• 제목/요약/키워드: Diarrhea incidence

검색결과 159건 처리시간 0.023초

신생아 패혈증에 관한 임상적 고찰 (A Clinical Observation on 55 Cases of Neonatal Sepsis)

  • 박재홍;신손문
    • Journal of Yeungnam Medical Science
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    • 제5권2호
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    • pp.161-169
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    • 1988
  • 1. 성별 빈도는 남아 42례(1.12%), 여아 13례(0.44%)로 남아에서 여아보다 더 많이 발생 하였고 미숙아에서의 발생 빈도는 2.65%로 만삭아에서 0.76% 보다 높았다. (P<0.05) 2. 발병일 별로는 생후 4일내에 발생한 조기 발병형 신생아 패혈증은 26례(47.3%)였으며, 생후 5일 이후에 발생한 만기 발병형 신생아 패혈증은 29례(52.7%)였고, 조기발병형 신생아 패혈증에서 주산기 합병증의 빈도가 만기 발병형 신생아 패혈증보다 높았다(38.5% vs 10.3%, P<0.05). 3. 임상소견으로는 수유곤란 52.7%로써 가장 많았고 황달(45.5%), 설사(30.9%), 보챔(30.9%) 등의 순으로 나타났다. 4. 검사상 소견으로는 미성숙 백혈구수가 20% 이상인 경우와 CRP가 1+ 이상인 경우가 진단에 도움이 되었다. 5. 원인균으로는 그람 양성균이 37례, 그람음성균이 19례였으며 그람 양성균중에서는 Staphylococcus epidermidis가 23례(41.1%)로 가장 많았고 그람 음성균중에서는 E. coli가 9례(16.1%)로 가장 많았으며 조기 발병형 신생아 패혈증과 만기 발병형 신생아 패혈증간의 원인균의 차이는 없었다.

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7개월간 선식만 먹인 영아에서 발생한 구루병 1례 (A Case of Rickets Developed after Feeding on Sunsik for Seven Months)

  • 양정아;장경아;박혜원;장욱;한만용;조영아;이은
    • Clinical and Experimental Pediatrics
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    • 제46권11호
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    • pp.1143-1146
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    • 2003
  • 저자들은 아토피 피부염 조절을 위해 7개월간 선식만 먹고 발생한 구루병 1례를 경험하여 근래에 대두되고 있는 영양식의 실태와 문제점을 살펴보고자 문헌 고찰과 함께 보고하는 바이다.

Surveillance Study of Acute Gastroenteritis Etiologies in Hospitalized Children in South Lebanon (SAGE study)

  • Ghssein, Ghassan;Salami, Ali;Salloum, Lamis;Chedid, Pia;Joumaa, Wissam H;Fakih, Hadi
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제21권3호
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    • pp.176-183
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    • 2018
  • Purpose: Acute gastroenteritis (AGE) is a major cause of morbidity and remains a major cause of hospitalization. Following the Syrian refugee crisis and insufficient clean water in the region, this study reviews the etiological and epidemiological data in Lebanon. Methods: We prospectively analyzed demographic, clinical and routine laboratory data of 198 children from the age of 1 month to 10 years old who were admitted with the diagnosis of AGE to a private tertiary care hospital located in the district of Nabatieh in south Lebanon. Results: Males had a higher incidence of AGE (57.1%). Pathogens were detected in 57.6% (n=114) of admitted patients, among them single pathogens were found in 51.0% (n=101) of cases that consisted of: Entamoeba histolytica 26.3% (n=52), rotavirus 18.7% (n=37), adenovirus 6.1% (n=12) and mixed co-pathogens found in 6.6% (n=13). Breast-fed children were significantly less prone to rotavirus (p=0.041). Moreover, children who had received the rotavirus vaccine were significantly less prone to rotavirus (p=0.032). Conclusion: Our findings highlight the high prevalence of E. histolytica infection as the major cause of pediatric gastroenteritis in hospitalized children, during the summer period likely reflecting the insanitary water supplies and lack of hygiene. Moreover the 42.4% of unidentified causative pathogens should prompt us to widen our diagnostic laboratory arsenal by adopting new diagnostic technologies.

부산 일부지역에 유행한 장티푸스 환자에 대한 역학적인 조사 (An Epidemiological Study for on Outbreak of Typhoid Fever in Busan Area)

  • 박진형
    • Journal of Preventive Medicine and Public Health
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    • 제10권1호
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    • pp.86-93
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    • 1977
  • 부산시 남구 문현동 고지대 일원에서 유행한 장티푸스의 전염원과 감염경로를 규명하고 그 관리사업을 1975년 4월 28일부터 동년 6월 3일까지 실시하여 얻은 결과는 다음과 같다. 1. 원인불명의 고열질환은 장티푸스로 동정되었으며 주증상은 복통, 설사, 간장비대, 오심 구토, 비장비대장미진, 회맹부압통등이었다. 2. 평균이병기간은 25.2일이었고 발생율은 1000명당 35.6였다. 3. 장티푸스유행의 전염원은 행려환자로 추정되었다. 4. 발병으로 부터 신고까지의 기간은 $10{\sim}19$일사이가 제일 많았다. 5. 1차 대변배양검사 양성은 38.9%였고 2차 검사성적은 5.6%였다. 6. 연령별 발생분포는 $5{\sim}9$세군이 30.5%로 가장 높았으며 남녀 발생비는 남자가 여자보다 약간 높았다. 7, 교육정도는 국민학교 이하가 66.6%, 생활정도로는 저소득층이 77.8%로 각각 최고율을 점하고 있다. 8. 발병후 의료시설의 이용은 약국이 제일 높고 다음이 한약방, 의원의 순서였다.

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Biological Aspects of Selenium in Farm Animals

  • Kim, Y.Y.;Mahan, D.C.
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권3호
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    • pp.435-444
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    • 2003
  • In 1957, Schwarz and Foltz discovered that selenium (Se) was an essential trace mineral and nutritionists then started extensive studies to figure out the metabolic function of this element which has been called as toxic mineral. The discovery that glutathione peroxidase (GSH-Px) contained Se demonstrated a biochemical role for Se as an essential trace element. The major physiological function of Se containing GSH-Px is thought to maintain low levels of $H_2O_2$ and other hydroperoxides in the cell to prevent tissues from peroxidation damages. It is known that the GSH-Px activity is increased when animals were fed high dietary levels of Se. Chemical properties of Se have much in common with sulfur (S) therefore Se would follow the sulfur pathways in its metabolism in animal body. Two sources of Se are available for supplementation of Se in animal feed. Inorganic Se can also exist in selenide (-2), elemental (0), selenite (+4) and selenate (+6) oxidation state with other minerals. When sulfur in S containing amino acids is replaced by Se, organic Se can be made and named "eleno"prior to the name of S containing amino acid, i.e. selenomethionine. Selenium deficiency affects humans as well as animals and dysfunctions such as exudative diathesis, retained placenta, mastitis, liver necrosis, Keshan disease, numerous diseases and cancer. From several centuries ago, Se toxicity was recognized in various animal species and much of the current toxic Se levels has been established largely based upon the controlled toxicity studies used inorganic Se. Toxic effects of Se in animal result in reduced feed intake, growth retardation, ataxia, diarrhea, alopecia and sloughing of hooves. However, several experiments demonstrated that Se deficiencies or toxicities were varied by dietary Se levels and sources. Recent studies demonstrated that the incidence of colorectal and prostate cancer was reduced by approximately 50% when humans consumed 200 ${\mu}g$ of Se daily.

간접형광항체법(間接螢光抗體法)에 의한 개의 바이러스-canine distemper virus, canine parvovirus, canine coronavirus, canine adenovirus type-2, canine parainfluenzavirus-항체분포 조사 (Seroepidemiological survey on canine distemper, canine parvovirus, canine coronavirus, caninie adenovirus type-2, canine parainfluenzavirus of dogs by indirect immunofluorescent test)

  • 윤기복;강문일;박남용;한동운
    • 대한수의학회지
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    • 제35권1호
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    • pp.75-85
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    • 1995
  • An indirect immunofluorescent antibody test was applied to survey the antibody prevalence on five canine viruses including canine distempervirus(CDV), canine parvovirus(CPV), canine coronavirus(CCV), canine adenovirus type-2(CAV-2), canine parainfluenzavirus(CPIV) in dogs. The period studied was from October 1992 to June 1993. A total of 80 dog sera was collected from veterinary clinics in Kwangju and Seoul, and examined for the presence of virus antibodies. Immunofluorescent antibodies(IFA) to all viruses were present in a high percentage of 80 sera tested. Seventyfive(93.8%) showed detectable IFA against CPV, 67(83.8%) against CDV, 51(63.8%) against CCV, 42(52.5%) against CPIV and 34(42.5%) against CAV-2. These suggested that all viruses were endemic in the communities. IFA levels against each virus were also distributed fairly irregularly. IFAs for CDV and CPV were detected more frequently with a relatively high incidence in vaccinated group less than 1 years of age. IFAs for CAV-2 were detected more frequently with growing age. In the correlation of clinical signs and antibody prevalence, dogs that showed hematochezia and vomiting had high titers in the positive sera is noteworthy, particularly for CDV and CPV. The significance between dogs those who had diarrhea, dyspnea and salivation and those viruses were obscure.

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신부전 요인에 의해 유발된 닭 신장변화의 병리학적 관찰 I. 병리조직학적 및 전자현미경적 관찰 (Pathological evaluation of renal changes induced by multiple nephropathogenic factors in SPF chickens I. Histopathological and electron microscopical observation)

  • 강경일;모인필;권용국;강민수;한태욱;한정희
    • 대한수의학회지
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    • 제39권6호
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    • pp.1126-1140
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    • 1999
  • Renal failure is one of the main causes of economic impacts in the poultry industry and complex syndrome with different severity of clinical signs caused by multiple nephropathogenic factors such as infectious bronchitis viral infection and excess salt and calcium in diet. To evaluate the correlation between severity of renal failure and the causative nephropathogenic factors, one-day-old specific pathogen free chicks were treated with either single causative factor or multiple causative factors described as above. Each group was designed as control for non-treated control, IB for infectious bronchitis virus (IB virus) infection, IBHNa for IB virus infection with high diet salt, IBHCa for IB virus infection with high diet calcium, IBHNC for IB virus infection with high diet salt and calcium, HNa for high diet salt, HCa for high diet calcium and HNC for high diet salt and calcium. Chickens were inoculated with IB virus at 1-day-old and remained on their respective diets until 21 day of age. The high dietary salt feeding groups such as IBHNa, IBHNC, HNa, HNC increased water intake, watery diarrhea, general subcutaneous edema and the high dietary calcium feeding groups such as IBHCa and IBHNC showed severe visceral gout. Two more than treated groups caused high mortality in comparison with the single treated groups. IB virus exposure significantly increased urate deposition and lymphocytic interstitial nephritis. Especially urate deposition dramatically increased when excess diet calcium was combined together. In excess diet salt treated groups enlarged edematous kidneys were observed and hypertrophy of glomeruli were showed. These results suggest that IB virus enhanced the incidence and severity on chicken renal failure clearly related to the quantity of salt and calcium.

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소아 기능성 위장 장애의 한약 치료에 대한 임상연구 동향 - 중의학 무작위 대조군 임상시험을 중심으로 (Trends in Clinical Research of Herbal Medicine Treatment for Functional Gastrointestinal Disorders in Children - Focused on Randomized Controlled Trials in traditional Chinese medicine)

  • 이지홍;이선행;장규태
    • 대한한방소아과학회지
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    • 제35권3호
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    • pp.67-88
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    • 2021
  • Objectives The purpose of this study is to analyze randomized clinical trials (RCTs) on traditional Chinese medicine to summarize its efficacy and safety for the treatment of functional gastrointestinal disorders (FGIDs) in children. Methods We searched literatures published up to March 19, 2021 using two Chinese electronic databases. Data regarding patients, interventions, results, and adverse events were extracted from RCTs of herbal medicine for children with FGIDs. Results A total of 34 RCTs were included: 16 trials on functional dyspepsia, 7 trials on functional constipation, 6 trials on functional abdominal pain, 4 trials on irritable bowel syndrome, and 1 trial on functional diarrhea. 26 of 29 trials that reported total effective rate, the treatment group showed a significant improvement compared to the control group. Most of other evaluation indicators, such as symptom score, symptom disappearance time, and recurrence rate also demonstrated statistically significant improvement. Of the 16 studies which reported safety, 5 studies reported no adverse reactions in either group, and 4 studies reported no statistically significant differences in the incidence of adverse events between two groups. Also, reported adverse events were mostly mild. Conclusions Herbal medicine may help improve symptoms of FGIDs in children. However, due to limited types of studies on sub-diseases of FGIDs and small sample sizes in each study, additional large scale clinical studies on various other FGIDs are necessary.

Growth and gut performance of young pigs in response to different dietary cellulose concentration and rearing condition

  • Cho, Hyun Min;Kim, Eunjoo;Wickramasuriya, Samiru Sudharaka;Shin, Taeg Kyun;Heo, Jung Min
    • Animal Bioscience
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    • 제34권10호
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    • pp.1653-1662
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    • 2021
  • Objective: This experiment was conducted to investigate the effect of insoluble cellulose supplementation to diets on the growth performance, intestinal morphology, the incidence of diarrhea, nutrients digestibility, and inflammatory responses in altering environmental conditions of animals housing. Methods: A total of 108 male pigs (Duroc×[Yorkshire×Landrace]) were randomly allocated to one of three dietary treatments (cellulose 0%, 1%, 2%) and two environmental conditions (good sanitary condition vs. poor sanitary condition) to give 6 replicate pens per treatment with three pigs per each pen at 14 days post-weaning. Results: Pigs were in good sanitary condition had higher average daily gain (p<0.01) and improved feed efficiency (p<0.05) from day 1 to 14 after weaning compared to their counterparts. The interactions were found between environmental conditions and dietary treatments (day 7: crypt depth [p<0.01], villous height to crypt depth [p<0.001]; day 14: crypt depth [p<0.001], villous to crypt ratio [p<0.01]) in ileum morphology. Crypt depth was decreased (p<0.05), and villous to crypt ratio was increased (p<0.05) only in poor sanitary conditions. Pigs exposed to the good sanitary condition had higher (p<0.05) apparent ileal digestibility (day 7, gross energy; day 14, dry matter), apparent total tract digestibility (day 14, dry matter and crude protein) compared to pigs housed in the poor sanitary condition. Meanwhile, pigs fed a diet supplemented with 2% cellulose had decreased (p<0.05) apparent ileal digestibility (day 7, dry matter; day 14, crude protein), apparent total tract digestibility (day 7, dry matter; day 14, crude protein, gross energy) compared to pigs fed a diet supplemented with 0% or 1% cellulose. Conclusion: Our results indicated that a diet supplemented with 1% cellulose increased villous to crypt ratio, however feeding a diet containing cellulose (1% or 2%) impaired nutrient digestibility for 14 day after weaning in both good sanitary and poor sanitary conditions.

Development of sandwich enzyme-linked immunosorbent assay for a large-scale detection of porcine transmissible gastroenteritis virus in feces

  • Oh, Yeonsu;Lee, Sang-Joon;Cho, Ho-Seong;Tark, Dongseob
    • 한국동물위생학회지
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    • 제43권4호
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    • pp.237-244
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    • 2020
  • Porcine transmissible gastroenteritis (TGE) has been a significant cause of economic losses in pig farming industry since 1950s. Although transmissible gastroenteritis virus (TGEV) has declined in recent years, it should not be excluded because of its characteristics; the frequency of gene mutation, the mortality in piglets, and the possibility for sudden incidence. Therefore, the herd-level monitoring of the virus is important to prevent further circulation of TGE. The aim of this study is to develop a large-scale sandwich enzyme-linked immunosorbent assay (ELISA) with high specificity to rapidly detect TGEV in feces by using monoclonal antibodies (Mabs). The TGEV specific Mabs were produced in hybridoma cells. Among the Mabs belonged to the IgG class developed by this study, the final selected 8H6, 1B7, 4G3, and 1F8 were identified to have the neutralization ability against TGEV. The sandwich ELISA was established using 8H6 as a reporter antibody and 1B7 and the reported 5C8 as a capture antibody. The developed sandwich ELISA was able to distinguish TGEV from other pathogenic diarrheal agents (porcine rotavirus, porcine reovirus, porcine epidemic diarrhea virus (PEDV), E. coli, and C. perfringens) in tissue culture as well as fecal samples. And the detection rate of TGEV in feces was 80% compared with RT-PCR. The results suggested that the developed sandwich ELISA may be useful in the herd-level monitoring for effective preventive measures due to the early diagnosis of TGEV using a large amount of samples.