• The Journal of Engineering Geology
• /
• v.26 no.3
• /
• pp.307-314
• /
• 2016

Shear characteristics of soils can be investigated using various types of shear stress measuring apparatus. Ring shear tests are often applied for examining the residual shear strength under the unlimited deformation. This paper presents drainage-consolidation-shear velocity dependent undrained shear strengths measured in terms of water leakage. A series of ring shear tests were performed under the constant normal stress (50 kPa) and controled shear velocity ranging from 0.01~1 mm/sec under the undrained condition. As a result, undrained shear strengths are dependent on shear velocity. It exhibits that straining hardening behavior is observed for the shear velocity lower than 0.1 mm/sec; however, the strain softening behavior is observed for the shear velocity higher than 0.1 mm/sec. Water leakage can cause the increase in shear stress irrespective of shear velocity. Shear stress increases with increasing amount of water leakage. It is due to the fact that the small grains and water flow out through the rubble edge in the ring shear box. Repetitive saturation and consolidation processes may minimize the error.

• Tuberculosis and Respiratory Diseases
• /
• v.45 no.1
• /
• pp.197-203
• /
• 1998

Invasive pulmonary aspergillosis is a disease occuring predominantly in patients with defects in immunity such as neutropenia, hematologic malignancies or with defects in cell-mediated immunity. The isolation of Aspergillus from respiratory tract of normal host usually signifies tracheobronchial colonization, making this diagnosis difficult. There are isolated case reports occuring in normal hosts but most of them were diagnosed postmortem at autopsies indicating that early diagnosis of invasive aspergillosis in normal host is difficult. We describe here a case of invasive aspergillosis in a immunocompetent host diagnosed by lung biopsy which was successfully treated with Amphotericin-B. Invasive pulmonary aspergillosis should be included as one of the differential diagnosis if a patient with pneumonic consolidation does not respond to usual therapy, even if the patient does not have any defect in immunity.

• Journal of the Korean Society of Radiology
• /
• v.82 no.1
• /
• pp.139-151
• /
• 2021

Purpose To retrospectively evaluate the chest computed tomography (CT) findings of coronavirus disease 2019 (COVID-19) in patients with mild clinical symptoms at a single hospital in South Korea. Materials and Methods CT scans of 87 COVID-19 patients [43 men and 44 women; median age: 41 years (interquartile range: 26.1-51.0 years)] with mild clinical symptoms (fever < 38℃ and no dyspnea) were evaluated. Results CT findings were normal in 39 (44.8%) and abnormal in 48 (55.2%) patients. Among the 48 patients with lung opacities, 17 (35.4%) had unilateral disease and 31 (64.6%) had bilateral disease. One (2.1%) patient showed subpleural distribution, 9 (18.8%) showed peribronchovascular distribution, and 38 (79.2%) showed subpleural and peribronchovascular distributions. Twenty-two (45.8%) patients had pure ground-glass opacities (GGOs) with no consolidation, 17 (35.4%) had mixed opacities dominated by GGOs, and 9 (18.8%) had mixed opacities dominated by consolidation. No patients demonstrated consolidation without GGOs. Conclusion The most common CT finding of COVID-19 in patients with mild clinical symptoms was bilateral multiple GGO-dominant lesions with subpleural and peribronchovascular distribution and lower lung predilection. The initial chest CT of almost half of COVID-19 patients with mild clinical symptoms showed no lung parenchymal lesions. Compared to relatively severe cases, mild cases were more likely to manifest as unilateral disease with pure GGOs or GGO-dominant mixed opacities and less likely to show air bronchogram.

• Tuberculosis and Respiratory Diseases
• /
• v.71 no.4
• /
• pp.278-281
• /
• 2011

Allergic bronchopulmonary aspergillosis (ABPA) is a complex clinical entity resulting from an allergic immune response to Aspergillus species, and most often occurs in patients with asthma. ABPA is rarely observed in the absence of asthma, which is, in fact, the principal criterion for its diagnosis. Our patient was a 53-year-old woman with no history of bronchial asthma. She presented with a 1-month history of cough, mucopurulent nasal discharge, and localized pulmonary consolidation. Peripheral blood eosinophilia and elevated serum IgE were observed. Sinus radiography showed right maxillary sinusitis. Pathologic examination of bronchoscopic biopsy specimens revealed conglomerates of fungal hyphae. Pulmonary function and bronchial provocation tests were within normal ranges. The patient was successfully treated for 3 months with itraconazole and oral prednisolone. There has been no evidence of recurrence over a 7-month follow-up. ABPA coupled with sinusitis in a nonasthmatic patient is a very rare occurrence and warrants reporting.

• Clinical and Experimental Pediatrics
• /
• v.58 no.5
• /
• pp.190-193
• /
• 2015

Allergic bronchopulmonary aspergillosis (ABPA) is a hypersensitivity lung disease due to bronchial colonization of Aspergillus fumigatus that occurs in susceptible patients with asthma or cystic fibrosis. A 10-year-old girl was referred to the Department of Pediatric Pulmonology for persistent consolidations on chest radiography. Pulmonary consolidations were observed in the right upper and left lower lobes and were not resolved with a 4-week prescription of broad-spectrum antibiotics. The patient had a history of atopic dermatitis and allergic rhinitis but no history of asthma. She had no fever but produced thick and greenish sputum. Her breathing sounds were clear. On laboratory testing, her total blood eosinophil count was $1,412/mm^3$ and total serum IgE level was 2,200 kU/L. Aspergillus was isolated in the sputum culture. The A. fumigatus-specific IgE level was 15.4 kU/L, and the Aspergillus antibody test was also positive. A chest computed tomography scan demonstrated bronchial wall thickening and consolidation without bronchiectasis. An antifungal agent was added but resulted in no improvement of pulmonary consolidations after 3 weeks. Pulmonary function test was normal. Methacholine provocation test was performed, revealing bronchial hyperreactivity ($PC_{20}=5.31mg/mL$). Although the patient had no history of asthma or bronchiectasis, ABPA-seropositivity was suspected. Oral prednisolone (1 mg/kg/day) combined with antifungal therapy was started. Pulmonary consolidations began decreasing after 1 week of treatment and completely resolved after 1 month. This is the first observed and treated case of seropositive ABPA in Korean children without previously documented asthma.

• Clinical and Experimental Pediatrics
• /
• v.54 no.3
• /
• pp.123-127
• /
• 2011

Purpose: Kawasaki disease (KD) is the main cause of acquired heart disease in children. In addition to cardiovascular involvement, many complications have been recognized in KD. However, respiratory complications have been rarely reported. We investigated the differences in clinical characteristics, laboratory findings, radiography findings, and echocardiography findings of Mycoplasma pneumoniae infection and other types of pneumonia in KD patients. Methods: Among 358 patients with KD, 54 developed concurrent pneumonia. Among the 54 patients, 12 (22.2%) with high titers of anti-M. pneumoniae antibody (AMA) (>1:640) were grouped in the M. pneumoniae group and 42 were included in the control group. Serum AMA was measured in each patient. Clinical laboratory findings and total duration of fever were analyzed. Results: The duration of fever, serum hemoglobin, white blood cell count, platelet count, erythrocyte sedimentation rate, C-reactive protein level, albumin level, and the incidence of coronary arterial lesions showed no statistical difference in the 2 groups. Neutrophil count was significantly higher in the M. pneumoniae group than in the control group. Among various radiography findings observed in pneumonia, consolidation and pleural effusion were more frequent in the M. pneumoniae group than in the control group. On the other hand, parahilar peribronchial opacification, diffuse interstitial lesion, and normal findings prevailed in the control group. Conclusion: KD patients can have concurrent infections, especially pulmonary symptoms. The cause of KD is likely to be associated with M. pneumoniae infection. Thus, immediate treatment of M. pneumoniae infection in KD patients is very important.

• Tuberculosis and Respiratory Diseases
• /
• v.72 no.1
• /
• pp.93-97
• /
• 2012

Propylthiouracil (PTU) is one of the most common drugs used in the treatment of Graves' disease. There are a number of side effects found with PTU use including fever, rash, arthralgia, and flu-like symptoms. Recently antineutrophil cytoplasmic antibodies (ANCA) positive vasculitis after PTU treatment was reported as a rare side effect, which can cause diffuse alveolar hemorrhage and glomerulonephritis. A 45-year-old woman with Graves' disease had been treated with PTU for five months, complained of hemoptysis due to pulmonary alveolar hemorrhage causing anemia, and also had hematuria. Simple chest X-ray and HRCT showed bilateral consolidation and bronchoalveolar lavage fluid revealed alveolar hemorrhage. A serologic test was positive for ANCA against myeloperoxidase and proteinase-3. Such findings suggested that the presence of PTU induced ANCA positive vasculitis. Cessation of PTU and the administration of high dose steroids improved the clinical manifestation, radiologic and serologic findings. We observed ANCA titer serially for 6 years. During the follow up period, ANCA titer decreased slowly and stayed within the acceptable upper normal limit.

• Geomechanics and Engineering
• /
• v.28 no.5
• /
• pp.505-520
• /
• 2022

In recent years, geotextile-encased gravel columns (usually called stone columns) have become a popular method to increasing soil shear strength, decreasing the settlement, acceleration of the rate of consolidation, reducing the liquefaction potential and increasing the bearing capacity of foundations. The behavior of improved loose base-soil with gravel columns under shear loading and the shear stress-horizontal displacement curves got from large scale direct shear test are of great importance in understanding the performance of this method. In the present study, by performing 36 large-scale direct shear tests on sandy base-soil with different fine-content of zero to 30% in both not improved and improved with gravel columns, the effect of the presence of gravel columns in the loose soils were investigated. The results were used to predict the shear stress-horizontal displacement curve of these samples using support vector machines (SVM). Variables such as the non-plastic fine content of base-soil (FC), the area replacement ratio of the gravel column (Arr), the geotextile encasement and the normal stress on the sample were effective factors in the shear stress-horizontal displacement curve of the samples. The training and testing data of the model showed higher power of SVM compared to multilayer perceptron (MLP) neural network in predicting shear stress-horizontal displacement curve. After ensuring the accuracy of the model evaluation, by introducing different samples to the model, the effect of different variables on the maximum shear stress of the samples was investigated. The results showed that by adding a gravel column and increasing the Arr, the friction angle (ϕ) and cohesion (c) of the samples increase. This increase is less in base-soil with more FC, and in a proportion of the same Arr, with increasing FC, internal friction angle and cohesion decreases.

• Korean Journal of Radiology
• /
• v.21 no.4
• /
• pp.494-500
• /
• 2020

Objective: This study presents a preliminary report on the chest radiographic and computed tomography (CT) findings of the 2019 novel coronavirus disease (COVID-19) pneumonia in Korea. Materials and Methods: As part of a multi-institutional collaboration coordinated by the Korean Society of Thoracic Radiology, we collected nine patients with COVID-19 infections who had undergone chest radiography and CT scans. We analyzed the radiographic and CT findings of COVID-19 pneumonia at baseline. Fisher's exact test was used to compare CT findings depending on the shape of pulmonary lesions. Results: Three of the nine patients (33.3%) had parenchymal abnormalities detected by chest radiography, and most of the abnormalities were peripheral consolidations. Chest CT images showed bilateral involvement in eight of the nine patients, and a unilobar reversed halo sign in the other patient. In total, 77 pulmonary lesions were found, including patchy lesions (39%), large confluent lesions (13%), and small nodular lesions (48%). The peripheral and posterior lung fields were involved in 78% and 67% of the lesions, respectively. The lesions were typically ill-defined and were composed of mixed ground-glass opacities and consolidation or pure ground-glass opacities. Patchy to confluent lesions were primarily distributed in the lower lobes (p = 0.040) and along the pleura (p < 0.001), whereas nodular lesions were primarily distributed along the bronchovascular bundles (p = 0.006). Conclusion: COVID-19 pneumonia in Korea primarily manifested as pure to mixed ground-glass opacities with a patchy to confluent or nodular shape in the bilateral peripheral posterior lungs. A considerable proportion of patients with COVID-19 pneumonia had normal chest radiographs.

• The Journal of Engineering Geology
• /
• v.19 no.3
• /
• pp.351-363
• /
• 2009

Two orthogonal joint sets develop well only in sandstone beds in the sandstone-mudstone sequences of Gumi and Dasa outcrops within Cretaceous Gyeongsang Basin. And various joint data are similar in the beds of the same thickness in both outcrops, meaning that the joint sets were homogeneously produced by extensional deformation in the same regional stress field. Most of joints in the sandstone beds are orthogonal to, and confined by bed boundaries, which are believed to be formed by hydrofracturing during consolidation after burial. Two orthogonal joint sets are considered to be almost coeval on the basis of mutual abutting relationship which makes up fracture grid-lock and a product of rapid switching of ${\sigma}_2$ and ${\sigma}_3$ axes with constant ${\sigma}_1$ direction oriented to vertical. The joint sets in the sandstone beds show planar surfaces, parallel orientations and regular spacing, with joint spacing linearly proportional to bed thickness. The spacing distributions of the joints seem to correspond to log-normal to almost normal distribution in most of the beds. But multilayer joints do not display regular spacing and dominant size. Either joint set in this study is characterized by a high level of joint density and a saturated spacing distribution as indicated by the mode/mean ratio values and the Cv(coefficient of variance) values. Joint aperture tends to increase with the vertical length of the joints controlled by bed thickness.