• 보건행정학회지
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• 제15권4호
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• pp.65-80
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• 2005

This study examines the effects of supplemental insurance on health care utilization and expenditures among cancer patients, who were hospitalized in a general hospital in Korea 2003. We find that those who purchase the supplemental insurance in addition to the social health insurance use more health care services and pay more than those who do not, suggesting insurance effects. This paper, however, cannot distinguish the moral effects of the health insurance from the selection effects due to adverse selection.

• 한국환경보건학회지
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• 제35권4호
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• pp.239-248
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• 2009

The Institute of Medicine of the National Academies of Science in the United States concluded in its 2004 report that excessive indoor dampness is a public health hazard and that its prevention should be a public health goal. Water damage in buildings, such as leaks from roofs, walls, or windows, may increase indoor moisture levels. Excessive dampness may promote microbial proliferation in indoor environments, increase occupants' exposure to microbial agents, and eventually produce adverse health effects in building occupants. Epidemiological studies to demonstrate the causal association between exposure to indoor microbial agents and health effects require reliable exposure assessment tools. In this review, I discuss various sampling and analytical methods to assess human exposure to biological agents in indoor environments, their strengths and weaknesses, and recent trends in research and practice in the USA.

• 한국환경보건학회지
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• 제35권2호
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• pp.78-85
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• 2009

In this study, the hazard rate of the indoor environment of Children's Educational Facilities in Seoul was conducted, in order to determine how the indoor environments of these facilities, where infants and children spend the most time of their away from home day, can effect their health. The way of measurement and analysis were done according to the Indoor Air Quality Standard Method, and the Risk Assessment was accomplished with several significant ways - Hazard Identification, Exposure Assessment, Dose-response Assessment, Risk Characterization, which are deighed by National Research Council (NRC). On each exposure factors, documentary and questionary research such as Epidemiological study and Toxicological study were conducted. The result of the CTE (Central tendency exposure) of Formaldehyde and Benzene by Monte-Carlo simulation was $6.79{\times}10^{-6}$, $2.50{\times}10^{-7}$ which in the case of Formaldehyde exceeded the permitted standard ($10^{-6}$) of the US EPA. The RME(Reasonable maximum exposure) was $7.31{\times}10^{-5}$, $2.65{\times}10^{-6}$ which did not exceed $10^{-4}$, the maximum permitted standards in the US EPA.

• Journal of Preventive Medicine and Public Health
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• 제51권5호
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• pp.242-247
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• 2018

Objectives: To examine survivorship disparities in demographic factors and risk status for non-muscle-invasive bladder cancer (NMIBC), which accounts for more than 75% of all urinary bladder cancers, but is highly curable with early identification and treatment. Methods: We used the US National Cancer Institute's Surveillance, Epidemiology, and End Results registries over a 19-year period (1988-2006) to examine survivorship disparities in age, sex, race/ethnicity, and marital status of patients and risk status classified by histologic grade, stage, size of tumor, and number of multiple primary tumors among NMIBC patients (n=29 326). We applied Kaplan-Meier (K-M) and Cox proportional hazard methods for survival analysis. Results: Among all urinary bladder cancer patients, the majority of NMIBCs were in male (74.1%), non-Latino white (86.7%), married (67.8%), and low-risk (37.6%) to intermediate-risk (44.8%) patients. The mean age was 68 years. Survivorship (in median life years) was highest for non-Latino white (5.4 years), married (5.4 years), and low-risk (5.7 years) patients (K-M analysis, p<0.001). We found significantly lower survivorship for elderly, male (female hazard ratio [HR], 0.96), Latino (HR, 1.20), and unmarried (married HR, 0.93) patients. Conclusions: Survivorship disparities were ubiquitous across age, sex, race/ethnicity, and marital status groups. Non-white, unmarried, and elderly patients had significantly shorter survivorship. The implications of these findings include the need for a heightened focus on health policy and more organized efforts to improve access to care in order to increase the chances of survival for all patients.

• Nuclear Engineering and Technology
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• 제21권3호
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• pp.171-185
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• 1989

유연탄 발전과 원자력 발전의 경제성 평가를 균등한 인체 위험도 하에서 서기 2000년의 시점에서 수행하였다. 유연탄 발전과 원자력 발전의 인체에 대한 영향 비교에서, 유연탄의 영향이 원자력에 비해서 10배가량 높은 것을 에너지 시스템의 위험도 평가에 관한 여러 연구결과들로부터 알 수 있었다. 그런데 위험도가 0인 상태는 존재하지 않으므로, 유연탄 발전과 원자력 발전간의 위험도 차이만을 본 논문의 위험도로 간주했다. 인체 위험도 비용은 사망과 질병의 두 경우로 나누어서, 사망의 경우에는 Human Life Value로 계산하고, 질병의 경우에는 완치될 때까지의 치료비등 제반 비용으로 계산했다. 이러한 방법에 의한 계산 결과 사망의 비용은 ＄250,000이 되었고, 질병의 경우는 ＄90,000이 되었다. (1986 US＄) 그리고 비용편익분석을 통해서 유연탄 화력 발전의 최적 규제 기준치를 구했는데, 이 규제치는 최소 사회비용이 발생되는 지점에서 구해졌다. 서기 2000년의 한국에서의 SOx에 대한 최적 규제치는 165ppm으로 나타났다. 이러한 전력 생산의 경제성 평가 방법으로부터, 원자력이 유연탄 화력에 비해서 더 경제적인 것으로 나타났다. 반면에 불확실도는 유연탄화력이 더 작은 것으로 나타났다.

• 대한치매학회지
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• 제17권4호
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• pp.137-147
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• 2018

Background and Purpose: Previous studies have suggested a decreased cancer risk among patients with Alzheimer's disease (AD). There remains a lack of data on the specific types of cancer and risk factors for developing cancer in AD. We evaluated the association between AD and cancer risk, and we examined specific types of cancer. Methods: A population-based longitudinal study was conducted using the National Health Insurance Service-Senior cohort for 2002-2013. A total of 4,408 AD patients were included in the study, as were 19,150 matched controls. Potential associations between the risk of cancer and AD were analyzed using Cox proportional hazard regressions. Results: Cancer developed in 12.3% of the AD group patients and in 18.5% of control group subjects. AD was associated with a reduced risk of cancer (hazard ratio [HR], 0.70; 95% confidence intervals, 0.64-0.78). The risk of head and neck cancers was significantly reduced (HR, 0.49), as were risks for cancers of the digestive tract, including stomach cancer (HR, 0.42), colorectal cancer (HR, 0.61), liver and biliary tract cancers (HR, 0.68), and pancreatic cancer (HR, 0.55). Lung and prostate cancer risks were also significantly lower for the AD group (HR, 0.52 and HR, 0.72, respectively). Conclusions: Our results showed an inverse association between AD and cancer. Further research involving a large number of patients in a hospital based-study is needed to address the biological associations between cancer development and dementia, including AD.

• 한국수산과학회지
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• 제56권4호
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• pp.462-472
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• 2023

We investigated the physio-chemical and geochemical parameters in the spraying shellfish aquacultures (Yeoja and Gangjin Bay) to establish the systematic strategy for effective environmental management. Spatial variation of each parameter showed partially significant difference (P<0.05) between Yeoja and Ganjin Bay, inferring the discriminative progress (i.e., accumulation and degradation) of the autochthonous organic matter within the aquaculture environments. We additionally integrated various properties (e.g., water/sediment quality, natural hazard, and biological health) which may affect the biological growth within the aquaculture habitats based on the biogeochemical cycles related to environmental components and aquaculture species. We used a screening approach (i.e., one out-all out; OOAO) which can permit the assessment of the health levels of aquaculture species, the scoring for other parameters (seawater, sediment, and natural hazard) as three levels (excellent, moderate and poor) depending on the complex interactive properties occurring in the aquaculture environments. Actual, discriminative scores obtained via our case studies may confirm that these stepwise processes are effectively evaluated for optimal health conditions within the aquaculture habitats. Thus, this approach may provide valuable insights for effective environmental management and sustainable growth of aquaculture operation.

• 대한통합의학회지
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• 제12권2호
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• pp.1-10
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• 2024

Purpose : Sarcopenic obesity is associated with adverse health consequences in females. Nevertheless, there has been limited research on the hazardous components and prevailing rates of sarcopenic obesity among younger women. This study aimed to identify the hazardous components and prevailing rates of sarcopenic obesity in younger females. Methods : This study utilized data based on 2008~2011 from the Korea National Health and Nutrition Examination Surveys by the centers for disease control and prevention. The analysis was concentrated on a subset of 1,520 women aged between 30 and 39 years of age. The participants answered a questionnaire to gather demographic information. They then underwent a physical examination to measure the human detention variables, which was conducted utilizing bioelectrical impedance analysis. The blood pressure and blood laboratory tests were determined using established laboratory protocols for evaluating blood parameters. Results : This study included 1,520 patients aged 30~39 years old. The mean age of the participants was 34.97 (years)±2.74 and the overall prevailing rate was 1.84 %. The hazard components in human dimensions were the height, weight, body mass index (BMI), waist circumference (WC) and skeletal muscle mass index (SMI). The hazard components in biochemical and blood pressure were high fasting glucose, increased triglyceride, elevated total cholesterol, high systolic blood pressure, and increased diastolic blood pressure with p-values <.05. Conclusion : This study examined the hazardous components and prevailing rates of sarcopenic obesity in younger women living in the community. The results contribute to the current body of knowledge on sarcopenic obesity and shed light on possible hazardous components in a younger female population. Based on these findings, there should be increased health and medical attention towards the prevention, management, and health promotion related to reducing risk factors for sarcopenic obesity in younger women.

• 기술사
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• 제42권5호
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• pp.37-40
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• 2009

Engineered nanoparticles are materials purposefully produced with at least one dimension between 1 and 100 nanometers. Nanotechnology has the potential to dramatically improve the effectiveness of a number of existing consumer and industrial products and could have a substantial impact on the development of new products in all sectors. However, nanoparticles is little known about what effect these properties may have on human health. This materials provide an overview of what is known about the potential hazards of engineered nanoparticles and measures that can be taken to minimize workplace exposures.

• 한국방재학회:학술대회논문집
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• 한국방재학회 2008년도 정기총회 및 학술발표대회
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• pp.393-394
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• 2008

Recently keeping pace with globalization, many international conferences and athletic games are being held in Korea. After 911 terror in New York in 2001, Korean government dispatched Zaytun Division in Iraq and this fact has also led to voice concerns that Korea should be prepared to protect from biological terrors as soon as possible. It is important to develop the bioterrorism emergency medical training for public health students including paramedic in Korea. So I propose the development of bioterrorism education curriculum.