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Human Parechovirus: an Emerging Cause of Sepsis-Like Syndrome in Infants Aged under 3 Months

  • Roh, Da Eun;Kwon, Jung Eun;Kim, Yeo Hyang
    • Pediatric Infection and Vaccine
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    • v.27 no.2
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    • pp.102-110
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    • 2020
  • Purpose: This study aimed to investigate the clinical characteristics of human parechovirus (HPeV) infection in sepsis-like syndrome in infants aged under 3 months. Methods: Medical records of infants aged under 3 months with sepsis-like symptoms who were admitted between July 1, 2018 and August 31, 2018 were reviewed. A multiplex reverse transcription-polymerase chain reaction panel test was performed on the cerebrospinal fluid (CSF). Thirty-nine enrolled infants were categorized into three groups: 11 in group 1 (HPeV detected in the CSF), 13 in group 2 (enterovirus detected in the CSF), and 15 in group 3 (no virus detected in the CSF). Results: Compared with groups 2 and 3, a higher proportion of group 1 had tachycardia, tachypnea, apnea, and hypotension (P<0.05). A significantly lower white blood cell (WBC) count was noted in group 1 than in groups 2 and 3 (5,622±2,355/μL, 9,397±2,282/μL, and 12,312±7,452/μL, respectively; P=0.005). The CSF WBC count was lower in group 1 than in groups 2 and 3 (0.9±1.7/μL, 85.1±163.6/μL, and 3.7±6.9/μL, respectively; P=0.068). The proportion of patients requiring inotrope support (36.6% vs. 0% and 6.6%), mechanical ventilation (18.1% vs. 0% and 0%), and high flow nasal cannula (45.4% vs. 15.3% and 6.6%) was higher in group 1 than in groups 2 and 3. All patients recovered completely without complications. Conclusions: HPeV infection shows a severe clinical course and can cause a severe sepsis-like syndrome in infants aged under 3 months. Early diagnosis and proper treatment of HPeV infection are required.

Evaluation of Hemodynamic Failure with Acetazolamide Challenged $^{123}I-IMP$ Brain SEPCT and PET (PET과 Acetazolamide 부하 $^{123}I-IMP$ 뇌혈류 SPECT를 이용한 혈역학적 부전의 평가)

  • Chun, Kyung-Ah;Cho, In-Ho;Won, Kyu-Jang;Lee, Hyung-Woo;Hayashida, Kohei
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.2
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    • pp.94-102
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    • 2003
  • Purpose : Cerebral blood flow (CBF) reactivity to acetazolamide (ACZ) is useful to select patients with hemodynamic failure. However, it is still a matter of speculation that varying degrees of regional CBF increases after ACZ administration represent the severity or stage of regional hemodynamic failure as assessed by positron emission tomography (PET). We studied to elucidate whether ACZ challenge $^{123}I-IMP$ brain single photon emission tomography (SPECT) can accurately grade the seventy of regional hemodynamic failure. Materials and Methods: Eighteen patients (M: 16, F: 2, average age: 61 years) with unilateral occlusive disease of the internal carotid artery or the trunk of the middle cerebral artery (MCA). Patients undewent $^{123}I-IMP$ brain SPECT study with acetazolamide challenge and PET study was carried out within 2 weeks before and after SPECT study. Five healthy volunteers with a mean age of 48 years (range: 28-73 yr, M: 3, F: 2) underwent PET studies to determine normal values. In SPECT study, an asymmetry index (Al)-the percentage of radioactivity of region of interest (ROI) in the occlusive cerebrovascular lesion to the contralateral homologous ROI-was used for numerical evaluation of relative $^{123}I-IMP$ distribution. In PET study, regional CBF, oxygen extraction fraction (OEF), cerebral metabolic rate of oxygen ($CMRO_2$) and cerebral blood volume (CBV) values were measured with $^{15}O-labeled$ gas inhalation method and the values were used for comparison with Al (Al during acetazolamide challenge-Al of basal study) on the SPECT study. ROls were classified by severity into three groups (normal, stage I and stage II). Results: Mean values of Al in areas with normal, stage I and stage II hemodynamic failure were $6.25{\pm}7.77%\;(n=107),\;-10.38{\pm}10.41%\:(n=117)\;and\;13.30{\pm}10.51%\;(n=140)$, respectively. Al significantly differed with each groups (p<0.05). Correlation between Al and CBF, OEF and CBV/CBF in hemisphere with occlusive cerebrovascular lesion was 0.20 (p<0.01), -0.28 (p<0.01) and -0.28 (p<0.01), respectively. Conclusion: We concluded that $^{123}I-IMP$ brain SPECT with acetazolamide challenge could determine the severity ad stage of regional hemodynamic failure as assessed by PET.

Temporal Variation in the Distributions of the Benthic Heterotrophic Protozoa and Their Grazing Impacts on Benthic Bacteria and Microalgae in the Ganghwa Tidal Flat, Korea (강화도 펄 갯벌에서 저서성 원생동물 분포의 시간적 변이와 박테리아 및 미세 조류에 대한 포식압)

  • Yang, Eun-Jin;Choi, Joong-Ki;Yoo, Man-Ho;Cho, Byung-Cheol;Choi, Dong-Man
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.10 no.1
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    • pp.19-30
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    • 2005
  • To investigate the seasonal distribution and grazing impacts of benthic protozoa in mud flat, their abundance, biomass and grazing rates of benthic protozoa were evaluated at interval of two or three month in Gangwha Island from April, 2002 to April, 2004. Heterotrophic flagellates and ciliates accounted for an average 98% of benthic protozoa biomass. Abundance and carbon biomass of heterotrophic flagellates ranged from $0.2{\times}10^5$ to $5.9{\times}10^5\;cells\;cm{-3}$ and from 0.02 to $9.2\;{\mu}gC\;cm^{-3}$, respectively. Biomass of heterotrophic flagellates was high in spring and fall, and showed no differences among stations. Abundance and biomass of heterotrophic flagellates decreased with the depth and were high within the surface 2.5 m sediment layer. The majority of heterotrophic flagellates were less than $10\;{\mu}m$ in length, and few euglenoid flagellates were larger than $20\;{\mu}m$. Abundance and carbon biomass of ciliates ranged from $0.1{\times}10^3$ to $17.8{\times}10^3\;cells\;cm^{-3}$ and from 0.02 to $9.1\;{\mu}gC\;cm^{-3}$, respectively, and those of ciliates were high in spring and fall. Biomass of ciliates was high within the surface 2.5 mm sediment layer and was higher at st. J2 and st. J3 than st. J1. Among the revealed benthic ciliates, the hypotrichs were the most important group in terms of abundance and biomass. During the sampling periods, an average 66% of benthic protozoa biomass was covered by ciliates. The seasonal distribution of benthic protozoa showed an almost similar fluctuation pattern to that of chlorophyll-a. The results suggest that the biomass of benthic protozoa were mainly controlled by prey abundance, for example, diatoms. Based on ingestion rates, benthic protozoa removed from 13.4 to 40.7% of bacterial production and from 20.1 to 36.4% of primary production. Ingestion rates of benthic protozoa on bacteria and microphytobenthos were high in April. Benthic protozoa in this study area may play a pivotal role in the carbon flow of the benthic microbial food web during spring.

A Geophysical Study on the Geotectonics and Opening Mechanism of the Ulleung Basin, East Sea (동해 울릉분지의 지구조 및 성인에 관한 지구물리학적 연구)

  • Suh, Man-Cheol;Lee, Gwang-Hoon;Shon, Ho-Woong
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.3 no.1
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    • pp.34-44
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    • 1998
  • Analysis of gravity, magnetic, and seismic reflection data from the Ulleung Basin, East Sea has provided some insights into the opening mechanism and crustal type of the basin. Free-air gravity anomaly data show positive anomalies of about 40~60 mgal near the Korea Plateau and Oki Bank and of about -20~20 mgal in the central basin. Bouguer gravity anomaly data exhibit NE-SW trending positive anomalies of about 150 mgal in the central basin which is interpreted to be related to high-density crustal material. Abrupt changes in both Free-air and Bouguer gravity anomaly profiles across the basin margins may be due to transition between continental and oceanic crusts. Magnetic anomalies in the basin are generally less than -400 nT. No stripe pattern is evident in the magnetic anomaly map but a NW-SE trending symmetric pattern is seen in some magnetic profiles. The symmetric pattern is probably associated with the high-density crustal material in the central basin suggested by Bouguer gravity anomaly. The acoustic basement in the deep part of the basin has only a small amount of local relief. No graben or half-graben structures are seen in the acoustic basement from which mechanical extension might be inferred. The lack of high-relief structures in the acoustic basement may suggest that the basin is underlain by oceanic crust or that the basement is overlain by thick volcanic layer which obscures the structures and relief of the basement. High-density crust in the central basin inferred from gravity data, abrupt changes in gravity anomalies across the basin margins, symmetric pattern seen in some magnetic anomaly profiles, and lack of relief in the acoustic basement may suggest sea-floor spreading origin of the Ulleung Basin.

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Role of Wetland Plants as Oxygen and Water Pump into Benthic Sediments (퇴적물내의 산소와 물 수송에 관한 습지 식물의 역할)

  • Choi, Jung-Hyun;Park, Seok-Soon
    • Korean Journal of Ecology and Environment
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    • v.37 no.4 s.109
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    • pp.436-447
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    • 2004
  • Wetland plants have evolved specialized adaptations to survive in the low-oxygen conditions associated with prolonged flooding. The development of internal gas space by means of aerenchyma is crucial for wetland plants to transport $O_2$ from the atmosphere into the roots and rhizome. The formation of tissue with high porosity depends on the species and environmental condition, which can control the depth of root penetration and the duration of root tolerance in the flooded sediments. The oxygen in the internal gas space of plants can be delivered from the atmosphere to the root and rhizome by both passive molecular diffusion and convective throughflow. The release of $O_2$ from the roots supplies oxygen demand for root respiration, microbial respiration, and chemical oxidation processes and stimulates aerobic decomposition of organic matter. Another essential mechanism of wetland plants is downward water movement across the root zone induced by water uptake. Natural and constructed wetlands sediments have low hydraulic conductivity due to the relatively fine particle sizes in the litter layer and, therefore, negligible water movement. Under such condition, the water uptake by wetland plants creates a water potential difference in the rhizosphere which acts as a driving force to draw water and dissolved solutes into the sediments. A large number of anatomical, morphological and physiological studies have been conducted to investigate the specialized adaptations of wetland plants that enable them to tolerate water saturated environment and to support their biochemical activities. Despite this, there is little knowledge regarding how the combined effects of wetland plants influence the biogeochemistry of wetland sediments. A further investigation of how the Presence of plants and their growth cycle affects the biogeochemistry of sediments will be of particular importance to understand the role of wetland in the ecological environment.

Relationship between Distribution of the Dominant Phytoplankton Species and Water Temperature in the Nakdong River, Korea (낙동강의 식물플랑크톤 우점종의 분포특성 및 수온과의 상관성)

  • Yu, Jae Jeong;Lee, Hye Jin;Lee, Kyung Lak;Lyu, Heuy Seong;Whang, Jeong Wha;Shin, La Young;Chen, Se Uk
    • Korean Journal of Ecology and Environment
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    • v.47 no.4
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    • pp.247-257
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    • 2014
  • The construction of eight large weirs in the Nakdong River, Korea, caused a decrease in the water flow velocity and several physical changes to the water environment. Here, changes in phyto- and zooplankton communities and water quality in the areas near the eight weirs were investigated from 2011 to 2013, and relationships between phytoplankton abundances and environmental factors were analyzed. Special emphasis was given to the succession patterns in algal abundance based on temperature fluctuations. At the eight weirs, 24 dominant species were found. The most abundant phytoplankton species was Stephanodiscus sp. (39.4% of dominant frequency). Cyanobacteria of the genus Microcystis dominated during the summer, with an dominant frequency of 8.5% and cell abundance ratio of 36.6%. Significant correlations were observed between temperature and abundance of eight of the main dominant species; seven species showed positive correlations with temperature. Stephanodiscus sp., however, showed a negative correlation with temperature (r=-0.26, p<0.01). In addition, this species showed a significant negative correlation with the dominant algal species-Aulacoseira granulata and Aphanizomenon flos-aquae, with the zooplankton Copepoda and with Cladocera. On the contrary, seven other dominant species of algae showed significant positive correlations with zooplankton. Thus, we showed that the seasonal succession of plankton communities in the Nakdong River was related to the water temperature changes.

The Effect of Hydrology on Phytoplankton Assemblages and Its Adaptive Strategies in Lake Hwaseong, Estuarine Reservoir with Seawater Exchange, Korea (해수유통 중인 간척담수호 화성호에서 식물플랑크톤의 군집과 적응전략에 대한 수문학적 영향)

  • Song, Tae Yoon;Yoo, Man Ho;Lee, In Ho;Kang, Eue-Tae;Kim, Mi Ok;Choi, Joong Ki
    • Korean Journal of Ecology and Environment
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    • v.47 no.2
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    • pp.71-81
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    • 2014
  • A survey was carried out to understand the influence of hydrology on the composition, abundance and adaptive strategies of phytoplankton in artificial Lake Hwaseong, an estuarine reservoir with seawater exchange through a sluice. Samples were collected seven times from May to October 2012. Hydrological events (seawater exchange, rainfall) resulted in a wide variation in salinity along with nutrients and turbidity. Shifts in the dominant phytoplankton composition occurred on every survey. Chlorophyll-a ranged from 9.7 to $104.1{\mu}g\;L^{-1}$. Multivariate analysis allowed us to identify the four phases on phytoplankton community change. Phase I (May~June) was characterized by small-sized Gymnodinium sp. and Heterosigma akashiwo dominated in warm temperature and high salinity derived from seawater exchange, and followed by Cylindrotheca closterium blooms due to rainfall and winds during phase II (July and September). During phase III (August), the dominance of Oscillatoria spp. was correlated with high temperature and low salinity. Abundant cryptomonads were associated with lower temperature during phase IV (October). Adaptive strategies were identified in the phytoplankton as morphological and physiological characteristics. These strategies identified small-sized flagellates as CR-strategists, fast-growing opportunistic species, which might favor the weak stratification of lake due to the seawater exchange during phase I and IV. Dominant species during phase II and III were characterized with R-strategists, medium-sized stress-tolerant species, which might favor turbulence by river flow. The results indicate that stronger stratification following the termination of seawater exchange for the freshening might intensify the predominance of smaller flagellates. In conclusion, this study suggests that hydrology may drive phytoplankton community change and blooms through the controls of salinity, turbulence and nutrients.

A Hydrodynamic Modeling Study to Analyze the Water Plume and Mixing Pattern of the Lake Euiam (의암호 수체 흐름과 혼합 패턴에 관한 모델 연구)

  • Park, Seongwon;Lee, Hye Won;Lee, Yong Seok;Park, Seok Soon
    • Korean Journal of Ecology and Environment
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    • v.46 no.4
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    • pp.488-498
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    • 2013
  • A three-dimensional hydrodynamic model was applied to the Lake Euiam. The lake has three inflows, of which Gongji Stream has the smallest flow rate and poorest water. The dam-storage volume, watershed area, lake shape and discharge type of the Chuncheon Dam and the Soyang Dam are different. Therefore, it is difficult to analyze the water plume and mixing pattern due to the difference of the two dams regarding the amount of outflow and water temperature. In this study, we analyzed the effects of different characteristics on temperature and conductivity using the model appropriate for the Lake Euiam. We selected an integrated system supporting 3-D time varying modeling (GEMSS) to represent large temporal and spatial variations in hydrodynamics and transport of the Lake Euiam. The model represents the water temperature and hydrodynamics in the lake reasonably well. We examined residence time and spreading patterns of the incoming flows in the lake based on the results of the validated model. The results of the water temperature and conductivity distribution indicated that characteristics of upstream dams greatly influence Lake Euiam. In this study, the three-dimensional time variable water quality model successfully simulated the temporal and spatial variations of the hydrodynamics in the Lake Euiam. The model may be used for efficient water quality management.

Compost of Swine Manure Slurry Using the Thermophilic Aerobic Oxidation (TAO) Syst

  • Lee, W.I.;Tsujii, H.;Lee, M.G.;Cha, G.C.;Chung, J.C.
    • Journal of Animal Environmental Science
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    • v.10 no.1
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    • pp.1-10
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    • 2004
  • A field-scale(8.6${\times}$2.5${\times}$2.4 m) and pilot-scale(1.39${\times}$0.89${\times}$0.89 m) thermophilic aerobic oxidation (TAO) units were installed to investigate the volume reduction efficiency of slurry, by varying the aeration and treatment temperature of swine manure, and the collected liquid was evaluated as a liquid fertilizer. In the field-scale unit, the aeration level and numbers of foam breakers made different effects on the slurry volume and temperature in the TAO system. The experiments were peformed for three cases, using different levels of aeration and numbers of foam breakers: Treat-A (aeration rate; 120 ㎥ air/hr using 2 air pumps and 2 foam breakers), Treat-B (aeration rate; 180 ㎥ air/hr using 3 air pumps and 3 foam breakers) and Treat-C (aeration rate; 180 ㎥ air/hr using 3 air pumps and 4 foam breakers). With the same input volume (5 ㎥/day) of swine manure slurry, the resulting liquid levels, temperatures and evaporation rates were 50∼100 cm, 31∼$64^{\circ}C$ and 55 $\ell/m^2$/day for Treat-A; 40∼90 cm, 29∼$52^{\circ}C$ and 75 $\ell/m^2$/day for Treat-B; and 40∼70 cm, 45∼$54^{\circ}C$ and 120.0 $\ell/m^2$/day for Treat-C. In the pilot-scale unit, semi-continuous flow of swine manure slurry was introduced. 50 $\ell$ every 2hr(T-1), 50 $\ell$ every 3hr(T-2), 40 $\ell$ every 2hr (T-3) and 60 $\ell$ every 4hr (T-4) within 24 hours, in order to find the maximum slurry volume reduction conditions.

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Effects of Various Proteins on the Autoxidation of L-Ascorbic Acid (비타민 C 산화반응에 대한 단백질의 공존효과)

  • Kim Mi-Ok;Jang Sang-Moon
    • The Korean Journal of Food And Nutrition
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    • v.17 no.3
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    • pp.294-301
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    • 2004
  • Effects of superoxide dismutase(SOD), catalase(CAT), and such other proteins as bovine serum albumin(BSA), ovalbumin, lysozyme, and v-globulin on the autoxidation rates of L-ascorbic acid(AsA) in the absence of heavy metal ions and in the presence of Fe(III) or Cu(II) ions in water were examined. AsA was dissolved in a ultra-refined water at a concentration of 50 ${\mu}$M and 5 ${\mu}$M Fe(III) or 0.1 ${\mu}$M Cu(II) were added, and a oxygen gas was bubbled through the solution at a flow rate of 200 ml/min at 35$^{\circ}C$. The amount of remaining AsA in the reaction mixture was determined by using a UV spectrophotometer(at 265 nm). It was found that the Cu(II) at a concentration of 0.1 ${\mu}$M had a more accelerated for the autoxidation of AsA than Fe(III) at 5 ${\mu}$M. Moreover, it was confirmed that the ratio of remaining AsA was significantly larger in the presence of SOD, CAT, BSA, ovalbumin, lysozyme, and v-globulin than in the absence of proteins. The stabilization of AsA by various proteins were confirmed during the autoxidation of AsA in the presence of Fe(III) or Cu(II) in water. It was suggested that the non-enzymatic effects of SOD, CAT and some other proteins might be involves in the stabilization of AsA.