http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
중고등학생의 볼거리 전파관리 현황과 불현성 감염률: 2007-2008 대구 볼거리 유행을 중심으로
김교현,김창휘,최보율,고운영,이동한,기모란,Kim, Kyo-Hyun,Kim, Chang-Hwi,Choi, Bo-Youl,Go, Un-Yeong,Lee, Dong-Han,Ki, Mo-Ran 대한예방의학회 2009 예방의학회지 Vol.42 No.6
Objectives : This study was performed to investigate the mumps transmission control status and inapparent infection rate among middle and high school students in Daegu City during a mumps outbreak. Methods : Nine schools (two middle schools and seven high schools), which reported a number of mumps cases between 2007 and 2008 were selected for investigation. During March-May 2008, a standard questionnaire was distributed to gather information about case identification, instructed isolation measure, isolation status of mumps cases and related factors, and outdoor activities of nonisolated mumps case. Inapparent infection rate was estimated by serum mumps IgM and IgG antibodies status and self-reported mumps symptoms in three of the nine schools. Results : Among 2,560 respondents, more than half of students answered that they did not receive instructions in mumps transmission control measures during the outbreak. Among the 327 mumps cases identified by the questionnaire, 131 cases (40.1%) were considered as isolated and the isolation rates were significantly different among schools, grades, and gender. Of the non-isolated cases, 88.3% continued attending school. Inapparent mumps infection rates were between 56.3% and 70.2%. Conclusions : Mumps transmission control was inadequate to control the mumps outbreak. Although high inapparent infection rate would mitigate the transmission control effect of case isolation, this measure is fundamental for infection control. The reasons of this inadequate status need to be explored to develop an effective intervention strategy.
볼거리 예방접종 효과 평가 - 2006년 울산시 한 유치원의 볼거리 유행 역학조사를 통하여
김교현(Kyo Hyun Kim),기해란(Heran Ki),최보율(Bo Youl Choi),김창휘(Chang Hui Kim),이동한(Dong Han Lee),고운영(Un Young Ko),기모란(Moran Ki) 한국역학회 2008 Epidemiology and Health Vol.30 No.1
Purpose: Despite of the high MMR vaccine coverage, the mumps outbreaks is continued in most developed countries including South Korea. To evaluate the effectiveness of MMR vaccine, we carried out mumps outbreak investigation in one kindergarten. Methods: In Dec. 2006, a mumps outbreak occurred in a kindergarten. Retrospective study was conducted among 212 respondents (205 children and 7 teachers) in 230 study populations (study participation rate: 92%). To define mumps cases, a questionnaire survey, telephone survey, and mumps antibody test with serum were conducted. MMR vaccination status was verified in 198 children using children"s vaccination records, National Immunization Registration System and/or medical records of private clinics or hospitals. Results: Over 90% children had received one dose of MMR vaccination. However, 2nd dose of MMR vaccination rate was 45.1 %. Attack rates of mumps were 22.9%(22/96) for one dose MMR vaccinees and 3.3%(3/92) for two doses vaccinees. MMR vaccine effectiveness of two doses over one dose was 86%. Mumps attack rate in one dose MMR vaccinees increased by the duration after MMR vaccination. Among all mumps cases, asymptomatic mumps infection identified by IgM positive or IgG over 10,000mIU/㎖ was 58% (26/ 45). Conclusions: MMR one dose coverage rate was high(92.1 %), but the second dose vaccination rate was very low (45.1 %). Mumps attack rate was increased by the duration after the MMR vaccination, and the maximum effectiveness of one dose MMR vaccination was low (77.1 %). Therefore, to prevent mumps outbreaks in the kindergarten, second MMR vaccination should be scheduled in 4 years old age, and the coverage rate should be increased over 90%. Further studies for the effectiveness of MMR two doses after 5 and more years are needed.
포병부대 정비병들의 유기용제 노출에 대한 생물학적 평가 연구
김종헌 ( Jong-hun Kim ),이희승 ( Hei-seung Lee ),김교현 ( Kyo-hyun Kim ),황준현 ( Jun-hyun Hwang ),김정민 ( Jung-min Kim ) 국군의무사령부 2012 대한군진의학학술지 Vol.43 No.1
Objective : Organic solvents have been to used for cleansing the barrel of artillery. That were known to be harmful for health. In this study, urinary biological metabolites and hematologic changes were surveyed among the artillery soldiers using organic solvents. Methods : The study subjects for the exposed group were 41 artillery soldiers who participated in repair-work and for the control I group were 23 artillery soldiers who had not been exposed to organic solvents and for the control II group were 25 ROTC members who did not yet enter the army. We studied to analyse the exposure stated by questionnaire about protection equipments, blood test and biological metabolites of organic solvents. Results : Members of exposure group complained that somatic symptoms like headache and dizziness were developed after repair-work. Blood test in exposure group showed normal range values but RBC, Hb and Hct were decreased compared to values in control II group. The arithmetical mean of urinary phenol was 9.61(±14.14)mg/g·creatinine in exposure group and some of exposure group were over the normal range. Conclusions : The above results showed possibilities that organic solvents might be exposed to the artillery soldiers. Therefore it is necessary to promote the rates of supply and usage of protection equipments and it is necessary to conduct a follow-up survey to reconfirm the exposure by using a specific biological metabolite like t,t-MA.
선행 제왕절개분만 산모의 제왕절개 후 질식분만과 반복 제왕절개분만 관련 요인
김윤미 ( Yun Mi Kim ),김명희 ( Myung Hee Kim ),김교현 ( Kyo Hyun Kim ) 여성건강간호학회 2011 여성건강간호학회지 Vol.17 No.4
Purpose: To examine delivery type of mother who have had a previous cesarean and identify maternal factors related to type of delivery. Methods: The study sample included 60,504 mothers who had delivered through cesarean section. Related variables were categorized as sociodemographic factors (age, residence, health insurance type, income level) and clinical characteristics (14 maternal factor, 4 fetal factor and pre-term). For data analysis, x2 and multivariate logistic regression were conducted. Results: Among the 60,504mothers, 3,075 were delivered through Vaginal Birth After C-Section (VBAC) and the VBAC rate was 5.1%. Underage 34, the VBAC rate increased according to age increases up to 3%. Mothers residing in urban areas had VBAC more frequently than mothers in rural area. Mothers in the high and middle income levels had a greater possibility of having VBAC than mothers in lower income levels. A greater likelihood of increase in repeated cesarean section were found in mothers with maternal and fetal factors. Conclusion: Evidence based nursing practice guidelines and education programs for previous cesarean section mothers and health policy are needed to increase VBAC.
한국군 장병의 유행성이하선염 항체 보유율 및 유행성이하선염 백신 접종 후 항체 양전율
박영준 ( Park Young-joon ),이한희 ( Lee Han-hee ),이용우 ( Lee Yong-woo ),황점숙 ( Hwang Jum-sook ),김교현 ( Kim Kyo-hyun ),김정민 ( Kim Jung-min ) 국군의무사령부 2012 대한군진의학학술지 Vol.43 No.1
This study was performed to determine the seroprevalence of Mumps and seroconversion rate after Mumps vaccination(PriorixTM) in young soldiers in Republic of Korea Army. Study population was army and air force troop. Mumps seroprevalence was tested with Mumps IgG in pre-vaccination and 6 month later after vaccination. A total 244 subjects were enrolled in the study to analyze the anti-mumps immune status. Overall anti-mumps IgG seropositive rate was 81.1% and anti-mumps IgG seroconversion rate was 88.5%. According to age, rank seroprevalence and seroconversion rate difference was not significant. It was suggested that the routine Mumps vaccination for Korean military personnel might be necessary.
한국군 장병에서 A형간염 백신 접종 후 항체 지속기간 연구
박영준 ( Park Young-joon ),이만종 ( Lee Man-jong ),이한희 ( Lee Han-hee ),황점숙 ( Hwang Jum-sook ),황세민 ( Hwang Se-min ),김교현 ( Kim Kyo-hyun ),김정민 ( Kim Jung-min ) 국군의무사령부 2013 대한군진의학학술지 Vol.44 No.1
This study was performed to determined the HAV antibody persistance rate after Hepatitis A vaccination in young soldiers in Republic of Korea Army. First HAV immune status was tested in 6 months later after first vaccination and second was test in 9~17 months later after first vaccination. A total 222 subjects were enrolled in the study and 129 subjects were analyzed the final HAV immune status by duration after HAV vaccination. Overall HAV IgG positive rate in 13.8 months after first HAV vaccination was 75.7% and positive rate in 7.2 months after second HAV vaccination was 96.1%. It was suggested that the routine two dose HAV vaccination for Korean military personnel might be necessary.