• Tuberculosis and Respiratory Diseases
• /
• 제72권4호
• /
• pp.360-366
• /
• 2012

Background: Carbapenem-resistance is rapidly evolving among the pathogenic microbes in intensive care units (ICUs). This study aimed to determine annual trend of carbapenem-resistance in the ICU for 4 years, since the opening of a university-affiliated hospital in South Korea. Methods: From 2005 to 2008, microbial samples from consecutive 6,772 patients were screened in the ICU. Three hundred and ninety-seven patients (5.9%) and their first isolates of carbapenem-resistant pathogens were analyzed. Results: The percentage of patients infected with carbapenem-resistant organisms increased constantly during the initial three years (2.3% in 2005, 6.2% in 2006, 7.8% in 2007), then it declined to 6.5% in 2008. Acute Physiology and Chronic Health Evaluation (APACHE) III score at admission was $58.0{\pm}23.5$, the median length of the ICU stay was 37 days, and the mortality rate was 37.5%. The sampling sites were endotracheal suction (67%), catheterized urine (17%), wound (6%) and others (10%). Bacteria with carbapenem-resistance were Pseudomonas aeruginosa (247 isolates, 62%), Acinetobacter baumannii (117 isolates, 30%), Enterobacteriaceae (12 isolates, 3%), and others (21, 5%). Of note, peak isolation of carbapenem-resistant microorganisms in medical ICU was followed by the same epidemic at surgical ICU. Conclusion: Taken together, carbapenem-resistant pathogens are of growing concern in the ICU.

• Tuberculosis and Respiratory Diseases
• /
• 제81권2호
• /
• pp.99-105
• /
• 2018

Acute exacerbation(s) of chronic obstructive pulmonary disease (AECOPD) tend to be critical and debilitating events leading to poorer outcomes in relation to chronic obstructive pulmonary disease (COPD) treatment modalities, and contribute to a higher and earlier mortality rate in COPD patients. Besides pro-active preventative measures intended to obviate acquisition of AECOPD, early recovery from severe AECOPD is an important issue in determining the long-term prognosis of patients diagnosed with COPD. Updated GOLD guidelines and recently published American Thoracic Society/European Respiratory Society clinical recommendations emphasize the importance of use of pharmacologic treatment including bronchodilators, systemic steroids and/or antibiotics. As a non-pharmacologic strategy to combat the effects of AECOPD, noninvasive ventilation (NIV) is recommended as the treatment of choice as this therapy is thought to be most effective in reducing intubation risk in patients diagnosed with AECOPD with acute respiratory failure. Recently, a few adjunctive modalities, including NIV with helmet and helium-oxygen mixture, have been tried in cases of AECOPD with respiratory failure. As yet, insufficient documentation exists to permit recommendation of this therapy without qualification. Although there are too few findings, as yet, to allow for regular andr routine application of those modalities in AECOPD, there is anecdotal evidence to indicate both mechanical and physiological benefits connected with this therapy. High-flow nasal cannula oxygen therapy is another supportive strategy which serves to improve the symptoms of hypoxic respiratory failure. The therapy also produced improvement in ventilatory variables, and it may be successfully applied in cases of hypercapnic respiratory failure. Extracorporeal carbon dioxide removal has been successfully attempted in cases of adult respiratory distress syndrome, with protective hypercapnic ventilatory strategy. Nowadays, it is reported that it was also effective in reducing intubation in AECOPD with hypercapnic respiratory failure. Despite the apparent need for more supporting evidence, efforts to improve efficacy of NIV have continued unabated. It is anticipated that these efforts will, over time, serve toprogressively decrease the risk of intubation and invasive mechanical ventilation in cases of AECOPD with acute respiratory failure.

• 생물환경조절학회지
• /
• 제29권3호
• /
• pp.252-258
• /
• 2020

본 연구는 국내 '설향' 딸기 품종의 삽목 육묘 시 초기 활착을 증진시키고 묘소질을 향상시키기 위한 삽수 채취시기와 오옥신계 식물생장조절제 IBA, NAA의 적정 처리농도 구명을 위하여 수행되었다. 딸기 삽수는 6월 7일과 7월 5일의 두 차례에 걸쳐 채취했으며, IBA와 NAA는 각각 0.025, 0.05, 0.1%의 농도로 침지 처리하였다. 삽목한 묘는 터널재배 후 18일 동안 6회에 걸쳐 생존율을 조사하였다. 삽수 채취시기와 관계없이 NAA 처리에서는 묘 고사율이 높아, 딸기 삽목 육묘 시에는 NAA 처리가 부적합하였다. 삽수 채취시기와 식물생장조절제가 묘 생육에 미치는 영향을 조사한 결과 6월 채취묘는 IBA 0.1%에서, 7월 채취묘는 IBA 0.05%에서 묘의 활력이 우수하였다. 광합성 효율을 조사한 결과 6월 채취묘는 IBA 0.1%에서, 7월 채취묘는 IBA 0.05%에서 양자수율이 높았다. 따라서, 딸기 삽목묘의 생육을 증진시키기 위해서는 NAA보다 IBA를 사용하는 것이 적절하며, 이때 6월 삽수 채취 시에는 0.1%, 7월 삽수 채취 시에는 0.05%의 농도로 이용하는 것이 보다 적합한 것으로 판단되었다.

• Parasites, Hosts and Diseases
• /
• 제23권2호
• /
• pp.293-299
• /
• 1985

병원성 자유생활 아메바인 Naegleria fowleri를 CGVS 배지에서 무균적으로 배양하여 그 영향형을 복강내로 주입하여 인위적으로 면역시킨 마우스에 본 원충율 비강내로 감염시켰을때 방어면역이 생성되는지를 관찰하였다. 감염 8일후부터 마우스가 사망하기 시작하였고 이 마우스의 뇌에서 전형적인 원발성 아메바성 뇌수막염이 발생했음을 관찰할 수 있었다. N. fowleri 감염으로 인한 마우스의 사망율은 대조군에서 보다 네가지 항원으로 면역시킨 실험군에서 모두 현저히 낮았으며, 감염에서 사망할 때까지의 생존기간도 면역시킨 실험군에서 대조군보다 연장되었으나, N. fowleri 세포막항원으로 면역시킨 실험군에서는 대조군과 비교할때 차이가 없었다. 또한 N. gruberi 영양형으로 면역시킨 실험군에서도 생존기간이 연장되었다. 이상의 성적을 요약하면 N. fowleri를 마우스 복강내로 주입시켜 면역시킬 때 방어면역이 생성됨을 알 수 있었다.

• 한국인구학
• /
• 제16권2호
• /
• pp.125-139
• /
• 1993

Korea has successfully achieved a lowered fertility level owing to the strong population control policy and effective family planning program. Along with fertility decline and decreased number of children in family, average number of household members has decreased and nontraditional households such as one person household and households composed of unrelated individuals have prolifirated, even though the absolute number of them are found minimal in Korea. However in recent years several data and survey results suggest that one person households are gradually in the increasing trend. The study aimed at investigating the real state of one person households in Korea and next analyzing the proportional distribution of one person households by a few socioeconomic characteristics, thus providing basic for eatablishing far-singhted population and social welfare policy in the future. Korea has experienced high growth rate of economy through government-led development plans starting from the 1960s. During the past three decades, Korea has shifted from the agricultural state to the industrialized one. In compliance with the economic growth, urbanization and industrialization have brought about rural-to-urban migration and a great bulk of young population migrated to urban areas, who are seeking for educational and job opportunities. Korean society has also been under drastic change in every aspect of life involving norms, tradition, and attitude, etc. Therefore, in spite of the prejudice on 'living alone' still remaining, young people gradually leave parents and home, and further form nontraditional households in urban areas. Current increase in the number of one person households is partly attributable to the increase in high female educational attainment and female participation in economic activities. As the industrial structure in Korea changes from primary into secondary and tertiary industries, job opportunities for service/sales and manufacturing are opened to young female labor force in the process of industrialization. Contrary to the formation of one person households by young people, the aged single households are composed when children in family leave one by one because of marriage, education, employment. In particular, a higher proportion of aged female single households occur in rural areas due to the mortality difference by sex. Based on the data released form the 1990 Population and Housing Census and National Fertility and Family Health Survey in 1985 and 1991, the study tried to examine the state of one person households in Korea. According to Census data, the number of one person households increased to 1, 021, 000 in 1990, comprising 9.0 percent of total households. And the survey reveal that among total 11, 540 households, 8.0 percent, 923 households, are composed of one person households. Generally, the proportion of female single households is greater than that of male ones, and a big proportion of one person households is concentrated in the 25-34 age bracket in urban areas and 65 years and more in rural areas. It is shown than one person householders in urban areas have higher educational attainment with 59.2 percent high schooling and over in 1991, Job seeking proved to be the main reason for leaving home and forming one person households. The number of young female single households with higher education and economic self-reliance are found nil and the study did not allow to analyze the causal realtionship between female education and employment and one person household formation. However more research and deep analysis on the causal facors on one person household formation using statistical method are believed to be necessary.

• 대한임상독성학회지
• /
• 제5권2호
• /
• pp.112-118
• /
• 2007

Purpose: There have been relatively few reports of chlorophenoxy herbicide poisoning. The purpose of this study is to analyze the general characteristics and clinical aspects of the chlorophenoxy herbicide intoxicated patients in Korea. Methods: We prospectively evaluated the chlorophenoxy herbicide intoxicated patients visiting to the 38 emergency medical centers in Korea from the 1 August 2005 to the 31 July 2006. Results: 24 patients were enrolled during the study periods. Their mean age was 55.7 years old. The median amount of the chlorophenoxy herbicide intoxicated is 150 mL. The most frequent location where the patients obtained and took the chlorophenoxy herbicide was their home. Frequent compounds involving chlorophenoxy herbicide poisoning were dicamba(66.7%), MCPP(16.7%), and 2,4-D(12.5%). The most common symptom of the patients was confusion and vomiting. 16 patients(66.7%) intended to suicide. 3 patients out of 24 patients(13.0%) were died. Conclusion: There were 24 patients intoxicated by the chlorophenoxy herbicide during the study periods. The mortality rate was 13.0%. The suicidal attempts and the numbers of death involving chlorophenoxy herbicide were high in Korea.

• 한국균학회지
• /
• 제21권2호
• /
• pp.94-105
• /
• 1993

동충하초속균은 곤충기생균으로 충체내에 균핵을 형성하며 단일 또는 총생의 stroma에 자낭각을 형성하는 균이다. 채집된 동충하초균은 Cordyceps militaris, C. nutans, C. sphecocephala, Isaria japonica와 Torrubiella sp. 등 5종이었다. 채집된 동충하초의 분리를 위하여 동충하초의 자실체를 샤레 뚜껑에 tape로 고정시킨 후 water agar가 들은 샤레에 짝을 맞추어 놓으면 자낭포자가 떨어지며 3시간 후 발아한 포자를 PDA에 이식하여 분리하였다. C. nutans와 C. militaris의 균사생장이 가장 우수한 배지는 Hamada media이며 complete media와 감자한천배지에서도 균사생장이 좋은 것으로 나타났다. 탄소원으로는 Mannose와 C. militaris와 C. nutans가 균사생장이 양호하였고 질소원으로는 glutamic acid에서 C. militaris가 asparagine에서는 C. nutans가 균사생장이 양호하였다. Vitamine은 Thiamine-HCI, Biotine, Nicotinic acid 모두 C. militaris와 C. nutans의 균사생장에 비슷하였다. C. nutans의 분생포자를 접종하였을 때 배추흰나비 유충, 노린재, 멸강나방, 배추좀나방은 살충력이 높았고, 메뚜기는 50%, 잣나무넓적잎벌은 12%의 살충력이 있으나 진딧물과 오리나무잎벌에서는 살충력이 없었다. C. nutans는 노린재에서만 채집되나 다른 곤충에도 살충효과가 인정되었다. 쌀가루 5g, 밀가루 5g에 물을 100ml을 넣고 배양한 것이 균사생장과 자실체 형성은 잘 되었으나 형성된 자실체는 완전한 동충하초가 아니고 분생포자의 덩어리라는 것이 현미경에 의해 관찰되었다.

• 대한약리학회지
• /
• 제11권1호
• /
• pp.47-53
• /
• 1975

The metabolism of many drugs and also of steroid hormones is mediated by enzymes located in the microsomal fraction in smooth surfaced endoplasmic reticulum of mammalian liver. The duration and intensity of action of many drugs are largely determined by the speed at which they are metabolized in the body. Repeated administration of phenobarbital results in the induction of enzymes that metabolize a number of drugs. Lee et al. reported that daily administration of phenobarbital in rats significantly increased the activities of amylase in the pancreatobiliary juice, but the concentration of cholate in the bile was significantly lower in the treated group than that in the control group. After animals were treated with $CCl_4$, histological changes were shown in the endoplasmic reticulum, decreased microsomal enzyme activity and decreased hepatic protein synthesis were apparent. The purpose of the present report was to study the interaction between a 'microsomal-stimulating' agent such as phenobarbital and a 'microsomal- depressing' agent such as $CCl_4$ on hepatic and pancreatic functions in rats. The results obtained are summarized as follows: 1. The mortality rate of $CCl_4$ treated group was 34% and was decreased this figure to 15% with phenobarbital pretreatment. 2. In animals treated with phenobarbital the volume of biliary-pancreatic secretion was markedly elevated but the volume was decreased significantly in animals treated with $CCl_4$. 3. Total bilirubin output was elevated markedly in the $CCl_4$ treated group of rats pretreated with phenobarbital. The bilirubin concentration was increased in $CCl_4$ treated group and decreased in the group treated phenobarbital alone. 4. The concentration and total output of cholate in the bile were significantly lower in the all experimental group than control group. 5. In the animals treated with phenobarbital alone and phenobarbital plus $CCl_4$, the activity of lipase in pancreatobiliary juice was elevated, while in the animals treated with $CCl_4$ alone no change was observed. 6. The activity of amylase in the pancreatobiliary juice was decreased in the $CCl_4$ treated group, but elevated markedly in phenobarbital group and also elevated in phenobarbital-$CCl_4$ group. By the above results, it is concluded, when the liver was damaged by $CCl_4$, the exocrine function of pancreas and liver was decreased simultaneously. However, in the animals pretreated with phenobarbital, the toxicity of $CCl_4$ on the liver and pancreas was reduced.

• 임산에너지
• /
• 제23권2호
• /
• pp.34-43
• /
• 2004

목탄, 목초액 및 목초탄(목탄80/목초액20)의 사료첨가제로서의 이용 가능성을 도출하고자 국내 주요 양식어종인 넙치의 생장 및 체 조성에 미치는 영향을 조사하였다. 무첨가 대조구와 비교하여 목탄, 목초액 및 목초탄 모두 생장 개선효과를 보였다. 사료효율에 있어서는 대조구와 목탄, 목초탄 첨가구는 유의적인 차이가 없었으나, 목초액은 유의적으로 높은 수치를 나타내었다. 또한 혈액성상은 대조구보다 첨가구에서 모두 높았으며, 특히 목초탄 첨가구가 대조구보다 유의적으로 높아 건강한 어류를 생산하였다. 폐사율은 대조구가 가장 높았으며, 목초액 첨가구와 목초탄 첨가구가 가장 낮았다. 한편 회복 소요시간은 모든 첨가구가 대조구보다 빨랐으며, 목초탄 첨가구가 가장 빠른 회복율을 나타내었다. 따라서 목초탄 첨가구는 생장뿐만 아니라 넙치의 건강도와 활력에서 우수한 결과를 나타내어 넙치의 생장과 면역력의 개선을 위해서는 목초액과 목탄이 혼합된 목초탄 첨가가 적절할 것으로 사료된다.

• 한국어류학회지
• /
• 제31권4호
• /
• pp.201-207
• /
• 2019

수온은 양식어류의 생존에 영향을 미치는 가장 주요한 환경 요인이며, 겨울철 급작스런 수온 하강은 양식어류의 질병과 집단폐사 발생의 요인이 되기도 한다. 본 연구는 겨울철 수온 하강으로 인해 빈번하게 폐사가 발생하고 있는 말쥐치의 양식관리를 위한 기초자료로 활용하기 위해 말쥐치의 하한수온내 성범위, 산소소비율, 혈액학적 및 조직학적 반응을 조사하였다. 수온 5℃에서 노출 3일째, 수온 6℃에서는 노출 4일째 모두 폐사하여 말쥐치의 저수온에 대한 반수치사 하한수온은(LT₅₀) 6.97℃ (6.69~7.27℃)였다. 산소소비율은 수온 하강에 따라 감소하여 수온 간 유의한 차이(p<0.05)를 나타내었다. 혈액내 활성산소 소거효소인 SOD활성도는 대조구 10℃에 비해 수온 6℃에서 유의하게 상승하였다(p<0.05). 반면 CAT는 실험수온 간에 유의한 변화를 나타내지 않았다(p>0.05), 삼투질농도는 대조구와 실험수온 간 유의한 차이는 나타나지 않았다(p>0.05). 코티졸은 대조구에 비해 수온 하강에 따라 증가하였으며 수온 간 유의한 차이를 나타내었다(p<0.05). 간의 조직학적 변화는 혈관내 혈구의 감소, 간세포의 공포화와 간세포 핵의 응축, 췌장 외분비 선세포의 위축 및 효소원과립들이 감소하였다.