• 한국패류학회지
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• 제1권1호
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• pp.19-23
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• 1985

Collections of Semisulcospira snails and crayfishes were made to detect out larval trematodes in Bogil Islet, Wando-Gun, Chonra-Nam-Do, Korea in August, 1985. In addition, intradermal test to figure out the prevalence rate of paragonimiasis in the islanders was also carried out. The results are summarized as follows: 1) Nineteen out of 186 examinees(10.2%) showed positive reactions by intradermal test with Paragonimus antigen. 2) Forty four snails out of 182 snails collected were infected with trematode cercariae. These larvae were Metagonimus sp., Cercaria yoshidae, Cercaria incerta and Cercarianipponensis. 3) Metacercarial incidence of Paragonimus westermani in crayfish was 65.4%. Mean number of metacercariae per crayfish was 6.5.

• 대한수의학회지
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• 제13권1호
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• pp.63-66
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• 1973

A 16-year-old female Bengal tiger (Panthera tigris tigris) infected with Paragonimus kellicotti was described. Noticeable clinical symptom was not observed before death. At autopsy, numerous cysts were found on the pleural surface of the lung. The cysts were spherical, approximately 1.0 cm in diameter, bulge the pleura, and dark red-brown in color. Such cysts were also found in the deeper lung parenchyma, and usually contained adult flukes in pairs. Histopathologically, the cyst was lined with stratified squamous epithelium which arose from metaplasia of bronchial epithelium. Partial hyperplasia and necrotic foci accompanied with inflammatory cells were often observed in the squamous epithelium. The outer part of the cyst was consisted of fibrous connective tissue in which leukocytes were infiltrated. Catarrhal pneumonia was manifested in the adjacent lung tissues.

• Journal of Chest Surgery
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• 제1권1호
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• pp.25-30
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• 1968

Fifty-two cases of spontaneous pneumothorax encountered in Seoul National University Hospital during the period from 1961 to 1968 were reviewed. The incidence was highest in the adult between 21 and 40 years of age, showing 50%. Four cases of bilateral spontaneous pneumothorax [7.7%] were noted. Pulmonary tuberculosis was the most common cause, 50% of the cases. Non-tuberculous group was 26 cases [50%], of which 15 cases were idiopathic, 5 emphysematous bullae or blebs, 5 inflammatory lung disease, mostly pneumonia, and one pulmonary paragonimiasis. Among 52 cases, the lung expanded completely with absolute bed rest in 7 cases, 3 out of 9 with needle aspiration and bed rest, 34 out of 41 with closed thoracotomy and underwater seal Stedman suction, and 7 cases were treated with open thoracotomy with resection of the lesions without complication. Among these cases treated with closed thoracotomy it took about 3 days in non-tuberculous group to expand the collapsed lung and more than 2 weeks in tuberculous group.

• Genomics & Informatics
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• 제19권3호
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• pp.32.1-32.10
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• 2021

Semisulcospira libertina, a species of freshwater snail, is widespread in East Asia. It is important as a food source. Additionally, it is a vector of clonorchiasis, paragonimiasis, metagonimiasis, and other parasites. Although S. libertina has ecological, commercial, and clinical importance, its whole-genome has not been reported yet. Here, we revealed the genome of S. libertina through de novo assembly. We assembled the whole-genome of S. libertina and determined its transcriptome for the first time using Illumina NovaSeq 6000 platform. According to the k-mer analysis, the genome size of S. libertina was estimated to be 3.04 Gb. Using RepeatMasker, a total of 53.68% of repeats were identified in the genome assembly. Genome data of S. libertina reported in this study will be useful for identification and conservation of S. libertina in East Asia.

• 농촌의학ㆍ지역보건
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• 제1권1호
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• pp.10-21
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• 1976

The traditional application of night soil to vegetable gardens and rice paddies results in a most wide spread condition of parasitism, with a variety of helminths found in Korea. In addition to the above fact, the peculiar habit of the consumption of raw vegetables, fish, crustaceans and mammals provides a means of infestations of helminths. During the last sixty years numerous reports were found on the prevalence of helminths amongst the Korean population in different parts of the country, and it was generally recognized that ascariasis, hookworm disease, filariasis, clonorchiasis and paragonimiasis constitute the important helminthic disease in Korea. In practical measures of parasite control activities the main measures are summarized as mass-treatment, night-soil disposal and transmission control. Among the three, the mass-treatment has been commonly applied, however, no reduction of transmission has been obtained by treatment of a population. Therefore, the ultimate eradication of parasites will depend upon the application of comprehensive environmental sanitation measures. The basic environmental measures will be concerned with (a) the safe disposal of human excreta, (b) the provision of adequate and safe water supplies in such a way as to promote a higher standard of personal hygiene in the population, and (c) the prevention of food contamination by faecal material. Additional environmental measures will deal with the improvement of housing and housing hygiene and with general community development. Community development means social and cultural as well as economic development. The control measures on the parasitic endemic diseases, such as clonorchiasis and paragonimiasis are the good examples for community health development in Korea. The control of Clonorchis and Paragonimus infections are theoretically very simple, as the infection can only invade the human body by way of encysted metacercaria which are taken into the body when eating passive intermediate hosts(fishes, crabs and crayfishes). Although prophylactic measures in the case of the infections deal with above merely consist the fishes in cooking or submerging in hot water before eating them, it is exceedingly difficult to carry out such simple measures in face of century old traditions, to which the relatively primitive population clings with great tenacity. There is no one universally applicable method of control. The choice of methods must be dictated by the nature of the environment. the habit and custom of the people. the pattern of transmission and the resources of the country. There must exist a well organized public health infrastructure. Since a control programme is of necessity on a longterm basis and continuity in its implementation is essential. An investigation should be made on the prevalence of the diseases and its relationships to irrigation engineering, freshwater ecology, agricultural methods, hydro-electric schemes, and the development of communities in affected areas. In conclusion, however. the control of clonorchiasis and paragonimiasis in Korea is not an impossible task. A combination of efforts with major emphasis on health education and mass chemotherapy coupled with governmental aid in enforcing legislative public health measures could reduce the diseases. Health education in particular attempts following four things: (a) It supplies a person with enough general knowledge about a disease to make the preventive measures. (b) It makes a person feel sufficiently about the importance of his own health to make him alter his behavior and adopt these preventive measure. (c) It makes him concerned for the health others. (d) It tries to make him feel so strongly about the first three that be supports and even initiates preventive action by the community. Educational efforts should be directed primarily toward school children because it is during the early years that most persons become infected, and also because children are less entrenched in their food habits so that, the educational process should be involved at various levels in successive changes of knowledge, attitude, beha viour, habit and custom of their lives. The most parasitic endemic diseases are related to community diseases. In caring for a sick community. the first stage is to gather epidemiological data, the next is to make inferences from it-to make the community diagnosis. The third is to prescribe community treatment or community health action part of a community health action programme. The community health action is the sum of the steps decided upon to remedy the critical features revealed by the community diagnosis. Action takes various forms; health education is the most important.

• 농촌의학ㆍ지역보건
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• 제16권1호
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• pp.48-60
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• 1991

폐흡충증, 스팔가눔증, 낭미충증, 아니사키스증, 개회충증 및 간흡충증의 혈청역학적 조사를 ELISA(Enzvme-linked immunosorbent assav)를 이용하여 시행하고 그 결과를 분석하여 다음과 같은 결과를 얻었다. 총 6,074명에 대한 검사결과 19.7% 에서 한 종류 이상의 혈청항체 양성을 나타내었다. 이중 아니사키스증은 8.1 %, 개회충증은 5.6%, 간흡충증은 3.6 %, 폐흡충증은 1.7%, 낭미충증은 4.5%, 스팔가눔증은 2.6%의 혈청항체 양성률을 나타내었다. 부산지역은 총 450예를 검사하여 아니사키스가 2.9%, 간흡충이 2.8%의 항체양성률을 보였고, 대전지역에서는 675명중 개회충이 6.7%, 아니사키스가 3.7% 로 비교적 높은 양성률을 나타내었다. 춘천군에서는 875명중 아니사키스증의 혈청항체가 3.4%에서 양성을 보였고 동해시지역에서는 675명 중 아니사키스가 16.9%로 나타났다. 전남 남부지역의 1,122명은 전반적으로 높은 혈청항체 양성률을 보였는데 아니사키스가 16.9%, 낭미충증항체가 12.7 %에서 양성이었고 폐흡충은 3.3%가 양성이었다. 전북일부지역 702명에 대한 조사에서는 낭미충증 항체가 9.3%에서 양성이었고 아니사키스도 4.3% 의 양성률을 나타내었다. 한편 경북 일부지역 900명에 대한 조사에서는 아니사키스와 개회충 항체가 10.6%, 16.1 %로 나타나 높은 양성률을 보였고, 제주지역에서 675명을 조사하여 아니사키스에 대한 혈청항체가 6.7% 로 비교적 높게 나타났다. 이상의 성적은 물론 윤충류 상호간의 교차반응등 보다 확실한 검정이 필요하겠으나 우리나라 사람 있어서 몇몇 윤충류 질환에 대한 혈청항체 양성률을 조사한 자료로서 앞으로의 혈청역학적 조사에 기초자료가 될 수 있을 것으로 생각한다.

• Parasites, Hosts and Diseases
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• 제24권1호
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• pp.49-54
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• 1986

폐흡충 충란항원의 항원성을 평가하기 위하여 감염 후 10개월된 충체에서 유리된 충란의 수용성 항원을 제작하였다. 실험감염 개 페흠충증에서 특이 IgG, IgM 항체의 생성을 효소면역측정법으로 충체항원과 비교 관찰하였다. 또한 disc-PAGE로 충란항원의 구성 단백질을 관찰하였다. 1. 폐흡충 충란항원에 대한 특이 IgG 항체는 충체가 충란을 형성하는 감염 8주에 상승하기 시작하여 12주에 최대치에 이르고 이후 일정한 항체가를 유지한 반면, 특이 IgM 항체의 생성은 대단히 미약하였다. 2. 폐흡충 충체항원에 대한 특이 IgG 항체는 감염 2주에 상승하여 관찰기간인 13주까지 계속 상승하였다. 항체가도 충란항원보다 높았다. 충체항원에 대한 특이 IgM 항체는 감염 2주부터 나타나 8주까지는 일정량을 유지하나 이후 감소하기 시작하여 12주에는 감염전 상황으로 되돌아왔다. 3. 폐흡충 충란항원은 전기영동상에서 단백질 band 2개로 관찰되었으며 성충의 충체항원에서 관찰되는 10개의 단백질 band중 Band 1과 Band 2에 해당되는 단백질 band임을 확인할 수 있었다. 따라서 2개의 단백질로 구성된 폐흡충의 수용성 충란항원은 특이 IgG 및 특히 IgM 항체 생산을 유도하나 성충충체항원에 비하여 그 항원성이 대단히 미약하다고 판단하였다.

• Parasites, Hosts and Diseases
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• 제35권3호
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• pp.197-202
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• 1997

고양이 4마리의 폐흡충 피낭유충을 50마리씩 감염시키고, 1주부터 13주까지 감염단계별 혈청을 채취하고 폐흡충 충란, 피낭유충, 4주, 7주 및 16주 충체 추출물 항원에 대한 항체 반응을 관찰하였다. 초기 항채 반응은 감염 3주 후부터 관찰되었다. 항원별로는 4주 충체 항원에 대한 항체가가 가장 먼저, 높게 증가하였고, 7주, 16주 충체 항원에 대한 반응이 그 다음으로 높았다. 충란 항원에 대한 항체 반응은 10주 이후 증가하였다. 피낭유충 충체 항원에 대한 반응은 관찰한 초기 감염 전체 기간에 걸쳐 비교적 낮았다. Immunoblot을 실시한 결과, 충란 항원 특이 28, 46, 94 kDa 항원대에 대한 반응은 10주 이후부터 관찰할 수 있었다. 4주 충체 항원은 10-25, 29, 31 kDa 등이 감염 초기부터 항원성을 나타내고 있었고, 그 중에는 감염 13주 혈청에 대하여 이미 반응이 약하게 된 항원대도 있었고 다른 기생충 질환 혈청과 교차반응을 나타내는 것이 알려진 항원도 있었다. 16주 성충 충체 항원의 32, 35 kDa 항원대는 감연 4주 후부터 특이한 반응을 나타내고 있었다. 이상의 결과, 감염 경과에 따라 폐흡충 항원단백질의 항원 결정기도 성충의 것으로 바뀌는 것을 알 수 있었고 성충 충체항원의 32 및 35 kDa 단백질은 4주 이후 초기 폐흡충증도 진단할 수 있는 항원 성분으로 생각하였다.

• Parasites, Hosts and Diseases
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• 제21권1호
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• pp.1-5
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• 1983

간츱충증 환자로부터 혈액을 채취하여 그 혈청에서 간흡충에 대한 항체를 Thin Layer Immunoassay(TIA)에 의하여 검출하였다. TIA는 Elwing et al.(1976)이 기술한 방법에 의하여 시행하였고, 항원은 이등(1981)의 방법으로 제조된 간흡충 성충 생리식염수 추출물을 사용하였으며 그 단백질 함량은 2.87mg/ml이었다. 간흡충중 환자 60명의 혈청에서의 항체가는 건강대조군 및 이질아메바 감염자에서의 항체가와 비교할 때 그 차이가 유의하였으나, 폐흡충증 환자와의 차이는 유의하지 않았다. 간흡충중 환자의 성별이나 연령과 TIA에 의한 항체가 사이에 상관 관계가 없었다. 환자의 분변내 EPG, 말초혈액내 호산구의 수와도 상관이 없었다. TIA에 의한 항체가와 간기능 검사 결과와의 관계를 보면 alkaline phosphatase, SGOT 및 SGPT 측정치와 모두 상관이 없음을 알 수 있었다.

• Journal of Chest Surgery
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• 제13권4호
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• pp.475-485
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• 1980

For the past 5 year 6 months from January 1975 to June 1980, 176 patients with empyema have been treated in Chonnam University Hospital. They were 134 males and 42 females ranging from ] 8 days to 69 years of age. [mean age: 26.1 years] The duration of illness prior to treatment was relatively shorter in pediatric group than in adult group, that is, the duration of less than 1 month was 89.5% in pediatric group and 38.0% in adult group. In bacteria study there were Staphylococcus 26.1%, Streptococcus 17.6%, E. coil 10.8%, Pseudomonas 10.8%, Diplococcus pneumoniae 5.7% and Candidia. And 4 children and 3 adults had infections of two species of bacteria. The underlying pathologic lesions were pyogenic pneumonia 34.7%, tuberculosis 29.5%, paragonimiasis 15.3%, trauma 9.7% and postoperative state. The over-all mortality rate was 1.7% [3 patients]. The causes of death were sepsis In 1 child and sepsis secondary to esophageal fistula in 2 adults. Adequate drainage and obliteration of the pleural space seems to be the most important aspect of treatment and can frequently be achieved by initial tube drainage in acute empyema, especially in the pediatric group. The chronic thick walled or loculated cavities required open window therapy, decortication, resection therapy and sterilization. Modified Eloesser`s operation and 0.3-0.5% potadine irrigation brought good result in the patients who had general weakness, marked pulmonary parenchymal destruction due to pyothorax, and pyothorax with severe bronchopleural fistula.