• Journal of Chest Surgery
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• v.39 no.4 s.261
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• pp.289-297
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• 2006

Background: Surgery for Stanford type A aortic dissection shows a high operative mortality rate and frequent postoperative brain injury. This study was designed to find out the risk factors leading to operative mortality and brain injury after surgical repair in patients with type A aortic dissection. Material and Method: One hundred and eleven patients with type A aortic dissection who underwent surgical repair between February, 1995 and January 2005 were reviewed retrospectively. There were 99 acute dissections and 12 chronic dissections. Univariate and multivariate analysis were performed to identify risk factors of operative mortality and brain injury. Resuit: Hospital mortality occurred in 6 patients (5.4%). Permanent neurologic deficit occurred in 8 patients (7.2%) and transient neurologic deficit in 4 (3.6%). Overall 1, 5, 7 year survival rate was 94.4, 86.3, and 81.5%, respectively. Univariate analysis revealed 4 risk factors to be statistically significant as predictors of mortality: previous chronic type III dissection, emergency operation, intimal tear in aortic arch, and deep hypothemic circulatory arrest (DHCA) for more than 45 minutes. Multivariate analysis revealed previous chronic type III aortic dissection (odds ratio (OR) 52.2), and DHCA for more than 45 minutes (OR 12.0) as risk factors of operative mortality. Pathological obesity (OR 12.9) and total arch replacement (OR 8.5) were statistically significant risk factors of brain injury in multivariate analysis. Conclusion: The result of surgical repair for Stanford type A aortic dissection was good when we took into account the mortality rate, the incidence of neurologic injury, and the long-term survival rate. Surgery of type A aortic dissection in patients with a history of chronic type III dissection may increase the risk of operative mortality. Special care should be taken and efforts to reduce the hypothermic circulatory arrest time should alway: be kept in mind. Surgeons who are planning to operate on patients with pathological obesity, or total arch replacement should be seriously consider for there is a higher risk of brain injury.

• Korean Journal of Environmental Agriculture
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• v.15 no.2
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• pp.198-206
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• 1996

Leaching of $^{54}Mn$, $^{60}Co$, $^{85}Sr$ and $^{137}Cs$ in paddy soil was studied using lysimeter cultures in a greenhouse. The radionuclides were applied to the water surfaces shortly before transplanting and five different times between transplanting and harvest. Fertilizer KCl and slaked lime were added simultaneously in the rate of 83kg and 200kg, respectively, per l0a following the first application after transplanting. Percolating water was sampled until two days before harvest. Concentrations of the radionuclides in percolating water decreased in the order of $^{85}Sr$ > $^{54}Mn$ > $^{60}Co$ > $^{137}Cs$ on the whole. Time taken to reach the maximum was the shortest for $^{137}Cs$(< one week) and the longest for $^{54}Mn$ and $^{85}Sr$. Six days' water dropping started 47 days after transplanting reduced the concentrations of $^{54}Mn$, $^{60}Co$, $^{85}Sr$ and $^{137}Cs$ by factors of 30-180, 3-75, 2-4 and 3-6, respectively, depending on the application time. After the significant decrease, $^{54}Mn$ concentration tended to gradually increase but $^{137}Cs$ did to the contrary Percent leaching varied 0.09-6.2% for $^{54}Mn$, 0.009-0.9% for $^{60}Co$, 1.4-14.4% for $^{85}Sr$ and 0.002-0.06% for $^{137}Cs$, with the application time. The highest leaching came from the application at 40 days after transplanting for all the radionuclides. The addition of KCl and lime increased percent leaching of the radionuclides by factors of 9, 85, 4 and 9, respectively.

• Journal of fish pathology
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• v.11 no.1
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• pp.51-60
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• 1998

Concerned to the lyfe cycle of Ichthyophthirius multifiliis, the experimental infection and development of the parasites were studied in the several freshwater cultured fishes. Opitimum conditions for the propagation of the parasite by serial passage with the rainbow trout fry was observed. Visiable white spots were examined in the body surface, fins and gills of the healthy fries, and a stable infection has been maintained for 2 months in the experimental system (Temperature: $18{\pm}1^{\circ}C$ DO: 7-7.5 ppm; pH: $7{\pm}0.2$). Induction conditions for artificial infection of the parasite by interms of the host fishes, stages of the parasites, and rearing temperature regimes was investigated. Rainbow trout fries showed a positive infection which was resulted from exposure of theront at $18^{\circ}C$. The rainbow trout fries induced white spots on the body surface at 3-7 days exposure to the theronts at $18^{\circ}C$. It was found that exposure of the rainbow trout fries exposed to 1,000 theronts per fish (10 theront/ml) for 45-60 minutes at $18^{\circ}C$ would consistently produce infection. Perfect infection (100%) was induced when the fries were exposed to 1,500 theront per fish (15 theront/ml) under laboratory condition. Development of I. multifiliis in the rainbow trout was observed for 7 days postexposure (PE). The parasite increased in average diameter from $54{\mu}m$ on the 1st day PE to $426{\mu}m$ on the 7th day PE. In the initial infestation period, the parasites were found on the gill epithelium, and on the 3rd day PE they invaded into the basal part of the gill filament adjacent to the major blood vessels, particularly the afferent vessels. Morphological change of buccal apparatus were observed on the 2nd day PE. Contractile vacuoles were more prominent on the 4th day PE, and they had notable changes on the 7th day PE.