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Pulmonary Coccidioidomycosis in Immunocompetent Patient (정상 면역력 환자에서 발생한 콕시디오이데스 진균증 1예)

  • Kim, Se Won;Oh, Jin Young;Kim, Eo-Jin;Park, Gun Min
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.3
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    • pp.220-224
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    • 2009
  • Coccidioidomycosis is a fungal infection caused by the soil fungus, Coccidioides immitis, which is endemic to the south-western United States. However, the incidence of coccidioidomycosis has recently increased due to the increase in overseas travel to endemic areas. We report a case of pulmonary coccidioidomycosis diagnosed in an immunocompetent person. A 28-year-old female, who had lived in Phoenix, Arizona, USA for 2 years, was admitted for an evaluation of persistent cough with fever lasting for 2 weeks. The chest X-ray and Chest CT revealed multifocal patchy consolidation and ground-glass opacity in both lungs as well as multiple enlarged right hilar and paratracheal lymph nodes. A percutaneous needLe biopsy of the main mass-like consolidation confirmed mature spherules of Coccidioides immitis in lung tissue. Pulmonary coccidioidomycosis should be considered in patients presenting with persistent cough with fever and a history of travel to or immigration from an endemic area.

A Study on the Prevalence and Risk of Family History for Chronic Diseases: Findings from the Korea National Health and Nutrition Examination Survey 2019 (만성질환에 대한 가족력의 유병률과 위험도에 관한 연구: 국민건강영양조사(2019)를 중심으로)

  • Lee, Nan-Cho;Kim, Min-Ju;Choi, Hee-Jin;Lee, Jongseok;Jung, Deuk
    • Journal of Convergence for Information Technology
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    • v.11 no.8
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    • pp.160-167
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    • 2021
  • This study was conducted to empirically analyze the prevalence and risk of chronic diseases in the family history of chronic diseases using data from the Korea National Health and Nutrition Examination Survey 2019. Based on 5,691 people, after controlling for socio-demographic variables that were related to family history of chronic diseases, logistic regression analysis was performed to verify the odds ratio, which was the risk of family history of chronic diseases for the prevalence of chronic diseases. The main results were founded that Odds ratio, which was the risk of chronic diseases in groups with a family history compared to those without a family history, was statistically significant at hypertension(2.623), dyslipidemia(1.868), diabetes(1.964), and arthritis(1.435) when gender, age, income status, education level and residence were controlled. These results suggest that it is not only necessary to develop a standardization tool for family history tests, but also a health and disease management system for members with a family history in terms of preventive medicine in health care. This study is significant in that it proposed a practical plan in terms of health care by controlling variables that affect the prevalence of chronic diseases and empirically identifying the risk of family history of chronic diseases.

A Study on the Effects of BCG Vaccination against Tuberculosis (BCG의 결핵예방(結核豫防) 효과에 관(關)한 연구(硏究))

  • Kang, Pock-Soo;Lee, Sung-Kwan
    • Journal of Preventive Medicine and Public Health
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    • v.15 no.1
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    • pp.33-46
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    • 1982
  • In Korea BCG vaccination has been employed as the main control measure for tuberculosis since 1962. Recently, the protective efficacy of BCG against tuberculosis has been controversial worldwide. A case-control study was conducted to evaluate the efficacy of BCG in Korea which has a high prevalence of tuberculosis(2.5%). The study subjects were children under the age of 14 years who were hospitalized and diagnosed as tuberculosis in three general hospitals in Taegu City during last 6 years ($1975{\sim}1980$). Among 416 hospitalized tuberculous patients, 314 cases were confirmed as to the presence or absence of the BCG scar. A control group was selected from the same hospital patients of the same period as the cases. The control group was other than tuberculous patients whose distribution of age, sex and residence were the same as the cases. The results obtained are as follows: For all forms of tuberculosis, the relative risk and the protective efficacy of BCG were 3.5 and 71.8%. The efficacy was higher among female than among male (78.6% vs. 65.8%). The efficacy was higher among the one year and above than among less than 1 year of age. For tuberculous meningitis, the relative risk and the protective efficacy of BCG were 3.9 and 74.3 %. The efficacy was statistically significantly higher among female than among male (p<0.05). The relative risk and the protective efficacyt of BCG for uberculous meningitis combined with miliary tuberculosis and combined with pulmonary tuberculosis represented 6.9, 85.6%, and 7.4, 86.5%, respectively. On the other hand, the relative risk and the protective efficacy of BCG for miliary tuberculosis were 2.1 and 51.6%, and for pulmonary tuberculosis, 2.3 and 54.7%, respectively. From these results, it appears that BCG vaccination is an efficient preventive measure in Korea where tubercluosis is prevalent. Thus the routine BCG vaccination should be continued.

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Invasive Pulmonary Aspergillosis Invaded to Thoracic Vertebra in a Immunocompetent Host - A case report- (정상 면역력을 가진 환자에서 발생한 흉추를 침범한 침습형 폐국균증)

  • 김혁;정기천;박지권;김영학;강정호;정원상
    • Journal of Chest Surgery
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    • v.37 no.12
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    • pp.1022-1024
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    • 2004
  • Pulmonary aspergillosis is the most common disease of fungal infection and has lower infectivity. Pulmonary asergillosis is classified by aspergilloma, bronchopulmonary aspergillosis, necrotic and invasive aspergillosis. Invasive aspergillosis is found in immune compromised host, immunosuppressive treatment after organ transplantation, anticancerous chemotherapy, blood abnormality, AIDS patients etc. We reported a case of invasive aspergillosis in an immunocompetent host, with review of literatures.

대미 삼계탕 수출, 현재 이렇게 진행되고 있다

  • Jeong, Jong-Gi
    • Monthly Korean Chicken
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    • s.136
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    • pp.58-61
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    • 2006
  • UR, WTO에 의해 지난 1997년 국내 닭고기 시장이 전면 개방된 이후 매년 닭고기 수입은 급속도로 증가해왔으며, 2003년말 고병원성 조류인플루엔자가 발병되기 전까지만 해도 수입 닭고기는 국내 닭고기 시장의 약 30%를 점유하는 등 국내 닭고기 시장을 크게 위협했다. 특히 미국의 경우 자국 내에서는 인기부위인 가슴육 위주로 소비하고 비 인기부위인 다리육은 우리나라에 덤핑가격으로 수출해 국내 닭고기 시장을 더욱 혼란스럽게 했다. 반면 국내 소비자는 미국, EU 등 선진국과는 달리 닭다리를 선호하여 다리육은 부족하고 가슴육은 남아도는 구조를 가지고 있어 우리 역시 남아도는 닭 가슴육을 이들 국가에 수출해야 할 필요성이 절실하게 요구돼 왔다. 게다가 현재 협상 중인 한 · 미 FTA가 체결되어 이로 인해 미국산 닭고기 수입에 대한 관세가 철폐될 경우 국내 닭고기 시장에 미치는 영향이 적지 않은 것으로 분석됨에 따라 국내닭고기 시장에 미치는 영향을 최소화 하고, 나아가 국내 육계산업의 경쟁력 확보를 위해서는 대미 닭고기 수출의 필요성은 더욱 중요해지고 있다. 이에 필자는 지난 9월 9일부터 16일까지 8일간 미국 워싱턴 D.C 미국 농무성 식품안전검사처(FSIS) 국제업무국(OIA) 등을 방문해 한국의 가축방역 및 축산물 위생검사제도에 대해 설명하고, 대미 삼계탕 수출을 위해 담당자와 기술적 내용을 협의했다. 본고에서는 그날 협의한 내용들을 간략하게 요약하여 게재코자 한다.

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Case-Control Study on the Relationships between Stroke and Stroke Risk Factors in Korea - Focused on Family History and Past History - (중풍발병과 중풍발병 위험요인들간의 관계에 대한 환자.대조군 연구 - 가족력과 병력을 중심으로 -)

  • Chang, Mun-Won;Ko, Mi-Mi;An, Joung-Jo;Yoo, Ho-Rhyong;Kim, Yoon-Sik;Seol, In-Chan;Jo, Hyun-Kyung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.2
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    • pp.234-240
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    • 2012
  • The purpose of this case-control study is to investigate the relationship between storke and stroke risk factors, such as family history and past history. The case-control study over clinical data registered from Daejeon Oriental Medical Hospital in the period of November 2006 to July 2010. Study subjects consisted of 108 patients with acute stroke within 1 month as the case group (Cases) and 108 people who visited hospital for health care as the genreral control group (Controls). The participants had been interviewed by residents to find out their family history and past history. Their blood was taken to check the blood lipid level and liver function. 1. The people whose family history included cerebrovascular accident had more probability of stroke than the people who did not have cerebral vascular accident as their family history. 2. The people who suffered from hypertension had more probability of stroke than the people who did not suffer from hypertension. 3. The people who suffered from diabetes mellitus had more probability of stroke than the people who did not suffer from diabetes mellitus. Based on this study, the people who had cerebral vascular accident as their family history should thoroughly treat their blood pressure and blood sugar level to prevent the cerebral vascular accident.

A case study of radial nerve injury associated with humerus shaft fracture (상완골 간부 골절에 동반된 요골신경손상에 대한 치험 1례)

  • Lee, Jae-Eun;Lee, Jung-Min;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.23 no.1
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    • pp.157-166
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    • 2014
  • Objective : The purpose of this study is to report the patient with radial nerve injury associated with humerus shaft fracture, who was improved by Korean medical treatments. Methods : The patient was treated by Jungsongouhyul pharmacopuncture, electrical stimulation therapy, physical therapy, and herbal medicine according to "Locating Yang brightness meridians" theory. Coding result, Numeric rating scale(NRS) and digital grip dynamometer were used to evaluate the wrist drop, numbness of fingers and grip power. Results : The patient showed the first sign of recovery after 6 weeks from onset. After 9 weeks from onset, the patient could perform delicate manual activity. Grip power showed noticeable improvement as well as coding result and NRS. Conclusions : The results suggest that providing Korean medical treatments according to "Locating Yang brightness meridians" theory is a good method for treating radial nerve injury associated with humerus shaft fracture. But further studies are required to concretely prove the effectiveness of this method for treating radial nerve injury associated with humerus fracture.

Catalase Gene Polymorphism in Korean Stroke Patients - 251 Case Control Study (한국인 중풍 환자의 Catalase 유전자 다형성 - 환자 대조군 연구 251 례)

  • Seo, Jung-chul;Kim, Yun-mi;Yin, Chang-sik;Han, Sang-won;Jung, Tae-young;Byun, Joon-seok;Leem, Kang-hyun;Kim, Ee-hwa;Koh, Hyung-kyun;Kim, Chang-hwan
    • Journal of Acupuncture Research
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    • v.19 no.4
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    • pp.183-189
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    • 2002
  • 목적 : 본 연구는 catalase 유전자 다형성이 중풍의 발병과 관련이 있는지 알아보기 위해 수행되었다. 대상 : 경산대학교부속구미 한방병원에 입원한 중풍환자 86 명과 종합건진센터에 내원한 중풍기왕력이 없는 건강인 165 명을 대상으로 하였다. 방법 : 각 그룹에서 개개인마다 DNA를 분리 정제한 후 Taq polymerase로 증폭하여 한천 겔에서 전기영동을 하여 잘려진 DNA fragment의 양상을 관찰하였다. 결과 : T/T, T/A, A/A의 세가지 유전자형이 검출되었으며 중풍군과 건강인 사이에 통계적인 유의성이 나타나지 않았다. 결론 : 이상의 결과를 통하여 catalase 유전자 다형성은 중풍의 발병과는 관련성이 없는 것으로 사려되며 더 많은 환자를 대상으로 다른 환경요인 또는 유전자와의 연관성에 대한 심도있는 연구가 필요하다고 하겠다.

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Control of Powdery Mildews of Cucumber by Using Mayonnaise (마요네즈 살포에 의한 오이흰가루병 방제)

  • Kim, Jin-Kyoung;Shim, Chang-Ki;Park, Sang-Won;Park, Byung-Jun;Jee, Hyeong-Jin;Kim, Won-Il;Kwon, Oh-Kyung;Im, Geon-Jae
    • Korean Journal of Organic Agriculture
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    • v.17 no.4
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    • pp.557-566
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    • 2009
  • This study was conducted to develop an organic control of powdery mildews of cucumber by using mayonnaise in green house. The treatment of 0.1~2% mayonnaise resulted in 8.3%~99.2% control efficiencies against powdery mildew of cucumber. 0.5% mayonnaise treatment resulted control values over 97% in disease. It did not adversely affected the photosynthesis of foliages. Although one application of mayonnaise to the foliage was not practically effective enough, two or three application of mayonnaise to the foliage at the 0.5% concentration resulted in excellent control against powdery mildews. This treatment could provide protection for 10~14 days after application. Among the type of mayonnaise, general mayonnaise revealed 97.5% control value, but mayonnaise containing low oil content revealed 39.3%~97.5% control values on powdery mildews at the 0.5% concentration. Therefore, oil content in mayonnaise played a essential material to control powdery mildew. Results indicated that mayonnaise could be used as organic control of powdery mildews of cucumber. This control might be environmentfriendly as well as cost-effective.

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Serotonin Transporter Gene Polymorphism in Korean Stroke Patients-277 Case Control Study (한국인 중풍 환자의 Serotonin Transporter 유전자다형성-환자 대조군 연구 277례)

  • Seo, Jung-Chul;Kim, Jong-In;Kim, Youn-Mi;Nam, Tong-Hyun;Baek, Yong-Hyeon;Choe, Bong-Keun;Kim, Youn-Jung;Kim, Chang-Ju;Chung, Joo-Ho;Yin, Chang-Sik;Kim, Ee-Hwa;Han, Sang-Won;Koh, Hyung-Kyun;Kim, Chang-Hwan
    • Journal of Acupuncture Research
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    • v.19 no.1
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    • pp.111-117
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    • 2002
  • 목적 : 본 연구는 serotonin transporter (5-HTT) 유전자다형성이 중풍의 발병과 관련이 있는지 알아보기 위해 수행하였다. 대상 : 경희의료원 한방병원에 입원한 중풍환자 139명과 각 병원 중풍 기왕력이 없는 건강인 138명을 대상으로 하였다. 방법 : 각 그룹에서 개개인마다 DNA를 분리 정제한 후 Taq polymerase로 증폭하여 한천 겔에서 전기영동을 하여 잘려진 DNA fragment의 양상을 관찰하였다. 결과 : L/L, L/S, S/S의 세가지 유전자형이 검출되었으며 중풍군과 대조군 사이에 유의성 있는 차이는 발견되지 않았다. 개별 allele 빈도에 있어 중풍군과 건강인 사이에는 통계적인 유의성이 나타나지 않았다. 결론 : 이상의 결과를 통하여 5-HTT 유전자다형성은 중풍의 발병과는 직접적인 관련이 없는 것으로 사려되며 더 많은 환자를 대상으로 다른 환경요인 또는 유전자와 연관성에 대한 심도깊은 연구가 필요하다고 하겠다.

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