• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권2호
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• pp.127-134
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• 2021

Purpose: In patients with acute enterocolitis, radiologic findings are sometimes accompanied by secondary inflammation of the appendix. The purpose of this study was to evaluate the clinical features of acute enterocolitis with secondary inflammation of the appendix. Methods: Medical records from patients who underwent abdominal ultrasonography or computed tomography (CT) among those admitted for acute enterocolitis were retrospectively reviewed. Clinical features were compared by distinguishing patients with inflammation of the appendix from those without, based on their symptoms and laboratory findings. Results: Of the 165 patients, 12 (7.3%) had secondary inflammation of the appendix on ultrasonography and/or CT. Patients with secondary inflammation of the appendix were significantly older than those without (11.7 vs. 6.1 years, p=0.011) and more frequently had fever (83.3% vs. 49.0%, p=0.033), and high values of C-reactive protein (CRP) (5.38 vs. 0.32 mg/dL, p<0.001). The proportion of bacterial pathogens was higher in patients with secondary inflammation of the appendix (60% vs. 15.1%, p=0.004). Conclusion: Patients with acute enterocolitis accompanied by secondary appendicitis more commonly have fever, higher CRP levels, higher bacterial pathogen detection rates, and longer hospital stays. Treatment equivalent to that of bacterial infection is required for patients with secondary appendicitis, and that their symptoms should be closely and continuously monitored and followed-up.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제9권2호
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• pp.129-138
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• 2006

Lots of cases relating Helicobacter pylori infection to iron-deficiency anemia have been described in the literature and H. pylori infection has emerged as a cause of refractory iron-deficiency anemia which is unresponsive to oral iron therapy. H. pylori-associated iron-deficiency anemia can be treated by H. pylori eradication. It is not thought to be attributable to gastrointestinal blood loss, such as duodenal ulcer. The mechanism by which H. pylori infection contributes to iron-deficiency anemia remains unclear. However, four possible explanations can be posited for this relationship; occult blood loss secondary to chronic gastritis, reduced iron absorption due to hypo- or achlorhydria, increased iron consumption by H. pylori, and iron sequestration in gastric mucosa. H. pylori-associated iron-deficiency anemia seems to develop in populations at increased risk for iron depletion. When pubescent girls, including athletes, are found to have iron-deficiency anemia refractory to iron administration, they should be evaluated for H. pylori infection.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제17권3호
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• pp.296-301
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• 1995

Acute mediastinitis is almost always secondary to some other condition, and most cases are due to esophageal perforation. Although acute mediastinitis from odontogenic infection is extremely rare in the era of antibiotic drugs, some more fulminant odontogenic infections can produce complications including airway obstruction, necrotizing fascitis and extension of the infection to thorax. Irrespective of the changing incidence of etiologic factors, unless the pathophysiology of acute mediastinitis and its causes are understood and the conditions promptly recognized and properly treated, the result may be prolonged illness and even death. We experienced a case of odontogenic infection followed by acute mediastinitis and present review of literature.

• Journal of Ginseng Research
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• 제45권4호
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• pp.535-537
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• 2021

In the 1918 influenza pandemic, more than 95% of mortalities were ascribed to bacterial pneumonia. After the primary influenza infection, the innate immune system is attenuated, and the susceptibility to bacteria is increased. Subsequent bacterial pneumonia exacerbates morbidity and increases the mortality rate. Similarly, COVID-19 infection attenuates innate immunity and results in pneumonia. In addition, the current pneumococcal conjugate vaccine may have limited defense against secondary pneumococcal infection after influenza infection. Therefore, until a fully protective vaccine is available, a method of increasing immunity may be helpful. Ginseng has been shown to increase the defense against influenza in clinical trials and animal experiments, as well as the defense against pneumococcal pneumonia in animal experiments. Based on these findings, ginseng is suspected to be helpful for providing immunity against COVID-19.

• 대한기관식도과학회지
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• 제6권2호
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• pp.196-200
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• 2000

Nasopharyngeal tuberculosis is a rare pathological condition. It is most often associated with lymph node and pulmonary lesions, but it may be an isolated lesion. The clinical manifestation may resemble a malignant tumor of the nasopharynx and the nasopharyngeal tuberculosis is occurred occasionally primary infection but more frequently secondary infection to pulmonary tuberculosis. The nasal endoscopic evaluation of nasopharynx is necessary in patient with possible pulmonary or extrapulmonary tuberculosis. The author reports two cases of nasopharyngeal tuberculosis in a 45-years old and 34-years old woman with a review of the literature.

• 한국잠사곤충학회지
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• 제16권2호
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• pp.55-75
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• 1974

가잠에 있어서의 세포질다각체 바이러스의 경난전달감락을 구명하기 위하여 육각형 세포직다각체 바이러스를 전대잠에 접종하고 이에 감염된 자아의 교배조와 비감염된 자아의 교배에서 얻어진 대잠에 있어 유발현상의 차이, 유발.간섭현상의 차이를 관찰하고 분석하여 경난전달감염적 가능성을 밝혔다. 여기에서 얻어진 실험결과는 다음과 같다. 1. 이형 바이러스인 사각형 세포질다각체 바이러스에 의한 육각형 세포질다각체 바이러스의 유발실험에서 감염된 바이러스의 종류를 육각형의 단일감염과 육각형과 사각형의 혼합감염을 모두 기준삼을 때 감염자아겨배군에서는 대조군보다 40내지 60%가 더 높은 유발정도를 보였다. 2. formalin 첨식에 의한 육각형 세포질다각체 바이러스의 우발실험에서 육각형 세포질다각체 바이러에 의한 유발만을 기준 삼을 때 실험군은 대조군에 비햐여 40%의 높은 유발정도를 보였다. 이 실험에서 첨식한 2 또는 3%의 formalin농도는 우발정도에 있어서 차이를 가져오지 못했다. 3. 냉장처리에 의한 육각형 세포질다각체 바이러스의 유발실험에서 육각형 세포질다각체 바이러스에 의한 유발만을 기준삼을 때 실험군 대조군에 비하여 약 50%의 높은 유발정도를 보였다. 이 실험에서 적용한 12 또는 24시간의 첨식처리군간에 의의있는 차이가 인정되지 않았다. 4. 유발.간섭현상에 관한 실험에서 유발과 간섭되는 바이러스를 육각형 세포질다각체 바이러스에 국한시켰을 때 이차 바이러스인 사각형 세포질다각체 바이러스의 처리농도가 높아질수록 일차 바이러스인 육각형 세포질다각체 바이러스 량이 1$\times$$10^{8}$/ml에 이르러서는 대조군과 동일한 수준에 놓이게 되었다. 한편 유발과 간섭되는 바이러스를 사각형 세포질다각체 바이러스에 국한시켰을 때는 얕은 농도의 이차 바이러스는 유발된 일차 바이러스에 의하여 간섭받았고, 이차 바이러스 량이 1$\times$$10^{7}$ /ml에서부터 이차 바이러스에 감염된 가잠이 증가되었으나 대조군보다는 약 30%가 미달되는 감염률을 보였다. 5. 유발.병원성 증진현상에 간한 실험에서 유발과 증진되는 바이러스를 사각형과 육각형 세포질다각체 바이러스의 혼합감염 된것에 국한시켜 보면 이차 바이러스인 사각형 세포질다각체 바이러스의 농도가 높아져서 1$\times$$10^{7}$ /ml에 이르면 혼합감염은 최고도에 이르러 실험군과 대조군간의 차이는 40%를 넘게 되었다. 여기에서 대조군은 이차 바이러스의 농도과 관계없이 아무런 영향을 받지 않았다. 사사 ： 이 연구를 수행함에 있어서 시종 지도해 주신 김낙정 교수님, 최병희 교수님 그리고 박광의 교수님께 심심한 사의를 드리며 본 논문이 완성될 수 있도록 노고를 아끼지 않고 지도하여주신 전윤성 교수님과 정길택 교수님께 또한 심심한 사의를 드립니다. 그리고 본 논문을 위한 실험을 수행함에 있어 전자현미경사용에 적극 협조해 주신 이순형 학형과 누에 사육시험을 도와 준 금근영, 임대준군에게 아울러 감사드립니다. 본 실험에 공시한 세식질다각체 바이러스를 분양하여 주신 동경대학 농학부 도부인 교수님께 또한 감사드립니다.

• Journal of Korean Neurosurgical Society
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• 제52권4호
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• pp.396-403
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• 2012

Objective : The predictors of cranioplasty infection after decompressive craniectomy have not yet been fully characterized. The objective of the current study was to compare the long-term incidences of surgical site infection according to the graft material and cranioplasty timing after craniectomy, and to determine the associated factors of cranioplasty infection. Methods : A retrospective cohort study was conducted to assess graft infection in patients who underwent cranioplasty after decompressive craniectomy between 2001 and 2011 at a single-center. From a total of 197 eligible patients, 131 patients undergoing 134 cranioplasties were assessed for event-free survival according to graft material and cranioplasty timing after craniectomy. Kaplan-Meier survival analysis and Cox regression methods were employed, with cranioplasty infection identified as the primary outcome. Secondary outcomes were also evaluated, including autogenous bone resorption, epidural hematoma, subdural hematoma and brain contusion. Results : The median follow-up duration was 454 days (range 10 to 3900 days), during which 14 (10.7%) patients suffered cranioplasty infection. There was no significant difference between the two groups for event-free survival rate for cranioplasty infection with either a cryopreserved or artificial bone graft (p=0.074). Intergroup differences according to cranioplasty time after craniectomy were also not observed (p=0.083). Poor neurologic outcome at cranioplasty significantly affected the development of cranioplasty infection (hazard ratio 5.203, 95% CI 1.075 to 25.193, p=0.04). Conclusion : Neurologic status may influence cranioplasty infection after decompressive craniectomy. A further prospective study about predictors of cranioplasty infection including graft material and cranioplasty timing is necessary.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제39권4호
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• pp.175-181
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• 2013

Objectives: This retrospective study was performed to evaluate the clinical impact of diabetes mellitus on the prognosis in secondary space infection. Materials and Methods: Medical records, radiographic images, computed tomography, and microbial studies of 51 patients (25 diabetic patients and 26 non-diabetic patients) were reviewed. Patients were diagnosed as secondary fascial space infections with odontogenic origin and underwent treatment at Chonnam National University Hospital, in Department of Oral and Maxillofacial Surgery, from January 2007 to February 2009. Results: Compared to patients without diabetes, patients with diabetes were presented with the following characteristics: older age (diabetic patients: 62.9 years, non-diabetic patients, 47.8 years), more spaces involved (diabetic patients, 60%; non-diabetic patients, 27.3%), more intense treatment, longer hospitalization (diabetic patients, 28.9 days; non-diabetic patients, 15.4 days), higher white blood cell and C-reactive protein values, higher incidence of complication (diabetic patients, 40%; non-diabetic patients, 7.7%), and distinctive main causative microorganisms. Conclusion: These results suggest that the prognosis of diabetic patients is poorer than that of non-diabetic patients in secondary space infections since they had greater incidence rates of involved spaces, abnormal hematologic findings, more complications, and additional procedures, such as tracheostomy.

• Journal of Ginseng Research
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• 제28권3호
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• pp.149-156
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• 2004

The objectives of this study were to investigate the morphology of mycorrhizal roots, and the effects of root age and soil texture on the mycorrhizal infection in ginseng (Panax ginseng C. A. Meyer) growing in Korea. Ginseng roots at ages of two to six years were collected from fields in late June. Their infection by arbuscular mycorrhizal fungi(AMF) was studied by clearing the roots and staining fungal hyphae with trypan blue. Root infection varied greatly depending on the developmental stages of young roots. Young tertiary roots, in diameter of smaller than 0.8 mrn, formed during the current growing season had root hairs and were frequently and in some cases heavily infected by AMF. Hyphal coils and arbuscules were abundant, while vesicles were rarely observed. Older secondary or tertiary roots in diameter of bigger than 1.0 mm with fully differentiated primary xylem formed during the previous growing season had no root hairs, and were not infected at all. The rates of mycorrhizal infection in the young tertiary roots were not affected by the age of the ginseng plants, suggesting that fungal populations might have not much changed during the aging of the cultivated fields up to six years. The differences in the infection rates among the different ages of ginseng were caused by differences in the amount of young tertiary roots in the samples. Soil texture, either sandy loam or clay loam, did not affect the rate of root infection. There were large variations in the infection rates among the different farms and locations within a farm. It strongly suggested that infection rates of the ginseng roots by AMF would be influenced by the practice of the farmers, possibly by avoiding consecutive planting, introduction of new topsoil, and the ways of handling the soil before transplanting the ginseng, such as fumigation or sterilization that might have affected indigenous inoculum sources of the AMF.

• Journal of Korean Biological Nursing Science
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• 제25권2호
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• pp.95-104
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• 2023

Purpose: The purpose of this study was to analyze the trends and characteristics of infection-related patient safety incident reporting before and during the coronavirus disease 2019 (COVID-19) pandemic in Korea, and to provide basic data for preventing infection-related patient safety incidents and improving their management. Methods: A cross-sectional analysis of secondary national data (Patient Safety Reporting Data) was conducted. In total, 517 infection-related patient safety incidents reported from 2018 to 2021 were analyzed. Changes in the number of reports before and during the COVID-19 pandemic and differences in variables related to infection-related patient safety incidents were analyzed using the chi-square test and independent t-test in SPSS 29.0. Results: This study found that infection-related patient safety incidents decreased during the COVID-19 pandemic compared to before the pandemic. Furthermore, incident-related characteristics, such as the type of healthcare organization, severity of harm, and post-incident actions, changed during the COVID-19 pandemic. Conclusion: The many changes in the infection control system and practices during the COVID-19 pandemic may have contributed to a decrease in the reporting of infection-related patient safety incidents. It is hoped that longitudinal studies on patient safety incidents related to the pandemic and analytical studies on factors influencing patient safety incidents will continue to be conducted to prevent and improve patient safety incidents.