• 제목/요약/키워드: epidemiology investigation

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2003년 한국의 돼지콜레라 전국적 확산에 대한 기술역학 (Descriptive epidemiology of nationwide spread of 2003 classical swine fever epidemic in Korea)

  • 박최규;이은섭;윤하정;위성환;송재영;문운경;최은진;김현수;이주호;안수환
    • 대한수의학회지
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    • 제46권3호
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    • pp.197-206
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    • 2006
  • In March 2003, classical swine fever (CSF) infection was reported in a piggery located at Iksan city, Jeollabuk-do in Korea. Subsequently, a total of 72 infected farms were confirmed between March and December, 2003. Based on epidemiological investigation of the earlier confirmed infected farms, the source of infection was shown to be from a breeding farm. Targeted surveillance of 82 piggeries that had acquired pigs from this breeding farm showed 44 piggeries were infected with CSF virus. CSF virus was introduced into this breeding farm by movement of selected breeder pigs from its 12 contracted farms which were located in areas that had been affected by CSF epidemic in late 2002. CSF had then spread through out the country mainly by direct transmission through the sale and movement of pigs from this breeding farm. Consequently, 47 (62%) among 72 CSF affected farms were associated, directly and indirectly, with this breeding farm. This study showed that inadequate control for breeding farms and transport restriction in CSF outbreak areas resulted in the nationwide spread of CSF and the failure of the eradication campaign that has been underway for several years by the Korean animal hygiene authority as well as the fanners. Improvements of control policy through further research of the 2003 CSF epidemic will be needed to reestablish the Korean CSF eradication program in the future.

Fifteen Years After the Gozan-Dong Glass Fiber Outbreak, Incheon in 1995

  • Cho, Soo-Hun;Sung, Joo-Hon;Kim, Jong-Hoon;Ju, Young-Su;Han, Min-Ji;Jung, Kyu-Won
    • Journal of Preventive Medicine and Public Health
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    • 제44권4호
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    • pp.185-189
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    • 2011
  • Objectives: In 1995, an outbreak survey in Gozan-dong concluded that an association between fiberglass exposure in drinking water and cancer outbreak cannot be established. This study follows the subjects from a study in 1995 using a data linkage method to examine whether an association existed. The authors will address the potential benefits and methodological issues following outbreak surveys using data linkage, particularly when informed consent is absent. Methods: This is a follow-up study of 697 (30 exposed) individuals out of the original 888 (31 exposed) participants (78.5%) from 1995 to 2007 assessing the cancer outcomes and deaths of these individuals. The National Cancer Registry (KNCR) and death certificate data were linked using the ID numbers of the participants. The standardized incidence ratio (SIR) and standardized mortality ratio (SMR) from cancers were calculated by the KNCR. Results: The SIR values for all cancer or gastrointestinal cancer (GI) occurrences were the lowest in the exposed group (SIR, 0.73; 95% CI, 0.10 to 5.21; 0.00 for GI), while the two control groups (control 1: external, control 2: internal) showed slight increases in their SIR values (SIR, 1.18 and 1.27 for all cancers; 1.62 and 1.46 for GI). All lacked statistical significance. All-cause mortality levels for the three groups showed the same pattern (SMR 0.37, 1.29, and 1.11). Conclusions: This study did not refute a finding of non-association with a 13-year follow-up. Considering that many outbreak surveys are associated with a small sample size and a cross-sectional design, follow-up studies that utilize data linkage should become standard procedure.

Epidemiological investigation of porcine pseudorabies virus and its coinfection rate in Shandong Province in China from 2015 to 2018

  • Ma, Zicheng;Han, Zifeng;Liu, Zhaohu;Meng, Fanliang;Wang, Hongyu;Cao, Longlong;Li, Yan;Jiao, Qiulin;Liu, Sidang;Liu, Mengda
    • Journal of Veterinary Science
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    • 제21권3호
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    • pp.36.1-36.9
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    • 2020
  • Background: Pseudorabies, also known as Aujeszky's disease, is caused by the pseudorabies virus (PRV) and has been recognized as a critical disease affecting the pig industry and a wide range of animals around the world, resulting in great economic losses each year. Shandong province, one of the most vital food animal-breeding regions in China, has a very dense pig population, within which pseudorabies infections were detected in recent years. The data, however, on PRV epidemiology and coinfection rates of PRV with other major swine diseases is sparse. Objectives: This study aimed to investigate the PRV epidemiology in Shandong and analyze the current control measures. Methods: In this study, a total number of 16,457 serum samples and 1,638 tissue samples, which were collected from 362 intensive pig farms (≥ 300 sows/farm) covered all cities in Shandong, were tested by performing enzyme-linked immunosorbent assay (ELISA) and polymerase chain reaction (PCR). Results: Overall, 52.7% and 91.5% of the serum samples were positive for PRV-gE and -gB, respectively, based on ELISA results. In addition, 15.7% of the tissue samples were PCR positive for PRV. The coinfection rates of PRV with porcine circovirus type 2 (PCV2), porcine reproductive and respiratory syndrome virus, and classical swine fever virus were measured; coinfection with PCV2 was 35.0%, higher than those of the other two viruses. Macroscopic and microscopic lesions were observed in various tissues during histopathological examination. Conclusions: The results demonstrate the PRV prevalence and its coinfection rates in Shandong province and indicate that pseudorabies is endemic in pig farms in this region. This study provides epidemiological data that can be useful in the prevention and control of pseudorabies in Shandong, China.

코호트 기반 조사 공변수 자료의 신뢰도 평가 연구: 원전주변지역주민 역학조사연구 (Reliability of Covariates in Baseline Survey of a Cohort Study: Epidemiological Investigation on Cancer Risk Among Residents Who Reside Near the Nuclear Power Plants in Korea)

  • 배상혁;박보영;이충민;안윤옥
    • Journal of Preventive Medicine and Public Health
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    • 제43권2호
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    • pp.159-165
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    • 2010
  • Objectives: We evaluated the reliability of the possible covariates of the baseline survey data collected for the Epidemiological Investigation on Cancer Risk Among Residents Who Reside Near the Nuclear Power Plants in Korea. Methods: Follow-up surveys were conducted for 477 participants of the cohort at less than 1 year after the initial survey. The mean interval between the initial and follow-up surveys was 282.5 days. Possible covariates were identified by analyzing the correlations with the exposure variable and associations with the outcome variables for all the variables. Logistic regression analysis with stepwise selection was further conducted among the possible covariates to select variables that have covariance with other variables. We considered that these variables can be representing other variables. Seven variables for the males and 3 variables for the females, which had covariance with other possible covariates, were selected as representative variables. The Kappa index of each variable was calculated. Results: For the males, the Kappa indexes were as follow; family history of cancer was 0.64, family history of liver diseases in parents and siblings was 0.56, family history of hypertension in parents and siblings was 0.51, family history of liver diseases was 0.50, family history of hypertension was 0.44, a history of chronic liver diseases was 0.53 and history of pulmonary tuberculosis was 0.36. For females, the Kappa indexes were as follow; family history of cancer was 0.58, family history of hypertension in parents and siblings was 0.56 and family history of hypertension was 0.47. Conclusions: Most of the possible covariates showed good to moderate agreement.

A retrospective clinical investigation for the effectiveness of closed reduction on nasal bone fracture

  • Kang, Byung-Hun;Kang, Hyo-Sun;Han, Jeong Joon;Jung, Seunggon;Park, Hong-Ju;Oh, Hee-Kyun;Kook, Min-Suk
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제41권
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    • pp.53.1-53.6
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    • 2019
  • Background: The nasal bone is the most protruding bony structure of the facial bones. Nasal bone fracture is the most common facial bone fracture. The high rate of incidence of nasal bone fracture emphasizes the need for systematical investigation of epidemiology, surgical techniques, and complications after surgery. The objective of this study is to investigate the current trends in the treatment of nasal bone fractures and the effectiveness of closed reduction depending on the severity of the nasal bone fracture. Patients and methods: A total of 179 patients with a nasal bone fracture from 2009 to 2017 were enrolled. Their clinical examination, patient's records, and radiographic images of nasal bone fractures were evaluated. Results: Patients ranged from children to elderly. There were 156 (87.2%) males and 23 (12.8%) females. Traffic accident (36.9%) was the most common cause of nasal fracture. Orbit fracture (44 patients, 24.6%) was the most common fracture associated with a nasal bone fracture. Complications after surgery included postoperative deformity in 20 (11.2%) patients, nasal obstruction in 11 (6.1%) patients, and olfactory disturbances in 2 (1.1%) patients and patients with more severe nasal bone fractures had higher rates of these complications. Conclusion: Closed reduction could be performed successfully within 2 weeks after injury.

Analysis of Relationships between Altitude and Distance from Volcano with Stomach Cancer Incidence Using a Geographic Information System

  • Amani, F;Ahari, S Sadeghieh;Barzegari, S;Hassanlouei, B;Sadrkabir, M;Farzaneh, Esmaeil
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권16호
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    • pp.6889-6894
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    • 2015
  • Gastric cancer (GC) is the fifth most common cancer in the world, with a wide variation in incidence rates across different geographical areas. In Iran GC is the most common cancer in males and it is reported to be the third most prevalent after breast and colorectal in females. A geographical information system (GIS) allows investigation of the geographical distribution of diseases. The purpose of the present study was to explore the relationship between gastric cancer and effective climatic factors using GIS. The dispersion distribution and the relationship between environmental factors effective on cancer were measured using Arc GIS. Of all cases, 672 (73.8%) were in males with a sex ratio of 3 to1. The highest incidence by cities was seen in Namin with 137.5 per 100,000. The results of this study showed that the distribution of GC around the Sabalan volcanic mountain was significantly higher than other places in the same province. These results can be considered as a window to future comprehensive research on gastric cancer.

Humidifier disinfectant disaster: what is known and what needs to be clarified

  • Kim, Sungkyoon;Paek, Domyung
    • Environmental Analysis Health and Toxicology
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    • 제31권
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    • pp.25.1-25.9
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    • 2016
  • Objectives After the initial investigations by the Korea Centers for Disease Control in 2011, over 1000 suspicious cases of humidifier disinfectant (HD) victims were subsequently reported by 2015, and numbers are still increasing dramatically in 2016 in the midst of the prosecutors' office investigation. This study attempts to summarize the current understandings of the related health effects of HD based upon a systemic review of published epidemiologic studies and toxicology investigations. Methods Published studies of HDs were searched through PubMed and TOXLINE under the search words 'humidifier disinfectant,' and related reports were identified from the references and published report list of regulatory agencies including the Korean National Institute of Environmental Research, US Environmental Protection Agency, and EU European Chemicals Agency. Results Case reports and epidemiologic studies have reported the clinical features of severe forms of HD lung damage, together with epidemiologic findings of seasonal occurrence and demographic variations, including the heightened susceptibility of young children. Toxicological studies have reported inhalation toxicities together with positive findings of in vitro genotoxicity studies. Conclusions This study examined unsolved issues based on cases of upper respiratory diseases and diseases of other organs, including cancers, among suspected victims of HDs. These issues should be clarified in future research for the management and prevention of health effects from HDs and chemicals of other related household products.

수학여행중 국민학교학생의 포도구균식중독 발생에 대한 역학적조사 (Investigation of a Staphylococcal Food Poisoning Outbreak Among School Children)

  • 노인규
    • Journal of Preventive Medicine and Public Health
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    • 제5권1호
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    • pp.111-114
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    • 1972
  • There was an outbreak of food poisoning on the 17 October, 1970 among the primary school children who came from a rural area, Yeongi-gun, Choongcheongnam-do to Seoul City on an educational trip. Of the 199 children participating in the trip, 149 cases of food poisoning developed a 74.9% attack rate. The acute onset of symptoms, of abdominal pain, diarrhea, vomiting and headache which occurred 1-5 hours after eating their lunch suggests that the outbreak was due to staphylococcal food poisoning. The common source of food was identified as the lunch packed in a chip-box which were eaten on October 17 during the trip. Most probable kind of food of the lunch as the cause was the favoured fish paste. The lunch were prepared at restaurant A in Seoul City. One of the personnel of the restaurant had a unhealed cut wound on the third finger tip of the left hand, from which it was considered that the food was contaminated with Staphylococcus during preparation. The chance of multiplication of Staphylococcus to produce enterotoxin in the food might be existed during flavouring the food with some degree of heat, and also during about 10 hours elapsed before serving the food after preparation.

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Microspoum canis 감염원으로서의 애완동물 (Family Pets as a Source of Microspoum canis Infection)

  • 엠 팔;에스 엠 다히야;이창우
    • 한국임상수의학회지
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    • 제7권2호
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    • pp.521-525
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    • 1990
  • Microspoum canis에 감염된 개 및 고양이와 직접 접촉한 경험이 있는 5명의 환자를 조사하여 동물기생체로서의 이 진균의 중요성을 확인하였다. ring worm의 전형적인 병변은 신체의 노출된 부위에만 발생하였다. M. canis는 환자와 감염된 애완동물의 피부병변에서 분리되었으며 피부 시료로부터 직접 증명되었다. 그림에도 불구하고 비접촉군과 사물성환경으로 부터는 증명되지 않았다. 사람, 개 및 고양이에서 분리된 진균들은 육안적으로나 현미경적으로 서로 비슷한 형태를 나타내었다. 이 진균들의 유전학적 연구결과는 교배(-)형이었다. 동물기호성 표재성진균의 전염은 직접적인 접촉에 의해 자주 일어나는 것으로 사료된다. 이감염증에 대한 역학과 예방방법에 대해 고찰하였다.

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인천지역에서 발생한 설사환자 가검물중 식중독균인 Salmonella spp 분리에 관한 연구(1992~1997) (A study on the isolation of Salmonella spp from Patients with diarrhea in Inchon(1992~1997))

  • 김경호;고종명;정혜윤
    • 한국동물위생학회지
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    • 제22권3호
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    • pp.213-220
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    • 1999
  • In order to investigate the prevalence of Salmonella spp. from 1992 to 1997 in Inchon, 173 strains of Salmonella spp. were isolated from patients with diarrhea and analyzed them epidemiologically. The results obtained were as follows; 1. The yearly isolation rates were 34.68% (60 strains) in 1996, 20.80%(36 strains) in 1994, 18.50%(32strains) in 1997, 10.40%(18 strains) in 1992 and 9.83%(17 strains) in 1995 and 5.78%(10 strains) in 1993, in order. 2. The isolation rates based on specimen were 84.97%(147 strains) from feces, 14.45%(25 strains) from blood and 0.58%(1 strain) from pus. 3. The highest isolation rate based on age group was at twenties(25.43%) and four-ties(19.65%), fifties(19.08%), teens(15.03%) and thirties(10.98%), in order. 4. Based on the regional distribution, Nam-gu showed the highest isolation rate (20.80%) and followed by Namdong-gu(20.23%), Dong-gu(19.65%) and Yeansu-gu(0.58%), in order 5. Seasonally, the highest isolation rate was from May to September during the investigation. 6. The isolation rate in male(58.96%) was higher than that in female(41.04%).

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