• Title/Summary/Keyword: risk areas

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Endocrine Disruptors and Breast Cancer Risk - Time to Consider the Environment

  • Abdel-Rahman, Wael M.;Moustafa, Yasser M.;Ahmed, Bassamat O.;Mostafa, Randa M.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.5937-5946
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    • 2012
  • The term endocrine disruptors is used to describe a variety of natural and manmade substances that have the capacity to potentially interfere with and modify the normal physiology of endocrine system either by mimicking, blocking or modulating the actions of natural endogenous hormones. The rising incidence of breast cancer over the last 50 years and the documented higher incidence in urban as compared to rural areas suggest a relationship to the introduction and increased use of xenoestrogens in our environment. The literature has developed over the last decades where initial experiments on endocrine disruptors did not support an involvement in breast cancer, and then evidence mounted implicating various environmental factors including hormones, endocrine disrupting chemicals and non-endocrine disrupting environmental carcinogens in the pathogenesis of breast cancer. Available data support the hypothesis that exposure to endocrine disruptors in utero leaves a signature on mammary gland morphogenesis so that the resulting dysgenic gland becomes more predisposed to develop tumors upon exposures to additional insults later on during life. Exceptionally, exposure to phytoestrogens could be beneficial to human health. Most of the available data are from well developed countries while the developing countries are still understudied regarding these issues. Here, we raise a note of caution about potential role of environmental toxins including endocrine disruptors in breast cancer development and call for serious measures to be taken by all involved parties in the developing world.

Clinicopathological Correlation of Cervical Carcinoma: A Tertiary Hospital Based Study

  • Shruthi, Pannayanapalya Suresh;Kalyani, Raju;Lee, Jun Kai;Narayanaswamy, Mariyappa
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.4
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    • pp.1671-1674
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    • 2014
  • Background: To study the clinical presentation of cervical carcinoma correlating with histopathological findings in a tertiary hospital situated in the southern part of India catering to rural and semi-urban populations Materials and Methods: 199 cases histopathologically diagnosed as cervical cancer over a period of one year were considered for the study. Clinical details of the patients were noted with the help of semi-structured proforma. The data was analysed by descriptive analysis using SPSS software. Results: Out of 199 patients, 109 had moderately differentiated squamous cell carcinoma, 51 poorly differentiated and 35 well differentiated. Adenocarcinomas numbered only four. 121 cases were in the age group of 40-59 years, 59 in 60-80 years and 19 in 20-39 years. All four cases of adenocarcinoma were seen between 40-59 years. 95 (47.7%) cases were in women who had 4 or more children, 120 presented with white discharge, 89 with bleeding per vagina and 68 had constitutional symptoms. Most of the patients with adenocarcinoma presented with bleeding per vagina. 151 was in stage IIIB, 29 in stage IIB, 14 in stage IVA and 5 in stage IB. Conclusions: Screening of cervical cancer should be emphasised in women with white discharge especially in rural areas for early detection of dysplastic cells and reduce mortality and morbidity in productive age. In addition health education has to be given to women regarding the awareness of hygiene, risk factors and symptoms of cervical cancer.

Health screening upper abdominal USG results of the Multiple subjects Regression Analysis of the Risk Factors Associated with Fatty Liver Build Up (건강검진 수검자의 상복부초음파에서 진단된 지방간과 임상학적 검사 결과의 상관성 분석)

  • Choi, Kwan Yong;Yoo, Se Jong;Seon, Jong Ryoul;Lee, Won Jeong
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.289-294
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    • 2014
  • The purpose of this report is to discuss the obtained findings gathered from ultrasound screenings of the liver. After running diagnostic tests health, screens were then conducted to analyze and compare the gained results. This data was then charted and used to strengthen our theorized hypothesis. From January 2013 to June 2013 a recorded 2906 people over the age of 20 visited Health Promotion Centers in various areas throughout Daejeon. Of those 2906 participants 1789 underwent screenings for abdominal ultrasonography; these participants as well as their ultrasound results were used as the bases of our study. For the establishment of our baseline and the comparison of our results, we gathered case-controlled studies from various reputable sources. Both the control and the experimental groups were tested to measure the following liver enzymes (AST, ALT, r-GTP, ALP, and etc.). Kidney functions were measured as well enzymes such as BUN, Creatinine, and Uric Acids levels were analyzed and recorded to see if any relationships existed between the levels documented in the liver and those in the kidneys. It was shown that the two primary causes of fat build up within the liver were significantly connected to obesity BMI(OR=4.14) and waist circumference(OR=3.88).

Aging and Skin Aging (노화와 피부노화에 대한 고찰)

  • Nam Hae-jeong;Kim Yoon-bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.1
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    • pp.16-33
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    • 2004
  • In Oriental medicine, aging is just a natural process like change of seasons. Ancient Oriental people accepted it as a natural thing to be growing older and to die at last. The science of aging has advanced dramatically. In the last 2 decades, advances in genetics and molecular biology have led to extraordinary new understandings in how cells age, how apoptosis programs cells to die, and how neuroendocrinology plays a role in the lifespan of organisms. Today, the matter of primary concern about aging is a cellular and mitochondrial damage of human body induced by reactive oxygen species(ROS). The skin aging can be divided into two areas, intrinsic(chronologic)-aging and photo-aging. There are lots of photo damage about skin aging. The skin is increasingly exposed to ultraviolet(UV) irradiation in life. Therefore, the risk of photo-oxidative damage of the skin induced by reactive oxygen species(ROS) has increased substantially. Nowadays, many people believe that they can stop or at least delay the process of aging. There are lots of treatments that promise to slow the process of aging and the associated ailments. Many of these treatments, for example, exercise, Vit E, Vit C therapy, hormone therapy, restrict diet, are gradually being subjected to clinical trials. But in spite of all efforts, researches and investigations, there is no single method or treatment which is revealed to be truly effective for delaying progress of aging. Every methods insisted on effect for delaying aging process, has its dark side. All we can do is just keeping ourself healthy until the time of death.

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The outbreaks and counterplan of highly pathogenic avian influenza in Korea and overseas (국내.외 조류인플루엔자(HPAI) 발생현황과 대응방안)

  • Jang, Hyung-Kwan
    • 한국환경농학회:학술대회논문집
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    • 2009.07a
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    • pp.220-227
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    • 2009
  • For last about 10 years, the Republic of Korea experienced 3 times of outbreaks of highly pathogenic avian influenza (HPAI) from 10 December 2003 to 30 April 2004 (a total number of 19 outbreaks), 22 November 2006 to 6 March 2007 (a total number of 7 outbreaks), and 1 April 2008 to 12 May 2008 (a total number of 33 outbreaks). Among the totally 59 outbreaks, the infected premises included 35 chicken farms, 17 duck farms, 1 quail farm, and 6 farms rearing mixed species. Control measures were applied according to the HPAI standard operation procedure including depopulation of all infected and suspected flocks, movement restrictions, and disinfection of the infected farms within a 500-meter radius. Including movement restrictions, stringent control measures were additionally applied to two designated zones: the protection zone was an area within a 3-kilometer radius of the outbreak farm, and the surveillance zone was an area between a 3- to 10-kilometer radius of the outbreak farm. Farms with dangerous contacts and/or all of poultry within the protection zone was subjected to preemptive culling. Epidemiological investigations were also carried out including trace-back and trace-forward investigations to identify possible sources of spread and dangerous contact farms. Investigation teams conducted on-site examination of farm premises and facilities, interview with farm owner and staff, and review of records. Genetic and pathogenic characteristics of the virus isolates, and the results of the various surveillance activities were also analyzed. HPAI surveillance conducted in Korea includes passive surveillance of investigating notified cases, and active surveillance of testing high risk groups and areas. HPAI is a notifiable disease in Korea and all suspect cases must be reported to the veterinary authorities. Cases reported for other poultry diseases that require differential diagnosis are also tested for HPAI. Active surveillance includes annual testing of breeder duck farms, broiler duck farms and wild bird surveillance, which is concentrated during the autumn and winter. Surveillance activities conducted prior to the outbreaks have shown no evidence of HPAI infection in Korea.

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Management Strategies for Heavy Metals to Secure the Crop Safety in Korea

  • Yang, J.E.;Kim, W.I.;Ok, Y.S.;Lee, J.S.
    • 한국환경농학회:학술대회논문집
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    • 2009.07a
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    • pp.93-115
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    • 2009
  • There are growing public concerns over crop and food safeties due to the elevated levels of heavy metals grown in contaminated soil. Heavy metals are classified as the chemical harmful risks for crop and food safety. With implementation of GAP, crop safety is controlled by many regulatory options for soil, irrigation water and fertilizers. Any attempt to retard the metal uptake by crops may be the best protocol to secure crop and food safety. This article reviews the management strategies for heavy metals in view of crop safety in Korea and demonstrates results from the field experiments to retard metal translocation from soil to crops by using chemical amendments and soil layer management methods. Major source of soil pollution by heavy metals has been related with mining activities. Risk assessment revealed that rice consumption and groundwater ingestion in the abandoned mining areas were the major exposure pathways for metals to human and the heavy metal showed the toxic effects on human health. Chemical amendments such as lime and slag retarded Cd uptake by rice (Oryza sativa L.) by increasing soil pH, lowering the phytoavailable Cd concentration in soil solution, immobilizing Cd in soil and converting the available Cd fractions into non-available fractions. The soil layer management methods decreased the Cd uptake by 76% and Pb by 60%. Either reversing the surface layer with subsurface layer or immobilization of metals with layer mixing with lime was considered to be the practical option for the in-situ remediation of the contaminated paddy soils. Combination of chemical soil amendments and layer management methods was efficient to retard the metal bioavailability and thus to secure crop safety for heavy metals. This protocol seems to be cheap, relatively easy to practice and practical in the agricultural fields. However, a long term monitoring work should be followed to verify the efficiency of this protocol.

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Health Condition and Work-related Musculoskeletal Disorders in Greenhouse Vegetable Farmers (시설채소 농업인의 건강 상태 및 근골격계 질환 실태)

  • Kim, Kyung Ran;Choi, Jeong Hwa;Lee, Kyung Suk;Song, Eun Young
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.18 no.1
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    • pp.49-61
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    • 2008
  • The objective of this study is to survey the risk factors of greenhouse vegetables farmers' work-related musculoskeletal disorders(MSDs). To offer the fundamental data for agricultural improvement of greenhouse vegetable farms, the questionnaire of MSDs and heath condition were carried out. A group of 736 workers(males=492, females=244) in 6 branches constitutes the population and database for the analysis between 2004 and 2005. The sample branch was chosen based on paper are watermelon, strawberry, tomato, melon, cucumber, lettuce. The results are as follows: 1. Smoking rates in cucumber and tomato is the highest. 2. Drinking rates in strawberry, cucumber and lettuce is the highest in males, watermelon and melon are the highest in females. 3. Regular exercise rates in melon are the highest. 4. Physical and mental fatigue in females is higher than that of males in most crops except melon. That of strawberry and tomato is the highest. 5. The prevalence rates of medical diagnosed diseases are higher in order of osteoarthritis, herniated nucleus pulposus(HNP), and hypertension. That of strawberry, melon, and cucumber is high in case of osteoarthritis; Strawberry, melon, and watermelon are high in case of HNP. 6. Prevalence rates of musculoskeletal symptoms among the various pain areas are higher in order of low back, knees, and shoulders. That of tomato and watermelon is high in case of low back; strawberry and tomato are high in case of knees. These results can be used practically for agricultural improvement of greenhouse vegetables farms to prevent MSDs.

Health Status and Improvement Measures for Irregular Plant Construction Workers at Yeosu National Industrial Complex (여수지역 비정규직 플랜트 건설 근로자의 안전보건 실태와 개선방안)

  • Choi, Sangjun;Kim, Shin-Bum
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.19 no.3
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    • pp.182-194
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    • 2009
  • This study was conducted to evaluate health status and to propose health protection measures of irregular plant construction workers in Yoesu National Industrial Complex (YNIC). The status of safety and health management was examined in five areas including safety and health education, work environment monitoring, health examination, health management record, and personal protective equipment (PPE) for plant construction workers. The safety training rate for plant construction workers was reached high at 91%, The training was mostly consisted of safety accident related things, but training on hazardous materials was found to be insufficient. Workplace monitoring results showed that the compliance rate for work environment for irregular construction workers was 54% and workplace monitoring during turnaround (TA) period with high risk of exposure to hazardous agents has not been implemented. While 61.4% of irregular workers received the general health examination but only 36.8% received the special health examination. The special health examination was found to be conducted only upon welders from 2-3 years ago. The issue of health management record upon irregular construction workers was not being implemented. In case of PPE, basic safety protective equipments such as safety shoes, safety belt, safety helmet were being supplied well while the supply rate of respirator for organic vapor was relatively low at 40%. Based on this study, two suggestions to maximize the utilization of the current safety and health program were made while boosting its effectiveness in protecting workers' health. First, the role of owners (petrochemical plant) related to safety and health should be strengthened. Second, in consideration of the characteristics of construction workers who usually engage in short term employment and frequent movement, community based health management organization is suggested that can overcome such structural problem and carry out the implementation of health examination and sustained health management.

Assessment of Loiasis and Outcomes of Ivermectin Masstreatment in Ijebu-North, Nigeria

  • Hassan, A.A.;Akinsanya, B.;lyase, N.;Owagboriaye, F.O.
    • Parasites, Hosts and Diseases
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    • v.49 no.2
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    • pp.153-159
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    • 2011
  • A total of 286 individuals from 3 selected communities (Areedi-Aje, Ipakodo/Ojokodo, and Ijebu-Igbo) of Ijebu-North, southwestern Nigeria were examined for Loa loa microfilaremia using finger prick blood smear, between December 2008 and March 2009. Rapid assessment procedure for loiasis (RAPLOA) was used to obtain information, from 187 Ijebu-Igbo residents, on adverse reactions experienced from retrospective treatments with ivermectin and history of eye worm. Only 33.9% of the respondents reported having had a history of eye worm while 33.2% had microfilaremia. The demographic factor of gender was not significant determinants of the prevalence (p>0.05) while age was significant (P<0.05). The highest prevalence of eye worm history and microfilaremia were recorded in 61-70 and 15-20 years of age categories, respectively. Ijebu-Igbo had 27.3% eye worm history, 32.1% microfilaremia, and the highest intensity of 140 microfilariae (mf)/ml. Ipakodo area had the highest eye worm history of 54.4% and the highest intensity of 420 mf/ml. Areedi-Aje had the highest occurrence of 45.2% microfilaremia and the highest intensity of 460 mf/ml. Predictably, Areedi-Aje and Ipakodo areas were high risk communities. The low intensity of L. loa infection with an insignificant (2.1%; P>0.05) adverse reactions from 187 subjects involved in the retrospective ivermectin administration confirmed that ivermectin delivery may be considered safe. The community-directed treatment with ivermectin (CDTI) programme was most probably responsible for the low prevalence and intensity.

A Proposal of a New Program Model Applicable in Health Centers and Industry (보건소 및 산업장에서의 활용을 위한 건강증진 프로그램모형의 제안)

  • Jung Moon-Hee;Lee Myoung-Sook;Kim Kyu-Sung;Kim Myung-Soon;Kim Hyun Li;Suh In Sun;Yoo Soo Ok;Lee Sook Hee;Jung Yun;Jung Yurn Za;Cho Mi Young;Cho Chung Min;Choi Sun Ha
    • Journal of Korean Public Health Nursing
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    • v.7 no.2
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    • pp.1-38
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    • 1993
  • This study was conducted to contribute to the expansion of activity areas of nurses in the fiel of health promotion services whose importance are increasing day by day. To achieve such goals the writer analized the social values of health promotion services through the method of literature reveiw and held workshops five times with the research team to develop a new program model applicable in health centers and industry. As a conclusion, we recommended the following roles of nurses to be reevaluted an reinforced: 1. Roles as advertizers of the importance of keeping positive health, its social diffussion, an making social environments supporting it. 2. Roles of intervention to change life-styles into positive, active, and client-centered ones 3. Roles of communicators, planners, and managers for the contribution to the maximization of team efficiency with a view to reducing health risk and preventing health threat.

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