• 생명과학회지
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• 제33권1호
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• pp.56-63
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• 2023

2021년 국내에서 가장 많은 수의 식중독 환자가 Salmonella로 인해 발생하였고, 전 세계적으로도 꾸준한 발생이 보고되고 있다. 본 연구에서는 2021년 9월 중 경상남도에서 발생한 2건의 Salmonella 원인의 식중독에 대한 사례 보고 및 분리된 Salmonella 균주의 분자역학적 특성을 분석하였다. 학교 급식 사례는 동일 섭취원 588명 중 29명(4.9%)이 설사 및 복통 증상을 보였고 36명(환자 29, 조리 종사자 7)에 대한 검사 결과, Salmonella Enteritidis가 환자 17명(47.2%)에서 검출되어 주원인으로 판단되었다. 식품 및 환경 검체 35건에서는 S. Enteritidis가 검출되지 않았다. 다음으로, 회사 내 발생 사례는 동일 섭취원 2,900명 중 87명 (3.0%)이 설사, 복통, 발열 증상을 보여 50명(환자 40, 조리 종사자 10)을 검사를 했고, 그 결과 환자 28명 (56.0%)에서 S. Enteritidis가 검출되었다. 그중 4명은 Vibrio cholerae (NAG)와 S. Enteritidis가 중복 검출되었고 1명은 V. cholerae (NAG)만 검출되었다. 이는 S. Enteritidis와 복합적으로 작용했을 가능성을 배제할 수는 없지만 주원인으로는 S. Enteritidis로 판단되었다. 식품 및 환경 검체 125건 중 보존식에서는 S. Enteritidis가 불검출이었으나, 회사에서 단체로 배달 주문하여 섭취한 토스트에서 S. Enteritidis가 검출되었다. PFGE 유전학적 상동성을 분석한 결과, 환자와 식품에서 분리된 S. Enteritidis 균주가 동일한 유형으로 확인되었다. 이는 앞서 발생한 경남지역 학교 사례와 타 지역 사례의 환자 분리 균주와도 동일한 유형으로 확인되어 문제성이 더욱 제고되고 있다. 이와 같이 S. Enteritidis 원인 식중독의 분자역학적 특성 분석을 통해 역학적 관리 및 식중독 예방에 필요한 자료를 제공하고자 한다.

• 응용통계연구
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• 제25권5호
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• pp.859-864
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• 2012

Poisson regression and negative binomial regression are usually used to analyze counting data; however, these models are unsuitable for fit zero-inflated data that contain unexpected zero-valued observations. In this paper, we review the zero-inflated regression in which Bernoulli process and the counting process are hierarchically mixed. It is known that zero-inflated regression can efficiently model the over-dispersion problem. Vuong statistic is employed to compare performances of the zero-inflated models with other standard models.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권1호
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• pp.17-27
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• 2021

Objectives: Deliberate self-poisoning (DSP) is the most common suicide method and can be life-threatening. The purpose of this study was to investigate the factors related to the lethality of DSP and the characteristics of the adolescent group. Methods: A retrospective study was conducted on patients who had visited an academic hospital's regional emergency medical center between 2015 and 2018. The data reviewed through their medical records included sociodemographic factors, clinical variables, and psychiatric treatment. Four groups (Q1-Q4) were categorized by descriptive analysis using the risk-rescue rating scale. Results: A total of 491 patients were enrolled in this study. This study showed that high lethality had statistically significant associations with male sex, older age, admitting suicidal intentions, and the use of herbicides for suicide. Logistic regression analyses showed a significant association between high-lethality and female [odds ratio (OR)=0.50, 95% confidence interval (CI)=0.30-0.81, p=0.01], non-psychiatric drugs (over-the-counter drug: OR=2.49, 95% CI=1.08-5.74, p=0.03; herbicide: OR=8.65, 95% CI=3.91-19.13, p<0.01), and denial of suicide intent (OR=0.28, 95% CI=0.15-0.55, p<0.01). Conclusion: This study showed the clinical factors associated with the high lethality of DSP and suggested that efforts were needed to care for and thoroughly examine patients with DSP.

• Journal of Preventive Medicine and Public Health
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• 제32권2호
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• pp.113-122
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• 1999

Objectives: The purpose of this study was to describe the trends of original research in the Korean Journal of Preventive Medicine, and to evaluate the quality of original articles about lead poisoning. Method: The data for the analysis of trends in preventive medicine research was taker from a total of 829 original articles published in the Korean Journal of Preventive Medicine from 1968 to 1997, The qualitative meta-analysis was measured against a checklist of evaluation criteria, which were divided into 10 categories, with 46 articles on lead poisoning. The evaluation process was performed independently by two evaluators, Results: The number of articles per 100 members over the study period increased by almost 4 pieces in the early 1980s, and by more than 9 pieces in the mid-1990s. In the major classifications of subjects, environmental and industrial health, epidemiology and health statistics, and health policy and management published 370 pieces (44.0%), 137 pisces (16.5%), 322 pieces (38.9%) respectively. In the order of the number of articles, five themes about health significance, including metal exposure (73 pieces), diseases associated with exposure to organic solvents (45 pieces), air pollution (36 pieces), maternal and child health (32 pieces), and occupational health (3D pieces) received consistent attention throughout the years $1968\sim1997$. The overall mean score of article qualify about lead poisoning was 37.8 out of 50. Of the articles any information on the purpose and hypothesis described well, Of those the originality of the subjects, the form of article's (including tables and figures), and the number of inappropriate words of abstracts showed very low score. For multiple regression analyses, the number of joint research institutes and the acceptance of research grants about the article quality were statistically significant. Conclusions: The number of original research reports in the Korean J Prev Med has recently increased and their subjects bave diversified. Of the basis of this study, the articles need improvement in the areas of abstracts, tables and illustrations (figures), etc. The Korean Society for Preventive Medicine will revise contribution regulations for manuscripts submitted to the Korean J Prev Med. Future studies should address these issues and perform the quantitative mata-analysis about the specific subjects including the quality of articles.

• 한국식품영양과학회지
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• 제21권1호
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• pp.97-100
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• 1992

천연보존료의 개발과 식중독 예방에 활용할 기초자료를 얻기 위하며 에탄올을 추출용매로 하여 자초로부터 항균성 물질의 최적 추출조건을 검토하고, 각종 식품부패미생물이나 식중독 원인세균에 대한 항균력을 시험한 결과는 다음과 같다. 항균성 물질은 95% 에탄올로 상온에서 24시간 추출하는 것이 제일 양호하였다. 항균력은 $pH\;5.0{\sim}8.0$의 범위에서 나타났으나 산성영역에서 다소 높게 나타났으며, 이온교환 chro-matography결과, 음이온 획분이 양이온 획분보다 항균력이 높았다. Gram양성균에 대한 균증식 억제력이 Gram음성균에서 보다 양호하였으며, 식중독 원인세균인 Staphylococcus aureus, Vibrio parahaemolyticus 등에 대하여는 0.1%의 첨가로도 48시간까지 균의 증식이 억제되었다. 곰팡이나 효모류에 대하여는 0.1% 첨가하였을 경우에는 균종에 따라 48시간 이내에 균의 증식이 나타났으나, 0.15% 첨가하였을 경우에는 거의 모든 진균류에서 96시간 까지 균의 증식이 억제되었다.

• 유통과학연구
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• 제16권7호
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• pp.25-33
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• 2018

Purpose - This research is to examine how different Korean retailers are from Japanese ones, in terms of taking a social responsibility for product scandals. Through a comparative analysis, the authors will provide some implications for retailers in Korea. Research design, data, and methodology - Based on the existing literature studied how retailers as well as manufacturers responded to food poisoning and product scandals, the authors compared Korea with Japan, in terms of taking a social responsibility. Results - As soon as food safety scandals occurred in Japan, a local government quickly ordered Snow Brand to recall and stop producing problematic milk products. In addition, retailers have stopped displaying them on their store shelves to minimize the number of victims. By stopping selling them, Japanese retailers took a social responsibility for product scandals. Conclusions - The authors found that retailers play a very important role in protecting customer rights. Moreover, customers have become more and more aware of the roles of retailers taking a social responsibility for social issues. The research proposes that a government has to develop the laws to protect customers from food poisoning and product safety issues effectively and that boycott campaigns should be legally protected by a government and promoted by customers.

• 보건의료산업학회지
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• 제10권4호
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• pp.213-223
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• 2016

Objectives : This study was conducted to examine the educational status and needs of both parents and kindergarten teachers pertaining to the prevention of infectious diseaes in children. Methods : The participants were 280 parents and 147 kindergarten teachers. Data were collected from August 21, 2013 to December 30, 2014. Results : Only 16.7% of parents had educational experience with infectious diseases. The source of their education was broadcast media and their preferred educational method was the internet. Parents reported that the childhood infection about which they should be educated were influenza (30.4%) followed by hand-foot-and-mouth disease (13.9%), food poisoning (6.4%), and so on. About 27.2% of kindergarten teachers had received an education about infectious diseases, and the major source of their education was refresher training. The teachers' preferred educational method was the internet. The teachers wanted to be educated about influenza (22.4%), hand-foot-and-mouth disease (20.4%), food poisoning (20.4%) and so on. Conclusions : Educational programs should be developed and applied to children, parents and kindergarten teachers based on consideration of their educational needs.

• 대한임상독성학회지
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• 제2권2호
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• pp.90-95
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• 2004

Purpose: The purpose of this study is to compare the toxicologic characteristics of two groups of patients with acute intoxication for two different time periods and to make recommendations based on the results of this study. Methods: We reviewed retrospectively the medical records of patients with acute intoxication in our emergency center from June 1997 to May 1998 (group A) and from June 2000 to May 2003 (group B), and we evaluated differences in the epidemiologic and the toxicologic characteristics between the two groups. Results: The ratios of the number of patients with acute intoxication to the total numbers of patients who visited our emergency department were $0.49\%$ and $0.52\%$ for groups A and B, respectively. In both groups many poisoned patients visited our emergency center from 4:00 pm to midnight. The interval between the time of intoxication and arrival at the hospital was significantly shorter in group B. The number of patients transferred to our emergency center was larger in group B. Attempted suicide was the major cause of acute intoxication in both groups. Major toxic substances in both groups were centrally active drugs and insecticides. The number of comatose and mechanically ventilated patients was larger in group B. However, there was no statistically significant difference in the mortality rates. Conclusion: Emergency physicians who manage intoxicated patients should recognize regional characteristics and differences in the toxicologic characteristics of poisoning. In addition, the establishment of a poisoning control center in the regional emergency center is necessary to integrate data control and to enhance specialized management of intoxicated patients.

• 한국자원식물학회:학술대회논문집
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• 한국자원식물학회 2022년도 추계학술대회
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• pp.112-112
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• 2022

This study aims to confirm the possibility of using the invasive alien plants in Jeju as a functional biomaterial. To achieve this purpose, 70% ethanol extract and solvent fractions were prepared for five invasive alien plants (Hypochaeris radicata, Rumex acetosella, Humulus japonicus Siebold & Zucc., Solanum viarum, Lactuca scariolar) and their antioxidant, antibacterial anti-inflammatory and anti-obesity effects were investigated. The DPPH radical scavenging activity of ethanol extract from invasive alien plants was shown in the order of Rumex acetosella > Hypochaeris radicata > Humulus japonicus. Antimicrobial activity of ethanol extract against food poisoning bacteria (4 species) and oral cavity-induced microorganisms (6 species) was measured. As a result, the extract of Humulus japonicus showed high antibacterial effects against food poisoning bacteria (E. coli, V. parahaemolyticus) and oral microbes (L. casei, S. epidermidis, E. faecalis). In LPS-induced RAW 264.7 cells, the anti-inflammatory effect of ethanol extract from invasive alien plants was investigated. As a result, the NO production inhibition activity was highest in the Rumex acetosella and the Humulus japonicus Siebold & Zucc. ethanol extract, and the NO production inhibition activity was concentration-dependent. In addition, the Rumex acetosella and the Humulus japonicus Siebold & Zucc. ethanol extract showed a concentration-dependent inhibitory effect on cytokine (IL-6) production. These extracts also showed inhibitory activity of COX-2, an inflammatory protein. This suggests that NO production inhibition activity by the extract of invasive alien plants is the result of inhibition of iNOS and COX-2 expression. Currently, organic solvent fractions of crude extract are manufactured and the investigation of active ingredients is continuing along with evaluation of biological activity such as anti-inflammatory. These results are expected to be a major data for the study on the separation and utilization of active ingredients with antioxidant, antibacterial and anti-inflammatory effects using foreign plant crude extract and solvent fractions, and are highly likely to be applied to the development of functional food and cosmetics materials.

• 대한임상독성학회지
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• 제10권1호
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• pp.22-32
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• 2012

Purpose: The purpose of this study was to examine the occurrence of toxic exposure cases in Korean emergency centers using a toxic exposure surveillance system-based report form and to provide guidelines for the prevention and treatment of toxic exposures. Methods: We retrospectively reviewed the medical records of toxic exposure patients who had visited emergency centers from January 2009 to December 2009. Epidemiology data points for the toxic exposure cases included age, gender, type of exposure, number and kind of substances involved, reason and route of poison exposure, management of the patients in the emergency departments, and the clinical outcome. Results: A total of 3,501 patients from 12 emergency departments were enrolled in the study. 50.0% of the total exposure patients were male and 63.0% of the total cases were fatal. Acute intoxication occurred in 91.3% of the total patients and suicidal intent was the most common (43.3%) reason for exposure. The most common route of exposure was ingestion (75.9%). Of the total cases, pesticides were involved in 26.3%, sedatives/hypnotics/antipsychotics were involved in 22.0%, and bites and envenomations were involved in 15.7%. Conclusion: We provided a database of patients who were admitted to emergency departments after poisoning incidents. We recommend that toxicology professionals develop a classification scheme for toxicants which is adequate for Korean domestic circumstances and initiate a toxic surveillance system for all types of exposures. With support of a psychiatric surveillance system for suicidal patients and establishment of social mediation for pesticide poisoning, major reductions in poison exposures can be achieved.