• Pediatric Infection and Vaccine
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• v.15 no.1
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• pp.68-71
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• 2008

Septic encephalopathy is defined as brain dysfunction secondary to sepsis. It occurs in septic patients as a manifestation of multi-organ dysfunction. Without evidence of intracranial infection, various extracranial infections causing severe sepsis may induce septic encephalopathy. We report a patient with septic encephalopathy complicating acute appendicitis. Initially, the patient presented with impaired mental state and raised liver enzymes.

• Journal of Korean Society of Water and Wastewater
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• v.27 no.1
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• pp.59-67
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• 2013

The odor occurring in the sewage system induces the displeasure, the disgust such as the headache, the vomit, etc. and increases the spiritual stress and disturbs the pleasant life of residents. These odors occur mainly in the area of combined sewage system treatment, being created in the personal sewage treatment plant such as septic tank and are incoming to sewage pipes and emitted to the outside through the manhole and the receiver, etc.; and this causes odors to the people. The Hydrogen Sulfide, the Methyl Mercaptan, the Ammonia, etc. are materials causing the odor, the more serious issue of odor is occurring since the septic tank of degradation process is being applied. The primary cause of odor is the decomposition of human feces in the septic tanks and sewage disposal facilities. The purpose of this study is reduction of hydrogen sulfide using air supplying and SOB(Sulfur-Oxidizing Bacteria). As a result of this study of the air supply system and the SOB media equipment by air supply, in case the air is injected to SOB media compared to the injection of air only, the removal efficiency the hydrogen sulfide was average 3.4 times higher.

• Journal of Korean Society on Water Environment
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• v.31 no.4
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• pp.418-427
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• 2015

This study was carried out to evaluate the performance of a lab-scale novel septic tank system for improving the conventional septic tank in the developing countries of water shortages. The lab-scale novel septic tank system consists of sepetic tank, aeration tank with HBC-ring, and sand filter. Optimum HRT was reguired about 1.5days to get a total COD removal efficiency of 90%, COD, BOD and SS removal efficiency was about 70%, 60%, and 85% in sepetic tank only. The structure of sepetic tank with two stages results in the high removal efficiency of organic matter. When sepetic tank, aeration tank, and sand filter were more than HRT 1.5days, 18hrs, and 12hrs, respectively, final effluent was less than 20 mg/L of BOD, 14 mg/L of SS, so that there is a high potential of its use for reusing water in flush toilet. There is no significant effect of HRT change on nutrient removal. Total nitrogen removal efficiency was about 40%, final effluent was 30~40 mg/L of TN, total phosphorus removal efficiency was about 11~25%, final effluent was 9~12 mg/L of TP. Because there is very small amounts of organic nitrogen and phosphorus in effluent, it was possible to reuse water for agricultural use.

• YAKHAK HOEJI
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• v.51 no.6
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• pp.476-481
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• 2007

A polymorphic fungus, Candida albicans, causes various forms of infections such as disseminated candidiasis and vaginitis. Recent reports indicate that the fungus is a main etiological agent for the arthritis. In search of new sources for treatment of the fungal arthritis, we examined $18{\beta}$-glycyrrhetinic acid ($18{\beta}$-GA) against C. albicans-caused septic arthritis. The compound is isolated from Glycyrrhizae Radix that is known to have various immunomodulating activities and is one of the most popular herbal medicines. For induction of animal model of a septic arthritis, mice were given an emulsion form of C. albicans cell wall mixed with Complete Freund's Adjuvant (CFA) via footpad-injection. To determine prophylactic and therapeutic effects, the component was given to the animals before or after the induction of the arthritis, respectively. Data showed that intraperitoneal administration of $18{\beta}$-GA resulted in reduction of the inflammation, indicating the component had both prophylactic and therapeutic activities. For investigation of mechanism of the $18{\beta}$-GA, inhibitory effects on NO (nitiric oxide) and on T-lymphocyte proliferation were determined. Results demonstrated that $18{\beta}$-GA suppressed NO production from LPS (lipopolysaccharide)-treated macrophages and also inhibited proliferation of Con A (concanavalin A)activated T-cells. Taken together, $18{\beta}$-GA, a pentacyclic triterpene, has anti-arthritic activity against C. albicans-caused septic arthritis, possibly by blocking NO production and T-cell suppression.

• Journal of Oral Medicine and Pain
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• v.44 no.3
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• pp.127-132
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• 2019

Septic arthritis of the temporomandibular joint (TMJ) is an uncommon disease caused by microbial pathogens through hematogenous infection, local spread, or iatrogenic infection. As the symptoms have an insidious onset, the early stage of septic arthritis is often confused with other diseases. A 49-year-old man was referred for increasing preauricular pain, swelling, and restricted mouth opening. He had been initially diagnosed as having a conventional temporomandibular joint disorder and trigeminal neuralgia and had been treated for the same. Imaging studies including panoramic view, lateral tomography, computed tomography with contrast enhancement, and magnetic resonance imaging were performed. Erosive bone change with displacement of the involved condyle, diffuse swelling of adjacent soft tissue, and fluid collection in the joint space were noted. Needle aspiration of the joint space and bacterial culture confirmed the diagnosis of septic arthritis of the TMJ and he was treated with antibiotic therapy and surgical drainage. Clinicians should always consider the diagnosis of septic arthritis of the TMJ in patients with preauricular pain or swelling.

• The Korean Journal of Physiology and Pharmacology
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• v.26 no.6
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• pp.511-518
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• 2022

Sepsis-associated myocardial injury, an invertible myocardial depression, is a common complication of sepsis. Neogambogic acid is an active compound in garcinia and exerts anthelmintic, anti-inflammatory, and detoxification properties. The role of neogambogic acid in sepsis-associated myocardial injury was assessed. Firstly, mice were pretreated with neogambogic acid and then subjected to lipopolysaccharide treatment to induce sepsis. Results showed that lipopolysaccharide treatment induced up-regulation of biomarkers involved in cardiac injury, including lactate dehydrogenase (LDH), creatine kinase-MB (CK-MB), and troponin I (cTnI). However, pretreatment with neogambogic acid reduced levels of LDH, CK-MB, and cTnI, and ameliorated histopathological changes in the heart tissues of septic mice. Secondly, neogambogic acid also improved cardiac function in septic mice through reduction in left ventricular end-diastolic pressure, and enhancement of ejection fraction, fractional shortening, and left ventricular systolic mean pressure. Moreover, neogambogic acid suppressed cardiac apoptosis and inflammation in septic mice and reduced cardiac fibrosis. Lastly, protein expression of p-p38, p-JNK, and p-NF-κB in septic mice was decreased by neogambogic acid. In conclusion, neogambogic acid exerted anti-apoptotic, anti-fibrotic, and anti-inflammatory effects in septic mice through the inactivation of MAPK/NF-κB pathway.

• Journal of Yeungnam Medical Science
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• v.40 no.2
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• pp.193-197
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• 2023

Klebsiella pneumoniae is an uncommon cause of septic arthritis in adults. However, late detection can cause serious complications, including joint destruction and immobility. The purpose of this study was to report a case of successfully treated septic arthritis of the hip joint (SAHJ) caused by K. pneumoniae. A 49-year-old female patient presented to our hospital with fever and progressive severe pain in the right hip area. Although there was no abnormality on plain radiographs, ultrasonography revealed diffuse swelling of the right hip joint. Under ultrasonography guidance, the hip joint fluid was aspirated, and Gram staining and culturing were performed. The patient's pain was significantly reduced after the joint aspiration. The Gram staining and culturing revealed gram-negative bacilli, which were subsequently identified as K. pneumoniae. According to the results, systemic intravenous antibiotic (ceftriaxone) was administered without complications, and the patient was discharged on oral antibiotic (ciprofloxacin). Clinical cases of septic arthritis of the knee or sacroiliac joint have been occasionally reported in adults, but cases of SAHJ are rare. Moreover, K. pneumonia-induced SAHJ has not been reported to date. Therefore, we report this very rare case and its successful treatment.

• Journal of Yeungnam Medical Science
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• v.35 no.2
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• pp.248-252
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• 2018

Puerperal sepsis is one of the leading causes of maternal morbidity and mortality worldwide. Postpartum pelvic infections can cause various complications, including wound infections and necrotizing fasciitis. Several microorganisms are known to cause such infections; however, no study has reported on Staphylococcus caprae, a coagulase-negative staphylococcus that is isolated frequently from animals and infrequently from human specimens, as a causative agent. Here, we report a rare case of septic shock complicated by necrotizing fasciitis after a cesarean section. This is the first report of a human isolate of S. caprae in association with puerperal sepsis and necrotizing fasciitis.

• Archives of Reconstructive Microsurgery
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• v.21 no.2
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• pp.137-142
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• 2012

Purpose: To report the clinical and radiological result of the vascularized fibular epiphyseal transplantation in the treatment of humeral head deformity by septic arthritis Material & Methods: A 3 years old male who has humeral head deformity and bone defect by septic arthritis on neonatal period. We replaced bone defect as vascularized fibular epiphyseal transplantation and lengthened humerus shaft for humerus discrepancy. We followed it up for 14 years. Result: We saw the callus formation 2 months after surgery and obtained bone union, one year after surgery. The transplanted fibular bone got hypertrophy. We could check full range of motion on lt. shoulder and The bone deformity was not worsened and The graft did not displaced on last follow up. Conclusion: Humeral head reconstruction by vascularized fibular epiphyseal transplantation showed good clinical outcome.

• Journal of Environmental Health Sciences
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• v.29 no.1
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• pp.28-33
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• 2003

This study was carried out to treat sewage using sand trench combined with septic tank process in rural areas. In order to find optimum parameters, design and operation mode was changed from Run 1 to Run 4. In order to facilitate nitrification and T-P removal, diffuser and iron plate was installed in the 3rd trench of Run 2 period. The septic tank played a role as pre-application process of sand trench system. The removal efficiencies of COD, NH$_4$-N, T-P at steady state were 94.6%, 87.9% and 54.5%, respectively. Addition of diffuser and iron plate in the 3rd trench has increased the removal efficiencies of the NIL-N and T-P. In this system, denitrification were not occurred because of the high DO.