• Title/Summary/Keyword: 집단발병

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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.

IT based EMG biofeedback training on the effects of upper extremity function in chronic stroke patients (IT 기반 근전도 바이오피드백 훈련이 만성 뇌졸중 환자의 상지기능에 미치는 효과)

  • Kim, Ju-Hong;Oh, Myung-Hwa
    • The Journal of the Korea institute of electronic communication sciences
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    • v.9 no.1
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    • pp.41-50
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    • 2014
  • The subjects of this study were 30 hemiplegia patients whose disease duration was over 6 months, and they were divided at random into a control group (n=15) receiving traditional rehabilitation therapy and an experimental group (n=15) receiving both traditional rehabilitation therapy and training using IT based EMG biofeedback. The program was applied for a total of 4 weeks. In order to examine the subjects' functional recovery, we measured their upper limb function using FMA and MFT, and activities of daily living using FIM before and after the training. Comparison between experimental groups in the study of upper extremity function improved after training in all tests was higher compared to the control group significantly (p<.05), but activities of daily living were not significantly different in. The results of this study were as follows. we concluded that stroke patients receving intensive IT based EMG biofeedback showed upper extremity functional recovery.

전염병정보화사업의 현황과 발전 방향

  • Lee Jong-Gu
    • 대한예방의학회:학술대회논문집
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    • 2001.04a
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    • pp.39-49
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    • 2001
  • 전염병 정보화사업은 1995년 콜레라의 집단 발병을 계기로 1996년부터 추진되었다. 교통의 발달과 국제교류의 증가는 전염병의 전파와 확산속도가 빨라져 국민건강을 위협하고 있으며 기존의 수작업만으로 정보수집 및 효율적인 전염병관리가 어려워 체계적이고 효율적인 전염병관리를 위하여 국가적 D/B 구축, 전염병관리의 의사결정지원자료 축적의 필요성 제기되었으나 독자적인 망 구축에는 막대한 예산이 들고 망의 운영과 유지관리를 위한 예산과 조직의 한계가 있는 상황에서 콜레라 발생을 계기로 보건복지부 방역과, 국립보건원, 국립서울 검역소, 경기도 6개 보건소 및 경기 및 인천 보건환경연구원을 실험적으로 연계하여 전염병 관리에 필요한 정보의 내용과 흐름, 자료 관리를 위한 기관별, 자치단체별 역할과 기능 등에 관한 개념 정립 둥 전산개발과 함께 제도정비 방안 등이 동시에 수행되었다. 이러한 실험과 연구 결과를 토대로 1998년부터 인터넷을 활용한 전염병의 신고 보고, 전염병관련 자료의 D/B를 통한 전염병의 발생 예측, GIS 등 전염병에 관한 모든 정보를 제공할 수 있는 portal site 구축을 위한 2단계 정보화사업이 정보통신부 지원 하에 시도되었다. 약 2년간의 작업 결과 전염병관리의 전산화 가능성이 확인된 후 전염병예방법을 개정하여 전산 보고의 제도적 틀을 만들고 2000년 8월부터 법정전염병은 전산 보고가 이루어 지고 있다. 일방적이 보고이외 전염병관리의 쌍방화를 위하여 각종 지령/정보의 전파, 각종 통계, 지침, 교육자료, 전염병관련 논문 등을 제공하고 있으며, 상담, 민원접수는 전염병 관련 정보의 전문화와 함께 국민과 호흡할 수 있는 시스템으로 운영될 수 있도록 설계하였다. 그러나 현재 사용하고 있는 WEB EDI가 가진 속도 문제, 응용프로그램의 문제로 신고 보고를 C/S 버전으로 전환하여 사용자의 편리성을 증진하고 있다. 또한 예방접종자료의 전산화를 통한 이상반응 관리, 접종주기 관리, 예방접종으로 관리할 수. 있는 전염병관리(Vaccine preventable disease), 학교에서 발생하는 전염병의 감시 등 전염병 포탈 사이트에 걸맞게 정보 내용을 한층 확대하고 있고 일선의료기관도 활용할 수 있는 시스템으로 발전시키고 있다. 이를 위하여 정보관리과도 신설하였다. 그러나 전염병관리의 전산화는 궁극적으로 전염병 자료의 지역화와 그를 통한 전염병관리의 분권화 및 지방자치화를 이루고자 하는 것이다. 기술적인 측면에서 전산망은 쉽게 만들 수 있으나 전염병관리의 개선과 그 정착은 1-2년간의 전산프로그램개발 작업만으로 달성되기는 어려우며 범국가적인 노력과 더불어 일선보건요원의 교육과 훈련 및 보건소장 등 보건관리자의 전산마인드 개발 등의 작업도 매우 중요할 것으로 사료된다.

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Epidemiologic Investigation on Sporadic Occurrence of Shigellosis in a Subcounty of Cheongwon County in Chungbuk Province in 2003 (청원군 일개 면에서 산발적으로 신고한 세균성이질 집단 발병 역학조사)

  • Lee, Yong-Jae;Hwang, Ue-Kyoung;Kim, Jong-Suk;Kim, Jun-Young;Lee, Bok-Kwon;Koo, Ja-Seol;Kang, Jong-Won
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.2
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    • pp.182-188
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    • 2005
  • Objectives: This study was undertaken to investigate the source of infection and mode of transmission of shigellosis, which occurred sporadically among residents and students in a subcounty of Cheongwon county, Chungbuk province, Korea, from June 4 to July 3 2003. Methods: 692 subjects completed a questionnaire and provided a swab for microbiological examinations,and 7 environmental specimens were examined for bacterial organisms. PFGE (pulsed-field gel electrophoresis) and fingerprinting were performed to find the genetic relationship among the temporally associated sporadic isolates. Results: A total of 29 patients had symptoms consistent with the case definition, with 13 confirmed and 16 suspected cases. The frequency of diarrhea was 6 times or more a day (80.8%), with a duration of 1 to 4 days (88.5%) in most cases. The most common symptoms accompanying the diarrhea were fever (80.9%) followed by abdominal pain (76.9%), headache (65.4%), chill (61.5%), vomiting (46.2%) and tenesmus (15.4%). The epidemic curve was characteristic of a person-to-person transmission. The PFGE and fingerprinting demonstrated identical or similar DNA patterns among the 3 Shigella sonnei isolates (A51, A53 and A61 types) found in this outbreak. Conclusion: A genetically identical strain of S. sonnei was estimated to be the cause of this outbreak, and the mode of transmission was most likely person-to-person.

최근에 발생한 외국의 식중독 사례 분석

  • 김종규
    • Proceedings of the Korean Journal of Food and Nutrition Conference
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    • 1998.06a
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    • pp.23-36
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    • 1998
  • 문명이 고도로 발달하고 환경위생상태가 양호한 최근에도 세계 도처에서 끊임없이 식중독이 발생되고 있다. 세계보전기구에 의하면 현재 전세계적으로 가장 많이 발생하는 인간의 건강상의 위해 요인은 식중독을 포함하여 오염된 식품으로 인한 질병이라고 생각되고 있다. 이들 중 일부는 출처에서부터 오염된 식품에 의한 것이며, 그 나머지는 식품을 부주의하게 취급함에 의한 것이다. 실제로 지구상 인구의 일부는 생존을 위해서 먹는 음식물에 의하여 식중독이 야기되어 불필요하게 사망하고 있는 것이다. 우리의 일상의 식생활에 있어서 음식물의 취급과 섭취에 주의를 기울이고 올바른 위생 행태를 실천한다면 식중독 발생과 사망, 그리고 경제적 손실을 상당히 줄일 수 있을 것이다. 한편 식중독으로 보고되는 공식적인 추계는 선진국에서조차도 빙산의 일각에 불과하다는 것이 세계적 전문가들의 지론으로서 대개 실제 발생사례의 10% 정도만이 보고되는 것으로 알려지고 있다. 우리 나라의 경우 보고된 통계자료에 의하면 1965년부터 1986년까지의 식중독 경향은 사망자수는 상당히 감소 (연간 40여명에서 10여명 수준으로) 하였으나 이는 아직 급성전염병으로 인한 사망자수를 상회하는 수준이었다. 최근 10년간 (1987-1996)에는 발생수가 연간 31-104건으로 집계되고 있으며 사망자수는 아직도 연간 5-12명으로 나타나고 있다 (감염병 발생정보 등). 1977년에 발생하였던 학교급식 식중독 사례 (1977년 9월, 초등학교 점심급식, 발병자 5,500명 이상, 사망자 1명, 원인식품=크림빵, 병인물질-포도상구균)는 아직도 커다란 교훈으로 남아있다. 우리 나라의 경우 이와 같이 공식적인 식중독 통계자료의 결과가 제시되고는 있으나 식중독 사례에 대한 면밀한 사안이 밝혀지는 경우가 많지 않다. 또한 그 발생 경위나 원인요소에 대해서는 일반에게 공개되지 않고 있어, 우리가 실천하여 식중독을 예방할 수 있는 정보가 함께 제시되지 못하는 형편이다. 따라서 본 고에서는 최근 수년간 외국에서 학교급식을 비롯한 집단급식 등에서 발생한 식중독 사례를 중심으로 고찰, 분석하였다. 이로부터 식중독 발생에 기여한 주요 원인을 찾아내고 여기서 얻어지는 교훈을 토대로 식중독 발생을 예방 및 최소화할 수 있는 실천적 대처 방안을 모색해 보고자 한다.

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Classification of the Diagnosis of Diabetes based on Mixture of Expert Model (Mixture of Expert 모형에 기반한 당뇨병 진단 분류)

  • Lee, Hong-Ki;Myoung, Sung-Min
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.11
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    • pp.149-157
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    • 2014
  • Diabetes is a chronic disease that requires continuous medical care and patient-self management education to prevent acute complications and reduce the risk of long-term complications. The worldwide prevalence and incidence of diabetes mellitus are reached epidemic proportions in most populations. Early detection of diabetes could help to prevent its onset by taking appropriate preventive measures and managing lifestyle. The major objective of this research is to develop an automated decision support system for detection of diabetes using mixture of experts model. The performance of the classification algorithms was compared on the Pima Indians diabetes dataset. The result of this study demonstrated that the mixture of expert model achieved diagnostic accuracies were higher than the other automated diagnostic systems.

A Study on the Development of Customized Home Care Beauty Device (맞춤형 홈 케어 뷰티 디바이스 개발에 관한 연구)

  • Kim, Tae-Won;Kim, Hyun-Woong;Lee, Chun-Hee;Min, Hye-Jin;Kim, Da-Du;Kim, Dong-Hun;Park, Sang-Yong
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.23-34
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    • 2022
  • Due to the regular usage of face masks during the COVID-19 pandemic, many people developed skin issues. As a result, interest in skin care which can be performed independently at home has increased. The purpose of this study is to design a customized home beauty care device to respond to these market trends. In order to do so, the double diamond model was applied in the design thinking process, and the design development process proceeded in the order of discovery, definition, development, and delivery. This study is meaningful in that it focused on the user-centered design development approach by fusing design thinking processes rather than styling-oriented design processes, and suggested new possibilities for design development using information based on the data measured.

Inheritance of Resistance to Phytophthora capsici by Inoculums in Korean Hot Pepper (고추 역병균의 접종원에 따른 역병 저항성의 유전 양식)

  • Soh, Jaewoo;Han, Kyung-Sook;Lee, Sung-Chan;Lee, Jung-Sup
    • Research in Plant Disease
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    • v.18 no.4
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    • pp.317-323
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    • 2012
  • The study aims to identify the pathogenicity of Phytophthora. capsici isolates in major pepper-producing areas in Korea and the inherit genetic pattern of phytophthora blight resistance by inocula. With five kinds of testing materials including 'Kataguma (Sakata Korea)' peppers, a disease-susceptible material, '#308', a phytophthora blight resistance material, 'CM334', and their $F_1$ and $F_2$, respective isolates of P. capsici obtained from Icheon, Eumseong, Buan, Imsil and Yeongyang regions together with six kinds of peppers' inoculum including PA-159 (KACC No.40482) received from Korean Agricultural Culture Collection were used for inoculation. The disease-susceptible material '#308', the resistant material 'CM334' and the non-segregating generation of $F_1$ represented 4.94-5.00, 1.00-1.07, and 1.01-1.08 phytophthora blight incidence respectively in the group comparison by isolate. This result means that the phytophthora blight resistance was clearly distinguished among testing materials in the group comparison by P. capsici isolate. Moreover, $F_2$ segregating generation showed 1.79-2.31 phytophthora blight incidence which turned out to be identical in the group comparison by the six isolates of P. capsici isolate and with similarity between both the resistant and susceptible materials. Thus, the result proved that using the six isolates of P. capsici tested as inocula was suitable to investigate the phytophthora blight resistance. When it comes to group comparison of $F_2$ segregation generation, however, isolates were divided with PA-159 isolate being the center: a group consisting of isolates from Icheon, Buan, and Imsil and a group consisting of Yeongyang and Eumseong isolates with higher pathogenicity. The expected segregation ratio of the phytophthora blight resistance in $F_2$ generation by isolate was analyzed. PA-159 isolate showed 3:1 or 9:3:3:1, indicating that one to two genes were involved. On the other hand, results also proved that there is an interaction of genes since both Eumseong and Yeongyang isolates showed a segregation ratio of 11:5 while the Icheon isolate represented 12:3:1.

A SURVEY OF THE PSYCHOSIS AMONG SCHOOL VIOLENCE VICTIMS (학교폭력 피해자의 정신병 실태 조사)

  • Kwon, Seok-Woo;Shin, Min-Sup;Cho, Soo-Churl;Shin, Sung-Woong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.1
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    • pp.124-143
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    • 2000
  • Objectives:The primary purpose of this study is to understand the psychopathology of the victims of school violence in terms of early psychosis. By doing this, the early detection of psychosis among the victims is possible, and early detection may lead to early intervention. Methods:Two-thousand and nine-hundred seventy two students from 16 middle schools in Seoul were asked to fill out questionnaire comprised of popularity and intellectual and school status of Piers-Harris Children's Self Concept Inventory, Symptom Check List-90-Revised, and Ostracism Scale. The subjects whose scores upon Ostracism Scale were higher than average by two standard deviation were labeled as ‘Repelled and Isolated group', and subjects whose scores on popularity were significantly lower than average and whose scores on psychoticism of SCL-90-R were higher than average were defined as 'tentative early psychosis group'. Odds ratios were calculated from the numbers of subjects with and without high psychoticism scores and high ostracism scores. On the subjects of 'tentative early psychotic group', we examined every clinical characteristic and conducted correlation analysis and regression analysis in order to find out the risk factors and to construct theoretical model that explains the psychoticism scores. Results:The results were as follows:1) Total 157(5.3%) subjects were rated significantly higher on ostracism scale, and among them, 47 subjects(29.9%) were rated significantly higher than average on psychoticism scale, while only 50 subjects among 2,135 students who were rated within normal range showed significantly higher score on psychoticism scale. Odds ratio for psychotic group of isolated group were 17.82 and it was statistically significant. 2) Forty-seven subjects(31 boys, 16 girls) who were rated as they were unpopular and rejected from peers had significantly higher psychoticism scores. They were not significantly different from simply high psychoticism subjects in anxiety, social anhedonia scale, magical thinking, obsessivecompulsive symptoms, phobic anxiety, psychoticism, somatization, but showed higher ostracism scores and paranoid tendencies. Among school violence victims, who rated themselves unpopular and showed higher psychoticism scores, the psychoticism scores were mainly explained by anxiety, depression, hostility, interpersonal sensitivity, obsessive-compulsive symptoms, paranoid tendency, somatization scales($r^2=0.93$). Conclusion:Thus, it can be concluded that the subjects with higher ostracism score have the substantially high risk for psychosis development. By these results, we propose that school violence victims with anxiety, depression, hostility, interpersonal sensitivity, obsessive-compulsive symptoms, paranoid tendency, somatization should be tested individually considering school adjustment, attentional deficit, concept formation problems.

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Distribution of Rice Blast Disease and Pathotype Analysis in 2014 and 2015 in Korea (2014년과 2015년 잎 도열병 발생 분포 및 레이스 분포 현황)

  • Kim, Yangseon;Go, Jaeduk;Kang, In Jeong;Shim, Hyeong-Kwon;Shin, Dong Bum;Heu, Sunggi;Roh, Jae-Hwan
    • Research in Plant Disease
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    • v.22 no.4
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    • pp.264-268
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    • 2016
  • The nursery test against rice blast in Korea from 2014 to 2015 was analyzed. The average of disease severity of leaf blast in 12 sites showed $3.7{\pm}2.1$ in 2014 and $4.4{\pm}2.1$ in 2015. Disease severity of leaf blast in Icheon and Cheolwon was increased ranging from $2.8{\pm}2.2$ in 2014 to $6.3{\pm}1.8$ in 2015. Using a designation system, a total of 588 isolates collected those years were categorized into 34 races in 2014 and 51 races in 2015 based on the reaction pattern of Korean differential varieties. The blast isolates of 2015 were more diverse than those in 2014. The ratios of KI race to KJ race were 54:46 in 2014 and 70:30 in 2015; however, the predominant race population was KJ-301 as 16%, and KI-101 as 15% in 2014 and 2015, respectively. These results indicate that the distribution of the blast races is getting more diverse in Korea, therefore, this research would provide the possibility to predict race distribution and change to prevent the outbreak of rice blast and will also serve as a useful information for breeding of resistant rice cultivar against blast.