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      • SCOPUSKCI등재SCIE

        Evidence integration on health damage for humidifier disinfectant exposure and legal presumption of causation

        Mina Ha(Mina Ha),Taehyun Park(Taehyun Park),Jong-Hyun Lee(Jong-Hyun Lee),Younghee Kim(Younghee Kim),Jungyun Lim(Jungyun Lim),Yong-Wook Baek(Yong-Wook Baek),Sol Yu(Sol Yu),Hyen-Mi Chung(Hyen-Mi Chung) 한국역학회 2023 Epidemiology and Health Vol.45 No.-

        OBJECTIVES: Inhalation exposure to humidifier disinfectants has resulted to various types of health damages in Korea. To determine the epidemiological correlation necessary for presuming the legal causation, we aimed to develop a method to synthesize the entire evidence. METHODS: Epidemiological and toxicological studies are systematically reviewed. Target health problems are selected by criteria such as frequent complaints of claimants. Relevant epidemiologic studies are reviewed and the risk of bias and confidence level of the total evidence are evaluated. Toxicological literature reviews are conducted on three lines of evidence including hazard information, animal studies, and mechanistic studies, considering the source-to-exposure-to-outcome continuum. The confidence level of the body of evidence is then translated into the toxicological evidence levels for the causality between humidifier disinfectant exposure and health effects. Finally, the levels of epidemiological and toxicological evidence are synthesized. RESULTS: Under the Special Act revised in 2020, if the history of exposure and the disease occurred/worsened after exposure were approved, and the epidemiological correlation between the exposure and disease was verified, the legal causation is presumed unless the company proves the evidence against it. The epidemiological correlation can be verified through epidemiological investigations, health monitoring, cohort investigations and/or toxicological studies. It is not simply as statistical association as understood in judicial precedents, but a general causation established by the evidence as a whole, i.e., through weight-of-the-evidence approach. CONCLUSIONS: The weight-of-the-evidence approach differs from the conclusive single study approach and this systematic evidence integration can be used in presumption of causation.

      • The anti-inflammatory mechanism of 635 nm light-emitting-diode irradiation compared with existing COX inhibitors

        Lim, Wonbong,Lee, SungGa,Kim, Inae,Chung, Mina,Kim, Misook,Lim, Hoisoon,Park, Jinsoo,Kim, Okjoon,Choi, Hongran Wiley Subscription Services, Inc., A Wiley Company 2007 Lasers in surgery and medicine Vol.39 No.7

        <B>Background and Objectives</B><P>Inhibition of cyclooxygenase (COX) and prostaglandin E<SUB>2</SUB> (PGE<SUB>2</SUB>) protects cells against cell injury in specific pathophysiological situations: inflammation and oxidative stress. Although the anti-inflammatory effects have been reported in clinical fields for specific wavelength irradiation during wound healing, the physiological mechanism has not been clarified yet. The aim of the present study is to investigate the anti-inflammatory mechanism of 635 nm light-emitting-diode (LED) irradiation compared with existing COX inhibitors.</P><B>Study Design/Materials and Methods</B><P>The present study investigated anti-inflammatory effects of 635 nm irradiation on PGE<SUB>2</SUB> release, COX and phospholipase A<SUB>2</SUB> (PLA<SUB>2</SUB>) expression, and reactive oxygen species (ROS) dissociation in arachidonic acid (AA)-treated human gingival fibroblast (hGF). These results were compared with their existing COX inhibitors: indomethacin and ibuprofen. The PGE<SUB>2</SUB> release was measured by enzyme immunoassay, the COX expression was measured by western blot and reverse transcriptase polymerase chain reaction (RT-PCR), and ROS level was measured by flow cytometry, laser scanning confocal microscope and RT-PCR.</P><B>Results</B><P>Results showed that 635 nm irradiation and existing COX inhibitors inhibit expression of COX and PGE<SUB>2</SUB> release. Unlike indomethacin and ibuprofen, 635 nm irradiation leads to a decrease of ROS levels and mRNA expression of cytosolic phospholipase A<SUB>2</SUB> (cPLA<SUB>2</SUB>) and secretary phospholipase A<SUB>2</SUB> (sPLA<SUB>2</SUB>).</P><B>Conclusion</B><P>Taken together, 635 nm irradiation, unlike indomethacin and ibuprofen, can directly dissociate the ROS. This inhibits cPLA<SUB>2</SUB>, sPLA<SUB>2</SUB>, and COX expression, and results in the inhibition of PGE<SUB>2</SUB> release. Thus, we suggest that 635 nm irradiation inhibits PGE<SUB>2</SUB> synthesis like COX inhibitor and appears to be useful as an anti-inflammatory tool. Lesers Surg. Med. 39:614–621, 2007. © 2007 Wiley-Liss, Inc.</P>

      • Characterization of the centromere and peri‐centromere retrotransposons in <i>Brassica rapa</i> and their distribution in related <i>Brassica</i> species

        Lim, Ki‐,Byung,Yang, Tae‐,Jin,Hwang, Yoon‐,Jung,Kim, Jung Sun,Park, Jee‐,Young,Kwon, Soo‐,Jin,Kim, JinA,Choi, Beom‐,Soon,Lim, Myung‐,Ho,Jin, Mina,Kim, Ho Blackwell Publishing Ltd 2007 The Plant journal Vol.49 No.2

        <P><B>Summary</B></P><P>We report the identification and characterization of the major repeats in the centromeric and peri‐centromeric heterochromatin of <I>Brassica rapa.</I> The analysis involved the characterization of 88 629 bacterial artificial chromosomes (BAC) end sequences and the complete sequences of two BAC clones. We identified centromere‐specific retrotransposons of <I>Brassica</I> (CRB) and various peri‐centromere‐specific retrotransposons (PCRBr). Three copies of the CRB were identified in one BAC clone as nested insertions within a tandem array of 24 copies of a 176 bp centromeric repeat, CentBr. A complex mosaic structure consisting of nine PCRBr elements and large blocks of 238 bp degenerate tandem repeats (TR238) were found in or near a derivative of 5S–25S rDNA sequences. The chromosomal positions of selected repeats were determined using <I>in situ</I> hybridization. These revealed that CRB is a major component of all centromeres in three diploid <I>Brassica</I> species and their allotetraploid relatives. However, CentBr was not detected in the most distantly related of the diploid species analyzed, <I>B. nigra</I>. PCRBr and TR238 were found to be major components in the peri‐centromeric heterochromatin blocks of four chromosomes of <I>B. rapa.</I> These repetitive elements were not identified in <I>B. oleracea</I> or <I>B. nigra</I>, indicating that they are A‐genome‐specific.</P>

      • KCI등재SCISCIE

        Characterization of rDNAs and tandem repeats in the heterochromatin of Brassica rapa.

        Lim, Ki-Byung,de Jong, Hans,Yang, Tae-Jin,Park, Jee-Young,Kwon, Soo-Jin,Kim, Jung Sun,Lim, Myung-Ho,Kim, Jin A,Jin, Mina,Jin, Yong-Moon,Kim, Seog Hyung,Lim, Yong Pyo,Bang, Jae-Wook,Kim, Ho-Il,Park, Be Korean Society for Molecular Biology 2005 Molecules and cells Vol.19 No.3

        <P>We describe the morphology and molecular organization of heterochromatin domains in the interphase nuclei, and mitotic and meiotic chromosomes, of Brassica rapa, using DAPI staining and fluorescence in situ hybridization (FISH) of rDNA and pericentromere tandem repeats. We have developed a simple method to distinguish the centromeric regions of mitotic metaphase chromosomes by prolonged irradiation with UV light at the DAPI excitation wavelength. Application of this bleached DAPI band (BDB) karyotyping method to the 45S and 5S rDNAs and 176 bp centromere satellite repeats distinguished the 10 B. rapa chromosomes. We further characterized the centromeric repeat sequences in BAC end sequences. These fell into two classes, CentBr1 and CentBr2, occupying the centromeres of eight and two chromosomes, respectively. The centromere satellites encompassed about 30% of the total chromosomes, particularly in the core centromere blocks of all the chromosomes. Interestingly, centromere length was inversely correlated with chromosome length. The morphology and molecular organization of heterochromatin domains in interphase nuclei, and in mitotic and meiotic chromosomes, were further characterized by DAPI staining and FISH of rDNA and CentBr. The DAPI fluorescence of interphase nuclei revealed ten to twenty conspicuous chromocenters, each composed of the heterochromatin of up to four chromosomes and/or nucleolar organizing regions.</P>

      • SCOPUSKCI등재

        Short-term Effect of Fine Particulate Matter on Children's Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis

        Lim, Hyungryul,Kwon, Ho-Jang,Lim, Ji-Ae,Choi, Jong Hyuk,Ha, Mina,Hwang, Seung-sik,Choi, Won-Jun The Korean Society for Preventive Medicine 2016 Journal of Preventive Medicine and Public Health Vol.49 No.4

        Objectives: No children-specified review and meta-analysis paper about the short-term effect of fine particulate matter ($PM_{2.5}$) on hospital admissions and emergency department visits for asthma has been published. We calculated more precise pooled effect estimates on this topic and evaluated the variation in effect size according to the differences in study characteristics not considered in previous studies. Methods: Two authors each independently searched PubMed and EMBASE for relevant studies in March, 2016. We conducted random effect meta-analyses and mixed-effect meta-regression analyses using retrieved summary effect estimates and 95% confidence intervals (CIs) and some characteristics of selected studies. The Egger's test and funnel plot were used to check publication bias. All analyses were done using R version 3.1.3. Results: We ultimately retrieved 26 time-series and case-crossover design studies about the short-term effect of $PM_{2.5}$ on children's hospital admissions and emergency department visits for asthma. In the primary meta-analysis, children's hospital admissions and emergency department visits for asthma were positively associated with a short-term $10{\mu}g/m^3$ increase in $PM_{2.5}$ (relative risk, 1.048; 95% CI, 1.028 to 1.067; $I^2=95.7%$). We also found different effect coefficients by region; the value in Asia was estimated to be lower than in North America or Europe. Conclusions: We strengthened the evidence on the short-term effect of $PM_{2.5}$ on children's hospital admissions and emergency department visits for asthma. Further studies from other regions outside North America and Europe regions are needed for more generalizable evidence.

      • SCOPUSKCI등재

        Associations of Low Environmental Exposure to Multiple Metals with Renal Tubular Impairment in Korean Adults

        Lim, Hyungryul,Lim, Ji-ae,Choi, Jong Hyuk,Kwon, Ho-jang,Ha, Mina,Kim, Heon,Park, Jung-duck Korean Society of ToxicologyKorea Environmental Mu 2016 Toxicological Research Vol.32 No.1

        Recently several studies reported that the renal toxicity of lead (Pb) and cadmium (Cd) may exist in even a low level exposure. In terms of the deterioration of tubular function, it affects the loss of divalent metals and leads to other complications, so renal tubular effect of heavy metals should be well managed. Considering the exposure to heavy metals in reality, it is hard to find the case that human is exposed to only one heavy metal. We designed a cross-sectional study using Korean Research Project on the Integrated Exposure Assessment (KRIEFS) data to investigate the renal effects of multiple metal exposure in general population. We used blood Pb and urinary Cd as exposure measures, and urinary N-acetyl-${\beta}$-D-glucosaminidase (NAG) and ${\beta}_2$-microglobulin (${\beta}_2$-MG) as renal tubular impairment outcome. We conducted linear regression to identify the association between each heavy metal and urinary NAG and ${\beta}_2$-MG. And then, we conducted linear regression including the interaction term. Of 1953 adults in KRIEFS (2010~2011), the geometric mean of blood Pb and urinary Cd concentration was $2.21{\mu}g/dL$ (geometric $SD=1.49{\mu}g/dL$) and $1.08{\mu}g/g\;cr$ (geometric $SD=1.98{\mu}g/g\;cr$), respectively. In urinary Cd, the strength of the association was also high after adjusting (urinary NAG: ${\beta}=0.44$, p < 0.001; urinary ${\beta}_2$-MG: ${\beta}=0.13$, p = 0.002). Finally, we identified the positive interactions for the two renal biomarkers. The interaction effect of the two heavy metals of ${\beta}_2$-MG was greater than that of NAG. It is very important in public health perspective if the low level exposure to multiple heavy metals has an interaction effect on kidney. More epidemiological studies for the interaction and toxicological studies on the mechanism are needed.

      • SCOPUSKCI등재

        Associations of Low Environmental Exposure to Multiple Metals with Renal Tubular Impairment in Korean Adults

        Hyungryul Lim,Ji-ae Lim,Jong Hyuk Choi,Ho-jang Kwon,Mina Ha,Heon Kim,Jung-duck Park 한국독성학회 2016 Toxicological Research Vol.32 No.1

        Recently several studies reported that the renal toxicity of lead (Pb) and cadmium (Cd) may exist in even a low level exposure. In terms of the deterioration of tubular function, it affects the loss of divalent metals and leads to other complications, so renal tubular effect of heavy metals should be well managed. Considering the exposure to heavy metals in reality, it is hard to find the case that human is exposed to only one heavy metal. We designed a cross-sectional study using Korean Research Project on the Integrated Exposure Assessment (KRIEFS) data to investigate the renal effects of multiple metal exposure in general population. We used blood Pb and urinary Cd as exposure measures, and urinary N-acetyl-β-D-glucosaminidase (NAG) and β2-microglobulin (β2-MG) as renal tubular impairment outcome. We conducted linear regression to identify the association between each heavy metal and urinary NAG and β2-MG. And then, we conducted linear regression including the interaction term. Of 1953 adults in KRIEFS (2010~2011), the geometric mean of blood Pb and urinary Cd concentration was 2.21 μg/dL (geometric SD = 1.49 μg/dL) and 1.08 μg/g cr (geometric SD = 1.98 μg/g cr), respectively. In urinary Cd, the strength of the association was also high after adjusting (urinary NAG: β = 0.44, p < 0.001; urinary β2-MG: β = 0.13, p = 0.002). Finally, we identified the positive interactions for the two renal biomarkers. The interaction effect of the two heavy metals of β2-MG was greater than that of NAG. It is very important in public health perspective if the low level exposure to multiple heavy metals has an interaction effect on kidney. More epidemiological studies for the interaction and toxicological studies on the mechanism are needed.

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