• Title/Summary/Keyword: 자연경과

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A study on the clinical courses, sigmoidoscopic and histologic findings of allergic proctocolitis (알레르기성 직결장염의 임상상과 내시경 및 조직소견)

  • Lee, Joo Hee;Kim, Sung Shin;Park, Jae Ock
    • Clinical and Experimental Pediatrics
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    • v.51 no.3
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    • pp.276-285
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    • 2008
  • Purpose : Allergic proctocolitis is a major cause of bloody stool in early infancy. This study was aimed at ascertaining the clinical courses, sigmoidoscopic and histologic findings of allergic proctocolitis. We also analyzed the relationship between peripheral eosinophilia, the age at symptom onset, and sigmoidoscopic and histologic findings. Methods : We reviewed 25 infants retrospectively who had sigmoidoscopy and biopsy performed with a clinical diagnosis of allergic proctocolitis from April 2003 to April 2007. Results : The mean age at symptom onset was $15.2{\pm}13.2$ weeks. Fourteen infants (56.0%) were breast fed, one (4.0%) was formula fed, six (24.0%) were on combined formula, and four (16.0%) were on a weaning diet. Peripheral eosinophilia (${\geq}250/mm^3$) was seen in eighteen infants (75.0%), but total serum IgE was increased only in six (24.0%). Sigmoidoscopic findings were variable from normal (8.0%), erythema or edema (20.0%), lymphoid hyperplasia (8.0%), erosion (12.0%), hemorrhage and ulcer (4.0%) to lymphoid hyperplasia with erosion, hemorrhage, or ulcer (48.0%). Histologic findings showed focal infiltration of eosinophils in lamina propria (96.0%) and crypt epithelium (96.0%). In twenty four infants (96.0%), the number of eosinophils in mucosa was increased by a more than 60/10 high power field. There was a negative correlation between peripheral eosinophilia and the age at symptom onset. Among the twelve breast fed infants, bloody stool disappeared in ten (83.0%) with a maternal elimination diet of major food groups, but two improved spontaneously. Conclusion : Allergic proctocolitis should be considered as one of the major causes of bloody stool in healthy appearing infants. To confirm the diagnosis it is necessary to perform sigmoidoscopy and biopsy but histologic findings are more informative than sigmoidoscopic findings. Peripheral eosinophilia was prominent in the infants with an early onset of symptoms. Most infants experienced benign courses and recovered with the elimination of causative foods but did not need exclusive food restrictions.

Sediment Discharge and Invasion of Plants on the Slope of the Forest Roads(II) - Invasion of Trees on the Banking Slope - (임도사면(林道斜面)의 토사유출(土砂流出)과 식생침입(植生侵入)에 관한 연구(硏究)(II) - 성토사면(盛土斜面)의 목본식물침입(木本植物侵入)을 중심(中心)으로 -)

  • Chun, Kun Woo;Oh, Jae Man
    • Journal of Korean Society of Forest Science
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    • v.82 no.4
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    • pp.354-365
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    • 1993
  • The purpose of this investigation is to point out the physical fixation and stability of banking slopes of forest roads by invasion of trees. We investigated the situations of sediment discharge and coverage of invaded trees at banking slopes of forest roads. The coverage of invaded trees were calculated from crown injection based on the stable slope and was compared with length of slope, slope gradient, and passage years after construction of forest road. 1. We investigated on the sediment discharge and the invasion of trees at banking slopes, which were actually observed 8 forest roads of Kyonggi-Do and Kangwon-Do. 2. There was no physical stability of the banking slope due to the surface erosion and slope failure, but the tree invasions were active at the stable plots. 3. The length of slope was constructed to 4.0m to 61.0m and recent forest road was mainly constructed to the slopes longer than 30m. There was strong regional effect between the length of slope and the coverage of invaded trees and the above two factors were inversely proportional to each other. 4. There was no significant relationship between the slope gradient and the coverage of invaded trees and the slope constructed within the angle of repose showed the relatively high coverage of invaded trees. 5. There was no significant relationship between the passage years and the coverage of invaded trees in the same investigative region after the construction of forest road. But there was a gradually increasing relationship of tree invasion between above two factors. However, there was some limitation to expect the invasion of the tree species. 6. In the light of the above results, we suggest that the construction of forest road may need foundation work and vegetation work simultaneously for the physical stability to make the environment of tree plantation and that the reasonable increase of construction cost of forest road may be prior to the other factors.

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Spontaneous Pneumomediastinum: Clinical Experience of 24 Patients in Two Medical Center (자연성 종격동 기종: 두 병원에서의 임상 경험 24예)

  • Moon, Hyeon-Jong
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.663-668
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    • 2010
  • Background: Spontaneous pneumomediastinum is an uncommon disorder with few cases reported. It usually occurs in young males and has benign self-limiting course without any apparent concomitant factor. It is seen after intrathoracic pressure changes leading to alveolar rupture. The clinical experiences of two medical centers were reviewed to aid in optimal management. Material and Method: Retrospective review between March 2003 and August 2010 with spontaneous pneumomediastinum patients was performed. Result: 24 patients were identified with a diagnosis of spontaneous pneumomediastinum. These 24 patients were comprised of 18 men and 6 women with mean age 18.9 years (range 10 ~ 33). The major initial complaints were chest pain (79.2%), throat pain (62.5%), and subcutaneous emphysema (41.7%). The triggering events were exercise (16.7%), coughing (12.5%) and vomiting (12.5%). No apparent triggering event was noted in 54.2% of patients. In all cases, chest radiograph and computed tomography was done. Diagnostic computed tomography was required in 25%. White blood cell counts and C-reactive protein (CRP) were checked, and their initial mean values were $9,790{\pm}3,240/{\mu}L$ Land $1.31{\pm}1.71mg/dL$, final mean values were $5,440{\pm}1,665/{\mu}L$ Land $0.72{\pm}0.73mg/dL$, respectively. 23 patients were admitted (average $5.0{\pm}1.8$) and the symptoms were self-limiting in all cases without complications. Conclusion: Spontaneous pneumomediastinum is a benign condition with mild inflammatory signs that often presents with chest or throat pain. Secondary causes must be ruled out to avoid an unfavorable outcome with less invasive study. Because of very rare complications and recurrence, outpatient basis and shortened hospitalization may be feasible.

Maternal and Neonatal Outcome of Twin Pregnancies after in vitro Fertilization and Embryo Transfer (체외수정시술로 출생한 쌍생아의 임상적 경과에 대한 비교 분석)

  • Kim, Kyung-Ah;Min, Uoo-Gyung;Lim, Jae-Woo;Jun, Nu-Lee;Won, Hye-Sung;Kim, Chung-Hoon;Kim, Ellen Ai-Rhan;Lee, Pil-Ryang;Lee, In-Sik;Kim, Ki-Soo;Kim, Ahm;Pi, Soo-Young
    • Clinical and Experimental Pediatrics
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    • v.46 no.3
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    • pp.224-229
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    • 2003
  • Purpose : To examine various neonatal outcomes and perinatal factors resulting from assisted reproduction compared to that of spontaneous conception. Methods : This is a retrospective study. The control cases were all twins of spontaneous conception born between periods from January 1995 to June 2000. The study cases were identified from twins conceived by assisted reproduction in the same time peried. A total of 460 sets of twins consisted of 250 twins of spontaneous conception and 156 twins of assisted reproduction were studied. The primary outcomes were neonatal morbidity and mortality and the secondary outcomes were perinatal factors including number, length and cost of hospitalization for the delivery. Results : No differences were seen in various neonatal factors including gestational age, birth weight and incidences of respiratory distress syndrome, patent ductus arteriosus, necrotizing enterocolitis, hyperbilirubinemia, sepsis, intraventricular hemorrhage and the length of hospitalizations. Lower one minute and five minute Apgar scores and frequently encountered electrolyte abnormalities were observed in neonates of assisted reproduction. In general, the second twin of assisted reproduction had increased incidences of respiratory distress syndrome, sepsis and necrotizing enterocolitis than the first twin. Increased frequencies of preterm labor, hospitalization and elective cesarean section were seen among mothers who underwent artifical conception. However, overall hospital costs in terms of mothers hospitalization for the delivery and neonates hospitalization did not show differences. Conclusion : Assisted reproduction twins had similar neonatal morbidities, mortalities and perinatal morbidities compared to those born by spontaneous conception.

Variation of Growth Characteristics in Natural crossed Population of Paeonia lactiflora Pallas (자연교잡 실생작약 집단의 생육특성 변이)

  • Kim, Se-Jong;Kim, Jeong-Hye;Park, Jun-Hong;Park, So-Deuk;Choi, Boo-Sull
    • Korean Journal of Medicinal Crop Science
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    • v.7 no.3
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    • pp.177-184
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    • 1999
  • This study was carried out to find growth characters and distribution of above and underground in natural crossed population of Paeonia lactiflora Pallas. Sprouting time was 1 April to 15 April, and distribution of stem length ranged from 21 to 80cm, and 3 to 18 in stem number. Distribution of root length ranged from 12 to 59cm, root number per plant was 73 to 4, root yield per plant was highly varied by 37 to 882g, and larger root above 750g was occupied by 7.1%. Paeoniflorin content was 1.9 to 10.29% and plants containing higher paeoniflorin was 14.3%. Root length and yield had highly positive correlation. Root diameter and stem length was also positively correlated.

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Turbidity Reduction of the Turbid Water by Dredging (하천 준설 시 발생되는 탁수저감에 관한 연구)

  • Bae, Sang-Keun;Choi, Soo-Young
    • Proceedings of the Korea Water Resources Association Conference
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    • 2011.05a
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    • pp.207-211
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    • 2011
  • 하천공사의 매립 및 준설 시 뿐만 아니라 최근에는 호우 시에도 발생하는 고농도 오탁수의 유출 확산으로 인하여 주변 수역의 수산자원 및 자연환경에 심각한 영향을 미치고 있다. 특히 유사는 하천과 호소에 유입되어 탁도를 증가시켜 수자원의 이용가치를 저하시키며, 박테리아나 각종 미생물의 이동 매개체가 되고 있다. 또한 퇴적된 유사는 유량이 증가하면 다시 침식되어 부유상태가 되며 이때에 영양염류나 독성물질이 재용출 되기도 하는 등 하천의 물리 및 토양환경의 장 단기적인 변화를 유발하는 원인이 된다. 결국 유사는 다양한 방식으로 하천과 호소의 생태환경에 큰 변화를 초래한다. 부유토사의 발생 가능한 피해의 범위와 정도는 유역의 부유토사 발생율과 하천, 호소 퇴적물의 성분종류와 입도분포, 그리고 유속에 따라 결정된다. 따라서 탁수의 영향범위를 예측하고, 악영향이 예측될 경우에는 탁도를 저하시킬 수 있는 오탁물질의 저하기법을 적용하여 그 대책을 수립하여야 한다. 현재 정부가 역점을 두고 있는 4대강 살리기 사업 중 하나인 하천 준설 사업 시 발생되는 고농도 오탁수는 주변 수역의 수자원 및 자연환경에 심각한 영향을 미치므로 자연환경의 보존, 해양자원을 보호하기 위하여 오탁물질의 제어가 반드시 필요한 실정이다. 기존의 오탁 저감시설이나 방법의 경우 오탁물질의 확산을 제어하는데 한계가 있고 오탁물질의 종류와 관계없이 일률적으로 시공함으로서 오탁제어 효과가 의문 시 되고 있다. 이러한 문제점을 개선하기 위하여 오탁물질의 확산 범위를 줄이고 침강효율을 높이는 방법을 찾아 오탁확산 제어 효율을 개선할 필요가 있다. 본 연구에서는 오탁물질 제어 시 2차 응집물로 인한 오염이 발생하는 않는 천연광물 제올라이트를 이용한 실내실험을 통하여 고농도 탁수의 탁도 저감효율을 파악하여 고농도 탁수의 탁도 저감에 대한 제올라이트의 적용 가능성을 살펴보았다. 4대강 살리기 사업 중인 OO강 OO공구의 OO보 현장에서 하천 준설 시 발생하는 고농도 탁수를 이온을 첨가한 제올라이트를 이용하여 확산제어에 관한 효과를 검토한 결과 2,000NTU 정도의 고농도로 유하하는 탁수에 대하여 제올라이트 혼합 후 20분이 경과한 시점에 제거효율이 90%이상으로 제올라이트의 탁수저감 효과가 대단히 크다는 것을 알 수 있었다.

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A Study on the Middle-School Geography Textbooks of North Korea Published in 1990 and in 2000 (북한의 지리교과서에 대한 일고찰 : 북한의 고등중학교 지리교과서 1990년판과 2000년판 분석을 중심으로)

  • Lee, Jeon
    • Journal of the Korean association of regional geographers
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    • v.11 no.6
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    • pp.607-619
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    • 2005
  • For the Unification of Koreas in the future, we need to understand the geography education system of North Korea. This paper deals with the middle-school geography textbooks of North Korea, published in 2000 and as well as in 1990, in order to look for a better way of geography education after the Unification. One geography textbook is used for each grade, respectively, from the first to the fifth grade of the North Korea's middle-school (table 1). The North Korea's geography textbooks are immersed in the unreasonable idolization of the Kim's family and the excessive devotion to the socialist system. But they may suggest a significant implication in the improvement of geography terminology in South Korea because of their common use of genuine Korean words.

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Comparison of Germination Characteristics and Daily Seed Germinating Pattern in Fine-textured Fescues Grown Under Alternative and Natural Conditions at the Room Temperature (자연실온 및 변온 조건에서 세엽형 훼스큐속 잔디의 발아특성 및 일일 발아패턴 비교)

  • Kim, Kyoung-Nam
    • Weed & Turfgrass Science
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    • v.2 no.1
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    • pp.47-54
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    • 2013
  • The study was conducted to investigate early establishment characteristics and germination pattern of fine-textured fescues (FF) under natural room temperature and to analyze differences between alternative and natural conditions for a practical application. Six cultivars from Chewings fescue (CF), creeping red fescue (CRF), hard fescue (HF) and sheep fescue (SF) were evaluated in the study. Daily and cumulative germination pattern were measured and analyzed. Significant differences were greatly observed in germination pattern, days to the first germination, days to 60% germination, and germination percentage with environments, species and cultivars. Final germination rate was 29.7 to 80.0% under natural conditions. The first germination was initiated between 8 and 10 DAS (days after seeding) under natural conditions, being 3 to 4 days later as compared with ISTA conditions. Days to the 60% germination were 12.1 to 19.0 DAS, being 3.0 to 4.2 days slower than that under ISTA conditions. CF 'Jamestown II' was the fastest cultivar, while the slowest CRF 'Audubon'. Turf establishment speed was faster with CRF < SF < HF and < CF in order. Information on differences in germination characteristics and pattern between alternative and natural conditions would be practically useful for a golf course construction etc., when established with FF.

Clinical Reviews of Spontaneous Hemopneumothorax (자연성 혈기흉의 임상 양상)

  • Kim, Jung-Tae;Chang, Woon-Ha
    • Journal of Chest Surgery
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    • v.40 no.9
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    • pp.613-616
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    • 2007
  • Background: Spontaneous hemopneumothorax is a rare disease and can be life threatening; it occurs in $1{\sim}12%$ of patients with spontaneous pneumothorax. We analyzed clinical reviews and treatments, as well as complications of spontaneous hemopneumothorax patients that were treated to aid in the optimal management. Material and Method: We studied retrospectively 30 cases with spontaneous hemopneumothorax for 11 years, from 1995 to 2006, at our hospital. Result: All the patients were male and most of the patients were under 30 years. The sides with the disorder were as follows: right in 15 cases and left in 15 cases. Patients showed mostly initial symptoms of chest pain, dyspnea and hypovolemic shock. All patients underwent a closed thoracostomy and 27 patients underwent surgery. Chemical pleurodesis was peformed because of postoperative persistent air leakage and one case was treated in the ICU due to re-expansion pulmonary edema, There were no other complications such as fibrothorax seen during the follow-up periods. Conclusion: The most important finding is proper initial management, as the spontaneous hemopneumothorax can potentially lead to a life-threatening condition. Recently, video assisted thoracoscopic surgery (VATS) is common procedure for general thoracic surgery and overcomes the weak points of performing a thoracotomy. The results of VATS are encouraging.

코로나 방전을 이용한 하이브리드 사이클론 집진 장치 특성 연구

  • Choe, Seong-Chang
    • Proceedings of the Korean Vacuum Society Conference
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    • 2012.08a
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    • pp.259-260
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    • 2012
  • 산업화가 발달됨에 따라 대기 오염 물질은 점차 증가하고 있는 추세에 있고 특히 기름 및 석탄 연소 보일러, 자동차, 제철, 시멘트 플렌트, 소각로 등은 미세 분진을 발생시키는 주원인이 되어 왔다. 최근 대기환경법은 오염 분진의 중량 규제로부터 $10{\mu}m$ 미만의 PM10에서 $2.5{\mu}m$ 미만의 PM2.5의 미세 분진에 대한 규제로 점차 심화되고 있으나, 이러한 미세분진은 고전적인 제거 방법으로는 매우 어려우며 고가의 HEPA 필터를 사용하여야 한다. 한편 코로나 방전을 이용하는 전기 집진은 미세 먼지 제거에 매우 효율적이어서 $1{\mu}m$ 미만의 미세 분지도 99%까지 제거가 가능하다는 장점이 있지만 입자크기가 클 경우에는 효율이 떨어지는 단점이 있다. 한편 사이클론 집진기는 매우 오래전부터 개발되어 사용되어 왔는데 가격이 저렴하고 운영비가 적게 들며 $10{\mu}m$ 이상의 먼지는 99% 이상 제거가 가능하여 산업현장에서 오랜 기간 사용되어 왔지만 입자크기가 $10{\mu}m$ 미만으로 가면 집진율이 급격히 떨어지는 단점을 가지고 있다. 본 연구에서는 기존의 사이클론 집진기의 구조를 기본으로하여 사이클론 집진기 내부에 플라즈마 방전을 설치하여 원심력에 의한 집진과 코로나 방전에 의한 전기 집진을 동시에 수행할 수 있도록 하이브리드 사이클론 집진기를 제작하였다. 제작된 사이클론 집진기는 직경 30 cm 높이 120 cm의 사이클론 구조를 가지고 있으며 1 hp의 터보송풍기를 장착하여 $20m^3$/min 이상의 유량을 처리할 수 있도록 설계 제작되었다. 제작된 하이브리드 사이클론 집진기의 성능을 평가하기 위하여 $10m^3$의 체적을 가지는 테스트 챔버 내부에 사이클론 집진기를 설치하고 향을 태워 미세 먼지를 발생시킨 후 다양한 조건에서 집진 성능을 측정하여 보았다. 미세 먼지의 경우 사이클론을 작동시키지 않아도 테스트 챔버 벽면에 흡착되어 초기에는 급격히 감소하는 경향을 보여주나 일정 시간이 경과한 후에는 매우 느리게 감소하는 현상이 관찰 되었다. 코로나 방전을 하지 않고 오존 파괴기에 활성탄만 충진한 상태에서 사이크론을 작동시킬 경우 지속적으로 천천히 감소하는 경향을 보여주었으며, 코로나 플라즈마를 방전시킨 경우 미세 먼지는 HEPA filter를 장착한 것보다도 조금 빠르게 미세먼지를 제거하였다. 챔버 내부의 미세먼지가 초기 값의 1/10에 도달하는 시간은 코로나 방전 전류가 증가할수록 짧아지는 경향을 보여주었으며 최적 조건에서 100초 이내에 90% 이상 제거가 가능하였다. 하이브리드 사이클론 집진기는 집진 뿐 만 아리라 VOC 성분도 분해가 가능하여 유해물질을 제거하는 능력이 있다. 유해 가스 제거 능력을 실험하기 위하여 분진제거 실험에 사용된 챔버 안에 아세톤을 증발시켜 50 ppm이 되도록 한 후 다양한 조건에서 유해물질 제거 실험을 수행하였다. 미세먼지와는 달리 장비를 작동하지 않을 경우 매우 느리게 아세톤 농도가 감소하였다. 이는 미세 먼지와는 달리 흡착이 발생하지 않고, 측정 챔버 자체가 완전한 밀폐가 이루어지지 않아 자연적으로 조금씩 외부로 누출되기 때문으로 판단된다. 코로나 플라즈마만 방전시켰을 경우 초기 농도의 80%가 제거되는데 걸리는 시간은 약 28분 정도로 코로나 플라즈마가 VOC 제거에 효과가 있음은 확인하였으나 제거율이 그리 높지 않음을 알 수 있었다. 한편 오존 파괴를 위해 활성탄으로 충진 된 오존파괴기를 통과시킨 경우는 약 12분 경과 후 80%가 제거됨을 확인할 수 있었으나 그 이후에는 VOC의 감소가 매우 느리게 진행됨을 알 수 있었다. 한편 활성탄 대신 $MnO_2$ 복합촉매로 충진 된 오존파괴기를 통과한 경우 약 3분 정도 경과 후 80%의 아세톤이 제거됨을 관찰할 수 있었으며 코로나 플라즈마를 작동시키면서 $MnO_2$ 복합촉매로 충진 된 오존파괴기를 통과시킨 경우 약 2분 정도 경과 80% 이상의 아세톤이 제거되어 코로나 플라즈마와 복합촉매를 사용할 경우 VOC 성분이 효과적으로 제거됨을 알 수 있었다.

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