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Case Report
Problems with diagnostic criteria for humidifier disinfectant lung injury (HDLI): two cases of radiologically improved HDLI
Min-Woo Nam, So-Young Park, Byung-Seong Suh, Soo-Youn Ham, Kyung-Hun Son, Hyunil Kim, Hyeong-Cheol Kim
Ann Occup Environ Med 2020;32:e1.   Published online January 2, 2020
DOI: https://doi.org/10.35371/aoem.2020.32.e1
AbstractAbstract PDFPubReaderePub
Background

In Korea, to investigate the casual relationship between humidifier disinfectant and lung disease, four rounds of investigation and judgment were conducted. During this investigation, two adults who performed lung biopsy were recognized for their relevance between humidifier disinfectants and lung disease. At first, we did not think of the relationship to humidifier disinfectant because chest computed tomography (CT) finding of 2 cases were improved. However, they performed lung biopsy and it showed typical humidifier disinfectant lung injury (HDLI) pathologic findings, they could be recognized as HDLI. We report these cases here.

Case presentation

We selected 2 cases from the fourth-round investigation at Kangbuk Samsung Hospital. Patient of case 1 used humidifier disinfectants since September 2010. The patient was admitted 6 months later to the intensive care unit (ICU) due to severe dyspnea. Pathology following a lung biopsy revealed typical HDLI finding which was determined to be due to humidifier disinfectant exposure. Patient of case 2 used humidifier disinfectant from 2001 to 2008 for about 3 months each winter. The patient's cough and sputum production symptoms began in December of 2007. The patient was admitted to the respiratory medicine department due to worsening dyspnea. Pathology following a lung biopsy revealed typical HDLI finding. This was determined to have been caused by humidifier disinfectant exposure.

Conclusions

Because the typical radiologic findings associated with HDLI can improve over time, it is necessary to consider the revision of current diagnostic criteria that the presence of radiologic findings is important.


Citations

Citations to this article as recorded by  
  • The effect of low-level phthalate mixture on the prevalence of type 2 diabetes mellitus among adults in the US
    Takumi Kagawa
    International Journal of Environmental Health Research.2024; : 1.     CrossRef
  • Health Effects Associated With Humidifier Disinfectant Use: A Systematic Review for Exploration
    Ji-Hun Song, Joonho Ahn, Min Young Park, Jaeyoung Park, Yu Min Lee, Jun-Pyo Myong, Jung-Wan Koo, Jongin Lee
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • A comprehensive study of deaths due to exposure to humidifier disinfectant in Korea: focusing on medical records, assessment of exposure to humidifier disinfectants, and causes of death
    Yeong Jun Ju, Seungho Lee, Seungsoo Sheen, Dong-Woo Choi, Jong-Han Leem, Soon Young Lee
    Epidemiology and Health.2021; 43: e2021091.     CrossRef
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Research Articles
Relationship between working hours and probability to take alopecia medicine among Korean male workers: a 4-year follow-up study
Kyung-Hun Son, Byung-Seong Suh, Han-Seur Jeong, Min-Woo Nam, Hyunil Kim, Hyeong-Cheol Kim
Ann Occup Environ Med 2019;31:e12.   Published online July 11, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e12
AbstractAbstract PDFPubReaderePub
Background

Many studies have reported the negative effects of long working hours on various health problems. However, whether hair loss is associated with working hours has been rarely investigated so far. The main purpose of this study is to explore the relationship between long working hours and the development of alopecia among Korean male workers.

Methods

A total of 13,391 male workers not to take alopecia medicine in 2013 were followed up to see if they have alopecia medicine after 4 years, and that was used to confirm the alopecia development. Weekly working hours were categorized into three groups: reference working hours (RWH; < 40 hours/week), long working hours (LWH, 40–52 hours/week), and much longer working hours (MLWH; > 52 hours/week). Multiple logistic regression analyses were conducted to investigate the relationship between long working hours and the development of alopecia after adjusting age, marital status, education, monthly household income, smoking, and work schedule within strata of the covariates.

Results

Long working hours was significantly related to the development of alopecia. The adjusted odds ratios (ORs) for the development of alopecia were 1.57 (95% confidence interval [CI]: 1.21–2.05) for LWH group and 1.74 (95% CI: 1.23–2.47) for MLWH group relative to RWH group.

Conclusions

Our findings suggest that unintentional development of alopecia is another potential health consequence of long working hours among Korean male workers. Preventive interventions to promote appropriate and reasonable working hours are required in our society.


Citations

Citations to this article as recorded by  
  • Clinical Patterns of Hair Loss in Men
    Natalie Kash, Matt Leavitt, Adam Leavitt, Spencer D. Hawkins, Rahil B. Roopani
    Dermatologic Clinics.2021; 39(3): 361.     CrossRef
  • Activation of Hair Cell Growth Factors by Linoleic Acid in Malva verticillata Seed
    Hwa Sun Ryu, JiYeon Jeong, Chun Mong Lee, Kwang Sik Lee, Jung-No Lee, Sung-Min Park, Yong-Moon Lee
    Molecules.2021; 26(8): 2117.     CrossRef
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The association between long working hours and marital status change: middle-aged and educated Korean in 2014–2015
Hyunil Kim, Byung-Seong Suh, Won-Cheol Lee, Han-Seur Jeong, Kyung-Hun Son, Min-Woo Nam, Hyeong-Cheol Kim
Ann Occup Environ Med 2019;31:e3.   Published online May 1, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e3
AbstractAbstract PDFPubReaderePub
Background

We investigated the association between long workhours and marital status change from married to divorced or separated status that might have bad health effects.

Methods

A total of 40,654 participants with married status in 2014 were followed up in 2015. Weekly workhours were categorized into four groups: ≤ 40, 41–52, 53–60, and > 60 hours per week. Univariate and multivariate logistic regression analyses were performed to determine the relationship between groups of workhours and marital status change after adjusting for age, total monthly household income, working type, and depression with sex stratification.

Results

The study populations consisted of 8,346 (20.5%) females and 32,308 (79.5%) males. Odd ratios (ORs) of marital status change for females working for more than 60 hours per week was 4.26 (95% confidence interval [CI]: 1.25–14.5), when working less than or equal to 40 hours per week was used as reference in the crude model. ORs of working more than 60 hours per week was 4.57 (95% CI: 1.02–20.5) in female workers when considering age, total household earning per month, working type of daytime, and depression in a dose-response manner. However, for male workers, long workhours were not significantly related to change of marriage status.

Conclusions

Long workhours for more than 60 hours per week had significantly higher risk of divorce or separation in females, but not in males. Further follow-up studies are needed to evaluate long term effects of long workhours on divorce risk.


Citations

Citations to this article as recorded by  
  • Parental long working hours and adult children’s depression in South Korea: a cross-sectional study
    Hyunil Kim, Woncheol Lee, Soyoung Park, Hyeongcheol Kim
    Archives of Environmental & Occupational Health.2022; 77(5): 423.     CrossRef
  • After the Foxconn Suicides in China: A Roundtable on Labor, the State and Civil Society in Global Electronics
    Jenny Chan, Greg Distelhorst, Dimitri Kessler, Joonkoo Lee, Olga Martin-Ortega, Peter Pawlicki, Mark Selden, Benjamin Selwyn
    Critical Sociology.2022; 48(2): 211.     CrossRef
  • Investigating the status of marital burnout and related factors in married women referred to health centers
    Mahbobeh Nejatian, Ali Alami, Vahideh Momeniyan, Ali Delshad Noghabi, Alireza Jafari
    BMC Women's Health.2021;[Epub]     CrossRef
  • Network Analysis of Demographics, Dietary Intake, and Comorbidity Interactions
    Tung Hoang, Jeonghee Lee, Jeongseon Kim
    Nutrients.2021; 13(10): 3563.     CrossRef
  • Association of Long Working Hours With Marital Status Changes in South Korea
    Hyunil Kim, Woncheol Lee, Yesung Lee
    Journal of Occupational & Environmental Medicine.2021; 63(10): e689.     CrossRef
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Comparison of work-related musculoskeletal symptoms between male cameramen and male office workers
Han-Seur Jeong, Byung-Seong Suh, Soo-Geun Kim, Won-Sool Kim, Won-Cheol Lee, Kyung-Hun Son, Min-Woo Nam
Ann Occup Environ Med 2018;30:28.   Published online May 2, 2018
DOI: https://doi.org/10.1186/s40557-018-0243-y
AbstractAbstract PDFPubReaderePub
Background

Previous studies have classified cameramen’s job as physiologically heavy work and identified the risk factors of work-related musculoskeletal disorders (WRMDs) in cameramen. However, those studies limited their research subjects to cameramen. In this study, we compared the frequency and severity of WRMDs between cameramen and office workers.

Methods

A total of 293 subjects working in four broadcasting companies in Korea were recruited. A questionnaire survey was conducted for a month, starting in October 2016. The subjects were divided into cameramen and office workers according to their occupation. We compared the frequency and severity of WRMDs and ergonomic risk assessment results between the two groups.

Results

The high-risk WRMD group had a higher proportion of cameramen than office workers. Moreover, the high ergonomic risk group also had a higher proportion of cameramen than office workers for WRMDs in the upper extremities and waist+lower extremities. In the multivariable-adjusted model comparing cameramen and office workers, the odds ratio (OR) with 95% confidence interval (95% CI) for high-risk WRMDs was 3.50 (95% CI: 1.92–7.72) for the upper extremities and 3.18 (95% CI: 1.62–6.21) for the waist and the lower extremities. The ORs by body parts were 3.11 (95% CI: 1.28–7.57) for the neck, 3.90 (95% CI: 1.79–8.47) for the shoulders, and 4.23 (95% CI: 1.04–17.18) for the legs and feet.

Conclusions

Our study suggests that cameramen are at high risk of WRMDs. Workplace improvements and management of the neck, shoulders, and lower extremities, which are susceptible to WRMDs, are necessary to prevent musculoskeletal disorders among cameramen.


Citations

Citations to this article as recorded by  
  • The Association Between Shoulder Pain and Disability Among Saudi Office Workers
    Abdullah H Alzahrani, Bijad Alqahtani
    Cureus.2023;[Epub]     CrossRef
  • Musculoskeletal symptoms and their associated risk factors among Saudi office workers: a cross-sectional study
    Reem S. AlOmar, Nouf A. AlShamlan, Saad Alawashiz, Yaser Badawood, Badr A. Ghwoidi, Hassan Abugad
    BMC Musculoskeletal Disorders.2021;[Epub]     CrossRef
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Comparison of sleep quality based on direction of shift rotation in electronics workers
Youil Shon, Seungho Ryu, Byung-Seong Suh, Soo-Geun Kim, Won-Sool Kim, Hee-Seung Son, Hee-Yun Kim, Han-Seur Jeong
Ann Occup Environ Med 2016;28:37.   Published online September 5, 2016
DOI: https://doi.org/10.1186/s40557-016-0122-3
AbstractAbstract PDFPubReaderePub
Background

Previous studies have reported the effects of direction of shift rotation on sleep, however, the findings are inconsistent. In this study, we investigated sleep quality related to direction of shift rotation using large-scale data from shiftwork-specific health examinations of electronics workers.

Methods

This study included 4750 electronics workers working in a rotating 3-shift system who completed a medical examination for shift workers survey from January 1 to December 31, 2014, at a general hospital. The subjects were categorized into one of two groups according to direction of shift rotation. We compared sleep quality index between the subjects who worked in forward rotation and backward rotation systems.

Results

Backward rotation was positively associated with prevalence of poor sleep quality. In the multivariable-adjusted model, when comparing backward rotation to forward rotation, the odds ratio (OR) with 95 % confidence interval (95 % CI) for poor sleep quality was 1.95 (1.58–2.41). After stratifying by gender, the ORs (95 % CIs) for poor sleep quality in male and female was 1.92 (1.47–2.49) and 2.13 (1.47–3.08), respectively. In subgroup analyses, backward rotation was significantly associated with poor sleep quality in workers ≥30 years of age compared with workers <30 years of age (adjusted OR 2.60 vs. 1.89, respectively; P for interaction <0.001).

Conclusions

Our study supports that a backward rotation system is associated with poor sleep quality. Forward rotation systems should be considered to reduce sleep problems.


Citations

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  • Tackling Shift Work: Cardiovascular Health in the Auto Industry
    Marius Gabriel Bunescu, Veronica Gheorman, Iulia Rahela Marcu, Cristian Virgil Lungulescu, Venera Cristina Dinescu
    Healthcare.2024; 12(11): 1097.     CrossRef
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    Ryohei Kida, Yukie Takemura
    Asian Nursing Research.2022; 16(2): 80.     CrossRef
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    Mio Kobayashi Frisk, Jan Hedner, Ludger Grote, Örjan Ekblom, Daniel Arvidsson, Göran Bergström, Mats Börjesson, Ding Zou
    Scientific Reports.2022;[Epub]     CrossRef
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    Esther Monica Peijin Fan, Fazila Aloweni, Mei Ling Lim, Kelly Chai Yuen Woh, Shin Yuh Ang
    Proceedings of Singapore Healthcare.2022; 31: 201010582199349.     CrossRef
  • Which Shiftwork Pattern Is the Strongest Predictor for Poor Sleep Quality in Nurses?
    Kampanat Wangsan, Naesinee Chaiear, Kittisak Sawanyawisuth, Piyanee Klainin-Yobas, Kanjana Simajareuk, Watchara Boonsawat
    International Journal of Environmental Research and Public Health.2022; 19(21): 13986.     CrossRef
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    Marco Di Muzio, Giulia Diella, Emanuele Di Simone, Mariella Pazzaglia, Valentina Alfonsi, Luana Novelli, Angelo Cianciulli, Serena Scarpelli, Maurizio Gorgoni, Annamaria Giannini, Michele Ferrara, Fabio Lucidi, Luigi De Gennaro
    JAMA Network Open.2021; 4(10): e2129906.     CrossRef
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    Youkyung Kim, Sangeun Lee, Jeeyeon Lim, Soyeon Park, Sojeong Seong, Youngshin Cho, Heejung Kim
    International Journal of Environmental Research and Public Health.2021; 18(5): 2279.     CrossRef
  • Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses
    Dana Shiffer, Maura Minonzio, Franca Dipaola, Mattia Bertola, Antonio Roberto Zamuner, Laura Adelaide Dalla Vecchia, Monica Solbiati, Giorgio Costantino, Raffaello Furlan, Franca Barbic
    International Journal of Environmental Research and Public Health.2018; 15(9): 2038.     CrossRef
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Association of cadmium with diabetes in middle-aged residents of abandoned metal mines: the first health effect surveillance for residents in abandoned metal mines
Hee-seung Son, Soo-geun Kim, Byung-seong Suh, Dong-uk Park, Dae-seon Kim, Seung-do Yu, Yeong-seoub Hong, Jung-duck Park, Byung-kook Lee, Jai-dong Moon, Joon Sakong
Ann Occup Environ Med 2015;27:20.   Published online August 24, 2015
DOI: https://doi.org/10.1186/s40557-015-0071-2
AbstractAbstract PDFPubReaderePub
Objective

The aim of this study was to determine the association between urinary cadmium (U-cd) concentration and diabetes in middle-aged Korean residents of abandoned mines using the first Health Effect Surveillance for Residents in Abandoned Metal mines (HESRAM).

Methods

This study was cross-sectional study conducted on 719 residents between 40–70 years in 38 abandoned metal mines in Korea. Data was collected by HESRAM from 2008 to 2011. The correlation coefficient of U-cd and fasting blood glucose, odds ratio in urinary cadmium tertiles and diabetes prevalence was analyzed according to the sex category.

Results

The correlation coefficient U-cd concentration and fasting blood glucose was 0.182 in male. Logistic regression analysis in male revealed a third tertile odds ratio of U-cd (2 μg/g creatinine < U-cd) while diabetes prevalence was 1.81 (95 % CI 1.05-3.12) with adjusted age, BMI, smoking and alcohol consumption, region, family income. On the other hand, the odds ratio for third tertile of U-cd (3 μg/g creatinine < U-cd) between diabetes prevalence in female was 1.39 (95 % CI 0.52-3.72) in addition to adjusted menopausal status.

Conclusions

Environmental exposure to cadmium in abandoned mine residents was associated with diabetes in male. Closed monitoring and periodic evaluation of the health effects of chronic environmental exposure on abandoned mines residents will be needed.


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