• 한국보건간호학회지
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• 제15권2호
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• pp.239-248
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• 2001

The purpose of this study was to analyze risk factors for nosocomial pneumonia in patients admitted to NS ICU, and to provide a basic data to decrease respiratory nosocomial infection rate engendered from medical environments in NS ICU. The study site was the NS ICU at a university hospital located in Seoul, Korea. The subjects were 31 patients diagnosed with nosocomial pneumonia, who were selected from the initial list of 300 potential subjects who had been a) admitted between September 1999 and January 2000, and September 2000 and January 2001, b) resided at the NS ICU over 72 hours. The diagnostic standard of nosocomial pneumonia was based on the nosocomial infection guides of C university hospital. The data were analyzed using frequencies and logistic regression analysis. The sputums obtained from the subjects were cultivated and causal viruses were separated. The results were as follows: 1. The nosocomial pneumonia rate was $10.3\%$. There were 7 types of causal viruses separated from the sputum. and the most prevalent type of virus was MRSA as $62.2\%$. 2. The factors significantly influencing the incidence of nosocomial pneumonia included age, the residential duration at the NS ICU, GCS scores, diabetes mellitus, insertion of tracheal tube and its duration, tracheostomy and its length of insertion, the use of artificial ventilator and the length of its use, and the insertion of naso-gastic tube. The most significant risk factor among these was the insertion of tracheal tube (odds ratio=18.684. $95\%$ CI=6.849-50.974), followed by the use of tracheostomy (odds ratio=15.419, $95\%$ CI=6.615-35.942), the insertion of naso-gastric tube (odds ratio=14.875, $95\%$ CI=6.396-34.595), and the use of artificial ventilator (odds ratio=13.000. $95\%$ CI=5.633­30.001). 3. Regarding the use of the mechanical aids, the insertion of tracheal tube resulted in 12.968 times increase of the nosocomial pneumonia rate, and the use of artificial ventilator lead 6.714 times increase of the nosocomial pneumonia rate. One point increase of the GCS score resulted in the 1.210 times increase of the nosocomial pneumonia rate. For patients who had tracheal tube, tracheostomy, and artificial ventilator, one day increase of their residential duration at NS ICU lead 1.073 times increase of the nosocomial pneumonia rate. 4. In terms of duration of the mechanical aid usage, one day increase in the use of artificial ventilator engendered 1.080 times increase in the nosocomial pneumonia rate. One day increase of the residential duration at the NS ICU lead 1.604 times increase in the nosocomial pneumonia rate. As one point of the GCS score increased, 0.876 times decrease of the nosocomial pneumonia rate was reported. These study findings show that the risk factors significantly influencing the incidence of nosocomial pneumonia include the use of tracheal tube, tracheostomy, naso-gastic tube, and artificial ventilator. It is recommended that nurses working at NS ICU should pay more attention to the patients with these factors as the risky group for the nosocomial pneumonia, and thus make more active efforts to provide nosocomial pneumonia prevention strategies for them. In further studies patients admitted to the different types of ICUs such as internal medicine or surgery unit ICU will be also included, and more wide investigation of nosocomial pneumonia risk factors will be conducted through one-year longitudinal follow up.

• 대한의생명과학회지
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• 제17권4호
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• pp.297-304
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• 2011

Influenza A virus of the Orthomyxoviridae family is a contagious respiratory pathogen that continues to evolve and burden in the human public health. It is able to spread efficiently from human to human and have the potential to cause pandemics with significant morbidity and mortality. It has been estimated that every year about 500 million people are infected with this virus, causing about approximately 0.25 to 0.5 million people deaths worldwide. Influenza A viruses are classified into different subtypes by antigenicity based on their hemagglutinin (HA) and neuraminidase (NA) proteins. The sudden emergence of influenza A virus subtypes and access for epidemiological analysis of this subtypes demanded a rapid development of specific diagnostic tools. Also, rapid identification of the subtypes can help to determine the antiviral treatment, because the different subtypes have a different antiviral drug resistance patterns. In this study, our aim is to detect influenza A virus subtypes by using real-time nucleic acid sequence based amplification (NASBA) which has high sensitivity and specificity through molecular beacon. Real-time NASBA is a method that able to shorten the time compare to other molecular diagnostic tools and is performed by isothermal condition. We selected major pandemic influenza A virus subtypes, H3N2 and H5N1. Three influenza A virus gene fragments such as HA, NA and matrix protein (M) gene were targeted. M gene is distinguished influenza A virus from other influenza virus. We designed specific primers and molecular beacons for HA, NA and M gene, respectively. In brief, the results showed that the specificity of the real-time NASBA was higher than reverse transcription polymerase chain reaction (RT-PCR). In addition, time to positivity (TTP) of this method was shorter than real-time PCR. This study suggests that the rapid detection of neo-appearance pandemic influenza A virus using real-time NASBA has the potential to determine the subtypes.

• 한국동물위생학회지
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• 제31권4호
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• pp.533-546
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• 2008

The efficacy of bovine immune sera to correct the calves with failure of passive transfer(FPT) was evaluated. Immune sera were produced from 14 one-year-old Holstein cattle which were inoculated commercial combined viral vaccine, administered by the challenge of some main enteric or respiratory viruses, aseptically filtered and stored at $4^{\circ}C$ before used. After the treatment of bovine immune sera, Mean transfer factor($mg/d{\ell}$, of IgG administered/kg of body weight) was $5.46{\pm}2.74,\;11.17{\pm}1.27,\;1.40{\pm}0.21$ in K-IP, H-IP and K-IV group, respectively. The corrective effect of bovine immune sera to FPT calf without any clinical signs showed that intravenous route was more effective than intraperitoneal administration(P<0.01). FPT calves with severe signs were not effective response to the immunotherapy used and consequently died within 10 days after the treatment. Ten percentage of controls appeared the clinical signs including diarrhea. On the contrary, there were not any clinical signs in K-IP and H-IV group. There was significant increase of the neutralizing titer against bovine viral diarrhea virus and bovine coronavirus as well as of cell population including CD2, CD4, and monocyte in K-IP and H-IV group after the immunotherapy(P<0.05). Also, K-IP and H-IV group showed the successful correction to FPT within one week after the immunotherapy, but controls had kept the FPT two-four weeks even after the same treatment. Consequently, the results were suggesting that the bovine immune sera could be used the corrective tool to young calves with FPT.

• 한국미생물·생명공학회지
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• 제43권2호
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• pp.142-149
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• 2015

바이오에어로졸은 0.02-100 μm 입자로, 자연 및 인위적 환경 또는 사람의 활동에 의해 발생된다. 바이오에어로졸은 바이러스, 세균, 곰팡이, 원생생물, 곰팡이 포자, 미생물 독소, 꽃가루, 동식물 기원의 물질, 타액 또는 글루칸 등으로 구성되며, 인간과 동물에게 호흡기 등의 질환을 유발한다. 본 연구에서는 농업, 축산, 하수처리장, 해변 및 청청지역의 바이오에어로졸 시료에서 분리한 배양성 미생물을 동정 및 계통분석을 수행한 결과, 우점 및 종의 구성 등 환경 유형 별 차이가 분석되었다. 한편 모든 시료에서 31 분리주가 Bacillus cereus로 동정되었고, 실내 양계장에서 Acinetobacter baumannii가 분리되었다. 또한 농업, 축산 및 해변에서 분리한 미생물 중 Domibacillus속, Chryceobacterium속, Nocardioides속 및 Comamonadaceae과에 속하는 새로운 종 또는 속이 분리되었다.

• Journal of Microbiology and Biotechnology
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• 제28권11호
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• pp.1928-1936
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• 2018

Recently, human infections caused by severe fever with thrombocytopenia syndrome virus (SFTSV), which can lead to fatality, have dramatically increased in East Asia. With the unavailability of vaccines or antiviral drugs to prevent and/or treat SFTSV infection, early rapid diagnosis is critical for prevention and control of the disease. Here, we report the development of a simple, rapid and sensitive portable detection method for SFTSV infection applying reverse transcription-loop mediated isothermal amplification (RT-LAMP) combined with one-pot colorimetric visualization and electro-free reaction platform. This method utilizes a pocket warmer to facilitate diagnosis in a resource-limited setting. Specific primers were designed to target the highly-conserved region of L gene of SFTSV. The detection limit of the RT-LAMP assay was approximately $10^0$ viral genome copies from three different SFTSV strains. This assay exhibited comparable sensitivity to qRT-PCR and 10-fold more sensitivity than conventional RT-PCR, with a rapid detection time of 30 to 60 minutes. The RT-LAMP assay using SFTSV clinical specimens has demonstrated a similar detection rate to qRT-PCR and a higher detection rate compared to conventional RT-PCR. Moreover, there was no observed cross-reactive amplification of other human infectious viruses including Japanese Encephalitis Virus (JEV), Dengue, Enterovirus, Zika, Influenza and Middle East Respiratory Syndrome Coronavirus (MERS-CoV). This highly sensitive, electro- and equipment-free rapid colorimetric visualization method is feasible for resource-limited SFTSV field diagnosis.

• 대한화장품학회지
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• 제40권4호
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• pp.349-357
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• 2014

본 연구에서는 생물반응장치를 이용하여 조직 배양된 라울리아 신초에 대하여 화장품 성분으로써 응용가치를 평가하였다. 조직 배양한 라울리아 신초에 대한 항산화 및 항염 활성 효과를 연구하였다. 라울리아는 뉴질랜드나 호주에서 자생하는 국화과의 야생초본식물이다. 이미 몇몇 보고 된 논문에서 라울리아는 기관지염, 수막염 그리고 호흡기 질병 등을 유발하는 바이러스에 대한 증식 억제 활성이 있다고 보고되었다. 실험 결과 조직배양된 라울리아 신초 추출물은 자연 상태의 라울리아 추출물과 비교하여 항산화 활성 및 항염 활성 효과가 우수하였다. 조직 배양된 라울리아 신초 추출물은 자연에서 자란 라울리아 추출물보다 $50{\mu}L/mL$ 농도에서 10~25% 항산화 활성을 증가시켰다. 또한 조직 배양된 라울리아 신초 추출물은 LPS로 유도된 대식세포에서 iNOS와 COX-2의 단백질 발현이 자연에서 자란 라울리아 추출물보다 억제되었다. 본 연구의 결과들로, 조직배양 한 라울리아 신초 추출물은 피부 보호를 위한 천연 화장품 성분으로써 우수한 가능성을 제공할 수 있을 것으로 사료된다.

• 한국동물위생학회지
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• 제36권1호
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• pp.7-13
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• 2013

Bovine viral diarrhea virus (BVDV) is one of the most important disease viruses in cattle that can cause severe economical losses due to decreased fertility, abortion, diarrhea, and respiratory symptoms. Therefore, this study was aimed to investigate prevalence of BVDV infection (Transiently infection, Persistently infection) in dairy cattle in Gyeongnam southern area, Korea and use this data as the basis for establishing an eradication program and policy. A total of 44 bulk-tank milk samples (farms) collected in milk collecting center were tested for BVDV antibody using an ELISA. As the result, out of a total of 44 bulk-tank milk samples (farms), 38 (86.4%) samples were BVDV antibody positive. Blood samples (17 farms, n=543) were collected from BVDV antibody positive farms in bulk-tank milk, tested for BVDV antigen with ELISA and PCR. BVDV infected farms were 47% (8/17) and BVDV infected head were 2.2% (12/543). Persistently infected cattle (PI) were detected at 6 (35.3%) farms out of 17 farms and a total of 6 (1.1%) out of 543 head of cattle were identified as PI. The seropositive of BVDV antibody at farms and head were 100% (17/17) and 49.45% (91/184), respectively. The seroprevalence of BVDV antibody in PI infected farms (67.35%) much higher than that of BVDV antibody in transiently infected cattle (TI) infected farms (45%) and uninfected farms (34.48%). For eradication of BVDV infection in cattle populations, First of all, we should remove PI and need vaccination.

• Pediatric Infection and Vaccine
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• 제22권1호
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• pp.1-6
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• 2015

목적: 최근 일개 고등학교(S 고등학교)에서 유행성이하선염이 집단발병 하였기에 본 연구에서는 S 고등학교의 발생 현황을 알아보고 진단을 위해 시행한 PCR 검사의 역학적 유용성에 대해 알아보고자 한다. 방법: 2013년 4-7월 유행성이하선염이 의심되어 의료기관을 방문한 S 고등학교 학생들의 월별 분포와 학년별 수를 조사 하였고 이중 일부 학생에게 PCR 검사를 시행하였다. 결과: 총 77명이 의료기관을 방문하였고 월별로 4월 1명, 5월 17명, 6월 45명, 7월 5명, 학년별로 1학년 26명, 2학년 28명, 3학년 23명이었다. 볼점막도찰 PCR 검사를 받은 18명 중 15명은 증상 발생 3일 이내에 검체를 채취하여 그 중 5명(33.3%)이 양성이었고 나머지 3명은 3일 이후에 검체를 채취하여 모두 음성이었다(P=0.24). 결론: 본 저자들은 S 고등학교의 유행성이하선염의 집단발병 양상을 조사하였다. PCR 검사는 증상 발생 후 3일 이내 시행하면 역학 조사시 도움이 될 가능성이 있겠다.

• Pediatric Infection and Vaccine
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• 제24권1호
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• pp.31-36
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• 2017

목적: 본 연구에서는 인플루엔자 신속항원검사의 유용성을 확인해보고, 결과의 정확도에 영향을 주는 인자를 알아보고자 한다. 방법: 2011년 6월 1일부터 2016년 5월 31일까지 5년간 한림대학교 성심병원의 소아청소년과 외래와 응급실을 통해 내원한 인플루엔자 의사환자를 대상으로 하였다. 이들 중 입원하여 PCR검사를 같이 진행한 798검체의 검사 결과를 비교하였다. 결과: PCR검사를 표준으로 신속항원검사의 양성 일치율은 A형 인플루엔자에서 75.7%, B형 인플루엔자에서 60.0%였다. 발열 시작일로부터 4일 이내에 내원하여 검사를 진행한 경우 양성 일치율은 A형 인플루엔자 77.6%, B형 인플루엔자 73.2%였으나, 5일 이상 경과 후 검사를 진행한 경우 양성 일치율은 A형 인플루엔자 66.7%, B형 인플루엔자 21.4%였다. 결론: 신속항원검사의 민감도는 상대적으로 낮으므로, 인플루엔자 진단에 적용하기 위해서 증상 발현 후 5일 이내 빠르게 채취한 검체에서 상대적으로 높은 민감도 해석이 가능하다.

• 대한수의학회지
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• 제60권4호
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• pp.195-202
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• 2020

Feline calicivirus (FCV) infection results in a common upper respiratory disease associated with oral ulceration in cats. Although FCV infection has been reported in cats worldwide, the biologic and genetic features of South Korean FCV are unclear. We aimed to investigate the biological and genetic features of South Korean FCV isolates. Crandell-Rees feline kidney (CRFK) cells were used to isolate FCV from 58 organ homogenate samples. The FCV isolates were confirmed by cytopathic effects, immunofluorescence, electron microscopy, and reverse transcription polymerase chain reaction assays. Viral genetic analysis was carried out with VP2 gene and complete genomes of FCVs. Five viruses propagated in CRFK cells were confirmed to be FCVs. The FCV17D283 isolate showed the highest viral titer of 107.2 TCID50/mL at 36 h post-inoculation. Korean FCV isolates did not grow well in Vero, BHK-21, A72, or Madin-Darby canine kidney cells. The FCV17D03 and FCV17D283 isolates had the highest genetic similarity (80.1% and 86.9%) with the UTCVM-H1 and 14Q315 strains, which were isolated in the United States and South Korea in 1995 and 2014, respectively. We isolated five FCVs from cats and detected important genetic differences among them. FCV isolates did not show any virulent effects in mice.