• 제목/요약/키워드: epidemiological study

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경남 남부지방에서 사육 중인 송아지의 설사병에 관한 역학적 연구 (An epidemiological study on the calves with clinical diarrhea in southern Gyeongnam)

  • 허정호;조명희;이국천;박미남;조은정;최만수;김충희;강정부;김의경;김종수
    • 한국동물위생학회지
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    • 제31권3호
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    • pp.305-313
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    • 2008
  • The present study was conducted to investigate the epidemiological characteristics such as isolation rate and antimicrobial drug susceptibility of etiological agents. The specimens (stool or intestine) were collected from 319 calves with clinical diarrhea from 195 farms in Gyeongnam south area (Gosung, Tongyung, Hadong) from June 2005 to August 2006. The isolation rate of Salmonella spp was higher in summer (8.4%) than in winter (4.8%) and the average was 7.2% (23/319 head). Some of Salmonella spp isolated were resistant to penicillin, oxytetracycline, tetracycline, and cephalexin (>90%), but some of them were susceptible to norfloxacin, ciprofloxacin, sulfamethoxazole/trimethoprim and amikacin(>30%). There was no statistical difference in the isolation rate of Eimeria spp between summer(48.9%) and winter(42.3%). For the evaluation of infection level of Eimeria spp oocyst per gram of feces (OPG) was examined, and severe, moderate and light infection level were 11.9%, 12.5% and 22.3%, respectively. In the isolation rates of Eimeria spp the calves under 19 days was lowerthan those over 60 days, but there was not different among herd size.

Acute Promyelocytic Leukemia: a Single Center Study from Southern Pakistan

  • Sultan, Sadia;Irfan, Syed Mohammed;Ashar, Sana
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7893-7895
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    • 2015
  • Background: Acute promyelocytic leukemia (APL) is a distinctive clinical, biological and molecular subtype of acute myeloid leukemia. However, data from Pakistan are scarce. Therefore we reviewed the demographic and clinical profile along with risk stratification of APL patients at our center. Materials and Methods: In this descriptive cross sectional study, 26 patients with acute promyelocytic leukemia were enrolled from January 2011 to June 2015. Data were analyzed with SPSS version 22. Results: The mean age was $31.8{\pm}1.68years$ with a median of 32 years. The female to male ratio was 2:1.2. The majority of our patients had hypergranular variant (65.4%) rather than the microgranular type. The major complaints were bleeding (80.7%), fever (76.9%), generalized weakness (30.7%) and dyspnea (15.38%). Physical examination revealed petechial rashes as a predominant finding detected in 61.5% followed by pallor in 30.8%. The mean hemoglobin was $8.04{\pm}2.29g/dl$ with the mean MCV of $84.7{\pm}7.72fl$. The mean total leukocyte count of $5.44{\pm}7.62{\times}10^9/l$; ANC of $1.08{\pm}2.98{\times}10^9/l$ and mean platelets count were $38.84{\pm}5.38{\times}10^9/l$. According to risk stratification, 15.3% were in high, 65.4% in intermediate and 19.2% in low risk groups. Conclusions: Clinico-epidemiological features of APL in Pakistani patients appear comparable to published data. Haemorrhagic diathesis is the commonest presentation. Risk stratification revealed predominance of intermediate risk disease.

강원도 삼척군 횡천흡충 감염의 역학적 조사연구 (Epidemiological Studies on Metagonimus yokoguwai Infection in Samcheok-gun, Kangwon-do, Korea)

  • 안영겸
    • Parasites, Hosts and Diseases
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    • 제22권2호
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    • pp.161-171
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    • 1984
  • An epidemiological study on Metagenimus yokegawai infection was performed in Samcheok-Bun, Kangwon Province during the period from November 1983 to October 1984. Formalin-ether concentration technique and Stoll's dilution egg counting method were employed to figure out the prevalence and infection intensity of M. yrtkogawai infection. The results are summarized as follow: 1. The Prevalence of M. yokogawai infection was 13.3% among 1,172 examined; 18.0% (114 out of 632) in male and 7.8% (42 out of 540) in female. 2. The Prevalence rates were different by stream; 15.5% in Ohsip-chon (stream), 11.8% in Maeup-chon and 1.6% in Gagok-chon. 3. Along the basin of Oship-chon; 8.2% at the lower reaches in Samcheok-eup, 25.9% at the middle reaches in Miro-myon and 6.2% at the upper reaches in Dogeoe-eup, respectively. 4. By age group, the highest fate (18.3∼20.2%) was observed in 30∼49 years of age (male 24.1∼28.7%, female 11.2∼13.2%). 5. By social strata, the positive rate was 15.0% (120 out of 799) in general inhabitants and 9.7% (36 out of 373) in school children. 6. Intensity by EPG count in feces was 419 in average; the light infection (less than 400 EPG) was 70.4%, moderate infection (401∼1,000 EPG) 19.4% and heavy infection (more than 1,001 EPG) 10.25 respectively. 7. All the 67 sweetfish (length 10.3∼18.5cm) which were caught from Ohsip-stream were infected with metacercariae of M. yokogawai and the number of metacercariae detected were 382 per fish in average (323 in June and 382 in September). 8. Experiences of intake of raw fresh-water fish [Plecoglossus altivelis and Leuciscus (Tribolodon〕 were present in 50.3U (354 out of 704) of the inhabitants along Ohsip-stream according to questionnaire study. The results of this survey indicated that the middle reaches of Ohsip-stream in Miro-myon, Samcheok-gun is the endemic region for M. yokogawai infection.

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부산 일부지역에 유행한 장티푸스 환자에 대한 역학적인 조사 (An Epidemiological Study for on Outbreak of Typhoid Fever in Busan Area)

  • 박진형
    • Journal of Preventive Medicine and Public Health
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    • 제10권1호
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    • pp.86-93
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    • 1977
  • 부산시 남구 문현동 고지대 일원에서 유행한 장티푸스의 전염원과 감염경로를 규명하고 그 관리사업을 1975년 4월 28일부터 동년 6월 3일까지 실시하여 얻은 결과는 다음과 같다. 1. 원인불명의 고열질환은 장티푸스로 동정되었으며 주증상은 복통, 설사, 간장비대, 오심 구토, 비장비대장미진, 회맹부압통등이었다. 2. 평균이병기간은 25.2일이었고 발생율은 1000명당 35.6였다. 3. 장티푸스유행의 전염원은 행려환자로 추정되었다. 4. 발병으로 부터 신고까지의 기간은 $10{\sim}19$일사이가 제일 많았다. 5. 1차 대변배양검사 양성은 38.9%였고 2차 검사성적은 5.6%였다. 6. 연령별 발생분포는 $5{\sim}9$세군이 30.5%로 가장 높았으며 남녀 발생비는 남자가 여자보다 약간 높았다. 7, 교육정도는 국민학교 이하가 66.6%, 생활정도로는 저소득층이 77.8%로 각각 최고율을 점하고 있다. 8. 발병후 의료시설의 이용은 약국이 제일 높고 다음이 한약방, 의원의 순서였다.

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일부농촌주민(一部農村住民)의 간(肝) 및 폐흡충증에 대(對)한 역학적(疫學的) 조사(調査) (An Epidemiological Study of Clonorchiasis Sinensis and Paragonimiasis Westermani Prevailed among the People of a Rural County)

  • 신기준
    • Journal of Preventive Medicine and Public Health
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    • 제10권1호
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    • pp.71-79
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    • 1977
  • An epidemiological study of clonorchiasis sinensis and paragonimiasis westermani prevailed among the people of a rural county. The author studied the infection rates of of clonorchiasis sinensis and paragonimiasis westermanl in the inhabitants of Chungsong Gun, Kyungbuk Province, Korea. The examinations were carried out from March 1965 to November 1965 fowards 1.303 inhabitants whose ages were ranging from three months to over sixty years. All the inhabitants were tested intradermally with clonorchis and paragonimus antigen and then confirmed the eggs by M. G. L. technique and sputum test. The results of the examination were summarized as follows : 1. Out of the persons tested, 15.8% were infected with clonorchiasis sinensis. 2. Out of the persons tested with paragonimus antigen, 20.9% were infected with Paragonimus westermani. 3. The infection rate of paragonimiasis was higher than that of clonorchiasis. 4. The infection rate of clonorchiasis in male was 20.8% (147 out of 706), while that in female was 7.1% (58 out of 597). The infection rate of paragonimiasis in male was 21.2% (150 out of 706), while that in female was 20.1% (120 out of 597). 5. The maximum infection rates of clonorchiasis and paragonimiasis were observed among the $45{\sim}49$ age group (65.2% and 43.5%) respectively), however it was gradually decreased in the senile group. 6. By occupation, the maximum infection rate of clonorchiasis was observed in policemen (45.7%) and the maximum carrier of eggs (by sputum test) was observed in the unemployed (paragonimiasis). 7. By education, the maximum infection rate of clonorchiasis was observed in the unepmloyed (28.9%) and the maximum carrier of eggs (by sputum test) was observed in the unemployed (paragnoimiasis).

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최근 3년간 기저질환이 없는 소아 입원 환자에서 호흡기 바이러스에 따른 급성 하기도 감염의 임상적 특징 (Clinical characteristics of acute lower respiratory tract infections according to respiratory viruses in hospitalized children without underlying disease during the last 3 years)

  • 서민해;김형영;엄태민;김혜영;박희주
    • Journal of Yeungnam Medical Science
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    • 제34권2호
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    • pp.182-190
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    • 2017
  • Background: Respiratory viruses play a significant role in the etiology of acute respiratory infections and exacerbation of chronic respiratory illnesses. This study was conducted to identify the epidemiological and clinical characteristics of children with acute viral lower respiratory infections. Methods: This study investigated 1,168 children diagnosed with acute viral lower respiratory tract infections (RTIs) between January 2012 and December 2014. Specimens of respiratory viruses were collected using a nasopharyngeal swab and analyzed by reverse transcriptase polymerase chain reaction. We retrospectively reviewed the medical records and analyzed the clinical features of children hospitalized for acute lower respiratory infections. Results: Respiratory syncytial virus (RSV), the main cause of infection in children aged <5 years, was the most commonly detected pathogen in children with bronchiolitis and pneumonia, and resulted in high proportions of children requiring oxygen treatment and intensive care unit admission. Rhinovirus was preceded by RSV as the second most common cause of bronchiolitis and pneumonia, and was detected most frequently in the children aged ${\geq}6$ years. In addition, asthma was predominantly caused by rhinovirus in children aged ${\geq}6$ years, whereas croup was mostly caused by parainfluenza virus in those aged <5 years. Rhinovirus infection (p<0.001) and history of asthma (p=0.049) were identified as significant risk factors for readmission within a month. Conclusion: We identified the epidemiological and clinical characteristics of respiratory viruses in children with acute lower respiratory infections during the last 3 years. Our findings may provide useful clinical insight to comprehend the acute viral lower RTIs in children.

Epidemiological Trends of GI Cancers in Patients Visiting a Tertiary Care Hospital in Chandigarh, North India

  • Sharma, Munesh K;Singh, Tarundeep;Pandey, Avdesh K;Kankaria, Ankita
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3499-3503
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    • 2015
  • Background: Cancer has become an epidemic disease. Nearly ten million new cancer cases are diagnosed annually in the world and out of these about half are from the developing world. To appropriately plan for treatment, management and prevention of the disease, it becomes necessary to study the trends about morbidity caused by cancers. Materials and Methods: Data for patients diagnosed with any form of gastrointestinal (GI) cancers was extracted from records maintained in the outpatient department registers of the Oncology Department of Government Medical College and Hospital in Chandigarh from 1999 to 2012. Trends were analysed for different categories of GI cancers for the period of 12 years. Results: In present study GI cancers accounted for 23 % of all registered cases (n-9603) of carcinomas. Males predominated for all GI cancers except in the gall bladder. Gastrointestinal cancers as a proportion of total cancers increased from 21% in 1999 to 25.9% in 2012 with a significant increasing trend in our series (${\chi}^2$ for linear trend=9.36, p<0.003). Cancers of the tonsil, oral cavity and pharynx taken together showed an increasing trend over the years (${\chi}^2$ for trend=55.2, p<0.001) whereas cancers of the lower GI (${\chi}^2=19.6$, p<0.0001) and gall bladder (${\chi}^2=19.5$, p<0.0001) showed a declining trend in our series. Conclusions: GI cancers form a significant proportion of all cancers reporting to our data. In depth studies to ascertain the reasons for the changing trends are required to design intervention programs. Further information is necessary from cancer registries and from the hospital records of oncology departments.

Histopathological Diversity in Parotidectomy Materials in Turkish Population: Clinicopathologic Analysis and Demographic Features of 136 Cases in a Tertiary Care Hospital

  • Altinay, Serdar;Taskın, Umit;Sar, Mehmet;Aydin, Salih;Oktay, Mehmet Faruk
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5701-5707
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    • 2014
  • Background: Salivary gland tumours, which account for approximately 3% of head-neck cancers, are a heterogeneous group and thus it is difficult to identify their epidemiological characteristics. The aim of this study is to determine demographic features and histopathologic distribution of parotid neoplasms in a large sample from Turkey. Materials and Methods: This study was conducted retrospectively on 136 parotidectomy materials from operations between May 2009-May 2013. Age, gender, tumor diameter, histopathological diagnosis and surgical margin status were recorded. Results: The benign cases were 112 (82.4%), while the malignancies were 24 (17.6%). The accuracy rate of FNAC was 91%. There were 46 (33.8%) male and 90 (66.2%) female patients. Female/male ratio (M/F=0.5) was two, the Warthin (WT) tumor being more apparent in males (p<0.05). Pleomorphic adenoma (PA) was detected most frequently among benign pathologies at 61.6% (69/112), while the Warthin Tumor (WT) was detected as the second most frequent tumor at 20.5% (23/112). Mucoepidermoid carcinoma (MEC) and carcinoma ex pleomorphic adenoma (Ca ex PA) were detected at equal frequency at 20.8% (5/24) among malign tumors. These were followed by acinic cell carcinoma at 16.7% (4/24). While the surgical margin was positive in ten patients with malignant tumors (41.7%), all of the benign tumors were negative (p<0.01). No significant difference was detected in the age-gender of patients, tumor size and distribution of sites among benign and malignant groups (p>0.05). Conclusions: Pleomorphic adenoma is the most frequently reported benign tumor almost in all global literature. Yet, the distribution of malignant tumors displays geographical differences. Based on these data, we believe that our findings will provide a significant contribution to future epidemiological studies. We think that it will be beneficial to generate awareness on parotid tumors and ensure a fight against smoking as with all head-neck cancers.

Outbreaks of mumps: an observational study over two decades in a single hospital in Korea

  • Ryu, Ji-Ung;Kim, Eun-Kyung;Youn, You-Sook;Rhim, Jung-Woo;Lee, Kyung-Yil
    • Clinical and Experimental Pediatrics
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    • 제57권9호
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    • pp.396-402
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    • 2014
  • Purpose: The introduction of the mumps vaccine has dramatically reduced the number of mumps cases, but outbreaks have recently occurred among highly vaccinated populations in developed countries. Epidemiological and clinical characteristics of patients with mumps admitted between 1989 and 2012 in a single hospital in Korea are described in the present study. Methods: We retrospectively evaluated inpatients with mumps between 1989 and 2012 and outpatients and inpatients with mumps in 2011-2012. Results: A total of 152 patients with mumps were admitted between 1989 and 2012, and 163 patients were recorded in 2011-2012. The highest number of admitted cases occurred in 1998 and 2012 (35 and 34 cases, respectively). Among the patients admitted in 2011-2012, the highest frequency was observed among people aged 15-19 years, and low frequency was observed in those aged <4 years and >20 years, compatible to the city data and national data. In patients admitted to our department in 1998 (35 cases) and in 2010-2012 (27 cases), there were significant differences in the mean age and the rate of secondary measles-mumps-rubella (MMR) vaccination, but had similar clinical features, including complications, except aseptic meningitis. Antimumps immunoglobulin (Ig) G was positive in 83% and 100%, and IgM was positive in 67% and 41%, respectively, in the two periods. Conclusion: In Korea, recent mumps outbreaks have occurred mainly among secondary school students who received two doses of the MMR vaccine. The vaccinees might have a modified immune reaction to viral insults, manifesting modified epidemiological and clinical features.

Respiratory Syncytial Virus Outbreak in the Basic Military Training Camp of the Republic of Korea Air Force

  • Park, Won-Ju;Yoo, Seok-Ju;Lee, Suk-Ho;Chung, Jae-Woo;Jang, Keun-Ho;Moon, Jai-Dong
    • Journal of Preventive Medicine and Public Health
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    • 제48권1호
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    • pp.10-17
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    • 2015
  • Objectives: An outbreak of acute febrile illness occurred in the Republic of Korea Air Force boot camp from May to July 2011. An epidemiological investigation of the causative agent, which was of a highly infective nature, was conducted. Methods: Throat swabs were carried out and a multiplex reverse transcriptase-polymerase chain reaction (RT-PCR) assay was performed to identify possible causative factors. Results: The mean age of patients who had febrile illness during the study period was 20.24 years. The multiplex RT-PCR assay identified respiratory syncytial virus (RSV) as the causative agent. The main symptoms were sore throat (76.0%), sputum (72.8%), cough (72.1%), tonsillar hypertrophy (67.9%), and rhinorrhea (55.9%). The mean temperature was $38.75^{\circ}C$ and the attack rate among the recruits was 15.7% (588 out of 3750 recruits), while the mean duration of fever was 2.3 days. The prognosis was generally favorable with supportive care but recurrent fever occurred in 10.1% of the patients within a month. Conclusions: This is the first epidemiological study of an RSV outbreak that developed in a healthy young adult group. In the event of an outbreak of an acute febrile illness of a highly infective nature in facilities used by a young adult group, RSV should be considered among the possible causative agents.