• Journal of Soil and Groundwater Environment
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• v.18 no.3
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• pp.82-92
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• 2013

This study has investigated naturally occurring radioactive materials (N.O.R.M; $^{238}U$, $^{222}Rn$) for 353 drinking groundwater wells in metamorphic rock areas in Korea. Uranium concentrations ranged from N.D (not detected) to 563.56 ${\mu}g/L$ (median value, 0.68 ${\mu}g/L$) and radon concentrations ranged from 108 to 11,612 pCi/L (median value, 1,400 pCi/L). Uranium and radon concentrations in the groundwater generally are similar to USA with similar geological setting. Uranium concentrations in 9 wells (2.6%) exceeded 30 ${\mu}g/L$, which is the maximum contaminant level (MCL) by the US environmental protection agency (EPA), radon concentrations in 46 wells (13%) exceeded 4,000 pCi/L, which is the Alternative MCL (AMCL) by the US.EPA. The log-log correlation coefficient between uranium and radon was 0.32. The correlation coefficient between uranium and pH was 0.12 and the correlation coefficient between radon and temperature was -0.01. The correlation coefficient between uranium and $HCO_3$ was 0.09 and the correlation coefficient between uranium and Ca was 0.11. The median value of uranium was high Chung-Buk (1.78 ${\mu}g/L$), Gyeong-Buk (1.37 ${\mu}g/L$), In-Cheon (1.06 ${\mu}g/L$) for each province. On the other hand, the median value of radon was high In-Cheon (2,962 pCi/L), Chung-Buk (2,339 pCi/L), Jeon-Buk (2,165 pCi/L) for each province. Jeon-Buk for log-log correlation coefficient is the highest (0.63) among provinces.

• Korean Journal of Health Education and Promotion
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• v.29 no.2
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• pp.23-32
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• 2012

Objectives: This study evaluated the association between osteoarthritis (OA) and health-related quality of life (HRQoL) in elderly Korean women. Methods: We selected participants (n=2,597) aged 50 years or older from Korea National Health and Nutrition Examination Survey [KNHANES] 2005-2008. Demographic and personal characteristics, medical history of OA, and EQ-5D were extracted from the KNHANES data. Results: We found that demographic variables, including age, education level, income, and personal characteristics, were important covariates associated with the prevalence of OA and with HRQoL. In this study, OA was an important factor affecting HRQoL in women. The adjusted odds ratio for HRQoL in participants with OA was 2.92 [(95% confidence interval (CI)=2.43-3.51, p<.001)] in mobility, 2.60 (95% CI=2.17-3.10, p<.001) in pain/discomfort, 2.17 (95% CI=1.78-2.65, p<.001) in usual activities, 1.65 (95% CI=1.22-2.24, p=.001) in self care, and 1.47 (95% CI=1.22-1.77, p<.001) in anxiety/depression. After adjustment of covariates, HRQoL was significantly decreased in participants with OA. Conclusions: Our findings reveal that there is a strong association between OA and HRQoL. Preventing and controlling OA may significantly improve the quality of life for elderly Korean women.

• Journal of Radiation Protection and Research
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• v.14 no.2
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• pp.10-17
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• 1989

A study for the assessment of dose given by outdoor radon to respiratory system has been carried out by making use of radon-cups containing CR-39 plastic track detectors. Detection efficiencies were determined by irradiation of the radon-cups in a standard radon chamber of known concentration. Thus determined detection factors of CR-39 plastic track detector in bare, open cup and filtered cup geometry are found to be 0.273, 0.0813 and 0.0371 $trmm^{-2}$/(37$Bqm^{-3}{\cdot}d$), respectively, which are chemically etched in 30% NaOH solution of $70^{\circ}C$ for 220 minutes. The outdoor radon concentrations measured at Taejeon(Chungnam National University) from May 1988 to March 1989 are in the range of 27.4 - 135.8 Bq/$m^3$(0.74 - 3.67pCi/l)by open cup and 16.7 - 143.9 Bq/$m^3$(0.45 - 3.89 pCi/l) by filtered cup, which yield overall annual average value of outdoor radon concentration of $70.8Bq/m^3$(1.91 pCi/l). Corresponding effective dose equivalent rate to respiratory system of ICRP standard man is assessed to be 520 nSv /h.

• Nuclear Medicine and Molecular Imaging
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• v.42 no.4
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• pp.301-306
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• 2008

Purpose: Recently, a number of patients needed total thyroidectomy and high dose radioiodine therapy (HD-RAI) get increased more. The aim of this study is to evaluate whether pathological staging (PS) and serum thyroglobulin (sTG) level could replace the diagnostic I-123 scan for the determination of therapeutic dose of HD-RAI in patients with differentiated thyroid cancer. Materials and Methods: Fifty eight patients (M:F=13;45, age $44.5{\pm}11.5\;yrs$) who underwent total thyroidectomy and central or regional lymph node dissection due to differentiated thyroid cancer were enrolled. Diagnostic scan of I-123 and sTG assay were also performed on off state of thyroid hormone. The therapeutic doses of I-131 (TD) were determined by the extent of uptakes on diagnostic I-123 scan as a gold standard. PS was graded by the criteria recommended in 6th edition of AJCC cancer staging manual except consideration of age. For comparison of the determination of therapeutic doses, PS and sTG were compared with the results of I-123 scan. Results: All patients were underwent HD-RAI. Among them, five patients (8.6%) were treated with 100 mCi of I-131, fourty three (74.1%) with 150 mCi, six (10.3%) with 180 mCi, three (5.2%) with 200 mCi, and one (1.7%) with 250 mCi, respectively. On the assessment of PS, average TDs were $154{\pm}25\;mCi$ in stage I (n=9), $175{\pm}50\;mCi$ in stage II (n=4), $149{\pm}21\;mCi$ in stage III (n=38), and $161{\pm}20\;mCi$ in stage IV (n=7). The statistical significance was not shown between PS and TD (p=0.169). Among fifty two patients who had available sTG, 25 patients (48.1%) having below 2 ng/mL of sTG were treated with $149{\pm}26\;mCi$ of I-131, 9 patients (17.3%) having $2{\leq}\;sTG\;<5\;ng/mL$ with $156{\pm}17\;mCi$, 5 patients (9.6%) having $5{\leq}\;sTG\;<10\;ng/mL$ with $156{\pm}13\;mCi$, 7 patients (13.5%) having $10{\leq}sTG\;<50\;ng/mL$ with $147{\pm}24\;mCi$, and 6 patients (11.5%) having above 50 ng/mL with $175{\pm}42\;mCi$. The statistical significance between sTG level and TD (p=0.252) was not shown. Conclusion: In conclusion, PS and sTG could not replace the determination of TD using I-123 scan for first HD-RAI in patients with differentiated thyroid cancer.

• Journal of Radiation Protection and Research
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• v.14 no.2
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• pp.23-29
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• 1989

A Lucas cell was established and calibrated by using the double layer tube standard radon source. The calibration factors were 0.031$\pm$0.002 (pCi/l)/(cph/Cell) at room temperature, and 0.029$\pm$0.001 (pCi/l)/(cph/Cell) at $50^{\circ}C$. Radon and its daughters concentrations were measured in a room air for the demonstrating purpose. The concentrations of 222 Rn, $^{218}Po,\;224\;Pb,\;and\;^{214}Bi$ were 0.87, 0.53, 0.35 and 0.26 pCi/l. The total eqilibrium factor was around 0.40 and the WL is $3.33{\times}10^{-3}$, resulting in 30 mrem/yr at this place.

• Journal of Soil and Groundwater Environment
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• v.16 no.1
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• pp.12-18
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• 2011

To investigate the natural reduction characteristics of radon with a short half-life (3.82 day) in drinking Qgroundwater, we analyzed the changes of radon concentrations of groundwater, waters in storage tanks, and tap waters from the small-scale groundwater-supply systems (N = 301) by LSC (Liquid Scintillation Counter). We also analyzed the concentrations of uranium (half-life 4.5 billion years) in the waters by ICP/MS to compare with natural reduction of radon concentration. The radon concentrations of 68 groundwater-supply systems occupying 22.6% of the total samples exceeded the US EPA's Alternative Maximum Contaminant Level (AMCL : 4,000 pCi/L), with the average radon concentration of 7,316 pCi/L (groundwaters), 3,833 pCi/L (tank waters) and 3,407 pCi/L (tap waters). Compared to the radon levels of pumped groundwaters, those of tank and tap waters naturally reduced significantly down to about 50%. Especially, in case of 29 groundwater-supply systems with the groundwater radon concentrations of 4,000~6,000 pCi/L, average radon concentrations of the tank and tap waters naturally decreased down to the AMCL. Therefore this study implies that radon concentrations of drinking groundwater can be effectively reduced by sufficient storage and residence in tanks.

• Clinics in Orthopedic Surgery
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• v.10 no.4
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• pp.398-406
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• 2018

Background: Hypoalbuminemia (serum albumin < 3.5 g/dL) is associated with increased morbidity and mortality in patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, costs associated with hypoalbuminemia remain unknown. This study investigated the effect of serum albumin on direct treatment costs, length of stay (LOS), and readmissions for primary and revision THA and TKA patients. Methods: All adult patients at a single institution undergoing primary or revision THA or TKA between January 2014 and December 2016 were retrospectively reviewed. Patients were stratified by preoperative serum albumin level. The primary outcome was total direct costs at index hospitalization. Secondary outcomes included LOS and readmission within 30 days. Multivariable regressions were utilized to adjust for demographics and comorbidities. Results: Of 3,785 patients, 114 (3.0%) had hypoalbuminemia. After adjustment, hypoalbuminemia was associated with a 16.2% increase in costs (${\beta}=0.162$; 95% confidence interval [CI], 0.112 to 0.213; p < 0.001), representing an average cost increase of $3,383 (95% CI, $2,281 to $4,485) relative to costs for serum albumin > 4.5 g/dL. The increased total costs were significantly higher in revision ($4,322, p = 0.034) than in primary ($3,446, p < 0.001) procedures. In adjusted regression, each 1.0 g/dL increase in serum albumin yielded a 6.6% reduction in costs (${\beta}=-0.066$; 95% CI, -0.090 to -0.042]; p < 0.001), for average savings of $1,282 (95% CI, $759 to $1,806) per unit albumin. Adjusted regressions demonstrated that a 1-point increase in serum albumin reduced readmissions by 53% (odds ratio, 0.47; 95% CI, 0.31-0.73; p = 0.001) and LOS by 0.6 days (${\beta}=-0.60$; 95% CI, -0.76 to -0.44; p < 0.001). Conclusions: Hypoalbuminemia is associated with increased total direct costs, LOS, and readmissions following primary and revision THA and TKA. Future efforts to predict and address total costs should take into consideration the patient's preoperative serum albumin levels.

• Genomics & Informatics
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• v.18 no.3
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• pp.27.1-27.12
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• 2020

The prevalence of early-onset type 2 diabetes (EOT2D) is increasing in Asian countries. Genome-wide association studies performed in European and various other populations have identified associations of numerous variants with type 2 diabetes in adults. However, the genetic component of EOT2D which is still unexplored could have similarities with late-onset type 2 diabetes. Here in the present study we aim to identify the association of variants with EOT2D in South Indian population. Twenty-five variants from 18 gene loci were genotyped in 1,188 EOT2D and 1,183 normal glucose tolerant subjects using the MassARRAY technology. We confirm the association of the HHEX variant rs1111875 with EOT2D in this South Indian population and also the association of CDKN2A/2B (rs7020996) and TCF7L2 (rs4506565) with EOT2D. Logistic regression analyses of the TCF7L2 variant rs4506565(A/T), showed that the heterozygous and homozygous carriers for allele 'T' have odds ratios of 1.47 (95% confidence interval [CI], 1.17 to 1.83; p = 0.001) and 1.65 (95% CI, 1.18 to 2.28; p = 0.006) respectively, relative to AA homozygote. For the HHEX variant rs1111875 (T/C), heterozygous and homozygous carriers for allele 'C' have odds ratios of 1.13 (95% CI, 0.91 to 1.42; p = 0.27) and 1.58 (95% CI, 1.17 to 2.12; p = 0.003) respectively, relative to the TT homozygote. For CDKN2A/2B variant rs7020996, the heterozygous and homozygous carriers of allele 'C' were protective with odds ratios of 0.65 (95% CI, 0.51 to 0.83; p = 0.0004) and 0.62 (95% CI, 0.27 to 1.39; p = 0.24) respectively, relative to TT homozygote. This is the first study to report on the association of HHEX variant rs1111875 with EOT2D in this population.

• Journal of Korean Society of Environmental Engineers
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• v.28 no.6
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• pp.588-595
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• 2006

Indoor radon($^{222}Rn$) concentrations of subway stations in Seoul area were measured to survey the environmental indoor radon levels and to identify sources of radon. The radon concentration of indoor air by method of long-term measuring with a-track detector were surveyed at 232 subway stations from 1998 to 2004. And the radon concentration in ground-water was measured with a method of alpha particle counting. To trace main source of radon, 8 out of 232 stations were selected and their radon concentrations in tunnel and on platform were analyzed. Total geometric mean and arithmetic mean of radon concentrations in all stations from 1998 to 2004 were $1.40{\pm}1.94pCi/L,\;1.65{\pm}1.07$ respectively. Geometric means of radon concentrations on platform and concourse were $1.54{\pm}1.96pCi/L,\;1.23{\pm}1.88pCi/L$ respectively, with higher concentration at the platform than at the concourse. The geological structure was significantly correlated to the indoor radon concentration in subway stations region. Radon concentrations of adjacent tunnel and ground-water of subway station was significantly correlated to the indoor radon concentration in subway stations. And There was a significant difference in radon concentration, depending on the depth levels in platform of subway stations(p<0.05).

• Journal of Environmental Science International
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• v.27 no.8
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• pp.651-663
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• 2018

The hydrochemistry of groundwater from 47 wells in the Chungwon area, Korea was analyzed to examine the occurrence of natural radionuclides like uranium and radon. The range of Electrical Conductivity (EC) value in the study area was $67{\sim}1,404{\mu}S/cm$. In addition to the high EC value, the content of cations and anions also tends to increase. Uranium concentrations ranged from $ND{\sim}178{\mu}g/L$ (median value, $0.8{\mu}g/L$) and radon concentrations ranged from 80~12,900 pCi/L (median value, 1,250 pCi/L). Uranium concentrations in one well, that is 2.8% of the samples, exceeded $30{\mu}g/L$, which is the Maximum Contaminant Level (MCL) proposed by the US Environmental Protection Agency (EPA), based on the chemical toxicity of uranium. Radon concentrations in three wells, that is 6% of the samples, and one well, that is 2.8% of the samples, exceeded 4,000 pCi/L (AMCL of the US EPA) and 8,100 pCi/L (Finland's guideline level), respectively. Concentrations of uranium and radon related to geology of the study area show the highest values in the groundwater of the granite area. The uranium and radon contents in the groundwater were found to be low compared to those of other countries with similar geological settings. It is likely that the measured value was lower than the actual content due to the inflow of shallow groundwater by the lack of casing and grouting.