• Journal of Preventive Medicine and Public Health
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• v.42 no.6
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• pp.408-415
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• 2009

Objectives : This study was performed to investigate the mumps transmission control status and inapparent infection rate among middle and high school students in Daegu City during a mumps outbreak. Methods : Nine schools (two middle schools and seven high schools), which reported a number of mumps cases between 2007 and 2008 were selected for investigation. During March-May 2008, a standard questionnaire was distributed to gather information about case identification, instructed isolation measure, isolation status of mumps cases and related factors, and outdoor activities of nonisolated mumps case. Inapparent infection rate was estimated by serum mumps IgM and IgG antibodies status and self-reported mumps symptoms in three of the nine schools. Results : Among 2,560 respondents, more than half of students answered that they did not receive instructions in mumps transmission control measures during the outbreak. Among the 327 mumps cases identified by the questionnaire, 131 cases (40.1%) were considered as isolated and the isolation rates were significantly different among schools, grades, and gender. Of the non-isolated cases, 88.3% continued attending school. Inapparent mumps infection rates were between 56.3% and 70.2%. Conclusions : Mumps transmission control was inadequate to control the mumps outbreak. Although high inapparent infection rate would mitigate the transmission control effect of case isolation, this measure is fundamental for infection control. The reasons of this inadequate status need to be explored to develop an effective intervention strategy.

• Journal of agricultural medicine and community health
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• v.43 no.4
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• pp.258-269
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• 2018

Objectives: There was an outbreak of foodborne and waterborne disease among high school students at Okcheon in June, 2018. First attack occurred June $5^{th}$ but seven days later it was notified. The purpose of this investigation was to evaluate the pathogen of outbreak and cause of delayed notification. Methods: First, we did a questionnaire survey for 61 cases and 122 controls to find what symptoms they had and whether they ate foods or drank water from June $2^{nd}$ to June $12^{th}$. Second, we investigated the environment of cafeteria and drinking water. Third, we examined specimen of cases and environment to identify bacteria or virus. Results: Attack rate of this outbreak was 7.8%. Drinking water was strongly suspected as a source of infection in questionnaire survey but we could not find the exact time of exposure. Norovirus was identified in specimen of cases (2 students), drinking water (at main building and dormitory) and cafeteria (knife, dishtowel, hand of chef) Conclusions: We decided norovirus as the pathogen of this outbreak based on the clinical features of cases with diarrhea vomiting, abdominal pain and recovery within 2 or 3 days after onset, outbreak due to drinking water and microbiologic examination, And the cause of delayed notification might be the non-existence of the nurse teacher at that time and the lack of understanding of teachers on immediate notification under the outbreak. To prevent the delayed notification, notification system about outbreak of foodborne and waterborne disease in school is needed to be improved.

• Journal of Oriental Neuropsychiatry
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• v.7 no.1
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• pp.137-153
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• 1996

Through the classification of region and kinds of illness about the death of vagrants from 1906 to 1942, the results on the study of vagrants under the rule of Japanese imperialism are followings.1. The statistics about the death of vagrants from 1906 to 1912 have no coherence. So this study excludes that time.2. A mental disease as a cause of death of vagrants is 25.4%. It shows the highest ratio of all the other diseases.3. A mental, nervous disease among the cause of vagrants' death is 15%.4. On outbreak ration of mental disease is 26.7 times in men, 24.6 times in women higher, and on nervous disease 48.1 times in man, 48.9 times in woman higher than Japanese.5. Regional outbreak ratio is higher than Japan. The orders are Chonlabukdo, Chungcheongbukdo, Hwanghaedo, Kangwondo. The above results show that vagrants under the rule of Japanese imperialim is produced by cause of disease. The cause of vagrants' death is also related to social situation at that times. And it accord with the basis of documents. The relation between the death of vagrants and mental, nervous disease are considered to be studied in detailI.

• Journal of The Korean Society of Grassland and Forage Science
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• v.17 no.3
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• pp.213-222
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• 1997

This study was carried out to investigate the reproduction efficiency and disease of Holstein heifer grazed on mixed pasture desighed with association of tall fescue and white clover cultivar (3 treatments = TI : Tall fescue Fawn + White clover Regal + Orchardgrass + Perennial ryegrass, T2 : Tall fescue Roa + Ladino clover Regal + Orchardgrass + Perennial ryegrass, T3 : Tall fescue Roa + White clover Tahora + Orchardgrass + Perennial ryegrass) on reproduction efficiency and disease in Holstein heifers, ftom April 1994 to November 1996. The results are as follows: 1. Erythrocyte counts, hemoglobin and packed cell volume of hematological values were $8.12\times10^6/{\mu}\ell, 9.9g/m\ell and 30.6m\ell/100m\ell$ respectively. While those were decreased to $4.84~5.93 \times10^6/{\mu}\ell, 7.0~7.8g/100m\ell and 22.8~28.3m\ell/100m\ell$, on pastuage (May-August), WBC counts was increased from $14.4\times10^3/{\mu}\ell to 14.0~18.3 \times 10^{3/\mu\ell}$ on pasturage. No significant differences were detected among the treatments on pastures. 2. Parasitemia levels increased to $14.0\pm8.2$(parasite/1,000rbc) at 1 month after pasturage. 3. At the occurrence of tirst estrus and conception, the average age of the Holstein heifers was $14.3\pm1.9$ and $17.4\pm1.5$ months, respectively, and the average interval of estrus cycle was $20.6\pm1.0$ days. Howerer, there was no significant difference on reproductive efficiency among 3 treatments. 4. The outbreak of diseases were tick bane disease, pink eye, pneumonia, mastitis, gastroentitis, waterpoisoning ringworm papillon and atosis during pasturage period(may-october). These diseases were showed no significant difference among 3 treatments. 5. In conclusion, there are no significant difference on the reproductive effeciency and disease outbreak among three treatments.

• Childhood Kidney Diseases
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• v.7 no.2
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• pp.211-216
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• 2003

An epidemic outbreak of food poisoning due to enterohemorrhagic Escherichia coli(EHEC) occurred throughout Korea from May to September, 2003. Patients infected via contaminated school lunch foods were found mainly in Seoul and Gyeonggi province. As a result of this food poisoning, 36 patients were diagnosed as hemolytic uremic syndrome(HUS) up to mid-September, 2003 and five of them visited our hospital. Before the outbreak this year, we had experienced only 23 cases of HUS, including diarrhea associated (D+) and atypical (D-) forms, for the last 14 years, and there had been no case with pancreatic enzyme elevation. Unlike the past HUS cases, those of this year presented with severe abdominal pain and spiking elevation of pancreatic enzyme levels in 2 cases. We report 2 cases of transient pancreatitis combined with HUS in children during the epidemic outbreak in 2003 with a brief review of related literatures.

• Journal of The Korean Society of Grassland and Forage Science
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• v.28 no.3
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• pp.221-228
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• 2008

This experiment was carried out to investigate the actual outbreak status of rice black-streaked dwarf virus (RBSDV) disease in forage corn for securing the basic data to control of the disease all over the country from 2006 to 2007. Outbreak of the disease showed a wide difference according to regions and was severe in Icheon, Gochang, Kimje, Youngkwang, Kimchun, Youngju, Cheonan, and Boroung provinces in Korea. Outbreak rate of the disease was effected by planting time of forage corn. Disease rate was lower in corns planted from Apr. 26 to May 15 than in those of planted from April 10 to 25 or after May 31. The corn fields planted from April 26 to May 15 showed lower disease rate than that of planted from April 10 to 25 or after May 31. Also the outbreak rate of the disease was some difference according to corn varieties but was not genuinely resistant varieties to RBSDV. Dry matter yield of forage corn was significantly decreased depending on disease rate, and was highly negative correlation to disease rate. The forage corn infected with RBSDV was lower 3.2%, 3.6% and 12% in IVDMD, TDN, and RFV, and higher 3.7% and 4.5% in NDF and ADF than those of the healthy plant, respectively.

• Korean Journal of Veterinary Service
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• v.26 no.1
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• pp.1-9
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• 2003

The aim of this survey was to investigate the characteristics of outbreak farm determined as the classical swine fever(CSF) at Gangwha-gun and Seo-gu, Incheon metropolitan area from October 7 to November 25 in 2002. Sixty pigs in six different farms were confirmed to the CSF and a total of 9,106 pigs containing 3,194 related epidemiologically was slaughtered to stop spreading of the disease. Clinical signs of pigs diagnosed with the CSF were high fever, anorexia, depression, paralysis of hindlimbs, cyanosis, etc and gross lesions were typically represented with hemorrhage of submandibular and superficial lymph node, infarction of spleen, and petechial (ecchymotic) hemorrhage of kidney and skin. But some outbreak farms had not shown remarkable symptoms, so they were confused with other bacterial diseases. White blood cell (WBC) counts, the classical swine fever virus(CSFV) antigen and antibody enzyme linked immunosorbent assay(ELISA) and reverse transcriptase polymerase chain reaction (RT-PCR) results about six farms indicated that total 60 pigs were infected with the CSFV. Although the origin and infection route of the CSFV were not clear, but the transmissions between farms were mainly through indirect contact such as the movement of farm personal and vehicles from outbreak farm.

• Parasites, Hosts and Diseases
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• v.49 no.4
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• pp.405-408
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• 2011

Trichinosis is a food-borne zoonotic disease caused by the nematode, Trichinella spp., and had been reported several times in Korea. Recently, there was an additional outbreak, involving 5 patients, the findings from which are reported herein. On 30 November 2010, 8 persons ate sashimi of the meat of a wild boar. Then, 2-3 weeks later, they complained of myalgia and fever. Unfortunately, muscle biopsy was not performed, but ELISA was performed using their sera. Two people among 8 were positive for Trichinella on the 34th day post-infection (PI), and 3 patients who initially revealed negative ELISA were additionally proved to be positive for trichinosis on the 42nd day PI. Hence, the confirmed patients of trichinosis were 5 in total in the present outbreak. They were treated with albendazole and discharged uneventfully. This was the fifth outbreak of trichinosis in Korea.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.34 no.2
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• pp.69-75
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• 2023

Objectives: The coronavirus disease 2019 pandemic and its associated societal responses are anticipated to have wide-ranging effects on youth development and mental health. Depression, anxiety, and attention deficit hyperactivity disorder (ADHD) are the three most common mental health problems among university students. Many factors that can threaten mental health during the outbreak affect these three conditions, as well as sleep conditions, in undergraduate students. Thus, determining how these abrupt changes in students' circumstances impact their mental health is very important from a public health perspective. Methods: We investigated the usual conditions and changes in ADHD symptoms during the outbreak, in relation to depressive and sleep-related symptoms among undergraduate students. A total of 252 students, primarily juniors, completed the online survey. Results: The results showed that 12% of the students exceeded the cut-off score of the ADHD questionnaire before the pandemic. Approximately 6%-21% of the university students, especially those with ADHD traits, rated their ADHD behaviors as worse during the outbreak than that before the outbreak. Conclusion: Female students and undergraduates with ADHD traits are more susceptible to experiencing further deterioration of ADHD (inattention) symptoms during the pandemic. In cases where it is difficult to intervene with ADHD symptoms, approaching circadian rhythm or depression will be of considerable clinical use.

• Journal of Preventive Medicine and Public Health
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• v.45 no.5
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• pp.277-282
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• 2012

Field epidemiology involves the implementation of quick and targeted public health interventions with the aid of epidemiological methods. In this article, we share our practical experiences in outbreak management and in safeguarding the population against novel diseases. Given that cities represent the financial nexuses of the global economy, global health security necessitates the safeguard of cities against epidemic diseases. Singapore's public health landscape has undergone a systemic and irreversible shift with global connectivity, rapid urbanization, ecological change, increased affluence, as well as shifting demographic patterns over the past two decades. Concomitantly, the threat of epidemics, ranging from severe acute respiratory syndrome and influenza A (H1N1) to the resurgence of vector-borne diseases as well as the rise of modern lifestyle-related outbreaks, have worsened difficulties in safeguarding public health amidst much elusiveness and unpredictability. One critical factor that has helped the country overcome these innate and man-made public health vulnerabilities is the development of a resilient field epidemiology service, which includes our enhancement of surveillance and response capacities for outbreak management, and investment in public health leadership. We offer herein the Singapore story as a case study in meeting the challenges of disease control in our modern built environment.