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  1. NTU Theses and Dissertations Repository
  2. 公共衛生學院
  3. 流行病學與預防醫學研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/5160
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dc.contributor.advisor蔡坤憲,方?泰
dc.contributor.authorTsen-Ju Shiuen
dc.contributor.author許岑竹zh_TW
dc.date.accessioned2021-05-15T17:52:46Z-
dc.date.available2016-10-20
dc.date.available2021-05-15T17:52:46Z-
dc.date.copyright2014-10-20
dc.date.issued2014
dc.date.submitted2014-08-08
dc.identifier.citation參考文獻
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/5160-
dc.description.abstract瘧疾過去在聖多美普林西比民主共和國 (以下簡稱聖多美) 造成極大的威脅,在各種防治措施介入後,疾病發生率和盛行率都有顯著的下降。本研究藉由分析聖多美流行病學資料,驗證當地是否進入瘧疾清除前期。透過定量即時聚合酶鏈鎖反應和巢式聚合酶鏈鎖反應,比較分生檢驗與鏡檢結果差異。此外,將聚合酶鏈鎖反應陽性檢體進行瘧原蟲裂殖體表面蛋白第一型 (MSP1)和瘧原蟲裂殖體表面蛋白第二型 (MSP2) 基因定序,分析聖多美不同年代、地區、寄生蟲等級檢體中所帶惡性瘧原蟲流行株趨勢。研究蒐集西元2000年起聖多美13年發燒與瘧疾確診人數,以及2010年瘧疾陽性病人 (n=28)、2011年至2013年間低寄生蟲血症病人 (n=377)、不明發燒病人 (n=605) 與普林西比島全島篩檢 (n=6855) 之資料與血片,結果顯示僅有Lemba省和Principe自治區達到世界衛生組織訂立瘧疾清除前期標準。在鏡檢為瘧疾陰性的461位門診發燒病人中,有15人 (3.3%) 經PCR判定為感染瘧原蟲;普林西比島篩檢則分生檢驗與鏡檢結果一致。分析PCR陽性檢體之親緣關係發現,聖多美惡性瘧原蟲流行株大致可分為三大群,是否源自不同國家傳入其他型別則需進一步分析。藉由分子流行病學資料顯示,聖多美目前已逐漸進入瘧疾清除階段,本研究結果將提供聖多美瘧疾治療與疫苗發展的相關資訊,對未來瘧疾防治能做更適宜的政策規劃與準備。zh_TW
dc.description.provenanceMade available in DSpace on 2021-05-15T17:52:46Z (GMT). No. of bitstreams: 1
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Previous issue date: 2014
en
dc.description.tableofcontents目 錄
口試委員會審定書………………………….…………………………………..............i
致謝………………………………………………………………………….............….ii
中文摘要……………………………………………………………………………......iii
英文摘要…………………………………………………………………………..........iv
研究流程圖…………………………………………………………………….…….....vi
目錄…………………………………………………………………………….............vii
圖目錄……………………………………………………………………...................viii
表目錄……………………………………………………………………………..........ix
第一章 前言.....................................................................................................................1
第一節 聖多美普林西比背景介紹.........................................................................1
第二節 瘧疾概述.....................................................................................................2
第三節 檢驗策略.....................................................................................................6
第四節 瘧原蟲親緣關係比較.................................................................................8
第五節 研究目的.....................................................................................................9
第二章 材料與方法.......................................................................................................10
第一節 聖多美基礎流行病學分析.......................................................................10
第二節 聖多美分生檢驗.......................................................................................11
第三節 瘧原蟲親緣關係比較...............................................................................16
第三章 結果………………………………………………………...............................19
第一節 聖多美基礎流行病學分析...............……………………….……...........19
第二節 聖多美分生檢驗…...………………………………………....................20
第三節 瘧原蟲親緣關係比較...……………………………………....................23
第四章 討論………………………………………………………...............................25
參考文獻……………………………………………………….....................................28
dc.language.isozh-TW
dc.subject親緣關係zh_TW
dc.subject聖多美普林西比民主共和國zh_TW
dc.subject瘧疾zh_TW
dc.subject惡性瘧原蟲zh_TW
dc.subject定量即時聚合?鏈鎖反應zh_TW
dc.subject巢式聚合?鏈鎖反應zh_TW
dc.subjectPlasmodium falciparumen
dc.subjectPhylogenyen
dc.subjectNested PCRen
dc.subjectQuantitative real-time PCRen
dc.subjectDemocratic Republic of Sao Tome and Principeen
dc.subjectMalariaen
dc.title聖多美普林西比民主共和國瘧疾分子流行病學研究zh_TW
dc.titleMolecular epidemiological study of malaria in the Democratic Republic of Sao Tome and Principeen
dc.typeThesis
dc.date.schoolyear102-2
dc.description.degree碩士
dc.contributor.oralexamcommittee嵇達德
dc.subject.keyword聖多美普林西比民主共和國,瘧疾,惡性瘧原蟲,定量即時聚合?鏈鎖反應,巢式聚合?鏈鎖反應,親緣關係,zh_TW
dc.subject.keywordDemocratic Republic of Sao Tome and Principe,Malaria,Plasmodium falciparum,Quantitative real-time PCR,Nested PCR,Phylogeny,en
dc.relation.page48
dc.rights.note同意授權(全球公開)
dc.date.accepted2014-08-08
dc.contributor.author-college公共衛生學院zh_TW
dc.contributor.author-dept流行病學與預防醫學研究所zh_TW
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