• The Korean Journal of Applied Statistics
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• v.31 no.4
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• pp.529-538
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• 2018

Tuberculosis causes high morbidity and mortality. However, Korea still has the highest tuberculosis (TB) incidence and mortality among OECD countries despite decreasing incidence and mortality due to the development of modern medicine. Korea has now implemented various policy projects to prevent and control tuberculosis. This study analyzes the effects of public-private mix (PPM) tuberculosis control program on treatment outcomes and identifies the factors that affecting the success of TB treatment. We analyzed 130,000 new tuberculosis patient cohort from 2012 to 2015 using data of tuberculosis patient reports managed by the Disease Control Headquarters. A cumulative incidence function (CIF) compared the cumulative treatment success rates for each factor. We compared the results of the analysis using two popular types of competition risk models (cause-specific Cox's proportional hazards model and subdistribution hazard model) that account for the main event of interest (treatment success) and competing events (death).

• Korean Journal of Veterinary Research
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• v.32 no.1
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• pp.117-125
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• 1992

Dogs were divided into 3 groups of two each; Bacillie Calmette-Guerin(BCG) pretreatment, M bovis only treatment and uninfected control group. BCG were vaccinated intradermally with 0.2ml before 3weeks of M bovis intraperitoneal infection. Infection at necropsy 4months later was readily in the both treated dogs. Histopathologically, the BCG pretreated dogs produce the moderate accumulation of macrophages and focal granuloma formation in the lung, whereas the M bovis only treared dogs produce the accumulation of predominantly macrophages, occasionaly polymorphonuclear cells and the more larger granuloma Bronchoalveolar lavage(BAL) was obtained and total and differential cell counts were examined. Total number of BAL cells harvested from uninfected dogs is lower compared with those of the both treated groups. The total cell number of M bovis only treated dogs were singificantly higher 1.8 times than that of the BCG pretreated dogs. The Fe receptor activity and the growth of organism in alveolar macrophages obtained from BCG pretreated dogs were compared with that in macrophages from M bovis only treated dogs. BCG vaccination resulted in substantial macrophage activation, measured as increased Fc receptor mediated phagocytosis and rosette formation, as wells as the inhibition of intracellular mycobacteria multiplication. However, actibated macrophages taken from BCG pretreated dogs are incapable of killing the M bovis. Thus, these results suggest that BCG pretrearment in the dog may produce a protective effect against tuberculosis because active alveolar macrophages have acquired antituberculous immunity, although few mycobacteria within the lung remain in a metabolically active state.

• 보건세계
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• v.51 no.12 s.580
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• pp.24-26
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• 2004

2003년 한해 동안 전 세계에서 5백만명이 신규 감염된 것으로 조사되었지만 여전히 에이즈에 대한 이해는 부족한 편이다. 질병관리본부에서는 콘돔에 대한 긍정적인 인식을 위한 지상파 광고 등 다양한 홍보활동과 정부지원 확대 등을 통해 에이즈에 대한 바른 이해와 적극적인 관심을 촉구하여 예방하고자 노력하고 있다.

• Tuberculosis and Respiratory Diseases
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• v.59 no.3
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• pp.272-278
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• 2005

Background : The immune responses mediated by CD8+T cells are known to be significant in controlling M. tuberculosis infections. In order to determine the role of cytotoxic CD8+T cells in the protective immune mechanism in latently infected subjects, this study examined whether or not the cytotoxic immune responses of CD8+T cells specific to the M. tuberculosis somatic antigens are induced in BCG vaccinated healthy subjects. Methods : Cytotoxicity and $IFN-{\gamma}$ elispot assays were used to investigate the activities of CD8+T cells specific for the $thyA_{30-38}$ peptide epitope in circulating peripheral blood mononuclear cells (PBMC) from BCG-vaccinated HLA-A*0201 and A*0206 subjects. Results : The results indicate the cytotoxic and $IFN-{\gamma}$ immune responses of CD8+T cells specific for $thyA_{30-38}$ were induced in BCG vaccinated healthy subjects. Conclusion : The cytotoxic and $IFN-{\gamma}$ responses by CD8+T cells specific for the M. tuberculosis somatic antigens are induced in BCG-vaccinated subjects, and appear to be involved in the protective immune mechanism in latently infected people against a M. tuberculosis infection.

• Pediatric Infection and Vaccine
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• v.5 no.1
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• pp.69-78
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• 1998

Purpose : The risk of severe tuberculous disease such as meningitis or miliary tuberculosis increases as younger is the child at the time of infection. Therefore, the early diagnosis and prompt treatment is mandatory for infants with tuberculosis. This study was undertaken to describe the epidemiology, clinical and radiographic manifestations, and response to therapy in infants with tuberculous disease. Methods : Medical records of 29 infants with tuberculosis diagnosed at the Seoul National University Children's Hospital from July, 1985, to April, 1997, were reviewed, retrospectively. A case of tuberculosis was confirmed if M. tuberculosis was isolated from any body site or if there was histologic proof of tuberculosis. Otherwise, the diagnoses were individualized considering history of contact with contagious adult case, clinical manifestations, chest X-ray findings, result of a Mantoux test reaction with 5 tuberculin unit of PPD, and the response to therapy. Results : The mean age at diagnosis was $7.00{\pm}2.65$ months (range, 3 to 12 months). Twelve cases had isolated pulmonary diseases, and the rest had pulmonary disease and meningitis, 5 cases; pulmonary disease and cervical lymphadenitis, 3; isolated meningitis, 3; and miliary tuberculosis, 6. Source case was identified in 19 cases, 7 of which were detected with retrograde manner. Twenty seven of 29 were symptomatic at their initial visit. The presenting symptoms were mainly respiratory or neurologic, and respiratory difficulty was accompanied in 7 cases. Physical examination revealed wheezing in 7 cases and decreased breath sounds in 9. Hepatomegaly or hepatosplenomegaly were frequent. Chest radiographs showed lung parenchymal disease with hilar lymphadenopathy in 18 cases, and focal or generalized emphysematous change in 7 cases. Conclusion : Most of the infants with tuberculosis are symptomatic at diagnosis, and many of infants with intrathoracic tuberculosis presented with symptoms of bronchial obstruction. When tuberculosis is suspected in an infant, the adult source case should be vigorously investigated to aid in diagnosis and for the prevention of further transmission of tuberculous disease. Almost half of infant tuberculosis are preventable if prophylaxis were given when adult cases were diagnosed.

• Journal of the Society of Disaster Information
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• v.16 no.3
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• pp.513-525
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• 2020

Purpose: The purpose of this study is to analyze the characteristics of local factors affecting number of tuberculosis death by urban and rural areas. Method: The Partial Least Square(PLS) Regression analysis was used to solve the problem of multicollinearity and number of samples. Result: As a result of analysis, The number of tuberculosis deaths in urban and rural areas is about three times as large. As a result of analysis about Regional Characteristics Factor, In general, children, elderly people, and economically vulnerable populations are more likely to be exposed to tuberculosis. In differential results, it shows that environmental factors such as ultrafine dust and sulfur dioxide have a significant impact on the number of tuberculosis deaths in urban areas and social factors such as depression experience rate in rural areas. Conclusion: The Tuberculosis prevention and management policies that reflect the characteristics of urban and rural areas are needed in the future.

• 대한예방의학회:학술대회논문집
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• 2001.10a
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• pp.437-438
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• 2001

• 동물약계
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• no.80
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• pp.2-3
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• 2001

[ $\cdot$ ]동물용의약품등 제조업 신고 허가 $\cdot$동물용의약품등 제조업 허가사항 변경 $\cdot$동물용의약품등 수입관리자 신규 승인 $\cdot$동물용의약품등 수입자 확인사항 변경 $\cdot$동물용의약품 품질관리우수업체 신규 지정 $\cdot$동물용의약품 품질관리우수업체 변경 지정 $\cdot$돼지콜레라 방역실시요령 개정 $\cdot$돼지콜레라 예방접종 중단 및 청정국 선언 $\cdot$돼지콜레라 예방약 품목허가 변경 조치 $\cdot$동물용의약품등제조업및품목허가지침 개정 $\cdot$결핵병 및 부루세라병 방역실시요령 개정 $\cdot$품질관리우수업체 지정시한 연장

• Journal of Preventive Medicine and Public Health
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• v.22 no.1 s.25
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• pp.65-70
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• 1989

To examine the association between serum HBeAg status and tuberculosis infection, we reviewed medical records of 579 inpatients who had serum HBeAg test with RIA method at the Department of Nuclear Medicine of Kyungpook University Hospital from January 1, 1985 to December 31, 1987. HBeAg positive patients had lower tuberculosis infection rate(5.0%) than that of HBeAg negative patients(9.8%) and the odds ratio of HBeAg associated with tuberculosis was 0.48(95% C.I.:0.22-1.08). Similar relationship was found in the patients of hepatobiliary diseases; tuberculosis infection rate was 4.4% in HBeAg positive patients, 8.1% in HBeAg negative patients, and the odds ratio was 0.52(95% C.I.:0.17-1.35). Although the association did not reach the statistical significance level of 0.05, the negative association was consistent with other study done on Southeast Asian population of Philadelphia. A cohort study in general population is warranted to confirm above findings because of the limitations on hopital-based data.

• 건강소식
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• v.38 no.2
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• pp.10-13
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• 2014

우리는 지금 세 명 중 한 명은 암(癌)에 걸리는 시대에 살고 있다. 암을 포함하여 거의 모든 질병은 그 시대를 살아가는 사람들의 생활방식과 환경의 반영물이다. 위생이 불결하던 시절에는 자경경부암처럼 바이러스에 의한 암이 많았고, 빈곤의 시기에는 결핵인 흔했던 것처럼 말이다.