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Standards for recognition and approval rate of occupational cerebro-cardiovascular diseases in Korea

  • Ui-Jin Kim;Won-Jun Choi;Seong-Kyu Kang;Wanhyung Lee;Seunghon Ham;Junhyeong Lee;Yongho Lee;Eunseun Han;Sanghyuk Lee;Yongkyu Kim;Inah Kim
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.30.1-30.13
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    • 2022
  • Background: Although working hours have decreased in Korea, they are still high compared to that of other countries. In Korea, cardiovascular and cerebrovascular diseases (CCVDs) related to overwork in Korea continually occur, and the social burden from overwork is estimated to be high. This study investigated the amendment of regulations affecting the approval rate of occupational CCVDs. Methods: The change in approval rate of occupational CCVDs and related regulations were investigated using the Act and public notice on the standards for recognition of occupational CCVDs and the yearbooks of the Ministry of Employment and Labor. The CCVD mortality was estimated using data on the number of deaths according to the cause of death, the number of employed people, and resident registration population aged 15-64 years. The cumulative mortality of CCVDs was estimated using the Kaplan-Meier method. Results: Since the establishment of the standards for recognition in Korea in 1982, the scope of occupational diseases has been expanded to include intracerebral hemorrhage, subarachnoid hemorrhage, cerebral infarction, myocardial infarction, and aortic dissection. In 2013, the concept of working hours was introduced in chronic overwork. The approval rate of occupational CCVDs was 44.7% in 2006, which decreased to 12.9% in 2011. After the improvement of related regulations, the approval rate increased to 41.3% in 2018. From 2000 to 2017, the CCVD mortality of both the unemployed and employed tended to decrease, and their cumulative CCVD mortalities were 549.3 and 319.7 per 100,000 people, respectively. Conclusions: CCVDs are recognized as occupational diseases in Korea. The amendments to the standards for recognition, the introduction of the Occupational Disease Adjudication Committee, the principle of presumption, and the reduction of working hours have changed the approval rate of occupational CCVDs. A strategic approach is needed to further reduce the incidence of CCVDs.

Development of a System to Measure Quality of Cut Flowers of Rose and Chrysanthemum Using Machine Vision (기계시각을 이용한 장미와 국화 절화의 품질 계측장치 개발)

  • 서상룡;최승묵;조남홍;박종률
    • Journal of Biosystems Engineering
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    • v.28 no.3
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    • pp.231-238
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    • 2003
  • Rose and chrysanthemum are the most popular flowers in Korean floriculture. Sorting flowers is a labor intensive operation in cultivation of the cut flowers and needed to be mechanized. Machine vision is one of the promising solutions for this purpose. This study was carried out to develop hardware and software of a cut flower sorting system using machine vision and to test its performance. Results of this study were summarized as following; 1. Length of the cut flower measured by the machine vision system showed a good correlation with actual length of the flower at a level of the coefficients of determination (R$^2$) of 0.9948 and 0.9993 for rose and chrysanthemum respectively and average measurement errors of the system were about 2% and 1% of the shortest length of the sample flowers. The experimental result showed that the machine vision system could be used successfully to measure length of the cut flowers. 2. Stem diameter of the cut flowers measured by the machine vision system showed a correlation with actual diameter at the coefficients of determination (R$^2$) of 0.8429 and 0.9380 for rose and chrysanthemum respectively and average measurement errors of the system were about 15% and 7.5% of the shortest diameter of the sample flowers which could be a serious source of error in grading operation. It was recommended that the error rate should be considered to set up grading conditions of each class of the cut flowers. 3. Bud maturity of 20 flowers each judged using the machine vision system showed a coincidence with the judgement by inspectors at ranges of 80%∼85% and 85%∼90% for rose and chrysanthemum respectively. Performance of the machine vision system to judge bud maturity could be improved through setting up more precise criteria to judge the maturity with more samples of the flowers. 4. Quality of flower judged by stem curvature using the machine vision system showed a coincidence with the judgement by inspectors at 90% for good and 85% for bad flowers of both rose and chrysanthemum. The levels of coincidence was considered as that the machine vision system used was an acceptable system to judge the quality of flower by stem curvature.

Efficacy Evaluation of Anti-wrinkle Products in Japan

  • Masaki Hitoshi
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.29 no.2 s.43
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    • pp.67-77
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    • 2003
  • Two categories of cosmetic products, cosmetics and quasi-drugs, have been established by the Ministry of Health, Labor and Welfare (MHLW) in Japan. Japanese pharmaceutical law has defined that products categorized as cosmetics do not exhibit any effects on human skin. In fact, cosmetic products are not permitted to claim any efficacy. On the other hand, products in the quasi-drug category can claim several efficacies such as anti-inflammatory effects, whitening/lightning effects, hair growth effects and so on. Unfortunately, the Japanese MHLW has not yet approved the efficacy of anti-aging/anti-wrinkle effects as a claim point. However, the population is aging, and the demand for anti-aging/anti-wrinkle products is increasing year by year. Japanese cosmetic companies have proposed to the MHLW that anti-aging/anti-wrinkle agents be approved as a claim concept of a quasi-drug. However, unified evaluation methods for anti-aging/anti-wrinkle effects have not been established. Currently, each company evaluates the efficacy of products/materials using their own original methods. Thus, to request approval of the MHLW, the establishment of a unified evaluation method is needed. Consequently, the Japan Cosmetic Industry Association (JCIA) has established a task force to develop guidelines for evaluating anti-wrinkle effects in 1998. In conclusion, the JCIA would like to adopt visual and image analysis scales to evaluate the anti-wrinkle effects objectively. Generally, wrinkles are roughly classified into three groups as fine wrinkles, linear deep wrinkles and crow's feet. However, academic societies of dermatology or cosmetics have not yet established a definition of wrinkles in Japan. Thus, in advance of setting up an evaluation method, the definition of wrinkles f3r evaluation must be decided. Wrinkles are defined by the task force of the JCIA as follows; furrows that people can recognize visually and that appear on the forehead, the corners of the eyes and the backs of the neck with aging. In addition, furrows are emphasized by exposure to solar light and by dry conditions. Visual evaluation is the most sensitive method and can be applied to most types of wrinkles. However, visual evaluation is hard to express digitally as results. Besides, in the case of image analysis, comparisons of data obtained from distinct examinations can not be done, because data from image analysis are relative values. Thus, to enhance the reliability of the evaluations, the adoption of an objective scale was required. The principle of the evaluation method is to analyze images taken from silicone replicas of wrinkle areas using several parameters, such as the proportion of the wrinkle $area({\%})$, the mean depth of the wrinkles (mm), the mean depth of the deepest wrinkle (m) and the deepest point on the deepest wrinkle. Lights are shown on the skin replica from an orthogonal direction of the main orientation of the wrinkle, and the resulting shadow images are quantified by the image analysis method. To increase the precision of the data or to allow comparisons of independent examinations, a scale with furrows of several depths, 200, 400, 600, 800, and $1000{\mu}m$, is adapted in the evaluation system. I will explain the guidelines established by the JCIA in the presentation.

Study of the Density of Smoke and Harmful Gases of Adhesive Indirect Moxibustion (접착식 간접구의 연기 밀도 및 유해가스 발생 확인 연구)

  • Kim, Eun-Jung;Kim, Yu-Jong;Hwang, Ji-Hoo;Cho, Hyun-Seok;Kim, Kyung-Ho;Lee, Seung-Deok;Kim, Kap-Sung
    • The Journal of Korean Medicine
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    • v.33 no.1
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    • pp.42-51
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    • 2012
  • Objectives: We measured the density of smoke and harmful gases emitted from burning adhesive indirect moxa. Through the test we aimed to find out if there was an excessive amount of smoke emitted and if it included harmful gases. Methods: 9 types of adhesive indirect moxa were chosen. The buffer layers which do not burn during treatment were removed and 10g of each moxa were made into powder and put into a holder. A smoke density chamber (Smoke Density Chamber FTT. U.K) and Fourier transform infrared spectroscopy (FT-IR I 4001. MIDAC U.S.A.) were used to measure the density of smoke and harmful gases emitted from burning moxa by ISO 5659-2 test. Results: The result of measuring maximum smoke density showed that the regular indirect adhesive moxa (A-F) emitted high density smoke of 172.1-291.4Ds. The smokeless moxas, Seoam moxas, emitted the least amount of 3.4-5.5Ds. Concentrations of 7 typical harmful gases (CO, HCl, HCN, HBr, HF, SO2, NOx) were measured and all of the moxas emitted CO due to incomplete combustion. 4 types of moxa emitted NOx and all smokless moxas emitted NOx. HBr, HCN, HCl, HF, SO2 were not found in any of the moxas. Conclusions: The amount of harmful gases emitted from burning moxa was much lower than short-term exposure standards of chemical and physical factors (Ministry of Labor 2010-44). Further experiments measuring gases from moxa combustion should be done in larger environments similar to normal medical clinics.

The Preliminary Study on the Quantitative Analysis of Quarts by Fourier Transform Infrared Spectrophotometric Direct on Filter(FTIR-DOF) Method -Effects of filter materials, inhomogeneity of deposition, and humidity- (Fourier Transform Infrared Spectrophotometric Direct on Filter 방법을 이용한 석영 분석의 기초 연구 - 필터재질, 비균일 침착 및 습도의 영향 -)

  • Phee, Young Gyu;Kim, Hyunwook
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.15 no.1
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    • pp.1-7
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    • 2005
  • Although the Fourier Transform Infra-Red spectrophotometric Direct on Filter(FTIR-DOF) method is a useful analytical technique for quantifying quartz content in respirable dust samples, a number of analytical problems must be taken into consideration such as, to name only a few, inhomogeneous deposition of particles, level of environmental humidity, uneven surface of the filter, and interfering minerals in the sample. This study was designed to select the most suitable wavelength and proper filter material for the method, and to investigate effects of humidity and inhomogeneous deposition of particles on the filter. Samples of respirable dust, created in a dust chamber containing standard material of quartz, were collected using a cyclone equipped with a 25mm filter as a collection medium. The results were as follows; 1. Among seven (7) commercially available filters tested for the FTIR-DOF method, the DM 800 filter showed the best analytical performance having the lowest background absorbance bands and no overlapping peaks at 799, 779, and $695cm^{-1}$. 2. The variations of absorbance due to humidity ranged from 1.0% to 3.3% for $799cm^{-1}$, 1.0% to 3.3% for $779cm^{-1}$, and 8.9%~20.9% for $695cm^{-1}$ peaks, respectively. The $699cm^{-1}$ peak was proved to be most vulnerble to environmental humidity for quantitative analysis of quartz. 3. As for effects of inhomogeneous deposition of samples, the highest variation of absorbance of 10.9% ($13.5{\mu}g$) was observed when using the 695cm-1. The variations of absorbance from the other two peaks, 799 and $779cm^{-1}$, ranged from 1.2 to 3.2%, and 1.4 to 4.1%, respectively. Therefore, the $799cm^{-1}$ peak was considered to be most reliable for quantitative analysis of quartz. The results of this study suggest that, for quantitative analysis of quartz in the respirable dust samples, use of the $799cm^{-1}$ peak can minimize the influence of environmental humidity and inhomogeneous deposition of particles on the filter. The FTIR-DOF method, if adopted for routine analysis of quartz in the respirable dust samples, could save sample preparation time and efforts substantially and also could increase analytical throughputs. Since use of the $799cm^{-1}$ peak is prone to be affected by interferences in the sample, further research on minimizing the effects is needed.

Improvement Measures of Pollutants Unit-Loads Estimation for Paddy Fields (논으로부터 배출되는 영양물질 오염부하량 원단위 산정 방법 개선 방안 검토)

  • Jung, Jae-Woon;Yoon, Kwang-Sik;Choi, Woo-Jung;Choi, Woo-Young;Joo, Seuk-Hun;Lim, Sang-Sun;Kwak, Jin-Hyeob;Lee, Soo-Hyung;Kim, Dong-Ho;Chang, Nam-Ik
    • Journal of Korean Society on Water Environment
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    • v.24 no.3
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    • pp.291-296
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    • 2008
  • Pollutant unit load developed by Ministry of Environment (MOE) in 1995 has been a tool commonly used for water quality management and environmental policy decision. In spite of the convenience of the method in application, the shortcoming of the method has been criticized especially for nonpoint source pollution from paddy field. In this paper the estimation procedures of pollutant unit load from paddy field in the major river basins (Han, Nakdong, Geum, and Youngsan river) were investigated, and some suggestions of improvement measures of the unit-load estimation were made. The investigation showed that the distributions of rainfall, run-off, and run-off ratio, which are the most important factors affecting discharge amount of pollutants, were not similar among river basins. Such differences seemed to result in a greater unit loads estimation at Han river and at Nakdong river watersheds compared to the others. Therefore, it is not likely to be rationale to compare unit load among the watersheds without consideration of such differences. We conclude that estimation of unit-load through an intensive monitoring of pollutant discharge is crucial for better estimation of unit-load. When such an intensive monitoring is not easy due to labor and expense restriction, we suggest that unit-load should be estimated based on the storm-events which is a representative rainfall-runoff event of the area.

Health effects on workers and actual exposure of VOCs in the nail shops (네일샵 종사자의 휘발성유기화합물 노출실태와 건강에 미치는 영향)

  • Kim, Nan-Hee;Min, Kyoung-Woo;Cho, Gwang-Woon;Seo, Dong-Ju;Im, Kyeong-Hun;Jeung, Won-Sam;Cho, Young-Gwan;Yang, Jin-Seok
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.27 no.1
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    • pp.59-69
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    • 2017
  • Objectives: The objective of this study is to evaluate the exposure of VOCs and effects of the chemicals on the nail technicians whose works in a nail shop. Methods: For four month from May to August in 2016, we measured twenty-two kinds of VOCs in ten nail shops and carried out health examinations on thirty-four workers in there. Results: The TVOC concentration in indoor air of nail shops is $0.487mg/m^3$ at a minimum and $33.236mg/m^3$ at a maximum where it consists of 70.5% of Ketones, 25.4% of Alcohols, 2.6% of Esters, 0.8% of Aldehydes and 0.7% of Aromatics. The VOCs concentration during nail art works shows an increase in average ratio 1.8 compared to the concentration of indoor air quality and also the concentration of Isopropanol rose with 3.2 of the highest ratio. The results of Spearman correlation between TVOC concentration in indoor air and environmental factor was like that has significance level of correlation(${\rho}$<0.05, r=0.682) in case of number of customers per day, but the other factors were not meaningful in correlation. Correlation between VOCs and medical check-up items was like that has positive significance level(${\rho}$<0.01, r=0.638) between isopropanol and GPT, but the others have not meaningful. The exposure level of VOCs was not exceed the criteria exposure level 1 of working environment measuring method which announced by labor ministry in all ten nail shop indoor air quality. Conclusions: In this study although it was not significant correlation between harmful substances and medical check-up items in the nail shop indoor air quality, it is necessary to do more ventilation and to install exhaust facilities because of existing high VOCs concentration in the nail shop indoor air.

Review of the Literature on Level of Biological Exposure and Trends in Possible and Probable Occupational Disease among Chromium Workers (크롬 직업병 유소견자와 요관찰자 추이 및 취급 근로자의 생물학적 노출수준 고찰)

  • Park, Sang-il;Kim, Nam-Soo;Hwangbo, Young;Kim, Hwa-Sung;Lee, Sung-Soo;Kim, Yong-Bae
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.31 no.3
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    • pp.213-225
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    • 2021
  • Objectives: This study identifies the trends in possible and probable occupational disease among chromium workers and reviews the literature on domestic and foreign chromium workers to review the industries, biological exposure levels, and major results. Methods: The results of the Ministry of Employment and Labor's special health-screening program for hazard agents among workers from 2009 to 2019 were used. Also, the industries, biological exposure levels, and major results on chromium workers were reviewed using PubMed and RISS. Results: The average annual proportion of both possible and probable occupational disease for chromium workers has recently increased. The average annual proportion of possible and probable occupational disease that can occur was high for both men and women in their 60s or older by age and 10 to 14 years by work duration. By industry, possible occupational disease showed high in manufacturing. In the literature review, many electroplating-related chromium-workers reported high levels of exposure to blood and urine chromium, as did dental technicians; tannery, tile factory or glass mill workers; cement workers; and sodium bichromate workers. Furthermore, a number of main findings in recent studies have reported that chromium exposure is related to genetic toxicity among workers. Conclusions: In this study, the average annual rate of both possible and probable occupational disease in domestic chromium workers is increasing, and a body of literature shows that chromium exposure is related to genetic toxicity and associated indicators among workers, which requires more systematic study.

A Study on the Analysis of Industrial Accident Deaths in Public Institutions and the Awareness Survey of Safety Enhancement Measures for Public Institutions (공공기관 산재 사고사망 분석 및 공공기관 작업장 안전강화 대책의 인식도 조사에 관한 연구)

  • Kim, Sang Hyun;Hwang, In Sung;Kang, Chan Kyu
    • Journal of the Korean Society of Safety
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    • v.35 no.3
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    • pp.64-71
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    • 2020
  • Safety is not a service provided selectively by the country, and it is a basic right that human beings should enjoy. However, as the recent expansion of outsourcing due to the efficient corporate management, fatal accidents such as the Taean Power Plant where subcontractors are pinched on conveyors continued to occur. In addition, public safety concerns have been widespread as there are constant safety-related accidents in public institutions such as KTX trains derailing. As public institutions require safety as a top priority for management rather than profit, the government needs a leading role to enhance the level of private safety activities. The government announced the "Measures to strengthen the workplace safety of public institutions" and is promoting measures to protect the lives and safety of the people. The purpose of this study was to in-depth analysis of the accident and death situation in public institutions in the last 5 years from 2014 to 2018. A recognition survey was also conducted and the results were analyzed. As a result of the analysis of industrial accident death, it showed that the number of industrial accident deaths in public institutions was about 50 people per year, and it occupied about 6.1% of all industrial accidents. Following the government's public policy measures, positive changes as a result of the survey on awareness were detected in the order of rising safety awareness and participation of management (56.9%), safety and health organization and personnel composition (37.9%), and increasing safety awareness and participation of members (18.9%). However, the obstacles to the implementation of government measures were followings; 1) consciousness and lack of participation (42.1%), 2) indifference from other departments (35.1%), 3) absence, or lack of competency of safety manager (33.3%). In addition, safety investments and safety management of contractors and ordering works were analyzed to have remained largely unchanged even after the implementation of safety measures. Through this study, it is intended to provide basic data for strengthening the level and activities of safety in public institutions.

The Effect of Temperature on the Breakthrough of Charcoal Tube During Vinyl Chloride Monomer Sampling (공기중 염화비닐단량체 포집시 온도가 파과현상에 미치는 영향)

  • Park, Youn Jung;Lee, Sang Hoi;Kim, Chi Nyon;Won, Jong Uk;Roh, Jaehoon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.8 no.1
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    • pp.115-123
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    • 1998
  • Vinyl chloride monomer exists as gas phase at normal temperature and reacts with oxygen and strong oxidant in the air to form oxidized materials. Because of being easily synthesized, it is used as a main source at the synthetic reaction process of PVC synthesis factories. Ministry of Labor regulates its usage as a carcinogen and its exposure level as 1 ppm. But the amount of VCM production in PVC and VCM production process hasn't been exactly estimated. In addition, facilities of this factory are located in outdoor. Therefore, this study was designed to investigate effects of temperature on breakthrough of charcoal tube at a fixed concentration and temperature during VCM sampling based on NIOSH and OSHA methods which were used as methods of occupational environment measuring and analysis. During the sampling of VCM, methods of OSHA and NIOSH require flow rate of 0.05 lpm and sampling volume of $3{\ell}$, $5{\ell}$ respectively, at this time carbon molecular sieve tube and coconut shell charcoal tube are used to observe the breakthrough along with concentration and temperature. As a result, significant difference between average adsorbed amounts of OSHA methods but that of NIOSH methods cannot be found. NIOSH method is likely to be effected by high temperature and normal temperature in high concentration. Breakthrough is not found in the method of OSHA at different conditions of temperature and concentration. As the result of this study we could verify that breakthrough occurred in the process of sampling VCM with NIOSH methods. Therefor in summer time, breakthrough should be considered and research on the breakthrough volume should be done. It is considered the research about the specificity of the coconut shell charcoal and carbon molecular sieve sorbent should be done when sampling VCM in comming days.

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