• Title/Summary/Keyword: geography of disease

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Association with Genetic Polymorphism of rs117033348 and Allergic Disease in Korean Population

  • Kong, Yoonji;Kim, Mingyeong;Jin, Hyun-Seok;Park, Sangjung
    • Biomedical Science Letters
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    • v.27 no.3
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    • pp.177-181
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    • 2021
  • Allergy is an immune response that appears in certain people, and reactions such as coughing, shortness of breath, and hives occur. The immune system plays an important role in homeostasis and host defense, and allergies cause hypersensitivity reactions when an imbalance of immunity occurs. Mutations in the TLR genes are associated with autoimmune conditions such as allergies and asthma. It has been reported that a locus in the TLR1-TLR6-TLR10 region may be associated with atopic sensitization or allergy. Therefore, the purpose of this study was to select an allergy patient group and a healthy control group to determine how the genetic mutation of TLR1 affects the onset of disease. This study was conducted in 709 patients and 5,025 control groups out of 10,956 patients with data from KARE and HEXA cohorts. As a result of logistic regression analysis of 6 SNPs selected from the TLR1 gene, only rs117033348 showed a statistically significant correlation (P = 0.002356). The influence of rs117033348 was examined using PolyPhen-2, and a significant result was shown. Therefore, it can be predicted that the G base in rs117033348 will have an influence on the human body. In addition, Geography of Genetic Variants browser was used to confirm the geographical distribution of allele frequencies for the TLR1 gene. Although it was found that there was a large racial difference in the prevalence of TLR1 SNP, it could be confirmed that the polymorphism of rs117033348 conducted in this study was only specific in East Asia when compared with each race.

A Space-Time Cluster of Foot-and-Mouth Disease Outbreaks in South Korea, 2010~2011 (구제역의 시.공간 군집 분석 - 2010~2011 한국에서 발생한 구제역을 사례로 -)

  • Pak, Son Il;Bae, Sun Hak
    • Journal of the Korean association of regional geographers
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    • v.18 no.4
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    • pp.464-472
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    • 2012
  • To assess the space-time clustering of FMD(Foot-and-Mouth Disease) epidemic occurred in Korea between November 2010 to April 2011, geographical information system (GIS)-based spatial analysis technique was used. Farm address and geographic data obtained from a commercial portal site were integrated into GIS software, which we used to map out the color-shading geographic features of the outbreaks through a process called thematic mapping, and to produce a visual representation of the relationship between epidemic course and time throughout the country. FMD cases reported in northern area of Gyounggi province were clustered in space and time within small geographic areas due to the environmental characteristics which livestock population density is high enough to ease transmit FMD virus to the neighboring farm, whereas FMD cases were clustered in space but not in time for southern and eastern area of Gyounggi province. When analyzing the data for 7-day interval, the mean radius of the spatial-time clustering was 25km with minimum 5.4km and maximum 74km. In addition, the radius of clustering was relatively small in the early stage of FMD epidemic, but the size was geographically expanded over the epidemic course. Prior to implementing control measures during the outbreak period, assessment of geographic units potentially affected and identification of risky areas which are subsequently be targeted for specific intervention measures is recommended.

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Ecology and Natural History of North Korean Pinaceae (북한 소나무과 나무의 생태와 자연사)

  • Kong, Woo-Seok
    • Journal of Environmental Impact Assessment
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    • v.15 no.5
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    • pp.323-337
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    • 2006
  • This work discussed the species composition, phylogeny, spatio-temporal distribution, ecology and natural history of North Korean Pinaceae or pine tree family, which seems to be important to maintain nature and ecosystem in the Korean Peninsula. Out of five genera and sixteen species of Pinaceae of the Korean Peninsula, North Korea contains four genera and eleven species of Pinaceae, including Pinus densilflora, P. koraiensis, P. pumila, Picea jezoensis, P. koraiensis, P. koraiensis var. koraiensis, P. pungsanensis, Larix gmelini, L. gmelinii var. olgensis, Abies holophylla and A. nephrolepis. In terms of phylogeny Pinus is closely related to Picea, and followed by Larix. Abies is close to Tsuga which only occur at Ullung Island. Distributional pattern of North Korean Pinaceae can be classified into four types; three species of nation-wide montane type i.e., Pinus densilflora, P. koraiensis and Abies holophylla, four species of central and northern subalpine type, i.e., Pinus pumila, Picea koraiensis, Larix gmelini and Abies nephrolepis, one nation-wide subalpine type, Picea jezoensis, and three species disjunctive to north type, i.e., Picea koraiensis var. koraiensis, P. pungsanensis, and Larix gmelinii var. olgensis. Pinaceae species occurring on the alpine and subalpine belts of North Korea, such as Pinus koraiensis, P. pumila, Picea jezoensis, P. koraiensis, P. koraiensis var. koraiensis, P. pungsanensis, Larix gmelini, L. gmelinii var. olgensis and A. nephrolepis are considered as the glacial descendant from the boreal region. Those species might have migrated from the north during the Pleistocene glacial epochs in search of favourable condition, and since the Holocene period they survived on the hostile alpine and subalpine environments, in which they are more competitive than warmth-tolerant temperate vegetation. Certain species, such as Picea pungsanensis, is segregated on the isolated mountains since the Pleistocene period, and forced to adapt to local environment, and eventually became an endemic species of North Korea. Recent rapid global warming trend especially in northern high mountains of North Korea could cause an unfavourable environment for the survival of cold-tolerant Pinaceae of the alpine and subalpine belts. Pinus densiflora, which is occurring on the montane belt might faced with difficulties due to both the deforestation and the outbreak of insect-borne disease, such as Bursaphelenchus xylophilus.

Mapping the Geographic Variations of the Low Birth Weight cases in South Korea: Bayesian Approaches (우리나라 저체중아 출생의 공간적 변동성 지도화: 베이지언적 접근)

  • Roh, Young-hee;Park, Key-ho
    • Journal of the Korean Geographical Society
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    • v.51 no.3
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    • pp.367-380
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    • 2016
  • This study reviewed and compared methods for mapping aggregated low birth weight (LBW) and geographic variations in LBW in South Korea. Based on this review, we produced LBW maps in South Korea. Standardized mortality/morbidity ratios (SMRs) and crude mortality rates have been widely used for many years in epidemiological research. However, SMR-based maps are likely to be affected by sample size of unit area. Therefore, this study adopted a model-based approach using Bayesian estimates to reduce noisy variability in the SMR. By using a Bayesian model, we can calculate a statistically reliable RR values. We used the full Bayes estimator, as well as empirical Bayes estimators. As a result, variations in the two Bayes models were similar. The SMR-based statistics had the largest variation. The result maps can be used to identify regions with a high risk of LBW in South Korea.

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Analysis of Potential Infection Site by Highly Pathogenic Avian Influenza Using Model Patterns of Avian Influenza Outbreak Area in Republic of Korea (국내 조류인플루엔자 발생 지역의 모델 패턴을 활용한 고병원성조류인플루엔자(HPAI)의 감염가능 지역 분석)

  • EOM, Chi-Ho;PAK, Sun-Il;BAE, Sun-Hak
    • Journal of the Korean Association of Geographic Information Studies
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    • v.20 no.2
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    • pp.60-74
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    • 2017
  • To facilitate prevention of highly pathogenic avian influenza (HPAI), a GIS is widely used for monitoring, investigating epidemics, managing HPAI-infected farms, and eradicating the disease. After the outbreak of foot-and-mouth disease in 2010 and 2011, the government of the Republic of Korea (ROK) established the GIS-based Korean Animal Health Integrated System (KAHIS) to avert livestock epidemics, including HPAI. However, the KAHIS is not sufficient for controlling HPAI outbreaks due to lack of responsibility in fieldwork, such as sterilization of HPAI-infected poultry farms and regions, control of infected animal movement, and implementation of an eradication strategy. An outbreak prediction model to support efficient HPAI control in the ROK is proposed here, constructed via analysis of HPAI outbreak patterns in the ROK. The results show that 82% of HPAI outbreaks occurred in Jeolla and Chungcheong Provinces. The density of poultry farms in these regions were $2.2{\pm}1.1/km^2$ and $4.2{\pm}5.6/km^2$, respectively. In addition, reared animal numbers ranged between 6,537 and 24,250 individuals in poultry farms located in HPAI outbreak regions. Following identification of poultry farms in HPAI outbreak regions, an HPAI outbreak prediction model was designed using factors such as the habitat range for migratory birds(HMB), freshwater system characteristics, and local road networks. Using these factors, poultry farms which reared 6,500-25,000 individuals were filtered and compared with number of farms actually affected by HPAI outbreaks in the ROK. The HPAI prediction model shows that 90.0% of the number of poultry farms and 54.8% of the locations of poultry farms overlapped between an actual HPAI outbreak poultry farms reported in 2014 and poultry farms estimated by HPAI outbreak prediction model in the present study. These results clearly show that the HPAI outbreak prediction model is applicable for estimating HPAI outbreak regions in ROK.

Locational Characteristics of Highly Pathogenic Avian Influenza(HPAI) Outbreak Farm (고병원성 조류인플루엔자(HPAI) 발생농가 입지특성)

  • KIM, Dong-Hyeon;BAE, Sun-Hak
    • Journal of the Korean Association of Geographic Information Studies
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    • v.23 no.4
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    • pp.140-155
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    • 2020
  • This study was conducted to identify the location characteristics of infected farms in the areas where livestock diseases were clustered(southern Gyeonggi-do and Chungcheong-do), analyze the probability of disease occurrence in poultry farms, find out the areas corresponding to the conditions, and use them as the basis for prevention of livestock diseases, selection of discriminatory prevention zones, and establishment of prevention strategies and as the basic data for complementary measures. The increase of one poultry farm within a radius of 3-kilometers increases the risk of HPAI infection by 10.9% compared to the previous situation. The increase of 1m in distance from major roads with two lanes or more reduces the probability of HPAI infection by 0.001% compared to the previous situation. If the distance of the poultry farm located with 15 kilometers from a major migratory bird habitat increases by 15 to 30 kilometers, the chance of infection with HPAI is reduced by 46.0%. And if the distance of the same poultry farm increase by more than 30 kilometers, the chances of HPAI infection are reduced by 88.5%. Based on the results of logistic regression, the predicted probability was generated and the actual area of the location condition with 'more than 15 poultry farms within 3km a radius of, within 1km distance from major roads, and within 30km distance from major migratory birds habitat was determined and the infection rate was measured. It is expected that the results of this study will be used as basic data for preparing the data and supplementary measures when the quarantine authorities establish discriminatory quarantine areas and prevention strategies, such as preventive measures for the target areas and farms, or control of vehicles, by identifying the areas where livestock diseases are likely to occur in the region.

The Development of Korean Nursing Alternative (한국적 간호중재 개발 : 대체(보완)요법)

  • 신경림
    • Journal of Korean Academy of Nursing
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    • v.29 no.6
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    • pp.1403-1418
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    • 1999
  • Nursing is a discipline that helps to understand human being, to mitigate pains in life by promoting and recovering health, and to study the basic principles in sustaining and preserving life. To understand man and thus to nurse, it is essential to take the way of life of the specific person, his/her ideas, and natural environment into consideration. This means, the temperament, geography, environment and society peculiar to Korea have formed its own culture distinguished from those of other people. Thoughts and philosophy develop as a products of the specific culture and society. Therefore, accurate understanding of the concepts of nursing in the traditional thoughts and philosophy is indispensible to define Korean nursing. Modern Korean nursing at first rooted in the westernized nursing and western nursing intervention has been applied ever since its introduction in the late 19th century under the paradigm of western natural science. However, Koreans in the past made use of alternative therapy which put its emphasis on the organic and holistic view of life as well as a means for traditional medicine and nursing. This alternative therapy has been largely ignored since the introduction of western medical science, and was considered something used only by the aged or the uneducated. Moreover, Health concerned practices and customary traditional therapy have been discarded in the clinical medicine as "unscientific" or "unsystematic". As described above, it is true that Korean nursing has developed in the quantitative aspect only adhering to western nursing intervention. Now it is the time to stop to hold ourself and to look back our past. To find and develop the originality of Korean nursing to cope with the globalization, it is necessary to rediscover nursing (alternative) therapy in Korean culture ignored so far. For this purpose, this study examines the oriental philosophy to explore alternative nursing theory now under development. Also it aims to present ways to apply alternative therapy to nursing education, research and clinical practices and ultimately to show the desirable direction of the nursing to go in the future. Yangsaeng theory of Taoism and Yin-yang, Oh-hang(five elements) and khi theory in Dongeuibogam which gave enormous influences on Korean medical culture and treatment together with Sahsang(four temperaments) emphasized in Dongeuisusebowon will be examined as conceptual framework. Concepts of nursing are categorized into views on each the universe, the human being and nursing. Views on human being is classified into subcategories of body, life, health, and disease. Also it emphasizes the necessity of including alternative therapy in nursing intervention. Views on the universe is classified into yin-yang, khi, and temperament. Nursing will be available anywhere and easily accessible with this new nursing intervention. Trying to give a new thoughts to all those traditional concepts and alternative therapy, this article suggests the necessity of developing original Korean nursing theory and nursing intervention.

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A Study on Orthogonal Image Detection Precision Improvement Using Data of Dead Pine Trees Extracted by Period Based on U-Net model (U-Net 모델에 기반한 기간별 추출 소나무 고사목 데이터를 이용한 정사영상 탐지 정밀도 향상 연구)

  • Kim, Sung Hun;Kwon, Ki Wook;Kim, Jun Hyun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.40 no.4
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    • pp.251-260
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    • 2022
  • Although the number of trees affected by pine wilt disease is decreasing, the affected area is expanding across the country. Recently, with the development of deep learning technology, it is being rapidly applied to the detection study of pine wilt nematodes and dead trees. The purpose of this study is to efficiently acquire deep learning training data and acquire accurate true values to further improve the detection ability of U-Net models through learning. To achieve this purpose, by using a filtering method applying a step-by-step deep learning algorithm the ambiguous analysis basis of the deep learning model is minimized, enabling efficient analysis and judgment. As a result of the analysis the U-Net model using the true values analyzed by period in the detection and performance improvement of dead pine trees of wilt nematode using the U-Net algorithm had a recall rate of -0.5%p than the U-Net model using the previously provided true values, precision was 7.6%p and F-1 score was 4.1%p. In the future, it is judged that there is a possibility to increase the precision of wilt detection by applying various filtering techniques, and it is judged that the drone surveillance method using drone orthographic images and artificial intelligence can be used in the pine wilt nematode disaster prevention project.

The Location of Medical Facilities and Its Inhabitants' Efficient Utilization in Kwangju City (광주시(光州市) 의료시설(醫療施設)의 입지(立地)와 주민(住民)의 효율적(效率的) 이용(利用))

  • Jeon, Kyung-Sook
    • Journal of the Korean association of regional geographers
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    • v.3 no.2
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    • pp.163-193
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    • 1997
  • Medical services are a fundamental and essential service in all urban areas. The location and accessibility of medical service facilities and institutions are critical to the diagnosis, control and prevention of illness and disease. The purpose of this paper is to present the results of a study on the location of medical facilities in Kwangju and the utilization of these facilities by the inhabitants. The following information is a summary of the findings: (1) Korea, like many countries, is now witnessing an increase in the age of its population as a result of higher living standards and better medical services. Korea is also experiencing a rapid increase in health care costs. To ensure easy access to medical consultation, diagnosis and treatment by individuals, the hierarchical efficient location of medical facilities, low medical costs, equalized medical services, preventive medical care is important. (2) In Korea, the quality of medical services has improved significantly as evident by the increased number of medical facilities and medical personnel. However, there is still a need for not only quantitative improvements but also for a more equitable distribution of and location of medical services. (3) There are 503 medical facilities in Kwangju each with a need to service 2,556 people. This is below the national average of 1,498 inhabitants per facility. The higher locational quotient and satisfactory population per medical facility showed at the civic center. On the other hand, problem regions such as the traditional residential area in Buk-Gu, Moo-deung mountain area and the outer areas of west Kwangju still maintain rural characteristics. (4) In the study area there are 86 general medicine clinics which provide basic medical services. i. e. one clinic per every 14,949 residents. As a basic service, its higher locational quotient showed in the residential area. The lower population concentration per clinic was found in the civic center and in the former town center, Songjeong-dong. In recently build residential areas and in the civic center, the lack of general medicine clinics is not a serious medical services issue because of the surplus of medical specialists in Korea. People are inclined to seek a consultation with a specialist in specific fields rather than consult a general practitioner. As a result of this phenomenon, there are 81 internal medicine facilities. Of these, 32.1% provide services to people who are not referred by a primary care physician but who self-diagnose then choose a medical facility specializing in what they believe to be their health problem. Areas in the city, called dongs, without any internal facilities make up 50% of the total 101 dongs. (5) There are 78 surgical facilities within the area, and there is little difference at the locational appearance from internal medicine facilities. There are also 71 pediatric health clinics for people under 15 years of age in this area, represents one clinic per 5,063 people. On the quantitative aspect, this is a positive situation. Accessibility is the most important facility choice factor, so it should be evenly located in proportion to demander distribution. However, 61% of 102 dongs have no pediatric clinics because of the uneven location. (6) There are 43 obstetrical and gynecological clinics in Kwangju, and the number of residents being served per clinic is 15,063. These services need to be given regularly so it should increase the numbers. There are 37 ENT clinics in the study area with the lower concentration in Dong-gu (32.4%) making no locational differences by dong. There are 23 dermatology clinics with the largest concentration in Dong-Gu. There are 17 ophthalmic clinics concentrated in the residential area because of the primary function of this type of specialization. (7) The use of general medicine clinics, internal medicine clinics, pediatric clinics, ENT clinics by the inhabitants indicate a trend toward primary or routine medical services. Obstetrics and gynecology clinics are used on a regular basis. In choosing a general medicine clinic, internal medicine clinic, pediatric clinic, and a ENT clinic, accessibility is the key factor while choice of a general hospital, surgery clinic, or an obstetrics and gynecology clinic, thes faith and trust in the medical practitioner is the priority consideration. (8) I considered the efficient use of medical facilities in the aspect of locational and management and suggest the following: First, primary care facilities should be evenly distributed in every area. In Kwangju, the number of medical facilities is the lowest among the six largest cities in Korea. Moreover, they are concentrated in Dong-gu and in newly developed areas. The desired number of medical facilities should be within 30 minutes of each person's home. For regional development there is a need to develop a plan to balance, for example, taxes and funds supporting personnel, equipment and facilities. Secondly, medical services should be co-ordinated to ensure consistent, appropriate, quality services. Primary medical facilities should take charge of out-patient activities, and every effort should be made to standardize and equalize equipment and facility resources and to ensure ongoing development and training in the primary services field. A few specialty medical facilities and general hospitals should establish a priority service for incurable and terminally ill patients. (9) The management scheme for the inhabitants' efficient use of medical service is as follows: The first task is to efficiently manage medical facilities and related services. Higher quality of medical services can be accomplished within the rapidly changing medical environment. A network of social, administrative and medical organizations within an area should be established to promote information gathering and sharing strategies to better assist the community. Statistics and trends on the rate or occurrence of diseases, births, deaths, medical and environment conditions of the poor or estranged people should be maintained and monitored. The second task is to increase resources in the area of disease prevention and health promotion. Currently the focus is on the treatment and care of individuals with illness or disease. A strong emphasis should also be placed on promoting prevention of illness and injury within the community through not only public health offices but also via medical service facilities. Home medical care should be established and medical testing centers should be located as an ordinary service level. Also, reduced medical costs for the physically handicapped, cardiac patients, and mentally ill or handicapped patients should be considered.

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