• Clinical and Experimental Pediatrics
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• 제59권10호
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• pp.395-401
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• 2016

Since the outbreak of the enterovirus 71 (EV71) infection in Malaysia in 1997, large epidemics of EV71 have occurred in the Asia-Pacific region. Many children and infants have died from serious neurological complications during these epidemics, and EV71 infection has become a serious public health problem in these areas. EV71 infection causes hand, foot and mouth disease (HFMD) in children, and usually resolves spontaneously. However, EV71 occasionally involves the central nervous system (CNS), and induces diverse neurological complications such as brainstem encephalitis, aseptic meningitis, and acute flaccid paralysis. Among those complications, brainstem encephalitis is the most critical neurological manifestation because it can cause neurogenic pulmonary hemorrhage/edema leading to death. The characteristic clinical symptoms such as myoclonus and ataxia, cerebrospinal fluid (CSF) pleocytosis, and brainstem lesions on magnetic resonance imaging, in conjunction with the skin rash of HFMD and the isolation of EV71 from a stool, throat-swab, or CSF sample are typical findings indicating CNS involvement of EV71 infection. Treatment with intravenous immunoglobulin and milrinone are recommended in cases with severe neurological complications from EV71 infection, such as brainstem encephalitis. Despite the recent discovery of receptors for EV71 in human cells, such as the scavenger receptor B2 and P-selection glycoprotein ligand 1, it is not known why EV71 infection predominantly involves the brainstem. Recently, 3 companies in China have completed phase III clinical trials of EV71 vaccines. However, the promotion and approval of these vaccines in various countries are problems yet to be resolved.

• Journal of Preventive Medicine and Public Health
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• 제38권4호
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• pp.386-390
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• 2005

Influenza A viruses periodicall y cause worldwide epidemics, or pandemics, with high rates of illness and death. A pandemic can occur at any time, with the potential to cause serious illness, death and social and economic disruption throughout the world. Historic evidence suggests that pandemics occurred three to four times per century. In the last century there were three influenza pandemics. The circumstances still exist for a new influenza virus with pandemic potential to emerge an d spread. The unpredictability of the timing of the next pandemic is underlined by the occurrence of several large outbreaks of highly pathogenic avian influenza since the early 1980s. In 1999, the World Health Organization published the Influenza pandemic plan. The role of WHO and guidelines for national and regional planning. And in 2005, WHO revised the global influenza preparedness plan for new national measures before and during pandemics. This document outlines briefly the Korean Centers for Disease Control's plan for responding to an influenza pandemic. According to the new pandemic phases of WHO, we set up the 4 national levels of preparedness and made guidelines for preventing and control the epidemics in each phase. And also we described the future plans to antiviral stockpiles and pandemic vaccine development.

• The Plant Pathology Journal
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• 제33권4호
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• pp.351-361
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• 2017

Bacterial canker is the largest limiting factor in the cultivation and production of kiwifruit worldwide. Typical symptoms comprise necrotic spots on leaves, canker and dieback on canes and trunks, twig wilting, and blossom necrosis. Pseudomonas syringae pv. actinidiae (Psa), which is the causal agent of kiwifruit bacterial canker, is divided into four biovars based on multilocus sequence analysis of different genes, additional PCR testing of pathogenic genes (argKtox cluster, cfl, and various effector genes), and biochemical and physiological characterization. Bacterial canker caused by Psa biovar 2 designated Psa2 was detected for the first time on the green-fleshed kiwifruit cultivar Hayward in 1988 and the yellow-fleshed kiwifruit cultivar Hort16A in 2006 in Korea. Psa biovar 3 designated Psa3, responsible for the current global pandemics of kiwifruit bacterial canker, began to appear in Korea in 2011 and caused tremendous economic losses by destroying many vines or orchards of yellow-fleshed kiwifruit cultivars in one or several growing seasons. Bacterial canker epidemics caused by both Psa2 and Psa3 are prevalent in Korea in recent years. In this review, we summarize the symptomatology, etiology, disease cycle, diagnosis, and epidemiology of kiwifruit bacterial canker in Korea.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제16권8호
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• pp.2571-2586
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• 2022

The rapid popularity of government social media has generated huge amounts of text data, and the analysis of these data has gradually become the focus of digital government research. This study uses Python language to analyze the big data of the Chinese provincial government Weibo. First, this study uses a web crawler approach to collect and statistically describe over 360,000 data from 31 provincial government microblogs in China, covering the period from January 2018 to April 2022. Second, a word separation engine is constructed and these text data are analyzed using word cloud word frequencies as well as semantic relationships. Finally, the text data were analyzed for sentiment using natural language processing methods, and the text topics were studied using LDA algorithm. The results of this study show that, first, the number and scale of posts on the Chinese government Weibo have grown rapidly. Second, government Weibo has certain social attributes, and the epidemics, people's livelihood, and services have become the focus of government Weibo. Third, the contents of government Weibo account for more than 30% of negative sentiments. The classified topics show that the epidemics and epidemic prevention and control overshadowed the other topics, which inhibits the diversification of government Weibo.

• Pediatric Infection and Vaccine
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• 제5권1호
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• pp.104-114
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• 1998

목 적 : 장바이러스는 무균성 뇌막염의 가장 흔한 원인으로 알려져 있으며 1993년과 1996년에 국내에서 유행하였던 무균성 뇌막염은 주로 echovirus type 9에 의한 것이었다. 무균성 뇌막염의 유행시 원인 바이러스를 밝혀내는 일은 진단뿐 아니라 역학적인 의미에서도 필요하다. 이에 저자들은 1997년도에 마산 지역을 포함하는 경상남도 중부지역에서 유행하였던 무균성 뇌막염 환자를 대상으로 원인 바이러스를 규명하고 임상증상과의 관계를 추구하고자 본 연구를 시행하였다. 방 법 : 1997년 3월부터 10월까지 마산 파티마병원에 무균성 뇌막염으로 진단된 환자 239명(소아 213명, 성인 26명)에서 채취한 검체(뇌척수액 128례, 대변 239례)를 대상으로 바이러스 배양과 enterovirus RNA 검출을 시행하였다. 배양된 바이러스는 면역형광법을 이용하여 동정하였고 장바이러스 RNA는 reverse transcription-polymerase chain reaction(RT-PCR)을 이용하여 확인하였다. 결 과 : 1) 환자의 발생시기는 3월부터 10월까지였으며 6월에 가장 많은 환자의 분포를 보였다. 2) 대상 환자 239명(소아과 213명, 내과 26명)의 연령별 분포를 보면 소아환자의 평균연령은 4.9세로 신생아에서부터 15세에 이르기까지 다양하게 분포하였고 16세이상 내과 병동에 입원하였던 환자는 평균 연령이 24.2세로 16세에서 35세까지의 연령 분포를 보였다. 3) 환자에서 바이러스 분리는 뇌척수액 128례중 53례(41.4%), 대변에서는 239례중 163례(68.2%)에서 분리가 되었다. 4) 분리된 바이러스의 결과를 보면 뇌척수액에서는 echovirus type30이 16례(30.2%), echovirus type 6이 6례(11.3%), echovirus type 4가 1례, 아형이 결정되지 않은 echovirus가 4례, coxsackievirus type B5가 1례, 아형이 결정되지 않은 enterovirus가 24례 이었다. 한편 대변에서는 echovirus type30이 72례(44.2%), echovirus type 6이 21례(12.9%), echovirus type 4가 1례, 아형이 결정되지 않은 echovirus가 17례(10.4%), coxsackievirus type B5가 1례, A24가 2례, 아형이 결정되지 않은 coxsackievirus type B가 3례, 아형이 결정되지 않은 enterovirus가 46례였다. 결 론 : 1997년 3월부터 10월까지 경상남도 중부지방에서 무균성 뇌막염의 유행이 있었으며 원인 바이러스는 echovirus type 30이 주된 원인 바이러스이었고 그 외에 echovirus type 4, 6, coxsackievirus B5, coxsackievirus A24에 의한 무균성 뇌막염의 산발적인 발생이 있었다.

• 한국지리정보학회지
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• 제19권4호
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• pp.186-198
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• 2016

고병원성 조류인플루엔자(Highly Pathogenic Avian Influenza: HPAI)는 전염력이 매우 높아 발병 시 전국적으로 확산되어 막대한 사회경제적 피해를 유발하는 제1종 법정가축전염병이다. 국가동물방역통합시스템(Korea Animal Health Integrated System: KAHIS)은 축산차량등록제를 통하여 축산관련차량의 축산관련시설 출입정보를 실시간으로 기록함으로써 가축질병 발생 시 신속한 방역업무를 지원하기 위하여 구축한 통합시스템이다. KAHIS는 가축질병 발생 시 차량이동에 의한 확산경로를 효과적으로 추적하기 위한 시공간 정보를 포함한다. 이러한 시공간 정보를 바탕으로 시설들 간 연결 관계를 나타내는 접촉 네트워크를 구축할 경우 가축질병의 시공간 확산과정 추론에 유용하게 활용할 수 있다. 본 연구의 목적은 가축질병 방역활동 지원을 위하여 KAHIS에 내재된 시공간 정보를 접촉 네트워크로 구축하여 일차적 활용방안을 실증적으로 제시하는 것이다. 구축한 접촉 네트워크를 토대로 가축질병의 확산이 이루어지는 잠재적 시공간적 권역을 추정함으 로써 차단 방역 관련 의사결정을 돕기 위한 분석정보를 도출하고 해석을 통하여 정책적 함의를 제시하였다. 아울러 좀 더 고도화된 의사결정 지원정보 도출을 위한 접촉 네트워크의 심층적 활용 방안을 제시하였다.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2001년도 제53차 추계 학술대회 연제집
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• pp.298-299
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• 2001

• 대한약학회:학술대회논문집
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• 대한약학회 2002년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2
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• pp.149-150
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• 2002

Despite various efforts on improving vaccines and antivirals, influenza epidemics continue to afflict many people, causing widespread morbidity and mortality in the young and the elderly. Since the discovery of the unusual 'cap-stealing'mechanism of transcription, significant advances were made on molecular aspects of influenza gene regulation. This provides new insights for developing new antiviral compounds. Reverse genetic technologies have also been advanced for generating recombinant chimeric viruses suitable for designing live vaccine. (omitted)

• Journal of Preventive Medicine and Public Health
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• 제53권3호
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• pp.175-177
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• 2020

Public health doctors of Korea contributed significantly to massive coronavirus disease 2019 (COVID-19) testing. They were immediately dispatched to epicenters of the COVID-19 pandemic, and have run tests at screening centers, airport quarantines and hospitals. However, their expertise from in-field experience has been often neglected. It is time to reorganize public health doctor system to better prepare for future epidemics. Transforming and strengthening their roles as public health experts through systematic training is crucial.

• Journal of Preventive Medicine and Public Health
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• 제51권6호
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• pp.326-328
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• 2018

As over 1000 new cases of HIV/AIDS occur in Korea annually, preventive health programs against HIV/AIDS are urgently needed. Since phylodynamic studies have been suggested as a way to understand how infectious diseases are transmitted and evolve, phylodynamic inferences can be a useful tool for HIV/AIDS research. In particular, phylodynamic models are helpful for dating the origins of an epidemic and estimating its basic reproduction number. Thus, the introduction of phylodynamics would be a highly valuable step towards controlling the HIV/AIDS epidemic in Korea.