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최보율 한양대학교 의과대학 1998 한양의대 학술지 Vol.19 No.2
In 1998, the most cases of Shigellosis were reported since 1960, and there were multiple Shigellosis outbreaks in South Korea. Although the precise etiologic factor for outbreak has not been verified, the following predisposing factors are carefully presented. 1) The predominant etiologic agent, Shigella sonnei, is the mildest strain among Shigellosis and asymptomatic cases are very often. As most of people are careless about the disease, the chance of transmission might increase. 2) The environmental phenomenon such as global warming, E1 Nino, and heavy rainfalls, has indirectly affected the human behavior to deal with the disease. 3) Rapid expansion of group foods supply system, including school lunch program, has enabled large outbreaks. 4) As infrastructure of public health has been weakened, it is hard to respond to emerging infectious diseases. 5) As more doctors recognized the significance of reporting, reporting rate has increased. To be responsible for Shigellosis, establishment of comprehensive strategy is needed. Surveillance system for water-borne and food-borne infectious diseases, including Shigellosis, and national infrastructure necessary to recognize, report and respond to communicable disease should be strengthened. National education program for personal hygiene should be emphasized and environmental hygiene and food sanitation be improved and maintained.
Korea HIV/AIDS Cohort Study: study design and baseline characteristics
최보율,최준용,한상훈,김상일,기미경,김민자,김신우,김성순,김유미,구남수,이진수,이주실,최윤수,박경실,송준영,우준희,강문원,김준명 한국역학회 2018 Epidemiology and Health Vol.40 No.-
The number of persons infected by HIV/AIDS has consistently increased in Korea since the first case of HIV/AIDS infection in 1985 and reached 15,208 by 2016. About 1,100 new patients with HIV/ AIDS infections have emerged every year since 2013. In Korea, the Korea HIV/AIDS Cohort Study was established for the evidenced-based prevention, treatment, and effective management of patients infected with human immunodeficiency virus (HIV) in December 2006. This study monitored 1,438 patients, who accounted for about 10% of all patients with HIV/AIDS in Korea, for 10 years with the following aims: (1) to develop an administrative system for the establishment of a HIV/AIDS cohort-based study; (2) to standardize methodologies and the case report forms; and (3) to standardize multi-cohort data and develop a data cleaning method. This study aims to monitor at least 1,000 patients (excluding those for whom investigation had been completed) per year (estimated number of patients who can be monitored by January 2018: 939). By December 2016, the sex distribution was 93.3% for men, and 6.7% for women (gender ratio, 13.9:1.0), and 98.9% of all participants were Korean. More than 50.0% of the participants were confirmed as HIV positive after 2006. This study reports competitive, long-term research that aimed to develop policies for the prevention of chronic infectious diseases for patients with HIV. The data collected over the last decade will be used to develop indices for HIV treatment and health promotion.