• Title/Summary/Keyword: Relative risks

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Circulating folate levels and colorectal adenoma: a case-control study and a meta-analysis

  • Park, Yeong Mi;Youn, Jiyoung;Cho, Chang Ho;Kim, Sung Hi;Lee, Jung Eun
    • Nutrition Research and Practice
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    • v.11 no.5
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    • pp.419-429
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    • 2017
  • BACKGROUND/OBJECTIVES: The relationship between folate and colorectal neoplasia remains controversial. We examined the association between serum folate concentrations and colorectal adenomas in a case-control study of Korean adults and conducted a meta-analysis. SUBJECTS/METHODS: Our case-control study included 113 pairs of case and control who underwent colonoscopy and provided blood samples. We used multivariable conditional logistic regression models to obtain the odds ratios and 95% confidence interval (CIs). For meta-analysis, we identified the relevant studies by searching the PubMed database up to February 2017, included our case-control study and combined the study-specific relative risks (RRs) using a random-effects model. RESULTS: In this case-control study, we included 58 men and 55 women with colorectal adenomas and sex and fasting status matched the controls. We did not find any significant association between the serum folate levels and colorectal adenomas in either men or women. For meta-analysis, a total of eleven studies were included in our analysis and classified into two groups; polyp clearance group (PC) for the studies that included participants who underwent endoscopies and had their polyps removed at baseline; and no polyp clearance group (NPC) for the studies that included participants whose histories of endoscopies were unknown or who underwent their first endoscopies. Four PC (1,311 cases and 1,672 non-cases) and eight NPC studies (3,501 cases and 11,347 non-cases) were included. The combined RRs (95% CIs) comparing the bottom with the top categories of circulating folate levels were 1.07 (0.97-1.18) for the NPC group but 1.45 (1.16-1.74) for the PC group. CONCLUSIONS: Low circulating folate levels were associated with new adenoma formation.

Metformin Association with Lower Prostate Cancer Recurrence in Type 2 Diabetes: a Systematic Review and Meta-analysis

  • Hwang, In Cheol;Park, Sang Min;Shin, Doosup;Ahn, Hong Yup;Rieken, Malte;Shariat, Shahrokh F.
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.595-600
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    • 2015
  • Background: Accumulating evidence suggests that metformin possesses anticarcinogenic properties, and its use is associated with favorable outcomes in several cancers. However, it remains unclear whether metformin influences prognosis in prostate cancer (PCa) with concurrent type 2 diabetes (T2D). Materials and Methods: We searched PubMed, EMBASE, and the Cochrane Library from database inception to April 16, 2014 without language restrictions to identify studies investigating the effect of metformin treatment on outcomes of PCa with concurrent T2D. We conducted a meta-analysis to quantify the risk of recurrence, progression, cancer-specific mortality, and all-cause mortality. Summary relative risks (RRs) with corresponding 95% confidence intervals (CIs) were calculated. Publication bias was assessed by Begg's rank correlation test. Results: A total of eight studies fulfilled the eligibility criteria. We found that diabetic PCa patients who did not use metformin were at increased risk of cancer recurrence (RR, 1.20; 95%CI, 1.00-1.44), compared with those who used metformin. A similar trend was observed for other outcomes, but their relationships did not reach statistical significance. Funnel plot asymmetry was not observed among studies reporting recurrence (p=0.086). Conclusions: Our results suggest that metformin may improve outcomes in PCa patients with concurrent T2D. Well-designed large studies and collaborative basic research are warranted.

Estimation of dietary intake and human health risk of hexachlorobenzene by marine organism consumption in Korea

  • Moon Hyo-Bang;Lee Su-Jeong;Lee Yoon;Park Jong-Soo
    • Journal of Environmental Science International
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    • v.14 no.2
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    • pp.121-128
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    • 2005
  • Hexachlorobenzene (HCB) was analyzed in various marine organisms of Korea. HCB was detected in all organism samples with residual concentrations from 0.51 to 222 pg/g wet weight. HCB residue was the highest content in crustacean, and followed by bivalves, fish, cephalopods and gastropods. The residues were comparable to or lower than those in marine organisms of other countries. Daily dietary intake of HCB from seafood was estimated to be 13.4 pg/kg body weight/day. The relative contribution of taxonomic group to the total dietary intake of HCB were in the order of crustaceans $(40.1\%)$, bivalves $(34.2\%)$, fish $(23.1\%)$, cephalopods $(2.22\%)$, and gastropods $(0.38\%)$. Daily dietary intake of HCB expressed as toxic equivalent (TEQ) value was estimated to be $1.34\times10^{-3}pg$ TEQ/kg body weight/day. This value did not exceed tolerable daily intake (TDI) proposed by the WHO, the UK toxicity committee and the KFDA. Cancer risk and target hazard quotient (THQ) due to the consumption of the marine organism in Korean adult population were evaluated using the exposure equation of food ingestion. This result suggests that dietary intake of HCB by the consumption of Korean seafood seems to be safe for human health with negligible cancer and non-cancer risks so far.

A Study on Horizontal Displacement Following Ability of Welded and Non-welded Building Hardware (용접형과 무용접형 하지철물의 수평변위 추종능력에 관한 연구)

  • Lee, Don-Woo;Kwak, Eui-Shin;Shon, Su-Deok;Lee, Seung-Jae
    • Journal of Korean Association for Spatial Structures
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    • v.16 no.4
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    • pp.75-82
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    • 2016
  • Building hardware joints are welded in most cases, which have risks of fire and explosion. Besides, the secondary damage of the destruction of the welded parts can be caused by the horizontal displacement of the structure due to earthquake or wind load. This paper compared the horizontal displacement following abilities of welded building hardware and non-welded building hardware. To do this, We conducted actual formation shake table test, and checked on the horizontal displacement following ability of structure by comparing their responses to earthquake load. We made the 2m-high framework to examine the responses of the actually constructed building hardwares, and analyzed the displacement responses of the welded-typed, non-welded-typed, and cruciform bracket building hardwares. We conducted the test by increasing acceleration rate until displacement reached 40mm corresponding to allowable relative story displacement II. The result of the test showed that the building hardware using welding work made cracking and breakage on welded connections of welded building hardware, but non-welded building hardware with no use of welding work and cruciform bracket building hardware make no problem, and that non-welded building hardware is superior to that of the welded building hardware in the horizontal displacement following ability due to earthquake or wind load.

Mutagenicity Assessment of Drinking Water in Combination with Flavored Black Tea Bags: a Cross Sectional Study in Tehran

  • Alebouyeh, Farzaneh;Bidgoli, Sepideh Arbabi;Ziarati, Parisa;Heshmati, Masoomeh;Qomi, Mahnaz
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7479-7484
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    • 2015
  • Diseases related to water impurities may present as major public health burdens. The present study aimed to assess the mutagenicity of drinking water from different zones of Tehran, and evaluate possible health risks through making tea with tea bags, by Ames mutagenicity test using TA 100, TA 98 and YG1029 strains. For this purpose, 450 water samples were collected over the period of July to December 2014 from 5 different zones of Tehran. Except for one sample, no mutagenic potential was detected during these two seasons and the MI scores were almost normal (${\leq}1-1.6$) in TA 100, TA 98 and YG1029 strains. Although no mutagenic effects were considered in TA 98 and TA 100 in the test samples of our three evaluated tea bag brands, one sample from a local company showed mutagenic effects in the YG1029 strain (MI=1.7-1.9 and 2) after prolonged (10-15 min.) steeping. Despite the mild mutagenic effect discovered for one of the brand, this cross sectional study showed relative safety of water samples and black tea bags in Tehran. According to the sensitivity of YG1029 to the mutagenic potential of water and black tea, even without metabolic activation by s9 fraction, this metabolizer strain could be considered as sensitive and applicable to food samples for quantitative analysis of mutagens.

Multiparity and Breast Cancer Risk Factor among Women in Burkina Faso

  • Zoure, Abdou Azaque;Bambara, Aboubacar Hierrhum;Sawadogo, Alexis Yobi;Ouattara, Abdoul Karim;Ouedraogo, Marie;Traore, Si Simon;Bakri, Youssef;Simpore, Jacques
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.12
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    • pp.5095-5099
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    • 2016
  • The relative lack of information on breast cancer etiology in Burkina Faso led us to undertake the present work to highlight risk factors. This prospective study was conducted using a questionnaire between January 2015 and February 2016 on women admitted to Yalgado OUEDRAOGO hospital, for consultation or supervision. The characteristics of multiparous breast cancer patients (n = 44) were compared with their non-multiparous counterparts (n = 36). The study found that increased risk of breast cancer among non-multiparous cases was related to body mass index (BMI) (p <0.001), age at menopause (p <0.004) and use of oral contraception (p <0.021) while abortion (p <0.002) was a risk factor among multiparous cases. These results suggest that even if multiparity is associated with a decreased risk in some women, avoidance of abortion during reproductive life should be recommended. The results provide preliminary information, which now need to be supplemented by survey of a larger sample in the national territory.

Obesity and Risk of Bladder Cancer: A Meta-analysis of Cohort Studies

  • Qin, Qi;Xu, Xin;Wang, Xiao;Zheng, Xiang-Yi
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3117-3121
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    • 2013
  • Objective: Previous epidemiologic studies demonstrated that obesity might associated with the risk of bladder cancer. However, many of the actual association findings remained conflicting. To better clarify and provide a comprehensive summary of the correlation between obesity and bladder cancer risk, we conducted a meta-analysis to summarize results of studies on the issue. Stratified analyses were also performed on potential variables and characteristics. Methods: Studies were identified by searching in PubMed and Wanfang databases, covering all the papers published from their inception to March 10, 2013. Summary relative risks (SRRs) with their corresponding 95% confidence intervals (CIs) were calculated by either random-effect or fixed-effect models. Results: A total of 11 cohort studies were included in our meta-analysis, which showed that obesity was associated with an increased risk for bladder cancer in all subjects (RR=1.10, 95% CI=1.06-1.16; p=0.215 for heterogeneity; $I^2$=24.0%). Among the 9 studies that controlled for cigarette smoking, the pooled RR was 1.09 (95% CI 1.01-1.17; p=0.131 for heterogeneity; $I^2$=35.9%). No significant publication bias was detected (p = 0.244 for Egger's regression asymmetry test). Conclusions: Our results support the conclusion that obesity is associated with the increased risk of bladder cancer. Further research is needed to generate a better understanding of the correlation and to provide more convincing evidence for clinical intervention in the prevention of bladder cancer.

Development of The Criticality Evaluation System for Rare Metals Stockpiling (희유금속 비축 적정성 평가체계 수립)

  • Kim, Yu-Jeong;Kim, Dae-Hyung;Kim, Jinsoo;Kim, Juhan
    • Resources Recycling
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    • v.27 no.3
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    • pp.66-77
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    • 2018
  • The import amount of rare metal in Korea is about 6,034 million USD, but the self-sufficiency of rare metals is about only 1%. In order to secure the stable supply of rare metals, it is necessary to operate an efficient stockpile system. In this study, we established a system to assess the adequacy of stockpiles by quantifying the risk factors of tangible and intangible risks in order to establish an efficient stockpile strategy. The model developed in this study aims to select the rare metals that need to be stockpiled first and to suggest the direction of the stockpiling policy in accordance with technological change and market change from the mid and long term viewpoint. The evaluation results derived from the model can quantitatively measure the security level of each rare metal and enable relative comparison between the rare metals using criticality matrix. Therefore, it is expected that more efficient stockpile policy will be possible if the proposed model is utilized in the future policy making.

A Study on Priority Evaluation of the Rope-type Platform Safety Door(RPSD) Installation by Multi-criteria Decision Analysis (다기준 분석에 의한 로프형 승강장 안전도어의 설치 우선순위 산정에 관한 연구)

  • Jung, Byung Doo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.3
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    • pp.639-645
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    • 2015
  • Recently, a study on the commercialization of Rope type Platform Safe Door (RPSD) technology has commenced. The study focuses on RPSD, in which a rope screen ascends to allow safe passage from the platform to the transit vehicle in aboveground stations. Currently, a pilot installation has taken in place with Daegu Metro Line 2 in MoonYang station starting from March of 2013. However, there is a need to select an appropriate pilot installation's object for the improvement in the future RPSD. An appropriate designation would correspond with the needs of the railroad corporation and as a historic railway platform with safe facilities. This study tried to usa Analytic Hierarchy Process (AHP) to determine the priority of the KTX stations to attain a list of appropriate designations for future RPSD installations by analyzing the followings: management of the facilities, operational risks, and intent of business projects. As a case study, it was applied to the evaluation of the KTX stations. For the application, it used relative measurement to calculate the weight of upper level structuring, and absolute measurement for low level structuring instead of pairwise comparisons.

Effects of Long-term Fluoride in Drinking Water on Risks of Hip Fracture of the Elderly: An Ecologic Study Based on Database of Hospitalization Episodes (수돗물 불소화와 노령 인구의 고관절 골절에 대한 생태학적 연구)

  • Park, Eun-Young;Hwang, Seung-Sik;Kim, Jai-Yong;Cho, Soo-Hun
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.3
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    • pp.147-152
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    • 2008
  • Objectives : Fluoridation of drinking water is known to decrease dental caries, particularly in children. However, the effects of fluoridated water on bone over several decades are still in controversy. To assess the risk of hip fracture related to water fluoridation, we evaluated the hip fracture-related hospitalizations of the elderly between a fluoridated city and non-fluoridated cities in Korea. Methods : Cheongju as a fluoridated area and Chungju, Chuncheon, Suwon, Wonju as non-fluoridated areas were chosen for the study. We established a database of hip fracture hospitalization episode based on the claims data submitted to the Health Insurance Review Agency from January 1995 to December 2002. The hip fracture hospitalization episodes that satisfied the conditions were those that occurred in patients over 65 years old, the injuries had a hip fracture code (ICD-9 820, ICD-10 S72) and the patients were hospitalized for at least 7days. A total of 80,558 cases of hip fracture hospitalization episodes were analyzed. Results : The admission rates for hip fracture increased with the age of the men and women in both a fluoridated city and the non-fluoridated cities (p<0.01). The relative risk of hip fracture increased significantly both for men and women as their age increased. However, any difference in the hip fracture admission rates was not consistently observed between the fluoridated city and the non-fluoridated cities. Conclusions : We cannot conclude that fluoridation of drinking water increases the risk of hip fracture in the elderly.