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Anal Papanicolaou Smear in Women with Abnormal Cytology: a Thai Hospital Experience

  • Sananpanichkul, Panya;Pittyanont, Sirida;Yuthavisuthi, Prapap;Thawonwong, Nutchanok;Techapornroong, Malee;Bhamarapravatana, Kornkarn;Suwannarurk, Komsun
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.1289-1293
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    • 2015
  • Background: Anal intraepithelial lesions (AIL) are likely to represent a precursor for anal cancer. Women infected with human immunodeficiency virus (HIV) may be at higher risk of anal cancer but a screening program for AIL still is not routinely recommended. We here studied the relationship of dysplastic cells from cervical and anal cytology in HIV-infected women. Materials and Methods: This prospective study was conducted in Prapokklao Hospital, Thailand during 2013-2014. Five hundred and ninety nine HIV-infected women were recruited. Participants who had cytological reports of equally or over "abnormal squamous/glandular cells of undetermined significance" (ASC-US) were classified as abnormal cervical or anal cytology. Descriptive statistics and logistic regression analysis were used to evaluate correlations between groups. Results: HIV-infected women with abnormal cervical cytology had 3.8 times more risk (adjusted odd ratio 3.846, 95% confidence interval 1.247-11.862, p-value. 019) for abnormal anal cytology. The major problem of the anal Pap test in this study was the inadequacy of the collected specimens for evaluation (34.4%, 206/599). Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of cervical and anal Pap tests were 93.9/12.0, 87.3/96.9, 39.7/21.4, 99.4/94.1 and 88.1/91.4 percent, respectively. Conclusions: Abnormal cervical cytology in HIV-infected women indicates elevated risk for abnormal anal cytology. The sensitivity of the anal Pap test for detection of AIL 2/3 in HIV-infected women was quite low while specificity was excellent. Inadequacy of specimen collection for evaluation was a major limitation. Improvement of sample collection is recommended for future investigations.

Adenovirus-mediated Double Suicide Gene Selectively Kills Gastric Cancer Cells

  • Luo, Xian-Run;Li, Jian-Sheng;Niu, Ying;Miao, Li
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권3호
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    • pp.781-784
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    • 2012
  • The aim of this study was to evaluate the effect of the adenovirus-mediated double suicide gene (CD/TK) for selective killing of gastric cancer cells. Gastric cancer cells SCG7901 and normal gastric epithelial cell lines were infected by adenoviruses Ad-survivin/GFP and Ad-survivin/CD/TK. GFP expression and CD-TK were detected by fluorescence microscopy and reverse transcriptase polymerase chain reaction (RT-PCR), respectively. After treatment of the infected cells with the pro-drugs ganciclovir (GCV) and/or 5-FC, the cell growth status was evaluated by methyl thiazolyl tetrazolium assay. Cell cycle changes were detected using flow cytometry. In nude mice bearing human gastric cancer, the recombinant adenovirus vector was injected directly into the tumor followed by an intraperitoneal injection of GCV and/or 5-FC. The subsequent tumor growth was then observed. The GFP gene driven by survivin could be expressed within the gastric cancer line SCG7901, but not in normal gastric epithelial cells. RT-PCR demonstrated the presence of the CD/TK gene product in the infected SCG7901 cells, but not in the infected normal gastric epithelial cells. The infected gastric cancer SCG7901, but not the gastric cells, was highly sensitive to the pro-drugs. The CD/TK fusion gene system showed significantly greater efficiency than either of the single suicide genes in killing the target cells (P<0.01). Treatment of the infected cells with the pro-drugs resulted in increased cell percentage in G0-Gl phase and decreased percentage in S phase. In nude mice bearing SCG7901 cells, treatment with the double suicide gene system significantly inhibited tumor growth, showing much stronger effects than either of the single suicide genes (P<0.01). The adenovirus-mediated CD/TK double suicide gene driven by survivin promoter combined with GCV an 5-FC treatment could be an effective therapy against experimental gastric cancer with much greater efficacy than the single suicide gene CD/TK combined with GCV or 5-FC.

부산시내 여자고등학교 학생의 결핵 관리 (The tuberculosis controling and preventing state for Girl's High School student in Pusan.)

  • 김신희;박형숙
    • 대한간호
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    • 제34권1호
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    • pp.74-87
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    • 1995
  • This study was to investigate the current prevention Mechanism of tuberculosis infection and to find out how nursing teachers handle against tuberculosis infection. The objectives of this study was to aid in better treatment and maintenance of those infected-students and help students to prevent the disease by themselves. The subjects of this research were 78 students who were proved to be infected at tuberculosis by the test result of each high school and 35 nursing teachers who retain those 78 infected students. The results of this study were as follows: 1. The infection rete of tuberculosis and the general characteristics of the infected students at Girls' High School: There are approximately 33 and 50 tuberculosis-infected cases in 1992 and 1993. The tuberculosisinfection rate were 0.12% in 1992, while the infection rate were 0.17% in 1993. The infection rate for academic Girls' High School stucents were 51.3%, while that of vocational Girls' High school students were 48.7%, About 30.8% of respondents have a family history of tuberculosis infection. 2. The current management system of tuberculosis treatment: It was reported that 59.0% of respondents out of total cases were in the process of treatment, and 41% of them were recovered (from tuberculosis). 55.1% of respondents use health center as their most frequent treatment location. 57.5% of academic Girls' High School and 47.4% of vocational Girls' high shool reported inconsistent meals while curing tuberculosis. In terms of taking medicine, 55.1% reported inconsistently. 3. The current management system of nursing teachers; Approximately 57.1% of nursing teachers were at academic Girls' High School. while 42.9% were at vocational Girls' High School. While treating tuberculosis, 85.7% of nursing teachers checked the consistent medicine-taking, 54. 3% of them checked the side effects of medicine, 80% of them consulted with students, while only 25. 7% of them check the school attendance. This study also finds out that we have underestimated the importance of tuberculosis treatment and health education at the shool level, it has not been effective enough for students to recognize the importance of tuberculosis. It is our assertion that nursing teachers should have paid much more attention to tuberculosis itself and infected-cases.

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Infection Status with Clonorchis sinensis Metacercariae in Pseudorasbora parva from a Tributary Stream of Naktonggang (River) in Pusan, Korea

  • Sohn, Woon-Mok
    • 대한의생명과학회지
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    • 제8권1호
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    • pp.7-11
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    • 2002
  • This study was performed to investigate the infection status with Clonorchis sinensis metacercariae in Pseudorasbora parva from a tributary stream of Naktonggang (River) in Kangso-gu, Pusan. A total of 325 P. parva was collected in 4 sites using fish traps. They were transferred in the laboratory, measured the length and examined by artificial digestion method. In the site I, a total of 72 (80.0%) out of 90 fish examined was infected with 1~665 (112 in average) metacercariae of C. sinensis. The average number of metacercariae infected by the size of fish was 146 in the group of over 8 cm, 61 in 7.0~7.9 cm and 86 in below 6.9 cm. In the site II, a total of 50 (83.3%) out of 60 fish examined was infected with 1~178 (31 in average) metacercariae. The average number of metacercariae was 40 in the group of over 8 cm 35 in 7.0~7.9 cm, 23 in 6.0~6.9 cm and 25 in below 5.9 cm. In the site III, a total of 68 (97.1%) out of 70 fish examined was infected with 1~2,662 (508 in average) metacercariae. The average number of metacercariae was 679 in the group of over 7.0 cm, 444 in 6.0~6.9 cm and 426 in below 5.9 cm. In the site IV, a total of 103 (98.1%) out of 105 fish examined was infected with 1~1,536 (416 in average) metacercariae. The average number of metacercariae was 532 in the group of over 7 cm, 353 in 6.0~6.9 cm and 262 in below 5.9 cm. From the above results, it is confirmed that there are wide differences in the infection status of C. sinensis metacercariae in P. paeva according to investigation sites, and P. parva collected from the lower stream are more heavily infected than those from the upper stream.

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송아지의 수양성 설사증에 대한 침술효과 (Acupuncture Therapeutics for the Treatment of the Watery Diarrhea in Calves)

  • 최희인;이경갑;윤영민;박성준;장정호
    • 한국임상수의학회지
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    • 제11권2호
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    • pp.585-592
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    • 1994
  • A consecutive Jiao Chio acupuncture therapy was performed for 3 days in the 45-90 days old 11 calves of which have been shown severe watery diarrhea. The discharge of the infected calves was yellowish brown in color. Two calves of these patients were infected wi pulmonary disease as well as diarrhea. Thus, Su Qi and Fei Yu acupuncture therapy was carried out additionally after dosing with antibiotics twice for The two infected calves. Blood chemical values and serum neutralizing antibody titers were checked, and total blood cell count was also carried out to know the therapeutic effect before and after(21 days) acupuncture therapeutics. The results are as follows ; 1, The diarrhea has ceased one day after begining of the acupuncture therapy in 5 calves, and the cessation of the diarrhea in remaining calves occurred in 1 calf each on 3rd and 4th day, and 2 calves on 6th day, respectively. Two calves infected with pulmonary disease as well diarrhea were cured 8 days after the begining of the therapcutics. 2. Rotaviruses wire detected in the feces of 2 calves, and bovine diarrhea viruses were detected in the 8 calves by the test for serum neutralizing antibody titers, and bovine coronaviruses were also detected in 5 calves. Four calves of the 5 bovine coronavirus infected calves were also infected with bovine diarrhea viruses. 3. Total leucocyte number, total amount of serum protein, and amount of fibringen were slightly increased, while total erythrocyte number, and erythrocyte packed cell volume were slightly decreased. These valucs were statistically not significant. Electrolytes of Na/sup +/, K/sup +/ and Cl/sup -/ were slightly decreased but these values also were not significant. These results indicate that the acupuncture therapeutics arc significantly effective to remove the viral diarrhea in the young calves.

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Prevalence of Zoonotic Trematode Metacercariae in Freshwater Fish from Gangwon-do, Korea

  • Cho, Shin-Hyeong;Lee, Won-Ja;Kim, Tong-Soo;Seok, Won-Seok;Lee, Taejoon;Jeong, Kyungjin;Na, Byoung-Kuk;Sohn, Woon-Mok
    • Parasites, Hosts and Diseases
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    • 제52권4호
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    • pp.399-412
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    • 2014
  • The infection status of zoonotic trematode metacercariae was investigated in a total of 2,293 freshwater fish collected from 11 rivers or streams in 9 administrative regions of Gangwon-do, Korea for 5 years (2009-2013). All fish were collected by netting methods and examined using the artificial digestion methods. Clonorchis sinensis metacercariae were detected in 4 fish species, i.e., Pungtungia herzi, Squalidus japonicus coreanus, Acheilognathus rhombeus, and Ladislabia taczanowskii, from only Hantangang in Cheorwon-gun. Metagonimus spp. metacercariae were found in 1,154 (50.3%) fish and their average number per infected fish was 55.8. Among the positive fish species, especially Tribolodon hakonensis from Namdaecheon in Yangyang-gun and Plecoglossus altivelis from Osipcheon in Samcheok-si were most heavily infected. Centrocestus armatus metacercariae were detected in 611 (26.7%) fish and the average metacercarial burden per infected fish was 1,032. Two chub species, Zacco platypus and Zacco temminckii were highly and heavily infected with C. armatus metacercariae in almost all regions surveyed. Echinostoma spp. metacercariae were also found in 24 fish from a few localities, but their numbers per fish infected were very low. From the above results, it is confirmed that the metacercariae of intestinal flukes, especially Metagonimus spp. and C. armatus, were heavily infected, while C. sinensis metacercariae were rarely found in fish from Gangwon-do, Korea.

Reticuloendotheliosis virus의 닭에 대한 면역억제효과와 병원성 (Immunosuppressive effects and pathogenicity of a Korean isolate of reticuloendotheliosis virus in chickens)

  • 한명국;김선중
    • 대한수의학회지
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    • 제40권2호
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    • pp.311-323
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    • 2000
  • Immunosuppressive effects of reticuloendotheliosis virus (REV) infection in chickens were investigated. Primary antibody responses to Newcastle disease virus (strain B1) and sheep red blood cells were significantly low in chickens inoculated with the local isolate 89-74 of REV compared to those of uninfected chickens. In chickens infected with REV strain T or 89-74, blastogenesis of spleen cells and peripheral blood lymphocytes (PBL) to concanavalin A (Con A) was severely suppressed. When specific pathogen free (SPF) chickens were inoculated with the isolate, the suppressive effect was observed up to 7 weeks of age while, in the contact infected chickens, the suppression was absent. Similar suppressive effects were observed in chickens inoculated with REV strain T at 2, 3 and 4 weeks of age. When spleen cells or PBL from uninfected chickens were co-cultured with spleen cells or PBL from chickens infected with REV at 1 day-old or 2 week-old, the blastogenesis of the normal cells was suppressed. The suppressive effect of PBL from REV-infected chickens on normal lymphocytes was abrogated by the treatment with trypsin. However the suppressive activity of the REV-infected PBL was not influenced at removing machrophage from the cell suspension by incubation in plastic petri dishes. In addition to the immunosuppression, chickens infected with the REV isolate showed abnormal feather development (nakanuke), anemia, paralysis and retarded growth. Three out of 11 chickens inoculated with the isolate at day-old died between 6 and 9 weeks of age by bacterial infections.

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오제스키병에 감염된 돼지의 serum amyloid A와 haptoglobin의 농도 변화 (The concentration of serum amyloid A and haptoglobin of pigs infected with Aujeszky′s disease virus)

  • 오윤택;조정곤
    • 한국동물위생학회지
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    • 제25권1호
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    • pp.45-52
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    • 2002
  • The acute phase serum protein response is a well-known general indicator of inflammation, trauma or other pathological conditions and its relevance for the monitoring of the health status of domestic animals is being increasingly realized. The changes in serum protein composition which occur after tissue damage represent a part of the systemic response of the injured animals which is mediated by pro-inflammatory cytokines such as TNF-$\alpha$, IL-6 and IL-1. These responses play a vital role in containing the tissue damage and enhancing the processes of repair and resolution. From a clinical perspective, the assay of acute phase proteins can provide a method for detecting inflammation. In animals, the most sensitive acute phase proteins are haptoglogin, serum amyloid A and at-acid glycoprotein in response to inflammatory condition. The aim of this study was to assess the diagnostic value of the concentrations of serum amyloid A(SAA) and haptoglobin(HP) in serum of pigs infected with Aujeszky's disease virus(ADV). Fifty pigs infected with ADV and 5 normal pigs were used in this experiment. The mean serum concentration of Shh of pigs infected with ADV was 96.8 $\pm$ 7.1 $\mu\textrm{g}$/㎖(range, 36.0∼187.5 $\mu\textrm{g}$/㎖) and that of normal pigs was 42.9$\pm$3.3 $\mu\textrm{g}$/㎖(range, 17.3∼127.8 $\mu\textrm{g}$/㎖). The mean serum concentration of HP of pigs infected with ADV was 1,164.4 $\pm$ 96.9 $\mu\textrm{g}$/㎖ (range, 790.2∼l,769.2 $\mu\textrm{g}$/㎖) and that of normal pigs was 675.4 $\pm$ 56.3 $\mu\textrm{g}$/㎖ (range, 650.0-690.4 $\mu\textrm{g}$/㎖). The mean concentrations of SAA and HP in serum of pigs infected with ADV compared with those of normal pigs showed approximately a two-fold. It was concluded that the concentrations of Shh and HP in serum may proved to be diagnostic marker of Aujeszky's disease.

Characterization of Proinflammatory Responses and Innate Signaling Activation in Macrophages Infected with Mycobacterium scrofulaceum

  • Kim, Ki-Hye;Kim, Tae-Sung;Lee, Joy G.;Park, Jeong-Kyu;Yang, Miso;Kim, Jin-Man;Jo, Eun-Kyeong;Yuk, Jae-Min
    • IMMUNE NETWORK
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    • 제14권6호
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    • pp.307-320
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    • 2014
  • Mycobacterium scrofulaceum is an environmental and slow-growing atypical mycobacterium. Emerging evidence suggests that M. scrofulaceum infection is associated with cervical lymphadenitis in children and pulmonary or systemic infections in immunocompromised adults. However, the nature of host innate immune responses to M. scrofulaceum remains unclear. In this study, we examined the innate immune responses in murine bone marrow-derived macrophages (BMDMs) infected with different M. scrofulaceum strains including ATCC type strains and two clinically isolated strains (rough and smooth types). All three strains resulted in the production of proinflammatory cytokines in BMDMs mediated through toll-like receptor-2 and the adaptor MyD88. Activation of MAPKs (extracellular signal-regulated kinase 1/2, and p38, and c-Jun N-terminal kinase) and nuclear receptor (NF)-${\kappa}B$ together with intracellular reactive oxygen species generation were required for the expression of proinflammatory cytokines in BMDMs. In addition, the rough morphotypes of M. scrofulaceum clinical strains induced higher levels of proinflammatory cytokines, MAPK and NF-${\kappa}B$ activation, and ROS production than other strains. When mice were infected with different M. scrofulaceum strains, those infected with the rough strain showed the greatest hepatosplenomegaly, granulomatous lesions, and immune cell infiltration in the lungs. Notably, the bacterial load was higher in mice infected with rough colonies than in mice infected with ATCC or smooth strains. Collectively, these data indicate that rough M. scrofulaceum induces higher inflammatory responses and virulence than ATCC or smooth strains.

Non-infected and Infected Bronchogenic Cyst: The Correlation of Image Findings with Cyst Content

  • Jeon, Hong Gil;Park, Ju Hwan;Park, Hye Min;Kwon, Woon Jung;Cha, Hee Jeong;Lee, Young Jik;Park, Chang Ryul;Jegal, Yangjin;Ahn, Jong-Joon;Ra, Seung Won
    • Tuberculosis and Respiratory Diseases
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    • 제76권2호
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    • pp.88-92
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    • 2014
  • We hereby report a case on bronchogenic cyst which is initially non-infected, then becomes infected after bronchoscopic ultrasound (US)-guided transesophageal fine-needle aspiration (FNA). The non-infected bronchogenic cyst appears to be filled with relatively echogenic materials on US, and the aspirate is a whitish jelly-like fluid. Upon contrast-enhanced MRI of the infected bronchogenic cyst, a T1-weighted image shows low signal intensity and a T2-weighted image shows high signal intensity, with no enhancements of the cyst contents, but enhancements of the thickened cystic wall. The patient then undergo video-assisted thoracic surgery 14 days after the FNA. The cystic mass is known to be completely removed, and the aspirate is yellowish and purulent. To understand the image findings that pertain to the gross appearance of the cyst contents will help to diagnose bronchogenic cysts in the future.