http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
조직학적 진단된 chronic necrotizing pulmonary aspergillosis 2예
김연숙,정숙인,기현균,김춘관,김신우,한정호,김성민,백경란,송재훈 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.1
CNPA는 기존의 폐질환 및 폐절제술로 인해 국소방어기전에 저하가 있거나 비특이적 전신면역상태저하를 갖고 있는 환자들에게서 주로 발생하는 만성적인 공동성 폐질환이다. 현재까지 우리나라에서는 CNPA의 보고가 없는 상태이고, 저자들은 최근 조직학적으로 진단된 CNPA 2예를 경험하였기에 보고하는 바이다. 저자들이 경험한 CNPA 환자들은 만성알코올 중독 및 기관지확장증과 같은 기저질환과 폐절제술을 받은 병력이 있었다. Aspergillus가 폐실질을 침윤하고 있는 조직소견과 조직배양에서 Aspergillus가 검출되어 조직학적 진단이 가능하였고, amphotericin B의 정주요법 및 경구 itraconazole 투여와 폐절제술 등으로 성공적으로 치료되었다. 아직 많은 임상의들에게는 낯선 질환인 CNPA의 치료성적은 환자의 동반질환 및 CNPA 자체의 중증도, 진단과 치료 시작의 지연 등에 의해 크게 좌우되므로 만성적으로 진행하는 공동성 폐병변을 갖고 있는 환자에게서 CNPA를 감별하는 것이 중요하다. Chronic necrotizing pulmonary aspergillosis (CNPA) is a chronic cavitary form of pulmonary aspergillosis. Dozens of CNPA cases have been reported in patients with systemic immunologic dysfunction or altered local defense mechanism from preexisting pulmonary disease. Review of literatures revealed that no CNPA cases have been reported in Korea yet. We experienced two cases of CNPA proven by lung biopsy. A 53-year-old alcoholic male in poor nutritional state was admitted with generalized weakness and weight loss. Chest CT revealed a cavitary nodule surrounded with ground-glass attenuation. CT-guided fine needle aspiration and biopsy was done. The biopsy specimen demonstrated dichotomously branching septated hyphae consistent with those of Aspergillus sp. Another case was a 39-year-old man with bronchiectasis who was admitted with persistent hemoptysis. He had a past history of pulmonary tuberculosis. A parahilar lesion with intracavitary soft tissue mass was incidentally detected in high-resolution GT. Left lingular segmentectomy was done due to uncontrolled hemoptysis and CNPA was histologically diagnosed. Both patients were successfully treated with intravenous amphotericin B followed by oral itraconazole. Even though CNPA is unfamiliar to most clinicians, it should be included in differential diagnoses of chronic progressive cavitary pulmonary lesion, especially in patients with immunologic dysfunction.
한강하구지역에서 월동하는 재두루미(Grus vipio)의 개체군 감소
이화수(Hwa-Su Lee),신주열(Ju-Yeol Shin),이시완(Si-Wan Lee),강태한(Tae-Han Kang),윤순영(Soon-Young Yoon),김정수(Jungsoo Kim) 한국조류학회II 2012 한국조류학회지 Vol.19 No.4
김포시와 고양시 일대의 한강하구 지역은 우리나라에서 재두루미의 가장 중요한 월동지 및 중간기착지로 알려져 있지만, 이 지역의 조류 서식환경은 심각한 개발압력과 인간의 간섭으로 인해 지속적으로 나빠지고 있다. 따라서 본 연구에서는 2007-2008년과 2011-2012년의 월동시기에 본 지역에 도래하는 재두루미를 대상으로 월동 개체군 크기 변화와 월동지역 내에서 과거와 현재의 취식지역 이용 현황 등을 조사하여 개발행위가 이들의 서식에 미치는 영향을 확인하였다. 본 지역에서 월동하는 재두루미 개체군은 평균 124.9개체(2007-2008년)에서 59.0개체(2011-2012년)로 감소하였으며, 주요 취식지역에서 확인된 개체수는 평균 77.7개체에서 24.1개체로 감소하여 월동개체군의 감소폭에 비해 주요 취식지역의 이용 개체수의 감소폭이 더 크게 나타났다. 유형별 분석에서는 가족군에 비해 무리군의 개체수가 많이 감소한 것으로 나타났으나, 홍도평 지역의 가족군 이용 개체수는 변화가 나타나지 않았다(Mann-Whitney test. Z=-0.26, p=0.979). 그리고 과거 다수의 재두루미가 주요 취식지역으로 이용하였던 송포동과 평동지역은 2012-2013년 조사에서는 거의 이용하지 않는 것으로 나타났다. 이는 위 지역의 개발행위(예: 제 2자유로 건설 등)와 깊은 연관성이 있는 것으로 생각된다. Han-river estuary in Gimpo and Goyang city is well known as one of the most important wintering and stopover sites for migrating White-naped Crane (Grus vipio) in Korea. Nowadays, habitat quality of this area is getting worse due to serious development pressure and high human disturbances. So, we wanted to know whether development actions affected total wintering population change in Han-river estuary and feeding group pattern of White-naped Crane in main feeding habitats between the 2007-2008 and 2011-2012 wintering period. Average wintering population was decreased 124.9 to 59.0 and population of main feeding site also decreased 77.7 to 24.1. But decrease rate of main feeding site population was higher than total wintering population. Non-family feeding population was more decrease than family feeding population in the flock type analysis. But family feeding population of Hongdopyong was maintained from past and present (Mann-Whitney test. Z=-0.26, p=0.979). However, almost all White-naped Crane din not use both feeding sites, Pyong-dong and Songpo-dong, where were deteriorated habitat quality by human act.
강원도 화천군 수달(Lutra lutra) 서식지의 식생 구조
서형수 ( Hyung Soo Seo ),신영섭 ( Young Seob Shin ),이경은 ( Kyung Eun Lee ),김윤미 ( Yoon Mi Kim ),전미나 ( Mina Jeon ),남택우 ( Taek Woo Nam ),한성용 ( Sung Yong Han ),정연숙 ( Yeonsook Choung ) 한국하천호수학회 2014 생태와 환경 Vol.47 No.special
In order to determine whether vegetation would be one of the factors for the selection of otter home range, vegetation structure and other potential factors were studied in Hwacheon, Korea. Thirteen sites, otter’s activity found and not found, were investigated in North Han River and connected tributary streams of Hwacheon-gun. Three types of vegetation were classified by cluster analysis, which is short grass, tall grass and shrub type. Vegetation zone of each channel is composed of either one type, or mosaic of tall grass and shrub type. Short grass type is common in Lake Paro and upper North Han-river where water level is highly variable throughout a year. Therefore, annual species such as Persicaria nodosa, Fimbristylis dichotomam and Chenopodium ficifolium are the most dominant. Shrub type is common at the downstream sites of Jichon stream and along mainstream of North Han River down Lake Paro. A shrub species, Salix koreensis, is the most common. Tall grass type is dominant occupying the most vegetation zone of the tributary channels. Phragmites japonica is absolutely dominant. Due to its dense cover, a few plant species are co-existed. Otter activity was found in all three vegetation types and no marked activity was found at some sites of tall grass type. There is no difference in species composition and physiognomy between tall grass sites with and without otter activity, while it shows significant difference in fish availability between two groups. Overall we found that home range of otters in the region is along the mainstream and downstream of tributary streams with high fish availability in all vegetation types and in various human activity levels.
델타변조방식을 이용한 전류형 능동필터의 PWM 신호 발생
김한성,김홍성,최규하,신우석 建國大學校 附設 産業技術硏究所 1993 논문집 Vol.18 No.-
The Delta-Modulation(DM) techniques have been used up to now for both UPS and AC motor drives, which have the advantages of simple circuit, fast response, and insensitivity to load variation and other disturbances. In this paper, the DM techniques are adopted to obtain PWM control signals for active power filters. In the design of delta modluator, the decision of break frequency is the most important, particularly for active power filter application. Both digital simulation and simple experiment are performed to investigate the characteristics of the delta modulator proposed.
김한진,위규석,김창휘,신상만,이상주 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1
A study was performed to get some information about the parents' attitudes regarding immunization and immunization record. Five hundred and ninety nine parents who visited to well baby clinics in 4 affiliated hospitals of Soonchunhyang University were randomly selected and requested to fill up the questionnaire. The results were as follows ; 1. A majority of respondants(83.5%) to questionnaires brought the immunization record with their children when immunization. 2. The number of parents who know the primary immunization schedule correctly were 304(50.8%) and majority of the parents misunderstood chicken pox vaccination as primary immunization. 3. About the half of the respondants(49.5%) received immunization by pediatritian. Percentages of the parents who received immunization at regional health care center were 24.1% in Seoul and 42.8% in other cities. 4. Only below half of the respondants(45.7%) thought to be satisfied to physician's information about the side effects of vaccination and 26.9% of the respondants never get the information about any side effects. 5. Many of the respondants(80.6%) thought that there was no or few advantage to immunization by pediatritian. 6. Most of the cases(84.1%) record the immunization status and which were done by nurse(51.4%), physician(27.1%) and parents themselves(21.5%) 7. Only the 21.5% of the respondants received the record of growth and development milestones of their children and 37.7% of the respondants experienced nutritional counseling when vaccination. 8. The reasons of importance of immunization records are for general evaluation of child health since at birth(58.6%) and for not to skip routine vaccination(40.1%).