• Title/Summary/Keyword: 수막

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A Case of Meningococcal Meningitis with Complement 9 Deficiency (보체 인자 9 결핍을 동반한 수막구균성 수막염 1례)

  • Choi, Sun-Mee;Lee, Kyung-Yil;Lee, Hyung-Shin;Hong, Ja-Hyun;Lee, Mi-Hee;Lee, Byung-Cheol
    • Clinical and Experimental Pediatrics
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    • v.48 no.1
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    • pp.101-103
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    • 2005
  • Meningococcal disease is not rarely associated with abnormalities of the complement system. We experienced a case of C9 deficiency with meningococcal meningitis from a 12-year-old girl. Identification of complement deficiency has implications for management, including family studies, prophylaxis, vaccination, and altered threshold for infection screening and treatment.

The Role of Postoperative External Irradiation for the Incompletely Resected Meningiomas (불완전절제된 수막종에서 수술 후 방사선치료의 역할)

  • Kim Tae-Hyun;Yang Dae-Sik;Kim Chul-Young;Choi Myung-Sun
    • Radiation Oncology Journal
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    • v.18 no.2
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    • pp.85-91
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    • 2000
  • Purpose : The aim of this study is to look for the possible efficacy of postoperative external irradiation for incompletely resected meningiomas. Methods and Materials : From August 198: to January 1997, forty-four patients with intracranial meningioma were treated by postoperative external irradiation. Of the 44 meningiomas, 18 transitional, 13 meningotheliomatous, 6 hemangiopericytic, 4 atypical, 2 fibroblastic and 1 malignant meningioma were identified. We classified all patients into two groups by the histology. The benign group was consisted of the meningotheliomatous, transitional and fibroblastic types. The malignant group was consisted of the atypical, hemangiopericytic and malignat types. In the means of surgery, 37 patients were resected incompletely and 7 patients were managed by biopsy only. After surgery, all patients were received postoperative external irradiation. Radiotherapy was deliverd using Co-60 or 4 MV photon beam to a total dose of 50 to 65 Gy (mean dose 57.4 Gy) with a 1.8 to 2 Gy per fraction. The median follow-up was 48 months (range : 21 $\~$ 101 months). Multivariate analysis of the Influence by age, sex, location, histology and radiation dose on local control has been done using Cox's proportional hazard model. Results : 5-year local control rate was 93.8$\%$ for the benign histology and 51.8$\%$ for the malignant histology (p=0.0110) and overall local control rate at 5 years was 87.4$\%$. The analysis of the prognostic factors, such as age, sex, location, and radiation dose were not significant except for the histology. Conclusion : Adjuvant postoperative external irradiation appears to be significantly improved local control in the patients with incompletely resected meningiomas.

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Estimation of Groundwater Usage for Water Curtain Cultivation using a Rating Curve (수위-유량 관계곡선을 이용한 수막재배용 지하수 사용량 추정)

  • Lee, Bong-Joo;Kim, YongCheol;Cho, Byung-Wook;Yoon, Uk;Ha, Kyoolchul;Lee, Byeong-Dae;Moon, Sang-Ho;Yoon, Philsun;Kim, Sung-Yun
    • The Journal of Engineering Geology
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    • v.25 no.1
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    • pp.35-43
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    • 2015
  • A method is proposed to estimate groundwater usage for water curtain cultivation (WCC) using a rating curve, and it is applied to field measurements of groundwater discharge used for WCC in Wangjeon-ri, Nonsan. During the winter season, the hydraulic components of irrigation ditches in the study area consist mainly of direct run-off and groundwater discharged from nearby pumping wells. Changes in stage of the ditches were monitored, and a baseflow separation method was applied to remove increments in stage due to direct run-off. The resulting records of stage were translated to groundwater discharge by applying the-stage-discharge relation. The estimated average groundwater discharge for the WCC in Wangjeon-ri was 10,900 m3/d or 420 m3/d/ha when the estimation is normalized by the total area for WCC facilities of this region. Applying this estimation (420 m3/d/ha) to the entire area of the WCC in Korea (10,746 ha),and considering the number of pumping days for the WCC (120 days/year), the total ground water usage for the WCC nation-wide is estimated to be 0.54 billion m3. This is equivalent to 32% of the total groundwater discharge for agricultural use in Korea (1.7 billon m3).

Causative Organisms in Children with Bacterial Meningitis(1992-2002) (소아 세균성 수막염에서 원인균에 관한 고찰(1992-2002))

  • Kim, Hyun-Jung;Lee, JI-Won;Lee, Kyung-Yil;Lee, Hyung-Shin;Hong, Ja-Hyun;Hahn, Seung-Hoon;Whang, Kyung-Tai
    • Clinical and Experimental Pediatrics
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    • v.46 no.11
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    • pp.1085-1088
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    • 2003
  • Purpose : This study was performed to assess the difference of organisms causing bacterial meningitis according to time. Methods : We analyzed retrospectively 40 medical records of bacteriologically proven meningitis from 1992 to 2002. We divided them into two groups; neonate's group(14 cases), and children's group(26 cases). The results of the neonate's group were compared with those of previously reported articles in Korea, in 1970s-1980s. The causative agents of the children's group were analyzed according to the stage before and after the introduction of H. influenza type b(Hib) vaccine. Results : In neonates, Group B streptococci(GBS) was the most common cause of bacterial meningitis. There was a trend in Korea that major causative agents of neonatal bacterial meningitis have changed from gram negative bacteria including E. coli to gram positive bacteria including GBS. In children, H. influenzae was isolated in six out of 11 cases(55%) in 1992-95, before the introduction of Hib vaccine, while two out of seven(29%) were isolated in 1999-2002, after the introduction of the Hib vaccine. Conclusion : Our study showed that the most common agent of neonatal bacterial meningitis was GBS. There was a trend that after the introduction of Hib vaccine, the incidence of H. influenza meningitis decreased in children.

A Research on Glass Breakage Vs. Surface Temperature on Fire Exposed Glass for The Water Film Cooling-down Glazing System (수막보호 유리벽의 가열면 온도변화에 따른 급냉파열특성에 관한 연구)

  • 박형주;지남용;김창훈
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2001.11a
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    • pp.301-310
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    • 2001
  • 본 연구는 내화성능을 가진 수막보호유리벽을 실제 건축물에 적용하는데 있어서 필수적으로 고려해야 할 가상시나리오 중에서 수막이 유리면을 보호하기 이전에 유리면에 근접되어 있는 화염으로부터 방출되는 복사열이 유리면이 가열된 상태에서 수막이 형성될 경우 유리면의 온도가 급속히 냉각됨으로서 발생할 수 있는 급냉파열특성을 규명하기 위해 실험한 연구로서 가열면온도범위에 따라 유리면에$150^{\circ}C$이상 $250^{\circ}C$이하에서 수막이 형성될 경우 급냉파열은 일어나지 않았으나 일반유리는 $100^{\circ}C$이상 $150^{\circ}C$이하에서 급냉파열이 일어남을 확인하였다. 즉 방화구획벽에 적용가능한 수막형성유리벽의 유리가 강화유리인점을 착안하면 수막의 도포이전에 강화유리면의 온도가 $250^{\circ}C$까지 올라가기 전에는 수막을 유리면에 접촉하여도 유리면의 급냉파열이 일어나짐 않음을 확인할 수 있었다. 이점은 일정한 구획내에서 유리면의 직근에 설치된 감지기에 의해 수막형성시스템의 가동을 할 경우 급내파열형상이 발생하지 않는 온도범위를 설정할 때 중요한 데이터로 활용가능하다. 결과적으로 국부복사열에 의하여 온도범위를 설정할 때 중요한 데이터로 활용가능하다. 결과적으로 국부복사열에 의하여 유리면의 온도가 급냉파열현상을 일으키는 한계온도에 이르기 전에 유리벽체 상부의감지기의 작동이 필수적으로 일어날 수 있음을 증명한다면 수막을 이용한 유리벽체를 일정시간이상의 내화성능이 요구되는 방화구획의 수직부재로 활용하는데 있어서 걸림돌이 되는 급냉파열에 대한 우려를 종식시키는데 이바지할 수 있다.l류 11.56%, acid류 38.87%, hydrocarbon류 2.89%, ester류 0.80%, 총 70.32%가 확인되었다. Alcohol류에서 linalool가 3.78%, acid류에서는 caproic acid류가 14.40%, carbonyl류에서 2-hydroxy-4-methoxyacetophenone이 2.99%, hydrocabon류에서는 aromadendrene가1.59% 그리고 ester류에서는 methyl palmitate가 0.43%으로 가장 많이 함유하고 있었다.0ppm에서 약 25.6%흡수되었고 ferric citrate 100ppm은 24.7%, ferrous sulfate는 19.7%흡수되었다. ILC를 첨가하지 않은 100ppm 철분염 용액은 ferrous sulfate를 제외하고는 흡수도가 감소되었다. 철분 결핍된 쥐에게 gavage 방법에 의하여 철분강화우유를 투여하였을 때 철분 25ppm 시료에서는 ferrous sulfate가 12.5%로 가장 높았고 ferrous lactate는 8.1%, ferric citrate는 6.5% 흡수되었다. 철분 100ppm수준에서는 흡수율이 낮아져 ferrous sulfate는 25ppm 시료보다 절반이하 수준이었다. Ferric citrate는 차이가 거의 없었으며 ferrous lactate는 70%수준이었다. 이상의 결과에서 철분강화우유에 사용하기 적합한 철분염은 ferrous lactate, ferric citrate였는데 특히 ferrous lactate는 제품의 이화학적 품질, 생이용성 측면 모두에서 가장 좋은 것으로 나타났다.다 높았으며, 1회당 평균 8.1$\pm$5.1개의 난포란을 회수하였다.

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A Development of Skid Resistance Prediction Model Considering Water Film Thickness and Vehicle Speed (수막두께와 속도를 고려한 도로포장면의 미끄럼저항 예측모델 개발)

  • Jo, Shin Haeng;Lee, Soo Hyung;Yoo, In Kyoon;Kim, Nakseok
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.3D
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    • pp.223-229
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    • 2012
  • Skid resistance is defined as the friction between pavement surfaces and vehicle tires. Lower skid resistances were observed as the vehicle speeds the water film thicknesses were increased according to the analysis results using computer modeling. The lift force is calculated from the analysis results and depends on vehicle speeds and the water film thickness. A modified IFI(international friction index) skid resistance prediction model was developed to reduce the differences between the IFI resistance prediction model and the actual skid resistance. The correlation analysis results between the IFI prediction model and the actual skid resistance revealed that the $R^2$ using the modified IFI prediction model was 0.64 whereas the $R^2$ using the conventional IFI prediction model was 0.49. This presents the modified prediction model is better than the conventional one. An improved precise prediction model is to be obtained if water film thicknesses are considered in the modified prediction model.

Analysis of Groundwater Use and Discharge in Water Curtain Cultivation Areas: Case Study of the Cheongweon and Chungju Areas (청원-충주지역 수막재배용 지하수 사용량 및 배출량 분석)

  • Moon, Sang-Ho;Ha, Kyoochul;Kim, Yongcheol;Yoon, Pilsun
    • The Journal of Engineering Geology
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    • v.22 no.4
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    • pp.387-398
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    • 2012
  • Korean agricultural areas that employ water curtain cultivation (WCC) have recently suffered extensive groundwater shortages due to an increase in the number of facilities. The primary focus of this study is to measure the daily groundwater use and discharge rates in the Cheongweon and Chungju pilot areas, while the second focus is to estimate the total amount of groundwater used in WCC areas nationwide in Korea. Taking into consideration several factors, including motor type, outflow abilities of wells, records of daily minimum temperatures below $0^{\circ}C$, and the number of running wells according to weather variations, we estimated that $53,138m^3/ha$ of groundwater had been used in the 4-hectare Cheongweon pilot area during the winter period of late 2011 through early 2012. On a prorated areal basis, we can calculate that the total groundwater used nationwide was 0.57 billion $m^3$ in WCC areas of $10,746m^2$. This value is equivalent to 33.7% of the total agricultural groundwater use (1.69 billion $m^3$) in Korea. During 9-22 February 2012, the daily water discharge rate in the 4-ha Cheongweon pilot area ranged from 2,079 to $2,628m^3$, averaging $2,341m^3$. Combining this value with meteorological records for 94 days with a daily minimum temperature below $0^{\circ}C$ results in an estimated groundwater volume of $54,990m^3/ha$ for the pilot area during the 2011-2012 winter period. The total amount of groundwater used nationwide in WCC areas would then be 0.59 billion $m^3$, equivalent to 34.9% of the total agricultural groundwater use in Korea. In the Chungju area, the groundwater discharge rate was estimated to be less than 805 $m^3$/ha. This value, combined with weather data for 108 days with a daily minimum temperature below $0^{\circ}C$ in this area, can be applied to infer that the total groundwater volume used in WCC areas nationwide is no more than 55% of the total agricultural groundwater use in Korea.

Analysis of Groundwater Variations using the Relationship Between Groundwater use and Daily Minimum Temperature in a Water Curtain Cultivation Site (수막재배지역에서 일최저기온과 지하수 이용량의 상관관계를 이용한 지하수위 변화 분석)

  • Chang, Sunwoo;Chung, Il-Moon
    • The Journal of Engineering Geology
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    • v.24 no.2
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    • pp.217-225
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    • 2014
  • Water curtain cultivation (WCC) systems in Korea have depleted water resources in shallow aquifers through massive pumping of groundwater. The goal of this study is to simulate the groundwater variations observed from massive groundwater pumping at a site in Cheongweon. MODFLOW was used to simulate three-dimensional regional groundwater flow, and the SWAT (Soil and Water Assessment Tool) watershed hydrologic model was employed to introduce temporal changes in groundwater recharge into the MODFLOW model input. Additionally, the estimation method for groundwater discharge in WCC areas (Moon et al., 2012) was incorporated into a groundwater pumping schedule as a MODFLOW input. We compared simulated data and field measurements to determine the degree to which winter season groundwater drawdown is effectively modeled. A simulation time of 107 days was selected to match the observed groundwater drawdown from November, 2012 to March, 2013. We obtained good agreement between the simulated drawdown and observed groundwater levels. Thus, the estimation method using daily minimum temperatures, may be applicable to other cultivation areas and can serve as a guideline in simulating the regional flow of riverside groundwater aquifers.

Characteristics of Meningitis with or without Enterovirus (엔테로바이러스의 유무에 따른 수막염의 특성)

  • Cho, Won Je;Kwon, Ye Rim;Cha, Byung Ho
    • Journal of the Korean Child Neurology Society
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    • v.26 no.4
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    • pp.246-250
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    • 2018
  • Purpose: Meningitis is an acute childhood infection caused by viral or bacterial infection. The purpose of the present study is to analyze the differences between enteroviral meningitis and non-enteroviral aseptic meningitis. Methods: From January 2013 to December 2016, we retrospectively reviewed the medical records of a total of 303 aseptic meningitis patients who visited Wonju Severance Christian Hospital. We examined demographics of all patients and analyzed serologic and cerebrospinal fluid tests, clinical symptoms, and outcomes. Results: Of a total of 303 patients, 197(65.0%) were male, and the most cases occurred from June to November (91.8%). The most common pathogen of meningitis was found to be enterovirus (65.0%). According to the etiology, the enteroviral meningitis group had significantly more headache and enteric symptoms (P=0.0003 and P=0.0013, respectively). Furthermore, the non-enteroviral meningitis group showed pleocytosis in the cerebrospinal fluid and a significantly higher rate of seizure at 1 to 4 years (P=0.0360 and P=0.0002, respectively). Conclusion: In this study, enteroviral meningitis was the most common and the prognosis was good. When compared between two groups, neurological symptoms were frequent in patients with non-enteroviral meningitis in groups 1 to 4 years.

Carriage Rates and Serogroups of Neisseria meningitides in Children Attending Day Care Centers (유아원에 다니는 소아의 구인강 내 수막구균 보균율과 혈청군)

  • Kim, Nam Hee;Lee, Jina;Lee, Jung Won;Lee, Soo Young;Choi, Eun Hwa;Kim, Kyung Hyo;Kim, Eui Chong;Kang, Jin Han;Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.16 no.1
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    • pp.31-39
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    • 2009
  • Purpose : Neisseria meningitides is one of the most common causative pathogens of bacteremia and meningitis. Recently protein-conjugated vaccines have been developed and included in the routine vaccination schedule in a few countries. In Korea, carriage rates of N. meningitides among healthy adults have been reported. However, systematic data for childhood carriage rates are not available. This study was performed to evaluate the carriage rates of N. meningitides and the serotype distribution among healthy children attending day care centers. Methods : During the period of January through May 2005, nasopharyngeal swabs and culture were obtained from 904 children attending 13 different day care centers located in Seoul and Gyeonggi Province. The Vitek NHI card was used to identify N. meningitides and the crgA gene was detected via polymerase chain reaction (PCR). Serotype determination was performed by agglutination test using N. meningitides antisera to serotypes A, B, C, D, 29E, W135, X, Y, and Z. PCR for detection of the org2 and saiD gene confirmed serotypes A, B, C, W135, and Y. Results : The mean age among 904 children was 4.5 years; 6.5% (59/904) were children <2 years old, 53.8% (486/904) were 2-5 years old, and 39.7% (359/904) were >5 years old; 52.0% (468/904) were male. N. meningitides was isolated from only 7 children attending 5 different day care centers and the overall carriage rate of N. meningitides was 0.8%. The detected serotypes of N. meningitides were serotype A (n=2), C (n=2), and Y (n=3). Conclusion : The carriage rate of N. meningitides among healthy children attending day care centers was very low in Korea and the detected serotypes were A, C, and Y.

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