• Title/Summary/Keyword: 위험 그룹

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Characteristics of the Graded Wildlife Dose Assessment Code K-BIOTA and Its Application (단계적 야생동식물 선량평가 코드 K-BIOTA의 특성 및 적용)

  • Keum, Dong-Kwon;Jun, In;Lim, Kwang-Muk;Kim, Byeong-Ho;Choi, Yong-Ho
    • Journal of Radiation Protection and Research
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    • v.40 no.4
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    • pp.252-260
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    • 2015
  • This paper describes the technical background for the Korean wildlife radiation dose assessment code, K-BIOTA, and the summary of its application. The K-BIOTA applies the graded approaches of 3 levels including the screening assessment (Level 1 & 2), and the detailed assessment based on the site specific data (Level 3). The screening level assessment is a preliminary step to determine whether the detailed assessment is needed, and calculates the dose rate for the grouped organisms, rather than an individual biota. In the Level 1 assessment, the risk quotient (RQ) is calculated by comparing the actual media concentration with the environmental media concentration limit (EMCL) derived from a bench-mark screening reference dose rate. If RQ for the Level 1 assessment is less than 1, it can be determined that the ecosystem would maintain its integrity, and the assessment is terminated. If the RQ is greater than 1, the Level 2 assessment, which calculates RQ using the average value of the concentration ratio (CR) and equilibrium distribution coefficient (Kd) for the grouped organisms, is carried out for the more realistic assessment. Thus, the Level 2 assessment is less conservative than the Level 1 assessment. If RQ for the Level 2 assessment is less than 1, it can be determined that the ecosystem would maintain its integrity, and the assessment is terminated. If the RQ is greater than 1, the Level 3 assessment is performed for the detailed assessment. In the Level 3 assessment, the radiation dose for the representative organism of a site is calculated by using the site specific data of occupancy factor, CR and Kd. In addition, the K-BIOTA allows the uncertainty analysis of the dose rate on CR, Kd and environmental medium concentration among input parameters optionally in the Level 3 assessment. The four probability density functions of normal, lognormal, uniform and exponential distribution can be applied.The applicability of the code was tested through the participation of IAEA EMRAS II (Environmental Modeling for Radiation Safety) for the comparison study of environmental models comparison, and as the result, it was proved that the K-BIOTA would be very useful to assess the radiation risk of the wildlife living in the various contaminated environment.

Effects of Aerobic Exercises and Complex Exercises during 12 Weeks on Blood Lipid in Middle Aged Women according to Body Composition (중년여성의 체구성에 따른 12주 유산소 운동과 복합성 운동이 혈중지질에 미치는 영향)

  • Kim, Joung-Woo;Lee, Moo-Sik;Na, Baeg-Ju;Lee, Jin-Yong;Hong, Jee-Young;Kim, Dae-Kyung;Lee, Bo-Woo
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.915-918
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    • 2010
  • 12주간의 유산소 운동 및 복합성 운동이 중년여성의 신체 구성 및 혈중 지질에 미치는 영향을 규명하기 위해 2009년 3월부터 9월까지 일개 D광역시 소재 일개 S구 보건소 12주 운동프로그램에 참가한 40~50대 중년 여성 78명을 대상으로 비만그룹과 정상그룹으로 나누어 주3회, 회당 80분의 유산소 운동과 유산소운동/근력 운동을 병행한 복합성 운동을 목표 심박수 40~60%에서 실시하였다. 1. WHO 기준 적용 시, 정상군의 경우 운동의 유형에 상관없이 유의한 차이가 나타났다. 2. WHO 기준 적용 시, 비만군의 경우 유산소 운동의 근육량, 체지방량, 체지방률을 제외하고 운동의 유형에 상관없이 유의한 차이가 나타났다. 3. 아시아-태평양 기준 적용 시, 정상군의 경우 일부 항목에서만 유의한 차이가 나타났다. 4. 아시아-태평양 기준 적용 시, 비만군의 경우 유산소 운동의 근육량을 제외하고 운동의 유형에 상관 없이 유의한 차이가 나타났다. 상기 결론에서 볼 수 있듯이, 12주간의 운동 프로그램은 WHO 기준 적용 시 일부 항목을 제외하고 운동 유형에 상관없이 40~50대 중년여성의 신체조성 및 혈중지질에 긍정적 효과를 미치는 것으로 판단된다. 그러나 비만에 대해 더 엄격한 아시아 - 태평양 기준 적용 시 특히 정상 군에서 유의한 차이를 보이지 않는 항목이 많이 나타났는데 이것은 우리나라 비만기준을 아시아태평양기준에서 세계 기준으로 바꿀 필요가 있다는 주장을 뒷받침하고 있다. 세계보건기구 WHO는 2004년에 이미 우리나라에 세계비만기준을 따를 것을 권고했는데, 실제 위험성이 정확하게 평가돼야지 정확한 대책이나 관리가 나올 수 있기 때문이다. WHO 기준에 의거 시 질병의 발생 위험도가 낮은 경도비만이 엄격한 아시아-태평양 지역 기준 적용 시 비만으로 분류되어 불필요하게 체형에 대한 부정적인 이미지나 스트레스를 받을 가능성도 있다.

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Clinical outcome of coronary artery bypass surgery according to using cardiopulmonary bypass machine (심폐기 사용여부에 따른 관상동맥우회술의 임상성과)

  • Cho, Yeon-Hee;Kim, Hyung-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.146-155
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    • 2018
  • This study was conducted to evaluate the clinical outcomes of coronary artery bypass surgery for ischemic heart disease according to use of a cardiopulmonary bypass machine. The subjects were 10,981 patients who underwent coronary artery bypass grafting for ischemic heart disease from July 2008 to June 2012. Analysis data were retrospectively collected using health insurance claims data. The results of the study showed that mean time to surgery (280 min vs 357 min, p<0.0001) and intubation time (about 24 hours vs 40 hours, p<0.0001) were significantly shorter in the Off-Pump CABG (OPCAB) group than in the On-Pump CABG (ONCAB) group. The rate of reoperation because of postoperative bleeding and hematoma was lower in the OPCAB group (2.7% vs 8.3%, p<.0001). The odds ratio of risk adjusted 30 days mortality rate was 0.339 (0.266-0.434) and the postoperative length of stay was decreased in the OPCAB (p<0.0001). Overall, the 30 days mortality and reoperation rates were lower in the OPCAB, as was the resources use.

DISTRIBUTION AND TRANSMISSION OF STREPTOCOCCUS MUTANS AMONG CHILDREN AND THEIR MOTHERS (어린이와 어머니의 Streptococcus mutans 분포와 전이)

  • Song, Hee-Jeong;Kim, Jea-Gon;Yang, Yeon-Mi;Baik, Byeong-Ju;Kim, Mi-Ah;Jeong, Hae-Kyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.1
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    • pp.9-16
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    • 2011
  • Recently, the number of multi-cultural families have been on the rise for years in Korea. Although social concerns are on the increase, there is still no basic data of their oral health state. In this study, we examined the caries prevalence of mother-child pairs from some korean families and multi-cultural families, and collected some saliva from them. We evaluated Streptococcus mutans level and investigated the serotype distribution of Streptococcus mutans of them to confirm the transmission in mother-child pairs. As a results, to the Korean families, the percentages of serotype c, e, f, k were 95%, 10%, 10%, and 10%. And to the multi-cultural families, the percentages of serotype c, e, f, k were 68.8%, 31.25%, 43,75%, 18.8%. But, there is no significant relationship between the number of serotype per person, caries prevalence, and Streptococcus mutans level(p>0.05). In conclusion, there are differences of serotype distribution of Streptococcus mutans between the two families. Nevertheless, matching rate of more than one serotype between mother and their child was high (92.86%). So, vertical transmission of Streptococcus mutans in mother-child pairs could be demonstrated.

Deletion Polymorphism of UGT2B17 and Its Relation to Lung Cancer (UGT2B17 유전자의 deletion polymorphism과 폐암과의 연관성)

  • Lee, Se-Ra;Ahn, Myoung-Hyun;Seol, So-Young;Lee, Ji-Sun;Chung, Chung-Nam;Leem, Sun-Hee
    • Journal of Life Science
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    • v.20 no.5
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    • pp.703-709
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    • 2010
  • Glucuronidation is a major pathway for NNAL [4-(methylnitrosamno)-1-(3-pyridyl)-1-butanol] and UGT2B17 (UGT, uridine diphospho-glucuronosyltransferase) is from the UGT2B family that glucuronidates carcinogens. UGT2B17 deletion was associated with decreased levels of NNAL and with increased risk of some cancers. The UGT2B17 gene varies in copy number from zero to two per individual in humans. To examine whether UGT2B17 gene deletion is associated with the risk of lung cancer, we investigated copy number variants (CNV) in 271 cancer-free controls and 176 cases of lung cancer in Koreans by a PCR-based method. The frequency of the UGT2B17 deleted alleles was much higher than in other Caucasian and African-American groups which have already been reported. While only up to 10% of Caucasians have zero copies of the gene, up to 74% of Koreans in this study showed that both copies of the gene were deleted. Furthermore, the overall frequency of this dual deletion in female groups was higher than in male groups. However, there was no association between CNV in UGT2B17 and lung cancer. This result suggested that the UGT2B17 deletion allele was not associated with the susceptibility of lung cancers in the Korean group. However, this UGT2B17 CNV polymorphism may be a useful marker for evolutionary analysis among races.

The Interaction of High Sensitivity C-Reactive Protein and Uric Acid on Obesity in Koreans: Based on the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII, 2016~2018) (대한민국에서 비만에 대한 고감도 C-반응성 단백과 요산의 상호작용: 제7기 국민건강영양조사를 이용해서(KNHANES VII, 2016~2018))

  • Pyo, Sang Shin
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.4
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    • pp.342-352
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    • 2021
  • We used data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES) (2016~2018) to investigate an association between high sensitivity C-reactive protein (hsCRP) and uric acid in the obese. Obesity was defined as a body mass index (BMI) of 25 kg/m2 or more, severe obesity as a BMI of 30 kg/m2 or more, and morbid obesity as a BMI of 35 kg/m2 or more. In the complex samples multiple logistic regression, despite adjustment by adding major risk factors, the odds ratio (OR) for obesity was higher in the group with high levels of both, hsCRP and uric acid than the reference group at all stages (obesity, OR 1.89, P<0.001 vs. severe obesity, OR 5.04, P<0.001 vs. morbid obesity, OR 8.20, P<0.001). The association between hsCRP and uric acid in obese patients increased from 1.89 to 8.20 as the obesity level increased, suggesting that participants with increased BMI were significantly affected by hsCRP and uric acid. Moreover, the interaction between hsCRP and uric acid was statistically significant even in the model corrected for major confounding factors (P for interaction=0.009).

Sub-Components Evaluation Method of Potential Flood Damage Considering Yearly Change and Improved Method (연도별 변화와 개선된 방법을 고려한 홍수피해잠재능의 세부 항목 평가 방안)

  • Hong, Seungjin;Joo, Hongjun;Kim, Kyoungtak;Kim, Hung Soo
    • Journal of Wetlands Research
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    • v.20 no.4
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    • pp.370-382
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    • 2018
  • The purpose of this study is to quantitatively and effectively evaluate the factors affecting flood damage by watershed. National Water Resource Plan(MOCT, 2001) has been developed Potential Flood Damage(PFD) which indicates flood vulnerability. But, it is only a simple grouping and it does not provide guidelines for flood control planning based on detailed evaluation of sub-components. In this study, we used PFD in the Han River basin according to the method applied in the National Water Resource Plan (existing method) and improvement based on actual flood hazard area and data. As an application method, after analyzing by yearly change(2009~2014), we compared and analyzed the tendency of the sub - components that constitute the potential and risk rather than the current grouping. As the result, it was possible to accurately evaluate the existing and improved methods, and it was possible to derive the vulnerability rankings, but the existing methods have different results from the actual watershed tendency. Therefore, the PFD of the improvement method that correctly reflects past history and watershed characteristics is more appropriate for the evaluation of flood vulnerability in the watershed. In addition, it is reasonable to establish a flood control plan referring to this and prevent flood damage in advance.

The Influence of Combined Exercise Training with and without Blood Flow Restriction on Physical Performance and Balance in Elderly Females (복합운동에 혈류제한 적용과 비적용이 여성노인들의 운동수행능력과 평형성에 미치는 영향)

  • Kim, Daeyeol;Kang, Hyo-Young;Park, Hyeok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.363-371
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    • 2021
  • The goal of this study was to investigate the influence of exercise training with or without blood flow restriction (BFR) on physical performance and balance in elderly females. Participants (N = 43) were randomly divided into combined exercise with BFR group (n = 14, EX-BFR), only combine exercise group (n =14, EX) or a non-exercise control group (n = 15, CON). Both EX-BFR and EX groups had completed exercise training for 12 weeks. During the training period, the CON group maintained their normal lives. After baseline tests, two-way repeated measures ANOVA with contrast testing was conducted using SPSS 22.0. Study results found that physical performance and balance in both EX-BFR and EX groups were significantly improved, and fall index in both EX-BFR and EX groups were significantly decreased. There were no changes in the CON group. In addition, the % change and effect size of all variables in the EX-BFR group were larger than the EX group. So, the results showed that the EX-BFR group had performed more intense exercise caused by restricted blood flow during the training period compared to the EX group. Thus, exercise with BFR training may additionally influence physical performance and balance in elderly females.

Statistical analysis of estimating incubation period distribution and case fatality rate of COVID-19 (COVID-19 바이러스 잠복 시간 분포 추정과 치사율 추정을 위한 생존 분석의 적용)

  • Ki, Han Jeong;Kim, Jieun;Kim, Sohee;Park, Juwon;Lee, Joohaeng;Kim, Yang-Jin
    • The Korean Journal of Applied Statistics
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    • v.33 no.6
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    • pp.777-789
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    • 2020
  • COVID-19 has been rapidly spread world wide since late December 2019. In this paper, our interest is to estimate distribution of incubation time defined as period between infection of virus and the onset. Due to the limit of accessibility and asymptomatic feature of COVID-19 virus, the exact infection and onset time are not always observable. For estimation of incubation time, interval censoring technique is implemented. Furthermore, a competing risk model is applied to estimate the case fatality and cure fraction. Based on the result, the mean incubation time is about 5.4 days and the fatality rate is higher for older and male patient and the cure rate is higher at younger,female and asymptomatic patient.

Risk Factors for Renal Function Impairment Following Radiofrequency Ablation of Renal Tumors (신장 종양 고주파 절제술 이후 신장 기능 저하의 위험요소)

  • Il Cheol Park;Seong Kuk Yoon;Dong Won Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.317-330
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    • 2022
  • Purpose To evaluate the various factors that affect renal function following percutaneous radiofrequency ablation (RFA) therapy in patients with renal tumors. Materials and Methods Between 2010 and 2018, 91 patients diagnosed with renal tumors using ultrasonography and CT-guided RFA were enrolled. We retrospectively investigated the serum creatinine (SCr) level and estimated glomerular filtration rates immediately prior to RFA and during post-treatment follow-up. The patients were divided into two groups based on the degree of change in SCr level (0.3 mg/dL). Group comparisons were performed using univariable and multivariable logistic regression analyses to determine the factors impacting renal function. Results Impaired renal function was associated with solitary kidney, chronic kidney disease (CKD) over stage 3, and pyeloureteral injury. Sex, age, other cancers, tumor size, location, growth pattern, and proximity to the collecting system were not significantly associated with impaired renal function. There was a difference in the overall change over time between the association with and without solitary kidney, CKD stage 3, and pyeloureteral injury. Conclusion Among the medical conditions present prior to RFA, solitary kidney and CKD over stage 3 could be considered as risk factors for impaired renal function. Post-procedural pyeloureteral injury can also be considered a risk factor.