• 제목/요약/키워드: sentinel surveillance

검색결과 21건 처리시간 0.027초

제주도 법정감염병 신고 현황: 2001~2019 (Status of national notifiable infectious diseases in Jeju Province, Korea: 2001~2019)

  • 김미나;장성률;김미야;배종면
    • Journal of Medicine and Life Science
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    • 제17권2호
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    • pp.53-59
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    • 2020
  • Jeju Province has unique geographical and climatologic characteristics compared with other areas in Korea. Thus it needs to evaluate the status of nationwide notifiable infectious diseases(NND) continuously. The aim was to conduct a descriptive study for NNDs in Jeju Province, 2001~2019. The source of data was on the Infectious Disease Statistics System operated by Centers for Diseases Control & Prevention in Korea between 1 September 2001 and 31 August 2019. When calculating the proportion of the sum of years showing a higher incidence in Jeju province than nationwide divided by the sum of comparing years, the NDD with the proportion of the sum of years over 75% in 2001~2019 included varicella and syphilis. The results support significant evidence to plan strategies and distribute community resources for the control and prevention of NND in Jeju Province, Korea.

한국 소아 A형 간염 현황 (Current status of hepatitis A virus infections in Korea)

  • 윤희상
    • Clinical and Experimental Pediatrics
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    • 제51권7호
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    • pp.690-695
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    • 2008
  • The age-specific anti-hepatitis A virus (HAV) seroprevalence rates in South Korea have changed markedly since the last 2030 years with an improvement in the socio-economic, housing, and environmental-sanitation conditions. These changes are characterized by very low anti-HAV seropositive rates among individuals less than 30 years of age; however, nowadays, most adolescents and young adults at an increased risk of developing symptomatic HAV infections. The Korea Center for Disease Control Sentinel Surveillance System has recently revealed an increase in the incidence of hepatitis A infection since 2001 and has revealed a potential endemic nature of the hepatitis A infection. Hepatitis A vaccines that were introduced in 1997 in Korea have made the current anti-HAV IgG positive rates in children (less than 10 years of age) approximately 50% of the rates observed in Seoul in 2006. However, in the same year, a few children were diagnosed as having anti-HAV IgG antibodies in Busan. This suggests the presence of some difference in the vaccination policy among doctors practicing in Seoul and Busan. Thus, the current recommendation of vaccinating 12-year-old child with HAV vaccination should be emphasized and a new strategy should be developed for the vaccination program to cater to the adolescents and young adults who are not immune, as well as for persons who are at a high risk for hepatitis A viral infection such as military personnel and hospital and day care center employees. Further, urgent hepatitis A vaccinations are also needed in patients with chronic liver diseases.

제주도 법정감염병 신고 현황: 2001~2018 (Status of national notifiable infectious diseases in Jejudo, Korea: 2011~2018)

  • 김미나;조은숙;김미야;배종면
    • Journal of Medicine and Life Science
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    • 제15권2호
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    • pp.79-83
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    • 2018
  • Jejudo has unique geographical and climatologic characteristics compared with other areas in Korea. The aim was to evaluate differences of the nationwide notifiable infectious diseases (NND) occurred in Jejudo, 2011~2018. The source of data was on the Infectious Disease Statistics System operated by Centers for Diseases Control & Prevention in Korea between 1 January 2001 and 30 September 2018. After calculating the proportion of sum of years showing a higher incidence in Jejudo than nationwide divided by sum of comparing years(PSYH), authors defined the infectious diseases for control in Jejudo (IDCJ) with PSYH over 75%. In addition, the infectious diseases showing increasing trends during recent 2 years(2015~2018) were defined as sudden increase Infectious diseases for control (SIDCJ). IDCJ in 2001~2018 included 3 NNDs such as chicken pox, syphilis, and Streptococcus pneumoniae. The results support main evidences to plan strategies and distribute community resources for control and prevention of NNDs in Jejudo, Korea.

자연살해세포와 항암면역치료 (Natural Killer Cell and Cancer Immunotherapy)

  • 김헌식
    • 한양메디칼리뷰
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    • 제33권1호
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    • pp.59-64
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    • 2013
  • Cancer remains the leading cause of death worldwide despite intense efforts in developing innovative treatments. Current approaches in cancer therapy are mainly directed to a selective targeting of cancer cells to avoid potential side effects associated with conventional therapy. In this respect, Natural killer (NK) cells have gained growing attention and are now being considered as promising therapeutic tools for cancer therapy owing to their intrinsic ability to rapidly recognize and kill cancer cells, while sparing normal healthy cells. NK cells play a key role in the first line of defense against transformed and virus-infected cells. NK cells sense their target through a whole array of receptors, both activating and inhibitory. Functional outcome of NK cell against target cells is determined by the balance of signals transmitted from diverse activating and inhibiting receptors. Despite significant progress made in the role of NK cells attack as a pivotal sentinel in tumor surveillance, the molecular has been that regulate NK cell responses remain unclear, which restricts the use of NK cells as a therapeutic measure. Accordingly, current efforts for NK cell-based cancer therapy have largely relied on the strategies that are based on the manipulation of inhibitory receptor function. However, if we better understand the mechanisms governing NK cell activation, including those mediated by diverse activating receptors, this knowledge can be applied to the development of optimal design for cancer immunotherapy by targeting NK cells.

YOLO를 이용한 SAR 영상의 선박 객체 탐지: 편파별 모델 구성과 정확도 특성 분석 (Ship Detection from SAR Images Using YOLO: Model Constructions and Accuracy Characteristics According to Polarization)

  • 임윤교;윤유정;강종구;김서연;정예민;최소연;서영민;이양원
    • 대한원격탐사학회지
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    • 제39권5_3호
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    • pp.997-1008
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    • 2023
  • 해상의 선박탐지는 다양한 방법으로 수행될 수 있는데, 위성은 광역적인 감시가 가능하고, 특히 합성개구레이더(Synthetic Aperture Radar, SAR) 영상은 주야간 및 전천후로 활용될 수 있다. 본 연구에서는 SAR 영상으로부터 효율적인 선박 탐지 방법을 제시하기 위하여, Sentinel-1 영상에 You Only Look Once Version 5 (YOLOv5) 모델을 적용하여 선박 탐지를 수행하고, 편파별 개별 모델과 통합 모델의 차이 및 편파별 정확도 특성을 분석하였다. 파라미터가 작고 가벼운 YOLOv5s와 파라미터가 많지만 정확도가 높은 YOLOv5x 두가지 모델에 대하여 각각 (1) HH, HV, VH, VV 각 편파별로 나누어 학습/검증 및 평가 그리고 (2) 모든 편파의 영상을 사용하여 학습/검증 및 평가를 실시한 결과, 네 가지 실험에서 모두 0.977 ≤ AP@0.5 ≤ 0.998의 비슷하면서 매우 높은 정확도를 나타냈다. 이러한 결과를 현업시스템의 관점에서 보면, 가벼운 YOLO 모델(YOLOv5s, YOLOv8s 등)로 4개 편파 통합 모델을 구축하는 것이 실시간 선박탐지에 효과적임을 시사하는 것이다. 이 실험에서 사용한 영상은 19,582장이었지만, Sentinel-1 이외에도 Capella, ICEYE 등 다른 SAR 영상을 추가적으로 활용한다면, 보다 더 유연하고 정확한 선박 탐지 모델이 구축될 수 있을 것이다.

지난 11년간 국내 HIV 감염 전파경로 및 발생추계 (The change of route of HIV transmission for the past 11 years in Korea and the projection of the HIV/AIDS cases to the year 2000)

  • 이순영
    • Journal of Preventive Medicine and Public Health
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    • 제29권2호
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    • pp.331-346
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    • 1996
  • Exploring the epidemiological trend of HIV/AIDS is required for making the national AIDS policy. In this study, the trend of HIV/AIDS incidence, rout of transmission and some characteristics of AIDS for the past 11 years in Korea using the reported cases from the national STD screening scheme were reviewed. Based on the results, the trend of main route of transmission according to the year was established by stage and the HIV/AIDS cases in this year was estimated and that to the year 2000 was projected by 'Epimodel' programme. The results were as follows : 1. Of the total infected persons, 76% were in their twenties and thirties, socioeconomically and sexually active age groups. While the transmission by sexual contact overseas was decreasing, the infection through domestic heterosexual and homosexual contact was increasing. 2. In the middle of the 1980's, the infected persons were mainly prostitutes infected through heterosexual contact with the HIV positive foreigner in this county(stage 1). And in the late of the 1980's the main source of infection was the sexual contact overseas and the domestic heterosexual contact(stage 2). Since the early of the 1990's, the infection through the heterosexual contact with non-regular sexual partner in this country has increased rapidly(stage 3), which was the evidence of the possibility of HIV epidemics. After that, it was expected that the infection through the homosexual contacts, the heterosexual contacts with commercial sex workers outside and the non-regular sexual contact inside of this country would increase continuously. In the result, the occurrence of neonatal infection by vertical transmission was expected(stage4). 3. The number of HIV/AIDS was estimated at 572 to 2,313 and the projected number of HIV/AIDS to the you 2000 was around 5,800 including 627 AIDS patients. For the further study on the estimation and projection of HIV/AIDS, it was suggested that the sampling survey on the HIV infection rate in the high risk groups and the sentinel hospital surveillance system should be conducted.

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2003-2004 절기 서울지역의 인플루엔자 바이러스 분리 및 아형 분석 (Analysis of Influenza Virus Isolates in Seoul during 2003-2004 Season)

  • 황영옥;이재인;서병태
    • 미생물학회지
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    • 제41권1호
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    • pp.53-59
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    • 2005
  • 인플루엔자바이러스는 거의 매년 겨울철에 유행을 일으키는 급성 호흡기 질환의 주요한 원인 바이러스중의 하나로 막대한 사회 경제적 손실을 가져온다. 본 실험은 2003-2004절기 동안 $38^{\circ}C$이상의 갑작스러운 발열과 더불어 기침 또는 인후통을 보이는 401명의 인플루엔자의사환자(ILI : Influenza-like illness) 검체로부터 124주의 인플루엔자바이러스를 분리하여 형 및 아형 분석과 그에 따른 유행양상을 분석하였다. 인플루엔자 의사환자 연령별 분포를 살펴보면 20-49세의 성인층의 환자수가 $23\%$로 가장 많았으며, 바이러스 분리율은 7-19세의 학령기에서 $50\%$로 가장 높았다. 분리된 인플루엔자바이러스 124주 중 A/H3N2 type는 83주, Type B는 41주였다. 지역별 인플루엔자 의사환자 발생율은 노원구, 서초구, 강남구의 발생율이 타 지역에 비해 비교적 높았으며 바이러스 분리율은 용산구 $66.7\%$, 강남구 $50.0\%$, 노원구 $39.9\%$, 강북구 $36.8\%$ 서초구 $27.8\%$, 동작구 $21.2\%$ 순이었다. 인플루엔자 의사환자의 예방접종현황조사결과 접종을 받았음에도 불구하고 인플루엔자 의사환자로 보고된 경우가 $40\%$였으며, 접종율은 20-49세 성인층이 가장 높았다. 이와 같은 인플루엔자 실험실 표본감시체계 결과의 분석을 통하여 새로운바이러스형 출현을 감시하며, 현행 예방백신의 효과 및 유행양상을 예측하여 국가 인플루엔자 관리대책을 수립하는데 활용하고자 한다.

서식환경에 따른 모기 분포조사(2016-2018) (Seasonal Distribution of Mosquitoes According to Habitat Environment (2016-2018))

  • 박근호;김성일;조성우;조선란;이승주;김현경;구현나;이욱교;조신형;김길하
    • 한국응용곤충학회지
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    • 제57권4호
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    • pp.381-392
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    • 2018
  • 3년간(2016-2018년) 청주지역에서 채집된 모기의 발생분포를 채집지 3곳(주거지와 철새도래지, 축사)에서 2종의 트랩(BL트랩과 BG트랩)을 이용하여 비교 조사하였다. 주거지에서 가장 많이 채집된 모기 종은 빨간집모기였으며, 철새도래지와 축사에서는 금빛숲모기가 가장 많이 채집되었다. 철새도래지와 주거지에서는 BG트랩이 BL트랩보다 모기가 더 많이 채집되었으나 축사에서는 BL트랩에서 더 많은 모기가 채집되었다. 빨간집모기와 흰줄숲모기, 큰검정들모기는 BG트랩에서 많이 채집되었고 금빛숲모기, 얼룩날개모기류, 동양집모기는 비교적 BL트랩을 선호하는 것으로 조사되었다. 채집된 모기를 분류 동정한 결과 2016년에는 10종 22,679개체가 채집되었고, 2017년에는 8종 6,502개체가 채집되어 2016년보다 3.49배 감소하였다. 2018년에는 6,803개체가 채집되어 2016년보다 3.33배 감소하였다. 이러한 결과가 강수량과 관련이 있을 것으로 보이며 기상조건과 여러 변인들(채집지역과 모기종류, 트랩종류)에 의한 모기밀도와의 관련성을 비교한 결과 특정 관련성을 확인할 수는 없었다. 채집된 모기의 병원체 감염을 확인한 결과, 2016년도 축사에서 채집한 금빛숲모기 2개 pool, 2018년에 축사에서 채집한 빨간집모기 1개의 pool에서 차오양바이러스(chaoyang virus)가 검출되어 각각 0.088와 0.147의 최소감염율(MIR)을 보였다. 2017년에는 바이러스가 검출되지 않았다.

2017-2018, 2018-2019 절기 제주 지역 소아 인플루엔자의 역학적 특성 (Epidemiological Characteristics of Influenza in Children during the 2017-2018 and 2018-2019 Influenza Seasons in Jeju, Korea)

  • 김윤주;최영준;최재홍
    • Pediatric Infection and Vaccine
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    • 제27권3호
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    • pp.171-179
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    • 2020
  • 목적: 제주 지역에서 2017-2018 절기와 2018-2019 절기에 소아 연령에서 인플루엔자의 역학에 대해 알아보고자 하였다. 이에 더하여 국내 인플루엔자 표본감시체계와 비교하여 그 대표성을 확인해보고자 하였다. 방법: 2017-2018, 2018-2019 각각의 절기에 제주대학교 병원에 방문하여 인플루엔자 검사를 시행 받은 13세 미만의 소아를 대상으로 하였다. 의무기록을 통하여 대상 환자들의 인구학적 자료, 인플루엔자 검사 결과를 후향적으로 분석하였다. 결과: 총 5,219명의 인플루엔자 의사환자가 연구 대상자로 포함되었다. 전체적으로 연구 대상자의 평균 나이는 2.85±2.79세 였고, 두 절기 모두 인플루엔자 의사환자는 1세 연령 그룹이 가장 많았다. 인플루엔자 감염이 확인된 소아는 총 902 (17.3%) 명이었다. 2017-2018 절기에는인플루엔자 A형의양성률은 10.4% (236/2,279), 인플루엔자 B형의양성률은 9.1% (208/2,279) 이었다. 2018-2019 절기에는 인플루엔자 A형의 양성률은 10.3% (303/2,940), 인플루엔자 B형의 양성률은 5.3% (155/2,940) 이었다. 인플루엔자 환자의 평균 연령은 2017-2018 절기에는 4.09세, 2018-2019 절기에는 5.05세로 통계적으로 유의한 차이를 보였다 (P<0.05). 인플루엔자의 주별 분포는 국내 임상감시시스템의 인플루엔자 의사환자와 유사한 형태로 나타났다.결론: 제주 지역에서 2017-2018 절기와 2018-2019 절기 사이에 인플루엔자 유행 양상과 연령 분포의 뚜렷한 차이를 보였다.국내 다른 지역과의 역학적 특성과 비교하여 제주 지역 고유의 인플루엔자 역학에 대한 지속적인 연구가 필요하다.

Serological evidence of Anaplasma spp., Borrelia burgdorferi and Ehrlichia canis in dogs from the Republic of Korea by rapid diagnostic test kits

  • Miranda, Evelyn Alejandra;Han, Sun-Woo;Rim, Ji-Min;Cho, Yoon-Kyoung;Choi, Kyoung-Seong;Chae, Joon-Seok
    • Journal of Veterinary Science
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    • 제23권2호
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    • pp.20.1-20.8
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    • 2022
  • Background: Emergent and re-emergent canine tick-borne infections are attracting increasing attention worldwide. The rise in pet ownership and the close relationship between dogs and their owners are the most concerning factors because dogs may act as competent reservoirs for human tick-transmitted infectious agents. Objectives: This study contributes to the epidemiological surveillance of canine tick-transmitted infections with zoonotic risk in the Republic of Korea (ROK) by investigating the seroprevalence of the pathogens, Anaplasma spp., Borrelia burgdorferi, and Ehrlichia canis. Methods: Four hundred and thirty whole blood samples from domestic dogs were collected in seven metropolitan cities and nine provinces in the ROK and tested using SensPERT Ab test kits (VetAll Laboratories®) to detect seroreactive animals. Results: The seroprevalence rates identified were 9.8% (42/430) for Anaplasma spp., 2.8% (12/430) for B. burgdorferi, and 1.4% (6/430) for E. canis. The risk factors evaluated in this study that could be associated with the development of a humoral immune response, such as sex, age, and history of tick exposure, were similar. There was only one exception for dogs seroreactive to Anaplasma spp., where the risk factor "tick exposure" was statistically significant (p = 0.047). Conclusions: This serological survey exhibited the widespread presence of Anaplasma spp., B. burgdorferi, and E. canis throughout the ROK. Hence, dogs may play a key role as the sentinel animals of multiple zoonotic infectious agents in the country.