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Human Papillomavirus Vaccination for Foreigners during COVID-19 Era COVID-19时期外国人人乳头瘤病毒疫苗接种
Pub Date : 2021-04-30 DOI: 10.46246/KJASEM.210006
Juwon Lim
Purpose: Human papillomavirus (HPV) vaccination schedule is recommended by Strategic Advisory Group of Experts on Immunization of World Health Organization to achieve high efficacy and immunogenicity. However, the patients often cannot keep up their schedule for several reasons. Methods: Monthly numbers of visitors for HPV vaccination between 2019 and 2021 were analyzed to measure the impact of coronavirus disease-19 (COVID-19) outbreak which was the main cause of this delay. Results: In February 2020, the number of foreign patients vaccinated with HPV was dropped suddenly due to COVID-19. Prior to this impact, the average patients per month for HPV vaccination was 160 (95% confidence interval [CI]: 143–176). It was then 30 (95% CI: 20–40). However recent trends show a gradual recovery. Conclusion: If a woman is pregnant after starting the HPV vaccine series, the reminder doses should be delayed until she is no longer pregnant. If this series is interrupted for any length of time, it can be resumed without restarting the series. HPV vaccine series need to be administered with a minimum interval of 14 days before or after administration of COVID-19 vaccines.
目的:人乳头瘤病毒(HPV)疫苗接种时间表是世界卫生组织免疫战略咨询专家组推荐的,以达到高效率和免疫原性。然而,由于一些原因,患者往往不能跟上他们的时间表。方法:分析2019年至2021年每月HPV疫苗接种人数,以衡量冠状病毒病-19 (COVID-19)爆发的影响,这是导致这一延误的主要原因。结果:2020年2月,受COVID-19影响,境外HPV疫苗接种人数突然下降。在此影响之前,平均每月接种HPV疫苗的患者为160例(95%置信区间[CI]: 143-176)。然后是30 (95% CI: 20-40)。然而,最近的趋势显示,经济正在逐步复苏。结论:如果妇女在开始HPV疫苗系列后怀孕,提醒剂量应推迟到她不再怀孕。如果该系列被中断了任何时间长度,它可以被恢复,而无需重新启动该系列。需要在接种COVID-19疫苗之前或之后至少间隔14天接种HPV疫苗系列。
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引用次数: 0
Aviation Operators’ Response Plan to Overcome the Crisis in the Aviation Industry Caused by COVID-19 航空运营商应对新冠肺炎疫情引发的航空业危机的应对方案
Pub Date : 2020-12-31 DOI: 10.46246/kjasem.30.3.91
In-kyu Lim
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引用次数: 0
Internet of Things: An Overview and its Applications in Aviation 物联网:综述及其在航空中的应用
Pub Date : 2020-12-31 DOI: 10.46246/kjasem.30.3.100
WooSeok Hyun
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引用次数: 1
Editorial for Vol. 30, Issue 3 第30卷第3期编辑
Pub Date : 2020-12-31 DOI: 10.46246/kjasem.30.3.83
Young Hyo Kim
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引用次数: 0
Survey of Medically Disqualified Airline Pilots in Korea: 2015~2019 2015~2019年韩国医疗不合格飞行员调查
Pub Date : 2020-08-31 DOI: 10.46246/kjasem.30.2.70
Y. Kwon
This study aimed to quantify the causes of Korean airline pilots' medical disqualification during 2015~2019. The airline pilot disqualification data is important for grasping what health problems are common to pilots and establishing preventive health care programs. We were able to obtain data from official sources at the Korean Civil Aviation Authority during 2015~2019. The total number of pilots was 29,095, and the number of disqualified professional pilots in Korea was 36. Looking at airline pilots' status by age group, the 40s were the highest with 38%. However, the disqualification rate per 1,000 pilots was the highest in the 60s, at 4.6. When the different diagnostic categories classified the disqualification results, cardiovascular disease was the highest with 12 cases (33.3%), followed by eye disease, malignancy, neurology, psychiatry, otorhinolaryngology, and respiratory disease. The total number of pilots during 2015~2019 was 29,095, and the overall disqualification rate of 1.6/1,000 pilots.
本研究旨在量化2015年至2019年期间韩国航空公司飞行员医疗不合格的原因。航空公司飞行员不合格数据对于了解飞行员常见的健康问题和制定预防性医疗保健计划非常重要。在2015年至2019年期间,我们能够从韩国民航局的官方来源获得数据。飞行员总数为29095人,韩国被取消资格的职业飞行员人数为36人。从航空公司飞行员的年龄组来看,40多岁的飞行员比例最高,为38%。然而,每1000名飞行员的不合格率是60年代最高的,为4.6。当不同的诊断类别对不合格结果进行分类时,心血管疾病最高,有12例(33.3%),其次是眼病、恶性肿瘤、神经病学、精神病学、耳鼻喉科和呼吸系统疾病。2015年至2019年,飞行员总数为29095人,总体不合格率为1.6/1000。
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引用次数: 1
The Role of Aviation Medical Examiners in the Diagnosis, Treatment and Aeromedical Assessment of Patients with Allergic Rhinitis 航空医学检查员在变应性鼻炎患者诊断、治疗和航空医学评价中的作用
Pub Date : 2020-08-31 DOI: 10.46246/kjasem.30.2.66
Young Hyo Kim
Since allergic rhinitis is a disease with a very high prevalence, it is common to find patients with allergic rhinitis among aviation workers. However, they are so afraid that the report of rhinitis will have a negative effect on the evaluation of one's work suitability. Therefore, aviation medical examiners (AMEs) must be able to accurately understand the nature of allergic rhinitis, and confidently explain that appropriate treatment of rhinitis has a positive effect on their performance. In the treatment of allergic rhinitis, there are some medications that may cause drowsiness, which may impair the accuracy and safety of the aviation service. Therefore, AMEs should accurately know safe drugs that do not cause drowsiness and prescribe them to patients. In addition, it is necessary to know exactly whether air workers may receive the latest treatments for allergic rhinitis, such as surgical treatment and immunotherapy, and be able to recommend these treatments appropriately. Therefore, in this paper, we first briefly describe the pathophysiology, genetics, causative antigen, symptoms, diagnosis, and treatment of allergic rhinitis. We also aimed to discuss safe medication and other treatment modalities for allergic rhinitis.
由于过敏性鼻炎是一种发病率很高的疾病,在航空工人中发现过敏性鼻炎患者很常见。然而,他们非常害怕鼻炎的报告会对评估一个人的工作适合性产生负面影响。因此,航空医学检查人员(AMEs)必须能够准确了解过敏性鼻炎的性质,并自信地解释鼻炎的适当治疗对他们的表现有积极影响。在治疗过敏性鼻炎时,有些药物可能会引起嗜睡,这可能会损害航空服务的准确性和安全性。因此,AME应该准确地知道不会引起嗜睡的安全药物,并给患者开处方。此外,有必要确切了解航空工人是否可以接受过敏性鼻炎的最新治疗,如手术治疗和免疫疗法,并能够适当地推荐这些治疗方法。因此,在本文中,我们首先简要介绍了过敏性鼻炎的病理生理学、遗传学、致病抗原、症状、诊断和治疗。我们还旨在讨论过敏性鼻炎的安全药物和其他治疗方式。
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引用次数: 0
Editorial for Vol. 30, Issue 2 30卷第2期社论
Pub Date : 2020-08-31 DOI: 10.46246/kjasem.30.2.51
Young Hyo Kim
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引用次数: 0
Analysis of Three Years of Airmen Medical Certificate for Preparing Aviation-related Health Promotion Plan 编制航空健康促进计划的三年飞行员医学证明分析
Pub Date : 2020-04-30 DOI: 10.46246/kjasem.30.1.40
B. Han, Y. Kwon, Yune Young Shin
In accordance with ICAO SARPs, the states should implement appropriate aviation-related health promotion for airmen subject to an aviation medical examination to reduce future medical risks to flight safety. We aimed to analyze the results of the aviation medical examination to use as objective evidence for establishing an aviation-related health promotion plan. The results of the final issuance of airmen medical certificate from 2015~2017 were collected from the e-sky computer system. The 30 cases (0.3%) in 2015, 22 cases (0.2%) in 2016, 38 cases (0.3%) in 2017 were unfit for flight duty. The 34 unfit out of the total 90 cases were renewal physical examinations. The cardiovascular disease was most commonly in 11 cases, followed by 8 tumors, 4 psychiatric diseases, 3 ophthalmic diseases, 2 respiratory diseases, 2 neurologic diseases, 2 otolaryngological diseases, 1 endocrine disease and 1 digestive disease. The results of this study can be used as objective data in aviation-related health promotion plan. The health promotion activities based on objective data can contribute to improving aviation safety by improving the lifestyles of airmen.
根据国际民航组织SARP,各国应为接受航空体检的飞行员实施适当的航空相关健康促进,以减少未来飞行安全的医疗风险。我们旨在分析航空体检结果,作为制定航空相关健康促进计划的客观证据。从e-sky计算机系统中收集了2015年至2017年飞行员医学证书的最终签发结果。2015年的30例(0.3%)、2016年的22例(0.2%)和2017年的38例(0.3%。在总共90例病例中,34例不适合进行再次体检。心血管疾病最常见的有11例,其次是肿瘤8例、精神疾病4例、眼科疾病3例、呼吸系统疾病2例、神经系统疾病2种、耳鼻喉科疾病2种,内分泌疾病1种,消化系统疾病1种。本研究结果可作为航空相关健康促进计划的客观数据。基于客观数据的健康促进活动可以通过改善飞行员的生活方式,为改善航空安全做出贡献。
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引用次数: 2
The Safe Air Travel of the Elderly 老年人的安全航空旅行
Pub Date : 2020-04-30 DOI: 10.46246/kjasem.30.1.30
Y. Kwon
매년 노인 인구는 빠르게 늘고 있다. 노인을 단순히 나이로만 정 의하는 것은 적절하지 않다. 우선 문화적으로나 역사적으로 노인 에 대한 정의가 다양하고, 그동안 의학적 발전에 의해 주민등록상 의 나이가 아닌 생리적인 건강상태로 평가한 생체 나이를 활용하 는 경우가 많아졌기 때문이다. 하지만 통상적으로는 노령 연금 수 급자나 퇴직자를 포함하는 것이 일반적이다. 우리나라는 현재 65 세 이상을 노인으로 정의하고 있다. 최근 사회 고령화에 따라 고령자의 해외여행 또한 증가 추세이 다. 한국관광공사 자료에 따르면 국내 내국인 출국자 수는 매년 증가하여 2018년에는 2,870만명이 출국하였다(Fig. 1). 이 가운 데 61세 이상의 고령 출국자 수는 약 276만 명으로 전체 출국자 의 9.6%를 차지하고, 80세 이상도 20만명을 웃돌았다[1]. 이는 경제력을 확보한 고령 인구가 여가를 향유하기 위한 욕구가 증가 하면서 주 소비계층으로 부상하였기 때문이다. 그러면 노인 여행자는 몇 살까지 항공여행이 가능할까? 각 항공 사에서 운영하고 있는 항공여행 규정에 따르면 항공여행에 나이 제한은 없다. 하지만 노인 여행자의 항공여행이 항상 안전한 것만 은 아니다. 누구에게나 낯선 곳으로의 여행은 여러 가지 위험을 내포하고 있다. 또한 항공기 객실 환경은 지상과 다르기 때문에 호흡기나 심장 질환이 있는 노인 여행자에게는 호흡곤란이나 질 환을 악화시킬 가능성이 있다. 따라서 항공사에서는 예기치 않은 기내 의학적 상황이 발생하는 것을 방지하기 위해 노인 여행자가 항공기에 탑승하는 경우 기저 질환이 있는지, 보행이 가능한지, 의식은 명료한지, 보호자를 동반하고 있는지 등을 확인하고 있다. 본 논문에서는 최근에 증가하고 있는 노인의 항공 여행시 주의해 야 할 사항과 안전한 항공여행을 위한 준비 방법에 대해 살펴 보 고자 한다. 노인의 안전한 항공여행
每年老年人口都在迅速增加。单纯地以年龄来确定老人是不合适的。首先,无论是从文化上还是历史上,对老人的定义都多种多样,而且随着医学的发展,利用不是居民登记上的年龄,而是以生理健康状态来评价的“生物年龄”的情况有所增加。但通常包括老龄年金领取者和退休人员。我国目前将65岁以上的老人定义为老人。最近随着社会的老龄化,高龄者的海外旅行也呈增加趋势。根据韩国观光公社的资料,韩国国内出境人数每年都在增加,到2018年共有2870万人出国。其中,61岁以上的高龄出境人数约为276万人,占全体出境人数的9.6%,80岁以上的也超过20万人[1]。这是因为随着拥有经济能力的高龄人口享受休闲的需求增加,成为了主要消费阶层。那么老人旅行者可以在几岁之前进行航空旅行呢?根据各航空公司运营的航空旅行规定,航空旅行没有年龄限制。但是,老人旅行者的航空旅行并不总是安全的。对任何人来说,到陌生的地方旅行都包含着各种危险。另外,飞机客舱的环境与地面不同,因此对于患有呼吸器官或心脏疾病的老年旅行者来说,有可能会恶化呼吸困难或质量疾病。因此,航空公司为了防止机内发生意想不到的医学状况,正在确认老人旅行者乘坐飞机时是否存在基底疾病、是否可以步行、意识是否明确、是否有监护人陪同等。本论文将介绍最近越来越多的老人在航空旅行时要注意的事项和安全航空旅行的准备方法。老人安全的航空旅行
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引用次数: 0
Effects of Microgravity on Human Physiology 微重力对人体生理的影响
Pub Date : 2020-04-30 DOI: 10.46246/kjasem.30.1.25
Nguyen Nguyen, Gyutae Kim, Kyusung Kim
Space exploration is one of the dreams of humankind. However, the intriguing environment was a challenge for the human body, where we must counter with many extreme conditions such as thermal support, radiation, microgravity. Life, as well as the human body, developed and evolved in the continuous presence of gravity, especially when living creatures transfer from the ocean to the land. Once this gravitational force doesn't impact on the body, the drastic changes occur. Some of these changes were observed immediately, while others progress only slowly. Since the first orbital flight was performed, several hazards for the organs of the human body were identified [1]. These changes in human physiology can reverse when astronauts return to Earth. This article will review the published findings of the effects of microgravity exposure on the human body.
太空探索是人类的梦想之一。然而,这种有趣的环境对人体来说是一个挑战,我们必须应对许多极端条件,如热支持、辐射、微重力。生命和人体一样,在重力的持续存在下发展和进化,特别是当生物从海洋转移到陆地时。一旦重力不再影响到身体,剧烈的变化就会发生。其中一些变化是立即观察到的,而另一些变化则进展缓慢。自从进行了第一次轨道飞行以来,已经确定了对人体器官的几种危害。当宇航员返回地球时,人类生理上的这些变化可能会逆转。本文将回顾已发表的微重力暴露对人体影响的研究结果。
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引用次数: 2
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Hanggong uju uihakoeji
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