Annals of Occupational and Environmental Medicine

Volume 18 (1); March 2006

Case Report

A Case of Exercise-induced Rhabdomyolysis with Hepatitis: Seong Ah Kim, Sang Je Jung, Chae Yong Lee, Bong Goo Ha, Ki Soo Park; Korean Journal of Occupational and Environmental Medicine 2006;18(1):67-72. Published online March 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.1.67

BACKGROUND
Rhabdomyolysis is a relatively rare disease caused by various factors and is characterized by skeletal muscle damage. While crush injury is the most common cause in Korea as well as other countries, overexertion is an important common cause among young men in daily life. Although exercise-induced rhabdomyolysis is already well published among athletes or military persons, there have been few reports in workers.
CASE
REPORT: We observed a 28-year-old male worker who had elevated liver transaminases during a periodic workers' health checkup. Although he did not exhibit the typical pattern of toxic hepatitis, we had to exclude any possibility of dimethylacetamide-induced hepatitis (DIH) because he had worked in a spandex-producing factory, which already had a history of many DIH cases over several years. We performed careful history taking, several laboratory tests, liver ultrasonography and liver biopsy. We also investigated the results of biological monitoring and air concentrations of dimethylacetamide. The findings from these examinations supported the clinical diagnosis of exercise-induced rhabdomyolysis with hepatitis.
CONCLUSION
This case demonstrates that exercise can induce rhabdomyolysis and hepatitis. This disease must be treated by prompt and appropriate management because it might develop more serious complications such as acute renal failure.

Citations

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Exercise-induced rhabdomyolysis mechanisms and prevention: A literature review
Jooyoung Kim, Joohyung Lee, Sojung Kim, Ho Young Ryu, Kwang Suk Cha, Dong Jun Sung
Journal of Sport and Health Science.2016; 5(3): 324. CrossRef
Literature review of effect of work pattern (day shift and night shift) on worker's health
Ki-Youn Kim, Man-Su Cho, Won-Mo Gal
Journal of the Korea Safety Management and Science.2013; 15(2): 1. CrossRef

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Original Articles

Relationship of Burdened Work and Musculoskeletal Symptoms in Small-to-medium-sized Enterprises.: Sin Goo Park, Hong Jae Chae, Joo Youn Shin, Dal Young Jung, Yong Kyu Kim, Tae Jin Jung, Jong Han Leem, Hawn Cheol Kim, Yeui Cheol Lee; Korean Journal of Occupational and Environmental Medicine 2006;18(1):59-66. Published online March 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.1.59

Abstract PDF

OBJECTIVE: This study was performed to evaluate relationship of burdened work and musculoskeletal symptoms in small-to-medium sized enterprises.
METHOD
After a questionnaire survey was administered to 9,950 workers in 122 workplace, 7,626 workers(76.6%) were finally selected for the study analysis. Industrial hygienists visited 122 small-to-medium sized enterprises to investigate the presence of burdened works within the workplace. The selection of jobs with significant burden was based on the Ministry of Labor's recent notification in 11 types of job description associated with musculoskeletal disorders. The subjects of this study were then divided into three categories. 1) non-burdened white collar workers, 2) non-burdened blue collar workers, and 3) burdened workers (include some VDT workers). Multiple logistic regression was used to evaluate the relationship between burdened work and musculoskeletal symptoms.
RESULTS
The burdened workers reported significantly more musculoskeletal symptoms than non-burdened white collar workers and non-burdened blue collar workers(OR:1.57, 95% CI: 1.314-1.875). There was no significant difference in reports of musculoskeletal symptoms between non-burdened white and blue collar workers.
CONCLUSION
To prevent or diminish musculoskeletal disorders in small-to-medium sized enterprises, we need to better manage burdened works.

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Gender Differences in Factors Affecting Musculoskeletal Diseases among the Korean Workers
RahIl Hwang, Kyung Ha Kim, Min Hyun Suk, Sung Won Jung
Journal of muscle and joint health.2014; 21(1): 65. CrossRef
Analysis of the Factors Regarding Work-related Musculoskeletal Disease by Company Size
Sung Won Jung, Kyung Ha Kim, Min Hyun Suk, Rah Il Hwang
Journal of Korean Public Health Nursing.2014; 28(3): 522. CrossRef
Changes in job stress, self-efficacy, depression and health-related quality of life according to the degree of musculoskeletal symptoms for white-collar workers
Dae-Sik Ko, Dong-Jin Lee, Tae-Sung Ko
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(6): 2935. CrossRef
The Trends and Status of Work-related Musculoskeletal Diseases under Korean Worker's Compensation System
Kyung Ha Kim, Rah Il Hwang, Min Hyun Suk
Korean Journal of Occupational Health Nursing.2013; 22(2): 102. CrossRef
Health Status and Affecting Factors related to Job among Korean Women Employees
Eun-Young Hong, Sang-Dol Kim
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(9): 4107. CrossRef

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Epidemiologic Characteristics of Occupational Lung Cancer in the Busan area: Jung Il Kim, Jin Ha Kim, Dongmug Kang, Jung Won Kim, Jong Eun Kim, Jin Hong Ahn, Chang Hoon Lee, Hyun Jae Lee, Jin Uk Kang, Jin Kun Son, Jin Kon Sul, Young Ki Kim, Kap Yeol Jung, Joon Youn Kim; Korean Journal of Occupational and Environmental Medicine 2006;18(1):53-58. Published online March 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.1.53

Abstract PDF

OBJECTIVES
The objectives of this study were to estimate the proportion of occupational lung cancer in the Busan area.
METHODS
Occupational physicians of four university hospitals operating an occupational disease surveillance system in the Busan area actively interviewed all of the newly diagnosed, lung cancer cases about their characteristics and occupational histories through a survey questionnaire and chart review. To evaluate and agree on the work-relativity, the cases were presented in periodic meetings.
RESULTS
A total of 301 lung cancer cases were interviewed, of which 50 (16.6%, all male, 27 probable and 23 possible) were related to occupational exposure. The exposure materials were asbestos, Cr, PAH etc. Pathologic findings included squamous cell carcinoma, adenocarcinoma and small cell carcinoma.
CONCLUSIONS
The proportion of occupational lung cancer cases above the probable level was 9% and above the possible level was 17%. To develop the public health policy and to prevent further cancer death, the meaningful data from occupational cancer surveillance systems should be collected continuously for ongoing monitoring.

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Overview of occupational cancer in painters in Korea
Jun-Pyo Myong, Younmo Cho, Min Choi, Hyoung-Ryoul Kim
Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef
Decision Tree of Occupational Lung Cancer Using Classification and Regression Analysis
Tae-Woo Kim, Dong-Hee Koh, Chung-Yill Park
Safety and Health at Work.2010; 1(2): 140. CrossRef

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Epidemiologic Characteristics Revealed with a Malignant Mesothelioma Surveillance System in Korea: Soon Hee Jung, Hyoung Ryoul Kim, Sang Baek Koh, Suk Joong Yong, Byong Soon Choi, Yeon Soon Ahn, Tae In Park, Myoung Ja Chung, Yun Mee Kim, Ji Sun Song, Yoon Kyong Chung, Joon Pyo Myung; Korean Journal of Occupational and Environmental Medicine 2006;18(1):46-52. Published online March 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.1.46

Abstract PDF

OBJECTIVES
This study estimated the magnitude of malignant mesothelioma and its epidemiologic features in Korea. We collected data on 160 cases for the 5-year period from 2001 to 2005.
METHODS
We established a surveillance system for malignant mesothelioma in 2001. The important participants were pathologists, and respiratory and occupational physicians. We reclassified these cases according to the date of diagnosis and calculated fatality by comparing National Mortality Data. We actively surveyed 18 cases which were diagnosed in 2004 and 2005 to evaluate their work-relatedness.
RESULTS
Among 160 cases, 18 were initially diagnosed before 1995, 57 from 1996 to 2000, 11 in 2001, 18 in 2002, 11 in 2003, 29 in 2004 and 16 in 2005. After 2001, 17cases were reported annually. Among the 86 cases which were diagnosed before 2003, 60 cases (69.8%) had died and 46(53.5%) had died within 1 year. Among the 18 cases which we surveyed, 5 were related with the construction industry, 2 with asbestos textile manufacturing industries and 1 with asbestos painting. There was no evident work relatedness in the other 10 cases, but 6 were related to environmental exposure.
CONCLUSIONS
Although this surveillance system revealed the magnitude of malignant mesothelioma in Korea, it needs to be supplemented by an active surveillance system using death certificate data and cancer registry data etc.

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Yuan-Long Zhang, Hwi-Seok Byeon, Won-Hwa Hong, Gi-Wook Cha, Yoon-Ha Lee, Young-Chan Kim
Journal of Hazardous Materials.2021; 410: 124645. CrossRef
Comparison on the Releasing Characteristics of Asbestos Fiber from Plant Slate Roof and House Slate Roof
Jae-won Jeong, Eun-chul Yoo, Sang-Jonn Lee, Geun-Tae Park
Journal of Environmental Science International.2015; 24(7): 927. CrossRef
Occupational Cancers with Chemical Exposure and their Prevention in Korea: A Literature Review
Kyung-Taek Rim
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Health Risk Assessment and Evaluation of Asbestos Release from Asbestos-cement Slate Roofing Buildings in Busan
Jae-Won Jeong, Sunja Cho, Geun-Tae Park, Sang-Joon Lee
Journal of Environmental Science International.2013; 22(12): 1579. CrossRef
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Soon‐Hee Jung, Hyoung‐Ryoul Kim, Sang‐Baek Koh, Suk‐Joong Yong, Myoung Ja Chung, Chang‐Hun Lee, Joungho Han, Min‐Seob Eom, Sung‐Soo Oh
American Journal of Industrial Medicine.2012; 55(10): 869. CrossRef
Occupational Diseases in Korea
Seong-Kyu Kang, Eun A Kim
Journal of Korean Medical Science.2010; 25(Suppl): S4. CrossRef
Occupational Respiratory Cancer in Korea
Hye-Eun Lee, Hyoung Ryoul Kim
Journal of Korean Medical Science.2010; 25(Suppl): S94. CrossRef
Overview of Asbestos Issues in Korea
Hyoung Ryoul Kim
Journal of Korean Medical Science.2009; 24(3): 363. CrossRef
Epidemiologic Characteristics of Malignant Mesothelioma in Korea
Hyoung Ryoul Kim, Yeon-Soon Ahn, Soon-Hee Jung
Journal of the Korean Medical Association.2009; 52(5): 449. CrossRef

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The Metabolic Syndrome and Associated Risk Factors Among Male Workers in an Electronics Manufacturing Company: Eun Sook Choi; Korean Journal of Occupational and Environmental Medicine 2006;18(1):35-45. Published online March 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.1.35

Abstract PDF

OBJECTIVE: This study evaluated the determinants of the metabolic syndrome.
METHODS
Data were collected through structured questionnaire survey and health examination from 201 male workers aged 30~51 years in an electronics manufacturing company during September 2004. The metabolic syndrome and abdominal obesity were assessed according to the NCEP-ATP III definition and the Asia-Pacific guidelines (waist circumference > 90 cm for men). Age adjusted odds ratios and 95% confidence intervals for the metabolic syndrome were computed using logistic regression.
RESULTS
The unadjusted prevalence of the metabolic syndrome was 10.5% in male workers. Seventy three workers(35.4%) had 2 or more metabolic risk factors. The prevalence of the metabolic syndrome components was 48.3% for high triglyceride, 40.3% for abdominal obesity, 30.3% for high blood pressure, 8.0% for low HDL-cholesterol, and 2.5% for high blood sugar. The age adjusted odds ratio for the metabolic syndrome was significantly increased in the study population having physical inactivity (unit, 100 kcal/day; OR, 1.142; 95% CI, 1.014~1.286).
CONCLUSION
Weight reduction and physical exercise may decrease the prevalence of the metabolic syndrome among male workers.

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The Relationship between Job Stress and Psychosocial Stress among Nurses at a University Hospital: Hwan Cheol Kim, Keun Sang Kwon, Dai Ha Koh, Jong Han Leem, Sin Goo Park, Joo Youn Shin, Yeui Cheol Lee, Yong Kyu Kim; Korean Journal of Occupational and Environmental Medicine 2006;18(1):25-34. Published online March 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.1.25

Abstract PDF

OBJECTIVES
This cross-sectional study investigated the relationship between job stress and psychosocial stress among nurses at a university hospital in Incheon, Korea.
METHODS
A questionnaire survey was administered to 476 nurses, of which 320 (67.2%) questionnaires were returned and 299 (62.8%) were regarded as containing reliable data for analyses. A structured self-reported questionnaire was used to assess each respondent's sociodemographics, sleep quality, physical burden, job stress and psychosocial stress. Seven domains of occupational stress (e.g., Job demand, Insufficient job control, Interpersonal conflict, Job insecurity, Lack of reward, Organizational system and Occupational climates) according to the Korean Occupational Stress Scale (KOSS) were used and psychosocial stress was measured using Dr. Chang's PWI-SF (Psychosocial Well-being Index-Short Form). We estimated the relation of job stress to psychosocial stress using univariate and logistic regression analyses.
RESULTS
The logistic regression analyses indicated that the groups with high stress in 'Insufficient job control' (OR=2.67, 95% C.I.=1.37-5.23), 'Interpersonal conflict' (OR=2.32, 95% C.I.=1.19-4.51), 'Job insecurity' (OR=2.51, 95% C.I.=1.17-5.36), 'Organizational system' (OR=2.80, 95% C.I.=1.39-5.63), and 'Lack of reward' (OR=2.98, 95% C.I.=1.55-5.74) were more likely to experience high psychosocial stress.
CONCLUSIONS
Our results tend to suggest that job stress is associated with psychosocial stress. The importance of job stress should be acknowledged and stress management programs need to be instigated to minimize the psychosocial stress caused by job stress.

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Effectiveness of Tailored Health Promotion Program for Reducing Cardiovascular Risk Factors in Subway Workers: Seon Young Lee, Kang Sook Lee, Jung Wan Koo, Hyun Woo Yim, Hyoung Ryoul Kim, Chung Yill Park, Sook Kyung Choi; Korean Journal of Occupational and Environmental Medicine 2006;18(1):15-24. Published online March 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.1.15

Abstract PDF

OBJECTIVES
This study explores the effects of a tailored health promotion program, in order to reduce cardiovascular risk, in areas which include hypertension, dyslipidemia, abnormal blood glucose and body mass index.
METHODS
In this paper, health risk appraisal relating to lifestyle was surveyed and physical fitness, blood pressure and blood lipid profile and glucose were checked. Then, a 12 week tailored health promotion program with 40 subway workers of Seoul was conducted. The Tailored health promotion program included a smoking cessation program, drinking restriction, diet, exercise prescription and a stress management program.
RESULTS
The number of subjects engaging in regular exercise increased from 42.5% to 100%, and the number of smokers reduced from 72.5% to 60%, and 12.5% of contemplate stage was shift to action stage. The mean level of drinking per day, significantly decreased from 34.9 g to 24.2. The body mass index, systolic blood pressure, total cholesterol, triglyceride, and Fasting blood glucose significantly decreased after the intervention program. In addition the tailored health promotion program resulted in a significant reduction in two factors for the cardiovascular high risk group, hypertension above 140 mmHg in systolic blood pressure and dyslipidemia above 200 mg/dl in triglyceride.
CONCLUSION
In this paper, it is demonstrated that the tailored health promotion program,, including the smoking cessation program, drinking restriction, diet, exercise prescription and stress management program, resulted in effective reduction in cardiovascular risk factor. Therefore associated workplace tailored health promotion programs relating to specific individual risk factor, should be developed and implemented.

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Kieun Moon, Ill Keun Park, Yeon Sang Jo, Yun Kyun Chang, Yun Mi Paek, Tae In Choi
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The Effects of a Worksite On-line Health Education Program on Metabolic Syndrome Risk Factors and Nutrient Intakes of Male Workers
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Effect Assessment of Worksite-based, Post-examination, Health Care Management System: Kang Jin Lee, Young Hee Choi, Cha Jae Oh, Hoo Rak Lee, Hyoung June Im, Moon Young Hwang, Byung Mann Cho, Ji Ho Lee; Korean Journal of Occupational and Environmental Medicine 2006;18(1):1-14. Published online March 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.1.1

Abstract PDF

OBJECTIVES
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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Seong-Yong Yoon, Kuck-Hyeun Woo, Hwa-Sung Kim, Yong-Bae Kim, Jin-Seok Kim, Seong-Yong Jo, Sung-Soo Lee
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