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Optimal First-Line Antibiotic Treatment for Pediatric Complicated Appendicitis Based on Peritoneal Fluid Culture

  • Aiyoshi, Tsubasa;Masumoto, Kouji;Tanaka, Nao;Sasaki, Takato;Chiba, Fumiko;Ono, Kentaro;Jimbo, Takahiro;Urita, Yasuhisa;Shinkai, Toko;Takayasu, Hajime;Hitomi, Shigemi
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.24 no.6
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    • pp.510-517
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    • 2021
  • Purpose: Consensus is lacking regarding the optimal antibiotic treatment for pediatric complicated appendicitis. This study determined the optimal first-line antibiotic treatment for pediatric patients with complicated appendicitis based on peritoneal fluid cultures. Methods: This retrospective study examined the cases of pediatric patients who underwent appendectomy for complicated appendicitis at our institution between 2013 and 2019. Peritoneal fluid specimens obtained during appendectomy were cultured for the presence of bacteria. Results: Eighty-six pediatric patients were diagnosed with complicated appendicitis. Of them, bacteria were identified in 54 peritoneal fluid samples. The major identified bacteria were Escherichia coli (n=36 [66.7%]), Bacteroides fragilis (n=28 [51.9%]), α-Streptococcus (n=25 [46.3%]), Pseudomonas aeruginosa (n=10 [18.5%]), Enterococcus avium (n=9 [16.7%]), γ-Streptococcus (n=9 [16.7%]), and Klebsiella oxytoca (n=6 [11.1%]). An antibiotic susceptibility analysis showed E. coli was inhibited by sulbactam/ampicillin in 43.8% of cases versus cefmetazole in 100% of cases. Tazobactam/piperacillin and meropenem inhibited the growth of 96.9-100% of the major identified bacteria. E. coli (100% vs. 84.6%) and P. aeruginosa (100% vs. 80.0%) were more susceptible to amikacin than gentamicin. Conclusion: Tazobactam/piperacillin or meropenem is a reasonable first-line antibiotic treatment for pediatric complicated appendicitis. In the case of aminoglycoside use, amikacin is recommended.

Quantitative analysis of lipid hydroperoxides levels in peripheral organs of Juvenile Visceral Steatosis (JVS) Mice at 1 month of age

  • Seiichi Matsugo;Miki Saito;Fumihiko Yasui;Kazuo Sasaki;Li, Meng-Xian;Masahisa Horiuchi;Takeyori Saheki
    • Journal of Photoscience
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    • v.9 no.2
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    • pp.415-417
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    • 2002
  • Juvenile visceral steatosis (JVS) mouse is an animal model of the systemic camitine deficiency. JVS mice first develop fatty liver following cardiac hypertrophy. hyperammonemia, etc. To clarify the relationship between fatty liver and other symptoms. lipid hydroperoxides levels of peripheral oragans in JVS mice at 1 month were determined by the use of phosphine derivatives. We also report here a new method to quantitate the lipid components level in fatty liver of JVS mice.

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Fe(HSO4)3 as an Efficient Catalyst for Diazotization and Diazo Coupling Reactions

  • Rahimizadeh, Mohammad;Eshghi, Hossein;Shiri, Ali;Ghadamyari, Zohreh;Matin, Maryam M.;Oroojalian, Fatemeh;Pordeli, Parvaneh
    • Journal of the Korean Chemical Society
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    • v.56 no.6
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    • pp.716-719
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    • 2012
  • Diazo coupling reactions of aromatic amines with 2-naphthol in a green, efficient and easy procedure is described. Ferric hydrogensulfate catalyses this reaction in water at room temperature and short reaction time with high yields. The antibacterial activities of the synthesized compounds against four pathogenic bacteria are also investigated.

Cystic fibrosis of pancreas and nephrotic syndrome: a rare association

  • Kelekci, Selvi;Karabel, Musemma;Ece, Aydin;Sen, Velat;Gunes, Ali;Yolbas, Ilyas;Sahin, Cahit
    • Clinical and Experimental Pediatrics
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    • v.56 no.10
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    • pp.456-458
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    • 2013
  • Cystic fibrosis (CF) is a genetic disease with autosomal recessive inheritance and is common in Caucasian people. The prevalence of this disease is between 1/2,000 and 1/3,500 live births, and the incidence varies between populations. Although the CF transmembrane conductance regulator gene is expressed in the kidneys, renal involvement is rare. With advances in the treatment of CF, life expectancy has increased, and some previously unobserved disease associations are now seen in patients with CF. It is important to follow patients with CF for possible abnormalities that may accompany CF. In this paper, we present two rare cases of CF accompanied by nephrotic syndrome.

Synthesis, Analgesic, and Anti-Inflammatory Activities of [6-(3,5-Dimethyl-4-Chloropyrazole-1-yl)-3(2H)-Pyridazinon-2-yl]Acetamides

  • Sukuroglu, Murat;Caliskanergun, Burcu;Unlu, Serdar;Sahin, M.Fethi;Kupeli, Esra;Yesilada, Erdem;Banoglu, Erden
    • Archives of Pharmacal Research
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    • v.28 no.5
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    • pp.509-517
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    • 2005
  • A series of structurally diverse amide derivatives of [6-(3,5-dimethyl-4- chloro-pyrazole-1-yl)-3(2H)-pyridazinone-2-yl]acetic acid were prepared and tested for their in vivo analgesic and anti-inflammatory activity by using p-benzoquinone-induced writhing test and carrageenan induced hind paw edema model, respectively. The analgesic and anti-inflammatory activity of the compounds, 7c, 7d and 7k were found to be equipotent to aspirin (as an analygesic) and indometacin (as an anti-inflammatory drug), respectively. The other amide derivatives generally resulted in lower activity on comparision with reference compounds.

Improvement of Field Emission Characteristics of Carbon Nanotubes by Oxidative Electrical Trimming

  • Jeon, Ji-Hyeon;Lee, Han-Sung;Kim, Jin-Hee;Kim, Young-Rea;Jeon, Hong-Jun;Goak, Jung-Chun;Lee, Nae-Sung
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2007.11a
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    • pp.384-385
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    • 2007
  • 탄소나노튜브의 전계방출 특성은 그 길이에 많은 영향을 받으며 길이가 균질 할수록 전계방출에 참여하는 탄소나노튜브의 수가 증가하여 전자방출의 균일도가 향상되고 수명도 증가할 것으로 기대되고 있다. 이 논문에서는 탄소나노튜브의 길이를 인위적으로 제어하여 균질하게 하기 위해 오존을 이용하여 길이가 긴 탄소나노튜브만 선택적으로 제거하는 방법을 사용하였다. 오존에 의해 처리한 시편은 전에 비해 높은 균일도를 나타내고 수명도 약 4배가량 크게 향상되었다.

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