• 한국산림과학회지
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• 제70권1호
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• pp.72-76
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• 1985

외생균근(外生菌根)을 형성(形成)하는 모래밭 버섯균(菌)(Pisolithus tinctorius) (Pt)을 포플러에 인공접종(人工接種)하여 기주(寄主)의 생장촉진(生長促進)과 활착률(活着率) 증진효과(增進效果)를 조사(調査)하였다. 질석(蛭石), 니탄(泥炭)이끼, MMN배지(培地)(Modified Melin-Norkrans)를 첨가(添加)한 $1{\ell}$ 유리 용기(容器)에 Pt 균(菌)을 대량(大量)으로 배양(培養)하여 Methyl bromide($50g/m^2$)로, 훈증(熏蒸)한 묘포토양(苗圃土壤)에 혼합(混合)하고, 은수원사시 (Populus alba${\times}$P. glandulosa)를 삽목(揷木)하였다. $1{\times}2m$ 크기의 삽목상(揷木床)에 50개(個)의 삽수(揷穗)를 사용(使用)했으며, 삽목당년(揷木當年) 가을에 수고(樹高), 건중량(乾重量)(지상부(地上部)), 활착률(活着率)을 조사(調査)하였다. Pt로 접종(接種)된 묘목(苗木)은 접종(接種)안된 묘목(苗木)보다 수고생장(樹高生長)에서 19% 더 빨리 자랐으며, 지상부(地上部)의 건중량(乾重量)에서 49% 더 많았다. 삽목(揷木) 활착률(活着率)도 접종(接種)된 묘목(苗木)이 접종(接種)안된 묘목(苗木)보다 20% 증가(增加)하였다. 접종(接種)된 묘목(苗木)에는 Pt 균(菌)의 전형적(典型的)인 황갈색(黃擖色)을 띤 세근(細根)이 많이 발달(發達)했으며, 꼬불꼬불한 root tip 형태(形態)를 보였다. 접종(接種)된 삽목상(揷木床)에서 9월(月) 중순(中旬)에 Pt균(菌)의 자실체(子實體)가 생산(生産)되어서, 접종(接種)과 균근형성(菌根形成)이 성공적(成功的)이었음을 입증(立證)해 주었다.

• 콘크리트학회논문집
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• 제25권3호
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• pp.261-269
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• 2013

이 연구에서는 산업부산물인 고로슬래그 미분말과 알칼리 활성화제(물유리, 수산화나트륨)를 사용하였다. 또한, 이를 활용하여 철근콘크리트 보에 적용하여 휨성능 평가를 하였다. 주요변수는 W/B, 알칼리 활성화제의 혼입비율, 혼화재의 종류 및 혼입유무로서 총 8개의 실험체를 제작하였으며, 재료 및 구조성능 평가를 위한 실험을 수행한 결과 다음과 같은 결론을 얻었다. 친환경 무기결합재 콘크리트는 초기 경화속도가 빠르며, 고강도 콘크리트의 가능성을 보였다. 또한, 이를 활용한 철근콘크리트 보는 기존 시멘트를 사용한 철근콘크리트 보와 유사한 거동과 파괴양상을 보였다. 친환경 무기결합재 콘크리트가 시멘트 콘크리트를 대체할 수 있는 기초연구로서 향후 건설소재 및 재료분야에 활용할 수 있을 것으로 사료되며, 이러한 특성을 바탕으로 콘크리트 2차 제품 생산과 구조부재를 PC화하여 활용할 경우 생산성 향상, 공기단축 등 효율이 상승될 것으로 보인다.

• Tuberculosis and Respiratory Diseases
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• 제51권2호
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• pp.166-172
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• 2001

저자들은 외음부에 불법적인 실리콘액 피하주사 후 미만성 폐출혈을 동반한 임상적으로 진단한 급성호흡곤란 증후군 2예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제52권4호
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• pp.411-418
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• 2002

저자 등은 폐결핵재발 후에 진행성의 호흡곤란과 만성기침을 호소하며 입원하여 흉부전산화 단층촬영 상에 폐포단백증의 특징적인 소견을 보이는 환자를 개흉 폐생검으로 확진하여 항결핵제 투여와 기관지폐포세척술로 임상적 호전을 보인 1예를 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제71권5호
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• pp.335-340
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• 2011

Background: Community-acquired pneumonia (CAP) is an important cause of morbidity and mortality throughout the world in all age groups. Viral causes of CAP are less well characterized than bacterial causes. We analyzed the characteristics of hospitalized patients with CAP who had a viral pathogen detected by multiplex polymerase chain reaction (PCR). Methods: Multiplex real-time PCR was performed for respiratory viruses in samples collected from 520 adults who developed CAP at Chungnam National University Hospital. Clinical, laboratory, and radiological features at presentation as well as other epidemiological data were analyzed. Results: Of 520 patients with CAP, a viral pathogen was detected in 60 (11.5%), and influenza A was the most common. The virus detection rate in patients with CAP was highest in November. Two or more pathogens were detected in 13 (21.7%) patients. Seven patients had severe disease and were administered in the intensive care unit. Most patients (49/60, 81.7%) had comorbidities. However, nine (15%) patients had no comorbidities, and their age was <60 years. The ground glass opacity pattern was the most common radiological feature. Seven (11.7%) patients died from CAP. Conclusion: Viral pathogens are commonly detected in patients with CAP, and a respiratory virus may be associated with the severity and outcome of pneumonia. Careful attention should be paid to the viral etiology in adult patients with CAP.

• Tuberculosis and Respiratory Diseases
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• 제71권5호
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• pp.368-372
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• 2011

Acute fibrinous and organizing pneumonia is a newly recognized pattern of acute lung injury. A 49-year-old female presented with a cough and worsening dyspnea on exertion. She had no history of smoking and no specific past medical history except exposure of home humidifier containing sterilizer. A chest computed tomography scan showed patchy consolidation with fibrosis in the right lower lobe and ill-defined centrilobular ground glass opacity in both lungs. The pathological findings were patchy areas of lung parenchyma with fibrin deposits in the alveolar ducts and alveoli, and fibrin balls with hemosiderin deposition in the alveolar spaces. The histological pattern of our case is differentiated from diffuse alveolar damage by the absence of hyaline membranes, and from eosinophilic pneumonia by the lack of eosinophils. In our case, the patient was treated with corticosteroid pulse therapy. However, the clinical course became aggravated and she died within two weeks.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2717-2722
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• 2013

Background: The objective of this research is the computed axial tomography (CT) imaging grading of radiation induced pneumonitis (RP) and its correlation with clinical and radiotherapeutic parameters. Materials and Methods: The chest CT films of 20 patients with non-small cell lung cancer who have undergone threedimensional conformal radiation therapy were reviewed. The proposed CT grading of RP is supported on solely radiological diagnosis criteria and distinguishes five grades. The manifestation of RP was also correlated with any positive pre-existing chronic obstructive pulmonary disease (COPD) history, smoking history, the FEV1 value, and the dosimetric variable V20. Results: The CT grading of RP was as follows: 3 patients (15%) presented with ground glass opacity (grade 1), 9 patients (45%) were classified as grade 2, 7 patients (35%) presented with focal consolidation, with or without elements of fibrosis (grade 3), and only one patient (5%) presented with opacity with accompanying atelectasis and loss of pulmonary volume (grade 4). Both univariate and multivariate analysis revealed as prognostic factors for the radiological grading of RP the reduction of FEV1 and the V20 (P=0.026 and P=0.003, respectively). There was also a significant (P<0.001) correlation of radiological grading of RP with FEV1 and V20 (spearman rho 0.92 and 0.93, respectively). Conclusions: The high correlation of the proposed radiological grading with the FEV1 and the V20 is giving a satisfactory clinical validity. Although the proposed grading scale seems relevant to clinical practice, further studies are needed for the confirmation of its validity and reliability.

• Parasites, Hosts and Diseases
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• 제53권3호
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• pp.321-327
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• 2015

A 50-year-old male visited the outpatient clinic and complained of fever, poor oral intake, and weight loss. A chest X-ray demonstrated streaky and fibrotic lesions in both lungs, and chest CT revealed multifocal peribronchial patchy ground-glass opacities with septated cystic lesions in both lungs. Cell counts in the bronchoalveolar lavage fluid revealed lymphocyte-dominant leukocytosis, and further analysis of lymphocyte subsets showed a predominance of cytotoxic T cells and few T helper cells. Video-assisted wedge resection of the left upper lobe was performed, and the histologic examination was indicative of a Pneumocystis jirovecii infection. Trimethoprim-sulfamethoxazole (TMP-SMX) was orally administered for 3 weeks; however, the patient complained of cough, and the pneumonia was aggravated in the follow-up chest X-ray and chest CT. Molecular studies demonstrated mutations at codons 55 and 57 of the dihydropteroate synthase (DHPS) gene, which is associated with the resistance to TMP-SMX. Clindamycin-primaquine was subsequently administered for 3 weeks replacing the TMP-SMX. A follow-up chest X-ray showed that the pneumonia was resolving, and the cough was also alleviated. A positive result of HIV immunoassay and elevated titer of HCV RNA indicated HIV infection as an underlying condition. This case highlights the importance of careful monitoring of patients with P. jirovecii pneumonia (PCP) during the course of treatment, and the molecular study of DHPS mutations. Additionally, altering the anti-PCP drug utilized as treatment must be considered when infection with drug-resistant P. jirovecii is suspected. To the best of our knowledge, this is the first case of TMP-SMX-resistant PCP described in Korea.

• Tuberculosis and Respiratory Diseases
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• 제48권3호
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• pp.383-387
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• 2000

지방색전증은 주로 근 골격계 외상 후 발생하는 호흡기계, 신경계 및 피부 출혈성 반점을 특징으로 하는 질환으로 정확한 병인기전은 잘 모르는 상태이나 대개는 위험요소를 가지고 있는 경우에 발생하며 진단방법으로 조직 검사 외에 폐포세척술이나 폐동맥카테터를 이용한 지방체의 존재 증명법 등이 연구되고 있다. 치료는 대부분 보존적 치료가 행해지고 있다. 연자들은 특별한 위험요소 없이 건강하게 지내던 중년의 성인여성에서 발생한 폐출혈을 동반한 지방색전증 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제65권4호
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• pp.323-327
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• 2008

전신성 홍반성 낭창은 자가 면역 질환으로 폐와 흉막을 침범하며, 드물게 다양한 형태의 간질성 폐질환을 일으킨다. 식도 이완 불능증은 식도 운동 질환으로 전신성 홍반성 낭창과 동반한 예는 아주 드물다. 전신성 홍반성 낭창에 속발한 식도 이완 불능증의 기전에 대해서는 향후 연구가 필요할 것으로 사료된다. 전신성 홍반성 낭창에서 간질성 폐렴과 식도 이완 불능증을 동반한 환자를 경험하였기에 이를 보고하는 바이다.