• Title/Summary/Keyword: 폐연쇄

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Clinical Entities and Etiology of Invasive Bacterial Infections in Apparently Healthy Children (기저 질환이 없는 소아에서 발생한 침습성 세균 감염의 임상 양상과 원인균)

  • Lee, Joon Ho;Song, Eun Kyoung;Lee, Jin A;Kim, Nam Hee;Kim, Dong Ho;Park, Ki Won;Choi, Eun Hwa;Lee, Hoan Jong
    • Clinical and Experimental Pediatrics
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    • v.48 no.11
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    • pp.1193-1200
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    • 2005
  • Purpose : Invasive bacterial infection is a major cause of morbidity and mortality in children. Previously, we reported etiology of invasive infections in healthy children in 1985-1995. This study was performed to update etiology of invasive bacterial infections in the previously healthy children. Methods : We reviewed medical records of 98 episodes of invasive bacterial infections in immunocompetent children at the Seoul National University Children's Hospital in 1996-2004. Results : The frequent pathogens identified over all age groups were Streptococcus pneumoniae (33%) and Staphylococcus aureus(33%). The proportion of Salmonella species and Haemophilus influenzae has been declined to 4% each from 23% and 14%, respectively, compared to previous study. S. agalactiae was the most common isolate in the infants ${\leq}3$ months. Among the infants and children aged 3 months to 2 years and children of 2-5 years, S. pneumoniae(57%, 52%, respectively, in each group) was the most common isolates followed by S. aureus(17% and 24%, respectively). S. aureus was the most common isolates(73%) in children >5 years. Primary bacteremia was the most common clinical diagnosis(27%). S. pneumoniae was responsible for 42% of primary bacteremia, 50% of meningitis, and 69% of bacteremic pneumonia and empyema. S. aureus accounted for 80% of bone and joint infections. The case fatality rate was 8.1% for all invasive infections. Conclusion : We reviewed frequency of bacterial agents of invasive infections in children. The data may be useful for pediatricians to select adequate empirical antibiotics in the management of invasive bacterial infections.

Dynamic Analysis of Multibody Tracked Vehicles (I) : Development of the Recursive Formulation Module (다물체로 구성된 궤도 차량에 대한 동적 해석 (I) : 순환방정식 모듈 개발)

  • 신장호;최진환;이승종
    • Transactions of the Korean Society of Automotive Engineers
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    • v.6 no.3
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    • pp.11-17
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    • 1998
  • In this study, a procedure is presented for the dynamic analysis of a multibody tracked vehicle system. the planner tracked vehicle model used in this investigation is assumed to consist of two kinematically decoupled subsystems, i.e., the chassis subsys- tem and track sub-system. The chassis subsystem includes the chassis frame, sprocket, idler and rollers, while the track subsystem is represented as a closed kinematic chain consisting of rigid links interconnected by revolute joints. The recursive kinematic and dynamic formulation module of the vehicle will be developed.

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Monitoring of Pulmonary Tuberculosis by Polymerase Chain Reaction After Antituberculous Treatment (항결핵제 투여후 중합효소연쇄반응으로 추적한 폐결핵 환자들의 치료반응 관찰)

  • Jeon, Chang-Ho;Suh, Hun-Suk;Lee, Sang-Chae;Hyun, Dae-Sung;Ahn, Wook-Su
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.5
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    • pp.935-941
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    • 1998
  • Background: As living and dead Mycobacteria could be amplified by polymerase chain reaction(PCR), it was considered that PCR was inappropriate for the monitoring of pulmonary tuberculosis after treatment. But we found negative conversion of PCR after successful treatment. We would like to know about the negative conversion rate of PCR and its conversion time after antituberculous treatment. Methods: We collected 113 sputums from the 16 patients of pulmonary tuberculsosis visiting Catholic University Hospital of Taegu Hyosung. We consecutively tested AFB smear, AFB culture and PCR by 2 to 4 weeks after antituberculous therapy. The patients were classified according to the chest X ray findings. Results: We detected negative conversion of PCR from all 16 patients of the pulmonary tuberculosis within 30 weeks after treatment. The average negative conversion time was $16{\pm}8$ weeks. The conversion time according to the chest X -ray findings were as follows : For the 8 cases of minimum were $9{\pm}5$ weeks, 4 cases of modreate advanced were $20{\pm}8$ weeks, and 4 cases of far advanced were $23{\pm}2$ weeks. The product of PCR was gradually decreased according to the duration of treatment. Conclusions: From the results of our study, we could utilize M. tubercuosis PCR for the prediction of therapy response and monitoring of the patient with pulmonary tuberculosis after treatment.

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The Causative Organisms of Pediatric Bacterial Meningitis: A Single Center Experience from 1996 to 2005 (단일기관에서의 소아 세균성 수막염 원인균 분포 (1996~2005))

  • Lee, Taek Jin;Chun, Jin Kyong;Kim, Dong Soo
    • Pediatric Infection and Vaccine
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    • v.13 no.2
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    • pp.124-129
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    • 2006
  • Purpose : We investigated the causative organisms of bacterial meningitis by age distribution from 1996 to 2005. Methods : Retrospective data were obtained from the medical records with diagnosis of bacterial meningitis or neonatal meningitis from 1996 through 2005. A case was defined by isolation of organism or detection of its antigen by latex agglutination from cerebrospinal fluid. Results : A total of 46 cases(27 neonates and 19 children) were identified. 15 of 27 episodes(55.6%) of neonatal meningitis had a concomitant-positive blood culture. Group B streptococci were the most common bacterial causes of neonatal meningitis(44.4%). Nine of 12 episodes(75.0%) were late-onset infections in neonatal meningitis caused by group B streptococci. 16 of 19 children(84.2%) with bacterial meningitis beyond the neonatal period were younger than 5 years of age(median age, 23 months). Of 19 cases, 8 infections were with Streptococcus pneumoniae, 8 were with Haemophilus influenzae and 3 were with Neisseria meningitidis. Since 2001 there was no case of meningococcal meningitis in this study. Conclusion : In neonates group B streptococci are the most common causative organisms of bacterial meningitis, especially late-onset infections. In infants and young children, the predominant causes of bacterial meningitis are H. influenzae and S. pneumoniae; meningitis caused by the former are likely to decrease after the introduction of the conjugate vaccine for H. influenzae type b.

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Use of Nested Polymerase Chain Reaction for Identification of Rickettsia tsutsugamushi Serotype Cultured in Human Embryonic Lung Cells (Nested PCR을 이용한 사람 유래 태아 폐세포에서 배양된 Rickettsia tsutsugamushi의 혈청형 동정)

  • An, Chang-Nam;Woo, Gyu-Jin;Kim, Tae-Yeon;Shin, Kwang-Soon;Kim, Chul-Joong;Baek, Luck-Ju
    • The Journal of Korean Society of Virology
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    • v.26 no.2
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    • pp.235-244
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    • 1996
  • We selected the adequate cell line to be used for propagation and plaquing of R. tsutsugamushi in laboratory and identified R. tsutsugamushi serotype cultured in LuMA cells by nested PCR. As in this study, we concluded that. 1. LuMA cell was suitable for the study of the biology of rickettsiae-host cell interaction. 2. The plaque-forming unit (PFU) per ml of R. tsutsugamushi Karp strain propagated in embryonated egg yolk sacs was $10^{8.8}$ and the PFU/ml of Gilliam strain was $10^{7.1}$. 3. The rate and extent of cytopathic changes depended on the PFU titer of R. tsutsugamushi. 4. PCR with nested primer pairs was useful for identification of R. tsutsugamushi serotype cultured in human embryonic lung cells.

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A Case of T-cell Primary Pulmonary Lymphoma Diagnosed by $TCR{\gamma}$ gene rearrangement ($TCR{\gamma}$ 유전자 재배열로 진단된 T세포 원발성 폐림프종 1예)

  • Choi, Young Mee;Kim, Seung Joan;Kwon, Soon Seog;Kim, Young Kyoon;Kim, Kwan Hyoung;Moon, Hwa Sik;Park, Sung Hak;Song, Jeong Sup
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.6
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    • pp.1001-1007
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    • 1996
  • 반복되는 흉막염 및 폐렴을 주소로 내원한 30세 남자환자에서 경기관지 폐생검과 흉수내 림프구에 대한 유세포 분석 및 T세포 수용체 유전자 재배열 분석을 실시하였다. 경기관지 폐생검 조직의 연역조직화학 염색상 대부분의 림프구가 T세포 표식자인 UCHLl 에 대해 강하게 염색되었고, B세포 표식자인 L26에 대해서는 거의 염색되지 않았다. 흉수에서 추출한 림프구의 유세포 분석상 CD3양성 CD2양성인 T림프구가 대부분이었고, 이들 림프구에 대해 중합효소연쇄반응을 이용한 T세포 수용체 유전자 재배열 분석을 하였더니 $TCR{\gamma}$ 유전자 재배열과 클론성을 관찰할 수 있었다. T세포 원발성 폐림프종으로 진단하였고, 문헌고찰과 함께 보고하는 바이다.

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Regional Economic Impact of Potential Utilization of Ligneous Biomass (목질계 바이오매스에너지의 지역별 잠재적 파급효과 추정)

  • Bae, Jeong-Hwan
    • 한국신재생에너지학회:학술대회논문집
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    • 2006.11a
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    • pp.217-220
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    • 2006
  • 목질계 바이오매스는 신재생에너지원에 비해 국내 잠재량이 가장 풍부한 에너지원 가운데 하나이다. 그러나 주요 공급원인 간벌목 부산물의 10%, 폐목재의 1/3 정도만 활용되고 있다. 따라서 향후 관련법제도 개선 및 지원을 통해 바이오매스의 에너지 활용도를 높일 필요가 있다. 목질계 바이오매스를 이용하여 에너지를 생산할 경우 잠재적 기여도는 2005년 신재생에너지 공급량의 29.4%에 달하며, 신재생에너지의 일차에너지 소비대비 2.13%에서 2.76%로 증가시킬 수 있는 잠재력을 갖고 있다. 본 연구는 전국 16개 시도별로 잠재되어 있는 목질계 바이오매스 생산 가능량을 추정하고 이를 바이오열병합발전소의 주연료로 이용할 경우 지역별 경제적 파급효과를 분석해 보았다. 그 결과 경기, 서울, 전남, 경북, 강원, 충남 등에서 파급효과가 크게 나타났다. 지역별 파급효과를 합할 경우 부가가치 파급효과가 15,736억원, 고용효과가 2,630명으로 나타났다.

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Usefulness of Automated PCR Test for the Detection of Mycobacterium Tuberculosis in Fresh Biopsy Tissues (신선조직 검체에서 결핵균 검출을 위한 자동화 중합효소연쇄반응 검사의 유용성)

  • Choi, Woo Soon;Shin, So Young;Kim, Jong Ok;Kim, Myung Sook;Lee, Hye Kyung
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.1
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    • pp.54-59
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    • 2006
  • Background: Although there have been several studies regarding the clinical value of an automated TB-PCR study using sputum, bronchial washing, and other body fluid samples for the detection of pulmonary tuberculosis, there are only a few reports on the use of fresh tissue samples. Materials and methods: The acid-fast bacilli stain(AFB), tuberculosis culture, automated TB-PCR study, and histopathology examination were performed in 42 fresh tissue samples. Results: Among the 42 cases, 18 cases were diagnosed with tuberculosis based on the clinical findings. Sixteen of the 18 cases were TB-PCR positive and of these 16 cases, only 2 cases were positive in the AFB stain or culture study. However, all 18 cases showed the histopathology findings of chronic granulomatous inflammation that was compatible with tuberculosis. Based on the clinical findings, the sensitivity, specificity, positive predictability, and negative predictability of the automated TB-PCR study were 88.9%, 100%, 100%, and 92.3% respectively. Conclusion: An automated TB-PCR assay is an important diagnostic tool for diagnosing tuberculosis in fresh tissue samples.

Properties of Radon Gas Absorption of Matrix According to Types of Absorbent (흡착재의 종류에 따른 경화체의 라돈가스흡착 특성)

  • Gwon, Oh-Han;Lim, Hyun-Ung;Lee, Sang-Soo
    • Journal of the Korea Institute of Building Construction
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    • v.17 no.1
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    • pp.15-21
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    • 2017
  • WHO reported that millions of people die every year because of diseases induced from environmental pollution. In 2012, approximately 7 million people were killed due to air pollution. Major cause of such pollution includes toxin, chemical waste, radiation and air pollution. Therefore, the significance and interest to indoor air quality has been continuously increased. Especially, the interest in radon, the ARC group 1 carcinogen, is rapidly increasing, and banning the use of construction materials that release radon, repairing aged buildings, and developing ventilators. To reduce the level of radon gas was inflowed to indoors and outdoors, this study is to research and develop a radon gas absorption board using absorbents. The absorbents utilized to absorb the radon gas were porous diatomite, natural zeolite, 4A zeolite and 13X zeolite and employed bentonite and illite, montmorillonites with the property of exchanging anions. As the main binder, magnesium oxide was used, with a content of 25% magnesium chloride.

A Clinical Study on Fiberoptic Bronchoscopy (화이버 기관지경 검사의 임상적 고찰)

  • 이상기;홍영호;권평중;김중환
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.3.2-3
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    • 1981
  • This paper was attemped to analize 55 cases of fiberoptic bronchoscopy during period of 3 years from Feb. 1978 till Feb. 1981 in Chung Ang University hospital. The results were as follow; 1) In age distribution; Most common age group was 5th decade (15 cases, 27.2%) and the other age groups showed relatively even distribution. 2) The ratio of male to female was 3 to 1. 3) The chief complaints were presented in following order; cough (52%), hemoptysis(25%), dyspnea(23.6%), chest pain(18%), chest disomfort(9%). 4) Direct smear of bronchoscopic aspiration material; Not found 33 cases (60%) were most common finding. In the founded bacteria Gram positive cocci 2 cases (3.6%), Gram negative cocci 2 cases (3.6%), Gram positive bacilli 1 cases (1.8%), Gram negativebacilli 2 cases (3.6%), mixed form 15 cases(27.2%) were presented. 5) Bacterial culture of bronchoscopic aspiration material; No growth 28 cases (50.9%) were most common finding. In the bacterial growth, alpha hemolytic streptococci 10 cases (18.2%), Neisseria group 7cases(12.7%), Klebsiella 2 cases (3.6%), Pseudomonas 2 cases (3.6%), mixed culture 6 cases (10.9%) were presented, 6) The diagnosis of bronchoscopic appearance, laboratory exam., and pathologic exam. of biopsed specimen were 21 cases (38.1%) primary carcinoma of bronchus, 8 cases (14.5%) pulmonary tuberculosis, 7 cases (12.7%) bronchitis in orders.

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