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      • 1987년 한국에서 발생한 렙토스피라병의 혈청역학적 조사

        이증훈,박영수,이우곤,김석용,정선식,우준희,박성광,박경희,송영욱,김선영,기정일,최두혁,강성귀,김주완,최강원,김우열,최명식,최인학,장우현,윤성열 대한감염학회 1988 감염 Vol.20 No.3

        Human leptospirosis was an unfamiliar disease in Korea until 1984 that outbreak of leptospirosis occurred among farmers and soldiers after field works for harvesting rice. During that time, Lee and Jo confirmed the first Korean cases of leptospirosis by serological test, isolation of causative agent and autopy findings. Afterward several outbreaks occurred also during autumn especially after flood in every years and some characterisitcs of leptospirosis in Korea such as clinical manifestations, serotypes and seroepidemiological features has been revealed by many investigators. Because of the major mode of transmission between rodents and human is by direct contact with leptospiral urine of rodents or contaminated soil by the urine, leptospirosis in Korea has been primarily a disease of person in occupations heavily exposed to contaminated soil or infected urine such as farmer, army and etc. Therefore it seems that leptospirosis is one of the main communicable diseases to be controlled urgently in Korea, for an agricultural people account for almost half of total Korean people. For clarifying the seroepidemiological patterns of human leptospirosis in Korea by sex, month region and main reacting serovars of L. interrogans among acute febrile disease occurred in 1987, 1,773 patient's sers with acute febrile episodes were tested by microagglutination test using 19 representative strains of leptospiral serogroup as antigen. All of those sera were collected from 10 collaborative clinics located in Kyunggi, Kangwon, Chungbuk, Chungnam, Chonbuk, Chonnam province and Seoul. The results wee summerized as follows. 1) Among 1,773 sera of patients with acute febrile episodes, 219 (12.4%) were seropositive to L. interrogans, 487(27.5%) to R. tsutsugamushi, 241(13.6%) to R.typhi and 160(90.0%) to Hantaan virus. 2) Among seropositives to L.interrogans, the male outnumbered the female, 65% and 35%. 3) For age distribution, 26.9% of seropositives to L.interrogans were fifties, 19.6% were forties, 9.1% were sixties, 5.9% were thirties and 4.1% were twenties. 4) Eighty three percent of seropositives had occurred between September and October in 1987 with a peak in September. 5) Main leptospiral serovars reactive to patient's sera were Icterohaemorrhagiae(54.3%), Canicola(31.0%), CH-48(13.2%), Tarassovi(0.9%)and Cynopteri(0.5%). 6) For regional distribution, 65.8% of seropositives to L.interrogans were residents from Chonbuk, 12.3% were Chonnam, 7.3% were Chungnam, 5.5% were Kyunggi and 1.4% were Kangwon.

      • 소아 쭈쭈가무시병환자 28명의 임상상 및 유병기간에 따른 간접면역형광항체가의 변동상

        박병규,오영균,윤희상,염명걸,유한욱,김재형,강환섭,김익상,장우현,김승환 대한감염학회 1993 감염 Vol.25 No.2

        During the autumn of 1990 , we had investigated the clinical featuresw and followed the change in the direct immunofluorescent antibody(IFA) titers in 28 children with scrub typhus who resided in or near Chinju, Korea. All the children except one were diagnosed by the peak IFA titers of 1:160 or higher. The results were as follows: 1) The clinical features of our children were not different, to a large degree, from those of adults ever described in Korea literatures. But the frequence rates of skin rash, eschar and conjunctival injection were higher, those of proteinuria and hematuria were lower than those in adults and the characters of rash in our children were also quite different(faces were frequently the first site of eruption and even palms and soles were involved occasionally, initial bright red color of rash was changed into brown color during the acute phase). 2) IFA titers rose rapidly during the 2nd or 3rd week of illness and then formed plateau. When we suggest IFA titers of 1:180 or higher as the diagnostic criteria, the seropositivity of our children was 5/7(75%) in the 1st week and over 95% in the 2nd through 5th week of illness, and suggest IFA titers of 1:160 or higher,then the seropositivityin the 1st, 2nd and 3rd through 5th week were 3/7(43%), 23/31(74%) and over 95%,respectively. 3) IFA titers in 6-8 months after disease onset were 1:80(13 children) or 1:20( 7 children), and in one and half year (our longest follow-up period), 1:20 (3 children) showing that IFA lasts longer than one and half year after sickness. 4) From the above data (3) and the fact that majority of cases of scrub typhus occur in the autumn season in Korea, IFA titers of 1:40-1:160 should be used as the diagnostic criteria in order to distinguish between the present and past infections.

      • KCI등재
      • 충청지역에서 발생한 쭈쭈가무시병의 임상상, 원인균의 혈청형 및 혈청역학적 연구

        김선영,김윤성,박장규,윤태영,강재승,송인숙,최명식,최인학,차창룡,이우곤,박종우,이증훈,장우현,유영해,윤광혁,송계용 대한감염학회 1989 감염 Vol.21 No.2

        From September to december 1987, eighty-six cases of tsutsugamushi disease were diagnosed by indirect immunofluorecent test or by isolating the causative agent in Chungcheung area. Their clinical features and patterns of antibody response to R. tsutsugamushi were analyzed. For the indenfication of prevalent antigenic types of R. tsutsugamushi in Chungcheung area, twenty-seven strains isolated were tested by indirect immunofluorescent test. To assess the extent of exposure to R.tsutsugamushi of a general population in Korea, the prevalence of antibody was investigated in 6,572 sera obtained from the residents of Chungcheung area by indirect immunofluorescent test. The female patients slightly outnumbered the male patients. More cases (68%) were older than 40 years of age. The epidemic peaked in October. The mean incubation period estimated was about 8 days. The major clinical features were fever and chill, headache, rash, eschar, and lymphadenopathy. Increased serm transaminase was the most singificant laboratory findings. Abnormalities in the chest roentgenography were often observed. The antibody titer rose rapidly 5 days after the onset, reached its peak at 20 days (1:640), and then declined agradually until 7 months(1:20). The seroype of 23 out of the 27 isolates wase found to be karp, one was Gilliam, and 3 isolates could not be classified by using polyclonal mouse hyperimmune sera. The prevalence of antibody to R.tsutsugamushi in the residents of Chungcheung area was 4.8%. The prevalence of antibody was higher in the female than in the male. The prevalence was higher in the residents of age above 40 years than below 40 years, and was the lowest in the children less than 10 years of age. Of the 318 positive sera from normal residents, only 2 sera showed the titers higher than 1:80.

      • 哺乳動物 卵胞卵의 琉璃化凍結後 FDA-test에 의한 生存性 判定

        康珉秀,張德支,梁柄哲,金重桂,高敬來,高赫辰 제주대학교 방사능이용연구소 1995 연구보고 Vol.9 No.-

        本 實驗은 琉璃化凍結 融解된 포유동물 卵胞卵의 生存性을 FDA-test에 의한 판정을 규명하기 위하여 실행되었으며 Oocytes는 卵丘細胞의 부착 상태에 따라 3 group 분류하였다. A oocyte는 卵丘細胞가 밀착되어 부착된 것(tight oocytes)이며 B oocyte는 卵丘細胞가 部分的으로 부착된 것(partial oocytes) 그리고 C oocyte는 卵丘細胞가 빈약하게 부착된 것(poor oocytes)이다. 琉璃化 凍結液은 1992년 金 등에 의한 연구에서 개발된 것으로서 glycerol 20 %, ethylene glycol, 10%, Ficoll 30% 와 sucrose 10% 로 구성되어 있다. Oocyte(7-10)는 10분의 평형시간을 경과한 후 0.25 ㎖ straw에 넣어 상온에서 직접 액체질소 container(-196℃)에 침지시켜 동결을 완료시켰다. 凍結融解한 A 그룹 난자의 FDA-score는 rat(4.2)에서 rabbit(3.9), cow(3.8), mouse(3.4)와 porcine(2.4)보다 높았지만 cumulus cell의 경우는 rabbit(4.7)에서 rat(4.1), cow(2.9), porcine(2.6)과 mouse(1.4)보다 높았다. 凍結融解한 B 그룹 난자들의 FDA-score는 각각 3.1(cow), 2.9(rabbit), 2.9(mouse), 2.6(rat) 그리고 2.5(porcine)이였다. 하지만 cumulus cell의 경우는 rabbit(3.7)에서 porcine(2.6), rat(2.3), cow(1.7) and mouse(0.3)보다 높았다. 凍結融解한 C 그룹 난자의 FDA-score는 mouse(4.1)에서 cow(2.9), rabbit(2.6), rat(1.3)과 porcine(1.1)에서 보다 높았다. 以上의 結果에서 mouse를 제외하고 일반적으로 난포난의 琉璃化 凍結融解 후 group A의 난자가 group B와 C에서 난자보다 生存率이 높았으며 FDA-test를 하였을 때 oocytes는 물론 cumulus cell에서도 발광을 나타내어 卵丘細胞의 생존판정여부를 확인할 수 있는 가능성을 제시하였다. This experiment was carried out to study the determination of survival of vitrified and thawed mammal follicular oocytes by FDA-test. Oocytes were divided into 3 groups according to attachment of cumulus cell. Group A oocytes were tightly surrounded by cumulus cell, group B oocytes were partially surrounded by cumulus cell, and group C oocytes were poorly surrounded by cumulus cell. Vitrification solution developed by our previous study (Kim et al, 1992) which consisted of permeable agent (20% glycerol + 10 % ethylene glycol) and nonpermeable agent (30 % Ficoll + 10 % sucrose). Oocytes (7-10) loaded into 0.25 ㎖ straw after 10 min equilibration were plunged into liquid nitrogen (-196℃) directly. The FDA-score of vitrified and thawed group A oocytes was higher in rat (4.2) than in rabbit (3.9), cow(3.8), mouse (3.4) and porcine(2.4), however that of cumulus cell was higher in rabbit (4.7) than in rat (4.1), cow(2.9), porcine(2.6) and mouse (1.4). The FDA-score of vitrified and thawed group B oocytes were 3.1(cow), 2.9 (rabbit), 2.9 (mouse), 2.6 (rat) and 2.5(porcine), respectively. However that of cumulus cell was higher in rabbit (3.7) than in porcine(2.6), rat(2.3), cow(1.7) and mouse(0.3). The FDA-score of vitrified and thawed group C oocytes was higher in mouse (4.1) than in cow(2.9), rabbit(2.6), rat(1.3) and porcine(1.1). As shown in the above results, The survival rates of oocytes were higher in group A than in group B and C except in mouse and cow. These results suggest that the survival of cumulus cell as well as follicular oocytes can be reliably judged by their fluorescence with FDA-test.

      • SCOPUSKCI등재

        정상한국인 및 각종갑상선질환에서의 아킬레스건반사 시간에 관한 연구

        강진영,김명덕,이홍규,이정상,고창순,이문호 대한핵의학회 1978 핵의학 분자영상 Vol.12 No.1

        "Since Chaney reported the measurement of ankle jerk in Patients with myxedema for the first time, slowing of the reflex in myxedema has been well documented by many authors. Although its mechanisms have not been elucidated clearly, it has long been held in esteem by clinicians a near pathognomonic sign in myxedema. Possible mechanisms suggested include (a) abnormal activity of the central nervous system, (b) a disorder of muscle like that of myotonia (c) lowered temperature of the muscle, (d) increased viscosity of themuscle due to myxdematous infiltration and (e) part of a general slowing of all vital processes. The brisk reflex in thyrotoxicosis has also been noted to be characteristic. The recent development of several simple methods of quantitating the deep tendon reflex time has made its application an easy, rapid, inexpensive and accurate test in the results of our examinations on the Achilles tendon reflex(ATR) times in normal Koreans along their sexes, ages and in various thyroid diseases. Also we observed the changes of ATR times in the thyrotoxicosis and myxedema after the initiation of treatment and compared them with other thyroid function tests. "

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