• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제27권2호
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• pp.95-103
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• 2024

Purpose: Diarrhea is one of the leading causes of mortality in children living in developing countries. The etiology of acute diarrhea in each healthcare center varies depending on place, time, and population. This study aimed to identify pathogen patterns in human immunodeficiency virus (HIV)-infected and non-HIV children suffering from acute diarrhea, using multiplex real time reverse transcriptase polymerase chain reaction (RT-PCR), in an Indonesian tertiary hospital. Methods: This cross-sectional study was conducted at Dr. Cipto Mangunkusumo National Hospital from March 2019 to April 2020. Results: The study showed that multiplex RT-PCR results were positive in 58.9% of the specimens, with more positive results in HIV-infected children than in non-HIV-infected children (70% vs. 54.7%). Altogether 72 enteropathogens were detected from all specimens. Enteropathogens in non-HIV children with acute diarrhea consisted of bacteria (70.6%) and viruses (29.4%) with a predominance of enteroaggregative Escherichia coli (25.4%), followed by Campylobacter spp. (11.8%), enteropathogenic E. coli (9.8%), Norovirus GII (7.8%), and Clostridium difficile (7.8%). Enteropathogens in HIV-infected children consisted of viruses (57.1%), bacteria (28.6%), and parasites (14.3%) comprising Norovirus GII (24%), Cryptosporidium spp. (14.3%), Campylobacter spp. (14.3%), Norovirus GI (14.3%), and Astrovirus (14.3%). Cryptosporidium spp. was the only parasite found in this study and was found only in HIV-infected children. In non-HIV children with acute diarrhea, most pathogens were invasive bacteria, while in HIV-infected children, more viral and parasite infections occurred, primarily caused by opportunistic pathogens. Conclusion: The pattern of enteropathogens can help clinicians determine further examinations and appropriate empirical antimicrobial therapy for the patient.

• Journal of Veterinary Science
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• 제25권3호
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• pp.38.1-38.16
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• 2024

Importance: Deaths due to neonatal calf diarrhea are still one of the most critical problems of cattle breeding worldwide. Determining the parameters that can predict diarrhea-related deaths in calves is especially important in terms of prognosis and treatment strategies for the disease. Objective: The primary purpose of this study was to determine mortality rates and durations, survival status, and predictive prognosis parameters based on vital signs, hematology, and blood gas analyses in neonatal diarrheic calves. Methods: The hospital automation system retrospectively obtained data from 89 neonatal diarrheic calves. Results: It was found that 42.7% (38/89) of the calves brought with the complaint of diarrhea died during hospitalization or after discharge. Short-term and long-term fatalities were a median of 9.25 hours and a median of 51.50 hours, respectively. When the data obtained from this study is evaluated, body temperature (℃), pH, base excess (mmol/L), and sodium bicarbonate (mmol/L) parameters were found to be lower, and hemoglobin (g/dL), hematocrit (%), lactate (mmol/L), chloride (mmol/L), sodium (mmol/L) and anion gap (mmol/L) parameters were found to be higher in dead calves compared to survivors. Accordingly, hypothermia, metabolic acidosis, and dehydration findings were seen as clinical conditions that should be considered. Logistic regression analysis showed that lactate (odds ratio, 1.429) and CI^- (odds ratio, 1.232) concentration were significant risk factors associated with death in calves with diarrhea. Conclusions and Relevance: According to the findings obtained from this study, the determination of lactate and Cl^- levels can be used as an adjunctive supplementary test in distinguishing calves with diarrhea with a good prognosis.

• Journal of Animal Science and Technology
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• 제52권4호
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• pp.281-286
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• 2010

본 연구에서는 초유를 장기간 보관하는 동시에 유산균의 함량을 증진시킨 발효초유를 Holstein 송아지의 성장 및 설사발생에 미치는 효과를 조사하였다. 발효초유를 제조하기에 적합한 균주를 선택하기 위한 실험으로 L. rhamnosus와 E. faecium을 혼합하여 사용한 경우 풍미가 좋았고 대장균군의 억제가 우수하였으며 유산균의 증식도 활발하여 이 두 균을 혼합하여 사용하는 것이 초유발효에 적합하다고 판단되었다. 송아지 사양 실험 결과로서 분변 중의 대장균과 젖산균수의 조사 결과 대장균은 발효초유 20% 첨가구에서 시간 경과 후 가장 많이 감소하는 경향을 보였으며 분내 유산균은 급여 28일째 대조구에 비하여 20% 급여수준에서 균수가 유의하게 증가하였다. 발효초유 급여 후 체중변화는 28일 후 20% 첨가구의 경우 1.4 kg (7.8%)으로 가장 높은 증체효과를 보였다. 기간별 증체효과를 살펴보면 20% 첨가구의 경우 0~14일은 0.41 kg으로 각각의 실험구 중 가장 증체량이 낮게 나타났고 14~28일의 증체량은 0.87 kg으로 이 기간 중에는 일당증체량이 가장 높게 나타나 장기 급여가 효과가 있을 것으로 추정되었다. 그러나 발효초유 급여 수준에 따른 설사 지속 일수는 무첨가구는 2.7일, 5% 첨가구 2.4일, 10% 첨가구 4일, 20% 첨가구는 2.4일로서 무첨가구, 5% 첨가구, 20% 첨가구는 3일 이내에 설사가 멈추었으나 10% 첨가구의 경우 3일 이상 지속되어 발효 초유첨가에 따른 설사 방지효과는 분명히 나타나지 않는 것으로 보였다. 이상의 결과에서 발효초유 첨가가 증체에 미치는 영향은 14일 이후 발효초유첨가 수준이 높을수록 또는 급여기간이 길수록 증체효과에 영향을 끼친다고 볼 수 있고 설사방지 효과의 경우 발효초유 첨가 수준에 의해서는 별 영향을 미치지 못하는 것을 알 수 있었다.

• 한국동물위생학회지
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• 제35권4호
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• pp.343-346
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• 2012

This study was investigated the effects of feeding the combination with Lactobacillus plantarum and Bacillus subtilis on the diarrhea incidence and fecal microflora of weaned calves. A total of 12 newly weaned calves were allocated to two dietary treatments in a randomized design based on body weight. The dietary treatments included a commercial basal diet supplemented with: 1) no microbial inoculants (Control); 2) a mixture of Lactobacillus plantarum and Bacillus subtilis (LB). Calves were fed diets for a 4-week period. At the end of the experiment, the counts of fecal lactic acid bacteria and Enterobacteriaceae in LB were significantly improved compared to control (P<0.05). Over the 4-week period, fecal scores and duration of diarrhea in LB were significantly decreased compared with those in control (P<0.05). The present results suggest that LB is a potential feed additive which could be used for the balance of intestinal microflora and the prevention of diarrhea in Korean native calves.

• 대한한방내과학회지
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• 제38권2호
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• pp.172-179
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• 2017

Objectives: The aim of this clinical study is to describe the case of a patient with antibiotic-associated diarrhea, which was improved by treatment with herbal medicine. Methods: The antibiotic-associated diarrhea improved following treatment with Boikyangwi-tang and Opae-san for two months. During this period, western medicine, including antibiotics, was also administered. To evaluate the effect of the treatment, the Bristol Stool Form Scale was used. Results: During the treatment, the Bristol Stool Form Scale changed from type 7 to type 5. Conclusion: The results suggest that traditional Korean medicine may be an effective treatment for antibiotic-associated diarrhea.

• 한국동물위생학회지
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• 제14권2호
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• pp.148-153
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• 1991

To investigate epidemological sitution of bovine viral diarrhea infection, serological survey in cattle being raised in Young Dong province were conducted. Bovine sera collected ramdomly from August 1990 to December 1990 were tested for bovine viral diarrhea virus serum neutralizing antibody titers. The results were as follows 1. BVDV SN antibody levels were considerably varies and positive rate was 58(108 heads out of 186) 2. BVDV SN antibodies to breeds of cattle was various and positive rates showed that diary cattle, beef, native cattle(Korean) were 67.52%, 59.38%, 27.00％ respectively followed in that order. 3. In the regional prevalence of BVD SN antibodies in cattle, Alpine(92％) was the highest, Young Dong south(59%) middle(44%), and North 30% followed in that order 4. In the age relatated prevalence of BVD SN antibodies, the younger than 6 month old group was the highest 65.7%, and older than 25 month old group was also at 62.2％. Then, 7 to 12 moth old group and 13 to 24 month old group showed to 58.5%, 52.1％ respectively. 5. The geometric mean titer (log2) of 108 cattle serum samples showing positive BVD SN antibodies was 4.3. 6. In the geometric mean titer(log2) according to age, younger than 6 month old group (5.2) was the highest, then 7 to 12 month old group 2.8(SD=1.94 standard deviation) was lowliest.

• 한국임상수의학회지
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• 제23권4권
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• pp.432-436
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• 2006

The therapeutic effects and immune responses with Oidenlandiae Herba administration(17.5%, 1g/30 kg, everyday, PO) were investigated in calves(1 to 3 months old) with diarrhea from 159 Korean native calves(76 heads from A farm and 83 heads from B farm) in Jeju. The causes of 47 calves with diarrhea were coronavirus(1 head) and rotavirus(1 head), coccidium(5 heads) and bacteria(40 herds). PCV values were significantly increased 2 weeks after administration of Oldenlandiae Herba in A form, compared by those of pre-treatment(p<0.05). However RBC, TP, WBC, fibrinogen levels were not significantly changed. The significant difference were not detected in changes of AST, BUN and creatinine. The CD14+ distribution rate were increased in 1 week after administration of Oldenlandiae Herba, compared by that of pre-treatment(p<0.05), however, certain tendencies of changes were not observed in distribution rates of CD4+ CD8+ and CD19+, respectively. The rate of death was 20.1%(36/179 calves) in 2004, however, it was decreased to 12.6%(20/159 calves) by Oldenlandiae Herba administration at 2 farms from Jeju in 2005. In conclusion, the administration of Oldenlandiae Herba was effective for treatment of calves with diarrhea.

• 대한한방내과학회지
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• 제41권2호
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• pp.150-158
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• 2020

Objectives: This study aimed to investigate the effect of Soeumin-Seonghyangjeongki-san on diarrhea with tube feeding causing mental deterioration induced by subdural hemorrhage (SDH) in an 83-year-old male patient. Methods: The patient was treated with Soeumin-Seonghyangjeongki-san. His symptoms were assessed using the Bristol stool form index, the King's Stool Chart, and records of stool state. The treatment was executed for one week from September 10, 2018 to September 16, 2018. The patient was observed during that same period. Results: After being treated with Soeumin-Seonghyangjeongki-san for seven days, the patient's diarrhea symptoms were evaluated using the Bristol stool form index, the King's Stool Chart, and records of stool state. After the treatment, the results of all three evaluation methods showed that the patient's condition had improved. Conclusions: The results suggest that Soeumin-Seonghyangjeongki-san can be a valuable option for treating diarrhea with tube feeding causing mental deterioration induced by SDH.

• Asian-Australasian Journal of Animal Sciences
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• 제26권4호
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• pp.545-551
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• 2013

This study aimed to present a mouse model of ovalbumin (OVA) induced allergic diarrhea under a sub-barrier system and investigate the development of gut microbiota in this model. Male BALB/c mice were systemically sensitized with OVA or sham-sensitized with saline, and followed by oral OVA intubation, leading to OVA-specific acute diarrhea. Compared with sham-sensitized mice, sera OVA-specific IgG1 and total IgE in OVA-sensitized mice were dramatically elevated, and the number of mast cells was greatly increased in the jejunum of the OVA-sensitized mice. Principle component analysis of the DGGE profile showed that samples from group of OVA-sensitized mice and group of sham-sensitized mice were scattered into two different regions. Real-time PCR analysis showed that the number of 16S rRNA gene copies of Lactobacillus in the colon of OVA-sensitized mice decreased significantly, while there was no significant difference in the number of Bifidobacterium and total bacteria. In conclusion, OVA-specific allergic diarrhea was successfully induced under a sub-barrier system, and changes of allergic reactions during induction was coupled with changes in gut microbiota, especially the number of colonic Lactobacillus, but the role of gut microbiota in the development of food allergic reactions needs to be further evaluated.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제16권3호
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• pp.195-199
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• 2013

Congenital chloride diarrhea (CLD) is a rare inherited autosomal recessive disorder. Mutations of the solute carrier family 26 member 3 gene cause profuse, chloride ion rich diarrhea, which results in hypochloremia, hyponatremia and metabolic alkalosis with dehydration. If a fetal ultrasound shows bowel dilatation suggestive of bowel obstruction, or if a neonate shows persistent diarrhea and metabolic alkalosis, CLD should be considered in the differential diagnosis. The severity of CLD varies, but early detection and early therapy can prevent complications including growth failure. We report a case of dizygotic twins affected by CLD who had been born to non-consanguineous parents. Both of them showed growth failure, but one of the twins experienced worse clinical course. He showed developmental delay, along with dehydration and severe electrolyte imbalance. He was diagnosed with CLD first at 6-month age, and then the other one was also diagnosed with CLD.