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Mycobacterium intracellulare Pulmonary Disease with Endobronchial Caseation in a Patient Treated with Methotrexate

  • Park, Jin Sun;Jung, Eul Sik;Choi, Woosuk;Park, Soo Yong;Rim, Min Young;Yu, Inku;Park, Hyeonsu;Lee, Sang Min;Park, Jeong-Woong;Jeong, Sung Hwan;Lee, Sang Pyo;Park, Sanghui
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.1
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    • pp.28-31
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    • 2013

  • Methotrexate (MTX) has been established as a standard disease-modifying anti-rheumatic drug. If adequate disease control is achieved for a reasonable period of time, tapering the MTX dosage is recommended because the chronic use of MTX can result in opportunistic infection. We present here a case of a woman with rheumatoid arthritis taking MTX, and the woman developed actively caseating endobronchial Mycobacterium intracellulare disease with pulmonary infiltrations. After discontinuing the MTX, the patient was able to tolerate 18 months of antimycobacterial treatment without flare ups of rheumatoid arthritis, and she completely recovered from nontuberculous mycobacterial respiratory disease.

  • https://doi.org/10.4046/trd.2013.75.1.28 인용 PDF KSCI

Residents' Perception Differences for Tourism Impacts in Relation to Demographic Characteristics in Gyearyongsan National Park (인구학적(人口學的) 속성(屬性)에 따른 계룡산(鷄龍山) 국립공원(國立公園) 지역주민(地域住民)의 관광영향(觀光影響) 지각(知覺) 차이(差異))

  • Oh, Do-Kyo;Kim, Se-Bin;Kwak, Kyung-Ho
    • Korean Journal of Agricultural Science
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    • v.33 no.1
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    • pp.73-84
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    • 2006

  • The purposes of this study were to investigate the influence of local residents' nature environment attitudes for National Park development impact perceptions and to examine application possibility of nature environment attitude for resolution information of National Park management conflicts. Thirty items of residents' perceptions and opinions were designed from previous tourism impact studies. The new environmental paradigm(NEP) was used to measure local residents' nature environment attitudes. In April, 2003, 239 questionnaires were obtained from interview survey in local residents' villages near Gyearyongsan National Park. Generally, most of the local residents perceived low economic effects and negative environment impacts for National Park development. Nature environment attitudes levels were significant differences with socioeconomic variables of local residents, specially high in age, education level and influenced their perceptions toward National Park development impacts. The results were suggested that the nature environment attitudes could be provided a useful reverential framework in resolution of National Park management conflicts.

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