• Journal of Preventive Medicine and Public Health
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• 제33권3호
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• pp.343-348
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• 2000

Objectives : This study was conducted to integrate the results of studies assessing the association between chronic noise exposure and blood pressure. Methods : Using a MEDLINE search with noise exposure, blood pressure and hypertension as key words, we retrieved articles from the literature that were published from 1980 to December 1999. The criteria for quality evaluation were as follows: 1) the study subjects must have been workers employed at a high noise level area 2) The paper should use average and cumulative noise exposure as method for exposure evaluation. 3) Blood pressure in each article should be reported in a continuous scale Among the 77 retrieved articles, six studies were selected for quantitative meta-analysis. Before the integration of the regression coefficients for the association between blood pressure and noise level, homogeneity tests were conducted. Results : All studies were a cross-sectional design and the study subjects were industrial workers. Five papers used a time-weighted average for noise exposure and only one paper calculated the cumulative noise exposure level. The measurement of blood pressure in the majority of studios were accomplished in a resting stale, and used an average of two or more readings. The homogeneity of studies was rejected in a fixed effect model, so we used the results in a random effect model. The results of the quantitative meta-analysis, the weighted regression coefficient of noise associated with systolic blood pressure and diastolic blood pressure were 0.05 (95% confidence interval [CI]: -0.03, 0.13) and 0.06 (95% CI: -0.01, 0.13), respectively. Conclusions : Our results suggested that chronic exposure to industrial noise does not cause elevated blood pressure.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제18권2호
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• pp.145-153
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• 2007

Objectives: This study was focused on the influence of chronic aircraft noise exposure on children's continuous performance, intelligence and reading skill. Methods: We enrolled 586 children in 4-6th grade of 7 primary schools near air base in Korea. Continuous performance was measured using the computerized ADS program. We analyzed 477-512 children on the visual continuous performance test, auditory continuous performance test, intelligence test, and reading and the vocabulary test. Intelligence was measured using vocabulary, digit span, block design, and digit symbol tests of K-WISC-III. Results: The commission error and variability deviation of auditory continuous performance test and reading test were significantly higher among children in schools with the helicopter noise and the fighting plane noise compared to children in the low noised schools. Conclusion: There was a possibility that chronic aircraft noise exposure was associated with impairment of the school performance. The result of our study also shows chronic aircraft noise was associated with reading ability.

• 한국직업건강간호학회지
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• 제29권1호
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• pp.58-68
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• 2020

Purpose: Workers with chronic health problems find it difficult to maintain their work because of socioeconomic difficulties. The purpose of this study was to evaluate the relationships between physical, ergonomic, and mental health hazards in the workplace and chronic health problems of Korean workers. Methods: A total of 28,807 wage workers participated in the study and were selected using the Fifth Korean Working Conditions Survey (2017). Multiple logistic regression analysis was used to determine the associations between physical, ergonomic, and mental health hazards and chronic health problems. Results: Of the participants, 1,220 (4.23%) had chronic health problems. Even after adjusting the general characteristics, vibration, noise, high temperature, low temperature, dust, chemical and cigarette smoke, fatigue and painful posture, dragging or pushing or moving of heavy objects, repetitive hand or arm movements, working with a computer or smartphone, use of internet or e-mail, and anxiety situations increased the risk of chronic health problems. Conclusion: The study reaffirms that exposure of physical, ergonomic, and mental health hazards in the workplace significantly increases the risk of chronic health problems.

• Safety and Health at Work
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• 제8권4호
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• pp.329-336
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• 2017

A review study was conducted to examine the adverse effects of styrene, styrene mixtures, or styrene and/or styrene mixtures and noise on the auditory system in humans employed in occupational settings. The search included peer-reviewed articles published in English language involving human volunteers spanning a 25-year period (1990-2015). Studies included peer review journals, caseecontrol studies, and case reports. Animal studies were excluded. An initial search identified 40 studies. After screening for inclusion, 13 studies were retrieved for full journal detail examination and review. As a whole, the results range from no to mild associations between styrene exposure and auditory dysfunction, noting relatively small sample sizes. However, four studies investigating styrene with other organic solvent mixtures and noise suggested combined exposures to both styrene organic solvent mixtures may be more ototoxic than exposure to noise alone. There is little literature examining the effect of styrene on auditory functioning in humans. Nonetheless, findings suggest public health professionals and policy makers should be made aware of the future research needs pertaining to hearing impairment and ototoxicity from styrene. It is recommended that chronic styrene-exposed individuals be routinely evaluated with a comprehensive audiological test battery to detect early signs of auditory dysfunction.

• Journal of Preventive Medicine and Public Health
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• 제35권3호
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• pp.205-213
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• 2002

장기간의 소음노출에 의한 혈압상승 또는 고혈압의 발생에 대해서는 많은 연구에도 불구하고 결과가 다양하고 논란이 많은 실정이다. 이에 연구자는 혈압에 대한 소음의 영향을 보다 정확히 평가하기 위해서 일개 사업장을 대상으로 유사 노출군의 코호트를 구성하고 9년간의 추적조사를 실시하였다. 여기서 얻은 자료를 이용하여 소음노출수준별로 혈압의 연도별 변화경향을 파악하고, 혼란변수를 통제한 상태에서도 혈압의 변화에 대해 소음노출이 영향을 미치는가를 파악하고자 하였다. 부산지역의 일개 금속제품 제조업에서 근무하고 있는 530명의 남자 근로자를 1991년부터 1999년까지 혈압을 9년간 매년 계속 추적조사 하였으며, 조사 대상자들을 근무여건과 노출되는 소음수준(noise level category, 이하 NLC로 약함)에 따라 NLC-I (사무실 근로자, 60dB(A) 미만으로 노출, 155명), NLC-II(현장 기술지원자 및 검사원, 소음에 비정기적으로 노출, 75명), NLC-III (현장근로자, 85 dB(A)이하로 노출, 귀마개 또는 귀덮개를 착용, 167명), NLC-IV (현장근로자, 85 dB(A) 초과 노출, 귀마개와 귀덮개를 동시에 착용, 133명) 의 4군으로 구분하였다. 추적기간동안 소음수준별 혈압은 분산 분석을 이용하여 비교하였고, 혼합선형모형을 이용하여 추적기간동안(1992-1999년)의 보정된 통합평균혈압을 구하고 소음노출수준별로 비교하였다. 고려된 혼란변수는 기준연도(1991년)의 연령, 흡연여부, 음주량, 운동, 고혈압 가족력, 수축기 및 확장기 혈압과 체질량지수의 변화였다. 기준연도의 혈압과 혼란변수를 보정한 상태에서 각 연도별 혈압을 비교한 결과 수축기혈압은 9년째에서, 확장기 혈압은 2년째에서 대조군과 통계적으로 유의한 차이가 있었으며, 대조군의 평균 혈압이 전반적으로 증가되었다. 추적기간동안 혼란변수를 보정한 통합수축기 혈압은 대조군인 NLC-I과의 차이가 NLC-II는 1.7 mmHg, NLC-III는 2.0 mmHg, NLC-IV는 3.8 mmHg이었고, NLC-IV의 경우 그 차이가 통계학적으로 유의하였다. 확장기혈압의 경우에는 소음노출수준별로 유의한 차이가 없었다. 본 연구는 남성근로자에서 장기간의 소음노출은 혈압의 상승에 독립적인 영향이 있음을 시사하였다.

• 한국환경보건학회:학술대회논문집
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• 한국환경보건학회 2005년도 Proceedings of KSEH.Minamata Forum
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• pp.23-34
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• 2005

• Safety and Health at Work
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• 제4권2호
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• pp.77-83
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• 2013

There is still a considerable burden of occupational diseases and injuries in the world. It is not well known which interventions can effectively reduce the exposures at work that cause this burden. The objective of this article is to summarize evidence from systematic reviews of interventions to prevent occupational diseases and injuries. We included systematic reviews of interventions to reduce the incidence of work-related cancer, dust-related diseases, occupational asthma, chronic obstructive pulmonary disease, noise induced hearing loss, back pain, and occupational injuries. We searched Medline and Embase with predefined search strategies to locate systematic reviews of these interventions. We found 23 systematic reviews of which the results are also applicable to low- and middle income countries. Effective measures to reduce exposure leading to work-related cancer, dust-related diseases, asthma, chronic obstructive pulmonary disease, noise, and injuries are available. However, better implementation of these measures is needed. Regulation, enforcement of regulation, and incentives for employers are effective interventions to achieve this goal. There is evidence that feedback and rewards for workers help in reducing occupational injuries. There is no evidence in many studies that back pain can be prevented. Personal protective equipment technically has the potential to reduce exposure but this is difficult to put into effect. There is no evidence in the studies regarding the effectiveness of education and training, preventive drugs, or health examinations. There is evidence that the implementation of technical measures enforced by regulation can prevent occupational diseases and injuries. For other interventions such as education or health examinations, there is no evidence that supports their effectiveness. More systematic reviews are needed in the area of injury prevention.

• 분석과학
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• 제25권3호
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• pp.190-196
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• 2012

납에 의한 노출에 대한 평가에는 주로 전혈 중 납을 사용하고 있으나 전혈 중 납은 납의 단기 노출에 대한 정보만을 제공한다는 단점이 있다. 납 노출의 만성적 노출지표인 혈장 중 납을 분석하기 위해서는 수 ng/L의 극미량 분석이 요구되어 납의 만성지표로서의 효용성 검증에 어려움이 있다. 본 연구에서는 납 노출 근로자의 만성 노출 지표로서 혈장 중 납을 분석하기 위하여 유도결합플라즈마 질량분석법을 정립하였다. 외부환경으로부터의 오염을 최소화시키기 위해 class 1,000 수준의 청정실을 설치한 후 가동 전과 후의 부유 분진량을 확인한 후 극미량 시료 분석을 수행하였다. 표준 우태아 혈청을 이용하여 표준물 첨가법에 의한 표준편차를 이용하여 계산한 최소검출한계는 4.3 ng/L, 최소정량한계는 12.2 ng/L이었으며, 신호-대-잡음 비로 계산한 최소검출한계는 7.0 ng/L, 최소정량한계는 22.1 ng/L이었다. 20 ng/L부터 2,000 ng/L 농도 범위에서 정밀도는 4% 이내였으며, 우태아 혈청에 20-2,000 ng/L의 농도로 첨가하여 계산한 회수율은 92.3-101.3%로 양호한 결과를 얻었다. 본 연구에서 제시한 방법을 사용하여 납 노출근로자의 혈장 및 혈청 중 납 분석이 가능하였으며 이를 통해 납의 만성노출에 대한 조사가 가능할 것으로 판단된다.

• 근관절건강학회지
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• 제31권1호
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• pp.53-63
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• 2024

Purpose: This study aimed to determine the prevalence of dizziness in adults and to identify factors associated with dizziness. Methods: This cross-sectional study used secondary data from the Eighth Korea National Health and Nutrition Examination Survey. Participants included 10,265 older adults aged≥40 years. Data were analyzed using descriptive statistics, the chi-squared test, and multinomial logistic regression with the SPSS/WIN 27.0 program. Results: The prevalence of dizziness was 26.2%, with 20.9% reporting episodic dizziness and 5.3% reporting chronic dizziness. Compared to that noted in the control group participants without dizziness, the risk of episodic or chronic dizziness was higher in women and in participants with older age, low education level, low income level, high perceived stress level, depression, tinnitus, and occupational noise exposure. Moreover, the risk of chronic dizziness was higher among those with a body mass index of <25 kg/m², stroke, cardiovascular disease, or severe hearing loss. Conclusion: The study underscores the need to comprehensively identify risk factors associated with dizziness and to develop interventions to prevent and manage the occurrence and chronicity of dizziness in the general population.

• 동의신경정신과학회지
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• 제12권2호
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• pp.53-68
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• 2001

This study was performed to investigate the anti-depression effect of Guibiondamtang in rat model of depression. The rats in the experiment were stratified into 3 groups, ie, Guibiondamtang, saline, normal (non-stressed) groups. Chronic exposure to mild unpredictable stress such as white noise, flashing lights and restriction of food and water, causes the behavioral symptoms correspondent to depression. Consumption of 1% sucrose solution fell in rats exposed to CMS for 4 weeks. In the open field test , the exploratory activity ie. locomotion and centering decreased after CMS. We then evaluated the sucrose consumption and activity during 4 weeks of treatment with experimental drugs. The results were as follows: 1) There was no relation between sucrose intake and weight. 2) The Guibiondamtang(歸脾溫膽湯) group reinstated sucrose consumption within 5-6 weeks while having no influence on sucrose intake in normal group. 3) The Guibiondamtang(歸脾溫膽湯) group restored some exploratory activity in the open field test. 4) The Guibiondamtang-group had a-reduced potentiated startle response.