• Nutrition Research and Practice
• /
• v.14 no.4
• /
• pp.384-400
• /
• 2020

BACKGROUND/OBJECTIVES: Dietary factors are important contributors to cardiometabolic and cancer mortality. We examined the secular trends of nine dietary factors (fruits, vegetables, whole grains, nuts and seeds, milk, red meat, processed meat, sugar-sweetened beverages, and calcium) and the associated burdens of cardiometabolic and cancer mortality in Korea using representative cross-sectional survey data from 1998 to 2016. SUBJECTS/METHODS: Using dietary data from Korean adults aged ≥ 25 years in the Korea National Health and Nutrition Examination Survey (KNHANES), we characterized secular trends in intake levels. We performed comparative risk assessment to estimate the population attributable fraction and the number of cardiometabolic and cancer deaths attributable to each dietary factor. RESULTS: A total of 231,148 cardiometabolic and cancer deaths were attributable to nine dietary risk factors in Korea from 1998 to 2016. Suboptimal intakes of fruits and whole grains were the leading contributors. Although the intakes of fruits, vegetables, and whole grains moderately improved over time, the intake levels in 2016 (192.1 g/d, 225.6 g/d, and 10.9 g/d, respectively) remained far below the optimal levels. Deaths attributable to the low intakes of nuts and seeds (4.5 g/d), calcium (440.5 mg/d), and milk (37.1 g/d) and the high intakes of red meat (54.7 g/d), processed meat (4.7 g/d), and sugar-sweetened beverages (33.0 g/d) increased since 1998. Compared with older age groups (≥ 45 years), more unfavorable changes in dietary patterns were observed in the younger population aged 25-44 years, including more sharply increased intakes of processed meat. CONCLUSIONS: We observed improvement in the intakes of fruits, vegetables, and whole grains and unfavorable changes in the intakes of processed meat and sugar-sweetened beverages over the past few decades. Our data suggest that to reduce the chronic disease burden in Korea, more effective nutritional policies and interventions are needed to target these dietary risk factors.

• Journal of Korean Society of Occupational and Environmental Hygiene
• /
• v.6 no.1
• /
• pp.1-16
• /
• 1996

This study was conducted at an automobile assembly line located in Kyonggi-do, Korea from January 16 to February 28, 1995. The purposes of this study were to assess worker exposures to hand-arm vibration and the performance of gloves for reduction of vibration. The exposure to vibration was measured using to the ISO 5349(1986) method. Vibration acceleration and frequency spectra for each tool were determined on-line replicating actual working conditions and analyzed together with exposure time for evaluating individual worker exposure. Eight pneumatic hand tools, 60 workers exposured to hand-arm vibration, and three pairs of gloves were involved in this study. Results are summarized as follows. 1. Dominant frequencies of vibration for all tools(n=8) measured in this study ranged from 250 Hz to 800 Hz. 2. There was no significant correleration between dominant frequencies and free running speed (p>0.05). 3. Total predicted exposure times of using impact, hammer type did not exceed 40 minutes, but metal finish task, using grinder and sander exceeded 40 minutes. Total exposure time affected significantly the frequency-weighted, 4 hr equivalent acceleration. 4. Predicted prevalence and observed exposure period data were compared in workers(n=60), according to ISO 5349. In this results, 23(50.0 %) and 24(48.07 %) persons exceeded the mean latency periods for vibration-induced white finger(VWF) at 10 % (n=46) and 50 % (n=52) standards, respectively. On the basis of ISO equation, mean latent periods for VWF were 3.23, 4.72 years at 10 %, 50 % standards, respectively. 5. Reduction of vibration by gloves was evaluated. Since impact pneumatic tools produced low frequency vibrations, conventional gloves did not provide any protection. Gloves A and C amplify somewhat the signal at frequency below 400 Hz; the attenuation increases progressively by frequency to reach 18 dB ($7.94{\times}10^{-6}m/s^2$) at 1,000 Hz, slightly worsening Glove B did not provide any protection and made the situation slightly worse. However, since they make the hands warm, the occurrence of vibration-induced white fingers may be reduced.

• Korean Journal of Environmental Biology
• /
• v.41 no.3
• /
• pp.256-265
• /
• 2023

Chlorothalonil is continuously introduced into the marine environment and has significant toxic effects on various marine organisms, however, research on its effect on seaweed is limited. Therefore, we analyzed the impact of chlorothalonil on the early life stages of major aquaculture species in Korea, Undaria pinnatifida. U. pinnatifida female gametophytes were exposed to different concentrations of chlorothalonil (0, 0.03, 0.05, 0.10, 0.20, and 0.40 mg L^-1), and their survival rate and relative growth rate were analyzed. The no observed effect concentration (NOEC), lowest observed effect concentration (LOEC), and median lethal concentration (LC50) for female gametophyte survival were determined as 0.05, 0.10, and 0.141(0.121-0.166)mg L^-1. NOEC, LOEC, and median effective concentration (EC50) for relative growth rate were 0.10, 0.20, and 0.124 (0.119-0.131) mg L^-1. Therefore, female gametophytes of U. pinnatifida are expected to experience toxic effects at concentrations above 0.05-0.10 mg L^-1 of chlorothalonil. These research findings are anticipated to serve as crucial reference data for evaluating the effects of chlorothalonil on the health of U. pinnatifida in the early life stages.

• Korean Chemical Engineering Research
• /
• v.56 no.4
• /
• pp.479-495
• /
• 2018

This study was carried out to research the multimedia fate modeling, concentration distribution and impact assessment of polycyclic aromatic hydrocarbons (PAHs) emitted from automobiles, which are known as carcinogenic and mutation chemicals. The amount of emissions of PAHs was determined based on the census data of automobiles at a target S-city and emission factors of PAHs, where multimedia fugacity modeling was conducted by the restriction of PAHs transfer between air-soil at the impervious area. PAHs' Concentrations and their distributions at several environmental media were predicted by multimedia fugacity model (level III). The residual amounts and the distributions of PAHs through mass transfer of PAHs between environment media were used to assess the health risk of PAHs at unsteady state (level IV), where the sensitivity analyses of the model parameter of each variable were conducted based on Monte Carlo simulation. The experimental result at S-city showed that Fluoranthene among PAHs substances are the highest residual concentrations (60%, 53%, 32% and 34%) at all mediums (atmospheric, water, soil, sediment), respectively, where most of the PAHs were highly accumulated in the sediment media (more than 80%). A result of PAHs concentration changes in S-city over the past 34 years identified that PAHs emissions from all environmental media increased from 1983 to 2005 and decreased until 2016, where the emission of heavy-duty vehicle including truck revealed the largest contribution to the automotive emissions of PAHs at all environment media. The PAHs concentrations in soil and water for the last 34 years showed the less value than the legal standards of PAHs, but the PAHs in air exceeded the air quality standards from 1996 to 2016. The result of this study is expected to contribute the effective management and monitoring of toxic chemicals of PAHs at various environment media of Metropolitan city.

• Journal of Environmental Impact Assessment
• /
• v.25 no.5
• /
• pp.345-356
• /
• 2016

In this study, auto-calibration method for water quality model was compared and analyzed using QUAL2Kw, which can estimate the optimum parameters through the integration of genetic algorithm and QUAL2K. The QUAL2Kw was applied to the Sum River which is greatly affected by the pollution loads of Wonju city. Two auto-calibration methods were examined: single parameter application for the whole river reach and separate parameter application for each reach of multiple reaches. The analysis about CV(RMSE) and fitness of the GA show that the separate parameter auto-calibration method is better than the single parameter method in the degree of precision. Thus the separate parameter auto-calibration method is applied to the water quality modelling of this study. The calibrated QUAL2Kw was used for the three scenarios for the water quality management of the Sum River, and the water quality impact on the river was analyzed. In scenario 1, which improve the effluent water quality of Wonju WWTP, BOD and TP concentrations of the Sum River 4-1 station which is representative one of Mid-Watershed, are decreased 17.7% and 29.1%, respectively. And immediately after joining the Wonjucheon, BOD and TP concentrations are decreased 50.4% and 40.5%, respectively. In scenario 2, Wonju water supply intake is closed and multi-regional water supply, which come from other watershed except the Sum River, is provided. The Sum River water quality in scenario 2 is slightly improved as the flow of the river is increased. Immediately after joining the Wonjucheon, BOD and TP concentrations are decreased 0.18mg/L and 0.0063mg/L, respectively. In scenario 3, the water quality management alternatives of scenario 1 and 2 are planned simultaneously, the Sum River water quality is slightly more improved than scenario 1. Water quality prediction of the three scenarios indicates that effluent water quality improvement of Wonju WWTP is the most efficient alternative in water quality management of the Sum River. Particularly the Sum River water quality immediately after joining the Wonjucheon is greatly improved. When Wonju water supply intake is closed and multi-regional water supply is provided, the Sum River water quality is slightly improved.

• Korean Journal of Ecology and Environment
• /
• v.51 no.4
• /
• pp.311-321
• /
• 2018

The purpose of this study is to investigate effect of stream channel naturalness on ecological health by using environmental factors and Fish Assessment Index (FAI) in the Han River of South Korea. These samples and data have been released from the research project titled Stream/River Ecosystem Survey and Health Assessment, which was conducted in 444 sites in the Han river watershed from 2008 to 2016. All samples were classified into five groups according to a degree of morphological changes of stream. Water chemistry analyses indicated a decline in water quality by decreasing stream channel naturalness, it is assumed that channelized stream was vulnerable to aquatic pollution compared to the natural meandering stream. In the result of frequency of dominant species, sensitive species and insectivore such as Zacco koreanus, Rhynchocypris kumgangensis and Pungtungia herzi were frequently dominated in the natural meandering stream while tolerant species and omnivores such as Carassius auratus and Cyprinus carpio were more dominated in the channelized streams. The FAI in the channelized stream shows decline to average of $46{\pm}25$ compared with that of the natural meandering stream ($80{\pm}20$). The decrease in FAI was highly influenced by changes in matrixes of fish assemblage structure such as number of sensitive species (M3), portion of omnivores (M5) and insectivores (M6). Moreover, annual average FAIs from 2008 to 2016 were significantly correlated with water chemistry, especially TN, TP and BOD ($r^2=0.59$, p<0.0001). Taken together, all the results suggest that the stream channelization could negatively impact on the water quality and fish assemblage structure, leading to degradation in aquatic ecosystem health.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.15 no.1
• /
• pp.299-305
• /
• 2014

The purpose of this study was to determine the effect of a task-related circuit training in improving the function of lower extremity and quality of life in patient with hemiplegia. A total 25 paients with hemiplegia selected, the volunteers were randomly divided into a task-related circuit training group of 13 people and a treadmill training group of 12 people. The two groups received treadmill training for 30 minutes a day, 5 days a week for 8 weeks. The experimental group was additionally received the task related circuit training for 30 minutes. The assessment comprised of testing the patient's strength, walking, balance ability(strength of knee, balance ability, 10m walking test) and making use of the stroke impact scale. Post treatment, compared to the treadmill training group, task-related circuit training group showed significantly increased strength of knee extensor, flexor and balance ability, stoke impact scale(p<.05). The findings of this study suggest that a task-related circuit training can improve function of lower extremity and quality of life in patient of hemiplegia. Further studies with a greater sample size and a various intervention are needed to generalize the findings of the present study.

• Journal of Environmental Policy
• /
• v.13 no.1
• /
• pp.69-93
• /
• 2014

The aim of this research was to develop a climate change vulnerability index at the district level (Si, Gun, Gu) with respect to the health care sector in Korea. The climate change vulnerability index was esimated based on the four major causes of climate-related illnesses : vector, flood, heat waves, and air pollution/allergies. The vulnerability assessment framework consists of six layers, all of which are based on the IPCC vulnerability concepts (exposure, sensitivity, and adaptive capacity) and the pathway of direct and indirect impacts of climate change modulators on health. We collected proxy variables based on the conceptual framework of climate change vulnerability. Data were standardized using the min-max normalization method. We applied the analytic hierarchy process (AHP) weight and aggregated the variables using the non-compensatory multi-criteria approach. To verify the index, sensitivity analysis was conducted by using another aggregation method (geometric transformation method, which was applied to the index of multiple deprivation in the UK) and weight, calculated by the Budget Allocation method. The results showed that it would be possible to identify the vulnerable areas by applying the developed climate change vulnerability assessment index. The climate change vulnerability index could then be used as a valuable tool in setting climate change adaptation policies in the health care sector.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.49 no.2
• /
• pp.206-216
• /
• 2022

This study aimed to investigate the frequency of dental visits after coronavirus disease 2019 (COVID-19) in children and adolescents in comparison to that of adults. The data on the number of dental visits on the basis of different classification and treatment codes for all the age groups were provided by the Health Insurance Review and Assessment Service from January 2017 to December 2020. To reduce the impact of the population change, dental visits per 1000 people was used. After the start of the pandemic, dental visits per 1000 people decreased in all age groups when analyzed for the diseases of pulp and periapical tissues classification code and dental visits per 1000 people decreased over 5 years age groups when analyzed for the pulp treatment code. Regarding the restorative treatment code, visits in the 0 - 19 years age group decreased after the pandemic. Based on the comparison of the number of confirmed COVID-19 cases to that of monthly dental visits by treatment codes, the change rate of pulp and restorative treatments gradually decreased after the waves of the pandemic in February and August 2020 in Korea. Furthermore, dental visits per 1000 people for gingivitis and periodontal disease classification code increased after the pandemic in all age groups. The rate of decrease in dental visits per 1000 people for restorative treatments in children and adolescents was higher than that in adults. The rate of decrease in the number of dental visits for multi-visit pulp treatments showed a rapid decrease as compared to that of 1-visit pulp treatments after the pandemic. This study identified changes in the number of dental visits of children and adolescents after COVID-19 transmission in comparison to that observed in adults.

• Journal of Preventive Medicine and Public Health
• /
• v.49 no.4
• /
• pp.220-229
• /
• 2016

Objectives: The association between educational status and 10-year risk for acute coronary syndrome (ACS) and all-cause mortality was evaluated. Methods: From October 2003 to September 2004, 2172 consecutive ACS patients from six Greek hospitals were enrolled. In 2013 to 2014, a 10-year follow-up (2004-2014) assessment was performed for 1918 participants (participation rate, 88%). Each patient's educational status was classified as low (<9 years of school), intermediate (9 to 14 years), or high (>14 years). Results: Overall all-cause mortality was almost twofold higher in the low-education group than in the intermediate-education and high-education groups (40% vs. 22% and 19%, respectively, p<0.001). Additionally, 10-year recurrent ACS events (fatal and non-fatal) were more common in the low-education group than in the intermediate-education and high-education groups (42% vs. 30% and 35%, p<0.001), and no interactions between sex and education on the investigated outcomes were observed. Moreover, patients in the high-education group were more physically active, had a better financial status, and were less likely to have hypertension, diabetes, or ACS than the participants with the least education (p<0.001); however, when those characteristics and lifestyle habits were accounted for, no moderating effects regarding the relationship of educational status with all-cause mortality and ACS events were observed. Conclusions: A U-shaped association may be proposed for the relationship between ACS prognosis and educational status, with participants in the low-education and high-education groups being negatively affected by other factors (e.g., job stress, depression, or loneliness). Public health policies should be aimed at specific social groups to reduce the overall burden of cardiovascular disease morbidity.