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Research Article
The exposure level of environmental harmful substances related to the secondhand smoke in Korean non-smoker adults: data from the second Korean National Environmental Health Survey (KoNEHS 2012–2014): a cross-sectional study
Sang Woo Kim, Sung Won Jung, Jae-Gwang Lee, Jae Han Joo, June-Hee Lee, Kyung-Jae Lee
Ann Occup Environ Med 2019;31:e30.   Published online October 15, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e30
AbstractAbstract PDFPubReaderePub
Background

We aimed to find the exposure level of environmental harmful substances related to the secondhand smoke (SHS) using a nationally representative data of the general population in Korea.

Methods

Total 3,533 people were included in this study. We compared the proportion exceeding 95 percentile of the concentrations of harmful substances by sex according to SHS exposure. 16 kinds of substances related to tobacco smoke were analyzed including heavy metals, polycyclic aromatic hydrocarbons, volatile organic compounds, and environmental phenol. For 16 kinds of substances, the odds ratios (ORs) for exceeding 95 percentile of each harmful substance were calculated by multiple logistic regression according to SHS exposure. Age, education level, marital status, body mass index, drinking, and exercise were adjusted as covariates. Cotinine level was additionally adjusted to increase reliability of our results.

Results

SHS was associated with high exposure of mercury, methylhippuric acid, fluorene, and cotinine. In women, SHS was associated with mercury, methylhippuric acid, fluorene, and cotinine, while in men, it was associated with cotinine. After adjusting covariates, ORs of blood mercury, methylhippuric acid and hydroxyfluorene in the exposed gruop were greater than that in the non-exposed group. Especially in female, methylhippuric acid and hydroxyfluorene showed consistent result.

Conclusions

Our finding demonstrates that SHS is related to several harmful substances. Therefore, to reduce the health effects of SHS, it is necessary to educate and publicize the risk of SHS. Future studies are necessary to more accurately analyze factors such as exposure frequency, time, and pathway of SHS.


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    Qingsong Mao, Xiaoyi Zhu, Yuzhe Kong
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  • Joint association of heavy metals and polycyclic aromatic hydrocarbons exposure with depression in adults
    Miaomiao Jiang, Hui Zhao
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    Lisa M. Gatzke-Kopp, Jenna L. Riis, Hedyeh Ahmadi, Hillary L. Piccerillo, Douglas A. Granger, Clancy B. Blair, Elizabeth A. Thomas
    Journal of Exposure Science & Environmental Epidemiology.2023; 33(6): 903.     CrossRef
  • Passive smoking exposure and the risk of hypertension among non-smoking adults: the 2015–2016 NHANES data
    Onoja Matthew Akpa, Akinkunmi Paul Okekunle, Jeffery Osahon Asowata, Babatunde Adedokun
    Clinical Hypertension.2021;[Epub]     CrossRef
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Research Article
The association between long working hours and work-related musculoskeletal symptoms of Korean wage workers: data from the fourth Korean working conditions survey (a cross-sectional study)
Jae-Gwang Lee, Guang Hwi Kim, Sung Won Jung, Sang Woo Kim, June-Hee Lee, Kyung-Jae Lee
Ann Occup Environ Med 2018;30:67.   Published online December 3, 2018
DOI: https://doi.org/10.1186/s40557-018-0278-0
AbstractAbstract PDFPubReaderePub
Background

It has been reported that long working hours are hazardous to the workers’ health. Especially, work-related musculoskeletal disorders (WMSDs) have been considered as one of the significant health issues in workplace. The objective of this study was to identify the association between long working hours and work-related musculoskeletal symptoms.

Methods

The analysis was conducted using data from the Fourth Korean Working Conditions Survey (KWCS). Subjects of this study were 24,783 wage workers and divided into three groups according to the weekly working hours, which were ≤ 40, 41–52 and > 52 h. The relationship between long working hours and work-related musculoskeletal symptoms was analyzed by multivariate logistic regression method after adjusting for general, occupational characteristics including specific working motions or postures and psychosocial factors.

Results

Approximately 18.4% of subjects worked more than 52 h per week and 26.4 and 16.4% of male subjects and 33.0 and 23.4% of female subjects experienced work-related upper and lower limb pains, respectively, over the last 12 months. Moreover, the prevalence of upper and lower limb pain was increased in both genders as the weekly working hours increased. The odds ratios (ORs) of upper limb pain for those working 41–52 h and more than 52 h per week when adjusted for general, occupational characteristics including specific motions or postures and psychosocial factors were 1.36 and 1.40 for male workers and 1.26 and 1.66 for female workers compared to the reference group, respectively. Furthermore, ORs of lower limb pain for the same weekly working hour groups were 1.26 and 1.47 for male workers and 1.20 and 1.47 for female workers, respectively.

Conclusions

Long working hours were significantly related to work-related musculoskeletal symptoms in Korean wage workers and appropriate interventions should be implemented to reduce long working hours that can negatively affect workers’ health.


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    BMC Musculoskeletal Disorders.2023;[Epub]     CrossRef
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    Munyoung Yang, Jun-Pyo Myong, Jongin Lee, Min Young Park, Mo-Yeol Kang
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Original Article
Surveillance of Work-related Diseases in Kumi
Seong Ah Kim, Jin Seok Kim, Hae Ree Jeon, Sang Jae Jung, Sang Woo Kim, Chae Yong Lee, Jung O Ham, Jay Young Yoo, Tae Sung Choi, Ha Bong Goo, Min Hwan Cho, Kuck Hyun Woo
Korean Journal of Occupational and Environmental Medicine 2003;15(1):95-110.   Published online March 31, 2003
DOI: https://doi.org/10.35371/kjoem.2003.15.1.95
AbstractAbstract PDF
OBJECTIVES
Area-based occupational disease surveillance in Kumi (KODS) was used to collect data on occupational diseases. The data was used to estimate the magnitude of the diseases, to analyze for their characteristics, and to find links for their intervention and prevention.
METHODS
Since January 2001, occupational physicians and nurses in Occupational Health Service (OHS)have reported six major occupational diseases; occupational musculoskeletal disorders of the upper extremities(MSDUE), occupational dermatoses, toxic hepatitis, occupational asthma (OA), hand-arm vibration syndrome(HAVS), and occupational cancer. For the respective diseases, a reporting sheet and operational diagnostic criteria were developed by the KODS. An analysis of the KODS data, collected over a certain period, was compared with data from the Korea Labor Workers Corporation (KLWC) and the Specific Health Examination (SHE), and the incidence rates of the diseases estimated.
RESULTS
Between Jan 2001 and Apr 2002, 287 cases of the six major occupational disease were reported. Of these, there were 132 (46.0%), 100 (34.8%), 34 (11.8%), 16 (5.6%), and 5 (1.7%), cases of MSDUE, occupational dermatoses, toxic hepatitis, OA, and HAVS, respectively. But, there were no cases of occupational cancer. 33 (11.5%) of the incidence were reported via the OHS, 206 (71.7%) from health checkups, and the other 48(16.8%) from other routes. The synthetic fibers and electronic components manufacturing industries accounted for the greatest number of reported cases. With respect to occupation, the greatest numbers of incidence were reported from the elementary occupations, textile workers, assemblers, and cooks and food services worker, in that order. Of the MSDUE cases, carpal tunnel syndrome and epicondylitis were the two most common diseases. Most of the occupational dermatoses were due to contact dermatitis, with organic solvents (59%), nickel (6%), and epoxy resin (5%) accounting for the majority of these cases. All cases of toxic hepatitis were induced by dimethylformamide or dimethylacetamide, which were reported by a unique monitoring system. During same period, there were no cases claimed by workers to the KLWC, and only three cases from SHE, were identified. Using data from workers' number and surveillance, the annual incidences of MSDUE, dermatoses, hepatitis, OA, and HAVS, per 100,000 workers were 63.6, 48.2, 17.9, 7.7, and 2.4, respectively.
CONCLUSIONS
These results show that an area-based surveillance system can be very effective for the collection of data on work-related diseases, at least in Kumi.

Citations

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  • Distribution of age, gender, and occupation among individuals with carpal tunnel syndrome based on the National Health Insurance data and National Employment Insurance data
    Il-Ho Lee, Young-Ki Kim, Dong-Mug Kang, Se-Yeong Kim, In-Ah Kim, Eun-Mi Kim
    Annals of Occupational and Environmental Medicine.2019;[Epub]     CrossRef
  • Work-relatedness of lung cancer by smoking and histologic type in Korea
    Young-Il Lee, Sang-Gil Lee, Dong-Mug Kang, Jong-Eun Kim, Young-Ki Kim, Jong-Han Leem, Hwan-Cheol Kim
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
  • Clinical Outcomes of Occupational Exposure to N,N-Dimethylformamide: Perspectives from Experimental Toxicology
    Tae Hyun Kim, Sang Geon Kim
    Safety and Health at Work.2011; 2(2): 97.     CrossRef
  • Occupational Skin Diseases in Korea
    Yeon-Soon Ahn, Min-Gi Kim
    Journal of Korean Medical Science.2010; 25(Suppl): S46.     CrossRef
  • Occupational Hepatic Disorders in Korea
    Hyoung Ryoul Kim, Tae Woo Kim
    Journal of Korean Medical Science.2010; 25(Suppl): S36.     CrossRef
  • Incidence of dimethylacetamide induced hepatic injury among new employees in a cohort of elastane fibre workers
    C-Y Lee, S-J Jung, S-A Kim, K-S Park, B-G Ha
    Occupational and Environmental Medicine.2006; 63(10): 688.     CrossRef
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Case Report
Three Cases of Skin Pigmentation Caused by 2,5-Hexanedione
Seong Ah Kim, Sang Jae Jung, Chae Yong Lee, Sang Man Lee, Sang Woo Kim
Korean Journal of Occupational and Environmental Medicine 2002;14(2):199-203.   Published online June 30, 2002
DOI: https://doi.org/10.35371/kjoem.2002.14.2.199
AbstractAbstract PDF
OBJECTIVES
To report on the skin discoloration experienced by three workers handling 2 , 5 -hexanedione METHODS: Three workers, who showed orange-brown discoloration of the palms during observation under the Kumi occupational disease surveillance system, had their history evaluated and underwent physical examination. A workplace survey was performed by an occupational physician and an industrial hygienist.
RESULTS
The three workers were determined to have been experiencing skin discoloration since the introduction of a new cleaning solvent. The new solvent contained 2,5-hexanedione, which is reported in the literature to be possibly capable of causing orangebrown discoloration of the skin. After discontinuation of solvent use, the workers recovered within a week.
CONCLUSIONS
These cases demonstrate that 2,5-hexanedione can produce skin pigmentation.

Citations

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  • Occupational Diseases in Korea
    Seong-Kyu Kang, Eun A Kim
    Journal of Korean Medical Science.2010; 25(Suppl): S4.     CrossRef
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  • 1 Crossref
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Original Article
Hand-Arm Vibration Syndrome and Neural Conduction Impairment in Swagging Workers Exposed to Hand-Arm Vibration
Seong Ah Kim, Sang Woo Kim, Sang Jae Jung, Chae Yong Lee, Kyu Sang Kim, Bo Woo Jung, Sang Kyu Park
Korean Journal of Occupational and Environmental Medicine 2002;14(2):169-182.   Published online June 30, 2002
DOI: https://doi.org/10.35371/kjoem.2002.14.2.169
AbstractAbstract PDF
OBJECTIVES
To investigate the hand-arm vibration syndrome (HAVS) among symptomatic swagging workers exposed to hand-arm vibration, using medical evaluation and measurement of workplace vibration. Furthermore, to evaluate the neurophysiological METHODS: Four workers showing symptoms relevant to HAVS were evaluated. Medical evaluation consisted of medical interview, questionnaire, nail-bed compression test, and sensory perception tests for vibration and pain. Some other diseases were excluded by a medical interview, hematological assessment, and urinalysis. Cold provocation test was used to assess the peripheral vascular changes, and a nerve conduction velocity (NCV) test was implemented to ascertain the peripheral neural changes. Pegboard, hole plate, and tapping board tests were performed to assess motor nerve function. The hand-arm vibration acceleration levels of the swagging machines were measured. Six months later, follow-up NCV tests were performed.
RESULTS
The actual exposure time to vibration was not longer than 15 minutes per day. The hand-arm vibration acceleration levels of the swagging machines, according to actual exposure time, were from 3.63 to 12.98 m/sec2, by ISO 5349. The vibratory perception thresholds and the recovery time of a nail color following finger cooling were significantly increased in all four workers. The perception of pain was mildly increased. The nerve conduction studies at first diagnosis and follow-up showed multifocal neural impairment caused by vibration. However, we could not rule out the concomitant presence of the carpal tunnel syndrome in one worker.
CONCLUSIONS
These results show that HAVS can be caused by hand-arm vibration in swagging workers. Interestingly, the NCV results suggested that vibration-induced neural conduction impairments could vary, and need to be interpreted cautiously.

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Original Article
Change of Visual Function and Lacrimation Among Male Near-Work Inspectors in a TV Manufacturing Plant
Seong Ah Kim, Byung Yeol Chun, Sang Woo Kim, Sang Jae Jung, Gwang Ja Lee
Korean Journal of Occupational and Environmental Medicine 2001;13(4):436-448.   Published online December 31, 2001
DOI: https://doi.org/10.35371/kjoem.2001.13.4.436
AbstractAbstract PDF
OBJECTIVES
The aim of this field-based longitudinal study was to investigate the effects of near-work on lacrimation and visual function, particularly refractive power.
METHODS
Our study tracked sixty five male workers for about three years by means of ophthalmologic examinations and questionnaires, to collect data including eye symptoms and subjective work environmental factors. Ophthalmic examinations included visual acuity, Shirmer I test, and autorefractometry. In the first year, the inclusion criteria were ages less than 40 years, no history of ophthalmic diseases, emmetropia(-1.0 RESULTS
Over a period of 32 months, spherical equivalents were decreased as much as 0.18D(diopter) for LE(left eye) and 0.18D for RE(right eye). Lacrimation by Shirmer's I test during 20 months were decreased as much as 6.57 mm/5min for LE, and 6.40 mm/5min for RE. Although more myopic-changed workers demonstrated young age(<30 years) and short work duration(<2 years), there was no significance to this correlation. Additionaly, subjective work environmental factors such as poor illumination, noise, uncomfortable air and daily use of VDT and/or TV were shown to have no significant effect. However, as for eye discomfort, which was reconstructed from several dry eye symptoms, the daily use of VDT and/or TV was a significant variable. According to a logistic regression analysis concerning the effects of refractive power, lacrimation, work duration, poor illumination, and daily use of VDT and/or TV on eye discomfort, only daily use of VDT and/or TV greater than 4 hours displayed OR of 10.5.
CONCLUSIONS
Myopic changes due to near work were not observed, however lacrimal function was changed in workers. These results suggest that we should consider various factors such as lacrimation, tear film and refraction as well as visual acuity in order to establish an eye care program among near-work performing employees.

Citations

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  • An automatic defect-inspection method for optical isolators using image analysis
    Tian Qiu, Zhiquan Lin, Chen Jung Tsai, Chi Shing Wong, Xin Zhang, Shuaiqi Liu, Honglong Ning
    at - Automatisierungstechnik.2022; 70(7): 662.     CrossRef
  • Relationship between occupational injuries and the provision of safety and health information: data from the 4th Korean working conditions survey
    Ju-il Seo, Gab-Sik Shin, Min Gi Kim, Young-Sun Min
    Annals of Occupational and Environmental Medicine.2018;[Epub]     CrossRef
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Original Article
Related factors of high frequency hearing loss in the noise-exposed male workers
Sang Je Jung, Kuck Hyeun Woo, Wan Deup Park, Jae Young Yu, Tae Sung Choi, Sang Woo Kim, Jin Seok Kim
Korean Journal of Occupational and Environmental Medicine 2000;12(2):187-197.   Published online June 30, 2000
DOI: https://doi.org/10.35371/kjoem.2000.12.2.187
AbstractAbstract PDF
OBJECTIVES
The purpose of the study was to assess the risk factors assumed to be related to the high frequency hearing loss in the noise-exposed male workers.
METHODS
712 occupationally noise-exposed male workers were included in this cross sectional study. The subjects filled out a questionnaire on the history of noise exposure, hearing protection, otologic diseases, tobacco smoking, and were tested on height, weight, hematocrit, serum total cholesterol level, fasting plasma glucose level and arterial blood pressure level. Pure tone audiometry and otoscopy were conducted and the subjects were allocated into two groups according to whether they had 4000 Hi hearing loss or not.
RESULTS
The multiple logistic regression analysis showed that military noise exposure, poor wearing status of the hearing protection devices, increased age, long noise exposure duration, mean arterial pressure less than 80mmHg, high fasting plasma sugar are the factors significantly related to high frequency hearing loss (P<0.05). On the contrary, there was no significant relationship between noise intensity, body mass index, serum total cholesterol level, smoking and high frequency hearing loss. Low hematocrit was shown to be a significant factor with a p-value less than 0.1.
CONCLUSIONS
High frequency hearing loss in the noise-exposed male workers is related to military noise exposure, use of hearing protection devices, age, noise exposure length, fasting glucose level and mean arterial pressure, in this order. Appropriate use of the hearing protection devices has a great impact on the prevention of the noise-induced hearing loss.

Citations

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  • The effect of diabetes on 4-year changes of hearing thresholds in male workers exposed to noise in a single company: a longitudinal study
    Dae Yun Kim, A Ram Kim, Joo Hyun Sung, Choong Ryeol Lee, Jiho Lee
    Annals of Occupational and Environmental Medicine.2019;[Epub]     CrossRef
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Original Article
Two Cases of Convulsion Associated With Caprolactam
Kuck Hyeun Woo, Sang Je Jung, Wan Seup Park, Hea Ryeon Shin, Jin Seok Kim, Sang Woo Kim
Korean Journal of Occupational and Environmental Medicine 1998;10(1):116-120.   Published online February 28, 1998
DOI: https://doi.org/10.35371/kjoem.1998.10.1.116
AbstractAbstract PDF
Two young men were seen with nausea, vomiting, dermatitis, seizure after two-four days of occupational exposure to caprolactam, a nylon fiber precursor. There were no significant results in laboratory test, brain CT, EEG except leukocytosis, hyperglycemia. Caprolactam has been shown to induce convulsive disorder in experimental animal studios and Tuma et al (1981) described that one worker acutely exposed to caprolactam developed generalized tonic-clonic seizure with leukocytosis. The coincidence of typical skin lesion with otherwise unexplained generalized tonic-clonic seizure in those young man strongly suggests that caprolactam was causal agent.

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Original Article
Relationship of Physical Fitness with Age and Body Fat, Work Pattern, Life Style among Male Workers of an Electronic Manufacturing Company
Sang Woo Kim, Pal Su Nam, Wan Seoup Park, Young Yeon Jung, Kuk Hyeun Woo, Young Ha Lee, Seung Ryeol Yoon
Korean Journal of Occupational and Environmental Medicine 1996;8(3):434-445.   Published online December 31, 1996
DOI: https://doi.org/10.35371/kjoem.1996.8.3.434
AbstractAbstract PDF
This is pilot study to evaluate the relationship of physical fitness with age, body fat, work pattern and life style among 20-9 aged male workers (n=417). Physical fitness was measured by maximum oxygen uptake, forced vital capacity, 1 second forced expiratory volume, grip strength, back strength, sit ups and trunk flexion. Life style was self-reported on a questionnaire about regular exercise, smoking, alcohol consumption, coffee consumption, degree of stress, and percent of body fat measured by bioelectrical impedance fat meter. Age was significantly and negatively related to physical fitness except grip strength. Obesity was next to most significant factor for physical fitness, it was associated with maximum oxygen uptake, grip strength, back strength, trunk flexion. Regular exercise was associated with maximum oxygen uptake. Others was insignificantly related to physical fitness. Performance of physical fitness test was significantly correlated with age, obesity and regular exercise.

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Ann Occup Environ Med : Annals of Occupational and Environmental Medicine
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