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A Retrospective Analysis of Characteristics of Probiotics Associated with Invasive Bacterial Infections in Children (소아청소년에서 발생한 유산균 제제에 포함된 균주에 의한 침습성 감염증의 후향적 분석)

  • Koh, June Young;Seo, Euri;Lee, Jina
    • Pediatric Infection and Vaccine
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    • v.24 no.3
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    • pp.168-177
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    • 2017
  • Purpose: The purpose of this study was to analyze the clinical features and risk factors of invasive infections caused by Lactobacillus spp. and Saccharomyces spp., components of commercially available probiotics. Methods: We analyzed demographic and clinical data from children ${\leq}18$ years of age with an invasive infection caused by Lactobacillus spp. or Saccharomyces spp. at the Asan Medical Center Children's Hospital from January 1998 to June 2016. Probiotic consumption data were also analyzed. Results: During the study period, a total of 24 episodes of invasive infections were caused by Lactobacillus spp. (n=16) and Saccharomyces cerevisiae (n=8). Along with the increase of probiotic use (755,594 [days/1,000 patient-admission days] in 2001 to 2005, 1,444,066 in 2006 to 2010, and 6,904,736 in 2011 to 2016), the incidence of probiotic-associated invasive infection increased ($R^2=0.70$). The median age of the patients was 1.8 years (range, 2 months to 17 years), and most of them had underlying medical conditions. The 30-day mortality rate was 20.8% (5/24), and 11 (45.8%) of these patients resulted from a severe invasive infection. We determined the risk factors for invasive infection to be: previous intensive care unit stay (odds ratio [OR], 3.0; 95% confidence interval [CI], 1.5 to 6.1] and the presence of a central venous catheter (OR, 2.2; 95% CI, 1.2 to 4.3). Conclusions: Although the probiotic-associated invasive infections rarely occurred in children, the incidence has increased along with probiotic pressure. Judicious use of probiotics is mandatory, especially in young children with underlying medical conditions and continuous surveillance will be needed to minimize the safety concerns.

The Effect of Long-term Application of Different Organic Material Sources on Chemical Properties of Upland Soil (유기물원이 다른 퇴비연용이 밭토양의 화학성 변화에 미치는 영향)

  • Kim, Jong-Gu;Lee, Kyeong-Bo;Lee, Sang-Bok;Lee, Deog-Bae;Kim, Seong-Jo
    • Korean Journal of Soil Science and Fertilizer
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    • v.33 no.6
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    • pp.416-431
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    • 2000
  • The objective of this study was to determine the effects of various kinds of composts on the change of soil chemical properties in upland soils. Field experiments were conducted in the loam and sandy loam soils. Various kinds of composts such as poultry manure compost(PMC), cow manure compost(CMC), human excrement sludge(HES), and food industrial sludge compost(FISC) were applied annually at rates of 0, 40, and $80Mg\;ha^{-1}$ to soils grown with soybean and maize plants for 4 years during 1994 to 1997. The results of this study were as follows : The continuous application of human excrement sludge decreased soil pH up to 4.4~5.0, while other compost treatments increased soil pH compared with control plot. The EC increased initially and showed their maximum values at 20days after compost application, and then decreased up to 40 days, thereafter kept a certain level. The available phosphorous accumulated at 0~20cm depth in loam soil, and 0~50cm in sandy loam soil. Annual accumulation rates were 17% higher in sandy loam soil than loam soil. The more compost application rates and times, the higher base saturation percentage increased in upland soils. Four year's application at a rate of $80Mg\;ha^{-1}$ per year increased the base saturation percentage to 87~97% compared with 45% at control plot in the loam soil. While in sandy loam soil only three year's application of same rate increased the base saturation percentage to 81~92% compared with 30.4% at control plot. The average annual increasing rate of base saturation percentage at the same application rates of composts were higher in sandy loam soil by 2.0~3.7 times than in loam soil. The application of compost increased the exchangeable Ca, Mg, and K contents of soils by 2, 2~3, and 3~5 times, respectively, compared with the control. The contents of exchangeable cations were high in surface soil, and decreased with increase of soil depths. In the case of heavy metal content, there were no difference at the application of PMC and CMC but Ni, Fe, Zn, Cu was increased a little when the HES applied, and Ni and Cr was increased application with FISC.

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Bronchoscopic Electrocautery with Electroprobe and Diathermic Snare in Patients with Malignant Airway Obstruction (중심성 폐암환자에서 악성 기도폐쇄에서 전기 탐침과 투열올가미를 사용한 전기 소작술의 효과)

  • You, Hong Jun;Choi, Pyoung Rak;Park, Eun Ho;Yang, Jae Hong;Choi, In Su;Kim, Hyoung Jun;Kim, Joo Hoon;Oak, Chul Ho;Cho, Hyun Myung;Jang, Tae Won;Jung, Maan Hong
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.5
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    • pp.504-509
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    • 2005
  • Background : Endobronchial tumors cause life-threatening dyspnea and can lower the quality of life due to central airway obstruction. In those cases with an intraluminal tumor, various bronchoscopic techniques are available for tumor debulking. The therapeutic effect of bronchoscopic electrocautery for palliation in patients with a symptomatic tumor obstruction was studied. Method : Nineteen patients with bronchogenic carcinomas (n=15) and metastatic tumors affecting the bronchi (n=4), between March 2002 and March 2005, were enrolled in this study. Electrocautery was performed under local anesthesia using an electroprobe and diathermic snare. Using flexible bronchoscopy, a follow-up bronchoscopic examination was performed 3-4 days later. Symptom improvement was evaluated by $FEV_1$, FVC and dyspnea score (Modified Borg Category Scale (0~10)), both before and after the electrocautery. Results : The success rate of electrocautery on the follow up examination was 84%. Patients with endoluminal airway lesions had a mean overall decrease in the size of the obstruction to $47.8{\pm}15.7%$. The mean Improvement in the dyspnea score immediately after the endobronchial tumor debulking was $2.78{\pm}1.42$. The average improvements in the $FEV_1$ and FVC after electrocautery were $0.32{\pm}0.19L$ and $0.5{\pm}0.22L$, respectively. There were 2 cases of complications related with electrocautery (one each of pneumothorax and pneumonia). Conclusion : Electrocautery using an electroprobe and diathermic snare was an effective and safe palliative treatment for a symptomatic endoluminal airway obstruction in lung cancer.

A Study on the Fertigation of Swine Liquid Manure for Broccoli and Celely Western Vegetables (돈분뇨 발효액을 이용한 녹색꽃양배추 및 양미나리 관비재배 실용화 연구)

  • Kim, Won-Bae;Bae, Won-Ho;Jang, Suk-Woo;Kwon, Young-Gi;Heo, Kweon;Lim, Sang-Cheol
    • Korean Journal of Plant Resources
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    • v.15 no.1
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    • pp.50-56
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    • 2002
  • This study was carried out to optimize the fertigation method using fermented swine liquid manure for the growth of two western vegetables, broccoli and celery. Plants were grown in a rain-shelter house and fertilized with a range of dilutions(efflux 5 dilution=Ef. 5, efflux 10 dilution=Ef. 10, efflux 25 dilution=Ef. 25, and efflux 50 dilution=Ef. 50) of the liquid manure or with conventional application of N : P$_2$O$\_$5/ : K$_2$O = 200 : 70 : 500kg/ha for broccoli, 250 : 210 : 240 kg/ha for celery as controls. After harvest, soil pH and K content decreased after using a high concentration of the liquid manure, Ef. 5, than after treatment with weaker concentrations at Ef. 25 and Ef. 50. On the other hand, soil electrical conductivity, content of P$_2$O$\_$5/, organic matter, total nitrogen, and NO$_3$-N at Ef. 5 increased as concentration of swine liquid manure increased. After harvest, available P$_2$O$\_$5/ in plant tissue did not differ significantly between any of the treatments. In broccoli, the lower concentration (Ef. 50) of swine liquid manure increased flowering over the other treatments, perhaps because the level of absorption into the plants is higher with lower concentration. The amounts of K and Ca in plant tissue were greatest after Ef. 25 and Ef. 50 treatments. Plant growth was best at Ef. 50 in broccoli, head height, head width, and head weight were the best with Ef. 25 and Ef. 50 treatments after harvest. In celery, leaf length was greater after Ef. 25 and Ef. 50 treatments than any other treatments. Total yield of celery of Ef. 25 and Ef. 50 treatments was twice that of conventional cultivation. On the other hand, yield severely decreased after application of high-concentration treatment at Ef. 5. In conclusion, fertigation of swine liquid manure, diluted in the range of Ef. 25 to Ef. 50, could improve yield and quality in broccoli and celery.

Ectomycorrhizal Development and Growth of Pinus thunbergii Seedlings Inoculated with Pisolithus tinctorius(KJ-1) in Copper Treated Soil (Cu를 처리(處理)한 토양(土壤)에서 Pisolithus tinctorius균(菌)을 접종(接種)한 곰솔유묘(幼苗)의 외생균근발달(外生菌根發達)과 생장(生長))

  • Oh, Kwang In;We, Kye Moon
    • Journal of Korean Society of Forest Science
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    • v.85 no.2
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    • pp.329-339
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    • 1996
  • This study is to investigate the effect of mycorrhizal development, growth, nutrient absorption of P. thunbergii seedlings inoculated with Pisolithus tinctorius(Pt. KJ-1) in relation to toxic materials in soil. The concentrations on copper solution applied to the soils were 0, 40, 120, 260, 430ppm. The results are summarized as follows : 1. The germination of P. thunbergii with Pt. increased greater than without ectomycorrhizal fungi. Mycorrhizal development showed a significant decreasing trend at high concentration, and tolerant Cu test with Pt. in agar plate media showed a decreasing trend at a high level. 2. P. thunbergii seedlings inoculated with Pt. showed that the shoot length was significantly promoted at 40, 120ppm copper levels, and that of noninoculated seedlings had the lowest effect in 430ppm copper level. 3. The outer shape of ectomycorrhizal root tips after inoculating Pt. on P. thunbergii seedlings appeared as a monopodial type, a fern-like type, and a cluster-like type at 0ppm, 40ppm levels, but only monopodial type came out at 260ppm, 430ppm copper levels. 4. Root length, no. of juvenile leaves, total length of juvenile leaves, total dry weight, no. of needles and total length of needles of P. thunbergii with Pt. increased greater than those of noninoculated seedling. Growth response of P. thunbergii seedling inoculated with Pt. increased significantly at 40ppm, 120ppm Cu levels. 5. As a result of analysis of growth medium, pH, Na, CEC increased at higher Cu level, and total nitrogen, organic matters, available phosphorous, K, Ca and Mg decreased at 40ppm, 120ppm Cu levels. As a result of an analysis about a copper within soils, it appeared having high Cu-concentration at 0ppm level of an inoculated Pt. and high Cu-concentration in noninoculated Pt. than in inoculated Pt. at higher level. 6. As a result of an analysis of shoot, N, P, and K-concentration were higher in noninoculated seedlings than in inoculated seedlings, and Cu-concentration was higher in inoculated seedlings than in noninoculated seedlings. The analysis of root resulted in a high N-concentration at 40ppm, 120ppm levels, in a high P-concentration in inoculated seedlings and in a high Cu-concentration in noninoculated seedlings. Cu-concentration was significantly higher at root than at shoot.

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Thyroglossal Duct Cyst and Fistula (갑상설관 낭포 및 루)

  • 최종욱;김한상;안문성;김춘길;주양자
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.10-10
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    • 1981
  • The thyroglossal duct cyst is relatively rare disease that derived congenitally from the remnant of thyroglossal duct and that was found anywhere from the foramen cecum to pyramidal lobe of thyroid. We studied the 62 cases of above disease who admitted and operated at E.N.T. dept. of N.M.C. for 20 years since 1961 to 1980 on the clinical and histopathological aspect, and we concluded following results. 1. In the age distribution, 45 cases(72.6%) were under 20 years, and in the age distribution of the known on-set of symptoms, 26 cases(58.0%) were under 10 years. In the duration, 23 cases(37.0%) were under 1 year. The sex ratio of male to female revealed 1.2:1. 2. The palpable mass were complained at 48 cases(77.4%) and 14 cases(22.6%) complained of the discharge from sinus tracts and the other complaints were dysphagia and odynophagia, etc. 3. In location 55 cases (88.7%) were at midline, 1 case(1.6%) was at right and 6 cases(9.7%) were left sided. And 47 cases(75.8%) were situated at infrahyoid region, 11 cases(17.7%) at suprahyoid, 3 cases(4.8%) at suprasternal, only 1 case(1.6%) at intralingual region. 4. In 27 cases formed fistulae, spontaneous occurrance were 7 cases and artificial occurrance were 20 cases. 5. In histopathologically among 41 cases preserving available slides, 5 cases(12.2%) had single duct and 20 cases(48.8%) had multiple accessory ducts, but 16 cases were impossible to detect the ducts. The lining epithelium composed of chiefly respiratory and squamous epithelium. 15 cases had inflammatory reaction at periductal area and 7 cases had around the cysts. The ectopic thyroid tissue was found on 6 cases(14.6%) and 1 case had the follicular adenoma. 6. In the recurrance rate among 43 cases performed sistrunk type operation, 2 cases (4.6%) recurred, and among 19 cases performed simple removal of cysts, 4 cases (21.1%) recurred.

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Effect of Lactic Acid Bacteria and Formic Acid on the Silage Quality of Whole Crop Rice at Different Maturity (유산균 및 개미산 첨가가 수확시기별 벼 사일리지의 발효 품질 및 사료성분에 미치는 영향)

  • 김병완;김곤식;성경일
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.24 no.1
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    • pp.61-70
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    • 2004
  • Silage additives are needed to increase the quality of whole crop rice silage which seldom produce without the additives due to both high pH and butyric acid concentrations. Little information, however, is available about the silage fermentation of whole crop rice added with silage additives in Korea. This study was conducted to determine the optimum levels of silage additives by evaluating the effects of latic acid bacteria (LAB) and formic acid concentrations on the silage quality of whole crop rice harvested at different mature stages. Field study was established early in May until October 7th on a rice field at Yupori, Sinbuk-yeup, Chunchon, Kangwon-Do. "Ilpum" mutant rice was harvested at six different mature stages; booting stage (17 Aug.), milk-ripe stage (27 Aug.), dough stage (7 Sep.), yellow ripe stage (17 Sep.), dead ripe stage (27 Sep.) and full ripe stage (7 Oct.). Each sample was ensiled in three different ways; with 1) LAB (0.05, 0.1 and 0.2% of sample wt), 2) formic acids (0.2, 0.3 and 0.4% of sample wt.) and 3) no additive. The additive levels did not affect dry matter content, crude protein, fiber and total digestable neutriant concentrations at all stages. Addition of additives significantly decreased the silage pH and butyric acid concentrations which tended to be more decreased with higher levels of additives. Latic acid concentrations were higher with the use of additives, especially with LAB. The lower concentrations of ammonia-N were observed in additive treatments at all stages, but the concentrations of ammonia-N did not differ according to the additve levels after yellow ripe stage (0.69, 0.60 and 0.71% of DM in 0.05, 01 and 0.2% of LAB, respectively; 0.64 0.59 and 0.75% of DM in 0.2, 0.3 and 0.4% of formic acid, respectively). These results indicate that the optimum addition levels of LAB and formic acid are 0.5∼0.1% and 0.2∼0.3%, respectively, on which the high quality of rice whole crop silage was produced. produced.

Comparative Studies of the Cytotoxic Effect of Four Different Sea Bream Species (Pagrus major, Acanthopagus schlegeli, Oplegnathus fasciatus, and Girella punctata) (4종 돔 추출물의 세포독성 효과 비교)

  • Hwang, Seong Yeon;Lim, Sun-Young
    • Journal of Life Science
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    • v.27 no.9
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    • pp.1064-1069
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    • 2017
  • This study compared the cytotoxic effect of extracts from four different sea bream species (Pagrus major, Acanthopagus schlegeli, Oplegnathus fasciatus, and Girella punctata) in human cancer cell lines. Cytotoxic activity against the growth of human gastric adenocarcinoma (AGS) and HT-29 human colon cancer cell lines was determined using a 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Treatment with acetone/methylene chloride (A+M) and methanol (MeOH) extracts from the four sea bream species dose-dependently increased cytotoxicity against the growth of AGS and HT-29 cancer cells (p < 0.05). As shown by a cell viability assay, treatment with A+M and MeOH extracts from red sea bream (P. major) had the highest cytotoxic effect (p < 0.05) among the sea bream species. The IC50 values of an 85% aqueous methanol (85% aq. MeOH) fraction from red sea bream (P. major) against AGS and HT-29 cancer cells was 0.33 and 1.58 mg/ml, respectively, suggesting that the 85% aq. MeOH fraction had the highest cytotoxic effect among the fractions (p < 0.05). Our results demonstrate that four different sea bream species exhibited cytotoxic activity, as well as high-quality amino acids and fatty acids. Among the sea bream species, red sea bream (P. major) showed the greatest cytotoxic effect. The results could be used to improve nutrition information available to consumers.

Effect of Various Nitrogen Fertilizers on Rice Yield in Direct Seeding on Dry Paddy (건답 직파재배 논에서 질소비료 형태에 따른 시용효과)

  • Park, Chol-Soo;Jung, Yeong-Sang;Lee, Ho-Jin;Joo, Jin-Ho;Seo, Jun-Han
    • Korean Journal of Soil Science and Fertilizer
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    • v.33 no.5
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    • pp.318-324
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    • 2000
  • Field experiment was conducted on a sandy clay loam paddy field in the Experimental Farm of the Kangwon National University for four years from 1995 to 1998 to evaluate the effect of different nitrogen fertilizers on soil property and rice yield. The size of each experimental plot was 75 m2. Basal application of fertilizer to the paddy field was on late April, and rice (cv. Odae) was sown with drill seeding on early May. Irrigation was done at 3 leaf stages after rice seeding. Electrical conductivity in soils treated with phosphate- and resin coated slow release fertilizers were relatively greater than those of the other fertilizer application. Available $P_2O_5$ concentration in soils after rice harvest increased significantly compared that in soil before field trial. Rice yield in transplanting culture were $6.516kg\;ha^{-1}$. The rice yield in the direct seeded paddy was 81.9 percents of the yield in the transplanted paddy. The rice yield in phosphate coated slow release fertilizer was the highest among various fertilizer trials in directly seeded dry paddy, while rice yield was the lowest in the organic fertilizer plus urea application. Rice yield between organic fertilizer plus urea and organic fertilizer application were not significantly different. The green manuring effect of rye in the direct seeded rice paddy in Chuncheon was low due to low temperature and short growth period.

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Impact of Compost Application on Improvement of Rice Productivity and Quality in Reclaimed Soil (간척지 토양에서 퇴비처리가 벼의 생산 및 품질개선에 미치는 영향)

  • Moon, Young-Hun;Kwon, Young-Rip;Ahn, Byung-Koo;Kim, Dae-Hyang;Han, Seong-Soo
    • Korean Journal of Soil Science and Fertilizer
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    • v.44 no.5
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    • pp.808-813
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    • 2011
  • This study was conducted to reduce the dependability of farmers on chemical fertilizers for rice cultivation. Soil chemical and biological properties were monitored before experiment and at the time of harvesting. The results showed that EC, available $SiO_2$, and exchangeable $Ca^{2+}$ were decreased at the time of harvesting while pH, OM, and exchangeable $K^+$ and $Mg^{2+}$ were remain unchanged, compared with soil before experiment. Population of aerobic bacteria, Bacillus sp., and fungi were also increased at the time of harvesting in the paddy field, compared with before fertilization, in the treatment of 50% soil-testing fertilizer+ 50% compost. Concentrations of N, P, and K in rice leaves increased with the fertilizers application, maximum increase was recorded in 50% soil-testing fertilizer+ 50% compost. Non-significant difference was observed in the morphological parameters of rice among the treatments. The chlorophyll contents of rice leaf increased in a similar fashion up to 60 days, thereafter, sharp decrease was observed in all the treatments. Maximum yield (per 10a) was recorded in the field treated with 50% soil-testing fertilizer+ 50% compost followed by standard applied fertilizer, 70% soil-testing fertilizer+ 30% compost, soil-testing fertilizer and unfertilized plot. Amylose content showed non-significant difference within the treatments. Protein content increased with the use of fertilizers and best protein content was recorded in the treatment of 50% soil-testing fertilizer+ 50% compost. It was concluded that the amount of the chemical fertilizer used was directly proportional to the protein content of rice grain. However, the palatability of rice grown in unfertilized field was better than the treatments but minimum yield was obtained. Hence, the treatment of 50% soil-testing fertilizer+ 50% compost, was the best among the fertilizer combinations for rice cultivation as supported by the yield, protein and palatability index.