• 한국지리정보학회지
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• 제19권4호
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• pp.118-129
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• 2016

미세먼지($PM_{10}$)의 건강영향에 대한 많은 연구들은 정부의 대기오염 측정자료를 이용해서 악영향을 보고했다. 정부 대기오염 측정자료가 제한된 수의 측정소에서 생산되는 반면, 사망률이나 유병률과 같은 정부생산 건강결과 자료는 지역별로 집계되어 공개된다. 따라서 정부에서 생산하는 건강통계자료를 이용해서 건강영향을 분석하기 위해서는, $PM_{10}$ 농도의 지역적인 대푯값을 산출할 필요가 있다. 본 연구에서는 서울특별시를 대상으로 이전 연구에서 개발된 점 사상에 대한 $PM_{10}$ 농도 예측 모형을 이용하여 구별 대푯값을 산정하였다. 이를 위해, 세 가지 종류의 위치들을 대상으로 지점들을 생성한 후, 그 지점들에 예측한 $PM_{10}$ 농도의 구별 평균으로 구별 대푯값을 구했다. 세 가지 위치는 16,230개 집계구 내 가장 넓은 주거지역의 중심점, 424개 동 주민센터, 610개 1km 격자의 중심점이었다. 위치별 구별 대푯값들을 비교하기 위하여 측정치와의 관련성 및 추정치 간 관련성을 탐색하였다. 측정치와의 비교 결과, 측정치와 세 가지 구별 대푯값 추정치들 간의 관련성은 위치의 인구 대표성이 높아짐에 따라 향상되었고($R^2=0.06-0.59$), 상호비교에서는 격자 중심점을 이용한 추정치가 다른 추정치들과의 관련성이 상대적으로 낮았다(0.35-0.47). 본 연구는 $PM_{10}$의 지역별 평균 농도를 추정함으로써 향후 정부 통계에 기반한 전국 규모의 지역 단위 건강영향분석 연구에 기여할 수 있을 것으로 기대된다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권2호
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• pp.719-722
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• 2016

Background: Cholangiocarcinoma (CCA) is a serious health problem in Thailand, particularly in northeastern and northern regions, but epidemiological studies are scarce and the spatial distribution of CCA remains to be determined. A database for the population at risk is required for monitoring, surveillance and organization of home health care. This study aim was to geo-visually display the distribution of CCA in northeast Thailand, using a geographic information system and Google Earth. Materials and Methods: A cross-sectional survey was carried out in 9 sub-districts and 133 villages in Chum Phuang district, Nakhon Ratchasima province during June and October 2015. Data on demography, and the population at risk for CCA were combined with the points of villages, sub-district boundaries, district boundaries, and points of hospitals in districts, then fed into a geographical information system. After the conversion, all of the data were imported into Google Earth for geo-visualization. Results: A total of 11,960 from 83,096 population were included in this study. Females and male were 52.5%, and 47.8%, the age group 41-50 years old 33.3%. Individual risk for CCA was identifed and classified by using the Korat CCA verbal screening test as low (92.8%), followed by high risk (6.74%), and no (0.49%), respectively. Gender ($X^2$-test=1143.63, p-value= 0.001), age group ($X^2$-test==211.36, p-value=0.0001), and sub-district ($X^2$-test=1471.858, p-value=0.0001) were significantly associated with CCA risk. Spatial distribution of the population at risk for CCA in Chum Phuang district was viewed with Google Earth. Geo-visual display followed Layer 1: District, Layer 2: Sub-district, Layer 3: Number of low risk in village, Layer 4: Number of high risk in village, and Layer 5: Hospital in Chum Phuang District and their related catchment areas. Conclusions: We present the first risk geo-visual display of CCA in this rural community, which is important for spatial targeting of control efforts. Risk appears to be strongly associated with gender, age group, and sub-district. Therefor, spatial distribution is suitable for the use in the further monitoring, surveillance, and home health care for CCA.

• 한국환경과학회지
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• 제24권7호
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• pp.875-882
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• 2015

In 2013, International Agency for Research on Cancer (IARC) concluded that outdoor air pollution is carcinogenic to humans, with the particulate matter component of air pollution most closely associated with sufficient evidence of increased cancer incidence by exposure to particulate matter component of air pollution. Motor vehicles are one of a major emission sources of fine particle ($PM_{2.5}$) in urban areas. A large number of epidemiological studies have reported a positive association of morbidity or mortality with distance from the roadside. We conducted this study to assess the association of $PM_{2.5}$ concentrations measured at roadside hotspots with those at adjacent residential sites using real-time $PM_{2.5}$ monitors. We conducted real-time $PM_{2.5}$ measurements for rush hour periods (08:00~10:00 and 18:00~20:00) at 9 roadside air monitoring Hotspot sites in metropolitan Seoul over 3 weeks from October 1 to 21, 2013. Simultaneous measurements were conducted in residential sites within a 100 m radius from each roadside air monitoring site. A SidePak AM510 was used for the real-time $PM_{2.5}$ measurements. Medians of roadside $PM_{2.5}$ concentrations ranged from $9.8{\mu}g/m^3$ to $38.3{\mu}g/m^3$, while corresponding median values at adjacent residential sites ranged from $4.4{\mu}g/m^3$ to $37.3{\mu}g/m^3$. $PM_{2.5}$ concentrations of residential sites were 0.97 times of hotspot roadside sites. Distributions of $PM_{2.5}$ concentrations in roadside and residential areas were also very similar. Real-time $PM_{2.5}$ concentrations at residential sites, (100 m adjacent), showed similar levels to those at roadside sites. Increasing the distance between roadside and residential sites, if needed, should be considered to protect urban resident populations from $PM_{2.5}$ emitted by traffic related sources.

• 대한수의학회지
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• 제38권3호
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• pp.544-552
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• 1998

A random study of 574 dairy farms in Gyeongnam area was designed to determine 1) management factors that may be associated with the occurrence of drug residues; 2) the dairy farmer's attitudes and knowledge about residues; 3) how these variables influence the occurrence of residues in dairy cattle. Management factors perceived as having the greatest influence on drug residues in milk were insufficient knowledge about withdrawal periods, errors due to hired help, insufficient identification and record of animals treated for mastitis, dry cow treatment for mastitis, and metritis treatment. Seventy-one percent of farms with residues problem used mixed own feeds compared with twenty-nine percent of farms with premedicated feeds. Factors significantly associated with the occurrence of residues were herd size, increased number of hired persons, increased frequency of use of mixed-own feeds, category of medicated feed, and producer's attitude toward the public health significance of residues. Our findings suggest that residue occurrence was mainly associated with errors due to hired help, insufficient knowledge about withdrawal periods, poor animal identification and records of treatment animals and use of medicated feeds. Any residue avodiance educational program needs to stress how to deal with these factors. This educational program should be directed to dairy farmers and employees, especially temporary employees. In addition, Dairy farmer's attitudes and knowledge about drug residues need to be improved. More evidence on the public healths significance of residues should be available to them. Because belife in importance of public healths concerns was related to successful residue avidance and because 81.3% of the dairy farmers with residue problem thought public healths concerns were less important than economic ones, it would be helpful to provide educational programs specifically directed to this issue. it may be useful to provide programs not only for the dairy farmers but also change of their concerns about on the public healths.

• Tuberculosis and Respiratory Diseases
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• 제49권4호
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• pp.412-420
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• 2000

연구배경 : 전세계적으로 약제 내성 결핵에 대한 관심이 높ㅇ지고 있다. 일차 내성 결핵의 유병률은 수년 간의 국가 결핵 관리 체계를 평가하는 역학적 지표로 사용된다. 저자들은 내성 결핵에서의 사회경제적 인자를 포함한 임상적 특정에 대해 평가하고자 하였다. 방법 : 1995년 3월부터 2000년 2월까지 이대목동병원에서 내성 결핵으로 진단 받은 환자 중 조사가 가능했던 68명을 대상으로 하였다. 결과 : 일차 내성 결핵 환자는 획득 내성 결핵환자보다 평균 연령이 더 젊고(39.6$\pm$16.3yr vs. 48.2$\pm$16.5yr ; p<0.05), 40대 미만 연령층의 구성비가 더 높았으며(62.9% vs. 36.4% ; p<0.05), 고학력자가 더 많았다 (38.9% vs. 11.1% ; p<0.05). 획득 내성 환자는 일차 내성 환자보다 통계학적 의의는 없었으나 가족력의 빈도가 더 높고 자가 주택이 없는 경우가 더 많았다. 획득 내성 환자는 일차 내성 환자보다 침범된 폐엽의 수가 더 많았고(2.0$\pm$0.8 vs. 1.4$\pm$0.7; p<0.01), 총 치료 기간이 더 길었다(18.3$\pm$7.2 months vs. 10.6$\pm$6.3 months ; p<0.05). 획득 내성 환자가 일차 내성 환자보다 통계학적 의의는 없었으나 내성 약제의 수가 더 많고 입원률이 더 낮았으며 임의로 투약을 중단하는 경우가 더 많았다. 일차 내성 환자가 획득 내성 환자보다 단일 약제 내성률이 더 높은 반면, 복수 약제 내성률과 다제 내성률은 더 낮았다. 약제별 내성률에서 isoniazid에 대한 내성률이 가장 높았고, 획득 내성 환자에서 일차 내성 환자보다 isoniazid에 대한 내성률이 유의하게 높았다(90.9% vs. 71.4% ; p<0.05). 결론 : 획득 내성 환자가 낮은 사회경제적 계층의 비율이 높은 반면, 일차 내성 환자는 젊고 활동적인 집단인 것으로 보인다. 약제 내성 결핵의 전파와 재발을 막기 위해서는 내성 환자의 적절한 격리와 적극적인 추적 관찰을 통한 치료의 종결이 중요하다.

• 대한지역사회영양학회지
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• 제1권2호
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• pp.161-177
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• 1996

This study attempts to propose a priority of national nutrition targets and strategies for health promotion by the year 2000 in Korea, as a part of the task set for national health promotion objectives and strategies. Among all of the important health issues raised, ten were chosen, nutrition was one priority area. In the first part, the current status of the nutrition-related health problems and risk factors are reviewed, in conjunction with the newly arisen health phenomena, such as changes in prevalence of lifestyle disease and causes of death, changes of food consumption patterns in our country. In the second section this study suggests six feasible national nutrition targets, eight implementing strategies and current major tasks on the basis of the assessment of present status and in consideration of the other health promotion goals and strategies, with reference to that of other developed countries. The main targets and strategies are suggested as follows ; Firstly, the national nutrition monitoring and surveillance system should be established for identifying the nutritional problems for our people, and current National Nutrition Survey is a strong need for improvement to a more comprehensive and reliable one. Secondly, effective administrative mechanism should be operation at national level for the development of nutrition policy. Ministry of Health and Welfare (MOHW) as well as local health department must be remarkably renewed and strengthened the nutrition section. And it is recommended that MOHW organize and operate “The Council of Nutrition”, in which all government authorities related with foodstuffs and nutrition would incorporated. The Council of Nutrition would act as an adjustor as well as a coordinator in nutrition related policy-making. Thirdly, healthy eating pattern will be supported by activities of introducing a nutrition labeling for providing consumers with the necessary information and skills for food selection. Fourthly, nutrition education, and nutrition intervention programs will be carried out in various settings such as health centers, schools, and clinical fields and workplace. Fifthly, the current dietary guidelines shall be continuously improved in detail, and publicly circulated to particular levels of people by age group and by health condition. And finally, researches and epidemiological studies particularly in regard to diet for development of chronic diseases are needed for more investigation and up-to-date national health and nutrition data should be collected with the support and cooperation from the various medical professional teams . (Korean J Community Nutrition 1(2) : 161-177, 1996)

• 한국지역지리학회지
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• 제18권4호
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• pp.473-493
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• 2012

지구온난화로 대표되는 전반적인 기후변화 속에서도 지역적인 기상조건에 따라 말라리아 감염 사례의 증감이 비교적 민감하게 영향 받는 것으로 사료된다. 말라리아를 매개하는 모기의 서식환경에 직접적인 영향을 주는 기후환경적인 인자, 즉 강수, 기온, 지표수 분포, 토양수분, 토지이용에 대한 광범위한 관측과 추정에 원격탐사 자료의 적용이 매우 중요한 수단이 되었다. 다국적 원격탐사 센서의 개발이 이어지고 있고, 공간 및 분광해상도 면에서 기술적인 진화를 보이고 있으며, 자료 획득에 필요한 비용도 크게 줄어드는 등 말라리아를 비롯한 모기매개 감염병 연구에 원격탐사 기법의 적용이 크게 각광받을 전망이다. 우리나라의 경우, 1980년대에 퇴치되었던 것으로 보고된 말라리아는 1990년대 중반부터 크게 증가하여 2000년 이후 증감을 거듭하고 있어 보건관리의 주요 대상으로 떠올랐다. 감염자수로 볼 때, 휴전선 인근 지역에서 큰 비중을 차지하고 있기 때문에 말라리아 보균 모기의 북방 유입설 등 지리적인 특성에 주목할 필요가 있다. 말라리아 매개모기의 환경적인 서식조건은 모기 개체수 규모를 추정하는 데에 중요한 역할을 하지만, 말라리아 감염과 전파는 환경조건 외에도 인간의 활동, 인구구성, 경관의 구조, 거주지와 매개모기 서식처간의 공간적 관계 등 매우 복합적인 보건지리학적 메카니즘의 산물이라는 점을 이해해야 한다.

• Asian Journal of Atmospheric Environment
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• 제9권4호
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• pp.247-258
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• 2015

Exposure of high concentration of ground-level ozone (GLO) can trigger a variety of health problems including chest pain, coughing, throat irritation, asthma, bronchitis and congestion. There are substantial human and animal toxicological data that support health effects associated with exposure to ozone and associations have been observed with a wide range of outcomes in epidemiological studies. The aim of the present study is to estimate the spatial distributions of GLO using geostatistical method (ordinary kriging) for assessing the exposure level of ozone in the eastern part of Texas, U.S.A. GLO data were obtained from 63 U.S. EPA's monitoring stations distributed in the region of study during the period January, 2012 to December, 2012. The descriptive statistics indicate that the spatial monthly mean of daily maximum 8 hour ozone concentrations ranged from 30.33 ppb (in January) to 48.05 (in June). The monthly mean of daily maximum 8 hour ozone concentrations was relatively low during the winter months (December, January, and February) and the higher values observed during the summer months (April, May, and June). The higher level of spatial variations observed in the months of July (Standard Deviation: 10.33) and August (Standard Deviation: 10.02). This indicates the existence of regional variations in climatic conditions in the study area. The range of the semivariogram models varied from 0.372 (in November) to 15.59 (in April). The value of the range represents the spatial patterns of ozone concentrations. Kriging maps revealed that the spatial patterns of ozone concentration were not uniform in each month. This may be due to uneven fluctuation in the local climatic conditions from one region to another. Thus, the formation and dispersion processes of ozone also change unevenly from one region to another. The ozone maps clearly indicate that the concentration values found maximum in the north-east region of the study area in most of the months. Part of the coastal area also showed maximum concentrations during the months of October, November, December, and January.

• 생명과학회지
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• 제22권5호
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• pp.600-604
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• 2012

인천지역 병 의원에 내원한 급성위장염환자의 대변 검체 총 11,607건을 효소 면역법(ELISA)을 이용하여 group A rotavirus의 계절별 발생 양상을 조사한 결과 2005년부터 2010년간 인천지역에서는 1~2월이 가장 많이 발생하였으나, 기간별로 차이가 존재했다. 또, group A rotavirus 양성 검체 160건에 유전자 분석 결과 VP4는 P8형, VP7는 G1형, G와 P 조합형으로는 G1P8이 가장 많았다. 그러나 이전의 연구와 비교했을 때 연구 지역과 기간에 따라 혈청형과 유전형의 변화가 빈번하였으므로 효율적인 방역을 위해 지속적인 모니터링이 필요하다고 사려된다. 또 이번 연구는 현재 유통 중인 rotavirus 백신의 효율적인 사용의 기초 자료가 될 것이다.

• Journal of Microbiology and Biotechnology
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• 제14권1호
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• pp.110-115
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• 2004

This study was undertaken to develop PCR primers for the simultaneous detection of Fusobacterium nucleatum and Actinobacillus actinomycetemcomitans, using two species-specific reverse primers in combination with a single conserved forward primer. These primers target the variable and conserved regions of the 16S rDNA. The primer specificity was tested against (i) four F. nucleatum and three A. actinomycetemcomitans strains and (ii) seven representatives of the different species of oral bacteria. The primer sensitivity was determined by testing serial dilutions of the purified genomic DNA of F. nucleatum and A. actinomycetemcomitans. The data indicate that species-specific amplicons could be obtained for all the F. nucleatum and A. actinomycetemcomitans strains tested, which were not found in the seven other species. The multiplex PCR could detect as little as 4 fg of chromosomal DNA of F. nucleatum and A. actinomycetemcomitans simultaneously. These findings suggest that these PCR primers are highly sensitive and are suitable for applications in epidemiological studies, diagnosis, and monitoring F. nucleatum and A. actinomycetemcomitans after the treatment of periodontitis.