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Cost analysis of hypertension screening program (고혈압 건강진단의 비용분석)

  • Park, Eun-Cheol;Yu, Seung-Hum
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.3 s.27
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    • pp.380-388
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    • 1989
  • To evaluate the costs of the hypertension screening program of the Korea Medical Insurance Corporation, the records of the screening examinations were used. The sample size was 49,983 of the 906,554 people insured by the Corporation and was obtained by two-stage stratification random sampling. The alternatives for efficiency of the screening program, which were divided into three categories : modification of the screening test package, application of other hypertension diagnostic criteria, and selective approach of tested groups by age, were evaluated according to the cost per patient detected. The results of this study were as follows In the hypertension screening system, the cost per patient detected was Won 30,883. The most nonsensitive test for hypertension detection was ophthalmoscopy, which was examined during the second stage of screening. If the ophthalmoscope examination was excluded, olny one person was not detected, which was 0.2% of detected persons, and the cost per patient detected decreased to Won 28,098. The most efficient modification of the screening test package was measurement of blood pressure through the first and second stages of screening. The cost per patient detected by this modification was Won 24,408. The application of other diagnostic critera, which were more restricted criteria, increased the cost per patient detected by 3.7%-6.7%. The cost per patient detected were Won 170,582 for persons less than 39 years old, Won 20,032 for persons 40 to 59 years old, and Won 8,675 for persons 60 years old and over. In conclusion, the best alternative suggested with respect to efficiency and practical application excluded the ophthalmoscope examination of second stage screening and restricted the target population to persons greater than 40 years old. The application of this alternative decreased 54.9% of the screening costs and the cost per patient detected was Won 15,222. This study was limited in that measurement of effectivenes was not of the ultimate goal of screening, which is decreasing morbidity and mortality, but was of disease detection as the short-term objective.

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Studies on Antibiotic Residues in Cow Milk (우유(牛乳)의 잔류항생물질(殘溜抗生物質)에 관(關)한 연구(硏究))

  • Kim, Kyo Jun
    • Korean Journal of Veterinary Research
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    • v.13 no.1
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    • pp.57-62
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    • 1973
  • The antibiotics are usually used for the medical treatments or the other purpose for cow and almost of them are transfered to milk. Moreover a serious problems on public health are caused by misuse or overuse of antibiotics. These studies were conducted to determine the rise and fall of antibiotics in the raw milk which is milked from the cow treated with antibiotics. The number of samples examined were 500 which were taken from 36 cows, and the antibiotics in milk were detected by cylinder plate assay method. The results were as follows: 1) When penicillin, chloramphenycol and streptomycin were infused into a udder, they were detected up to the period of 84 hours, 36 hours and 60 hours after injection in the milk from the same udder, however in the milk from the other udder streptomycin was not detected but penicillin and chloramphenycol were detected up to 72 hours and 24 hours after injection. When streptomycin and penicillin were injected intramusculary, streptomycin was not detected in the milk but penicillin was detected up to 60 hours after injcetion. 2) When penicillin, streptomycin and chloramphenycol were infused into the udder, the lesser amount of milk was produced, the more antibiotics were detected in the milk. 3) It is necessary policy for the public health to inhibit to be sold the milk up to 3 days or more after the injection on antibiotics or to add food blue to mastitis drugs.

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Etiology and clinical aspects of diarrhea of Korean native calves during the suckling period (한우 송아지의 포유기간 중의 설사발생에 관한 연구)

  • Kim, Doo;Lyoo, Young-soo;Lyoo, Han-sang;Yoon, Chung-keun
    • Korean Journal of Veterinary Research
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    • v.30 no.2
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    • pp.255-260
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    • 1990
  • This study was conducted to examine the enteropathogens and clinical aspects of diarrhea of the 211 Korean native calves during the suckling period. The experimental results were summerized as follows: 1. The 206 Korean native calves (97.6%) were affected with diarrhea during the suckling period. 2. Of 156 diarrheal feces tested, Rotavirus were detected from 108(69.2%) feces of $K^+99$ E coli were detected from 23(14.7%) feces and Eimeria spp were detected from 33(21.2%) feces. But Salmonella spp and Cryptosporidium spp were not detected. 3. Rotavirus were detected from 2 to 84 days of life, $K^+99$ E coli were detected from 5 to 54 days and Eimeria spp were detected from 33 to 84 days of life. 4. Physical appearances of the diarrheal feces were not affected specifically according to the enteropathogens, but were affected by the severity of diarrhea and the diets.

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Estimation of Moving Direction of Objects for Vehicle Tracking in Underground Parking Lot (지하 주차장 차량 추적을 위한 객체의 이동 방향 추정)

  • Nguyen, Huu Thang;Kim, Jaemin
    • Journal of Korea Multimedia Society
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    • v.24 no.2
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    • pp.305-311
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    • 2021
  • One of the highly reliable object tracking methods is to trace objects by associating objects detected by deep learning. The detected object is represented by a rectangular box. The box has information such as location and size. Since the tracker has motion information of the object in addition to the location and size, knowing additional information about the motion of the detected box can increase the reliability of object tracking. In this paper, we present a new method of reliably estimating the moving direction of the detected object in underground parking lot. First, the frame difference image is binarized for detecting motion energy, change due to the object motion. Then, a cumulative binary image is generated that shows how the motion energy changes over time. Next, the moving direction of the detected box is estimated from the accumulated image. We use a new cost function to accurately estimate the direction of movement of the detected box. The proposed method proves its performance through comparative experiments of the existing methods.

Determination of Heavy Metals, Sulfur Dioxide and Residual Pepsticides in Oriental Medical Materials at SangJi University Oriental Medical Hospital (모 한방병원 한약재내 중금속과 이산화황 함량 및 잔류농약 분석 연구)

  • Heo, Seong-Kyu;Cha, Yun-Yop;Kim, Eu-Gene;Cho, Woong-Hee;Lee, Han;Baik, Tai-Hyun;Seo, Hyung-Sik;Park, Hee-Soo;Kim, Byoung-Woo;Kwon, Ki-Rok;Lee, Seung-Gi;Yoo, Jun-Sang;Sohn, Young-Joo;Sun, Seung-Ho;Kang, Hee-Chul;Seo, Yong-Chan
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.4
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    • pp.948-953
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    • 2008
  • The purpose of this study was to analyze harmful heavy metals, sulfur dioxide and residual pesticides in 27 kinds of oriental medical materials. This study was carried out on 27 samples of oriental medical materials. The GC-ECD(Varian, CP-3800) was used to analyze residual pesticides. ICP-OES(Varian, Vista-MPX) was used to analyze lead, arsenic, cadmium. Mercury was analyzed by amalgamation method. A modified Monier-Williams method was used to analyze sulfur dioxide. Arsenic was detected less than 3(mg/kg) in 14 samples and was not detected 13 samples. Lead was detected less than 5(mg/kg) in 15 samples and was not detected 12 samples. Mercury was detected less than 0.2(mg/kg) in 15 samples and was not detected 12 samples. Cadmium was detected more than 0.3(mg/kg) in 3 samples was detected less than 0.3(mg/kg) in 16 samples and was not detected 11 samples. A few residual pesticides was detected, but all residual pesticides was safe. Sulfur dioxide was detected in all samples, but all residual sulfur dioxide was safe.

Residual characteristics of pesticide in banana from international pesticide residue monitoring data (각국의 잔류농약 모니터링 자료를 활용한 바나나 중 농약 잔류 실태 조사)

  • Kim, Seo-Hong;Kim, Jeong-Ah;Im, Moo-Hyeog
    • Journal of Applied Biological Chemistry
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    • v.63 no.1
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    • pp.9-22
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    • 2020
  • This study was designed to use the safety management data for residual pesticides in imported banana based on the investigation of pesticide residue detection of agricultural products with different origins in the Republic of Korea. From the USA, EU, UK, Japan and Korea from 2007 to 2018, the results of banana residue pesticides were summarized into detected pesticides, number of inspections, number of pesticide detection cases, and the amount of detected pesticide residue. A total of 109 pesticides were detected for the pesticide residue and pesticide detection rate was 4.58% in 206,894 cases. The detection rate was ranged within 10.62-24.62% for chlorpyrifos, imazalil, methyl-bromide, azoxystrobin, carbendazim, pretilachlor and thiabendazole. Among them, chlorpyrifos was detected most often followed by imazalil, azoxystrobin, thiabendazole, bifenthrin and carbendazim. According to the results of monitoring data for bananas in EU, Japan, USA, UK and Korea, the kinds of detected pesticides were 85, 57, 23, 18 and 8, respectively. Azoxystrobin, bifenthrin and chloropyrifos were found in monitoring data of all countries. Fourteen and twelve pesticides were detected in bananas from Costa Rica and Ecuador, respectively. Imazalil and thiabendazole were detected in 16 and 11 origins, respectively. Myclobutanil and iprodione were detected in four and two countries, respectively. In bananas from Costa Rica, azoxystrobin and bifenthrin were detected 11.8 and 9.8%, respectively, and the detection rate of azoxystrobin was 19% in bananas from Colombia. Chlorpyrifos was detected 22.7, 13.3 and 10.8% in bananas from Belize, Colombia and Costa Rica respectively. Myclobutanil was detected in bananas from Colombia and Costa Rica with the rate of 17.9 and 10.4%, respectively.

Diagnosis and Treatment of the Recurrent Thyroid Cancer (갑상선 재발암의 진단과 치료에 대한 고찰)

  • Kwon O-Gyoung;Park Sung-Gil;Oh Sung-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.1
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    • pp.58-63
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    • 2000
  • Objectives: To demonstrate effective diagnostic method and proper management of recurrent thyroid cancer through to compare treatment and surveillance of $I^{131}$ scanning detected recurrence and clinically detected recurrence. Material and Methods: We retrospectively analyzed clinical information about 46 patients who has recurrent thyroid cancer of 298 patients who have been primarily operated due to thyroid cancer in PMC at the over 10 years between 1986 and 1995. We examine incidence of recurrence due to pathologic types, site of recurrence, disease free interval, detection method of recurrence, and also treatment and progression of recurrence. A patients in which the clinical examination was entirely negative and the $I^{131}$ scan demonstrated either a new area of $I^{131}$ uptake or an increased area of concentration, compared to the previous scan, was designated as a recurrence detected by $I^{131}$ scan only. Recurrences that were obviously by physical examination or chest x-ray, etc were considered clinically detected recurrence, regardless of the the results of the thyroid scan. Results: Mean of disease tree interval(DFI) is 36months. When mean DFI of $I^{131}$ scan detected recurrence is 28months, whereas mean DFI of clinically detected recurrence is 47months. In statiscal analysis, p-value is 0.043 as significantly. In progression of recurrent patient, NED is 28case, AWD is Sease, DOD is 13case. Among the 13case, scan detected recurrence is lease of 20 patients(5%), whereas clinically detected recurrence is l2case of 26 patient(46%). In statiscal analysis, p-value is 0.003 as significantly. Conclusion: Early detection of the recurrent thyroid cancer by $I^{131}$ scanning leads to good progress compare with detection by clinical examination. NED: No Evidence of Disease AWD : Alive With Disease DOD : Dead Of Disease DOC: Dead of Other Cause

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Indoor and Outdoor Distribution of Legionella spp and Microbes on Cooling Towers Water of Central Air Conditioning Facilites (중앙집중식 냉방시설의 냉각탑수중 레지오넬라균과 실내외 미생물 분포에 관한 연구)

  • 방선재;이철민;김윤신;선우영
    • Journal of Environmental Health Sciences
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    • v.28 no.3
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    • pp.39-48
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    • 2002
  • Cooling towers water has frequently been known as a source of infection in outbreaks of Legionnaires' disease and a source of indoor air pollution. However, there have been a few reports on the presence of Legionella in cooling towers water and aerosols of various public facilities. This study was carried out to investigate the indoor and outdoor dis-tribution of Legionella spp and microbe from 132 cooling towers water of public facilities detected 1. pneumophila in Seoul and Gyeonggi-Do areas. The results showed that the Lpneumophila among the selected 132 cooling towers was detected mostly in July (12.0%), followed by August (4.0%) and June, September no-detected. The 1. pneumophiia in public facilities was detected mostly in department store (27.3%), followed by hospital (8.7%), office building (5.9%), big market (5.0%) and hotel, subway no-detected. The pH values of cooling towers water with presence of 1. pneumophila showed mostly 8.0 or higher (9.5%), followed by 7.0~8.0 (6.8%), lower 7.0 no-detected. The tem-perature of cooling towers water with presence of L pnemophila showed mostly 30℃ or higher (9.8%), followed by 26~30℃ (6.9%), lower 25℃ no-detected. The turbidity of cooling towers water with presence of 1. pneumaphila showed mostly 1-2 M (8.8%), followed by above 2 NTU (5.9%), lower 1 NTU no-detected. The correlation coef-ficient between indoor and outdoor concentration of microbes in public facilities showed 0.67 in Legionella spy. (p>0.05), 0.93 in bacteria (p<0.01), 0.94 in fungus (p<0.01), 0.98 in coilform (p<0.01), respectively.

Effect of Light Source on Organic Acid, Sugar, and Flavonoid Concentrations in Buckwheat

  • Kim, Sun-Lim;Lee, Han-Bum;Park, Cheol-Ho
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.47 no.1
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    • pp.42-47
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    • 2002
  • The major free sugars of buckwheat plants were fructose, glucose, and maltose but their contents and compositions were influenced by the different wavelength of light. Free sugar contents of Clfa 39 (Fagopyrum tataricum) were higher than those of Yangjul-maemil (Fagopyrum esculentum) regardless of the light sources. As treated with red and blue light, the free sugar contents in the leaves of buckwheat plants were slightly increased, but their contents in the stems and flowers were lower than those of natural light condition. Under the natural light condition, maltose was detected in every tissues of buckwheat plants, but as treated with blue and red light, it was not detected in the flowers of buckwheat plants. Citric, malic and acetic acid were detected as major organic acids in buckwheat plants. Red and blue lights decreased the total organic acid contents in buckwheat plants as compared with natural light condition. It was considered that blue light are less active than red light for the accumulation of organic acids. Tataric acid was detected only in the leaves of buckwheat plants, however, as treated with red and blue light, it was not detected in the leaves of Clfa 39. Flowers of Yangjul-maemil contained a considerable amount of rutin and quercitrin. Only small amount of quercitrin was detected in leaves, but it was not detected in stems. On the other hand, Clfa 39 leaves contained a considerable amount of rutin, quercetin and small amount of quercitrin, but quercitrin and quercetin were detected only in the stems of Clfa 39. Red and blue lights significantly decreased the contents of rutin, quercitrin, and quercetin in buckwheat plants as comparing with natural light condition. Rutin content in the flowers of Clfa 39 was increased under the red and blue light conditions.

Distribution of Vibrio parahaemolyticus and Vibrio vulnificus in Seawater and Shellfish at Gomso Bay (곰소만의 해수 및 패류에 있어서 장염비브리오균(Vibrio parahaemolyticus)과 비브리오패혈증균(Vibrio vulnificus)의 분포)

  • Lee, Dong-Soo;Shin, Hye-Young;Park, Kwon-Sam;Shin, Il-Shik
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.52 no.2
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    • pp.114-120
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    • 2019
  • In the case of being contaminated with pathogenic Vibrio, shellfish pose a serious threat for public health. This study was conducted to investigate the presence of Vibrio parahaemolyticus and V. vulnificus in the seawater, bottom deposit and shellfish samples collected from the Gomso Bay, west coast of Korea. V. parahaemolyticus (30-80 CFU/g) was detected from seawater Jul. to Oct. and highest at Sep. V. parahaemolyticus was detected less than 10 CFU/g from seawater at Nov. with $14.6^{\circ}C$ of seawater temperature. V. parahaemolyticus (180-1,850 CFU/g) was detected more than 100 CFU/g from 3 kinds of shellfish, Short-necked clam Ruditapes philippinarum, Corb shell Cyclina sinensis, and Surf clam Mactra veneriformis, Jul. to Oct. and was highest in Surf clam at Oct. V. parahaemolyticus was detected less than 20 CFU/g from all tested shellfish at Nov. V. vulnificus (1.8-2.7 MPN/100 mL) was detected from seawater Jul. to Oct. and was not detected at Nov. V. vulnificus (18-236.7 MPN/100 g) was also detected from 3 kinds of shellfish Jul. to Oct. and was highest in Corb shell at Jul. V. vulnificus was not detected from all tested shellfish at Nov.