• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.3759-3762
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• 2016

Background: Breast cancer risk assessment is a helpful method for estimating development of breast cancer at the population level. Materials and Methods: In this cross-sectional study, participants consisted of a group of 3,847 volunteers ($mean{\pm}SD$ age: $463{\pm}7.59$ years) in a convenience sample of women referred to health centers affiliated to Tehran University of Medical Sciences in Tehran, Iran. The risk of breast cancer was estimated by applying the National Cancer Institute's online version of the Gail Risk Assessment Tool. Results: Some 24.9% of women reported having one first-degree female relative with breast cancer, with 8.05% of them having two or more first-degree relatives with breast cancer. The mean five-year risk of breast cancer for all participants was $1.61{\pm}0.73%$, and 9.36% of them had a five-year risk of breast cancer >1.66%. The mean lifetime risk of breast cancer was $11.7{\pm}3.91%$. Conclusions: The Gail model is useful for assessing probability of breast cancer in Iranian women. Based on the their breast cancer risk, women may decide to accept further screening services.

• 한국지하수토양환경학회지:지하수토양환경
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• 제20권6호
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• pp.1-7
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• 2015

The most critical health effect of lead exposure is the neurodevelopmental effect to children caused by the increased blood lead level. Therefore, the endpoint of the risk assessment for lead-contaminated sites should be set at the blood lead level of children. In foreign countries, the risk assessment for lead-contaminated sites is conducted by estimating the increased blood lead level of children via oral intake and/or inhalation (United States Environmental Protection Agency, USEPA), or by comparing the estimated oral dose to the threshold oral dose of lead, which is derived from the permissible blood lead level of children (Dutch National Institute for Public Health and the Environment, RIVM). For the risk assessment, USEPA employs Integrated-Exposure-Uptake-Biokinetic (IEUBK) Model to check whether the estimated portion of children whose blood lead level exceeds 10 µg/dL, threshold blood lead level determined by USEPA, is higher than 5%, while Dutch RIVM compares the estimated oral dose of lead to the threshold oral dose (2.8 µg/kg-day), which is derived from the permissible blood lead level of children. In Korea, like The Netherlands, risk assessment for lead-contaminated sites is conducted by comparing the estimated oral dose to the threshold oral dose; however, because the threshold oral dose listed in Korean risk assessment guidance is an unidentified value, it is recommended to revise the existing threshold oral dose described in Korean risk assessment guidance. And, if significant lead exposure via inhalation is suspected, it is useful to employ IEUBK Model to derive the risk posed via multimedia exposure (i.e., both oral ingestion and inhalation).

• 한국환경농학회지
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• 제31권2호
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• pp.97-103
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• 2012

BACKGROUND: Metal mines were actively developed in the early twentieth century in Korea; however, most of these mines were closed and abandoned without proper management. Therefore, toxic metal contamination in the vicinity of Korean abandoned metal mines has been reported. A risk assessment for these metals was performed for residents near by abandoned Sanyang metal mine. METHODS AND RESULTS: Soil and groundwater samples were collected from May to October 2007 around the mine. After pretreatment of these samples, metal concentrations were measured and then a risk assessment was performed using the Korean soil-contamination risk assessment guidelines. Cancer risk was the highest from inhalation of Pb-contaminated soil, followed in descending order by As-contaminated soil inhalation and water ingestion. The sum of carcinogenic risks was $3.35{\times}10^{-3}$. The noncarcinogenic risk was observed for inhalation of Hg-contaminated soil (5.71). CONCLUSION: Inhalation of soil in dust was the principal pathway to cause the health risk and most of the risk was attributed to As, Pb,Cd, and Hg contamination.

• 환경영향평가
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• 제29권4호
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• pp.286-297
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• 2020

본 연구에서는 국내 4개 도시(6개 지점)로부터 도로 노면 퇴적입자 내 PAHs의 농도 및 분포특성을 비교, 분석하고 오염 수준에 대한 초과 발암 위해도를 산정하여 인체 위해성 평가를 수행하였다. 지역별 오염농도를 바탕으로 흡입, 섭취, 피부 노출에 대한 노출경로를 설정하여 결정론적 위해성평가를 수행한 결과, 울산 지역의 경우 위해도 발암 기준 1×10^-6을 상회하는 결과가 나타났다. 또한 발암위해도가 있다고 판단되는 해당 지역에 대한 확률론적 위해성평가 결과, 확률적 평균값이 단일값을 활용한 결정론적 위해도 산정에서 도출되었던 발암위해도와 중앙값에 근접한 수준을 나타내었다. 민감도 분석 결과, 노출시간에 따른 기여도가 가장 크게 나타났다. 향후 기준치를 초과하는 발암 위해도를 나타내는 지역에 대한 위해도 관리는 물론 상세한 모니터링을 통한 추가 위해성 평가가 이루어져야 할 것으로 판단되며, 지역적 특성을 반영한 노출계수의 산정을 통해 인체 위해도 평가 결과 신뢰도를 높여야 할 것으로 사료된다.

• Environmental Analysis Health and Toxicology
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• 제25권2호
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• pp.169-177
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• 2010

Ecological risk assessment (ERA) has been used to establish environmental quality standards or evaluate ecological risk in site-specific areas. The scope of ERA was expanded based on regions, and the concept of regional-scale ecological risk assessment was recently introduced in developed countries. In the present study, regional ERA approaches of relative risk model (RRM), contaminants in aquatic and terrestrial ecosystems (CATS) model, and procedure for ecological tired assessment of risks (PETAR) in advanced countries were extensively investigated. Regional ERA was compared with traditional ERA process. Stressors, receptor and response in traditional ERA were replaced with sources of stressors, habitats, and ecological impacts, respectively in regional ERA. This study introduces the concept and assessment process of regional ERA, and provides a wide perspective how the relative ERA could be applied in Korean ecosystem.

• 치위생과학회지
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• 제12권6호
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• pp.545-557
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• 2012

Dental caries is biofilm induced disease throughout life and is recognized significant oral health problem. This article reviewed new trends in dental caries management by risk assessment, including history, protocol/guideline, and collaborated model. Dental caries prevention and treatment according to caries management by risk assessment (CAMBRA) model is patient-centered, risk-based, evidence-based practice. Team approach is necessary and clinician need to integrate science, practice and product. Dental hygienist take a important role in implementing CAMBRA. CAMBRA model could be incorporated into clinical dental hygiene education based on dental hygiene process of care as standard of dental hygiene practice and education. Dentist and dental hygienist able to provide scientific and ethical care managing dental caries by risk assessment.

• 한국식품위생안전성학회:학술대회논문집
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• 한국식품위생안전성학회 2005년도 추계 국제심포지움 및 정기학술발표회
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• pp.21-70
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• 2005

• 한국환경보건학회지
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• 제50권2호
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• pp.146-156
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• 2024

Background: Children who use playground facilities are exposed to potential risks due to the high concentration of heavy metals contained in the finishing materials of facilities in children's playgrounds. Objectives: The purpose of this study was to investigate the concentration of heavy metals in the finishing materials of outdoor children's playgrounds where harmful heavy metals exist in Gwangju and to conduct human risk assessment for children and adults by age to find the risks and limitations. Methods: The bottom and top layers of double-painted paint were peeled off and collected together from the finishing materials of children's play facilities such as slides, swings, and seesaws in 147 children's parks in Gwangju. Heavy metals were analyzed using ICP-OES, etc., and human risk assessment was performed using the concentrations of heavy metals. Results: Based on 1.0E-04, which requires legal regulation, CTE was found to pose a carcinogenic risk for preschool children and no carcinogenic risk for the rest of the age groups. However, RME showed that both men and women of all ages had a carcinogenic risk. For reference, when the carcinogenic risk was based on 1.0E-06, CTE was found to pose a carcinogenic risk from infants to elementary school students, and RME was found to have a carcinogenic risk in all age groups. It was judged that there is a non-carcinogenic risk if the non-carcinogenic risk exceeds 1 based on the hazard index (HI) 1. In CTE, there was no non-carcinogenic risk, and RME for preschooler males (1.49E+00) and females (1.56E+00) were found to have non-carcinogenic risk. Conclusions: This study was meaningful in that it examines the differences in the current management of heavy metals concentration standards and potential carcinogenic and non-carcinogenic risks to the human body and discusses the relationship between heavy metals and human health effects.

• Safety and Health at Work
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• 제8권4호
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• pp.337-342
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• 2017

Background: Workplace violence (WPV) against healthcare workers (HCWs) employed in psychiatric inpatient wards is a serious occupational issue that involves both staff and patients; the consequences of WPV may include increased service costs and lower standards of care. The purpose of this review was to evaluate which topics have been focused on in the literature and which are new in approaching the concern of patient violence against HCWs employed in psychiatric inpatient wards, in the past 20 years. Methods: We searched for publications in PubMed and Web of Science using selected keywords. Each article was reviewed and categorized into one or more of the following four categories based on its subject matter: risk assessment, risk management, occurrence rates, and physical/nonphysical consequences. Results: Our search resulted in a total of 64 publications that matched our inclusion criteria. The topics discussed, in order of frequency (from highest to lowest), were as follows: "risk assessment," "risk management," "occurrence rates," and "physical/nonphysical consequences." Schizophrenia, young age, alcohol use, drug misuse, a history of violence, and hostile-dominant interpersonal styles were found to be the predictors of patients' violence. Conclusion: Risk assessment of violence by patients appeared the way to effectively minimize the occurrence of WPV and, consequently, to better protect mental HCWs. We found paucity of data regarding psychologic sequelae of WPV. According to these findings, we suggest the need to better investigate the psychologic consequences of WPV, with the aim of checking the effective interventions to assist HCW victims of violence and to prevent psychologic illness.

• 환경영향평가
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• 제20권4호
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• pp.497-507
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• 2011

This research studied human health risk assessment of benzene from industrial complexes of Chungcheong Province (Seosan industrial complex) and Jeonla Province (Iksan industrial complex and Yeosoo industrial complex). The residents near the industrial complexes areas can be often exposed to volatile organic compounds (e.g., benzene, toluene, xylenes) through a number of exposure pathways, including inhalation of the organic pollutant via various environmental matrices (air, water and soil), contaminated water, and soil intake. Benzene is well known to be a common carcinogenic and toxic compound that is produced from industrial and oil refinery complexes. In this study, a number of samples from water, air, and soil were taken from the residential settings and public school zones located near the industrial complex sites. Based on the carcinogenic risk assessment, the risk estimates were slightly above $10{\times}10^{-6}$ at all three industrial sites. According to deterministic risk assessment, inhalation was the most important route. The distribution of benzene in the environment would be dependent on vapor pressure, and the physical property influencing the extent of the potential risks. Non-carcinogenic risk assessment of benzene shows that the values of Hazard Index(HI) were much lower than 1.0 at all industrial complexes. Therefore, benzene was not a cause of concern in terms of non-carcinogenic risk posed to the residents near the sites. When compared to probabilistic risk assessment, the CTE(central tendency exposure) cancer risk values of deterministic risk assessment were close to the mean values predicted by the probabilistic risk assessment. The RME(reasonable maximum exposure) values fell within the range of 95% to 99.9% estimated by the probabilistic risk assessment. Since the values of carcinogenic risk assessment were higher than $10{\times}10^{-6}$, further detailed monitoring and refined risk assessment for benzene may be warranted to estimate more reliable and potential inhalation risks to receptors near the industrial complexes.