2.Second hand smoke exposure in workplace by job status and occupations
Hyunhee PARK ; Sung il CHO ; Changhun LEE
Annals of Occupational and Environmental Medicine 2019;31(1):3-
BACKGROUND: The objective of this study is to evaluate the risk of exposure to second hand smoke (SHS) during working hours by job status and occupation. METHODS: Using the 4th Korean Working Conditions Survey (KWCS), 49,674 respondents who answered the question about SHS were studied. A chi-square test was carried out to determine whether there is a significant different in SHS exposure frequency by general and occupational characteristics and experience of discrimination at work and logistic regression analysis was carried out to identify the risk level of SHS exposure by variables. RESULTS: In this study, we found that male workers in their 40s and 50s, workers employed in workplaces with fewer than 50 employees, daily workers, and people working outdoors had a higher rate of exposure to SHS than the others. The top five occupations with the highest SHS exposure were construction and mining-related occupations, metal core-makers-related trade occupations, wood and furniture, musical instrument, and signboard-related trade occupations, transport and machine-related trade occupations, transport and leisure services occupations. The least five exposed occupations were public and enterprise senior officers, legal and administrative professions, education professionals, and health, social welfare, and religion-related occupations. CONCLUSION: Tobacco smoke is a significant occupational hazard. Smoking ban policy in the workplace can be a very effective way to reduce the SHS exposure rate in the workplace and can be more effective if specifically designed by the job status and various occupations.
Discrimination (Psychology)
;
Education
;
Humans
;
Interior Design and Furnishings
;
Leisure Activities
;
Logistic Models
;
Male
;
Music
;
Occupations
;
Smoke
;
Smoking
;
Social Welfare
;
Surveys and Questionnaires
;
Tobacco
;
Tobacco Smoke Pollution
;
Wood
3.Necessity of Research on Thirdhand Smoke for Maternal and Child Health
Journal of the Korean Society of Maternal and Child Health 2018;22(1):7-16
The causal relationship between cigarette smoking during pregnancy and adverse maternal and child health outcomes, such as preterm birth, low birth weight, and sudden infant death syndrome are well known. In addition, cigarette compounds are neurotoxic even at extremely low levels. Thirdhand smoke (THS) is the contamination that persists after secondhand tobacco smoke has been emitted into air. It refers to the tobacco-related gases and particles that become embedded in materials such as carpets, walls, furniture, blankets, and toys. THS is not strictly smoke but chemicals that adhere to surfaces from which they can be released back into the air, undergo chemical transformations, and/or accumulate. The concept of THS is a relatively new phenomenon in the environmental and public health field. Currently, the hazards of THS are not as well documented as the hazards of secondhand smoke. Furthermore, its health effects and biological effects are largely unknown. This review summarizes recent research progress in reproductive toxicology studies that use animal models and in vitro systems, studies of environmental contamination by THS, human exposure studies, and priorities for further research. Future research must be conducted to facilitate hazard identification, and exposure and risk assessment to address its health effect on susceptible populations, such as pregnant women and children. In addition, policies and laws concerning tobacco smoke will need to be reviewed and possibly revised with the role of THS considered as an indispensable component of a broader tobacco control strategy in maternal and child health.
Child Health
;
Child
;
Female
;
Floors and Floorcoverings
;
Gases
;
Humans
;
In Vitro Techniques
;
Infant, Low Birth Weight
;
Infant, Newborn
;
Interior Design and Furnishings
;
Jurisprudence
;
Maternal Health
;
Models, Animal
;
Play and Playthings
;
Pregnancy
;
Pregnant Women
;
Premature Birth
;
Public Health
;
Risk Assessment
;
Smoke
;
Smoking
;
Sudden Infant Death
;
Tobacco
;
Tobacco Products
;
Tobacco Smoke Pollution
;
Toxicology
4.Traumatic Brain Injury in Children under Age 24 Months: Analysis of Demographic Data, Risk Factors, and Outcomes of Post-traumatic Seizure.
Sang Youl YOON ; Yeon Ju CHOI ; Seong Hyun PARK ; Jeong Hyun HWANG ; Sung Kyoo HWANG
Journal of Korean Neurosurgical Society 2017;60(5):584-590
OBJECTIVE: Traumatic brain injury (TBI) in children under age 24 months has characteristic features because the brain at this age is rapidly growing and sutures are opened. Moreover, children this age are completely dependent on their parents. We analyzed the demographic data and risk factors for outcomes in TBI patients in this age group to elucidate their clinical characteristics. METHODS: We retrospectively reviewed the medical records and radiological films of children under 24 months who were admitted to Kyungpook National University Hospital from January 2004 to December 2013 for TBI. Specifically, we analyzed age, cause of injury, initial Glasgow coma scale (GCS) score, radiological diagnosis, seizure, hydrocephalus, subdural hygroma, and Glasgow outcome scale (GOS) score, and we divided outcomes into good (GOS 4–5) or poor (GOS 1–3). We identified the risk factors for post-traumatic seizure (PTS) and outcomes using univariate and multivariate analyses. RESULTS: The total number of patients was 60, 39 males and 21 females. Most common age group was between 0 to 5 months, and the median age was 6 months. Falls were the most common cause of injury (n=29, 48.3%); among them, 15 were falls from household furniture such as beds and chairs. Ten patients (16.7%) developed PTS, nine in one week; thirty-seven patients (61.7%) had skull fractures. Forty-eight patients had initial GCS scores of 13–15, 8 had scores of 12–8, and 4 had scored 3–7. The diagnoses were as follows: 26 acute subdural hematomas, 8 acute epidural hematomas, 7 focal contusional hemorrhages, 13 subdural hygromas, and 4 traumatic intracerebral hematomas larger than 2 cm in diameter. Among them, two patients underwent craniotomy for hematoma removal. Four patients were victims of child abuse, and all of them had PTS. Fifty-five patients improved to good-to-moderate disability. Child abuse, acute subdural hematoma, and subdural hygroma were risk factors for PTS in univariate analyses. Multivariate analysis found that the salient risk factor for a poor outcome was initial GCS on admission. CONCLUSION: The most common cause of traumatic head injury in individuals aged less than 24 months was falls, especially from household furniture. Child abuse, moderate to severe TBI, acute subdural hematoma, and subdural hygroma were risk factors for PTS. Most of the patients recovered with good outcomes, and the risk factor for a poor outcome was initial mental status.
Accidental Falls
;
Brain
;
Brain Injuries*
;
Child Abuse
;
Child*
;
Contusions
;
Craniocerebral Trauma
;
Craniotomy
;
Demography
;
Diagnosis
;
Family Characteristics
;
Female
;
Glasgow Coma Scale
;
Glasgow Outcome Scale
;
Gyeongsangbuk-do
;
Hematoma
;
Hematoma, Subdural, Acute
;
Hemorrhage
;
Humans
;
Hydrocephalus
;
Infant
;
Interior Design and Furnishings
;
Male
;
Medical Records
;
Multivariate Analysis
;
Parents
;
Retrospective Studies
;
Risk Factors*
;
Seizures*
;
Skull Fractures
;
Subdural Effusion
;
Sutures
5.An analysis of occupational hazard in manufacturing industry in Guangzhou, China, in 2013.
Haihong ZHANG ; Yongqin LI ; Hailin ZHOU ; Xing RONG ; Shaofang ZHU ; Yinan HE ; Ran ZHAI ; Yiming LIU ; E-mail: YMLIU61@163.COM.
Chinese Journal of Industrial Hygiene and Occupational Diseases 2015;33(8):583-585
OBJECTIVETo provide data for the occupational health supervision by analyzing the occupational health status in manufacturing industry in Guangzhou, China.
METHODSThe occupational health investigation was performed in 280 enterprises randomly selected from 8 industries based on industry stratification. According to the occupational health standards, 198 out of the 280 enterprises were supervised and monitored. Sample testing was performed in 3~5 workplaces where workers were exposed to the highest concentration/intensity of occupational hazard for the longest time. Comparative analyses of the overproof rates of hazard were performed among enterprises, workplaces, and testing items from different industries.
RESULTSThe concentrations of occupational hazard in 42.93% (85/198) of enterprises and 22.96% (200/871) of workplaces were above the limit concentration. The most severe hazards were the noises in shipbuilding and wooden furniture industries and the welding fumes in shipbuilding industry. Less than 30% of enterprises were able to provide occupational health examination and periodic test reports of occupational hazard in workplaces. The rate of the workers with abnormal occupational health examination results and the need for reexamination reached 6.63% (832/12 549), and they were mostly from shipbuilding, wooden furniture, and chemical industries.
CONCLUSIONThe occupational health supervision should be strengthened in enterprises, and hazard from noises and dusts should be selectively controlled or reduced. The publication of relevant data and information of occupational health in enterprises should be promoted to enhance social supervision.
Chemical Industry ; China ; Dust ; Humans ; Interior Design and Furnishings ; Manufacturing Industry ; statistics & numerical data ; Noise, Occupational ; Occupational Exposure ; statistics & numerical data ; Occupational Health ; statistics & numerical data ; Welding ; Workplace
6.Work-Related Asthma in Korea - Findings from the Korea Work-Related Asthma Surveillance (KOWAS) program, 2004-2009.
Soon Chan KWON ; Jaechul SONG ; Yong Kyu KIM ; Geoffrey M CALVERT
Allergy, Asthma & Immunology Research 2015;7(1):51-59
PURPOSE: To determine the incidence and epidemiological characteristics of work-related asthma in Korea. METHODS: During 2004-2009, the Korea Work-Related Asthma Surveillance (KOWAS) program collected data on new cases of work-related asthma from occupational physicians, allergy and chest physicians, regional surveillance systems, and workers' compensation schemes. The incidence was calculated on the basis of industry, occupation, sex, age, and region. In addition, the distribution of causal agents was determined. RESULTS: During the study period, 236 cases of work-related asthma were reported, with 77 cases from more than 1 source. A total of 22.0% (n=52) were reported by occupational physicians, 52.5% (n=124) by allergy and chest physicians, 24.2% (n=57) by regional surveillance systems, and 43.2% (n=102) by workers' compensation schemes. The overall average annual incidence was 3.31 cases/million workers, with a rate of 3.78/million among men and 2.58/million among women. The highest incidence was observed in the 50-59-year age group (7.74/million), in the Gyeonggi/Incheon suburb of Seoul (8.50/million), in the furniture and other instrument manufacturing industries (67.62/million), and among craft and related trades workers (17.75/million). The most common causal agents were isocyanates (46.6%), flour/grain (8.5%), metal (5.9%), reactive dyes (5.1%), and solvents (4.2%). CONCLUSIONS: The incidence of work-related asthma in Korea was relatively low, and varied according to industry, occupation, gender, age, and region. Data provided by workers' compensation schemes and physician reports have been useful for determining the incidence and causes of work-related asthma.
Asthma*
;
Coloring Agents
;
Female
;
Humans
;
Hypersensitivity
;
Incidence
;
Interior Design and Furnishings
;
Isocyanates
;
Korea
;
Male
;
Occupations
;
Seoul
;
Solvents
;
Thorax
;
Workers' Compensation
7.Hippuric Acid Levels in Paint Workers at Steel Furniture Manufacturers in Thailand.
Safety and Health at Work 2014;5(4):227-233
BACKGROUND: The aims of this study were to determine hippuric acid levels in urine samples, airborne toluene levels, acute and chronic neurological symptoms, and to describe any correlation between urinary hippuric acid and airborne toluene. METHODS: The hippuric acid concentration in the urine of 87 paint workers exposed to toluene at work (exposed group), and 87 nonexposed people (control group) was studied. Study participants were selected from similar factories in the same region. Urine samples were collected at the end of a shift and analyzed for hippuric acid by high performance liquid chromatography. Air samples for the estimation of toluene exposure were collected with diffusive personal samplers and the toluene quantified using gas-liquid chromatography. The two groups were also interviewed and observed about their work practices and health. RESULTS: The median of the 87 airborne toluene levels was 55 ppm (range, 12-198 ppm). The median urinary hippuric acid level was 800 mg/g creatinine (range, 90-2547 mg/g creatinine). A statistically significant positive correlation was found between airborne toluene exposure and urine hippuric acid levels (r = 0.548, p < 0.01). Workers with acute symptoms had significantly higher hippuric acid levels than those who did not (p < 0.05). It was concluded that there was a significant correlation between toluene exposure, hippuric acid levels, and health (p < 0.001). CONCLUSION: There appears to be a significant correlation between workers exposure to toluene at work, their urine hippuric acid levels, and resulting symptoms of poor health. Improvements in working conditions and occupational health education are required at these workplaces. There was good correlation between urinary hippuric acid and airborne toluene levels.
Chromatography, Gas
;
Chromatography, Liquid
;
Creatinine
;
Education
;
Humans
;
Interior Design and Furnishings*
;
Occupational Health
;
Paint*
;
Steel*
;
Thailand*
;
Toluene
8.Investigation on the relationship between seat heights and performance during the sit-to-walk movement.
Jinjing ZHU ; Zhaoli MENG ; Wenxue YUAN
Journal of Biomedical Engineering 2013;30(3):518-524
DLUT4060 piezoelectric multi-component force platforms and DVM8820 three-dimensional infrared image capture system were used to test the sit-to-walk (STW) movements of 11 healthy elderly (72. 6 +/- 12. 2 years old) and 11 healthy young (19. 7 +/-1. 3 years old) individuals. Firstly, we studied the effects of seat-heights on the ground reaction forces, the velocity of the center of mass, and action time duration. Then we discussed the movement strategies and falling risks of the persons in the two age groups respectively. Finally, we decided the best seat height for the two age groups. It was found that the best seat heights for both the two age groups were 100% popliteal height. This height may make the subject get the greatest biomechanical advantages and the lowest falling risks. The popliteal height must be concerned when designing and fixing up the public activity area facilities and daily life of the elderly. To some extent, it can reduce the falling risk of the elderly.
Accidental Falls
;
prevention & control
;
Aged
;
Aged, 80 and over
;
Ankle Joint
;
physiology
;
Buttocks
;
physiology
;
Hip Joint
;
physiology
;
Humans
;
Interior Design and Furnishings
;
Knee Joint
;
physiology
;
Leg
;
anatomy & histology
;
physiology
;
Male
;
Middle Aged
;
Movement
;
physiology
;
Posture
;
Weight-Bearing
;
physiology
;
Young Adult
9.Development and application on rehabilitation chair of preventing low back pain.
Chinese Journal of Medical Instrumentation 2013;37(4):271-273
OBJECTIVEThis paper discusses the necessary factors keeping normal spine curve and body pressure uniform distribution in sitting posture based on analysis sitting posture of low back pain and long time sitting persons. The purpose is to correct the sitting posture and prevention low back pain by changing the curves of the chair and material.
METHODS16 patients with low back pain were equally divided into research group and control group. The patients in research group accepted the rehabilitation chair, and other patients in control group accepted the chair same to before. JOA score were used as effect measures in both groups.
RESULTSThe differences were statistically significant (P < 0.005) comparison of control group after 6 months.
CONCLUSIONSThe rehabilitation chair is in accord with the body biomechanics, and has significant meaning for preventing low back pain.
Adult ; Equipment Design ; Humans ; Interior Design and Furnishings ; Low Back Pain ; prevention & control ; rehabilitation ; Middle Aged ; Posture ; Rehabilitation ; instrumentation
10.Effects of backrest density on lumbar load and comfort during seated work.
Yan-di HUANG ; Sheng WANG ; Tong WANG ; Li-Hua HE
Chinese Medical Journal 2012;125(19):3505-3508
BACKGROUNDSeated workplaces have greatly increased in China. Many researchers have found that seated work is a risk factor in the development of low-back pain. Backrest can reduce the load on the lower back by transmitting more of the weight from the upper body to the floor via the backrest so as to prevent low-back pain. To design a suitable chair backrest for seated office work, some backrest parameters must be optimized. In this study, the role of backrest density on lumbar load and comfort were investigated. The goal of the study was to help establish criteria with which backrests that alleviate and prevent low back pain during seated office work can be designed and selected.
METHODSTwenty volunteers (10 men and 10 women) were seated in three backrest conditions (10 kg/m(3), 25 kg/m(3), and 40 kg/m(3)). Pressure data, including contact pressure (CP), peak contact pressure (PCP) and contact area were collected during 15-minute trial. Subjective data were collected after each pressure test.
RESULTSBackrest density had a significant effect on backrest pressure variables. CP and PCP increased with increasing backrest density. Contact area decreased with increased density. In terms of user preference, the backrest with low density was most highly rated.
CONCLUSIONSBackrest density plays an important role in lumbar load and comfort during seated work. During designing and selecting backrests, backrest density should be focused on so as to alleviate and prevent low-back pain during seated office work. Backrest density at 10 kg/m(3) got the lowest CP and PCP and largest contact area. Backrest with low density can reduce lumbar pressure and increase support contact area, which could raise comfort feeling. Backrest density at 10 kg/m(3) is better to maintain a balance between providing effective support and alleviating excess lordosis.
Back Injuries ; prevention & control ; Biomechanical Phenomena ; Female ; Humans ; Interior Design and Furnishings ; Low Back Pain ; prevention & control ; Male ; Regression Analysis

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