• Parasites, Hosts and Diseases
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• 제62권1호
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• pp.53-63
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• 2024

The intracellular parasite Babesia microti is among the most significant species causing human babesiosis and is an emerging threat to human health worldwide. Unravelling the pathogenic molecular mechanisms of babesiosis is crucial in developing new diagnostic and preventive methods. This study assessed how priming with B. microti surface antigen 1 (BHSA 1) and seroreactive antigen 5-1-1 (BHSA 5-1-1) mediate protection against B. microti infection. The results showed that 500 ㎍/ml rBMSA1 and rBMSA5-1-1 partially inhibited the invasion of B. microti in vitro by 42.0±3.0%, and 48.0±2.1%, respectively. Blood smears revealed that peak infection at 7 days post-infection (dpi) was 19.6%, 24.7%, and 46.7% in the rBMSA1, rBmSA5-1-1, compared to the control groups (healthy mice infected with B. microti only), respectively. Routine blood tests showed higher white blood cell, red blood cell counts, and haemoglobin levels in the 2 groups (BMSA1 and BMSA5 5-1-1) than in the infection control group at 0-28 dpi. Moreover, the 2 groups had higher serum interferon-γ, tumor necrosis factor-α and Interleukin-17A levels, and lower IL-10 levels than the infection control group throughout the study. These 2 potential vaccine candidate proteins partially inhibit in vitro and in vivo B. microti infection and enhance host immunological response against B. microti infection.

• 농촌의학ㆍ지역보건
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• 제37권4호
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• pp.233-245
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• 2012

이 연구는 지역단위 예방접종률 시범조사를 통해 획득한 다양한 예방접종 자료를 분석하여 예방접종의 수진 관련 요인을 파악, 분석하였다. 2005년 2월부터 4월까지 일개 도농복합 지역사회 영유아 전수를 대상으로 해당 연령의 영유아들이 거주하는 가구를 조사자가 직접 방문하여 보호자를 대상으로 설문조사하였으며, 접종조사력에 대한 확인은 예방접종수첩자료를 우선적으로 하고, 없을 시에는 보호자의 기억력에 의존하여 조사하였다. 또한 2005년 5월부터 7월까지 지역 가구조사에서 확인된 예방접종 의료 기관을 대상으로 예방 접종력 확인 조사를 실시하였는데, 논산 및 대전지역 병의원에 대해서는 조사자가 직접 방문하였고, 타지역의 경우 우편 설문조사를 시행하였다. 예방접종수첩에 근거한 국가필수예방접종률은 DTaP 4차(79.3%)를 제외하고 92.7~96.4%였으며, 국가예방접종 완전접종률은 74.0%, 4:3:1 시리즈 완전접종률은 77.1%였다. 국가필수예방접종의 완전접종은 주 양육자가 부모인 경우(19개월 이상 영유아에서 교차비 0.59, 95% 신뢰구간 0.39-0.87), 출생순위가 셋째 이상에 비해 빠를수록(24개월 이상 영유아에서 교차비 1.79, 95% 신뢰구간 1.05-3.03) 접종률이 유의하게 높았다. 4:3:1 시리즈 완전접종은 19개월 이상 영유아에서 주양육자가 부모인 경우(교차비 0.58, 95% 신뢰구간 0.38-0.88), 출생순위가 첫째아일수록(교차비 1.94, 95% 신뢰구간 1.21-3.14) 접종률이 높았으며, 24개월 이상 영유아에서는 출생순위가 첫째아에서(교차비 2.23, 95% 신뢰구간 1.27-3.91) 유의하게 높았다. 90% 미만의 예방접종률을 보인 부적절한 수준의 예방접종에 대한 대책이 필요하며, 완전접종률을 높이기 위해서는 양육하는 부모의 존재와 출생순위 파악과 이에 대한 중재대책이 필요할 것이다.

• 한국치위생학회지
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• 제11권2호
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• pp.213-222
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• 2011

Objectives : The purpose of this study is to arrange basic data necessary for education of AIDS and to prevent AIDS on undergraduates' knowledge or attitude toward AIDS. Methods : A self-administered questionnaire survey was used among 350 undergraduates in some of Jeonbuk and Gyeongnam area from September 9, 2009 to December 10, 2009 and then obtained the following results. Results : 1. Information route on AIDS was indicated to be higher in order of school education with 37.1% and TV & newspaper with 31.5% as for the health-related department. The health-unrelated department was indicated to be the highest in TV & newspaper with 67 people(43.8%), and had statistically significant difference(p<0.01). 2. The whole knowledge score on AIDS was indicated to be $12.72{\pm}2.67$ for the health-related department, resulting having been higher than the health-unrelated department with $11.84{\pm}3.30$. There was significant difference(p<0.01). The attitude score on AIDS was indicated to be $4.85{\pm}1.67$ for the health-related department, resulting having been higher than the health-unrelated department with $4.38{\pm}1.58$. There was significant difference(p<0.01). 3. Knowledge and attitude toward general AIDS stood at r=.112(p<0.05), thereby having had positive correlation. Knowledge and attitude toward AIDS infection stood at r=-.220(p<0.01), thereby having had negative correlation. Relationship between the whole knowledge and attitude toward AIDS stood at r=-.105(p<0.05), thereby having had negative correlation. Conclusions : AIDS is exponentially increasing in the whole world and is getting more serious. Even in our country, it is the tendency that the infected are gradually increasing. Health care of AIDS, which is impossible to be fully recovered and has no vaccine, is preferential to prevent infection. A continuous and efficient preventive education program is thought to be necessary for straightening wrong knowledge and prejudice on this by grasping right knowledge and attitude toward AIDS.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2001년도 춘계 심포지움 연제집
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• pp.39-49
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• 2001

전염병 정보화사업은 1995년 콜레라의 집단 발병을 계기로 1996년부터 추진되었다. 교통의 발달과 국제교류의 증가는 전염병의 전파와 확산속도가 빨라져 국민건강을 위협하고 있으며 기존의 수작업만으로 정보수집 및 효율적인 전염병관리가 어려워 체계적이고 효율적인 전염병관리를 위하여 국가적 D/B 구축, 전염병관리의 의사결정지원자료 축적의 필요성 제기되었으나 독자적인 망 구축에는 막대한 예산이 들고 망의 운영과 유지관리를 위한 예산과 조직의 한계가 있는 상황에서 콜레라 발생을 계기로 보건복지부 방역과, 국립보건원, 국립서울 검역소, 경기도 6개 보건소 및 경기 및 인천 보건환경연구원을 실험적으로 연계하여 전염병 관리에 필요한 정보의 내용과 흐름, 자료 관리를 위한 기관별, 자치단체별 역할과 기능 등에 관한 개념 정립 둥 전산개발과 함께 제도정비 방안 등이 동시에 수행되었다. 이러한 실험과 연구 결과를 토대로 1998년부터 인터넷을 활용한 전염병의 신고 보고, 전염병관련 자료의 D/B를 통한 전염병의 발생 예측, GIS 등 전염병에 관한 모든 정보를 제공할 수 있는 portal site 구축을 위한 2단계 정보화사업이 정보통신부 지원 하에 시도되었다. 약 2년간의 작업 결과 전염병관리의 전산화 가능성이 확인된 후 전염병예방법을 개정하여 전산 보고의 제도적 틀을 만들고 2000년 8월부터 법정전염병은 전산 보고가 이루어 지고 있다. 일방적이 보고이외 전염병관리의 쌍방화를 위하여 각종 지령/정보의 전파, 각종 통계, 지침, 교육자료, 전염병관련 논문 등을 제공하고 있으며, 상담, 민원접수는 전염병 관련 정보의 전문화와 함께 국민과 호흡할 수 있는 시스템으로 운영될 수 있도록 설계하였다. 그러나 현재 사용하고 있는 WEB EDI가 가진 속도 문제, 응용프로그램의 문제로 신고 보고를 C/S 버전으로 전환하여 사용자의 편리성을 증진하고 있다. 또한 예방접종자료의 전산화를 통한 이상반응 관리, 접종주기 관리, 예방접종으로 관리할 수. 있는 전염병관리(Vaccine preventable disease), 학교에서 발생하는 전염병의 감시 등 전염병 포탈 사이트에 걸맞게 정보 내용을 한층 확대하고 있고 일선의료기관도 활용할 수 있는 시스템으로 발전시키고 있다. 이를 위하여 정보관리과도 신설하였다. 그러나 전염병관리의 전산화는 궁극적으로 전염병 자료의 지역화와 그를 통한 전염병관리의 분권화 및 지방자치화를 이루고자 하는 것이다. 기술적인 측면에서 전산망은 쉽게 만들 수 있으나 전염병관리의 개선과 그 정착은 1-2년간의 전산프로그램개발 작업만으로 달성되기는 어려우며 범국가적인 노력과 더불어 일선보건요원의 교육과 훈련 및 보건소장 등 보건관리자의 전산마인드 개발 등의 작업도 매우 중요할 것으로 사료된다.

• Journal of Microbiology and Biotechnology
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• 제12권3호
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• pp.463-469
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• 2002

Rotaviruses are the world-wide leading causative agents of severe dehydrating gastroenteritis in young children and animals. The outer capsid glycoprotein VP7 and inner capsid glycoprotein VP6 of rotaviruses are highly antigenic and immunogenic. An SFV-based expression system has recently emerged as a useful tool for heterologous protein production in mammalian cells, exhibiting a much more efficient performance compared to other gene expression systems. Accordingly, the current study adopted an SFV-based expression system to express the VP7 of a group A human rotavirus from a Korean isolate, and the VP6 of a group B bovine rotavirus from a Korean isolate, in mammalian cells. The genes of the VP6 and VP7 were inserted into the SFV expression vector pSFV-1. The RNA was transcribed in vitro from pSFV-VP6 and pSFV-VP7 using SP6 polymerase. Each RNA was then electroporated into BHK-21 cells along with pSFV-helper RNA containing the structural protein gene without the packaging signal. The expression of VP6 and VP7 in the cytoplasm was then detected by immunocytochemistry. The recombinant virus was harvested by ultracentrifugation and examined under electron microscopy. After infecting BHK-21 cells with the defective viruses, the expressed proteins were separated by SDS-PAGE and analyzed by a Western blot. The results indicate that an SFV-based expression system fur the VP6 and VP7 of rotaviruses is an efficient tool for developing a diagnostic kit and/or preventive vaccine.

• 한국동물위생학회지
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• 제21권2호
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• pp.117-126
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• 1998

This study was performed to investigate the immunogenicity of autogenous E coli vaccines and their preventive effects on diarrhea in suckling piglets. Autogenous E coli live and killed vaccines were made from the E coli strains isolated from piglets showing diarrhea in field. In group I, pregnant sows were administered with live and killed vaccines at 4 and 2 weeks before parturition, respectively, Killed vaccines were administered twice to pregnant sows at 4 and 2 weeks before parturition in group II, and saline instead of autogenous E coli vaccines was administered to pregnant sows in group III for the control. After parturition, antibody titers in colostrum and milk from sows, incidence of diarrhea in suckling piglets, and immunoreactivity in the ileum of piglets from each treatment group were examined. The results were as follows ; 1. Sixty-two strains of E coli were isolated from suckling piglets with diarrhea. Of the strains, K88 pilus and K99 pilus antigens were identified in 6(9.8%) and 4(6.5%), respectively. Molecular weights of K88 and K99 pilus were 27,500 and 18,500 daltons, respectively. 2. Antibody titers in colostrum from sows after parturition were 1 : 512 to 1 : 1,024 in group I, 1.256 to 1.512 in group II, and 1 : 4 to 1 : 16 in group III. 3. The incidences of diarrhea In suckling piglets of group I, II and III were 3.3%, 9.4% and 21.4%, respectively. 4. When the immunoreactivity in the ileum of piglets from each group was examined, the proportion of IgG-immunoreactivity cells in group I or II was higher than that in group III. In conclusion, administration of autogenous E coli vaccines to pregnant sows before parturition can be an effective way to prevent diarrhea in suckling piglets.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권4호
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• pp.311-318
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• 2020

Chronic hepatitis B viral (HBV) infection remains a major health threat, especially in high-prevalence areas. Most infants infected by mother-to-infant HBV transmission become chronic carriers. In Taiwan, many important preventive interventions have been implemented to block the perinatal transmission of HBV in the past 35 years. The first nationwide universal HBV vaccination program was launched in Taiwan in July 1984. The three-dose HBV vaccine completion rate reached 98.1% in 2018. The prevalence of Hepatitis B surface antigen (HBsAg) decreased from 9.8% in pre-vaccinated period in 1984 to 0.5% in the vaccinated cohort in 2014. The incidence of hepatocellular carcinoma in children aged 6-9 years significantly declined from 0.52 to 0.13 per 100,000 children born before and after 1984, respectively. Furthermore, we have performed a maternal HBV screening program during pregnancy since 1984, with the screening rate peaked at 93% in 2012. The HBsAg- and HBeAg-seropositive rate in pregnant women declined from 13.4% and 6.4% in 1984-1985 to 5.9% and 1.0% in 2016, respectively. To closely control perinatal HBV infection, we have administered hepatitis B immunoglobulin immediately after birth and checked the serum level of HBsAg and anti-HBs in high-risk babies born to HBsAg-seropositive mothers, irrespective of their HBeAg status, since July 2019. We have also adopted short-term antiviral treatments such as tenofovir 300 mg daily in the third trimester for highly viremic mothers and reduced the perinatal infection rates from 10.7 to 1.5%. Through all these efforts, we expect to meet the global goal of eliminating HBV infection by 2030.

• 한국콘텐츠학회논문지
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• 제15권3호
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• pp.265-271
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• 2015

본 연구는 보건소에서 예방접종을 실시한 2012년 출생아 397명을 연구대상으로 하였으며 예방접종등록관리 보건정보시스템 전산등록 데이터에 축적된 2012년~2014년까지의 수집된 자료를 SPSS win 18.0 프로그램을 이용하여 빈도분석을 실시하였다. 연구대상자의 출생월별, 백신별, 접종시기별 미접종 현황을 분석한 결과 89명(22.4%)이 예방접종 전산 미등록, 미접종 영유아로 SMS 문자전송을 통해, 예방접종 안내 및 예방접종 실시를 하였으며 오류로 인한 전산등록 누락자, 연락처 부재로 인한 연락불가 20명을 제외한 69명(17.4%)의 미접종 영유아들로 39명(9.8%)이 기본접종을 완료하여 92.4%의 높은 예방접종률을 확인하였다. 예방접종을 통해 지역사회 내 감염병을 예방하고, 예방접종사업비 지원과 보건정책 방안을 마련하는데 기초 자료로 활용하기 위한 것이다.

• 한국IT서비스학회지
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• 제20권6호
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• pp.45-62
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• 2021

After the COVID-19 outbreak in 2019, the spread of COVID-19 has not been easily caught despite preventive measures in each country. The spread of COVID-19 has hit the world, especially in the economic and tourism sectors. Countries around the world are easing restrictions on the movement of vaccinated people in preparation for the post-corona era. Under the name of "Vaccine Passport," "Vaccination Certificate," and "Digital Health Pass," vaccination measures are being implemented to allow vaccination recipients to use multi-use facilities. However, there is no international agreement on the movement of countries, and each country has its own immigration policy. In order to return to pre-corona daily life, global agreements must be reached from the movement of vaccinated people between countries, and standards and implementation methods must be determined. This study focuses on the implementation and utilization of vaccination certificates suitable for the COVID-19 era. We will look at the spread of COVID-19 and its international response policies. In the case of COVID-19, we will investigate why vaccination certificate installation should be standardized and how far the current standardization has been discussed, and discuss the characteristics of vaccination certificate installation and considerations. In order for the immunization certificate discussed in the previous chapter to be recognized internationally, institutional and technical considerations are identified and security factors that may occur in each implementation are also presented. Finally, the international recognition case of vaccination certificate is discussed, and the method of installation and utilization of vaccination certificate is proposed. This paper can be used as a policy because of its timeliness in studying the standards of vaccination certificates and considerations for international recognition to restore movement between countries in the spread of COVID-19. In addition, if other infectious diseases occur in the future or similar cases where movement between countries is restricted, it can be used as a reference to support the movement of verified people.

• Pediatric Infection and Vaccine
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• 제31권1호
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• pp.64-74
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• 2024

최근 의료기관 관련 홍역 유행 사례가 보고되고 있지만, 유행 역학조사 보고서가 표준화되어 있지 않아 질병부담의 크기를 이해하는 데 어려움이 있다. 본 연구에서는 의료기관 관련 감염을 측정하기 위해 개발된 Outbreak Reports and Intervention Studies of Nosocomial Infection (ORION) 조사도구를 사용하여 병원 내에서의 홍역 발생의 크기를 측정하고자 하였다. 본 연구에서는 PubMed, Web of Science, Embase, Scopus 및 Cochrane에서 "measles," "nosocomial," "hospital," 및 "healthcare" 등의 주제어를 사용하여 검색을 수행하였다. 총 24건의 의료기관 관련 홍역 유행 역학조사 연구를 ORION 도구를 활용하여 검토했다. 연구 결과 전 세계적으로 의료기관 내에서의 홍역 전파는 발병률, 사망률 및 경제적으로 중대한 부담을 주고 있는 것을 확인하였다. 의료기관 관련 홍역을 예방하기 위해 의사 및 간호사 등 의료 종사자들의 예방접종 지침이 준수되어야 할 것이며, 특히 표준화된 유행 역학조사 보고서의 활용이 필요하다.