• Tuberculosis and Respiratory Diseases
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• v.66 no.5
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• pp.390-395
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• 2009

Among the bronchogenic carcinomas, especially squamous cell carcinoma and large cell carcinoma frequently present with cavitation, which may result from tumor necrosis. Cavitary lesions of the tumor are occasionally associated with infection and misdiagnosed as benign lung abscess owing to the partial responsiveness to antibiotics. It is very difficult to distinguish the carcinomatous abscess from the benign lung abscess, because of their similar clinical and radiologic features. Delay in diagnosis of underlying lung cancer may result in poor outcome. Therefore, clinicians should remember that the patients with highly suspicious carcinoma of the lung should undergo further precise examinations to find out malignant cells.

• Pediatric Infection and Vaccine
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• v.15 no.2
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• pp.188-194
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• 2008

Purpose : The purpose of this study is to investigate the clinical characteristics of recurrent Kawasaki disease (KD). Methods : From January 2004 to December 2007, the medical records of 20 children with recurrent KD in Severance Children's Hospital were retrospectively reviewed. The clinical characteristics, laboratory findings, treatment and complications of these patients were compared between the initial episode and the second episode. Results : At the initial episode of the recurrent KD group, the gender ratio was 1.2:1 (male:female) and the mean age was $37.2{\pm}19.9$ months. The interval between the two episodes in the recurrent KD group was 3.3 months. The febrile period before admission was shorter for the second episode (P=0.034). The skin rash was less developed in the second episode. But there were no differences in the laboratory results and complications between the initial episode and the second episode. Three patients (15%) among those with a second episode failed to respond to the initial intravenous immunoglubulin treatment. On comparison between the initial episodes of the recurrent group and the nonrecurrent group, the erythrocyte sedimentation rate was higher in the first episode of the recurrent KD group. Conclusions : For recurrent KD, it tends to present more atypical features than the KD that occurs for the first time. Physicians should consider these characteristics when making the diagnosis and treating recurrent KD.

• Journal of the Korea Institute of Building Construction
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• v.12 no.2
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• pp.203-210
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• 2012

Recently, the interest and demand for large-scale buildings and skyscrapers have been on the rise, and the performance of concrete is an area of high priority. Securing 'mass concrete and high strength concrete' is very important as a key construction technology. For high strength concrete, the high heat of hydration takes place inside the concrete because of the vitality of hydration in cement due to the large amount of powder, and leads to problems such as an increase of thermal stress due to the temperature difference with the outside, which results in cracks and slump loss. For this reason, measures to solve these problems are needed. This study aims to reduce the hydration heat of high strength concrete to control the hydration heat of mass concrete and high strength concrete, by replacing the type of admixture, The purpose of this study is to control the hydration heat of high strength concrete and mass concrete. Our idea for this purpose is to apply not only the types and contents of admixture but also incorporation mixing water to ice-flake. As a result of the test, the use of blast furnace slag and fly ash as admixture, and the use of ice-flake as mixing water can improve the liquidity of concrete and reduce slump loss. Significantly dropping the maximum temperature will contribute greatly to reducing cracks due to hydration heat in mass concrete and high strength concrete, and improve quality.

• Pediatric Infection and Vaccine
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• v.24 no.1
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• pp.54-59
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• 2017

Purpose: Urinary tract infection (UTI) is the most common serious bacterial infection in infants younger than 3 months of age. Lumbar puncture is routinely performed to evaluate febrile young infants for sepsis. However, there is no clear consensus on the use of routine lumbar puncture to diagnose concomitant meningitis in infants with UTI. We evaluated the prevalence of coexisting bacterial meningitis and sterile cerebrospinal fluid (CSF) pleocytosis in young infants with UTI. Methods: We retrospectively reviewed the medical records of 85 infants with UTI, aged from 29 to 99 days, who were admitted to Daegu Catholic University Medical Center from January 2013 to May 2016. We included 80 patients who had undergone lumbar puncture. Demographic features, clinical features, and laboratory findings were analyzed. Patients were divided into two groups based on the presence of sterile CSF pleocytosis and we compared these groups and assessed the differences between them. Results: Of the 80 UTI patients enrolled, 34 (43%) had sterile CSF pleocytosis. None had bacterial meningitis, and CSF polymerase chain reaction for enterovirus was positive in two patients without CSF pleocytosis. There were no significant differences between the two groups with regards to age, body temperature, peripheral white blood cell count, urinalysis, and duration of hospital stay. Conclusions: Though sterile CSF pleocytosis is common in young UTI patients, coexisting bacterial or viral meningitis is very rare. Indications for lumbar puncture in these patients depend on clinical condition.

• Pediatric Infection and Vaccine
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• v.9 no.2
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• pp.201-207
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• 2002

Purpose : We analyzed clinical features and causal viruses of acute lower respiratory tract infections(LRTIs) in order to improve the management of these infections. Methods : From end of April to early May 2001, amongst 30 children at a local institute for children's adoption and welfare, 13 were admitted to the hospital with the diagnostic impression of acute LRTIs. Nasopharyngeal aspirates were sent in Seoul National University Hospital for viral culture of respiratory syncytial virus(RSV), adenovirus, parainfluenza virus. Results : One or more viral agents were identified in 4 cases(30.7%) : were RSV(15.4%), adenovirus(7.7%), and a mix of these two viruses(7.7%). Initial symptoms were fever(69%), cough(100%), tachypnea(54%), chest retraction(69%), rale(85%) and wheezing(15%). Leukocytosis was noted in 23%, CRP increased more than 10 mg/L in 46%. Chest X-ray abnormalities were 69%. Conclusion : Although viruses were identified in 30.7%, further studies should be made for prevention and treatment of acute viral LRTIs.

• Journal of Energy Engineering
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• v.24 no.4
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• pp.89-96
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• 2015

Recently, much research has been put into finding the causes and solutions of slagging/fouling problems that occur at the end of the boiler. This slagging/fouling, caused by low-rank coal's ash, disturbs the thermal power and greatly reduces efficiency. In environmental aspects, such as NOx pollution, governments have been implementing restrictions on the quantity of emission gases that can be released into the atmosphere. To solve these problems, research on Ash Free Coal (AFC), which eliminates ash from low-rank coal, is in progress. AFC has advantages over similar high-rank coals because it increases the heating value of the low grade coal, reduces the contaminants that are emitted, and decreases slagging/fouling problems. In this study, using a DTF, the changes of NOx emissions, unburned carbon, and the characteristics of ash deposition were identified. KCH raw coal, AFC extracted from KCH, residue coal, Glencore, and Mixed Coal (Glencore 85wt% and residue coal 15wt%) were studied. Results showed that AFC had a significantly lower emission of NOx compared to that of the raw coal and residue coal. Also, the residue coal showed a higher reactivity compared to raw coal. And finally, In the case of the residue coal and mixed coal, they showed a lower ash deposition than that of low-rank coal.

• Korean Journal of Food Science and Technology
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• v.47 no.4
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• pp.499-503
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• 2015

We investigated the anti-obesity effects of ethanolic extract (ID1216) of Polygonatum sibiricum rhizome and its potential underlying mechanism in an animal model. ID1216 treatment decreased body weight gain and white adipose tissue weight in the prevention study. The mRNA levels of sirtuin-1 (SIRT1), peroxisome proliferator-activated receptor ${\gamma}$ coactivator-$1{\alpha}$ ($PGC1{\alpha}$), and peroxisome proliferator-activated receptor ${\alpha}$ ($PPAR{\alpha}$) significantly increased in the epididymal white adipose tissue of ID1216-administered mice. The stimulation effects of ID1216 on these gene expressions were also observed in a cell-based assay using differentiated 3T3-L1 adipocytes. In addition, similar to orlistat, ID1216 treatment improved weight gain and reduced epididymal fat in the treatment model. These results suggest that ID1216 has potential as an anti-obesity agent by modulating the expression of genes related to thermogenesis, lipid metabolism and fatty acid oxidation.

• Tuberculosis and Respiratory Diseases
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• v.46 no.1
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• pp.96-102
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• 1999

A 40-year-old female presented with fever and cough which had lasted for 3 months. Three years previously systemic lupus erythematosus had been diagnosed, and at that time 10mg of prednisone per day was prescribed. Crackles were heard at the base of the lung and her chest roentgenogram revealed diffuse infitrates in both lower lung fields. Despite of empirical antibiotics and antituberculous medication consisting of isoniczid, rifampicin and ethambutol, the patients condition deteriorated. We performed open lung biosy and numerous nodules with necrosis as well as acid fast bacilli were observed. After biochemical tests and sequencing, the organism was identified as Mycobacterium abscessus. The patient was treated with imipenem and amikacin ; patient's condition, as indicated by both symptoms and roentogenogram, subsequently improved.

• Journal of the Korean Chemical Society
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• v.18 no.5
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• pp.381-388
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• 1974

When mixture of p-phenylenediamine (PPD) and m-aminophenol (MAP) were reacted with formaldehyde (F) varying their amounts under $N_2$ stream at the temperature of -5∼0$^{\circ}$, addition condensation reaction occurred and brown colored resins(in some cases orange colored) were formed immediately. All resins thus formed were insoluble in most ordinary organic solvents and did not melt up to 300$^{\circ}$. When the resins were treated with dilute(7 %) aqueous sodium hydroxide solution, the adsorptivity of methylene blue on them showed marked improvement reaching as much as 80 mg of methylene blue on 1 g of the resin. On the other hand, in the case of bromophenol blue, its amount of adsorption appeared 250 mg per 1 g of the resin. The TGA under $N_2$ atmosphere indicated that the resin formed in molar ratio of 1 : 3 : 8 (PPD : MAP : F) showed the best heat-resistant property among others. About 40 % weight loss was observed for this resin at 900$^{\circ}$ with heating rate of 2$^{\circ}$ per minute.

• Journal of the korean academy of Pediatric Dentistry
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• v.40 no.2
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• pp.133-140
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• 2013

Cyclic neutropenia is a hematologic disorder characterized by a marked decrease in the number of circulating neutrophils occurring at regular intervals and after this period, the level of neutrophils usually recovers to a normal range. The clinical symptoms of cyclic neutropenia include fever, malaise, headaches and oral findings associated with painful soft tissue ulceration where lips, tongue and gingiva are typically involved. A 4 year 1 month old boy was presented to the hospital. His chief complaint was mobility of his teeth and swollen gums. The patient had suffered from cyclic neutropenia. Clinical examination revealed evident decay on all primary teeth except for the mandibular anterior teeth and localized alveolar bone loss around mandibullar right and left first primary molars which have mobility was notable. The patient was diagnosed with multiple dental caries, gingivitis and localized periodontitis associated with cyclic neutropenia and treated based on it. The dental treatment, including regular tooth care and appropriate treatment of dental caries or gingivitis, is essential for patients suffering cyclic neutropenia. Especially, proper care at an early stage is needed for young patients to minimize the unwanted consequences for permanent teeth development.