• 제목/요약/키워드: Adult disease

검색결과 1,293건 처리시간 0.045초

양송시기(兩宋時期)의 소아과학(小兒科學)에 관한 연구 (The Medical Study about the Development of Pediatrics for Song(宋) Dynasty)

  • 박현국;김기욱;이영석
    • 대한한의학원전학회지
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    • 제21권2호
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    • pp.1-20
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    • 2008
  • The Song Dynasty(宋代) period gained the summit in the developmental phase of the history in pediatrics. In 1076, Taeuiguk(太醫局) was founded and Sobangmaek(小方脈) was the one of nine branch in Taeuiguk(太醫局). As a result, educational agency and system was arranged in the field of pediatrics. At the same time, pediatrics have furnished with foundation to develop independent field in medical science. Especially, Byeonjeungnonchi(辦證論治) system is established in pediatrics science according to the compilation of "Soayakjeungjikgyeol(小兒藥證直訣)" by Jeoneul(錢乙). Children's doctors, Jeoneul(錢乙), Jinmunjung(陳文中) and Donggeup(董汲) arranged clinically theories, so they made that age the peak of the pediatrics. Looking at the developmental part of theory in pediatrics of the Song Dynasty period, Jeoneul(錢乙), who was the representative children's doctor in Song Dynasty period, insisted that children had formed Ojang-yukbu(五臟六腑) in the physiological part but they were not perfect like adult's. Therefore they had to consider the poor part in children's body, and then they had to cure them. 'Byeonjeung(變蒸)' was considered to be normal physiological phenomenon. Also he insisted that Yukeum(六淫), 'Pung, Han, Seo, Seup, Jo, Hwa(風, 寒, 暑, 濕, 燥, 火)' and 'Gyeong, Pung, Gon, Cheon, Heo(驚, 風, 困, 喘, 虛)' are the main cause of the children's five vital organ's pathology Like this, his academic thought, which lay emphasized on children's spleen and stomach and Ojangbyeonjeung(五臟辦證) main principles, affected on doctors, Donggeup(董汲), Yeomhyochung(閣孝忠), Yubang(劉肪), Jang-wonso(張元素), Idong-won(李東垣), Manjeon(萬全). Bangje(方劑) fields of pediatrics had developed so fast and "Taepyeongsunghyebang(太平聖惠方)" contained about 2689 kinds of children's prescription. According to this, there are so many kinds of medicinal shape, for example 'Hwan, San, Go, Dan(丸, 散, 膏, 丹)', which cured children' s disease. Through this, we find that the shape of medicine about the children's diseases had developed to the more simple direction, taking account of the children's clinical trait.

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약용식물 메탄올 추출물의 항산화 및 항당뇨 활성 (Anti-Oxidative and Anti-Diabetic Effects of Methanol Extracts from Medicinal Plants)

  • 이연리;윤나라
    • 한국식품영양과학회지
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    • 제44권5호
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    • pp.681-686
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    • 2015
  • 약용식물 23종 메탄올 추출물의 폴리페놀 함량을 측정한 후 항산화 활성을 측정하고, 항당뇨 활성으로는 ${\alpha}$-amylase 저해 활성, ${\alpha}$-glucosidase 저해 활성을 검정하여 혈당강하 활성을 나타낼 수 있는 약용식물을 선발하고자 한다. 약용식물의 폴리페놀 함량을 분석한 결과 1.50~15.25 mg GAE/g의 다양한 함량 범위로 나타났으며 가장 높은 함량은 주목열매(15.25 mg GAE/g), 화살나무줄기(15.12 mg GAE/g), 두충잎(14.24 mg GAE/g)으로 3종이 나타났다. 60% 이상 DPPH 라디칼 소거능을 본 약용식물로는 두충 줄기수피(80.10%), 구기자나무 뿌리(64.25%), 화살나무 줄기(73.59%), 비수리(78.20%), 주목열매(70.52%), 뽕잎나무 잎줄기(67.81%) 부위 추출물로 6종이 선발되었다. ${\alpha}$-Glucosidase를 80% 이상 저해한 약용소재로는 두충 줄기심재, 두충 줄기수피, 화살나무 줄기, 마, 율무, 녹두 6종이 선발되었다. ${\alpha}$-Amylase를 80% 이상 저해한 약용식물로는 칡뿌리, 두충 줄기수피, 두충잎, 구기자 열매, 화살나무 잎줄기, 화살나무 줄기, 조릿대 지상부, 마, 뽕잎나무 잎줄기 추출물 등 9종이 선발되었다. 항산화 및 항당뇨 활성이 우수했던 약용식물들은 향후 새로운 의약품 개발 및 성인병 예방의 건강기능식품으로 개발하는 데 있어 좋은 기초자료로 활용될 것으로 기대된다.

20세 이상 남녀의 일상 식이중 이소플라본 섭취와 혈압, 혈중 지질과의 관련성 (A Study on Relation among Habitual Isoflavone Intake, Blood Pressure, and Serum Lipid Parameters in Korean Men and Women over 20 Years Old)

  • 최미경;김미현;승정자;이원영;박정덕
    • 대한지역사회영양학회지
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    • 제10권4호
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    • pp.493-500
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    • 2005
  • There is some evidence that soy isoflavone has beneficial effects on the concentration of blood lipids. In this study, we investigated habitual isoflavone intake levels and the relation among dietary isoflavone intake, blood pressure, and blood lipids of adult men (n = 149) and women (n = 205). Anthropometric measurements including blood pressure, dietary in-take assessment using 24-hour recall method, and biochemical assessment using blood were conducted. The average age, height, weight, and BMI were 54.7 years, 168.5 cm, 67.3 kg, and 24.5 $kg/m^2$ for men and 53.9 years, 153.8 cm, 59.2 kg, and 25.0 $kg/m^2$ for women, respectively. The mean daily intakes of total food and energy were 1219.1 g and 1740.9 kcal for men and 1071.3 g and 1432.6 kcal for women, respectively. The mean daily isoflavones (daidzein + genistein) intake of men and women were 20.0 mg and 14.2 mg, respectively. Blood pressure of the subjects was 128.3/75.5 mmHg for men and 124.1/73.7 mmHg for women. Serum lipids of men and women were 180.2 and 184.9 mg/dL for total cholesterol, 160.8 and 137.6 mg/dL for triglyceride, 41.5 and 44.7 mg/dL for HDL-cholesterol, 106.6 and 112.7 mg/dL for LDL-cholesterol, and 3.5 and 3.3 for atherogenic index, respectively. Serum triglyceride and atherogenic index of men were significantly higher than those of women. In men, isoflavone intake and the level of total serum cholesterol were negatively (p < 0.05) correlated, after adjusted age. In women, there were significant correlations between isoflavone intake and blood pressure (systolic and diastolic), after adjusted age (p < 0.05). Based on these results, we concluded that higher isoflavone intake seemed to be related to a better lipid profile in men and lower blood pressure in women. But more epidemiological studies and controlled clinical trials would help to confirm the optimal amount required for the prevention and treatment of cardiovascular disease.

위하수와 비만도의 비교 분석 (Comparative Analysis of the Gastroptosis and Degree of Obesity)

  • 박명제
    • 대한방사선기술학회지:방사선기술과학
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    • 제29권4호
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    • pp.261-265
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    • 2006
  • 본 연구는 위하수가 비만도에 따른 상관관계를 분석하여 오래 전부터 알려 지고 있는 여성일수록, 마른 체형일수록, 체중이 낮을수록 많다는 것을 현재 시점에서 비교 분석하고자 한다. 2006년도 성인병 건강 검진 대상자 중 부산시 내에 소재 하는 건강검진 시행 의료기관 1개 기관에 내원하는 성인병 건강 검진자 중에서 2006년 1월 1일부터 6월 30일까지 상부위장관조영술을 시행한 성인병 건강 검진자를 대상으로 하였으며, 이 기간 동안 조사된 위하수증 584예와 같은 기관 동안 위하수증이 없는 자 중 무작위로 남, 여 나이 별로 각 73명씩 584예를 선정하였다. 체형은 표준 체중표를 이용하였고 비만도 계산은 Broca식 계산법을 이용하였고 다음과 같은 결론을 얻었다. 1. 여자가 514명/584명, 남자는 70명/584명로 여자가 위하수가 많았다. 2. 위하수는 정상범위($90{\sim}109%$)에서 남(54.3%), 여(56.4%) 같이 가장 많은 것으로 나타났고 다음이 남자는 90% 미만이, 여자는 $110{\sim}119%$로 나타났다. 3. 위하수의 연령별 비만도 분포에서는 $50{\sim}59$세에서 남녀 동일하게 많았다.

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일부 종합검진 수검자 중 비알코올성 지방간과 심혈관질환 위험요인과의 관련성 (The Association of Cardiovascular Risk Factors with Nonalcoholic Fatty Liver Disease in Health Checkup Examinees)

  • 유재희;이강숙;이선영;홍아름;박용상
    • Journal of Preventive Medicine and Public Health
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    • 제41권6호
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    • pp.407-412
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    • 2008
  • Objectives: The purpose of this study was to evaluate the relationship of nonalcoholic fatty liver and cardiovascular risk factors. Methods: This study was conducted to investigate the association of nonalcoholic fatty liver and cardiovascular risk factors for adult men (n=2976) and women (n=2442) who were over 19 years old, after excluding the HBsAg(+) or anti-HCV(+) patients and the men and women with increased alcohol intake (men: 40g/week, women: 20g/week). Results: Compared with the normal liver subjects, the nonalcoholic fatty liver subjects showed a significantly increased frequency of abnormal systolic blood pressure (${geq}120mmHg$), fasting blood sugar (${\geq}100mg/dL$), total cholesterol ($({\geq}200 mg/dL$), triglyceride ($({\geq}150mg/dL$), high density lipoprotein cholesterol (<40 mg/dL), low density lipoprotein cholesterol ($({\geq}130g\; m/dL$) and abdominal obesity in men, and all these measures were significantly increased in the women except for abnormal HDL cholesterol. After adjusting for the body mass index, age, smoking, exercise and a nonalcoholic liver, the odds ratios of an abnormal waist hip ratio were 1.35(95% Confidence Interval=1.05-4.72) in the mild fatty liver, 1.61 (1.19-2.18) in the moderate fatty liver, 2.77(1.57-4.92) in the severe fatty liver compared with a normal liver. The adjusted odds ratios for abnormal fasting blood sugar were 1.26(1.03-1.53) in the mild fatty liver, 1.62(1.27-2.06) in the moderate fatty Iiver and 1.77(1.12-2.78) in the severe fatty liver. The adjusted odds ratios for abnormal triglyceride were 1.38(1.11-1.72) in the mild fatty liver, 1.73(0.33-2.24) in the moderate fatty liver and 1.91 (1.17-3.10) in the severe fatty liver of men. Adjusted odds ratios for abnormal triglyceride were 1.50(1.04-2.15) in mild, 1.71(1.07-2.68) in moderate, 1.81(0.69-4.38) in severe fatty liver of women. Conclusions: The nonalcoholic fatty liver subjects had more cardiovascular risk factors compared with the normal liver subjects. Thus, prevention and treatment of the nonalcoholic fatty liver is necessary by lifestyle modifications such as restriction of alcohol intake, no smoking, exercise and adequate eating habits.

우췌질증(牛膵蛭症)의 피내반응(皮內反應)에 관한 연구(硏究) (Studies on the Intradermal Reaction in Bovine Eurytremiasis)

  • 김화식;박무서
    • 대한수의학회지
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    • 제14권1호
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    • pp.59-71
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    • 1974
  • The studies were conducted on the allergic skin reaction of bovine eurytremiasis. In order to confirm the appearance of allergic skin reaction in this disease, a protein fraction of Eurytrema SPP(EPF) was extracted, and it's antigenicity was studied by means of intradermal reaction on the rabbits, goats and bovine. Rabbits used in this studies were divided into three groups: the first group was sensitized with EPF, the second group was sensitized with EPF, and the third group was served as control which is consisted with 5 non-sensitized and 2 saline injected rabbits. Three healthy native goats and bovine also used. Among these, 86 cases were eurytremiasis, 31 cases were fascioliasis and 71 cases non-infected. A protein fraction was also made from adult worm of Fasciola SPP(FPF) and tested the cross reaction between these two different fluke infestations. The results obtained were as follow: 1. Intradermal reaction was appeared in the infected cattle(bovine eurytremiasis) as well as in the EPF sensitized rabbits and goats. 2. In the EPF sensitized rabbits, the wheal of the intradermal reaction reacted the maximum size (increased wheal size of 5.0 to 9.0 mm) in 40 to 60 minutes and erythema in 60 minutes after intradermal injection of EPF antigen. In the EPF sensitized goats, the size of wheal reacted the maximum(increased wheal size of 5.5 to 8.0 mm) in 30 to 40 minutes, and then disappeared in 120 to 180 minutes after injection of EPF antgen. On the contrary, in the control groups of rabbits and goats, the wheal (7.0 mm) produced following antigen injection reached only to 7.5 to 8.5 mm. in 10 minutes without developing erythema, and then perished in 40 to 60 minutes after injection of EPF antigen. In the infected cattle, the wheal of the intradermal reaction reached the maximal sizes(increased wheal size of 4.0 to 11.0 mm) in 15 to 20 minutes and perished in 60 to 90 minutes after injection of EPF antigen. 3. It would be standardized that the positive reaction is above 4.0 mm, the negative below 2.0 mm and the suspective is 3.0 mm of the infected cattle. In the results of intradermal reaction, 87.2%(75 of 86 cases) was positive, 4.7%(4 of 86 cases) negative and 8.1% (7 of 86 cases) was suspective. However, in the non-infected control cattle, the wheal produced following injection disappeared in 30 to 40 minutes without increasing the wheal size in the most subjects or with incresing only to 1.0 to 2.0 mm in a few cattle. 4. In the results of intradermal reaction which were reciprocally tested in EPF sensitized rabbits by FPF antigen and in FPF sensitized. rabbits by EPF antigen, there were cross reacted. In the 31 cases if fascioliasis tested by EPF antigen, 11 cases were not specifically reacted with EPF antigen. Judging from the results of cross reaction in experimental rabbits and natural bovine fascioliasis, it would be expected when both EPF and EPF antigens are given intracutaneously on the same bovine patients of eurytremiasis or fascioliasis, the former antigen will produce the larger wheal in eurytremiasis, while the latter antigen will produce also the larger wheal in fascioliasis.

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국내 분리주 Salmonella gallinarum의 닭에 대한 병원성 (Pathogenicity of Salmonella gallinarum isolated from chickens in Korea)

  • 이희수;김순재;김기석;모인필;김태종
    • 대한수의학회지
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    • 제37권3호
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    • pp.569-576
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    • 1997
  • Fowl typhoid(FT) caused by Salmonella gallinarum is an infectious, egg-transmitted disease and characterized by swollen bronze liver, greenish-yellow diarrhea and high mortality in growing and adult chickens. Since 1992 the outbreak of FT has been increased. Several problems have been occurred such as absence of appropriate vaccines and lack of useful therapeutic methods. In these studies we investigated the pathogenicity of S gallinarum isolated in chickens. To compare the pathogenicity among the species of chickens, all chickens were challenged intramuscularly or orally with $1{\times}10^7$ CFU of S gallinarum. The brown-colored layers were more susceptible and white leghone chickens were more resistant than other species. In the brown layer chickens orally challenged, lethal doses ($LD_{50}$) of the isolates were inoculated at 1 day, 2 weeks, 4 weeks and 8 weeks old chickens with amount of $10^{4.2}$, $10^{4.7}$, $10^{7.0}$ and $10^{7.6}$ CFU, respectively. The chickens which were intramuscularly challenged with the less amount than $10^2$ CFU showed higher mortality than that of the chickens orally inoculated with same dose. Also, we investigated the recovery rates of bacteria from various organs of survival chickens which were challenged orally with $5{\times}l0^7$ CFU of S gallinarum. The bacteria was more frequently and isolated earlier from the liver and spleen than from any other ogans. In the pathogenicity test, the white-leghorn chickens which were known as resistant-strain against Salmonella were artificially immunosuppressed using bursectomy and/or dexamethasone treatment. Mortality of chickens with both bursectomized and treated with dexamethasone was higher(90%) than that of the control group(10%), the bursectomized chickens(10%) and the dexamethasone only treated group(20%). It was suggested that the protective mechanism in chickens against S gallinarum may be required both the functions of B-cells and T-cells.

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2008-2009년 충북지역 벼 줄무늬잎마름병 발생 요인 분석 (Analysis of the Factors Involved in the Occurrence of Rice Stripe virus in Chungcheongbukdo in 2008 and 2009)

  • 강효중;안기수;한종우;정경헌;박세정;지재준;김정수
    • 식물병연구
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    • 제16권2호
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    • pp.109-114
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    • 2010
  • 충북지역의 벼 줄무늬잎마름병 발생 요인을 분석하기 위하여 2008년과 2009년 충북도내 청원, 진천, 보은 등 3개 지역에서 월동 애멸구 보독충율 및 애멸구 밀도, 자연 기주 식물의 바이러스 감염율, 농가 포장에서의 벼 줄무늬잎마름병 발생율을 조사하였다. 월동 애멸구의 보독충율은 2008년에 0%, 2009년에는 1.1%로 나타났다. 2009년 6월 상순 채집된 시료의 보독충율은 진천 1.4%, 보은 4.2%로 월동 애멸구의 보독충율보다 높게 나타났으며 이는 2009년 중국에서 비래한 애멸구 성충 집단과 관련이 있는 것으로 추정된다. 월동 애멸구 밀도는 2008년에는 청원 3.8, 진천 7.5, 보은 20.8마리/$m^2$, 2009년에는 청원 8.4, 진천 13.1, 보은 14.6마리/$m^2$로 나타났다. 2009년 2차조사(5월 상순)와 3차 조사(6월 상순)에서도 매우 낮은 밀도를 보였으나 3차 조사 시기에 일부 지점에서는 성충 태로 높은 밀도를 나타냈으며 이들은 국내에서 월동한 애멸구가 아닌 2009년 중국에서 비래한 애멸구 집단과 관련이 있는 것으로 추정된다. 자연 기주 식물에서 RSV가 감염된 시료는 없었다. 따라서 이러한 결과로부터 월동애멸구의 낮은 보독충율과 밀도, 자연 기주 식물의 낮은 감염율 및 적절한 재배관리 등 복합적 요인으로 인하여 지금까지 충북지역에서 RSV 발생이 낮았던 것으로 사료된다.

일부 종합 병원 로비의 공기 중 엔도톡신 농도에 미치는 환경 요인 평가 (An Assessment of Environmental Characteristics Associated with the Level of Endotoxin Concentration in Hospital Lobbies)

  • 이경민;염정관;이원재;류승훈;박동진;박동욱
    • 한국산업보건학회지
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    • 제24권3호
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    • pp.310-320
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    • 2014
  • Backgrounds: Endotoxin, which found in the outer membrane of the gram-negative bacteria cell wall, makes up almost all of the lipopolysaccharide(LPS). When people are exposed to endotoxin,it can result in diverse health effects such as an airway irritation and inflammation, fever, malaise, bronchitis, allergic asthma, toxic pneumonitis, hypersensitivity lung disease. Cases among the elderly, children or pregnant can occur more frequently than a healthy adult if they are repeatedly exposed to the existing endotoxin. Therefore, we investigated and assessed the environmental characteristics associated with the airborne endotoxin concentration level in six hospital lobbies. Method: Endotoxin from indoor air in six hospital lobbies was measured by an area sampling method and analyzed according to American Society for Testing and Materials International(ASTM international) E2144-01. Total suspended particulate(TSP), carbon dioxide($CO_2$), temperature and humidity were also measured by using direct reading measurements or airborne sampling equipment at the same time. Environmental characteristics were appropriately divided into two or three groups for a statistics analysis. One-way analysis variable(one-way ANOVA) was used to examine a difference of the endotoxin concentration, depending on the environmental characteristics. In addition, only variables with p-value(p<0.25) were eventually designed to the best model by using multiple regression analysis. Results: The correlation analysis result indicated that TSP(p=0.003) and $CO_2$(p<0.0001) levels were significantly associated with endotoxin concentration levels. In contrast, temperature(p<0.068) and humidity(p<0.365) were not associated with endotoxin concentration. Levels of endotoxin concentration were statistically different among the environmental characteristics of Service time(p=0.01), Establishment of hospital(p<0.001), Scale of hospital(p=0.01), Day average people using hospital(p=0.03), Cleaning time of lobby(p=0.05), Season(p<0.001), and Cleaning of ventilation system(p<0.001) according to ANOVA. Finally, the best model(Adjusted R-square=72%) that we designed through a multiple regression test included environmental characteristics related to Service time, Area of lobby, Season, Cleaning of ventilation system, and Temperature. Conclusions: According to this study, our result showed a normal level of endotoxin concentration in the hospital lobbies and found environmental management methods to reduce the level of endotoxin concentration to a minimum. Consequently, this study recognized to be requirement for the management of ventilation systems and an indoor temperature in order to reduce the level of endotoxin concentration in the hospital lobbies.

경기도 포천, 강원도 철원지역에서 진드기의 계절적 발생 유형 (Seasonal Patterns of Ticks in Pocheon and Cheolwon, Republic of Korea)

  • 신용칠;이인용;서장훈
    • 대한임상검사과학회지
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    • 제47권3호
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    • pp.147-152
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    • 2015
  • 참진드기 3종류의 발육단계별 즉 유충, 자충, 성충에 대한 계절적 발생 유형을 2014년 4월에서 10월까지 조사하였다. 천끌기와 천젓기 방법으로 포천 영중면 금주리에서 작은소피참진드기 610개체, 개피참진드기 296개체 그리고 일본참진드기 15개체가 채집되었으며 같은 방법으로 철원 서면 자등리에서는 작은소피참진드기 254개체, 개피참진드기 345개체, 일본참진드기 15개체가 채집되었다. 작은소피참진드기의 성충은 6월에 가장 높은 채집 비율을 보였으며 자충은 4월에서 6월사이에 주로 채집되었다. 반대로 작은소피참진드기의 유충은 9월과 10월에만 채집되었다. 개피참진드기의 성충은 4월, 9월, 10월에 채집된 반면 자충은 4월부터 10월까지 채집되었다. 개피참진드기의 자충은 포천에서는 4월에 그리고 철원에서는 5월에 가장 많이 채집되었다. 개피참진드기의 유충은 작은소피참진드기의 유충과 같이 9월과 10월에만 채집되었다. 일본 참진드기의 성충과 자충은 주로 4월에 채집되었으나 유충은 채집되지 않았다. 천끌기과 천젓기 방법으로 채집된 특정한 진드기종의 발육단계별 밀도를 조사한 결과는 진드기의 계절별 밀도 평가와 진드기 매개 질병 위험 분석에 활용할 수 있다.