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Original Article
The relationship between chronotypes and musculoskeletal problems in male automobile manufacturing workers
Suwhan Kim, Won-Ju Park, Seunghyeon Cho, Dae-Young Lim, Yeongjae Yoo, Hyeonjun Kim, Wonyang Kang, Kyung Wook Kang, Jai-Dong Moon
Ann Occup Environ Med 2021;33:e26.   Published online August 13, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e26
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

Previous studies have shown that morning types are less sensitive to pain. This study aimed to examine the relationship between chronotypes and musculoskeletal problems in workers with musculoskeletal burdens at work.

Methods

This cross-sectional study included 119 male production workers from a large automobile manufacturing plant. All the participants worked 2 shifts and worked on the automobile assembly line. Data were obtained using structured questionnaires, including the reduced Morningness-Eveningness Questionnaire (rMEQ), and musculoskeletal symptom questionnaire. Participants with an rMEQ score of 18 points or more were defined as morning-type workers (MTWs). Participants whose scores were less than 18 points were defined as neither-type workers (NTWs).

Results

The arithmetic mean age was 51.8 ± 5.3 years. MTWs and NTWs accounted for 35.3% and 64.7% of the total participants, respectively. Evening- and intermediate-type workers accounted form 6.7% and 58.0% of the participants, respectively. There was no significant difference in the health indicators when the MTW and NTW groups were compared. However, the musculoskeletal symptom questionnaire demonstrated a significant difference between the MTW and NTW groups. In the preceding year, the MTW group had significantly lower musculoskeletal pain and treatment ratios compared to the NTW group (35.7% vs. 62.3%, p = 0.005 and 14.3% vs. 32.5%, p = 0.031, respectively). After adjusting for variables, the odds ratio (OR) for musculoskeletal pain was significantly higher in the NTW group than in the MTW group (OR, 3.112; 95% confidence interval, 1.285–7.535; p = 0.012).

Conclusions

In this study, the musculoskeletal pain ratio was significantly lower for MTWs when compared to NTWs. Chronotypes could play an important role in work-related musculoskeletal disorders. Further, larger-scale, follow-up studies on chronotypes are required to assist in the prevention of musculoskeletal disorders in future.

자동차 생산 남성 근로자에서 일주기성과 근골격계 통증과의 관련성
목적
사람의 심리적, 신체적 상태는 하루 주기에 따라 변화하며 일주기성에 따라 각 개인이 선호하는 최적의 활동시간대에 차이가 있다. 기존 연구들은 이러한 개인의 일주기성에 따라 통증에 대한 민감도의 차이를 보인다는 결과를 제시하고 있다. 본 연구에서는 근골격계 부담작업을 수행하는 생산직 남성 근로자를 대상으로 개인의 일주기성을 파악하고 근골격계 통증과의 관련성을 살펴보고자 하였다.
방법
자동차 제조 공장에서 근무하는 남성 근로자 119명을 대상으로 단면 연구를 시행하였다. 모든 대상자는 2교대 형태로 조립공정에서 근무하였다. 단축형 아침형-저녁형 척도, 불면증 심각성 척도, 스트레스 척도 및 근골격계 증상 여부를 포함한 설문을 실시하였으며 혈액검사를 통해 건강지표를 확보하였다. 단축형 아침형-저녁형 척도가 18점 이상인 경우를 아침형 근로자로, 18점 미만인 경우를 비아침형 근로자로 정의하였다.
결과
아침형 근로자와 비아침형 근로자는 각각 전체 대상자의 35.3%와 64.7%를 차지했다. 아침형 근로자 군과 비아침형 근로자 군의 비교에서 체질량지수, 흡연, 음주, 운동, 고혈압, 당뇨병, 지질, 신장 기능, 코티솔, C 반응성 단백질, 평균 수면 시간, 수면 및 스트레스 점수에는 유의한 차이를 보이지 않았다. 그러나 근골격계 증상 설문 중 최근 1년간 근골격계 통증 및 근골격계 치료 여부 비율에서 아침형 근로자 군과 비아침형 근로자 군 간의 유의한 차이가 관찰되었다(각각 35.7%대 62.3 %, p = 0.005 및 14.3%대 32.5%, p = 0.031). 변수를 보정한 후 근골격계 통증 발생의 오즈비는 아침형 근로자 군보다 비아침형 근로자 군에서 유의하게 높았다(오즈비 3.112, 95% 신뢰구간 1.285–7.535, p = 0.012).
결론
근골격계 질환은 업무상질병의 큰 비중을 차지하고 있으며 이를 예방하기위해 그 위험 요인에 대한 다각적 접근이 필요하다. 본 연구에서는 비아침형 근로자 군에서 상대적으로 높은 근골격계 통증 비율을 확인하였으며, 이는 일주기성이 업무 관련 근골격계 질환에서 의미 있는 인자일 가능성을 시사한다. 이를 토대로 근골격계 질환의 예방을 위해 개인의 일주기성에 대한 개입이나 일주기성에 맞춘 업무환경개선과 같은 새로운 접근 방법이 고려될 수 있다. 향후 근골격계 질환의 예방을 위해 근로자의 일주기성에 관한 추가적인 연구가 필요할 것이다.

Citations

Citations to this article as recorded by  
  • Influence of chronotype on pain incidence during early adolescence
    Rui Li, Cornelius Groenewald, See Wan Tham, Jennifer A. Rabbitts, Teresa M. Ward, Tonya M. Palermo
    Pain.2024;[Epub]     CrossRef
  • Medium- and Long-Term Effects of Insomnia Severity and Circadian Preference on Pain and Emotional Distress Among Individuals With Chronic Pain
    Chung Jung Mun, Nina Winsick, Stephen T. Wegener, Shawn D. Youngstedt, Claudia M. Campbell, Rachel V. Aaron
    The Journal of Pain.2023; 24(11): 1946.     CrossRef
  • Circadian Rhythm and Pain: a Review of Current Research and Future Implications
    Chung Jung Mun, Helen J. Burgess, Dorothy D. Sears, Sairam Parthasarathy, Dara James, Ulysses Altamirano, Surabhi Sajith, Ananya Lakhotia, Roger B. Fillingim, Shawn D. Youngstedt
    Current Sleep Medicine Reports.2022; 8(4): 114.     CrossRef
  • Physical hazards, musculoskeletal pain, and job control: Multilevel results from the European Social Survey
    Duygu Gulseren
    Safety Science.2022; 156: 105901.     CrossRef
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Research Article
Speech-in-Noise Test results of compensation claimants for noise induced hearing loss in Korean male workers: Words-in-Noise Test (WIN) and quick-Hearing-in-Noise Test (HINT)
Ji Soo Kim, Joong Keun Kwon, Nam Jeong Kim, Ji Ho Lee
Ann Occup Environ Med 2021;33:e11.   Published online April 20, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e11
AbstractAbstract PDFPubReaderePub
Background

Pure-tone audiometry is used as a gold standard for hearing measurement. However, since communication in the work environment occurs in noise, it might be difficult to evaluate the actual communication ability accurately based on pure-tone audiometry only. Therefore, the purpose of this study is to evaluate speech intelligibility in noisy environments by using Speech-in-Noise Tests and to check its relationship with pure-tone audiometry.

Methods

From January 2017 to September 2018, for 362 workers who visited a university hospital for the purpose of compensating for noise-induced hearing loss, several tests were conducted: pure-tone audiometry, speech reception threshold, speech discrimination score, and Speech-in-Noise Tests (Words-in-Noise Test [WIN] and quick-Hearing-in-Noise Test [quick-HINT]). The subjects were classified into serviceable hearing group and non-serviceable hearing group based on 40 dB hearing level (HL) pure-tone average. In both groups, we conducted age-adjusted partial correlation analysis in order to find out the relationship between pure-tone threshold, speech reception threshold, speech discrimination score and WIN and quick-HINT respectively.

Results

In non-serviceable hearing group, all results of partial correlation analysis were statistically significant. However, in serviceable hearing group, there were many results which showed little or no significant relationship between pure-tone threshold and Speech-in-Noise Tests (WIN and quick-HINT).

Conclusions

The relationship between Speech-in-Noise Tests and the pure-tone thresholds were different by the hearing impairment levels; in mild to moderate hearing loss workers, there was little or no relationship; in severe cases, the relationship was significant. It is not enough to predict the speech intelligibility of hearing-impaired persons, especially in mild to moderate level, with pure-tone audiometry only. Therefore, it would be recommended to conduct Speech-in-Noise Test.


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  • Cochlear Implantation after Stereotactic Radiosurgery for Vestibular Schwannoma: Initial Hearing Improvement and Longevity of Hearing Restoration
    Kurtis Young, Maeher R. Grewal, Rodney C. Diaz, Arthur W. Wu, Mia E. Miller
    Otology & Neurotology.2023; 44(3): 201.     CrossRef
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Research Article
Psychosocial Risk Factors and Musculoskeletal Symptoms among White and Blue-collar Workers at Private and Public Sectors
Leticia B Januario, Mariana V Batistao, Helenice JCG Coury, Ana Beatriz Oliveira, Tatiana O Sato
Ann Occup Environ Med 2014;26:20-20.   Published online July 25, 2014
DOI: https://doi.org/10.1186/s40557-014-0020-5
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to evaluate musculoskeletal and psychosocial perception and compare these conditions regarding the type of job (white or blue-collar) and the type of management model (private or public).

Methods

Forty-seven public white-collar (PuWC), 84 private white-collar (PrWC) and 83 blue-collar workers (PrBC) were evaluated. Job Content Questionnaire (JCQ) and Utrecht Work Engagement Scale (UWES) were applied to evaluate psychosocial factors. Nordic Musculoskeletal Questionnaire (NMQ) was used to assess musculoskeletal symptoms. Pressure Pain Threshold (PPT) was measured to evaluate sensory responses.

Results

According to JCQ, all groups were classified as active profile. There was a significant association between work engagement and workers’ categories (p < 0.05). PrWC workers had the highest scores for all the UWES domains, while PrBC had the lowest ones. PPT showed that PrBC workers had an increased sensitivity for left deltoid (p < 0.01), and for both epicondyles (p < 0.01), when compared to the other groups. PrWC workers had an increased sensitivity for both epicondyles than PuWC (right p < 0.01; left, p = 0.05). There was no significant association in the report of symptoms across the groups (p > 0.05).

Conclusion

This study showed differences in psychosocial risk factors and musculoskeletal symptoms in workers engaged in different types of jobs and work organization. Personal and work-related characteristics, psychosocial factors and PPT responses were different across workers’ group. Despite all, there was no significant difference in reported symptoms across the groups, possibly indicating that the physical load is similar among the sectors.


Citations

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  • Identifying pain profiles in employees including work-related factors and pain perceptions: a cross-sectional study in Belgian companies
    Stijn Keyaerts, Lode Godderis, Vero Vanden Abeele, Liesbeth Daenen
    BMJ Open.2024; 14(8): e082804.     CrossRef
  • Prevalence and Predicting Factors of Chronic Pain among Workers of Petrochemical and Petroleum Refinery Plants
    Maryam Shaygan, Maryam Yazdanpanah
    The International Journal of Occupational and Environmental Medicine.2020; 11(1): 3.     CrossRef
  • Prevalence of multisite pain and association with work ability – Cross-sectional study
    Ludmilla Maria Souza Mattos de Araújo Vieira, Tatiana de Oliveira Sato
    Musculoskeletal Science and Practice.2020; 50: 102279.     CrossRef
  • Fractures as a suicidal behavior risk factor
    Chun-Hao Tsai, Wan-Ju Cheng, Chih-Hsin Muo, Tsung-Li Lin
    Medicine.2019; 98(3): e14148.     CrossRef
  • Three job stress models and their relationship with musculoskeletal pain in blue- and white-collar workers
    Raphael M. Herr, Jos A. Bosch, Adrian Loerbroks, Annelies E.M. van Vianen, Marc N. Jarczok, Joachim E. Fischer, Burkhard Schmidt
    Journal of Psychosomatic Research.2015; 79(5): 340.     CrossRef
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Original Article
Effect of Hand Transmitted Vibration on the Auditory System
Jae Kook Yoon, Cheol In Yoo, Ji Ho Lee
Korean Journal of Occupational and Environmental Medicine 2011;23(1):18-30.   Published online March 31, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.1.18
AbstractAbstract PDF
OBJECTIVES
This study was undertaken to estimate the effect of hand transmitted vibration exposure for long time period on the auditory system in shipyard grinder workers.
METHODS
From 2006 to 2009, the study was carried out on 87 grinder workers for hand transmitted vibration exposure group, with 81 welders who were served as the control group. All subjects were male; at baseline, none of the participants had ear disease or diabetes mellitus. Auditory threshold at different frequencies ranged from 0.25 kHz to 8 kHz for both ear was recorded; the following were also collected from the subjects: age, exposure duration, noise exposure level of investigation year, total cholesterol, systolic/diastolic blood pressure, and smoking history.
RESULTS
In comparison of two groups, mean of age, exposure duration, noise level, total cholesterol, systolic/diastolic blood pressure, smoking rate were not significantly different between the groups. Auditory thresholds of 0.25, 0.5 kHz frequencies in both ear, 1 kHz frequency in right ear, and 8 kHz frequency in left ear were higher in hand-transmitted vibration exposure group than that in the control group at a statistically significant level. After stratification by age 50 years, there were no significant differences between the two groups in less than 50-years old age group, but auditory threshold of 0.25, 0.5, 1 and 8 kHz frequency were significantly different between the two groups in above 50-years old age group. The differences between two groups ranged from 0.4 dB(HL) to 6.7 dB(HL). Multiple linear regression analysis showed that hand transmitted vibration exposure was significant only in 0.25, 0.5 kHz frequency and the regression coefficients of vibration exposure ranged from 3.826 to 5.028 in those frequencies.
CONCLUSIONS
The differences of hearing threshold between two groups only in the 50-years old group were possibly owing to changed peripheral vascular system with autonomic nervous system, and significances only in low frequencies such as 0.25, 0.5 kHz probably mean that hand vibration exposure have been transmitted to auditory organ over long term. Collectively, older people can be more susceptible to hearing loss in the presence of hand transmitted vibration exposure and auditory threshold at low frequency may be more affected by the hand transmitted vibration exposure than high frequency.

Citations

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  • The Health Effect of Hand Arm Transmitted Vibration
    Jung-Wan Koo
    Journal of the Ergonomics Society of Korea.2013; 32(4): 303.     CrossRef
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Original Article
Comparison of the Standard Threshold Shift Criteria for Evaluating Hearing Conservation Programs
Chang Sun Sim, Kyoung Sook Jeong, Yu Jung Kim, Na Ri Choy, Choong Ryeol Lee, Hun Lee, Jong Pil Jung, Ok Hyun Kim, Yo Weon Lee, Seung Rim Yang, Sung Soo Oh, Ji Ho Lee
Korean Journal of Occupational and Environmental Medicine 2006;18(3):179-188.   Published online September 30, 2006
DOI: https://doi.org/10.35371/kjoem.2006.18.3.179
AbstractAbstract PDF
OBJECTIVES
Workers from a factory was selected to compare 8 standard threshold shift criteria with the Korean diagnostic criteria of noise-induced hearing loss for this cohort study.
METHODS
From 1990 to 1999, 491 workers at a manufacturing company with complete record of the hearing test covering the range of 0.5~6 kHz for 10 consecutive years were finally selected. Eight standard threshold shift criteria (15 dB once, NIOSH (1972), 10 dB average 3~4 kHz, OSHA STS, AAOHNS, 15 dB twice, 15 dB 1~4 kHz, OSHA STS twice) along with the Korean standard for diagnosing the noise-induced hearing loss (the average hearing threshold at 0.5, 1 and 2 kHz) were compared to calculate the degree of the threshold shift and the minimum time required to detect the change.
RESULTS
Those workers showing at least one positive shift in the 'once'criteria of NIOSH (1972) were 92.5%; the 'average'criteria of 10 dB average 3~4 kHz were 35.8%; 'twice'criteria of 15 dB twice were 44.4%. The duration from the baseline to the year showing the first positive shift was from 3.2 +/- 3.1 years (NIOSH, 1972) to 6.0 +/- 2.1 years (OSHA STS twice). The percentage of true positive shift ranging from 20.4% (AAO-HNS) to 69.8% (NIOSH, 1972). There were 10 (2%) which met the Korean diagnostic criteria of noise-induced hearing loss.
CONCLUSIONS
Currently the concept of hearing threshold shift in diagnosing the hearing loss was adopted in Korea thus in this study we determined the validity and the effect of the various hearing threshold shift criteria and showed that NIOSH (1972) criteria was the best of all. In the future, hearing data from various manufacturing workers should be compared to thoroughly evaluate the threshold shift criteria and to establish adequate standard for Korean workers.

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Original Article
Hearing Thresholds in Electronics Sound Inspectors Exposed to Continuous and Impulsive Type Noises
Seong Ah Kim, Kyoo Sang Kim
Korean Journal of Occupational and Environmental Medicine 2004;16(3):227-235.   Published online September 30, 2004
DOI: https://doi.org/10.35371/kjoem.2004.16.3.227
AbstractAbstract PDF
OBJECTIVES
To investigate the relation between different types of exposure to noise and a classic sign of noise-induced hearing loss (NIHL); the audiometric notch.
METHODS
A cross-sectional epidemiological survey was carried out in electronics sound inspectors exposed to continuous and impulsive type noises. The noise levels in the working environments, and the audiometric hearing threshold levels were measured.
RESULTS
Electronics sound inspectors were exposed to impulsive noise ranging from 74.1 to 88.9 dBA. The hearing loss induced by impulsive noise was greater and was characterized by maximum loss at 6 kHz audiometric frequency, as opposed to the notch at 4 kHz that is typical of continuous noise.
CONCLUSIONS
The results suggest that the probable effect of impulsive noise on hearing should be considered even when the exposure is within the 85 dB equivalent A-weighted level. To diagnose NIHL it is important to elicit a detailed and accurate history of exposure to noise. Although the notch at 4 kHz is a well established clinical sign and may be valuable in confirming the diagnosis, the 6 kHz notch is variable and of limited importance.

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Original Article
Characteristics and Affecting Factors of Tinnitus in Noise Exposed Workers
Kyoo Sang Kim, Ho Keun Chung
Korean Journal of Occupational and Environmental Medicine 2002;14(4):436-447.   Published online December 31, 2002
DOI: https://doi.org/10.35371/kjoem.2002.14.4.436
AbstractAbstract PDF
OBJECTIVES
Tinnitus is a relatively common complaint of workers who are exposed to noise. The aim of the study was to investigate the prevalence and characteristics of tinnitus as well as the factors related to the prevalence of tinnitus.
METHODS
A cross-sectional audiologic survey was combined with a questionnaire on tinnitus in a stratified random sample of 246 shipyard workers who had long-term exposure to noise.
RESULTS
Forty seven had tinnitus, giving a prevalence of 19.1 percent. The tinnitus was the here and now in 44.7 percent of cases, bilateral in 51.1 percent, and caused sleep disturbances in 12.8 percent. The prevalence of tinnitus was highest in shipfitters and those with longer exposure duration.The workers with tunnitus had consistently higher hearing thresholds at both high and low frequencies than those with no tinnitus.The workers with tinnitus had a significantly higher prevalence of hearing disorders such as conductive hearing loss, a C5-dip, and NIHL.Multivariative logistic regression indicated that past history of ear disease, working and military service exposure to noise were independently associated with tinnitus. The adjusted odds ratio estimates for tinnitus were 3.0 times greater (95%CI 1.4-6.4) for the group with a past history of ear diseases,2.3 times greater (95%CI 1.0-5.0) for the military noise exposed group,and 4.5 times greater (95%CI 1.8-11.1) for the working noise exposed group.
CONCLUSIONS
The results provide evidence that reports of tinnitus at the time of the annual audiometric testing may be useful in identifying workers at greater risk of developing significant shifts in their hearing thresholds. An awareness of the possible occurrence of tinnitus may encourage workers to cooperate more actively in a company's hearing conservation program.

Citations

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  • A systematic review of the reporting of tinnitus prevalence and severity
    Abby McCormack, Mark Edmondson-Jones, Sarah Somerset, Deborah Hall
    Hearing Research.2016; 337: 70.     CrossRef
  • The Characterisitics of Tinnitus and Its Relationship to Depression from Tinnitus Acquired from Military Service
    Kyoo Sang Kim, Ji Hae Kim, Yong Hun Yoon
    Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2012; 55(12): 757.     CrossRef
  • Occupational Hearing Loss in Korea
    Kyoo Sang Kim
    Journal of Korean Medical Science.2010; 25(Suppl): S62.     CrossRef
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Original Article
Relationship between the Use of Mobile Phones and Hearing Thresholds in Some White-collar Workers
Mi Young Lee, Choong Won Lee
Korean Journal of Occupational and Environmental Medicine 2002;14(1):47-56.   Published online March 31, 2002
DOI: https://doi.org/10.35371/kjoem.2002.14.1.47
AbstractAbstract PDF
OBJECTIVES
The purpose of this study was to investigate the relationship between the use of mobile phones and the levels of hearing thresholds in some clerical workers.
METHODS
Questionnaires were administered to 450 clerical workers between May and August 2000. The questionnaire included items concerning socio-demographic profile and noise-exposure history as well as use of mobile phone. The number of workers used in the final analysis was 394(Response rate 87.6%). Males numbered 308 and females 86. Hearing thresholds were measured in both ears using a pure-tone audiometer.
RESULTS
In a univariate analysis, the duration and time of mobile phone use per day were significant in regards to hearing threshold at 1000Hz in males(p<0.05). In a linear regression analysis with adjustment for age, education, military service, use of earphone, the group that used mobile phones for more than 49 months was more likely to have low hearing threshold at 1000Hz and 4000Hz in males(p<0.05) as compared to the reference group (CONCLUSIONS
These results suggested that only certain elements of use of a mobile phone may be associated with hearing thresholds and there is a complex relationship between the use of mobile phone and hearing thresholds that may differ in terms of frequency (1000Hz and 4000Hz) and gender.

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    Hyun-Uk Park, Chang-Won Park
    The Korean Journal of Vision Science.2023; 25(3): 209.     CrossRef
  • Occupational Hearing Loss in Korea
    Kyoo Sang Kim
    Journal of Korean Medical Science.2010; 25(Suppl): S62.     CrossRef
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Original Article
Evaluation of Early Neurologic Abnormalities on the Workers Exposed to Acrylamide
Seong Soon Kim, Hae Kwan Cheong, Yong Wook Kwon
Korean Journal of Occupational and Environmental Medicine 2000;12(3):367-383.   Published online September 30, 2000
DOI: https://doi.org/10.35371/kjoem.2000.12.3.367
AbstractAbstract PDF
OBJECTIVES
Acrylamide is a neurotoxin inducing central-peripheral distal axonopathy. The authors evaluated several neurologic tests to screen the early effect of occupational acrylamide exposure.
METHODS
Fifty-two males working either in the production of acrylamide monomer or in the handling of acrylamide in Ulsan, Korea, were selected and subcategorized into the high-exposure group (n=10, mean age of 30. 4 years) and the low-exposure group (n=42, mean age of 28.9 years). Twenty-three males (mean age 29.4 years) from medical professionals and students were chosen as a non-exposed reference group. Symptom questionnaire, neurologic examination, electrodiagnostic test, vibrotactile threshold test, and Lanthony desaturated 15 panel test (LD-15D) were done.
RESULTS
The high-exposure group showed more number of specific symptoms on questionnaire and more abnormal two point discrimination test. High-exposure group showed a significant difference in the median motor conduction velocity, peroneal nerve motor latency, sensory amplitude of median nerve action potential, and sensory latency of sural nerve. The vibrotactile threshold of the high-exposure group was significantly higher in both hands and feet than that of the low-exposure group and the reference group. Average color confusion index on the LD-15D was significantly higher in the high-exposure group (median 22.7, range 0-135.7) than in the reference group (median 2.4, range 0-33.2).
CONCLUSIONS
The symptom questionnaire, vibrotactile threshold test, and color discrimination test are sensitive in detection of the early acrylamide-induced neuropathy, and the combination of these tests would further facilitate the effectiveness of the screening.

Citations

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  • Usefulness of Color Vision Test for Early Detection of Neurological Damages by Neurotoxic Substances
    Eun-Hee Lee, Kyungho Choi, Hong Jae Chae, Domyung Paek
    Journal of Preventive Medicine and Public Health.2008; 41(6): 397.     CrossRef
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Original Article
Polyneuropathy by Occupational Exposure to Acrylamide
Hae Kwan Cheong, Yong Wook Kwon, Kyung Yun Uh, Byung Joon Kim, Jeong Sun Yang, Cheol Jung, Youngwoo Jin, Mi Young Lee, Seong Kyu Kang
Korean Journal of Occupational and Environmental Medicine 1998;10(3):388-403.   Published online August 31, 1998
DOI: https://doi.org/10.35371/kjoem.1998.10.3.388
AbstractAbstract PDF
Authors report a first Korean case of polyneuropathy in an acrylamide producing factory together with an environmental and epidemiologic survey for the ten workers of the same workplace and 46 workers in the production and manufacturing acrylamide in Ulsan, Korea. The case is 30 years old man who worked in the prcduction of the acrylamide for two years. In August, 1997, he had a weakness of the lower extremity with loss of body weight of 15 Kg which progressed to paresthesia of the limbs, the loss of vibration sense, difficulty in walking, speech disturbance, dysuria, constipation, difficulty in erection and swallowing difficulty. Neurologic examination showed a complete loss of vibration and position sense, and loss of deep tendon reflex in all the limbs. There was a contact dermatitis-like skin lesion on the feet. Electrodiagnostic test showed a generalized polyneuropathy of moderate degree involving motor and sensory component of peripheral and cranial nerves. After 8 months' cessation from exposure and supportive care, his symptoms were completely resolved, but abnormality in electrodiagnostic test and vibrotactile perception threshold still persisted, although much improved than before. There were 11 workers in the same workplace of the case, producing acrylamide by microorganism as a catalyst. Environmental monitoring of the workplace revealed air-borne concentration of the acrylamide to be from 0.05 to 0.23 mg/m(3) by personal sampling and from 7.65 to 11.65 mg/m(3) by area sampling during filter exchanging process, which far exceeds TLV-TWA of 0.03 mg/m(3). However acrylamide was not detected from the plasma of the workers. Symptom questionnaire showed a markedly higher complain of neurologic symptoms, compared to the workers of the other acrylamide producing companies. Electrodiagnostic test showed a several workers are in the lower normal range without definite abnormality. Vibrotactile perception threshold by Vibratron II showed a significantly increased threshold in the workers of the same workplace compared to the other acrylamide workers and significantly decreased test score of color vision compared to normal controls. After improvement of the production process and strict wearing of the protective device, most workers reported the improvement of clinical symptoms, but vibrotactile perception threshold was not improved. These result suggests the need for the effective environmental monitoring together with a periodic biological monitoring. Development of effective screening test is urgently needed to control and assess the skin absorption of acrylamide.

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  • Dermal and neural toxicity caused by acrylamide exposure in two Korean grouting workers: a case report
    Heeyun Kim, Sang Gil Lee, Jeongbae Rhie
    Annals of Occupational and Environmental Medicine.2017;[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
  • Occupational Neurological Disorders in Korea
    Eun-A Kim, Seong-Kyu Kang
    Journal of Korean Medical Science.2010; 25(Suppl): S26.     CrossRef
  • Occupational Diseases in Korea
    Seong-Kyu Kang, Eun A Kim
    Journal of Korean Medical Science.2010; 25(Suppl): S4.     CrossRef
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Original Article
The Correlation of Cardiovascular Risk Factors and Hearing Loss
Sung Pil Jung, Soo Young Kim, Tae Yong Lee, Young Chae Cho, Dong Bae Lee
Korean Journal of Occupational and Environmental Medicine 1998;10(2):189-202.   Published online May 31, 1998
DOI: https://doi.org/10.35371/kjoem.1998.10.2.189
AbstractAbstract PDF
To investigate the effects of cardiovascular risk factors on hearing loss, hearing threshold and cardiovascular risk factors such as blood pressure, hematologic values, and serum lipid levels of 3,827 persons who visited the Health Center of a University Hospital in Kumi for health examination from January 1, 1995 to July 31, 1997 were analysed. The results were summarized as follows ; 1. Hearing threshold was shifted highly in both sex groups with age increased. Smoking did not influence increase of hearing loss, but drinking alcohol amount increased hearing threshold when sex was adjusted. The most highly increased hearing threshold showed among farmers group, but next was blue collars group. Hearing threshold increasing basis with BMI increased. 2. Systolic and diastolic blood pressure and hematocrit value increased the hearing threshold in both sex groups, but hemoglobin value did not related to the hearing threshold. 3. Total cholesterol, LDL-cholesterol, triglyceride, and atherosclerosis index were significantly increased with the grade of hearing lose increased, when age was adjusted. 4. In the logistic regression analysis, the atherosclerosis index, age, and hematocrit value revealed risk factors which contributed in that orders, though the values were small they showed statistical significances, but the risks were lowered when hemoglobin values increased, in both sex groups. Consequently, hyperlipidemia was significantly related to the hearing loss when age was adjusted.

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  • Spatio-temporal Characteristics of the Frequency of Weather Types and Analysis of the Related Air Quality in Korean Urban Areas over a Recent Decade (2007-2016)
    Hyeong-Sik Park, Sang-Keun Song, Seung-Beom Han, Seongbin Cho
    Journal of Environmental Science International.2018; 27(11): 1129.     CrossRef
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Original Article
Noise-Induced Temporary Threshold Shift and its Recovery in Industry
Soo Hun Cho, Mi Na Ha, Sang Hwan Han, Young Soo Joo, Ju Hon Sung, Jong Won Kang, Dork Ro Yun, Bong Bin Song, Myung Hag Lee, Seon Tae Kim
Korean Journal of Occupational and Environmental Medicine 1996;8(2):320-329.   Published online September 30, 1996
DOI: https://doi.org/10.35371/kjoem.1996.8.2.320
AbstractAbstract PDF
To determine the recovery time from noise-induced temporary threshold shift (TTS), a prospective field study was conducted at three worksites where workers are known to be exposed high level of noise. Subjects were selected according to answers on a questionnaire which inquired about otological history and previous noise exposure, including avocational, military and occupational exposures. After excluding employees with past otologic problems, recent exposure to high level noise, and under medications, total 92 employees participated in the study. Among 92 participants, complete consecutive audiometric examinations were carried out at 0~2 hours, 5~7 hours, 14~16 hours after worktime noise exposure on 26 participants wearing hearing protectors and 22 participants wearing no protective devices. The difference between the hearing level 0~2 hours after noise exposure and 5~7 hours is statistically significant by paired t-test(p<0.01). The median recovery times calculated from the data of 22 participants wearing no protective hearing devices are 15.6 hours at 4000 Hz, and 7.7 hours, 10.3 hours, 8.4 hours at 1000 Hz, 2000 Hz and 8000 Hz respectively. These data suggest that when measuring the pure tone audiometry for noise exposed workers, at least 16 hours noise-free interval is required.

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Original Article
Vibration Perception Threshold of Male Workers Exposed to Carbon Disulfide
Seung Hoi Park, Eun Il Lee, Byung Chul Chun, Yong Tae Yum, Jae Wook Chi
Korean Journal of Occupational and Environmental Medicine 1996;8(1):85-96.   Published online February 29, 1996
DOI: https://doi.org/10.35371/kjoem.1996.8.1.85
AbstractAbstract PDF
This study was conducted on 367 male workers to evaluate the change of vibration perception threshold (VPT) according to exposure degree to carbon disulfide. VPT was measured on both metacarpal bones of index and little fingers and on fibular malleoli by Vibrometer (Rion, on 125Hz). The exposure degree was classified by the name of department. Workers in department 1 had been exposed to high concentration of carbon disulfide, those in. department 2 had been exposed to carbon disulfide moderately or intermittently, and those in department 3 had been exposed to undetectable concentration of carbon disulfide. The results were as follows: 1. The mean values of VPT of metacarpal(MC) bones showed dose-response pattern, i.e., the mean values of VPT at department 1 were highest, and those of VPT at department 3 were lowest with similar work duration or age. But the mean values of VPT of fibular malleoli (FM) showed dose-response pattern only in workers having above 5 years of work duration or whose age were above 30. 2. The mean values of VPT of MC bone of workers increased by age. 3. There were statistically significant difference in mean values of VPT of MC bone only in workers having 5-10 year work duration. And there were statistically significant difference of mean values of VPT of left 2nd and 5th MC bone in workers whose age was 30's, of right 2nd MC bone in those whose age was 40's, and of left 2nd MC bone in those whose age was 50's. 4. The variables affecting VPT significantly were department and age (or age group) both in multiple regression and general linear model. The department showed to have more effect to VPT than age in multiple regression, but age group showed to have more effect to VPT than department in general linear model. 5. The variables were transformed to indicator variable to do logistic regression analysis. Department 1, 2, 3 were classified into high exposure (spinning department) and low exposure (other department), age was classified into old (above 30) and young, and work duration was classified into long(above 10 years) and short. The exposure and age were significant variables by logistic regression analysis. Odds ratios of department and VPT on metacarpal bones or malleoli were 2.7-3.2 and those of age and VPT were 2.6 or 2.7. Odds ratio of age and abnormality of VPT on'any point was 3.3(1.59-6.;8), and that of department and VPT was 2.8(1.5-5.5). We concluded that exposure of carbon disulfied was significantly associated with reduction of VPT regardless of age; and that the test of VPT would be useful tool for screening and early detection in neuropathy by carbon disulfide or other neurotoxic chemicals,even though it is simple and cheap.

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  • Trans‐Cranial Doppler and Peripheral Sensory Threshold Tests for Carbon Disulfide Poisoning
    Eunil Lee, Hun‐Jong Chung, Soon‐Duck Kim, Jong‐Tae Park, Donggeun Sul, Myung‐Hyun Kim
    Journal of Occupational Health.2001; 43(6): 307.     CrossRef
  • Carbon Disulfide Poisoning in Korea with Social and Historical Background
    Eunil Lee, Soonduck Kim, Haejoon Kim, Kwangjong Kim, Yongtae Yum
    Journal of Occupational Health.1996; 38(4): 155.     CrossRef
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Original Article
Concepts of Occupational Exposure Limit and Their International Comparisons
Kyung Sim Koh, Soo Hun Cho
Korean Journal of Occupational and Environmental Medicine 1995;7(1):152-168.   Published online February 28, 1995
DOI: https://doi.org/10.35371/kjoem.1995.7.1.152
AbstractAbstract PDF
This paper focuses on the origin of the concepts of occupational exposure limit, and traces the history and development of thoughts and regislations of various countries and organizations concerning the founding principles upon which it is based. The concepts of establishing standards for occupational chemicals in workplace air constitute a social consensus or agreement about acceptable levels of occupational hygiene. The level of scientific development of a country and the discussion of experts in the field of occupational health play an important role. The physician in occurational health has to be especially concerned to discover and estimate the risks to anyone particularly susceptible to exposures within the hygienically acceptable conditions.

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Original Article
Weighted Needle Pinprick Sensory Threshold (WPT) and Arthropornetric Parameters
Jong Young Lee, Ji Yeon Son, Soon Woo Park, Eung Chun Lee, Doohie Kim
Korean Journal of Occupational and Environmental Medicine 1994;6(2):342-347.   Published online September 30, 1994
DOI: https://doi.org/10.35371/kjoem.1994.6.2.342
AbstractAbstract PDF
To assess the relationship of pinprick sensory threshold with height and weight, Ninety seven healthy young (age 19 to 28) males were tested on their anatomical snuff box of both Hands. Their WPT was measured by device holding and moving weighted needle sensory threshold apparatus. Mean of the WPT was 0.43(+/-0.24) g in left and, 0.53( 0.30) g in right hand. Difference of WPT between the right and left hand appeared statistically significant (p<0.01) . Correlation coefficient of WPT with height was 0.26461 (p<0.01) in left and, 0.31856 (p<0.01) in right hand. Weight was statistically significantly correlated with WPT in left hand (r=0.24932, p<0.01) The study shows that the left-right difference and influence of height in pinprick sense may exist in normal healthy male adults.

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Original Article
Selection of Testing Frequency in Bone Vibrator of Audiometer for Measurement of Vivration Perception Threshold
Jong Young Lee, Wan Seoup Park, Yeong Hwan Kim, Doohie Kim
Korean Journal of Occupational and Environmental Medicine 1994;6(1):17-25.   Published online February 28, 1994
DOI: https://doi.org/10.35371/kjoem.1994.6.1.17
AbstractAbstract PDF
Both to determine testing frequency in bone vibrator of audiometer for measurement of vibration perception threshold(VPT) and to evaluate factors influencing VPT, ninty seven healthy adults were tested on their second metacarpal head of both hands, at 250Hz, 500Hz, 1,000Hz and so on. Measures of the VPTs at 1,000Hz were excluded in analysis because frequency 1,000Hz was not recognized as a vibration sense. Mean and standard deviation(S.D.) of the VPTs in the both hands measured at 250Hz were 19.9+/-6.7dB, 21.0+/-7.3dB, respectively and at 500Hz were 33.6+/-8.3dB, 34.9+/-8.1dB, respectively. Both mean and S.D. tended to be lower at 250Hz than 500Hz, and mean differences of VPTs between the left and the right hand at the both frequencies appeared statistically significant (p<0.01). VPTs were significantly correlated with each other (p<0.01). Age was positively correlated(p<0.001) with VPTs and education was negatively(p<0.01). Multiple regression analysis showed that age was the only factor influenced on VPT. These results suggest that, when using the bone vibrator of audiometer for measurement of VPT, the frequency 250Hz as a testing frequency may be more useful than frequency 500Hz, and VPT should be measured on both hands.

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Original Article
Mercury Concentration in air and in Urine of Workers in Fluorescent Lamp Manufacturing Factories in Korea
Kwang Jong Kim, Chul Whan Cha
Korean Journal of Occupational and Environmental Medicine 1990;2(2):179-185.   Published online August 31, 1990
DOI: https://doi.org/10.35371/kjoem.1990.2.2.179
AbstractAbstract PDF
This research was conducted to investigate the correlations between urinary mercury concentration and each independent variable related with urinary mercury levels. the urinary mercury concentrations of 543 workers exposed to metal mercury vapor in a total of 11 fluorescent lamp manufacturing factories and at the same time mercury concentrations in air were measured from June 1989 to December 1989. And annually mercury consumption per workers, mercury consumption per lamp, numbers of breakage lamps, frequency of mercury infusion, numbers of droppers, and numbers of vacuum exhaustion pumps were also investigated. The results were as follows: 1. The geometric mean of airborne mercury concentration in a total of 11 factories was 47.9 microgram/m3 (5.8~352.2 microgram/m3), six factories(54.5%) of them were exceed the threshold limit value(50.0 microgram/m3). 2. The geometric mean of urinary mercury concentration among 543 workers was 84.3 microgram/l (1.13~533.9 microgram/l), the distribution of workers by urinary mercury concentration showed that 26 workers(4.8%) were above the mercury posioning level(300 microgram/l). 3. The correlation coefficient between urinary mercury concentration and monthly numbers of breakage lamps was the highest(0.74) and next was mercury consumption per lamp (0.67), annually mercury consumption per worker(0.63) in order.

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