• Journal of Preventive Medicine and Public Health
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• 제42권6호
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• pp.408-415
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• 2009

Objectives : This study was performed to investigate the mumps transmission control status and inapparent infection rate among middle and high school students in Daegu City during a mumps outbreak. Methods : Nine schools (two middle schools and seven high schools), which reported a number of mumps cases between 2007 and 2008 were selected for investigation. During March-May 2008, a standard questionnaire was distributed to gather information about case identification, instructed isolation measure, isolation status of mumps cases and related factors, and outdoor activities of nonisolated mumps case. Inapparent infection rate was estimated by serum mumps IgM and IgG antibodies status and self-reported mumps symptoms in three of the nine schools. Results : Among 2,560 respondents, more than half of students answered that they did not receive instructions in mumps transmission control measures during the outbreak. Among the 327 mumps cases identified by the questionnaire, 131 cases (40.1%) were considered as isolated and the isolation rates were significantly different among schools, grades, and gender. Of the non-isolated cases, 88.3% continued attending school. Inapparent mumps infection rates were between 56.3% and 70.2%. Conclusions : Mumps transmission control was inadequate to control the mumps outbreak. Although high inapparent infection rate would mitigate the transmission control effect of case isolation, this measure is fundamental for infection control. The reasons of this inadequate status need to be explored to develop an effective intervention strategy.

• 농촌의학ㆍ지역보건
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• 제43권4호
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• pp.258-269
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• 2018

2018년 6월 12일 충청북도 옥천군 소재 A고등학교에서 노로바이러스의 유행을 지연신고하는 사례가 발생하였고, 이에 대한 원인과 전파양식 등을 규명하고 예방 및 관리대책을 마련 하기 위하여 역학조사를 수행하였다. A고등학교 학생 183명을 대상으로 설문조사, 환례자 60명, 조리종사자 10명을 대상으로 세균 10종 및 바이러스 5종에 대한 검체검사를 실시하였다. 설문조사는 최초환자 발생일 6월 5일을 기준으로 3일 전인 6월 2일부터 12일까지의 식단을 이용하여 환자-대조군 조사를 시행하였다. 학생, 교직원, 조리종사자 785명 중 환례는 61명으로 노로바이러스의 발병률은 7.8% 이었다. 위험요인 분석에서 정수기 음용수가 유의한 변수이었다. 검체검사에서 학생 2명, 정수기 음용수, 환경검체에서 동일 유형의Norovirus GI-8이 검출되었다. 이번 유행의 원인으로 본관, 기숙사, 급식실 정수기 음용수가 오염되고 그로 인해 원인병원체 노로바이러스의 전파가 이루어졌다고 판단하였다. 이번 연구는 6월 5일 첫 환례자가 발생했음에도 신고가 7일이 경과한 6월 12일 지연신고 되어 장관감염증 확산 조기차단이 이루어지지 않아 환례자가 더 많이 발생한 것으로 추정된다. 향후 학교급식 시 발생하는 수인성 및 식품매개성질병으로부터 학생을 보호하고 집단발생을 예방하기 위하여 학생의 증상을 가장 우선적으로 파악이 가능한 담임선생님과 보건교사의 공조체제 개선, 보건교사 부재 시 대응방안, 보건교사의 학교 감염병 집단발생에 대한 인식제고를 위한 시스템 보완이 이루어져야 할 것이다. 또한 질병관리본부의 기본 역학조사서 서식에 지연신고에 대한 사유를 기록하는 항목을 추가하여 지연신고에 대한 원인에 대한 규명과 그에 따른 대책을 마련해야 할 것이다.

• 동의신경정신과학회지
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• 제7권1호
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• pp.137-153
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• 1996

Through the classification of region and kinds of illness about the death of vagrants from 1906 to 1942, the results on the study of vagrants under the rule of Japanese imperialism are followings.1. The statistics about the death of vagrants from 1906 to 1912 have no coherence. So this study excludes that time.2. A mental disease as a cause of death of vagrants is 25.4%. It shows the highest ratio of all the other diseases.3. A mental, nervous disease among the cause of vagrants' death is 15%.4. On outbreak ration of mental disease is 26.7 times in men, 24.6 times in women higher, and on nervous disease 48.1 times in man, 48.9 times in woman higher than Japanese.5. Regional outbreak ratio is higher than Japan. The orders are Chonlabukdo, Chungcheongbukdo, Hwanghaedo, Kangwondo. The above results show that vagrants under the rule of Japanese imperialim is produced by cause of disease. The cause of vagrants' death is also related to social situation at that times. And it accord with the basis of documents. The relation between the death of vagrants and mental, nervous disease are considered to be studied in detailI.

• 한국초지조사료학회지
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• 제17권3호
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• pp.213-222
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• 1997

This study was carried out to investigate the reproduction efficiency and disease of Holstein heifer grazed on mixed pasture desighed with association of tall fescue and white clover cultivar (3 treatments = TI : Tall fescue Fawn + White clover Regal + Orchardgrass + Perennial ryegrass, T2 : Tall fescue Roa + Ladino clover Regal + Orchardgrass + Perennial ryegrass, T3 : Tall fescue Roa + White clover Tahora + Orchardgrass + Perennial ryegrass) on reproduction efficiency and disease in Holstein heifers, ftom April 1994 to November 1996. The results are as follows: 1. Erythrocyte counts, hemoglobin and packed cell volume of hematological values were $8.12\times10^6/{\mu}\ell, 9.9g/m\ell and 30.6m\ell/100m\ell$ respectively. While those were decreased to $4.84~5.93 \times10^6/{\mu}\ell, 7.0~7.8g/100m\ell and 22.8~28.3m\ell/100m\ell$, on pastuage (May-August), WBC counts was increased from $14.4\times10^3/{\mu}\ell to 14.0~18.3 \times 10^{3/\mu\ell}$ on pasturage. No significant differences were detected among the treatments on pastures. 2. Parasitemia levels increased to $14.0\pm8.2$(parasite/1,000rbc) at 1 month after pasturage. 3. At the occurrence of tirst estrus and conception, the average age of the Holstein heifers was $14.3\pm1.9$ and $17.4\pm1.5$ months, respectively, and the average interval of estrus cycle was $20.6\pm1.0$ days. Howerer, there was no significant difference on reproductive efficiency among 3 treatments. 4. The outbreak of diseases were tick bane disease, pink eye, pneumonia, mastitis, gastroentitis, waterpoisoning ringworm papillon and atosis during pasturage period(may-october). These diseases were showed no significant difference among 3 treatments. 5. In conclusion, there are no significant difference on the reproductive effeciency and disease outbreak among three treatments.

• Childhood Kidney Diseases
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• 제7권2호
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• pp.211-216
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• 2003

장출혈성 대장균에 의한 식중독의 대규모 집단발생이 2003년 5월부터 9월까지 국내에서 발생하였다. 오염된 학교 급식을 통해 감염된 환자들은 주로 서울과 경기도에서 발생하였다. 이 식중독의 결과로, 2003년 한 해, 총 36명의 환자들이 용혈성 요독 증후군으로 진단되었고, 그 중 5명의 환자가 본원을 방문하였다. 올해 대규모 집단 발생 이전에 저자들은 지난 14년간 본원에서 총23명의 용혈성 요독 증후군 환자들을 보고하였는데, 이들은 모두 췌장 효소의 상승이 없었다. 지난 14년간의 보고와는 달리, 올해의 용혈성 요독 증후군 환자들은 심한 복통과 2명에서 현저한 췌장 효소의 상승을 보였다. 저자들은 2003년에 유행하였던 용혈성 요독 증후군 환자 중에서 췌장염을 일시적으로 동반하였던 2례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 한국초지조사료학회지
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• 제28권3호
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• pp.221-228
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• 2008

본 시험은 사료용 옥수수 검은줄오갈병 피해 다발지역의 발병실태를 조사하여 종합적인 방제기술 개발에 필요한 기초 자료를 확보하고자, 2006년부터 2007년까지 제주도를 제외한 전국을 대상으로 수행하였다. 검은줄오갈병의 발생은 지역에 따라 차이가 많았으며, 발병이 심한 지역은 경기(이천), 전북(고창, 김제), 전남(영광), 경북(김천, 영주), 충남(천안, 보령)이었다. 옥수수 검은줄오갈병 다발지역에서 파종시기가 4월 26일$\sim$5월 15일까지 파종이 발병이 적었으며, 파종기가 4월 10일$\sim$20일 또는 5월 31일 이후에서 발병이 많았다. 검은줄오갈병의 발생은 옥수수 품종간의 차이는 다소 있으나 저항성을 나타내는 품종은 없었다. 옥수수 검은줄오갈병 감염에 따른 건물수량은 발병률이 높을수록 유의적으로 감소하였으며, 발병률과 옥수수 건물수량 간에는 고도의 부의상관(r=－0.86$^{**}$)이 인정되었다. 검은줄오갈병에 감염된 옥수수는 건전한 옥수수보다 건물소화률은 3.2%, 가소화양분총량은 3.6%, RFV는 12% 낮았으며, NDF와 ADF 함량은 각각 3.7, 4.5% 높아져 전체적으로 사료가치가 낮아지는 것으로 나타났다.

• 한국동물위생학회지
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• 제26권1호
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• pp.1-9
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• 2003

The aim of this survey was to investigate the characteristics of outbreak farm determined as the classical swine fever(CSF) at Gangwha-gun and Seo-gu, Incheon metropolitan area from October 7 to November 25 in 2002. Sixty pigs in six different farms were confirmed to the CSF and a total of 9,106 pigs containing 3,194 related epidemiologically was slaughtered to stop spreading of the disease. Clinical signs of pigs diagnosed with the CSF were high fever, anorexia, depression, paralysis of hindlimbs, cyanosis, etc and gross lesions were typically represented with hemorrhage of submandibular and superficial lymph node, infarction of spleen, and petechial (ecchymotic) hemorrhage of kidney and skin. But some outbreak farms had not shown remarkable symptoms, so they were confused with other bacterial diseases. White blood cell (WBC) counts, the classical swine fever virus(CSFV) antigen and antibody enzyme linked immunosorbent assay(ELISA) and reverse transcriptase polymerase chain reaction (RT-PCR) results about six farms indicated that total 60 pigs were infected with the CSFV. Although the origin and infection route of the CSFV were not clear, but the transmissions between farms were mainly through indirect contact such as the movement of farm personal and vehicles from outbreak farm.

• Parasites, Hosts and Diseases
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• 제49권4호
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• pp.405-408
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• 2011

Trichinosis is a food-borne zoonotic disease caused by the nematode, Trichinella spp., and had been reported several times in Korea. Recently, there was an additional outbreak, involving 5 patients, the findings from which are reported herein. On 30 November 2010, 8 persons ate sashimi of the meat of a wild boar. Then, 2-3 weeks later, they complained of myalgia and fever. Unfortunately, muscle biopsy was not performed, but ELISA was performed using their sera. Two people among 8 were positive for Trichinella on the 34th day post-infection (PI), and 3 patients who initially revealed negative ELISA were additionally proved to be positive for trichinosis on the 42nd day PI. Hence, the confirmed patients of trichinosis were 5 in total in the present outbreak. They were treated with albendazole and discharged uneventfully. This was the fifth outbreak of trichinosis in Korea.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권2호
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• pp.69-75
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• 2023

Objectives: The coronavirus disease 2019 pandemic and its associated societal responses are anticipated to have wide-ranging effects on youth development and mental health. Depression, anxiety, and attention deficit hyperactivity disorder (ADHD) are the three most common mental health problems among university students. Many factors that can threaten mental health during the outbreak affect these three conditions, as well as sleep conditions, in undergraduate students. Thus, determining how these abrupt changes in students' circumstances impact their mental health is very important from a public health perspective. Methods: We investigated the usual conditions and changes in ADHD symptoms during the outbreak, in relation to depressive and sleep-related symptoms among undergraduate students. A total of 252 students, primarily juniors, completed the online survey. Results: The results showed that 12% of the students exceeded the cut-off score of the ADHD questionnaire before the pandemic. Approximately 6%-21% of the university students, especially those with ADHD traits, rated their ADHD behaviors as worse during the outbreak than that before the outbreak. Conclusion: Female students and undergraduates with ADHD traits are more susceptible to experiencing further deterioration of ADHD (inattention) symptoms during the pandemic. In cases where it is difficult to intervene with ADHD symptoms, approaching circadian rhythm or depression will be of considerable clinical use.

• Journal of Preventive Medicine and Public Health
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• 제45권5호
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• pp.277-282
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• 2012

Field epidemiology involves the implementation of quick and targeted public health interventions with the aid of epidemiological methods. In this article, we share our practical experiences in outbreak management and in safeguarding the population against novel diseases. Given that cities represent the financial nexuses of the global economy, global health security necessitates the safeguard of cities against epidemic diseases. Singapore's public health landscape has undergone a systemic and irreversible shift with global connectivity, rapid urbanization, ecological change, increased affluence, as well as shifting demographic patterns over the past two decades. Concomitantly, the threat of epidemics, ranging from severe acute respiratory syndrome and influenza A (H1N1) to the resurgence of vector-borne diseases as well as the rise of modern lifestyle-related outbreaks, have worsened difficulties in safeguarding public health amidst much elusiveness and unpredictability. One critical factor that has helped the country overcome these innate and man-made public health vulnerabilities is the development of a resilient field epidemiology service, which includes our enhancement of surveillance and response capacities for outbreak management, and investment in public health leadership. We offer herein the Singapore story as a case study in meeting the challenges of disease control in our modern built environment.