• 분석과학
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• 제23권2호
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• pp.187-195
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• 2010

허베이 스피리트호 유류유출 사고 후 지역주민들의 수산물 섭취로 인한 건강 위해도를 평가하기 위하여, 가스크로마토그래피-질량분석기(GC-MSD)를 이용하여 유류유출 지역 주민들이 직접 채취 및 구입한 수산물 중 다환방향족탄화수소류(PAHs) 16종을 분석하였다. 시료는 KOH로 가수분해하여 Methylene chloride로 추출하였다. 추출액 중의 16개의 PAHs는 실리카/플로리실 정제컬럼을 이용하여 Methylene chloride : n-헥산(1:9) 혼합용액으로 용출하였고 GC-MSD의 SIM을 이용하여 분석하였다. 16 개의 PAHs의 평균 회수율은 79~85%이었으며, 126개의 시료에서 $0.17\sim6.04\;{\mu}g/kg$ 수준으로 검출되었고, Benzo(a)pyrene의 독성등가계수(TEF)를 적용한 Benzo(a)pyrene 독성등가량($TEQ_{BaP}$)은 $0\sim0.91\;{\mu}gTEQ$/kg 수준이었다. 또한 유류유출 지역 주민들의 벤조피렌의 일일 평균 노출량은 $5.5{\times}10^{-8}\;mg/kg$ bw/day 이었고, PAHs 일일 평균 만성노출량은 $1.3{\times}10^{-5}\;mgTEQ$/kg bw/day이었다. 그리고 안전마진(MOE)과 초과발암위해도는 각각 $1.8{\times}10^6$, $9.8{\times}10^{-8}$으로 사람에게 위해영향발생 우려가 낮은 수준이었다.

• 한국환경과학회지
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• 제6권6호
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• pp.659-670
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• 1997

차량 내부의 높은 휘발성 유기물질 농도와 이들 휘발성 유기물질의 독성 때문에 휘발성 유기물 질에 대한 차량 내부에서의 노출이 주요한 관심을 받고 있다. 본 연구에서는 115회의 도시 지역 (대구 광역시) 출퇴근과 9회의 정차 실험을 통해 상업용 공기정화기의 6 종류 휘발성 유기물질에 대한 제거 효율이 평가되었다. 네 종류의 운전 조건에서 수행된 정차 및 출퇴근 연구 결과, 본 연구에서 이용된 두 개의 시중 시판 차량용 공기정화기는 휘발성 유기물질에 대해 제거 효율이 없는 것으로 나타났다. 벤젠을 제외한 다섯 종류의 휘발성 유기물질의 농도는 최근 차량보다 오래된 차량 내부에서 높게 나타났다 (p<0.05). 본 연구에서 측정된 벤젠과 톨루엔의 평균 농도는 로스앤젤레스에서 측정된 값과 유사하게 나타났고, 그 이외의 미국내 비교지역의 측정 값보다는 높게 나타났다. 휘발성 유기물질에 대한 노출 및 해당 발암 위해성은 차량 내부에서 실외 공기의 약 8배 정도 높게, 그리고 실내 공기의 약 절반 정도로 산정 되었다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권11호
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• pp.4769-4775
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• 2015

Background: Hepatocellular carcinoma (HCC) is the fifth most prevalent cancer and thirdly leading cause of cancer-related death worldwide. The estimated risk of hepatocellular carcinoma is 15 to 20 times as high among persons infected with HCV as it is among those who are not infected, with most of the excess risk limited to those with advanced hepatic fibrosis or cirrhosis. Glypican3 (GPC3) plays a key role in relation to signaling with growth factors, regulating the proliferative activity of cancer cells. Glutamine synthetase (GS) catalyzes the synthesis of glutamine from glutamate and ammonia in the mammalian liver. GS was suggested as a specific marker for tracing cell lineage relationships during hepatocarcinogenesis. In normal liver, GS expression is seen in pericentral hepatocytes, but not by midzonal or periportal hepatocytes. In HCC, strong and diffuse GS expression in seen in tumor cells. Results: Glypican3 immunopositvity was highly specific and sensitive indicator for hepatocellular carcinoma as well as glutamine synthetase which was found to be a sensitive and specific indicator for development of hepatocellular carcinoma when compared to cirrhosis, liver cell dyspalsia and metastatic carcinomas. Statistical analysis revealed a significant association between GPC3 and GS with tumor size (P=0.003, p=0.006, respectively). Diffuse staining significantly associated with large tumor size while, focal and mixed staining was detected more with small tumor size. Studying the relation with tumor grade also revealed significant association between diffuse GPC3 and GS staining with high tumor grade. Diffuse staining was detected in 91.7% and 100% respectively of poorly differentiated specimens and only in 33.3% and 22.2% of well differentiated specimens. Conclusions: While using GPC3 and GS to screen for premalignant hepatic lesions remains controversial, our data suggest that GPC3 and GS may be a reliable diagnostic immunomarkers to distinguish HCC from benign hepatocellular lesions. However, negative immunostaining should not exclude the diagnosis of HCC.

• 한국산업보건학회지
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• 제15권1호
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• pp.27-35
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• 2005

This study was carried out to evaluate the characteristics of petroleum refinery workers' exposure to organic solvents. Exposure assessment was conducted by full shift-based long term personal sampling(TWA-P) and task-based short term personal sampling(STEL-P) strategy. Major organic solvents that workers can be exposed are various, varying from C3~C12, and this study focused on 11 kinds including benzene, considering toxicity and concentration level. In comparison with two sampling results, STEL-P shows a significant(p<0.001) excess of exposure level rather than TWA-P. As the potential risk index for benzene is calculated as 16, benzene should be set the highest priority for control in petroleum refinery industry. The tasks with the highest benzene exposure level were de-watering(AM;99.8 ppm), draining(AM;19.6ppm), sampling(AM;16.2ppm), and manual gauging(AM;15.02ppm). Petroleum refinery workers' exposure pattern to organic solvents differs by tasks performed, and some task has a high risk of temporary extreme exposure. Therefore, traditional 8-hour TWA sampling strategy have possibility of underestimation of exposure level of workers in petroleum refinery.

• 동의생리병리학회지
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• 제26권6호
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• pp.934-939
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• 2012

To investigate and characterize basic patterns of prehypertension. Participants were divided into three groups; ideal blood pressure(n=40), prehypertension(n=62), and stage 1 hypertension groups(n=68) according to the JNC 7 standards. They answered questionnaire asking various symptoms and received clinical examination. Data were collected and analyzed in the focus of three Zheng patterns, cold-heat, deficiency-excess and four major hypertension types. Analysis of variance was used to find differences among groups. In addition, relationship between the cold-heat trends and risk factors of hypertension were analyzed using Pearson's correlation analysis. Three risk factors; age, body mass index (BMI), and fasting blood sugar (FBS) showed intergroup differences. Statistical significances were revealed in the cold-heat pattern and two hypertension subtypes. The cold scores decreased from $4.8{\pm}1.84$ to $3.9{\pm}1.88$ and $3.7{\pm}1.27$ (p=0.022), while the heat increased from $1.9{\pm}1.32$ to $2.8{\pm}1.72$ and $2.8{\pm}1.48$ (p=0.009). Additionally two hypertension subtypes, the excessive liver fire, and the yin-yang deficiency showed significant differences. Cold had negative correlations with blood pressure (both systolic and diastolic), BMI, triglyceride, and FBS. Heat had positive correlations with systolic blood pressure, BMI, triglyceride, and FBS. Prehypertension could be characterized by using the cold-heat patterns. The cold-heat are correlated with Blood pressure, BMI, blood lipids and sugar.

• Preventive Nutrition and Food Science
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• 제19권4호
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• pp.247-260
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• 2014

The impact of folate on health and disease, particularly pregnancy complications and congenital malformations, has been extensively studied. Mandatory folic acid fortification therefore has been implemented in multiple countries, resulting in a reduction in the occurrence of neural tube defects. However, emerging evidence suggests increased folate intake may also be associated with unexpected adverse effects. This literature review focuses on contemporary issues of concern, and possible underlying mechanisms as well as giving consideration the future direction of mandatory folic acid fortification. Folate fortification has been associated with the presence of unmetabolized folic acid (PteGlu) in blood, masking of vitamin $B_{12}$ deficiency, increased dosage for anti-cancer medication, photo-catalysis of PteGlu leading to potential genotoxicity, and a role in the pathoaetiology of colorectal cancer. Increased folate intake has also been associated with twin birth and insulin resistance in offspring, and altered epigenetic mechanisms of inheritance. Although limited data exists to elucidate potential mechanisms underlying these issues, elevated blood folate level due to the excess use of PteGlu without consideration of an individual's specific phenotypic traits (e.g. genetic background and undiagnosed disease) may be relevant. Additionally, the accumulation of unmetabolized PteGlu may lead to inhibition of dihydrofolate reductase and other enzymes. Concerns notwithstanding, folic acid fortification has achieved enormous advances in public health. It therefore seems prudent to target and carefully monitor high risk groups, and to conduct well focused further research to better understand and to minimize any risk of mandatory folic acid fortification.

• Journal of Korean Medical Science
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• 제33권51호
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• pp.328.1-328.12
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• 2018

Background: In cardiac arrest, the survival rate increases with the provision of bystander cardiopulmonary resuscitation (CPR), of which the initial response and treatment are critical. Telephone CPR is among the effective methods that might increase the provision of bystander CPR. This study aimed to describe and examine the improvement of neurological outcomes in individuals with out-of-hospital acute cardiac arrest by implementing the nationwide, standardized telephone CPR program. Methods: Data from the emergency medical service-based cardiac arrest registry that were collected between 2009 and 2014 were used. The effectiveness of the intervention in the interrupted time-series study was determined via a segmented regression analysis, which showed the risk ratio and risk difference in good neurological outcomes before and after the intervention. Results: Of 164,221 patients, 148,403 were analyzed. However, patients with unknown sex and limited data on treatment outcomes were excluded. Approximately 64.3% patients were men, with an average age of 63.7 years. The number of bystander CPR increased by 3.3 times (95% confidence interval [CI], 3.1-3.5) after the intervention, whereas the rate of good neurological outcomes increased by 2.6 times (95% CI, 2.3-2.9 [1.6%]; 1.4-1.7). The excess number was identified based on the differences between the observed and predicted trends. In total, 2,127 cases of out-of-hospital cardiac arrest (OHCA) after the intervention period received additional bystander CPR, and 339 cases of OHCA had good neurological outcomes. Conclusion: The nationwide implementation of the standardized telephone CPR program increased the number of bystander CPR and improved good neurological outcomes.

• 보건행정학회지
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• 제29권2호
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• pp.228-236
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• 2019

Background: This study investigates the impact of weekend admission with a patient safety indicator (PSI) on 30-day mortality among long-term insurance beneficiaries. Methods: Data were obtained from the National Health Insurance Service-Senior claim database from 2002 to 2013. To obtain unbiased estimates of odds ratio, we used a nested case-control study design. The cases were individuals who had a 30-day mortality event after their last medical utilization, while controls were selected by incidence density sampling based on age and sex. We examined the interaction between the main independent variables of weekend admission and PSI by categorizing cases into four groups: weekend admission/PSI, weekend admission/non-PSI, weekday admission/PSI, and weekday admission/non-PSI. Results: Of the 83,400 individuals in the database, there were 20,854 cases (25.0%) and 62,546 controls (75.0%). After adjusting for socioeconomic, health status, seasonality, and hospital-level factors, the odds ratios (ORs) of 30-day mortality for weekend admission/PSI (OR, 1.484; 95% confidence interval [CI], 1.371-1.606) and weekday admission/PSI (OR, 1.357; 95% CI, 1.298-1.419) were greater than for patients with weekday admission/non-PSI. Conclusion: This study indicated that there is an increased risk of mortality after weekend admission among patients with PSI as compared with patients admitted during the weekday without a PSI. Therefore, our findings suggest that recognizing these different patterns is important to identify at-risk diagnosis to minimize the excess mortality associated with weekend admission in those with PSI.

• 한국산업보건학회지
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• 제30권4호
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• pp.405-411
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• 2020

Objectives: The objectives of this study were to investigate whether airborne fibers were released to the outside air from the asbestos removal area in buildings, and to confirm the existence of asbestos fibers in samples using transmission electron microscopy(TEM). Methods: A total of 1,295 samples was collected from inside and outside 155 asbestos removal areas. To investigate the release of asbestos fibers from the removal area, samples were collected at three locations, such as an entrance to change room, an exit of negative pressure unit(NPU) and perimeter areas. Samples were also collected in the removal area prior to and after removal activity. All samples were analyzed by phase contrast microscopy(PCM) and one-tenth of the samples was analyzed using TEM to discriminate asbestos fibers. Results: During the asbestos removal activity, 27(4.1%) of 662 samples collected outside the removal area showed airborne fiber concentrations equal to or in excess of 0.01 f/cc, the permissible emission standard of the Korean Ministry of Environment. Further, 111 samples were analyzed using TEM. The distribution of asbestos fiber concentrations was log-normal. It was found that 51 of 111 samples(46%) contained asbestos fibers. Conclusions: There is a potential risk of asbestos exposure among neighbors and the public outside the asbestos removal areas. It is recommended that the asbestos removal work be conducted strictly following the specifications required by government and/or professional organizations.

• Journal of Preventive Medicine and Public Health
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• 제55권5호
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• pp.455-463
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• 2022

Objectives: Economic hardship has a serious impact on adolescents' mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents' suicidal behaviors. Methods: This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. Results: The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. Conclusions: ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.