• Title/Summary/Keyword: 잠복기간

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Development of Portable AIDS Diagnosis Device (휴대용 AIDS 검사기기 개발)

  • Singh, Birendra Kumar;Tae, Gun-Sik;Sung, Yeon-Moon
    • Journal of Appropriate Technology
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    • v.7 no.2
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    • pp.211-215
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    • 2021
  • It is estimated that there are 40 million people with AIDS worldwide, with most cases occurring mainly in developing countries. HIV, the virus that causes AIDS, is infected with CD4+ T cells in the blood and gradually destroys CD4+ T cells for several months to 10 years, thereby lowering the patient's immune function. AIDS patients who have weakened immunity in this way will die from various diseases. The current method for counting the number of CD4+ T cells is usually performed by flow cytometry. The flow cytometry method has the advantage of high accuracy, but it is difficult to use in developing countries because it requires skilled professionals and equipment is expensive. As a result of this study, a device for AIDS screening was developed by capturing leukocytes from a small amount of 5 ㎕ blood through a microfilter and analyzing CD4+ T cells and CD8+ T cells from the captured cells. cheaper and easier to carry and use than current test equipment.

OIE Zoo-sanitary Code ; Chapter 3.1.5 (광견병에 관한 국제수역사무국 동물위생규약)

  • 강영배;배상호
    • Journal of the korean veterinary medical association
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    • v.30 no.3
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    • pp.172-182
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    • 1994
  • 광견병(rabies)은 국제수역사무국에서 지정한 동물전염병 분류 List B에 속하며, 전염병 코드 번호는 B 058이다. 본 병의 병명은 영어로는 , 불어로는 , 스페인어로는 로 표기하며, 특히 인체에서의 본병에 대하여는 로 표현한다. 우리말로는 동물에서의 질병을 <광견병>, 인체에서의 본병을 <공수병>으로 부르고 있다. 병인체는 Rhabdoviridae에 속하는 Lyssavirus이며, 최대 잠복 기간(maximum incubation period)은 6개월로 알려져 있다. 인수공통전염병(zoonosis)의 1종이다. 매개체(vector)로 작용하는 절지동물은 없는 것으로 알려져 있다. 광견병과 관련하여, 동물의 국제교역을 위한 동물검역 시행에 있어서 반드시 적용하여야 할 사항인 국제수역사무국(O.I.E) 제정 동물위생 규약(Zoo-sanitary Code)을 번역하여 소개한다.

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Comparison of a whole blood Interferon-γ assay and A tuberculin skin test for detecting latent tuberculosis infection in children (소아 잠복 결핵 감염 진단에 있어서 투베르쿨린 피부반응 검사와 결핵 특이항원 자극 Interferon-γ 분비능 측정의 비교)

  • Chun, Jin-Kyong;Kim, Chang Ki;Kim, Hyun Sook;Jung, Ghee Young;Linton, John A.;Kim, Ki Hwan;Lee, Taek Jin;Jeon, Ji Hyun;Kim, Dong Soo
    • Clinical and Experimental Pediatrics
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    • v.51 no.9
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    • pp.971-976
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    • 2008
  • Purpose : Surveillance for detecting and managing latent tuberculosis infection (LTBI) is a key component of tuberculosis control. The classic surveillance tool, the tuberculin skin test (TST), may have some limitations when used in the Bacillus Calmette-$Gu{\acute{e}}rin$ (BCG)-vaccinated population. The object was to perform a blood test $QuantiFERON^{(R)}$-TB Gold In Tube (QFT-G IT) based on the detection of interferon-$\gamma$ ($IFN-{\gamma}$) released by T cells in response to Mycobacterium tuberculosis-specific antigens, and to compare the efficacy of this new diagnostic tool for LTBI with that of TST. Methods : For six months, between October 1, 2006 and April 30, 2007, data were collected from 111 patients under 15 years of age at Severance Children's Hospital. TST and QFT-G IT tests were performed with children with or without contact histories of tuberculosis. In addition to these tests, we examined comparative data from 29 adults who had tuberculosis, to detect false negative rates in the QFT-G IT method. Results : Thirty-three children had household contact histories. In this group, 15% and 42% of cases were found to be positive using the QFT-G IT assay and TST, respectively. Agreement was low between these two tests (${\kappa}=0.39$). In the adult active tuberculosis group, the QFT-G IT false negative rate defined as a positive culture and a negative QFT-G IT result was 12.5%. Conclusion : In diagnosing LTBI in children, the usefulness of a whole-blood $IFN-{\gamma}$ assay employing TB-specific antigens will be revealed only by examining additional longitudinal clinical data; this study serves as a starting point in that process.

Hepatotoxicity of Rifampicin and Pyrazinamide Treatment Excluding Isoniazid (Isoniazid를 제외한 Rifampicin과 Pyrazinamide 병합치료의 간독성 빈도)

  • Choi, Ik Su;Park, I-Nae;Hong, Sang-Bum;Oh, Yeon-Mok;Lim, Chae-Man;Lee, Sang Do;Koh, Younsuck;Kim, Woo Sung;Kim, Dong Soon;Kim, Won Dong;Shim, Tae Sun
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.1
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    • pp.38-43
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    • 2006
  • Background : Even though two-month rifampicin (RMP, R) and pyrazinamide (PZA, P) treatment has some advantages over isoniazid (INH, H) treatment for latent tuberculosis infection (LTBI), it was withdrawn from the list of treatment regimens for LTBI because of reported cases of severe hepatotoxicity. The purpose of this study was to estimate the frequency of hepatotoxicity of RMP and PZA treatment excluding INH in a Korean population. Method : TIn order to recruit patients who were prescribed RMP and PZA excluding INH, 256 INH-resistant tuberculosis patients were investigated through retrospective medical record analysis. A standard four-drug regimen was changed to a RMP/PZA-containing regimen excluding INH in 64 patients (RZ+ group). In the same study period, 146 patients who were prescribed an INH/RMP/PZA-containing standard regimen were randomly selected as a control (HRZ+ group). Clinical characteristics including liver diseases and the frequency of drug-induced hepatitis were compared between the RZ+ and HRZ+ groups. Result : The mean age of patients in the RZ+ group was 50.2 (${\pm}16.2$) and the male-to-female ratio was 36:28. The frequency of underlying liver diseases was 10.9% (7/64), which was not significantly different from that of the HRZ+ group (4.1%, 6/146). Even though the treatment duration of RZ+ ($5.5{\pm}4.8months$) was longer that than that of HRZ+ ($2.7{\pm}2.3months$), the frequency of toxic hepatitis was not significantly different between RZ+ and HRZ+ groups, 3.5% (2/57) and 7.1% (10/140), respectively. Conclusion : Hepatotoxicity was mild and occurred in a minor proportion of patients in a Korean population prescribed an RMP/PZA-containing regimen. A future prospective study including more patients is needed.

Double Primary Presentation of Liposarcoma and Ewing's Sarcoma: A Case Report (대퇴부 지방육종 수술 후 발생한 반대측 근위 경골의 유잉육종/원시 신경 외배엽 세포종)

  • Park, Hyeong-Won;Jung, Sung-Taek;Nah, Seon-Yoon
    • The Journal of the Korean bone and joint tumor society
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    • v.17 no.2
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    • pp.95-99
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    • 2011
  • The development of different entities of soft tissue sarcoma in one patient is rare. It usually affects head and neck or abdominal region, whereas those affecting the extremities are much rarer. We describe a patient with double primary presentation of liposarcoma and Ewing's sarcoma in extremity. This case implies that sarcoma patients are at increased risk of a second malignancy, and this implies a need to search for occult tumors during follow up.

Estimation of the incubation period of P. vivax malaria in Korea from 2006 to 2008 (2006년-2008년 삼일열 말라리아환자의 잠복기 연구)

  • Nah, Kyeong-Ah;Choi, Il-Su;Kim, Yong-Kuk
    • Journal of the Korean Data and Information Science Society
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    • v.21 no.6
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    • pp.1237-1242
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    • 2010
  • Based on the detailed travel history of cases from 2006 to 2008 who reside in non-malarious areas, statistical estimates of the incubation periods were obtained. The data suggest that cases fall into two categories with short- and long-term incubation periods, respectively. 72 and 25 cases successfully met our criteria for inferring the durations of short- and long-term incubation periods. The mean short- and long-term incubation periods were estimated to be 25.42 days and 328.6 days weeks, respectively.

A Study on the relationship of between meteo-hydrological characteristics and malaria - case of korea - (수문 기상학적 환경특성과 말라리아 발생간의 상관관계에 관한 연구 -한반도를 사례로-)

  • Choi, Don-Jeong;Park, Kyung-Won;Suh, Yong-Cheol
    • Proceedings of the Korea Water Resources Association Conference
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    • 2012.05a
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    • pp.457-457
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    • 2012
  • 말라리아는 매개체에 의한 전염병으로써 국내에서는 이미 1970년대에 사라진 것으로 알려져 있다. 하지만 1990년대에 재발생하여 2000년대 초반까지 경기도와 강원도 북부지역에서 환자가 증가하는 양상을 보였다. 사람에게서 발병하는 말라리아는 4종으로 알려져 있으나 우리나라의 경우 이 중 오로지 삼일열 원충감염에 의한 것으로 밝혀졌다(질병관리 본부, 2010). 기후변화는 질병의 발생에 영향을 미칠 수 있는 중요한 요인 중 하나로써 매개체에 의한 질병의 경우 기후요소는 매개체의 번식과 활동에 적지않은 영향을 미친다. 특히 말라리아의 경우 병원균을 가진 개체수와 모기에 물리는 횟수, 감염된 모기의 수, 그 모기에 사람이 물리는 횟수와 관계가 있으나 기온과 강수량, 습도의 변화 등 기후 및 수문학적 요소와도 밀접한 관계를 가지는 것으로 밝혀졌다(Lindsay & Birley, 1996; 박윤형 외, 2006; 신호성, 2011 재인용). 본 연구의 목적은 한반도 기후-수문학적 환경특성 및 변화를 파악하고 지역적 말라리아 발생과의 상관관계를 도출하며 이를 기반으로 하여 말라리아 발생의 변동을 예측하는 것이다. 분석에 사용된 데이터는 말라리아 발생자료의 경우, 질병관리 본부에서 제공하는 2001년 1월~2011년 12월 까지의 약 16000건의 발병자료가 포함 되었고 분석의 시간 단위는 2WEEKS 이며 전국 251개의 시군구에서 발생한 전염병을 합산하였다. 기상자료의 경우 기상청 기후자료 관리 시스템에서 제공하는 동일 기간대의 평균기온, 최고(최저)기온, 강수량, 신적설, 평균 해면기압, 평균 이슬점 온도, 평균 상대습도, 평균풍속, 평균운량, 일조시간 자료를 활용하였다. 본 연구에 사용된 AWS(Automatic Weather Station)자료의 경우 기본적으로 point 형태의 관측자료이고, 분석기간 동안의 개수에서도 차이가 있기 때문에 공간 내삽기법인 kriging을 활용하여 행정구역과 zonal하는 방법으로 재가공 하였다. 지역의 수문학적 특성의 경우 10*10 DEM을 기반으로 ESRI ArcGIS 소프트웨어의 ArcHydro 기능을 이용 하여 유역을 생성하는 방법을 채택하였다. 본 연구에서는 통계적 모형을 기본으로 기후 및 수문 특성과 말라리아 발생간의 상관관계를 분석하였으며 시계열 자료의 특성상 포아송 분포의 Generalized Estimation Equation 과 Generalized Linear Model을 이용한다(Baccini 외, 2008; 신호성, 2011). 또한 말라리아 잠복시간의 지연효과 및 전염병의 계절 영향을 반영하기 위하여 Fourier transform 을 적용 하였다.

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Transmission of Paulownia witches'-broom virus by tobacco leaf bug, Cyrtopeltis tenuis REUTER (담배장님노린재 (Cyrtopeltis tenuis REUTER)에 의한 오동나무천구 소병(도깨비집병) 바이러스의 매개전염)

  • La Y. J.;Pyun B. H.;Shim K. J.
    • Korean journal of applied entomology
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    • v.5_6
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    • pp.1-7
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    • 1968
  • The present investigation was initiated to find out the possible insect vector of the paulownia witches'-broom virus disease. 1. Among a number of piercing-sucking mouth type insects that were feeding on the witches'-broom infected Paulownia leaves, the tobacco leaf bug, Cyrtopeltis tenuis REUTER, was most abundant. Eggs, nymphs and adults of Cyrtopeltis tenuis were observed from the mid-August through the end of October. 2. It was found that Paulownia witches'-broom virus is transmitted by Cyrotopeltis tenuis. 3. On young Pnulownia plants, first symptom appeared twenty days after exposure to virus-bearing colonies of Cyrtopeltis tenuis. Forty days after exposure to these viruliferous insects, the characteristic symptom of Paulownia witches'-broom was apparent. 4. Paulownia witches' -broom virus was also transmitted by Cyrtopeltis tenuis to calendula and morning glory. No app"rent symptom was observed from tomato, carrot. aster, zinnia, cosmos, soybean and plantago at least until sixty days after exposure to the viruliferous colonies of Cyrtopeltis tenuis. 5. Calendula and morning glory appear to be highly suitable test plants for Paulownia witches'-broom vims because of their relatively short incubation period and distinct symptom appearance.

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Tow-Year Follow-up Study for Clinical Feature and Immunity of The Children, Vaccinated by 47 Passaged Oka Strain Live Attenuated Varicella Vaccine (47계대 Oka주 약독화 생백신 접종 후 2년간 임상 및 면역성의 추적 연구)

  • Kang, Jin Han;Kim, Jong Hyun;Hur, Jae Kyun;Woo, Koo
    • Pediatric Infection and Vaccine
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    • v.7 no.1
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    • pp.129-135
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    • 2000
  • Purpose : We previously reported the short-term immunogenecity and safety of 47 passaged Oka strain live attenuated varicella vaccine in healthy children in 1997. Now, we conducted this two-year follow-up study to confirm the maintenance of immunity, the occurrence of natural varicella infection and the activation of vaccine induced latent infection on the same vaccine. Methods : 99 children who had been immunized by 47 passaged Oka strain live attenuated varicella vaccine in 1997 were followed up by questionnaire, and 46 children out of study group were followed up serologically. They were asked to report any instance of varicella or herpes zoster since they had been immunized. If there was any evidence of varicella or herpes zoster, they should be clinically or serologically confirmed by doctor. Also, those patients' parents were asked to report any instance of varicella or herpes zoster in their family, playmate, kindergarten, school, or other settings. The immunity to VZV was confirmed by EIA and FAMA test. Results : 6 recipients developed breakthrough varicella after exposure to VZV in family, kindergarten and school during follow-up period. However, clinical features of those patients were very mild and self limited without therapy. And none of the recipients developed herpes zoster during this observation period. The results of EIA test showed that study subjects were all seropositive except one, and the antibody titers and GMT of FAMA test were seropositively maintained in all subjects. Statistically, the antibody titers of EIA and FAMA test confirmed two years after vaccination were higher than those results confirmed one month after vaccination. Conclusion : Our study results suggest that the immunity of 47 passaged Oka strain live attenuated varicella is well maintained until 2 years later after vaccination, and mild natural infection after exposure to VZV can be occurred with low rate. There were not developing zoster in study vaccine after vaccination for two-years.

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Comparison of Sleep Indices between Both Wrist Actigraphies and Nocturnal Polysomnography (양측 손목에 착용한 Actigraphy와 야간수면다원검사 간의 수면지수 비교)

  • Shin, Byung-Hak;Park, Doo-Heum;Lee, Hyun-Kwon;Yu, Jae-Hak;Ryu, Seung-Ho;Ha, Ji-Hyeon;Shin, Hyeon-Sil;Hong, Seok-Chan
    • Sleep Medicine and Psychophysiology
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    • v.14 no.1
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    • pp.20-25
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    • 2007
  • The present study compared the actigraphic indices between both wrist actigraphies (WATGs), and the sleep estimates between each WATG and nocturnal polysomnography (NPSG) to assess their differences and consistencies. We studied 22 right-handed subjects (mean age $43.9{\pm}13.3\;years$, M:F=14:8) with untreated primary sleep disorders (primary insomnia=8, simple snorer=2, obstructive sleep apnea=12) undergone by overnight both WATGs and NPSG, simultaneously. Comparison and correlation were analyzed between right and left wrist actigraphic data. In the sleep estimates of both WATGs and NPSG, each WATG was compared and correlated with NPSG in sleep period time (SPT), total sleep time (TST), sleep latency (SL), sleep efficiency (SE) and wake time (WT). Sleep indices between both WATGs showed significant positive correlations with no correlations in SL and fragmentation index (FI). There were no differences in sleep indices between both WATGs. SPTs of both WATGs, SL of left WATG, and TST of right WATG showed positively significant correlations, and SE of right WATG did negatively significant correlation in sleep indices between each WATG and NPSG. As each WATG was compared to PSG, SPTs of both WATGs and WT of right WATG were decreased, and TST and SE of right WATG and SL of left WATG were increased. Inconsistent SL and FI between both WATGs indicate that the activities between both WATGs can differentially happen during wake or arousal. Inconsistent sleep estimates between each WATG and NPSG may indicate the limited usefulness in measuring and analyzing one-night sleep by using WATG.

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