Direct effectiveness of pneumococcal polysaccharide vaccine against invasive pneumococcal disease and non-bacteremic pneumococcal pneumonia in elderly population in the era of pneumococcal conjugate vaccine: A case-control study

Kim, Jong Hun,Chun, Byung Chul,Song, Joon Young,Kim, Hyo Youl,Bae, In-Gyu,Kim, Dong-Min,Choi, Young Hwa,Jun, Yoon Hee,Choi, Won Suk,Kang, Seong Hee,Kwon, Hyun Hee,Jeong, Hye Won,Kee, Sae Yoon,Hur, Jia Elsevier Ltd. 2019 Vaccine Vol. No.

<P><B>Abstract</B></P> <P><B>Background</B></P> <P>While herd effects and serotype replacement by childhood pneumococcal protein conjugated vaccines (PCVs) continues to accumulate worldwide, direct effectiveness of 23-valent pneumococcal polysaccharide vaccine (PPV23) against pneumococcal diseases in the elderly has been challenged. We estimated the direct effectiveness of PPV23 in the elderly population.</P> <P><B>Methods</B></P> <P>For a hospital-based case-control study, cases of invasive pneumococcal disease (IPD) and non-bacteremic pneumococcal pneumonia (NBPP) (adults ≥ 65 years) were identified in 14 hospitals participated in the pneumococcal surveillance program from March 2013 to October 2015, following implementation of PPV23 national immunization program (NIP) for the elderly in the Republic of Korea. Controls matched by age, sex, and hospital were selected at ratios of 1:2 (IPD) or 1:1 (NBPP). Clinical data and vaccination records were collected. Vaccine effectiveness was calculated as (1-adjusted odds ratio) × 100.</P> <P><B>Results</B></P> <P>We enrolled 148 IPD and 557 NBPP cases, and 295 IPD and 557 NBPP controls for analyses. Overall effectiveness of PPV23 against IPD was 28.5% [95% confidence interval (CI) −5.8%–51.6%] and against NBPP was 10.2% (-15.1-30.6) in all patients ≥ 65 years. However, in subgroup analysis of patients aged 65–74 years, PPV23 was protective against IPD [effectiveness 57.4% (19.4–77.5)] and against NBPP [effectiveness 35.0% (2.3–56.7)]. Furthermore, serotype-specific effectiveness of PPV23 against IPD was 90.6% (27.6–98.8) for PPV23-unique serotypes and 81.3% (38.6–94.3) for PPV23 serotypes excluding serotype 3.</P> <P><B>Conclusions</B></P> <P>This study indicates that PPV23 with broad serotype coverage might be beneficial in preventing IPD and NBPP due to non-PCV13 serotypes in the young-elderly, with potentially increasing effectiveness in the setting of childhood PCV NIP.</P> <P><B>Highlights</B></P> <P> <UL> <LI> National immunization program for PPV23 for the elderly was implemented in Korea. </LI> <LI> PPV23 was effective against IPD and NBPP for young elderly patients aged 65–74. </LI> <LI> Effectiveness of PPV23 against IPD was higher for PPV23 unique serotypes. </LI> <LI> PPV23 was non-protective against IPD caused by PCV13 serotypes. </LI> </UL> </P>

북한강 상류 천연자원의 종합관리 시스템 개발

송화선,김남호,김동욱,장재형,정영준,임길재 강원대학교 석재복합신소재제품연구센터 1998 석재연 논문집 Vol.3 No.-

강원도 춘천시를 중심으로하는 북한강 상류는 수도권에 청정 상수원류를 제공하는 생활의 핏줄이다. 또한 수도권 지역 건설에 필수적인 석재 자원의 주요 공급 지역으로 알려져 있다. 본 연구에서는 이 지역의 보존과 체계적 개발을 위한 지리정보처리 기술을 이용한 천연자원 종합관리 시스템을 개발하였다. 이 시스템은 자원관리를 위한 막강한 도구와 기능 예를 들면 정보수집, 편집, 처리, 모델링, 분석 및 가시화기능을 제공한다. 결과적으로 이 시스템은 지하자원 분석, 천연자원의 기획 및 개발, 자연보호 등 자원관리와 연계된 문제를 효율적으로 해결할 수 있는 능력을 제공하고 있다. The upper stream area of the north Han river, which is located around the Chunchon city of the Kangwon province, is out essential resources, which supply clear drinking water to the capital city of out conutry, Seoul. This area has also produced stone and aggregate resources required for building and road constructions in the capital area For preservation and planned-development of this area, in this study, we have developed an integrated management system for natural resources, based upon geological information technologies. This system includes powerful tools and functions for resource management such as information collection, edition, processing, modeling, analysis, and visualization. As a result, this system may give us capabilities to efficiently handle a variety of resource management issues such as the analysis of underground resources, the planning and development of natural resources, the protection of environment and their related projects.

전투기와 민간 항공기의 소음 평가에 관한 연구

송화영,이동훈 서울産業大學校 2005 논문집 Vol.54 No.1

This paper describes the problems in measuring and evaluating the aviation noises and the differences on the noise characteristics between fighter and civil aircraft. From a standpoint of the duration time for aviation noise and the dynamic characteristics related with the sampling time, the measured values for landing and taking-off noises from the fighter are presented and explained in comparison with those from the civil aircraft. And also the aviation noises by the fighter and civil aircraft are evaluated by equivalent sound level and WECPNL, respectively. From the obtained results, it is recommended that the duration time and dynamic characteristics be deeply considered in evaluating and measuring the aviation noises, since they have a great influence on the final assessment results. As the number of flight is not sufficient and the noise source is strong impulse type, moreover, the aviation noise should be assessed by WECPNL.

고전압 COS 퓨즈의 소음특성과 저감에 관한 실험적 연구

송화영,이동훈 서울産業大學校 2005 논문집 Vol.54 No.1

This experimental study describes the noise characteristics and reduction of a high voltage COS (Cut Out Switch) fuse of a transformer. When a high voltage COS fuse becomes a short circuit by the over current, the peak sound pressure above 150dB(A) is generated. In this study, an impulse noise generator is designed for generating the impulse noises similar to the noise level of COS fuse, which is utilized to test the noise reduction of a reactive silencer. The reactive silencers have been tested for 10 different types with each different porosity, hole diameter and length. From the experimental results, it is found that the reactive silencer has an excellent performance to greatly suppress the impulse noise and that its performance is closely connected with the porosity and hole diameter.

高品質 豚肉 生産을 위한 고구마 사일리지의 開發에 關한 硏究 : 2. 肥肉豚에 대한 고구마 사일리지 給與가 生産形質과 經濟性에 미치는 影響 2. Effects of Feeding the Sweet Potato Silage on Performances and Production Cost of Finishing Pigs

宋瑛敏,高永杜,文勝式,金斗煥,鄭孟和 진주산업대학교 농업기술연구소 1999 農業技術硏究所報 Vol.12 No.-

본 연구는 고구마 사일리지를 이용한 고품질 돈육 생산을 위하여 고구마 사일리지가 돼지에 대한 생산형질과 경제성에 미치는 영향을 조사하였다. 사양시험은 고구마 사일리지를 고구마 70, 맥강 20, 대두박 10의 비율(사일리지 1)과 고구마 70, 맥강 30의 비율(사일리지 2)로 500kg 용 사일로에 충진하여 21일간 발효시켜 제조하고, 급여시기를 각각 체중이 75kg 과 90kg부터 시작하여, 급여시간은 각각 32일과 25일로서 체중 110kg까지 사육하며, 동일한 교배조합(LYD)으로 생산된 육돈 암컷을 3반복, 반복당 18두씩 총 324두를 공시하였으며, 고구마 사일리지 급여량을 하루에 두당 0.4kg씩 공급한 결과는 다음과 같다. 1. 고구마 사일리지를 급여한 경우 개시 체중 75kg과 90kg 공히 종료시 체중, 증체량, 일당증체량 및 사료효율은 배합사료를 무제한 급여하는 대조구 보다 유의적으로 낮았고, 배합사료의 섭취량과 일당사료섭취량은 유의적으로 적게 섭취하였으나, 고구마 사일리지를 건물로 환산하여 합산한 총사료섭취량은 대조구와 고구마 급여구간에 비슷하게 나타났다. 2. 고구마 사일리지를 급여한 경우 배합사료의 섭취량은 줄어들어 배합사료비가 절감되나 고구마 사일리지를 섭취함으로서 총사료비는 비슷하다. kg 증체에 소요되는 사료비는 높게 나타났고, 배합사료급여를 기준한 생산 지수는 고구마 사일리지 급여구가 40∼50% 이상의 사료비가 추가로 소요되는 것으로 분석되었다. This study was carried out to investigate the effects of supplementing sweet potato silages on live performance and production cost in finishing gilts. Two sweet potato silages containing same ingredients with different ratios(silages 1 and 2; 70 and 70% sweet potato, 20 and 30% barley bran, 10 and 0% soybean meal, respectively) were fermented for 21 days in 500 kg-capacity silos. Finishing gilts were fed a commercial finishing diet(CONT), or the same basal diet plus 0.4kg silage 1(TRT 1) or silage 2(TRT 2)/head/day beginning from either 75kg or 90kg of body weight up to approximately 110kg of final weight and the whole experiment was repeated 3 times. 1. TRT 1 and TRT 2 were lesser than CONT in final weight, total weight gain, average daily gain, feed efficiency and total and daily basal diet intake, but not in total dry matter intake including the silage. 2. Compared with CONT, TRT 1 and TRT 2 showed a reduced basal diet cost resulting from the reduced intake of it, but total feed cost was not different between the feeding regimens. Total feed cost per kg weight gain, however, was increased 40∼50% by supplementing the silage.

高品質 豚肉 生産을 위한 고구마 사일리지의 開發에 關한 硏究 : 3. 肥肉豚에 대한 고구마 사일리지 給與가 豚肉의 品質에 미치는 影響 3. Effects of Supplementing the Sweet Potato Silage on Pork Quality

安瑛敏,高永杜,文勝式,陳詳根,鄭孟和 진주산업대학교 농업기술연구소 1999 農業技術硏究所報 Vol.12 No.-

육에 대한 소비자들의 욕구는 계속해서 증가하고 다양해지고 있어 이러한 욕구에 부응하기 위해 육의 풍미 및 육색을 증진시키는 것으로 알려진 고구마 사일리지를 급여한 돈육 일반성분과 물리적인 성질 및 도체특성을 조사하였다. 고구마 사일리지 제조는 고구마의 외부에 부착된 흙을 수세하여 마쇄한 후 고구마 사일리지 1은 고구마 70%, 맥강 20%, 대두박10%를 혼합하여 제조하였으며, 고구마 사일리지 2는 고구마 70%, 맥강 30%를 혼합하여 제조하였다. 일반성분으로는 수분, 조지방, 조단백, 조회분을 조사하였고, 물리적 성질로는 pH, 보수성, 연도, 육과 지방색, 관능검사, 도체특성을 조사하였다. 일반성분에서 수분은 고구마 사일리지 2 급여구가 다른 처리구에 비하여 유의적으로 높게 나타난(P<0.05) 반면에 조지방 함량과 조단백질 함량은 유의적으로 낮은 함량을 보였으며, 그리고 조회분 함량은 처리구간에 유의적인 차이가 없었다. 물리적 성질인 pH의 변화는 대조구와 고구마 사일리지 급여구간에는 유의적인 차이가 없었다. 보수성은 고구마 사일리지 급여구가 대조구보다 유의적으로 높게 나타났으며(P<0.05), 연도는 고구마 사일리지 급여구가 대조구에 비하여 좋은 결과를 보였다. 육색의 변화는 고구마 사일리지 급여로 명도가 유의적으로 낮게 나타났으며, 적색도와 황색도는 측정부위에 따라 값의 변화가 심하였다. 지방색은 고구마 사일리지 급여가 대조구에 비하여 황색도가 낮아 좋은 결과 였다. 관능검사 결과는 고구마 사일리지 급여가 대조구에 비하여 풍미는 유의적으로 높은 성적을 보였지만(P<0.05), 다즙성, 견고성, 탄력성에는 유의적인 차이가 없었다. 전체적인 관능검사 성적은 고구마 사일리지 2 급여구가 가장 좋은 성적을 얻었다. 도체특성에 미치는 변화를 측정한 결과 도체중은 유의적으로 낮게 나타났으나(P<0.05), 지육율은 차이가 없었다. 그러나 고구마 사일리지 급여로 등지방 두께가 유의적으로 감소하는 결과를 보였다(P<0.05). 본 실험 결과 보수성과 연도는 대조구에 비해 고구마 사일리지 급여구가 더 나은 결과 나타내었으며, 육색과 관능검사, 도체특성 결과도 대조구에 비교해 고구마 사일리지 급여구가 유의적으로 더 나은 것으로 나타나 고구마 사일리지를 급여시 특히 고구마 사일리지 1 급여구의 경우 돈육의 육질을 크게 향상시킬 수 있을 것으로 사료된다. The present study was conducted to investigate the effect of supplementary feeding of sweet potato silage on carcass and its meat quality in finishing gilts. Two sweet potato silages containing same ingredients with different ratios(silages 1 and 2; 70 and 70% sweet potato, 20 and 30% barley bran, 10 and 0% soybean meal, respectively) were fermented for 21 days in 500 kg-capacity silos. Finishing gilts were fed a commercial finishing diet(CONT), or the same basal diet plus 0.4kg silage 1(TRT 1) or silage 2(TRT 2)/head/day beginning from 90kg of body weight, 18 heads per group, up to approximately 110kg of final weight and slaughtered. After measuring carcass traits, loin eye sections were removed and their physicochemical characteristics were analyzed. The sensory evaluation on the fresh and cooked meat was performed by the panel test and the whole experiment was repeated 3 times. Backfat thickness was reduced in TRT 1 and TRT 2 compared with CONT, but carcass weight and dressing percentage were not different between the feeding regimens. Compared with CONT, TRT 1 and TRT 2 had greater water holding capacity, tenderness, fat color and palatability scores including flavor and reduced brightness, with no difference in pH, juiciness, firmness and gumminess. Overall, TRT 2 exhibited the greatest sensory evaluation score.

바닥충격 완충재의 소음저감 성능에 관한 실험적 연구

송화영,이동훈 서울産業大學校 2005 논문집 Vol.54 No.1

In this study, the dynamic properties of a floor impact sound isolation pad expressed in terms of the natural frequency, the dynamic stiffness per unit area and the loss factor are measured by the resonant method. By using the measured dynamic properties, the vibration transmissibility diagram is obtained for each isolation pad, which is compared with the values tested by the impact sound sources at the room in an apartment. From the comparative results, it is found that the noise reduction performances of isolation pads are closely connected with the natural frequency and the dynamic stiffness per unit area.

醱酵飼料 제조에 관한 硏究 : 3. 醱酵飼料 제조시 水分添加 水準에 따른 아미노산 組成에 관한 硏究 3. A Study on Amino acid Composition as added Moisture Levels

송영민,진상근,갈상완,이성대,김성찬,정맹화 진주산업대학교 농업기술연구소 2001 農業技術硏究所報 Vol.14 No.-

To estimate the essential and nonessential amino acid compositions as added moisture levels in manufacturing fermentation feedstuffs, the three kinds of experimental conditions, T1, T2, T3 were made with rice bran(90kg), leaf mold(10kg) according to added moisture 40kg, 60kg, and 80kg, respectively. In T1 and T2 cases, the contents of threonine, phenylalanine, histidine, aspartic acid, glutamic acid, cystine, arginine increased significantly during fermentation, however, in T3 case, the thereonine content increased significantly after 9 hours fermentation but decreased at 12 hours fermentation(P<0.05). In T1 and T3 cases, the contents of valine, leucine and arginine increased significantly after 9 hours fermentation and decreased at 12 hours fermentation(P<0.05). Methionine increased for three hours fermentation and then did not increase in content in the T1 and the T3. In T2 case, methionine level increased gradually for whole fermentation time. In T3 case, phenylalanine, histidine, aspartic acid, glutamic acid and cystine increased significantly after 9 hours fermentation, but decreased at 12 hours fermentation(P<0.05). In T1, T2 and T3, isoleucine, lysine, serine, proline, glycine, alanine and tyrosine increased significantly during fermentation time(P<0.05).

K대학 치위생과 재학생의 학과만족도 조사 연구

송윤신,권순복,안금선,김영남,김수화,차민주 경복대학 2003 京福論叢 Vol.7 No.-

경기 K대학 치위생과 재학생들의 대학 진학시 학과선택 요인을 알아보고, 학과 만족도를 분석하여 치위생과 학과 경쟁력을 높이고 학생지도의 기초자료를 제공하고자 한다. 치위생과 입학 결정시 영향을 준 요인으로는 전반적으로 본인이 가장 높게 나타났으나 학년별로는 2학년이 77.5%로 가장 높았으며, 치위생과 선택이유로는 취업보장, 주위권유, 적성·흥미 순으로 조사되었다. 치위생과 학과만족도에서 강의실환경에 대해서는 전체 조사대상자 중 9.4%가 만족하다고 응답했고, 실험·실습기자재는 36.0%가 만족한다고 응답하였으며, 학우관계에서는 74.0%, 학과지도방침 38.9%, 치과위생사 직업만족도는 79.4%가 만족하고 있었다. 특히 조사대상자 중 다른 학년보다 2학년 학생들에게서 직업만족도를 제외한 다른 항목의 만족도가 가장 높게 나타나고 있다. 직업만족도는 1학년이 85.4%로 가장 높게 조사되었다. 휴학·자퇴를 고려한 경험유무에 대한 질문에서는 있다고 응답한 학생이 47.8%이었으며, 그 이유로 1학년은 경제적이유를, 2, 3학년은 적성이라고 응답하였다. 입학결정요인과 만족도와의 관계에서는 본인이 입학을 결정했을 때 재학만족도, 직업만족도, 학과지도방침, 전임교수에 만족한다고 응답한 경우가 가장 많았으며 진로계획에서는 취업이 가장 높았다. 학우관계와 만족도와의 관계에서는 학우관계에 만족한다고 응답한 경우 재학만족도, 직업만족도, 학과지도방침에 대한 만족도가 높은 것으로 분석되었다. 구강보건교육이 치위생과 선택에 미친 영향력에 대한 조사에서는 학년별 유의성은 보이지 않았으나, 전체조사대상 중 89.5%가 영향력이 보통이상이라고 응답해 높은 비율을 차지하는 것으로 나타났다. The purpose of this study is to identify the factors affecting selection of a major and the department satisfaction for improving the competitiveness of the dental hygiene department and providing the data for students guidance. The most influential person and factor in selecting a major is the person oneself(77.5% of the second-year students responded to the question) and the percentage of employment. The reaction of satisfaction with the classroom and practice facility indicates 9.4% and 36.0% in favor. 74.0% of surveyees is satisfied with classmates. In satisfaction with a course of department and profession, 38.9% and 79.4% of respondents answer in the affirmative. The second-year students of the respondents shows higher rate than other grades in .satisfaction with items above, except the satisfaction with profession. It appears that the freshman answered the most in that question. From the survey related to the experience of thinking over temporary absence from school or voluntary resignation, 47.8% of surveyees responded they had experienced thinking about that. The freshman answered the reason is financial difficulty and the second- and third-year students selected an aptitude. In the correlation coefficient of determinants for selection of college with the department satisfaction, when the determinant is oneself, the satisfaction with being at college, profession, a course of department, and teaching staff is high. In the correlation coefficient of classmates with department satisfaction, the students responding in the affirmative on classmate satisfaction had a high degree of satisfaction with being at college, profession, and a course of department. The experience of oral health education is not statically significant by grades to select the major, but 89.5% of the students majoring dental hygiene at K-college responded over average.

배전자동화를 위한 WLL 통신방식의 적용에 관한 연구

송화선,정영준,김남호 강원대학교 정보통신연구소 1998 정보통신논문지 Vol.2 No.-

This paper presents an analysis of service environment for a Distribution Automation System(DAS) and its architecture in terms of communication schemes and shows a technical criteria to choose the optimum communication scheme for DAS. Based upon the criteria, a DAS wireless-local-loop(WLL) has been proposed. Also the overview of DAS WLL and its protocol architecture have been described in detail. Implementation parameters for the DAS have been presented and their technical issues have been discussed.