• Journal of Preventive Medicine and Public Health
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• 제30권2호
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• pp.279-292
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• 1997

The vaccinations of susceptible children and postpubertal females are the major means to prevent congenital rubella syndrome(CRS). Another means for reducing the CRS is therapeutic abortion or fetal monitoring for women who are infected in the first four months of pregnancy. We could not estimate the incidence of CRS in Korea, because there was no surveillance system for rubella and CRS. Nationwide vaccination program for 15months infant had been started early 1980s. So, most women at childbearing age during study period were not received rubella vaccination. We set forth CRS management system for pregnant women in two rural county of Kyonggi province, Korea. In this system, the presence of rubella IgG and IgM antibodies for early pregnant women were examined with MEIA(Microparticle Enzyme Immunoassay) method by IMx automated analyzer $Abbott^(R)$. The infected pregnant women followed up in order to confirm their childrens CRS. This study was carried out from Mu. 1993 to Jun. 1994, and pregnant women examined were 874 persons. The results were summarized as follows. The overall positive .ate of rubella IgG antibody was 94.5%(826/874). The positive rate was significantly increase as the age increased, and reached 100% in pregnant women who were over 35 years old. This results suggest that a meaningful number of women are infected during childbearing years. The geometric mean titer of IgG of sero-positive subjects was significantly declined as the age increased. On the question about history of URI symptoms and rash in pregnancy, 20.7% of respondents checked on URI symptoms with .ash, 13.5% only URI symptoms without .ash, and 65.8% no symptoms. However there was no demonstrable association between the rubella like infection history in pregnancy and the rubella IgG and IgM antibody status. Rubella infection .ate in pregnant women was 0.9%(95% CI 0.4-1.8%). Two of these 8 infected pregnancies were terminated by therapeutic abortion. One of them was not followed. Five babies had no gross anomalies at birth. In Dec. 1996, three of five babies were normal appeared infants. Two of them were not followed. Throughout this study results, we confirmed the need of CRS management system for pregnant women, in Korea.

• 한국임상약학회지
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• 제12권2호
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• pp.71-75
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• 2002

This study was carried out to compare the bioavailability of $Ceclex^{(R)}$ (test drug, cefaclor 250 mg/capsule) with that of $Ceclor^{(R)}$ (reference drug) and to estimate the pharmacokinetic parameters of cefaclor in healthy Korean adult. The bioavailability was examined on 20 healthy volunteers who received a single dose (250 mg) of each drug in the fasting state in a randomized balanced 2-way crossover design. After dosing, blood samples were collected for a period of 6hours. Plasma concentrations of cefaclor were determined using HPLC with UV detection. The pharmacokinetic parameters $(AUC_{0-6hr},\;C_{max},\;T_{max},\;AUC_{int},\;K_e,\;t_{1/2},\;Vd)$ F, and CL/F) were calculated with non-compartmental pharmacokinetic analysis. The ANOVA test was utilized for the statistical analysis of the $T_{max},\;log-transformed\;AUC_{0-6hr}\;log-transformed\;C_{max},\;t_{l/2},\;V_d/F$, and CL/F. The ratios of geometric means of AUC0-6hr and $C_{max}$ between test drug and reference drug were $103.2\%\;(6.74\;{\mu}g{\cdot}hr/ml\;vs\;6.53{\pm}g{\cdot}hr/ml)\;and\;100.4\%\;(4.85\;{\mu}g\ml\;vs\;4.82\;{\mu}g/ml)$, respectively. The $T_{max}$ of test drug and reference drug were $0.9\pm0.38\;hr\;and\;0.83\pm0.34$ hrs, respectively. The $90\%$ confidence intervals of mean difference of logarithmic transformed $AUC_{0-6h},\;and\;C_{max}$ were log $0.98{\sim}log$ 1.08 and log $0.88{\sim}log1.15$, respectively. It shows that the bioavailability of test drug is equivalent with that of reference drug. The estimated half-life of this study was longer $(1.21\pm0.27\;hrs\;vs\;0.5-1\;hr)$, the Vd/F was larger $(68.89\pm25.72L$ vs 24.9L), and the CL/F was higher $(38.62\pm7.09\;L/hr$ vs 24.9 L/hr) than the previously reported values.

• 한국환경보건학회지
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• 제34권4호
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• pp.271-278
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• 2008

Dialkylated phthalates have been commonly used as plasticizers and a variety of applications. Phthalate diesters have been shown to be developmental and reproductive toxicants. It is very difficult to exactly estimate the dose of dialkylated phthalates taken up by the general population because of environmental contamination. Urinary metabolites of phthalates enabled to estimate internal exposure. The objective of this study was quantitative determination of phthalate metabolites by LC/MS/MS with on-line cleanup method to analyze phthalate metabolites in Korean children's urine. We employed LC/MS/MS with on-line enrichment and column-switching techniques for this biological monitoring. Metabolites determined were 4 primary metabolites; MEHP, MnBP, MiBP, MEP and 2 secondary metabolites of DEHP; 5-OH-MEHP), 5-oxo-MEHP. We analyzed children's urine from 30 boys and 30 girls. The method detection limit of phthalate metabolites were 0.03 ng/mL for MEP, 1.05 ng/mL for MBP, 0.22 ng/mL for MEHP, 0.15 ng/mL for 5-OHMEHP and 0.16 ng/mL for 5-oxo-MEHP, respectively. Switching Column LC/MS/MS was proven to be a useful tool to determine metabolites of phthalate diesters in human urine. The correlation among phthalate metabolites was very high and statistically significant, except MEP. The children's age (months) was negatively correlated to the concentration of phthalate metabolites. The geometric mean concentration of phthalate metabolites (mg/g creatinine) in children's urine were 25.5 for MEP, 130.3 for MnBP, 56.8 for MiBP, 19.5 for MEHP, 85.6 for 5-OH-MEHP and 83.1 for 5-oxo-MEHP, respectively. Levels of estimated daily intake of parent phthalate compounds (${\mu}g$/kg bw/day) were 0.8 for DEP, 5.0 for DnBP, 1.9 for DiBP and $8.9{\sim}14.2$ for DEHP, respectively. Estimated daily intake for DEP and DiBP were lower than those of other studies but the value for DEHP was higher than that of other study.

• 한국산업보건학회지
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• 제28권3호
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• pp.257-266
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• 2018

Objectives: The objective of this study was to evaluate asphalt fumes and PAHs exposure among asphalt road paving workers. Methods: Task-based personal air samplings(n=41) were carried out in 3 asphalt road paving construction sites using PTFE (polytetrafluorethylene) filters for asphalt fume and XAD-2 with glass fiber filters for PAHs. The concentration of fumes and PAHs were showed by four different job(paver finisher operator, paving laborer(raker), macadam roller operator and tire roller operator). Results: The geometric mean(GM) concentration of asphalt fumes as benzene soluble aerosol was highest at paving laborers($42.32{\mu}g/m^3$), followed by in order, paver finisher operators($41.57{\mu}g/m^3$), macadam roller operators($31.9{\mu}g/m^3$), and tire roller operators($30.31{\mu}g/m^3$). The GM of total PAHs concentration was highest at paver finisher operators($37.5{\mu}g/m^3$), followed by in order, paving laborers($20.13{\mu}g/m^3$), tire roller operators($8.66{\mu}g/m^3$), and macadam roller operators($6.23{\mu}g/m^3$). The results of the evaluation of 16 compounds of PAHs showed that the concentrations of naphthalene, achenaphthylene, achenaphthene, pyrene, fluorene and benz (a) anthracene was higher than those of other PAHs compounds and as the carcinogenic substances, benzo(a)pyrene, and debenz(a,h) anthracene were detected. The benzo(a)pyrene equivalent concentration(BaPeq) was $2.81{\mu}g/m^3$ at paver finisher operators, $2.07{\mu}g/m^3$ at paving laborers, $0.41{\mu}g/m^3$ at tire roller operators and $0.22{\mu}g/m^3$ at macadam roller operators. Asphalt road paving workers have higher benzo(a)pyrene equivalent(BaPeq) values even though at lower total PAHs concentration than workers in steel pipe coating and tar industry. Conclusions: Asphalt road paving workers were found to have risk of carcinogen exposure due to higher Benzo(a)pyrene equivalent concentration(BaPeq) than other PAHs exposure occupations. This study confirmed the carcinogenic hazards among asphalt paving workers.

• 한국산업보건학회지
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• 제28권3호
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• pp.292-303
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• 2018

Objectives: This study aims to analyze manganese (Mn) concentrations in maternal and cord bloods at delivery and to estimate the Mn exposure risk for fetuses whose mothers were occupationally exposed to Mn. Materials and Methods: Forty-six pairs of maternal and cord blood samples were collected at delivery from mothers who were occupationally unexposed to Mn. Mn concentrations of blood were analyzed by graphite furnace atomic absorption spectrometer. Mn exposure levels for fetuses of female workers were estimated by simulating two working exposure scenarios. Results: The geometric mean concentration of Mn in maternal and cord blood were $27.0(1.34){\mu}g/L$, $46.6(1.25){\mu}g/L$, respectively. Transfer ratios of Mn from maternal to cord blood were $1.81{\pm}0.62$, which indicated that the Mn concentrations in cord blood were higher than those in maternal blood. Mn concentrations in cord blood for the worse or general scenarios were estimated to $22.3-1,881{\mu}g/L$ and $1.59-308{\mu}g/L$, respectively. The probabilities of exceeding $74{\mu}g/L$, which was adopted as a reference level reported in a previous study, were 95% and 44% for the two scenarios, respectively. Conclusions: Comparable levels of Mn exposure in maternal or cord blood to those in this study have shown various health effects in previous studies. This suggests that Mn exposure levels in mothers and fetuese in Korea need to be monitored and managed. In addition, female workers who are occupationally exposed to Mn should be protected from the exposure since their fetuses can be exposed to Mn at risky levels during their pregnancy.

• Parasites, Hosts and Diseases
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• 제58권4호
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• pp.421-430
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• 2020

This study aimed to investigate whether mass drug administration (MDA) intervention has an equivalent effect on reducing the prevalence and intensity of Schistosoma haematobium infection regardless of the baseline values. A repeated cross-sectional survey was performed targeting students of 12 primary schools in Al Jabalain and El Salam districts of White Nile State, Sudan, at both 1 week before and 8 months after the MDA. Prior to the baseline survey, schoolaged children in Al Jabalain had received MDA interventions twice in 4 years, while those in El Salam had not. The baseline prevalence was 9.1% in Al Jabalain and 35.2% in El Salam, which were reduced to 1.8% and 5.5% at 8 months after the MDA, respectively. The corresponding reduction rates were 80.3% and 84.4%, not significant difference between both districts. However, changes in the geometric mean intensity (GMI) of egg counts were significantly different between both districts. The baseline GMIs were 14.5 eggs per 10 ml of urine (EP10) in Al Jabalain and 18.5 EP10 in El Salam, which were reduced to 7.1 and 11.2 EP10 after treatment, respectively. The corresponding reduction rates were 51.0% and 39.5%. In conclusion, MDA interventions were found to bring about similar relative reduction in prevalence regardless of the baseline value; however, the relative reduction in infection intensity was more salient in the district with a low baseline value for both prevalence and intensity. This clearly points to the importance of repeated MDA interventions in endemic areas, which will eventually contribute to schistosomiasis elimination.

• 한국ITS학회 논문지
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• 제14권1호
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• pp.85-93
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• 2015

기존의 교통사고모형은 수집된 데이터에 대한 추정된 모수가 고정되어있다고 가정하여 교통량이나 기하구조의 길이와 폭 등은 설치형태와 관계없이 동일한 값을 적용하는 고정효과모형을 이용하여 개발하였다. 하지만 고정효과를 이용한 모형은 모형을 통해 추정된 계수의 표준오차 값이 과소 추정되거나 각 계수의 t-값이 과도하게 산정되어 모형의 설명력이 낮아지게 된다. 이를 극복하기 위하여 교통량, 기하구조, 그리고 관측되지 않은 다른 요인 등에 대한 이질성을 고려한 임의효과모형을 활용하여 모형을 개발할 수 있다. 본 연구에서는 임의효과모형의 효용성을 파악하고자 대전광역시 주요 89개 교차로를 대상으로 데이터를 수집하여 임의효과와 고정효과를 이용한 음이항 회귀모형을 개발하고 이를 비교 분석하였다. 모형개발 결과 년평균일교통량, 제한속도, 차로수, 우회전 전용차로 설치유무, 전방신호등 설치유무 등이 유효한 설명변수로 나타났으며 모형의 설명력을 비교해보면 로그-우도함수값이 임의효과에서 -1537.802로 고정효과의 로그-우도함수값 -1691.327보다 모형 설명력이 좋은 것으로 나타났으며 우도비의 경우 임의효과에서 0.279로 고정효과의 0.207보다 개선된 것으로 나타나 임의효과를 이용한 모형이 고정효과를 이용한 모형보다 우수한 것으로 나타났다.

• 한국환경보건학회지
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• 제45권5호
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• pp.541-555
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• 2019

Objectives: The aim of this study is to examine heavy metal exposure levels in the blood and urine of a nationally representative adult population in Korea, and to identify the major influence factors for exposure through linkage analysis using questionnaire data. Methods: Biological samples and questionnaire data were collected from adults aged 18 and over who had participated in the Korean National Environmental Health Survey from 2009 to 2017. Lead, mercury, and cadmium exposure levels were presented with geometric mean and 95th percentiles. Multiple regression analysis was performed to determine the factors affecting heavy metal concentrations. Results: Blood lead levels increased slightly in Cycle 2 compared to Cycle 1, but decreased in Cycle 3. Blood and urinary mercury and urinary cadmium levels decreased over time. The main influence factors included gender, age, and smoking status for blood lead levels; gender, age, and intake of fish at least once a week for blood mercury levels; and age for urinary cadmium levels. Conclusion: The Korean National Environmental Health Survey is an effective tool for confirming over-time changes in exposure to lead, mercury, and cadmium in Korean adults and to identify its influence factors. The results of this study are expected to present basic data for calculating reference values and baseline exposure levels for environmental chemicals in Korean adults.

• Safety and Health at Work
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• 제1권1호
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• pp.51-60
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• 2010

Objectives: The level of benzene exposure in the petrochemical industry during regular operation has been well established, but not in turnaround (TA), where high exposure may occur. In this study, the characteristics of occupational exposure to benzene during TA in the petrochemical companies were investigated in order to determine the best management strategies and improve the working environment. This was accomplished by evaluating the exposure level for the workers working in environments where benzene was being produced or used as an ingredient during the unit process. Methods: From 2003 to 2008, a total of 705 workers in three petrochemical companies in Korea were studied. Long- and short-term (< 1 hr) samples were taken during TAs. TA was classified into three stages: shut-down, maintenance and start-up. All works were classified into 12 occupation categories. Results: The long-term geometric mean (GM) benzene exposure level was 0.025 (5.82) ppm (0.005-42.120 ppm) and the short-term exposure concentration during TA was 0.020 (17.42) ppm (0.005-61.855 ppm). The proportions of TA samples exceeding the time-weighted average, occupational exposure level (TWA-OEL in Korea, 1 ppm) and the short-term exposure limit (STEL-OEL, 5 ppm) were 4.1% (20 samples of 488) and 6.0% (13 samples of 217), respectively. The results for the benzene exposure levels and the rates of exceeding the OEL were both statistically significant (p < 0.05). Among the 12 job categories of petrochemical workers, mechanical engineers, plumbers, welders, fieldman and scaffolding workers exhibited long-term samples that exceeded the OEL of benzene, and the rate of exceeding the OEL was statistically significant for the first two occupations (p < 0.05). Conclusion: These findings suggest that the periodic work environment must be assessed during non-routine works such as TA.

• 한국산업보건학회지
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• 제29권1호
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• pp.34-41
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• 2019

Objective: This study is conducted to evaluate airborne lead concentration in and around lead production plant. Methods: Airborne lead concentration was monitored simultaneously inside of the processes of lead recycling factory and outside of factory which include stack, boundary of factory and residential area 1 km and 7.5 km from factory, respectively. All samples were measured three times at 1.5 m from the ground and analyzed using inductively coupled plasma mass spectrometer, inductively coupled plasma optical emission spectrometer or flame atomic absorption spectrometer. Results: All airborne lead concentrations measured inside of factory($13.9{\mu}g/m^3-252.9{\mu}g/m^3$) and outside of factory($0.001{\mu}g/m^3-54.97{\mu}g/m^3$) showed log-normal distribution. Geometric mean lead concentration, $54.81{\mu}g/m^3$, measured inside of factory was significantly higher than outside of factory, $0.20{\mu}g/m^3$(p<0.01). Among the samples measured inside the factory, lead concentration was the highest in the refining process($59.02{\mu}g/m^3-252.9{\mu}g/m^3$). In the case of the samples outside the factory, the nearest chimney was the highest($3.84{\mu}g/m^3-54.97{\mu}g/m^3$), and the lead concentration at the farthest place, 7.5 km from the factory was the lowest($0.001{\mu}g/m^3-1.7{\mu}g/m^3$). The arithmetic lead concentration, $0.45{\mu}g/m^3$ in the residential area near the factory was below the atmospheric environment standard of $0.5{\mu}g/m^3$, but the maximum concentration of $3.4{\mu}g/m^3$ was exceeded. Conclusions: Airborne lead concentration in residential area, 1 km away from lead recycling plant, may exceed ambient air standard of $0.5{\mu}g/m^3$.