• Pediatric Infection and Vaccine
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• v.24 no.2
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• pp.123-123
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• 2017

• KOREAN POULTRY JOURNAL
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• v.39 no.1 s.447
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• pp.107-109
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• 2007

본고는 일본에서 AI로 인해 2004년에 이어 2006년 또 다시 540만수를 대량 살처분함에 따라 감염이 되지 않은 대단위 농장의 피해를 최소화하고 보다 효율적인 예방대책을 모색하기 위하여 일본양계협회, 일본수의학회, 일본계란생산자협회가 2006년 8월 9일(水) 동경 오꾸라호텔에 서 공동 주최한‘조류인플루엔자에 대한 일본의 방역대책’에 대해 국제수의사무국(OIE) 명예고문이며 일본AI방역대책에 각종 제안과 조언을 하고 있는 오자와(小洋義傳) 박사가 발표한 내용을 방역당국과 농가들에 참고자료로 활용코자 발췌·번역·게재한 것이다. 이 내용을 발표한 오자와 박사는바이러스, 수의역학을 전공하고 국제식량농업기구(FAO), 국제수역사무국(OIE), OIE아시아, 대서양지역 대표를 거친 가축전염병대책에 국제적 권위를 인정받고 있다

• 대한예방의학회:학술대회논문집
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• 2000.10a
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• pp.260-261
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• 2000

• 대한예방의학회:학술대회논문집
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• 2000.10a
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• pp.286-287
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• 2000

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.9
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• pp.174-185
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• 2018

This study was conducted to explore the levels of Middle East Respiratory Syndrome (MERS)-related knowledge, attitudes and preventive behaviors performance and to identify predictors of MERS-related preventive behaviors performance among clinical practice students in a tertiary hospital. The participants were 480 nursing and medical clinical practice students. Data collection was conducted using self-reported questionnaires in June of 2015 and were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, and hierarchical regression using the SPSSWIN 24.0 program. The MERS-related knowledge (9.56 out of 13 points) was high, attitudes towards MERS, such as severity cognition and prevention about MERS was positive (4.15 out of 5 points), and MERS-related preventive behaviors performance level was moderate (3.02 out of 5 points). Female students, having education experience regarding MERS, taking vaccination for influenza H1N1 infection in the last year, having the intention of taking influenza H1N1 in the current year, having fear of MERS infection, higher knowledge and more positive attitudes about MERS were predictors of better MERS-related preventive behaviors performance. These results show that general characteristics associated with MERS-related preventive behaviors performance should be considered to improve preventive behaviors of clinical practice students. Furthermore, this study highlights the need to develop effective and useful MERS education programs that provide essential knowledge and attitude about MERS that clinical practice students must acquire to promote the MERS-related preventive behaviors performance.

• Pediatric Infection and Vaccine
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• v.24 no.3
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• pp.160-167
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• 2017

Purpose: Because children with asplenia have an increased risk of fulminant infection associated with a high fatality, chemoprophylaxis, and vaccinations against encapsulated bacteria are recommended. However, there have been few reports of the burden of severe bacterial infection and the current status of chemoprophylaxis and immunization among children with asplenia in Korea. Methods: We conducted a retrospective study including children with asplenia who were treated at our institute between January 1997 and December 2016. Results: From a total of 213 children with asplenia, 114 (53.5%) had congenital asplenia and 58 (27.2%) had functional asplenia. The remaining 41 (19.3%) had acquired asplenia with the median age at splenectomy being 12.2 years (range, 5.0 to 16.9 years); the most common cause of splenectomy was hereditary spherocytosis (39.0%). The chemoprophylaxis rate was 16.4%. The immunization rates were 44.1% for pneumococcus, 53.0% for Haemophilus influenzae type B, and 10.7% for meningococcus. The incidence of invasive bacterial infection among children with asplenia was 0.28/100 person-year; a total of six episodes (2.8%) were observed in five patients with congenital asplenia and one patient with functional asplenia. The median age for these infections was 15 months (range, 4 to 68 months). Five of the six episodes were bacteremia, and the other was meningitis. The most common pathogen was Streptococcus pneumoniae (n=3), followed by H. influenzae (n=1). Three of the six patients (50.0%) died, all of whom had pneumococcal bacteremia. None of the six had chemoprophylaxis or proper vaccinations. Conclusions: Although there is an increased risk of a severe infection proper vaccinations and chemoprophylaxis are still lacking. Physicians should be encouraged to implement appropriate chemoprophylaxis and immunizations for patients with asplenia.

• Clinical and Experimental Pediatrics
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• v.52 no.7
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• pp.785-790
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• 2009

Purpose : Febrile convulsions are a common pediatric neurological disease, and it is important to prevent such a disease by controlling the risk factors that may recur. A recent report states that influenza virus infections have a high probability of a relationship with febrile convulsions; therefore, it is necessary to identify the clinical properties of febrile convulsions in relation to domestic influenza virus infections. Methods : Between November 2005 and February 2008, children hospitalized because of febrile convulsions and subsequently confirmed to have influenza infections were enrolled as subjects (patient group, n=11). The control subjects were those admitted with influenza virus infections but no febrile convulsions (control group 1, n=46) and those who developed febrile convulsions without influenza virus infection (control group 2, n=53). Results : The patient group showed a higher maximum body temperature ($39.3{\pm}0.5^{\circ}C$), more histories of past febrile convulsions (72.7%), and a shorter total duration of fever ($2.9{\pm}1.2$ days) than control group 1. When multivariate analysis was performed, the probability of febrile convulsions was found to be as high as 225.9 times in patients who had influenza virus infections with a past history of febrile convulsions (OR=225.9, 95% CI: 1.7-4780.0, P<0.05). When patients with febrile convulsions were compared based on the symptoms of influenza virus infections, the patient group showed a shorter duration of fever ($0.9{\pm}0.7$ days) before convulsion than control group 2; these convulsions were mostly a recurrence of febrile convulsions. When multivariate analysis was performed, the cases with a past history of febrile convulsions showed 5.5 times (OR=5.5, 95% CI: 1.2-25.1, P=0.03) the probability of convulsions when infected with the influenza virus, and this probability decreased by 0.3 times over one-day increments of the febrile period until febrile convulsions (95% CI: 0.1-0.9, P=0.02). Maximum body temperature, total duration of fever, family history of febrile convulsions, and complex febrile convulsions did not show a statistical significance. Conclusion : In cases of pediatric influenza virus infection, the past history of febrile convulsions could be identified within the risk factor of recurrent febrile convulsions. Therefore, influenza vaccination of children having a past history of febrile convulsions will be helpful to avoid the recurrence of these convulsions.

• Korean Journal of Health Education and Promotion
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• v.19 no.2
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• pp.127-138
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• 2002

Objective: This prospective survey assessed factors associated with influenza vaccination behaviors among high-risk adults. Methods: 106 patients aged 65 or high risk for complications of influenza were interviewed to identify influencing factors to vaccination. Six potential consequences of Influenza infection and nine factors of vaccination were analysed between compliance and non-compliance groups. Results: Among the 106 patients, the vaccination rate was 62.3%. The rate of the group under the sixties was 37.0010, but the rate over the sixties was 88.5%. Factors in dependently associated with both influenza vaccination behaviors included older age, chronic disease, and especially, related to factors in older age were having positive attitudes toward immunization, perceived severity of infection and willingness to comply with the provider's recommendation. Conclusions: Emphasis on provider recommendations and the knowledge and attitudes of influenza infection and vaccination may enhance influenza vaccination rates in the organized vaccination programs.

• Pediatric Infection and Vaccine
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• v.11 no.2
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• pp.158-169
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• 2004

Purpose : Although influenza is one of the most important cause of acute respiratory tract infections in children, virus isolation is not popular and there are only a few clinical studies on influenza and diagnostic methods. We evaluated the epidemiological and clinical features of influenza in children and rapid antigen detection test(QuickVue influenza test) on fist half of the year 2004 in Busan. Methods : From January 2004 to June 2004, throat swab and nasal secretion were obtained and cultured for the isolation of influenza virus and tested by rapid antigen detection test(QuickVue influenza test) in children with suspected influenza infections. The medical records of patients with influenza virus infection were reviewed retrospectively. Results : Influenza viruses were isolated in 79(17.2%) out of 621 patients examined. Influenza virus was isolated mainly from March to April 2004. The ratio of male and female with influenza virus infection was 1.2 : 1 with median age of 4 years 6month. The most common clinical diagnosis of influenza virus infection was bronchitis. There was no difference between influenza A and B infection in clinical diagnosis and symptoms. All patients recovered without severe complication. The sensitivity obtained for rapid antigen detection test (QuickVue influenza test) was 93.6% and the specificity was 80.2%, the positive predictive value 40.8%, the negative predictive value 98.8%. Conclusion : With rapid antigen detection test, it is possible early detection of influenza in children. reduction in use of antimicrobial agent and early use of antiviral agent.

• KOREAN POULTRY JOURNAL
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• v.36 no.5 s.415
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• pp.115-119
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• 2004

최근 야외에서 ND가 간간히 발생하고 있다는 소식이 들려오고 있다. 우리나라의 경우 ND 발생의 경우 독특한 양상을 띠고 있다. 첫째는 $2\~3$년의 주기로 발생이 되고 있으며 둘째는 $4\~6$월 사이에 발생이 집중 된다는 점이다. 고병원성 가금 인플루엔자(HPAI)를 겪은 우리에게 혹 긴장감이 느슨해지면서 농장의 차단 방역과 방역에 소홀해짐으로 올 봄 ND 대유행의 홍역을 치르는 것은 아닌지 다시 한번 경각심을 가져 보게 되면서 농장에서 관심을 갖고 있는 ND 분무 접종에 대해 이야기해보고자 한다. $5\~6$년 전까지만 해도 분무 백신에 대한 관심이 별로 없었던 게 사실이다. 그전 같았으면 음수 백신으로 백신 방법을 대치하고 말았을 것을 분무 백신을 해야 하는지? 또 어떻게 해야 하는지? 주의해야 할 점은 무엇인지? 등 여러 가지 질문을 받게 된다. 농장 부화장으로부터 분무기에 대한 관심도 부쩍 높아졌고, 이제는 대부분의 농가들이 분무 백신의 효능과 안전성에 대해 확신을 갖고서 꾸준히 실시하고 있는 것을 알 수가 있다. 대부분 많은 시행착오를 거쳐 나름대로의 기술력을 갖추게 되었고 많은 효과를 보고 있다고 말할 수가 있다. 그러나 아직 일부 농가들은 분무 백신 후 방어력과 후유증 즉, 안전성에 대해 많은 의심을 갖고 있으면서 시간과 노동력이 많이 소요되는 점안 백신을 하는 경우도 종종 보고있다. 이에 수년간의 경험을 통해 필자가 보는 견지에서 분무 백신을 하는데 있어 여러 가지 고려해야 할 사항, 주의 사항, 효과를 최대한 높이기 위한 방법 등을 알아보고자 한다.