• Title/Summary/Keyword: Epidemic period

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Construction of Medical Episode Data using National Health Insurance Service Data (국민건강보험청구 자료를 이용한 진료에피소드 자료 구축)

  • Pak, Hae-Yong;Pak, Yun-Suk
    • Journal of Convergence for Information Technology
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    • v.9 no.9
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    • pp.195-200
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    • 2019
  • The purpose of this study is to analyze the characteristics of National Health Insurance claim data and to construct a pilot medical episode data considering it. In this study, the trends of respiratory disease (ICD10: J00-J99) cardiovascular disease (ICD10: I00-I99) from the day of onset of treatment to re-admission after admission were confirmed in Seoul, and the largest decrease was observed when the no-treatment period was 0 day. The data reduction rate when the no-treatment period is 0 day is judged to be due to the monthly separation claim of the health insurance claim data. Also, the result that there is a tendency of monthly separation request according to the type of medical treatment. Through this study, we constructed epidemic data for the pilot medical treatment considering the characteristics of the claim data of health insurance, and based on this, it can be used as a data processing method for calculating basic epidemiological information.

Evaluation of Timeliness of Palivizumab Immunoprophylaxis Based on the Epidemic Period of Respiratory Syncytial Virus: 22 Year Experience in a Single Center (Respiratory Syncytial Virus 유행 시기에 따른 Palivizumab 예방요법시기의 적정성 평가: 22년간 단일기관 연구)

  • Kim, Seung Yun;Lee, Ko Eun;Kang, Su Young;Choi, Eun Hwa;Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.22 no.3
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    • pp.172-177
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    • 2015
  • Purpose: This study aimed to analyze the epidemic period of RSV infection and evaluate the appropriate time of palivizumab immunoprophylaxis. Methods: From January 1991 to July 2012, nasopharyngeal (NP) aspirates were obtained from patients who visited Seoul National University Children's Hospital for respiratory symptoms. NP samples were used to detect respiratory viruses. Among them, we analyzed the positive number and detection rate of RSV infection in two-week interval. The beginning of RSV season was defined when RSV positive number was more than 4 and RSV detection rate was over 10%. From January 2007 to March 2014, we analyzed the starting time of palivizumab immunoprophylaxis for the infants at high risk. Results: The RSV detection rate was 2,013/21,698 (9.69%) over 22 years. The median RSV season was from $2^{nd}-3^{rd}$ week of October to $1^{st}-2^{nd}$ week of February. The earliest starting week was the 3rd week of July in year 2001, and the latest end week was the 3rd week of May in year 1990. Palivizumab immunoprophylaxis was initiated most frequently at the 3rd week of October (18.7%). However, the percentage of starting palivizumab on the 1st week of September has increased from 3.8% in the year 2007 to 14.1% in 2013. Conclusions: The year to year variability of RSV season exists. The starting time of palivizumab immunoprophylaxis should be adjusted based on the season of RSV epidemic.

Lead Poisoning: Historical Aspects of a Paradigmatic "Occupational and Environmental Disease"

  • Riva, Michele Augusto;Lafranconi, Alessandra;D'orso, Marco Italo;Cesana, Giancarlo
    • Safety and Health at Work
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    • v.3 no.1
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    • pp.11-16
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    • 2012
  • Lead poisoning is one of the earliest identified and most known occupational disease. Its acute effects have been recognized from antiquity when this condition principally afflicted manual workers and slaves, actually scarcely considered by the medicine of that time. The Industrial Revolution caused an epidemic of metal intoxication, urging scientists and physician of that period to study and identify specific symptoms and organ alterations related to chronic lead poisoning. During the 20th century, the acknowledgment of occupational and environmental toxicity of lead fostered public awareness and legislation to protect health. More recently, the identification of sub-clinical effects have greatly modified the concept of lead poisoning and the approaches of medicine towards this condition. Nowadays, lead poisoning is rarely seen in developed countries, but it still represents a major environmental problem in certain areas. Consequently, it may appear as a paradigm of "occupational and environmental disease," and the history of this condition seems to parallel the historical development of modern "Occupational and Environmental Health" as a more complete medical discipline.

An Epidemiological Surrey on Cholera in Pusan City 1970 (1970년 부산에서 유행한 콜레라에 대한 역학적 조사)

  • Kim, Don-Kyoun;Kim, Joon-Yun;Suh, Young-Tae
    • Journal of Preventive Medicine and Public Health
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    • v.3 no.1
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    • pp.31-36
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    • 1970
  • An epidemiological survey on cholera was made toward the 291 cases admitted in Pusan National University Hospital. The results were as follows. 1. The most predominant age groups among all cholera patients were from 30 to 39(21.3%). 2. 74.9% of all cases got under the educational background of primary school and 69.4% of all cases occurred at the low income group. 3. Daily average numbers of patient were 6.2 and maximum numbers wore 15, August 19, 1970. 4. Among the food eaten prior to onset, drinking water was the most predominant with 16.2% and next, food and noodle groups were 14.8% and 10.3% respectively. 5. Regarding incubation period, it was found that 'within 48 hours' was 83.5%. 6. Patients occurred mainly in Suh Ku area with 105(36.1%) of all cases. 7. Carrier rates among family members were 1.78%. 8. Carrier rates among residents of epidemic area were 0.12%.

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Structural Factors of the Middle East Respiratory Syndrome Coronavirus Outbreak as a Public Health Crisis in Korea and Future Response Strategies

  • Kim, Dong-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.6
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    • pp.265-270
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    • 2015
  • The recent Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak has originated from a failure in the national quarantine system in the Republic of Korea as most basic role of protecting the safety and lives of its citizens. Furthermore, a number of the Korean healthcare system's weaknesses seem to have been completely exposed. The MERS-CoV outbreak can be considered a typical public health crisis in that the public was not only greatly terrorized by the actual fear of the disease, but also experienced a great impact to their daily lives, all in a short period of time. Preparedness for and an appropriate response to a public health crisis require comprehensive systematic public healthcare measures to address risks comprehensively with an all-hazards approach. Consequently, discussion regarding establishment of post-MERS-CoV improvement measures must focus on the total reform of the national quarantine system and strengthening of the public health infrastructure. In addition, the Korea Centers for Disease Control and Prevention must implement specific strategies of action including taking on the role of "control tower" in a public health emergency, training of Field Epidemic Intelligence Service officers, establishment of collaborative governance between central and local governments for infection prevention and control, strengthening the roles and capabilities of community-based public hospitals, and development of nationwide crisis communication methods.

Review of Disease Incidence of Major Crops in 2003 (2003년 농작물 병해 발생개황)

  • Kim, Choong-Hoe
    • Research in Plant Disease
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    • v.10 no.1
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    • pp.1-7
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    • 2004
  • The year of 2003 was characterized as a cool humid year. Low temperature and frequent rains were continued during March to July, resulting in 1.6 times higher rainfalls and 32% less sunshine period compared to the average yean Due to 2003's climatic condition, rice blast, and bacterial leaf blight occurred severely. Higher rainfalls caused severe epidemic of phytophthora disease and, in case of red-pepper, 55% of cultivation acreage was devastated by the disease over the country. Besides, crop diseases which become severe under cool-humid conditions, such as gray mold, sclerotinia rot, downy mildew, increased significantly compared to the previous year. In fruit trees, brown spot of apple, and pear scab occurred severely causing much yield loss.

Genotype Analyses of Methicillin Resistant Staphylococcus aureus Isolated from Intensive Care Units (중환자실에서 분리된 Methicillin 내성 Staphylococcus aureus의 유전자형 분석)

  • Kim, Yun-Kyung;Gwak, Mi-Kyung;Lee, Ji-Min;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.10 no.2
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    • pp.147-153
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    • 2008
  • Purpose: Methicillin Resistant Staphylococcus aureus (MRSA) has become a major clinical problem and one of the major nosocomial pathogen worldwide. The aim of the study was to investigate the epidemiological characteristics of genotypes of MRSA isolated in the A-hospital ICU. Methods: In the period between December 2007 and May 2008, MRSA was isolated from ICU patients and its surrounding environment. Polymerase Chain Reaction (PCR) was conducted for the detection of MRSA gene. The incidence of MRSA in the clinical isolates of Staphylococcus aureus was examined by using a multiplex PCR. The spa gene of Staphylococcus aureus encodes protein A and is used for typing of MRSA. We used sequence typing of the spa gene repeat region to study the epidemiology of MRSA at a hospital. Results: Two different genotypes of MRSA were identified with 90 isolated from the patients and its surrounding environments in the ICU. Conclusion: This study may contribute to the development of effective strategies for preventing nosocomial infections. Genotyping may have more general application for the study of MRSA epidemic outbreak in hospital and community infection.

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A Study on the Air Travel Demand Forecasting using time series ARIMA-Intervention Model (ARIMA-Intervention 시계열모형을 활용한 제주 국내선 항공여객수요 추정)

  • Kim, Min-Su;Kim, Kee-Woong;Park, Sung-Sik
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.20 no.1
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    • pp.66-75
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    • 2012
  • The purpose of this study is to analyze the effect of intervention variables which may affect the air travel demand for Jeju domestic flights and to anticipate the air travel demand for Jeju domestic flights. The air travel demand forecasts for Jeju domestic flights are conducted through ARIMA-Intervention Model selecting five intervention variables such as 2002 World Cup games, SARS, novel swine-origin influenza A, Yeonpyeongdo bombardment and Japan big earthquake. The result revealed that the risk factor such as the threat of war that is a negative intervention incident and occurred in Korea has the negative impact on the air travel demand due to the response of risk aversion by users. However, when local natural disasters (earthquakes, etc) occurring in neighboring courtiers and global outbreak of an epidemic gave the negligible impact to Korea, negative intervention incident would have a positive impact on air travel demand as a response to find alternative due to rational expectation of air travel customers. Also we realize that a mega-event such as the 2002 Korea-Japan World Cup games reduced the air travel demand in a short-term period unlike the perception in which it will increase the air travel demand and travel demands in the corresponding area.

Longevity of Kings and their Causes of Death during Yi Dynasty -Based on Review of Historic Royal Archives- (조선조 역대왕의 수명과 그 사인)

  • 홍성봉
    • Korea journal of population studies
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    • v.14 no.1
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    • pp.35-46
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    • 1991
  • Improvements in various health indices have been ushered in, along with soaring economic growth in the last few decades in Korea. Life span of Koreans at present stands at somewhere around age of seventies. It seems of worth to elucidate some facets of health profile of historic Koreans during Yi dynasty encompassing about five hundreds years between the 14th and 19th century. Datas on health of historic Koreans are meager with exception for sovereigns for whom royal archives have been preserved intact through centuries. Though the health environments for monarchs are, no doubt, incomparable to that of the grassroot levels during the same period, health profile of monarchs would facilitate to assess health indices for historic Koreans during Yi dynasty. Arithmetic average of life span of 25 consecutive Kings(omitted the last two Kings under Japanese control) is 44.6 years of age 81 year old for King Yongjo and 16 year old for King Danjong, representing two extremes. The principal causes of death are septicemia, subsequent to infections of soft tissue and ether organs(8 in number, one-thirds of all). Secondly, both epidemic disease and vascular accidents caused deaths of three Kings each. Two kings succumbed to diabets and one suicide. The causes for the remainder, eight kings are hardly ciarified. The monarchs who contributed in establishment of new Yi dynasty with highspirited and disciplined survied beyond their fifties and sixties. In contrast, those who reigned during mid - era of the dynasty at its culmination succumbed to death in their young adulthood, most likely due to their indulgence in court life.

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A Study on the Feasibility of IoT and AI-based elderly care system application

  • KANG, Minsoo;KIM, Baek Seob;SEO, Jin Won;KIM, Kyu Ho
    • Korean Journal of Artificial Intelligence
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    • v.9 no.2
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    • pp.15-21
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    • 2021
  • This paper conducted a feasibility study by applying an Internet of Things and Artificial intelligence-based management system for the elderly living alone in an aging society. The number of single-person families over the age of 50 is expected to increase, and problems such as health, safety, and loneliness may occur due to aging. Therefore, by establishing an IoT-based care system for the elderly living alone, a stable service was developed through securing a rapid response system for the elderly living alone and automatically reporting 119. The participants of the demonstration test were subjects under the jurisdiction of the "Seongnam Senior Complex," and the data collection rate between the IoT sensor and the emergency safety gateway was high. During the demonstration period, as a result of evaluating the satisfaction of the IoT-based care system for the elderly living alone, 90 points were achieved. We are currently in the COVID-19 situation. Therefore, the number of elderly living alone is continuously increasing, and the number of people who cannot benefit from care services will continue to occur. Also, even if the COVID-19 situation is over, the epidemic will happen again. So the care system is essential. The elderly care system developed in this way will provide safety management services based on artificial intelligence-based activity pattern analysis, improving the quality of in-house safety services.