• Title/Summary/Keyword: 20-30 years old

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Congenital Heart Disease in the Adult - 122 Cases Analysis - (성인의 선천성 심질환;122례 분석)

  • 정신현
    • Journal of Chest Surgery
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    • v.25 no.7
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    • pp.769-776
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    • 1992
  • Total 632 cases of open heart surgery were performed in the department of thoracic and cardiovascular surgery, Pusan Paik Hospital, Inje University from october 1985 to december 1990. Among them, there were 503 cases of congenital heart disease and 129 cases of acquired heart disease. In the cases of 503 congenital heart disease surgically corrected, 122 cases over 15 years of age were reviewed and its results were summarized as follows ; l. In total 122 cases 65 were male and 52 female. 2. There were 54 patients under 20 years of age, 31 between 20 & 24 years, 20 between 25 & 29 and 17 over 30 years of age. The eldest was a 46-year-old female of atrial septal defect group. 3. There were 63 cases of VSD[51.7%], 38 of ASD[31.2%], 11 cases of TOF[9%] and so on. 4. In recovery cases, main post-operative complications were as follows; cardiac tamponade, arrhythmia, low cardiac output syndrome, pulmonary, edema pericarditis, mediastinitis, sepsis and DIC. 5. There were 3 cases of post-operative death in this series, so operative mortality rate was 2.5% compairing with 1.8% of pediatric cases below 15 years of age. 6. This reviewed series reveal that aggressive surgical approach in adult congenital heart disease can be justified with low operative mortality like as pediatric age group.

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Postoperative Clinical Evaluation of Mechanical Valve Replacement (기계적판막의 임상적 고찰)

  • 송인기
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.62-69
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    • 1988
  • In the department of chest surgery of WonKwang university hospital, mechanical valve replacement was performed in 51 cases from June 1985 to September 1987. Among these, 32 cases were mitral valve replacement, 4 cases were aortic valve replacement, and 15 cases were double valve replacement. 26 cases were male and 25 cases were female and age distribution ranged from 16 years old to 63 years old. Early death within 30 days after operation was 2 cases [3.9%] and causes of death were right heart failure [1] and right ventricular wall rupture [1]. Among 49 early survivors, 2 cases of late death were developed and the causes of death were cardiomyopathy [1] and ventricular arrhythmia [1] Anticoagulant therapy was done with warfarin sodium to the level of 1.5-2 times of normal prothrombin time [20-40%] in 47 survivors. Symptomatically, 93.6% of preoperative NYHA functional class III or IV were converted to the NYHA functional class I or II during follow up.

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A study on caries experience in the permanent teeth of community residents (지역사회 거주자의 영구치 우식경험도에 관한 연구)

  • Jang, Hee-Kyung;Kim, Jin-Soo
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.1
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    • pp.81-92
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    • 2010
  • Objectives : Thus this study attempted to look into the level of community residents' dental health and the state of their dental diseases and estimate the general dental health condition so that these data can be available as references in upcoming public dental health planning, and to provide fundamental data for promotion of the level of residents' dental health by performing dental health education. Methods : Among community residents who visited the department of Dental Hygiene of Shinsung University for scaling from March to May 2009, the data of total 346 subjects of 129 women and 217 men were selected, and DMFT rate, DMFT index, dental health capacity of the first permanent molar, and tooth morality rate were investigated. For statistical analysis, SPSS 14.0 was used, for general characteristics of the subjects, frequency analysis was conducted, for caries experience in the permanent teeth of the subjects, mean and standard deviation were calculated, for caries experience in the permanent teeth by sex and residence, independent t-test was performed, and for caries experience in the permanent teeth by age, one-way ANOVA was conducted. The significance level applied to these analyses was 0.05. Results : As a result of investigation and analysis on caries in the permanent teeth of community residents who visited the department for scaling in this study, the findings are as follows: 1. For sex, DMFT rate and tooth morality rate were found to be higher in women, while dental health capacity of the first permanent molar was found to be higher in men. 2. For age, DMFT rate and DMFT index were found to be highest in 40~49 years old, while DMFT rate, DMFT index, and tooth morality rate were found to be lowest in under 20 years old. Dental health capacity of the first permanent molar was found to be highest in under 20 years old, 20-29 years old, and 30-39 years old and found to be lowest in more than their sixties as 39.78 points(p<.000). Tooth morality rate was found to be highest in more than their sixties compared to other age groups.(p<.000). 3. For residence, DMFT rate and dental health capacity of the first permanent molar were found to be high in the Metropolitan area, while tooth morality rate was found to be high in Chungcheong area. Conclusions : Seen from the above-mentioned results, great importance shall be attached to the maintenance of residual teeth, and with this, efficient efforts are required to be made for upkeep and promotion of dental health.

Uncertainty Analysis of Stem Density and Biomass Expansion Factor for Pinus rigida in Korea (리기다소나무림의 줄기밀도와 바이오매스 확장계수에 대한 불확실성 평가)

  • Seo, Yeon Ok;Lee, Young Jin;Pyo, Jung Kee;Kim, Rae Hyun;Son, Yeong Mo;Lee, Kyeong Hak
    • Journal of Korean Society of Forest Science
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    • v.100 no.2
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    • pp.149-153
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    • 2011
  • This study was conducted to examine the uncertainty analysis of the stem density and biomass expansion factor for Pinus rigida in Korea. A total of 57 representative sample trees were harvested. The age class in Pinus rigida forests was divided into two, which were stands with less than 20 years and more than 21 years. The influence of stand ages on biomass expansion factor showed that it was statistically significant (p=0.0001), but it was not significant on stem density (p=0.8070). The results of this study based on the uncertainty evaluation method which were suggested by IPCC guide line indicated that stem density of the stand with less than 20 years were 30.92%, while were 25.12% the stands with more than 21years. The uncertainty in biomass expansion factor of less than 20 years and more than 21 years were 60.32% and 22.42%, respectively. The uncertainty of less than 20 years was higher compared to those stands with more than 21 years. In the case of old stand, it showed the lowest uncertainty results but younger stands showed the highest uncertainty results. This study could be applied to our country's emission factor by using stem density and biomass expansion factors which were less than 20 years and more than 21 years for Pinus rigida in Korea.

Food intake and nutritional status of female marriage immigrants residing in Gwangju, Korea (광주지역 결혼이주여성의 식품 및 영양소 섭취 실태)

  • Yang, Eun Ju;Khil, Jin Mo
    • Journal of Nutrition and Health
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    • v.49 no.5
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    • pp.358-366
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    • 2016
  • Purpose: This study was conducted to assess the nutritional status of female marriage immigrants attending Korean language class in Gwangju, Korea by analyzing daily food and nutrient intake. Methods: Eighty-three female immigrants completed a survey. Anthropometric measurements were obtained, and dietary food intake was assessed using a 1-day 24 hour recall method. Results: The average length of residence in Korea was 5.3 years, and mean age of subjects was 31.0 years old. The home countries of subjects were Vietnam (50.6%), China (24.1%), Philippines (13.3%), and others (12%). Due to the length of residence, there were significant differences in body weight (p < 0.05), BMI (p < 0.05), percent body fat (p < 0.05), and diastolic blood pressure (p < 0.05). The subjects who were 30~49 years old consumed more vegetables and less seaweed than the subjects who were 20~29 years old. The other kinds of consumed foods were similar among groups in different age groups or lengths of residence in Korea. Average energy intake of subjects was 1,641.0 Kcal. The group with less than 5 years of residence showed higher cholesterol intake than the group with 5 or more years of residence in Korea (p < 0.05). There was no significant difference in nutrient intake between the groups of different age or length of residence. There was a positive association among dietary cholesterol intake and consumption of eggs, milk. and dairy products, and blood pressure. Conclusion: The study shows that length of residence affects rate of obesity and nutritional status. Further extensive research is needed to understand the effect of dietary changes and nutritional status of female marriage immigrants as well as for their successful adaptation to develop a more active and long-term nutrition education program.

Population Ecology of Abbottina springeri(Cyprinidae) in the Musimchon stream, Korea (무심천 왜매치 Abbottina springeri의 개체군 생태)

  • Son, Yeong-Mok
    • Korean Journal of Ichthyology
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    • v.12 no.3
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    • pp.186-191
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    • 2000
  • Population ecology of Abbottina springeri has been investigated from March to November, 1995 at Musimchon stream of Kadok-myon, Chongwon-gun, Chungchongbug-do. The favorite habitat was a sluggish area with muddy bottom, but larger individuals more than 60 mm in total length were also collected at rapids of low velosity. Judging from the total length frequency in this population on June, total length 30~50 mm group is one year old, 50~65 mm group is two years old, and longer than 65 mm is regarded over three years old. Sexual dimorphism was revealed conspicuously in genital papilla, nuptial tuberles and nuptial pigmentation in the males at spawning season. Peak season of spawning was June when the water temperature reaches $20\sim25^{\circ}C$ and they start spawning at the age of two. The sex ratio of female to male was 1:0.93. The mean of egg number and egg size in ovary were 652 and 0.43~0.06 mm respectively. According to the contents of stomach, this species feeds mainly on botton algae at all ages and some aquatic insects in adult.

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Effect of mold exposure during pregnancy on the development of offspring's atopic dermatitis (임신 중 곰팡이 노출로 아토피피부염 발병에 미치는 영향)

  • Choi, Kil-Yong;Park, Kwang-Sung
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.105-106
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    • 2017
  • Background: Atopic dermatitis one of the most common chronic skin diseases, is caused by various environmental and genetic factors. Methods: A total of 2609 healthy newborns who were enrolled in the COCOA study (COCOA) from 2008 to 2015 were surveyed for indoor environmental exposure to fungi during gestation and then diagnosed postnatally for atopic dermatitis. The fungi collected during the gestation of 20 normal subjects and 20 infants that developed atopic dermatitis were identified using Illumina's MiSeq platform and analyzed for their diversity and species. Results: A total of 2,609 respondents were surveyed (52.8% male and 47.2% female) Children, 1, 2, and 3 years old diagnosed with atopic dermatitis comprised 15.2%, 15.7%, and 14.1% of the respondents, respectively. The prevalence of exposure to mold during gestation was 1.46 (95% CI, 1.05-2.04) and 1.52 (95% CI, 0.95-2.43), in the first and third years after birth, respectively. One-year-old children with atopic dermatitis and no fungal markers detected in the bathroom environment during gestation accounted for less than 5% (aOR, 1.51; 95%CI, 0.96-2.38) and in the group less than 5 ~ 30% (aOR, 2.21; 95%CI, 1.00-4.89), 3-year-old children had an increased prevalence of atopic dermatitis of more than 30% (aOR, 9.48, 95%CI 1.42-63.13). Conclusions: Exposure to indoor fungi during gestation and infancy is associated with the development of atopic dermatitis in children. The phyla and genera of the fungi in the indoor house dust differed during gestation. This suggests that exposure to indoor fungi during gestation may be associated with the development of atopic dermatitis in children. Future research will be necessary to establish the underlying mechanisms.

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Growth and Spawning Ecology of Cobitis lutheri (Teleostei: Cobitidae) in the Mangyeong River, Korea (만경강 삼천에 서식하는 점줄종개 Cobitis lutheri의 성장과 산란상태)

  • Ko, Myeong-Hun;Park, Jong-Yeong
    • Korean Journal of Ichthyology
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    • v.23 no.2
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    • pp.158-162
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    • 2011
  • Growth and spawning ecology of Cobitis lutheri (Teleoste: Cobitidae) were investigated in the Samcheon Stream, Mangyeong River, Jeollabuk-do, Korea from 2005 to 2006. Age group of C. lutheri estimated from the total length indicated that the 40 ~ 60 mm group is 1 year old, the 60 ~ 80 mm group is 2 years old, and the 80 ~ 110mm group is 3 ${\leq}$ years old. The sex ratio (Male/Female) was 0.78, and the female was 20 ~ 30 mm larger than the male. Lamina circularis at the base of pectoral fins in the males as a secondary sexual character was created 12 months after hatching. A change of lateral coloration of males was observed from April to September. The spawning season was early to middle July with water temperatures of $24{\sim}26^{\circ}C$. The average number of eggs was $1,127{\pm}453$ with the egg diameter of $1.09{\pm}0.02$ mm.

The Clinical Experience of 610 Cases Open Heart Surgery (개심술 610례에 관한 임상적 고찰)

  • 정황규
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.36-47
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    • 1988
  • 610 cases of open heart surgery was performed in the Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital from July 1981 to September 1987. The clinical data was summarized as follows: 1. The age distribution of congenital heart surgery patients was 2 to 41 years old [mean; 13.2 years] and surgery for acquired heart disease was 10 to 57 years old [mean: 32.8 years]. 2. There were 389 cases [63.8%] of acyanotic congenital heart anomalies, 63 cases [10.3%] of cyanotic congenital anomalies and 158 cases [25.9%] of acquired heart disease. 3. For myocardial protection, Bretschneider and potassium glucose solution had been used as cardioplegic solution and then since 1983, GIK solution has been used with repeated infusion method once for every 20 to 30 minutes of time interval after starting initial cardioplegia during operation with excellent results. 4. The ingredient of the priming solution is Hartmann`s solution, sodium bicarbonate, mannitol, potassium chloride, fresh ACD whole blood, calcium chloride, heparin and dexamethasone. 5. There were 96 cases [15.7%] of mild hypothermia, 333 cases [54.6%] of moderate hypothermia and 181 cases [29.7%] of intermediate hypothermia. 6. The mortality rate was 2.3% [9 out of 389 cases] in acyanotic congenital heart disease, 36.5% [23 out of 63 cases] in cyanotic congenital heart disease and 10.8% [17 out of 158 cases] in acquired heart disease, with overall mortality rate of 8.0% [49 out of 610 cases].

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Bone Mineral Density of Normal Korean Adult Using QCT (적량적 전산화단층촬영을 이용한 한국인의 골밀도)

  • Lee Jong Deok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.6
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    • pp.1918-1926
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    • 2004
  • Osteoporosis is defined as a progressive systemic skeletal disorder characterized by low bone mineral density, microarchitectual deteriorations of bone and susceptibility to fracture. numerous methods have been used for quantitative assessment of the skeleton in osteoporosis. QCT has been shown to measure changes in trabecular mineral content in the spine with great sensitivity and precision. To provide the normal reference values and changes of lumbar spinal bone mineral density in korean adult spinal bone mineral density was evaluated in 451 women (229 premenopausal and 222 postmenopausal women) and 206 men, aged 20 to 74 years old in Wonkwang hospital from 2000 to 2004, which was carried out by using QCT. women with oophorectomy, vertebral compression fracture, any history of endocrine disease and use of drugs that alter bone metabolism were excluded. According to the WHO definition, a patient is osteoporotic based on a bone mineral density(BMD) measurement that is 2.5 standard deviations (SDs) below typical peak bone mass of young healthy white women. This measurement of standard deviation from peak mass is called the T score. BMD values of normal women in their 20-24 years, 25-29 years, 30-34 years, 35-39 years, 40-44 years, 45-49 years, 50-54 years, 55-59 years, 60-64 years, 65-69 years, over 70 years were 168.95㎎/㏄ K₂PHO₄, 155.41㎎/㏄ K₂PHO₄, 166.87㎎/㏄ K₂PHO₄, 160.67㎎/㏄ K₂PHO₄, 154.06㎎/㏄ K₂PHO₄, 132.04㎎/㏄ K₂PHO₄, 114.05㎎/㏄ K₂PHO₄, 91.78㎎/㏄ K₂PHO₄, 78.61 ㎎/㏄ K₂PHO₄, 61.35㎎/㏄ K₂PHO₄, 50.53㎎/㏄ K₂PHO₄ Mean bone density of normal women was 115.77K₂PHO₄ K₂PHO₄. BMD values of normal men in their 20-24 years, 25-29 years, 30-34 years, 35-39 years, 40-44 years, 45-49 years, 50-54 years, 55-59 years, 60-64 years, 65-69 years, over 70 years were 171.46㎎/㏄ K₂PHO₄, 162.19㎎/㏄ K₂PHO₄, 155.62㎎/㏄ K₂PHO₄, 147.28㎎/㏄ K₂PHO₄, 137.56㎎/㏄ K₂PHO₄, 137.56㎎/㏄ K₂PHO₄, 101.25㎎/㏄ K₂PHO₄, 109.00㎎/㏄ K₂PHO₄, 103.32㎎/㏄ K₂PHO₄, 91.53㎎/㏄ K₂PHO₄, 88.35㎎/㏄ K₂PHO₄ Mean density of normal men was 115.77㎎/㏄ K₂PHO₄. Peak bone density of women and men was in the age group of 20-24 years and 168.95㎎/㏄ K₂PHO₄, 171.46㎎/㏄ K₂PHO₄, respectively. Bone loss was increased with aging and was accelerated in postmenopausal women than that of premenopausal women. The total loss of BMD for women and men was 70.09% and 48.47%, respectively. Postmenopausal women(mean BMD : 85.83㎎/㏄ K₂PHO₄) had significantly lower BMD than premenopausal women(meand BMD : 144.80㎎/㏄ K₂PHO₄)(p<0.001). The annual loss of BMD of women and men was 2.702㎎/㏄ K₂PHO₄ and 1.795㎎/㏄ K₂PHO₄, respectively. This study provided the BMD reference data for normal korean adult. further studies on BMD in healthy adult and comparison with published data are needed.