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여천공단지역의 아이소시아네이트 노출작업자에서 기도과민성
문재동,이강진,이숭,장안수,서정평,최인선,양승원 대한알레르기학회 1999 천식 및 알레르기 Vol.19 No.3
Objective: To investigate the prevalence of airway hyperresponsiveness induced by isocyanate at one petrochemical industry complex in Yeochon, Korea. Methods: Questionnaires, allergic skin prick test, toluene diisocyanate (TDI)-specific IgE, and non-specific airway hyperresponsiveness (AHR) were studied in 73 exposed workers and 27 control subjects. Methacholine challenge tests were done and bronchial responsiveness (BR index) was defined as log (% fall of FEV1)/ log (last concentration of methacholine +10). Results: Twenty-three workers (31.5% ) had respiratory symptoms, 21 had nasal symptoms, and eight had skin symptoms. Exposed workers with respiratory symptoms (n=22) had significantly higher BR index than those without them (0.82+-0.06 vs 0.60+-0.02, p<0.05). Exposed workers tended to have higher BR index than controls (0.67+-0.03 vs 0.62+-0.02). Three exposed workers had PC20 methacholine <2.0 mg/ml. There were no significant differences in atopy score between exposed workers and controls (p)0.05). Specific IgE antibodies were found in 19.7% of exposed workers. FEV, showed a significant negative correlation with BR index (r =-0.25, p<0.05). Poor correlation was noted between BR index and atopy, smoking status, or exposure duration. Conclusion: These findings suggest that workers exposed to isocyanates are at higher risk of airway hyperresponsiveness.
Jeewon Lee,Young-Sook Kwak,Yoon-Jung Kim,Eun-Ji Kim,E Jin Park,Yunmi Shin,Bun-Hee Lee,So Hee Lee,Hee Yeon Jung,Inseon Lee,Jung Im Hwang,Dongsik Kim,Soyoung Irene Lee 대한신경정신의학회 2019 PSYCHIATRY INVESTIGATION Vol.16 No.3
“Comfort women” are survivors of sexual slavery by the Imperial Japanese Army during World War II, who endured extensive trauma including massive rape and physical torture. While previous studies have been focused on the trauma of the survivors themselves, the effects of the trauma on the offspring has never been evaluated before. In this article, we reviewed the first study on the offspring of former “comfort women” and aimed to detect the evidence of transgenerational transmission of trauma. In-depth psychiatric interviews and the Structured Clinical Interview for DSM-5 Axis I Disorders were conducted with six offspring of former “comfort women.” Among the six participants, five suffered from at least one psychiatric disorder including major depressive disorder, panic disorder, posttraumatic stress disorder, adjustment disorder, insomnia disorder, somatic symptom disorder, and alcohol use disorder. Participants showed similar shame and hyperarousal symptoms as their mothers regarding stimuli related to the “comfort woman” issue. Increased irritability, problems with aggression control, negative worldview, and low self-esteem were evident in the children of mothers with posttraumatic stress disorder. Finding evidence of transgenerational transmission of trauma in offspring of “comfort women” is important. Future studies should include more samples and adopt a more objective method.
Jeewon Lee,YoungSook Kwak,YoonJung Kim,EunJi Kim,EJin Park,Yunmi Shin,BunHee Lee,SoHee Lee,HeeYeon Jung,Inseon Lee,JungIm Hwang,Dongsik Kim,Soyoung Irene Lee 대한신경정신의학회 2018 PSYCHIATRY INVESTIGATION Vol.15 No.4
“Comfort women” refers to young women and girls who were forced into sexual slavery by the Imperial Japanese military during World War II. They were abducted from their homes in countries under Imperial Japanese rule, mostly from Korea, and the rest from China, Philippines, Malaysia, Taiwan, Indonesia, the Netherlands, etc. “Comfort women” endured extreme trauma involving rape, sexual torture, physical abuse, starvation, threats of death, and witnessed many others being tortured and killed. This article reviews all the studies that have investigated the psychiatric or psychosocial sequelae of the survivors of the Japanese military sexual slavery. Most importantly, a recent study which conducted a psychiatric evaluation on the former “comfort women” currently alive in South Korea is introduced. The participants’ unmarried rate was relatively high and their total fertility rate was relatively low. Majority of the participants reported having no education and being the low economic status. They showed high current and lifetime prevalence of posttraumatic disorder, major depressive disorder, somatic symptom disorder, social anxiety disorder, panic disorder, and alcohol use disorder. Participants showed high suicidality and majority of the participants still reported being ashamed of being former “comfort women” after all these years. This article highlights the fact that the trauma has affected the mental health and social functioning of former “comfort women” throughout their lives, and even to the present day.