• Korean Journal of Occupational Health Nursing
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• v.3
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• pp.41-53
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• 1993

본 연구는 산업 간호사의 통상증상에 대한 투약 및 처치, 타의료기관에 의뢰내용, 응급조치 내용을 업종별로 비교 분석코저 한다. 연구방법은 산업간호사회에 등록된 산업장 중 서울, 인천, 마산, 창원, 부산, 울산지역에 있는 130개 산업장에 근무하는 산업간호사를 대상으로 설문조사하였다. 연구결과는 다음과 같다. 1) 신체기관별 통상증상에 대한 처치 및 투약은 서비스업과 제조업, 기타제조업 모두에서 소화기계, 호흡기계증상에 대한 처치 및 투약 업무가 가장 많았으며 업종별로 보면 서비스업의 경우 소화불량, 감기, 근육통, 설사, 기침, 두통, 복통, 구토, 변비 등이 80% 이상을 차지하였다. 제조업의 경우 소화불량, 감기, 설사, 두통, 근육통 등이 많았으며 기타제조업의 경우 감기, 두통, 소화불량, 근육통, 설사, 기침, 눈다락지 순으로 나타났다. 2) 근로자를 타의료기관에 의뢰 하는 내용은 즉각적인 수술을 요할때나 골절, 내부장기의 손상, 두뇌손상, 출혈 등으로 나타났다. 3) 업종별 응급조치내용은 서비스업에서는 화상과 쇼크, 출혈이 가장 많았으며 유해물질의 급성중독의 경우가 가장 적었다. 제조업에서는 화상, 골절, 쇼크, 출혈, 유해물질의 급성중독이, 기타제조업에서는 화상, 골절, 쇼크, 출혈의 순으로 많았다. 4) 업종별 구비관리하고 있는 의약품은 서비스업종이 제조업, 기타제조업보다 많은 의약품을 구비하고 있었으나 경미한 통상증상에 대한 의약품으로 나타났다. 이러한 연구결과들을 통해 볼때 제조업, 기타제조업, 서비스업종의 보건관리자가 일차보건의료수준에서의 투약 및 처치를 시행하고 있는 바, 이에 대한 구체적이고 명확한 투약의 범위를 설정하여 보건관리자의 직무를 표준화할 필요가 있으며 서비스업종에 종사하는 근로자의 건강문제와 관련요인을 구체적으로 연구할 것을 제안한다.

• Journal of Veterinary Clinics
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• v.29 no.5
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• pp.395-399
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• 2012

In 2011, several herds in Youngju city in Gyeongbuk province underwent an outbreak of bovine viral diarrhea virus (BVDV) causing high morbidity and mortality. Genetic analysis revealed that two subgenotypes of BVDV-1b (n = 21) and BVDV-2a (n = 7) were identified. The BVDV-1b subgenotype was most frequently detected from our field cases and BVDV-2a subgenotype was also identified in this outbreak. These BVDV-1b infections showed severe acute clinical manifestations similar to BVDV-2 infection. This result reports the detection of BVDV-1b associated with an acute and fatal outbreak of BVDV in Korean indigenous calves.

• 건강소식
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• v.37 no.2
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• pp.14-15
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• 2013

과식과 폭식은 건강의 적이다. 소화불량, 역류성 식도염, 복통, 복부팽만감, 설사 등 위장 장애를 일으킬 뿐만 아니라 급성장염이나 드물지만 급성췌장염 등의 심각한 병으로까지 발전할 수 있기 때문이다. 현대인들의 만병의 근원인 비만의 원인이 되기도 한다. 특히 설과 같은 명절기간엔 평소보다 튀김이나 전, 잡채 등과 같은 기름기와 지방이 많은 음식을 더 많이 섭취하기 때문에 각별한 주의가 필요하다. 건강한 설을 보낼 수 있는 식습관에 대해 알아보자.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.7 no.2
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• pp.143-152
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• 2004

Purpose: The purpose of this study is to detect viral coproantigens in children who were hospitalized with acute diarrhea and to compare its association with clinical symptoms. Methods: Seventy-four stool samples were collected from children admitted to Ewha Mokdong Hospital from March 1996 to December 1999. The samples were frozen and analyzed for rotavirus, adenovirus, enterovirus, astrovirus, and calicivirus by enzyme immunoassay (EIA) with monoclonal antibody. 53 stool samples were collected from patients with diarrhea (diarrheal group) and 21 stool samples from patients hospitalized for reasons other than diarrhea (control group). Clinical features and laboratory findings were reviewed in both groups. Results: Among 74 stool samples, virus antigens were detected in 60 samples. Of the 60 virus-positive stool samples, 47 enterovirus, 26 rotavirus, 16 adenovirus, 11 astrovirus, and 11 calicivirus antigens were detected by EIA. Of the 60 virus-positive stool samples, 28 samples have one viral antigen, 30 samples have 2 or more viral antigens, and 2 samples showed a simultaneous infection of Salmonella group B and enterovirus. There was no relationship between the detected virus and clinical features. Conclusion: In this study, viral coproantigen and clinical symptoms were not associated. In the future, further larger scale studies are necessary.

• Journal of the korean veterinary medical association
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• v.43 no.4
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• pp.315-319
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• 2007

최근 우리나라 소 사육농가에서 육성 및 자우에서 빈번하게 일어나는 세균성 및 바이러스성 설사병은 익히 알려져 있어 주의 깊게 관찰되어 치료와 예방을 잘하고 있으나, 정작 원충성인 콕시듐 설사병에 대해서는 간과하기 십상이다. 따라서 우리 대동물 임상수의사들도 특히 우상바닥 재료로 왕겨를 사용하는 농가들에 대해 관심깊게 봐두어 짚고 넘어가야 하지 않으면 아니되는 질병인 콕시듐증에 대해 정리하여 소개하고자 한다. 소 콕시듐병은 주로 포유기나 이유직후의 어린 소에서 발생하며, 포자층(Sporozoa)류에 속하는 Coccidia 원충(Potozoa)인 아이메리아(Eimeria) 및 Isospora속의 원충에 기인한 접촉성장염으로 장점막의 상피세포 파괴로 인한 급성출혈성 설사, 빈혈을 주 증상으로 하는 질병이며, 만성으로 될 경우는 성장지연과 생산성의 저하를 나타낸다.

• Journal of Veterinary Clinics
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• v.28 no.3
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• pp.287-290
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• 2011

Phylogenetic and nucleotide analysis revealed that severe acute bovine viral diarrhea virus (BVDV) outbreaks from Korean indigenous calves belonged to BVDV-2a, and were identical to those of the highly pathogenic BVDV-2 strain 890, with identical virulence markers and classified as highly virulent. These outbreaks affected young calves (20 and 40 day-old) and were characterized by hemorrhagic diarrhea, depression, anorexia, and weakness. The identification of the highly virulent BVDV-2 isolates among Korean indigenous calves may have important implications for epidemiological studies, diagnostic and immunization strategies.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.13 no.1
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• pp.30-35
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• 2010

Purpose: Infectious ileocecitis is an infection confined to the ileocecal area and one of the most common causes of pediatric abdominal pain. This study was performed to demonstrate the clinical features of infectious ileocecitis in children. Methods: The medical records and radiologic findings of 37 patients with ileocecitis diagnosed by ultrasonography and/or computed tomography, who were admitted to Pusan National University Hospital from January 2004 and July 2008, were reviewed retrospectively. Viral gastroenteritis and secondary ileocecitis were excluded. Results: The mean age of the patients was 4.8${\pm}$3.4 years. One-half of the patients were preschool children. The chief complaint was abdominal pain (75.7%), diarrhea (10.8%), and vomiting (8.1%). Accompanying symptoms were fever (56.8%), vomiting (21.6%), and diarrhea (16.2%). The mean duration of abdominal pain, fever, diarrhea, and vomiting was 3.8${\pm}$2.1, 3.0${\pm}$1.9, 3.4${\pm}$1.9, and 2.4${\pm}$2.3 days, respectively. The frequency of diarrhea and vomiting was 5.8${\pm}$2.2 and 4.0${\pm}$2.8 per day, respectively. Diagnosis was made by abdominal ultrasonography in 22 patients (59.5%), abdominal CT in 2 patients (5.4%), and both modalities in 13 patients (35.1%). Besides the radiologic finding of thickening of the bowel wall, mesenteric lymphadenitis (59.5%), ascites (5.4%), and both mesenteric lymphadenitis and ascites (16.2%) were revealed. The mean duration of illness was 7.5${\pm}$5.0 days. There were no specific laboratory findings, and culture studies with stool or blood were negative. All of the patients recovered completely without specific treatment. Conclusion: Infectious ileocecitis has acute appendicitis-mimicking symptoms, but is self-limited within a few days, thus unnecessary treatment and work-up is avoided. However, distinguishing infectious ileocecitis from appendicitis, inflammatory bowel disease, and mesenteric lymphadenitis is important.

• Clinical and Experimental Pediatrics
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• v.53 no.2
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• pp.253-257
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• 2010

Hemolytic uremic syndrome (HUS) is the most common cause of acute renal failure in children younger than 4 years and is characterized by microangiopathic hemolytic anemia, acute renal failure, and thrombocytopenia. HUS associated with diarrheal prodrome is usually caused by Shiga toxin-producing Escherichia coli O157:H7 or by Shigella dysenteriae, which generally has a better outcome. However, atypical cases show a tendency to relapse with a poorer prognosis. HUS has been reported to be associated with acute lymphoblastic leukemia (ALL) in children. The characteristics and the mechanisms underlying this condition are largely unknown. In this study, we describe the case of an 11-year-old boy in whom the diagnosis of ALL was preceded by the diagnosis of atypical HUS. Thus, patients with atypical HUS should be diagnosed for the possibility of developing ALL.

• Food Science and Industry
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• v.44 no.1
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• pp.59-62
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• 2011

전세계적으로 감염성 질환은 주요한 건강 문제이다. 장내 미생물 균총은 해로운 미생물로부터 숙주를 보호할 뿐 아니라 면역계에 있어서 매우 중요한 역할을 한다. 이점이 바로 프로바이오틱스 즉, 건강에 도움을 주며 살아있는 미생물로 정의되는 기본 개념을 탄생시켰다. Lactobacillus rhamnosus GG(이하 LGG) 균은 세계적으로 가장 많이 연구된 프로바이오틱스 균종 중 하나로서, 확인된 효능의 대부분은 주로 위장관 질환에 관한 것이다. 몇몇 연구를 통해 급성 수양성 설사의 치료, 항생제 관련 증상의 예방, 그리고 여행자 설사에 대한 LGG균의 효과가 밝혀졌다. LGG균은 소아에서 호흡기 감염의 발생을 줄이거나 그 합병증을 감소시키는 것으로 보인다. 많은 연구를 통해 LGG 균, LC705, 그리고 프로피오니박테리움 PJS균을 모두 포함한 복합 유산균 제제인 $LGG^{(R)}$ Extra가 위장관 불편감을 줄이고 삶의 질을 향상시키는 것으로 나타났다. 따라서 LGG균의 사용은 감염성 질병의 관리와 위장관 건강을 얻는데 있어 안전하고 쉬운 방법이라 하겠다.

• Clinical and Experimental Pediatrics
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• v.52 no.4
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• pp.453-457
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• 2009

Purpose : Our aim was to describe the clinical features of noroviral gastroenteritis in children. Methods : This study included 22 children with noroviral gastroenteritis, as confirmed by stool RT-PCR, who were admitted to Bundang CHA Hospital between July 2006 and June 2008. Their medical records were reviewed and compared with those of 45 children with rotaviral gastroenteritis. Results : In the norovirus group, 19 (86.4%) children showed vomiting and 21 (95.5%) children showed diarrhea, while all children in the rotaviral group showed both vomiting and diarrhea. The duration of vomiting was not different in the two groups, but mean episodes of vomiting/24 h were higher in the norovirus group than in the rotavirus group. The duration of diarrhea was longer and mean episodes of diarrhea/24 h were higher in the rotavirus group. The Vesikari Scale was not different in the two groups. Frequency and duration of fever did not show a significant difference. Most children in both groups were below 2 years of age. Conclusion : Clinical features of noroviral gastroenteritis were largely similar to those of rotaviral gastroenteritis, but vomiting was more severe in noroviral infection, and diarrhea was more severe and prolonged in rotaviral infection. With regard to noroviral infection, further epidemiologic investigations and preventive efforts are essential.