• Journal of Chest Surgery
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• v.39 no.7 s.264
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• pp.527-533
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• 2006

Background: A retrospective study was conducted to analyze the results of St. Jude Medical mitral valve replacement at the Chonbuk National University Hospital since the initial implant in May 1984. Material and Method: Between May of 1984 and December of 1996, 95 patients underwent MVR with the St. Jude Medical mechanical valve prosthesis at Department of Medical Science of Chonbuk National University Hospital and follow-up ended in May of 2004. Result: Age ranged from 19 to 69 years. Follow-up (mean${\pm}$standard deviation) averaged $10.6{\pm}4.2\;year$. Thirty-day operative mortality was 4.2% (4/95). Nine late deaths have occurred and actuarial survival was $90.5{\pm}3.0%,\;87.9{\pm}3.4%\;and\;83.2{\pm}4.6%$ at 5, 10 and 20 years, respectively. Probability of freedom from valve-rotated death was $95.5{\pm}2.1%,\;94.3{\pm}2.4%\;and\;91.0{\pm}3.9%$ at 5, 10 and 20 years, respectively. Seven patients have sustained thromboembolic events (1,05%/patient-year). Fifteen patients had anticoagulation related hemorrhage (3.56%/patient-year). There was no structural valve deterioration. Probability of freedom from all complications was $82.0{\pm}3.9%,\;71.3{\pm}4.8%\;and\;42.4{\pm}10.5%$ at 5, 10 and 20 years, respectively. Conclusion: We confirm the effective and excellent durability of the St. Jude Medical prosthesis in the mitral position with a low event rate at long-term follow-up. It also demonstrates the commonly encountered practical difficulty of adjusting the anti-coagulation protocol in patients with prosthetic mitral valves.

• Journal of Environmental Health Sciences
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• v.38 no.1
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• pp.51-56
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• 2012

Objectives: High concentrations of airborne particulate matters (PM) can affect the health of passengers using public transportation. The objectives of this research were to develop a PM control system for a railway cabin and to evaluate the performance of the device under conditions of an actual journey. Methods: This study measured the concentrations of $PM_{10}$ and $PM_{2.5}$ simultaneously in a reference cabin and a cabin with the PM control device. Results: The average $PM_{10}$ concentration in the reference cabin was 100 ${\mu}g/m^3$, and the $PM_{10}$ concentration in the cabin with the control device was 79 ${\mu}g/m^3$. While the overall control efficiency of the control device was 15.4%, reduction was more effective for peak $PM_{10}$ concentration. However, $PM_{2.5}$ levels did not differ greatly between the reference cabin and the cabin with the control device. The ratio of $PM_{2.5}$ to $PM_{10}$ was 0.37. $PM_{10}$ concentrations in cabins were not associated with ambient concentrations, indicating that the main sources of $PM_{10}$ were present in cabins. Additionally, average $CO_2$ concentration in the cabins was 1,359 ppm, less than the maximum of 2,000 ppm set out by the Korean Ministry of Environment's guideline. The $CO_2$ concentration in cabins was significantly associated with the number of passengers: the in-cabin concentration = $23.4{\times}N+460.2$, where N is the number of passengers. Conclusions: Application of the PM control device can improve $PM_{10}$ concentration, especially at peak levels but not $PM_{2.5}$ concentration.

• Clinical and Experimental Reproductive Medicine
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• v.37 no.3
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• pp.231-237
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• 2010

Objective: To evaluate whether T helper 1 (Th1) immune response is predominant in women with reproductive failures (recurrent spontaneous abortion and recurrent implantation failure) and the activation of T cell is related to Th1 propensity. Methods: Women with a history of recurrent implantation failure or recurrent spontaneous abortion comprise the study group (n=37). Controls are normal fertile women without a history of infertility or pregnancy losses (n=11). Th1/Th2 ratios of interferon (INF)-$\gamma$/interleukin (IL)-10 and tumor necrosis factor (TNF)-$\alpha$/IL-10 expression on $CD3^+/4^+$ cells, CD154, and CD69 expression on T cells are measured by flow cytometric analysis. Results: The ratios of TNF-$\alpha$ to IL-10 expressing on $CD3^+/4^+$ cells (Th1/Th2 cell ratios) are significantly higher in study group ($42.1{\pm}2.3$) as compared with that of controls ($28.7{\pm}2.7$) (p=0.002). The overall trend of CD154 and CD69 expression on T cells are elevated in study group than those of controls. The proportion (%) of $CD3^+/4^+/154^+$ cells ($1.7{\pm}0.5$ vs. $0.3{\pm}0.2$, p=0.038) and the % of $CD3^+/8^+/154^+$ cells ($0.6{\pm}0.2$ vs. $0.1{\pm}0.0$, p=0.024) are significantly higher in study group. The % of $CD3^+/69^+$ cells ($5.6{\pm}1.9$ vs. $1.3{\pm}5.4$, p=0.046) and % of $CD3^+/8^+/69^+$ cells ($4.8{\pm}1.3$ vs. $1.8{\pm}0.2$, p=0.035) among $CD3^+/8^+$ cells are significantly increased in study group. Conclusion: Women with reproductive failures have Th1 propensity with increased T cell activation. These finding means that activated T cell has a harmful effect on early pregnancy and implantation by induction of Th1 immunity.

• Radiation Oncology Journal
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• v.36 no.2
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• pp.122-128
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• 2018

Purpose: To investigate positional uncertainty and its correlation with clinical parameters in spine stereotactic body radiotherapy (SBRT) using thermoplastic mask (TM) immobilization. Materials and Methods: A total of 21 patients who underwent spine SBRT for cervical or upper thoracic spinal lesions were retrospectively analyzed. All patients were treated with image guidance using cone beam computed tomography (CBCT) and 4 degrees-of-freedom (DoF) positional correction. Initial, pre-treatment, and post-treatment CBCTs were analyzed. Setup error (SE), pre-treatment residual error (preRE), post-treatment residual error (postRE), intrafraction motion before treatment (IM1), and intrafraction motion during treatment (IM2) were determined from 6 DoF manual rigid registration. Results: The three-dimensional (3D) magnitudes of translational uncertainties (mean ${\pm}$ 2 standard deviation) were $3.7{\pm}3.5mm$ (SE), $0.9{\pm}0.9mm$ (preRE), $1.2{\pm}1.5mm$ (postRE), $1.4{\pm}2.4mm$ (IM1), and $0.9{\pm}1.0mm$ (IM2), and average angular differences were $1.1^{\circ}{\pm}1.2^{\circ}$ (SE), $0.9^{\circ}{\pm}1.1^{\circ}$ (preRE), $0.9^{\circ}{\pm}1.1^{\circ}$ (postRE), $0.6^{\circ}{\pm}0.9^{\circ}$ (IM1), and $0.5^{\circ}{\pm}0.5^{\circ}$ (IM2). The 3D magnitude of SE, preRE, postRE, IM1, and IM2 exceeded 2 mm in 18, 0, 3, 3, and 1 patients, respectively. No association were found between all positional uncertainties and body mass index, pain score, and treatment location (p > 0.05, Mann-Whitney test). There was a tendency of intrafraction motion to increase with overall treatment time; however, the correlation was not statistically significant (p > 0.05, Spearman rank correlation test). Conclusion: In spine SBRT using TM immobilization, CBCT and 4 DoF alignment correction, a minimum residual translational uncertainty was 2 mm. Shortening overall treatment time and 6 DoF positional correction may further reduce positional uncertainties.

• Journal of Life Science
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• v.13 no.6
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• pp.896-902
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• 2003

The present study was carried out to investigate the antiobesity effects of Platycodon grndiflorum extract on body weight changes and serum lipid composition of rats fed high fat diet. The Platycodon grandiflorum has been widely used as a folk food in the Orient for many centuries. We had experiment with Platycodon grandiflorum extract in order to find cure effects for obesty. The changes of the body weights in Platycodon ggrandiflorum extract treatment group showed a decrease in comparison with control group. Weekly body weights of PG group are respectively 243.7$\pm$2.0g, 283.5$\pm$4.3 g, 310.5$\pm$6.5 g, 333.2$\pm$7.5 g, 361.0$\pm$10.4 g, 390.5$\pm$11.5 g, 436.0$\pm$11.8 g, 454.4$\pm$11.4 g, 484.4$\pm$10.1 g. Body weight of PC groups are decreased compared with those of control group, but the rates are not significant. Total cholesterol of PG group(77.2$\pm$3.3 mg/dl) is decreased by 7.0% compared with that of control group. Serum triglyceride of PG group(103.6$\pm$9.0mg/dl) is decreased by 21.1% compared with that of control group. Serum free fatty acid of PG group(630.1$\pm$45.9 $\mu$Eq/l) is decreased by 19.6% .compared with that of control group. Total lipid amount of PG group(393.6$\pm$23.7 mg/dl) is decreased by 9.1% compared with that of control group. The above results suggest that Platycodon grandiflorum extract could prevent or cure metabolic diseases by preventing hyperlipemia caused by high fat diet.

• Journal of the Korean Society of Food Science and Nutrition
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• v.22 no.1
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• pp.1-7
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• 1993

In this study, the food intake, feces and urine of the 7 high school boys were collected and the intake and excretion of protein and calcium were measured. The boys were 16 to 18 years old and the measurement was conducted for four weeks during which they maintained their normal living pattern and body weight. Each boy's daily intake and excretion of protein and calcium were measured and digestibility and balance were also studied. 1)Daily mean intake, fecal loss and apparent digestibility of protein of each boy were 73, 9$\pm$1.9g, 10.9$\pm$0.4g and 84.9$\pm$0.5%, respectively. The urinary loss of nitrogen was 8.76$\pm$0.22g and showed the positive balance of 1.33$\pm$0.28g. 2) Daily mean intake, fecal loss and apparent digestibility of calcium of each boy were 515.3$\pm$19.3mg, 221.6$\pm$14.1mg and 57.1 $\pm$2.7% respectively. The urinary loss of calcium was 102.6$\pm$8.4mg and showed the positive balance of 192.4$\pm$19.5mg.

• Journal of Korean Society of Environmental Engineers
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• v.36 no.5
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• pp.317-324
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• 2014

Environmental tobacco smoke (ETS) samples were collected separately in mainstream and side-stream smoke using a self-designed smoking machine, and a total 40 of PM2.5 was collected with low volume air sampler at indoor environments with and without ETS in Daejeon, Korea. About 20 trace elements including toxic metals like As, Cr, Mn, Se, V, and Zn were determined in PM2.5 and ETS samples by instrumental neutron activation analysis (INAA). It is found that the emission factors of K, Cl, Na, and Al were much higher than those of toxic elements for both mainstream and side-stream smoke. The average concentration of PM2.5 was enriched by 1.5 times at smoking area ($58.7{\pm}18.1{\mu}g/m^3$) than at smoking free area ($38.6{\pm}12.7{\mu}g/m^3$). The concentration ratio of each element between smoking and smoking free area were ranged from 1.1 to 6.0 except Cu (1.0); especially, Ce (6.0), La (5.2), K (2.3), and Co (2.0) showed higher ratio, which suggests that the ETS is one of the possible increasing factors of PM2.5 and elemental concentration at indoor environment.

• The Korean Journal of Physiology
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• v.8 no.2
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• pp.75-78
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• 1974

It was planned to investigate, by observing incorporation of $[^3H]$ thymidine into liver cells, the influence of Panax Ginseng upon hepatic DNA synthesis in mice that received ACTH. Thirty male mice $(body\;weight:\;18{\sim}20\;g)$ were divided equally into the ginseng-ACTH and the saline-ACTH groups. Each animal of the ginseng-ACTH and the saline-ACTH groups received every day (subcutaneously) 0.05 m1/10 g body weight of ginseng extract (4 mg of ginseng alcohol extract in 1 ml of saline) and the same amount of saline, respectively, for 5 days. On the 5th experimental day, all animals received 0.01 unit of ACTH intraperitoneally one hour. after the last medication, and $1{\mu}Ci/g$ body weight of $[^3H]$ thymidine after one more hour. Five animals, at a time, of each group were sacrificed 1, 10, and 24 hours after thymidine administration, and their hepatic radioactivity was measured autoradiographically in terms of the % number of radioactive cells in 1,000 cell counts (Radioactive Index, R.1.). Following results were obtained: 1. The hepatic radioactive indices obtained from the saline-ACTH group 1, 10, and 24 hr after $[^3H]$ thymidine administration were $1.50{\pm}0.32,\;2.16{\pm}0.33\;and\;2.79{\pm}0.31\;(mean{\pm}S.D.)$, respectively. 2. The corresponding values obtained from the ginseng-ACTH group $(2.71{\pm}0.22,\;3.85{\pm}0.29,\;and\;5.06{\pm}0.31)$ were significantly higher than the values of the saline-ACTH group. It is inferred from the above results that the ginseng tends to prevent reduction in hepatic DNA synthesis caused by ACTH administration.

• Archives of Plastic Surgery
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• v.34 no.1
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• pp.37-43
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• 2007

Purpose: Photogrammetry has been introduced as an alternative to direct measurement to obtain facial distances for a variety of anthropometric applications. The aim of this study is to establish morphological and functional value of an eye in Korean youths using specially designed computer software with digital photographic images. Methods: Authors measured anthropometry of an eye in Korean youths 1,449 individuals(622 males, 827 females) and analyzed stastically them. Results: The mean measurements are as follows. The diameter of cornea was $11.6{\pm}0.9mm$ in males and $11.3{\pm}0.9mm$ in females. The vertical dimension of palpebral fissure was $7.4{\pm}1.7mm$ in males and $8.2{\pm}1.6mm$ in females. The intercanthal width was $35.8{\pm}3.2mm$ in males and $34.4{\pm}2.9mm$ in females. The biocular width was $90.4{\pm}5.7mm$ in males and $87.4{\pm}5.3mm$ in females. The endocantion-superior margin of palpebral fissure distance was $12.7{\pm}1.4mm$ in males and $11.6{\pm}1.4mm$ in females. The horizontal dimension of palpebral fissure was $28.5{\pm}2.2mm$ in males and $27.4{\pm}1.9mm$ in females. The slant of palpebral fissure was $10.7{\pm}2.6^{\circ}$ in males and $11.3{\pm}3.0^{\circ}$ in females. The height of upper eyelid was $10.6{\pm}2.3mm$ in males and $10.7{\pm}2.3mm$ in females. The width of double fold was $2.0{\pm}0.7mm$ in males and $1.9{\pm}0.6mm$ in females. A double fold was seen in 21.9% of males and 44.9% of females. The most frequent shape of the double fold was type IV. The most common type of epicanthal fold was type III in both males and females. Conclusion: Photogrammetic measurement of large population using specially designed software could offer reliable data and these data could be useful reference for preoperative consultation, surgical planning and anthropometic study of eye.

• Clinical and Experimental Reproductive Medicine
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• v.32 no.2
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• pp.91-99
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• 2005

Objective: To define an appropriate vitrification condition of preantral follicle that yields high survival and to evaluate growth and ovulation rate of mouse follicles during in vitro culture after vitrification. Methods: Preantral follicles were isolated mechanically from mouse ovaries that were surgically recovered from mice aged 14 days. Retrieved preantral follicles were placed in EG (Ethylene Glycol) for 2, 5, 10 minutes and transferred to EFS-40 (40% EG, 18% Ficoll-70, 0.5 M sucrose) for 0.5, 1, 2 minutes. And then, preantral follicles were placed onto an EM grid and submerged immediately in liquid nitrogen. Thawing was carried out at room temperature. After defining the most appropriate vitrification condition that yields high survival, in vitro growth and ovulation rate of follicles were evaluated. Results: Appropriate vitrification condition that yield high survival rate ($83.2{\pm}2.1%$) of preantral follicle was EG for 5 minutes and EFS-40 for 0.5 minutes. In vitro survival rate of the vitrified preantral follicles were $85.5{\pm}0.5%$, $67.9{\pm}0.8%$ and $40.2{\pm}0.5%$ on day 2, 6 and 10. And in vitro growth of the vitrified preantral follicles were $107.1{\pm}16.1{\mu}m$, $117.1{\pm}18.4{\mu}m$, $178.4{\pm}45.6{\mu}m$ and $325.4{\pm}54.4{\mu}m$ on day 0, 2, 6 and 10. Although in vitro survival rate and growth of vitrified preantral follicles were lower than that of non-vitrified preantral follicles, the patterns of survival and growth were similar in vitrified and non-vitrified preantral follicles. The ovulation rate of antral follicles that was grown from vitrified preantral follicles was $32.6{\pm}1.2%$. Conclusion: Vitrified preantral follicles could be grown to antral sizes, and mature oocytes that can be used for IVF-ET programs were produced successfully. These data suggest that cryopreservation of preantral follicle by vitrification can be used for the preservation of the fertility.