• Title/Summary/Keyword: 마산항

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Clinical Outcome after Treatment with the First-line Drugs in Patients with Persistent Positive Sputum Smear and Negative Sputum Culture Results (지속적인 객담 도말양성 및 배양음성인 폐결핵환자에서 일차항결핵제로 치료종결한 후의 임상성적)

  • Kwon, Eun-Su;Lee, Jong-Youk
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.4
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    • pp.325-333
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    • 2001
  • Background : This study aimed to estimate the clinical outcome and identify the characteristics of a group of patients with pulmonary tuberculosis who completed anti-tuberculosis therapy with the First-line drugs in spite of having positive smear results with negative sputum culture results over the previous six months. Method : A retrospective chart review of 21 patients who fulfilled the above criteria between 1995 and 1999 was performed. The laboratory data as well as the clinical data of the patients with positive smear results and negative culture results over a six months period were reviewed. Results : The negative conversion of sputum culture results was achieved within $1.3{\pm}1.2$ months and the negative conversion of the sputum smear results was accomplished during $9.5{\pm}3.3$ months. Chest X-rays at 5 months following the institution of anti-tuberculosis therapy from all patients revealed improvements. Four out of 21 patients(19%) relapsed during the follow up, $15.2{\pm}13.4$ months after administering anti-tuberculosis therapy for $13.3{\pm}3.1$ months. Relapses were confirmed from between 3 months and 4 months after the treatment completion. Only one of the four relapses had no past history of anti-tuberculosis therapy and the others had prior treatment twice (p<0.01). The period of anti-tuberculosis treatment was extended to a mean of $4.6{\pm}2.6$ months in 12 patients. However, prolongation of anti-tuberculosis therapy had no affect on the relapse rate (odds ratio, 95% CI 0.18, 2.15). Conclusion : Prolongation of therapy with the First-line drugs is not necessary for patients with persistently positive smear results over 6 months and negative culture results. A patient who has had prior anti-tuberculosis therapy more than twice should be paid the closest attention.

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The Length of Postoperative Antituberculous Therapy in Patients with Pulmonary Tuberculosis (폐결핵 환자의 폐절제술 후 항결핵제 투여기간)

  • Kwon, Eun-Su;Song, Jin-Ho;Song, Sun-Dae
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.4
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    • pp.421-431
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    • 2000
  • Background : The length of postoperative drug therapy remains controversial in pulmonary tuberculosis. We analyzed our experiences to determine the postoperative duration of chemotherapy after resection. Method : A retrospective review was performed in 66 of 95 patients that underwent pulmonary resection for pulmonary tuberculosis between January 1993 and December 1998. We compared the relapse rates according to the length of postoperative chemotherapy in each group, classified by the results of sputum AFB culture before the surgery, the number of resistant drugs, the number of prior treatment and the division of anti-TB drugs used postoperatively. Results : Fifty three of 66(80.3%) were men and 13(19.7%) were women with a median age of 33.5 years(range, 16 to 63). The mean lengths of the pre- and post-operative chemotherapies were 4.9 months, and 12.9 months respectively. Five of 66 patients (7.6%) relapsed during the mean period of follow up (39.7 months). In the group less than three times of the prior treatment, there were two relapses (20%) in Ed-the highlight above-rephrase 10 patients that were medicated for 6 months or less, and one relapse in 43 patients (2.3%) that took medicine for more than 6 months (p=0.03). In the group using second-line drugs postoperatively, there was one relapse (25%) in four patients that were medicated for 12 months or less. No patient in a total of 17 that received medicine for more than 12 months relapsed (p=0.03). Conclusion : We recommend that patients with the prior treatment less than three times should be treated for more than 6 months after resection and patients using the second-line drugs postoperatively should be medicated for more than 12 months.

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Diagnosis of Development Projects and Water Quality Changes in the Environmental Management Sea Areas and Improvement of Impact Assessment (환경관리해역의 이용개발현황과 수질변화경향 및 영향평가 개선방안)

  • Jun, Eun Ju;Yi, Yong Min;Lee, Dae In;Kim, Gui Young
    • Proceedings of KOSOMES biannual meeting
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    • 2018.06a
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    • pp.143-143
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    • 2018
  • 최근 3년간 환경관리해역(환경보전해역 및 특별관리해역)에서 이루어진 해역이용협의 검토 건수는 총 60건으로 조사되었다. 환경보전해역에서는 2015년 9건, 2016년 7건, 2017년 3건으로 지속적으로 감소하였고, 특별관리해역에서는 2015년 12건, 2016년 13건, 2017년 16건으로 증가하는 양상을 나타내었다. 환경관리해역의 개별사업 유형을 분석한 결과, 인공구조물 설치사업이 가장 높은 비율을 차지하였으며, 그 다음으로 항만 어항개발, 연안정비 및 해수 인 배수 사업유형이 많이 이루어진 것으로 분석되었다. 환경관리해역에서 국가해양환경정보통합시스템(MEIS) 자료를 참고하여 생태기반 해수수질 평가지수(WQI)와 경년별 수질변화경향을 비교한 결과, COD는 뚜렷한 증감의 변화는 보이지 않았으나 TN과 TP의 농도는 다소 감소하는 경향을 보였다. 특별관리해역인 광양만과 마산만 및 환경보전해역인 가막만에서는 빈산소수괴가 출현하였다. 이러한 환경관리해역에서의 이용 개발행위가 지속적으로 이루어지고, 이에 따른 해역이용협의서 등 해양환경부문 환경영향평가시에는 충분한 수질변화에 대한 실태분석 및 사업추진에 따른 수질영향을 철저히 진단해서 오염원관리에 대한 대책이 중점적으로 평가되어야 할 것으로 판단된다. 특히, 각 환경관리해역의 지정 목적에 따른 유지 수질목표를 명확히 설정할 필요가 있다. 또한, 개발사업에 따른 협의 평가과정에서의 검증을 위하여 환경관리해역에서의 수질 및 퇴적물에 대한 모니터링 및 분석결과에 대한 정도관리가 더욱 강화되어야 할 것이다.

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Development and Succession of Marine Fouling Organisms on Artificial Substrata (인조기판 위에서 해양 부착생물의 발달 및 천이)

  • 심재형;정문섭
    • 한국해양학회지
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    • v.22 no.4
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    • pp.257-270
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    • 1987
  • Fouling communities developing in Jinhae Harbor and Masan Bay were studied by slide and panel immersion test during the period from Dec., 1982 to Nov., 1983. The total viable count of bacteria was estimated more than 1.7${\times}$ 10$\^$4/CFU/$\textrm{cm}^2$ after 15 days of immersion and 46 taxa of benthic diatoms were classified in micro-community. Progressional change of fouling communities was clearly shown and dominant diatom species are Licmophora flavellata, Navicula grevillei, and Nitzschia closterium Major macrofouling organisms are Mytilus edulis, Balanus amphitrite amphitrite, Hydroides ezoensis, and Celleporina sp. Wet weight production of macrofouling organisms exceeds 500g/100cm$\^$2/ after 5months of immersion. Regional defferences in community development are clearly shown in two study areas, and mainly due to the disparities of physicochemical stability and nutritional status of ambient water. Seasonality of larvae and the growth rate are the important factors in fouling community development. Overall process of community development is as follow : bacteria and diatoms-multicellular algae-barnacle, mussels and polychaete-sponge, anemone and ascidian.

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A Study on the reinvigoration strategy for Coastal Passenger Service: focused on the main service line at Tongyoung (연안여객선관광사업의 활성화 방안에 관한 연구 - 통영지역 주요항로를 중심으로 -)

  • Ahn, Ki-Myung;Kim, Hyun-Duk;Lee, Sung-Yhun
    • Journal of Korea Port Economic Association
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    • v.24 no.1
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    • pp.11-22
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    • 2008
  • This paper aims at investigating the reinvigoration strategy for main coastal passenger service line in Tongyoung. SWOT analysis and BCG matrix are used to sort out the their competitiveness as environmental market position. As a result of environmental situation, Tongyoung area has a positive internal and external competitive advantage, with strong land and sea tourist attractions. But a small-scale coastal passenger service firms and depression of local economy are represented as the barrier of attracting more passenger. The results of BCG matrix analysis are individual firms managing coastal passenger service in Tongyoung have a stable market position against Korean coastal passenger market in terms of market growth rate and share.

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A study on Efficient operation for Establishment of Passenger ship public transportation system (연안여객선의 대중교통화를 위한 효율적 실행방향 고찰)

  • Noh, Chang-Kyun
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • v.29 no.1
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    • pp.353-358
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    • 2005
  • The purpose of this study is to implement concept of public to passenger ship route to promote benefits and adopt competition principle among ship companies to elevate business efficiency. As of year 2005, passenger ships operate in 106 routes departing from 10 harbors including Mokpo, Masan, and Inchonto provide transportation system to island residents. Contrast to other public transportation systems excluding some tourism routes, this essential passenger ship are unable to fulfill various customer services to the passengers due to stagnation or declination. In addition, route adjustment and flexible passenger ship operation are not expected due to private property right of the route. Therefore, establishment of public transportation system for remote island route is initiated for the connection between cities and islands, boost travel industry of island economy, and balanced growth oh the nation.

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Analysis and Expression of Cloning of rpoB Gene of Drug-Resistant Mycobacterium tuberculosis (약제내성 Mycobacterium tuberculosis의 rpoB 유전자 분석과 클로닝 발현)

  • Choi, Eun Kyeong;Kweon, Tae-Dong;Bai, Sun-Joon;Cho, Hae Sun;Hong, Seong-Karp
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.17 no.4
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    • pp.1005-1009
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    • 2013
  • Using DNA sequencing method, we analyzed mutations of rpoB (RNA polymerase beta subunit) rifampin-resistant Mycobaterium tuberculosis strains which were identified by conventional test at Masan National Hospital and The Korean Institute of Tuberculosis. Though it has been reported different mutations of rpoB region of rifampin-resistant M. tuberculosis strains in the south of Korea, it is not confirmed whether these mutations of rpoB region actually express rifampin resistance through experiment. We confirmed experimentally these mutations of rpoB region of M. tuberculosis strains induced rifampin-resistance through ampified rpoB by polymerase chain reaction (PCR) and cloning of mutant rpoB into rifampin sensitive-M. tuberculosis strain.

Experimental Study on Hydraulic Characteristics and Vorticity Interactions of Floating Breakwaters (부유식방파제의 수리특성 및 와 상호작용에 관한 실험적 연구)

  • Yoon, Jae Seon;Cho, Yong-Sik
    • 한국방재학회:학술대회논문집
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    • 2011.02a
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    • pp.55-55
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    • 2011
  • 연안 및 해안공학의 발달과 더불어 부유식방파제의 기능적 효율성이 중요시 되고 있다. 흔히 사용되어오던 착저식방파제는 설치에 많은 시간과 경비가 소요되고 환경 및 생태계에 많은 변화를 줄 수 있으며, 설치 예정지의 수리학적 특성 등의 여건에 많은 제약을 받는 단점이 있다. 부유식방파제는 일본 등의 선진국을 중심으로 활용이 잦아지고 있는 방파제로서 수면 위에 설치되기 때문에 수중 생태계에 미치는 영향이 적은 친환경방파제이다. 또한 기존에 시공된 중력식방파제와는 달리 수심에 제한을 덜 받고, 공사기간이 짧기 때문에 경제적이다. 실제 시공사례로는 2007년 마산 원전항에 완공된 부유식방파제가 대표적이며, 지금까지도 부유식방파제에 대한 여러 연구자들의 관심이 증가하고 있는 추세이다. 방파제뿐만 아니라 우리나라처럼 국토의 면적이 작은 지역에서 증가하는 해상물동량을 소화하기 위해서 부유식방파제 등을 이용한 항만의 시공이 필요한 실정이다. 이러한 부유식방파제의 분석적인 측면에 있어서 수치해석은 파랑과 구조물의 상호작용을 해석하는 데 한계가 있으며, 부유식방파제 단면형상을 정확하게 재현할 수 없으므로, 수리모형실험을 통한 부유식방파제의 연구가 필요할 것으로 판단된다. 최근 기술의 발달로 인한 유동장 해명이 가능해 졌으며, PIV(Particle image velocimetry) 및 LDV시스템은 다양한 분야에서 응용되고 있다. 특히, LDV시스템은 측정하려는 한 지점에 대하여 레이저 빔을 단면(Cross-section)으로 만들고 입자의 산란광을 후방산란(Back scatter)으로 받아서 도플러 효과를 이용, 속도에 대한 주파수를 획득하며, 유속을 측정하는 장비로 매우 높은 정확도와 비접촉식 이라는 장점을 가지고 있다. 또한, PIV 시스템에 비하여 측정시간이 오래 걸리는 반면 데이터를 가공하지 않고 활용할 만큼 높은 정확성을 가지고 있다. 본 연구에서는 수리모형실험을 통하여 단독형, 2열형 및 3열형 부유식방파제의 형상, 흘수 및 거리를 변화시키며 유동장을 수집하였으며, 방파성능에 따른 와의 생성 및 소멸시점에서의 파랑변형과의 관계를 분석하였다. 방파제의 형상과 흘수를 달리하여 수리모형실험을 수행하였으며, 와류의 상관관계를 분석하였다. 또한, 연직 2차원 Navier-Stokes 방정식 모형을 이용하여 수치모형실험을 수행하였으며, 수치모형실험 결과와 수리모형실험 결과를 비교 분석하였다. 후방방파제에서 발생되는 파랑은 입사파의 주기가 길어질수록 상대적으로 커지는 현상을 보였으며, 흘수심이 깊어질수록 전방방파제 입사 면에서 자유 수면이 높게 관측되는 결과를 보였다. 또한, 비교적 장주기파랑에 해당하는 입사파랑의 경우 전달파고비 산정에 있어서 설계기준인 0.5를 대다수 초과하는 반면, 3열형 구조에서는 대부분이 0.5이하로 상당히 높은 방파성능 결과를 나타내었다.

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Computation of Tides for Off Kyungnam Coast with Dynamically Combined Two-Dimensional and Three-Dimensional Tidal Model (2차원 및 3차원 동적복합조석모형에 의한 경남해역의 조석산정)

  • 최병호;우승범
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.7 no.2
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    • pp.176-197
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    • 1995
  • Two-dimensional and three-dimensional structures of tidal currents on southeastern waters of Korea off Kyungnam coast were investigated via a series of numerical models based on dynamic principles. With a two-dimensional tidal model, tidal regimes of major eight tidal constituents (M$_2$, S$_2$, K$_1$, O$_1$, N$_2$, K$_2$, P$_1$, Q$_1$) were computed. Model results showed that the computed results were in good agreement with coastal observations. On the basis of these results the model was further improved to compute three-dimensional structure of tidal current in inner Jinhai and Masan Bay regions of the model area where severe pollutions occur due to red tide by combination of the previous two-dimensional model and inner three-dimensional model. For this work, three-dimensional Galerkin-Spectral model and two-dimensional depth-integrated model are dynamically combined by the method presented by Davies (1980). In addition to the previous work by Davies, the advective term and quadratic bottom friction term are included in present Three-dimensional numerical model. The computed results of M$_2$ tidal current ellipses with respect to depth showed general agreements with those of current observations by KORDI (1990).

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Activity of Moxifloxacin Against Ofloxacin-Resistant Mycobacterium Tuberculosis: A Study of Cross-Resistance Between Ofloxacin and Moxifloxacin (Ofloxacin 내성 마이코박테리아에 대한 Moxifloxacin의 항결핵 효과: Ofloxacin과 Moxifloxacin의 교차내성 연구를 중심으로)

  • Kim, Byoung Ju;Kang, Young Soo;Park, Seung Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.5
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    • pp.405-410
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    • 2004
  • Background : Moxifloxacin is an 8-methoxyquinolone compound which has been shown to have the best activity of the quinolones against M. tuberculosis but there is no literature showing the rate of cross-resistance between moxifloxacin and the other quinolones such as ofloxacin. Therefore, we tested the activity of moxifloxacin against ofloxacin resistant M. tuberculosis by a study of cross-resistance. Methods : We tested MIC's of moxifloxacin and ofloxacin by proportion method against 34 M. tuberculosis isolates showing resistance against ofloxacin at $2.5{\mu}g/m{\ell}$ concentration and 13 ofloxacin susceptible isolates from specimens submitted to clinical laboratory of National Masan Hospital from March 2003 to March 2004. Results : For ofloxacin susceptible isolates, $MIC_{50}$ and $MIC_{90}$ of ofloxacin were all $1.25{\mu}g/m{\ell}$, and $MIC_{50}$ and $MIC_{90}$ of moxifloxacin were $0.31{\mu}g/m{\ell}$ and $0.63{\mu}g/m{\ell}$ respectively. For ofloxacin resistant isolates, $MIC_{50}$ of ofloxacin was over $10{\mu}g/m{\ell}$ and $MIC_{50}$ of moxifloxacin was $5{\mu}g/m{\ell}$, $MIC_{90}$ of ofloxacin and moxifloxacin were all over $10{\mu}g/m{\ell}$. The rate of cross-resistance between the two was 67.6%(23/34) at $2.5{\mu}g/m{\ell}$ concentration. Conclusions : Moxifloxacin showed activity against 82.4%(28/34) of ofloxacin resistant M. tuberculosis at $10{\mu}g/m{\ell}$, but more studies are needed so that moxifloxacin will be used for patient with multi-drug resistant tuberculosis including oflokacin resistance.