Bats hibernating in caves and unused mines were surveyed during six hibernation periods (from December to February, 2005 and 2011) in Korea. We recorded 13,288 individuals of 11 species at 140 hibernacula (60 caves and 80 abandoned mines): Rhinolophus ferrumequinum (n=3,509), Eptesicus serotinus (n=6), Hypsugo alaschanicus (n=349), Miniopterus fuliginosus (n=5,919), Murina hilgendorfi (n=417), Myotis aurascens (n=294), Myotis bombinus (n=2), Myotis formosus (n=401), Myotis macrodactylus (M.mac, n=151), Myotis petax (n=2,131) and Plecotus ognevi (n=109). We studied the thermal preference and selection of hibernacula of seven dominant bat species. Four species (Myotis petax, Hypsugo alaschanicus, Plecotus ognevi and Murina hilgendorfi) hibernated mainly at the cold site below than $7^{\circ}C$, while three species (Myotis formosus, Rhinolophus ferrumequinum and Miniopterus fuliginosus) hibernated at warm site above than $7^{\circ}C$. Rhinolophus ferrumequinum had broad-ranged temperature zone for their hibernating site. The mean body temperature of each species was $2.64{\pm}0.98^{\circ}C$ for Murina hilgendorfi, $2.76{\pm}1.68^{\circ}C$ for Hypsugo alaschanicus, $2.78{\pm}0.98^{\circ}C$ for Plecotus ognevi, $4.52{\pm}1.02^{\circ}C$ for Myotis petax, $7.83{\pm}1.94^{\circ}C$ for Miniopterus fuliginosus, $9.19{\pm}2.35^{\circ}C$ for Rhinolophus ferrumequinum and $13.64{\pm}0.76^{\circ}C$ for Myotis formosus, respectively. The body temperatures of hibernating bats were closely related to the rock surface temperatures rather than the ambient temperatures. In conclusion, the diversity of bats community in hibernacula were closely related to the range of inner ambient temperature of hibernacula, and more species of bats were occupied at sites presenting a broad range of ambient temperatures.
A breeding pair of the Black-faced Spoonbill Platalea minor was firstly recorded on Chilsando Islands, Younggwang, Jeollanamdo Province in 1991. Since the mid 2000s, breeding population on the breeding sites has gradually increased. This study was conducted to identify breeding status and nest site characteristics of the species from May to August, 2013 on Chilsando Islands. We recorded number of nests, length and width of the nest base, slope around the nests, nest materials, distances from the nearest nest, presence of nest cover and nesting area. In 2013 breeding season, 25 of 49 nests produced at least one successful fledging. A total of 55 youngs were successfully fledged and number of fledging per nest was 2.20 individuals. Nesting area was $77.8m^2$ and $93.4m^2$ for Sansando and Yuksando Islet, respectively. Soil and soil mixed with tree root were preferred for substrate of nest base over rock and Brassica napus was dominantly selected as nest materials by Black-faced Spoonbills. Nest characteristics of 22 nests in Sasando and Yuksando Islet varied $49.59{\pm}6.53cm$(mean${\pm}$SD) for length of nest base, $41.00{\pm}5.82cm$ for width of nest base, $20.85{\pm}9.96^{\circ}$ for slope above the nest, $34.09{\pm}17.75^{\circ}$ for slope below the nest and $130.82{\pm}84.17cm$ for distances from the nearest nest. Fifteen pairs (68.2%) occupied where nest cover existed. Nest cover were located in front of the nest for 5 pairs, back of the nest for 9 pairs and both front and back of the nest for 1 pair.
Purpose: The object of this study was to investigate the difference in torque and pullout strength between the standard anchor insertion (5.0 mm) with a small awl (3.7 mm) and larger anchor insertion (6.5 mm), with a standard awl (5.0 mm) in osteoporotic humeral head. Materials and Methods: The embalmed 24 paired cadaveric shoulders were assigned to either Group A or B. After measuring the bone mineral density (BMD) of the ROI (region of interest) in the humeral head, 5.0 mm suture anchors were inserted using a 3.7 mm awl in Group A1, and the same 5.0 mm anchors were inserted using a 5.0 mm awl in Group A2. The 5.0 mm anchors were inserted using a 5.0 mm awl in Group B1, and 6.5 mm anchors were inserted using a 5.0 mm awl in Group B2. We measured the torques at the time of the anchor insertion and pullout strengths. Results: There was no significant difference in the BMD between the groups. The torque of A1 (20.6 $cN{\cdot}m$) was significantly higher than that of A2 (13.2 $cN{\cdot}m$), and the torque of B2 (20.8 $cN{\cdot}m$) was significantly higher than that of B1(12.1 $cN{\cdot}m$). However, the difference in the increased torque between group A and B was not significant. The pullout strength of A1 (204.2 N) was significantly higher than that of A2 (152.9 N), and the pullout strength of B2 (210.9 N) was significantly higher than that of B1 (149.5 N). However, the difference in the increased pullout strength between Group A and B was not significant. Conclusion: In severe osteoporosis, the use of a larger suture anchor with a standard awl increased the torque and pullout strength significantly, in comparison to the use of the same sized suture anchor and awl. If there is an inadequate interval between the anchors on the greater tuberosity, the use of a 3.7 mm awl and 5.0 mm anchor will be beneficial compared to that of a 5.0 mm awl and 6.5 mm anchor, considering that an increase in the pullout strength does not depend on the awl size.
Purpose: Hemophagocytic syndrome (HPS) is characterized by persistent high fever, hepatosplenomegaly, cytopenias, hypertriglyceridemia, and/or hypofibrinogenemia. Hepatic manifestations including overt hepatic failure and fulminant hepatitis are common in HPS. Liver transplantation (LT) should be considered in a case of fulminant hepatitis by other than HPS, but LT is contraindicated and complete cure is possible by chemotherapy in HPS. Therefore, we conducted this study to define the characteristics of HPS presenting as severe acute hepatitis. Methods: Among the total of 23 patients diagnosed as HPS by bone marrow examination between 1994 and 2005 in Asan Medical Center, 11 cases presented as severe acute hepatitis were enrolled in this study. We analyzed the clinical features, laboratory findings and outcome retrospectively. Results: Seven (64%) of the 11 children with HPS and hepatitis were referred to pediatric gastroenterologist at first. The mean age of onset was 50 months. There was no case with family history of primary HPS. Epstein-Barr virus was positive in 4, and herpes Simplex virus was positive simultaneously in 1 case. As the presenting symptoms and signs, fever was present in 10, hepatosplenomagaly was noted in all and jaundice in 10. Anemia was observed in 10, thrombocytopenia in 10, leukopenia in 8, hypertriglyceridemia in 9, hypofibrinogenemia in 8 and hyperferritinemia in 7 cases, respectively. Nine children received chemotherapy including etopside. The overall mortality rate was 72% (8/11). Conclusion: HPS, which needs chemotherapy, should be considered as a cause of severe acute hepatitis especially when accompanied with prolonged high fever and cytopenias.
Song, Gi Seon;Lee, You-Rim;Kim, Sungmin;Kim, Wontae;Choi, Jungwon;Yoo, Dahyeon;Yoo, Jungyoung;Jang, Kyung-Tae;Lee, Jaewang;Jun, Jin Hyun
Korean Journal of Clinical Laboratory Science
/
v.52
no.3
/
pp.284-295
/
2020
In December 2019, the first coronavirus disease- 2019 (COVID-19) patient was reported in Wuhan, Hubei Province, China. Since then, the number of patients who suffered severe acute respiratory syndrome caused by the novel Coronavirus (SARS-CoV-2 or 2019-nCoV) has increased dramatically in Korea. This new variant virus induces pulmonary diseases, including cough, sore throat, rhinorrhea, dyspnea, and pneumonia. Because SARS-CoV-2 is an RNA virus, real-time reverse-transcriptase PCR has been used widely to diagnose COVID-19. As the Korea Centers for Disease Prevention and Control (KCDC) and Ministry of Food & Drug Safety (MFDS) approved emergency use authorization, clinical specimens collected from COVID-19 patients and even healthy people have been clinically diagnosed by laboratory medicine. Based on a literature search, this paper reviews the epidemiology, symptoms, molecular diagnostics approved by KCDC, a current diagnosis of COVID-19 in the laboratories, the difference between molecular and serological diagnosis, and guidelines for clinical specimens. In addition, the Korean guidelines of biosafety for clinical laboratory scientists are evaluated to prevent healthcare-associated infection. The author's experience and lessons as clinical laboratory scientists will provide valuable insights to protect the domestic and international health community in this COVID-19 pandemic around the world.
Yoo, Jung-Wan;Kim, Wongyoung;Choi, Chang Min;Hong, Sang-Bum;Oh, Yeon Mok;Shim, Tae Sun;Lim, Chae-Man;Lee, Sang Do;Kim, Woo Sung;Kim, Dong Soon;Kim, Won Dong;Koh, Younsuck
Tuberculosis and Respiratory Diseases
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v.66
no.1
/
pp.6-12
/
2009
Background: The efficacy of several thrombolytic agents for treating massive pulmonary thromboembolism (PTE) has been reported to be similar. However, the difference of the bleeding complications caused by two commonly used thrombolytic agents in PTE patients is not well known. The aim of this study was to compare the therapeutic efficacy and the bleeding complications between urokinase and recombinant tissue-type plasminogen activatior (rt-PA, alteplase) in a Korean medical center. Methods: We retrospectively reviewed the clinical data of the patients who were treated with thrombolytic agents (urokinase and alteplase) because of massive PTE. Results: A total of 40 patients were included: 16 (40%) treated with urokinase and 24 (60%) with alteplase. The patients treated with alteplase showed a shorter duration of using vasopressor agents than did the patients who were given urokinase, but the duration of mechanical ventilation, the length of the ICU stay and the hospital stay were not different between the thrombolytic agents. Five patients treated with urokinase and eight patients treated with alteplase died (p=0.565): One patient in the urokinase group and four patients in the alteplase group died due to pulmonary thromboembolism. Bleeding complications after thrombolysis were observed in 3 patients (7.5%) treated with urokinase and in 11 (27.5%) patients treated with alteplase (p=0.079). Major bleeding complication occurred in 2 patients who were treated with alteplase. Conclusion: Urokinase seems to have fewer bleeding complications with an equivalent efficacy, as compared to alteplase, in Korean patients who suffer with massive pulmonary thromboembolism.
Background: A ThinPrep$^{(R)}$ Processor was developed to overcome the limitations of conventional cytology and is widely used to diagnose various cancers. This study compared the diagnostic efficacy of conventional cytology for lung cancer with that of the ThinPrep$^{(R)}$ cytology using the bronchial washing fluid. Methods: The bronchial washing fluid of 790 patients from Jan. 2002 to Dec. 2006, who were suspected of gaving a lung malignancy, was evaluated. Both ThinPrep$^{(R)}$ and conventional cytology were performed for all specimens. Result: Four hundred forty-six men and 344 women were enrolled in this study, and 197 of them were diagnosed with cancer from either a bronchoscopic biopsy or a percutaneous needle aspiration biopsy. ThinPrep$^{(R)}$ cytology showed a sensitivity, specificity, positive predictive value, negative predictive value and false negative error rate of 71.1%, 98.0%, 92.1%, 91.1%, 8.9%, respectively. The conventional cytology showed sensitivity, specificity, positive predictive value, nagative predictive value and false negative error rate of 57.9%, 98.0%, 90.5%, 87.5%, 12.5%, respectively. For central lesions, the sensitivity of conventional cytology and ThinPrep$^{(R)}$ were 70.1% and 82.8%, respectively. Conclusion: ThinPrep$^{(R)}$ cytology showed a higher sensitivity and lower false negative error rate than conventional cytology. This result was unaffected by the histological classification of lung cancer. Therefore, ThinPrep$^{(R)}$ cytology appears to be a useful method for increasing the detection rate of lung cancer in bronchial washing cytology test.
This paper examines Korea's exports of manufactures to the United States, Japan, and other OECD member countries in the 1974-89 period, focusing on the market share in the trade partners' imports. It decomposes the growth of exports into various effects, following the "constant-market-shares" analysis. For this purpose, the entire period is divided into three subperiods: 1974-78, 1978-83, and 1983-89. The paper also estimates a regression model of the market share determination, using the data of Korea's market share in U.S. imports. In the three subperiods under study, Korea's exports grew at different paces for varied reasons. The average annual growth rate was 28 %, 11 %, and 21 %, respectively. A large drop in the "competitiveness effect", that is, in the market-share growth rate, was mainly responsible for the decline in the export growth rate. The largest drop in the competitiveness effect was found in the light manufactures exports in the second period. The market share did not regain the rapid growth momentum. The main reason for the rise in export growth rate in the last subperiod was the "market-size effect"-a rise in the growth rate of the trade partners' imports. According to the regression results, high intensities in physical and human capital tended to lower the Korean manufacturing industries' market shares in the United States. This negative correlation was stronger in the case of human capital intensity, suggesting that Korea is relatively poorer in human capital endowment than in physical capital endowment when compared to the United States. This negative correlation between the market share and each of the two intensities became weaker overtime. This may be interpreted as the consequence of both physical and human capital accumulation which were faster than the labor force growth. Depreciation of the Japanese yen was estimated to have a negative influence on the Korean manufacturing industries' market share in the United States, and this negative influence became stronger each year in the 1980s. This seems to reflect the intensifying competition between the two countries' exports in U.S. import markets. The Heavy and Chemical Industry Policy of the 1970s, which promoted a number of selected industries by providing them with various incentives and inevitably discriminated against the rest of the industries, was estimated to have had strong negative effects on the export performance of the light manufacturing industries. This finding and the largest decline in the "competitiveness effect" -found in the light manufactures exports in the 1978-83 period-indicate that the Heavy and Chemical Industry Policy was mainly accountable for the drop in the export growth rate during the period. On the other hand, the rise in export growth rate during the subsequent subperiod was greatly impacted by the large scale exchange rate realignments of major currencies, especially by the appreciation of the Japanese yen, and other changes in international economic conditions.
The effect of ozone and surface temperature on the ozone band at $9.7{\mu}m$ has been investigated from radiative transfer theory together with observations in order to derive empirical methods for remotely sensing ground-ozone concentration. Simultaneous observations of satellite (MODIS Aqua; ECT 13:30) and ground-ozone at 79 stations have been used over the Seoul Metropolitan Area (SMA; 125.7-127.2 E, 37.2-37.7 N) during four ozone-warning days in the year 2003. Cloud effect on the band in the methods was filtered out based on synoptic observations. Upwelling radiance values at $9.6{\mu}m$ which have been estimated at the given ozone concentration of 327-391 DU depend on surface temperature (Ts) showing $5.52\~5.78Wm^{-2}sr^{-1}\;at\;Ts = 290 K,\;and\;9.00\~9.57Wm^{-2}sr^{-1}$ Ts = 325K. Thus, the partitioned contributions of ozone and temperature to intensity of ozone absorption band are $0.26Wm^{-1}sr^{-1}/64\;DU\;and\;0.31 Wm^{-2}sr^{-1}/35K$, respectively. Here the intensity which has been used to remotely detect ground-ozone concentration from infrared satellite measurement is defined as the difference in brightness temperature between $11{\mu} m\;and\;9.7{\mu}m (i.e.,\; T_{11-9.7})$. The methods in this study have been applied to estimate ground-ozone from MODIS data in cases that there are significant correlations between the band intensity and ground-ozone. The values of estimated ozone significantly correlate (0.49-0.63) with ground observations at a significance level of $1\%$. For the improved methods, further study may be required to use tropospheric ozone rather than ground-ozone, considering the variation stratospheric ozone.
Kim, Dae Jung;Kim, Joo Hee;Lim, Joon Seok;Chung, Jae-Joon;Yu, Jeong-Sik;Kim, Myeong-Jin;Kim, Ki Whang
Investigative Magnetic Resonance Imaging
/
v.18
no.4
/
pp.323-331
/
2014
Purpose : To assess the usefulness of rectal filling using ultrasonographic gel in patients with lower rectal cancer. Materials and Methods: Twenty five patients with lower rectal cancer were enrolled. High resolution pelvic MR was performed twice before and after gel filling. Independently and retrospectively, two radiologists reviewed each set of MR images using five-grade scales for sphincter involvement, CRM (circumferential resection margin) involvement and depiction of the tumor. Same two radiologists retrospectively performed consensus review of each set of MR images for tumor distance from the anal verge and T&N staging. Results: Tumor depiction scores from MR with gel filling were significantly higher than those of MR without distention (p<0.001). Compared to MR without distension, MR with gel filling had no significant differences in prediction of CRM or sphincter involvement (p>0.05). Distance from the anal verge was significantly different between MR with gel filling and rigid endoscopy ($6.8{\pm}1.6cm$ vs. $5.8{\pm}1.6cm$, p=0.001). There were no significant differences between pathological staging and MR staging with or without gel filling. Conclusion: MR with gel filling improved tumor depiction. And also MR with gel filling revealed same ability for the predictions of CRM or sphincter invasion in patients with lower rectal cancer, comparing with MR without gel filling.
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