• Clinical and Experimental Pediatrics
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• v.48 no.7
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• pp.723-730
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• 2005

Purpose : This study was performed to characterize the etiology and clinical features of acute viral lower-respiratory tract infections(LRI). Methods : Etiologic agents and clinical features of acute viral LRI were studied from October. 2003 through March. 2004 in hospitalized children with LRI(253 cases) at Samsung Cheil Hospital. The viruses were identified by indirect immunofluorescent method. Medical records of patients with proven viral LRI were reviewed retrospectively. Results : Ninety two cases(36.4%) were confirmed as viral infections. The identified pathogens were respiratory syncytial virus(RSV, 76.0%), adenovirus(ADV, 12.0%), influenza virus type A(INFA, 9.8 %), influenza virus type B(INFB, 1.1%) and parainfluenza virus(PIV, 1.1%). Eight four point eight% of patients were younger than 2 years of age. Clinical diagnosis of LRI were pneumonia(56.5%), bronchiolitis(35.9%), tracheobronchitis(4.3%) and croup(3.3%). The clinical symptoms and signs were cough(98.8%), rhinorrhea(82.6%), fever(70.7%), rale(67.4%), wheezing(29.3%), chest retraction(28.3%) and cyanosis(4.3%). The severe respiratory symptoms and signs were more common in RSV-infected patients, even cyanosis could be observed. Seventeen point four percent of patient had fever of $38.5^{\circ}C$ or higher and their most common etiologic agent was INFA(66.7%). Twenty three point nine percent had fever more than 5 days and common etiologic agent was INFA(77.8%). The elevated WBC count($>14{\times}10^3/{\mu}L$) was in 14.1%, and common etiologic agents were INFA(22.2%) and ADV(18.2%). C-reactive protein(CRP >4.0 mg/dL) was increased in 13.0%, and common in ADV(63.6 %). Increased aspartate aminotransferase(AST)/alanine aminotransferase(ALT) was detected in 10.9%, and the most common etiologic agent was RSV(12.9%). Conclusion : The common agents of acute viral LRI were RSV, ADV and INF, respectively. Because the etiologic agents present variable clinical features, it may be helpful to treat and to evaluate acute viral LRI that we should understand their etiologic variability.

• Korean Journal of Microbiology
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• v.53 no.3
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• pp.156-162
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• 2017

Legionnaires' disease (LD) is a severe and potentially fatal pneumonia caused by colonization of human-made water system and subsequent aerosolization and inhalation of Legionella bacteria. A total of 147 Legionella strains was isolated from environmental water sources from public facilities in Gyeonggi-do, South Korea. The distribution of Legionella isolates was investigated according to facility type, and sample type. L. pneumophila was distributed broadly throughout Gyeonggi-do, accounting for 85.7% of the isolates, and L. pneumophila serogroup (sg) 1 predominated in all of the public facilities. L. wadsworthii predominated among non-L. pneumophila species. We performed comparative analyses of L. pneumophila sg 1 isolated from environment water of public facilities in Gyeonggi-do by pulsed field gel electrophoresis (PFGE) and sequence-based typing (SBT). Thirty-two isolates were classified into 22 types by PFGE and 9 sequence types (STs) by SBT and categorized into 3 groups. ST1 was the most prevalent sequence type and two STs obtained in this study had unique allelic profiles. The use of SBT data from different countries for epidemiology study of LD constitutes a technically uncomplicated and relatively easy method for strain subtyping, especially compared to other contemporary techniques.

• Journal of Chest Surgery
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• v.39 no.2 s.259
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• pp.134-139
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• 2006

Background: Complications after surgery for esophageal cancer are various and not rare. Among them, pulmonary complication is well known as one of the most important insults which has negative influence on the postoperative course and results in mortality. So we attempted to analyze the factors which may have relation to postoperative pulmonary complication. Material and Method: The retrospective study was undertaken in 87 patients who underwent curative surgery for esophageal cancer from Jan. 1996 to Aug. 2005. We divided them into two groups, patients with pulmonary complication (group A, n=28), without pulmonary complication (group B, n=59). Statistical analysis was performed with Fisher's exact test. Result: The postoperative pulmonary complication developed in 28 patients ($32\%$). There was no difference between two groups in past medical history, preoperative pulmonary function, surgery time, anastomosis method, pathologic stage, and trial of neoadjuvant therapy. Age and incidence of cervical anastomosis were significantly higher in group A (p=0.001, p=0.023). The rate of routine postoperative ventilator care was significantly higher in group S (p=0.007). Chest tube indwelling time and hospital stay were significantly longer in group A (p=0.011, p=0.001). There were 6 postoperative deaths ($6.8\%$) and 5 deaths were related to pulmonary complication. Pneumonia was the most common cause of death and MRSA (methicillin resistant staphylococcus aureus) was the most common organism in sputum culture. Conclusion: Pulmonary complication after esophageal cancer surgery was the most important cause of death. Pulmonary complication was closely related to patient's age and cervical anastomosis. We think postoperative routine ventilator care is helpful for prevention of pulmonary complications, especially MRSA pneumonia, and reducing mortality.

• Clinical and Experimental Pediatrics
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• v.49 no.4
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• pp.401-409
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• 2006

Purpose : Human metapneumovirus(hMPV) is a respiratory viral pathogen that causes a wide spectrum of illnesses, ranging from asymptomatic infection to severe bronchiolitis. The virus has been identified world widely, but so far it has not been published in Korea. Methods : We obtained clinical samples by nasopharyngeal aspiration from 218 children hospitalized due to acute lower respiratory tract infections at Soonchunhyang University Hospital in Cheonan from October, 2004 to April, 2005. We designed specific primers from conserved region of fusion glycoprotein of hMPV. Total RNA was extracted and RT-PCR was performed, and single specific 423 bp product was obtained. The PCR product was confirmed to be fusion glycoprotein RNA by sequencing. Results : We detected hMPV in 15(6.9 percent) of the 218 hospitalized children. The infected children comprised nine boys and six girls; their mean age was 2.8 years(5 mo-12 yrs) and they were diagnosed with pneumonia(60 percent), bronchiolitis(33.3 percent), croup(6.6 percent). The number of cases of detected hMPV in Korea increased dramatically during the period from March to May 2005. Conclusion : hMPV is circulating in Korean children and is associated with respiratory tract infection. Additional studies are required to define the epidemiology and the extent of diseases in the general population caused by hMPV.

• Clinical and Experimental Pediatrics
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• v.52 no.6
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• pp.661-666
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• 2009

Purpose : To determine the prevalence and clinical features of codetected respiratory etiological agents for acute respiratory infection in hospitalized children. Methods : Nasopharyngeal aspirates were obtained from hospitalized children with acute respiratory infection at Dankook University Hospital from September 2003 through June 2005. Immunofluorescent staining and culture were used for the detection of respiratory viruses (influenza virus [IFV] types A, B; parainfluenza virus [PIV] types 1, 2, 3; respiratory syncytial virus [RSV]; adenovirus [AdV]). Polymerase chain reaction (PCR) assays were used for Mycoplasma pneumoniae (MP) and Chlamydia trachomatis (CT) detection, and PCR and culture were performed for enterovirus detection. Acid-fast staining and culture were performed for tuberculosis detection. The demographic and clinical characteristics were reviewed retrospectively from the patients medical records. Results : Evidence of two or more microbes was found in 28 children: RSV was detected in 14, PIV 3 in 10, AdV in 10, MP in 8, PIV 2 in 8, CT in 4, and PIV 1 in 3. Codetected agents were found as follows: RSV＋PIV 2, 6 patients; AdV＋MP, 4 patients; AdV＋PIV, 3 patients; RSV＋MP, 3 patients; PIV 1＋PIV 3, 3 patients. Distinct peaks of codetected agents were found in epidemics of MP and each respiratory virus. Conclusion : The codetected infectious agents were RSV, PIV, AdV, and MP, with distinct peaks found in epidemics of MP and each respiratory virus. Although advances in diagnostic methods have increased the prevalence of codetection, its clinical significance should be interpreted cautiously.

• Pediatric Infection and Vaccine
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• v.27 no.2
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• pp.83-89
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• 2020

Purpose: Group A streptococcus (GAS) is a common pathogen in pediatric patients and often causes acute pharyngotonsillitis and skin and soft tissue infections. In addition, bacteremia with significant morbidity and mortality can also occur. This study was conducted to describe the clinical manifestations and treatment outcomes of pediatric GAS bacteremia patients in Korea. Methods: This was a single-center, retrospective study. From January 2000 to December 2016, pediatric patients aged ≤18 years with GAS bacteremia were studied. Clinical manifestations, underlying diseases, intensive care unit stay, and antibiotic susceptibility were evaluated. Results: During the study period, 19 patients had GAS bacteremia. Ten (53%) were male, and the median age was 7.4 years (range, 0.3-17.4 years). Fourteen (74%) had chronic underlying diseases. Five (26%) were immunocompromised (leukemia and chronic kidney disease). Eight (42%) had lymphatic or vascular malformations, of which seven had lesions with signs of inflammation. Three (16%) developed pneumonia, and two of them received ventilator care. The 30-day mortality rate was 6% (1/19), and the cause of death was bacteremic pneumonia. All GAS isolates were sensitive to penicillin. Fifteen (79%) were sensitive to both erythromycin and clindamycin. Conclusions: This study identified various clinical manifestations of GAS bacteremia. GAS should be considered as a potential pathogen that can cause bacteremia and result in a serious clinical course.

• Proceedings of the Korean Society for Bioinformatics Conference
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• 2006.02a
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• pp.46-55
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• 2006

(주)지노믹트리는 DNA 마이크로어레이 기술을 기반으로 하는 분자진단회사로서, 다음의 세가지 사업에 전력하고 있다. 첫째는 독창적이며 특화된 바이오마커 발굴기술 (MAGIC system)을 바탕으로 각종 암진단을 위한 바이오마커 개발연구 두 번째는 당사의 원천 기술인 다중동시검출 시스템을 이용한 질병 진단 시스템 및 증폭시스템 세 번째는 마이크로어레이 기술을 이용한 유전자 발현 분석, Array CGH, DNA 메틸레이션 분석 그리고 miRNA 검출 등의 지노믹스시대의 연구를 위한 토탈솔루션을 제공하고 있다. 지난 5년간의 마이크로어레이 기반기술을 이용한 자체연구 활동을 수행하면서 축적된 마이크로어레이 관련기술 노-하우들을 국내 마이크로어레이 연구자들에게 공급하기 위하여 노력하고 있다. 특히 당사의 지노믹서비스 부문은 유전자 발현 분석 솔루션 제공을 위해서 자체적으로 제작하여 공급하고 있는 human cDNA(17K/25K) 및 rat cDNA (5.0K) 마이크로어레이, Human (22K) 및 mouse (10K) 올리고뉴클레오타이드 마이크로 어레이 그리고 미생물 연구를 위한 대장균 (6K) 및 폐렴균 (2.2K) 올리고뉴클레오타이드 마이크로어레이 제공 및 이를 이용한 유전자 발현 분석 서비스를 제공하고 있다. 체적으로 제작되는 마이크로어레이 서비스는 2001년 도입한 ISO9001 품질인증시스템의 기반하에서 제작부터 생산까지의 엄격한 품질관리 과정을 거쳐서 고품질의 마이크로어레이를 이용한 분석서비스를 제공 하고 있다. 또한 고객요구형 서비스를 위하여 국외 유수의 마이크로어레이 회사 (Agilent, Microarray Inc, TIGR, Eurogentec 등)의 whole genome 기반의 마이크로어레이 제품을 이용한 분석서비스를 제공하고 있으며 마이크로어레이 실험을 위해서 필수적으로 이용되고 있는 시약 (labeling kit), 마이크로어레이 hybridization을 위한 hardware (hybridization chamber, hnay centrifuge)등을 자체적으로 개발하여 공급하고 있다. DNA copy number 측정을 위한 Array CGH 분석을 위해서는 자체적으로 제작공구하고 있는 human cDNA 마이크로어레이 (17K/25K) 그기고 rat (5.0K) 마이크로어레이를 이용한 분석서비스 및 whole genome 기반의 Agilent 올리고뉴클레오타이드 CGH 어레이 (44K, 35Kb resolution)를 이용한 분석서비스를 제공하고 있다. Epigenetic study를 하는 연구자들을 위한 메틸레이션 마이크로어레이 분석 서비스를 제공하고 있다. 기존분석법인 Bisulfite 처리기반의 분석이 아닌 enzyme digestion후 PCR 증폭방법을 이용한 분석방법을 이용함으로써, bisulfite 처리에 의한 DNA 손실문제를 최소화 하였다. 현재 50개의 문헌을 통해 잘 보고된 메틸레이션 유전자들에 대한 분석서비스를 제공하고 있으며, 지속적으로 표적컨텐츠의 숫자를 증가시킬 예정이다. 최근 많은 연구자들의 관심을 끌고 있는 micro RNA 검출을 위한 DNA 마이크로어레이 서비스를 제공할 예정이다 (2006년 3월 출시). 현재 까지 알려진 약 320개의 모든 miRNA를 탑재하고 있는 소형 DNA 마이크로어레이를 이용한 분석서비스로서 1장의 마이크로어레이 실험을 통하여 알려진 모든 miRNA의 비교분석이 가능하다. 마이크로어레이 실험 뿐만 아니라 data 분석을 위한 software도 상당히 중요한 비중을 차지하고 있다 이를 위하여 (주)지노믹트리는 Agilent에서 개발한 GeneSpring GX (유전자 발현 분석), Signet (마이크로어레이 database) 및 GeneSpring GT (SNP 분석)를 공급하고 있다. 통계적인 기반 지식의 없은 일반 user들을 위한 간편하면서도 종합적인 기능을 포함하고 있는 우수한 프로그램으로 이미 국제적으로 많은 인정을 받고 있다. (주)지노믹트리는 국내외 많은 연구자들의 경제적, 시간적 연구여건을 고려한 마이크로어레이 토탈솔루션을 제공하고 있으며, 실험 분석에서 data 마이닝 그리고 마이크로어레이 실험 디자인에 이르는 토탈솔루션을 제공하고 있다.

• Korean Journal of Microbiology
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• v.43 no.1
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• pp.7-13
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• 2007

Pasteurella multocida is one of the important animal pathogen causing widespread infections in various domestic animals. In swine, it causes severe respiratory diseases such as atrophic rhinitis and pneumonic pasteurellosis. To develop the efficient subunit vaccine against swine atrophic rhinitis, we investigated protective antibodies and humoral immunity of outer membrane protein H (OmpH) which is one of the major outer membrane proteins in P. multocida. Outer membrane fraction of P. multocida was immunologically detectable using antisera from both mice groups vaccinated by formalin-killed whole cells and by commercial vaccine. The expression vector for production of recombinant OmpH was constructed and the recombinant OmpH was expressed and purified from E. coli. Recombinant OmpH showed high antigenic and immunogenic properties in mice vaccination and ELISA with antisera.

• Korean Journal of Veterinary Service
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• v.45 no.1
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• pp.63-69
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• 2022

Proliferative and necrotizing pneumonia (PNP) is a form of interstitial pneumonia that occurs in post-weaning pigs. In this study, we investigated the presence of swine influenza virus (SIV), porcine reproductive and respiratory syndrome virus (PRRSV), porcine circovirus type 2 (PCV2) and Aujeszky's disease virus (ADV) in PNP lesions in Jeju pigs. Based on the histopathologic criteria for PNP, a total of 50 cases were selected in Jeju pigs between 2008 and 2010. Coupled with histopathological examinations, the presence of ADV and SIV by polymerase chain reaction (PCR) and reverse transcription PCR (RT-PCR) and PRRSV and PCV2 by immunohistochemical (IHC) methods were investigated. Based on the PCR and RT-PCR methods, ADV and SIV nucleic acids were not detected in all cases. According to IHC, PRRSV was detected in 38 of the 50 cases examined (76%) and PCV2 in 25 cases (50%). PRRSV or PCV2 were detected in 19 (38%) or 6 (12%) cases, respectively. Both PRRSV and PCV2 were identified in other 19 cases (38%). Antigens of PRRSV and PCV2 were commonly observed in the cytoplasm of macrophages and clusters of necrotic cells in alveolar cavities. The results of the present study demonstrate that PRRSV is predominantly associated with PNP in Jeju pigs. Co-infection with PRRSV and PCV2 may enhance the severity of PNP lesions in affected pigs.

• Journal of the Korean Society of Radiology
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• v.17 no.6
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• pp.873-879
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• 2023

This study explored the use of artificial intelligence(AI) to detect foreign bodies in chest X-ray images. Medical imaging, especially chest X-rays, plays a crucial role in diagnosing diseases such as pneumonia and lung cancer. With the increase in imaging tests, AI has become an important tool for efficient and fast diagnosis. However, images can contain foreign objects, including everyday jewelry like buttons and bra wires, which can interfere with accurate readings. In this study, we developed an AI algorithm that accurately identifies these foreign objects and processed the National Institutes of Health chest X-ray dataset based on the YOLOv8 model. The results showed high detection performance with accuracy, precision, recall, and F1-score all close to 0.91. Despite the excellent performance of AI, the study solved the problem that foreign objects in the image can distort the reading results, emphasizing the innovative role of AI in radiology and its reliability based on accuracy, which is essential for clinical implementation.