• Journal of Preventive Medicine and Public Health
• /
• v.33 no.4
• /
• pp.459-468
• /
• 2000

Objectives : To investigate the association between BMI and Mortality. Methods : This study was based on the analysis and assembly of the 'Kangwha Cohort Study', previously conducted by the Department of Preventive Medicine, Yonsei University. A total of 2,696 males and 3,595 females were followed for almost ten years and ten months from March 1985 to January 1996, a total of whom 2,420 died during this period. The Cox's proportional hazards regression model was used to analyze this data. Results : We found a U-shaped relationship between BMI and mortality among the aged men in the Kangwha cohort. The hazard ratio of dying was adjusted for age, marital status, occupation, self cognitive health level, chronic disease, smoking, and alcohol frequency, then sorted by body mass index into the following groups; less than 10.5, 18.5 to less than 21.0, 21.0 to less than 23.5, 23.5 to less than 26.0 and greater than or equal to 26. The corresponding ratios for men were 1.81(1.50-2.19, 95%CI), 1.31(1.14-1.51, 95%CI), 1.0(referent), 1.05(0.87-1.26, 95%CI) and 1.39(1.09-1.76, 95%CI), respectively. And for women, 1.46(1.19-1.78), 1.12(0.95-1.31, 95%CI), 1.0(referent), 1.00(0.84-1.20, 95%CI) and 1.09(0.89-1.34, 95%CI), respectively. Conclusions : The risk of death among aged men in Kangwha increased in the under and overweight groups. The relationship between BMl and mortality has been well studied in Western populations, but little is known about the association between BMI and mortality in our country. So, on the basis of this study, it is apparent that more studies of the relationship between BMI and mortality will be needed for future work.

• Journal of Food Hygiene and Safety
• /
• v.29 no.1
• /
• pp.6-15
• /
• 2014

This study was performed to acquire the information on the foodborne pathogen risk management programs in a couple of developed countries by the expert meeting and searching the information on the web. The backgrounds, strategies and effects related to microbial hazards of the foodborne pathogen reduction programs in fresh produce (US), Escherichia coli O157:H7 in ground beef (US), Salmonella in chicken, pork and eggs (Denmark), and Vibrio parahaemolyticus in seafood (Japan) were investigated for case study. A comparison among the pathogen reduction programs was conducted to find advantages and disadvantages and implications of the policies to bring out implications of the programs. A model for foodborne pathogen reduction program was developed based on both the CODEX risk management scheme and the case studies as follows; 1) preliminary risk management activities, 2) planing a foodborne pathogen reduction program, 3) option identification and selection, 4) implementation (conducting the each stake-holders role and applying the intervention methods), 5) monitoring activities, 6) interim review, 7) continuation or amendment of implementation method by the interim review before achieving the goal, and 8) final review and additional cost-benefit analysis if necessary. This proposed model according to the role of the stake-holders can be used to conduct microbial risk management programs in Korea in the near future.

• Journal of Food Hygiene and Safety
• /
• v.32 no.2
• /
• pp.135-140
• /
• 2017

The aim of this study was to investigate the distribution of genes that encode multi-drug efflux pumps and virulence factors in Enterococcus faecalis isolated from retail meat and antibiotic resistance patterns of these strains. Of the 277 retail meat samples, 93 Enterococcus faecalis were isolated. The strains exhibited resistance to ampicillin (35.5%), chloramphenicol (6.4%), ciprofloxacin (4.3%), erythromycin (18.3%), levofloxacin (0%), quinupristin-dalfopristin (76.3%), tetracycline (45.2%), teicoplanin (0%) and vancomycin (0%). The strains were positive for MFS type eme(A) (100%), ABC type efr(A) (100%), ABC type efr(B) (98.9%) and ABC type lsa (91.4%) efflux pump gene. The strains were positive for gelE (68.8%), ace (90.3%), asa1 (47.3%), efaA (91.4%) and esp (12.9%) virulence gene. This research will help to assess the hazards associated with the occurrence of drug resistance among enterococci from retail meat. Therefore, it is necessary to monitor enterococcus spp. isolated from retail meat continuously.

• Korean journal of food and cookery science
• /
• v.19 no.4
• /
• pp.454-462
• /
• 2003

Recently, the HACCP(Hazard Analysis Critical Control Point) system has been emphasized in food processing industries throughout the world. However, the system has, as yet, not been applied very well to domestic food industries. Due to the increase in the consumption of bakery products, more studies are required on the application of HACCP to establish the system in small-scale bakeries. This study was designed to provide basic data for setting management standards for HACCP, based on microbiological hazard evaluations of bakery products. Red bean paste filled breads, custard cream filled breads and cakes covered with fresh whipping cream were collected, and microbiological evaluations conducted on the raw materials, the manufacturing processes and potential hazards. The result showed the presence of coliforms in fresh cream of cakes and the soybean paste of soybean paste breads at levels as high as 105 CFU/g on the hazard analysis of the raw materials. Moreover, the general levels of bacteria and coliforms were over those of the standards during the intermediate fermentation and molding processes. Furthermore, high levels of coliforms were detected on the hands of the salesmen and bakers themselves. This suggests that the CCPs (Critical Control Points), such as fresh cream and red bean paste manufacturing process desperately require better management. There is also a requirement for education relating to personal hygiene for the production of hygienic bakery products and for the publics health.

• Journal of Advanced Navigation Technology
• /
• v.22 no.4
• /
• pp.279-287
• /
• 2018

Flight tests for aircraft development and certification have higher air accidents risk than other aerospace industries. Accordingly risk identification necessary for risk management in the safety management system is a very important factor in preventing similar air accidents during flight tests. But internationally issued accident statistics are usually confined to commercial transport aircraft and they do not reflect characteristics of flight tests, also databases to hazards identification during flight tests are not established or available in Republic of Korea. Therefore, we identified flight test procedures and traced the major causes of aviation accidents based on the statistics and preventive materials for risk management which were issued by international organizations and advanced countries of aviation. A total of 312 final reports classified as flight test among air accident/incident database held by U.S. NTSB were researched and about 200 flight test hazard were identified. The results of this study will be used as basic data for establishing the safety management system of the national comprehensive flight performance test site.

• Journal of Korean Neurosurgical Society
• /
• v.30 no.sup2
• /
• pp.221-227
• /
• 2001

Objective : The therapeutic impact of tumor resection in glioblastomas is poorly defined and still questionable. Therefore, we conducted the current study to verify the role of tumor resection in the treatment of these highly malignant tumors. Methods : A retrospective study was performed(1990-1999) to compare the treatment results of surgical resection plus radiotherapy(130 patients) with those of stereotactic biopsy plus radiotherapy(19 patients) in glioblastomas. Only adult patients with supratentorial, de novo glioblastoma located in one lobe were included. Survival time/rate was analysed with Kaplan-Meier method, and prognostic variables were obtained from the univariate log-rank test and the multivariate Cox's proportional hazards model. Results : The resection group and the biopsy group did not differ in terms of age, gender, duration of symptoms, presenting symptoms, tumor location, tumor side, tumor size, and the frequency of midline shift. Patients in the biopsy group more often were found to have worse preoperative Karnofsky performance status(KPS)(p=0.001). On univariate analysis, age, KPS, and tumor side were associated with survival(p=0.0053, 0.0001, and 0.0331 respectively). Median survival time and 1-year survival rate were also statistically improved by tumor resection ; resection group - 13 months and 61.2%, and biopsy group - 8 months and 19.7%, respectively(p=0.0001). In patients with midline shift of the tumor, resection was highly effective comparing to biopsy(p=0.0001), but in patients without midline shift, external beam radiation alone was as effective as tumor resection(p=0.0605). Other prognostic variables did not affect survival. On multivariate analysis after variable selection, survival was independently associated with KPS(p=0.001), but not the surgical resection(p=0.2837). Even in biopsy group with midline shift of the tumor, survival rate was not different from that seen after tumor resection(p=0.3505). Conclusions : Radiotherapy alone was as effective as tumor resection plus radiotherapy in patients without midline shift of the tumor. Although there was not statistically significant, tumor resection looked like effective in patients with midline shift. For supratentorial, lobar glioblastoma patients without mass effect of the tumor, biopsy with radiotherapy is one of rational treatment strategies. We consider that tumor resection should be performed in patients with pretreatment midline shift.

• The Journal of the Korea Contents Association
• /
• v.9 no.9
• /
• pp.259-267
• /
• 2009

This study intends to figure out the variables affecting the degree of female undergraduates' perceived risk of smoking and utilize them as foundational data for educating them to quit smoking. Thereupon, it conducted a self-administered survey from May 18 till 25 of 2009 to 231 female undergraduates attending S University located in Gyeonggi-do. The study tool contains 19 items of general characteristics and 8 of the degree of perceived risk of smoking. The data collected were analyzed by SPSS program, and the following results were gained. 1. According to the result on the degree of female undergraduates' perceived risk of smoking, the degree was shown high as the average was 4.32 among the perfect score of 5; thus, the degree of perceived risk of smoking was high. 2. In terms of the household economic level, female undergraduates with the lower economic level indicated the higher degree of perceived risk of smoking. There existed significant difference by their economic level (F=7.14, p<.01). 3. In regard of whether the female undergraduate smokes or not, the non-smoker perceives the degree of risk of smoking more highly than the smoker does; there is significant difference by whether they smoke or not (t=-2.43, p<.05). 4. About the number of friends who smoke, female undergraduates with one smoking friend show the highest degree of perceived risk of smoking. Those haying three or more smoking friends indicate the low degree of perceived risk of smoking. There exists significant difference by the number of smoking friends they have (F=3.14, p<.05). 5. According to the degree of perceived risk of smoking by their school life satisfaction, the female undergraduates expressing 'dissatisfaction' show the highest degree of perceived risk of smoking while 'satisfaction' indicates the average level. This was statistically significant difference (F=4.81, p<.01). Therefore, it is thought that it will be necessary to develop programs based on this research which can allow female undergraduates to team the importance of quitting smoking and actively participate in the education for it.

• Journal of Science and Technology Studies
• /
• v.2 no.1 s.3
• /
• pp.107-134
• /
• 2002

Recently, society's relationship with science is in a critical phase. There was never a time when the issues involving science were more exciting. Many people are deeply uneasy about the safety and ethics of bio-technology. On the other hand, this could be interpreted as a dynamic process in which a new relationship between science and public is reshaping. And in this new relationship citizen participation in science is not a option but a necessity. This article is a case study of 1970's re-combinant DNA debate. Early 1970's bio-technology saw the emergence of an enormously powerful new methodology, recombinant DNA technology. But, at the outset, this technology posed many potential dangers. Concern over possible hazards prompted hot debates and conflict between leading scientists and community, In this process Cambridge Laboratory Experiment Lion Review Board (CERB) is organized by Cambridge City Coun il for assessing the possible risk of recombinant DAN technique. This is one of the first citizen-initiated participation movement in bio-technology. And the debates has come to be a principal focus for many of the most important questions concerning citizen participation in science. This study make a attempt to analyze CERB case. In conclusion, we can confirm the possibility of civil participation in science policy making and decision making from CERB case study. Still, we also realize the limit of CERB case.

• Gut and Liver
• /
• v.12 no.6
• /
• pp.728-735
• /
• 2018

Background/Aims: The combination of nab-paclitaxel and gemcitabine (nab-P/Gem) is widely used for treating metastatic pancreatic cancer (MPC). We aimed to evaluate the therapeutic outcomes and prognostic role of treatment-related peripheral neuropathy in patients with MPC treated with nab-P/Gem in clinical practice. Methods: MPC patients treated with nab-P/Gem as the first-line chemotherapy were included. All 88 Korean patients underwent at least two cycles of nab-P/Gem combination chemotherapy (125 and $1,000mg/m^2$, respectively). Treatment-related adverse events were monitored through periodic follow-ups. Overall survival and progression-free survival were estimated by the Kaplan-Meier method, and the Cox proportional hazards regression linear model was applied to assess prognostic factors. To evaluate the prognostic value of treatment-related peripheral neuropathy, the landmark point analysis was used. Results: Patients underwent a mean of $6.7{\pm}4.2$ cycles during $6.3{\pm}4.4$ months. The median overall survival and progression-free survival rates were 14.2 months (95% confidence interval [CI], 11.8 to 20.3 months) and 8.4 months (95% CI, 7.1 to 13.2 months), respectively. The disease control rate was 84.1%; a partial response and stable disease were achieved in 30 (34.1%) and 44 (50.0%) patients, respectively. Treatment-related peripheral neuropathy developed in 52 patients (59.1%), and 13 (14.8%) and 16 (18.2%) patients experienced grades 2 and 3 neuropathy, respectively. In the landmark model, at 6 months, treatment-related peripheral neuropathy did not have a significant correlation with survival (p=0.089). Conclusions: Nab-P/Gem is a reasonable choice for treating MPC, as it shows a considerable disease control rate while the treatment-related peripheral neuropathy was tolerable. The prognostic role of treatment-related neuropathy was limited.

• Journal of Radiation Industry
• /
• v.7 no.2_3
• /
• pp.155-159
• /
• 2013

Late effects of chronic exposure to gamma radiation are potential hazards to worker in radiation facilities as well as to the general public. Recently, chronic gamma radiation exposure effects have become a serious concern. Using a total of 60 mice, we studied the biological effects of medium-dose chronic exposure to gamma radiation. Sixty female 6-week-old specific pathogen free Balb/c mice were randomly divided into six groups (five groups irradiated and one non-irradiated control group). Irradiation was carried out for 7 days using gamma rays at dose rates of 119.65, 238.10, 357.14, 476.19 and $595.24mGy\;h^{-1}$ with total doses 20, 40, 60, 80 and 100 Gy. After irradiation, we determined survival rate of gamma radiation exposed mice during 1 week and 476.19 and $595.24mGy\;h^{-1}$ exposed group mice showed less 10% of survival rate. Otherwise, 119.65, 238.10 and $357.14mGy\;h^{-1}$ exposed group mice were survived each 100%, 80% and 70%. Half of survived mice after 1 week are immediately sacrifice and counted body and spleen weights. Compared with control non-irradiated group, total body weights and spleen weights isolated from 119.65, 238.10 and 357.14 irradiated group mice showed significant decreased. However, no significant alteration was observed between 119.65, 238.10 and $357.14mGy\;h^{-1}$ irradiated group. Overall, our results show for the first time that medium-dose chronic gamma radiation has the potential to stimulation of biological effects.