• Journal of Chest Surgery
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• v.36 no.3
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• pp.142-149
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• 2003

To know the feasibility of the coronary artery bypass graft (CABG) for multivessel coronary artery disease with purely bilateral internal thoracic arteries (ITAs), we analyzed the short-term clinical results and the coronary angiography of the patients. Material and Method: From March 2001 to June 2002, four hundred and five patients underwent CABG. Purely bilateral ITAs were used in 159 patients (39.3%). We analyzed these patients retrospectively The mean age of these patients was $61.2{\pm}8.5$ (range: 30 ~80) years and there were 123 male patients. The preoperative risk factors were as follows: diabetes in 54 patients (34.0%), history of acute myocardiac infarction within 4 weeks in 29 (18.2%), and emergency operation in 6 (3.8%). Off-pump CABG was carried out in 128 patients (80.5%). Associated procedures were mitral valvuloplasty (5), aortic valve replacement (3), Dor procedure (1), and so on. Result: The mean number of distal anastomoses was $3.1{\pm}0.9$ (range: 2~6), the mean duration of hospital stay was $8.4{\pm}4.5$ days. There was one (0.6%) operative death. Except for one early death, no other patients suffered from low cardiac output. The other postoperative complications were occurred as follows: reoperation due to bleeding in 3 patients, perioperative myocardiac infarction in 1, transient cardiac arrest in 2, transient cognitive dysfunction in 7, and transient ischemic attack in 1, and deep sternal wound infection in 1 patient. Recently, early postoperative angiography was performed in 19 patients who had triple vessel disease. The total number of distal anastomosis was 78 (mean $4.1{\pm}0.8$/patient). All distal anastomosis sites were patent, but competition flow was observed at the bypass sites where the native coronary artery stenosis was not significant. Conclusion: The CABG with purely bilateral ITAs for triple vessel disease was performed safely. The early patency rate was relatively good in small number of patients. However the long-term patency rate and the functional study to evaluate the sites where competition flow was observed should be followed.

• Journal of Chest Surgery
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• v.30 no.10
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• pp.966-972
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• 1997

Between June 1994 to August 1996, 13 patients underwent emergency coronary artery bypass operations. There were 3 males and 10 females and ages ranged from 56 to 80 years with the mean of 65.5 years. The indications for emergency operations were cardiogenic shock in 12 cases and intractable polymorphic VT(ve'ntricular tachycardia) in 1 case. The causes of cardiogenic shock were acute evolving infarction in 6 cases, PTCA failure in 4 cases, acute myocardial infarction in 1 case, and post-AMI VSR(ventricular septal rupture) in 1 case. Pive out of 13 patients could go to operating room within 2 hours. However, the operations were delayed from 3 to 10 hours in 8 patients due to non-medical causes. In 12 patients, 37 distal anastomoses were constructed with only 3 LITA's(left internal thoracic arteries) and 34 saphenous veins. In a patient with post-AMI VSR, VSR repair was added. In a patient with intractable VT and critical sten sis limited to left main coronary artery, left main coronary angioplasty was performed. Pive patients died after operation with the operative mortality of 38.5%. Three patients died in the operating room due to LV pump failure, one patient died due to intractable ventricular tachycardia on postoperative second day, and one patient died on postoperative 7th day due to multi-organ failure with complications of mediastinal bleeding, low cardiac output syndrome, ARF, and lower extremity ischemia due to IABP. In 8 survived patients, 3 major complications (mediastinitis, PMI, UGI bleeding) developed but eventually recovered. We think that the aggressive approach to critically ill patients will salvage some of such patients and the most important factor for patient salvage is early surgical intervention before irreversible damage occurs.

• Journal of Chest Surgery
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• v.39 no.1 s.258
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• pp.28-34
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• 2006

Background: There has been an increase in the number of elderly patients considered for coronary artery bypass grafting (CABG). Recently, there were many satisfactory reports of coronary artery bypass grafting (CABG) in old age due to the development in operative technique and postoperative management. We evaluated operative and follow-up results of patients 70 years of age and older compared to 60 years old. Material and Method: We retrospectively studied the cases of 74 consecutive patients 70 years or older (group A) who underwent a elective CABG from January 2000 to December 2003 and compared that of relatively young age group (group B, 60-69 years old). We compared preoperative characteristics, operation technique, postoperative results that effect outcome, also we investigated late mortality and cardiac events at follow-up periods. Result: Preoperative demographic and clinical characteristics of two groups were not different, except preoperative renal dysfunction(serum creatinine: $\geq$1.4 mg/dl) (group A 17, 23$\%$ vs group B 14, 9$\%$) (p=0.024). There was no difference of the mean number of distal anastomosis and the left ventricular ejection fraction in group A decreased significantly from 53.7$\pm$13$\%$ preoperatively to 49.9$\pm$ 12$\%$ postoperatively (p=0.02), but not changed in group B. There was no difference at operative mortality rate and postoperative major morbidity rate, but wound problem of saphenous vein harvest site was significantly higher in group A than group B (6.8$\%$ vs 0.7$\%$, p=0.02). The mean follow up duration was 24.3$\pm$13 months and the cumulative survival were 95.4$\%$ at 2 year and 79.9$\%$ at 4 year in group A and 95.4$\%$ at 2 year and 90.1$\%$ at 4 year in group B (p=ns). Conclusion: We conclude that age is not a factor of determination when we decide about operation because coronary artery bypass grafting in elderly more than 70 years old can be performed with a low mortality rate and acceptable morbidity rate.

• Korean Journal of Environment and Ecology
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• v.24 no.4
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• pp.406-425
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• 2010

The flora for resource plants in Hapcheon-gun were investigated 10 times from March to October, 2009. Based on collected voucher specimens, the flora of this area consisted of 489 taxa in total; 82 families, 292 genera, 427 species, 4 subspecies, 49 varieties and 9 forms. The resources plants in the area were categorized by usage into 9 groups including an unknown group: 187 edible, 126 pasturing, 137 medicinal, 112 dyeing, 52 ornamental, 16 timber, 9 fiber, 2 industrial taxa and 134 unknown resource plants were recorded respectively. In addition, there were 18 taxa of Korean endemic plants, 33 taxa of specific plants which were designated by the Ministry of Environment, and 2 taxa of rare plants. Furthermore, 44 taxa of naturalized plants were observed in this investigated area. The vegetation status of the investigated area was well conserved, but it is likely that the contaminated area could be rapidly increased and exacerbated by the climbers and development of forest roads. Therefore, the systems for conservation need to be prepared for the effective management of forests, and there must be special rules to control the number of climbers and visitors.

• Korean Journal of Plant Resources
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• v.31 no.5
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• pp.554-574
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• 2018

Mt. Bonghwa reaches a height of 800 m (2,870 ft) and stands on the flank of Mt. Daeam-san, which has an elevation of 1,304 m (4,278 ft). It is important to survey the flora of Bonghwa-san in that it is a way to make out what kind of plant species exist in DMZ due to the geographical characteristics of Bonghwa-san adjacent to Korean DMZ. Therefore this study was conducted to elucidate the distribution of vascular plants and their value of Bonghwa-san. The vascular plants that were collected 10 times from May 2015 to April 2017 consisted of a total of 525 taxa; 93 families, 309genera, 458 species, 4 subspecies, 58 varieties and 5 forms. The observed rare plant species as designated by Korea Forest Service were 12 taxa including Echinosophora koreensis, Epimedium koreanum, Anemone koraiensis etc. Endemic species were 16 taxa containing Cirsium setidens, Heloniopsis koreana, Salvia chanryoenica etc. 31 taxa were recorded as naturalized plants and their naturalized rate and urban index were noted as 5.8% and 7.25%. Among the surveyed 525 taxa, edible, medicinal, pasturing, ornamental, timber, dye, fiber and industrial plants included 213 taxa, 172 taxa, 196 taxa, 50 taxa, 23 taxa, 10 taxa, 6 taxa and 3 taxa, respectively.

• Korean Journal of Plant Taxonomy
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• v.44 no.1
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• pp.59-76
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• 2014

This study was carried out to investigate flora of Mt. Dosol(Yanggu-gun, Gangwon-do). The vascular plants were summarized as 510 taxa, including 89 families, 281 genera, 438 species, 3 subspecies, 61 varieties and 8 forms. Among the investigated 510 taxa, 21 Korean endemic, 24 rare plants, 1 endangered plant and 122 specially designated plants by the Ministry of Environment were also included. The naturalized plants were 27 taxa. The percent of naturalized plants species and urbanization index were estimated as 5.3% and 8.4%, respectively. Usefulness of plants of 510 taxa listed consists of 201 taxa(39.4%) of edible plants, 186 taxa(36.5%) pasture plants, 144 taxa(28.2%) of medicinal plants, 56 taxa(11.0%) of ornamental plants, 16 taxa(3.1%) of timber plants, 8 taxa(1.6%) of miscellaneous plants and 4 taxa(0.8%) of fiber plants.

• Korean Journal of Plant Resources
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• v.26 no.5
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• pp.566-588
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• 2013

This study was carried out to investigate the vascular plants of the Mt. Gariwang (1,560.6 m) Protected Area for Forest Genetic Resource Conservation. The vascular plants collected 5 times (from May 2011 to October 2012) consisted of total 529 taxa; 89 families, 272 genera, 458 species, 3 subspecies, 62 varieties and 6 forms respectively. Among them, 22 taxa of Korean endemic plants and 30 taxa of Korean rare plants were investigated in addition to 144 taxa of specially designated plants announced by the Ministry of Environment of Korea. Naturalized plants were 15 taxa, therefore naturalized ratio was 2.83%. 529 taxa listed consists of 178 taxa (33.6%) of edible plants, 144 taxa (27.2%) of medicinal plants, 163 taxa (30.8%)of pasture plants, 68 taxa (12.8%) of ornamental plants, 20 taxa (3.8%) of timber plants, 8 taxa (1.5%) of fiber plants, respectively.

• Korean Journal of Plant Resources
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• v.18 no.2
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• pp.223-239
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• 2005

The vascular plants collected from Dongwol Valley in Mt. Gyeryongsan, national park were composed of all 248 taxa including cultivated species, and classified into 1 phylum, 4 classes, 3 subclasses, 34 orders, 84 families, 178 species, 33 varieties and 4 forms. As compared the flora of the commonly distributing species of this region with those of the southern part, the middle part, the northern part of the Korean Peninsula, Jeju-do Island and Ulreung-do Island, the proportion of them were $90.3\%,\;98.0\%,\;79.0\%,\;73.8\%$ and $62.1\%$, respectively. One taxon of the plants distributed only in the southern part, 3 taxa of those in the middle part, 5 taxa of those in the middle-northern part and 23 taxa of those in the middle-southern part were found in this Valley. Natural resource plants were categorized into edible 118 taxa, medicinal 78 taxa, industrial 46 taxa, ornamental 39 taxa, timber 14 taxa and fiber 9 taxa. Four taxa of the Korean endemic plants are distributed in Dongwol Valley. The vegetation of the valley is Quercus and Rhododendron mixed forest, and it belongs to the boundary between the middle part and the southern part in the floral zone of the Korean Peninsula.

• Proceedings of the Plant Resources Society of Korea Conference
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• 2019.10a
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• pp.14-14
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• 2019

참삿갓사초는 전국에 분포하는 여러해살이풀로 사료용, 사방용 소재로 사용되며 조경용, 관상용 지피식물로 사용되기도 한다. 참삿갓사초의 대량증식을 위해 가장 효과적인 파종 시기를 추정하기 위해 생장상을 이용해 인공적인 온도조건을 주고 참삿갓사초 종자의 발아율을 조사하였다. 실험을 위해 온도를 항온조건(30, 25, 20, 15, $5^{\circ}C$)과 변온조건(15/30, 20/10, $25/15^{\circ}C$) 총 8가지 조건으로 설정하여 발아율을 매일 측정하였다. 광조건은 명/암을 매일 12시간씩 반복하였다. 항온조건에서 발아율은 $20^{\circ}C$가 $17{\pm}7%$로 가장 우수하였고, $25^{\circ}C$ ($12{\pm}2.8%$), $30^{\circ}C$ ($3{\pm}1.9%$) 순으로 나타났으며, $15^{\circ}C$, $5^{\circ}C$에서는 발아하지 않았다. 그러나 $20^{\circ}C$와 $25^{\circ}C$조건에서 통계적인 유의차는 발생되지 않았다. 한편, 변온조건에서의 발아율은 $15/30^{\circ}C$가 $91{\pm}3.8%$로 가장 우수하였고, $25/15^{\circ}C$ ($89{\pm}4.1%$), $20/10^{\circ}C$ ($69{\pm}3.4%$) 순으로 나타났다. 그러나 $15/30^{\circ}C$와 $25/15^{\circ}C$조건에서 통계적인 유의차는 발생되지 않았다. 따라서 참삿갓사초의 종자발아를 위해서는 변온이 필요하며, $25^{\circ}C$ 이상의 온도가 필요하다. 이러한 결과를 바탕으로 가장 효과적인 파종 시기를 추정할 때, 낮-밤 $10^{\circ}C$ 이상의 기온차가 있는 초여름~늦여름 사이가 가장 적절할 것으로 판단된다.

• Korean Journal of Plant Resources
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• v.19 no.1
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• pp.180-188
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• 2006

This study was carried out to offer the raw data on the method of cultivation and ecological characteristic by systematical analysing habitat environment of Tulipa edulis that was expected as medicinal and ornamental resource. The habitat environment was that the altitude was 245 m, the aspect of south, the size of approximately $49\;m^2$, and there was analyzed that Tulipa edulis grew wild in the dryly sunny spot. The vascular plants were summarized as 62 taxa; 28 families, 59 genera, 50 species, 11 varieties and 1 forms, and the resource plants were classified that there were 23 taxa of ornamental plants(37.1%), 43 taxa of edible plants(69.4%), 34 taxa of medicinal plants(54.8%) and 29 taxa of others(46.8%). In the results of soil factors analysis, there showed that acidity was pH 4.9, organic matter content of 4.9%, available $P_{2}O_{5}$ of 3.6 mg/kg, exchangeable $K^+$ of $0.5\;cmol^{+}/kg$, exchangeable $Ca^{2+}$ of $3.0\;cmol^{+}/kg$, exchangeable $Mg^{2+}$ of $0.8\;cmol^{+}/kg$, cation exchange capacity(C.E.C) of $12.3\;cmol^{+}/kg$ and electrical conductivity(EC) of 0.3 dS/m. In the results of correlation analysis between soil factors, exchangeable $Ca^{2+}$ and C.E.C were highly correlative. The growth characteristics of Tulipa edulis were surveyed that height was 7.6 cm, leaf width of 0.6 cm, leaf length of 12.7 cm, flower width of 2.8 cm, peduncle of 5.4 cm and chlorophyll of $34.7\;{\mu}g\;mg^{-1}$. In the results of correlation analysis between growth characteristics, height and peduncle were highly correlative. In the results of correlation analysis between soil factors and growth characteristics, exchangeable $K^{+}$ and leaf length were high relativity but they were confirmed negative relation. In the results of growth model analysis, R-square of leaf width and exchangeable $K^{+}$ was some 86.4% and that of chlorophyll and exchangeable $K^{+}$ was some 83.7%.