• Nuclear Medicine and Molecular Imaging
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• v.41 no.4
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• pp.291-298
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• 2007

Purpose: To investigate the feasibility of TI-201 SPECT with intra coronary injection (lC-I) in the detection of viable myocardium, we have performed SPECT imaging after direct intracoronary injection of TI-201 and images were compared with those of stress-reinjection (Re-I) SPECT. Methods: Fourteen coronary artery disease patients (male 11, mean age 54 years) who had myocardial infarction or demonstrated left ventricular wall motion abnormality on echocardiography were enrolled. Three mCi of TI-201 was injected into both coronary arteries during angiography and images were acquired between 6- and 24-hour after injection. Reinjection imaging with 1 mCi of TI-201 was performed at 4-hour after adenosine stress imaging with 3 mCi of TI-201. Images were interpreted according to 4-grade visual scoring system (grade 0-3). Segments with mild to moderated uptake (${\leq}$grade 1), and upgraded more than one score with reinjection, and were defined as viable myocardium. Results: Image quality was poor in two cases with IC-I. Numbers of non-viable segments were 60 (23.8%) with IC-I, and 38 (15.1%) with Re-I, respectively. Overall agreement for perfusion grade per myocardial segment in each IC-I and Re-I was 76.5%. Overall agreement for viable segment between IC-I and Re-I was 90.5%. Only one out of 38 segments interpreted as non-viable with Re-I were interpretated as viable with IC-I. And 23 out of 214 segments interpreted as viable with Re-I were interpreted as non-viable with IC-I. Conclusion: Intracoronary TI-201 SPECT seemed to be not advantageous over stress-rest reinjection imaging in the assessment of myocardial viability, mainly due to low count statistics at 6-hour or 24-hour delayed time points. The feasibility of intracoronary TI- 201 SPECT is considered to be limited.

• Childhood Kidney Diseases
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• v.5 no.1
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• pp.43-50
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• 2001

Purpose : The urinary tract infection associated with vesicoureteral reflux(VUR) in children may result in serious complications such as renal scarring, hypertension, proteinuria and end stage renal disease. The purpose of this study was to evaluate the factors affecting renal scar such as age, gender, grade of VUR, and ACE gene polymorphism, and body growth in the patients with and those without renal scar associated with VUR Methods : During the period from January 1994 to July 2000, We had 93 children with urinary tract infection associated with VUR who were admitted to the Department of pediatrics of Chonbuk National University Hospital. The patients were divided into two groups according to follow up 99mTc-DMSA renal scan; patients with renal scar group and those with non-scar group. We analyzed and compared the factors associated with renal scarring between the two groups. Results : There were no significant difference in gender, causative organism, ACE gene polymorphism, height and weight at diagnosis between renal scar group and non-scar group. Fifty four patients were in renal scar group and forty seven of them had VUR. The age at diagnosis was significantly higher in renal scar group (2.48${\pm}$2.64yr) than in non renal scar group (1.26${\pm}$1.83yr). Especially, the infants who were less than 1 year of age with VUR developed relatively more renal scar compared with infants older than 1 tear of age. The incidence of renal scarring showed a direct correlation with the severity of VUR. Conclusion : The factors affecting renal scar formation were age at diagnosis, presence and grade of VUR, but the other factors such as gender, causative organism, ACE gene polymorphism were not associated with renal scarring. Therefore, further evaluation about uropathogenic E coli and foflow up study about body growth associated with severity of renal scar would be necessary. (J. Korean Soc Pediatr Nephrol 5 : 43- 50, 2001)

• Journal of Preventive Medicine and Public Health
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• v.31 no.3 s.62
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• pp.503-515
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• 1998

In order to investigate the factors influencing QOL and life satisfaction of the physically disabled, the author interviewed, by using structuralized questionnaire, 440 individuals among the physically disabled who were participated in Health Examination from April to July, 1997. The questionnaire consisted of the general characteristics(sex, age, marital status, family number, etc), the Reintegration to Normal Living Index(RNLI) to assess QOL, and the single item of five-likert scale to evaluate life satifaction. The means of RNLI were $16.2{\pm}4.8$ in total score, $12.2{\pm}3.4$ in daily functioning and $4.0{\pm}2.1$ in perception of self. The respondents were less reintegrated toward social activities and relationships than impairments or disabilities. While the satisfied group was 47.3%, the dissatisfied group was 52.7%. As the results of multiple regression and logistic regression analysis, the significant predictors of QOL were age, education, job, grade of disability and subjective health status. The life satisfaction were related to economic status, job and subjective health status. To improve QOL and life satisfaction of the physically disabled, it is important that we improve their basic socioeconomic status by getting a job through rehabilitation education and induce them to have positive self-assessment by extending the opportunity of social participation.

• Journal of Nutrition and Health
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• v.48 no.1
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• pp.58-70
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• 2015

Purpose: This study was conducted in order to investigate children's Nutrition Quotient (NQ) and the degree of keeping the Dietary Guidelines of children and their mothers and to further examine the relationships between children and mothers. Methods: The subjects were 281 children from 4th to 6th grade in an elementary school located in Gwangju and their mothers. Results: NQ of the children was $66.8{\pm}14.2$, which was in the third (medium) grade. Among the five factors, the scores for Moderation and Diversity were in the second (high) grade, but those for Regularity, Practice, and Balance were in the third grade. Children of non-working mothers had significantly higher scores for NQ and Balance than those of working mothers. Children of mothers with age over 40 had a significantly higher score on Diversity than those with mothers under age 40. Children of mothers with higher education showed higher score for Regularity than those with lower education. Children from high-income families had higher score for Moderation. The score for children keeping the Dietary Guidelines was $78.8{\pm}10.5$ and children of non-working mothers showed higher score than those of working mothers. The score for mothers practicing the Dietary Guidelines was $80.6{\pm}9.4$ and non-working mothers and mothers with age over 40 had higher score. Children's NQ showed significant correlation with the score for keeping the Dietary Guidelines for children (r = 0.789, p < 0.001) and also with that of mothers (r = 0.235, p < 0.001). Conclusion: These results show that NQ of elementary school children in Gwangju is in the medium grade, the degree of practicing the Dietary Guidelines for children is pretty fair, and these factors are influenced by their mother's socioeconomic characteristics such as employment, age, education, and family income.

• Journal of Chest Surgery
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• v.32 no.8
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• pp.715-721
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• 1999

Background:The number of old patients receiving coronary artery bypass grafting(CABG) is increasing. With the more recent advances in operative techniques, the age at which CABG is indicated has also increased. This study evaluated the risk factors associated with the hospital mortality and the morbidity following CABG in elderly patients. Material and Method: Between March 1991 and June 1998, we retrospectively reviewed 45 consecutive patients aged 65 years or older who underwent CABG. We compared the data with the results of 179 patients under the age 65 years operated during the same period. Result: Mean age was 68${\pm}$1.41 years(range 65 to 74 years). Emergency surgery was required in 4, and elective surgery in 41 patients. The mean number of distal anastomosis per patient was 3.62 ${\pm}$0.81 and mean aortic cross-cramp time was 69.84${\pm}$18.5 minutes. Thirty patients had Canadian class III or IV preoperatively, but 43 patients had class I or II postoperatively. The left ventricular ejection fraction increased significantly from 54.23${\pm}$10.62% preoperatively to 58.14${\pm}$9.88% postoperatively(p<0.05). Postoperative complication was pneumonia in 2 patients, acute renal failure in 2 patients, sternal wound infection in 1 patient, and postoperative myocardial infarction in 1 patient. There were two postoperative deaths. The causes of deaths were low output syndrome in one patient, and sepsis due to pneumonia in the other patient. The hospital mortality was higher in the elderly group(4.4 versus 2.86%) but was not statistically significant(p>0.05). Incremental risk factors for hospital deaths in the elderly were emergent operation, preoperative PTCA, postoperative use of IABP and postoperative ARF(p<0.05). The duration of hospital stay after operation was significantly longer for the elderly group than the younger group(19.27${\pm}$12.51 vs 15.55${\pm}$6.99 days; p＜ 0.05). Follow-up was complete for 34 of the hospital survivors and ranged from 1 to 73 months(mean: 23.58${\pm}$19.56 months). There was no late mortality of cardiac origin. Conclusion: Age is an important factor in selecting optimal management for elderly patients with coronary compromise, but age alone should not dictate the choice of therapy. Coronary artery bypass surgery in the elderly is associated with acceptable early mortality and excellent long-term results.

• Journal of Chest Surgery
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• v.43 no.1
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• pp.53-57
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• 2010

Background: The purpose of this study is to evaluate intercostal neuropathy after rib fracture and to determine the severity of intercostal neuropathy with using a numerical rating scale and according to the duration of pain and the body mass index. Material and Method: We measured the positive sharp wave and fibrillation on the intercostal and paraspinal muscles in the thoracic region by performing needle electromyography in 47 patients who had intercostal neuralgia after rib fracture and who had needed daily analgesic for more than three months. Result: We diagnosed 11 cases as intercostal neuropathy among the 47 cases. Of the total 11 cases, 8 were male and 3 were female and they were most often of an active generation in the community. The common location of intercostal neuropathy was the intercostal space below the rib fracture and from the 7th to the 12th intercostal rib area. The incidence of intercostal neuropathy was significantly related with multiple rib fracture rather than single rib fracture. The symptoms observed were chest pain (90.9%), sensory change (81.8%), paresthesia and numbness (63.6%), back pain (27.2%) and muscle atrophy (18.2%). The numerical rating scale, the duration of pain and the body mass index showed no significant correlation with the severity of intercostal neuropathy. Conclusion: We concluded that the electrodiagnostic approach with considering the affecting factors and the clinical findings will be helpful for diagnosing and treating persistent intercostal neuralgic pain (more than 3 months) after rib fracture.

• Journal of Chest Surgery
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• v.30 no.2
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• pp.146-151
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• 1997

Between December 1993 and March 1996, 75 patients had undergone ubannular procedures in mitral valve reconstruction. Their mean age was 45 years and they consisted of 28 males and 47 females. The cause of mitral disease in 75 patients were classified as follow : 29 cases were degenerative, 40 cases were rheumatic, 3 cases were congenital, 2 cases were infectious and 1 case was ischemic. Average number of mitral anatomical lesion per patient was 3.1 and we used average 1.5 procedures on subannular structure in mitral valve per patient. Subannular procedures were chordae shortening 21, chordae transfer 22, new chordae formation 20, papillary muscle splitting 33, shortening of papillary muscle 2. Intraoperative transesophageal echocardiography was carried out for providing an immediate and accurate assessment of the adequacy of the reconstruction. There was no operative death. Patients have been followed up from 2 to 29months, mean 12.5. There were two failures that necessitated reoperation. The mean functional class (NYHA) was 3.19 preoperative and improved to 1.12 postoperatively. After mitral valve repair, the patients were improved hemodynamic, echocardiographic data. In conclusion, subannular procedure in mitral valve repair when feasible is stable and safe with a low prevalence of reoperation.

• The Journal of the Korea Contents Association
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• v.17 no.10
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• pp.280-288
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• 2017

The purpose of this study was to examine the sensory processing of adults with intellectual disabilities by Adolescent/Adult Sensory Profile(AASP). AASP was executed for 98 adults with intellectual disabilities residing in nursing home. The score of sensory processing ability expressed the conditions of being 'Less Than Most People' and 'Much Less Than Most People' in the all sensory processing areas of Low Registration, Sensory Sensitivity, Sensory Seeking, Sensory Avoiding. There was not significant difference in the sex. The score of sensory processing ability between teenagers(11 years to 17 years) and adult(above 18 years), teenagers statistically showed lower scores in the three sensory processing areas of Low Registration, Sensory Seeking, and Sensory Sensitivity. In addition, there was significant difference in the sensory processing areas of Low Registration and Sensory Avoiding according to the disability grading. In the future research, it is suggested to examine the sensory processing within residual setting and it need a study comparing sensory processing skills according to the disability grading by increasing subjects.

• The Bulletin of The Korean Astronomical Society
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• v.37 no.2
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• pp.80.2-80.2
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• 2012

홀로 고립되어 존재하는 은하는 주변 은하와 상호작용을 하지 않은 채 진화하므로 은하의 진화를 연구하기에 아주 좋은 대상이다. 은하의 정량적 연구를 위해 꼭 알아야 하는 중요한 물리량으로 거리와 성간소광량이 있다. 우리는 허블 우주망원경(HST) Advanced Camera for Surveys(ACS)/High Resolution Channel(HRC)로 관측한 고립된 왜소불규칙은하 NGC 1156 ($RA_{2000}$=02:59:42.19, $DEC_{2000}$=+25:14:14.2) 중심부($26^{\prime\prime}{\times}29^{\prime\prime}$)의 archive 자료를 분석하여 이 은하의 거리와 성간소광량을 새로 구했다. 이 은하의 거리를 측정한 과거 자료는 Tully(1988, Nearby Galaxies Catalog) 목록과 Special Astrophysical Observatory 6m 망원경/VI(각 300s) 영상자료의 가장 밝은 별로 거리를 구한 Karachentsev et al. (1996) 자료 뿐이다. 우리는 HST/ACS/HRC+UBVI 자료 중 U자료를 이용하여 아주 신뢰할 만한 소광량 값($E(B-V)=0.35{\pm}0.05$)을 얻었고, 가장 밝은 빨간 별과 파란 별 자료를 이용하여 새로운 거리지수($(m-M)_0=29.39{\pm}0.20$, $d=7.6{\pm}0.7$ Mpc)를 결정했다. 이 거리 값은 과거의 값들(Tully $6.4{\pm}1.2$ Mpc; Karachentsev et al. $7.8{\pm}0.5$ Mpc)과 크게 다르지 않으며, 기존의 거리 자료들 역시 신뢰할만함을 보여준다. ACS/Wide Field Channel과 달리 ACS/HRC의 경우 등급 표준화 방정식이 완벽하지 않은데, 우리의 경우 F550M자료를 표준화할 수 없었다. 그러나 우리는 여러 파장, 많은 관측자료가 존재하는 47 Tucanae (NGC 104) 구상성단의 관측자료와 Padova 등연령곡선을 이용하여 성공적인 등급변환을 수행할 수 있었다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.7
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• pp.2491-2496
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• 2010

The DFA(detrended fluctuation analysis) which is included the correlation property of the EEG is used to analysis the depth of anesthesia. We studied ASA I or II adult patients supported by the society of anesthesiologists. Patients with history of dementia and neurological disorder are excluded. Average age is $48.9{\pm}10.9$ old, average weight is $57.1{\pm}8.2$ kg and average hight is $158{\pm}6.6$cm of the patients under the operation. Anesthesia medicine is Sevoflurane and the stages of anesthesia are 6 stages, that is pre-operation, induction, right after induction, stop the medicine and post-operation. Among the scaling exponent ${\alpha}1$, ${\alpha}2$, ${\alpha}3$ we know that ${\alpha}1$, ${\alpha}3$, were well appeared to discriminate pre-operation, induction, right after induction, stop the medicine and post-operation. So we confirmed that the parameters is useful to the depth of anesthesia.