1.Management System of Occupational Diseases in Korea: Statistics, Report and Monitoring System.
Kyung Yong RHEE ; Seong Weon CHOE
Journal of Korean Medical Science 2010;25(Suppl):S119-S126
The management system of occupational diseases in Korea can be assessed from the perspective of a surveillance system. Workers' compensation insurance reports are used to produce official statistics on occupational diseases in Korea. National working conditions surveys are used to monitor the magnitude of work-related symptoms and signs in the labor force. A health examination program was introduced to detect occupational diseases through both selective and mass screening programs. The Working Environment Measurement Institution assesses workers' exposure to hazards in the workplace. Government regulates that the employer should do health examinations and working conditions measurement through contracted private agencies and following the Occupational Safety and Health Act. It is hoped that these institutions may be able to effectively detect and monitor occupational diseases and hazards in the workplace. In view of this, the occupational management system in Korea is well designed, except for the national survey system. In the future, national surveys for detection of hazards and ill-health outcomes in workers should be developed. The existing surveillance system for occupational disease can be improved by providing more refined information through statistical analysis of surveillance data.
Accidents, Occupational/statistics & numerical data
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*Environmental Monitoring/legislation & jurisprudence
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Female
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Humans
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Male
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*Occupational Diseases
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Occupational Exposure
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*Occupational Health/legislation & jurisprudence
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*Occupational Health Services/legislation & jurisprudence
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*Population Surveillance
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Republic of Korea
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Workplace
2.A Clinical Study of the Nasal Bone Fracture: 1488 Cases Review.
Weon Chul CHANG ; Joon CHOE ; Doo Seong JEONG
Journal of the Korean Cleft Palate-Craniofacial Association 2003;4(1):9-14
Nose is the most prominent of part of the face and prone to traumas. Therefore posttraumatic deformities are easily seen and play a major effect on the personal impression. Result of clinical analysis of nasal bone fracture that gives general understands and advices of diagnosis and treatment of nasal bone fracture is presented with reports discussed. The author has performed radiologic evaluation, clinical study and statistical analysis in 1488 cases of nasal bone fracture treated in Department of Plastic and Reconstructive Surgery, Inje University Sanggye Paik hospital, from March, 1992 to February, 2002 Most of operation were performed on 5th-10th posttraumatic days(80.7%), and 1040 cases were treated with closed reduction using C-arm. We could obtain satisfactory results using C-arm. In satisfaction rate, 1296 cases(87%) had satisfactory results. The rate of dissatisfaction was high in the patients performed operation after 11th posttraumatic days and who had septal fracture. The author used C-arm during closed reduction of nasal bone fracture and verified the outcomes intraoperatively and were able to get more accurate reduction. With this method, we could obtain satisfactory results cosmetically and functionally. We should follow-up for longer time and we think that further research will be needed in treatment of nasal bone fracture
Congenital Abnormalities
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Diagnosis
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Follow-Up Studies
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Humans
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Nasal Bone*
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Nose
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Plastics
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Retrospective Studies
3.Efficacy of Tie-over Dressing Using Silicone Gel Sheet in Skin Graft on Flat Surface.
Weon Chul CHANG ; Doo Seong JEONG ; Joon CHOE
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2003;30(5):677-678
Success of skin grafts depends on sufficient immobilization and early intervention for hematoma, seroma, or infection. To stabilize and cover skin grafts with a tie-over technique was used with translucent silicone gel sheet on flat surface. Skin defect was resurfaced with skin grafts. A sterile silicone gel sheet was placed over the skin graft. Gel was fixed to the wound edges with skin sutures. Skin graft healed without any complications. Using silicone gel sheet in skin graft on flat surface is an effective method for stabilization, which also allows direct visualization of the graft designed to inspect hematoma-like complications.
Bandages*
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Early Intervention (Education)
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Hematoma
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Immobilization
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Seroma
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Silicone Gels*
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Skin*
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Sutures
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Transplants*
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Wounds and Injuries
4.The Trend of Occupational Injuries in Korea from 2001 to 2010.
Kyung Yong RHEE ; Seong Weon CHOE ; Young Sun KIM ; Kwon Ho KOO
Safety and Health at Work 2013;4(1):63-70
OBJECTIVES: This study is planned to assess the trend of occupational injuries in Korea from 2001 to 2010. METHODS: Ten years of occupational injuries, from 2001 to 2010, were analyzed in order to investigate the changing profiles according to the various characteristics of injuries; economic sectors, age of the injured, and type of injuries. The changing profile of occupational injuries was investigated by comparison with an index-created relative value based on the number of cases of reference category. RESULTS: The fatalities of construction, forest, agriculture, and service show the increasing trend. The nonfatal occupational injuries of the manufacturing sector were higher than those of other sectors in every year but the fatal occupational injuries of construction workers were higher than those of the manufacturing sector. Occupational injuries occurring due to amputation and those of slip and trip increased. The number of occupational injuries for the worker groups of 24 years old and below decreased and 45 years old and above increased. In comparison to the figure of fall from height, the figures of slip and trip or caught in equipment are higher in every calendar year. CONCLUSION: This study find out construction, forest, agriculture, and service sectors, aged worker with 45 years old and over can be target population for the strategies of occupational safety.
Aged
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Agriculture
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Amputation
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Health Services Needs and Demand
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Humans
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Korea
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Occupational Health
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Occupational Injuries
5.A Comparison of Tenecteplase(TNK-tPA) and Alteplase(rt-PA) in Korean Patients with Acute Myocardial Infarction(A Randomized, Multi-Centered Coronary Angiographic Trial).
Myung Ho JEONG ; Weon KIM ; Jung Chaee KANG ; Seong Wook HAN ; Seung Ho HUR ; Kwon Bae KIM ; Kwang Soo CHA ; Moo Hyun KIM ; Heung Sun KANG ; Jong Hwa BAE ; In Ho CHAE ; Byung Hee OH ; Myeong Ki HONG ; Seong Wook PARK ; Seung Jung PARK ; So Yeon CHOI ; Seung Jae TAHK ; Dong Hoon CHOI ; Yang Soo JANG ; Seung Yun CHO ; Byung Su YOO ; Jung Han YOON ; Kyung Hoon CHOE
Korean Circulation Journal 2003;33(5):362-373
BACKGROUND AND OBJECTIVES: This is a comparative, randomized, multi-centered, angiographic trial for the comparison of TNK-tPA with rt-PA, in Korean patients with an acute myocardial infarction (AMI). SUBJECTS AND METHODS: Fifty four patients that were eligible for thrombolysis, diagnosed with an AMI, were randomized into two groups:TNK-tPA (single bolus injection, 25-50 mg weight adjusted;n=25) or rt-PA (accelerated intravenous infusion, up to 100 mg;n=29) at the emergency room. The primary endpoint was the percentage of patients with a TIMI (Thrombolysis In Myocardial Infarction) III flow 90 min following the administration of the study drug. The secondary endpoints were an infarct-related artery patency at 90 min, the percentage of patients with ST segment resolution at 60 and 180 min, and at 30 days mortality. RESULTS: The baseline demographic data, including age, sex and body weight, and a medical history of prior myocardial infarction and risk factors were no different between the TNK-tPA and rt-PA groups. The pain-to-needle and door-to-needle times were also no different. The ST segment resolution was no different between the two groups. A TIMI grade 3, on a coronary angiogram, 90 min following the drug administration, was observed in 19 (76.0%) of the TNK-tPA and 17 (58.6%) of the rt-PA (p=0.24) patients. However, a TIMI grade more than 2 was higher in the TNK-tPA (100%;25/25) than in rt-PA group (72.4%;21/29)(p=0.0052). The in-hospital adverse events, and clinical outcomes at 30 days, were no different between the two groups. CONCLUSION: TNK-tPA is more convenient, and may be a preferred thrombolytic agent, for the revascularization of an AMI.
Arteries
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Body Weight
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Coronary Disease
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Emergency Service, Hospital
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Humans
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Infusions, Intravenous
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Mortality
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Myocardial Infarction
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Myocardial Revascularization
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Risk Factors
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Thrombolytic Therapy