Annals of Occupational and Environmental Medicine

Research Article

Increased risk of thyroid cancer in female residents nearby nuclear power plants in Korea: was it due to detection bias?: Bong-Kyu Kim, Jung-Min Kim, Myoung-Hee Kim, Do-Myung Paek, Seung-Sik Hwang, Mi-Na Ha, Young-Su Ju; Ann Occup Environ Med 2018;30:21. Published online April 10, 2018; DOI: https://doi.org/10.1186/s40557-018-0233-0

Background

The Korea Radiation Effect & Epidemiology Cohort - The resident cohort (KREEC-R) study concluded that there is no epidemiological or causal evidence supporting any increase in cancer risks resulting from radiation from Korean nuclear power plants (NPPs). But the risks of thyroid cancer in women were significantly higher in residents living near NPPs than control. Debate about the cause of the pattern of thyroid cancer incidence in women is ongoing and some researchers argue that detection bias influenced the result of KREEC-R study. Therefore there was a need to investigate whether residents living near NPPs who were assessed in the KREEC-R were actually tested more often for thyroid cancer. We evaluated the possibility of detection bias in the finding of the KREEC-R study based on materials available at this time.

Methods

Using the KREEC-R raw data, we calculated age standardized rates (ASRs) of female thyroid cancer and re-analyzed the results of survey on the use of medical services. We also marked the administrative districts of residents who received the Radiation Health Research Institute (RHRI) health examinations and those in which thyroid cancer case occurred as per the Chonnam National University Research Institute of Medical Sciences (RIMS) final report on maps where the locations of NPPs and 5 km-radii around them were also indicated. And we compared the incidence rates of Radiation-induced cancer measured between the first period when RHRI health examinations were not yet implemented, and the second period when the RHRI health examinations were implemented.

Results

The ASR for the far-distance group, which comprised residents living in areas outside the 30 km radius of the NPPs, increased rapidly after 2000; however, that of the exposed group, which comprised residents living within a 5 km radius of the NPPs, started to increase rapidly even before 1995. The frequencies of the use of medical services were significantly higher in the intermediate proximate group, which comprised residents living within a 5–30 km radius of the NPPs, than in the exposed group in women. In case of female thyroid cancer, the second period ASR was higher than the first period ASR, but in case of female liver cancer and female stomach cancer no significant difference were observed between the periods. On map, many administrative districts of residents who received RHRI health examinations and most administrative districts in which thyroid cancer case occurred on RIMS final report were outside 5 km-radii around NPPs.

Conclusions

We could not find any evidence supporting the assertion that detection bias influenced the increased risks of female thyroid cancer observed in the exposed group of the KREEC-R study, as opposed to the control group.

Citations

Citations to this article as recorded by

Nuclear Radiation and Thyroid Cancer; A Systematic Review
Amir Reza Bolkheir, Afshin Ostovar, Maryam Moradinasab, Bagher Larijani
Iranian South Medical Journal.2022; 25(3): 261. CrossRef

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Case Report

The work-relatedness at a case of acute lymphoblastic leukemia in a radiation oncologist: Bong Hyun Kim, Young-Jun Kwon, Young-Su Ju, Bong Kyu Kim, Hyun Seok Lee, Sang-gil Lee, Yun Kyung Chung; Ann Occup Environ Med 2017;29:28. Published online June 27, 2017; DOI: https://doi.org/10.1186/s40557-017-0186-8

Abstract PDF PubReader ePub: Background
Clinicians who perform radiation therapy (RT) are exposed to radiation, which may negatively affect their health. The present study reports a case of acute lymphoblastic leukemia in a healthcare provider who was exposed to radiation at work; we also present a literature review of this topic.
Case presentation
A 45-year-old patient, who had been a radiation oncologist and had been exposed to radiation while performing brachytherapy 10 years ago, complained of chest pain and was suspected of having leukemia based on the results of a blood test in an outpatient clinic. He was diagnosed with acute lymphoblastic leukemia, and subsequently underwent chemotherapy. However, the case died during treatment. Through epidemiological investigation, it was found that the case’s cumulative exposure dose based on personal exposure and spatial dose measured during the work period was in the range of 6.08–12.15 mSv.
Conclusions
Based on the following considerations, acute lymphoblastic leukemia was highly correlated with the level of radiation to which the case was exposed while performing brachytherapy on patients with cancer. Firstly, the latent period of acute lymphoblastic leukemia in the case closely matched the latency time reported in previous published studies (5–10 years). In addition, numerous studies have reported significantly higher relative risks of cancer among clinicians who perform RT compared with the general population. The case was also atypically exposed to radiation through his hands, despite wearing protective equipment. Lastly, the case’s coworkers were also found to have been exposed to high levels of radiation. Investigation into the influence of radiation exposure through atypical routes during RT on the health of clinicians is recommended.

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Research Article

The effect of aircraft noise on sleep disturbance among the residents near a civilian airport: a cross-sectional study: Kyeong Min Kwak, Young-Su Ju, Young-Jun Kwon, Yun Kyung Chung, Bong Kyu Kim, Hyunjoo Kim, Kanwoo Youn; Ann Occup Environ Med 2016;28:38. Published online September 2, 2016; DOI: https://doi.org/10.1186/s40557-016-0123-2

Abstract PDF PubReader ePub

Background

Aircraft noise is a major environmental noise problem. This study was conducted in order to investigate the relationship between sleep disturbance and exposure to aircraft noise on the residents who are living near an airport.

Methods

There were 3308 residents (1403 in the high exposure group, 1428 in the low exposure group, and 477 in the non-exposure group) selected as the subjects for this study. The Insomnia severity Index (ISI) and Epworth Sleepiness Scale (ESS) questionnaires were used to evaluate sleep disturbance.

Results

The mean ISI and ESS scores were 6.9 ± 6.4 and 5.5 ± 3.7, respectively, and the average scores were significantly greater in the aircraft noise exposure group, as compared to the non-exposure group. The percentage of the abnormal subjects, which were classified according to the results of the ISI and ESS, was also significantly greater in the noise exposure group, as compared to the control group. The odd ratios for insomnia and daytime hypersomnia were approximately 3 times higher in the noise exposure group, as compared to the control group.

Conclusions

The prevalence of insomnia and daytime hypersomnia was higher in the aircraft noise exposure group, as compared to the control group. Further study is deemed necessary in order to clarify the causal relationship.

Citations

Citations to this article as recorded by

Benchmarking the aircraft noise mapping package developed for a unified urban environmental modelling tool
Linus Yinn Leng Ang, Fangsen Cui, Hee Joo Poh
Noise Mapping.2024;[Epub] CrossRef
Traffic-Related High Sleep Disturbance in the LIFE-Adult Cohort Study: A Comparison to the WHO Exposure-Response-Curves
Melanie Schubert, Karla Romero Starke, Julia Gerlach, Matthias Reusche, Pauline Kaboth, Wolfram Schmidt, Dieter Friedemann, Janice Hegewald, Hajo Zeeb, Andrea Zülke, Steffi G. Riedel-Heller, Andreas Seidler
International Journal of Environmental Research and Public Health.2023; 20(6): 4903. CrossRef
Characterizing temporal trends in populations exposed to aircraft noise around U.S. airports: 1995–2015
Daniel D. Nguyen, Jonathan I. Levy, Chanmin Kim, Kevin J. Lane, Matthew C. Simon, Jaime E. Hart, Eric A. Whitsel, Trang VoPham, Andrew Malwitz, Junenette L. Peters
Journal of Exposure Science & Environmental Epidemiology.2023;[Epub] CrossRef
The impact of marine engine noise exposure on seafarer fatigue: A China case
Renda Cui, Zhengjiang Liu, Xinjian Wang, Zaili Yang, Shiqi Fan, Yaqing Shu
Ocean Engineering.2022; 266: 112943. CrossRef
Environmental Noise and Effects on Sleep: An Update to the WHO Systematic Review and Meta-Analysis
Michael G. Smith, Makayla Cordoza, Mathias Basner
Environmental Health Perspectives.2022;[Epub] CrossRef
Aircraft noise and vehicle traffic-related air pollution interact to affect preterm birth risk in Los Angeles, California
Sam E. Wing, Timothy V. Larson, Neelakshi Hudda, Sarunporn Boonyarattaphan, Irish Del Rosario, Scott Fruin, Beate Ritz
Science of The Total Environment.2022; 829: 154678. CrossRef
The impact of aircraft noise on vascular and cardiac function in relation to noise event number: a randomized trial
Frank P Schmidt, Johannes Herzog, Boris Schnorbus, Mir Abolfazl Ostad, Larissa Lasetzki, Omar Hahad, Gianna Schäfers, Tommaso Gori, Mette Sørensen, Andreas Daiber, Thomas Münzel
Cardiovascular Research.2021; 117(5): 1382. CrossRef
The Evolutionarily Mismatched Impact of Urbanization on Insomnia Symptoms: a Short Review of the Recent Literature
Jiaqing O, Catrin Pugh-Jones, Bethany Clark, Jenna Trott, Lei Chang
Current Psychiatry Reports.2021;[Epub] CrossRef
Aircraft Noise of Airport Community in Korea
Soo Hee Oh, Kyoungwon Lee
Audiology and Speech Research.2020; 16(1): 1. CrossRef
Evidence Relating to Environmental Noise Exposure and Annoyance, Sleep Disturbance, Cardio-Vascular and Metabolic Health Outcomes in the Context of IGCB (N): A Scoping Review of New Evidence
Irene van Kamp, Sendrick Simon, Hilary Notley, Christos Baliatsas, Elise van Kempen
International Journal of Environmental Research and Public Health.2020; 17(9): 3016. CrossRef
Effects of sound environment on the sleep of college students in China
Qi Meng, Jingwen Zhang, Jian Kang, Yue Wu
Science of The Total Environment.2020; 705: 135794. CrossRef
Association between Shift Work and Neurocognitive Function among Firefighters in South Korea: A Prospective before–after Study
Kyeongmin Kwak, Bong-Kyu Kim, Tae-Won Jang, Chang Sun Sim, Yeon-Soon Ahn, Kyeong-Sook Choi, Kyoung Sook Jeong
International Journal of Environmental Research and Public Health.2020; 17(13): 4647. CrossRef
Health effects of pollution on the residential population near a Brazilian airport: A perspective based on literature review
Laís Fajersztajn, Mariana Tavares Guimarães, Etienne Duim, Tarsila Guimarães Vieira da Silva, Mirna Namie Okamura, Suzan Lúcia Brancher Brandão, Ana Elisa Ribeiro, Ludmila Macêdo Naud, Shane O'Sullivan, Paulo Hilário Nascimento Saldiva, Maria Regina Alves
Journal of Transport & Health.2019; 14: 100565. CrossRef
Impact of airport noise on the health situation of host communities: a case study of Obong victor Attah international airport, Akwa Ibom state, Nigeria
Raimi Morufu Olalekan, Ihuoma Blossom ADINDU
MOJ Public Health.2019; 8(2): 74. CrossRef
A statistical evaluation on flight operational characteristics affecting aircraft noise during take-off
Paolo Gagliardi, Luca Teti, Gaetano Licitra
Applied Acoustics.2018; 134: 8. CrossRef
Spatial clusters of daytime sleepiness and association with nighttime noise levels in a Swiss general population (GeoHypnoLaus)
Stéphane Joost, José Haba-Rubio, Rebecca Himsl, Peter Vollenweider, Martin Preisig, Gérard Waeber, Pedro Marques-Vidal, Raphaël Heinzer, Idris Guessous
International Journal of Hygiene and Environmental Health.2018; 221(6): 951. CrossRef
Development of Airport Noise Mapping using Matlab Software (Case Study: Adi Soemarmo Airport – Boyolali, Indonesia)
Pertiwi Andarani, Haryono Setiyo Huboyo, Diny Setyanti, Wiwik Budiawan, Hadiyanto, Sudarno, Maryono
E3S Web of Conferences.2018; 31: 12007. CrossRef
Comparative Study of the Effect of Aircraft Noise on Emotional States Between Airport Neighboring and City Residents
Bahman Kord Tamini, Mostafa Mirbaluchzahi Pak
Shiraz E-Medical Journal.2016;[Epub] CrossRef
Environmental Noise and Sleep Disturbance: Night-to-Night Variability of Sleep/Wake Pattern
Seockhoon Chung, Soyoung Youn, Chul Lee, Min-Woo Jo, Jangho Park, Seong Woo Jo, Jiho Lee, Joo Hyun Sung, Chang Sun Sim
Sleep Medicine Research.2016; 7(2): 78. CrossRef

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Case Report

Carbon monoxide poisoning-induced cardiomyopathy from charcoal at a barbecue restaurant: a case report: Hyun-Jun Kim, Yun Kyung Chung, Kyeong Min Kwak, Se-Jin Ahn, Yong-Hyun Kim, Young-Su Ju, Young-Jun Kwon, Eun-A Kim; Ann Occup Environ Med 2015;27:13. Published online April 28, 2015; DOI: https://doi.org/10.1186/s40557-015-0063-2

Abstract PDF PubReader ePub

Objective

Acute carbon monoxide poisoning has important clinical value because it can cause severe adverse cardiovascular effects and sudden death. Acute carbon monoxide poisoning due to charcoal is well reported worldwide, and increased use of charcoal in the restaurant industry raises concern for an increase in occupational health problems. We present a case of carbon monoxide poisoning induced cardiomyopathy in a 47-year-old restaurant worker.

Materials and methods

A male patient was brought to the emergency department to syncope and complained of left chest pain. Cardiac angiography and electrocardiography were performed to rule out acute ischemic heart disease, and cardiac markers were checked. After relief of the symptoms and stabilization of the cardiac markers, the patient was discharged without any complications.

Results

Electrocardiography was normal, but cardiac angiography showed up to a 40% midsegmental stenosis of the right coronary artery with thrombotic plaque. The level of cardiac markers was elevated at least 5 to 10 times higher than the normal value, and the carboxyhemoglobin concentration was 35% measured at one hour after syncope. Following the diagnosis of acute carbon monoxide poisoning induced cardiomyopathy, the patient’s medical history and work exposure history were examined. He was found to have been exposed to burning charcoal constantly during his work hours.

Conclusions

Severe exposure to carbon monoxide was evident in the patient because of high carboxyhemoglobin concentration and highly elevated cardiac enzymes. We concluded that this exposure led to subsequent cardiac injury. He was diagnosed with acute carbon monoxide poisoning-induced cardiomyopathy due to an unsafe working environment. According to the results, the risk of exposure to noxious chemicals such as carbon monoxide by workers in the food service industry is potentially high, and workers in this sector should be educated and monitored by the occupational health service to prevent adverse effects.

Citations

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Removal of carbon monoxide from an ambient environment using chicken eggshell
Abiodun John Adewale, Jacob Ademola Sonibare, Jamiu Adetayo Adeniran, Bamidele Sunday Fakinle, Daniel Olawale Oke, Adefunke Rofiat Lawal, Funso Alaba Akeredolu
Next Materials.2024; 2: 100100. CrossRef
The quality of artisanal charcoal sold for domestic use in Tucuruí municipality in the Brazilian Amazon
Alisson Rodrigo Souza Reis, Matheus da Costa Gondim, Patrícia Soares Bilhalva dos Santos, Caroline Rodrigues Soares, Deivison Venicio Souza, Paula Zanatta
International Wood Products Journal.2022; 13(4): 211. CrossRef
Development and Assessment of Harmful Gases Reducing Molded Fuel Using Torrefied Wood
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Self-Reported, Work-Related Injuries and Illnesses Among Restaurant Workers in Shiraz City, South of Iran
Mehdi Jahangiri, Fahimeh Eskandari, Narges Karimi, Soheil Hasanipour, Mahnaz Shakerian, Asma Zare
Annals of Global Health.2019;[Epub] CrossRef
Epidemiological Study of Carbon Monoxide Deaths in Scotland 2007–2016,
Claudia Forés Lisbona, Hilary J. Hamnett
Journal of Forensic Sciences.2018; 63(6): 1776. CrossRef
Network Analysis of Fine Particulate Matter (PM2.5) Emissions in China
Shaomin Yan, Guang Wu
Scientific Reports.2016;[Epub] CrossRef
Protective effect of erythropoietin on myocardial apoptosis in rats exposed to carbon monoxide
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Life Sciences.2016; 148: 118. CrossRef

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Research Article

The effect of organisational system on self-rated depression in a panel of male municipal firefighters: Se-Jin An, Yun Kyung Chung, Bong Hyun Kim, Kyeong Min Kwak, Jun-Seok Son, Jung-wan Koo, Young-Su Ju, Young-Jun Kwon; Ann Occup Environ Med 2015;27:1. Published online January 14, 2015; DOI: https://doi.org/10.1186/s40557-014-0044-x

Abstract PDF PubReader ePub

Objectives

The present study evaluated the effects of job stress, including organisational system to self-rated depression through a panel study of male municipal firefighters in the Republic of Korea.

Methods

A panel of 186 municipal firefighters reported self-rated depressive symptoms according to the Beck Depression Inventory (BDI). The effects of job stress were evaluated using the Korea Occupational Stress Scale, taken one year earlier and classified by the median value. Panel members were classified into Depression or Control groups according to BDI scores, with a cut-off level of ‘over mild depression’ in a follow-up survey.

Results

The Depression group included 17 (9.1%) workers. Firefighters who scored high on occupational system had an 8.3 times greater risk of being assigned to the Depression group than those who had not (adjusted odds ratio [OR] = 8.03, 95% confidence interval (CI) = [1.73–37.22]). In contrast, job stress from a ‘difficult physical environment’ revealed negative risks related to being classified in the Depression group (AOR = 0.20, 95% CI = [0.04–0.92]).

Conclusions

Although the healthy worker effect may be involved, job stress based on perceptions of organisational system was a strong risk factor for depression. A comprehensive approach should be considered that encompasses social issues when assessing or mental health in high-risk groups, as well as the practical issue of physiochemical hazards.

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