• Title/Summary/Keyword: 자연경과

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Acute Type A Aortic Dissection Mimicking Penetrating Atherosclerotic Ulcer (침투성 동맥경화성 궤양과 흡사한 급성 A형 대동맥 박리증 -1l례 보고 -)

  • Choi, jae-Sung;Kwak, Jae-Gun;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.36 no.1
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    • pp.30-34
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    • 2003
  • As classical acute aortic dissection, atherosclerotic penetrating ulcers and intramural hematoma have different pathophysiology and natural history, treatment strategy should be different and, therefore, accurate differential diagnosis is necessary. However, these three aortic diseases may be indistinguishable by clinical observation and even by various diagnostic modalities such as cardiac echocardiography, CT and MRI. The patients was a 71-year-old female with chief complaints of anterior chest pain, nausea and vomiting which occurred suddenly 3 days before admission. CT angiographic with 3 dimensional reconstruction shows intramural hematoma in ascending aorta, aortic arch, descending thoracic aorta and right brachiocephalic trunk, heompericardium, and blood in mediastinum and both pleural cavities. The CT angiographic finding of focal out-bulging in the ascending thoracic aorta was diagnosed as penetrating atherosclerotic ulcer. The patient underwent emergency operation under a preoperative diagnosis of penetrating atherosclerotic ulcer with a sign of aortic rupture. In the intraoperative findings, however, intimal tear was seen in the anterior portion of the ascending aorta about 1cm below the brachiocephalic trunk and falselumen appeared after hematoma was removed from the layer of tunica media. We report a case of type A aortic dissection which mimicked clinical and diagnostic features of penetrating atherosclerotic ulcer.

Kikuchi-Fujimoto Disease, A Possible Complication of Rituximab Treatment (신증후군 환아에서 Rituximab 사용 후 발생한 기쿠치병 1례)

  • Lee, Jiwon;Chang, Hye Jin;Lee, Sang Taek;Kang, Hee Gyung;Ha, Il Soo;Cheong, Hae Il
    • Childhood Kidney Diseases
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    • v.16 no.2
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    • pp.138-141
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    • 2012
  • Rituximab, a chimeric anti-CD20 IgG1 monoclonal antibody, has been used as a rescue therapy for steroid-dependent or refractory nephrotic syndrome. However, the adverse effects of rituximab are yet to be investigated. We report a case of a 9-year-old boy with steroid-dependent nephrotic syndrome who developed Kikuchi-Fujimoto disease after several cycles of rituximab therapy. Kikuchi-Fujimoto disease is a benign, self-limited necrotizing histiocytic lymphadenitis of unknown etiology. In the present case, Kikuchi-Fujimoto disease developed when the peripheral blood B-cell count of the patient was at nadir, and the lesion regressed slowly but spontaneously after recovery of the B-cell count. To our knowledge, although the pathologic diagnosis of Kikuchi-Fujimoto disease was unavailable, this is the first report of Kikuchi-Fujimoto disease with clinical diagnosis as a possible adverse effect of rituximab.

예천군지역의 역사적 변천과정 -고지도와 지리지의 비교분석

  • 이한방
    • Proceedings of the KGS Conference
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    • 2002.05a
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    • pp.99-105
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    • 2002
  • 변화의 속도가 느려서 장기지속적인 전체사의 바탕을 형성하고 있는 지리적 환경에 대한 적응결과로서의 지표경관을 도면상에 표현한 고지는 당시대인들의 세계관과 공간인식을 반영하고 있다. 인간을 둘러싼 지리적 환경은 장기적으로 벼하는 구조이다. 장기지속의 구조사는 지리지와 고지도에 잘 표현되어 있다. 지리지와 고지도에 대한 문헌조사와 현지야외답사를 통하여 경관을 구체적으로 분석하고 지역성과 한국전통지역사회의 원형을 파악하고자 한다. 기존의 연구자들에 의하여 정상기의 동국지도, 김정호의 대동여지도, 북방영토인식, 군현지도, 시대상의 복원과 지리환경 인식, 회화의 측면에서 본 고지도, 지명과 영토문제, 서양식 세계지도의 전래과정등의 연구주제들에 대하여 많은 연구가 이루어졌다. 그러나 기왕의 연구는 고지도에 대한 전체적인 현황 파악과 해제, 전체적인 유형 분류, 특정주제에 대한 고지도 이용 등에 초점이 맞추어져 있었고 구체적인 지역사회에 대하여 고지도를 통시대적으로 비교 분석한 연구는 드문 편이다. 사라져가고 있는 전통경관과 자연환경의 영향을 많이 받은 촌락경관이 남아 있는 지역사회경관에 대한 고지도와 지리지를 활용한 연구가 시급하다. 고지도는 옛 지명, 산천, 도로, 역원, 행정구역, 역사적 위치의 파악과 문화경과 복원의 기초자료로서의 의미가 크므로 지역사회 단위의 연구가 필요하다. 19세기 말엽에 편찬된 읍지와 지도는 서양과 일본의 침략으로 변모되기 이전의 한국 각 지역의 모습을 추적하고 복원하는데 긴요한 역사적 자료이다. 현대 한국지역사회의 바탕을 이루고 있는 지난 400년간의 지역변화를 고지도와 지리지.읍지를 통하여 살펴봄으로써 변한 것과 변하지 않는 것을 분석하여 시대상의 복원과 지역사회의 정체성 확립에 일조하고자 한다.곡물의 여러 줄기가 합수하고 물이 역류하지 않으며 잘 감아도는 곳으로 표현할 수 있다 이러한 명당의 기본적인 원리는 장풍(藏風)과 득수득파(得水得破)이다. 장풍과 득수란 '국'(局), 즉 산줄기와 수계로 이루어진 일정한 범위 속에 만물이 생태계 속에서 살아가는 모습인 '체형(體形)'의 의미가 나타나야 한다는 것이다. 그러나 이러한 의미는 시대에 따라 달라질 수 있는 것이다.면적의 52%를 점유하여 감자 재배지의 핵심지를 이룬다. 4. 한국 감자 재배지역 중심지의 지리적 특징은, 높은 산지지역의 산록완사면에 밭작물로 재배된다는 점과 교통이 불편한 지역으로서 도시화와 산업화 지역의 그늘 지역이 대부분이다. 강원도의 감자 재배지는 감자재배에 적합한 자연환경과 화전농업의 전통, 감자 재배기술의 전파, 중앙정부와 지방정부가 지원하는 각종 연구소 분포와 영농지도, 씨감자 생산과 협동조합의 판로 개척, 도로 개설과 포장 등의 인문지리적 요인이 영농조건을 개선하고 감자 판매를 위한 시장접근을 용이하게 하여, 남한 최대의 감자 재배지역을 형성하였다. 제주도는 산지지형과 따뜻한 기온으로 2기작이 가능하고, 감자가공 공장설립과 교통발달에 따른 육지 시장과의 접근이 용이해졌기 때문에 남한에서 2번째로 큰 감자재배지역이 되었다.(요약 및 결론에서 발췌)그람양성균에서 효과적이었으며, 농도별 항균력시험 결과 농도가 증가할수록 비례하여 저해율도 증가함을 알 수 있었다. 첨가농도를 달리하여 미생물의 생육도를 측정한 결과, fraction II磎꼭\ulcorner경우 그람양성균에 대해 500 ppm 이상에서 뚜렷한 증식억제효과를 나타내었다.서 뚜렷한 증식억제효과를 나타내었다.min/+}$계 수컷 이형접합체 형질전환 마우스에 AIN-76A 정제사료만을 투

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Spider Fauna in Mt. Jumbong from Korea (점봉산의 거미상)

  • 이준호;강방훈;박홍현;남궁준;김승태
    • The Korean Journal of Soil Zoology
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    • v.5 no.1
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    • pp.21-32
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    • 2000
  • A faunistic study on the spiders (Arachnida: Araneae) from Mt. Jumbong Kangwon-do was carried out from 1996 to 1999. During the survey period, 144 species of 88 genera belonging to 27 families including 5 undetermined species were identified from 900 collecting individuals. The dominant families were Linyphiidae 21 species; 14.6% of total species), Araneidae (20 species, 13.9%), Theridiidae (16 species, 11.1%), and Salticidae 12 species, 8.3%). The composition of the species of web builders was richer than that of hunters. As for species commonness with adjacent countries, the numbers of common species between Mt. Jumbong and Japan, Mt. Jumbong and China, and Mt. Jumbong and Russia were 15 species (80.4%), 98 species (68.5%), and 48 species (33.6%), respectively. The number of common species among these four regions were 39 species (27.3%). So, the spider species composition in Mt. Jumbong seemed being much similar to those in neighbor countries. An outline of biogeographical distribution of spiders can be summarized as 1 Cosmopolitan species (0.7%), 16 Palearctic species (11.2%), 7 Holarctic species (4.9%), 25 Korean endemic species (17.4%) and no Oriental species. In the spider fauna at Mt. Jumbong, therefore, there are high level of occurrence of Korean endemic species with northern spiders as Palearctic and Holarctic species. The level and direction of man-made development may have negative effect on regional biota.

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Marine Blue-green Algae in Korea (II) (한국 해산 남조류 (II))

  • Yu, Sun-Ae;Chae, Seung-Mun;Lee, Gi-Wan
    • The Journal of Natural Sciences
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    • v.6 no.1
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    • pp.5-39
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    • 1993
  • The Blue-green algae collected from whole coasts of Korea were investigated morphotaxonomically in order to list up Korean marine Cyanophyta and clarify their taxnomic position. As a result, 36 species, 20 genus, 6 families belonging to 3 orders were identified. Among these, 14 species were recorded for the first time in Korea. They are Chroococcus minutus (K$\"{u}$tzing) N$\"{a}$geli, Merismopedia punctata Meyen, Microcystis ichtyoblabe K$\"{u}$zing, Dermocarpa leibleiniae (Reinsch) Born. et Thur., Hydrocoleum confluens (Setchell et Gardner) Drouet, Lyngbya sordida (Zanard.) Gomont, Phormidium forveolarum (Mont.) Gomont, Phormidium hansgieri Schmidle, Skujaella hildebrandtii (Gomont.) de Toni, Sphaeronema lithophila (Ercegovic) Umezaki, Spirulina tenerrima K$\"{u}$tzing, Hormothamnion enteromorphoides Grunow, Michrochaete aeruginea Batters, Michrochaete grisea Thuret ex Born. et flah.. Using the phase contrast microscope and the Nomarski interference micrope, we made photomicrographs of minute blue green algae. The cellular inclusions especially PHB(poly-$\SS$-hydroxy-butyrate) granules of the blue-green algae identified were investigated. The species clearly characteriged to have PHB granule were Lyngbya confervoides, L. semiplena, Phormidium corium, Sirocoleum kurzii, Hormothamnion enteromorphoides and Calothrix crustacea. These result would be fundamental data for estabilishing phylogenetic system of blue-green algae based on physio-biochemical characteristics in future.

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Pungsu Aesthetics of Korean Traditional Garden - Focused on Kosan Yoon Sun-Do's Gardens in Mountain- (한국전통정원에 구현된 풍수미학 연구 - 고산 윤선도의 원림을 중심으로 -)

  • Sung, Jong-Sang
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.30 no.4
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    • pp.70-80
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    • 2012
  • There isn't much of discussion about survey of traditional Korean garden with a perspective of Pungsu. Strictly speaking, it is difficult to list the names of gardens in which Pungsu theory is applied. But it is necessary to study in depth the Korean garden in mountain in relation with Pungsu. The reason is as follow; First, Pung-su and gardening both reflect man's responsive attitude and approach toward nature. Second, selecting a site for a garden requires aesthetic eyes to consider the harmony with the surrounding landscape and its compositions, where the perspective of Pungsu can play as an important component at work. Third, Pungsus complementary function justifies the correlation between Pungsu and Korean gardens. Gardens can be viewed as a solution to complement negative elements of Pungsu on site. This article tries to study the relationship between Pungsu and Korean garden in mountain in terms of Pungsu aesthetics. In Kosan Yoon Sun-Do's Buyong-dong garden, excavated perspectives of Pungsu aesthetics are fell into two categories; the spatial frame based on Pungsu topography and the dimension of enjoyment through visual angles between essential points. The former can be said as Pungsu topography as a mental image which was constructed by selected points and given Pungsu meanings; the latter is visual angles between those points by which make it possible to see and enjoy in comfortable sights. In such way making and enjoying Buyong-dong garden with full of Pungsu oriented meanings and aesthetics, Kosan Yoon Sun-Do enjoyed and sublimated his experience in nature into art.

Distribution of Bursaphelenchus xylophilus in Naturally Infected Pinus densiflora and P. koraiensis and Migration of B. xylophilus in Artificially Inoculated P. densiflora Seedlings (자연감염된 소나무와 잣나무 내 소나무재선충 분포 및 인공접종한 소나무 묘목 내에서의 소나무재선충 이동)

  • Kim, Jae-Geun;Kim, Byung-Kwan;Lee, Seung-Kyu;Kim, Jin-Cheol;Han, Sang-Sub;Cha, Byeong-Jin
    • Research in Plant Disease
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    • v.18 no.2
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    • pp.101-108
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    • 2012
  • In 2006, pinewood nematode, Bursaphelenchus xylophilus, was isolated from about 50 years old trees of Pinus densiflora and P. koraiensis showing leaf-wilt and -drying symptoms in Gwangju, Gyeonggi-do and Chuncheon, Gangwon-do. Isolation of pinewood nematodes from sapwood of infected pine trees showed no difference in population density between tree species and among the sampling heights on the main stem. Migration of pinewood nematodes in the host tree were investigated by inoculation of red pine (P. densiflora, 3 years old) seedlings with B. xylophilus. The nematodes seemed to move in red pine seedlings prior to multiplication and it might have taken about 20 days to start multiplication and expression of symptoms including wilt and dieback. In initial time after inoculation, nematodes started migration through the cortical resin canal from inoculated site and further showed upward and downward movements. More nematodes were observed in cortical resin canal during early period of inoculation and later in resin canal of xylem and tracheid also while, the pith still remained free from nematode. The density of B. xylophilus was higher in seedlings of low-vigor with poor root growth than in seedlings of normal root growth. Seedlings showing high density of B. xylophilus exhibited stem discoloration and secondary infection by fungus at the inoculation site.

A Study on the Remediation using Microbial Activator from Oil-Contaminated Soil (미생물활성화제를 이용한 유류오염토양 복원에 관한 연구)

  • Lee, Chae-Young;Chung, Chan-Kyo;Kim, Jong-Moon
    • Journal of the Korea Organic Resources Recycling Association
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    • v.19 no.2
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    • pp.41-48
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    • 2011
  • In this study, the soil remediation by landfarming was carried out using microbial activators. Feasibility studies and reduction capacity of TPH(Total Petroleum Hydrocarbons) were investigated in order to find out how fast and eco-friendly the contaminated soil can be recovered. The lab-test confirmed not only the performance and degradation efficiency of microbial activators but also the effect of TPH reduction in the contaminated soil. The optimum growth conditions for indigenous microorganisms were identified using microbial activators. Based on the results of TPH removal, although there had been a little of difference in between natural decomposition and microbial activators until 20 days, the sample groups of microbial activators were higher than the control ones after 20 days. Microbial activators were applied to the field experiments on landfarming. Based on the results of removal rate in each floor of soil, it was found that the removal rates were 85.8 % in the upper, 84.4 % in the middle, and 66.10 % in the bottom. Considering that the reduction rate of TPH for the control group averaged 71.1%, the microbial activators might not be fully transferred into the bottom, which resulted from the piles of soil. As the piles have already reached 1 m in the field experiments, the low piles of soil under 0.6 m may enhance the treatment efficiency of TPH.

Management Strategy and Surveillance of Intraductal Papillary Mucinous Neoplasm-Gastroenterologist's Viewpoint (췌관 내 유두상 점액종양의 치료 전략과 추적 관찰-소화기내과의 관점)

  • Kim, Tae Hyeon;Chon, Hyung Ku
    • Journal of Digestive Cancer Research
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    • v.9 no.1
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    • pp.1-7
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    • 2021
  • The length, the frequency, and the methods of surveillance for intraductal papillary mucinous neoplasm (IPMN) of the pancreas are still debating. According to the recent guidelines, IPMN is stratified into "high-risk stigmata" or absolute indication and "worrisome features" or relative indication as a guide in managing these patients, either those with resection of the lesion or those under surveillance. The risk of malignant transformation was quite low for branch duct-IPMNs without worrisome features or high risk stigmata. However, because the incidence rate of pancreatic cancer in these patients increase linearly with time, continued long-term surveillance is therefore important for patients with low-risk, as well as higher-risk, IPMN. Considering the high prevalence of malignancy, main duct-IPMN should be treated by surgical resection. Among patients with these type IPMNs, segmental dilatation of the main pancreatic duct without any mural nodules and larger than 10 mm of main pancreatic duct might not be immediately resected and need very careful examination and observation. The risk related to a major pancreatic resection must balance the risk of surveillance in patients with IPMN of the pancreas who have co-morbidity and are elderly.

Application of Dates of Terrestrial Magnetism to Archaeological Remains - Centered on a Charcoal Kiln with Side Window at Maegokdong, Ulsan - (고고유적에 대한 고고지자기연대법의 적용 - 울산 매곡동 유적 측구부탄요에 대한 적용사례를 중심으로 -)

  • Sung, Hyong-Mi
    • The Journal of the Korea Contents Association
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    • v.8 no.12
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    • pp.214-221
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    • 2008
  • Terrestrial magnetism has left traces through residues such as fossils of the terrestrial magnetism as time went by. An analysis of archaeological terrestrial magnetism is an estimation of dates of archaeological remains where baked earth is exposed by measuring the change of the past terrestrial magnetism through thermo-remnant magnetization of baked earth. This paper attempts to apply an analysis of the archaeological terrestrial magnetism to archaeological remains using fourteen soil samples extracted from a charcoal kiln with side window located at the Area Ⅰ of Maegokdong. The date of A.D.440${\pm}$15 the analysis of archaeological terrestrial magnetism came up with gives solid evidence, while an archeological chronicle used arrangements of surrounding artifacts because of the absence of remains and assumed uncertainly that a charcoal kiln with side window was from the three kingdom periods. This analysis of archaeological terrestrial magnetism has come to anchor as a main natural scientific analysis because it relatively easily removes pollutants and comes up with highly reliable results owing to its considerably narrow error tolerance of assumed dates.