• 제목/요약/키워드: pneumoconiosis

검색결과 145건 처리시간 0.022초

잠복결핵감염 양성인 분진작업 근로자에서 활동성 결핵 발병률 (Development of Active Tuberculosis among Former Dusty Workers who Diagnosed with Latent Tuberculosis Infection)

  • 황주환
    • 한국산업보건학회지
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    • 제30권1호
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    • pp.67-74
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    • 2020
  • Objectives: Previous study has shown that the positive rate of latent tuberculosis infection(LTBI) among former workers in dusty environments was higher than that among high-risk groups of tuberculosis(TB). The objective of the present study was to identify the development of active TB among former workers in dusty environments diagnosed with LTBI. Methods: Between January 2015 and May 2017, 796 former workers in dusty environments who had been subjects of epidemiology research for work-related chronic obstructive pulmonary disease(COPD) had received the QuantiFERON-TB® Gold In-Tube(QFT-GIT) from the Institute of Occupation and Environment(IOE) under the Korea Workers' Compensation and Welfare Service(KCOMWEL). Among them, 437 participants who received a health examination for work-related pneumoconiosis between January 2015 and December 2018 were selected as study subjects. Active TB was defined as a positive result for active PTB and non-tuberculosis mycobacteria infection in the result of the Pneumoconiosis Examination Council's assessment by KCOMWEL. Results: A total of 437 subjects were followed up for 2.1 years. Four of them(4/437, 0.9%) developed active TB during the follow-up period. The attack rate of active TB among subjects who were diagnosed LTBI positive and those who were diagnosed LTBI negative were 0.9%(3/320) and 0.9%(1/115), respectively. Conclusions: Most previous studies reported that the attack rate of the development of active TB in subjects who had been diagnosed LTBI positive was higher than that among subjects who had been diagnosed LTBI negative. To the contrary, the present study found that the rate of developing active TB among former workers in dusty environments diagnosed as LTBI positive was not higher than that in those who were diagnosed LTBI negative.

망간이 함유된 흄에 노출되는 근로자의 호흡기증상 (Respiratory symptoms of workers exposed to the fume containing manganese)

  • 유선희;김두희;임현술;김지용;최병순
    • Journal of Preventive Medicine and Public Health
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    • 제30권4호
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    • pp.752-763
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    • 1997
  • To evaluate the effect of manganese on the respiratory system, we investigated the respiratory symptoms of 63 male workers exposed to, fume containing manganese (Mn), iron (Fe) and silica (Si), and compared them with those of 66 male workers not exposed to the fume in a manganese alloy smelting factory. The prevalence ratios of the seven respiratory symptoms were not different between two groups. The presence of any respiratory symptom was not related with the age, duration of employment, smoking status of workers, and exposure to fume. In furnace workers, it was not related with the airborne Mn, Fe, and Si concentration in the total or respirable fume. Airborne Mn concentrations of all 4 furnaces in the respirable fume were below $1mg/m^3$. There were two suspicious cases of pneumoconiosis among furnace workers and one definite case(1/2) among casting workers who were not exposed to fume. The above results suggest that the exposure to the low airborne Mn concentration is not related with respiratory symptoms and pneumoconiosis. However, it is necessary to study the respiratory effects of Mn using the symptom questionnaire with consideration of the severity and persistence, of symptoms and the time interval from exposure.

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Achievements, Problems, and Future Direction of the Quality Control Program for Special Periodic Health Examination Agencies in Republic of Korea

  • Won, Yong Lim;Ko, Kyung Sun;Park, Jae Oh;Choi, Yoon jung;Lee, Hyeji;Sung, Jung-min;Lee, Mi-young
    • Safety and Health at Work
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    • 제10권1호
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    • pp.125-129
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    • 2019
  • The ultimate goal of the quality control program for special periodic health examination agencies is to diagnose the health condition of a worker correctly, based on accurate examination and analysis skills, leading to protect the worker's health. The quality control program on three areas, chemical analysis for biological monitoring since 1995, and pneumoconiosis, audiometric testing since 1996, has contributed to improve the reliability of occupational health screenings by improving the issues including standardization of testing methods, tools, diagnostic opinions, and reliability of analysis for biological monitoring. It has contributed to improving the reliability of occupational health monitoring by rectifying the following issues associated with previous monitoring: absence of standardized testing methods, testing tools that are not upgraded, mismatching diagnostic opinions, and unreliable results of biological specimen analysis. Nevertheless, there are issues in need of further improvement such as lack of expertise or the use of inappropriate method for health examination, and passive and unwilling participation in the quality control. We suggested solutions to these problems for each area of quality control program. Above all, it is essential to provide active support for health examiners to develop their expertise, while encouraging all the health screening agencies, employers, and workers to develop the desire to improve the system and to maintain the relevance.

대구 안심연료단지 환경오염물질 노출 평가(I) - 환경성 진폐증 및 비산먼지 영향권역 - (Exposure Assessments of Environmental Contaminants in Ansim Briquette Fuel Complex, Daegu(I) - Effect zone of environmental pneumoconiosis and fugitive dust -)

  • 정종현;오인보;피영규;남미란;황미경;방진희;전수빈;이상섭;유승도;김병석;유석주;이관;임현술
    • 한국산업보건학회지
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    • 제25권3호
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    • pp.366-379
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    • 2015
  • Objectives: The objective of this study is to assess airborne particulate matter(PM) pollution and its effect on health of residents living near Ansim Briquette Fuel Complex in Daegu metropolitan region. Methods: The California Puff(CALPUFF) dispersion model, version 5.8, which can estimate the dispersion direction and range of airborn $PM_{10}$ was used to determine the possible areas affected by $PM_{10}$ pollutants emitted from Ansim briquette fuel complex. The CALPUFF modeling with 200 m grid-cell resolution was performed based on $PM_{10}$ emissions estimated from the amount of coal consumption in the fuel complex for four months in 2012. The Weather Research and Forecasting(WRF) fields were processed using CALMET to produce CALPUFF-ready meteorological inputs. Also, the distance from Ansim Briquette Fuel Complex to the residence of each environmental pneumoconiosis patient was analyzed. In addition, the affecting region of the pollutants emitted from briquette factories in Ansim Briquette Fuel Complex was determined. Results: CALPUFF modeling results showed that the highest concentrations of $PM_{10}$ were found near around the fuel complex. The modeled $PM_{10}$ distributions were characterized by significant decreases in concentration with distance from the complex. Seasonally, the highest concentration of $45{\mu}g/m^3$ was calculated in October which was mostly due to the distinct variation of amount of emission. Additional modeling with the maximum $PM_{10}$ emission of about 88 tons per year in 1986 showed that the highest concentration in October was nearly increased by 8 times than the concentration modeled with emission of 2010. As a result of medical examination and interviews for the residents in Ansim Briquette Fuel Complex and its surroundings, 8 environmental pneumoconiosis patients were found. These patients do not have occupational exposure and history. These patients have lived 0.3~1.1 km area in Ansim Briquette Fuel Complex and its surroundings. Conclusions: Airborne particles emitted from Ansim Briquette Fuel Complex can contribute to significant increase in $PM_{10}$ concentration in residential areas near around the complex. Especially, the residents near fuel complex may exposed to the pollutants emitted from the factories in Ansim Briquette Fuel Complex.

석탄광부 진폐증 환자에서 PDGF-BB, IGF-1의 의의 (Clinical Significance of Serum PDGF-BB and IGF-1 in Coal Workers' Pneumoconiosis)

  • 신표진;용석중;신계철;리원연;김신태;차봉석;전근재
    • Tuberculosis and Respiratory Diseases
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    • 제52권4호
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    • pp.338-345
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    • 2002
  • 연구배경: 본 연구는 진폐증의 폐섬유화에 관여하는 사이토카인 중 PDGF-BB와 IGF-1의 혈청내 농도를 측정 비교함으로서 폐섬유화 관정에서의 역할을 간접적으로 확인하고 진폐증 진단의 생화학적 지표자로서 의미가 있는지 알아보고자, 충주의료원과 연세대학교 원주의과대학 원주기독병원에 내원한 환자를 대상으로 정상대조군과 단순형 석탄광부 진폐증군, 복잡형 석탄광부 진폐증군으로 나누어 혈청내 PDGF-BB와 IGF-1 농도를 측정하여 다음과 같은 결과를 얻었다. 방 법: 직업력과 방사선학적 소견으로 석탄광부 진폐증으로 진단된 환자중 단순형 석탄광부 진폐증 13예와 복잡형 석탄광부 진폐증 17예, 정상 대조군 10명을 대상으로 하였다. Human PDGF-BB immunoassay kit (R&D system, Minneapolis, MN)와 Human IGF-1 immunoassay kit (R&D system, Minneapolis, MN)를 이용하여 각 대상의 혈청내 PDGF-BB와 IGF-1의 농도를 측정하였다. 결 과: 1. 복잡형 석탄광부 진폐증군에서의 혈청 PDGF-BB 농도($10083.76{\pm}5639.07pg/mL$)가 정상 대조군 ($3726.17{\pm}1292.20pg/mL$)이나 단순형 석탄광부 진폐증($8493.88{\pm}5848.51pg/mL$)에 비해 통계학적으로 유의하게 높았다(P<0.05). 2. 정상대조군 ($413.40{\pm}61.94ng/mL$)과 단순형 석탄광부 진폐증($366.77{\pm}183.67ng/mL$), 복잡성 석탄광부 진폐증($403.40{\pm}115.39ng/mL$)의 혈청 IGF-1 농도는 각 군간 통계학적 유의한 차이는 관찰되지 않았다(P>0.05). 3. 작업년수에 따른 혈청 PDGF-BB와 IGF-1의농도는 통계학적으로 유의한 차이가 없었다(P>0.05). 결 론: 이상의 결과를 종합하여 보면 석탄광부 진폐증군에서 혈청내 PDGF-BB 농도의 증가는 폐섬유화 진행을 나타내는 생화학적 지표로서의 의미를 갖는 것으로 생각된다.