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National Survey of Sarcoidosis in Korea (유육종증 전국실태조사)

  • 대한결핵 및 호흡기학회 학술위원회
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.6
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    • pp.453-473
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    • 1992
  • Background: National survey was performed to estimate the incidence of sarcoidosis in Korea. The clinical data of confirmed cases were analysed for the practice of primary care physicians and pulmonary specialists. Methods: The period of study was from January 1991 to December 1992. Data were retrospectively collected by correspondence with physicians in departments of internal medicine, dermatology, ophthalmology and neurology of the hospitals having more than 100 beds using returning postcards. In confirmed and suspicious cases of sardoidosis, case record chart for clinical and laboratory findings were obtained in detail. Results: 1) Postcards were sent to 523 departments in 213 hospitals. Internal medicine composed 41%, dermatology 20%, ophthalmology 20% and neurology 19%. 2) Postcards were returned from 241 departments (replying rates was 48%). 3) There were 113 confirmed cases from 50 departments and 10 cases. The cases were composed from internal medicine (81%), dermatology (13%), ophthalmology (3%) and neurology (3%). 78 confirmed cases were analysed, which were composed from department of internal medicine (92%), dermatology (5%), and neurology (3%). 4) The time span for analysed cases was 1980 to 1992. one case was analysed in 1980 and the number gradually increased to 18 cases in 1991. 5) The majority of patients (84.4%) were in the age group of 20 to 49 years. 6) The ratio of male to female was 1 : 1.5. 7) The most common chief complains were respiratory symptoms, dermatologic symptoms, generalized discomforts, visual changes, arthralgia, abdominal pains, and swallowing difficulties in order. 16% of the patients were asymptomatic. 8) Mean duration between symptom onset and diagnosis was 2 months. 9) The most common symptoms were respiratory, general, dermatologic, ophthalmologic, neurologic and cardiac origin in order. 10) Hemoglobin, hematocrits and platelet were in normal range. 58% of the patients had lymphopenia measuring less than 30% of white cell count. The ratio of CD4 to CD8 lymphocytes was $1.73{\pm}1.16$ with range of 0.43 to 4.62. ESR was elevated in 43% of the cases. 11) Blood chemistry was normal in most cases. Serum angiotensin converting enzyme (S-ACE) was $66.8{\pm}58.6\;U/L$ with the range of 8.79 to 265 U /L. Proteinuria of more than 150 mg was found in 42. 9% of the patients. 12) Serum IgG was elevated in 43.5%, IgA in 45.5%, IgM in 59.1% and IgE in 46.7%. The levels of complement C3 and C4 were in the normal range. Anti-nuclear antibody was detected in 11% of the cases. Kweim test was performed in 3 cases, and in all cases the result was positive. 13) FVC was decreased in 17.3%, FEV1 in 11.5%, FEV1/FVC in 10%, TLC in 15.2%, and DLco in 64.7%. 14) PaO2 was decreased below 90 mmHg in 48.6% and PaCO2 was increased above 45 mmHg in 5.7%. 15) The percentage of macrophages in BAL fluid was $51.4{\pm}19.2%$, lymphocytes $44.4{\pm}21.1%$, and the ratio of CD4 to CD8 lymphocytes was $3.41{\pm}2.07$. 16) There was no difference in laboratory findings between male and female. 17) Hilar enlargement on chest PA was present in 87.9% (bilaterally in 78.8% and unilaterally in 9.1%). 18) According to Siltzbach's classification, stage 0 was 5%, stage 158.3%, stage 228.3%, and stage 38.3%. 19) Hilart enlargement on chest CT was present in 92.6% (bilaterally 76.4% and unilaterally in 16.2%). 20) HRCT was done in 16 cases. The most common findings were nodules, interlobular thickening, focal patchy infiltrations in order. Two cases was normal finding. 21) Other radiologic examinations showed bone change in one case and splenomegaly in two cases. 22) Gallium scan was done in 12 cases. Radioactivity was increased in hilar and mediastinal lymph nodes in 8 cases and in parenchyme in 2 cases. 23) The pathologic diagnosis was commonly performed by transbrochial lung biopsy (TBLB, 47.3%), skin and mediastinal lymph nodes biopsy (34.5%), peripheral lymph nodes biopsy (23.6%), open lung biopsy (18.2%) and bronchial biopsy in order. 24) The most common findings in pathology were non·caseating granuloma (100%), multi-nucleated giant cell (47.3%), hyalinized acellular scar (34.5%), reticulin fibrin network (20%), inclusion body (10.9%), necrosis (9.1%), and lymphangitic distribution of granuloma (1.8%) in order. Conclusion: Clinical, laboratory, radiologic and pathologic findings were summarized. This collected data will assist in finding a test for detection and staging of sarcoidosis in Korea in near future.

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Tuberculous Cervical Lymphadenitis (경부 결핵성 임파선염)

  • Kim Joong-Kyu;Lee Choong-Han
    • Korean Journal of Head & Neck Oncology
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    • v.11 no.1
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    • pp.3-8
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    • 1995
  • Tuberculous cervical lymphadenitis is one of common cause of neck mass in young adult in Korea. Tuberculous cervical lymphadenitis known as scrofula was being treated by the 'Royal Touch' in the 5th century and by surgery in the 17th century, yet the principle of the treatment is still controversal. We report the clinical evaluation and therapeutic result about 121 tuberculous cervical lymphadenitis. The result were as follows: 1) The annual incidence(1985-1994) was 30.5 % (37 cases: 1985-1986), 17.7 % (21 cases: 1990-1992). 19.8%(24 cases: 1994). 2) The age of highest incidence was 20-29 year old age group in 41.3% (50 cases) and female predominated over male by 1.8 : 1. 3) The duration of disease was less than 6 months, in 85.9% (104 cases). 4) The most commonly involved LN group was superficial cervical group in 69.4% (84 cases), and difference between Rt & Lt, was not significant. 5) The most common symptom and local finding(P/E) were, painless swelling of LN in 74.3 % (90 cases) and single mass in 59.5 % (72 cases). 6) In seasonal variation, 85.9% (104 cases) was spring and summer. 7) Procedures except biopsy for evaluation were chest PA, AFB smear & culture(sputum), Mantoux test, USG, CT and, Associated extracervical tuberculous lesions were lung, axilla, breast. 8) In operation method (involving biopsy), Excision was 68.5 % (83 cases), neck dissection was 6.6% (8 cases). 9) The Modality, Duration and side effect of antituberculous medication: INH-Rifampin­Ethambutol was 66.1 % (88 cases), duration was 1 year in 84.3% (102 cases), side effects were severe GI trouble (24.8%), liver function damage (3.3%). 10) 3 cases recurred on the same site after 2 yrs(2 cases) and 4 months(1 case) and its treatment was curretage or I & D, with antituberculous medication.

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Spatial and temporal distribution of Wind Resources over Korea (한반도 바람자원의 시공간적 분포)

  • Kim, Do-Woo;Byun, Hi-Ryong
    • Atmosphere
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    • v.18 no.3
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    • pp.171-182
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    • 2008
  • In this study, we analyzed the spatial and temporal distribution of wind resources over Korea based on hourly observational data recorded over a period of 5 years from 457 stations belonging to Korea Meteorological Administration (KMA). The surface and 850 hPa wind data obtained from the Korea Local Analysis and Prediction System (KLAPS) and the Regional Data Assimilation and Prediction System (RDAPS) over a period of 1 year are used as supplementary data sources. Wind speed is generally high over seashores, mountains, and islands. In 62 (13.5%) stations, mean wind speeds for 5 years are greater than $3ms^{-1}$. The effects of seasonal wind, land-sea breeze, and mountain-valley winds on wind resources over Korea are evaluated as follows: First, wind is weak during summer, particularly over the Sobaek Mountains. However, over the coastal region of the Gyeongnam-province, strong southwesterly winds are observed during summer owing to monsoon currents. Second, the wind speed decreases during night-time, particularly over the west coast, where the direction of the land breeze is opposite to that of the large-scale westerlies. Third, winds are not always strong over seashores and highly elevated areas. The wind speed is weaker over the seashore of the Gyeonggi-province than over the other seashores. High wind speed has been observed only at 5 stations out of the 22 high-altitude stations. Detailed information on the wind resources conditions at the 21 stations (15 inland stations and 6 island stations) with high wind speed in Korea, such as the mean wind speed, frequency of wind speed available (WSA) for electricity generation, shape and scale parameters of Weibull distribution, constancy of wind direction, and wind power density (WPD), have also been provided. Among total stations in Korea, the best possible wind resources for electricity generation are available at Gosan in Jeju Island (mean wind speed: $7.77ms^{-1}$, WSA: 92.6%, WPD: $683.9Wm^{-2}$) and at Mt. Gudeok in Busan (mean wind speed: $5.66ms^{-1}$, WSA: 91.0%, WPD: $215.7Wm^{-2}$).

Sintering of Fe-30 wt% TiC Composite Powders Fabricated from (Fe, TiH2, C) Powder Mixture ((Fe, TiH2, C) 혼합 분말로부터 제조된 Fe-30 wt% TiC 복합재료 분말의 소결)

  • Lee, Byunghoon;Kim, Ji Soon
    • Journal of Powder Materials
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    • v.22 no.5
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    • pp.356-361
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    • 2015
  • Fe-30 wt% TiC composite powders are fabricated by in situ reaction synthesis after planetary ball milling of (Fe, $TiH_2$, Carbon) powder mixture. Two sintering methods of a pressureless sintering and a spark-plasma sintering are tested to densify the Fe-30 wt% TiC composite powder compacts. Pressureless sintering is performed at 1100, 1200 and $1300^{\circ}C$ for 1-3 hours in a tube furnace under flowing argon gas atmosphere. Spark-plasma sintering is carried out under the following condition: sintering temperature of $1050^{\circ}C$, soaking time of 10 min, sintering pressure of 50 MPa, heating rate of $50^{\circ}C/min$, and in a vacuum of 0.1 Pa. The curves of shrinkage and its derivative (shrinkage rate) are obtained from the data stored automatically during sintering process. The densification behaviors are investigated from the observation of fracture surface and cross-section of the sintered compacts. The pressureless-sintered powder compacts are not densified even after sintering at $1300^{\circ}C$ for 3 h, which shows a relative denstiy of 66.9%. Spark-plasma sintering at $1050^{\circ}C$ for 10 min exhibits nearly full densification of 99.6% relative density under the sintering pressure of 50 MPa.

Ultrastructural and Histochemical Study on the Epithelia of Digestive Tract of a Korean Slug, Incilaria fruhstorferi (한국산 산민달팽이 ( Incilaria fruhstorferi ) 소화관 상피조직의 미세구조 및 조직화학적 연구)

  • 이정찬;장남섭;한종민
    • The Korean Journal of Malacology
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    • v.13 no.2
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    • pp.143-160
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    • 1997
  • 한국산 산민달팽이 Incilariafruhstorferi의 소화관을 부위별로 관찰하고, 소화관 상피조직을 구성하는 세포의 종류와 분포수 그리고 분비되는 과립 등을 미세구조적, 조직화학적으로 관찰하고 그 결과를 보고하고자 한다. 산민달팽이의 소화관은 식도, 위, 장, 직장 등으로 구성되어있으며, 식도는 다시 전식도, 소낭, 후식도로 나누어지고, 장은 전장과 중장, 후장 등으로 구분되었다. 소화관을 부위별롸 관찰한 결과 섬모원주상피세포 2종, 녹색과립세포 3종, 청색과립세포, 점액세포, 투명세포, 망상형세포 그리고 괴사형세포 등 모두 10종류가 확인되었다. 섬모원주세포는 A형과 B형 등 두 종으로 나뉘며, A형은 세포의 상단 자유면에 섬모와 미세융모가 밀생된데 비해, B형은 전자밀도가 높아서 검게 보이고, 장과 직장에서만 관찰되는 특징을 보였다. 섬모의 구조는 9 x 2 + 2 axoneme이었다. 녹색과립세포는 미세구조에 의해 A형, B형 그리고 C형등 3종으로 나누어지며, 소낭과 후식도, 위, 직장에서 주로 관찰되었다. A형과 B형은 Sudan black에 양성인 지방과립(1.36 x 1.6$\mu\textrm{m}$)만을 포함하고 있는데비해 C형은 글리코겐 과립도 포함하고 있었다. 청색과립세포는 10종류의 세포 중 가장 키가 크고 (35$\mu\textrm{m}$), Millon반응에 양성을 보이는 둥근과립(직경, 1.3$\mu\textrm{m}$)을 포함하고 있는데 과립들은 단백질성으로 확인되었다. 이들은 중장에서만 관찰되었다. 장과 직장에서 주로 많이 관찰되는 점액세포는 세포질 속에 전자밀도가 낮은 투명한 과립과 전자밀도가 높아서 검게 보이는 둥근과립(크기, 1.33 x 0.89$\mu\textrm{m}$)들을 포함하고 있었는데, 이들은 미성숙 시기에는 투명과립(직경, 2.66$\mu\textrm{m}$)으로 관찰되었다. PAS-alcian blue(pH 2.5)반응에서 투명과립은 alcianophillia로 나타난 반면, 검은 과립은 PAS에 양성반을을 보이며, 각각 산성점액과 중성점액과립으로 확인되었다. 투명세포는 광학현미경 관찰에서 A형과 B형으로 구분되었으나, A형은 전자현미경 관찰에서 신경내분비세포로 확인된 반며, B형은 지방과립을 소지한 지방저장세포로 각각 확인되었다. 신경내분비세포가 소지한 과립의 크기는 0.16$\mu\textrm{m}$ 정도였다. 망상형세포는 주로 위에서 관찰되는 형태가 불규칙한 작은 세포로서 세포질에 비해 큰 핵을 소지하고 있었다. 소량의 세포질 돌기에는 사립체와 과립성소포체를 포함하고 있다. 괴사형세포는 후장과 직장에서 주로 많이 관찰되고, 점액세포의 점액과립이 분비된 후, 붕괴되는 과정에서 형성된 것으로 확인되었다.

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A Characteristic of Wintertime Snowfall and Minimum Temperature with Respect to Arctic Oscillation in South Korea During 1979~2011 (1979~2011년, 북극진동지수 측면에서의 겨울철 남한지역 신적설과 최저 온도 특성)

  • Roh, Joon-Woo;Lee, Yong Hee;Choi, Reno K.Y.;Lee, Hee Choon
    • Atmosphere
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    • v.24 no.1
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    • pp.29-38
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    • 2014
  • A characteristic of snowfall and minimum temperature variability in South Korea with respect to the variability of Arctic Oscillation (AO) was investigated. The climatic snowfall regions of South Korea based on daily new fresh snowfall data of 59 Korea Meteorological Administration (KMA) stations data corresponding to the sign of AO index during December to February 1979~2011 were classified. Especially, the differences between snowfalls of eastern regions and that of western regions in South Korea were seen by each mean 1000hPa geopotential height fields, which is one of physical structure, for the selected cases over the East Asia including the Korean Peninsula. Daily minimum temperature variability of 59 KMA station data and daily AO index during the same period were investigated using Cyclo-stationary empirical orthogonal function (CSEOF) analysis. The first CSEOF of wintertime daily AO index and that of minimum temperature of 59 KMA stations explain 33% and 66% of total variability, respectively. Correlation between principal component time series corresponding to the first CSEOF of AO index and that of temperature at the period of 1990s is over about -0.7 when that of AO index leads about 40 days.

Analysis of Gene Expression in Carcinogen-induced Acute Hepatotoxicity

  • Oh, Jung-Hwa;Park, Han-Jin;Lee, Eun-Hee;Heo, Sun-Hee;Cho, Jae-Woo;Kim, Yong-Bum;Yoon, Seok-Joo
    • Molecular & Cellular Toxicology
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    • v.5 no.1
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    • pp.58-66
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    • 2009
  • The 2-year rodent carcinogenicity test involves long-term, repetitive dosing of animals that is both time consuming and expensive. Alternative approaches have been attempted using specific transgenic or knockout mice or toxicogenomics to predict carcinogenicity without conducting a 2-year rodent test. In addition, toxicogenomic analysis of carcinogen-treated animals could also enhance our understanding of molecular mechanisms and aid in the diagnosis of acute toxicity induced by carcinogens. Therefore, we investigated transcription profiles after administering the carcinogens 4,4-dimethylformamide (DMF) and 4-biphenylamine (ABP). BALB/c male mice were treated once with DMF (650 mg/kg i.p.) or ABP (120 mg/kg p.o.). Standard blood biochemistry and histological changes were observed. Gene expression profiles in the livers of mice treated with either vehicle or the carcinogens were analyzed using the Affymetrix $GeneChip^{(R)}$ assay. In all, 1,474 differentially expressed genes in DMF- or ABP-treated mice were identified as being either up- or down-regulated over 1.5-fold (P< 0.01), and these genes were analyzed using hierarchical clustering and Ingenuity Pathways Analysis. Of these, 107 genes were consistently regulated in both carcinogen-treated groups. Genes associated with cancer were upregulated (Por, S100a10, Tes, Ctcf, Ddx21, Eapp, Nel, and Pa2g4) or downregulated (Cbs and Gch1). Toxicological function analysis also identified genes involved in organ toxicity, including hepatotoxicity. These data may help to identify molecular markers for acute hepatotoxicity induced by carcinogens.

Reduction of Length of Stay in Emergency Room by Using Critical Pathway for Stroke Patients (Critical pathway 적용을 통한 급성 뇌졸중 환자의 응급실 체류시간 단축 효과)

  • Yun, Yeo-Ok;Kim, Min-Young;Kim, Woo-Jeong;Kang, Young-Joon;Park, Ju-Ok;Park, Kyung-Hye
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.1
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    • pp.66-73
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    • 2011
  • Purpose: The purpose of this study was to demonstrate effects of a critical pathway (CP) for stroke patients seen in emergency rooms (ER). Method: The CP developed by the CP committee consisted of 8 criteria: behavior of doctors and nurses, laboratory tests, Image testing, medication, treatment, activity, and nutrition. According to application of CP, a control group (n=17) and experimental group (n=17) were defined. Time was checked by the electronic medical records. Result: Use of CP for stroke patients in the ER, resulted in a decreased length of stay in ER (t=2.341, p=.026), and time required for image testing (t=2.623, p=.021), and an increased number of patients using rtPA ($x^2$=4.802, p=.049). Time required for neurology doctor contact, for neurology doctor to see patient in the ER, and for report of blood tests decreased, but there were no statistical significance. Conclusion: Quick responses are most important in the ER, so CP for these patients is a very effective patient management tool. To reduce delay in stroke diagnosis, continuous education programs for similar symptoms are necessary. CPs for other patients in the ER should be developed, and studies on cost and satisfaction, as well as length of stay, should be done.

Phase Constitution of the Palladium and Tellurium System (팰래듐과 테루리움계의 상평형 연구)

  • ;G.Y.Chao, L.J.Cabri
    • Korean Journal of Crystallography
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    • v.1 no.2
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    • pp.66-75
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    • 1990
  • The Pd-Te system has been investigated by differential thermal analysis, X-ray diffration, electron probe microanalysis and reflected light microscopy. New phase relations in 0-50at% Te portion of the binary system are proposed. Eight binary phases exist in the system:Pd17Te4, Pd20Te7.PdsTe3, P477e3, P497e4, P637e2, PeTe and PaTe2. Of these, P677e3 is a newly reported phase. P4177e4 is cubic, space group Fd3c, with a=12.678(5)A. The X-ray powder data of PdsTe3, indexed on an orthorhombic cell, give a= 12.843(3), b=15.126(3), c: 11.304(2)A and those of PdTTe.1, indexed on a monoclinic cell, give a=7.444(1), b= 13.918(2) , c=8.873(2)A. p =92.46(2). Some physical and optical properties of synthetic phases in the system are also reported.

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Hearing Ability of Redlip croaker Pseudosciaena polyactis cultured in the Coastal Sea of Jeju (제주 연안에서 양식된 참조기의 청각 능력)

  • AHN, Jang-Young;KIM, Seok-Jong;CHOI, Chan-Moon;PARK, Young-Seok;LEE, Chang-Heon
    • Journal of Fisheries and Marine Sciences Education
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    • v.28 no.2
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    • pp.384-390
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    • 2016
  • The purpose of this paper is to improve the availability of underwater sound by the fundamental data on the hearing ability of Redlip croaker Pseudosciaena polyactis, which is cultured according to the cultivation technology, recently. The auditory thresholds of Redlip croaker were determined at 6 frequencies from 80Hz to 800Hz by heartbeat conditioning method using pure tones coupled with a delayed electric shock. The audible range of the Redlip croaker extended from 80Hz to 800Hz with the best sensitive frequency range including little difference in hearing ability from 80Hz to 500Hz. In addition, the auditory thresholds over 800Hz increased rapidly. The mean auditory thresholds of the Redlip croaker at the test frequencies from 80Hz to 800Hz were 90.7dB, 93.4dB, 92.9dB, 94.4dB, 95.5dB and 108dB, respectively. Auditory masking for the redlip croaker was measured using masking stimuli with the spectrum level range of about 66, 71, 75dB (0dB re $1{\mu}Pa/{\sqrt{Hz}}$). According to white noise level, the auditory thresholds increased as compared with thresholds in a quiet background noise. The Auditory masking by the white noise spectrum level was stared over about 70dB within 80~500Hz. Critical ratio ranged from minimum 20.7dB to maximum 25.5dB at test frequencies of 80Hz~500Hz.