• Pediatric Infection and Vaccine
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• v.16 no.1
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• pp.31-39
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• 2009

Purpose : Neisseria meningitides is one of the most common causative pathogens of bacteremia and meningitis. Recently protein-conjugated vaccines have been developed and included in the routine vaccination schedule in a few countries. In Korea, carriage rates of N. meningitides among healthy adults have been reported. However, systematic data for childhood carriage rates are not available. This study was performed to evaluate the carriage rates of N. meningitides and the serotype distribution among healthy children attending day care centers. Methods : During the period of January through May 2005, nasopharyngeal swabs and culture were obtained from 904 children attending 13 different day care centers located in Seoul and Gyeonggi Province. The Vitek NHI card was used to identify N. meningitides and the crgA gene was detected via polymerase chain reaction (PCR). Serotype determination was performed by agglutination test using N. meningitides antisera to serotypes A, B, C, D, 29E, W135, X, Y, and Z. PCR for detection of the org2 and saiD gene confirmed serotypes A, B, C, W135, and Y. Results : The mean age among 904 children was 4.5 years; 6.5% (59/904) were children <2 years old, 53.8% (486/904) were 2-5 years old, and 39.7% (359/904) were >5 years old; 52.0% (468/904) were male. N. meningitides was isolated from only 7 children attending 5 different day care centers and the overall carriage rate of N. meningitides was 0.8%. The detected serotypes of N. meningitides were serotype A (n=2), C (n=2), and Y (n=3). Conclusion : The carriage rate of N. meningitides among healthy children attending day care centers was very low in Korea and the detected serotypes were A, C, and Y.

• Childhood Kidney Diseases
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• v.3 no.2
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• pp.123-129
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• 1999

Purpose: Acute poststreptococcal glomerulonephritis(APSGN) is a renal disease which is characterized by glomerular proliferation and inflammatory changes due to immune reaction. Although the 95% of patients with APSGN seems to recover fully and present as benign course, the remaining patients show poor prognosis. Therefore comparative retrograde study between APSGN with and without nephrotic syndrome was done to find out the any prognostic indicator to predict the outcome in patients with APSGN. Methods: We had retrospectively analyzed seventy-one patients who were diagnosed as APSGN clinically from Mar.1989 to Feb.1999 in Yonsei university medical center. Sixty-four of the patients was APSGN without nephrotic syndrome(Group A) and seven patients were in APSGN with nephrotic syndrome(Group B). Results: Patients who were diagnosed as APSGN with nephrotic syndrome were seven(9.9%) out of seventy-one. In the comparative study, sex ratio was 1:1 in group A and 1.9: 1 in group B, onset mean age was $8.9{\pm}2.6$ in group A and $8.8{\pm}2.6$ in group B. Following clinical profiles were compared but there were no significant difference between these two groups: WBC count($9413{\pm}2964\;vs\;9368{\pm}2650(/mm^3)$), hemoglobin($10.6{\pm}1.2\;vs\;10.0{\pm}0.9(gm/dL)$), ASO($746.1{\pm}640.7\;vs\;614.9{\pm}475.9(IU/ml)$), $C_3(20.1{\pm}17.0\;vs\;16.9{\pm}13.1(mg/dL)$), $C_4(22.8{\pm}9.5\;vs\;22.6{\pm}6.9(mg/dL)$), BUN($25.8{\pm}26.1\;vs\;28.1{\pm}14.5(mg/dL)$), creatinin($0.8{\pm}0.3\;vs\;0.8{\pm}0.3(mg/dL)$), $C_{cr}(80.6{\pm}28.8{\pm}62.4{\pm}31.4(ml/min/1.73\;m^2$)), the duration of edma, gross hematuria, and hypertension. However, we found that there were a significant difference in the duration of proteinuria($1.95{\pm}2.27\;vs\;13.3{\pm}21.1(months)$)(P<0.05), decreased $C_3$ duration($1.9{\pm}2.9\;vs\;7.3{\pm}5.0(weeks)$)(P<0.05) and especially it was proloned according to the amount of early urine protein excretion. Conclusion: Our study showed markedly prolonged duration of proteinuria and decreased $C_3$ duration in patients with APSGN with nephrotic syndrome. We were not able to find the definite prognostic factor that will guide the outcome of patients with APSGN accompaning nephrotic syndrome, but above findings seemed to represent as a relative indication of the outcome of the disease. All patients recovered completely and we did not experience any cases that progressed into the renal failure.

• Childhood Kidney Diseases
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• v.8 no.2
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• pp.159-165
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• 2004

Purpose: This study aimed to compare the clinical outcome of acute poststreptocaccal glomerulonephritis (APSGN) between patients who had presented with gross hematuria and those with microscopic hematuria. Methods: Thirty-nine patients with acute poststreptococcal glomerulonephritis, who were diagnosed from January 2000 to April 2003 were enrolled. Results: The mean age was 8.85 years and the male to female ratio was 1.1:1 Seventeen patients presented with gross hematuria at diagnosis(group A) and twenty-two patients had microscopic hematuria only(group B). There were no significant differences between the two groups in the incidence of edema, fever or history of respiratory infection and oliguria. But hypertension was more frequent in group B. Laboratory data showed decreased C3 and C4 level in group B. Spot urine protein/creatinine ratio and 24hr urine protein showed higher levels in group A. Conclusion; Patients with gross hematuria at diagnosis had lower incidence of hypertension and a higher rate of nephrotic range of proteinuna than patients with microscopic hematuria. However, no difference in the duration of admission or complication rate was observed. All patients had clinical improvement during follow-up. We conclude that gross hematuria is not a significant prognostic factor for poststreptococcal glomerulonephritis.

• Journal of fish pathology
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• v.27 no.1
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• pp.77-83
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• 2014

The monitoring was performed to survey the mortalities and medications occurred in the inland aquaculture farms of olive flounder in South Korea from May to October, 2012. Both of the indirect inquiry for entire inland farms and the sample survey for selected farms were carried out. The aquatic organism disease inspectors, who have the national licenses for the diagnosis and prevention of aquatic organism diseases and have close relationship with the farms, investigated the rates and causes of mortalities according to the standard manual. The cumulative mortalities rate by the indirect inquiry on 565 farms, was calculated to 27.18%, and the mortalities rate by infectious diseases was 22.64%. Otherwise, the mortalities rate by sample survey on 60 farms was 25.50%, 19.33% of them were caused by infectious diseases. The high mortality rates were recorded by scuticociliatosis, non-infectious loss, streptococcosis, VHS, artificial eliminations, vibriosis and gliding bacterial disease. Streptococcosis and non-infectious mortality caused to serious loss in productivity and economy of the farms, because of their outbreaks in the flounder groups over 600 g. The monitoring of medications in the selected farms revealed that formalin for the treatment of external parasites, such as scuticociliates, was the most commonly used drugs in the farms. As the antibiotic medications, amoxicillin and florfenicol for streptococcosis, and oxytetracycline and neomycin expecting wide antibacterial spectrum, were frequently prescribed.

• Childhood Kidney Diseases
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• v.4 no.2
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• pp.154-160
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• 2000

The pathogenesis of IgA nephropathy and acute poststreptococcal glomerulonephritis is not fully understood. In the past, acute poststreptococcal glumerulonephritis was the most common cause of gross hematuria in children, but now IgA nephropathy is the most common one. We experienced two cases of acute poststreptococcal glomerulonephritis superimposing to IgA nephropathy in boys Case 1 had upper respiratory infection before elevation of anti-streptolysin O, generalized edema, gross hematuria and proteinuria. The complement levels were normal. Electron microscopic findings of renal biopsy at ten days after onset showed a few big subepithelial 'humps' and localized heavy subendothelial and mesangial deposits. Immunofluoroscopic findings revealed predominant IgA deposition in the mesangium. The electron microscopic findings were diagnostic of acute poststreptococcal glomerulonephritis On the other hand, immunoflorescence microscopic findings were compatible to IgA nephropathy. In case 2, the renal biopsy which was done 2 years after onset showed only finding of IgA nephropathy. To our knowledges, there has been kw reports of acute poststreptococcal glomerulonephritis superimposing to IgA nephropathy which was confirmed by renal biopsy. We report two cases of acute poststreptococcal glomerulonephritis superimposing: to IgA nephropathy with a brief review of the literatures.

• Korean Journal of Microbiology
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• v.18 no.2
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• pp.67-72
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• 1980

this paper presents the findings of a study in which throat cultures was ontained from all grade of primary school surrounding Seoul area. The number and percentages of children with positive throat cultures of streptococci were 181 cases (9.4%) among 1914 cases. Group A streptococci composed 4.3% (83 cases) of betahemolytic streptococci recovered. A total of 181 strains of group A streptococci were tested for susceptibility to 21 anibiotics in vitro. The strains were almost equally sensitive to most of the individual antibiotics : all of the group A strains were uniformly susceptible to bacitracin ; 93.6% to ampicillin ; 82.3% to erythromycin. The susceptibility to colymycin to colymycin and kanamycin were not found.

• Restorative Dentistry and Endodontics
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• v.17 no.1
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• pp.115-125
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• 1992

It is advisable to use irrigation solutions which have strong antibacterial effect and weak cytotoxic effect on treating root infections. Streptococci are ones of the most frequently isolated microorganisms in infected root canals. The antibacterial effect of ten irrigation solutions were investigated on S. mutans (19449), S. sanguis. )10556) and 4 streptococci isolated from saliva of healthy persons. These streptococci were exposured to irrigation solutions during 10 sec, 30 sec,. 1 min, 3 min, 5 min, 10 min, 30 min and 2hrs respectively. Four irrigation solutions which showed strong antibacterial activity were diluted to 1 : 1 to 1 : 10,000. Then they were subcultured on blood agar plate an observed after 1 day. 5.25% NaOC1 had the strongest antibacterial effect. 30% urea and normal saline showed no antibacterial effect. 50 % citric acid and 3% $H_2O_2$ showed relatively weak antibacterial effect. 15 % EDTA had very weak antibacterial effect.

• Proceedings of the Korean Society of Fisheries Technology Conference
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• 2001.05a
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• pp.317-318
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• 2001

제주도의 넙치양식은 1986년부터 종묘생산기술개발을 계기로 육상양식이 시작되어 1997년 12월 말에는 5,500여톤을 생산하기에 이르렀다. 넙치양식 업체의 수도 최근에 와서 급격히 증가하고 있으며 시설규모도 소규모에서 대규모로 전환하는 경향이다. 또한 사육방법도 고밀도로 사육하는 경우가 많고 부주의한 사육관리 등으로 각종 질병이 발생되고 있다(Lee and Ha, 1991). (중략)

• Journal of the korean veterinary medical association
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• v.25 no.7
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• pp.423-433
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• 1989

The bovine mastitis investigated with 910 cows of 44 dairy farms in the area of Seoul and Kyunggi-Do. The streptococcal species were isolated from milk with mastits and their biochemical properties and serological reaction were investigated, and an antimi

• Proceedings of the Korean Society of Fisheries Technology Conference
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• 2003.05a
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• pp.320-321
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• 2003

1999년 여름철 고수온기에 경북, 경남 및 부산 인근의 몇몇 넙치 양식장에서 세균성 감염증으로 보이는 질병에 의해 넙치의 폐사가 발생하여 그 원인을 조사하였다. 감염어는 복부팽만, 장충혈, 장액삼출 및 간출혈 둥의 특징적 증상을 보이면서 폐사하여, 에드워드병이나 연쇄구균증으로 의심되었다. 그러나 감염어의 환부 및 내부 장기에서 분리된 세균은 1.5% NaCl 첨가 TSA 평판배지에서 swarming을 하는 특성을 보였으며, TCBS에서 yellow 혹은 green colony를 형성하는 비브리오균인 것으로 나타나, 여러 가지 생화학 실험을 통해 V. harveyi로 추정되었다. (중략)