• 한국식품위생안전성학회지
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• 제26권4호
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• pp.448-453
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• 2011

본 연구는 학교주변에서 유통되는 어린이기호식품 중 빙과류, 음료류, 캔디류를 대상으로 인공감미료 4종(삭카린나트륨, 아스파탐, 아세설팜칼륨, 수크랄로스)의 사용실태와 사용량을 분석하였다. 이에 따른 어린이의 일일추정섭취량 (Estimated Daily Intake, EDl)을 산출하여 일일섭취허용량 (Acceptable Daily Intake, ADI)과 비교함으로써 위해성평가를 실시하였다. 어린이기호식품 섭취에 대한 인공감미료 4종의 함량을 분석한 결과, 빙과류, 음료류, 캔디류의 평균 함량은 삭카린나트륨의 경우 각각 0.41, 0.47, 0.00 mg/kg, 아스파탐은 0.00, 20.54, 197.09 mg/kg, 아세설팜칼륨은 0.00, 28.10, 0.00 mg/kg, 수크랄로스는 9.99, 1.40, 0.00 mg/kg으로 나타났다. 섭취량 분석 결과, 그 수준이 평균적으로 매우 낮고 상위섭취군(95th)에서도 ADI의 0~2.66%에 불과한 것으로 나타나 어린이기호식품 섭취에 따른 어린이의 인공감미료에 대한 위해성 수준은 매우 낮은 것으로 판단된다.

• 아동학회지
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• 제27권2호
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• pp.195-213
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• 2006

Development of the 3 scales comprising the present research was based on review of literature, existing screening scales, and empirical research pertaining to (Scale I) the development of social and emotional problems of children, (Scale II) parent-child relations, and (Scale III) assessment of children's environment. Professionals in each area approved a draft of the new screening scale. The clinical group was classified into normal and at-risk groups based on the Denver II scale and the Child Behavior Check List(ages 1.5-5). The clinical groups were administered the newly developed screening scale to see whether the same classification pertained. Results proved the cross-validity of the new scale.

• Toxicological Research
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• 제32권1호
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• pp.15-20
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• 2016

Physiologically based pharmacokinetic (PBPK) modeling can provide an effective way to utilize in vitro and in silico based information in modern risk assessment for children and other potentially sensitive populations. In this review, we describe the process of in vitro to in vivo extrapolation (IVIVE) to develop PBPK models for a chemical in different ages in order to predict the target tissue exposure at the age of concern in humans. We present our on-going studies on pyrethroids as a proof of concept to guide the readers through the IVIVE steps using the metabolism data collected either from age-specific liver donors or expressed enzymes in conjunction with enzyme ontogeny information to provide age-appropriate metabolism parameters in the PBPK model in the rat and human, respectively. The approach we present here is readily applicable to not just to other pyrethroids, but also to other environmental chemicals and drugs. Establishment of an in vitro and in silico-based evaluation strategy in conjunction with relevant exposure information in humans is of great importance in risk assessment for potentially vulnerable populations like early ages where the necessary information for decision making is limited.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제26권5호
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• pp.231-238
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• 2023

Purpose: This systematic review and meta-analysis aimed to compare endoscopy as primary versus secondary prophylaxis to prevent future bleeding in children with esophageal varices. Methods: A systematic literature search using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method was conducted using the Scopus, PubMed, and Cochrane databases for relevant studies on the outcome of rebleeding events after endoscopy in primary prophylaxis compared to that in secondary prophylaxis. The following keywords were used: esophageal varices, children, endoscopy, primary prophylaxis and bleeding. The quality of eligible articles was assessed using the Newcastle-Ottawa Scale and statistically analyzed using RevMan 5.4 software. Results: A total of 174 children were included from four eligible articles. All four studies were considered of high-quality based on the Newcastle-Ottawa Quality Assessment Scale. Patients who received primary prophylaxis had 79% lower odds of bleeding than those who received secondary prophylaxis (odds ratio, 0.21; 95% confidence interval [CI], 0.07-0.66; I²=0%, p=0.008). Patients in the primary prophylaxis group underwent fewer endoscopic procedures to eradicate varices than those in the secondary prophylaxis group, with a mean difference of 1.73 (95% CI, 0.91-2.56; I²=62%, p<0.0001). Conclusion: Children with high-risk varices who underwent primary prophylaxis were less likely to experience future bleeding episodes and required fewer endoscopic procedures to eradicate the varices than children who underwent secondary prophylaxis.

• 한국환경보건학회지
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• 제44권3호
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• pp.283-292
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• 2018

Objectives: This study was conducted to identify hazardous factors that reflect the characteristics of the academy and to provide basic data of environmental safety standard. Methods: Heavy metals, volatile organic compounds, formaldehyde, pesticides and phthalates were measured in 20 academies, which were supplementary, music, art and physical education institutes. Results: In case of heavy metals, the 12 locations were detected for lead (Pb) over the standard value, and 15 locations were exceeded for the total heavy metal. In six locations, the concentrations of volatile organic compounds were exceeded the standard value of $400{\mu}g/m^3$, and two locations for formaldehyde were exceeded the standard value of $100{\mu}g/m^3$. The most commonly detected agents in the air dust were chlorpyrifos and diazinon. The concentrations of DEHP, DINP, and DBP were detected and exceeded in several academies, The risk assessment results showed that HCHO as carcinogen had a safety level of 10-7 to 10-6, and DEHP and DINP as non-carcinogens had a safety level as assessed to be under than 0.1. Conclusions: Through the investigation of long-term environmental and health effects related laws on academies, indoor air quality management might be needed because there were cases of exceeding standard.

• 한국재난정보학회 논문집
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• 제20권1호
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• pp.93-105
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• 2024

연구목적: 사업장 주변에 배출되는 화학물질의 양을 선정하여 대기확산 프로그램으로 농도를 예측하여 인근 주민들에게 영향을 정량적으로 파악하는 것을 목적으로 하였다. 연구방법: 연구물질의 선정은 반감기, 독성, 이용 가능한 측정소 자료의 유무를 고려하였다. 또한 연구대상물질에서 배출되는 지역을 연구대상 지역으로 선정하였으며, 유동인구가 있는 4개 지역을 선정하여 건강위해성을 평가하였다. 연구결과: AERMOD를 구동하기 위하여 지형 및 기상 처리를 실시 후 예측 농도를 구하였다. 위해성 평가 결과 어린이에서만 디클로로메탄이 초과되는 것으로 나타났으나, 테트라클로로에틸렌과 클로로포름은 어린이와 성인 모두 무시할 수 없는 수준으로 나타났다. 결론: 현재 국내 건강위해성평가는 "환경보건법"의 규정에 따라 위해지수가 일정 기준을 초과할 경우 위해성이 있는 것으로 간주된다. 향후 화학물질배출계획서 대상물질이 2030년에는 415종으로 확대되어 사업장에서 효율적인 관리가 필요함을 시사한다. 위해성 평가에서 위해성지수를 초과하는 경우 대기확산 모델링을 통해 배경농도와 예측농도를 고려하여 우선순위를 부여함으로써 화학물질 관리를 효과적으로 수행할 수 있을 것으로 판단된다.

• 한국환경보건학회지
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• 제47권1호
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• pp.1-19
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• 2021

Objectives: Phthalates, which are widely used as plasticizers, have been recognized as endocrine disruptors. In the present study, we provided information on the regulation of these chemicals and summarized the information available on their detection and toxicity in children's products and those of their alternatives. Methods: The regulatory frameworks related to phthalates in children's products in Korea, the United States (US), and the European Union (EU) were compared. Data on the detection concentration of 16 phthalates and seven phthalate alternatives that could be used in polyvinyl chloride (PVC) plastic products for children as well as on their toxicity classification and endocrine disruption toxicity were collected from the literature. Results: Korea adopted US and EU chemical standards for six phthalates (DEHP, BBP, DBP, DINP, DIDP, and DNOP), but not others (e.g., DIBP, DPP, DHP, and DCHP). Among the ten phthalates and seven substitutes for which regulatory standards were not determined, DIBP, DHP, DEHA, DIBA, DINA, and DEHT were detected in children's products made from PVC plastic. DIBP and DHP, which have a reproductive toxicity classification of 1B, were frequently detected in PVC toys. The reproductive toxicity, estrogenicity, and anti-androgenic activity of the unregulated phthalates and their alternatives have been reported in diverse in vitro and in vivo assays. Conclusion: The use of unregulated phthalates and their substitutes in children's products is increasing. Further monitoring and toxicological information on phthalate alternatives is required to develop proper management plans.

• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.267-275
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• 2012

Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks. Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report. Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics. Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

• 정신신체의학
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• 제27권1호
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• pp.13-24
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• 2019

연구목적 코호트 연구의 목적은 국내 아동청소년 성폭력 피해자 코호트 시스템 구축과 피해자들의 정신건강에 작용하는 위험요인과 보호요인을 규명하기 위함이며, 이 연구는 코호트 참여자들의 참여 당시 초기 평가 결과를 분석한 예비 결과이다. 방 법 서울 해바라기아동센터를 통해 3년 7개월간 모집한 19세 이하의 65명 아동청소년 성폭력 피해자 및 그 가족들의 인구학적, 성폭력 관련 요인 및 정신심리학적 상태와 정신건강학적 진단을 평가하여 초기자료를 분석하였다. 결 과 초기 평가 자료의 예비 분석 결과는 다음과 같다. 여성 대상자 56명, 대상자 평균나이 12.4세(SD=4.4), 성폭력 추행 71.8%, 친족 및 지인 가해자 87.1% 였고, 피해자의 61.5%가 성폭력 피해와 관련된 정신의학적 진단을 받았으며 이중 외상 후 스트레스 장애가 29.2%, 우울장애가 23.1%로 나타났다. 피해 이후 발고까지 걸린 기간은 평균 1.5년이었다. IES-R-K, TSCYC 외상 후 스트레스장애-회피 항목과 CBCL의 총문제행동 항목이 임상적으로 유의하게 증가한 결과를 나타내었다. 결 론 아동청소년 성폭력 피해자는 정신건강학적 문제가 발생할 위험성이 높은 경향을 가지고 있다. 코호트 연구는 국내 성폭력 피해자들의 정신건강에 영향을 미치는 위험요인과 보호요인을 확인하고 예측모형을 설립할 수 있을 것이다.

• 한국치위생학회지
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• 제20권3호
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• pp.257-268
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• 2020

Objectives: This purpose of this study was to examine the trends in interventional research and analyze the contents and results of intervention through a systematic literature review of the domestic research literature, suggesting the effect of an oral care program on elementary school students. Methods: A total of 262 articles were retrieved initially, and the duplicate articles were then removed, excluded after screening titles, abstracts, and full-text articles. Finally, a total of 16 papers were used in the review. Results: The study included 9 articles with the nonequivalent control group pretest-posttest design and 7 with the one-group pretest-posttest design. All articles were of non-randomized studies. The most common index of the interventional effect was dental plaque. Further, oral health behaviors and knowledge, perception, self-efficacy, and DMFT index were common indices. In the quality assessment, in the "blinding of outcome assessment" among six items of ROBANS, 12 studies showed a high risk of bias. Conclusions: In order to develop an interventional oral health care program for elementary school students and evaluate the effectiveness, a strict research design and qualitative improvement of research reports are required, and continuous research should be conducted to develop a systematic protocol.