• Journal of Preventive Medicine and Public Health
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• 제34권3호
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• pp.228-236
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• 2001

Objectives : To propose a feasible, valid and appropriate study designs and epidemiologic methods for evaluating the adverse health effects of Agent Orange-chemical defoliants used in Vietnam- in Korea. Methods : A literature study was peformed on Agent Orange, herbicides, pesticides and dioxins. The study subjects, study design, exposure assessment and health outcomes assessment were examined in each study. The potential data sources for the study subjects, study design, exposure assessment and health outcomes assessment in Korea were investigated. Results and Conclusion : In earlier Korean studies, research subjects for studying the effects of Agent Orange were identified from the patients or persons who claimed to have Agent Orange-related diseases due to the difficulties in identifying the entire population of Vietnam veterans in Korea. In this study, an attempt was made to identify the total number of Vietnam veterans in Korea. As a result, the addresses of 20,000 Vietnam veterans were obtained. It is proposed that a retrospective cohort design on a sample of the total number of Vietnam veterans is a feasible and appropriate study design. Self report questionnaires and military records were proposed to assess the exposure level. It is believed that measuring the plasma or tissue TCDD should be used only for a validation study assessing the level of exposure. For the health outcomes assessment, it is possible to obtain the mortality, cancer frequency, physical examination, screening and medical insurance record data.

• 환경위생공학
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• 제17권2호
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• pp.85-91
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• 2002

Workers who work at indoor and outdoor environment near busy road are suspected to be exposed to high-elevated air pollutant levels during working hours. This study evaluated the working-time nitrogen dioxide ($NO_2$) exposure for workers (repairmen and polishers) of shoe-stalls. Since shoe-stalls have particularly been located near busy road in Korea, workers might be high exposure to $NO_2$ from traffic exhaust as well as indoor sources of shoe-stall such as portable gas range (butane gas) during working hours. In this study, we measured the indoor and outdoor $NO_2$ concentrations of shoe-stalls. Simultaneously, outdoor $NO_2$ concentrations of building through sidewalk from shoe-stall were measured. High $NO_2$ exposure for workers of shoe-stalls was considered to be inflow of outdoor source of exhausted emission from vehicles and indoor source from usage of gas range to polish the shoe. Indoor/outdoor $NO_2$ concentration ratio ($0.94{\pm}0.22$) in Seoul was higher than that ($1.06{\pm}0.34$) in Asan, because ambient $NO_2$ level was high in Seoul and usage of gas range was prevalent in Asan. According to $NO_2$ concentrations by distance from roadside to building through sidewalk, $NO_2$ concentrations showed the decreased trend with distance. The results of this study can be utilized by municipal authorities in urban planning for evaluating effects of future traffic planning and land use.

• 한국환경보건학회지
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• 제39권5호
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• pp.426-437
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• 2013

Objective: Gotjawal refers to a special geographical designation found in Jeju Province, Korea, where vegetation forms over a rocky area. Due to the important ecological value of Gotjawal, international concern about such areas is growing. However, only limited information is available regarding environmental contamination of Gotjawal. This study was conducted in order to investigate the levels of contamination and associated ecotoxicological effects of surface water bodies in Gotjawal. Methods: Surface water samples were collected at three sampling sites in two Gotjawal areas and were analyzed for several pharmaceuticals and pesticides in consideration of the potential sources of contamination. The ecotoxicity of the samples was measured using water fleas (Daphnia magna and Moina macrocopa) and zebrafish (Danio rerio). In addition, effects on the gene transcription of zebrafish were investigated following exposure to the samples. Results: Nine pharmaceuticals were detected in the samples, but none of the target pesticides were detected. Following acute exposure to two surface water samples, the survival of waterfleas was significantly reduced, but reproduction was not affected. In zebrafish, time-to-hatch was delayed and fry survival was decreased in some samples. On the other hand, at the transcriptional level, there were no genes significantly influenced by exposure to the samples. Conclusion: This is the first study investigating environmental contamination in Gotjawal areas and associated ecotoxicities. Further studies are warranted to identify the cause of acute Daphnia toxicity and to determine potential consequences of longer-term exposure in Gotjawal areas.

• 한국환경보건학회지
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• 제35권2호
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• pp.100-115
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• 2009

Secondhand smoke (SHS) is one of major public health threats. Since secondhand smoke is complex mixture of toxic chemicals, there has been no standardized method to measure SHS quantitatively. The purpose of this manuscript was to review various quantitative methods to measure SHS. There are two different methods: air monitoring and biological monitoring. Air monitoring methods include exhaled carbon monoxide level, ambient fine particulates, nicotine and 3-ethenylpyridine. Measurement of fine particulates has been utilized due to presence of real-time monitor, while fine particulates can have multiple indoor sources other than SHS. Ambient nicotine and 3-EP are more specific to SHS, although there is no real-time monitor for these chemicals. Biological monitoring methods include nicotine in hair, cotinine in urine, NNK in urine and DNA adducts. Nicotine in hair can provide chronic internal dose, while cotinine in urine can provide acute dose. Since biological monitoring can provide total internal dose, identification of specific exposure source may be difficult. NNK in urine can indicate carcinogenicity of the SHS exposure. DNA adducts can provide overall cancer causing exposure, but not specific to SHS. While there are many quantitative methods to measure SHS, selection of appropriate method should be based on purposes of assessment. Application of accurate and appropriate exposure assessment method is important for understanding health effects and establishing appropriate control measures.

• Asian Pacific Journal of Cancer Prevention
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• 제15권8호
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• pp.3391-3396
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• 2014

Background: Vitamin D has been suggested as one of the critical factors for female reproductive health with protective activities against different cancers but there are conflicting facts regarding its role on breast cancer without any clear data on premenopausal cases. This study aimed to evaluate the role of vitamin D from dietary sources and sunlight exposure on the incidence of premenopausal breast cancer. Materials and Methods: We conducted a case control study on 60 newly diagnosed premenopausal breast cancer patients and 116 normal women who lived in Sabzevar and surrounding villages in Razavi, Khorasan, a rural and conservative area of Iran. Results: The mean concentrations of 25-OH vitamin D in cases and controls were $15.2{\pm}8.15$ vs $15.5{\pm}7/45ng/ml$, both well below normal values elsewhere. In fact 50% of analyzed individuals showed very severe or severe vitamin D deficiency and the rest (25%) were detected in suboptimal levels. Although the lack of vitamin D and calcium supplementation increased slightly the risk of premenopausal breast cancer (p=0.009, OR=1.115, CI 95%=1.049-1.187), higher prevalence of weekly egg consumption (86.66% vs 96.55%, p=0.023, OR=0.232, CI 95% 0.065-0.806) showed a slight protective role. The last but the most important risk factor was lack of sunlight exposure because the breast cancer patients had total body coverage from sun (p=0.007, OR=10.131, CI 98% 0.314-78.102). Conclusion: This study pointed out the role of vitamin D and other possible risk factors on the development and growth of breast tumors in this special geographical region. Although this study has revealed the interactions between hormonal and environmental factors in this province of Iran, understanding the deficiency pattern and its contribution to other lifestyle factors elsewhere is also necessary.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3253-3260
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• 2014

Background: A case-control study was conducted to evaluate the effect of household exposure, dietary habits, smoking and Glutathione S-Transferases M1, T1 polymorphisms on lung cancer among women in Mizoram, India. Materials and Methods: We selected 230 newly diagnosed primary lung cases and 460 controls from women in Mizoram. Multivariate logistic regression analysis was performed to estimate adjusted odds ratio (OR). Results: Exposure of cooking oil fumes (p<0.003), wood as heating source for cooking (p=0.004), kitchen inside living room (p=0.001), improper ventilated house (p=0.003), roasting of soda in kitchen (p=0.001), current smokers of tobacco (p=0.043), intake of smoked fish (p=0.006), smoked meat (p=0.001), Soda (p<0.001) and GSTM1 null genotype (p=0.003) were significantly associated with increased risk of lung cancer among women in Mizoram. Significantly protective effect was observed for intake of bamboo shoots (p=<0.001) and egg (p<0.001). A clear increase in dose response gradient was observed for total cooking dish years. Risk for lung cancer tends to increase with collegial effect of indoor environmental sources (p=0.022). Significant correlation was also observed for interaction of GST polymorphisms with some of dietary habits. Conclusions: We confirmed the important role of exposure of cooking oil emission and wood smoke, intake of smoked meat, smoked fish and soda (an alkali preparation used as food additives in Mizoram) and tobacco consumption for increase risk of lung cancer among Women in Mizoram.

• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3183-3188
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• 2015

Objective: This study aimed to evaluate the prevalence of skin lesions, which is a health effect of chronic arsenic (As) exposure, and determine the hair/blood arsenic concentrations of people living in Kutahya villages who are using and drinking tap water with a high concentration of arsenic. Materials and Methods: A total of 303 people were included in the present cross-sectional study. A prepared questionnaire form was used to collect the participants' information and environmental history. Skin examination was performed on all participants. Hair, blood and water samples were analyzed using atomic absorption spectroscopy. The cumulative arsenic index (CAI) was calculated for all participants. Results: Villages were divided into two groups according to the arsenic level (<$20{\mu}g/L$, Group I; >$20{\mu}g/L$, Group II) in their water. The prevalence of skin lesions, hair and blood arsenic level, and CAI were found to be higher in the Group II participants. There was a positive association between body arsenic levels and CAI in the participants of each group. Conclusions: The number of skin lesions and arsenic concentrations in body samples were found to increase with the water arsenic level and exposure time. We hope that sharing this study's results with local administrators will help accelerate the rehabilitation of water sources in Kutahya.

• Nutrition Research and Practice
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• 제8권1호
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• pp.46-53
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• 2014

Inorganic arsenic (iAs) is a toxic metalloid found ubiquitously in the environment. In humans, exposure to iAs can result in toxicity and cause toxicological manifestations. Arsenic trioxide ($As_2O_3$) has been used in the treatment for acute promyelocytic leukemia. The kidney is the critical target organ of trivalent inorganic As ($iAs^{III}$) toxicity. We examine if oral administration of astaxanthin (AST) has protective effects on nephrotoxicity and oxidative stress induced by $As_2O_3$ exposure (via intraperitoneal injection) in rats. Markers of renal function, histopathological changes, $Na^+-K^+$ ATPase, sulfydryl, oxidative stress, and As accumulation in kidneys were evaluated as indicators of $As_2O_3$ exposure. AST showed a significant protective effect against $As_2O_3$-induced nephrotoxicity. These results suggest that the mechanisms of action, by which AST reduces nephrotoxicity, may include antioxidant protection against oxidative injury and reduction of As accumulation. These findings might be of therapeutic benefit in humans or animals suffering from exposure to $iAs^{III}$ from natural sources or cancer therapy.

• 한국산업보건학회지
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• 제27권1호
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• pp.23-37
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• 2017

Objectives : This study was conducted to evaluate the level of exposure to volatile organic compounds (VOCs) among workers handling rust preventive oils. Methods : A total of 30 bulk samples and 54 personal air samples were collected using diffusive samplers at 22 workplaces handling rust preventive oils in Daegu and Gyongsangbuk-do Province from March to October 2013. We also investigated detailed information on the related work conditions, such as kinds of products, handling methods, local exhaustive ventilation systems, and the status of the wearing personal protective equipment. All bulk samples and air samples were analyzed using gas chromatography mass spectrometry (GC-MS) to identify components to which workers potentially were exposed. Quantitative airborne concentrations of VOCs were confirmed using gas chromatography with flame ionized detectors. Results : In terms of qualitative analyses for the 30 bulk samples, we found carcinogenic, mutagenic and reproductive toxic(CMR) substances such as butane(carcinogenic Group 1A, mutagenic Group 1B), butoxy ethanol(carcinogenic Group 2), cumene (carcinogenic Group 2), ethyl benzene(carcinogenic Group 2), methyl isobutyl ketone(carcinogenic Group 2) and toluene (reproductive toxic, Group 2). As a result of full-shift based personal air samples, eight substances such as n-hexane, n-heptane, octane, nonane, decane, toluene, ethyl benzene and xylene were detected. Among them, n-hexane and n-heptane were detected in all of 54 air samples with $13.13mg/m^3$ and $8.61mg/m^3$ of maximum concentration, respectively. The level of airborne concentration from all of samples were bellow the occupational exposure limit in Korea. Conclusions : Based on the results of this study, workers handling rust preventive oils could be exposed to CMR substances contained in rust preventive oils and n-hexane and n-heptane were found as the most frequent sources of VOC exposure.

• 대한소아치과학회지
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• 제29권2호
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• pp.262-269
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• 2002

본 연구는 할로겐광과 비교하여, 고강도의 단축된 중합 시간을 장점으로 하는 플라즈마광의 효율성을 평가할 목적으로, 첫째, 중합 시간과 중합 거리에 따른 중합도의 변화를 검토, 광조사 시간을 증가시킬 경우 특정거리 이상에서도 수복물 하층까지 충분한 중합이 이루어지는지 알아보고, 둘째, 중합 반경에 따라 균일한 중합이 이루어지는지 보기 위해 광조사 부위의 중심부와 외측 변연부의 중합도 차이를 비교하였다. 2mm 두께의 복합레진 시편의 상 하면 미세경도 측정을 통해 중합도를 비교해 본 결과, 다음과 같은 결론을 얻었다. 1. 거리증가에 따른 상대광도의 감소는 할로겐광에 비해 플라즈마광에서 그 차이가 적었다(p<0.05). 2. 플라즈마광, 할로겐광 모두 상면의 미세경도는 중합거리 2mm 이상부터 유의하게 감소되었으며, 중합시간의 증가에 따라 증가되었다(p<0.05). 3. 플라즈마광 3초를 제외하고, 하면의 미세경도 변화는 4mm 이상에서 급격히 감소하였으며, 상면에 비해 중합시간과 거리의 영향을 많이 받았다(p<0.05). 4. 플라즈마광, 할로겐광 모두 조사시간의 증가에도 불구하고 4mm와 6mm 사이에서 하면의 미세 경도차는 비교적 크게 나타났다(p<0.05). 5. 플라즈마광을 $6{\sim}9$초 적용한 때와 할로겐광을 $40{\sim}80$초 적용한 때의 미세경도치 및 거리에 따른 경도 변화는 유사하였다(p>0.05). 6. 플라즈마광, 할로겐광 모두 레진 시편의 중앙에서 외측으로 갈수록 미세경도는 유의하게 감소하였다(p<0.05).