• 제목/요약/키워드: Immunization

검색결과 695건 처리시간 0.038초

비평행 이동 기간구조하에서 부분 듀레이션을 이용한 채권 면역 모델 (Bond Immunization Model with Non-parallel shift Term-Structure using Partial Duration)

  • 박우철;최경현
    • 대한산업공학회지
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    • 제26권3호
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    • pp.249-256
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    • 2000
  • Bond immunization model is used to minimize interest rate risk for investing in fixed-income market, the model equalizes asset and liability values using the duration which is the sensitivity of portfolio value with respect to the interest rate. However this model might generate an error in practice because the model is based on unreal hypothesis, so called "Parallel Shift Term Structure". In this paper, we use the neural network approach to overcome the parallel shift term structure and try to employ this term structure function to the traditional immunization model. Finally, we present some computational test results that show the superiority of the partial immunization model to the traditional methods.

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통일 후 북한지역 영·유아 대상 예방접종체계 수복을 위한 선행연구 (Leading Study for the Restoration of Pediatric Immunization Systems in North Korea following Reunification of Korean Peninsula)

  • 송슬기;방준석
    • 한국임상약학회지
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    • 제25권4호
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    • pp.223-230
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    • 2015
  • Background: 8,000 children in North Korea died before they reached the 1 year after births in 2013. The high mortality rate of children under five years of age is mainly caused by infectious diseases and malnutrition. The need for national pediatric immunization and supply of vaccines will be vital when the abrupt reunification occurs. Objective: The purpose of this study is to scrutinize the pediatric immunization coverage of North Korea. Additionally it is to estimate the amount and the costs needed to vaccinate. Methods: The target population is the children of North Korea. The method is based on a pre-survey and an interview of North Korea defectors. The target interviewees searched for are as follows; doctors, teachers, and others. The interview includes questions on mortality rates and immunization coverage. The analysis is largely based on the statements of the health care providers within the selected group. Results: The interviewees are 8; 7 female and 1 male. The birth years range from 1956 to 1982. 3 out of 8 are former health care providers; a doctor, a pharmacist, and a nurse. The morbidity rate of infectious diseases exceeds the data from WHO. The immunization coverage is nearly 0% after 1980s. In order to ensure the welfare of North Korean children, at least 8,234,000 vaccine doses, requiring over 105 million U.S. dollars, are needed. Conclusion: The morbidity rate of infectious disease in North Korea is conspicuous. The preparation for supply and expenditure of vaccines is vital.

Protective Immunity Induced by Systemic and Mucosal Delivery of DNA Vaccine Expressing Glycoprotein B of Pseudorabies Virus

  • Yoon, Hyun-A;Han, Young-Woo;Aleyas, Abi George;George, June Abi;Kim, Seon-Ju;Kim, Hye-Kyung;Song, Hee-Jong;Cho, Jeong-Gon;Eo, Seong-Kug
    • Journal of Microbiology and Biotechnology
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    • 제18권3호
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    • pp.591-599
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    • 2008
  • A murine model immunized by systemic and mucosal delivery of plasmid DNA vaccine expressing glycoprotein B (pCIgB) of pseudorabies virus (PrV) was used to evaluate both the nature of the induced immunity and protection against a virulent virus. With regard to systemic delivery, the intramuscular (i.m.) immunization with pCIgB induced strong PrV-specific IgG responses in serum but was inefficient in generating a mucosal IgA response. Mucosal delivery through intranasal (i.n.) immunization of pCIgB induced both systemic and mucosal immunity at the distal mucosal site. However, the levels of systemic immunity induced by i.n. immunization were less than those induced by i.m. immunization. Moreover, i.n. genetic transfer of pCIgB appeared to induce Th2-biased immunity compared with systemic delivery, as judged by the ratio of PrV-specific IgG isotypes and Th1- and Th2-type cytokines produced by stimulated T cells. Moreover, the immunity induced by i.n. immunization did not provide effective protection against i.n. challenge of a virulent PrV strain, whereas i.m. immunization produced resistance to viral infection. Therefore, although i.n. immunization was a useful route for inducing mucosal immunity at the virus entry site, i.n. immunization did not provide effective protection against the lethal infection of PrV.

국가필수예방접종 보장범위 확대 시범사업에 따른 의사의 예방접종 관리행태 및 만족도 비교 (A Comparative Study of the Administrative Behavior of Vaccination and Satisfaction of Physicians according to the National Expanded Programme on Immunization in Korea)

  • 김춘배;이석구;이중정;전소연;현숙정;이연경;고운영;국가필수예방접종 보장범위 확대사업 연구단
    • 보건행정학회지
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    • 제19권3호
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    • pp.71-91
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    • 2009
  • To assess comparatively the administrative behavior of vaccination and satisfaction of physicians by the provision method according to the National Expanded Programme on Immunization (NEPI) between 2005 and 2006 Demonstration Project in Korea. A questionnaire was performed at 582 and 64 physicians in Daegu metropolitan city and Gunpo city on 2005 (a response rate of 39.3%, 45.3%, respectively). Also, we sampled 31, 56, and 28 physicians in Gangneung city, Yangsan city, and Yeongi county on 2006 (a response rate of 35.5%, 98.2%, and 60.7%, respectively). We analyzed these data set using descriptive analysis and $\chi^2$-test through SPSS for Windows (12.0). Most question categories in Daegu metropolitan city and Gunpo city on 2005 were higher than those in the 2006 Demonstration Project regions. These were 'preparing and signing informed consent to vaccination', 'doing physical examination before periodic immunization', 'searching past shot history and inputting the current shot record through the immunization registry management program by physician', 'filing a medical record', 'satisfying the impact of 2005 and 2006 Demonstration Project and achieving the expectation of this Project', and 'improving the immunization coverage rate', et al. In conclusion, we show that the attitudes and practices of physician should be more sensitive to free vaccination services by private clinics and hospitals than public health centers. In the near future, the government must consider the opinion of physicians in implementing the NEPI by the affordable method of the public-private dynamics.

국가필수예방접종 보장범위 확대 시범사업의 정책 내용분석 - 국가필수예방접종 공급방식을 중심으로 - (Policy Content Analysis of the Expanded National Immunization Program in the Republic of Korea)

  • 김춘배;안양희;차병호;김효열;이석구;이중정;박혜숙;신택수;현숙정;고운영
    • 보건행정학회지
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    • 제18권3호
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    • pp.58-89
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    • 2008
  • The purpose of this study was to evaluate comparatively the content of the Expanded National Immunization Program according to the provision method between 2005 and 2006 in Korea. We assessed the impact of the mutually exclusive vaccination policy using the result reports of the 2005 and 2006 Demonstration Project and the related references by the content analysis. The public health centers paid vaccination fees to the private clinic and hospital in the 2005 Demonstration Project in Daegu metropolitan city and Gunpo city. But, the public health centers directly supplied free vaccination services to the children in the 2006 Demonstration Project in Gangneung city, Yangsan city, and Yeongi-gun. The total budgets of 2005 and 2006 Demonstration Project were 6.57 billion won and 0.65 billion won, respectively. The computerized registration rates and timeliness rates of administration of each vaccination had improved all in the 5 Demonstration Project regions. However, the computerized registration rates of most vaccination in Gunpo city were higher than those in the 2006 Demonstration Project regions except hepatitis B. Especially, the computerized registration rate of BCG was 48.3%, but the BCG coverage rate by the follow-up telephone survey was 99.8% in Daegu metropolitan city. The community parents in all the regions were satisfied because of expanding financial and geographical access to immunization coverage. In conclusions, from the aspect of the main outcomes, the implementation of two different financial immunization aids appears to be widely accepted among these parents and to have had an impact on vaccination coverage. In the future, the government must try to enact that the national immunization policy including under-immunised or incompletely immunised groups would be achieved by the affordable method of the public-private dynamics.

Performance of Homologous and Heterologous Prime-Boost Immunization Regimens of Recombinant Adenovirus and Modified Vaccinia Virus Ankara Expressing an Ag85B-TB10.4 Fusion Protein against Mycobacterium tuberculosis

  • Kou, Yiming;Wan, Mingming;Shi, Wei;Liu, Jie;Zhao, Zhilei;Xu, Yongqing;Wei, Wei;Sun, Bo;Gao, Feng;Cai, Linjun;Jiang, Chunlai
    • Journal of Microbiology and Biotechnology
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    • 제28권6호
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    • pp.1022-1029
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    • 2018
  • Tuberculosis (TB) remains a serious health issue around the word. Adenovirus (Ad)-based vaccine and modified vaccinia virus Ankara (MVA)-based vaccine have emerged as two of the most promising immunization candidates over the past few years. However, the performance of the homologous and heterologous prime-boost immunization regimens of these two viral vector-based vaccines remains unclear. In the present study, we constructed recombinant Ad and MVA expressing an Ag85B-TB10.4 fusion protein (AdH4 and MVAH4) and evaluated the impact of their different immunization regimens on the humoral and cellular immune responses. We found that the viral vector-based vaccines could generate significantly higher levels of antigen-specific antibodies, $IFN-{\gamma}$-producing splenocytes, $CD69^+CD8^+$ T cells, and $IFN-{\gamma}$ secretion when compared with bacillus Calmette-$Gu{\acute{e}}rin$ (BCG) in a mouse model. AdH4-containing immunization regimens (AdH4-AdH4, AdH4-MVAH4, and MVAH4-AdH4) induced significantly stronger antibody responses, much more $IFN-{\gamma}$-producing splenocytes and $CD69^+CD8^+$ T cells, and higher levels of $IFN-{\gamma}$ secretion when compared with the MVAH4-MVAH4 immunization regimen. The number of $IFN-{\gamma}$-producing splenocytes sensitive to $CD8^+$ T-cell restricted peptides of Ag85B (9-1p and 9-2p) and Th1-related cytokines ($IFN-{\gamma}$ and $TNF-{\alpha}$) in the AdH4-MVAH4 heterologous prime-boost regimen immunization group was significantly higher than that in the other viral vector-based vaccine- and BCG-immunized groups, respectively. These results indicate that an immunization regimen involving AdH4 may have a higher capacity to induce humoral and cellular immune responses against TB in mice than that by regimens containing BCG or MVAH4 alone, and the AdH4-MVAH4 prime-boost regimen may generate an ideal protective effect.

Protection of Specific-pathogen-free (Spf) Foals from Severe Equine Herpesvirus Type-1 (Ehv-1) Infection Following Immunization with Non-infectious L-particles

  • Mohd Lila Mohd-Azmi;John Gibson;Frazer Rixon;Lauchlan, John-Mc;Field, Hugh-John
    • Journal of Microbiology
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    • 제40권3호
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    • pp.183-192
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    • 2002
  • Cells infected With equine herpesvirus type-1 (EHV-1) Produced both infectious and non-infectious Virus-related particles. Compared to the whole virion, non-infectious particles termed L-particles were deter-mined to lack 150 kDa protein, commonly known as nucleocapsid protein. The potential of L-particles to induce immune responses was studied in mice and foals. Intranasal immunization with L-particles or whole virions induced poor IgG antibody responses in mice. Interestingly, despite the poor antibody response, the conferred immunity protected the host from challenge infections. This was indicated by a significant reduction in virus titers in line with recovery towards normal body weight. Subsequently, the test on the usefulness of L-particles as immunizing agents was extended to foals. Immunization of specific-pathogen-free (SPF) foals resulted in similar results. As determined by a complement-fixing-antibody test (CFT), foals seroconverted when they were immunized either with inactivated L-particles or whole virions via intramuscular (i.m.) injections. The presence of the antibody correlated with the degree of protection. Beyond day 1 post challenge infection (p.i.), there was no virus shedding in the nasal mucus of foals immunized with whole EHV-1 virions. Virus shedding was observed in foals Immunized with L-particles but limited to days 6 to 8 p.i. only. In contrast, extended vim shedding was observed in non-immunized foals and it was well beyond day 14 p.i. Viremia was not detected for more than four days except in non-immunized foals. Immunization in mice via intranasal (i.n.) conferred good protection. However, compared to the i.n. route, a greater degree of protection was obtained in foals following immunization via i.m. route. Despite variation in the degree of protection due to different routes of immunization in the two animal species, our results have established significant evidence that immunization with L-particles confers protection in the natural host. It is suggested that non-infectious L-particles should be used as immunizing agents for vaccination of horses against EHV-1 infection.

수동면역이 Acanthmoeba culbertsoni 능동면역 형성에 미치는 영향 (The effect of active immunization with Acanthamoebn culbeksoni in mice born to immune mother)

  • 공현호;서성아
    • Parasites, Hosts and Diseases
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    • 제31권2호
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    • pp.157-164
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    • 1993
  • 병원성 자유생활아메바인 Aconaamoebonensoni로 면역된 어미 마우스로부터 태어난 새끼 마우스를 다시 면역시켰을 때, 어미로부터 받은 수동면역이 새끼 마우스의 능동면역 시행시 어떠한 영향을 미치는지를 관찰하고자 수막뇌염 발생에 따른 사망률, 혈청내 항체가 측정 및 세포 분리분석기를 이용하여 T세포 아형을 측정하였다. A. culbertsoni 영양형 $1{\;}{\times}{\;}10^6$개로 3회 면역된 어미 마우스로부터 수동면역을 전달받은 2-3주령의 새끼 마우스와 수동면역을 받지 않은 2-3 주령의 새끼 마우스를 영양형 $1{\;}{\times}{\;}10^6$개로 2회 면역하였을 때 혈청내 항체가는 같은 주령의 면역 을 시키지 않은 대조군에 비해 유의하게 높았다. 수동면역을 받은 군과 받지 않은 군간의 혈청내 항체가는 유의한 차이가 없었다. 영양형 $1{\;}{\times}{\;}10^4$개를 감염시켰을 때 사망률을 관찰한 결과 수동면역을 전달받은 군은 면역을 받지 않은 군과는 유의한 차이가 없었으나 수동면역을 받지 않은 군보다는 유의하게 높았다. T세포의 아형 중, $Ly2^{+}$ T세포는 어미로부터 수동면역을 전달받은 군이 수동면역을 받지 않은 군이나 면역을 시키지 않은 군에 비해 더 높은 비율로 통계적으로 유의하게 증가하였다. 수동면역을 받은 부비주령의 새끼 마우스를 같은 방법으로 면역한 군과 대조군을 비교힌 결과, 영양형 $1{\;}{\times}{\;}10^5$개로 감염시켰을 때 사망률은 차이가 없었다. 따라서 면역된 어미로부터 태어난 새끼를 다시 능동면역하였을 때, 능동면역에 따른 항체가의 변동은 관찰할 수 없었으나 억제 T세포는 증가하였으며, 능동면역 시기에 따라 면역조절이 다르게 발현됨을 알 수 있었다.

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Atheroprotective nasal immunization with a heat shock protein 60 peptide from Porphyromonas gingivalis

  • Joo, Ji-Young;Cha, Gil-Sun;Kim, Hyun-Joo;Lee, Ju-Youn;Choi, Jeomil
    • Journal of Periodontal and Implant Science
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    • 제50권3호
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    • pp.159-170
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    • 2020
  • Purpose: Immunization with Porphyromonas gingivalis heat shock protein 60 (PgHSP60) may have an immunoregulatory effect on atherogenesis. The aim of this study was to determine whether nasal immunization with a PgHSP60 peptide could reduce atherosclerotic plaque formation in apolipoprotein E knockout (ApoE KO) mice. Methods: Seven-week-old male ApoE KO mice were assigned to receive a normal diet, a Western diet, a Western diet and challenge with PgHSP60-derived peptide 14 (Pep14) or peptide 19 (Pep19), or a Western diet and immunization with Pep14 or Pep19 before challenge with Pep14 or Pep19. Results: Atherosclerotic plaques were significantly smaller in mice that received a Western diet with Pep14 nasal immunization than in mice that received a Western diet and no Pep14 immunization with or without Pep14 challenge. An immunoblot profile failed to detect serum reactivity to Pep14 in any of the study groups. Stimulation by either Pep14 or Pep19 strongly promoted the induction of CD4+CD25+ forkhead box P3 (FoxP3)+ human regulatory T cells (Tregs) in vitro. However, the expression of mouse splenic CD4+CD25+FoxP3+ Tregs was lower in the Pep14-immunized mice than in the Pep14-challenged or Pep19-immunized mice. Levels of serum interferon gamma (IFN-γ) and transforming growth factor beta were higher and levels of interleukin (IL) 10 were lower in the Pep14-immunized mice than in the other groups. Induction of CD25- IL-17+ T helper 17 (Th17) cells was attenuated in the Pep14-immunized mice. Conclusions: Nasal immunization with Pep14 may be a mechanism for attenuating atherogenesis by promoting the secretion of IFN-γ and/or suppressing Th17-mediated immunity.

능동적 및 수동적 관심전환 중재가 예방접종 시 학령전기 아동의 통증반응에 미치는 효과 (Effects of Active and Passive Distraction Intervention on Pain Responses of Preschool Children during Immunization)

  • 임은선;김진선
    • 한국콘텐츠학회논문지
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    • 제16권12호
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    • pp.102-112
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    • 2016
  • 본 연구는 예방접종을 위해 병원을 방문한 학령전기 아동을 대상으로 관심전환 중재를 제공하고, 중재가 그들의 통증반응에 미치는 효과를 확인하고자 시도되었다. 실험 1군에는 수동적 관심전환 중재(만화 동영상)를, 실험 2군은 능동적 관심전환 중재(상호작용이 가능한 장난감)를 제공한 후 일상적인 통증관리 이외에 관심전환 중재를 제공하지 않은 대조군과 비교한 비동등성 대조군 사후설계를 이용한 유사실험연구이다. 자료는 2014년 10월 22일부터 11월 5일까지 집단 별로 30명씩 수집하였고, 통증반응은 아동, 부모 및 연구자에 의해 측정되었다. 연구 결과 관심전환 중재를 제공받은 실험군(수동적 관심전환 중재군, 능동적 관심전환 중재군)과 대조군은 아동이 자가보고한 통증반응(F=68.92, p=< .001), 부모가 지각한 아동의 통증반응(F=42.63, p=< .001) 및 연구자가 관찰한 아동의 통증반응(F=114.56, p=< .001)에서 유의한 차이가 있었으며, 실험 집단 간에도 유의한 차이가 있는 것으로 나타났다. 관심전환 중재가 학령전기 아동의 예방접종과 관련된 통증을 경감시키는 데 효과적인 중재이고, 수동적 방법이 능동적 방법보다 효과적인 것으로 나타났으며, 추후 연구에서는 관심전환 중재 및 관심전환 중재물의 형태에 따른 효과를 검증하기 위한 반복연구가 요구된다.