• Title/Summary/Keyword: Double infection

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Superficial and Deep Skin Preparation with Povidone-Iodine for Ventriculoperitoneal Shunt Surgery : A Technical Note

  • Craven, Claudia L.;Thompson, Simon D.;Toma, Ahmed K.;Watkins, Laurence D.
    • Journal of Korean Neurosurgical Society
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    • v.62 no.1
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    • pp.123-129
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    • 2019
  • Objective : Ventriculoperitoneal (VP) shunt surgery is a common and effective treatment for hydrocephalus and cerebrospinal fluid disorders. Infection remains a major cause of morbidity and mortality after a VP shunt. There is evidence that a deep skin flora microbiome may have a role to play in post-operative infections. In this technical note, we present a skin preparation technique that addresses the issue of the skin flora beyond the initial incision. Methods : The patient is initially prepped, as standard, with. a single layer of 2% CHG+70% isopropyl alcohol. The novel stage is the 'double incision' whereby an initial superficial incision receives a further application of povidone-iodine prior to completing the full depth incision. Results : Of the 84 shunts inserted using the double-incision method (September 2015 to September 2016), only one developed a shunt infection. Conclusion : The double incision approach to skin preparation is a unique operative stage in VP shunt surgery that may have a role to play in reducing acute shunt infection.

Helicobacter pylori infection and abdominal pain in children (Helicobacter pylori 감염과 소아 복통)

  • Seo, Jeong Kee
    • Clinical and Experimental Pediatrics
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    • v.49 no.2
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    • pp.136-143
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    • 2006
  • The relationship between H. pylori(Hp) infection and recurrent abdominal pain(RAP) in children is not clear. Current data in the literature regarding a causal relationship between Hp infection and childhood RAP are conflicting. However, meta-analysis and most of the recently published studies have not supported an association between Hp infection and an increased prevalence of abdominal pain. Most published studies have some problems and have been criticized on methodological grounds. Most of the existing studies have not been designed to include double-blind placebo controls. And, because of the low incidence of Hp infection in children, they have a problem of obtaining sufficient numbers of the Hp infected children. There is also a concern about the heterogeneity of testing methodology in the studies and diagnostic accuracy problems of the non-invasive tests such as low sensitivity of the serology tests and false positive results of the UBT in children. And conflicting results may be explained, in part, by the poor definition of RAP or dyspepsia for the study subjects. To date, no consensus exists for the treatment of Hp-infected children with RAP. Some authors suggest the clinical efficacy of Hp. But others suggest that eradication of Hp is not associated with improvement of RAP. The problem of the most treatment studies is that they had usually no control groups and the number of the subjects was small. In order to make reasonable decisions about treatment of Hp infection in children with RAP, long-term, randomized, double blind, well controlled studies in large numbers of children will be required.

Correlation between Infection with Multiple Respiratory Viruses and Length of Hospital Stay in Patients from Cheonan, Korea (천안 지역에서 호흡기 바이러스 감염과 병원 입원기간과의 관계)

  • Jeon, Jae-Sik;Park, Jin-Wan;Kim, Jae Kyung
    • Korean Journal of Clinical Laboratory Science
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    • v.49 no.1
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    • pp.22-27
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    • 2017
  • The length of hospital stay (LOS) for patients with respiratory virus infections has been reported to depend the virus type and infection severity. However, the impact of co-infections remains unclear. Patients with suspected respiratory virus infections, who visited Dankook University Hospital between December 2006 and February 2014, were included to examine the relationship between co-infections and LOS. Multiplex reverse transcriptase-polymerase chain reactions were used to identify the causative viruses. LOS was analyzed with respect to sex, age, virus, and co-infection. During this period, 5,310 out of the 8,860 patients (59.9%; median age, 1.5 years) were respiratory virus-positive. In respiratory virus-positive patients with single, double, and three-or-more infections, the average LOS was 7.3, 6.7, and 6.6 days, respectively. Longer LOS was observed for older patients and those with human coronavirus OC43 infections compared with adenovirus or respiratory syncytial virus A infections. LOS differed significantly according to age, virus type, and co-infection, but not between double and three or more infections.

A survey on the actual management and the prevalence of internal parasite in the Korean indigenous goats of southern Kyoungnam area (경남 남부지방의 흑염소 사양관리 및 내부기생충 감염실태 조사)

  • 허정호;정명호;조명희;안동원;이순선
    • Korean Journal of Veterinary Service
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    • v.22 no.1
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    • pp.71-77
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    • 1999
  • Research results on actual management situation of 16 goat farms and internal parasite infection of 155 goats from January to November in 1997 in southern Kyoungnam area were as follows ; 1. An average number of goats was 93. Among them, 81% were farming the goat as avocation with the income rate less then 50%, Eight-four percent of farms terminated the parasites more than twice a year, and the survey showed the black goats had a high digestive and respiratory disease infection rate. 2. The internal parasite infection rate of the black goat was 96.8% , the goats were infected with 13 types of parasites. Of them, Emeria sp was 87.1%, Ostertagia sp 55.5%, Paraphistanum sp 45.8%, and Moniezia expansa 20%, respectively. 3. On the survey of multiple infection rate, both double and triple infection were 19.4%, more than septuple-infection 15,5%, single infection 13.4%, quintuple infection 12.3 n, sextuple infection 9.0% and quadruple infection 7.7%, respectively. 4. Look over on seasonal infection rate, higher in fall and lower in winter. Especially, Paramishitom sp was higher in summer and winter, both Moniezia expansan and Bonaostom sp were higher in summer. 5. Research on the infection rate of parasites termination period revealed less-than-1-month period had 10-30 infection rate, the infection rate has increased sharply since 3 months passed after the goats were treated with parasite-cid.

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Fluctuations in the Outbreak of Jujube(Ziziphus jujuba Miller) Witches'-broom Disease (대추나무 빗자루병의 발생량 변화)

  • 박철하;이세표;차병진
    • Plant Disease and Agriculture
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    • v.1 no.1
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    • pp.30-36
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    • 1995
  • Infection rate of witches'-broom disease (WB) was observed yearly in transplanted jujube seedlings for 7 years. Seedlings of‘Hongan’grafted either on the rootstock from seed (RS) or on the rootstock from rooting (RR) were planted in separate farms. Occurrence of the disease was determined 4 years after transplanting with the witches'-broom symptom. Only 1 seedling of RS was infected with WB, while 56 seedlings of RR showed WB. Yearly infection rates of WB were observed in several varieties of jujube including‘Boeun’,‘Keumsung’,‘Moodeung’,‘Bokjo’,‘Koori’(10 trees for each in Cheongjoo), and‘Hongan’(165 trees in Boeun). In most varieties, WB first appeared in the third year from transplanting, and in the seventh year, more than 80% of the total tree showed WB. The yearly infection rate of newly infected trees was almost. stable during the first years. However, the ratio sharply increased from the sixth year. The accumulated infection rate of WB increased double, year by year from the third to seventh year. Between Cheongjoo and Boeun, no difference in infection rates was found.

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Anal Extrusion of Distal V-P Shunt Catheter after Double Perforation of Large Intestine

  • Jang, Hyun-Dong;Kim, Min-Su;Lee, Nam-Hyuk;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
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    • v.42 no.3
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    • pp.232-234
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    • 2007
  • We describe the extrusion of a ventriculoperitoneal shunt catheter from the anus after double perforation of the large bowel in a 3-year-old girl with hydrocephalus. She was admitted because the tip of the peritoneal catheter protruded 10 cm from the anus and clear cerebrospinal fluid dripped from the tip. Emergency laparotomy was performed. The distal peritoneal catheter perforated and penetrated the sigmoid colon and re-perforated into the rectal cavity. The distal peritoneal catheter was removed, the proximal catheter was exposed for external drainage, and intravenous broad-spectrum antibiotics were administered for 2 weeks. After control of infection, the shunt system was completely removed. Bowel perforation by a peritoneal catheter is a rare complication. Diagnosis is often difficult, delayed, and its incidence is likely underestimated. Most bowel perforation is the result of infection as opposed to technical errors.

Color Breaking Syndrome of Matthiola incana Caused by Double Infection of Cucumber Mosaic Virus and Turnip Mosaic Virus (오이 모자이크 바이러스와 수눔 모자이크 바이러스의 복합감염에 의한 스톡의 꽃잎얼룩무늬병)

  • 윤주연;최홍수;류화영;함영일;최장경
    • Korean Journal Plant Pathology
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    • v.14 no.3
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    • pp.220-222
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    • 1998
  • In 1995, we collected stock (Matthiola incana) plants causing mosaic symptoms on leaves and color breakings on flowers in Daekwallyong, Korea. Two viruses were isolated from the infected plants, and identified as cucumber mosaic virus (CMV) and turnip mosaic virus (TuMV) by experiments of host range, serology and electron microscopy. Each of the virus did not produce the same symptoms on the stock seedlings as naturally infected plants caused. When the viruses were coinoculated to the stock seedlings, however, severe mosaic symptoms were observed on leaves, and then the color breakings were expressed on flowers.

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A Survey on the Prevalence of Internal Parasites in Korean Native Goats and Sheep of Chonbuk Area (전북지방 산양과 명양의 내부기생충 실태조사)

  • 양홍지;서창섭;정재명;김종승
    • Korean Journal of Veterinary Service
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    • v.17 no.3
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    • pp.190-197
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    • 1994
  • In order to monitor the parasites, 303 fecal samples were taken from Korean native goats (n=279) and sheep(n=24) in Chonbuk area. The identification of the parasites were determimed by the fecal examination using the floatation or sedimentation methods and microscopical examination, respectively. The obtained results were summarized as follows ; 1. The detection rate of the parasites from Korean native goats and sheep was 98.2% and 83.3%, respectively. 2. In Korean native goat, mixed infection rate was single 7.5%(21 heads), double 47.3%(132 heads), triple 40.8%(114 heads), quadraple 5.0%(14 heads) and quintuple 2.5%(7 heads). 3. In sheep, mixed infection rate was single 12.5%(3 heads), double 45.8%(13 heads) and triple 16.6%(4 heads). 4. The parasites isolated were identified as Eimeria spp. from 283 heads, Oesophagostomum spp. from 96 heads, Ostertagia spp. from 97 heads, Strongylodes papillus from 97 heads, Heamonchs spp. from 73 heads, Trichostrongylus spp. from 42 heads, Moniezia expenza from 26 heads, Cooperia spp. from 16 heads, Nematodirus spp. from 9 heads, Bonostomum spp. from 9 heads, Paraphistomum spp. from 7 heads, and Fasciola hepatica and Capillaria spp. In 2 heads, in order.

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Seasonal Incidence of Potato virus f Infection on Potato Cultivars for the Double Crops in Korea (2기작 감자 품종의 재배 시기별 PVY 감염 정도 조사)

  • Hahm Young-Il;Lee Young-Gyu
    • Research in Plant Disease
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    • v.12 no.1
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    • pp.28-31
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    • 2006
  • One of major potato viruses is Potato virus Y (PVY) in Korea. In the southern part of Korea, potatoes have been grown as double crops in a year by using cv. 'Dejima' and 'Chubak' due to very short dormancy. However, they have caused a serious problem such as a rapid degeneration. It has been thought that the degeneration is affected by the high incidence of PVY in neighboring potato fields. Therefore, the investigation of factors causing the degeneration is very important in the production of healthy seed potato. In this study, the PVY reinfection rates of several potato varieties and the different seed sources of cv. 'Chubak' have been investigated. Results show that the lowest infection rate of PVY among four potato cultivars derived from minitubers is cv. 'Superior'. The others are in order of 'Dejima', 'Atlantic' and 'Chubak'. Also, the incidences of PVY differ significantly when several seed sources are examined. When the seed potatoes (G2, the progeny of microtuber) as spring potato crops are planted in area without potato field nearby, the infection rate of PVY is as low as that of microtubers. However, PVY incidence in the progenies of minitubers as fall potato crops largely increases. Therefore, the best way of potato production under double cropping system is to use the healthy seed potato produced in area without potato field and plant relatively resistant cultivar such as Dejima.

Infection rate of parasites from feces of Korean indigenous goats in northern areas of Gyeongbuk province (경북 북부지역 재래산양 분변에서의 기생충 감염률 조사)

  • Cho, Kwang-Hyun;Lee, Ji-Hong;Kim, Dae-Jung;Kim, Seung-Joon;Kwon, Oh-Deog;Kwak, Dong-Mi
    • Korean Journal of Veterinary Service
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    • v.31 no.3
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    • pp.357-362
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    • 2008
  • While studies have been carried out on endoparasite infection from feces of Korean indigenous goats in multiple areas around the nation, there is no report in northern areas of Gyeongbuk province. Thus, this study was conducted to examine the rate of parasite infection from the fecal samples of goats raised on grass. From March to July in 2008, 108 fecal samples were taken from goats. Eggs of parasites were identified using flotation or sedimentation methods followed by microscopic examination. Overall infection rate of parasites from feces of goats were 99% (107 out of 108). The infection rates of nematode, cestode, trematode and protozoa were 37%, 23%, 0% and 99%, respectively. Among parasite eggs detected, nematodes included threadworms (20%), strongyles (16%) and whipworms (1%). The only cestode and protozoa detected were Moniezia expansa and Eimeria spp, respectively. In the rates of mixed infection, single was 61%, double 32%, and triple 6%.