• 대한수의사회지
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• 제47권8호
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• pp.714-717
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• 2011

• 농촌의학ㆍ지역보건
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• 제15권1호
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• pp.15-20
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• 1990

• 보건세계
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• 제51권10호통권578호
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• pp.22-24
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• 2004

무더운 여름 뒤에 오는 쾌적한 가을철에는 전염성 질환이 줄어들고 건강 유지가 비교적 쉽다. 그러나 야외 나들이 기회가 많아져 뱀이나 벌, 해충에 물리는 일이 많고 마른풀이나 잡초를 통해 전염되는 신증후(유행성)출혈열, 쯔쯔가무시증, 렙토스피라증 같은 `급성 열성 풍토병`이 가을철에 드물지 않게 생긴다. 가을철에 주의해야 할 질환과 치료법을 알아본다.

• 농촌의학ㆍ지역보건
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• 제44권1호
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• pp.1-10
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• 2019

이 연구는 국내의 대표적인 가을철 발열성 질환으로 고위험군 중 재배농업인을 대상으로 선택하여 가을철 발열성 질환에 감염실태와 위험요인, 인지도을 조사하여 질병에 대한 증거기반에 전략을 제공하고자 이 연구를 수행하게 되었다. 농업인 감염병 실태조사 방법은 지역사회에 일부 재배농업인 841명을 혈청학적 검사와 설문조사를 시행하였고, 혈청학적 기준은 수동혈구응집법과 면역크로마토그래피법으로 시행되었다. 혈청감염에 영향을 주는 일반적 특성으로는 쯔쯔가무시증이 나이가 증가할수록 혈청반응이 증가하였고, 렙토스피라증은 과거병력과 가족병력이 혈청반응이 유의하게 높았다. 그리고 신증후군출혈열은 종사기간이 증가할수록 혈청반응이 증가하였다. 또 다른 결과로는 혈청감염에 영향을 미치는 위험요인으로는 쯔쯔가무시증은 진드기에 물린 적이 있는 경우 혈청반응이 높았고, 렙토스피라증은 과수재배 관련된 일을 하는 경우 혈청반응이 높았다. 또한 신증후군출혈열은 비닐하우스 관련된 일을 한 적이 있는 경우 혈청반응이 높았다. 결론적으로 취악한 직업인 재배농업인 감염병에 대한 인식 형성 할 수 있도록 정부에서 효율적이고 효과적인 방법을 개발해야 할 것이다. 그리고 질병에 대한 조기 발견과 치료로 합병증 없이 건강한 삶을 살 수 있도록 주민들 인식에 영향을 줄 수 있는 교육과 홍보 그리고 질병 특성에 맞는 특정 예방 전략을 개발해야 할 것으로 생각한다.

• Journal of Yeungnam Medical Science
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• 제28권1호
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• pp.54-59
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• 2011

Leptospirosis is a spirochetal infectious disease caused by $Leptospira$ $interrogans$, and may vary in degree from an asymptomatic infection to a severe and fatal illness. The kidney is one of the principal target organs of $Leptospira$. Renal disorders caused by $Leptospira$ infection vary from an abnonnality in urinalysis to acute kidney injury (AKI). Incidence of AKI in severe leptospirosis varies from 40% to 60%. AKI reflects the severity of leptospirosis and is generally accompanied by cholestatic jaundice. The pathophysiology of AKI in leptospirosis consists of hypovolemia, direct tubular toxicity, and rhabdomyolysis. Most patients with acute leptospirosis experience severe myalgias, and show laboratory evidence of mild rhabdomyolysis. However, occurrence of severe rhabdomyolysis is rare. We report here on a patient with leoptospirosis, who had severe rhabdomyolysis and acute kidney injury without jaundice.

• 농촌의학ㆍ지역보건
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• 제19권2호
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• pp.119-128
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• 1994

This study was performed on 302 cases of leptospirosis, tsutsugamushi disease and hemorrhagic fever with renal syndrome(HFRS) which occurred in Chonnam(Do) in 1991 through 1993. The results were as follows : 1. 81.8% of the patients with Leptospirosis and 54.5% of the HFRS patients were men while 61.4% of the patients with tsutsugamushi disease were women. 2. Most patients lived in rural areas(Gun), their educational level was elementary School or lower and their occupations were either farmer or jobless. 3. Peak ages were 40s for leptospirosis(36.4%) and 50s for tsutsugamushi disease and HFRS(32.9% and 36.4% respectively). 4. The high incidence areas of tsutsugamushi disease were northern, eastern and a diagonal line, from northeast to southwest, of the Chonnam area, and these are consistent with a mountainous district. 5. In monthly distribution leptospirosis was higher in Sep. and Oct., and tsutsugamushi disease and HFRS were higher in Oct. and Nov. 6. The first case is occurring and the last case shows up later than in past years.

• 대한미생물학회지
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• 제21권2호
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• pp.181-189
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• 1986

To apply ELISA to serodiagnosis of leptospirosis with killed whole cells from Leptospira interrogans serovars mwogolo (Mwogolo), copenhageni (M-20), WH-20, autumnalis (Akiyami A), cynopteri (3522 C), australis (Bacillico) and Leptospira biflexa serovar patoc (patoc 1), sensitivity and specificity was evaluated. The reactivity of IgM and IgG antibody in the sera from patients with leptospirosis, hemorrhagic fever with renal syndrome and other febrile disease and normal healthy control to the killed whole cells was analysed. The results were summarized as follows. 1. The reactivity (absorbance at 492mn) of IgM and IgG to L. mwogolo antigen in the sera of pattients with leptospirosis were $1.414{\pm}0.370$, $1.242{\pm}9.554$ respectively: hemorrhagic fever with renal syndrome, $0.329{\pm}0.131$, $0.239{\pm}0.126$; other febrile disease, $0.196{\pm}0.071$, $0355{\pm}0.141$; normal healthy control, $0.136{\pm}0.016$, $0.208{\pm}0.077$. 2. The reactivity of IgM and IgG to L. copenhageni, WH-20, L. autumnalis, L. cynopteri and L. anstralis antigens were similar to that to L. mwogolo antigen, but that to L. biflexa antigen was not discriminated among above disease. 3. Correlation coefficient between the MAT titer and ELISA OD (IgM) to the above antigens was in the range of 0.071-0.518. 4. As absorbance above 0.60 was determined positive for the diagnosis of leptospirosis, the sensitivity and specificity of IgG was 25-89% and 91-96% respectively. And those of IgM was 98-100% and 89-100% except L. biflexa (29%) respectively.