• The Korean Journal of Medicine
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• v.99 no.4
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• pp.180-188
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• 2024

Herpes zoster (HZ) affects about one in three persons in their life time. Compared with the general population, older adults with immune senescence and individuals who are immunocompromised therapy are at increased risk for HZ, and its debilitating complications. To prevent HZ, two HZ vaccines, zoster vaccine live (ZVL) and recombinant zoster vaccine (RZV) are available. RZV is The Korean Society of Infectious Diseases revised guidelines for HZ vaccine in 2023, and recommended to vaccinate with RZV for adults ≥ aged 50 years and for severely immunocompromised adults aged ≥ 18 years. RZV is more effective for prevention of HZ than ZVL. RZV is nonreplicating and is thus safe in immunocompromised patients. RZV has clinically acceptable safety profile. This review will help clinicians update knowledge about RZV and identify eligible subjects who may benefit from HZ vaccinations.

• Journal of Environmental Policy
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• v.13 no.1
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• pp.3-23
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• 2014

TThe CCS, gathering attention as a practical measure against climate change, has various potential risks within itself. Identifying those risks and developing proper countermeasures for each one, therefore, is essential. Failure to take proper measures against such risks may result in significant damages and accidents, causing social anxiety and unwillingness to accept CCS. This study proposes the precautionary principle as a fundamental principle for CCS risk management. While the justifications for the precautionary principle are acceptable, there have been criticisms on its limitations including its impracticality. The purpose of this study was, therefore, to identify detailed application strategies to overcome those limitations. The risk factors related to CCS consist of quantifiable risk domains as well as a number of those with high uncertainty and ambiguity. Thus, there is a need to develop differentiated coping measures, meaning that the precautionary principle should be applied. The risk assessment and management applying the precautionary principle has implication of social appraisal based on wide participation and communication among the interested parties, which may be a useful approach for expanding social applicability.

• 한국문화재보존과학회:학술대회논문집
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• 2005.11a
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• pp.154-159
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• 2005

The most common conception of a work of art is as a unique object. In conservation the prevalent notion of authenticity is based on physical integrity, this guides judgements about loss. For the majority of traditional art objects, minimising change to the physical work means minimising loss, where loss is understood as compromising the (physical) integrity of a unique object, and this forms the focus of conservation. Fundamental to conservators' approach to the conservation of contemporary art is the notion that the artist's intent should guide conservators' practice. Since most of the artists creating installation art are living, it is possible to interview them about the details of the installation, attitudes to changing technology, parameters of acceptable change and their views about what aspects of the installation are essential to preserve. Conservation is no longer focused on intervening to repair the art object but has become concerned with documentation and determining what change is acceptable and managing those changes. In order to accurately install works in the future it is necessary to broaden our focus to include elements of an installation that affect the viewer's experience. This might mean documenting the space, the acoustics, the balance of the different channels of sound, the light levels and the way one enters and leaves the installation. These are as important as the more tangible or material elements in the conservation of the work. It is also necessary to work with industry and specialists outside the field of conservation to develop new skills to preserve and manage new types of objects in our care. We can also document the less tangible details of an installation such as the light levels, the character of the sound etc. This is a new area of conservation and as a profession our understanding and knowledge will deepen with time. All of these strategies work together to help to limit the risk of not being able to accurately install these works in the future. Deciding what can be changed and how to best care for any element of an installation will depend on its meaning and role. For both contemporary and traditional objects such decisions are documented by conservators and although the focus of the conservator may have moved away from the material object, the approach is still rooted in traditional notions of collection care.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.5
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• pp.2217-2220
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• 2014

Purpose: To evaluate the survival outcome of early stage endometrioid adenocarcinoma of the endometrium with risk factors for locoregional recurrence treated with combined pelvic external beam radiotherapy (EBRT) and vaginal brachytherapy (VBT) after comprehensive surgery. Materials and Methods: Post-operative radiotherapy by pelvic EBRT and VBT for early stage endometrioid endometrial carcinoma resulted in excellent pelvic control with acceptable complications. This study showed no significant relationships between age, stage, histologic grade and LVSI and overall survival rate. Results: The 5-year overall survival rate (OS) of early stage endometrioid type of endometrial carcinoma was 85.7%. Acute toxicity occurred in 38.1% of the patients, all of whom were grade 1 or 2. Total late toxicity developed in 42.9% of study group, in which 36.99% of them were grade 1-2 and 4.76% were grade 3-4. Conclusions: Post-operative radiotherapy by pelvic EBRT and VBT is acceptable for early stage endometrioid endometrial carcinoma, independent of age, stage, histologic grade and LVSI.

• Journal of The Korea Institute of Healthcare Architecture
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• v.30 no.3
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• pp.67-74
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• 2024

Purpose: The identification and quantification of indoor airborne contaminants, including bio-aerosols, particulates, and gaseous contaminants, are crucial for maintaining acceptable indoor air quality for hospital operating rooms (ORs). Laparoscopic surgery has become widely accepted for various surgical procedures due to its rapid recovery rate and the low risk associated with small incisions compared to conventional open surgery. The objective of this study is to investigate the indoor air quality in hospital ORs and to identify indoor airborne contaminants generated during laparoscopic surgery. Methods: Measurements of an indoor environment, including temperature, humidity and air quality, were performed in an OR before and during a laparoscopic surgery. Indoor airborne contaminants, including volatile organic compounds (VOCs), formaldehyde, carbon monoxide (CO), carbon dioxide (CO₂), sulfur dioxide (SO₂), nitrogen dioxide (NO₂), suspended indoor particles, and airborne bacteria, were measured simultaneously. Results: The study determined that the concentrations of indoor air particles and airborne bacteria increased during the surgery but were within acceptable levels. However, the concentration of CO₂, reached a high level of 1,791 ppm due to the CO₂ gas required for maintaining the pneumoperitoneum during the surgery. Implications: The results emphasized the use of ventilation and filtration in a laparoscopic surgery room to lower the concentration of filterable and non-filterable contaminants.

• Korean Journal of Environmental Agriculture
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• v.30 no.2
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• pp.166-172
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• 2011

BACKGROUND: Food Sanitary Act establishes Maximum Residue Limits (MRLs) of pesticides in food that are newly registered and used per each quarter, as stipulated by Agro-chemical Control Act. Current Food Code contains the MRLs for a total of 418 pesticides in 184 food types. METHODS AND RESULTS: National MRLs for pesticides have been established by based on scientific data of good agricultural practice, acceptable daily intake (ADI), food intake, average body weight and others. MRLs for pesticides are generally set under the principle that theoretical maximum daily intake (TMDI) are always below ADI. As results, 27 MRLs in agricultural products were newly proposed for 22 pesticides (fungicide: azoxystrobin, fludioxonil, fluquinconazole, flusilazole, iprovalicarb, kresoxim-methyl, mandipropamid, metconazole, pyraclostrobin, tebuconazole, triflumizole, etc., Insecticide: dinotefuran, flubendiamide, indoxacarb, cyhalothrin, spinetoram, thiacloprid, thiamethoxam, metaflumizone, etc., Acaricide(miticide): cyenopyrafen, lufenuron) in 2010. CONCLUSION(s): There is no intake concerns for establishment of pesticide MRLs on foods in this time. Because the ratio of theoretical maximum daily intake (TMDI) are set below that of ADI.

• Korean Journal of Food Science and Technology
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• v.47 no.3
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• pp.306-320
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• 2015

This survey was carried out in 2014 to estimate the pesticide residue levels in commercial environment-friendly agricultural products in Seoul metropolitan area. Pesticide residues in 27 commodities were examined and analyzed using LC-MS/MS, which can simultaneously detect up to 85 pesticides. A total of 441 samples were collected and analyzed. Among the detected samples, the residue levels in 1.2% of organic agricultural products and 2.2% of pesticide-free agricultural products exceeded the maximum residue limits (MRLs); hence, 1.8% of the total samples exceeded the MRLs. The safety of the detected pesticides was assessed by monitoring the acceptable daily intake level (ADI) and acceptable dietary exposure (ADE) to the pesticides via consumption of the commodities. ADI and ADE are found to be 0.07728-9.46530% and 0.00141-0.17210%, respectively, which means that the residual pesticides in the environmental-friendly agricultural products in Korea are below the safe limit and therefore, pose no potential public health risks.

• The Korean Journal of Pesticide Science
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• v.19 no.1
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• pp.22-31
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• 2015

This study was carried out to monitor the current status of pesticide residues in selling agricultural products via online and assessed their safety in 2014. A total of 124 samples were purchased six times from March to August 2014 twenty online shopping malls randomly. These samples were analysed 208 pesticides by multiresidue method using a GC-ECD/NPD and a LC-MS/MS and confirmed by a GC-MSD. As a result of analysis, residual pesticides samples were 11 (8.9%) such as leek, young radish, welsh onion etc, of which 2 samples (1.6%) such as sesame bud (Chlorothalonil), artemisia (Chlorpyrifos) were violated Korea Maximum Residue limits (MRLs). 11 kinds of pesticides (19 times) were detected in 11 samples. Risk assessment evaluated human health exposure with the ratio of EDI (Estimated daily intake) to ADI (Acceptable daily intake) of pesticides detected. %ADI (the ratios of EDI to ADI) were 0.04~95.70% and some samples represented a fairly dangerous levels. In particular, Chlorothalonil in the sesame bud was shown as a significant risk close to 100% of %ADI. Accordingly, it is recommended to strengthen a safety check on agricultural products in online sales.

• Journal of Nutrition and Health
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• v.54 no.6
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• pp.584-593
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• 2021

In the 2020 Dietary Reference Intakes for Koreans, an acceptable macronutrient distribution range (AMDR), similar to the one established in 2015, was determined for carbohydrates. AMDR is the ratio that signifies energy intake from carbohydrates to the total energy intake, and is a reference that indicates a decreasing risk of chronic diseases. The AMDR of carbohydrate was determined to be optimal at 55-65% for all ages above 1 year. For the first time, in the year 2020, the estimated average requirement (EAR) and recommended nutrient intake (RNI) for carbohydrates were established. The EAR was based on the amount of glucose used per day in the brain, and was set at 100 g/day for all ages above 1 year. The RNI was set at 130 g/day, by adding a double coefficient of variation using a 15% coefficient of variation, for all ages above 1 year. In pregnant women, the amount of glucose utilized by the fetus brain was considered additionally, and for lactating women the amount of lactose secreted into maternal milk was additionally taken into consideration. Since the EAR of carbohydrate indicates the minimum amount of glucose required by the brain and is not an appropriate intake amount as an energy source, it is incorrect to compare the carbohydrate intake with the EAR or RNI. To evaluate the nutritional status of carbohydrate, it is appropriate to use the AMDR. Carbohydrate intakes within the AMDR range has the possibility in reducing the risk of chronic diseases. Hence, it is important to consider the quality as well as quantity of carbohydrates consumed.

• Korean Journal of Environmental Agriculture
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• v.30 no.3
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• pp.316-322
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• 2011

BACKGROUND: Pesticides concentration was monitored in 50 agricultural lakes, and ecological risk for aquatic organism was assessed using risk quotient (RQ) and probabilistic methods. METHODS AND RESULTS: Pesticides concentrations detected in 50 agricultural lakes during peak season (June and September) were in the range of $0.17{\sim}0.99{\mu}g/L$. The RQ for algae and the other species was estimated to be 0.25 and below 0.01, indicating medium risk and no risk. Oxadiazon predominantly contributed to RQ value of 99% for algae, fishes, and amphibians. In terms of hazardous concentration at 5% of species ($HC_5$), ecological risk quotients (ERQ) for oxadiazon ranged from 0.18~0.33, showing a medium risk level. Overall, the concentrations of pesticides were much lower than $HC_5$), value. Probability of combined ecological risk for pesticides ranged from 1.82% to 2.41%. CONCLUSION(s): Combined ecological risk probability did not exceed the acceptable level of 5%, indicating no ecological risk for selected aquatic species. This study suggests that regular ecological risk assessment (ERA) will be required to protect and manage an agricultural lake. Not only ERA at screening level by comparing exposure with toxic effects for aquatic species also advanced ERA technique considering species in indigenous to Korea, chronic toxicity, pulse dose, fate, and environmental factors should be required.