• 제목/요약/키워드: Disease control

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An Epidemiological Analysis of 28 Vivax Malaria Cases in Gimpo-si, Korea, 2020

  • Bahk, Young Yil;Cho, Shin-Hyeong;Kim, Kyoung-Nam;Shin, Eun-Hee;Jeon, Byoung-Hak;Kim, Jeong-Hyun;Park, Sookkyung;Kwon, Jeongran;Kan, Hyesu;Kim, Miyoung;Kim, Tong-Soo
    • Parasites, Hosts and Diseases
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    • 제59권5호
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    • pp.507-512
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    • 2021
  • Since 1993, vivax malaria has been recognized as a public health burden in Korea. Despite of pan-governmental malaria-control efforts and the dramatic reduction in the burden of this disease over the last 10 years, vivax malaria has not been well controlled and has remained continuously endemic. We focused interviewed and examined the charts of 28 confirmed vivax malaria patients given malarial therapy for whom daily records were kept from Gimpo-si, Gyeonggi-do of Korea. Various epidemiological characteristics of vivax malaria, including the incubation period, medication used, and recurrence, and an evaluation of the parasitic characteristics from the focused interviews of patients from this region are described here. Most of the participants indicated the 3 most common symptoms of malaria (headache, chills and fever). Of the 28 cases, 2 experienced a second attack and there were 17 and 11 cases with short- and long-term incubation periods, respectively, yielding a short-term to long-term ratio of 1.5. Based on the parasitemia stages, most of the participants were tested at 5 to 7 days (11 cases) and 7 to 15 days (11 cases) after initial wave of asexual parasites. In conclusion, public health authorities should consider developing management measures to decrease the time lag for diagnosis and drafting unified and robust guidelines for drug use for malaria and drawing up unified and robust guidelines on the use of medication for malaria. It also suggests that routine monitoring, surveillance, and precise medical surveys in high-risk vivax malaria endemic areas are pivotal to controlling this persistent public disease and finally eliminating it from Korea.

강원도내 교육시설관련 코로나바이러스감염증19 집단발생의 역학적특성과 위험요인 (2020.12.10-2021.9.23) (Epidemiological Characteristic and Risk Factor of COVID-19 Cluster Related to Educational Facilities in Gangwon-do, Korea (December 10, 2020-September 23, 2021))

  • 최효숙;김미영;이신영;김은미;김여진
    • Pediatric Infection and Vaccine
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    • 제31권1호
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    • pp.102-112
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    • 2024
  • 목적: 우리나라 강원도 내 어린이집, 유치원, 초중고(공교육) 교육시설과 사교육시설을 포함한 교육시설 관련 COVID-19 감염병 집단사례의 역학적 특성과 위험요인을 파악하고자 한다. 방법: 연구기간은 2020년 12월 10일부터 2021년 9월 23일까지 질병관리청 질병보건통합관리시스템에 신고된 강원도 내 코로나19 확진자 5,318명 중 교육시설 관련 집단감염으로 분류된 19개의 교육시설 관련 확진자 407명을 대상으로 조사하였다. 결과: 교육시설 관련 확진자는 19개의 교육시설 총 407명으로 19세 이하는 204명(50.1%) 이었다. 선행 전파자는 가족이 155명(38.1%), 교사125명(30.7%)이었다. 이차감염자가 확진자로부터 노출된 장소는 집이 139명(34.2%)으로 가장 높았다. 총 19개 집단에서 9개 집단의 근원 환자(추정)는 교사로 확인되었다. 교사가 선행 감염원인 경우의 평균 발병률(2.4%)이 학생이 근원 환자(추정)인 집단의 평균 발병률(1.5%)보다 높았다. 또한 교육시설 내 위험도 종합평가 점수가 높은 사교육시설에서 발병률과 2차 발병률이 높았다. 결론: 본 연구에서 교육시설보다는 가정에서의 전파가 더 큰 것이 확인되었고, 교육시설 내 위험도 종합평가점수가 높은 교육시설에서는 교내 발병률이 가정내 발병률보다 높았고, 공교육 시설보다 사교육시설의 위험도 점수가 높은 곳이 많았으며, 교사들이 근원 환자(추정)인 사례가 많았다. 이러한 결과를 근거로 학생들과 더불어 교사들의 방역 수칙 이행에 대한 감시의 강화가 필요하겠다. 또한 지속적인 교육 당국의 모니터링을 통해 감염병 범유행 상황에서 감염으로부터 안전한 환경에서 교육이 이행될 수 있도록 지속적으로 노력해야 할 필요가 있다.

인삼의 질병.병원균 및 방지책에 관하여 (Studies on Phytouthora disease of Panax ginseng C. A Meyer; its causal agent and possible control measures)

  • 오승환;박창석
    • Journal of Ginseng Research
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    • 제4권2호
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    • pp.186-193
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    • 1980
  • The causal organism of Phytophthora disease on Panax ginseng Meyer in Korea was isolated and identified as Phytophthora cactorum. It's pathogenicity, etiology, and possible control measures were investigated. Disease symptoms on various parts of ginseng plants were also described The fungus caused seedling and mature plant blight and root rot. Oospores were easily formed on potato dextrose agar and corn meal agar. Oospores, however, were not formed in the diseased root tissues but did in the in footed shoots such as leaves, petioles, and stems and in the inoculated berries.

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위식도역류질환의 수술 (Antireflux Surgery)

  • 나국주
    • 대한기관식도과학회지
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    • 제16권2호
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    • pp.105-108
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    • 2010
  • The prevalence of gastroesophageal reflux disease(GERD) has been increased recently in Korea. Most patients who have GERD are well treated by medication. But patients who have suboptimal disease control under medical therapy are needed further treatment. Nowadays minimally invasive surgery using laparoscopy and thoracoscopy has become popular in the operation of GERD although antireflux surgery is vary. Antireflux surgery is a well-documented, effective therapeutic alternative to control GERD.

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정부의 신종인플루엔자 A(H1N1) 대응 (National Level Response to Pandemic (H1N1) 2009)

  • 이동한;신상숙;전병율;이종구
    • Journal of Preventive Medicine and Public Health
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    • 제43권2호
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    • pp.99-104
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    • 2010
  • The World Health Organization (WHO) announced the emergence of a novel influenza on April 24, 2009, and they declared pandemic on June 11. In Korea, the proportion of influenza-like illness and the consumption of antiviral agents peaked in early November. The government established the Central Headquarters for Influenza Control and operated the emergency response system. In the quarantine stations, we checked the body temperature and collected quarantine questionnaires from all the arrivals from infected countries. We also isolated the confirmed cases in the national isolation hospitals. However, as the community outbreaks were reported, we changed strategy from containment to mitigation. We changed the antiviral agent prescription guideline so that doctors could prescribe antiviral agents to all patients with acute febrile respiratory illness, without a laboratory diagnosis. Also the 470 designated hospitals were activated to enhance the efficacy of treatment. We vaccinated about 12 million people and manage the adverse event following the immunization management system. In 2010, we will establish additional national isolation wards and support hospitals to establish fever clinics and isolation intensive care unit (ICU) beds. We will also make a computer program for managing the national isolation hospitals and designated hospitals. We will establish isolation rooms and expand the laboratory in quarantine stations and we will construct a bio-safety level 3 laboratory in each province. In addition, we plan to construct a bio-safety level 4 laboratory at a new Korea Centers for Disease Control and Prevention (KCDC) facilities in Ossong.

Integration of Bological and Chemical Methods for the Control of Pepper Gray Mold Rot Under Commercial Greenhouse Conditions

  • Park, Seon-Hee;Bae, Dong-Won;Lee, Joon-Taek;Chung, Sung-Ok;Kim, Hee-Kyu
    • The Plant Pathology Journal
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    • 제15권3호
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    • pp.162-167
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    • 1999
  • Integration of microbial antagonists with fungicides was tried to control the gray mold caused by Botrytis cinerea on pepper in greenhouse conditions and to reduce fungicide uses. All of the selected bacterial antagonists, Bacillus amyloliquefaciens BL3, Paenibacillus polymyxa BL4, and Pseudomonas putida Cha94, completely inhibited the conidial germination of B. cinerea until 30 days after treatment. However, bacterial colonization of pepper phylloplane was poor in BL4, while the other bacterial isolates and the fungal antagonist Trichoderma harzianum TM colonized well on the phylloplane, maintaining the population density of 104-105 cfu/g until 15 days after microbial treatments. Out of 13 kinds of selected fungicides used for gray mold diseases, polyoxin B and BKF 1995 showed the most discriminatory activity on the fungal growth between B. cinerea and TM. TM grew readily on the media containing those fungicides, while B. cinerea showed poor or no mycelial growth on them. The selected fungicides and antagonists alone reduced incidence of gray mold on pepper, showing disease indices of about 2.4 to 3.0, while its was increased up to 4.2 in the untreated control. Alternate treatments with the antagonists and 2-fold diluted fungicides inhibited the disease incidence as much as the antagonists or fungicides alone, and reduced the secondary inoculum more than the single treatments. This suggests that integration of antagonists and fungicides may be an efficient way to reduce fungicide sprays with reliable control efficacy of the disease. However, there was not much difference in the early and mid-term disease progress among the treatments and the untreated control, probably due to extremely favorable environmental conditions for the disease development in this experiment.

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Peripheral Insulin Doesn't Alter Appetite of Broiler Chicks

  • Liu, Lei;Xu, Shaohua;Wang, Xiaojuan;Jiao, Hongchao;Lin, Hai
    • Asian-Australasian Journal of Animal Sciences
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    • 제29권9호
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    • pp.1294-1299
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    • 2016
  • An experiment was conducted to investigate the effect of peripheral insulin treatment on appetite in chicks. Six-d-age chicks with ad libitum feeding or fasting for 3 h before injection received a subcutaneous injection of 0, 1, 3, 5, 10, or 20 IU of insulin or vehicle (saline). The results showed peripheral insulin treatment (1 to 20 IU) did not alter significantly the feed intake in chicks under either ad libitum feeding or fasting conditions within 4 h (p>0.05). Compared with the control, plasma glucose concentration was significantly decreased after insulin treatment of 3, 5, 10, and 20 IU for 4 h in chicks with ad libitum feeding (p<0.05). In fasted chicks, 10 and 20 IU insulin treatments significantly decreased the plasma glucose level for 4 h (p<0.05). Peripheral insulin treatment of 10 IU for 2 or 4 h did not significantly affect the hypothalamic genes expression of neuropeptide Y, proopiomelanocortin, corticotropin-releasing factor and insulin receptors (p>0.05). All results suggest peripheral administration of insulin has no effect on appetite in chicks.

Tobacco Use Among Students Aged 13-15 Years in South Korea: The 2013 Global Youth Tobacco Survey

  • Choi, Sunhye;Kim, Yoonjung;Lee, Jihye;Kashiwabara, Mina;Oh, Kyungwon
    • Journal of Preventive Medicine and Public Health
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    • 제50권1호
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    • pp.60-65
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    • 2017
  • Objectives: We examined the prevalence of tobacco use and exposure to secondhand smoke among middle-school students in Korea using the Global Youth Tobacco Survey (GYTS) in 2013. Methods: The GYTS in Korea was conducted between July and August 2013 by the Korea Centers for Disease Control and Prevention. Data were collected using a self-administered anonymous questionnaire from a nationally representative sample of middle-school students aged 13-15 years in sampled classrooms. Results: The GYTS in Korea was completed by 4235 students aged 13-15 years in 43 middle schools. Approximately one in five of the students (17.8%) reported that they had tried cigarettes in the past, while 5.2% reported currently being cigarette smokers. Current cigarette smoking was higher in boys (7.5%) than in girls (2.6%). Of the students, 29.7% had been exposed to secondhand smoke at home, 47.4% inside enclosed public places, and 53.9% in outdoor public places. Of the current cigarette smokers, 25.7% bought their cigarettes from a store despite a law prohibiting this. Additionally, 58.0% of students noticed point-of-sale tobacco advertisements or promotions, 66.8% of current cigarette smokers wanted to stop smoking, and 70.9% of students had been taught about the dangers of tobacco use in school. Conclusions: These findings provide an opportunity to develop, implement, and evaluate a comprehensive tobacco control policy. The results suggest that youth have relatively easy access to cigarettes and are regularly exposed to secondhand smoke in public places, as well as to point-of-sale tobacco advertisements and promotions. Strict enforcement of the ban on tobacco sales to youth, expanding smoke-free areas, and advertising bans are needed to reduce tobacco use among youth.

High Levels of Antibodies to Plasmodium falciparum Liver Stage Antigen-1 in Naturally Infected Individuals in Myanmar

  • Lee, Hyeong-Woo;Moon, Sung-Ung;Kim, Yeon-Joo;Cho, Shin-Hyeong;Lin, Khin;Na, Byoung-Kuk;Kim, Tong-Soo
    • Parasites, Hosts and Diseases
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    • 제46권3호
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    • pp.195-198
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    • 2008
  • Plasmodium falciparum liver stage antigen-1 (PfLSA-1) is one of the few antigens expressed exclusively in liver stage parasites. In this study, we evaluated the antibody responses against recombinant PfLSA-1 in naturally infected individuals in Myanmar. High levels of antibody responses (70.7%) were detected in 82 serum samples from 116 infected individuals, and IgG responses to PfLSA-1 principally composed of responses of IgG1 and IgG3 subclasses. These results show that PfLSA-1 elicits effective antibody responses in individuals infected with P. falciparum, and thus it could be not only an attractive candidate protein for vaccine development, but also a useful antigen for serodiagnosis of the infection.

Molecular Prevalence and Genotypes of Cryptosporidium parvum and Giardia duodenalis in Patients with Acute Diarrhea in Korea, 2013-2016

  • Ma, Da-Won;Lee, Myoung-Ro;Hong, Sung-Hee;Cho, Shin-Hyeong;Lee, Sang-Eun
    • Parasites, Hosts and Diseases
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    • 제57권5호
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    • pp.531-536
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    • 2019
  • Cryptosporidium parvum and Giardia duodenalis are the main diarrhea-causing parasitic pathogens; however, their prevalence in Korea is unknown. Here, we conducted a survey to determine the prevalence and genotype distribution of these 2 pathogens causing acute diarrhea in 8,571 patients hospitalized in 17 Regional Institute of Health Environment sites in Korea, during 2013-2016. C. parvum and G. duodenalis were detected and genotyped by nested PCR, and the isolate were molecularly characterized by sequencing the glycoprotein 60 (Gp60) and ${\beta}-giardin$ genes, respectively. The overall prevalence of C. parvum and G. duodenalis was 0.37% (n=32) and 0.55% (n=47), respectively, and both pathogens were more prevalent in children under 9 years old. Molecular epidemiological analysis showed that the C. parvum isolates belonged to the IIa family and were subtyped as IIaA13G2R1, IIaA14G2R1, IIaA15G2R1, and IIaA18G3R1. Analysis of the ${\beta}-giardin$ gene fragment from G. duodenalis showed that all positive strains belong to assemblage A. This is the first report on the molecular epidemiology and subtyping of C. parvum and G. duodenalis in such a large number of diarrheal patients in Korea. These results highlight the need for continuous monitoring of these zoonotic pathogens and provide a basis for implementing control and prevention strategies. Further, the results might be useful for epidemiological investigation of the source of outbreak.