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Surgical Management of Duodenal Traumatic Injuries: A Single Center Study (외상성 십이지장 손상의 수술적 치료: 단일 기관 연구)

  • Park, Oh Hyun;Park, Yun Chul;Lee, Dong Gyu;Kim, Ho Hyun;Park, Chan Yong;Kim, Jung Chul
    • Journal of Trauma and Injury
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    • v.26 no.3
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    • pp.157-162
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    • 2013
  • Purpose: Abdominal trauma rarely causes injuries involving duodenum. But, it is associated with higher rate of the complication and mortality than other abdominal injuries. There are many options for the management of duodenal injuries. Herein we are to review our experiences and find out the risk factors related to the morbidity and the mortality in traumatic duodenal injuries. Methods: The medical records of total 25 patients who managed by surgical managements and survive more than 48 hours were conducted from January 2006 to December 2012. The clinical characteristics, treatments, and outcomes are reviewed. Results: Among 25 patients, most of them (n=17, 68.0%) were managed by the pyloric exclusion and the gastrojejunostomy. The $3^{rd}$ portion is the most injured site (n=15, 60.0%), and the majority exhibited grade 2 severity (n=14, 56.0%). Most of patients had blunt abdominal traumas (n=23, 92.0%) so that many of them (n=14, 56.0%) had other combined abdominal injuries. The mean ISS is $11.5{\pm}6.2$. The surgery related mortality rate was 28.0%. There was no statistical significance between each factors and the mortality except leakage (p=0.012). But, we could find some trends about traumatic duodenal injuries in this study. The mortality rates of them who older than 55 years were higher than others. And, all 3 patients who delayed the operation more than 24 hours after the trauma had some complications or died. Also, the patients who had the $2^{nd}$ portion injury, grade 3 injury, or combined abdominal injury were less survived. Conclusion: Duodenal injury is related to high rate of morbidity(47.8%) and mortality(28.0%). Age, portion of injury, OIS grade, ISS>15, combined intra-abdominal operation, and trauma to operation time over 24 hrs have some trend with attribution to mortality. Especially leakage of duodenal injury is related to mortality.

Safety countermeasures for the marine casualties of fishing vessels in Korea (우리나라의 어선 해양사고에 대한 안전대책)

  • Kang, Il-Kwon;Kim, Hyung-Seok;Shin, Hyeong-Il;Lee, Yoo-Won;Kim, Jeong-Chang;Jo, Hyo-Jae
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.43 no.2
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    • pp.149-159
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    • 2007
  • Marine casualties of fishing vessels were analyzed to reduce the sacrifice of human life using data of the Korean Maritime Safety Tribunal from 1995 to 2004 in Korea. The occurred number of fishing vessel casualties were likely to be higher portion than non-fishing vessels, but the occurring ratio of fishing vessel casualties were marked 2.96 times lower than that of non-fishing vessel casualties. The occurring ratios of bigger fishing vessel casualties were higher than smaller ones. Most marine casualties were resulted from the human factors such as poor watchkeeping, negligent action for engine and etc. The trend of marine casualties showed that the machinery damage hold the first and collision accidents took the second, but on a point of cause of them, operating errors took first and poor handling or inspection of machinery held the second place. Because those two casualties took major portion, and very important problems for safety of fishing vessels, so we ought to try to reduce the factors before everything else. In addition, since collision, sinking and capsizing in marine casualties have led to death, missing and injury of lives, it is necessary for navigation operators to take more educations and training intended to reduce the marine casualties systematically and continuously.

Effects of Germinated Brown Rice Addition on the Flavor and Functionality of Yogurt

  • Kim, Mi-Hye;Ahn, Sung-Il;Lim, Chan-Mook;Jhoo, Jin-Woo;Kim, Gur-Yoo
    • Food Science of Animal Resources
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    • v.36 no.4
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    • pp.508-515
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    • 2016
  • This study aimed to investigate the functional and physicochemical properties of yogurt, supplemented with germinated brown rice (GBR) containing γ-aminobutyric acid (GABA), during storage. GBR was produced by soaking brown rice at 30℃, and saccharified germinated brown rice (SGBR) was produced by treating brown rice with α- and β-amylase for 1 h, at 80℃ and 60℃, respectively. Yogurt was manufactured using a commercial starter (YC-X11, CHR. Hansen, Denmark) at 37℃ for 12 h. The fatty acids and GABA contents were analyzed using GC and HPLC, respectively. The fatty acids in the cereal samples consisted of oleic, linoleic, and palmitic acid. The portion of oleic acid was the highest, at 35.65% in GBR, and 32.16% in SGBR. During germination, the oleic acid content increased, whereas linolenic and palmitic acid contents from GBR tended to decrease. Although the portion of saturated fatty acids, such as stearic and myristic acid, decreased significantly (p<0.05), that of unsaturated fatty acids, such as oleic and linoleic acid, increased with an increase in supplementation of BR, GBR, or SGBR in the yogurt. The yogurt, supplemented with cereal samples, showed a tendency of an increase in the concentration of GABA with an increase in the supplementation of the cereal samples. However, yogurt supplemented with GBR showed the highest concentration of GABA, regardless of the supplementation of the cereal samples. These results indicated that yogurt supplemented with BR, GBR, or SGBR could be a promising dairy product.

Fate of Some Pesticides during Brining and Cooking of Chinese Cabbage and Spinach

  • Kang, Se-Mi;Lee, Mi-Gyung
    • Food Science and Biotechnology
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    • v.14 no.1
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    • pp.77-81
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    • 2005
  • Chinese cabbage and spinach applied with eight pesticides at two different rates were subjected to brining, heat-cooking, and blanching to determine residue or transfer ratios of those pesticides. Residue ratio in discarded inedible portion varied significantly, 0-94%, depending on pesticides applied, vegetable type, and cooking processes. Average reduction ratios of residues during cooking process were 78, 46, 23, 12, 10, 9, 8, and 2% in dichlorvos, diazinon, chlorpyrifos, endosulfan, EPN, cypermethrin, deltamethrin, and fenvalerate, respectively.

A Design of All Metal Inserted E-Plane Waveguide Bandpass Filter Using GSM and Synthesis Design Method (GSM과 합성설계 방법을 이용한 E-평면형 마이크로파 도파관형 대역통과 여파기 설계)

  • 김영태;박준석;정명섭;천창율;김선형;임재봉
    • Proceedings of the Korea Electromagnetic Engineering Society Conference
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    • 2002.11a
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    • pp.173-176
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    • 2002
  • An efficient design method for E-plane waveguide bandpass filter has been developed. The analysis method for E-plane discontinuities with finite length is based on Generalized Scattering Matrix (GSM) method. Furthermore, the design portion is based on the filter synthesis method. Waveguide bandpass filters designed with this method have been fabricated and measured. Excellent agreements with design have been obtained

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Long-term Change and Factors Affecting the Fatness of the Pacific Oyster Crassostrea gigas in Tongyeong-Geoje Bays, Korea (통영-거제해역 수하연 양식 참굴(Crassostrea gigas)의 비만도 장기변화와 영향 요인 고찰)

  • Shim, JeongHee;Lee, Sang Jun;Koo, Jun-Ho;Jeong, Rae Hong
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.54 no.4
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    • pp.434-444
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    • 2021
  • The decrease in fatness of the Pacific oyster Crassostrea gigas, which consequently results in decrease in the profit of aquaculture industry, has become a source of serious concern in southeast coast of Korea. The ratio of flesh (edible portion) to total oyster weight, commonly called edible portion yield ("suyul" in Korean), have been used as a fatness index for the healthy and valuable state of oyster from the early stage of oyster farming in Korea. More than 360 data sets were collected from early culturing periods (in the 1970s) to the present from approximately 15 published literatures to evaluate the long-term fatness trend of oyster, reared particularly in submerged longline culturing system in Gyeongsangnam-do province. Slight decrease in oyster fatness during the 1970s to 1990s was detected in Tongyeong and Geoje Bays; however, from the 1990s to the present, clear decreasing trends were observed with a decrease of 0.04-0.08% year-1, especially during harvest season. Oyster mass production per unit area almost doubled within a short period in the early 2000s; however, changes in coastal environment factors inhibited the fattening of shellfish from the mid 1990s. These results indicate that the severe competition in feeding and low biological production in water column might be some convincing reasons for the decrease in fatness of oyster from the 1990s, in Tongyeong and Geoje Bays, Korea.

Liposoluble portion of the red alga Pyropia yezoensis protects alcohol induced liver injury in mice

  • Lee, Ji-Hyeok;Ahn, Ginne;Ko, Ju-Young;Kang, Nalae;Jung, Kyungsook;Han, Eui-Jeong;Kim, Gwang-Hoon;Kim, Hee Jeong;Choi, Cheol Soo;Jeon, You-Jin
    • ALGAE
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    • v.36 no.3
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    • pp.219-229
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    • 2021
  • The hepatoprotective effect of liposoluble portion of Pyropia yezoensis (PYLP) was investigated against alcohol-induced liver injury in mice. Fatty acids were predominant in PYLP obtained from hexane fraction of 70% EtOH extract after ultrasonication. In particular, polyunsaturated fatty acids such as eicosapentaenoic acid and linoleic acid accounted for 56.91% of the total lipids. PYLP significantly reduced liver damage induced by the alcohol treatment in mice. PYLP treatment increased the activity of antioxidant enzymes including superoxide dismutase, catalase, and glutathion peroxidase by reducing thiobarbituric acid reactive substances. Histological observations showed that PYLP minimizes damage to living tissue induced by alcohol treatment by modulating the expression level of proteins involved in the anti-apoptotic signaling pathway. Our results suggest that PYLP, rich in polyunsaturated fatty acids extracted from the red alga P. yezoensis, will be useful as a potential liver protectant in the hangover industry.

Laparoscopic Operation for Superior Mesenteric Artery Syndrome and Follow-up with 3-Dimensional Reconstructive CT - 1 Case Report - (상장간막동맥 증후군의 복강경 수술 및 3차원재건 복부 전산화단층촬영 영상을 이용한 추적관찰 -1예보고-)

  • Kim, Seong-Min;Kim, Sung-Hoon;Kwon, In-Kyou;Kim, Myoung-Joon;Hyoung, Woo-Jin;Choi, Seung-Hoon
    • Advances in pediatric surgery
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    • v.11 no.2
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    • pp.180-185
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    • 2005
  • Superior mesenteric artery (SMA) syndrome is a rare disorder caused by extrinsic compression of the third portion of the duodenum by the SMA. The operative treatment of choice is bypassing the obstructed duodenal segment by duodenojejunostomy. We report one case of SMA syndrome treated by laparoscopic duodenojejunostomy and followed up by 3D-reconstructive CT scan. A fifteen-year-old boy with intermittent vomiting and weight loss was admitted. Ultrasonography showed narrowing of the distance between the SMA and aorta. Hypotonic duodenography showed dilatation of duodenal third portion and barium stasis. On 3Dreconstructive CT scan, the angle between SMA and aorta was $37^{\circ}$. The postoperative course was uneventful. Three months later, he had gained 3 kg of weight and the angle between SMA and aorta increased to $38-39^{\circ}$ on 3D reconstructive CT scan. Laparoscopic duodenojejunostomy for bypassing the obstructive duodenum in SMA syndrome is a feasible and safe method.

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Antreior Single Tooth Restoration for Esthetics (전치부 단일 치아의 심미적수복에 관한 증례)

  • Jhang, Young Myung
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.7 no.1
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    • pp.28-31
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    • 1998
  • It is difficult to make an artificial central incisor similar to natural tooth. All ceramic porcelain of this patient is not esthetic, and there is gingival recession due to ill-fitted margin. She has class II division 1 occlusion, so upper central incisors is labioversed. Upper light central incisor is well-characterized but the yellowish brown color of dentin is appeared on the incisal third portion of the central incisor. At 1st trial, the shape and characterization of restoration is good but shade is little dark. At 2nd trial, the shape is better but patient complained on black triangle of mid interdental space, so mesiocervical portion of restoration is overcontoured to compromise the black triangle. Completed metal ceramic crown is in harmony with the adjacent central incisor in aspect of shape, shade, and characterization.

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