1.Risk Assessment Program of Highly Pathogenic Avian Influenza with Deep Learning Algorithm
Hachung YOON ; Ah-Reum JANG ; Chungsik JUNG ; Hunseok KO ; Kwang-Nyeong LEE ; Eunesub LEE
Osong Public Health and Research Perspectives 2020;11(4):239-244
This study presents the development and validation of a risk assessment program of highly pathogenic avian influenza (HPAI). This program was developed by the Korean government (Animal and Plant Quarantine Agency) and a private corporation (Korea Telecom, KT), using a national database (Korean animal health integrated system, KAHIS). Our risk assessment program was developed using the multilayer perceptron method using R Language. HPAI outbreaks on 544 poultry farms (307 with H5N6, and 237 with H5N8) that had available visit records of livestock-related vehicles amongst the 812 HPAI outbreaks that were confirmed between January 2014 and June 2017 were involved in this study. After 140,000 iterations without drop-out, a model with 3 hidden layers and 10 nodes per layer, were selected. The activation function of the model was hyperbolic tangent. Precision and recall of the test gave F1 measures of 0.41, 0.68 and 0.51, respectively, at validation. The predicted risk values were higher for the “outbreak” (average ± SD, 0.20 ± 0.31) than “non-outbreak” (0.18 ± 0.30) farms ( The risk assessment model developed was employed during the epidemics of 2016/2017 (pilot version) and 2017/2018 (complementary version). This risk assessment model enhanced risk management activities by enabling preemptive control measures to prevent the spread of diseases.
2.Isoniazid-Induced Acute Pancreatitis with Pseudocyst.
Byung Hyo CHA ; Sang Hyub LEE ; Jin Hyeok HWANG ; Jang Eon KIM ; Sang Jin LEE ; Chungsik LEE ; Hyun KIM
Korean Journal of Medicine 2012;82(5):594-598
Numerous medications have the potential to induce acute pancreatitis. However, isoniazid-induced acute pancreatitis is extremely rare. Drug-induced acute pancreatitis can be diagnosed by improvement after stopping the drug and recurrence of pancreatitis when rechallenged. We present a case of severe acute pancreatitis accompanied by multiple large pseudocysts after isoniazid treatment for pulmonary tuberculosis. We confirmed that isoniazid induced pancreatitis by rechallenging after treatment cessation. Most previous reports of isoniazid-induced pancreatitis have been clinically mild forms, and the patient fully recovered with supportive management. However, this case presents severe and permanent pancreatic damage that developed with 5 weeks of isoniazid treatment. When a patient presents with manifestations of pancreatitis during treatment of tuberculosis that includes isoniazid, the physician should consider isoniazid-induced pancreatitis.
Humans
;
Isoniazid
;
Pancreatitis
;
Recurrence
;
Tuberculosis
;
Tuberculosis, Pulmonary
;
Withholding Treatment
3.Virtual Bronchoscopy: An Experimental Study on Parameters Affecting Apparent Sizes of Simulated EndobronchialLesions.
Yookyung KIM ; Kyung Soo LEE ; Sun Wha LEE ; Jeonghyun YOO ; Jeong Soo SUH ; Chungsik RHEE
Journal of the Korean Radiological Society 1999;41(1):65-71
PURPOSE: To evaluate the scanning parameters affecting the apparent sizes of endoluminal lesions of thetracheobronchial tree, as seen on virtual bronchoscopy(VB), and to determine the optimal CT parameters fordemonstrating the real sizes of endobronchial lesions. MATERIALS AND METHODS: Spherical beads of 8 mm - 10 mmdiameter were randomly placed in the airways of fixed pig lung. CT scans were obtained with collimation and pitchof 3 mm/1, 3 mm/1.5, and 5mm/1, respec-tively. Volumetric data were reconstructed with 1mm-, 1.5 mm-, and2mm-collimation for each parameter. VBs were reconstructed with shaded-surface technique and soft tissuealgorithm. A 10mm-sized bead in the trachea and two 8 mm-sized beads in the left main bronchus were selected andtheir longest diameters were measured on VB at varying thresholds from -800 to -2 00HU. RESULTS: When themeasured diameters of beads on VB were recorded as the percentage of real sizes, they were 1) 78.9 %, 77.5%, and73.7% at collimations and pitches of 3 mm/1, 3mm/1.5, and 5 mm/1, respectively; 2) 77.9 %, 76.9 %, and 75.1 % at 1mm, 1.5 mm and 2 mm reconstructions, respectively; 3) 86.2 % / 83.4% / 80.4% / 77.0% / 74.8% / 70.2% / 64.5% atisosurface thresholds of -8 0 0 /-7 0 0 /-6 0 0 /-5 0 0 /-4 0 0 /-3 0 0 /-200HU, re-spectively; 4) 85.6 %, 75.0 %,69.3% at 23 mm, 17 mm and 11mm luminal diameters of lesion location, respectively. CONCLUSION: Overall, thediameters of endobronchial lesions are underestimated on VB. As the isosurface threshold values, collimations,pitches and reconstruction interuals decrease in size, the measured diameters approach to real diameter of thebeads. Beads in peripheral airways appear smaller than those in proximal airways.
Bronchi
;
Bronchoscopy*
;
Lung
;
Phenobarbital
;
Tomography, X-Ray Computed
;
Trachea
4.Radiologic Findings of Pulmonary Sarcoidosis: Comparison Between Radiograph and HRCT.
Yookyung KIM ; Kyung Soo LEE ; Jeong Hyun YOO ; Jeong Soo SUH ; Chungsik RHEE ; Eun Chul CHUNG ; Sang Jin KIM
Journal of the Korean Radiological Society 1998;39(1):73-80
PURPOSE: To analyse the radiographic and HRCT findings of pulmonary sarcoidosis and to evaluate thediagnostic usefulness of HRCT MATERIALS AND METHODS: Initial chest radiographs (n=14) and HRCT scans (n=14), anda followup HRCT scan (n=1) from 14 patients (5 men and 9 women;median age, 38 Years) with biopsy proven pulmonarysarcoidosis were analyzed. RESULT: On initial chest radiographs, they showed pulmonary lesions were seenpredominantly in the middle, upper and lower lung zones in four, two and one patient, respectively. Patterns oflesions were reticulonodular opacities (n=4), air-space (n=2), honeycombing(n=1), macronodule(n=1), and cavitarynodule (n=1). In all patients, HRCT scans demonstrated both pulmonary lesions and intrathoracic lymphadenopathy.Pulmonary lesions were seen predominantly in the middle, lower and upper lung zones in nine, three and twopatients, and in the posterior and anterior lung zones in eight and four patients repectively. Lesions werepredominantly micronodules, with perilymphatic distribution (n=12), macronodules with air-bronchogram (n=1),cavitary macronodules (n=1), ground-glass opacity (n=5), consolidation (n=2), and irregular lines (n=8). CONCLUSION: Reticulonodular lesions in the middle lung zone were seen on radiograph, while the most common HRCTfinding was micronodular lesions with perilymhpatic distribution. HRCT is much more sensitive than chestradiograph for the detection of both pulmonary lesions and lymphadenopathy; this modality revealed micronoduleswhich were invisible on chest radiographs.
Biopsy
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Follow-Up Studies
;
Humans
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Lung
;
Lymphatic Diseases
;
Male
;
Radiography, Thoracic
;
Sarcoidosis
;
Sarcoidosis, Pulmonary*
5.Chemical Use and Associated Health Concerns in the Semiconductor Manufacturing Industry
Chungsik YOON ; Sunju KIM ; Donguk P PARK ; Younsoon CHOI ; Jihoon JO ; Kwonseob LEE
Safety and Health at Work 2020;11(4):500-508
Background:
Research on the status of many chemicals used in the semiconductor industry is needed. The purpose of this study was to describe the overall status of chemical use in the semiconductor industry in Korea and to examine it from a health perspective.
Methods:
Data on the status of chemical use and safety data sheets at 11 of 12 major semiconductor workplaces in Korea were collected. The number of chemical products and chemical constituents, quantities of chemicals, and trade secret ingredients used, as well as the health hazards were examined.
Results:
On average, 210 chemical products and 135 chemical constituents were used at the surveyed workplaces. Among all chemical products, 33% (range: 16–56%) contained at least one trade secret ingredient. Most of the trade secret ingredients were used in the photolithography process. Several carcinogens, including sulfuric acid, chromic acid, ethylene oxide, crystalline silica, potassium dichromate, and formaldehyde were also used. Only 29% (39 of 135) of the chemical constituents had occupational exposure limits, and more than 60% had no National Fire Protection Association health, safety, and reactivity ratings. Based on the aforementioned results, this study revealed the following. First, many chemical products and constituents are being used in the semiconductor industry and many products contained trade secret ingredients. Second, many products contained significant amounts of carcinogenic, mutagenic, and reproductive toxicant materials.
Conclusion
We conclude that protecting workers in the semiconductor industry against harm from chemical substances will be difficult, due to widespread use of trade secret ingredients and a lack of hazard information. The findings of the status of chemical use and the health and safety risks in semiconductor industry will contribute to epidemiological studies, safe workplace, and worker health protection.
6.Chemical Use and Associated Health Concerns in the Semiconductor Manufacturing Industry
Chungsik YOON ; Sunju KIM ; Donguk P PARK ; Younsoon CHOI ; Jihoon JO ; Kwonseob LEE
Safety and Health at Work 2020;11(4):500-508
Background:
Research on the status of many chemicals used in the semiconductor industry is needed. The purpose of this study was to describe the overall status of chemical use in the semiconductor industry in Korea and to examine it from a health perspective.
Methods:
Data on the status of chemical use and safety data sheets at 11 of 12 major semiconductor workplaces in Korea were collected. The number of chemical products and chemical constituents, quantities of chemicals, and trade secret ingredients used, as well as the health hazards were examined.
Results:
On average, 210 chemical products and 135 chemical constituents were used at the surveyed workplaces. Among all chemical products, 33% (range: 16–56%) contained at least one trade secret ingredient. Most of the trade secret ingredients were used in the photolithography process. Several carcinogens, including sulfuric acid, chromic acid, ethylene oxide, crystalline silica, potassium dichromate, and formaldehyde were also used. Only 29% (39 of 135) of the chemical constituents had occupational exposure limits, and more than 60% had no National Fire Protection Association health, safety, and reactivity ratings. Based on the aforementioned results, this study revealed the following. First, many chemical products and constituents are being used in the semiconductor industry and many products contained trade secret ingredients. Second, many products contained significant amounts of carcinogenic, mutagenic, and reproductive toxicant materials.
Conclusion
We conclude that protecting workers in the semiconductor industry against harm from chemical substances will be difficult, due to widespread use of trade secret ingredients and a lack of hazard information. The findings of the status of chemical use and the health and safety risks in semiconductor industry will contribute to epidemiological studies, safe workplace, and worker health protection.
7.Measurement of Airborne Particles and Volatile Organic Compounds Produced During the Heat Treatment Process in Manufacturing Welding Materials
Myoungho LEE ; Sungyo JUNG ; Geonho DO ; Yeram YANG ; Jongsu KIM ; Chungsik YOON
Safety and Health at Work 2023;14(2):215-221
Background:
There is little information about the airborne hazardous agents released during the heat treatment when manufacturing a welding material. This study aimed to evaluate the airborne hazardous agents generated at welding material manufacturing sites through area sampling.
Methods:
concentration of airborne particles was measured using a scanning mobility particle sizer and optical particle sizer. Total suspended particles (TSP) and respirable dust samples were collected on polyvinyl chloride filters and weighed to measure the mass concentrations. Volatile organic compounds and heavy metals were analyzed using a gas chromatography mass spectrometer and inductively coupled plasma mass spectrometer, respectively.
Results:
The average mass concentration of TSP was 683.1 ± 677.4 μg/m3, with respirable dust accounting for 38.6% of the TSP. The average concentration of the airborne particles less than 10 μm in diameter was 11.2–22.8 × 104 particles/cm3, and the average number of the particles with a diameter of 10–100 nm was approximately 78–86% of the total measured particles (<10 μm). In the case of volatile organic compounds, the heat treatment process concentration was significantly higher (p < 0.05) during combustion than during cooling. The airborne heavy metal concentrations differed depending on the materials used for heat treatment. The content of heavy metals in the airborne particles was approximately 32.6%.
Conclusions
Nanoparticle exposure increased as the number of particles in the air around the heat treatment process increases, and the ratio of heavy metals in dust generated after the heat treatment process is high, which may adversely affect workers' health.
8.Occupational disease issues in high-tech industries of South Korea: analysis of governmental data on the semiconductor and display industries
Chungsik YOON ; Jinjoo CHUNG ; Jongran LEE ; Kwonchul HA ; Joseph DIGANGI ; Jeong-Ok KONG
Annals of Occupational and Environmental Medicine 2025;37(1):e6-
Background:
This study analyzed occupational diseases compensated through the government system in the Korean electronics industry and observed changes in the rationale for compensation.
Methods:
Data from the Korea Workers’ Compensation and Welfare Service (KWCWS) from 2012 to 2023 were analyzed to examine occupational disease issues in South Korea's semiconductor and display industries.
Results:
KWCWS received 174 occupational disease claims between 2012 and 2023, with 88 (50.6%) approved. The case of a 22-year-old semiconductor worker who died from leukemia has raised awareness and appears to be leading to more claims and higher approval rates. Cancer-related claims, particularly for breast and blood cancers, were the most common. Since 2018, the approval rate for occupational diseases has increased to 60%, which may have been influenced by the Supreme Court's Principle of Presumption of Occupational Diseases and the government’s reduction of the burden of proof. However, approval rates remain lower in small- and medium-sized enterprises (38.0%) compared to large corporations (55.6%), likely because of better documentation and unionization in the latter. The semiconductor industry had more claims and approvals than the LCD industry, primarily due to its longer operational history and greater chemical exposure.
Conclusions
In South Korea, the increasing approval rate of occupational diseases in the electronics industry from 2012 to 2023 appears to reflect changes in how causal relationships and occupational health policies have been implemented and this is likely due to stakeholder involvement and relevant legal decisions.
9.Occupational disease issues in high-tech industries of South Korea: analysis of governmental data on the semiconductor and display industries
Chungsik YOON ; Jinjoo CHUNG ; Jongran LEE ; Kwonchul HA ; Joseph DIGANGI ; Jeong-Ok KONG
Annals of Occupational and Environmental Medicine 2025;37(1):e6-
Background:
This study analyzed occupational diseases compensated through the government system in the Korean electronics industry and observed changes in the rationale for compensation.
Methods:
Data from the Korea Workers’ Compensation and Welfare Service (KWCWS) from 2012 to 2023 were analyzed to examine occupational disease issues in South Korea's semiconductor and display industries.
Results:
KWCWS received 174 occupational disease claims between 2012 and 2023, with 88 (50.6%) approved. The case of a 22-year-old semiconductor worker who died from leukemia has raised awareness and appears to be leading to more claims and higher approval rates. Cancer-related claims, particularly for breast and blood cancers, were the most common. Since 2018, the approval rate for occupational diseases has increased to 60%, which may have been influenced by the Supreme Court's Principle of Presumption of Occupational Diseases and the government’s reduction of the burden of proof. However, approval rates remain lower in small- and medium-sized enterprises (38.0%) compared to large corporations (55.6%), likely because of better documentation and unionization in the latter. The semiconductor industry had more claims and approvals than the LCD industry, primarily due to its longer operational history and greater chemical exposure.
Conclusions
In South Korea, the increasing approval rate of occupational diseases in the electronics industry from 2012 to 2023 appears to reflect changes in how causal relationships and occupational health policies have been implemented and this is likely due to stakeholder involvement and relevant legal decisions.
10.Occupational disease issues in high-tech industries of South Korea: analysis of governmental data on the semiconductor and display industries
Chungsik YOON ; Jinjoo CHUNG ; Jongran LEE ; Kwonchul HA ; Joseph DIGANGI ; Jeong-Ok KONG
Annals of Occupational and Environmental Medicine 2025;37(1):e6-
Background:
This study analyzed occupational diseases compensated through the government system in the Korean electronics industry and observed changes in the rationale for compensation.
Methods:
Data from the Korea Workers’ Compensation and Welfare Service (KWCWS) from 2012 to 2023 were analyzed to examine occupational disease issues in South Korea's semiconductor and display industries.
Results:
KWCWS received 174 occupational disease claims between 2012 and 2023, with 88 (50.6%) approved. The case of a 22-year-old semiconductor worker who died from leukemia has raised awareness and appears to be leading to more claims and higher approval rates. Cancer-related claims, particularly for breast and blood cancers, were the most common. Since 2018, the approval rate for occupational diseases has increased to 60%, which may have been influenced by the Supreme Court's Principle of Presumption of Occupational Diseases and the government’s reduction of the burden of proof. However, approval rates remain lower in small- and medium-sized enterprises (38.0%) compared to large corporations (55.6%), likely because of better documentation and unionization in the latter. The semiconductor industry had more claims and approvals than the LCD industry, primarily due to its longer operational history and greater chemical exposure.
Conclusions
In South Korea, the increasing approval rate of occupational diseases in the electronics industry from 2012 to 2023 appears to reflect changes in how causal relationships and occupational health policies have been implemented and this is likely due to stakeholder involvement and relevant legal decisions.