1.Smartphones and health.
Journal of the Korean Medical Association 2015;58(1):42-48
The use of smartphones has rapidly increased over the past few years. With the increasing use of smartphones, concern has been raised about the potential harmful effects on human health. In 2011, the International Agency for Research on Cancer of the World Health Organization classified radiofrequency electromagnetic fields as possibly carcinogenic to humans (group 2B) based on an increased risk for glioma associated with wireless phone use (i.e. mobile phones). In addition, several meta-analyses of case-control studies reported an increased risk of tumors associated with the use of mobile phones. Moreover, it has been reported that the overuse of mobile phones is associated with reproductive risks, addiction, and phantom vibration and ringing syndrome. Further large prospective cohort studies and randomized controlled trials are needed to confirm these associations. Until clear evidence is available that the use of smartphones is safe, their overuse should be avoided.
Case-Control Studies
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Cellular Phone
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Cohort Studies
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Electromagnetic Fields
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Glioma
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Humans
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International Agencies
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Vibration
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World Health Organization
2.Occupational Burden of Cancer in Korea.
Eun A KIM ; Hye Eun LEE ; Seong Kyu KANG
Safety and Health at Work 2010;1(1):61-68
OBJECTIVES: The extent of the occupational cancer burden has rarely been estimated in Korea. The aim of this study is to provide an estimation of the population attributable fraction (PAF) of occupational cancer in Korea. METHODS: Nine kinds of Group 1 carcinogens addressed by the International Agency for Research on Cancer (IARC) and 7 kinds of cancer were selected for the target carcinogens and diseases, respectively. The prevalence of carcinogen-exposed workers was estimated and correction factors were applied so that the value would be representative of the total population. Data on relative risk (RR) were taken from IARC reports and were compared with the RRs from the studies on Korean workers. The PAF was estimated according to Levin's formula. RESULTS: The proportion of the general Korean population exposed to carcinogens was 9.7%. The PAF of total cancer was 1.1% for incident cancer cases and 1.7% for cancer deaths. The PAFs of lung cancer and leukemia were 7.0% and 4.%, respectively. With the RRs reported from Korean studies, the PAF for lung cancer and leukemia were 3.7% and 3.4%, respectively. CONCLUSION: The PAF in this study (1.1%) was lower than that reported in previous studies (2-4%) from developed countries. Considering that only 9 of the 29 kinds of Group 1 carcinogens were included in this study, the PAF might be underestimated. However, because the process of industrialization in Korea differs from that which occurred in other developed countries, 1.1% of the PAF might be appropriate for Korea.
Carcinogens
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Developed Countries
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International Agencies
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Korea
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Leukemia
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Lung Neoplasms
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Prevalence
3.Occupational Burden of Cancer in Korea.
Eun A KIM ; Hye Eun LEE ; Seong Kyu KANG
Safety and Health at Work 2010;1(1):61-68
OBJECTIVES: The extent of the occupational cancer burden has rarely been estimated in Korea. The aim of this study is to provide an estimation of the population attributable fraction (PAF) of occupational cancer in Korea. METHODS: Nine kinds of Group 1 carcinogens addressed by the International Agency for Research on Cancer (IARC) and 7 kinds of cancer were selected for the target carcinogens and diseases, respectively. The prevalence of carcinogen-exposed workers was estimated and correction factors were applied so that the value would be representative of the total population. Data on relative risk (RR) were taken from IARC reports and were compared with the RRs from the studies on Korean workers. The PAF was estimated according to Levin's formula. RESULTS: The proportion of the general Korean population exposed to carcinogens was 9.7%. The PAF of total cancer was 1.1% for incident cancer cases and 1.7% for cancer deaths. The PAFs of lung cancer and leukemia were 7.0% and 4.%, respectively. With the RRs reported from Korean studies, the PAF for lung cancer and leukemia were 3.7% and 3.4%, respectively. CONCLUSION: The PAF in this study (1.1%) was lower than that reported in previous studies (2-4%) from developed countries. Considering that only 9 of the 29 kinds of Group 1 carcinogens were included in this study, the PAF might be underestimated. However, because the process of industrialization in Korea differs from that which occurred in other developed countries, 1.1% of the PAF might be appropriate for Korea.
Carcinogens
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Developed Countries
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International Agencies
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Korea
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Leukemia
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Lung Neoplasms
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Prevalence
5.Colorectal cancer: new developments after the 2013 ECCO/ESMO congress.
Nawfel MELLAS ; Zineb BENBRAHIM ; Omar El MESBAHI
Chinese Journal of Cancer 2014;33(4):218-221
In 2013, at the congress of the European CanCer Organization and the European Society for Medical Oncology, colorectal cancer was the subject of various oral presentations and posters. In this article, we have selected the most innovative studies that are likely to change our daily practice.
Colorectal Neoplasms
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Congresses as Topic
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Europe
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Humans
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International Agencies
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Medical Oncology
7.Review of carcinogenicity of hexavalent chrome and proposal of revising approval standards for an occupational cancers in Korea
Jungwon KIM ; Sangyun SEO ; Yangho KIM ; Dae Hwan KIM
Annals of Occupational and Environmental Medicine 2018;30(1):7-
BACKGROUND: The objective of this study is to suggest revised recognition standards for occupational disease due to chromium (VI) by reflecting recent domestic and international research works and considering domestic exposure status with respect to target organs, exposure period, and cumulative exposure dose in relation to the chromium (VI)-induced occupational disease compensation. METHODS: In this study, the reports published by major international institutions such as World Health Organization (WHO) International Agency for Research on Cancer (IARC) (2012), Occupational Safety and Health Administration (OSHA) (2006), National Institute for Occupational Safety and Health (NIOSH) (2013), American Conference of Governmental Industrial Hygienists (ACGIH) (2004), National Toxicology Program (NTP) (2014), and Agency for Toxic Substances and Disease Registry (ASTDR) (2012) were reviewed and the recent research works searched by PubMed were summarized. RESULTS: Considering the recent research works and the domestic situation, only lung cancer is conserved in the legislative bill in relation to chromium (VI), and the exposure period is not included in the bill. Nasal and paranasal sinus cancer was excluded from the list of cancers that are compensated as the chromium (VI)- induced occupational disease, while lung cancer remains in the list. In the view of legislative unity, considering the fact that only the cancers having sufficient evidence are included in the conventional list of cancers compensated as occupational disease, nasal and paranasal sinus cancer having limited evidence were excluded from the list. The exposure period was also removed from the legislative bill due to the insufficient evidence. Recent advices in connection with cumulative exposure dose were proposed, and other considerable points were provided with respect to individual occupational relevance. CONCLUSIONS: It is suggested that the current recognition standard which is “Lung cancer or nasal and paranasal sinus cancer caused by exposure to chromium (VI) or compounds thereof (exposure for two years or longer), or nickel compounds” should be changed to “Lung cancer caused by exposure to chromium (VI) or compounds thereof, and lung cancer or nasal and paranasal sinus cancer caused by exposure to nickel compounds”.
Chromium
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Compensation and Redress
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International Agencies
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Korea
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Lung Neoplasms
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National Institute for Occupational Safety and Health (U.S.)
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Nickel
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Occupational Diseases
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Occupational Exposure
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Paranasal Sinus Neoplasms
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Toxicology
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United States Occupational Safety and Health Administration
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World Health Organization
8.Prevalence and risk factors of colorectal cancer in Asia
Martin CS WONG ; Hanyue DING ; Jingxuan WANG ; Paul SF CHAN ; Junjie HUANG
Intestinal Research 2019;17(3):317-329
Globally, colorectal cancer (CRC) is a substantial public health burden, and it is increasingly affecting populations in Asian countries. The overall prevalence of CRC is reported to be low in Asia when compared with that in Western nations, yet it had the highest number of prevalent cases. This review described the prevalence of CRC in Asia according to the International Agency for Research on Cancer from World Health Organization (WHO) database and summarized its major risk factors. Non-modifiable factors include genetic factors, ethnicity, age, gender, family history and body height; smoking, alcohol drinking, weight, Westernized diet, physical inactivity, chronic diseases and microbiota were involved in environmental factors. These risk factors were separately discussed in this review according to published literature from Asian countries. CRC screening has been playing an important role in reducing its disease burden. Some recommendations on its screening practices have been formulated in guidelines for Asia Pacific countries.
Alcohol Drinking
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Asia
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Asian Continental Ancestry Group
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Body Height
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Chronic Disease
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Colorectal Neoplasms
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Diet
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Epidemiology
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Humans
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International Agencies
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Mass Screening
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Microbiota
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Prevalence
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Public Health
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Risk Factors
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Smoke
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Smoking
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World Health Organization
9.Overview of the Epidemiology and Treatment of Gastric Cancer.
Journal of the Korean Medical Association 2002;45(2):133-138
The incidence and mortality rates for gastric cancer have decreased in the developed countries for the last several decades. On the other hand, they remain high in far Eastern countries such as Japan, China, and Korea and also in many developing countries. The risk of gastric cancer is greater among lower socioeconomic classes. The causes of this disease are still unclear. Long-term ingestion of highly concentrated nitrates in dried, smoked, and salted foods might be related with higher risk. Helicobacter pylori infection was classified as a group I definite human gastric carcinogen by the International Agency for Research on Cancer, World Health Organization (IARC/WHO) in1994. However, there are some debates on the association between H. pylori infection and gastric cancer. Complete surgical removal of the tumor with resection of adjacent lymph nodes offers the only chance for cure. As yet, this kind of treatment is possible in less than a half of patients. The prognosis after complete surgical resection depends on the degree of tumor penetration to the gastric wall. Cases with regional lymph node involvement, vascular invasion,and abnormal DNA content show poor prognosis. Gastric carcinoma is a relatively radio-re-sistant tumor, and the major role of radiation therapy has been the palliation of pain. Combinations of cytotoxic drugs for patients with advanced gastric cancer have shown a partial response in 20~60% of the patients, however, and complete remission was rare. In some recent studies, chemotherapy plus irradiation after surgical resection showed a better disease-free survival and overall survival. In conclusion, early detection and curative resection are very important to improve the survival of patients with gastric cancer. Newer therapeutic strategies such as preoperative chemotherapy or chemoradiotherapy have the potential to benefit the high-risk patients.
Chemoradiotherapy
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China
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Developed Countries
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Developing Countries
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Disease-Free Survival
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DNA
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Drug Therapy
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Eating
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Epidemiology*
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Hand
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Helicobacter pylori
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Humans
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Incidence
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International Agencies
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Japan
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Korea
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Lymph Nodes
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Mortality
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Nitrates
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Prognosis
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Smoke
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Stomach Neoplasms*
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World Health Organization
10.The Relationship between the Occupational Exposure of Trichloroethylene and Kidney Cancer.
Inah KIM ; Jaehyeok HA ; June Hee LEE ; Kye Mook YOO ; Jaehoon RHO
Annals of Occupational and Environmental Medicine 2014;26(1):12-12
Trichloroethylene (TCE) has been widely used as a degreasing agent in many manufacturing industries. Recently, the International Agency for Research on Cancer presented "sufficient evidence" for the causal relationship between TCE and kidney cancer. The aim of this study was to review the epidemiologic evidences regarding the relationship between TCE exposure and kidney cancer in Korean work environments. The results from the cohort studies were inconsistent, but according to the meta-analysis and case-control studies, an increased risk for kidney cancer was present in the exposure group and the dose-response relationship could be identified using various measures of exposure. In Korea, TCE is a commonly used chemical for cleaning or degreasing processes by various manufacturers; average exposure levels of TCE vary widely. When occupational physicians evaluate work-relatedness kidney cancers, they must consider past exposure levels, which could be very high (>100 ppm in some cases) and associated with jobs, such as plating, cleaning, or degreasing. The exposure levels at a manual job could be higher than an automated job. The peak level of TCE could also be considered an important exposure-related variable due to the possibility of carcinogenesis associated with high TCE doses. This review could be a comprehensive reference for assessing work-related TCE exposure and kidney cancer in Korea.
Carcinogenesis
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Case-Control Studies
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Cohort Studies
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International Agencies
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Kidney Neoplasms*
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Kidney*
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Korea
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Occupational Exposure*
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Occupations
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Trichloroethylene*