• 대한임상검사과학회지
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• 제41권4호
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• pp.153-157
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• 2009

The production of extended-spectrum ${\beta}$-lactamases ($ESBL_S$) of the TEM or SHV type by bacterial pathogens is a major threat to the use of the clinically important expanded-spectrum cephalosporins. The characterization of the SHV ESBLs producing Klebsiella pneumoniae strains present in clinical isolates is time-consuming processes. We describe here in the development of a novel system, which consists of a real time PCR. We found 11 K. pneumoniae strains to be presumptive strains ESBLs producers by clinical and laboratory standards institute (CLSI) guidelines. The double disk synergy test showed 8 ESBL positive and conventional PCR showed 10 SHV ESBL positive, which were K. pneumoniae strains isolates. By real time PCR analysis, SHV gene in 11 of 11 strains were identified. When sequencing analysis was compared with real time PCR, both analysis were presented 99% similarity. In this study, we used a rapid, sensitive, and specific real-time PCR (RT-PCR) method for detection of the assay SHV ESBL producing K. pneumoniae strains in clinical isolates.

• 한국임상수의학회지
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• 제39권3호
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• pp.138-143
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• 2022

A 21-year-old female Halla Horse weighing 248 kg was referred to the Jeju National University Equine Hospital with the chief complaint of anorexia accompanied by general weakness and depression for the previous three days suspected to be related to colic. Extensive diagnostic tests were performed for the following six days, including complete blood count (CBC), serum chemistry, gastroscopy, x-rays, and ultrasound imaging. The signalment, history, symptoms, and test results strongly suggested a chronic intestinal inflammatory disease with or without an alimentary tumor; hence, an exploratory laparotomy was performed. Almost the entire small intestine wall was severely thickened with diffuse ecchymosis on the serosa and protruded nodules on the mucosa. A presumptive diagnosis of an intestinal tumor was made, and the patient was euthanized, considering the patient's welfare with poor prognosis and low expectancy. A massive part of the small intestine was collected and submitted for macroscopic and microscopic pathology evaluations. The pathologic examination, including immunohistochemistry (IHC), indicated equine intestinal lymphoma showing strong positivity for T cell marker. This report describes the clinical signs, diagnosis and pathological features of intestinal lymphoma in a Halla Horse in detail.

• 한국식품영양과학회지
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• 제38권5호
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• pp.606-611
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• 2009

황색포도상구균 분리에 사용되고 있는 난황첨가 만니톨 식염한천배지, Baird-Parker 한천평판배지, Baird-Parker 한천평판배지(RPF) 및 Petrifilm에 대하여 성능 비교실험을 실시하였다. 민감도는 30종의 황색포도상구균에 대하여 분리배지의 특징적인 콜로니를 형성하는 비율로 측정하였는데 Baird-Parker 한천평판배지(RPF)> Petrifilm> Baird-Parker 한천평판배지> 난황첨가 만니톨 식염한천배지의 순으로 나타났다. 황색포도상구균이 아닌 균주를 이용하여 측정한 선택성은 4종 분리배지 모두 위양성을 나타내지 않았다. 인위적으로 접종한 식품에서의 회수실험은 4종 배지 모두 회수 효율이 비슷한 것으로 측정되었다. 수산건제품에서 황색포도상구균으로 추정되는 콜로니를 분리하여 4종 배지에서 위양성, 위음성 발현여부를 측정하였다. 그 결과, 황색포도상구균 이외의 대부분 분리균주에서는 위양성이 나타나지 않았지만 S. carnosus ssp carnosus의 경우 난황첨가 만니톨 식염한천배지, Baird-Parker 한천평판배지와 Petrifilm에서 위양성을 나타내었다. 그러나 Baird-Parker 한천평판배지(RPF)에서는 위양성 반응이 나타나지 않아 실험에 공시된 배지 중에서는 선택성이 상대적으로 높은 것으로 판단되었다.

• 한국융합학회논문지
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• 제11권10호
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• pp.139-146
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• 2020

Kastle-Meyer (KM) test는 현장에서 잠재혈흔을 확인하는 예비검사 방법으로, 다른 방법에 비해 감도가 뛰어난 반면, 혈액이 존재하지 않는 곳에서도 위양성 반응이 나타날 수 있다. 본 연구에서는 이러한 KM test의 위양성 반응의 문제를 해결하기 위해 새로운 적용 방법을 제시하고자 하였다. 새로운 KM test 적용 방법의 효과와 위양성의 식별 가능성을 확인하기 위해 기존의 두 가지 KM test 적용 방법과 반응 시간 및 양상을 비교하였다. 실험 결과, 실험에 사용된 KM test 적용 방법 간의 감도에는 유의한 차이가 없었으며, 희석비율이 5000:1 이하인 혈액에서는 즉시 양성반응이 나타나 위양성과 구분하기 용이했다. 하지만 혈액의 희석비율이 높아질수록 양성 반응의 발현 시간이 늦어지면서 위양성과 구분하기 어려웠고, 새로운 KM test 적용 방법은 반응의 양상을 통해 이를 보완할 수 있었다. 따라서 본 연구는 KM test가 현장에서 보다 정확하게 사용될 수 있도록 새로운 적용 방법을 제시하였다.

• Safety and Health at Work
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• 제6권1호
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• pp.62-70
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• 2015

Background: Animal skin provides an ideal medium for the propagation of microorganisms and it is used like raw material in the tannery and footware industry. The aim of this study was to evaluate and identify the microbial load in oropharyngeal mucosa of tannery employees. Methods: The health risk was estimated based on the identification of microorganisms found in the oropharyngeal mucosa samples. The study was conducted in a tanners group and a control group. Samples were taken from oropharyngeal mucosa and inoculated on plates with selective medium. In the samples, bacteria were identified by 16S ribosomal DNA analysis and the yeasts through a presumptive method. In addition, the sensitivity of these microorganisms to antibiotics/antifungals was evaluated. Results: The identified bacteria belonged to the families Enterobacteriaceae, Pseudomonadaceae, Neisseriaceae, Alcaligenaceae, Moraxellaceae, and Xanthomonadaceae, of which some species are considered as pathogenic or opportunistic microorganisms; these bacteria were not present in the control group. Forty-two percent of bacteria identified in the tanners group are correlated with respiratory diseases. Yeasts were also identified, including the following species: Candida glabrata, Candida tropicalis, Candida albicans, and Candida krusei. Regarding the sensitivity test of bacteria identified in the tanners group, 90% showed sensitivity to piperacillin/tazobactam, 87% showed sensitivity to ticarcillin/clavulanic acid, 74% showed sensitivity to ampicillin/sulbactam, and 58% showed sensitivity to amoxicillin/clavulanic acid. Conclusion: Several of the bacteria and yeast identified in the oropharyngeal mucosa of tanners have been correlated with infections in humans and have already been reported as airborne microorganisms in this working environment, representing a health risk for workers.

• Journal of Genetic Medicine
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• 제11권2호
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• pp.69-73
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• 2014

Purpose: Spinocerebellar ataxia (SCA) is a genetically heterogeneous disease for which more than 30 subtypes have been identified. However, 5 subtypes, SCA1, SCA2, SCA3, SCA6, and SCA7, account for more than 60% of cases. In this study, we report the distribution of these 5 subtypes in Korean patients. Materials and Methods: Six hundred and thirty-eight unrelated patients with a presumptive diagnosis of SCA were included in this study. Trinucleotide (CAG) repeat number (TNR) repeat number was determined using fluorescently labeled primers and fragment analysis. Results: A total of 128 unrelated patients (20.1% of all individuals tested) tested positive for SCA subtypes, including SCA1 (5 patients, 3.9% of those testing positive), SCA2 (38 patients, 29.7%), SCA3 (30 patients, 23.4%), SCA6 (39 patients, 30.5%), and SCA7 (16 patients, 12.5%). The mean copy number of pathogenic TNR alleles was $45{\pm}8.5$ for SCA1, $42{\pm}3.1$ for SCA2, $72{\pm}5.4$ for SCA3, $23{\pm}1.5$ for SCA6, and $50{\pm}11.4$ for SCA7. TNR copy number was inversely correlated with onset age in SCA2, SCA6, and SCA7. Conclusion: SCA2, SCA3, and SCA6 are common SCA subtypes in Korean patients and could be screened as a first-line test. Expanded pathogenic allele size was associated with early onset age.

• Tuberculosis and Respiratory Diseases
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• 제82권3호
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• pp.194-200
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• 2019

Background: Tuberculosis (TB) is a major infectious disease in South Korea causing substantial disease burden, particularly in the elderly. This study aimed to identify the case detection rate of mobile TB screening for the elderly conducted in the Jeollanam-do region and to analyze risk factors of active TB. Methods: We screened the elderly population (${\geq}65$ years old) in Jeollanam-do from August to December 2017. Chest radiography was performed for all participants. Participants with TB presumptive signs were asked to submit sputum specimen(s). Sputum smear, culture, and polymerase chain reaction analyses were performed. Cascade analysis, chi-squared tests, and Fisher exact tests were used to evaluate screening performance. Results: In total, 12,402 participants were screened, and 211 (1.7%) were suspected to have active TB; 181 of the suspected patients (85.8%) underwent sputum smear test, and 16 (8.8%) patients were confirmed to have TB. The TB prevalence among the elderly was bacteriologically confirmed to be 129 per 100,000 individuals, which was similar to national TB notification data for the same age groups. The proportion of active TB cases increased with age, and differed based on sex and past TB history. However, TB-related symptoms, comorbidity status, and TB screening history within 12 months were not predictive of active TB. Conclusion: This study identified that the prevalence rate was similar to national TB notification data from the same age groups. Periodic, community-based, systematic TB screening among the elderly population is recommended.

• 생명과학회지
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• 제14권4호
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• pp.664-669
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• 2004

국민 다소비 식품인 생선회, 패류 등의 횟감류 118건, 김밥, 햄버거 등의 도시락류 82건 및 기타 ready-to-eat(RTE) 식품 40건, 총 240건을 대상으로 Bacillus cereus의 오염실태를 조사한 결과, 횟감류 16건(13.6%), 도시락류 17건(20.7%), 기타 RTE 식품에서 3건(7.5%), 총 36건(15.0%)에서 B. cereus가 검출되었다. B. cereus의 검출은 polymyxin B를 첨가한 TSB배지를 사용한 증균배양 후, MYP agar에서 전형적인 집락을 선별하였으며, 선별된 균주들을 대상으로 그람염색, oxidase test, 혈액한천배지에서의 rhizoid growth, $\beta$-용혈성 유ㆍ무등을 통해 추정 균주들을 분리하였다. API 50CHB/20E system을 통한 생화학적 분석과 motility시험 등을 행하여 최종적으로 B. cereus로서 동정ㆍ확인하였다. 확인된 36균주 중 28균주(77.8%)가 BCET-RPLA 시험을 통해 BHI broth에서 설사형 독소를 생성하는 것으로 나타났다. 아울러 항생제 감수성 시험 결과 분리균들은 ampicillin (100%), penicillin G (100%) 및 rifampicin (69.5%)에 내성을 보였으며, gentamicin (100%), vancomycin (100%), bacitracin (86.1%), chloram-phenicol (97.2%), erythromycin (69.4%), kanamycin (86.1%) 및 streptomycin (97.2%)에 감수성을 나타내었다. B. cereus의 생육은 온도와 시간에 밀접한 관련성을 보였는데, 냉장온도인 1$0^{\circ}C$이하에서는 균의 생육이 상당히 저해된 반면, 2$0^{\circ}C$ 및 3$0^{\circ}C$에 보관시에는 급격한 증식을 보여 기온이 상승하는 하절기에 특히 많은 주의가 필요하다고 판단되었다.

• 한국임상수의학회지
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• 제39권5호
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• pp.207-216
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• 2022

Canine babesiosis has been scarcely investigated in the Republic of Korea (ROK). Although it is known that Babesia gibsoni is its primary causative agent, its clinical presentation has not been completely clarified in the ROK. Consequently, the aim of this study was to evaluate the clinical appearance of this parasitic infection based on the anamnesis of the patient and compare of hematological and biochemical test results. Four hundred whole blood samples from patients with a presumptive diagnosis of tick-borne disease were analyzed by polymerase chain reaction (PCR) to amplify the Babesia spp. 18S rRNA gene and by a rapid diagnostic test kit (VetAll Laboratories^®) to detect B. gibsoni seroreactive animals. Thirty-six (9.0%) dogs were PCR-positive but only 24 (6.0%) were seropositive. The investigation revealed that all the courses of the disease are present in the ROK, with the acute course being predominant. The acute course tends to consist of inappetence, lethargy, pyrexia, gastrointestinal symptoms, and occasionally hematuria. It also occurs with common hematological abnormalities, such as thrombocytopenia and anemia, and to a lesser extent biochemical abnormalities, such as hyperbilirubinemia, hypoalbuminemia, and elevated liver enzymes. This research shows that B. gibsoni is an endemic hemoparasite capable of producing a variety of clinical manifestations in dogs. For its accurate diagnosis, a descriptive history of the clinical signs, hematology, and biochemical profile of the patient, along with a well-performing PCR assay, are essential. These findings will help in planning pragmatic preventive strategies against this potent threat in the ROK.

• Tuberculosis and Respiratory Diseases
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• 제57권6호
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• pp.535-542
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• 2004

연구배경 : 본 연구는 만성 기침 환자의 원인 진단을 위하여 흔히 사용되는 검사의 진단 성적을 알아보고, 이들에 대한 경제적 진료모델을 구축하기 위하여 시행하였다. 방 법 : 3주 이상의 만성 기침 환자를 대상으로 첫 내원일에 혈청 총 IgE, 말초혈액 호산구, 객담 호산구, 메타콜린 기관지유발검사, 부비동 촬영을 시행하는 동시에 prednisolone 0.5mg/kg를 7일간 경구 투약하고 추적 방문토록 하였다. 추적일에 환자 증상의 개선도에 따라 스테로이드 반응군과 불응군으로 분류하고 검사의 진단성적을 조사하였다. 조사된 환자 검사 결과와 스테로이드 반응률을 근거로 만성 기침 환자를 진료하는데 소요되는 의료 비용을 가상적인 3가지 진료 모델에 대입하여 비교하였다. 결 과 : 60명의 만성 기침 환자가 최종 분석되었고, 스테로이드 경구 투여로 기침의 호전이 있었던 경우는 90.0%였다. 내원시에 단순흉부방사선 검사, 기본 폐기능 검사, 객담 호산구 검사, 부비동방사선 검사를 시행하면서 동시에 단기간 스테로이드를 투여하여 약제 반응성을 살피는 것이 진단 성적을 유지하면서 향후 치료 방침을 세우는 비용-효과적 방법이었다. 결 론 : 만성 기침 환자를 진료할 때 검사를 시행하는 동시에 스테로이드를 단기간 투여하는 것이 검사의 진단적 한계를 극복하고 최종 진료 지침을 세우는 동시에 사회적 의료비용을 줄이는 방법이 될 수 있을 것으로 생각된다.