• Childhood Kidney Diseases
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• 제6권2호
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• pp.198-208
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• 2002

목적 : 소아 신증후군을 비롯한 신질환 환아는 질병 자체에 의해서 뿐만 아니라 면역억제제 사용으로 인한 면역 기능 저하로 감염되기 쉬운 상태에 있다. 폐구균 감염, b형 헤모필루스 인플루엔자, 대장균 등에 의한 복막염, 패혈증에 취약한 상태이고 홍역 및 수두 등에 심한 임상 경과를 취하므로 이들 질환에 대한 적극적 예방접종이 필요하며, 미세변화형 신증후군의 호발 연령인 $2{\sim}6$세는 소아의 기본 예방접종의 추가 접종 시기에 속한다. 하지만 신증후군 환아에서 예방접종의 효과 및 부작용에 대해서는 아직 다수의 소아를 대상으로 한 전향적 연구가 없을 뿐만 아니라 임상 경과의 시기, 스테로이드 제제의 사용 용량에 따른 예방접종 시기에 대해서도 완전한 의견의 일치를 보이고 있지 못하고있다. 이러한 문제점을 해결하기 위하여 우선 소아 신장학 분야의 전문가들에 있어서 행해지고 있는 예방접종 실태를 파악하고자 하였다. 대상 및 방법 : 대한소아신장학회에 등록된 정회원 56명을 대상으로 설문 조사를 시행하였다. 결과 : 대상자 56명 중 35명이 응답하였고 (응답률 62.5%), 이중 대학병윈 근무자가 29명(82.8%)이었다. 신증후군 소아에 대한 기본 예방접종은 응답자 35명 모두 일반 소아에서 추천되는 지침과는 다른 수정된 방식으로 예방접종을 실시하고 있었다. 생백신의 경우 관해 이후 고용량 스테로이드 사용 중에 접종하는 경우는 없었으며 저용량 스테로이드 사용 중에 접종하는 경우가 12명(24.3%), 스테로이드 끊고 일정 기간 지난 후 접종이 23명(65.7%)이었다. 사백신의 경우는 관해 이전에도 접종하는 경우가 5명(14.3%), 관해 이후 고용량 스테로이드 사용 중에 접종하는 경우가 5명(14.3%), 저용량 스테로이드 사용 중에 접종하는 경우가 20명(57.1%). 스테로이드 끊고 일정 기간 지난 후 접종하는 경우가 5명(14.3%)이었다. 신질환 소아에서 추천되는 b형 헤모필루스 인플루엔자, B형 간염, 폐구균, 독감 등의 예방접종은 신질환 소아 및 면역억제요법을 실시하지 않는 신부전 소아에게 이들 백신을 대부분 접종하겠다고 응답하였다. 스테로이드사용 중인 신질환 소아에서 이들 예방접종시기에 대해서는 응답자 25명(71.4%)이 저용량 스테로이드 사용 중에 접종하고 있었으며, 단 b형 헤모필루스 인플루엔자는 저용량 스테로이드 투여 시 접종하겠다는 응답자가 18명(45.7%)으로 스테로이드 끊고 접종하겠다는 응답자 15명(42.9%)과 비슷하였다. 신증후군 소아에서 예방접종 후 부작용은 백신 접종 후 신증후군 재발을 경험한 응답자가 9명, 백신접종에도 불구 해당 질병 발병을 경험한 접종자가 3명, 생백신 접종 후 백신 균주에 의한 발병을 경험한 접종자가 2명이었다. 결론 : 국내의 소아 신장학 전문가들은 일반 소아에서 권장되는 예방접종 지침과는 다른 수정된 방식에 따른 예방접종을 실시하고 있었으나 아직 질병 경과와 스테로이드 사용에 따른 접종 시기에 다양성을 보이고 있었고, 또한 예방접종 후의 부작용을 경험한 경우도 다수 있었다. 따라서 향후 다수의 소아를 대상으로 한 전향적인 연구를 통하여 소아 신질한 환아에서 추천되는 예방접종 지침을 확립할 필요가 있다고 사료된다.

• 융합정보논문지
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• 제12권3호
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• pp.270-279
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• 2022

본 연구는 의료인 권장예방접종에 대한 간호대학생의 건강신념 요인을 검토하고, 예방접종 의도에 건강신념 요인이 미치는 영향을 파악하기 위해 시도되었다. 연구대상자는 간호대학생 260명이었고, 자료는 설문지를 통해 수집되었고, SPSS 23.0 프로그램의 t-test, ANOVA, 피어슨 상관계수 및 위계적 다중회귀를 사용하여 분석하였다. 간호대학생의 권장예방접종 의도에 영향을 미치는 요인에 대한 회귀모형은 유의하였고(F=13.35, p<.001), 주요 영향 변인은 행동의 계기, 자기효능감, 지각된 유익성, 학년 순으로 나타났으며, 모형의 설명력은 36.4% 이었다. 본 연구를 통해 임상실습 중 감염예방을 위한 예방접종의 효과를 강조하고 간호대학생 대상의 의료인 권장예방접종 의도를 향상시킬수 있는 프로그램을 개발하고 적용할 필요가 있음을 확인하였다.

• 대한간호학회지
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• 제3권2호
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• pp.111-119
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• 1973

The purpose of this study was to determine whether or not the delivery of health services effects the health knowledge of the recipients of that service. 10 was hypothesized that the practical application of theory, though health services rendered by public health nursing students during their field experiences. would have a positive relationship with the quantity and quality of health knowledge of the female population of a given community. In April 1970, ninety five women(between an age 15-49) from Koyang-Gun were interviewed regarding their knowledge and attitudes in four areas of health: maternal health, child health. family planning and tuberculosis prevention. After 11 years(Nov. l971), during which time the women received home visits by student nurses, the women were again interviewed using the original questionnaire. Additionally, they were asked where they had received information about each question. During the 1$\frac{1}{2}$ year period the visits were made by a total of 112 students. They visited the community twice a week. The result were as follows: Maternal health There was marked improvement in the knowledge of specific aspects of maternal health such as the proper instruments needed for cutting the cord and nutritional precaution of pregnancy (p<0.05). In each case 42.0 percent of more of this knowledge was attributed to information gained from the nursing students. However even after the nursing students'visits, the knowledge of other general areas of maternal remained poor. Child health There were increases in the knowledge of the respondents for the time to supplement breast feeding and for time to wean infants (p<0.05). In each case 35.0 percent or more of this information was attributed to the student. The increase in knowledge regarding types of immunization was more often attributed to the clinic nurse than to the nursing students. Knowledge of the necessity of booster immunization was poor both before and after the visits by the nursing students. Family planing There were significant increases in correct information regarding the time of I.U.D. insertion (P<0.05) and method of taking the oral pill (P<0.05). More than 42.0 percent of the increase was attributed to the nursing students'visits. However there was a slight decrease in correct information about concept of family planning. Tuberculosis There was a general lack of improvement in all areas concerned with tuberculosis. Two thirds of the respondents felt tuberculosis was hereditary and did not know what B.C.G. was. From this study, it could be concluded that in specific area the health knowledge of the female population studied was positively effected by the visits of the nursing students. The study also, suggests, however, that there was a marked unevenness in the overall increase in health knowledge. This raises serious questions which require further research. Suggested areas for further research are (1) Adequacy of the course content preparing nurses for the field experience. (2) A public health nursing manual for student reference. (3) Where and when specific aspects of health can be taught most effectively.

• 한국정보과학회:학술대회논문집
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• 한국정보과학회 2012년도 한국컴퓨터종합학술대회논문집 Vol.39 No.1(D)
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• pp.44-46
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• 2012

예방접종은 예방접종 대상 감염병 예방을 위해 가장 효과적인 보건학적 수단으로 예방접종 기록의 체계적 관리는 개인의 건강보호 및 국가 감염병예방을 위해 매우 중요하다. 이를 위해 질병관리본부는 2002년부터 8개년 국가정보화사업으로 '예방접종등록관리 정보시스템'을 구축하여 연간 1천 4백만 건의 예방접종 내역을 전산등록하고 있다. 최근 스마트폰의 보급 확산과 사용자 증가에 착안하여 전산 등록된 예방접종기록의 활용방안과 함께 예방접종 서비스 질 향상과 함께 적기 접종률 향상을 위해 개인별 예방접종 정보제공 방안이 필요함에 따라 2011년 예방접종도우미 모바일 서비스를 개발하여 제공하게 되었다.

• 한국보건간호학회지
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• 제21권2호
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• pp.241-251
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• 2007

Purpose: To identify the effects on tuberculosis mortality of a tuberculosis control program conducted at 108 community health centers in terms of structure and process. Methods: The dependent variable was tuberculosis mortality, and the independent variables were the structure(type of centers, staff, nurses, doctors, budget) and process(chest X-ray checking, immunization, case detection, health education, patients registering & managing) of the tuberculosis control programs at the community health centers. Data were analyzed using descriptive analysis and stepwise regression analysis. Result: Tuberculosis morality was positively correlated with type of centers(rural area)(p<0.01), but negatively correlated with type of centers(large cities) (p<0.01), (middle cities)(p<0.05), staff FTE(p<0.05), and number of nurses(p<0.05). Regression analysis indicated that type of centers(rural area)($\beta$=0.457) and case detection($\beta$=0.234) had a significant effect on tuberculosis mortality. Conclusion: Ultimately, this study will provide information to improve the effectiveness of tuberculosis control programs in community health centers.

• Clinical and Experimental Pediatrics
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• 제53권5호
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• pp.629-633
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• 2010

Pertussis is a highly contagious respiratory tract disease caused by $Bordetella$ $pertussis$ infection. The clinical manifestation of this infection can be severe enough to cause death. Although pertussis has been supposed to be a vaccine-preventable disease ever since the widespread vaccination of children against pertussis was started, since the 1990s, cases of pertussis and related fatalities are on the rise, especially in countries with high vaccination coverage. In Korea, there have been no deaths due to pertussis since 1990, and the vaccination rate continues to be approximately 94%. However, the number of pertussis cases reported to the Korea Center for Disease Control and Prevention has tended to increase in the 2000s, and in 2009, there was an obvious increase in the number of pertussis cases reported. This review aims to present the latest information about the pathogenesis, diagnosis, treatment, and prevention of pertussis.

• Nuclear Engineering and Technology
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• 제32권4호
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• pp.379-394
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• 2000

As an in-vessel retention (IVR) design concept in coping with a severe accident in the nuclear power plant during which time a considerable amount of core material may melt, external cooling of the reactor vessel has been suggested to protect the lower head from overheating due to relocated material from the core. The efficiency of the ex-vessel management may be estimated by the thermal margin defined as the ratio of the critical heat flux (CHF）to the actual heat flux from the reactor vessel. Principal factors affecting the thermal margin calculation are the amount of heat to be transferred downward from the molten pool, variation of heat flux with the angular position, and the amount of removable heat by external cooling In this paper a thorough literature survey is made and relevant models and correlations are critically reviewed and applied in terms of their capabilities and uncertainties in estimating the thermal margin to potential failure of the vessel on account of the CHF Results of the thermal margin calculation are statistically treated and the associated uncertainties are quantitatively evaluated to shed light on the issues requiring further attention and study in the near term. Our results indicated a higher thermal margin at the bottom than at the top of the vessel accounting for the natural convection within the hemispherical molten debris pool in the lower plenum. The information obtained from this study will serve as the backbone in identifying the maximum heat removal capability and limitations of the IVR technology called the Cerium Attack Syndrome Immunization Structures (COASISO) being developed for next generation reactors.

• 한국어병학회지
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• 제27권2호
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• pp.85-89
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• 2014

Water temperature is a key environmental factor controlling the epizootics of viral diseases in fish. High water temperature is associated with the rapid spread of rock bream iridovirus (RBIV) disease and with high mortality of RBIV infected fish. Although protection of fish against iridoviral disease by active immunization has been reported, little information is available concerning whether fish survived from an epizootic of iridoviral disease can naturally acquire resistance against the viral disease. In the present study, we have demonstrated that juvenile rock bream, which survived from a natural epizootic of RBIV, acquired resistance against recurrence or reinfection of RBIV, and this resistance was established during the subsequent low water temperature period. Furthermore, the possible involvement of the adaptive humoral immune response in the resistance of the juvenile rock bream was suggested by in vivo neutralization experiment.

• 한국어업기술학회:학술대회논문집
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• 한국어업기술학회 2000년도 춘계수산관련학회 공동학술대회발표요지집
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• pp.446-446
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• 2000

Specific polyclonal and/or monoclonal antibodies (MAbs) to immunoglobulins (Igs) and their subunits have proved to be valuable tools in immunological research and in immunological assays. In this study, we developed and characterized MAbs against flounder serum Igs. To obtain the pure flounder serum Igs, mouse IgG (mIgG) was immunized to flounder. Flounder Igs were purified by using mIgG-agarose affinity column chromatography. The structure of purified flounder Ig was observed, on denatured SDS-PAGE, to be composed of two heavy chains (77 and 72 kd) and two light chains (28 and 26 kd). MAbs were produced by fusion of myeloma cells (SP2/0) with Balb/c mouse spleen cells previously primed with the flounder Igs. Finally, three hybridoma clones, FIM 511, FIM 519 and FIM 562 were established to recognize both 2 heavy chains, 26 kd of light chain and 28 kd of light chain, respectively. On the other hand, the flounder immune sera collected on the weekly basis were tested on ELISA and immunoblot analysis whether boosting effect is present in flounder humoral immune system. As a result, the secondary immune response in flounder was ascertained on ELISA, but not on immunoblot analysis. Further, we observed an alteration of serum protein levels following immunization. Our MAbs and basic information on flounder humoral immune system obtained in this study will be helpful to control and monitor the efficiency of fish vaccines and therapeutic process of flounder diseases.

• 한국수정란이식학회지
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• 제11권1호
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• pp.71-80
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• 1996

The envelope of the rnannnalian oocyte plays crucial roles in sperm-oocyte interactions by providing sperm receptors, inducing acrosome reaction and preventing polyspermy. Understanding of properties of the zona pellucida (ZP) is essential for the artificial control of fertility in mammals. This study was carried out to produce and characterize monoclonal antibodies(MAbs) to porcine ZP proteins. Approximately 8,000 ZPs were obtained from follicular oocytes and dissolved in 40$\mu$l of double distilled water. Following immunization through foot-pad injections of Balb /c mice with a ZP solution, the popliteal lymph nodes were recovered at 2 weeks after the last injection. Hybridoma cell lines were established by fusing lymph node cells with P3X63 myeloma cells through selection using HAT medium and screening by immunofluorescence(IF) microscopy on the isolated ZP. Secreted MAbs were found to consist k chains and different heavy chains as evidenced by isotyping. Some of the MAbs demonstrated high specificity to the ZP in IF. The Mabs also showed positive cross reactivity with hamster and mouse eggs, while negative with bovine eggs. The results implicate that the MAbs can be used not only for identification of functional regions of the ZP, but also for elucidation of mechanisms involved in fertilization of mammals. The MAbs will provide basic information on biochemical anatomy of the ZP as well as can be candidates for the future contraceptive vaccines.