• Title/Summary/Keyword: Active surveillance

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Risk Factors of Carbapenem-resistant Enterobacteriaceae Acquisition at a Community-based Hospital (지역기반 상급종합병원 내 카바페넴 내성 장내세균 획득에 관한 위험인자)

  • Lee, Yeonju;Kang, Ji Eun;Ham, Jung Yeon;Lee, Ja Gyun;Rhie, Sandy Jeong
    • Korean Journal of Clinical Pharmacy
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    • v.30 no.2
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    • pp.120-126
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    • 2020
  • Objective: The rising number of carbapenemase-resistant Enterobacteriaceae (CRE) cases has become a concern worldwidely. This study investigated patient characteristics with CRE and analyzed the risk factors associated with its acquisition. Methods: A retrospective review of the electronic medical records of the Kangbuk Samsung Medical Center from May 2016 to April 2019 was performed. The inclusion criterion was hospitalized patients aged ≥18 years with confirmed CRE acquisition. Patients were divided by CRE acquired and non-required patients. CRE acquired patients were those with CRE confirmed by their active surveillance cultures, while non-acquired patients were those with carbapenemase-sensitive Enterobacteriaceae (CSE). If CRE was isolated more than once during hospitalization, only the first isolation was used for data analysis. Patient characteristics, antibiotic used, and the duration of use were compared between two groups using univariate analysis, and the risk factors associated with CRE were analyzed using multiple logistic regression analysis. Results: Among the 73 CRE acquired patients, 44 (60.3%) were positive for carbapenemase-producing Enterobacteriaceae (CPE). Infection from Klebsiella pneumonia (42 cases, 57.5%), Escherichia coli (17 cases, 23.3%), and Enterobacter cloacae (5 cases, 6.8%). The risk of CRE acquisition was significantly increased by 4.99 times [confidence interval (CI), 1.40-17.78; p=0.013] with mechanical ventilation, 3.86 times (CI, 1.59-9.36; p=0.003) with penicillin administration, and 21.19 times (CI, 6.53-68.70; p<0.001) with carbapenem administration. Conclusions: Proper antibiotic use including the selection, frequency, and duration, and patients on mechanical ventilators need close monitoring.

Health Behavior Regarding Liver Flukes among Rural People in Nakhon Ratchasima, Thailand

  • Painsing, Sirinapa;Sripong, Anan;Vensontia, Orramon;Pengsaa, Prasit;Kompor, Pontip;Kootanavanichapong, Nusorn;Kaewpitoon, Soraya J;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2111-2114
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    • 2016
  • Opisthorchiasis is a health problem in Thailand particularly in northeast and north regions where have been reported the highest of cholangiocarcinoma. Active surveillance is required, therefore a cross-sectional surveyed was conducted in Nong Bunnak sub-district of Nakhon Ratchasima province, Thailand. A total of 367 participants were selected by multistage sampling from 5 villages located near natural water resources. Participants completed a predesigned questionnaire containing behavior questions regarding liver fluke disease, covering reliability and validity knowledge (Kuder-Richardon-20) = 0.80, attitude and practice (Cronbach's alpha coefficient) = 0.82 and 0.79, respectively. Descriptive statistics included frequencies, percentages, means, and standard deviations. The majority of the participants were female (58.3%), age group between 21-30 years old (42.5%), with primary school education (59.9%), occupation in agriculture (38.1%), and married (80.9%). They had past histories of raw fish consumption (88.3%), stool examination (1.4%), anti-parasite medication used (4.6%). Heads of villages, village health volunteers, television, and village newstations were the main sources for disease information. Participants had a moderate level of behavior regarding liver fluke disease. The mean scored of knowledge regarding liver fluke life cycle, transmission, severities, treatment, prevention and control was 10.9 (SD=0.5), most of them had a moderate level, 95.1%. The mean score for attitude regarding liver fluke prevention and control was 45.7 (SD=9.7), and for practice was 30.6 (SD=10.5). Participants had a moderate level of attitude and practice, 94.5% and 47.7, respectively. This study indicates that health education is required in this community including stool examination for liver fluke as further active surveillance screening.

Genetic characterization of H9N2 avian influenza virus previously unrecognized in Korea

  • Heo, Gyeong-Beom;Kye, Soo-Jeong;Sagong, Mingeun;Lee, Eun-Kyoung;Lee, Kwang-Nyeong;Lee, Yu-Na;Choi, Kang-Seuk;Lee, Myoung-Heon;Lee, Youn-Jeong
    • Journal of Veterinary Science
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    • v.22 no.2
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    • pp.21.1-21.6
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    • 2021
  • In this study, we describe the isolation and characterization of previously unreported Y280-lineage H9N2 viruses from two live bird markets in Korea in June 2020. Genetic analysis revealed that they were distinct from previous H9N2 viruses circulating in Korea and had highest homology to A/chicken/Shandong/1844/2019(H9N2) viruses. Their genetic constellation showed they belonged to genotype S, which is the predominant genotype in China since 2010, where genotype S viruses have infected humans and acted as internal gene donors to H5 and H7 zoonotic influenza viruses. Active surveillance and control measures need to be enhanced to protect the poultry industry and public health.

Resistome Study in Aquatic Environments

  • Hanseob Shin;Yongjin Kim;Seunggyun Han;Hor-Gil Hur
    • Journal of Microbiology and Biotechnology
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    • v.33 no.3
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    • pp.277-287
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    • 2023
  • Since the first discovery of antibiotics, introduction of new antibiotics has been coupled with the occurrence of antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARGs). Rapid dissemination of ARB and ARGs in the aquatic environments has become a global concern. ARB and ARGs have been already disseminated in the aquatic environments via various routes. Main hosts of most of ARGs were found to belong to Gammaproteobacteria class, including clinically important potential pathogens. Transmission of ARGs also occurs by horizontal gene transfer (HGT) mechanisms between bacterial strains in the aquatic environments, resulting in ubiquity of ARGs. Thus, a few of ARGs and MGEs (e.g., strA, sul1, int1) have been suggested as indicators for global comparability of contamination level in the aquatic environments. With ARB and ARGs contamination, the occurrence of critical pathogens has been globally issued due to their widespread in the aquatic environments. Thus, active surveillance systems have been launched worldwide. In this review, we described advancement of methodologies for ARGs detection, and occurrence of ARB and ARGs and their dissemination in the aquatic environments. Even though numerous studies have been conducted for ARB and ARGs, there is still no clear strategy to tackle antibiotic resistance (AR) in the aquatic environments. At least, for consistent surveillance, a strict framework should be established for further research in the aquatic environments.

Real Time Object Tracking Method using Multiple Cameras (다중 카메라를 이용한 실시간 객체 추적 방법)

  • Jang, In-Tae;Kim, Dong-Woo;Song, Young-Jun;Kwon, Hyeok-Bong;Ahn, Jae-Hyeong
    • Journal of Korea Society of Industrial Information Systems
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    • v.17 no.4
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    • pp.51-59
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    • 2012
  • Recently, the study about object tracking using image processing has been active in the field of security and surveillance. Existing security and surveillance systems using multiple cameras have been operating independently. Thus, the chase was difficult when the tracking object move to other monitored areas. In this paper, we propose the way to change the control of camera automatically following the moving direction of objects in multiple cameras. The proposed method detects the object and tracks the object using color information and direction information of object. The color information obtains using the hue and the direction information obtains using the optical flow. At this time, the optical flow is detected for the entire image area of an object that is not applied only to reduce the computational complexity makes it possible to track in real time. In addition, it can be solved to inconvenience of security surveillance system to use existing camera by tracking an object automatically.

An Improved ViBe Algorithm of Moving Target Extraction for Night Infrared Surveillance Video

  • Feng, Zhiqiang;Wang, Xiaogang;Yang, Zhongfan;Guo, Shaojie;Xiong, Xingzhong
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.12
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    • pp.4292-4307
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    • 2021
  • For the research field of night infrared surveillance video, the target imaging in the video is easily affected by the light due to the characteristics of the active infrared camera and the classical ViBe algorithm has some problems for moving target extraction because of background misjudgment, noise interference, ghost shadow and so on. Therefore, an improved ViBe algorithm (I-ViBe) for moving target extraction in night infrared surveillance video is proposed in this paper. Firstly, the video frames are sampled and judged by the degree of light influence, and the video frame is divided into three situations: no light change, small light change, and severe light change. Secondly, the ViBe algorithm is extracted the moving target when there is no light change. The segmentation factor of the ViBe algorithm is adaptively changed to reduce the impact of the light on the ViBe algorithm when the light change is small. The moving target is extracted using the region growing algorithm improved by the image entropy in the differential image of the current frame and the background model when the illumination changes drastically. Based on the results of the simulation, the I-ViBe algorithm proposed has better robustness to the influence of illumination. When extracting moving targets at night the I-ViBe algorithm can make target extraction more accurate and provide more effective data for further night behavior recognition and target tracking.

Incidence, mortality and survival of gallbladder, extrahepatic bile duct, and pancreatic cancer using Korea central cancer registry database: 1999-2019

  • Mee Joo Kang;E Hwa Yun;Kyu-Won Jung;Sang-Jae Park
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.26 no.3
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    • pp.220-228
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    • 2022
  • Backgrounds/Aims: In Korea, pancreatic cancer and "gallbladder and extrahepatic bile duct cancer" were ranked the 8th and 9th most frequent cancers in 2019 and the 4th and 6th most common causes of cancer deaths in 2020, respectively. Methods: This review provides national cancer statistics and secular trends of 207,521 patients with gallbladder (n = 44,178), extrahepatic bile duct (n = 61,856), and pancreatic cancer (n = 101,487) between 1999 and 2019 in Korea. Results: The crude incidence rate in both sexes increased in the gallbladder (2.8 to 5.4 per 100,000), extrahepatic bile duct (3.6 to 9.0), and pancreatic cancer (5.5 to 15.8). The age-standardized incidence rate in both sexes significantly increased in the extrahepatic bile duct (3.7 to 4.1) and pancreatic (5.6 to 7.6) cancers but decreased in gallbladder cancer (2.9 to 2.4). The overall 5-year relative survival rate increased in the gallbladder (21.8% to 30.6%), extrahepatic bile duct (23.1% to 27.5%), and pancreatic (8.5% to 13.3%) cancers. Between 2006 and 2019, the proportion of localized or regional stages remained stable. The proportion of surgical treatment within the first 4 months after diagnosis was relatively higher in the gallbladder (42.2%) and extrahepatic bile duct (45.9%) cancers than in pancreatic cancer (22.2%). Conclusions: The crude incidence and mortality rates of the gallbladder, extrahepatic bile duct, and pancreatic cancer are steadily increasing in Korea, and the prognosis remains poor. Early detection, active application of surgical treatment, and minimization of the proportion of untreated patients are required to improve the survival rates of these cancers.

A Study on the Moving Object Tracking Algorithm of Static Camera and Active Camera in Environment (고정카메라 및 능동카메라 환경에서 이동물체 추적 알고리즘에 관한 연구)

  • 남기환;배철수
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.7 no.2
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    • pp.344-352
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    • 2003
  • An effective algorithm for implementation of which detects moving object from image sequences. predicts the direction of it. and drives the camera in real time is proposed. In static camera, for robust motion detection from a dynamic background scene, the proposed algorithm performs statistical modeling of moving objects and background, and trains the statistical modeling of moving objects and background, and trains the statistical feature of background with the initial parts of sequence which have no moving objects. Active camera moving objects are segmented by following procedure, an improved order adaptive lattice structured linear predictor is used. The proposed algorithm shows robust object tracking results in the environment of static or active camera. It can be used for the unmanned surveillance system, traffic monitoring system, and autonomous vehicle.

An Analysis of Pulse Length Effect on Underwater Simulated Target Strength Estimated Model (수중 모의표적 강도예측 모델의 펄스길이 효과 고찰)

  • 김부일;박명호;권우현
    • The Journal of the Acoustical Society of Korea
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    • v.20 no.2
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    • pp.44-51
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    • 2001
  • This Paper the practical echo signal synthesis model to predict the target strength and signal shape of a submarine for a valuable tool to active sonar engineer. It is based on UTAHID (Underwater TArget by Highlight Distribution) model which is relocated highlight points along to external hull for aspect angle, and synthesized echo signal by modified grouping highlights to internal scatter cloud. Proposed model is analyzed target strength characteristics on various incident pulse length, and synthesis signal signature, target time spreading loss, echo elongation effect and so on. Thus it can be efficiently used in various real systems related to underwater target echo signal synthesis, that is, active sonar, acoustic countermeasure and surveillance system.

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Study on elements for effective infection control at dental hospitals (효과적인 치과병원 감염관리의 구성요소에 대한 고찰)

  • Bae, Sung-Suk;Lee, Myung-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.4
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    • pp.557-569
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    • 2011
  • Objectives : Based on the system and control activity for the monitoring system made of components for infection control at dental hospitals and infection rate reporting, and the role of trained infection control staff, this study tried to understand approaches to the effective infection control program by surveying infection control at dental hospitals in Korea. Methods : The survey was conducted from December 14,2010 to January 31,2011 for 121 dental hospitals in Korea. For statistical analysis, PASW Statistic 18 was used. Results : And following conclusions were reached. 1. As for the infection control system at dental hospitals, 54.7% has an infection control committee, 58.7% infection control staff, 78.5% infection control rules, and 39.7% annual infection control plan and record. 2. As for surveillance indexes to report infection rates, 50.4% has the reporting system for staff's exposure to infectious disease and needle pricking. The average number of exposures to infectious disease was $0.28{\pm}2.23$ and that of needle pricking was $1.83{\pm}5.39$. 3. As for infection control indexes, it was reviewed whether infection control rules were implemented according to operation agents, general hospitals were more active in staff infection control, and hospitals annexed to a dental university or special legal entity were more active in microorganism control. As for use of personal protection gear, there was no significant difference among operation agents. More than 71% of operators and their assistants said they did not replace their masks between patients. 4. As for personnel indexes for effective infection control staff, most hospitals designated dental hygienists, which was followed by dental doctors (or doctors). Where their workload was reviewed, the ratio of other work such as treatment was relatively higher than that of infection control (n=71). Conclusions : These results show dental hospitals in Korea have a certain level of infection control system. As infection indexes are managed mainly for staff members, patient monitoring is needed, and trained and effective infection control staff should be designated. This study reviewed surveillance, infection control and personnel indexes. And further studies are needed in the future.