• 제목/요약/키워드: Epidemiologic survey

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한국 가와사끼병의 역학 (Epidemiology of Kawasaki disease in Korea)

  • 박용원
    • Clinical and Experimental Pediatrics
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    • 제51권5호
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    • pp.452-456
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    • 2008
  • Kawasaki disease (KD) is an acute, self-limited vasculitis of unknown etiology that occurs predominantly in infants and young children. Initially described in 1967 by Dr. Tomisaku Kawasaki, it is now the most common cause of acquired heart disease among children in developed nations. Although KD has been reported across all racial and ethnic groups, the incidence of KD is more common among Asians, which suggests differences of race-specific susceptibility. The prevalence of the disease varies considerably among different Asian countries, and there is a higher rate of KD reported in Asian countries such as Japan and Korea than in other countries. In Korea, a nationwide epidemiological study has been conducted every three years since the 1990s by the Korean Pediatric Heart Association to determine the epidemiologic patterns and incidence rate of KD in Korea. It was thus found in a recent survey (2003-2005) that the average annual incidence of 105.0/100,000 Korean children under the age of five years was the second-highest reported rate in the world, after Japan.

First Case of Canine Infection with Hepatozoon canis (Apicomplexa: Haemogregarinidae) in the Republic of Korea

  • Kwon, Seung-Joo;Kim, Yoon-Hee;Oh, Hyun-Hee;Choi, Ul-Soo
    • Parasites, Hosts and Diseases
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    • 제55권5호
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    • pp.561-564
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    • 2017
  • This report describes a dog infected with Hepatozoon canis, the first canine infection in the Republic of Korea. A 2-year-old intact male Maltese dog presented with anorexia and depression. Physical examinations revealed mild dehydration and hyperthermia ($39.8^{\circ}C$), and blood analysis showed pancytopenia. Diff-Quik staining of blood smear specimens showed the presence of ellipsoidal shaped structures (gamonts of H. canis) within a small number of neutrophils. Real-time PCR analysis using whole blood confirmed infection by H. canis. The clinical condition of the dog improved after symptomatic treatment and administration of doxycycline. Although a molecular epidemiologic survey in Korea showed H. canis infection of dogs, to our knowledge this is the first report of a dog infection in Korea molecularly shown to be H. canis.

고압선로 환경영향평가의 자기장 노출범위설정에 관한 연구 (Exposure limits of Magnetic fields of High Voltage Transmission lines for Evaluation of Environmental Impact)

  • 전인수
    • 환경영향평가
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    • 제13권5호
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    • pp.243-250
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    • 2004
  • Recently, concerns about health risks exposed to electromagnetic fields have been brought in the safety of electric power lines. A number of governmental and international organizations have advised to avoid the magnetic field exposure to the schools and residential areas. Some epidemiologic studies showed that electromagnetic fields should not exceed the exposure limits of 2-3mG to the people living near high-voltage transmission lines. In this study, the principles, ranges and survey methods of the assessment for powerfrequency electromagnetic fields were reviewed from the relevant research papers and documents. The ranges of electromagnetic fields were determined from 50m to 100m and have been defined according to the properties of each electric power lines and a new methodology was suggested in this study. It would be necessary to develop and improve specific assessment methods for various high-voltage transmission lines projects.

Reality of Kawasaki disease epidemiology

  • Kim, Gi Beom
    • Clinical and Experimental Pediatrics
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    • 제62권8호
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    • pp.292-296
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    • 2019
  • Epidemiologic studies of Kawasaki disease (KD) have shown a new pattern or change of its occurrence suggestive of its pathophysiology or risk factors from the first patient with KD reported in 1961. The incidence of KD in Northeast Asian countries including Japan, South Korea, China, and Taiwan is 10-30 times higher than that in the United States and Europe. Knowing the true epidemiology of KD in each country and the availability of publications of KD epidemiology also could benefit general health care providers and general population. This would enable the early detection and treatment of KD, ultimately reducing the incidence of coronary artery complications and mortality. Therefore, efforts to investigate the true epidemiology of KD should be continued in every country using a questionnaire survey, National Health Insurance system data, or combined methods depending on each country's medical environment to ensure high-quality care of patients with KD.

설문조사에 근거한 캠프 캐럴 인근 주민의 건강수준 (Health Status Based on Questionnaire Survey Among Residents Around Camp Carroll, Gyeongsangbuk-do, Korea)

  • 민영선;임현술;이관;박선애;이덕희;주영수;양원호;김근배;유승도
    • 한국환경보건학회지
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    • 제39권4호
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    • pp.312-321
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    • 2013
  • Objective: In May 2011, an interview with three United States Forces Korea veterans revealed that chemicals believed to be 'Agent Orange' were buried at Camp Carroll (situated in Waegwan, Chilgok-gun, Gyeongsangbuk-do, Korea) in 1978. Many hazardous chemicals, such as perchloroethylene (PCE), trichloroethylene (TCE), and organochlorines were subsequently found in a joint US-ROK environmental investigation, although dioxins or burial evidence related to 'Agent Orange' have been not uncovered. This study was carried out to investigate the relevance of hazardous chemical exposure and health effects of the residents around Camp Carroll. Methods: The authors conducted a health questionnaire survey among residents around Camp Carroll regarding Waegwan groundwater ingestion, length of residence in Waegwan, and physician-diagnosed disease history (such as cancer, hypertension, diabetes and etc.). Logistic regression was performed to identify the associations between hazardous chemical exposure and physician-diagnosed diseases. Results: Among the 5,320 residents, excluding those living outside the Waegwan area, 3,430 subjects age 30 and over were analyzed. Among females, upon correction of age, smoking history and Camp Carroll working history, a higher distribution in the Waegwan groundwater ingestion group was demonstrated for patients with physician-diagnosed cancer and hypertension. The odds ratios have a tendency to increase with increased length of Waegwan groundwater ingestion. Conclusions: This study may be limited by not adopting a cohort study for the evaluation of factors that may confound environmental exposure. Yet it is meaningful that the correlation between Waegwan groundwater ingestion and chronic diseases were found through regression analysis in female; and further, this outcome may be used as a sampling basis for a secondary epidemiologic study.

좀진드기 교상에 의한 피부 질환의 집단 발생에 관한 역학 조사 (An Epidemiologic Study on Occupational Dermatosis Associated with Mites)

  • 임현술;김지용;정해관;성열오;이한일
    • Journal of Preventive Medicine and Public Health
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    • 제28권1호
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    • pp.13-26
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    • 1995
  • An outbreak of dermatosis occurred in a livestock fodder factory at Kyongju in May 1994. Authors conducted a questionnaire survey on 60 workers in the factory and a dermatologist examined their skin lesion. Authors also collected mites and identified them. The obtained results were summarized as follows; 1. Twenty-eight cases of dermatosis were identified with attack rate of 46.7%. Attack rate was not different by department, age, sex, educational level and employment duration. Attack rate was 67.5% in productive worker and 5.0% in clerical workers (p<0.01) but was not significantly different between departments among productive workers (p>0.05). 2. Three cases among 28 dermatosis cases and one subject among 32 non-cases had a history of same dermatosis last year. Only one of dermatosis cases had a history of dermatosis among family members. History of other skin lesion and allergy was very rare in both cases and non-cases. 3. Skin lesions of the cases were rice-sized erythematous rapules or vesicles with a central biting point. Onset date of dermatosis was between May 1 and June 10. Duration was from one day to more than 30 days. Skin lesion was most frequent at the back(75.0%), and also observed at the arms(64.3%), abdomen(60.7%), legs(57.1%), chest(32.1%) and neck (25.0%). Skin lesion was aggravated while workers are sweeping the floor(35.7%), working at the workplace(21.4%) and in bed at night(28.6%). 4. Total 1,637 mites were collected and identified into 3 suborder, 7 families and 17 species. Dermatophagoides farinae was most frequent md most of the species identified were blood sucking mites. Authors concluded that the. outbreak of dermatosis was brought about by mite-bites and grain beetle parasitizing Acarophenax tribolii was the most suspected species. Further studies to identify the specific species causing dermatosis and route of import are needed.

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노년기 우울증상과 빈곤 -빈곤과 비공식 사회관계의 상호작용 효과를 중심으로- (The Depressive Symptom and Poverty in Later Life: Interaction Effect between Poverty and Informal Social Relationships)

  • 김영범;이승희
    • 디지털융복합연구
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    • 제13권12호
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    • pp.401-411
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    • 2015
  • 본 연구의 목적은 빈곤과 우울증상의 관계와 함께 빈곤과 비공식 사회관계(informal social relationship)가 우울증상에 대해 상호작용 효과가 있는지 분석하는 것이다. 본 연구에서 사용한 자료는 2014년에 춘천 지역 65세 이상 노인을 대상으로 한 조사로 표본은 2,034명이며 분석에 포함된 사례는 무응답인 표본을 제외한 1,934명이다. 본 연구의 종속변수인 우울증상은 CES-D 단축형(Center for Epidemiologic Studies Short Depression Scale)을 활용해 측정하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 빈곤 상태인 노인은 비빈곤 상태인 노인에 비해 우울증상 점수가 높은 것으로 나타나 빈곤이 우울증상에 직접적인 영향을 주는 것으로 확인되었다. 둘째, 자녀와의 접촉수준, 친구와의 지원교환 수준만이 우울증상을 감소시키는데 기여하는 것으로 나타나 모든 비공식 사회관계가 우울증상 감소에 기여하는 것은 아니라는 점도 확인하였다. 셋째, 4개의 비공식 사회관계 변수 중 자녀와의 접촉수준만 유일하게 빈곤과 상호작용 효과가 있는 것으로 나타났다.

전공의들의 장시간 근무와 우울증상의 연관성에 관한 연구 (Association between Long Working Hours and Depressive Symptoms among Interns and Residents in South Korea-2014 Korea Interns & Residents Survey)

  • 김지환;윤재홍;김승섭
    • 한국산업보건학회지
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    • 제25권2호
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    • pp.236-243
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    • 2015
  • Objectives: This study sought to examine the association between long working hours and depressive symptoms among interns and residents in South Korea. Methods: We analyzed a cross-sectional survey of 1,661 interns and residents from the 2014 Korean Interns & Residents Survey. Total working hours during the preceding week was assessed and classified into five categories(i.e. less than 60 hours, 60-79 hours, 80-99 hours, 100-119 hours, and 120-168 hours). Depressive symptoms during the previous week were measured by using ten items from the Center for Epidemiologic Studies Depression Scale questionnaire. Multivariate negative binomial regression was applied to examine the association between long working hours and depressive symptoms after adjusting for potential confounders, including medical specialty and training year. All analyses were performed using STATA/SE version 13.0. Results: 86%(N=1,429) of interns and residents worked 60 hours or more per week. Compared to the "less than 60 hours" group, long working hours for interns and residents were significantly associated with depressive symptoms: "60-79 hours"(PR: 1.56, 95% CI: 1.05, 2.32), "80-99 hours"(PR: 2.27, 95% CI: 1.54, 3.33), "100-119 hours"(PR: 2.62, 95% CI: 1.76, 3.89), and "120-168 hours"(PR: 3.28, 95% CI: 2.21, 4.86). Conclusions: This study found that long working hours were prevalent among interns and residents in South Korea, and it was associated with depressive symptoms.