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주지현,최정현,이동건,백지연,고윤호,이혜정,김세희,신호진,박윤희,박지영,김유진,신완식,김춘추 대한감염학회 2001 감염 Vol.33 No.4
Background : Pneumocytitis cainii pneumonia (PCP) can occur in immunocompromised hosts especially such as AIDS or cancer patients. Although recent research had focused on PCP in AIDS patients, few studies have described the clinical presentations of PCP in recipients of stem cell transplantation (SCT). We evaluated the clinical manifestations of PCP in SCT patients admitted at St. Mary's hospital, Seoul, Korea. Methods : The medical records of 17 PCP patients undergoing SCT between Feb. 1998 and Feb. 2000 were reviewed. The diagnosis of PCP was confirmed through the demonstration of Pneumocytitis cainii via either cytology of brochoalveolar lavage (BAL) or histological technique of lung biopsy. CMV disease and CMV infection were confirmed by BAL culture and antigenemia respectively . Results : Seventeen patients were all recipients of allogeneic SCT and 7 of 17 patients were performed non-sibling SCT. Patients presented with symptoms including brief period (4 ∼23 days) of fever (76%), dyspnea (70%), cough (64%), and signs such as rare(58.8%), Sixteen patients (94%) had been receiving immunosuppressive agent such as cyclosporine A (64%) or Fk506 (35%) without PCP prophylaxis. Eleven patients (64%) were treated with corticosteroid with mean dose of 16 mg/day prednisolone and mean duration of 4.6 months after post-SCT period. Twelve patients were co-infected with CMV. Another co-infected miCroorganisms were Pseudomonas aeruginosa, Mycobacterium tuberculosis, herpes simplex virus, parainfluenza virus, Average duration of treatment with trimethoprim-sulfamethoxazole (TMP/SMX) was 21 ±9 days. Four patients died, and three of them were related with PCP. Conclusion : PCP developed frequently in patients who were taking immunosuppressive drug due to graft versus host disease or were not taking TMP/SMX prophylaxis. High risk patients showing fever, cough, or dyspnea should be considered to take early bronchoscopic intervention for detection of PCP. When treat for PCP, it also be considered to the possibility of coinfection such as CMV. (Korean J Infect Dis 33:273∼279, 2001)
박말영,임은성,박지영,노지현,추은영,유재연 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2
문제: 환자가 수술장내에서 수술을 기다리면서 느끼는 불안감을 최소화할수있도록해야하지만수술실의 효율성 및 의료진 편의성 위주로 운영되고 있어 수술실 내 대기시간이 연장되고 있다. 목적: 수술장내 대기시간을 단축시키기 위해 수술환자의 이동경로에 따른 지연요인과 문제점을파악하고 개선하여 환자가 수술을기다리면서 느끼는 불안감을 최소화하고자 한다. 의료기관: 부산시에 소재한 481병상의 종합병원 수술실 질 향상 활동: 수술환자의 대기시간 지연요인과 문제점을 파악하고 개선을 통해 질 향상을 도모하였다. 개선효과: 대기시간 수행율에서 수술장 도착까지의 수행율이 개선전 95%에서 개선후98%로, 수술방입실까지의 수행율이 개선전 88%에서 개선후 94%로, 마취시작 까지의 수행율이 개선전 93%에서 개선후 96%로 수행율이높아졌다.
Yoo, Ji-Hyeon,Lee, Dae-Young,Kim, Eojin,Seo, Hoonkyu,Ryu, Kwangsun,Kim, Kyung-Chan,Min, Kyoungwook,Sohn, Jongdae,Lee, Junchan,Seon, Jongho,Kang, Kyung-In,Lee, Seunguk,Park, Jaeheung,Shin, Goo-Hwan,Par The Korean Space Science Society 2021 Journal of astronomy and space sciences Vol.38 No.1
In this paper, we present observations of the Space Radiation Detectors (SRDs) onboard the Next Generation Small Satellite-1 (NEXTSat-1) satellite. The SRDs, which are a part of the Instruments for the study of Stable/Storm-time Space (ISSS), consist of the Medium-Energy Particle Detector (MEPD) and the High-Energy Particle Detector (HEPD). The MEPD can detect electrons, ions, and neutrals with energies ranging from 20 to 400 keV, and the HEPD can detect electrons over an energy range from 0.35 to 2 MeV. In this paper, we report an event where particle flux enhancements due to substorm injections are clearly identified in the MEPD A observations at energies of tens of keV. Additionally, we report a specific example observation of the electron distributions over a wide energy range in which we identify electron spatial distributions with energies of tens to hundreds of keV from the MEPD and with energy ranging up to a few MeV from the HEPD in the slot region and outer radiation belts. In addition, for an ~1.5-year period, we confirm that the HEPD successfully observed the well-known outer radiation belt electron flux distributions and their variations in time and L shell in a way consistent with the geomagnetic disturbance levels. Last, we find that the inner edge of the outer radiation belt is mostly coincident with the plasmapause locations in L, somewhat more consistent at subrelativistic energies than at relativistic energies. Based on these example events, we conclude that the SRD observations are of reliable quality, so they are useful for understanding the dynamics of the inner magnetosphere, including substorms and radiation belt variations.
Differences in fine dust emissions based on bedding type and quantity in horse stables
Ji Hyun Yoo,Jong An Lee,Jae Young Choi,Sang Min Shin,Hyeon Ah Kim,Mi Young Won,Yong Jun Kang,Hee Chung Ji,In Cheol Cho,Jin Hyoung Kim 충남대학교 농업과학연구소 2023 Korean Journal of Agricultural Science Vol.50 No.4
Efforts for developing the domestic horse industry in South Korea are evident through the various national policies. Proper management of stables for ensuring the health of horses is essential to sustain the growing equine industry. This study aimed to measure the fine dust emissions in stables based on the type and quantity of bedding used for horses, for establishing guidelines pertaining to bedding use in stables. The stables accommodated 12 horses. Sawdust, wood shavings, wood pellet, and straw were chosen as treatments. Three different quantities (approximately 3, 6, and 9 cm in height) were applied for each type. Fine dust measurements were carried out at three time points, with each measuring period lasting for approximately three weeks. Measurements included PM2.5 and PM10 fine dust levels. The initial analysis revealed that, sawdust with 9 cm bedding had the highest dust levels; approximately 54.6 μg/m3, for PM2.5 and 95.3 μg/m3, for PM10. Sawdust bedding at the highest quantity (9 cm) exhibited significantly higher initial fine dust emissions. These findings suggest that bedding materials with smaller particle size, such as sawdust and wood shavings, tend to produce finer dust. Initially, the fine dust emissions decreased in all bedding types and quantities, possibly due to the increased moisture content of bedding owing to horse manure production. However, emissions increased subsequently due to ammonia production.
Positive effects of grazing on blood components and intestinal microbiota in growing horses
Ji Hyun Yoo,Jong An Lee,Jae Young Choi,Sang Min Shin,Moon Cheol Shin,Hyeon Ah Kim,Yong Jun Kang,Hee Chung Ji,In Cheol Cho,Byoung Chul Yang 충남대학교 농업과학연구소 2022 Korean Journal of Agricultural Science Vol.49 No.4