• 혜화의학회지
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• 제13권2호
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• pp.213-219
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• 2004

Objective: We investigated the actual condition of oriental medical office in Sub-health Center. Method: We classified patients who visited an oriental medical office in a sub-health center of Jeollanam-do during recent 3 years, according to age, time(year), sex, disease, medical instruments, insurance, living condition... etc and studied statistical researches. Result: Almost all patients who visited an oriental medical office in a sub-health center were in 50, 60s. The number of patients were on the decrease. The number of female patients was 2.4 times more than the number of male patients. The most diseases of patients in sub-health center were diseases in connection with bones and sinews system. Generally, medical instruments depended on acupuncture. Conclusion; These results provide actual informations about condition of oriental medical office in Sub-health Center. Oriental medical doctors and offices of sub-health center are supposed to contribute to society, however essentially many problems exist. Public medical doctors of oriental medicine and local administration must renew their efforts for health of people in farming and fishing villages.

• 한국환경보건학회지
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• 제46권5호
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• pp.504-512
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• 2020

Objective: The purpose of this study was to evaluate the indoor to outdoor ratio (I/O ratio) of time activity patterns affecting PM_2.5 concentrations in homes in Korea through a simulation. Methods: The time activity patterns of homemakers were analyzed based on the 'Time-Use Survey' data of the National Statistical Office in 2014. From September 30 to October 2, 2019, the experimenter lived in multifamily housing located in Guro-gu, Seoul. The I/O ratio of PM_2.5 concentration was measured by installing sensor-based instruments. Results: The average indoor and outdoor PM_2.5 concentrations during the three days were 33.1±48.9 and 45.9±25.3 ㎍/㎥, respectively. The average I/O ratio was 0.75±0.60. The indoor concentration tended to increase when PM_2.5 source activity such cooking and cleaning was present and outdoor PM_2.5 was supplied through ventilation. Conclusions: This study could be used as basic data for estimating indoor PM_2.5 concentrations with personal activity pattern and weather conditions using outdoor concentrations.

• 한국환경보건학회지
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• 제50권1호
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• pp.6-15
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• 2024

Background: People's activities have been restricted due to the COVID-19 pandemic. These changes in activity patterns may lead to a decrease in fine particulate matter (PM_2.5) concentrations. Additionally, the level of population exposure to PM_2.5 may be changed. Objectives: This study aimed to analyze the impact of population movement and meteorological factors on the distribution of PM_2.5 concentrations before and after the outbreak of COVID-19. Methods: The study area was Guro-gu in Seoul. The research period was selected as January to March 2020, a period of significant population movement changes caused by COVID-19. The evaluation of the dynamic population was conducted by calculating the absolute difference in population numbers between consecutive hours and comparing them to determine the daily average. Ambient PM_2.5 concentrations were estimated for each grid using ordinary kriging in Python. For the population exposure assessment, the population-weighted average concentration was calculated by determining the indoor to outdoor population for each grid and applying the indoor to outdoor ratio to the ambient PM_2.5 concentration. To assess the factors influencing changes in the ambient PM_2.5 concentration, a statistical analysis was conducted, incorporating population mobility and meteorological factors. Results: Through statistical analysis, the correlation between ambient PM_2.5 concentration and population movement was positive on both weekends and weekdays (r=0.71, r=0.266). The results confirmed that most of the relationships were positive, suggesting that a decrease in human activity can lead to a decrease in PM_2.5 concentrations. In addition, when population-weighted concentration averages were calculated and the exposure level of the population group was compared before and after the COVID-19 outbreak, the proportion of people exceeding the air quality standard decreased by approximately 15.5%. Conclusions: Human activities can impact ambient concentrations of PM_2.5, potentially altering the levels of PM_2.5 exposure in the population.

• 한국환경보건학회지
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• 제49권6호
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• pp.362-371
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• 2023

Background: PM_2.5 pollution has been a persistent problem in South Korea, with concentrations consistently exceeding World Health Organization (WHO) guidelines. The aging of the population in the country further exacerbates the health impacts of PM_2.5 since older adults are more susceptible to the adverse effects of air pollution. Objectives: This study aims to evaluate how the health impact (premature death) due to long-term exposure to PM_2.5 in South Korea could change in the future according to the trend of change in the country's population structure. Methods: The study employs a relative risk function, which accounts for age-specific relative risks, to assess the changes in premature deaths by age and region at the average annual PM_2.5 concentration for 2022 and at PM_2.5 concentration improvement levels. Premature deaths were estimated using the Global Exposure Mortality Model (GEMM). Results: The findings indicate that the increase in premature deaths resulting from the projected population structure changes up to 2050 would significantly outweigh the health benefits (reduction in premature deaths) compared to 2012. This is primarily attributed to the rising number of premature deaths among the elderly due to population aging. Furthermore, the study suggests that the effectiveness of the current domestic PM_2.5 standard would be halved by 2050 due to the increasing impact of population aging on PM_2.5-related mortality. Conclusions: The study highlights the importance of considering trends in population structure when evaluating the health benefits of air pollution reduction measures. By comparing and evaluating the health benefits in reflection of changes in population structure to the predicted PM_2.5 concentration improvements at the provincial level, a more comprehensive assessment of regional air quality management strategies can be achieved.

• Journal of Preventive Medicine and Public Health
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• 제53권6호
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• pp.405-408
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• 2020

In epidemiology, the basic reproduction number (R₀) is a term that describes the expected number of infections generated by 1 case in a susceptible population. At the beginning of the coronavirus disease 2019 (COVID-19) pandemic, R₀ was frequently referenced by the public health community and the wider public. However, this metric is often misused or misinterpreted. Moreover, the complexity of the process of estimating R₀ has caused difficulties for a substantial number of researchers. In this article, in order to increase the accessibility of this concept, we address several misconceptions related to the threshold characteristics of R₀ and the effective reproduction number (R_t). Moreover, the appropriate interpretation of the metrics is discussed. R₀ should be considered as a population-averaged value that pools the contact structure according to a stochastic transmission process. Furthermore, it is necessary to understand the unavoidable time lag for R_t due to the incubation period of the disease.

• Journal of Preventive Medicine and Public Health
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• 제53권3호
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• pp.151-157
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• 2020

Objectives: The outbreak of coronavirus disease 2019 (COVID-19) is one of the main public health challenges currently facing the world. Because of its high transmissibility, COVID-19 has already caused extensive morbidity and mortality in many countries throughout the world. An accurate estimation of the basic reproduction number (R₀) of COVID-19 would be beneficial for prevention programs. In light of discrepancies in original research on this issue, this systematic review and meta-analysis aimed to estimate the pooled R₀ for COVID-19 in the current outbreak. Methods: International databases (including Google Scholar, Science Direct, PubMed, and Scopus) were searched to identify studies conducted regarding the R₀ of COVID-19. Articles were searched using the following keywords: "COVID-19" and "basic reproduction number" or "R₀." The heterogeneity among studies was assessed using the I² index, the Cochran Q test, and T². A random-effects model was used to estimate R₀ in this study. Results: The mean reported R₀ in the identified articles was 3.38±1.40, with a range of 1.90 to 6.49. According to the results of the random-effects model, the pooled R₀ for COVID-19 was estimated as 3.32 (95% confidence interval, 2.81 to 3.82). According to the results of the meta-regression analysis, the type of model used to estimate R₀ did not have a significant effect on heterogeneity among studies (p=0.81). Conclusions: Considering the estimated R₀ for COVID-19, reducing the number of contacts within the population is a necessary step to control the epidemic. The estimated overall R₀ was higher than the World Health Organization estimate.

• 한국환경보건학회지
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• 제50권1호
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• pp.16-24
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• 2024

Background: Indoor PM_2.5 concentrations in residential houses can be affected by various factors depending on the season. This is because not only do the climate characteristics depend on the season, but the activity patterns of occupants are also different. Objectives: The purpose of this study is to compare factors affecting indoor PM_2.5 concentrations in apartments and detached houses in Daegu according to seasonal changes. Methods: This study included 20 households in Daegu, South Korea. The study was conducted during the summer (from July 10 to August 10, 2023) and the autumn (from September 11 to October 9, 2023). A sensor-based instrument for PM_2.5 levels was installed in the living room of each residence, and measurements were taken continuously for 24 hours at intervals of one minute during the measurement period. Based on the air quality monitoring system data in Daegu, outdoor PM_2.5 concentrations were estimated using ordinary kriging (OK) in Python. In addition, the indoor activities of the occupants were investigated using a time-activity pattern diary. The affecting factors of indoor PM_2.5 concentration were analyzed using multiple regression analysis. Results: Indoor and outdoor PM_2.5 concentrations of the residences during summer were 15.27±11.09 ㎍/m³ and 11.52±7.56 ㎍/m³, respectively. Indoor and outdoor PM_2.5 concentrations during autumn were 13.82±9.61 ㎍/m³ and 9.57±5.50 ㎍/m³, respectively. The PM_2.5 concentrations were higher in summer compared to autumn both indoors and outdoors. The primary factor affecting indoor PM_2.5 concentration in summer was occupant activity. On the other hand, during the autumn season, the primary affecting factor was outdoor PM_2.5 concentration. Conclusions: Indoor PM_2.5 concentration in residential houses is affected by occupant activity such as the inflow of outdoor PM_2.5 concentration, cooking, and cleaning, as found in previous studies. However, it was revealed that there were differences depending on the season.

• 한국환경보건학회지
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• 제45권5호
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• pp.558-558
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• 2019

• 운동영양학회지
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• 제23권4호
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• pp.36-42
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• 2019

[Purpose] The study aimed to determine the effects of bone-specific physical activity on body composition, bone mineral density (BMD), and health-related physical fitness in middle-aged women. [Methods] One hundred eighty-six middle-aged women aged 31-49 years participated in this study. The subjects were divided into tertile groups according to the level of physical activity (low-score group, n=62; middle-score group, n=62; high-score group, n=62). Bone-specific physical activity participation was assessed using the bone-specific physical activity questionnaire. Body composition and BMD were measured using dual-energy X-ray absorptiometry. Health-related physical fitness test included isometric muscle strength (grip strength), muscular endurance (sit-ups), flexibility (sit and reach), and cardiorespiratory fitness (maximal oxygen uptake [VO_2max]). [Results] The high-score group had a significantly higher fat-free mass (p=.045, partial eta-squared value[η_p²]=.033) than the middle- and low-score groups, whereas the high-score group had significantly lower percent body fat (p=.005, η_p²=.056) than the other two groups. Whole-body BMD (p=.034, η_p²=.036) and lumbar BMD (p=.003, η_p²=.060) were significantly higher in the high-score group than in the low-score group. The high-score group performed significantly better for grip strength (p=.0001, η_p²=.101), sit-ups (p=.0001, η_p²=.108), and VO_2max (p=.0001, η_p²=.092) than the other two groups. [Conclusion] The present study suggests that bone-specific physical activity could be useful in improving body composition, BMD, and health-related physical fitness in middle-aged women, significantly enhancing their BMD and health conditions.

• 한국식품위생안전성학회지
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• 제35권2호
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• pp.162-169
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• 2020

2018년 10월부터 2019년 10월까지 광주지역의 대형마트(50건), 재래시장(25건) 및 온라인(50건)에서 구입한 보리차, 옥수수차, 결명자차, 둥글레차, 옥수수수염차 등 침출차 총 125건을 대상으로 중금속, 벤조피렌, 곰팡이독소 함량 조사를 통해 오염실태를 평가하였다. 중금속 중 As, Cd, Pb 함량을 검사하였으며, benzopyrene은 발암물질로 분류된 benzo(a)pyrene의 함량을 조사하였다. 그리고 곰팡이독소는 aflatoxin (AFB₁, AFB₂, AFG₁, AFG₂), ochratoxin A (OTA), fumonisin (FUB₁, FUB₂), zearalenone (ZON)의 함량을 검사하였다. 「식품공전」에 제시된 침출차의 규격과 비교해 보았을 때 중금속 함량은 기준이 설정된 범위(Pb 5.0 mg/kg 이하) 내에서 검출되어 모두 적합하였고, benzo(a)pyrene은 125건 중 16건의 시료에서 12.8%의 검출률을 나타내었으며, 곰팡이독소는 125건 중 29건의 시료에서 23.2%의 검출률을 나타내었다. 하지만 현재 우리나라 「식품공전」에서는 침출차의 벤조피렌, 곰팡이독소 기준규격이 정해져있지 않아 이에 대한 안전성 여부는 확인하기 어려웠다.