• Archives of Plastic Surgery
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• 제50권5호
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• pp.496-500
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• 2023

Fournier's gangrene is a life-threatening infection which requires prompt recognition, early surgical debridement of unhealthy tissue, and initiation of broad-spectrum antibiotics. Relook debridement are usually performed until all the devitalized tissue has been removed. Involvement of the anal sphincter may result in significant morbidity such as permanent incontinence. Dynamic reconstruction of the anal sphincter has always been one of the holy grails in the field of pelvic reconstruction. We demonstrate a new method of camera shutter style double-opposing gracilis muscle flaps that allows dynamic sphincteric function without the need for electrostimulation. The bilateral gracilis muscles are inset in a fashion that allows orthograde contraction of the muscle to narrow and collapse the neoanal opening. With biofeedback training, the patient is able to regain dynamic continence and return to function without a stoma. There was also no need for neurotization or microsurgery techniques to restore sphincteric function to the anus. The patient was able to reverse his stoma 14 months after the initial insult and reconstruction with biofeedback training without the use of electrostimulation.

• 한국잠사곤충학회지
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• 제34권2호
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• pp.26-31
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• 1992

수종의 주요 뽕나무 해충-멧누에, 뽕나무 명나방, 환불나방-에 누에 무름병 바이러스(Flacherie virus; FV)와 농핵병 바이러스(Densonucleosis virus: DNV)를 접종하여 감염여부를 2중 면역확산법과 조직관찰로 조사하므로서 이들 누에병의 뽕나무 해충에 의한 전염경로 차단 및 방제법 확립을 위한 기초자료를 얻고자 시험을 수행하였다. 1. 멧누에는 누에 FV 및 DNV-1 각각의 항혈청과 반응하여 침강대를 형성하였고, 뽕나무 명나방은 DNV-1 항혈청과 반응하여 비들의 교차감염을 인정할 수 있었으나, 흰불나방은 FV 및 DNV-1 항혈청과 반응을 일으키지 않아 교차감염을 인정할 수 없었다. 2. FV 접종 멧누에는 중장 배상세포 세포질에 바이러스 특이 공포 형성 및 27nm 크기의 바이러스 입자가 관찰되었다. 3. DNV-1 접종 멧누에는 중장 원통세포 핵이 비대하였으며 군집형과 연쇄상의 2종류의 바이러스 증식 형태가 관찰되었다. 4. DNV-1 접종 뽕나무 명나방은 중장 원통세포의 일부 핵에서 비대 현상이 관찰되었고, feulgen 염색결과 적자색으로 염색되었으며, 비대한 원통세포핵내에 소수의 바이러스들이 여러 곳에서 증식하는 것이 관찰되었다.

• 식물병연구
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• 제28권1호
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• pp.39-45
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• 2022

경기 광주시 완숙토마토 시설재배단지에서 가루이가 매개하는 바이러스 2종 tomato yellow leaf curl virus (TYLCV)와 tomato chlorosis virus (ToCV)의 발생양상을 조사하였다. 2020년 여름재배 작형에서 TYLCV와 ToCV의 감염률은 수확기에 급격히 증가하였고, 단독 감염률은 각각 30.9%, 5.0%였고, 복합감염률은 52.2%로 TYLCV 단독감염과 2종 바이러스 복합감염이 83.1%로 대부분을 차지하였다. 2종 바이러스를 매개하는 가루이의 발생분포 및 보독률을 조사한 결과, 작물 재배기간 내내 담배가루이가 높은 비율로 발생하였고, 조사한 담배가루이는 모두 Mediterranean (MED)으로 확인되었다. 담배가루이 MED는 TYLCV를 단독으로 보독하거나 ToCV와 복합 보독하는 경우가 48.5%로 많았으며, ToCV의 보독률은 29.1%로 온실가루이(7.2%)에 비해 높았다. 담배가루이 MED의 2종 바이러스 보독률이 토마토 정식 전부터 47.2%로 높았고, 이후 계속 증가하여 수확기에는 73.8%로 가장 높았다. 수확기 토마토 재배포장별 2종 바이러스의 감염률에 따라 수확량을 비교 분석해본 결과, TYLCV와 ToCV의 복합감염률 증가가 수확량을 감소시키는 것을 확인하였고, 복합감염률이 10% 증가함에 따라 405.4 kg/10a 수량감소를 보였다.

• Childhood Kidney Diseases
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• 제19권2호
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• pp.143-147
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• 2015

Purpose: Burkholderia cepacia is an aerobic, glucose-non-fermenting, gram-negative bacillus that mainly affects immunocompromised and hospitalized patients. Burkholderia cepacia has high levels of resistance to many antimicrobial agents, and therapeutic options are limited. The authors sought to analyze the incidence, clinical manifestation, risk factors, antimicrobial sensitivity and outcomes of B. cepacia urinary tract infection (UTI) in pediatric patients. Methods: Pediatric patients with urine culture-proven B. cepacia UTI between January 2000 and December 2014 at Samsung Medical Center, a tertiary referral hospital in Seoul, Republic of Korea, were included in a retrospective analysis of medical records. Results: Over 14 years, 14 patients (male-to-female ratio of 1:1) were diagnosed with B. cepacia UTI. Of 14 patients with UTI, 11 patients were admitted to the intensive care unit, and a bladder catheter was present in 9 patients when urine culture was positive for B. cepacia. Patients had multiple predisposing factors for UTI, including double-J catheter insertion (14.2%), vesico-ureteral reflux (28.6%), congenital heart disease (28.6%), or malignancy (21.4%). Burkholderia cepacia isolates were sensitive to piperacillin-tazobactam and sulfamethoxazole-trimethoprim, and resistant to amikacin and colistin. Treatment with parenteral or oral antimicrobial agents including piperacillin-tazobactam, ceftazidime, meropenem, and sulfamethoxazole-trimethoprim resulted in complete recovery from UTI. Conclusion: Burkholderia cepacia may be a causative pathogen for nosocomial UTI in pediatric patients with predisposing factors, and appropriate selection of antimicrobial therapy is necessary because of high levels of resistance to empirical therapy, including aminoglycosides.

• Advances in pediatric surgery
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• 제2권2호
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• pp.151-155
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• 1996

Hyperimmunoglobulin E syndrome is a relatively rare primary immunodeficiency syndrome characterized by recurrent infection, abscess formation and marked elevation of serum IgE level. The common infectious organism is Staphylococcus aureus and recurrent infection indicates some defects in the immunologic system. Although the infection can affect various organs, gastrointestinal tract involvement is rare and only one case of colon perforation has been previously reproted. Herein we report another one case of colon perforation which ocurred in an 8-year-old girl with hyper immunoglobulin E syndrome. The patient was admitted to the hospital due to an abscess on right neck. The diagnosis of hyper immunoglobulin E syndrome was made because she had eczematoid dermatitis on the face, pneumatocele on left upper lung field and markedly elevated serum IgE level(>15,000 IU/ml) with a past histories of frequent scalp abscesses and otitis media. Abdominal pain developed on the 13th day of admission and abdominal plain X-ray revealed free air. An exploratory laparatomy was performed and two free perforations of the transverse colon were noted. Segmental resection and double barrel colostomy were performed. Colostomy closure was done 4 month later and she had no gastrointestinal problem during a follow up period of 15 months.

• Parasites, Hosts and Diseases
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• 제55권3호
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• pp.267-285
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• 2017

Angiostrongylus cantonensis invades the central nervous system (CNS) of humans to induce eosinophilic meningitis and meningoencephalitis and leads to persistent headache, cognitive dysfunction, and ataxic gait. Infected mice (nonpermissive host), admittedly, suffer more serious pathological injuries than rats (permissive host). However, the pathological basis of these manifestations is incompletely elucidated. In this study, the behavioral test, histological and immunohistochemical techniques, and analysis of apoptotic gene expression, especially caspase-3, were conducted. The movement and motor coordination were investigated at week 2 post infection (PI) and week 3 PI in mice and rats, respectively. The cognitive impairs could be found in mice at week 2 PI but not in rats. The plaque-like lesion, perivascular cuffing of inflammatory cells, and dilated vessels within the cerebral cortex and hippocampus were more serious in mice than in rats at week 3 PI. Transcriptomic analysis showed activated extrinsic apoptotic pathway through increased expression of TNFR1 and caspase-8 in mice CNS. Immunohistochemical and double-labeling for NeuN and caspase-3 indicated the dramatically increased expression of caspase-3 in neuron of the cerebral cortex and hippocampus in mice but not in rats. Furthermore, western-blotting results showed high expression of cleaved caspase-3 proteins in mice but relatively low expression in rats. Thus, extrinsic apoptotic pathway participated in neuronal apoptosis might be the pathological basis of distinct behavioral dysfunctions in rodents with A. cantonensis infection. It provides the evidences of a primary molecular mechanism for the behavioral dysfunction and paves the ways to clinical diagnosis and therapy for A. cantonensis infection.

• Journal of Microbiology
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• 제38권1호
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• pp.24-30
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• 2000

US3 gene is a member of the human cytomegalovirus (HCMV) immediate early gene. Although the precise functions of the US3 gene in HCMV replication and pathogenesis are not known, it has been reported to play a role in inhibiting major histocompatibility class I antigen presentation. For further knowledge of US3 gene expression, rabbit polyclonal antiserum of the US3 gene product was used for indirect immunofluorescence assay. In permissive human foreskin fibroblast (HFF) cells, US3 gene expression was detectable as crescent or half-moon shape in the perinuclear region at immediate early times after virus infection. HFF cells infected with mutant HCMV lacking US3 open reading frames were negative for US3 immunofluorescence assay. Double immunofluorescence assay using monoclonal antibody to gamma adaptin (specific for the Golgi complex) and rabbit anti-US3 antiserum revealed that US3 gene product could be localized to the Golgi complex. At later time after HCMV infection, US3 gene products were detected as globular aggregates in the cytosol. These aggregates were positive for gamma adaptin and stained with preimmune serum, suggesting a nonspecific reaction to the Golgi complex. Northern blot analysis revealed that transcription of US3 was observed only during immediate early times after virus infection (until 6 h postinfection). Therefore US3 gene expression appears to be confined to immediate early time and its gene products are localized to the Golgi complex as crescent shaped forms in the perinuclear cytoplasm.

• 대한수의학회지
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• 제26권2호
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• pp.329-336
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• 1986

This survey was conducted to investigate the prevalence of the internal parasites of Holstein cattle rearing in western Gyeongnam including Chinyang, Sachun, Namhae, Hadong, Sanchung, Hamyang, Geochang and Hapchun Area(Gun). A total of eight hundred and twenty five heads of Holstein cattle was randomly selected for the faecal examinations and the internal parasitisms were examined by floatation method using saturated salt solution and sedimentation method using 0.5% trio-soap solution. The relults obtained are summarized as follows: 1. The overall rate of internal parasite infections was 67.2% with infection of 554 cases and the non-infected rate was 32.8% with 271 cases from the total number of 825 samples. 2. A total fourteen species of parasites was identified from 825 faecal samples of Holstein cattle and the infection rate of each species of parasites was 3.0% in Haemonchus contortus, 2.7% in Cooperia spp., 1.8% in Bunostomum phlebotomum, 1.6% in Oesophagostomum radiatum, 1.2% in Ostertagia ostertagi, 1.0% in Trichuris bovis, 0.8% in Strongyloides papillsus, 0.4% in Nematodirus spp., 0.1% in Trichostrongylus spp., 57.3% in Paramohistomum spp., 31.2% in Fasciola hepatica, 0.6% in Eurytrema pancreaticum, 0.7% in Moniezia expansa and 5.1% in Eimeria spp. 3. The combined infection of internal parasites was 38.1% in single species, 27.0% in double and 2.1% in triple infections. 4. The EPG levels of each species of parasites were very low in all infected cases except trematodes showing no clinical symptoms.

• 농촌의학ㆍ지역보건
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• 제6권1호
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• pp.68-72
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• 1981

This study was undertaken to evaluate the status of intestinal protozoan infections in the children of specific groups. A total number of 441(male 250; female 191) consisting of 224 children of national feeble minded children institute, 59 Han-Bit blindness students, 158 children of local mental retardation children institute(Kang-Dong Ku) of specific groups were examined. The method employed was formalin-ether sedimentation technique with Lugol's iodine stain. The results were as follows: 1) The positive rates for any kinds of protozoan cysts were 13.8%(72 positives out of 441 samples) with sexual difference of 14.0% in male and 12.6% in female. 2) In the institute differences of positive rates of protozoan cysts were 15.2% in national feeble minded children institute, 16.9% in Han-Bit blindness school, and local mental retardation children institute(Kang-Dong Ku). 3) Cysts of Entamoeba coli were recovered in 8.6% and cysts of pathogenic amoeba, Entamoeba histolytica were found in 1.4%. Cysts of Endolimax nana (3.4%). Giardia lamblia (2.9%) were found in this study. 4) The degree of multiple infections of protozoan cysts were; single infection 81.4%, double infection 16.9% and quadriple infection 1.7% respectively.

• Journal of Microbiology
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• 제45권3호
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• pp.187-192
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• 2007

REOviruses (Respiratory Enteric Orphan viruses) are ubiquitous, non-enveloped viruses containing 10 segments of double-stranded RNA (dsRNA) as their genome. They are common isolates of the respiratory and gastrointestinal tract of humans but are not associated with severe disease and are therefore considered relatively benign. An intriguing characteristic of reovirus is its innate oncolytic potential, which is linked to the transformed state of the cell. When immortalized cells are transfected in vitro with activated oncogenes such as Ras, Sos, v-erbB, or c-myc, they became susceptible to reovirus infection and subsequent cellular lysis, indicating that oncogene signaling pathways are exploited by reovirus. This observation has led to the use of the virus in clinical trials as an anti-cancer agent against oncogenic tumors. In addition to the exploitation of oncogene signaling, reovirus may further utilize host immune responses to enhance its antitumor activity in vivo due to its innate interferon induction ability. Reovirus is, however, not entirely benign to immunocompromised animal models. Reovirus causes so-called "black feet syndrome" in immunodeficient mice and can also harm neonatal animals. Because cancer patients often undergo immunosuppression due to heavy chemo/radiation-treatments or advanced tumor progression, this pathogenic response may be a hurdle in virus-based anticancer therapies. However, a genetically attenuated reovirus variant derived from persistent reovirus infection of cells in vitro is able to exert potent anti-tumor activity with significantly reduced viral pathogenesis in immunocompromised animals. Importantly, in this instance the attenuated, reovirus maintains its oncolytic potential while significantly reducing viral pathogenesis in vivo.