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This study evaluates the chemical components of an aerodynamic diameter less than 2.5 μm (PM) and its health risks in Seoul, Incheon, and Wonju, South Korea. The results revealed significant regional variations, particularly under the reasonable maximum exposure scenario, with Seoul's average daily dose (6.4 × 10 µg/kg/day) approximately 2 times higher than Incheon (5.8 × 10 µg/kg/day) and Wonju (3.2 × 10 µg/kg/day) under the central tendency exposure scenario. Furthermore, exposure to the chemical components comprising PM can surpass risk thresholds when PM concentrations exceed the national standard levels. These findings suggest the potential benefits of preventive measures, such as minimizing outdoor exposure, especially for individuals over 60 years of age, to help reduce health risks. However, further research is needed to confirm the effectiveness of these measures in different regions. The study also highlighted the variation in the health impacts of PM concentrations and its chemical components across the different regions. The results suggest that relying solely on PM concentrations for health risk assessments may underestimate the risks associated with carcinogenic components such as chromium (Cr, VI). However, under the reasonable maximum exposure (RME) scenario, the excess cancer risk (ECR) for Cr (VI) exceeds the acceptable threshold in all three regions, suggesting a high carcinogenic risk under the RME scenario. For example, the ECR for Cr(VI) in Seoul was calculated as 1.4 × 10, Incheon as 2.0 × 10, and Wonju as 1.2 × 10. Therefore, we emphasize the importance of incorporating both the mass concentration of PM and its chemical constituents when conducting health risk assessments to inform region-specific health policies to mitigate health risks, particularly for vulnerable populations.
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http://dx.doi.org/10.3390/toxics13040240 | DOI Listing |
J Korean Med Sci
September 2025
Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Background: Acute exacerbation (AE) of idiopathic pulmonary fibrosis (IPF) has the most disastrous impact on prognosis as a major cause of morbidity and mortality. However, there is no proven treatment, and the occurrence of AE is unpredictable. This study aimed to develop a prediction model for AE in patients with IPF using the nationwide Korea IPF Cohort (KICO) registry.
View Article and Find Full Text PDFBMJ Open
August 2025
Gangneung-Wonju National University, Wonju-si, Korea (the Republic of)
Objectives: To identify the key factors associated with admission to elderly medical-welfare facilities in South Korea and to evaluate their relative importance using machine learning techniques, providing an evidence base for policy in a rapidly ageing society.
Design: A cross-sectional secondary data analysis.
Setting: The analysis was conducted using the National Health Insurance Service -Senior database, a large-scale public dataset constructed to be statistically representative of the elderly population in South Korea.
Yonsei Med J
September 2025
Review and Assessment Research Department, Health Insurance Review and Assessment Service, Wonju, Korea.
Purpose: Alzheimer's disease (AD) is the leading cause of dementia and is associated with various socioeconomic factors. This study aimed to ascertain the differences in AD prevalence based on healthcare coverage type as a proxy of socioeconomic status in South Korea.
Materials And Methods: We examined Health Insurance Review and Assessment Service claims from 2010-2019, identifying AD as the main disease.
J Am Heart Assoc
September 2025
Department of Cardiology, Chonnam National University Medical School Chonnam National University Hospital Gwangju South Korea.
Background: Fractional flow reserve (FFR)-guided or angiography-guided complete revascularization has not been evaluated in patients with acute myocardial infarction (AMI) with multivessel disease and reduced left ventricular ejection fraction (LVEF). This study sought to evaluate the impact of FFR-guided percutaneous coronary intervention (PCI) for patients with AMI with multivessel disease according to left ventricular systolic function.
Methods: We performed a prespecified analysis of the FRAME-AMI (Fractional Flow Reserve Versus Angiography-Guided Strategy in Acute Myocardial Infarction With Multivessel Disease) trial, which randomly allocated 562 patients to undergo either FFR-guided PCI (FFR ≤0.
ERJ Open Res
July 2025
Department of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Background: The concept of treatable traits has been proposed for managing chronic cough; however, evidence supporting its clinical utility remains limited. This study investigated the relationship between baseline traits and cough persistence in a prospective registry of patients with chronic cough.
Methods: We analysed data from 426 patients with chronic cough enrolled in the Korean Chronic Cough Registry.