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Case Report
- Assessment of risks for breast cancer in a flight attendant exposed to night shift work and cosmic ionizing radiation: a case report
- Dong Joon Park, Sungkyun Park, Seong Won Ma, Hoekyeong Seo, Sang Gil Lee, Kyung-Eun Lee
- Ann Occup Environ Med 2022;34:e5. Published online March 22, 2022
- DOI: https://doi.org/10.35371/aoem.2022.34.e5
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Abstract
Abstract in Korean
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Supplementary Material
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ePub Background Some epidemiological studies have estimated exposure among flight attendants with and without breast cancer. However, it is difficult to find a quantitative evaluation of occupational exposure factors related to cancer development individually in the case of breast cancer in flight attendants. That is, most, if not all, epidemiological studies of breast cancer in flight attendants with quantitative exposure estimates have estimated exposure in the absence of individual flight history data.
Case presentation A 41-year-old woman visited the hospital due to a left breast mass after a regular check-up. Breast cancer was suspected on ultrasonography. Following core biopsy, she underwent various imaging modalities. She was diagnosed invasive ductal carcinoma of no special type (estrogen receptor positive in 90%, progesterone receptor positive in 3%, human epidermal growth factor receptor 2/neu equivocal) with histologic grade 3 and nuclear grade 3 in the left breast. Neoadjuvant chemotherapy was administered to reduce the tumor size before surgery. However, due to serious chemotherapy side effects, the patient opted for alternative and integrative therapies. She joined the airline in January, 1996. Out of all flights, international flights and night flights accounted for 94.9% and 26.2, respectively. Night flights were conducted at least four times per month. Moreover, based on the virtual computer program CARI-6M, the estimated dose of cosmic radiation exposure was 78.81 mSv. There were no other personal triggers or family history of breast cancer.
Conclusions This case report shows that the potentially causal relationship between occupational harmful factors and the incidence of breast cancer may become more pronounced when night shift workers who work continuously are exposed to cosmic ionizing radiation. Therefore, close attention and efforts are needed to adjust night shift work schedules and regulate cosmic ionizing radiation exposure.
- 국제항공 승무원에서 발생한 유방암 사례와 업무관련성 평가
배경
유방암은 여성에게 가장 흔하게 진단되는 암으로, 전리방사선과 야간교대근무와 같은 직업환경적 위험을 포함한 다양한 요인에 의해 영향을 받는다. 항공승무원은 우주 전리 방사사선과 야간교대근무 환경에 노출되는 대표적인 직업군으로 일반인구집단 대비 유방암의 발병 위험이 높다고 몇몇 역학연구에서는 보고되고 있다. 그러나 항공승무원의 유방암 사례에서 암 발병과 관련된 직업적 노출요인에 대하여 정량적으로 평가한 사례는 찾기 어렵다. 본 연구에서는 질환발병의 업무관련성을 인정받은 항공승무원 종사자의 유방암 사례에서 질환 발병과 관련된 직업적 요인들의 노출 수준을 정량적인 평가하였다.
증례
41세의 여성 환자는 항공승무원 재직 중 정기건강검진에서 우연히 발견된 좌측 유방종괴를 주소로 병원에 내원하였다. 초음파 검사 및 조직생검 등의 검사결과 유방의 침습암종(조직 및 핵분화도 3기), 을 진단 받았다. 환자는 유방 보존술을 위한 선행화학요법 시행 중에 부작용이 발생하여 수술적 치료를 시행하지 못하고 보존적 치료를 유지중이다. 환자는 1996년 1월 항공사에 입사하여, 20년 2개월간 항공승무원으로 종사하였다. 총 비행기 탑승 이력 중 94.9%는 국제선에 탑승하였고 총 비행시간의 26.2%는 야간 비행으로 한 달에 네 번 이상 야간 비행업무를 수행하였다. 컴퓨터 시뮬레이션 프로그램인 CARI-6M을 이용하여 추정한 근로자의 우주 방사선 누적노출 추정량은 78.81 mSv였다. 유방암에 대한 개인적 유발 요인 및 가족력은 없었다. 역학조사평가위원회는 이 여성 승무원에서 발생한 유방암은 20년 2개월 간의 야간교대근무와 78.81 mSv의 우주 방사선 노출을 근거로 업무관련성이 상당하다고 평가하였다.
고찰
이번 사례는 항공 승무원 집단에서의 높은 유방암 발병률은 야간교대근무와 함께 기체 탑승 중 우주 전리방사선의 복합적 노출에 의해 기인될 수 있음을 보여준다. 항공 승무원 집단에서의 야간교대근무와 우주 전리방사선 복합노출에 따른 건강영향을 최소화하기 위해서는 더많은 노출평가 사례 및 집단 역학조사를 통한 비행일정 관리기준의 근거마련이 필요하다. -
Citations
Citations to this article as recorded by
- Influence of occupational factors on the development of gynecologic pathology in flight attendants in civil aviation
Nailya I. Nasyrova, Artem Y. Yurovskiy, Aleksei V. Overko, Lyudmila A. Ozolinya
V.F.Snegirev Archives of Obstetrics and Gynecology.2024; 11(2): 137. CrossRef
- Influence of occupational factors on the development of gynecologic pathology in flight attendants in civil aviation
- 74 View
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- 1 Crossref
Case Report
- A case series of flight attendants at risk of COVID-19 in South Korea in 2020
- Eunchan Mun, Young-Man Kim, Boksoon Han, Jinsook Jeong, Wonsool Kim, Changhwan Lee
- Ann Occup Environ Med 2021;33:e1. Published online January 22, 2021
- DOI: https://doi.org/10.35371/aoem.2021.33.e1
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Abstract
PDFPubReaderePub
Background Coronavirus disease 2019 (COVID-19) has infected many individuals worldwide. Individuals in contact with unspecified people during their work, may be at risk of occupational exposure. On June 22, 2020, 1,435 overseas patients were identified in the Republic of Korea. Considering the influx of overseas patients, aircraft-mediated COVID-19 transmission is a major concern.
Case presentation We presented two flight attendants diagnosed with COVID-19 who shared the crew's resting area and ground transportation, and discussed the risks experienced by flight attendants.
Conclusions Biosafety guidelines for cabin crews should be intensified, and their COVID-19 risks must be further investigated. Policymakers must consider comprehensive surveillance systems for workers with high risks of occupational exposures and transmissions, such as flight attendants.
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Citations
Citations to this article as recorded by- Effects of trust in organizations and trait mindfulness on optimism and perceived stress of flight attendants during the COVID-19 pandemic
Pornprom Suthatorn, Peerayuth Charoensukmongkol
Personnel Review.2023; 52(3): 882. CrossRef - Depression, Anxiety, Stress and Anger of the Cabin Crew during the COVID-19 Pandemic in South Korea
Yeo-Won Jeong, Jung-Ha Kim
Healthcare.2022; 10(10): 1952. CrossRef - Seroprevalence of measles, mumps, rubella, and varicella-zoster antibodies in new female nurses in the Republic of Korea
Yeongjae Yoo, Won-Ju Park, Seunghyeon Cho, Dae-Young Lim, Suwhan Kim, Wonyang Kang, Hyeonjun Kim, Jai-Dong Moon
Annals of Occupational and Environmental Medicine.2021;[Epub] CrossRef
- Effects of trust in organizations and trait mindfulness on optimism and perceived stress of flight attendants during the COVID-19 pandemic
- 59 View
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- 5 Web of Science
- 3 Crossref
Original Article
- Risk factors for musculoskeletal symptoms in aviation maintenance technicians
- Duck Hee Chae, Jeong Hyun Kim
- Korean Journal of Occupational and Environmental Medicine 2005;17(3):173-185. Published online September 30, 2005
- DOI: https://doi.org/10.35371/kjoem.2005.17.3.173
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Abstract
PDF
- OBJECTIVES
To identify risk factors for musculoskeletal symptoms in aviation maintenance technicians in order to provide basic information for intervention programs to prevent and manage musculoskeletal symptoms for these technicians.
METHODS
Between October 18 and 25, 2004, 286 aviation maintenance technicians answered a self-administered questionnaire, which included general characteristics, Karasek's Job Content Questionnaire for psychosocial characteristics, and work-related characteristics. The musculoskeletal symptoms were evaluated using the National Institute of Occupational Safety and Health (NIOSH) surveillance criteria. Statistical analysis included means and standard deviation, x2-test, t-test, and logistic regression.
RESULTS
A quarter (25.8%) of the workers reported musculoskeletal symptoms in more than one body region. The prevalence of symptoms was 12.9% in the lower back, 10.2% in the shoulders, 9.4% in the legs/foots, 9% in the neck, 5.9% in the hands/wrists/fingers, and 2.7% in the arms/elbows. General characteristics were not found to influence musculoskeletal symptoms, except that workers practicing regular exercise reported fewer lower back symptoms (p=.038). Low social support (p=.001), and low supervisory support (p=.000) were significant factors for increased musculoskeletal symptoms whereas decisions latitude, psychological job demands, and co-worker support were not found to have significant associations, with the exception of low decision latitude which was significantly associated with increased legs/foots symptoms (p=.034). More than two thirds (69.6%) of the workers whose perceived physical load was very high complained of symptoms. This rate was eight times higher than for workers whose perceived load was very low (p=.000). The workers highly exposed to both physical and psychosocial risk factors were more likely to report musculoskeletal symptoms than workers highly exposed to only one of these factors (p=.000). The odds ratios for very high-perceived physical load (OR 13.9) and low supervisory support (OR 2.9) were clearly increased.
CONCLUSIONS
The results of this study suggest that consideration for perceived physical load and psychosocial characteristics as important determinants is necessary to prevent musculoskeletal symptoms in aviation maintenance technicians. To develop effective intervention programs to prevent musculoskeletal symptoms, a comprehensive and systematic approach should be the basic premise. Such an intervention program should consist of ergonomic, managerial and behavioral interventions to reduce physical load and psychosocial factors. -
Citations
Citations to this article as recorded by- Hybrid multi-criteria decision making approach proposal for evaluating workloads of aircraft maintenance technicians
Yaşar Öztürk, Ebru Yazgan, Elif Kılıç Delice
Work.2024; 77(3): 901. CrossRef - A questionnaire-based musculoskeletal disorder assessment for aircraft maintenance technicians
Ebru Yazgan, Necmettin Firat Ozkan, Berna Haktanirlar Ulutas
Aircraft Engineering and Aerospace Technology.2022; 94(2): 240. CrossRef - Uçak Bakım Teknisyenleri için DEMATEL Yöntemi ile Fiziksel İş Yükü Faktörlerinin Değerlendirilmesi
Yaşar ÖZTÜRK, Ebru YAZGAN, Elif KILIÇ DELİCE
European Journal of Science and Technology.2021;[Epub] CrossRef - Risk factors for musculoskeletal injuries in airline maintenance, repair & overhaul
Hamed Asadi, Denny Yu, John H. Mott
International Journal of Industrial Ergonomics.2019; 70: 107. CrossRef - Risk factors for lesions of the knee menisci among workers in South Korea’s national parks
Donghee Shin, Kanwoo Youn, Eunja Lee, Myeongjun Lee, Hweemin Chung, Deokweon Kim
Annals of Occupational and Environmental Medicine.2016;[Epub] CrossRef - Musculoskeletal Disorder Symptoms and Its Related Factors among Male Workers in Manufacturing Industries
Seung-Hyun Lee, Young-Chae Cho
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 6627. CrossRef - Prevalence of Work-related Musculoskeletal Symptoms and Their Associations with Job Stress in Female Caregivers Living in South Korea
Hyolyun Roh, Daehee Lee, Yongjae Kim
Journal of Physical Therapy Science.2014; 26(5): 665. CrossRef - Musculoskeletal Symptoms and Its Related Factors among Male Workers in a Nonferrous Manufacturing Industry
Yeon-Ok Jeong, Young-Chae Cho
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(8): 3552. CrossRef - Musculoskeletal Disorder Symptoms and Related Factors among Male Workers in Small-scale Manufacturing Industries
Seung-Hyun Lee, Ju-Yeon Lee, Young-Chae Cho
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(9): 4025. CrossRef - Musculoskeletal Workload Evaluation in Physical Therapist
Youn-Bum Sung, Hyung-Seok Seo, Jung-Ho Lee, Young-Han Park
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(9): 3999. CrossRef
- Hybrid multi-criteria decision making approach proposal for evaluating workloads of aircraft maintenance technicians
- 43 View
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- 10 Crossref
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