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Analysis of Surgical Risk Factors in Pulmonary (폐국균종의 수술위험인자 분석)

  • 김용희;이은상;박승일;김동관;김현조;정종필;손광현
    • Journal of Chest Surgery
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    • v.32 no.3
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    • pp.281-286
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    • 1999
  • Background: The purpose of this study is to analyze the types of complications, the incidences of complications, and preoperative and postoperative risk factors affecting the incidence of the complication. Material and Method: Between August 1990 and August 1997 in Asan Medical Center, 42 patients(24 men and 18 women) underwent surgical resection for pulmonary aspergilloma. The mean age was 46.6${\pm}$11.5 years(range 29 to 69 years). Hemoptysis(90%) was the most common presentation. Pulmonary tuberculosis was the most common predisposing cause(81%). The associated diseases were bronchiectasis(n=11), active puolmonary tuberculosis(n=9), diabetes mellitus(n=8), lung carcinoid(n=1), and acute myeloblastic leukemia(n=1). Lobectomy was done in 32 cases(76%), segmentectomy or wedge resection in 4, pneumonectomy in 2, and lobectomy combined with segmentectomy in 4. Result: Operative mortality was 2%. The most common postoperative complication was persistent air leakage(n=6). The variables such as age, sex, pulmonary function test, amount and duration of hemoptysis, associated diseases(diabetes mellitus, active pulmonary tuberculosis), mode of preoperative management(steroid, antifungal agent, bronchial arterial embolization), and modes of operative procedures were statistically insignificant. The radiologic extent of infiltration to normal lung parenchyme was statistically significant(p=0.04). Conclusion: We conclude that the extent of the infiltration to normal lung parenchyme in preoperative radiologic studies should be carefully evaluated to reduce the postoperative complications in surgery for pulmonary aspergilloma.

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Concurrent Chemoradiotherapy in Locally Advanced Esophageal Cancer (국소적으로 진행된 식도암에서 동시항암화학방사선치료의 결과)

  • Byun, Sang-Jun;Kim, Jin-Hee;Kim, Ok-Bae;Song, Hong-Suk
    • Radiation Oncology Journal
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    • v.29 no.1
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    • pp.20-27
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    • 2011
  • Purpose: This study was designed to evaluate the results of local control, survival rate, prognostic factors, and failure pattern in locally advanced esophageal cancer. Materials and Methods: We retrospectively studied 50 patients with locally advanced esophageal cancer treated with concurrent chemoradiotherapy at Keimyung University Dongsan Medical Center from June of 1999 to August of 2008. Seven patients with inappropriate data were excluded, and 43 patients were analyzed. There were 39 males and four female patients ranging in age from 43 to 78 years (median, 63 years). There were seven patients with stage IIA and 36 with stage III. Irradiation from 46 Gy to 63 Gy (median, 54 Gy) was carried out 5 days per week, 1.8 Gy once a day. There were eight patients with neo-adjuvant chemotherapy, and we mostly used 5-fluorouracil, cisplatin with 3 cycles for concurrent chemotherapy. The range of follow up periods was from 2 to 82 months (median, 15.5). Results: There were nine patients that exhibited a cornplete response, 23 that exhibited a partial response, 9 that exhibited no response, and 2 that exhibited disease progression. The median survival time was 15 months. Two-year and 5-year survival rates were 36.5% and 17.3%, respectively. Two-year and 5-year disease-free survival rates were 32.4% and 16%, respectively. Treatment failure occurred in 22 patients (51.2%). Patterns of failure were categorized as local failure in 18 patients and distant metastasis in four patients. In a univariate analysis for prognostic factors related to overall survival and disease-free survival, the hemoglobin levels during chemoradiotherapy (${\geq}$ 12 vs. <12, p=0.02(p=0.1) and the response to the treatments (CR/PR vs. NR/PD, p=0.002/p< 0.0001) were statistically significant. In a multivariate analysis, only response to the treatments was revealed to be statistically significant. There was no statistical significance associated with patient age, gender, disease stage, T-stage, smoking history, tumor location, or neo-adjuvant chemotherapy. Conclusion: Our survival rate was similar to those of other institutions. Local recurrence was the main reason for failure. It is suggested that further prospective studies should be performed to improve local control.

Changes in Marketability of Strawberry 'Maehyang' for Export as Affected by Concentration of Gaseous Chlorine Dioxide Treatment (이산화염소 가스 처리 농도에 따른 수출 딸기 '매향'의 상품성 변화)

  • Kim, Hye Min;Hwang, Seung Jae
    • Journal of Bio-Environment Control
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    • v.28 no.2
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    • pp.166-171
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    • 2019
  • This study was conducted to investigate the effect of gaseous chlorine dioxide ($ClO_2$) concentration and treatment method for maintaining marketability in strawberries 'Maehyang' for export. After harvesting strawberry colored with $60{\pm}5%$ of the skin, and the gaseous $ClO_2$ was applied as four treatments in the cold store set with $10^{\circ}C$ which were as follows: i) non-treatment (Control), ii) $0.2mg{\cdot}L^{-1}$ for 30 minutes, iii) $0.4mg{\cdot}L^{-1}$ for 30 minutes, and iv) continuously exposed at $0.4mg{\cdot}L^{-1}$ during the storage period. Weight loss, firmness, soluble solids content, color, incidence of gray mold, and quality grade of strawberries were investigated every 3 days during 16 days storage in cold store. The weight loss was consistently high at $0.2mg{\cdot}L^{-1}\;ClO_2$ treatment, and the weight loss was lower than other treatments when gaseous $ClO_2$ was continuously treated. Firmness was significantly higher at 0.2 and $0.4mg{\cdot}L^{-1}$ $ClO_2$ treatment on the 13th day of storage. Soluble solids content tended to below in continuous gaseous $ClO_2$ treatment. The colors showed no tendency as affected by concentrations and treatment methods of gaseous $ClO_2$. No gray mold was observed in the continuous gaseous $ClO_2$ treatment until the 13th day of storage. The quality grade was lower in gaseous $ClO_2$ treatment group than in the control. As a result, it was possible to decrease the weight loss and the incidence of gray mold by continuously treating the gaseous $ClO_2$ to strawberry 'Maehyang' for export during the storage period after harvest. However, further research is needed on method to maintain quality grades of fruits.

Analysis of the Nature of Science (NOS) in Integrated Science Textbooks of the 2015 Revised Curriculum (2015 개정 교육과정 통합과학 교과서의 과학의 본성(NOS) 분석)

  • Jeon, Young Been;Lee, Young Hee
    • Journal of Science Education
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    • v.44 no.3
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    • pp.273-288
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    • 2020
  • This study aims to investigate the presentation of the Nature of Science (NOS) in integrated science textbooks of the 2015 revised curriculum. The five integrated science textbooks published by the revised 2015 curriculum were analyzed with the conceptual framework of the four themes of the Nature of Science (NOS) (Lee, 2013) based on scientific literacy. The four themes of the NOS are 1. nature of scientific knowledge (theme I), 2. nature of scientific inquiry (theme II), 3. nature of scientific thinking (theme III), and 4. nature of interactions among science, technology, and society. The reliability of the textbooks analysis was measured between two coders by the Cohen's kappa and resulted in between 0,83 and 0,96, which means the results of analysis was consistent and reliable. The findings were as follows. First, overall theme II, nature of scientific inquiry emphasized on the integrated science textbooks of the 2015 revised curriculum by devoting the contents over 40 % in the all five publishing companies' textbooks. Second, while the theme II, nature of scientific inquiry was emphasized on the textbooks regardless of the publishing companies, other themes of the NOS were emphasized in different portions by the publishing companies. Thus, the focus among other three themes of the NOS was presented differently by the publishing companies except that in theme II, nature of scientific inquiry was most emphasized on integrated science textbooks. Third, the presentation of the NOS was identified similarly across the topics of integrated science textbooks except on topic 4. Environment and Energy. The theme IV, nature of interactions among science, technology, and society was emphasized reasonably only in the topic of Environment and Energy of the textbooks. Finally, the presentation of the NOS in the integrated science textbooks of the 2015 revised curriculum were more balanced among the four themes of the NOS with focus on the scientific inquiry compared to the previous curriculum textbooks.

A Study on the Distribution of Vascular Plants around Haemyeong Mt. (Seokmodo, Incheon) and the Comparison of Invasive Alien Plants in Surrounding Forests (해명산(인천광역시 석모도) 일대의 관속식물 분포 및 주변 산림의 침입외래식물 비교에 관한 연구)

  • Lee, Jong-Won;Lee, Jin Dong;Paik, WoenKi;Yun, Ho Geun
    • Korean Journal of Plant Resources
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    • v.35 no.2
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    • pp.201-241
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    • 2022
  • This study was investigated distributed the vascular flora of around Haemyeong Mt., located in Seokmodo, Incheon, and compared invasive alien plants in the surrounding forest 14 areas. This study carried out to be established a monitoring system for the remarkable plants etc. and used as basic data for biodiversity enhancement and conservation. The survey was conducted 19 times from April 2019 to October 2020. A total of 107 families, 382 genera, 616 species, 15 sub-species, 55 varieties, 8 formas, and 694 taxa were classified in the flora around Haemyeong Mt. areas. 17 taxa for Korea endemic plants. 12 taxa were classified for rare plants, and a total of 79 taxa were identified for floristic target species I~V. Halophytes consisted of 37 taxa. The invasive alien plants were classified as 66 taxa, and also there has been 126 taxa of them in Seokmodo and surrounding 14 forests. Plants that appeared in all 14 areas out of 126 taxa were classified as 7 taxa, such as Erigeron annuus. However, 48 taxa appeared only once in some areas, but it seems inevitable that they will spread in the future. Therefore, it is necessary to prepare a long-term conservation plan for native plants.

A Study on the Flora of Outstanding Forest Wetlands in the Eastern Part of Jeonnam Province (전남 동부지역 우량 산림습원의 관속식물상)

  • Lee, Jong-Won;An, Jong Bin;Kang, Shin-Ho;Yun, Ho-Geun
    • Korean Journal of Plant Resources
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    • v.35 no.1
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    • pp.134-167
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    • 2022
  • This study conducted monitoring of flora and vegetation in order to utilize basic data for forest wetland conservation targeting outstanding forest wetlands located in the eastern part of Jeonnam Province. The survey was carried out for a total of 54 times from May 2020 to October 2020, 1-2 times each for each season. The vascular plants of outstanding forest wetland in eastern Jeollanam-do were 93 families, 251 genera, 336 species, 5 subspecies, 47 varieties, 7 forma, and a total of 395 taxa. This was about 8.5% of 4,641 species of vascular plants in Korea Peninsula. A total of 8 taxa and 12 taxa were identified Korea endemic plants and rare plants respectively. A total of 68 taxa and 19 taxa of floristic target plants and invasive alien plants were classified each. the naturalized Index was 4.83% and the urbanized Index was 5.90%. As a result of the analysis by wetland type of the forest wetlands, obligate upland plants were the highest in the forest wetlands in the eastern Jeonnam province (61.4%), with unclassified wetland plants 19.1%, facultative wetland plants 8.2%, and obligate wetland plants 4.6%, facultative upland plants 4.5%, and facultative plants 2.3% were confirmed in the order.

Characteristics of Fracture System in Precambrian Metamorphic Rocks and Mesozoic Granites from Seokmo-do, Ganghwa-gun (강화군 석모도 일대의 선캠브리아기 변성암류 및 중생대 화강암류에서 발달하는 단열계의 분포특성)

  • Park, Deok-Won;Lee, Chang-Bum
    • The Journal of the Petrological Society of Korea
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    • v.19 no.2
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    • pp.123-139
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    • 2010
  • The properties of fracture system in Precambrian Jangbong schist and Mesozoic granites from Seokmo-do, Ganghwa-gun were investigated and analyzed. Most of the fractures measured at outcrops are nearly vertical or steeply dipping. Orientations of fracture sets in terms of frequency order are as follows: Set $1:N2^{\circ}E/77^{\circ}SE$, Set $2:N17^{\circ}E/84^{\circ}NW$, Set $3:N26^{\circ}E/64^{\circ}SE$, Set $4:N86^{\circ}W/82^{\circ}SW$, Set $5:N80^{\circ}W/77^{\circ}NE$, Set $6:N60^{\circ}W/85^{\circ}SW$, Set $7:N73^{\circ}E/87^{\circ}NW$, Set $8:N82^{\circ}W/53^{\circ}NE$, Set $9:N23^{\circ}W/86^{\circ}SW$, Set 10: $N39^{\circ}W/61^{\circ}NE$. Especially, the rose diagram of fracture strikes(N:240) indicates that there are two dorminant directions of N-S~NNE and WNW. These distribution pattern of fractures from Seokmo-do correponds with those of major lineaments from South Korea suggested in previous study. Meanwhile, the scaling properties on the length distribution of fracture populations have been investigated. First, fracture sets from Precambrian Jangbong schist and Mesozoic granites(north and south rock body) has been classified into five groups(group I~V) based on strike and frequency. Then, the distribution chart generalized the individual length-cumulative frequency diagram for above five groups were made. From the related chart, five subpopulations(group I~V) that closely follow a power-law length distribution show a wide range in exponents(-0.79~-1.53). These relative differences in exponent among five groups emphasizes the importance of orientation effect. From the related chart, the diagram of group III occupies an upper region among five groups. Finally, the distribution chart showing the chracteristics of the length frequency distribution for each rock body were made. From the related chart, the diagram of each rock body shows an order of porphyritic biotite granite < hornblende granodiorite < medium-grained biotite granite(south rock body) < medium-grained biotite granite(north rock body) < Precambrian Jangbong schist. From the related chart, the diagram of more older rock body in the formation age tends to occupy an upper region. Especially, the diagram of Precambrian Jangbong schist occupies an upper region compared with the diagrams of Mesozoic granites. These distributional chracteristics suggests that coexistence of new fracture initiation and growing of existing fractures corresponding with stress field acted since the formation of rock body.

Suitability Grouping System of Paddy Soils for Multiple Cropping -Part II : Criteria of the Suitability Grouping (다모작(多毛作)을 위한 답토양(畓土壤) 적성등급(適性等級) 구분(區分) -제(第)2보(報) : 적성등급(適性等級) 구분기준(區分基準))

  • Jung, Yeun-Tae;Park, Eun-Ho;No, Yeong-Pal;Um, Ki-Tae
    • Korean Journal of Soil Science and Fertilizer
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    • v.19 no.4
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    • pp.283-289
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    • 1986
  • To establish a suitability grouping system of paddy soils for multiple cropping of rice with other upland crops, the study was carried out after a few basic experiments. In succession to the results on basic experiment prior, the suitability system proposed and the results of application mentioned in this report were summarized as follows; 1. The factors of soil properties in the system were productivities represented by soil texture and drainage class, as well as salinity of surface and sub-soil pH of chemical properties were considered together with slope, warmth index, ground water table, parent materials etc. of soil physical or environmental conditions. The weights of the factors were combined with multiplicatively and additively so as the total marks of ideal soil to be 100. The system was composed with 5 suitability classes; over 91 mark is class I, under 60 mark class V, and each 10 point interval between classes. The limiting factors "P" (in the case that Physical properties or Productivity marks under 24), "S" (Surface slope less than 15) and "C" (Chemical condition below 15) etc. were appended up to two kinds to the classes except a part of soils in class I. 2. The areas where the warmth index exceed 110 in Yeongnam were 19% for class I, 22.7% for class II, 44.7% for class III, 11.5% for class IV, and 2.1% for class V. The rates in class I and II were slightly more than those of the whole country. 3. The points of each soil gained by the system had a positive correlation ($r=.922^{**}$) with the potential productivities.

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Morphological Variation of Winter Buds of Quercus variabilis BL. In Korea (굴참나무 천연집단(天然集團) 동아(冬芽)의 형태적(形態的) 변이(變異))

  • Song, Jeong-Ho;Park, Mun-Han;Han, Sang-Urk;Lee, Wi-Young;Park, Wan-Geun;Yi, Jae-Seon
    • Journal of Korean Society of Forest Science
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    • v.90 no.4
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    • pp.558-564
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    • 2001
  • For the study of morphological variation in winter buds of Q. variabilis $B_L$. natural populations in Korea, 16 populations were selected through the country in consideration of latitude, longitude, altitude, and geographical characters. Thirty trees were randomly selected from each population and 30 terminal and 30 lateral buds were sampled below 1/3 crown length of each tree. Four morphological characters including length and width of terminal and lateral buds were measured. 1. Length and width of terminal and lateral buds were in the ranges 6.9~11.3cm, 3.0~3.7cm, 6.1~8.9cm, and 2.5~3.1cm, respectively. The coefficient of variation were in about 20% in all the characters investigated. 2. All the characters were significantly different among populations as well as among individuals within populations. The degree of contribution of variance among individuals within populations was higher than that among populations. 3. Length of terminal bud showed positive correlation with length and width of lateral bud; and width of lateral bud with width of terminal bud and length of lateral bud. Also, positive correlations were observed between longitude and width of terminal bud, between latitude and length of terminal and lateral bud. 4. Cluster analysis using complete linkage method for winter bud characters showed two groups to Euclidean distance 3.4. They were group I of population 8 and group II of populations 1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15, and 16. However, group II was divided into two at Euclidean distance 1.5 that are a group including populations 1, 2, 7, 9, and 11(groupII-1) and the other group including populations 3, 4, 5, 6, 10, 12, 13, 14, 15, and 16(groupII-2).

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Clinical Analysis of Infective Endocarditis (감염성 심내막염의 임상적 고찰)

  • Kim, Hyuck;Kim, Young-Hak;Chung, Won-Sang;Shin, Kyung-Wook;Kim, Ji-Hoon
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.619-626
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    • 2010
  • Background: The indications and the optimal time of surgery of infective endocarditis are controversial. We report the surgical results of our hospital during the last 10 years with literature review. Material and Method: Between January 2000 and December 2009, we enrolled 23 infective endocarditis patients who underwent surgery, and analyzed retrospectively. In the preoperative blood culture, 8 cases (34.8%) were positive. The average preoperative antibiotics treatment period was $20.78{\pm}16.00$ days. There were 12 (52.2%) urgent operations. The average follow up period was $49.26{\pm}33.21$ months. Result: 20 mechanical valve replacements were performed, 9 in aortic position, 8 in mitral position and 3 in the both positions. The other procedures were one mitral valvuloplasty, one infected myxoma extirpation, and one infected pacemaker lead removal with debridement. The average period of postoperative intravenous antibiotic treatment was $24.39{\pm}15.98$ days. There were 5 complications, including 2 cases of postoperative bleeding, one postcardiotomy syndrome, one cerebral ischemia, and a low cardiac output syndrome. There were statistically significant postoperative improvement in NYHA class, left ventricle end diastolic/end systolic volume, and left atrium size (p-value < 0.05). Conclusion: We could obtain the satisfactory results without any moftalities by using sufficient preoperative antibiotics in hemodynamically stable patients, and by prompt surgery in unstable patients.