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CLINICAL CHARACTERISTICS OF CHILDREN AND ADOLESCENTS WITH CONDUCT PROBLEMS ADMITTED INTO A PSYCHIATRIC UNIT (소아정신과 병동에 입원한 품행장애 소아 청소년의 임상 특성)

  • Pyo, Kyung-Sik;Kang, Yun-Hyong;Bahn, Geon-Ho;Cho, Soo-Churl;Lee, Eun-Jung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.2
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    • pp.227-236
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    • 1998
  • Objectives:Conduct disorder is one of the most frequent diagnosis in outpatient and inpatient mental health facilities for children and adolescents. This study investigated the clinical characteristics of children and adolescents with conduct disorder. Methods:The study employed a retrospective review of 45 inpatients diagnosed with conduct disorder by DSM-IV criteria at SNUH Child Psychiatric Unit from 1993, March to 1998, September. Results:The results were as follows:1) The sex ratio was 2:1, male dominant. Mean age on admission was $12.8{\pm}2.4$ years old(male:$12.2{\pm}2.3$, female:$14.1{\pm}2.1$). The mean age of male subjects was significantly lower than that of female subjects(p<.05). 2) We classified all subjects according to child- or adolescent-onset type by DSM-Ⅳ. Childhoodonset type was 42.2%, and adolescent-onset, 57.8%. The onset of male subjects were significantly earlier than that of female subjects(p<.05). 3) The most common complaint was 'serious violation of rules'(77.8%) by DSM-Ⅳ dimensions, while the most common single symtom was 'run away from home overnight at least twice while living in parental or parental surrogate home'(48.9%). 4) The comorbid psychopathology of the subjects were frequently described as follows, in order of frequency:substance use(42.2%), ADHD(35.6%), depression(20.0%), tic disorder(11.1%), bipolar disorder(4.4%). 5) On MMPI, both Pd and Ma subscales got the highest scores. The mean of total IQ by KEDIWISC was $100.0{\pm}15.1$. Female subjects' IQ was higher than that of male subjects. 6) Regarding the number of visits to the OPD after discharge, many subjects(33.3%) had visited OPD fewer than four times. Conclusions:In this study, the male to female ratio of adolescent type showed a decreasing trend. An interesting finding was the fact that socio-economic circumstances, as well as the level of education among patients, were higher than those of previous studies. The subjects' problem were also principally self contered and posed no threat to others.

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Fitz-Hugh-Curtis Syndrome in A 15-year-old Adolescent with Right Upper Quadrant Abdominal Pain : Case Report (우상복부 통증을 호소하는 15세 청소년에서 발생한 Fitz-Hugh-Curtis 증후군 1예)

  • Jung, Kyu-Whan;Park, Tae-Jin;Jung, Sung-Eun;Park, Kwi-Won;Kim, Hyun-Young
    • Advances in pediatric surgery
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    • v.17 no.2
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    • pp.188-192
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    • 2011
  • Fitz-Hugh-Curtis 증후군은 골반 내 염증성 질환을 가진 환자의 직접적 간 실질 침범이 없는 간피막 염증에 의한 간주위염으로, 1930년대에 Thomas Fitz-Hugh와 Arthur Curtis에 의해 보고되었다. Neisseria gonorrhea나 Chlamydia trachomatis에 의해 발병하며, 항생제로 치료되는 양성 성교전파질환이다. 대부분 가임기의 젊은 여성에서 발견되지만, 15세의 청소년에서 진단된 증례가 있어 보고하는 바이다. 15세 여자 환자가 1개월 전부터 발생한 간헐적인 우상복부와 하복부의 통증을 주소로 내원하였다. 환자는 한 달 전 남자친구와 첫 성교를 한 이후, 5일 전까지 10여 차례정도 성교를 하였다. 사회력 상 고등학교 1학년 생이고, 월경 주기는 28-30일로 규칙적이었다. 내원 당일 시행한 임신 반응 검사는 음성이었다. 시행한 복부전산화단층촬영에서 우측 간엽의 가쪽 부분이 동맥기 조영증강을 보이며 골반내감염을 동반하고 있었다. 부인과 검진 상 질경부 면봉 검사에서 Chlamydia trachomatis 양성소견을 보였으며, 소변배양검사에서 Neisseria gonorrhea가 동정되었다. Fitz-Hugh-Curtis 증후군 진단 하에 4주간 doxycycline과 metronidazole의 경구용 항생제 복용 후 호전되었다.

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Mass Inoculation Technique of Fusarium Disease in Rice (갈색엽고병의 인공접종법에 관한 연구)

  • Kwon Shin Han;Song Hi Sup;Kim Jae Rhee;Tomio Yamaguchi
    • Korean journal of applied entomology
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    • v.12 no.1
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    • pp.23-27
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    • 1973
  • In an effort to find effective inoculation method of Fusarium nivale, this experiment was conducted. The results obtained are summarized as follows: (1) Distilled water-spore suspension of this fungus was inoculated on rice seedling and the result showed that negligible disease symptoms were observed when the inoculated plants were placed in a moist chamber for one day, whereas considerable symptoms were indicated when kept for two days. (2) After giving physical wounds by wind or wooden stick to the rice seedling, distilled water-spore suspenion was sprayed on them and considerable diseased spots were formed. (3) Sufficient disease occurrence was due to the addition of $1\%$ rice leaf extract, glucose, polypeptone, and yeast extract solution to the spore suspension. (4) In distilled water, spore germination was poor, while in nutrient added solution good germination rate as well as anastomosis was found. (5) A new rice variety Tong-il turned out to be more susceptible to Fusarium nivale than Pung-kwang.

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Diagnosis for Latent Tuberculosis Infection in College Students (대학생 잠복결핵 감염의 진단)

  • Yook, Keun-Dol;Yang, Byoung-Seon
    • Korean Journal of Clinical Laboratory Science
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    • v.48 no.3
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    • pp.225-229
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    • 2016
  • Tuberculosis (TB) is caused by a chronic infectious agent known as Mycobacterium tuberculosis. It is transmitted in airborne particles, called droplet nuclei which was generated by cough, sneeze, shout, or sing of persons who have TB disease. Most infections of TB do not have symptoms, well known as latent tuberculosis infection (LTBI). However, about 10% of LTBI progress to active disease a one or two years after infection. To investigate the LTBI rate of college students who were in contacted with TB patients, we performed chest X-ray, tuberculin skin test (TST) and Interferon-gamma release assay (IGRA) to 74 college students. At a results, 65 students were showed negative and 9 students positive results at chest X-ray and 1st TST test. When confirmed the 65 students who were showed negative by 2st TST, the results showed correctly. But, 9 students who were showed positive results on chest X-ray and 1st TST by IGRA, the only 3 students (4.05%) showed positive results. In conclusion, the LTBI rate in this study showed 4.05% (3/74) and we suggest to investigate other students LTBI rate for decreasing tuberculosis.

Comparison of Genetic Association Analyses Using Sib Information in Family-Based Study (가족기반연구에서 형매정보를 이용한 유전적 연관성 분석방법의비교)

  • Jung, Ji-Won;Lee, Suk-Hoon;Kim, Soon-Ae;Park, Mi-Ra
    • Communications for Statistical Applications and Methods
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    • v.17 no.5
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    • pp.733-743
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    • 2010
  • Recently, disease-genetic association analyses using single nucleotide polymorphisms(SNPs) and haplotypes in family-based genetic study have come into the spotlight. In binary trait, the classic transmission disequilibrium test(TDT) can only be applied if genetic information of parents and their offspring is available. However, in case of diseases having a late age of onset such as dementia, the TDT cannot be applied due to the fact that parental genotype data are unavailable. For this reason, alternate methods using genetic sib information instead of parental genotype data are proposed. In this study, methods using genetic sib information are reviewed and power of analysis tests is also compared throughout simulation experiment.

Capture Myopathy in a Red-Necked Wallaby (Macropus rufogriseus) (붉은목왈라비에서 발생한 포획근병증)

  • Kim, Ji-Yong;Oh, Suk-Hun;Kim, Yang-Beom;Kwon, Soo-Whan;Jee, Hyang;Kim, Dae-Yong;Shin, Nam-Shik
    • Journal of Veterinary Clinics
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    • v.27 no.2
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    • pp.198-201
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    • 2010
  • This case report describes capture myopathy in an 8-month-old female red-necked wallaby (Macropus rufogriseus) that died after a 14-day history of depression, lameness and astasia following a bathing protocol for dermatitis. In a blood test performed the day after the wallaby fell down, serum chemistry showed a normal rangeof LDH but elevated CK, ALT and AST. Upon histopathologic examination after the animal's death, we found degeneration and necrosis of myofibers in skeletal muscle and myocardium. According to history that the wallaby was pressed by other individuals, suspected vitamin E insufficiency in the diet, physical stress during bathing as well as results of a blood test and microscopic examination, we diagnosed this case as capture myopathy. Although capture myopathy is a common problem in marsupials, this is the first reported case in Korea and understanding this case will help to manage future cases of capture myopathy in captive settings in Korea.

Identification and Antifungal Antagonism of Chryseomomas luteola 5042 against Phytophthora capsici (고추역병균 Phytophthora capsici의 생육을 저해하는 Chryseomonas luteola 5042의 선발과 항진균성 길항작용)

  • 윤경현;이은탁;김상달
    • Microbiology and Biotechnology Letters
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    • v.29 no.3
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    • pp.186-193
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    • 2001
  • A powerful antagonistic bacterium against Phytophthora capsici causing phytophthora blight of red pepper was isolated from the cultivated soil in Kyongju Korea, The bilogical control mechanisms of the isolated strain were caused by strong antifungal antibiotic, siderophore and cellulase. The strain was identified as Chryseomonas luteola by the cultural morphological and physiological characteristics. The opti- mal culture medium for the antibiotic production was determined as follows : 0.15%D(+) cellobiose, 0.55% $NH_4$CI, 0.01% KCI 0.7% $K_2$$HPO_4$ 0.2% $KH_2$PO$_4$ and 0.5% sodium citrate at pH 7.0 The optimal incubation time was 84 hours at $30^{\circ}C$ In pot bioassay, the treatment of C luteola 5042 protected red pepper plant against the blight of Phytophthora capsici.

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Overwinter and Survival of Colletotrichum gloeosporioides and Glomerella cingulata in Soil and Plant Debris of Strawberry (딸기 병걸린 식물잔재물과 토양에서 탄저병균 Colletotrichum gloeosporioides와 Glomerella cingulata의 월동과 생존)

  • Nam, Myeong-Hyeon;Song, Jung-Young;Kim, Hong-Gi
    • Research in Plant Disease
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    • v.10 no.3
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    • pp.198-202
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    • 2004
  • The overwinter and survival of Colletotrichum gloeosporioides and Glomerella cingulata in strawberry tissues under field conditions was investigated in 2001 and 2002. The rates of overwinter survival in plant petiole, runner and crown were 68.7,14.3, and 26.7%, respectively. But, under field condition, viable conidia of overwinter were not detected at the surface, 3, 5, and 10 cm depths of soil. To investigate the survival ability in soil and plant debris, C. gloeosporioides and G. cingulata isolates from strawberry were examined in laboratory and field. The viability of conidia was rapidly declined in all the treatments, with a 40% reduction in population within 10 days. In soil, the survival ability of G. cingulata conidia was similiar to that of C. gloeosporioides. The survival rate of conidia was highest under cool and dry soil conditions, and was decreased by increasing both soil temperature and moisture content. Similar results were also obtained under the condition that infected petioles were buried in soil. Results suggested that conidia as well as plant debris might be a main primary inoculum source of strawberry anthracnose.

Norovirus Food Poisoning and Laboratory Surveillance for Viral Gastroenteritis (바이러스성 식중독의 특성 및 예방법)

  • Jee, Young-Mee
    • Food Industry And Nutrition
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    • v.11 no.3
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    • pp.6-11
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    • 2006
  • 바이러스성 식중독은 장염을 일으키는 원인 병원체 중 노로바이러스에 의해 흔히 발생하며 이외에도 아스트로바이러스나 로타바이러스에 의한 집단 설사 사례가 국내에서 보고된 바 있다. 노로바이러스는 식중독과 관련하여 특히 오염된 식수와 굴 등 어패류의 생식을 통한 감염 사례가 많이 보고되어 있으나 사람 간 전파도 흔히 일어나는 전염력이 매우 높은 바이러스이다. 국내에서는 1999년 이후 보고가 되고 있으며 최근 집단 급식과 관련된 대형 식중독 사례들이 보고되면서 학교급식이 사회적인 이슈로 대두되고 있다. 2000년 이후 질병관리본부는 바이러스성 설사의 국내 발생현황을 파악하기 위하여 전국의 17개 시도보건환경 연구원과 노로바이러스를 포함한 4종의 바이러스성 장염원인 병원체에 대한 전국적인 실험실 감시체계를 운영한 결과 바이러스성 병원체가 확인된 사례의 약 18%에서 노로바이러스가 검출되었고, 집단설사 사례에서는 대부분 노로바이러스가 원인병원체로 확인되었다. 또한 노로바이러스의 조기 검출을 위해 질병관리본부는 2004년 중 노로바이러스 유전자 검출 kit를 자체적으로 제작하여 이를 전국의 시도 보건환경연구원을 연계한 감시체계에서 적극 활용함으로써 노로바이러스 집단설사사례의 조기 검출이 가능하게 되었고 지역내 노로바이러스 검출율을 높이는데 기여하였다. 국립보건연구원은 2003년과 2006년에 발생한 대규모 노로바이러스 식중독 사례 이외에도 산발적으로 지속적으로 발생하는 사례들을 조기에 탐지하고 국내에서 검출되는 설사바이러스 유전형 분포양상과 새로운 유전자형이나 변이주를 조기에 검출하고자 전국적인 노로바이러스 실험실 감시망을 강화하여 운영하고 있으며, 집단설사 발생시 각 사례의 연관성을 신속하게 분석할 수 있는 실시간 분자역학적 유전자 분석체계를 단계적으로 도입하고 있다. 실험실 감시체계 운영과 함께 집단 식중독 유발 병원체의 효율적인 관리를 위해 질병관리본부는 노로바이러스를 포함한 설사 유발 병원체를 신고대상 병원체로 지정(2006.06.12)하여 병원체 검출시 보고하도록 하고 관련 지침을 마련하였다. 노로바이러스가 지정전염병 병원체로 추가로 지정됨에 따라 집단 사례 및 실험실 감시사업을 통해 검출되는 병원체에 대한 보고가 강화되고 전파 방지와 2차 감염 사례 감소에도 기여할 수 있을 것으로 사료되며 전국의 실험실 감시망을 연결하는 국가 차원의 노로바이러스 실시간 분자역학적 분석체계 도입을 통해 노로바이러스 2차 감염을 줄이고 대규모 집단발병 및 유행의 조기 차단 효과를 가져올 수 있을 것이다.

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Biocontrol of Cabbage Clubroot by the Organic Fertilizer Using Streptomyces sp. AC-3. (Streptomyces sp. AC-3을 이용한 배추 무사마귀병의 생물학적 방제)

  • 주길재;김영목;김정웅;김원찬;이인구;최용화;김진호
    • Microbiology and Biotechnology Letters
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    • v.32 no.2
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    • pp.172-178
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    • 2004
  • This research is performed for a biological control of Chinese cabbage clubroot, we isolated an antagonistic bacterium AC-3 against Plasmodiophora sp., causal pathogens of cabbage clubroot. The isolated strain was identified as Streptomyces sp. by culture morphology, biochemical reactions, and homology research based on l6S rDNA sequences. Streptomyces sp. AC-3 produced chitinase (9.3 units/$m\ell$) in culture broth. So Plasmodiophora sp. mycelia changed abnonnal swelling, curling and branching mycelia by Streptomyces sp. AC-3 culture. In a field infected by Plasmodiophora sp., the treatment of a organic fertilizer added 2% Streptomyces sp. AC-3 microbial inoculant, it resulted in about 50% reducing the severity of cabbage clubroot significantly on cabbage plants compared with treated organic fertilizer plants. Additional disease such as sclerotinia rot, fusarium wilt and pythium rot were also significantly reduced by the treatment of the organic fertilizer added Streptomyces sp. AC-3 microbial inoculant.