• Title/Summary/Keyword: 관상

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새로운 조경수(77) - 남천

  • Kim, Sa-Il
    • Landscaping Tree
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    • v.80 no.5_6
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    • pp.2-5
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    • 2004
  • 남천은 매자나무과(Berberidaceae)의 남천속(Nandina)에 속하며 남천속에는 남천 단 한종밖에 없지만 관상용으로 재배되면서 많은 원예용 품종이 개발되어 보급되고 있다. 분포지역은 일본, 중국, 인도 등 동남아시아의 나라들 중 난대 및 열대에 속하는 지역에 자생하고 있으며, 우리나라에는 관상용으로 도입되어 재배되고 있는 도입수종이다. (중략)

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Arterial Switch Operation: The Technical Modification of Coronary Reimplantation and Risk Factors for Operative Death (동맥전환술: 판상돔맥이식 수기변형과 수술사망의 위험인자)

  • 성시찬;이형두;김시호;조광조;우종수;이영석
    • Journal of Chest Surgery
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    • v.37 no.3
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    • pp.235-244
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    • 2004
  • Anatomic correction of the transposition of the great arteries (TGA) or Taussig-Bing anomaly by means of the arterial switch operation is now accepted as the therapeutic method of choice. This retrospective study was conducted to evaluate the risk factors for operative deaths and the efficacy of technical modification of the coronary transfer. 85 arterial switch operations for TGA or Taussig-Bing anomaly which were performed by one surgeon from 1994 to July 2002 at Dong-A university hospital were included in this retrospective study Multivariate analysis of perioperative variables for operative mortality including technical modification of the coronary transfer was peformed. Overall postoperative hospital mortality was 20.0% (17/85). The mortality before 1998 was 31.0% (13/42), but reduced to 9.3% (4/43) from 1998. The mortality in the patients with arch anomaly was 61.5% (8/13), but 12.5% (9/72) in those without arch anomaly. In patients who underwent an open coronary reimplantation technique, the operative mortality was 28.1% (18/64), but 4.8% (1/21) in patients undergoing a technique of reimplantation coronary buttons after neoarotic reconstruction. Risk factors for operative death from multivariated analysis were cardiopulmonary bypass time ($\geq$ 250 minutes), aortic cross-clamping time ($\geq$ 150 minutes), aortic arch anomaly, preoperative event, and open coronary reimplantation technique. Operative mortality has been reduced with time. Aortic arch anomaly and preoperative events were important risk factors for postoperative mortality. However atypical coronary artery patterns did not work as risk factors. We think that the technical modification of coronary artery transfer played an important role in reducing the postoperative mortality of arterial switch operation.

해수관상어로서 상어 2종, 까치상어 Triakis scyllium와 별상어 Cynias manazo의 인공종묘 생산

  • Chung, Min-Min;Lee, Jeong-Ui;Kim, Jae-U;Kim, Seong-Cheol;Roh, Seom
    • Proceedings of the Korean Aquaculture Society Conference
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    • 2003.10a
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    • pp.54-55
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    • 2003
  • 해수관상용으로 그 인기도가 높은 상어류는 모두가 자연에서 채집된 후 관람용 대형수조 또는 개인용 소형수조 내에서 순치 후 관상용으로 사육되고 있다. 그러나, 자연에서 채집된 대부분의 개체는 인위적인 수조 시설 내에서의 생활에 적응하는데 실패하여 결국 거의 대부분의 개체가 짧은 기간 내에 사망하게 된다. 따라서 이 연구는 인공 종묘 생산 시설에서 해수 관상용 상어류의 종묘 확보를 목적으로 실시하였다. 우리나라 제주 연안에서 채집이 비교적 용이한 까치상어 Triakis scyllium와 별상어 Cynias manazo 2종의 상어 친어를 확보하여 인공 사육 시설에서 사육하면서 수조 내에서의 자연 교미와 자연 산란에 성공하였다. 친어와 치상어의 사육관리는 자연해수를 사용하여 15~40ton 크기의 콘크리트 수조에서 사육하면서 전갱이와 같은 생사료 또는 전갱이와 어분을 주성분으로 하는 습사료를 만들어 1일 1회 급이하였다. 까치상어의 인공 종묘는 수 차례의 사산을 거듭한 끝에 2003년 5월 18일과 6월 8일 두 차례에 걸쳐서 매우 활력이 좋은 상태의 치어가 출산하였다. 별상어도 수 차례의 사산을 거듭한 끝에 2003년 5월 25일 건강한 상태의 치어를 출산시키는데 성공하였다. 지금까지 산출된 까치상어의 출산시 평균 전장은 25.70$\pm$0.88cm 평균 체중은 58.32$\pm$4.86g이었으며, 별상어의 출산시 치어의 평균 전장은 27.26$\pm$0.57cm였고 평균 체중은 55.32$\pm$1.69g로 두 종 상어의 평균 전장과 평균 체중은 유사한 경향을 보였다. 그러나, 산출 후 사육 관리 과정에서 관찰된 까치상어와 별상어의 월간 성장 중 전장을 비교한 결과, 까치상어는 1개월 전 대비 15.06%의 성장을 보였으나, 별상어는 3.15%의 성장을 보여 까치상어 보다는 별상어의 길이 성장이 느린 것을 알 수 있었다. 까치상어와 별상어의 월간 성장 중 체중을 비교한 결과에서도 까치상어는 1개월 전 대비 34.11%의 성장을 보였으나, 별상어는 2.25%의 성장을 보여 까치상어 보다는 별상어의 체중 성장이 매우 느린 것을 알 수 있었다. 출산 관리중인 까치상어와 별상어 치어의 성비를 조사한 결과, 까치상어는 ♀:♂=1:1.28, 별상어는 ♀:♂=1:2.50으로 별상어의 암 수 성비가 매우 불균형한 것을 알 수 있었다. 그리고 까치상어와 별상어의 암ㆍ수간 성장 차이를 조사한 결과, 까치상어와 별상어의 암ㆍ수간 성장 (전장, 체장 및 체중)에는 큰 차이가 없었다. 현재, 인공 사육 시설에서 관리중인 까치상어는 64마리이며 별상어는 7마리이다. 결국 소형의 수족관내에서 해수 관상어로서 사육하기 위한 조건으로서 너무 급격한 성장을 하는 어종인 경우에는 관상 기간이 짧아져 조기 폐기하여야 하는 단점을 감안하면 까치상어 보다는 별상어의 관상가치가 높을 것으로 판단되며, 반대로 대형 관람용 수족관의 경우에서는 별상어 보다 성장이 빠르고 운동력이 활발한 까치상어를 전시관람용으로 이용할 경우 전시효과가 높을 것으로 판단된다.

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Changes in the Myocardial Antioxidant Enzyme System by Post-Ischemic Reperfusion During Corontory Artery Bypass Operations (관상동맥우회술시 심근허혈후 재관류에 의한 활성산소 방어효소계의 변화)

  • 김응중;김기봉
    • Journal of Chest Surgery
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    • v.29 no.8
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    • pp.850-860
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    • 1996
  • Oxygen free radicals and their metabolites have been implicated as possible causes of reperrusion injury In animal models. Their role in the clinical setting is still controversial. The aim of this study was to evaluate the degree of tissue damage, oxidative stress. and changes in the antioxidant enzyme system in patients undergoing cor nary artery bypass graft operations(CABG) with myocardial protection by cold blood cardioplegia. In patients undergoing CABG(n:10). the levels of lactate dehydrogenate(LDH), creatine phosphokinase MB fraction(CK-MB), and malondialdehyde(M DA) were measured In the coronary sinus effluent before aortic cross clamping and 20 minutes after reperfusion. At the same time, the myocardial tissue activities of superoxide dismutase(SOD). catalase(CAT), glutathione peroxiddse(GSHPX), glutathione reductase (GSSGRd), and glucose 6-phosphate dehydrogenate(GfPDH ) were determined in the right atrial auricle excised before aortic cross clamping and in the left atrial auricle excised 20 minutes after reperfuslon. The levels of increased significantly after reperrusion(p< U.05). There were no significant changes in CAT and CfPDH levels. Western blot analysis was performed to study the induction of antioxidant enzyme and demonstrated increased amount of Cu,Zn-SOD.

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Association of Coronary Artery Calcium Scores with Cadiovascular Disease Risk Factors in an Asymptomatic Adults (무증상 성인에서 심혈관질환 위험요소와 관상동맥 석회 수치와의 관계)

  • Moon, Il-Bong;Sohn, Seok-Joon
    • The Journal of the Korea Contents Association
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    • v.10 no.7
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    • pp.268-275
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    • 2010
  • Coronary artery calcium scores(CACS) has been used as surrogate marker for coronary atherosclerosis. We evaluated 1042 patients who visited the Department of Health Promotion Center in Chonnam National University Hospital and had a test of the CACS from January 2006, to December 2008. This study was performed to evaluate the relation of the CACS with Cadiovascular disease(CVD) risk factors and FRS. CACS and FRS was a significant difference between the group whose calcium score was 0 and the group whose calcium scores were 1 in case of men 2.38(95% CI, 1.83-3.11), women 2.12(95% CI, 1.03-4.35). The age-and sex-adjusted odds ratios for predictor of CVD risk factors to women with age was 1.10(95% CI, 1.06-1.15), HDL-cholesterol was 2.38(95% CI, 1.04-5.44), Fasting plasma glucose was 2.89(95% CI, 1.16-7.21), to men with age was 1.11(95% CI, 1.08-1.14), LDL-cholesterol was 2.12(95% CI, 1.28-3.50), gamma-GTP was 1.73(95% CI, 1.17-2.55), Diabetes mellitus medication was 3.92(95% CI, 1.73-8.89). The CACS seems to be a siginificant factor to evaluate the CVD risk factors.

Awake OPCAB: Initial Experience (의식 있는 상태에서 경막외 마취를 이용한 심박동하 관상동맥우회술: 초기 경험)

  • Son Kuk-Hui;Cho Kwang-Ree;Kim Ki-Bong
    • Journal of Chest Surgery
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    • v.39 no.8 s.265
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    • pp.598-603
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    • 2006
  • Background: High thoracic epidural anesthesia allows awake coronary artery bypass grafting, avoiding the drawbacks of mechanical ventilation and general anesthesia. Materian and Method: From April, 2005 to September, 2005, 12 patients were underwent awake coronary artery bypass grafting using high thoracic epidural anesthesia. There were 1 female and 11 male patients, with a mean age of $66{\pm}6$ years. Off pump coronary artery. bypass grafting was performed through a median sternotomy using arterial grafts. Result: There were no mortality. Pneumothorax was developed during surgery in 8 patients. Five patients required secondary intubation because of pneumothorax (n=3), bowel herniation (n=1), and hemothorax after chest tube insertion (n=1). Postoperative coronary angiography was performed before discharge in all patients and all the grafts were patent. Conclusion: Our intial experience demonstrated the feasibility of awake off-pump coronary artery bypass grafting. Further study is required to define the indications, advantages and limitations of this strategy.

The Comparison of Anger between Patients with Coronary Artery Disease and Healthy Individuals (관상동맥질환 환자들과 정상인 간 분노의 비교)

  • Koh, Kyung-Bong;Lee, Sang-Hyuk;Kim, Jang-Woo;Roh, Kyu-Sik
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.23-29
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    • 2004
  • The objective of this study was to make a comparison on anger level between patients with coronary artery diseases and healthy individuals. 233 patients with coronary artery diseases and 215 normal controls were enrolled in this study. The Anger Expression Scale, the anger and aggression subscales of the Stress Response Inventory(SRI) and the hostility subscale of the Symptom Checklist-90-revised(SCL-90-R) were used to assess the level of anger. The patients with coronary artery diseases scored significantly higher on the anger-out and anger total subscales of the anger expression scale, the anger and aggression subscales of the SRI than the normal controls. The patients with angina pectoris had significantly higher scores in the anger-out and anger-total subscale than those with myocardial infarction. Male subjects scored significantly higher on the anger-in subscale than females, whereas female subjects scored significantly higher on the anger-out subscale than male subjects. These results suggest that patients with coronary artery diseases are likely to have a higher level of anger or anger expression than normal controls and that there may be difference in anger expression between male and female patients. It is emphasized that anger management is needed to prevent the coronary artery disease patients from aggravating the illness.

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Skeletal Sarcomas Examined with MR in Tubular and CT in Flat Bones (골격계 육종에서 관상골MR과 편평골CT의 유용성)

  • Moon, Tae-Yong;Lee, Young-Joon;Jung, Kyung-Hwa;Hur, Jin-Do;Sol, Mi-Young;Kwon, Woon-Jung
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.2
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    • pp.162-168
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    • 2003
  • Purpose: Primary malignant bone tumors are classified with mesenchymal sarcomas (MS) such as osteosarcoma and chondrosarcoma and small round cell sarcomas (SRS) such as Ewing's sarcoma and lymphoma. Radiological examinations for skeletal sarcoma were using MR scan in tubular bone sarcomas and CT scan in flat bone sarcomas recently. Both MR and CT scans show some findings of bone destruction and soft tissue mass but MR scans don't reveal a finding with mineralization relatively. So we investigated bone destructive pattern of skeletal sarcomas on both MR and CT scans for differentiation of MS and SRS. Materials and Methods: There are 28 MS and 26 SRS examined with MR or CT scans. The findings according to bone destructive pattern were divided to eccentric and concentric in 26 cases of tubular bone sarcomas with MR scan and 28 cases of flat bone sarcomas with CT scan. Results: MR images revealed eccentric destruction in 12 cases of 16 MS and concentric in all cases of 10 SRS (p>.01). CT images showed eccentric destruction in 10 cases of 12 MS and concentric bone destruction in 13 cases of 16 SRS (p>.01) Conclusion: The findings divided to eccentric and concentric bone destructive patterns were useful for differential diagnosis of MS from SRS on both MR and CT scans.

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Off-pump Coronary Artery Bypass Surgery in a Patient with a Functional Single Lung - A case report- (기능적 단일폐 환자에서 심폐체외순환 없이 시행한 관상동맥우회술 - 치험 1예 -)

  • Yoon, Young-Choul;Wi, Jin-Hong;Han, Il-Yong;Jun, Hee-Jae;Hwang, Youn-Ho;Cho, Kwang-Hyun
    • Journal of Chest Surgery
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    • v.41 no.4
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    • pp.492-495
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    • 2008
  • A functional single lung caused by lung diseases or pneumonectomy can result in anatomic and physiologic changes that may interfere with the conduct of subsequent coronary artery bypass surgery. Since. this type of case is extremely rare, there has not been any report on this in Korea. A 71-year-old female with a history of a destroyed left lung from pulmonary tuberculosis 13 years ago was admitted for evaluation of her increasing chest pain that she'd experienced for 2 weeks. Since coronary angiographies demonstrated 80% stenosis of the left main os, $90{\sim}95%$ stenosis of the p-LAD, 90% stenosis of the m-LCx and 90% stenosis of the RCA, coronary artery bypass surgery (CABG) was planned. Off-pump CABG with vein grafts through a median sternotomy was performed and the patient recovered the same as other CABG patients without complications.