• 제목/요약/키워드: disease prevention

검색결과 4,543건 처리시간 0.032초

Refining and Validating a Two-stage and Web-based Cancer Risk Assessment Tool for Village Doctors in China

  • Shen, Xing-Rong;Chai, Jing;Feng, Rui;Liu, Tong-Zhu;Tong, Gui-Xian;Cheng, Jing;Li, Kai-Chun;Xie, Shao-Yu;Shi, Yong;Wang, De-Bin
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권24호
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    • pp.10683-10690
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    • 2015
  • The big gap between efficacy of population level prevention and expectations due to heterogeneity and complexity of cancer etiologic factors calls for selective yet personalized interventions based on effective risk assessment. This paper documents our research protocol aimed at refining and validating a two-stage and web-based cancer risk assessment tool, from a tentative one in use by an ongoing project, capable of identifying individuals at elevated risk for one or more types of the 80% leading cancers in rural China with adequate sensitivity and specificity and featuring low cost, easy application and cultural and technical sensitivity for farmers and village doctors. The protocol adopted a modified population-based case control design using 72, 000 non-patients as controls, 2, 200 cancer patients as cases, and another 600 patients as cases for external validation. Factors taken into account comprised 8 domains including diet and nutrition, risk behaviors, family history, precancerous diseases, related medical procedures, exposure to environment hazards, mood and feelings, physical activities and anthropologic and biologic factors. Modeling stresses explored various methodologies like empirical analysis, logistic regression, neuro-network analysis, decision theory and both internal and external validation using concordance statistics, predictive values, etc..

2018-2021년 제주도 내 카바페넴내성장내세균속 균종 감염증의 역학 (Epidemiology of carbapenem-resistant Enterobacteriaceae in Jeju Province, Korea, using national surveillance data, 2018-2021)

  • 박주영;조은숙;배종면
    • Journal of Medicine and Life Science
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    • 제20권2호
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    • pp.67-72
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    • 2023
  • Carbapenem-resistant Enterobacteriaceae (CRE) infections have increased rapidly over the past decade and are recognized as a severe health threat in Korea and worldwide. This study aimed to identify the status and characteristics of CRE infection in Jeju province and provide important basic data for the prevention and management of CRE infection. A descriptive epidemiological analysis was performed on reported cases of CRE infection in Jeju Province between 2018 and 2021 using the integrated management system for disease, an infectious disease reporting system from the Korea Disease Control and Prevention Agency. The annual difference and distribution trends of CRE infection were analyzed using CRE isolates, carbapenemase-producing CREs (CP-CRE) and their genotypes, and the type of medical institution in Jeju Province. CRE infections steadily increased in Jeju from 2018 to 2021, and the proportion of CP-CRE among the CREs also showed a statistically significant increase each year. Among the CRE isolates, Klebsiella pneumoniae (KPC, 62.13%) was the most common, and among the CP-CRE genotypes, KPC (81.62%) showed the highest distribution and increased each year. As the distribution of CP-CRE in have increased over the past 4 years, measures to prevent the spread and outbreak of CRE infections are warranted. The results of this study are expected to be used as basic data for prevention and management of CRE infections in the province.

New Scientific Developments in the Health Benefits of Spirulina(Arthrospira): Phycocyanin and its Potential Health Benefits

  • Belay, Amha
    • Nutritional Sciences
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    • 제7권3호
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    • pp.165-173
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    • 2004
  • This paper reviews the available published literature on the antioxidant, anti-inflammatory, and COX-2 inhibition properties of phycocyanin from Spirulina. The potential application of for the prevention and mitigation of such radical-induced chronic diseases like cancer and heart disease, and age-related degenerative diseases like Alzheimer's disease, Parkinson's disease, diabetes and other conditions are discussed based on the available evidence.

국내 가축에서 Salmonella I 4,[5],12:i:-의 최초 분리 사례 (First isolation of Salmonella I 4,[5],12:i:- from domestic animals in Korea)

  • 이덕용;강민수;권용국;안병기;김영조;허은정;문진산;이에스더;박혜민
    • 대한수의학회지
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    • 제52권4호
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    • pp.285-288
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    • 2012
  • Salmonella I 4,[5],12:i:- was a monophasic variant of Salmonella (S.) Typhimurium and notorious for re-emerging candidate which would replace S. Typhimurium DT104 for antibiotic resistance. Recently, isolation rate was increased on human and industrial animals but there was no case in domestic animals but human in Korea. This was first isolation case from domestic animals in Korea. The five isolates from feces of duck (n = 3), chicken (n = 1), and wild bird (n = 1) showed antibiotic resistance against cephems and aminoglycosides. These means that the spread of emerging bacterial pathogens to domestic animals and the need of systemic management for Salmonella I 4,[5],12:i:-.

Prevalence of Toxoplasma gondii in Stray Cats of Gyeonggi-do, Korea

  • Kim, Hye-Youn;Kim, Yun-Ah;Kang, Seung-Won;Lee, Ho-Sa;Rhie, Ho-Gun;Ahn, Hye-Jin;Nam, Ho-Woo;Lee, Sang-Eun
    • Parasites, Hosts and Diseases
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    • 제46권3호
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    • pp.199-201
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    • 2008
  • Toxoplasma gondii is an obligate intracellular zoonotic protozoan with a worldwide distribution. It infects humans as well as a broad spectrum of vertebrate hosts. Cats and wild felidae play crucial roles in the epidemiology of toxoplasmosis. This study was performed to survey the prevalence of T. gondii infection among stray cats in the Gyeonggi-do, Republic of Korea. A total of 174 stray cat blood samples were collected from Gwacheon-si (n = 20), Bucheon-si (82), and Yangju-si (72). Positive sera for T. gondii were identified in 14 samples (8.1%) exclusively via the latex agglutination test, 28 (16.1%) via ELISA, and 23 (13.2%) via PCR analysis. The overall infection rate of female stray cats (29.2%) presented as higher than that of male cats (24.0%). This study suggests that T. gondii is widespread in the stray cat population of Gyeonggi-do, Korea. It is urgently needed to control urban stray cat population and to reduce the risk of zoonotic transmission of toxoplasmosis to other animal hosts and humans.

Hepatitis C Virus Nonstructural 5A Protein Interacts with Telomere Length Regulation Protein: Implications for Telomere Shortening in Patients Infected with HCV

  • Lim, Yun-Sook;Nguyen, Men T.N.;Pham, Thuy X.;Huynh, Trang T.X.;Park, Eun-Mee;Choi, Dong Hwa;Kang, Sang Min;Tark, Dongseob;Hwang, Soon B.
    • Molecules and Cells
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    • 제45권3호
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    • pp.148-157
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    • 2022
  • Hepatitis C virus (HCV) is a major cause of chronic liver disease and is highly dependent on cellular proteins for viral propagation. Using protein microarray analysis, we identified 90 cellular proteins as HCV nonstructural 5A (NS5A) interacting partners, and selected telomere length regulation protein (TEN1) for further study. TEN1 forms a heterotrimeric complex with CTC and STN1, which is essential for telomere protection and maintenance. Telomere length decreases in patients with active HCV, chronic liver disease, and hepatocellular carcinoma. However, the molecular mechanism of telomere length shortening in HCV-associated disease is largely unknown. In the present study, protein interactions between NS5A and TEN1 were confirmed by immunoprecipitation assays. Silencing of TEN1 reduced both viral RNA and protein expression levels of HCV, while ectopic expression of the siRNA-resistant TEN1 recovered the viral protein level, suggesting that TEN1 was specifically required for HCV propagation. Importantly, we found that TEN1 is re-localized from the nucleus to the cytoplasm in HCV-infected cells. These data suggest that HCV exploits TEN1 to promote viral propagation and that telomere protection is compromised in HCV-infected cells. Overall, our findings provide mechanistic insight into the telomere shortening in HCV-infected cells.

아동 건강에 관한 신문 기사 내용분석 (Content Analysis Related to Child Health in Newspaper Articles)

  • 김신정;이정은;이자형
    • Child Health Nursing Research
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    • 제5권2호
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    • pp.167-184
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    • 1999
  • The purpose of this study was to provide basic data in child health education or counselling through content analysis related to child health in newspaper articles. Data were collected 8 daily newspaper by selecting health articles from neonate to adolescent period during 1 year from January 1 to December 31 in 1998. The data were analyzed in the framework of content analysis method and the reliability degree was 98% by the method of Holsti. The results of this study are as follows. 1. The frequency according to health category, disease treatment(46.7%) topped followed by health maintenanceㆍpromotion(28.0%), disease prevention(14.7%), growthㆍdevelopment(10.6%) 2. The frequency according to season, summer (36.4%) rank first. 3. The frequency according to WHO international disease classification, infectious disease (29.6%) take most. 4. According to child developmental age, similar frequency showed from infant to adolescent except neonate. 5. 201 themes, 43 category,4 health categories were confirmed in the content analysis. 6. Health maintenceㆍpromotion occupy 28.0% of health category include 14 categories. 7, Growthㆍdevelopment include 6 category occuping 10.6% of the whole health category. 8. Disease prevention occupy 14.7% of health category and contain 6 categories. 9. Disease treatment take top of health category by the rate of 46.7% and contain 17 categories.

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MRI 이미지 기반의 알츠하이머 치매분류 알고리즘 (Algorithm for Classifiation of Alzheimer's Dementia based on MRI Image)

  • 이재경;서진범;조영복
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2021년도 추계학술대회
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    • pp.97-99
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    • 2021
  • 최근 고령화 사회가 지속됨에 따라, 치매(Dementia)에 대한 관심이 높아지고 있다. 그 중에서 알츠하이머병(Alzheimer's disease)는 전체 치매 환자의 50~60%로 가장 많은 비율을 차지하는 퇴행성 뇌질환으로, 현재 의료계에선 알츠하이머병에 대한 명확한 예방법 및 치료법에 대해 내놓지 못하고 있으며, 치매 발병 전 조기 치료 및 조기 예방법에 대한 중요성이 강조되고 있다. 본 논문에서는 정상인과 알츠하이머병에 걸린 환자의 MRI 데이터셋을 활용하여 컨볼루션 신경망을 중심으로 여러 가지 활성화 함수를 접목시켜, 가장 효율적인 활성화 함수를 찾고자 한다. 또한 알츠하이머 치매분류 모델링을 통해 향후 의료분야에 적합한 치매 구분 모델링으로 활용하고자 한다.

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A Cross Sectional Study of Kretek Smoking in Indonesia as a Major Risk to Public Health

  • Palipudi, Krishna;Mbulo, Lazarous;Kosen, Soewarte;Tjandra, Aditama;Kadarmanto, Kadarmanto;Qureshi, Farukh;Andes, Linda;Sinha, Dhirendra N;Asma, Samira
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권16호
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    • pp.6883-6888
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    • 2015
  • Background: Tobacco smoking is a major cause of preventable disease and death worldwide. Kreteks are clove-flavored cigarettes made from a combination of tobacco and ground-clove mixed with a sauce, smoked widely in Indonesia. Because health and social consequences of kretek smoking are potentially as great as those of traditional cigarettes, this study examines the prevalence of kretek smoking in Indonesia and associated risk factors. Materials and Methods: The study used nationally representative Indonesia Global Adult Tobacco Survey data. Multiple logistic regression analysis was employed to identify correlates of kretek smoking. Results: One-third of Indonesian adults smoked tobacco of which about 90.0% smoked kreteks. Prevalence of kretek smoking among men (60.9%) was more than 25 times the rate among women (2.3%). Overall, the highest prevalence of kretek use was in the age group 45-54 years (36.5%), followed by 34-44 (35.1%), 25-34 (34.2 %), and 55-64 years (32.8%). By wealth index, prevalence of kreteks smoking among those in the middle index was almost 50% above the rate for the wealthiest group (36.4% vs 24.8% respectively). Logistic regression results showed that being male, being older, having less education, and being less wealthy were significant predictors of kretek smoking, while urban vs rural residence was not. Conclusions: Kretek smoking is common in Indonesia and is entrenched in the sociocultural fabric of the country. However, potential consequences of kretek smoking, particularly as risks for noncommunicable diseases, underscore the importance of a comprehensive approach to tobacco control as outlined in the World Health Organization's MPOWER strategies.

Implementation of Quaternary Prevention in the Korean Healthcare System: Lessons From the 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea

  • Bae, Jong-Myon
    • Journal of Preventive Medicine and Public Health
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    • 제48권6호
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    • pp.271-273
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    • 2015
  • Quaternary prevention should be implemented to minimize harm to patients because the ultimate goal of medicine is to prevent disease and promote health. Primary care physicians have a major responsibility in quaternary prevention, and the establishment of clinical epidemiology as a distinct field of study would create a role charged with minimizing patient harm arising from over-medicalization.