Annals of Occupational and Environmental Medicine

Volume 19 (1); March 2007

Case Report

A Case of Peripheral Polyneuropathy Induced by Occupational 2,5-hexanedione Exposure: Seong Yong Cho, Yong Seok Jang, Eun Kyung Choi, Jin Seok Kim, Jay Young Yu, Kuck Hyun Woo, Tae Seong Choi; Korean Journal of Occupational and Environmental Medicine 2007;19(1):73-80. Published online March 31, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.1.73

OBJECTIVES
This study is a case report of 2,5-hexanedione induced occupational peripheral polyneuropathy. We also investigated the peripheral nerve function of all workers who had been exposed to 2,5-hexanedione in the same process.
METHODS
In June, 2006, a 2,5-hexanedione exposed worker complained of both hand numbness. He received neurologic, radiologic, laboratorial and electrophysiologic evaluation, including measurements of workplace environment. Five months after cessation of exposure to 2,5-hexanedione, a follow-up electrophysiologic examination was done. We evaluated the peripheral nerve function of 2,5-hexanedione exposed workers by comparing 13 male 2,5-hexanedione exposed workers who were in same company with the patient and 5 male workers who had not been exposed to 2,5-hexanedione.
RESULTS
Under electrophysiologic examination, there were abnormalities in sensory and motor nerve velocity, terminal latency, and F-latency of both median nerve and ulnar nerve. After 5 months, the patient symptoms and the results of follow-up electrophysiologic examinations were improved. Comparing the 2,5-hexanedione exposed group with the unexposed group, the sensory nerve velocity of the median and ulnar nerves in the exposed group was decreased. The motor nerve velocity of the peroneal nerve, and sensory nerve velocity of the median and sural nerves were decreased. Terminal latency of median, ulnar, peroneal, and tibial nerves in the exposed group were increased compared with the unexposed group(<0.05).
CONCLUSIONS
2.5-hexandione can induce peripheral polyneuropathy in male workers.

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Occupational Neurological Disorders in Korea
Eun-A Kim, Seong-Kyu Kang
Journal of Korean Medical Science.2010; 25(Suppl): S26. CrossRef
The Association of Subjective Symptoms of Students and Indoor Air Quality in Private Academic Facilities
Kyung-Sick Jung, Nam-Soo Kim, Jong-Dae Lee, Young HwangBo, Bu-Soon Son, Byung-Kook Lee
Korean Journal of Environmental Health Sciences.2009; 35(6): 468. CrossRef
School Indoor Air Quality and Health Effects
Won-Ho Yang
Korean Journal of Environmental Health Sciences.2009; 35(3): 143. CrossRef

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Original Articles

The Effects of Indoor Air Quality on the Neurobehavioral Performance of Elementary School Children: Dae Seop Kim, Sun Ju Kim, Si Young Park, Man Joong Jeon, Gyu Tae Kim, Chang Yoon Kim, Jong Hak Chung, Sung Ok Baek, Joon Sakong; Korean Journal of Occupational and Environmental Medicine 2007;19(1):65-72. Published online March 31, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.1.65

Abstract PDF

OBJECTIVES
Most studies on the indoor air quality of newly built schools have focused only on the number of schools exceeding a standard or on subjective symptoms, such as sneezing, irritated eyes and an irritated nose. However, there has been no report on how poor indoor air quality affects children's academic performance. This study evaluated the effects of indoor air quality on the neurobehavioral performance of elementary school children.
METHODS
This study measured the indoor air pollutants and compared children's performance, using a computerized neurobehavioral test, between a newly built and a 12-year-old school. In addition, a questionnaire was administered regarding the indoor air quality related symptoms of children in a newly built and a 12-year-old school.
RESULTS
In the newly built school, the formaldehyde levels in the 1st and 4th classes with an open window were 34.6 and 27.3 microgram/m3, respectively. The levels in the 1st and 4th classes with the window closed were 80.2 and 127.1 microgram/m3, respectively. In the 12-year-old school, the formaldehyde levels in 1st and 4th class with open and closed window were 12.6 and 7.5 microgram/m3, and 19.8 and 25.2 microgram/m3, respectively. With respect to total volatile organic compounds, the levels in the 1st and 4th classes with the window open in the newly built school were 87.2 and 428.2 microgram/m3, respectively. In the 1st and 4th classes with the window closed, the total volatile organic compounds were 1,283.5 and 1,715.4 microgram/m3, respectively. In the 12-year-old school, the total volatile organic compounds were 240.9 and 150.8 microgram/m3, and 371.9 and 448.0 microgram/m3 in the 1st and 4th classes, respectively. In the case of a newly built school, the performance of the students in the neurobehavioral test in the 4th class with the window closed was 8.3% lower than for those in the 1st class with the window closed, but was only 5.9% lower when the windows were open. There was a statistical significant difference in the total numbers of symptoms between the two schools.
CONCLUSIONS
These results suggest a proper evaluation of the indoor air quality within schools is required into both the level of contamination and the health effects of these contaminants toward children.

Citations

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Performance assessment on the Korean Computerized Neurobehavioral Test using a mobile device and a conventional computer: an experimental study
Young Seok Byun, Sung Kyu Park, Joon Sakong, Man Joong Jeon
Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef
Occupational Neurologic Disorders in Korea
Yangho Kim, Kyoung Sook Jeong, Yong-Hun Yun, Myoung-Soon Oh
Journal of Clinical Neurology.2010; 6(2): 64. CrossRef

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Factors Affecting the Health Promotion Activities of Workers: Eun Kyoung Kim, Byoung Gwon Kim, Jong Tae Park, Hyoung Ryoul Kim, Jung Wan Koo; Korean Journal of Occupational and Environmental Medicine 2007;19(1):56-64. Published online March 31, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.1.56

Abstract PDF

OBJECTIVE: The aim of this paper was to develop efficient and practical health promotion strategies in the workplace by investigating both the present status of health promotion and the barriers to its practice.
METHODS
A questionnaire was administered to 20% of industrial workers in the workplaces which receives the health care agency enterprise or are supported by a grant from the national treasury, K University Hospital in Gyeong-Gi province, and C University Hospital in Seoul.
RESULTS
According to the questionnaire survey, 51.3% workers were practicing health promotion activities and smoking cessation was the most common method among them. Regarding the factors that prompt workers to commence health promotion activities, TV or the mass media had a 33.4% effect, followed by a 22.1% effect for an abnormal finding at regular health screening. The most necessary health promotion activity in the workplace was exercise (41.9%), followed by stress management. When asked about their expectations of the health promotion program, 84.8% of the respondents answered that they expected it to be significantly or somewhat effective. Factors affecting the health promotion activities of workers were worker's health status and job control.
CONCLUSIONS
This study demonstrated that workers evaluate health promotion activities positively and that some workers are unable to participate in these activities despite their willingness to do so due to the barrier of circumstances. To encourage worker's participation, the government and employers should remove barriers.

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Hyunju Park, Hye-Sun Jung
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Stress and Presenteeism in Workers of Small and Medium Enterprises: Moon Hee Jung, Young Mi Lee, Mikako Arakida; Korean Journal of Occupational and Environmental Medicine 2007;19(1):47-55. Published online March 31, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.1.47

Abstract PDF

OBJECTIVES
The study objective was to develop an understanding of the relationship between the stress and presenteeism of workers.
METHODS
The study subjects were workers who were receiving Group Occupational Health Services in Seoul and Gyeonggi-do. For the survey, a structured self-report questionnaire was administered from February 1 to March 30, 2006. Data were collected from 354 employees and analyzed on SPSS 12.0 and AMOS 5.0 program.
RESULTS
For present health problems, gastrointestinal problems were ranked highest at 44.9% followed by muskuloskelectal problems, and mental and nervous problems with over 30%. However, compared to the current health condition, the rate of medical cure for the subjects' health problems was very low. Job and psychosocial stresses exerted a significant effect on the health problems, which in turn exerted a significant effect on the work impairment. In other words, stress exerted a significant effect on presenteeism.
CONCLUSIONS
Job and psychosocial stresses are the variables which influence presenteeism. Thus, Job and psycosocial stresses need to be controled to prevent the decline of presenteeism.

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Svetlana Lakiša, Linda Matisāne, Inese Gobiņa, Hans Orru, Ivars Vanadziņš
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Tianan Yang, Mingxu Ma, Yina Guo, Yaxin Li, Huilin Tian, Yuanling Liu, Qian Chen, Shiyang Zhang, Jianwei Deng
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Analysis of Worker's Compensation Claims for the Cerebrovascular and Cardiovascular Diseases: Jae Hong Ryoo, Eun Hee Ha, Soo Geun Kim, Jeong Youn Kim, Yong Kyu Kim, Eui Cheol Lee, Cheol Ho Yi, Jun Seok Son; Korean Journal of Occupational and Environmental Medicine 2007;19(1):38-46. Published online March 31, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.1.38

Abstract PDF

OBJECTIVES
This study was performed to provide fundamental data to judge whether or not cerebro and cardiovascular diseases are work-related, by comparing the characteristics between approved and non-approved cases among the worker's compensation claims.
METHODS
We collected 12,309 cerebro and cardiovascular disease claims based on the worker's compensation records of the Labor Welfare Corporation from 2000 to 2004. The approved and non-approved cases were analyzed according to factors such as the calendar year, industry, company size, occupation, gender, age group, classification of cerebro and cardiovascular diseases, fatality and underlying diseases. We used x2-test and multivariate logistic regression for the analysis.
RESULTS
According to multivariate logistic regression, electricity gas and water supply (OR=4.18, 95% CI=1.43~12.17), construction (OR=2.39, 95% CI=1.22~4.69) and manufacturing (OR=2.10, 95% CI=1.08~4.07) industries had a higher approval rate than mining and quarrying industries. Service workers and sales & marketing department workers (OR=1.90, 95% CI=1.47~2.47), professionals (OR=1.83, 95% CI=1.50~2.23), technicians and associate professionals (OR=1.63, 95% CI=1.35~1.97) and legislators and senior officials and managers (OR=1.62, 95% CI=1.24~2.12) had a higher approval rate than plant and machine operators and assemblers. Female workers had a higher approval rate (OR=1.31, 95% CI=1.13~1.53) than male workers. Cerebrovascular diseases had a higher approval rate (OR=2.75, 95% CI=2.42~3.13) than cardiovascular diseases. Fatal cases had a higher approval rate (OR=6.01, 95% CI=4.89~7.38) than surviving cases.
CONCLUSION
For cerebro and cardiovascular diseases, workers' compensation claims are increasing, approval rates are relatively high and factors such as industry, company size, occupation, gender and fatality are related. A remarkable difference in the approval rate was found according to industry and occupation, suggesting the need for further study to identify which factors influence the approval rate. The approval rate for intracerebral hemorrhage arising in the course of employment (COE) was significantly higher than that arising out of employment (AOE), suggesting the need to correct the approval criteria.

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Psychosocial Distress and Its Related Factors among Clerical Public Officers: Kwang Hee Cho, Dong Bae Lee, Young Chae Cho; Korean Journal of Occupational and Environmental Medicine 2007;19(1):26-37. Published online March 31, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.1.26

Abstract PDF

OBJECTIVES
This study was performed to determine the levels of psychosocial distress among clerical public officers to reveal the various related factors.
METHODS
A self-administered questionnaires was administered between Dec. 5th, 2005 and Jan. 31st, 2006, to 1,005 individuals in the service of general administration located in Daejeon City. The survey items included the subjects'socio-demographic and job-related characteristics, health-related behavior, degree of job demand, job autonomy, social support in work, type A behavior pattern, locus of control, sense of self-esteem, and psychosocial distress.
RESULTS
The results showed that 24.8% of subjects were categorized as high risk stress, 64.9% as latent stress, and 10.3% as normal. The level of psychosocial distress was influenced by various sociodemographic characteristics, such as personality traits (type A behavior pattern, locus of control, selfesteem) and whether performing health-related behavior or not, as well as according to job-related characteristics such as rank in work, job career, job specifications, job demand, job autonomy, social support in work.
CONCLUSIONS
The effective strategy for stress reduction among governmental employees requires additional programs focusing on innovated job specifications and managed personality traits.

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The Risk Factors of Metabolic Syndrome and its Relation with gamma-GTP in Steel-mill Workers: Je Hyeok Mun, Sang Jun Lee, Jung Duck Park; Korean Journal of Occupational and Environmental Medicine 2007;19(1):17-25. Published online March 31, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.1.17

Abstract PDF

OBJECTIVES
This study was performed to estimate the prevalence and possible risk factors of the metabolic syndrome in steel-mill workers, and to evaluate the relation between gamma-glutamyltransferase (gamma-GTP) and the metabolic syndrome.
METHODS
The study subjects comprised 1,604 male steel-mill workers. The indices of metabolic syndrome, such as BMI, triglyceride, HDL-cholesterol, blood pressure, fasting glucose, and gamma-GTP were analyzed in each subject. We collected information about demographic characteristics, behavioral patterns, such as alcohol drinking, smoking, and exercise, and family medical history through a self-administered questionnaire. Statistical analysis was done by using the chi-square test, Mantel-Haenszel trend test and logistic regression model.
RESULTS
The crude and age-adjusted prevalences of the metabolic syndrome were 21.3% and 15.5%, respectively, in the steel-mill workers. Age (OR: 1.063, 95% CI: 1.033-1.094), alcohol drinking (OR: 1.657, 95% CI: 1.175-2.337) and smoking (OR: 1.359, 95% CI: 1.017-1.816) were risk factors for the metabolic syndrome. Meanwhile, shift work showed a significant relation with hypertension (OR: 1.329, 95% CI: 1.038-1.700), but not with other metabolic syndrome components. However, tenure, exercise and family medical history were not significant factors for the metabolic syndrome in this study. The risk ratio of the metabolic syndrome (OR: 3.345, 95 % CI: 2.534-4.416) and its components, such as obesity, hypertriglyceridemia, hypertension and hyperglycemia, were higher in the high gamma-GTP group (> or =63 IU/ liter) than in the controls (<63 IU/liter).
CONCLUSIONS
These results confirm the need for health education to control the metabolic syndrome by improving behavioral patterns, such as alcohol drinking and smoking, in factory workers. In addition, it is suggested that gamma-GTP might be a useful candidate in screening for the metabolic syndrome.

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Occupational Diseases among Agricultural, Forestry and Fishery Workers Approved by Korea Labor Welfare Corporation: Yeon Soon Ahn, Hyun Sul Lim; Korean Journal of Occupational and Environmental Medicine 2007;19(1):1-16. Published online March 31, 2007; DOI: https://doi.org/10.35371/kjoem.2007.19.1.1

Abstract PDF

OBJECTIVES
To analyze the characteristics of occupational diseases among agricultural, forestry and fishery workers compensated under the Industrial Accident Compensation Insurance that is operated by the Korea Labor Welfare Corporation (KLWC).
METHODS
Using the KLWC database, we collected 667 cases of occupational disease compensated during the 8 years between 1 January 1998 and 31 December 2005. We analyzed the characteristics of occupational diseases using the KLWC electronic data and the data investigated by the Korea Occupational Safety and Health Agency.
RESULTS
KLWC approved 667 cases, including 69 deaths (10.3%). Men accounted for 76.0%of the approved cases. The most common age group was 50~59 years of age (37.3%). The most common size of enterprise was 5 to 49 workers (47.5%). The proportion of occupational diseases was 54.1%, of which 45.9% was work-related. Among occupational diseases, the most common was skin diseases (147 cases, 40.7%), followed by infectious diseases (131 cases, 36.3%), including scrub typhus (123 cases) and intoxication (40 cases, 11.1%). The causal hazardous agents were biological (320 cases, 88.6%), chemical (29 cases, 8.0%), and physical (11 cases, 3.0%). The major type of industry and occupation were forestry (445 cases, 66.7%) and elementary (151 among 235 cases, 89.3%), respectively.
CONCLUSIONS
Major compensated occupational diseases were infectious diseases, including scrubtyphus, skin diseases and toxic disease, which occurred among workers who were older, and had short tenure and elementary occupation, and these workers were out of the occupational health policy. A management policy must be established to prevent occupational diseases occurring in such vulnerable workers.

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