• 제목/요약/키워드: Multi-Hazard

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Interaction of Body Mass Index and Diabetes as Modifiers of Cardiovascular Mortality in a Cohort Study

  • Ma, Seung Hyun;Park, Bo-Young;Yang, Jae Jeong;Jung, En-Joo;Yeo, Yohwan;Whang, Yungi;Chang, Soung-Hoon;Shin, Hai-Rim;Kang, Daehee;Yoo, Keun-Young;Park, Sue Kyung
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.6
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    • pp.394-401
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    • 2012
  • Objectives: Diabetes and obesity each increases mortality, but recent papers have shown that lean Asian persons were at greater risk for mortality than were obese persons. The objective of this study is to determine whether an interaction exists between body mass index (BMI) and diabetes, which can modify the risk of death by cardiovascular disease (CVD). Methods: Subjects who were over 20 years of age, and who had information regarding BMI, past history of diabetes, and fasting blood glucose levels (n=16 048), were selected from the Korea Multi-center Cancer Cohort study participants. By 2008, a total of 1290 participants had died; 251 and 155 had died of CVD and stroke, respectively. The hazard for deaths was calculated with hazard ratio (HR) and 95% confidence interval (95% CI) by Cox proportional hazard model. Results: Compared with the normal population, patients with diabetes were at higher risk for CVD and stroke deaths (HR, 1.84; 95% CI, 1.33 to 2.56; HR, 1.82; 95% CI, 1.20 to 2.76; respectively). Relative to subjects with no diabetes and normal BMI (21 to 22.9 $kg/m^2$), lean subjects with diabetes (BMI <21 $kg/m^2$) had a greater risk for CVD and stroke deaths (HR, 2.83; 95% CI, 1.57 to 5.09; HR, 3.27; 95% CI, 1.58 to 6.76; respectively), while obese subjects with diabetes (BMI ${\geq}25kg/m^2$) had no increased death risk (p-interaction <0.05). This pattern was consistent in sub-populations with no incidence of hypertension. Conclusions: This study suggests that diabetes in lean people is more critical to CVD deaths than it is in obese people.

Exposure and Risk Assessment of Nitrogen Dioxide and Ozone for Sub-population Groups using Monte-Carlo Simulations (Monte-Carlo 모의실험을 통한 부분 인구집단별 이산화질소와 오존의 노출 및 위해성 평가)

  • Park, Jinhyeon;Ryu, Hyeonsu;Yang, So Young;Park, Yunkyung;Heo, Jung;Kim, Eunchae;Choe, Youngtae;Cho, Mansu;Yang, Wonho
    • Journal of Environmental Health Sciences
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    • v.45 no.2
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    • pp.113-125
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    • 2019
  • Objectives: Although the risk assessments for nitrogen dioxide ($NO_2$) and ozone ($O_3$) have been extensively studied, most of the existing risk assessments were limited mainly to indoor environments such as workplaces, schools, and multi-use facilities. Therefore, integrated risk assessment is needed to consider exposure in all microenvironments, including outdoors. The purpose of this study was to assess the differences in risk among sub-population groups according to time-activity patterns and reported concentrations, as well as the lifetime risk of Koreans. Methods: In this study, we estimated time-weighted average exposure concentrations of $NO_2$ and $O_3$ for preschool children, students, housewives, workers, and seniors using residential time and indoor concentrations (house, school or workplace, other), outdoors, and transport by meta-analysis method. The risk for $NO_2$ and $O_3$ were assessed by hazard quotient using reference concentrations 30 and 60 ppb, respectively. The risk assessments were conducted through 1,000,000 Monte-Carlo simulations for probabilistic analysis. Results: Preschool children, students, housewives, workers, and seniors spent 91.9, 86.0, 79.8, 82.2, and 77.3% of their day in a house, school, or workplace, respectively. The risk assessment for the lifetime of a housewife and a worker showed that 33.8 and 28.4% of hazard quotients of $NO_2$ exceed 1, respectively, and more than 99% of hazard quotient of $O_3$ were less than 1. Conclusions: The risk of $NO_2$ and $O_3$ by sub-population group and for the lifetime of housewives and workers were assessed. The risk for $NO_2$ was higher than for $O_3$ and showed a different risk by sub-population group. Both $NO_2$ and $O_3$ showed a higher risk for housewives than for workers. This study can be used as a basis for lifetime exposure and risk assessment for $NO_2$ and $O_3$.

A Study on the Use of Grid-based Spatial Information for Response to Typhoons (태풍대응을 위한 격자 기반 공간정보 활용방안 연구)

  • Hwang, Byungju;Lee, Junwoo;Kim, Dongeun;Kim, Jangwook
    • Journal of the Society of Disaster Information
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    • v.17 no.1
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    • pp.25-38
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    • 2021
  • Purpose: To reduce the damage caused by continuously occurring typhoons, we proposed a standardized grid so that it could be actively utilized in the prevention and preparation stage of typhoon response. We established grid-based convergence information on the typhoon risk area so that we showed the effectiveness of information used in disaster response. Method: To generate convergent information on typhoon hazard areas that can be useful in responding to typhoon situation, we used various types of data such as vector and raster to establish typhoon hazard area small grid-based information. A standardized grid model was applied for compatibility with already produced information and for compatibility of grid information generated by each local government. Result: By applying the grid system of National branch license plates, a grid of typhoon risk areas in Seoul was constructed that can be usefully used when responding to typhoon situations. The grid system of National branch license plates defines the grid size of a multi-dimensional hierarchical structure. And a grid of typhoon risk areas in Seoul was constructed using grids of 100m and 1,000m. Conclusion: Using real-time 5km resolution grid based weather information provided by Korea Meteorological Administration, in the future, it is possible to derive near-future typhoon hazard areas according to typhoon travel route prediction. In addition, the national branch number grid system can be expanded to global grid systems for global response to various disasters.

Measurement of Sulfur Dioxide Concentration Using Wavelength Modulation Spectroscopy With Optical Multi-Absorption Signals at 7.6 µm Wavelength Region (7.6 µm 파장 영역의 다중 광 흡수 신호 파장 변조 분광법을 이용한 이산화황 농도 측정)

  • Song, Aran;Jeong, Nakwon;Bae, Sungwoo;Hwang, Jungho;Lee, Changyeop;Kim, Daehae
    • Clean Technology
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    • v.26 no.4
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    • pp.293-303
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    • 2020
  • According to the World Health Organization (WHO), air pollution is a typical health hazard, resulting in about 7 million premature deaths each year. Sulfur dioxide (SO2) is one of the major air pollutants, and the combustion process with sulfur-containing fuels generates it. Measuring SO2 generation in large combustion environments in real time and optimizing reduction facilities based on measured values are necessary to reduce the compound's presence. This paper describes the concentration measurement for SO2, a particulate matter precursor, using a wavelength modulation spectroscopy (WMS) of tunable diode laser absorption spectroscopy (TDLAS). This study employed a quantum cascade laser operating at 7.6 ㎛ as a light source. It demonstrated concentration measurement possibility using 64 multi-absorption lines between 7623.7 and 7626.0 nm. The experiments were conducted in a multi-pass cell with a total path length of 28 and 76 m at 1 atm, 296 K. The SO2 concentration was tested in two types: high concentration (1000 to 5000 ppm) and low concentration (10 ppm or less). Additionally, the effect of H2O interference in the atmosphere on the measurement of SO2 was confirmed by N2 purging the laser's path. The detection limit for SO2 was 3 ppm, and results were compared with the electronic chemical sensor and nondispersive infrared (NDIR) sensor.

Health Risk Assessment for Artificial Turf Playgrounds in School Athletic Facilities: Multi-route Exposure Estimation for Use Patterns

  • Kim, Ho-Hyun;Lim, Young-Wook;Kim, Sun-Duk;Yeo, In-Young;Shin, Dong-Chun;Yang, Ji-Yeon
    • Asian Journal of Atmospheric Environment
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    • v.6 no.3
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    • pp.206-221
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    • 2012
  • Hazardous chemicals can be released from artificial turf used in some school playgrounds. To distinguish between Health risk assessment (HRA) exposure scenarios for this study, the ratio of elementary, middle and high schools was considered before final selection. Considering exposure pathways (inhalational, oral and dermal), media and materials were examined, targeting hazardous chemicals released from artificial turf playground-related products. Upon evaluation, the quantity of infill chips was shown to exceed the domestic product content standard (90 mg/kg) at eight (16%) out of 50 schools. PAHs were shown to exceed standards (10 mg/kg) at two (4%) out of the 50 schools. The excess cancer risk (ECR) of carcinogens was shown to be $1{\times}10^{-6}$ in most users for the worst exposure scenario. In children with pica, who represented the most extreme exposure group, the ECR was expected to be as high as $1{\times}10^{-4}$, showing the low risk level of carcinogens. The hazard index (HI) for individual chemicals was shown to be low, at around 0.1 or less, except for children with pica, according to the mean exposure scenario of artificial turf playground exposure. However, the HI was shown to exceed 1.0 in children with pica. Therefore, no direct health risk was found in using artificial turf playgrounds and urethane flooring tracks for the mean exposure scenario, except in children with pica.

Survival in Head and Neck Cancers - Results of A Multi-Institution Study

  • Nandakumar, Ambakumar
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.1745-1754
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    • 2016
  • Background: The prime output of Hospital Based Cancer Registries is stage and treatment based survival to evaluate patient care, but because of challenges of obtaining follow-up details a separate study on Patterns of Care and Survival for selected sites was initiated under the National Cancer Registry Programme of India. The results of stage and treatment based survival for head and neck cancers by individual organ sites are presented. Materials and Methods: A standardized Patient Information Form recorded the details and entered on-line at www.hbccrindia.org to a central repository - National Centre for Disease Informatics and Research. Cases from 12 institutions diagnosed between 1 January 2006 and 31 December 2008 comprised the study subjects. The patterns of treatment were examined for 14053 and survival for 4773 patients from five institutions who reported at least 70% follow-up as of 31 December 2012. Results: Surgical treatment with radiation for cancer tongue and mouth showed five year cumulative survival (FCS) of 67.5% and 60.4% respectively for locally advanced stage. Chemo-radiation compared to radiation alone showed better survival benefit of around 15% in both oro and hypo-pharyngeal cancers and their FCS was 40.0%; Hazard Ratio (HR):1.5;CI=1.2-1.9) and 38.7%; (HR):1.7; CI=1.3-2.2). Conclusions: The awareness about the requirement of concurrent chemo-radiation in specifically cancers of the oro and hypopharynx has to be promoted in developing countries. The annual (2014) estimate number of new Head and Neck cancers with locally advanced disease in India is around 140,000 and 91,000 (65%) patients do not receive the benefit of optimal treatment with ensuing poorer survival.

Human Risk Assessment of Perchloroethylene Considering Multi-media Exposure (다매체 노출을 고려한 Perchloroethylene의 인체위해성평가연구)

  • Seo, Jungkwan;Kim, Taksoo;Jo, Areum;Kim, Pilje;Choi, Kyunghee
    • Journal of Environmental Health Sciences
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    • v.40 no.5
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    • pp.397-406
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    • 2014
  • Objectives: Perchloroethylene (PCE) is a volatile chemical widely used as a solvent in the dry-cleaning and textile processing industries. It was evaluated as Group 2 "probably carcinogenic to humans" by the Integrated Risk Information System (IRIS) of the United State Environmental Protection Agency (U.S. EPA) in 2012. In order to provide a scientific basis for establishing risk management measures for chemicals on the national priority substances list, aggregate risk assessment was conducted for PCE, included in the top-10 substances. Methods: We conducted the investigation and monitoring of PCE exposure (e.g., exposure scenario, detection levels, and exposure factors, etc.) and assessed its multi-media (e.g., outdoor air, indoor air, and ground water) exposure risk with a deterministic and probabilistic approach. Results: In human risk assessment (HRA), the level of human exposure was higher in the younger age group. The exposure level through inhalation at home was the highest among the exposure routes. Outdoor air or uptake of drinking water represented less than 1% of total contributions to PCE exposure. These findings suggested that the level of risk was negligible since the Hazard Index (HI) induced by HRA was below one among all age groups, with a maximum HI value of 0.17 when reasonable maximum exposure was applied. Conclusion: In conclusion, it was suggested that despite low exposure risk, further studies are needed considering main sources, including occupational exposure.

Health Risks Assessment in Children for Phthalate Exposure Associated with Childcare Facilities and Indoor Playgrounds

  • Kim, Ho-Hyun;Yang, Ji-Yeon;Kim, Sun-Duk;Yang, Su-Hee;Lee, Chung-Soo;Shin, Dong-Chun;Lim, Young-Wook
    • Environmental Analysis Health and Toxicology
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    • v.26
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    • pp.8.1-8.9
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    • 2011
  • Objectives: This study assessed the health risks for children exposed to phthalate through several pathways including house dust, surface wipes and hand wipes in child facilities and indoor playgrounds. Methods: The indoor samples were collected from various children's facilities (40 playrooms, 42 daycare centers, 44 kindergartens, and 42 indoor-playgrounds) in both summer (Jul-Sep, 2007) and winter (Jan-Feb, 2008). Hazard index (HI) was estimated for the non-carcinogens and the examined phthalates were diethylhexyl phthalate (DEHP), diethyl phthalate (DEP), dibutyl-n-butyl phthalate (DnBP), and butylbenzyl phthalate (BBzP). The present study examined these four kinds of samples, i.e., indoor dust, surface wipes of product and hand wipes. Results: Among the phthalates, the detection rates of DEHP were 98% in dust samples, 100% in surface wipe samples, and 95% in hand wipe samples. In this study, phthalate levels obtained from floor dust, product surface and children's hand wipe samples were similar to or slightly less compared to previous studies. The $50^{th}$ and $95^{th}$ percentile value of child-sensitive materials did not exceed 1 (HI) for all subjects in all facilities. Conclusions: For DEHP, DnBP and BBzP their detection rates through multi-routes were high and their risk based on health risk assessment was also observed to be acceptable. This study suggested that ingestion and dermal exposure could be the most important pathway of phthalates besides digestion through food.

Multi-sensor Fusion Filter for the Flight Safety System of a Space Launch Vehicle (우주발사체 비행안전시스템을 위한 다중센서 융합필터 구현)

  • Ryu, Seong-Sook;Kim, Jeong-Rae;Song, Yong-Kyu;Ko, Jeong-Hwan;Choi, Kyu-Sung
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.37 no.2
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    • pp.156-165
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    • 2009
  • Threat due to malfunction of space launch vehicles is significant since it is bigger and flights longer range than military missiles or scientific rockets. It is necessary to implement a flight safety system to minimize the possible hazard. Design objective of the tracking filter for the flight safety system is different from conventional tracking filters since estimation reliability is more emphasized than estimation accuracy. In this paper, a fusion tracking filter was implemented for processing multi-sensor data from a space launch vehicle. The filter performance is evaluated by analyzing the error of the estimated position and instantaneous impact point. Also a fault detection algorithm is implemented to guarantee fusion filter's reliability under any sensor failure and verified to maintain stability successfully.

Risk Assessment for High Capacity Multiport Hydrogen Refueling Station (대용량 멀티포트 동시 충전 기반 수소충전소 안전성 평가 연구)

  • CHOONGHEE JOE;SEUNGKYU KANG;BUSEUNG KIM;KYUNGSIK LEE
    • Journal of Hydrogen and New Energy
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    • v.34 no.5
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    • pp.505-513
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    • 2023
  • Hydrogen infrastructure is expanding. High-capacity hydrogen refueling stations offer advantages because they can refuel a variety of light and heavy-duty vehicles, and multi-port refueling technology is developing to reduce charging time for heavy-duty vehicles. In this study, we suggest directions to lower the risk by analyzing the risk factors for each process involved in the installation of a high-capacity multi-port hydrogen refueling station in Changwon city. We conducted both qualitative and quantitative risk assessments of the equipment to evaluate the station. A hazard and operability study was performed for qualitative risk assessment, and PHAST/SAFETI were used for quantitative risk assessment. Quantitative risk assessment was used to calculate the consequence analysis of the facility to ensure secure design prior to station development and to predict individual and societal risks in various scenarios. As a result, the station's risk level was determined to be as low as reasonably practicable.