity.

Conclusion

The study showed that the presence of job insecurity is correlated with work-related health problems. The deleterious effects of job insecurity appeared to be stronger in permanent than temporary workers. Additional research should investigate ways to effectively reduce job insecurity.

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Review

Historical review of the List of Occupational Diseases recommended by the International Labour organization (ILO): Eun-A Kim, Seong-Kyu Kang; Ann Occup Environ Med 2013;25:14-14. Published online August 5, 2013; DOI: https://doi.org/10.1186/2052-4374-25-14

Abstract PDF PubReader ePub

The list of occupational diseases established in the international and national legal system has played important roles in both prevention of and compensation for workers’ diseases. This report reviewed the historical development in the ILO list of occupational diseases and suggested implications of the trends. Since the first establishment of the ILO list of occupational diseases in 1925, the list has played a key role in harmonizing the development of policies on occupational diseases at the international level. The three occupational diseases (anthrax, lead poisoning, and mercury poisoning) in the first ILO list of occupational diseases, set up in 1925 as workmen’s compensation convention represented an increase of occupational diseases from the Industrial Revolution. Until the 1960s, 10 occupational diseases had been representative compensable occupational diseases listed in Convention No. 121, which implies that occupational diseases in this era were equated to industrial poisoning. Since 1980, with advancements in diagnostic techniques and medical science, noise-induced hearing loss, and several bronchopulmonary diseases have been incorporated into the ILO occupational list. Since 2002, changes in the structure of industries, emerging new chemicals, and advanced national worker’s compensation schemes have provoked the ILO to revise the occupational disease list. A new format of ILO list appended in Recommendation 194 (R194) was composed of two dimensions (causes and diseases) and subcategories. Among 50 member states that had provided their national lists of occupational diseases, until 2012 thirty countries were found to have the list occupational diseases having similar structure to ILO list in R194.

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Han-Soo Song, Hyun-chul Ryou
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Research Article

Prevalence of the Metabolic Syndrome among Korean Workers by Occupational Group: Fifth Korean National Health and Nutrition Examination Survey (KNHANES) 2010: Ji Young Ryu, Sukwoo Hong, Chang-Hyo Kim, Sangyoon Lee, Jeong-Ho Kim, Jong-Tae Lee, Dae Hwan Kim; Ann Occup Environ Med 2013;25:13-13. Published online August 5, 2013; DOI: https://doi.org/10.1186/2052-4374-25-13

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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.

Methods

From 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.

Results

Among 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).

Conclusion

Our 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.

Citations

Citations to this article as recorded by

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