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병원직원의 환자 혈액 및 체액 노출 후 미보고 및 관련 요인 (Survey of Under-Reporting Rate and Related Factors after Blood and Body Fluid Exposure among Hospital Employees)

  • 김옥선;최정실;정재심;박은숙;윤성원;정선영;진혜영;김경미
    • 성인간호학회지
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    • 제22권5호
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    • pp.466-476
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    • 2010
  • Purpose: The purpose of this study was to examine the under-reporting rate and related factors after blood and body fluid (BBF) exposure among hospital employees. Methods: Fifteen hundred l employees were conveniently sampled from ten university and acute care hospitals. The survey questionnaire consisted of 37 items. Data were collected from September 10 to November 30, 2008. Results: The survey response rate was 88.7%. The 47.9% (638/1,331) of hospital employees were exposed to BBF and the mean number of exposure was $4.7{\pm}5.942$ within the previous year. Under-reporting rate after BBF exposure was 69.4% (443/638). By multi-variate logistic regression analysis, the exposure number, exposure type, infectious disease and hospital were independently related to the under-reporting of BBF among hospital employees. Conclusion: The under-reporting rate after being exposed to blood and body fluids was relatively high. To address this problem, educational programs are needed to decrease the under-reporting rate for healthcare workers. Further, it might be helpful if other factors related to under-reporting be investigated in future studies.

장기폭로실험에 의한 철근콘크리트 구조물의 보수재료.공법 성능평가 (Performance Evaluation of Repair Material and Method for Reinforced Concrete Structure by Long Term Exposure Experiment)

  • 김무한;김규용;조봉석;김영덕;김영선
    • 콘크리트학회논문집
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    • 제19권1호
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    • pp.39-46
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    • 2007
  • 본 연구에서는 최근 국내에서 신기술 등으로 인증되어 활용되고 있는 보수재료 공법을 적용한 폭로시험체를 제작한 후, 해양환경 및 일반 대기환경 하에서 장기폭로실험에 의한 정량적 폭로실험 데이터를 확보함으로서 향후 성능저하된 철근콘크리트 구조물의 보수재료 공법 성능평가 방법 및 품질관리기준 확립을 위한 기초 자료를 제시하고자 하였다. 해양 및 일반 대기환경 하에서 폭로재령 30개월까지 폭로실험을 실시한 결과 탄산화 및 염화물이온 침투 깊이는 피복두께에 비해 매우 적게 침투하였으며, 철근의 부식 면적과 부식 속도 결과를 토대로 폭로재령 30개월까지 철근 부식의 주된 원인은 내재 염화물량 및 매크로셀에 의한 부식이 가장 큰 원인으로 판단된다. 향후 폭로시험체의 지속적인 평가를 통하여 정량적인 폭로실험 데이터를 확보함으로서 보수재료 공법 성능 평가 방법 및 품질 관리 기준 확립을 위한 기초 자료를 제시할 수 있을 것으로 판단된다.

Hepatic Expression of Cu/Zn-Superoxide Dismutase Transcripts in Response to Acute Metal Exposure and Heat Stress in Hemibarbus mylodon (Teleostei: Cypriniformes)

  • Cho, Young-Sun;Bang, In-Chul;Lee, Il-Ro;Nam, Yoon-Kwon
    • Fisheries and Aquatic Sciences
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    • 제12권3호
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    • pp.179-184
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    • 2009
  • Hemibarbus mylodon (Cypriniformes) is an endemic freshwater fish species in the Korean peninsula, for which urgent conservation efforts are needed. To understand their stress responses in relation to metal toxicity and thermal elevation, we performed a real-time RT-PCR-based expression assay of hepatic copper/zinc-superoxide dismutase (Cu/Zn-SOD), a key antioxidant enzyme, in response to experimental heavy metal exposure or heat treatment. The transcription of hepatic Cu/Zn-SOD was differentially modulated by acute exposure to Cu, cadmium (Cd), or Zn. Exposure to each metal at $5{\mu}M$ for 24 h revealed that Cu stimulated the mRNA expression of Cu/Zn-SOD to a greater extent than the other two heavy metals. The elevation in Cu/Zn-SOD transcripts in response to Cu exposure was dose-dependent (0.5 to $5{\mu}M$). Time course analysis of Cu/Zn-SOD expression in response to Cd exposure ($5{\mu}M$) revealed a transient pattern up to day 7. Exposure to thermal stress (an increase from 22 to $30^{\circ}C$ at a rate of $1^{\circ}C/h$ followed by $30^{\circ}C$ for 18 h) did not significantly alter SOD transcription, although heat shock protein 90 kDa (HSP90) transcription was positively correlated with an increase in temperature.

일부 공단지역주민의 환경노출수준 평가 연구 (A study on environmental exposure levels of residents in an industrial complex area)

  • 양희선;황문영;안승철;이지영
    • 한국산업보건학회지
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    • 제19권4호
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    • pp.336-346
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    • 2009
  • As a follow-up survey of A Study of Monitoring Method on Exposure Level and Biomarkers of Environmental Pollutants-Focused on Ulsan Industrial Comlpex Area, published in 2005, a close examination of the health status was conducted for selected Ulsan residents. Based on the previous study, a total number of 129 subjects were divided into two groups: the exposure group consisted of 39 residents whose blood levels of lead, mercury and/or cadmium were higher than international reference values, and 90 residents of control group with normal levels. Environmental exposure level and its association with health condition were examined by various methods such as questionnaire, analyses of lead, mercury and cadmium in blood and medical examinations. The geometric mean concentrations of lead, mercury and cadmium in blood were respectively $2.07{\mu}g/d{\ell}$ (exposure $2.54{\mu}g/d{\ell}$, control $1.90{\mu}g/d{\ell}$), $5.94{\mu}g/L$ (exposure $8.57{\mu}g/L$, control $5.07{\mu}g/L$), $1.32{\mu}g/L$ (exposure $1.30{\mu}g/L$, control $1.33{\mu}g/L$). The concentrations of the three heavy metals in blood showed lower levels than internationally recommended values except for blood mercury. Also, any abnormal or, peculiar disease, or target tissue damage related to the heavy metals was not observed among the all subjects. Therefore, it can be said that no significant difference of heavy metal concentrations and health conditions was found between the two groups.

The Effects of Hazardous Chemical Exposure on Cardiovascular Disease in Chemical Products Manufacturing Workers

  • Kim, Ki-Woong;Won, Yong Lim;Ko, Kyung Sun;Heo, Kyung-Hwa;Chung, Yong Hyun
    • Toxicological Research
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    • 제28권4호
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    • pp.269-277
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    • 2012
  • The purpose of this study was to understand the mechanism of cardiovascular disease (CVD) caused by exposure to hazardous chemicals. We investigated changes in the symptoms of metabolic syndrome, which is strongly related to CVD, and in levels of other CVD risk factors, with a special emphasis on the roles of catecholamines and oxidative stress. The results revealed that neither body mass index (BMI) nor waist and hip circumferences were associated with exposure to hazardous chemicals. Among metabolic syndrome criteria, only HDL-cholesterol level increased on exposure to hazardous chemicals. Levels of epinephrine (EP) and norepinephrine (NEP) were not influenced by exposure to hazardous chemicals; however, the total antioxidative capacity (TAC) reduced because of increased oxidative stress. Both hazardous chemical exposure level and metabolite excretion were related to EP, NEP, and the oxidative stress index (OSI). Logistic regression analysis with these factors as independent variables and metabolic syndrome criteria as dependent variables revealed that EP was associated with blood pressure, and NEP with metabolic syndrome in the chemical-exposed group. In conclusion, the results suggest that reactive oxygen species generated and oxidative stress due to exposure to hazardous chemicals act as mediators and cause changes in the physiological levels of EP and NEP to increase blood pressure. This ultimately leads to the development of CVD through increase in cholesterol, triglyceride, and blood glucose levels by lipid peroxidation.

두부 CT 검사 시 테이블 높이에 따른 선량과 화질에 관한 연구 (A Study on Radiation Dose and Image Quality according to CT Table Height in Brain CT)

  • 김기원;오주영;민정환;이상선;이영봉;임경환;이윤
    • 대한방사선기술학회지:방사선기술과학
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    • 제46권2호
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    • pp.99-106
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    • 2023
  • The height of the table should be considered important during computed tomography (CT) examination, but according to previous studies, not all radiology technologists set the table at the patient's center at the examination, which affects the exposure dose and image quality received by the patient. Therefore, this study intends to study the image quality exposure dose according to the height of the table to realize the optimal image quality and dose during the brain CT scan. The head phantom images were acquired using Philips Brilliance iCT 256. When the image was acquired, the table height was adjusted to 815, 865, 915, 965, 1015, and 1030 mm, respectively, and each scan was performed 3 times for each height. For the exposure dose measurement, optically stimulated luminescence dosimeter (OSLD) was attached to the front, side, eye, and thyroid gland of the head phantom. In the signal to noise ratio (SNR) measurement result, The SNR values for each table height were all lower than 915 mm. As a result of exposure dose, the exposure dose on each area increased as the table height decreased. The height of the table has a close relationship with the patient's radiation exposure dose in the CT scan.

세탁업 종사자의 유기용제 노출과 두통 및 눈의 피로 증상 간의 연관성: 제6차 근로환경조사 자료 분석 (Association between Exposure to Organic Solvents and Symptom of Headache and Eyestrain among Laundry Workers: Analysis of the 6th Korean Working Conditions Survey Data)

  • 정현순;이경무
    • 한국환경보건학회지
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    • 제49권6호
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    • pp.372-379
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    • 2023
  • Background: Laundry workers are known to be exposed to organic solvents in various works including dry cleaning. Long-term exposure to organic solvents may cause adverse health effects among laundry workers. Objectives: To investigate the association between exposure to organic solvents and symptom of headache or eyestrain among laundry workers. Methods: The subjects were total 267 laundry workers who participated in the 6th Korean Working Conditions Survey (KWCS). Responses to exposure to 'inhalation of vapor from organic solvent' was categorized into two (non-exposed: rarely or absolutely not exposed during working hours; exposed: ≥1/4 working hours) or three (non-exposed; low exposure: 1/4 of the working hours; high exposure: ≥1/2 working hours) groups. Logistic regression analysis was performed to evaluate the association between exposure to organic solvents and symptom of headache or eyestrain in the last 12 months among laundry workers. Odds ratios (ORs) and the 95% confidence intervals (CIs) were calculated for experience of the symptom of headache or eyestrain with adjustment for age, sex, education, workplace size (by the number of workers), working hours per week, and current working period (year). Results: The proportions of exposure groups, i.e., non-exposed, low exposure, and high exposure, were 80.4%, 11.1%, and 8.5%, respectively. The proportion of those who had symptom of headache or eyestrain in the last 12 months was 18.7%. There was a significant association between exposure to organic solvents and experience of headache or eyestrain (OR=3.2, 95% CI=1.4~7.4). And, the proportion of those who experienced symptom of headache or eyestrain tended to increase significantly as the level of exposure to organic solvents increased (Ptrend=0.002). Conclusions: Our results suggest that exposure to organic solvents are associated with symptom of headache or eystrain among laundry workers in Korea. However, further studies with more relevant design is needed to replicate the association.

Chemopreventive Effects of Korean Red Ginseng (Panax ginseng Meyer) on Exposure to Polycyclic Aromatic Hydrocarbons

  • Lee, Ho-Sun;Park, Jong-Yun;Yang, Mi-Hi
    • Journal of Ginseng Research
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    • 제35권3호
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    • pp.339-343
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    • 2011
  • Polycyclic aromatic hydrocarbons (PAHs) are well known environmental carcinogens. PAH metabolites, especially BaP-7,8- dihydrodiol, 9,10 epoxide, initiate carcinogenesis via high specificity binding to DNA to form DNA adducts. The Korean red ginseng (KRG) from Panax ginseng has been suggested to protect against damages due to PAH exposure but the mechanism is unknown. Therefore, we investigated effects of KRG on PAH exposure using toxicokinetic methods and changes of PAH-induced oxidative damage during a 2 week-clinical trial (n=21 healthy young female, $23.71{\pm}2.43$ years). To analyze antioxidative effects of KRG, we measured changes in the levels of urinary malondialdehyde (MDA) before and after KRG treatment. We observed a significant positive association between levels of urinary MDA and 1-hydroxypyrene, a biomarker of PAH exposures (slope=1.47, p=0.03) and confirmed oxidative stress induced by PAH exposures. A reverse significant correlation between KRG treatment and level of urinary MDA was observed (p=0.03). In summary, results of our clinical trial study suggest that KRG plays a significant role in antioxidative as well as toxicokinetic pathways against PAHs exposure.

Set, a Putative Oncogene, As a Biomarker for Prenatal Exposure to Bisphenol A

  • Lee, Ho-Sun;Pyo, Myoung-Yun;Yang, Mi-Hi
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권6호
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    • pp.2711-2715
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    • 2012
  • Background: Bisphenol A (BPA), an endocrine disrupting chemical, has been suspected to pose carcinogenic risks. However, likely mechanisms are obscure and there are difficulties to estimating its real significance for cancer development. Methods: We therefore studied BPA-induced proteomic alterations in immune organs of ICR mice offspring that were prenatally exposed to BPA (15 and 300 mg/L of drinking water). We performed 2D-gel analyses of samples, considering differences in spleen, exposure levels, sex, and ages. Results: From proteomic analyses, we found various proteins were up- or down-regulated by BPA. Among them, SET, a putative oncogene and inhibitor of phosphatase 2A, was significantly down-regulated in a BPA dose-dependent manner. We also confirmed down-regulation of SET in western blot and real time PCR analyses. From gene network analysis, SET is predicted to communicate with other genes including CYP17, which is involved in biosynthesis and metabolism of sex-hormones. Conclusions: This study provided evidence that SET can be applied as a new biomarker for prenatal BPA exposure and suggests a potential new mechanism of action in that BPA may disrupt CYP17 via SET.

Effects of Acute Metal Exposures on the Viability and mRNA Expression of Metallothionein in Hemibarbus mylodon Fry

  • Bang, In-Chul;Cho, Young-Sun;Lee, Il-Rho;Nam, Yoon-Kwon
    • 생태와환경
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    • 제40권4호
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    • pp.489-494
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    • 2007
  • Transcriptional modulation of metallothionein (MT) during acute metal exposures (cadmium, copper or zinc) was examined in fry of Hemibarbus mylodon, a threatened fish species in Korean peninsula. Viability of H. mylodon fry was most affected by copper exposure (up to 79% of mortality at 1 ppm for 48 hours) and considerably by cadmium exposure (21 to 54% of mortality). On the other hand, Zn showed the least adverse effect on the viability (0 to 13% of mortality) of this species. Based on the semi-quantitative RT-PCR analysis, the stimulation of MT mRNA in response to metal exposures followed generally in a dose-dependent fashion where cadmium was the most potent inducer for the induction of MT transcripts in fry (up to more than 5-fold) while the lowest response was observed in zinc-exposed group (2-fold at maximum). From the exposure using environmentally realistic doses of cadmium (0 to 0.05 ppm for 24 hours), MT expression at mRNA level was also sensitively modulated toward upregulation up to more than 3-fold as relative to non-exposed control. Results from the present study would be a good basis for understanding the adaptive capacity and stress physiology of this endangered fish species during metal pollution.