• Journal of Chest Surgery
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• 제23권2호
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• pp.333-341
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• 1990

aortoiliac pattern, Group II; femoropopliteal pattern and Group g; tibioperoneal pattern. A majority of patients belonged to group I [27 cases], 8 patients came under group II .and none in group g. Thirty patients underwent bypass operation with autogenous saphenous vein or synthetic graft with or without concomitant lumbar sympathectomy. Remaining 5 patients were operated on with sympathectomy only, Bypass procedures were anatomic bypass in 22 cases: aortoiliac artery bypass in 11 cases, femoropopliteal artery bypass in 10 cases, sequential femoropopliteal artery bypass in one case and extra-anatomic bypass in 8 cases, axillary-bifemoral artery bypass in one case and femorofemoral artery bypass in 7 cases. Postoperative complications which mainly composed of superficial wound infection[5 cases] which were treated without any significant sequel in all cases and thrombosis[2 cases]. Three patients died whose causes of death were acute renal failure in 2 cases and myocardial infarction in other, The overall patency, rate was 70Zo in 5 years. In conclusion, the clinical pattern and operative outcome were similar to he western pattern and all cases of death did not related to operative procedures and ischemic symptoms were relieved by bypass operations except several cases. I think and recommend that all patients suffering chronic arterial insufficiency by atherosclerosis obliterans ought to be managed with urgent and adequate operative procedure.

• 한국잠사곤충학회지
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• 제27권2호
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• pp.20-27
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• 1985

가잠의 인고사료육에 있어서 핵다각체 바이러스 및 세포질 다각체 바이러스에 대한 품종별 저항성을 비교하고 이병잠의 각 조직에 있어서의 변화와 전기영동에 의한 체액 단백질의 변화를 비교, 분석하였던 바 다음과 같은 결과를 얻었다. 공시 잠품종 중 NPV에 비교적 저항성이 높은 품종은 잠107$\times$잠108 이었으며 CPV에 대한 저항성 단품종은 잠119$\times$잠120이었다. NPV를 경구접종 하였을 때 저농도(104, 105/ml)에서는 잠107$\times$잠108이 다른 품종에 비하여 낮은 치사율을 보였으나, 농도가 증가함에 따라 품종에 관계없이 높은 치사율을 보였다. CPV를 경구접종 하였을 경우 저농도(104, 105/ml)에서는 잠119$\times$잠120이 다른 품종에 비하여 낮은 치사율을 보였으나, 107~108/ml의 농도에서는 품종에 관계없이 높은 치사를 보였다. NPV에 감수성이 높은 조직은 지방조직진피세포, 기관피막세포 등이며 감염말기에는 진피세포와 지방조직이 완전히 파괴되어 체강중에 유리되었다. CPV의 경우는 중양의 원통세포질에만 감염되어 다각체를 형성하였으며, 일부 세포는 위염중으로 이탈하였다. NPV 이병잠의 체액 단백질 변화는 품종에 관계없이 병세의 진전에 따라 bands가 소실되거나 희미해졌다. CPV의 경우 품종에 관계없이 감염말기에도 bands의 수적인 변화는 없었으며 농도가 옅어진 1~2개의 band를 관찰할 수 있었다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제29권1호
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• pp.5-13
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• 2003

본 연구의 목적은 두경부 감염 환자에서 적혈구침강속도(ESR), 백혈구와 비교해 혈장 내 C-Reactive Protein(CRP)이 가지는 진단과 경과관찰에서의 기여도를 아는 데 있다. 본 연구를 위해 31명의 감염환자를 실험군으로, 32명의 악교정 수술 환자를 대조군으로 설정하여 다음과 같은 결과를 얻었다. 1. 실험군에서의 C-Reactive Protein(CRP)은 대조군의 CRP에 비해 더 높은 수치를 나타내며 감염이 지속되었던 증례를 제외하고는 지속적으로 감소하는 경향을 나타내었다(P<0.001). 2. ESR은 실험군과 대조군에서 모두 일정한 경향이 없었다. 3. 각 변수간의 상관관계는 CRP와 백혈구가 상관계수 0.664로 가장 높은 양의 상관관계를 나타내었다(r=0.664, P<0.01). 4. 설정된 ROC curve에서 분류기준값(cut-off value)의 변화에 따라 CRP 곡선의 증가가 빠르게 나타나고 측정된 곡선의 아래 면적(AUC: Area Under the Curve)이 0.744로 높은 값을 나타내어 예측의 정확도가 높다고 판단된다. 5. 실험군에서 회복일(recovery day)에 각 변수의 민감도는 CRP가 83%, ESR이 17%, 백혈구가 71%로 나타났다. 이상의 연구로 미루어 볼 때, 두경부 영역에서 CRP는 감염을 진단하고 경과관찰을 하는데 있어 ESR이나 Leukocyte에 비해 더 민감하게 환자를 감시(monitoring)할 수 있는 유용한 검사라고 사료된다.

• 대한의생명과학회지
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• 제10권3호
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• pp.309-315
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• 2004

Methicillin resistant Staphylococcus aureus (MRSA) is one of the most common nosocomial pathogens. Many hospitals are facing the problems which they have to use expensive antibiotics and suffer from long term hospital study of patients due to MRSA. This study is to survey MRSA nasal colonization of patients and doctors, and to investigate the mode of transmission of MRSA by pulsed field gel electrophoresis (PFGE) and then use these data to prevent further spread of cross infection and reduce nosocomial infection. Subjects of this study were 201 patients with MRSA infection at an university hospital in Busan from Sept. 1997 to Aug. 1998. Bacterial genotypes of MRSA strains isolated from nares and wound of patients (14 cases) and nares of doctors (8 cases) were analyzed by PFGE. Nasal cultures of 20 I patients for detecting nasal colonization of MRSA were performed and incidence rate of nasal colonization was 40％ (80/201). Among 201 patients MRSA were acquired from hospital in 140 (70％) patients and were acquired from community 61 (30％) patients. Among 14 pairs of MRSA from colonized or infected sites and anterior nares, DNA patterns of 10 pairs (71.4％) were equal. 86％ (12/14) MRSA strains isolated from patients and 12.5％ (1/8) MRSA strains isolated from doctors show same pattern. DNA patterns were changed in some doctors after nasal oint. Treatment. It could be inferred that the most sources of MRSA in hospital are the endemically existing MRSA. Therefore, we believe that it would be necessary to control MRSA nasal colonization of the patients and the related medical teams to reduce the medical cost and to improve the efficacy of medical cares.

• 생명과학회지
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• 제19권10호
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• pp.1451-1455
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• 2009

Porcine cytomegalovirus (PCMV) is a betaherpesvirus which causes reproductive failure in breeding sows and generalized infection in newborn piglets. It has worldwide distribution including Korea. Serological survey on this virus has been reported in 76.3% of pigs, but virological survey and epidemiological analysis on PCMV distribution have been reported in only a few papers in Korea. In this study, we investigated the virological prevalence and infection status of PCMV on a farm level in selected swine farms with respiratory diseases. A total of 1,938 blood samples taken from groups of pigs of different ages were collected from 31 farms distributed nationwide in 2006 and 2007 and tested by PCR to detect the presence of PCMV. Virological prevalence at farm level and pig level were 96.8% and 17.5%, respectively, suggesting that PCMV has endemically infected Korean pig herds. The prevalence at farm level in gilts, sows and suckling piglet groups were 16.7%, 36.7% and 56.7%, indicating that vertical infections frequently occurred in conception or newborn stage. Thereafter, detection rates of PCMV were slightly increased in pig groups aged 40 and 70 days (70.0% and 73.3%), and then gradually decreased as they aged - 33.3% in 100, 26.7% in 130 and 16.7% in 160 day old pig groups. The prevalence at pig level has similar patterns to that at farm level. With the passage of time, the variation of infection patterns of PCMV was investigated in four PCMV-positive farms. Three blood samples were collected at intervals of 6 months in each farm, and examined for presence of PCMV using PCR. The results revealed that once PCMV was introduced to the pig farms, it continuously circulated between and within groups of sows and piglets in those farms. Taken together, it can be concluded that PCMV has endemically infected Korean pig farms and has the potential risk for emerging pathogen in combination with the known endemic pathogens including porcine reproductive, respiratory syndrome virus and porcine circovirus type 2. Therefore, more research is needed on diagnosis, epidemiology and control strategy for PCMV on the field.

• 한국동물위생학회지
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• 제34권2호
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• pp.133-138
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• 2011

The prevention of porcine respiratory disease complex (PRDC) is very important because of its high infection-rates in the swine farms and the economic impact in swne industry in Korea. To control the prevalence of PRDC, it is important to know about infection patterns of it. Therefore, this study aimed to investigate the infection patterns of PRDC in the northern area of Gyeongsangnam-do. To this end, the infection of porcine reproductive and respiratory syndrome virus (PRRSV), porcine circovirus type 2 (PCV2), Actinobacillus pleuropneumoniae (APP), Mycoplasma hyopneumoniae (MH), and Swine influenza virus (SIV) were examined using 120 pig lung tissues by PCR analysis. As a result, single pathogen positive specimens were 25.0% and the others (75.0%) were turned out to be PRDC with at least two pathogens. Among PRDCs, 50 specimens (41.7%) was infected with PRRSV, PCV2, MH and SIV. Ten specimens (8.3%) showed triple infections of PRRSV, PCV2 and MH. Double infected specimens for PRRSV and PCV2 were 10 (8.3%), and for PCV2 and APP were 20 (16.7%).

• 대한미생물학회지
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• 제21권2호
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• pp.211-226
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• 1986

To understand the pathogenesis of anicteric leptospirosis with severe pulmonary hemorrhage occured in Korea, the microbiological and pathological features were observed in the experimentally induced leptospirosis in guinea pigs infected with a virulent strain of Leptospira interrogans isolated from the patient at Wonju, Korea, and the results are summarized as follows. 1. The main pathological features were widespread hemorrhages, especially affecting lung, skeletal muscles, retroperitoneal and perirenal adipose tissues. The hemorrhages accompanied inflammatory process especially of vasculitic pattern as well as occasional coagulation necrosis in the liver, skeletal muscle, and myocardium. The main inflammatory cells were of plasma cell even in the fairly early stage of the infection. 2. Those pathologic changes were more exaggerated in the inoculation site. 3. Within 144 hours of infection, the longer the infection time, the more antigens were observed in the tissues, and the severer the pathologic changes. 4. Leptospiral antigens were detected at first by indirect immunofluorescent and immunoperoxidase technics. As the infection time extended, the antigens were observed in all of the tissues examined except in the skeletal muscle. The shape of the antigens was spiral or thread-like within 72 hours of infection. As the infection progressed, they became fragmented and granular. 5. Leptospires were detected in the blood within 144 hours of infection by darkfield microscopic examination. Thereafter, none was observed. 6. Antibody to leptospires were detected as early as 72 hours of infection. In summary, the virulent strain of L. interrogans used in this experiment induced widespread hemorrhages with inflammatory reaction especially in lung, skeletal muscles, and retroperitoneal adipose tissue. With these findings, it is suggested that the direct toxic effect of leptospires might playa great role in the pathogenesis of this infection.

• International Journal of Oral Biology
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• 제35권1호
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• pp.7-12
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• 2010

The aims of this study were to investigate the nosocomial infection route of methicillin-resistant Staphylococcus aureus (MRSA) and explore preventative methods for this pathogen that involve blocking its dispersion. We cultured MRSA from nasal cavity swabs collected between June and July 2008 that we obtained from eight dental healthcare providers, 32 nurses and the sputum specimens of two patients from our hospital. In addition, we used VITEK 2 equipment to measure drug sensitivity, and we further performed biochemical testing and pulse-field gel electrophoresis (PFGE) to isolate MRSA colonies. The incidence of these bacteria on the nasal swabs was 25.0% from dental clinic healthcare providers, 13.6% from the internal medicine ward nurses and 30.0% from intensive care unit nurses. Moreover, MRSA was detectable in sputum specimens of ward patients. The antimicrobial agents resistance and partial PFGE types of MRSA showed a similar pattern. We suggest from these analyses that nasal cavity infection by MRSA could occur by cross contamination between healthcare providers and patients which underscores the importance of stringent MRSA management practices.

• 대한전기학회논문지:전력기술부문A
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• 제48권2호
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• pp.89-95
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• 1999

This study investigates the population model of the spread of HIV/AIDS which the infection is generated by an infectious individual in a population of susceptible. A mathematical model is presented for the transmission dynamics of HIV infection within the communities of homosexual males. The pattern on the epidemic character of HIV, the causative agent of AIDS, was analysed by the mathematical model of AIDS system which is derived according to the ecological relationship between five epidemilogic states of individuals. The computer simulation was performed using real data and the following conclusions are drawn on the basis of the simulations. 1. The model structure and the algorithm described n the thesis is good. 2. In proportion to increase Ro, the population of AIDS patient increases and the time of its widespread reaches earlier. 3. The AIDS patients will be maximum between 7 and 21 years after an attack of AIDS and widespread between 10 and 20 years. 4. Considering the properties of the incubation periods, the maximum number of infected person is increased, and the attack rate is decreased.

• 한국동물위생학회지
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• 제20권4호
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• pp.349-358
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• 1997

From December 1995 to July 1997, a total of 546 Korean indigenous goats were examined for the presence of internal parasites by parenchymal organs and fecal examinations. Four hundreds seventy eight(87.5%) of the goats were infected with 4 classes and 12 parasitic species. The nematodes were Haemonchus contortus(57.5%), Oesophagostomun venulosum (52.6%), Strongyloides papillosus(48.4%), Ostertagia sp(28.4%), Trichostrongylus colubriformis(17.0%), and Trichuris ovis(13.2%). The trematodes were Paramphistomum sp(17.6%), Fasciola hepatica(15.4%), and Eurytrema Pancreaticum (8.8%). The cestode was Moniezia expansa(16.7%), and the protozoa were Eimeria sp(74.9%) and Toxoplasma gondii(8.6%). The incidence of single or mixed infections among 12 parasitic species were one species infection (6.2%), 2 species(11.5%), 3 species(19.6%), 4 species(24.9%), 5 species(17.8%), 6 species(5.9 %), and 7 species(1.6), respectively. The level of infection according to the age was considerably higher under one year(97.2%) than between one and two years(89.7%), and over two years(69.3%) Among 12 parasites, seasonal pattern was remarkably observed. Most paracites were detected at the highest level in the Winter, whereas Strongyloides papillosus and Paramphistomum sp were in the Spring, and Ostertagia sp and Fasciola hepatica were in the Autumn. Infection rates of Anaplasma sp were 8.6% of 210 goats by blood smear method, and 51.0% by complement fixation test.