• 제목/요약/키워드: Massive infection

검색결과 101건 처리시간 0.028초

Hookworm Infection Caused Acute Intestinal Bleeding Diagnosed by Capsule: A Case Report and Literature Review

  • Tan, Xia;Cheng, Meichu;Zhang, Jie;Chen, Guochun;Liu, Di;Liu, Yexin;Liu, Hong
    • Parasites, Hosts and Diseases
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    • 제55권4호
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    • pp.417-420
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    • 2017
  • Hookworm infections are rare causes of acute gastrointestinal bleeding. We report a middle aged man with primary nephrotic syndrome and pulmonary embolism. During the treatment with steroids and anticoagulants, the patient presented acute massive hemorrhage of the gastrointestinal tract. The results of gastroscopy showed red worms in the duodenum. Colonoscopy and CT angiogram of abdomen were unremarkable. Capsule endoscopy revealed fresh blood and multiple hookworms in the jejunum and ileum. Hookworms caused the acute intestinal bleeding. The patient responded well to albendazole. Hematochezia was markedly ameliorated after eliminating the parasites. Hence, hookworm infection should be considered in the differential diagnosis of a patient with obscure gastrointestinal bleeding. Capsule endoscopy may offer a better means of diagnosis for intestinal hookworm infections.

악성코드 감염방지 및 사용자 부정행위 방지를 위한 통합 관리 시스템 구현 (A Implement of Integrated Management Systems for User Fraud Protection and Malware Infection Prevention)

  • 민소연;조은숙;진병욱
    • 한국산학기술학회논문지
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    • 제16권12호
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    • pp.8908-8914
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    • 2015
  • 인터넷이 지속적으로 성장과 발전을 거듭해가고 있는 이면에는 이를 악용하기 위한 다양한 인터넷 공격들이 발생하고 있다. 초기 인터넷 환경에서는 공격자가 역량과시 및 취미 등으로 인터넷 환경을 악용한 공격이 존재하였지만, 금전적인 이득을 목적으로 각종범죄와 연관된 체계적으로 복잡한 공격들이 발생하고 있다. 최근 들어서 바이러스나 윔과 같은 구조가 단순한 소스 멀티타깃(one source multi-target)의 형태가 존재하였지만, 멀티소스 싱글타깃(multi-source single target)의 형태를 갖는 APT(Advanced Persistent Threat, 지속적인 지능형 공격)으로 사용자들로 하여금 막대한 피해를 입히고 있다. 그러므로 본 논문에서는 Agent 및 관리 시스템은 악성코드 감염을 사전에 예방하는 기능을 고도화하여 사용자의 부정행위를 통한 자료유출을 감시할 수 방지 시스템을 설계 및 구현하였다. 성능평가에서는 감사데이터 생성 여부, 무결성 침해 발생 시 탐지 여부, 정상트래픽 오탐 여부, 프로세스 탐지 및 차단 기능 설정, Agent 정책 적용 가능여부에 대해서 기능을 분석하였다.

Is Laparoscopy-assisted Radical Gastrectomy Safe in Patients with Child-Pugh Class A Cirrhosis?

  • Kang, Sin Jae;Jung, Mi Ran;Cheong, Oh;Park, Young Kyu;Kim, Ho Goon;Kim, Dong Yi;Kim, Hoi Won;Ryu, Seong Yeob
    • Journal of Gastric Cancer
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    • 제13권4호
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    • pp.207-213
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    • 2013
  • Purpose: We investigated early postoperative morbidity and mortality in patients with liver cirrhosis who had undergone radical gastrectomy for gastric cancer. Materials and Methods: We retrospectively reviewed the medical records of 41 patients who underwent radical gastrectomy at the Chonnam National University Hwasun Hospital (Hwasun-gun, Korea) between August 2004 and June 2009. There were few patients with Child-Pugh class B or C; therefore, we restricted patient selection to those with Child-Pugh class A. Results: Postoperative complications were observed in 22 (53.7%) patients. The most common complications were ascites (46.3%), postoperative hemorrhage (22.0%) and wound infection (12.2%). Intra-abdominal abscess developed in one (2.4%) patient who had undergone open gastrectomy. Massive ascites occurred in 4 (9.8%) patients. Of the patients who underwent open gastrectomy, nine (21.9%) patients required blood transfusions as a result of postoperative hemorrhage. However, most of these patients had advanced gastric cancer. In contrast, most patients who underwent laparoscopic gastrectomy had early stage gastric cancer, and when the confounding effect from the different stages between the two groups was corrected statistically, no statistically significant difference was found. There was also no significant difference between open and laparoscopic gastrectomy in the occurrence rate of other postoperative complications such as ascites, wound infection, and intra-abdominal abscess. No postoperative mortality occurred. Conclusions: Laparoscopic gastrectomy is a feasible surgical procedure for patients with moderate hepatic dysfunction.

작은 연못에서 녹조류 Dictyosphaerium pulchellum의 대발생 (Occurrence of Dictyosphaerium pulchellum (Chlorophyceae) Bloom in a Small Pond)

  • 김준태;부성민
    • 생태와환경
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    • 제34권4호통권96호
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    • pp.292-297
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    • 2001
  • 충남 홍성의 작은 연못에서 수행되고 있는 식물플랑크톤 연주기의 모델링 연구 과정에서 녹조류 Dictyosphaerium pulchellum의 대발생 과정을 2000년 t월부터 2001년 1월까지 추적하였다. D. pulchellum은 연중 드물게 출현하였으나, 밀도는 3월 12일부터 증가하기 시작하여, 4월 2일에는 $59,200\;co1ony\;mL^{-1}$로 대발생하였고, 4월 16에 급감하였다. 군체는 보통 8세포와 16세포로 이루어졌으나, 대발생이 진행될수록 32세포와 64세포 군체들로 대치되었고, 대발생 후기에는 대부분의 군체가 64세포였다. D. pulchellum세포들은 대발생의 초기에는 건강하였으나,3월 19일부터 기생생물에 감염되어 있는 군체들이 나타났으며,4월 9일에는 대부분의 군체들이 기생생물로 감염되었다. 기생생물로 감염된 세포들은 엽록체가 파괴되었고, 피레노이드도 발달되지 않았다. 현재 진행되고 있는 D. pulchellum의 개체군과 환경요인, 경쟁 및 기생생물과의 관계에 대한 연구는 D. pulchellum의 대발생 과정에 관한 새로운 정보를 제공할 것이다.

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Actin Cytoskeleton and Golgi Involvement in Barley stripe mosaic virus Movement and Cell Wall Localization of Triple Gene Block Proteins

  • Lim, Hyoun-Sub;Lee, Mi Yeon;Moon, Jae Sun;Moon, Jung-Kyung;Yu, Yong-Man;Cho, In Sook;Bae, Hanhong;DeBoer, Matt;Ju, Hojong;Hammond, John;Jackson, Andrew O.
    • The Plant Pathology Journal
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    • 제29권1호
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    • pp.17-30
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    • 2013
  • Barley stripe mosaic virus (BSMV) induces massive actin filament thickening at the infection front of infected Nicotiana benthamiana leaves. To determine the mechanisms leading to actin remodeling, fluorescent protein fusions of the BSMV triple gene block (TGB) proteins were coexpressed in cells with the actin marker DsRed: Talin. TGB ectopic expression experiments revealed that TGB3 is a major elicitor of filament thickening, that TGB2 resulted in formation of intermediate DsRed:Talin filaments, and that TGB1 alone had no obvious effects on actin filament structure. Latrunculin B (LatB) treat-ments retarded BSMV cell-to-cell movement, disrupted actin filament organization, and dramatically decreased the proportion of paired TGB3 foci appearing at the cell wall (CW). BSMV infection of transgenic plants tagged with GFP-KDEL exhibited membrane proliferation and vesicle formation that were especially evident around the nucleus. Similar membrane proliferation occurred in plants expressing TGB2 and/or TGB3, and DsRed: Talin fluorescence in these plants colocalized with the ER vesicles. TGB3 also associated with the Golgi apparatus and overlapped with cortical vesicles appearing at the cell periphery. Brefeldin A treatments disrupted Golgi and also altered vesicles at the CW, but failed to interfere with TGB CW localization. Our results indicate that actin cytoskeleton interactions are important in BSMV cell-to-cell movement and for CW localization of TGB3.

서해안 양식 바지락에 발생한 Perkinsus sp. 감염증과 신속검출 (Infection and Rapid Detection of Perkinsus sp. In Cultured Babyneck Clam, Ruditapes philippinarum from Western Coast of Korea)

  • 최동림;권정노;박성우
    • 한국어병학회지
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    • 제11권1호
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    • pp.69-76
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    • 1998
  • 매년 폐사가 발생해 온 서해안 연안의 고창과 태안에서 채집한 양식 바지락에서 복합포자충류인 Perkinsus sp.가 관찰되었다. 기생충에 감염된 바지락은 육안적으로 아가미와 육질의 표면에서 유백색의 결절이 나타났다. 기생충의 영양체는 편재된 핵을 가지고 있으며, 아가미와 외투막, 간 췌장, 생식소 조직에서 이분열에 의해 증식하며, 육아종의 형성과 혈구의 침윤을 유발하였다. 감염된 바지락을 FTM에 배양한 결과 영양체의 크기가 커지면서 루골용액에 의해 검게 염색된 구형의 유주자낭들 형성하였다. Perkinsus sp.의 평균 감염율은 9개월의 조사 기간 동안 고창이 73.1%, 태안이 94.8%로 나타났으며, 감염율은 각장의 크기가 클수록 증가하는 경향을 나타내었다. Hemacolor kit는 바지락의 대량폐사와 밀접한 연관이 있는 Perkinsus sp.의 영양체의 신속진단에 유용한 것으로 나타났다.

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SARS-CoV-2 Antibody Neutralization Assay Platforms Based on Epitopes Sources: Live Virus, Pseudovirus, and Recombinant S Glycoprotein RBD

  • Endah Puji Septisetyani;Pekik Wiji Prasetyaningrum;Khairul Anam;Adi Santoso
    • IMMUNE NETWORK
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    • 제21권6호
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    • pp.39.1-39.18
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    • 2021
  • The high virulent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus that emerged in China at the end of 2019 has generated novel coronavirus disease, coronavirus disease 2019 (COVID-19), causing a pandemic worldwide. Every country has made great efforts to struggle against SARS-CoV-2 infection, including massive vaccination, immunological patients' surveillance, and the utilization of convalescence plasma for COVID-19 therapy. These efforts are associated with the attempts to increase the titers of SARS-CoV-2 neutralizing Abs (nAbs) generated either after infection or vaccination that represent the body's immune status. As there is no standard therapy for COVID-19 yet, virus eradication will mainly depend on these nAbs contents in the body. Therefore, serological nAbs neutralization assays become a requirement for researchers and clinicians to measure nAbs titers. Different platforms have been developed to evaluate nAbs titers utilizing various epitopes sources, including neutralization assays based on the live virus, pseudovirus, and neutralization assays utilizing recombinant SARS-CoV-2 S glycoprotein receptor binding site, receptor-binding domain. As a standard neutralization assay, the plaque reduction neutralization test (PRNT) requires isolation and propagation of live pathogenic SARS-CoV-2 virus conducted in a BSL-3 containment. Hence, other surrogate neutralization assays relevant to the PRNT play important alternatives that offer better safety besides facilitating high throughput analyses. This review discusses the current neutralization assay platforms used to evaluate nAbs, their techniques, advantages, and limitations.

좌심방이-농양의 수술적 치료 -치험 1예 - (Successful Treatment of Left Atrial Auricular Abscess -A case report -)

  • 이정렬;김준성;배은정;노정일;안규리
    • Journal of Chest Surgery
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    • 제37권3호
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    • pp.272-274
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    • 2004
  • 드문 예인 좌심방이-농양을 수술, 항생제 및 종격동 세척술로 치료한 성공적인 치험 예를 보고하고자한다. 요로감염의 과거력을 가진 9세 여아가 지속적 발열을 주소로 내원하였다. 심초음파와 자기공명 영상에서 다량의 심낭삼출과 좌상심연의 종괴가 관찰되었다. 심낭천자액 균배양에서 포도상구균이 검출되었다. 환아는 체외순환하에 종괴 절제술을 받았는데 종괴는 좌심방이에 위치하였으며 내부는 섬유화농성 농양이 형성되어 있었다. 수술 후 종격동 세척술을 시행하였다. 병리검사소견은 기질화된 혈전을 동반한 섬유화성 벽심내막염이었다. 환아는 특별한 합병증 없이 술 후 21일에 퇴원하였다.

Western Blot Detection of Human Anti-Chikungunya Virus Antibody with Recombinant Envelope 2 Protein

  • Yang, Zhaoshou;Lee, Jihoo;Ahn, Hye-Jin;Chong, Chom-Kyu;Dias, Ronaldo F.;Nam, Ho-Woo
    • Parasites, Hosts and Diseases
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    • 제54권2호
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    • pp.239-241
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    • 2016
  • Chikungunya virus (CHIKV), a tropical pathogen, has re-emerged and has massive outbreaks abruptly all over the world. Containing many dominant epitopes, the envelope E2 protein of CHIKV has been explored for the vaccination or diagnosis. In the present study, the antigenicity of a recombinant expressed intrinsically disorder domain (IUD) of E2 was tested for the detection of the antibody against CHIKV through western blot method. The gene of the IUD of E2 was inserted into 2 different vectors and expressed as recombinant GST-E2 and recombinant MBP-E2 fusion protein, respectively. Two kinds of fusion proteins were tested with 30 CHIKV patient sera and 30 normal sera, respectively. Both proteins were detected by 25 patients sera (83.3%) and 1 normal serum (3.3%). This test showed a relatively high sensitivity and very high specificity of the recombinant E2 proteins to be used as diagnostic antigens against CHIKV infection.

종골 외측 1/2 이상의 결손을 동반한 개방성 골절의 동종 대퇴골두 이식과 유리 피판술을 이용한 치료 (1예 보고) (Treatment of Open Calcaneal Fracture with Massive Bone Loss using Femoral Head Allograft and Myocutaneous Free Flap (A Case Report))

  • 성기선;은상수;문구현
    • 대한족부족관절학회지
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    • 제11권1호
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    • pp.111-114
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    • 2007
  • Open calcaneal fracture with more than lateral half of bone loss and soft tissue defect occurred in 17 year-old male patient due to motor vehicle accident. Soft tissue defect included heel pad, peroneal tendon. Bone loss involved mainly most part of inferior tuberosity but not subtalar joint. Open dressing and debridement were done daily in operating room and antibiotics administration was started. After granulation tissue formed, femoral head allograft was performed and fixed with 6.0 mm screws to replace bone defect. Soft tissue defect was covered with latissimus dorsi musculocutaneous free flap. No sign of infection nor major osteolysis was observed in 15 months follow up period. Soft tissue defect was covered with latissimus dorsi musculocutaneous free flap.

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