• Title/Summary/Keyword: Preventive Medicine of North Korea

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BMDL of blood lead for ADHD based on two longitudinal data sets (주의력 결핍 과잉 행동장애를 종점으로 하는 혈중 납의 벤치마크 용량 하한 도출: 두 동집단 자료의 병합)

  • Kim, Si Yeon;Ha, Mina;Kwon, Hojang;Kim, Byung Soo
    • The Korean Journal of Applied Statistics
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    • v.31 no.1
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    • pp.13-28
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    • 2018
  • The ministry of Environment of Korea initiated two follow-up surveys in 2005 and 2006 to investigate environmental effect on children's health. These two cohorts, referred to as the 2005 Cohort and 2006 Cohort, were followed up three times every two years. This data set was referred to as the Children's Health and Environmental Research (CHEER) data set. This paper reproduces the existing research results of Kim et al. (Journal of the Korean Data and Information Science Society, 25, 987-998, 2014) and Lee et al. (The Korean Journal of Applied Statistics, 29, 1295-1310, 2016) and derive a benchmark dose lower limit (BMDL) for blood lead level for attention deficit hyperactivity disorder (ADHD) after pooling two cohort data sets. The different ADHD rating scales were unified by applying the conversion formula proposed by Lee et al. (2016). The random effect model and AR(1) model were built to reflect the longitudinal characteristics and regression to the mean phenomenon. Based on these models the BMDLs for blood lead levels were derived using the BMDL formula and the simulation. We obtained a hight level of BMDLs when we pooled two independent cohort data sets.

Preventive Effect of an SGLT2 Inhibitor on Cardiovascular Disease in an Observational Study: Results from a Korean Population (관찰연구에서 확인된 SGLT2 억제제의 심혈관질환 예방효과: 한국인의 결과를 중심으로)

  • Ha, Kyoung Hwa;Kim, Dae Jung
    • The Journal of Korean Diabetes
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    • v.19 no.3
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    • pp.135-139
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    • 2018
  • The sodium-glucose cotransporter-2 inhibitor (SGLT2i) is a new anti-hyperglycemic agent that have function to concomitantly inhibit the reabsorption of glucose and sodium in the renal proximal convoluting tubule. Recent two cardiovascular outcome trials showed that a lower risk of cardiovascular events with SGLT2i in people with type 2 diabetes. In addition, prior real-world data demonstrated similar SGLT2i effects, but these studies were limited to the United States and Europe. Thus, the CVD-REAL (Comparative Effectiveness of Cardiovascular Outcomes in New Users of Sodium-Glucose Cotransporter-2 Inhibitors) 2 Study was investigated cardiovascular outcomes in those initiated on SGLT2i versus other glucose-lowering drugs (oGLDs) across 6 countries in the Asia Pacific, the Middle East, and North American regions. In Korea, 336,644 episodes of initiation in SGLT2i or oGLD group between September 2014 and December 2016 were identified in Korea National Health Insurance database after propensity score matching. SGLT2i users was associated with a lower risk of all-cause death (hazard ratio [HR], 0.72; 95% confidence interval [CI], 0.67~0.77), hospitalization for heart failure (HHF) (HR, 0.87; 95% CI, 0.82~0.92), all-cause death or HHF (HR, 0.81; 95% CI, 0.78~0.85), myocardial infarction (HR, 0.81; 95% CI, 0.74~0.89), and stroke (HR, 0.82; 95% CI, 0.78~0.86) compared with oGLD users. In conclusion, initiation of SGLT2i had a lower risk of cardiovascular events in people with type 2 diabetes compared with oGLDs.

The Present State of Occupational Injuries and Prevention on East Side of Korea Fishing (동해안 연근해 어업의 산재현황과 예방대책)

  • Song, Jae-Seok;Choi, Hong-Soon;Seo, Jong-Chul;Kwak, Youn-Hee;Park, Woong-Sub;Kim, Sang-Ah;Yoon, Yi-Yong
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.8 no.2
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    • pp.78-82
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    • 2005
  • Fishermen have higher risk of occupational injuries and disease due to frequent machine usage and direct contact to live biological materials. Moreover, growing elderly workers makes the susceptibility to occupational injuries and disease higher. This study was performed to investigate the occupational safety and health status among fishermen. The interview was carried out at Jumunjin and Geojin ports which were representative port at North East side of Korea. The structured questionnaire were used to interview the fishermen from AM 6:00 to PM 11:00 and total respondent were 97 workers. The results were followed; 7 fishermen of all respondents experienced occupational injuries during their work, 5 fishermen were needed to admission longer than 4 days. The injury types were contusion(4 persons), fracture(1 persons) and amputation(2 persons). The cause of injury might be the lack of caution and the unstability of working condition. These results suggested the ergonomical evaluation of working condition and proper management. But there was limited concern and studies on the policy on occupational safety and health on fishermen. So, further study was required to establish the sound policy of fishermen's occupational safety and health.

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Subjective Awareness and the Quality of Life Related to Oral Health in Industrial Workers (산업장 근로자의 주관적 인식과 구강건강관련 삶의 질)

  • Park, Ji-Hyun;Yoon, Hyun-Seo
    • Journal of dental hygiene science
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    • v.12 no.3
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    • pp.235-243
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    • 2012
  • The purpose of this study was to examine the oral symptoms, self-rated systemic health state and oral health status of industrial workers in a bid to provide some information on oral health education geared toward industrial workers. The subjects in this study were 294 workers who got a medical checkup in Korea Industrial Health Association in North Gyeongsang Province. Those who felt less inconveniences in the oral cavity led a better quality of life related to oral health in every area except physical handicaps (p<.001, p<.01). The men's OHIP-14 was higher than the women's, and the younger workers led a better quality of life related to oral health in the area of social separation(p<.01), and the married ones did in the area of physical handicaps, mental disorder and social separation(p<.05). And the workers whose household income was larger lived a better quality of life related to oral health in the areas of Psychological discomfort, physical handicaps, mental disorder, social disorder and social separation(p<.05). Those who found themselves to be generally in good health(p<.001, p<.05) and whose subjective oral health state was led a better quality of life in every area(p<.001, p<.05). The findings of the study showed that there were differences in the quality of life according to awareness of oral symptoms, general health status and oral health state.