• Parasites, Hosts and Diseases
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• 제36권1호
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• pp.37-46
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• 1998

인체 간흡충증의 현증감염 시기에 생산된 특이 IgG 항체와 반응하는 간촘충 특이항원을 규명하였다. 간흡충 성충의 조항원 및 서로 다른 조건에서 회수한 4가지 분비배설항원 (CsE)의 항원성을 면역이적법 소견으로 비교하였다 CsE2의 30. 7 kDa 항원이 간흡충 환자혈청과 강한 면역반응을 보였다. 이 항원들은 프라지콴텔 완치 후 6개월 혈청과는 반응하지 않았으나 투약 후 간흡충 충란이 검출된 환자의 치료 후 혈청과는 반응하여 현증감염의 면역반응과 관련된다고 판단하였다. 그러나. 30 Ka항원은 폐흡충 요코가와흉충 감염혈청과 교차반응하였고. 7 kDa 항원은 반응하지 않았다. 또. 30 kDa 항원은 일부 간흡충 과거 감염자 혈청과 반응하였으나 7 kDa 항원은 반응하지 않아 7 님)a 항원의 특이도가 높았다 간흡충 유행지역에서 7 kDa 항원의 민감도를 파악한 바 간흡충 현증감염자 25명 중 23명 (92%) 간홉충 요코가와흡충 중복감염자 11명 중 10명 (91%)과 반응하였다. 반면 간흡충 과거감염자 15명 중 6명 (40%), 요코가와흡충 감염자 7명 중 3명 (43%)과 반응하였다. 따라서. CsE2의 7 kDa 항원은 인체 간흡충 현증감염의 표식자가 되는 간흡충 특이 항원으로 판단된다.

• 대한의생명과학회지
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• 제24권2호
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• pp.138-142
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• 2018

The incidence of tuberculosis (TB) in the Republic of Korea remains high when compared to the incidence in other Organization for Economic Cooperation and Development (OECD) countries. The prompt diagnosis and effective treatment of latent TB infection (LTBI) are very important in terms of controlling the burden of TB. The tuberculin skin test (TST) has long been the "gold standard" assay for the diagnosis of LTBI. However, it can show false positive results due to Bacille Calmette-$Gu{\acute{e}}rin$ (BCG) vaccination and infection with many environmental nontuberculous mycobacteria (NTM). The interferon gamma release assay (IGRA) using Mycobacterium tuberculosis (MTB)-specific antigens, was developed for the detection of LTBI. The QuantiFERON-TB Gold In-Tube assay is one of the most commonly used forms of the IGRA. In order to compare the diagnostic efficacy of the TST and IGRA in relation to LTBI among BCG-vaccinated healthy donors, whole blood samples were collected from 51 participants, and the results of the TST and IGRA were compared. Of the 51 cases, 18 cases (35.3%) were positive and 33 cases (64.7%) were negative when using the TST, while four cases (7.8%) were positive and 47 cases (92.2%) negative when using the IGRA. There was no correlation between the size of the induration in the TST and the $IFN-{\gamma}$ protein level. In conclusion, the TST showed higher cross-reactivity among the BCG-vaccinated healthy participants, therefore, the IGRA might be the most suitable assay for the rapid screening of LTBI in BCG-vaccinated healthy population, or for TB contact investigation.

• 융합정보논문지
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• 제8권5호
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• pp.19-27
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• 2018

본 연구는 간호학과에 재학중인 학생을 대상으로 의료관련감염관리를 위한 표준주의 지식, 수행의도, 수행에 대한 태도, 표준주의지침 수행을 위한 안전환경 및 수행도를 파악하고 이들 요인들이 간호대학생들의 표준주의 수행도에 어떠한 영향을 미치는 지를 규명하고자 시도되었다. 2018년 6월 15일부터 6월 30일까지 경기도 A대학교 간호학과 3~4학년 296명에게 설문지를 이용하여 자료수집을 하였다. 연구결과 대상자의 표준주의 수행도와 의료관련감염 관리지침 수행의도, 의료 관련감염 관리지침 수행에 대한 태도와 표준주의지침수행을 위한 안전환경은 각각 양의 상관관계로 나타났다. 대상자의 의료관련감염예방 수행도에 영향을 미치는 요인은 간호학생의 의료관련감염 관리지침 수행의도와 표준주의지침수행을 위한 안전환경으로 나타났으며 이 두 변수가 의료관련감염예방 수행도를 20% 설명하는 것으로 나타났다. 따라서 간호대학생들의 의료관련감염관리에 대한 표준주의의 수행도를 증진시키기 위해 수행의도를 높일 수 있는 교육프로그램의 개발과 보다 안전한 실습환경 조성이 필요할 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9361-9365
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• 2014

Background: To estimate the pre-vaccination distribution of human papillomavirus (HPV) types among women from urban Tunis. Materials and Methods: A total of 611 women aged 18-69 years were enrolled in three local gynaecological outpatient departments. All underwent a gynaecological examination with Pap test and dry swab for HPV detection and typing performed by linear array genotyping test (Roche). Cytological examination was conducted on conventional Pap smears. Results: HPV DNA was found in 6.5% of the women; the most frequent HPV types were HPV 16 and HPV 11 at 3.27% and 1.96%, respectively. The second most frequent high risk (HR) HPV type was HPV 58 (0.82%) followed by HPV 18, HPV 31 and HPV 33 found in only 0.33% of women. Single infections with HPV types, targeted by the quadrivalent vaccine (6, 11, 16, and 18), were detected in 3.6 % of the study patients (55% of positive women). HPV infection was found in 3.83% of women with normal cytology and in 47.4% of women with cytological abnormalities. No statistically significant trend in prevalence by age group emerged for any HPV type or for high or low risk types. Conclusions: These data show a relatively low prevalence of HPV infection in women from urban Tunis with a high proportion of HPV16 and HPV58. This should be considered in the upcoming screening programs and vaccination strategy.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9117-9123
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• 2014

Background: To evaluate the knowledge, perception and attitudes towards human papilloma virus (HPV) among pre-university students in Malaysia. Study design : In this cross sectional study, between November 2013 to March 2014, in a public university, a convenient sampling method was used. A total of 716 respondents were recruited and interviewed with a set of standard questionnaires for assessment of knowledge, perception and attitudes towards HPV and predictor variables associated with level of knowledge. Results: Almost half (48.9%) of the respondents scored less than 5 and were categorised as having poor knowledge. Three hundred and twelve (43.6%) respondents had moderate knowledge and only 54 (7.5%) respondents exhibited good knowledge with the score of 11 and above. Only 142 (20%) students perceived themselves to be vulnerable to HPV infection though 560 (78.2%) students thought that HPV infection is a serious disease. Perceived benefits and desire to be vaccinated were significantly associated with gender (p=0.000) and knowledge of HPV vaccine and cervical cancer (p=0.000). Conclusions: The level of knowledge regarding HPV among the pre-university students was low. However, student intention for vaccination increased with increasing level of knowledge. Thus, efforts to improve knowledge and awareness should be prioritised to increase uptake of the HPV vaccination programme and hence reduce morbidity and mortality from consequences of HPV infection, including cervical carcinoma.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1083-1088
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• 2016

Background: Cervical cancer is the second commonest cancer among Indian women and its association with human papilloma virus (HPV) is well established. This preventable cancer accounts for the maximum number of cancer related deaths among rural Indian women. Unlike in developed countries there are no organized cervical cancer screening programmes in India due to lack of resources and manpower. Objective: To detect genital HPV infection using urine samples among asymptomatic rural women in the age group of 18-65 years. Materials and Methods: The study area chosen was Perdoor village in Udupi Taluk, Karnataka State and all the women in the age group of 18-65 years formed the study cohort. A cross sectional study was conducted by house visits and 1,305 women were enrolled in the study. After taking written informed consent a data sheet was filled and early stream random urine samples were collected, transported to a laboratory at 4OC and aliquoted. Samples were tested using nested HPV PCR with PGMY09/11 and GP5+/6+ primers. Positive cases were genotyped by sequence analysis. Results: Study participants included 1,134 sexually active and 171 unmarried women with a mean age at marriage of 22.1 (SD=3.9) years. Study area showed high female literacy rate of 86.6%. Five urine samples tested positive for HPV DNA (0.4%). Conclusions: We found very low genital HPV infection rate among women from monogamous community. This is the first major population based study carried out among asymptomatic rural women to detect genital HPV infectio from Karnataka using urine samples.

• Asian Pacific Journal of Cancer Prevention
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• 제13권8호
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• pp.3663-3667
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• 2012

The hepatitis B virus (HBV) and the hepatitis C virus (HCV) are still public health problems in Yemen, with older individuals having much higher prevalence than younger generations. However, research on the prevalence of viral hepatitis in association with hepatocellular cancer (HCC) has not yet been undertaken in Yemen. The aim of this study was to determine the prevalence of HBV and HCV infection among HCC patients and to estimate the risk of these infections being associated with the development of HCC. A cross-sectional study was conducted on patients attending oncology outpatient in Sana'a, Yemen, through the period 2008-mid 2010 with confirmed diagnosis of HCC. A total of 88 cases were studied thoroughly with different investigations such as CT-scan, ultrasound, tumour marker, alpha-feto-protein and histopathological biopsy. A structured questionnaire was also applied and physical examination done to assess the general condition of the patients. Statistical package (SPSS version 16) was used for analysis of the data. The mean age of the cases was 61.2 years (${\pm}12.6$) with half over 60 years. There were fewer male patients (36%) compared to females and most (97%) only had basic /no formal education. Seventy nine (89%) were diagnosed as HCC cases with histopathological biopsy while the rest were diagnosed by ultrasound, CT scan, tumour marker, and alpha-feto-protein. Around one-third of the subjects were positive for HBsAg and HCV antibodies. Multivariate analysis showed infection with HCV and use of smoking was associated with HCC diagnosis. Although an association was observed between the occurrence of HCC and viral hepatitis (either HBV or HCV) and cigarette smoking, but the rate of viral infection was lower than what has been reported elsewhere.

• 응용통계연구
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• 제21권6호
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• pp.901-910
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• 2008

국내 삼일열 말라리아는 1990년대 중반부터 급격히 증가하여 2000년대에는 연평균 1600여명이 발병하고 있다. 본 연구에서는 이미 알려진 잠복기 분포와 2001년부터 2006년까지의 발병자수 자료에 바탕하여 후향연산식을 활용하여 국내 삼일열 말라리아의 감염분포를 최소제곱법으로 추정하였다. 추정된 감염분포는 평균이 207일이고 표준편차가 30.7일인 정규분포를 이루었다. 이를 이용하여 연간 유병자수 분포를 산출한 결과, 말라리아의 하루 평균 유병자수는 628.8명 이었다.

• 대한수의학회지
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• 제39권6호
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• pp.1151-1160
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• 1999

This study was conducted to detect the toxoplasma-specific DNA in peripheral blood collected from cats experimentally infected with Toxoplasma gondii (RH strain) and from domiciled cats by B1 gene-base polymerise chain reaction(PCR). The sensitivity of oligonucleotide primer, T-1 & T-2, designed from toxoplasma B1 gene amplification method was compared with parasite detection by mouse inoculation(MI). And also, latex agglutination test(LAT) and indirect fluorescent antibody test(IFAT) were conducted to detect the fluctuation of serum antibodies compared with the detection of toxoplasma by PCR and MI. Toxoplasma B1 gene PCR was shown consistently high sensitivity and the results obtained by PCR agreed completely with those from MI. All blood samples collected before infection with T gondii gave negative results by PCR and MI. Also, toxoplasma Bl gene PCR was not cross reaction with Neospora caninum DNA and normal cat leucocyte as controls. The toxoplasma-specific DNA was detected by PCR in blood of 5 cats experimentally infected with T gondii 6 days after infection and the detection of this specific-DNA was long lasted in blood for 64 days after infection. The detection of toxoplasma-specific DNA by PCR could be identified as few as 10 tachyzoites and the isolation of T gondii by MI could be isolated as few as 1 tachyzoite from tenfold serial dilution of T gondii with normal cat blood, respectively. In healthy domiciled cats, the toxoplasma-specific DNA and the parasite were detected and isolated in blood from 3 of 56(5.3%) cats by both PCR and MI, respectively. In the results of antibody test from the total 56 heads of healthy domiciled cats, the positive rates are 15(26.7%) by LAT and 19(33.9%) by IFAT. These results suggest that PCR detection of toxoplasma can be applied as a sensitive and specific diagnostic and research tool.

• 한국간호교육학회지
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• 제23권4호
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• pp.378-388
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• 2017

Purpose: The aim of this study was to identify the status of performance on standard precautions among nursing students and to examine the mediating effects of internal health locus of control on the relationship between awareness and performance on standard precautions of hospital-acquired infection control. Methods: The participants in this study were 134 nursing students. The measurements included a standard precautions awareness and performance scale, and a multidimensional health locus of control scale. Data were analyzed using independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, and simple and multiple regression techniques. Mediation analysis was performed by the Baron and Kenny's method and Sobel test. Results: The mean score of standard awareness, standard performance, and internal health locus of control about standard precaution were $174.30{\pm}9.08$; $169.48{\pm}12.04$; and $20.43{\pm}2.82$; respectively. There was a positive correlation between standard awareness and performance (r=.414, p<.001). Also, standard awareness was significantly correlated with internal health locus of control (r=.413, p=.014). Internal health locus of control showed partial mediating effects in the relationship between awareness and performance. Conclusion: The results indicate a need to improve the internal health locus of control of nursing students. Therefore, an internal health locus of control improvement program should improve performance on standard precautions for patients and themselves.