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1.
Anal Chem ; 90(1): 716-722, 2018 01 02.
Artículo en Inglés | MEDLINE | ID: mdl-29210570

RESUMEN

Contamination of foods by mycotoxins is a common yet serious problem. Owing to the increase in consumption of fresh produce, consumers have become aware of food safety issues caused by mycotoxins. Therefore, rapid and sensitive mycotoxin detection is in great demand in fields such as food safety and public health. Here we report a single-step luminescence resonance energy transfer (LRET) aptasensor for mycotoxin detection. To accomplish the single-step sensor, our sensor was constructed by linking a quencher-labeled aptamer through a linker to the surface of upconversion nanoparticles (UCNPs). Our LRET aptasensor is composed of Mn2+-doped NaYF4:Yb3+,Er3+ UCNPs as the LRET donor, and black hole quencher 3 (BHQ3) as the acceptor. The maximum quenching efficiency is obtained by modulating the linker length, which controls the distance between the quencher and the UCNPs. Our distinctive design of LRET aptasensor allows detection of mycotoxins selectively in colored food samples within 10 min without multiple bioassay steps. We believe our single-step aptasensor has a significant potential for on-site detection of food contaminants, environmental pollutants, and biological metabolites.


Asunto(s)
Contaminación de Alimentos/análisis , Mediciones Luminiscentes/métodos , Micotoxinas/análisis , Aptámeros de Nucleótidos/química , Rayos Infrarrojos , Límite de Detección , Sustancias Luminiscentes/química , Nanopartículas del Metal/química , Nanopartículas del Metal/efectos de la radiación
2.
Analyst ; 143(3): 695-699, 2018 Feb 07.
Artículo en Inglés | MEDLINE | ID: mdl-29299545

RESUMEN

We have developed a novel strategy for the colorimetric detection of PCR products by utilizing a target-specific primer modified at the 5'-end with an anti-DNAzyme sequence. A single-stranded DNAzyme sequence folds into a G-quadruplex structure with hemin and shows strong peroxidase activity. When the complementary strand binds to the DNAzyme sequence, it blocks the formation of the G-quadraduplex structure and loses its peroxidase activity. In the presence of the target gene, PCR amplification proceeds, and anti-DNAzyme sequence modified primers present in the reaction mixture form a double strand through primer extension. Therefore, it does not block the DNAzyme sequence. Further, a colorimetric signal is generated by the addition of 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulfonate) (ABTS) and H2O2 at the end of the reaction. We have successfully detected a single copy of the HIV type 1 gag gene in buffer and 10 copies in human serum. The strategy developed could be used to detect DNA and RNA in complex biological samples by simple primer designing that includes DNAzyme and a DNA extended primer.


Asunto(s)
Colorimetría , Cartilla de ADN/química , ADN Catalítico/química , ADN Complementario/química , Productos del Gen gag del Virus de la Inmunodeficiencia Humana/análisis , Benzotiazoles , G-Cuádruplex , Hemina , Humanos , Peróxido de Hidrógeno , Ácidos Sulfónicos
3.
Nano Lett ; 17(11): 6583-6590, 2017 11 08.
Artículo en Inglés | MEDLINE | ID: mdl-28825844

RESUMEN

Frequency upconversion activated with lanthanide has attracted attention in various real-world applications, because it is far simpler and more efficient than traditional nonlinear susceptibility-based frequency upconversion, such as second harmonic generation. However, the quantum yield of frequency upconversion of lanthanide-based upconversion nanocrystals remains inefficient for practical applications, and spatial control of upconverted emission is not yet developed. Here, we developed an asymmetric nanocrescent antenna on upconversion nanocrystal (ANAU) to deliver excitation light effectively to the core of upconversion nanocrystal by nanofocusing light and generating asymmetric frequency upconverted emission concentrated toward the tip region. ANAUs were fabricated by high-angle deposition (60°) of gold (Au) on the isolated upconversion nanoparticles supported by nanopillars then moved to refractive-index matched substrate for orientation-dependent upconversion luminescence analysis in the single-nanoparticle scale. We studied shape-dependent nanofocusing efficiency of nanocrescent antennae as a function of the tip-to-tip distance by modulating the deposition angle. The generation of asymmetric frequency upconverted emission toward the tip region was simulated by the asymmetric far-field radiation pattern of dipoles in the nanocrescent antenna and experimentally demonstrated by the orientation-dependent photon intensity of frequency upconverted emission of an ANAU. This finding provides a new way to improve frequency upconversion using an antenna, which locally increases the excitation light and generates the radiation power to certain directions for various applications.

4.
Analyst ; 138(5): 1538-43, 2013 Mar 07.
Artículo en Inglés | MEDLINE | ID: mdl-23348847

RESUMEN

The C-reactive protein (CRP), which has a five repeat pentameric structure, is known to be a marker for acute inflammation and a potential risk predictor for cardiovascular disease. A simple and rapid homogeneous assay method for the detection of CRP, based on a gold nanoparticle (AuNP) aggregation induced colorimetric response, has been developed. In the technique, aggregation of CRP antibody-conjugated AuNPs is induced by addition of CRP as a consequence of its unique pentameric structure. CRP-promoted aggregation of the antibody-conjugated AuNPs results in a change of the wavelength maximum in the UV/Vis-spectrum. This homogeneous assay displays a typical hook effect, in which the signal level is directly proportional to CRP concentration until a critical concentration of CRP (the hook point) is reached. Above this concentration, the signal level decreases as the CRP concentration increases. The maximum shift in the absorption maximum was found to occur when the CRP antigen concentration is 100 ng mL(-1). In order to improve the linearity of the method, we employed a procedure, which takes advantage of a saturation phenomenon that leads to the hook effect, to increase the dynamic range of the CRP assay. Specifically, the use of CRP pre-spiked serum promotes maximum aggregation at the low CRP concentrations and, as a result, leads to an increase in the dynamic range for CRP detection. The applicability of the new homogenous assay system was demonstrated by its utilization for qualitative analysis of CRP in serum samples. The combined observations made in this effort show that the method using CRP antibody-conjugated AuNPs is both rapid and simple and, consequently, it can potentially be applied to onsite diagnosis.


Asunto(s)
Proteína C-Reactiva/análisis , Colorimetría/métodos , Inmunoensayo/métodos , Anticuerpos Inmovilizados/química , Oro/química , Humanos , Nanopartículas/química , Nanopartículas/ultraestructura , Sensibilidad y Especificidad , Suero/química
5.
Chem Commun (Camb) ; 58(14): 2359-2362, 2022 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-35080531

RESUMEN

The quantification of microRNAs (miRNAs) is important because the miRNA expression level is closely associated with the occurrence and development of diseases. Here, we report a simple nuclease protection transcription assay which combines nuclease protection assays and transcription-assisted light-up aptamer amplification for detecting miRNAs with great sensitivity.


Asunto(s)
Aptámeros de Nucleótidos/genética , Técnicas Biosensibles , MicroARNs/genética , Técnicas de Amplificación de Ácido Nucleico , Humanos
6.
Anal Chim Acta ; 1146: 118-123, 2021 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-33461706

RESUMEN

Signal amplification is a key step that determines the sensitivity of molecular assays. Although studies on aptamers have mostly focused on their target-binding ability, taking advantage of the gene-coding function of nucleic acids, we demonstrate here that aptamers can be engineered into diagnostic reagents that can both recognize a target and generate highly amplified detection signals. We developed a strategy that employs a 'readable' aptamer that consists of a single-stranded aptamer and a double-stranded reporter gene. After binding to its target via the aptamer region, the reporter gene of the readable aptamer produces amplified number of signal-generating enzymes through a subsequent in vitro expression reaction. In contrast to conventional enzyme-conjugation methods, this method allows the generation of far more amplified detection signals, thereby markedly increasing the sensitivity of detection enough to analyze a target present in aM concentrations.


Asunto(s)
Aptámeros de Nucleótidos , Biomarcadores
7.
Talanta ; 224: 121921, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33379122

RESUMEN

Highly sensitive and accurate measurements of protein biomarkers are crucial for early diagnosis and disease monitoring. Here we report a versatile detection platform for sensitive detection of a protein biomarker using a tandem repeat Spinach aptamer DNA-based transcription immunoassay, which is a immunoassay combined with transcription-assisted Spinach RNA aptamer generation. We designed a DNA template encoding spa tandem repetitive Spinach sequence for enhanced generation of an RNA aptamer. The tandem repeated Spinach DNA template is consist of multiple monomeric units which is composed of T7 promoter, Spinach-2 and terminator. After in vitro transcription, the fluorescence signal from the 16R (nR, n = number of repeats) DNA template was enhanced up to ~ 15-fold compared to a single form (1R) DNA template. Using tandem repeat DNA, the proposed transcription immunoassay showed a limit of detection (LOD) of 37 aM, which is 103-fold lower than that of the conventional enzyme-linked immunosorbent assay (ELISA). The results demonstrate substantial promise for the ultrasensitive detection of various biological analytes using simple ELISA techniques. The high sensitivity and reliability of the proposed transcription immunoassay offer great promise for clinical assays.


Asunto(s)
Aptámeros de Nucleótidos , Aptámeros de Nucleótidos/genética , ADN , Inmunoensayo , Límite de Detección , Reproducibilidad de los Resultados
8.
Sci Rep ; 11(1): 22764, 2021 11 23.
Artículo en Inglés | MEDLINE | ID: mdl-34815513

RESUMEN

The neural circuits of the infant brain are rapidly established near 6 months of age, but neurodevelopmental disorders can be diagnosed only at the age of 2-3 years using existing diagnostic methods. Early diagnosis is very important to alleviate life-long disability in patients through appropriate early intervention, and it is imperative to develop new diagnostic methods for early detection of neurodevelopmental disorders. We examined the serum level of secretogranin II (SCG2) in pediatric patients to evaluate its potential role as a biomarker for neurodevelopmental disorders. A plasmonic immunosensor performing an enzyme-linked immunosorbent assay (ELISA) on a gold nanodot array was developed to detect SCG2 in small volumes of serum. This nanoplasmonic immunosensor combined with tyramide signal amplification was highly sensitive to detect SCG2 in only 5 µL serum samples. The analysis using the nanoplasmonic immunosensor revealed higher serum SCG2 levels in pediatric patients with developmental delay than in the control group. Overexpression or knockdown of SCG2 in hippocampal neurons significantly attenuated dendritic arborization and synaptic formation. These results suggest that dysregulated SCG2 expression impairs neural development. In conclusion, we developed a highly sensitive nanoplasmonic immunosensor to detect serum SCG2, a candidate biomarker for the early diagnosis of neurodevelopmental disorders.


Asunto(s)
Biomarcadores/sangre , Técnicas Biosensibles/métodos , Inmunoensayo/métodos , Nanopartículas/química , Trastornos del Neurodesarrollo/diagnóstico , Neuronas/patología , Secretogranina II/sangre , Animales , Estudios de Casos y Controles , Niño , Diagnóstico Precoz , Hipocampo/metabolismo , Hipocampo/patología , Humanos , Trastornos del Neurodesarrollo/sangre , Neuronas/metabolismo , Ratas
9.
Chem Commun (Camb) ; 55(25): 3618-3621, 2019 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-30849150

RESUMEN

Here, we present an ultra-enhanced immunoassay for sensitive and reliable biomarker detection using layer-by-layer assembly and transcription-assisted light-up aptamer generation to induce signal amplification. This dendrimer structure-based transcription immunoassay is ∼1500 times more sensitive than commercial fluorescence ELISA, achieving a detection limit of 108 aM.


Asunto(s)
Aptámeros de Nucleótidos/química , Inmunoensayo/métodos , Anticuerpos/inmunología , Aptámeros de Nucleótidos/metabolismo , Biomarcadores/análisis , Dendrímeros/química , Colorantes Fluorescentes/química , Límite de Detección , Espectrometría de Fluorescencia , alfa-Fetoproteínas/análisis , alfa-Fetoproteínas/inmunología
10.
ACS Sens ; 4(1): 93-99, 2019 01 25.
Artículo en Inglés | MEDLINE | ID: mdl-30582797

RESUMEN

An expression immunoassay is a powerful technique that combines unique features of immunosorbent assays and cell-free protein synthesis. The main advantage of the expression immunoassay is a greatly amplified signal, whereas a conventional enzyme-linked immunosorbent assay (ELISA) employs a single enzyme molecule conjugated to a detection antibody to produce a measurable signal. Expression immunoassays utilize a DNA molecule conjugated to a target-bound antibody to generate multiple enzyme molecules that then produce the signal. To date, expression immunoassays have not been widely adopted due to the limited availability of efficient methods for translating antibody-conjugated DNA. We developed a highly efficient translation module for expression immunoassays using an Escherichia coli extract-based cell-free protein synthesis system. When we used our immunoassay technique to detect α-fetoprotein, we achieved a limit of detection of 7 fM. Given the outstanding sensitivity that can be obtained with only minimal modifications to the procedure of standard ELISA, we believe that this method will open up new possibilities for widespread application of expression immunoassays to ultrasensitive detection and diagnostics.


Asunto(s)
ADN/química , Luciferasas de Luciérnaga/química , alfa-Fetoproteínas/análisis , Animales , Anticuerpos/inmunología , Bencidinas/química , Biomarcadores/análisis , ADN/genética , Escherichia coli/genética , Luciérnagas/enzimología , Humanos , Inmunoensayo/métodos , Límite de Detección , Luciferasas de Luciérnaga/genética , Luminol/química , Conejos , Reproducibilidad de los Resultados , Temperatura , alfa-Fetoproteínas/inmunología
11.
Sci Rep ; 9(1): 7905, 2019 05 27.
Artículo en Inglés | MEDLINE | ID: mdl-31133734

RESUMEN

Controllable and miniaturised mechanical actuation is one of the main challenges facing various emerging technologies, such as soft robotics, drug delivery systems, and microfluidics. Here we introduce a simple method for constructing actuating devices with programmable complex motions. Thermally responsive hydrogels based on poly(N-isopropylacrylamide) (PNIPAM) and its functionalized derivatives (f-PNIPAM) were used to control the lower critical solution temperature (LCST) or the temperature at which the gel volume changes. Techniques for ultra-violet crosslinking the monomer solutions were developed to generate gel sheets with controllable crosslink density gradients that allowed bending actuation to specified curvatures by heating through the LCST. Simple molding processes were then used to construct multi-transform devices with complex shape changes, including a bioinspired artificial flower that shows blossoming and reverse blossoming with a change in temperature.

12.
Biosens Bioelectron ; 102: 504-509, 2018 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-29197812

RESUMEN

Label-free biosensing methods that rely on the use of localized surface plasmon resonance (LSPR) have attracted great attention as a result of their simplicity, high sensitivity, and relatively low cost. However, in-situ analysis of real samples using these techniques has remained challenging because colloidal nanoparticles (NPs) can be unstable at certain levels of pH and salt concentration. Even in the case of a chip-type LSPR sensor that can resolve the instability problem by employing NPs immobilized on the substrate, loading of a sample to sensor chip with exact volume control can be difficult for unskilled users. Herein, we report an optical-fiber-based LSPR aptasensor that can avoid these problems and serve as a portable and simple system for sensitive detection of a small mycotoxin, ochratoxin A (OTA), in real samples. The optical fiber coated with aptamer-modified gold nanorods (GNRs) is simply dipped into a solution containing OTA and subjected to LSPR analysis. Quantitative analysis of OTA is performed by measuring the spectral red shift of the LSPR peak of GNRs. Under optimized conditions, the LSPR peak shift displays a linear response (R2 = 0.9887) to OTA in the concentration range from 10pM to 100nM, with a limit of detection of 12.0pM (3S). The developed sensor shows a high selectivity for OTA over other mycotoxins such as zearalenone (ZEN) and ochratoxin B (OTB), and shows an accurate detection capability for OTA in real grape juice samples.


Asunto(s)
Aptámeros de Nucleótidos/química , Técnicas Biosensibles/métodos , Micotoxinas/aislamiento & purificación , Fibras Ópticas , Micotoxinas/química , Nanopartículas/química , Nanotubos/química , Resonancia por Plasmón de Superficie
13.
Biosens Bioelectron ; 97: 292-298, 2017 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-28618365

RESUMEN

Localized surface plasmon resonance (LSPR) biosensors allow label-free detection of small molecules in molecular binding events; however, they are limited by a relatively low sensitivity and narrow dynamic range. Here, we report highly sensitive small-molecule detection by LSPR peak shift exploiting the G-quadruplex (GQx) structure-binding characteristic of known GQx binders to enhance the LSPR signal of a plasmonic aptasensor. Six known GQx binders (thiazole orange, malachite green, crystal violet, zinc protoporphyrin IX, thioflavin T, and berberine) were tested for their ability to enhance the LSPR signal. Among these, berberine (BER) induced the largest LSPR peak shift by interacting with the GQx structure formed by the aptamer/target binding event on a gold nanorod surface. This specific binding performance was confirmed by the fluorescence signal of BER and through repeated cycles of BER addition and washing on the plasmonic sensing chip. The proposed plasmonic aptasensor respectively showed limit of detection (LOD) of 0.56, 0.63, 0.87 and 1.05 pM for ochratoxin A, aflatoxin B1, adenosine triphosphate and potassium ions, which was 1000-fold higher than that in BER-free condition, and a wide dynamic range from 10 pM to 10µM. In addition, the proposed LSPR aptasensor could effectively be used to quantitatively analyze small molecules in real samples.


Asunto(s)
Aptámeros de Nucleótidos/química , Berberina/química , G-Cuádruplex , Resonancia por Plasmón de Superficie/métodos , Adenosina Trifosfato/análisis , Aflatoxina B1/análisis , Oro/química , Límite de Detección , Nanotubos/química , Nanotubos/ultraestructura , Ocratoxinas/análisis , Potasio/análisis
14.
Theranostics ; 7(8): 2220-2230, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28740546

RESUMEN

Paper-based diagnostic devices have many advantages as a one of the multiple diagnostic test platforms for point-of-care (POC) testing because they have simplicity, portability, and cost-effectiveness. However, despite high sensitivity and specificity of nucleic acid testing (NAT), the development of NAT based on a paper platform has not progressed as much as the others because various specific conditions for nucleic acid amplification reactions such as pH, buffer components, and temperature, inhibitions from technical differences of paper-based device. Here, we propose a paper-based device for performing loop-mediated isothermal amplification (LAMP) with real-time simultaneous detection of multiple DNA targets. We determined the optimal chemical components to enable dry conditions for the LAMP reaction without lyophilization or other techniques. We also devised the simple paper device structure by sequentially stacking functional layers, and employed a newly discovered property of hydroxynaphthol blue fluorescence to analyze real-time LAMP signals in the paper device. This proposed platform allowed analysis of three different meningitis DNA samples in a single device with single-step operation. This LAMP-based multiple diagnostic device has potential for real-time analysis with quantitative detection of 102-105 copies of genomic DNA. Furthermore, we propose the transformation of DNA amplification devices to a simple and affordable paper system approach with great potential for realizing a paper-based NAT system for POC testing.


Asunto(s)
Equipos y Suministros , Técnicas de Diagnóstico Molecular/instrumentación , Técnicas de Diagnóstico Molecular/métodos , Técnicas de Amplificación de Ácido Nucleico/instrumentación , Técnicas de Amplificación de Ácido Nucleico/métodos , Papel , Humanos , Meningitis Bacterianas/diagnóstico , Sistemas de Atención de Punto
15.
J Hazard Mater ; 307: 137-44, 2016 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-26780697

RESUMEN

A simple, receptor-free and regeneratable Hg(2+) sensor, which utilizes localized surface plasmon resonance (LSPR) shifts of a gold nanorod (GNR), has been developed. Precipitation induced by coordination of Hg(2+) to citrate alters the local refractive index (RI) around the GNR surface on glass slide, promoting a red-shift in its LSPR absorption peak. This phenomenon is used to design a sensor that enables quantitative detection of Hg(2+) in the 1nM to 1mM concentration range with good linearity (0.9507 correlation coefficient) and limit of detection (LOD) is reached to 0.38nM. A high selectivity of this sensor for Hg(2+) is demonstrated by the specific LSPR red-shift of 27.67nm promoted by Hg(2+) in comparison to those caused by other metal ions. In addition, the reusability of the new sensor chip is shown by its successful reuse eight-times following successive washing/precipitation steps. Lastly, the sensor displays excellent recoveries in spiking test with real water samples, such as tap water, lake and river. The simple combination of precipitation of Hg(2+)-citrate complex and the LSPR red-shift has led to the design of a novel sensing strategy for Hg(2+) detection.

17.
Anal Chim Acta ; 886: 182-7, 2015 Jul 30.
Artículo en Inglés | MEDLINE | ID: mdl-26320651

RESUMEN

An ultrasensitive, colorimetric and homogeneous strategy for aflatoxin B1 (AFB1) detection, which uses a DNA aptamer and two split DNAzyme halves, has been developed. Split halves of a hemin-binding DNAzymes is combined with an AFB1 aptamer to generate a homogeneous colorimetric sensor that undergoes an AFB1 induced DNA structural change. In the absence of AFB1, the split probes have peroxidase mimicking DNAzyme activity associated with catalysis of a color change reaction. Specific recognition of AFB1 by the aptamer component leads to structural deformation of the aptamer-DNAzyme complex, which causes splitting of the DNAzyme halves and a reduction in peroxidase mimicking activity. Therefore, a decrease of colorimetric signal arising from the catalytic process takes place upon in the presence of AFB1 in a concentration dependent manner in the 0.1-1.0 × 10(4) ng/mL range and with a colorimetric detection limit of 0.1 ng/mL. The new assay system exhibits high selectivity for AFB1 over other mycotoxins and can be employed detect the presence of AFB1 in ground corn samples. Overall, the strategy should serve as the basis for the development of rapid, simple and low-cost methods for detection of mycotoxins.


Asunto(s)
Aflatoxina B1/análisis , Aptámeros de Nucleótidos/química , Técnicas Biosensibles/métodos , ADN Catalítico/química , Zea mays/microbiología , Colorimetría/métodos , G-Cuádruplex , Límite de Detección
18.
Biosens Bioelectron ; 73: 26-31, 2015 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-26042875

RESUMEN

A highly sensitive localized surface plasmon resonance (LSPR) aptasensor for detection of adenosine triphosphate (ATP) has been developed. The sensor utilizes two split ATP aptamers, one (receptor fragment) being covalently attached to the surface of a gold nanorod (GNR) and the other labeled with a random DNA sequence and TAMRA dye (probe fragment). In the presence of both ATP and the probe fragment, a significant shift takes place in the wavelength of the LSPR band. This phenomenon is a consequence of the fact that the split fragments assemble into an intact folded structure in the presence of ATP, which brings about a decrease in the distance between the GNR surface and TAMRA dye and an associated LSPR wavelength. By using this sensor system, concentrations of ATP in the range of 10 pM-10 µM can be determined. In addition, by taking advantage of its denaturation properties, the LSPR aptasensor can be reused by simply subjecting it to quadruple salt-addition/2M NaCl washing steps. That the new method is applicable to biological systems was demonstrated by its use to measure ATP concentrations in E. coli and, thus to determine cell concentrations as low as 1.0×10(3) CFU.


Asunto(s)
Adenosina Trifosfato/análisis , Resonancia por Plasmón de Superficie/métodos , Aptámeros de Nucleótidos , Técnicas Biosensibles/métodos , Escherichia coli/química , Colorantes Fluorescentes , Oro , Nanopartículas del Metal , Nanotecnología , Nanotubos , Rodaminas
19.
J Prev Med Public Health ; 47(1): 47-56, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24570806

RESUMEN

OBJECTIVES: The purpose of this study was to investigate the current status of and problems with the Safe Community Programs in Gangbuk-gu, one of the 25 districts of the capital city of Korea. METHODS: The study subjects were 396 individuals who were involved in Safe Community Programs between 2009 and 2011. We examined the effectiveness and willingness of respondents to participate as a safety leader of the Safe Community Program with a questionnaire. We examined the injury death rates of Gangbuk-gu by using of the death certificate data of Korea's National Statistical Office. Descriptive statistics and chi-squared tests were used. RESULTS: The effectiveness of programs did not differ but active participation differed significantly among subjects (p<0.05). The injury death rate of Gangbuk-gu as a whole increased during the implementation period. However, senior safety, in particular, may be a helpful program for reducing injuries in Gangbuk-gu. CONCLUSIONS: This study suggests that the lack of active participation may be a major problem of Safe Community Programs in Gangbuk-gu. Therefore, Safe Community Programs should be expanded to the entire district of Gangbuk-gu and more active participation programs should be developed.


Asunto(s)
Evaluación de Programas y Proyectos de Salud , Seguridad/estadística & datos numéricos , Adulto , Anciano , Centros Comunitarios de Salud , Recolección de Datos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Mortalidad/tendencias , República de Corea , Encuestas y Cuestionarios
20.
J Prev Med Public Health ; 47(2): 84-93, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24744825

RESUMEN

OBJECTIVES: The incidence and survival rate of colorectal cancer in Korea are increasing because of improved screening, treatment technologies, and lifestyle changes. In this aging population, increases in economic cost result. This study was conducted to estimate the economic burden of colorectal cancer utilizing claims data from the Health Insurance Review and Assessment Service. METHODS: Economic burdens of colorectal cancer were estimated using prevalence data and patients were defined as those who received ambulatory treatment from medical institutions or who had been hospitalized due to colorectal cancer under the International Classification of Disease 10th revision codes from C18-C21. The economic burdens of colorectal cancer were calculated as direct costs and indirect costs. RESULTS: The prevalence rate (per 100 000 people) of those who were treated for colorectal cancer during 2010 was 165.48. The economic burdens of colorectal cancer in 2010 were 3 trillion and 100 billion Korean won (KRW), respectively. Direct costs included 1 trillion and 960 billion KRW (62.85%), respectively and indirect costs were 1 trillion and 160 billion (37.15%), respectively. CONCLUSIONS: Colorectal cancer has a large economic burden. Efforts should be made to reduce the economic burden of the disease through primary and secondary prevention.


Asunto(s)
Neoplasias Colorrectales/economía , Costo de Enfermedad , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Neoplasias Colorrectales/epidemiología , Femenino , Costos de la Atención en Salud , Gastos en Salud , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Prevalencia , República de Corea , Adulto Joven
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