• Title/Summary/Keyword: 담도 감염

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Reduction in the incidence of biliary and other surgical complications of ascariasis according to the decrease of its national egg prevalence in Korea (전국 회충란 양성률 감소에 따른 담도 및 기타 외과적 회충증의 감소 양상)

  • 채종일;조승열
    • Parasites, Hosts and Diseases
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    • v.29 no.2
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    • pp.101-112
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    • 1991
  • While various examples of rationale or benefits of ascariasis control could justify a necessity of control activity in a community, few practical index other than the e99 Prevalence or intensity of infection has been used to evaluate the efficacy obtained by the control activity. A literature-based retrospective study was undertaken to provide some numerical data on the decreasing morbidity of surgical ascariasis as a consequence of ascariasis control in Korea. A thorough review of literatures (1959∼1990) on biliary and other surgical complications of ascariasis reported from general hospitals revealed that their incidence has been decreasing very proportionally to the national figures of its e99 Prevalence and worm burden. For example, according to the remarkable decreases of the prevalence of ascariasis, there is an evident decreasing tendency of the proportion(%) of ciliary ascariasis cases among all biliary surgical patients and the proportion of biliary ascariasis cases among all biliary stone patients in general hospitals. It is highly suggested that the Korean people have been much benefited by the control activity of ascariasis executed at a national scale since 1960s, especially in terms of incidence of biliary and other surgical complications of ascariasis.

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병원환자식의 감염예방관리

  • Lee, Yeong-Nam
    • Journal of the Korean hospital association
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    • v.13 no.11 s.119
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    • pp.48-51
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    • 1984
  • 심신이 허약한 환자의 위생적인 식사관리가 병원에서 주요한 관심사가 되고있다. 이는 음식물에 대한 병원균의 감염이 건장한 사람보다 환자에 대해 감염율이 높기 때문이다. 따라서 환자의 위생적인 문제에 보다 많은 배려와 함께 환자의 식이를 담당하는 책임자의 철저한 관리가 요망되고 있다.

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Clinical Features of Clonorchiasis (간흡충증의 임상 양상)

  • Kim, Kook-Hyun;Jang, Byung-Ik;Kim, Tae-Nyeun
    • Journal of Yeungnam Medical Science
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    • v.23 no.2
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    • pp.171-181
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    • 2006
  • Background: $Clonorchis$ $sinensis$ is an important human parasite that is usually found in the biliary tract. It is widely distributed in East Asia in Taiwan, Japan, China and Korea. About 2 million people are estimated to be infected with $C.$ $sinensis$ in Korea. This study was conducted to evaluate the state of infestation and clinical aspects of $C.$ $sinensis$. Material and Methods: We evaluate 1,063 patients with clonorchiasis retrospectively at Yeungnam University Hospital and Health Promotion Center from January 2001 to December 2003. All patients were diagnosed by a positive stool test for $C.$ $sinensis$ eggs. Clinical features, laboratory data and imaging studies were evaluated. Results: The ratio between affected males and females was 3.6 : 1. The highest infection rate was noted in the 40-60 age groups regardless of sex. The infection rate of $C.$ $sinensis$ among the residents of urban areas was higher than in rural areas. There were 813 (76.5%) patients who were asymptomatic. Common symptoms included right upper abdominal pain in 7.6% and epigastric pain in 7.2%. For the laboratory studies, serum ALP and GGT levels were within normal limits in 85.2% and 56.0% respectively. Peripheral eosinophilia was noted in 66.1% of cases. Of the 83 cases undergoing ERCP, 27 cases (32.5%) showed peripheral dilatation of the intrahepatic duct. Conclusion: This study suggests that $C.$ $sinensis$ infection is still endemic even in rural areas of Korea and that asymptomatic infections are common. Further work should be focused on the early diagnosis and treatment of patients with subclinical infection.

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Evaluation of the Underlying Etiology and Long-Term Prognostic Factors in Neonatal Cholestasis (신생아 담즙정체증의 원인질환 및 장기추적 예후인자에 관한 고찰)

  • Kim, Kyung-Mo;Seo, Jeong-Kee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.1
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    • pp.46-58
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    • 1999
  • Purpose: The aim of the present study was to evaluate the long-term clinical profile including the underlying etioligy and the prognostic factors of the neonatal cholestasis. Method: We studied the 190 infants presented with neonatal cholestasis for the last 12 years (from 1981 to 1992). The underlying causes, clinical findings and long-term outcomes were evaluated. And the prognostic factors were also analyzed. Result: Underlying disease were neonatal hepatitis in 101 (idiopathic in 77 and infectious in 24), intrahepatic bile duct paucity in 5, biliary atresia in 79, choledochal cyst in 5. Metabolic disease was not observed in this study. The important clinical problems during follow-up were persistent high fever, gastrointestinal bleeding, hepatic encephalopathy and ascites. The main causes of the death were hepatic encephalopathy and gastrointestinal bleeding. While three fourth of infants with idiopathic and infectious neonatal hepatitis recovered usually within a year, five-year survival rate for biliary atresia was just 40%, the mortality observed usually within the first year after Kasai operation and prognostic factor was the time of operation. Underlying disease was the most important prognostic factor of neonatal cholestasis. Conclusion: This study showed that most common causes of neonatal cholestasis were biliary atresia and idiopathic neonatal hepatitis, infectious neonatal hepatitis, choledochal cyst and Alagille syndrome, but few neonatal cholestasis of genetic or metabolic liver disease was observed. The most important long-term prognostic factor of neonatal cholestasis was the underlying disease.

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A Case of Biliary Cast Syndrome After Endoscopic and Percutaneous Management of Common Bile Duct Stone (총담관 결석 환자에서 내시경적, 경피적 담관 시술 후 발생한 담관 원주 증후군)

  • Jae Chun Park;Jung Gu Park
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.224-229
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    • 2022
  • Biliary cast syndrome is an unusual complication in patients who have previously undergone liver transplantation. It occurs in approximately 5%-18% of such patients. Rare cases of biliary cast syndrome in patients without liver transplants have also been reported. The pathogenesis of biliary cast has not been clearly identified, although etiologic factors including post-transplant bile duct damage, ischemia, biliary infection, and presence of a post-operative biliary drainage tube have been proposed. Here we present a case of biliary cast that developed in a 49-year-old male who underwent a non-liver surgery after endoscopic and percutaneous management of common bile duct stone.

Natural Hosts and Disease Cycle of Soybean yellow mottle mosaic virus (Soybean yellow mottle mosaic virus의 자연기주와 병환)

  • Lee, Su-Heon;Kim, Chang-Suk
    • Research in Plant Disease
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    • v.19 no.4
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    • pp.281-287
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    • 2013
  • In surveys of weed occurrence undertaken from 2006 to 2007, near to the Daegu experimental fields of the National Institute of Crop Science, plants belonging to 31 families, 74 genera and 96 species were found. For the investigation of the natural or alternative hosts of Soybean yellow mottle mosaic virus (SYMMV), 495 plant samples belonging to 26 families 84 species were subjected to RT-PCR. SYMMV was detected only from legume plants such as Glycine soja, Vigna angularis var. nipponensis, Trifolium repens, and Lespedeza cuneata. Among legume plants tested, more than a third of G. soja (wild soybean) contained SYMMV, indicating that the wild soybean played an important role as a reservoir of SYMMV. Wild soybeans may be infected with SYMMV as early as mid-July. Considering the results of early infection and the high infection rate of seed and seed transmission of SYMMV in G. soja, wild soybeans may have played an important role in the completion of disease cycle of the virus.

A Study on the Sustainability of Library Service in the Situation of Infectious Diseases (감염병 상황에서의 도서관 서비스 지속가능성에 대한 연구)

  • Kim, Sungwon
    • Journal of the Korean Society for Library and Information Science
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    • v.54 no.2
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    • pp.247-267
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    • 2020
  • Libraries are public institutions in charge of information distribution. Libraries need to secure sustainability in providing services so that they can contribute to social integration even in disaster situations. The recent spread of the Corona 19 virus has negatively affected the operation of libraries and libraries have suspended services and users' visits to prevent possible infections. This study intends to examine responses of domestic and foreign libraries to the unexpected disasters, and also presents measures to ensure sustainability and considerations in establishing these measures.

Status of Infection Control in Jeju-area General Hospitals (제주특별자치도 종합병원의 감염관리 현황)

  • Chong, Moo Sang;Lee, Kyutaeg
    • Korean Journal of Clinical Laboratory Science
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    • v.48 no.2
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    • pp.130-136
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    • 2016
  • The aim of this study was to examine and analyze the infection management status of Jeju-area general hospitals, and in order to convey the importance of infection management, and to determine role plans of medical technologists as infection management staff, the infection management status was examined through surveys targeting 7 general hospitals located in Jeju Special Self-Governing Province. The infection management of Jeju-area medical institutions showed excellence in that all institutions operated an infection management room, there was dedicated manpower, and hospital infection management guidelines were established and executed. However most institutions were operating their infection management room with only 1 nurse, reporting many difficulties in securing dedicated manpower, microbe-related culture deciphering, frequency of multiple-resistance bacteria, infection statistics, and details on microbe testing. Accordingly, it is believed that the medical technologist who can perform the practical tasks of infection management has sufficient qualification and experience in infection management as per the medical law enforcement regulations, and in operation of an infection management room. If medical technologists (infection control microbiological technologist) with expert knowledge on microbes and infection control nurses can execute the tasks as dedicated personnel, the operation of the infection management room will be more advanced. In addition, for proper infection management in the future, the introduction of a medical system specialized in infection management and full support for infection management of vulnerable small/medium hospitals in addition to general hospitals across the country is considered important.

Histopathological Changes of the Liver after Praziquantel Treatment kin Clonorchis sinensis Infected Rabbits (토끼의 간흡충성 간병변의 프라지관텔 치료 후 변화 양상)

  • 이순형;홍성태
    • Parasites, Hosts and Diseases
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    • v.25 no.2
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    • pp.110-122
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    • 1987
  • The rabbits were infected with Clonorchis sinensis and were treated with praziquantel at the dose of $50{\;}mg/kg{\times}2회{\times}2$ days after 1,2,4,8 weeks and 7 months from the infection. Their livers were observed histopathologically 1, 4 and 12 weeks after treatment. The findings are summarized as below. 1. The changes of the liver in control rabbits were relatively mild until 2 weeks after infection. However, widening and thickening of bile ducts, proliferation of biliary epithelium and periductal fibrosis were moderate after 4 weeks from infection and those changes were severe after 8 weeks and 7 months. Goblet cell metaplasia was found after 8 weeks from infection. 2. The mild changes of 2-week infection group were completely recovered by 4 weeks after the treatment. In the groups of 4 or more weeks after infection, the changes of bile ducts became milder in the degree after the treatment, but were still found 12 weeks after the treatment. As the infection duration was passed, more severe changes were observed after the treatment. In this context, it is concluded that the liver changes of acute clonorchiasis in the early two weeks are reversible by treatment while chronic biliary epithelial changes are irreversible. Therefore, early treatment should be recommended as possible to minimize the remaining histopathological changes of liver in clonorchiasis.

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