• Clinical and Experimental Reproductive Medicine
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• v.24 no.3
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• pp.325-333
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• 1997

The use of hormonal stimulation in human in vitro fertilization and embryo transfer (IVF-ET) leads to increased production of embryos for ET. So to avoid high pregnancies and to allow conception in future, unstimulated cycles, cryopreservation of spare embryos is desirable. One of the improvement of cryopreservation methods is vitrification. We cryopreserved mouse day 3 embryos by vitrification using the three different vitrification solution (EFS40, VS11 and VS3a). EFS40 solution is consisted of 40% (v/v) ethylene glycol, Ficol170 30% (w/v) and 0.5M sucrose and VS11 is 6.0M ethylene glycol and 1.8M glycerol. And VS3a is 6.5M glycerol and 6% (w/v) BSA (bovine serum albumin). First we tested the toxicity of three vitrification solution by exposure to these solution during 3 min. After washing by thawing solution, the survival rates of each groups are 95.5%, 90.9% and 84.4% (EFS40, VS11 and VS3a). High percentages of them developed to expanded blastocyst and hatching embryos in culture 48hrs 94.2%, 97.7%, 100% and 97.4% (no treatment group, EFS40, VS11 and VS3a). So there is no significant differences among the each group. Second, after thawing of vitirfied embryos, the survival rates of each groups are 96.8% (slow freeze), 94.1% (EFS40), 85.5% (VS11) and 80.0% (VS3a, P vs. no freeze or EFS40 is 0.01). Vitrified embryos exhibited a high rate of development in vitro after 48hrs culture. The percentages of each group to blastocyst and hatching embryos are 88.7% (no freeze), 91.8% (slow freeze), 93.4% (EFS40), 87.7% (VS11) and 73.0% (VS3a, P vs. other group is 0.01). The results suggest that there is no significant differences in exposure of various vitrification solution and day 3 mouse embryos can be vitrified in solution EFS40 and VS11 by simple procedure.

• Journal of the Korean Orthopaedic Association
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• v.56 no.5
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• pp.391-397
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• 2021

Purpose: Tranexamic acid (TXA) can reduce perioperative blood loss and the frequency of blood transfusions in lower extremity surgery. On the other hand, the effects of TXA on reverse total shoulder arthroplasty (rTSA) remain undetermined. This study evaluated the efficacy of TXA on perioperative blood loss, transfusion requirements, and the change in the hemotologic index. Materials and Methods: This study evaluated patients who underwent rTSA from September 2009 to July 2020. The patients were classified into two groups. The TXA group were administered TXA intravenously and topical TXA during surgery. The non-TXA group was not administered TXA. The quantity of hemovac drainage, which represented the postoperative blood loss, transfusion requirements, and postoperative change in hemoglobin and hematocrit level, were recorded. Results: The TXA and non-TXA groups consisted of 93 and 84 patients, respectively. The preoperative demographics showed no significant differences in age (72.0±7.0 vs. 71.5±5.8, p=0.656), sex (male:female, 28:65 vs. 23:61, p=0.689) and the prevalence of hypertension and diabetes (hypertension:diabetes:both, 36:3:13 vs. 32:3:8, p=0.806) between the two groups. There were significant differences in the requirements of transfusion (0 vs. 9, p=0.001), hemovac drainage at the 1^st (98.8±61.2 ml vs. 162.7±98.8 ml, p<0.001), the 2^nd postoperative day (73.8±48.4 ml vs. 91.5±54.5 ml, p=0.024), hemoglobin level at the 1^st (11.7±1.2 g/dl vs. 11.2±1.4 g/dl, p=0.048), 3^rd (10.9±1.2 g/dl vs. 10.2±1.2 g/dl, p<0.001), and 6^th (11.2±1.3 g/dl vs. 10.7±1.3 g/dl, p=0.020) postoperative day, and the hematocrit level at the 1^st (35.0%±3.6% vs. 32.5%±3.8%, p=0.001), 3^rd (32.3%±5.0% vs. 29.8%±3.6%, p<0.001), and 6^th (33.5%±3.8% vs. 31.5%±3.7%, p<0.001) postoperative day between the two groups. Conclusion: Intravenous and topical intra-articular TXA can reduce the transfusion requirement and blood loss in rTSA.

• Journal of the Korea Organic Resources Recycling Association
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• v.8 no.3
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• pp.89-96
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• 2000

Waste oyster shell was used to study the applicability on anaerobic composting of garbage. Experiment was conducted with five anaerobic reactors. After garbage and compost for inoculation were mixed, waste oyster shell was added into mixed waste in mesophillic temperature for 60 days with 30%, 60% respectively. The amount of produced methane gas, gas composition, organic removal efficiency and pH were measured. Result showed that the amounts of produced gas were 0.62 l /g-VS in R-1, 0.63 l /g-VS in R-2, 0.16 l /g-VS in R-3, 0.75 l /g-VS in R-4, 0.21 l /g-VS in R-5 and the amounts of produced methane gas were 0.32 l /g-VS in R-1, 0.37 l /g-VS in R-2, 0.04 l /g-VS in R-3, 0.42 l /g-VS in R-4, 0.05 l /g-VS in R-5. Proportion of mathane gas which determines the efficiency of anaerobic composting was over 55%. pH were 6.0~8.0 in R-2 and R-4 which contained 30% of waste oyster shell and pH were increased over 8.5 in R-3 and R-5 which contained 60% of waste oyster shell. Since pH were so high and it had a negative effect on microbial growth, anaerobic reaction were not well operated in R-3 and R-5.

• Korean Journal of Ichthyology
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• v.32 no.2
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• pp.63-69
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• 2020

This study investigated spawning characteristics of Hangang bitterling, Rhodeus pseudosericeus inside the host mussel, Unio douglasiae sinuolatus at the Heukcheon Stream in Korea from April to June 2017. 327 mussels were collected, among them, 34 (14.1%) were spawned mussels of R. pseudosericeus with glochidia. The mean number of R. pseudosericeus embryos with or without glochidia by the mussel gill position was 5.0±3.58 (range, 1~8) vs. 2.8±2.13 (1~9) in the left outer demibranch, 1.5±0.96 (1~3) vs. 1.7±0.82 (1~3) in the left inner demibranch, 1.4±0.51 (1~2) vs. 2.1±1.85 (1~6) in the right inner demibranch, and 6.4±4.82 (1~20) vs. 3.0±1.86 (1~6) in the right outer demibranch. The frequency of R. pseudosericeus embryos with or without glochidia by the mussel gill position was 82.6% vs. 73.4% in the left outer demibranch, 17.4% vs. 9.4% in the left inner demibranch, 26.1% vs. 15.6% in the right inner demibranch, and 58.7% vs. 67.2% in the right outer demibranch. The mean number of R. pseudosericeus embryos with or without glochidia was 8.5±6.43 (1~23) vs. 4.5±3.38 (1~14). The number and frequency of R. pseudosericeus embryos were higher in the mussel with glochidia and the outer demibranchs than those without glochidia and with inner demibranchs.

• Asian-Australasian Journal of Animal Sciences
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• v.19 no.2
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• pp.189-197
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• 2006

Twenty small-scale farms of two villages (A and B) were surveyed to identify the feeding traits, milk productivity and nutritional status of lactating cattle and buffalo in Terai, Nepal. Constituents and dry matter (DM) of feed supplied, body condition score (BCS), heart girth (HG), bodyweight (BW), milk yield (MY) and plasma metabolites were obtained in the pasture-sufficient, pasture-decreasing and fodder-shortage periods. Milk yield of 305-day lactation was estimated by the daily MY. The supplies of rice straw and native grass were lower and higher in the pasture-sufficient period than in the other periods, respectively (5.5 kg/day vs. 9.8 kg/day and 3.2 kg/day vs. 0.4 kg/day, respectively, p<0.01). The roughage-supplement rates of the animals were higher in village A than in village B (5.0 vs. 2.2 in cattle and 9.3 vs. 1.8 in buffalo, p<0.01). The variance of feed constituents among the periods and between the villages induced different supplies of CP, NDF and TDN. The concentrations of CP and TDN in the cattle feed were higher in the pasture-sufficient period than in the other periods (9.1% vs. 7.3% and 57.4% vs. 51.0%, respectively, p<0.01). The supplies of CP for cattle and buffalo, and of TDN for buffalo were lower in village A than in village B (7.5% vs. 8.7% and 6.6% vs. 9.1% [p<0.01], and 53.1% vs. 56.2% [p<0.05], respectively). The BCS, HG and BW of the animals were lower in village A than in village B (2.51 vs. 2.86, 156 cm vs. 170 cm and 300 kg vs. 318 kg, respectively in cattle, 2.83 vs. 4.00, 186 cm vs. 216 cm and 429 kg vs. 531 kg, respectively in buffalo, p<0.01). The cattle yielded more milk in the pasture-sufficient period than in the other periods (7.9 liters/day vs. 6.6 liters/day, p<0.01). The 305-day MY of cattle that calved in the fodder-shortage period was lower than that of cattle that calved in the other periods (1,900 liters vs. 2,251 liters, p<0.01). The MYs of cattle and buffalo were lower in village A than in village B (6.2 liters/day vs. 8.1 liters/day and 3.7 liters/day vs. 7.7 liters/day, respectively, p<0.01). The 305-day MY of cattle was lower in village A than in village B (1,935 liters vs. 2,409 liters, p<0.01). The concentrations of plasma albumin and urea nitrogen in cattle were lower in village A than in village B (3.2 g/dl vs. 3.4 g/dl [p<0.01] and 7.4 mg/dl vs. 10.2 mg/dl [p<0.05], respectively). The different supplies of CP, NDF and TDN among the periods and between the villages might have affected MY and nutritional status in cattle and buffalo. It was likely that the lower supplies of CP and TDN for cattle that calved in the fodder-shortage period and in village A lowered the 305-day MY of cattle.

• Journal of Korean Critical Care Nursing
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• v.14 no.1
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• pp.28-39
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• 2021

Purpose : This study investigated the occurrence of postoperative ileus and its related factors in patients after spinal surgery. Methods : After a retrospective review of data from patients who underwent spinal surgery at a single hospital located in Busan from 2012 through 2016, a total of 253 patients were included. The subjects were divided into non-ileus and ileus groups. We compared patient-, surgery-, and postoperative hematological-related factors. Results : A total of 41 (16.2%) out of 253 patients experienced postoperative ileus. Data analysis revealed significant differences between the two groups in mean age (68.44 vs 60.50 years), occupation (9.8 vs 28.8%), cardiovascular comorbidity (63.4 vs 37.7%), approach of surgery (supine/prone: 29.3/70.7 vs 12.7/87.3%), duration of anesthesia (5.86 vs 4.43 hours), narcotic use (75.6 vs 56.6%), postoperative serum hemoglobin level (3 days: 10.81 vs 11.41 g/dL), postoperative serum protein (immediately/3 days: 5.30/5.43 vs 5.62/5.68 g/dL), postoperative albumin level (3 days: 3.17 vs 3.40 g/dL), postoperative C-reactive protein level (3 days: 11.44 vs 8.36 mg/dL), postoperative bed stabilization period (3.32 vs 2.50 days), and onset of bowel movement (2.59 vs 1.94 days). In multivariate logistic regression, age and time of anesthesia were independent risk factors of postoperative ileus. Conclusion : To detect ileus after spinal surgery early, nurse education is needed with intensive screening on advanced age, surgery-related factors, and postoperative hematological indices.

• Clinical and Experimental Emergency Medicine
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• v.5 no.4
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• pp.249-255
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• 2018

Objective As aging progresses, clinical characteristics of elderly patients in the emergency department (ED) vary by age. We aimed to study differences among elderly patients in the ED by age group. Methods For 2 years, patients aged 65 and older were enrolled in the study and classified into three groups: youngest-old, ages 65 to 74 years; middle-old, 75 to 84 years; and oldest-old, ${\geq}85years$. Participants' sex, reason for ED visit, transfer from another hospital, results of treatment, type of admission, admission department and length of stay were recorded. Results During the study period, a total 64,287 patients visited the ED; 11,236 (17.5%) were aged 65 and older, of whom 14.4% were 85 and older. With increased age, the female ratio (51.5% vs. 54.9% vs. 69.1%, P<0.001), medical causes (79.5% vs. 81.3% vs. 81.7%, P=0.045), and admission rate (35.3% vs. 42.8% vs. 48.5%, P<0.001) increased. Admissions to internal medicine (57.5% vs. 59.3% vs. 64.7%, P<0.001) and orthopedic surgery (8.5% vs. 11.6% vs. 13.8%, P<0.001) also increased. The ratio of admission to intensive care unit showed no statistical significance (P=0.545). Patients over age 85 years had longer stays in the ED (330.9 vs. 378.9 vs. 407.2 minutes, P<0.001), were discharged home less (84.4% vs. 78.9% vs. 71.5%, P<0.001), and died more frequently (6.3% vs. 10.4% vs. 13.0%, P<0.001). Conclusion With increased age, the proportion of female patients and medical causes increased. Rates of admission and death increased with age and older patients had longer ED and hospital stays.

• Clinical and Experimental Pediatrics
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• v.52 no.8
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• pp.888-892
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• 2009

Purpose : To evaluate the risk factors for hospital readmission during the neonatal period among late preterm infants who were discharged after nursery care. Methods : In this retrospective study, we reviewed medical records of 135 late preterm infants readmitted to the neonatal intensive care unit (NICU) during the neonatal period, after discharge from nursery of IL Sin Christian Hospital from January 2003 to December 2008. We compared the risk factors of the hospital readmission group with the control group. Results : The gestational age and birth weight of 135 study infants were $36^{+1}{\pm}0.5$ weeks and $2,718.4{\pm}296.9gm$, respectively. Identified risk factors of hospital readmission were breastfeeding (71.9% vs. 44.4%), short duration of nursery stay ($3.3{\pm}1.6$ days vs. $4.1{\pm}2.0$ days), firstborn (60.0% vs. 45.3%), and maternal pregnancy complication (31.9% vs. 18.8%). Jaundice accounted for the majority of hospital readmissions (83.7%), and the age at hospital readmission was $6.2{\pm}3.6$ postnatal days, mostly at 5-6 postnatal days (40.7%). Identified risk factors of hospital readmission due to jaundice were spontaneous normal vaginal delivery (43.4% vs. 1.8%), younger maternal age ($29.8{\pm}3.4$ yrs vs. $32.1{\pm}4.2$ yrs), and lower maternal pregnancy complication (28.3% vs. 50%). Conclusion : Identified risk factors of hospital readmission were breastfeeding, short duration of nursery stay, firstborn, and maternal pregnancy complication. Jaundice accounted for the majority of hospital readmissions, and the age at hospital readmission was $6.2{\pm}3.6$ postnatal days.

• Journal of Korean Neurosurgical Society
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• v.66 no.1
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• pp.33-43
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• 2023

Objective : To compare the outcomes of anterior lumbar interbody fusion (ALIF), oblique lumbar interbody fusion (OLIF), and transforaminal lumbar interbody fusion (TLIF) in terms of global sagittal alignment. Methods : From January 2007 to December 2019, 141 adult patients who underwent multilevel interbody fusion for lumbar degenerative disorders were enrolled. Regarding the approach, patients were divided into the ALIF (n=23), OLIF (n=60), and TLIF (n=58) groups. Outcomes, including local radiographic parameters and global sagittal alignment, were then compared between the treatment groups. Results : Regarding local radiographic parameters, ALIF and OLIF were superior to TLIF in terms of the change in the anterior disc height (7.6±4.5 mm vs. 6.9±3.2 mm vs. 4.7±2.9 mm, p<0.001), disc angle (-10.0°±6.3° vs. -9.2°±5.2° vs. -5.1°±5.1°, p<0.001), and fused segment lordosis (-14.5°±11.3° vs. -13.8°±7.5° vs. -7.4°±9.1°, p<0.001). However, regarding global sagittal alignment, postoperative lumbar lordosis (-42.5°±9.6° vs. -44.4°±11.6° vs. -40.6°±12.3°, p=0.210), pelvic incidence-lumbar lordosis mismatch (7.9°±11.3° vs. 6.7°±11.6° vs. 11.5°±13.0°, p=0.089), and the sagittal vertical axis (24.3±28.5 mm vs. 24.5±34.0 mm vs. 25.2±36.6 mm, p=0.990) did not differ between the groups. Conclusion : Although the anterior approaches were superior in terms of local radiographic parameters, TLIF achieved adequate global sagittal alignment, comparable to the anterior approaches.

• Korean Journal of Radiology
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• v.22 no.7
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• pp.1100-1109
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• 2021

Objective: To compare the diagnostic performance between Prostate Imaging-Reporting and Data System version 2.0 (PI-RADSv2.0) and version 2.1 (PI-RADSv2.1) for clinically significant prostate cancer (csPCa) in the peripheral zone (PZ). Materials and Methods: This retrospective study included 317 patients who underwent multiparametric magnetic resonance imaging and targeted biopsy for PZ lesions. Definition of csPCa was International Society of Urologic Pathology grade ≥ 2 cancer. Area under the curve (AUC), sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy for csPCa were analyzed by two readers. The cancer detection rate (CDR) for csPCa was investigated according to the PI-RADS categories. Results: AUC of PI-RADSv2.1 (0.856 and 0.858 for reader 1 and 2 respectively) was higher than that of PI-RADSv2.0 (0.795 and 0.747 for reader 1 and 2 respectively) (both p < 0.001). Sensitivity, specificity, PPV, NPV, and accuracy for PI-RADSv2.0 vs. PI-RADSv2.1 were 93.2% vs. 88.3% (p = 0.023), 52.8% vs. 76.6% (p < 0.001), 48.7% vs. 64.5% (p < 0.001), 94.2% vs. 93.2% (p = 0.504), and 65.9% vs. 80.4% (p < 0.001) for reader 1, and 96.1% vs. 92.2% (p = 0.046), 34.1% vs. 72.4% (p < 0.001), 41.3% vs. 61.7% (p < 0.001), 94.8% vs. 95.1% (p = 0.869), and 54.3% vs. 78.9% (p < 0.001) for reader 2, respectively. CDRs of PI-RADS categories 1-2, 3, 4, and 5 for PI-RADSv2.0 vs. PI-RADSv2.1 were 5.9% vs. 5.9%, 5.8% vs. 12.5%, 39.8% vs. 56.2%, and 88.9% vs. 88.9% for reader 1; and 4.5% vs. 4.1%, 6.1% vs. 11.1%, 32.5% vs. 53.4%, and 85.0% vs. 86.8% for reader 2, respectively. Conclusion: Our data demonstrated improved AUC, specificity, PPV, accuracy, and CDRs of category 3 or 4 of PI-RADSv2.1, but decreased sensitivity, compared with PI-RADSv2.0, for csPCa in PZ.