• 한국동물위생학회지
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• 제34권2호
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• pp.133-138
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• 2011

The prevention of porcine respiratory disease complex (PRDC) is very important because of its high infection-rates in the swine farms and the economic impact in swne industry in Korea. To control the prevalence of PRDC, it is important to know about infection patterns of it. Therefore, this study aimed to investigate the infection patterns of PRDC in the northern area of Gyeongsangnam-do. To this end, the infection of porcine reproductive and respiratory syndrome virus (PRRSV), porcine circovirus type 2 (PCV2), Actinobacillus pleuropneumoniae (APP), Mycoplasma hyopneumoniae (MH), and Swine influenza virus (SIV) were examined using 120 pig lung tissues by PCR analysis. As a result, single pathogen positive specimens were 25.0% and the others (75.0%) were turned out to be PRDC with at least two pathogens. Among PRDCs, 50 specimens (41.7%) was infected with PRRSV, PCV2, MH and SIV. Ten specimens (8.3%) showed triple infections of PRRSV, PCV2 and MH. Double infected specimens for PRRSV and PCV2 were 10 (8.3%), and for PCV2 and APP were 20 (16.7%).

• 한국의학물리학회지:의학물리
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• 제26권3호
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• pp.127-136
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• 2015

본 연구의 목적은 진폭 기반 호흡연동 체적변조회전방사선치료의 선량학적인 평가를 하고자 한다. 이 치료를 받은 환자의 호흡 Log 파일을 획득하여 분석하였으며, 4D CT 호흡 형태의 40%~60% 위상 영상 구간 진폭을 기준으로 치료 Log 파일 호흡 진폭의 구간이 4D CT의 진폭 구간과 일치하는 호흡 형태(CBP)와 일치하지 않는 호흡 형태(IBP)로 구분하였다. 상대적인 등선량 분포는 EBT3 필름을 사용하여 측정하였으며, 절대 선량 측정은 PTW $0.6cm^3$ 이온전리함을 이용하여 측정하였다. 감마 인덱스 3%/3 mm을 적용한 환자 1, 2, 3의 CBP 호흡인 경우 각각 93.18%, 91.16%, 95.46%이며, 환자 1, 2, 3의 IBP 호흡인 경우 각각 66.77%, 48.79%, 40.36%으로 분석되었다. 또한 감마 인덱스 2%/2 mm을 적용한 환자 1, 2, 3의 CBP 호흡인 경우 각각 73.05%, 67.14%, 86.85%이며, IBP 호흡인 경우 각각 46.53%, 32.73%, 36.51%으로 분석되었다. 모든 CBP호흡인 경우의 이온전리함 측정값은 치료계획 시스템에서 계산된 값과 평균 3.5% 이내로 일치하였으며, 정적인 팬톰 조사와의 차이는 평균 2.0% 이내로 일치하였다. 환자 3의 IBP 호흡인 경우 이온전리함 측정값과 계산된 값과의 차이가 평균 56%로 큰 차이를 보였다. 이는 4D CT의 진폭 구간과 치료시의 진폭 구간의 차이가 크기 때문인 것으로 사료되며, 4D CT 모의 치료시와 환자 치료시의 진폭의 크기를 일정하게 유지하는 것이 중요하다고 판단된다.

• 대한한방내과학회지
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• 제35권3호
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• pp.274-287
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• 2014

Objectives: This study was aimed to figure out an agreement between the diagnosis of nasal endoscopy and a preexisting questionnaire focusing on Cold-Heat pattern. Methods: 52 patients with cough who met the criteria filled out a pattern questionnaire and the examiner looked at their nasal cavities through nasal endoscopy. According to the checked questionnaire results, the subjects were identified by 6 patterns. After examining subject's mucous membrane of oropharynx and nasal cavity through nasal endoscopy, we classified each to the Cold or Heat group. Correlation between questionnaire and nasal endoscopy results was analyzed. Results: In diagnosing Cold-Heat, there was no significant difference by McNemar test (p=0.227) between nasal endoscopy and the questionnaire, and the two methods agreed moderately (${\kappa}=0.428$). The color of mucous membrane of oropharynx and the Cold-Heat pattern on questionnaire agreed slightly (${\kappa}=0.133$). The color of mucous membrane of nasal cavity and the Cold-Heat pattern on questionnaire agreed fairly (${\kappa}=0.384$). In the patients with cough related to upper respiratory tract, they got higher diagnosis accuracy than the patients with cough related to lower respiratory tract did. Similarly, external cough patients got higher diagnosis accuracy than internal cough patients did. Conclusions: To identify Cold or Heat, examining oropharynx and nasal cavity using nasal endoscopy is a meaningful method in patients with cough, showing that two diagnosis methods which use nasal endoscopy and questionnaire agreed moderately. Especially, it is more useful diagnosing patients with cough related to the upper respiratory tract than diagnosing the patients with cough related to the lower respiratory tract.

• 보건행정학회지
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• 제16권2호
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• pp.49-76
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• 2006

The aim of this study was to explore the effects of a computerized review program which was introduced in August 1, 2003, using claims data for acute respiratory infection related diseases. National Health Insurance (NHI) claims data on respiratory infection related diseases before and after the introduction, with six month intervals respectively, were used for the analysis. Clinic was the unit of observation, and clinics with only one physician whose specialty was internal medicine, pediatrics, otorhinolaryngology and family medicine and clinics with a general practitioner were selected. The final sample had 7,637 clinics in total. Indices used to measure practice pattern was prescription rates of antibiotics, prescription rates of injection drug per visit, treatment costs per claim, and total costs per claim. Changes in the number of claims for major disease categories and upcoding index for disease categories were used to measure claiming behavior. Data were analysed using descriptive analysis, t-test for indices changes before and after the introduction, analysis of variance (ANOVA) for practice pattern change for major disease categories, and multiple regression analysis to identify whether new system influenced on provider' practice patterns or not. Prescription of antibiotics, prescription rates of injection drug, treatment costs per claim, and total costs per claim decreased significantly. Results from multiple regression analysis showed that a computerized review system had effects on all the indices measuring behavior. Introduction of the new system had the spillover effects on the provider's behavior in the related disease categories in addition to the effects in the target diseases, but the magnitude of the effects were bigger among the target diseases. Rates of claims for computerized review over total claims for respiratory diseases significantly decreased after the introduction of a computerized review system and rates of claims for non target diseases increased, which was also statistically significant. Distribution of the number of claims by disease categories after the introduction of a computerized review system changed so as to increase the costs per claims. Analysis of upcoding index showed index for 'other acute lower respiratory infection (J20-22)', which was included in the review target, decreased and 'otitis media (H65, H66)', which was not included in the review target, increase. Factors affecting provider's practice patterns should be taken into consideration when policies on claims review method and behavior changes. It is critical to include strategies to decrease the variations among providers.

• 한국엔터테인먼트산업학회논문지
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• 제14권7호
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• pp.581-587
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• 2020

많은 요추 불안정성 환자들은 호흡 기능 감소와 호흡 패턴 변화로 인해 몸통 움직임 패턴의 변화를 나타낸다. 본 연구는 요추 불안정성 환자의 호흡 패턴 교정 운동 후 안정 및 노력성 호흡 동안 3개의 흉·복부 둘레 선 (겨드랑이, xiphoid junction, 10번째 갈비뼈)에 대한 사용률 변화를 조사하기 위해 실행하였다. 실험군 15명은 호흡 패턴 교정 운동을, 대조군 15명은 요추 안정화 운동을 실시했다. 중재 전, 두군 모두 안정 호흡과 노력성 호흡 동안 3개의 흉·복부 라인 간의 사용률에서 유의한 차이를 보였다(p<.05). 중재 후, 실험군은 안정 호흡 동안에 3 라인간 사용률 차이가 없는(p>.05) 변화를 나타내었고 노력성 호흡 동안에 두 라인 간 사용률의 변화를 나타내었다(p<.05). 호흡 패턴 교정 운동은 호흡 패턴의 회복을 통해 몸통 운동 패턴을 개선하였다. 따라서 우리는 호흡 패턴 교정이 요추 불안정성 환자를 위한 재활-프로그램의 재교육 및 강화 과정에 적용될 수 있음을 제안한다.

• 생명과학회지
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• 제19권10호
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• pp.1451-1455
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• 2009

Porcine cytomegalovirus (PCMV) is a betaherpesvirus which causes reproductive failure in breeding sows and generalized infection in newborn piglets. It has worldwide distribution including Korea. Serological survey on this virus has been reported in 76.3% of pigs, but virological survey and epidemiological analysis on PCMV distribution have been reported in only a few papers in Korea. In this study, we investigated the virological prevalence and infection status of PCMV on a farm level in selected swine farms with respiratory diseases. A total of 1,938 blood samples taken from groups of pigs of different ages were collected from 31 farms distributed nationwide in 2006 and 2007 and tested by PCR to detect the presence of PCMV. Virological prevalence at farm level and pig level were 96.8% and 17.5%, respectively, suggesting that PCMV has endemically infected Korean pig herds. The prevalence at farm level in gilts, sows and suckling piglet groups were 16.7%, 36.7% and 56.7%, indicating that vertical infections frequently occurred in conception or newborn stage. Thereafter, detection rates of PCMV were slightly increased in pig groups aged 40 and 70 days (70.0% and 73.3%), and then gradually decreased as they aged - 33.3% in 100, 26.7% in 130 and 16.7% in 160 day old pig groups. The prevalence at pig level has similar patterns to that at farm level. With the passage of time, the variation of infection patterns of PCMV was investigated in four PCMV-positive farms. Three blood samples were collected at intervals of 6 months in each farm, and examined for presence of PCMV using PCR. The results revealed that once PCMV was introduced to the pig farms, it continuously circulated between and within groups of sows and piglets in those farms. Taken together, it can be concluded that PCMV has endemically infected Korean pig farms and has the potential risk for emerging pathogen in combination with the known endemic pathogens including porcine reproductive, respiratory syndrome virus and porcine circovirus type 2. Therefore, more research is needed on diagnosis, epidemiology and control strategy for PCMV on the field.

• Tuberculosis and Respiratory Diseases
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• 제82권2호
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• pp.143-150
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• 2019

Background: The purpose of this study was to analyze the relationship between the gene mutation patterns by the GenoType MTBDRplus (MTBDRplus) assay and the phenotypic drug susceptibility test (pDST) results of isoniazid (INH) and prothionamide (Pto). Methods: A total of 206 patients whose MTBDRplus assay results revealed katG or inhA mutations were enrolled in the study. The pDST results were compared to mutation patterns on the MTBDRplus assay. Results: The katG and inhA mutations were identified in 68.0% and 35.0% of patients, respectively. Among the 134 isolated katG mutations, three (2.2%), 127 (94.8%) and 11 (8.2%) were phenotypically resistant to low-level INH, high-level INH, and Pto, respectively. Among the 66 isolated inhA mutations, 34 (51.5%), 18 (27.3%) and 21 (31.8%) were phenotypically resistant to low-level INH, high-level INH, and Pto, respectively. Of the 34 phenotypic Pto resistant isolates, 21 (61.8%), 11 (32.4%), and two (5.9%) had inhA, katG, and both gene mutations. Conclusion: It is noted that Pto may still be selected as one of the appropriate multidrug-resistant tuberculosis regimen, although inhA mutation is detected by the MTBDRplus assay until pDST confirms a Pto resistance. The reporting of detailed mutation patterns of the MTBDRplus assay may be important for clinical practice, rather than simply presenting resistance or susceptibility test results.

• 대한한방내과학회지
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• 제36권1호
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• pp.22-39
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• 2015

Objectives : The aim of this study was to develop a standard tool of pattern identification for chronic cough, which will be applied to clinical research. Methods : The items and structures of the instrument were based on reviews of textbooks and published literature. The advisor committee on this study consisted of 11 Korean respiratory internal medicine professors, one clinical fellow, and five clinicians with 10 years of experience. The questionnaire, which includes the signs and symptoms of chronic cough, was studied by the delphi method. Delphi examination was carried out via email, through evaluating the importance of symptoms included in each pattern. Results : We divided the pattern identification of chronic cough into five patterns: Wind-Cold, Phlegm-Turbidity, Liver-Fire, Lung Deficiency, and Kidney Yang Deficiency. By the Delphi method and a score evaluation, 38 items were chosen for pattern identification of chronic cough. Conclusions : Through this study, we created a Korean instrument for the pattern identification tool for chronic cough. We expect to apply this tool to subsequent research as its validity and reliability are further confirmed.

• Clinical and Experimental Pediatrics
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• 제61권6호
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• pp.180-186
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• 2018

Purpose: Despite the availability of molecular methods, identification of the causative virus in children with acute respiratory infections (ARIs) has proven difficult as the same viruses are often detected in asymptomatic children. Methods: Multiplex reverse transcription polymerase chain reaction assays were performed to detect 15 common respiratory viruses in children under 15 years of age who were hospitalized with ARI between January 2013 and December 2015. Viral epidemiology and clinical profiles of single virus infections were evaluated. Results: Of 3,505 patients, viruses were identified in 2,424 (69.1%), with the assay revealing a single virus in 1,747 cases (49.8%). While major pathogens in single virus-positive cases differed according to age, human rhinovirus (hRV) was common in patients of all ages. Respiratory syncytial virus (RSV), influenza virus (IF), and human metapneumovirus (hMPV) were found to be seasonal pathogens, appearing from fall through winter and spring, whereas hRV and adenovirus (AdV) were detected in every season. Patients with ARIs caused by RSV and hRV were frequently afebrile and more commonly had wheezing compared with patients with other viral ARIs. Neutrophil-dominant inflammation was observed in ARIs caused by IF, AdV, and hRV, whereas lymphocyte-dominant inflammation was observed with RSV A, parainfluenza virus, and hMPV. Monocytosis was common with RSV and AdV, whereas eosinophilia was observed with hRV. Conclusion: In combination with viral identification, recognition of virus-specific clinical and laboratory patterns will expand our understanding of the epidemiology of viral ARIs and help us to establish more efficient therapeutic and preventive strategies.

• Tuberculosis and Respiratory Diseases
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• 제67권5호
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• pp.409-412
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• 2009

Background: Several large outbreaks have demonstrated the threat of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in close-contact environments, such as occurs during training and quartering of military recruits training. In South Korea, which is a hospital or healthcare-associated MRSA prevalent area, military service is compulsory for all healthy young men. We surveyed and determined the extent of CA-MRSA colonization in the upper respiratory tracts of Korean military recruits. Methods: The Korean military recruits who were enrolled in a military training facility from November 2004 to March 2005 were eligible for this study. Sputum or nasopharyngeal swap was obtained from randomly selected subjects who displayed upper respiratory tract symptoms. Results: Of the 181 participants, 32 participants (17.7%) were colonized with S. aureus, and 12 participants (6.6%) were colonized with MRSA. Among the cases that were colonized with S. aureus, 37.5% (12/32) were colonized with MRSA. Antimicrobial susceptibility testing showed resistant patterns that were suggestive of the CA-MRSA strains for all of the MRSA isolates. Conclusion: This study of Korean military recruits found a great deal of showed MRSA colonization in them, and the antimicrobial resistant profile that was suggestive of a CA-MRSA strain. Further efforts to prevent the spread of MRSA infections and careful monitoring for CA-MRSA outbreaks are warranted, especially in a high risk group such as military recruits.