• Journal of Chest Surgery
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• 제24권1호
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• pp.48-53
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• 1991

This report documents the clinical k pathologic features of 33 patients treated for thymoma for 11 years & 6 months between September 1977 and February 1989. At the Thoracic & Cardiovascular Surgery, Yonsei University, College of Medicine of the group, 31 patients treated with surgery were examined for the result of operation & prognosis. Mean age was 50 years. Thirteen were female and twenty were male. Dyspnea on exertion and chest discomfort were common in the patients without myasthenia gravis. Fourteen patients[42.6%] had myasthenia gravis and one patient had autoimmune thyroid disease. Four patients[12.1%] presented without symptoms attributable to their thymoma. Histologic review disclosed 12[36.4%] epithelial thymoma, 10[30.3%] mixed lymphoepithelial, 9[27.3%] lymphocytic, 1[3.0%] spindle cell and 1[3.0%] unknown cell thymoma. They were classified according to Masaoka`s clinical staging criteria; by these criteria, 8 patients were stage I, 5 patients were stage II, 15 patients were stage III and 3 patients were stage IV. Total excision of mass was possible in 20 patients. Partial excision of mass in 4 patients and biopsy in 7 patients were carried out during the operation. There was only one operation mortality. Follow-up was possible in 26 patients and follow-up ranged from 4 months to 10.5 years[mean 28.9 months]. One-year survival rates were 77.8% and eight patients expired during follow-up period. Eleven[78.6%] patients with myasthenia gravis were improved after the operation. This observation suggests that the most significant factor determining the survival is whether or not total surgical excision had been performed.

• 한국양식학회지
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• 제10권4호
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• pp.439-447
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• 1997

청평내수면연구소에서 발생한 쏘가리 치어의 대량 폐사 원인을 조사하였다. 병어로부터 분리된 원인균은 생화학적 및 생리학적 특성에 의해 Aeromonas hydrophila (A. hydrophila)로 동정되었다. A. hydrophila을 쏘가리 치어(3-4 g)에 침지, 경구투여, 근육피하 주사 및 세균이 분비한 가용성 세포의 산물 주사 등 여러 가지로 감염 실험을 하였다. 그 결과 근육피하 주사 실험군에 있어서는 다른 감염 실험에서보다 높은 폐사율을 보였고, 가용성 세포외 산물도 고농도 ($8{\times}10^9$ cfu/ml)로 처리한 어류에서는 3-6시간 이내에 모두 폐사되었다. 이러한 결과는 쏘가리 치어가 A. hydrophila에 감수성이 높은 것을 보여주었다.

• Journal of Chest Surgery
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• 제51권2호
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• pp.100-108
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• 2018

Background: The question of which type of prosthetic aortic valve leads to the best outcomes in patients in their 60s remains controversial. We examined the hemodynamic and clinical outcomes of aortic valve replacement in sexagenarians according to the type of prosthesis. Methods: We retrospectively reviewed 270 patients in their 60s who underwent first-time aortic valve replacement from 1995 to 2011. Early and late mortality, major adverse valve-related events, anticoagulation-related events, and hemodynamic outcomes were assessed. The mean follow-up duration was $58.7{\pm}44.0$ months. Results: Of the 270 patients, 93 had a mechanical prosthesis (mechanical group), and 177 had a bioprosthesis (tissue group). The tissue group had a higher mean age and prevalence of preoperative stroke than the mechanical group. The groups had no differences in the aortic valve mean pressure gradient (AVMPG) or the left ventricular mass index (LVMI) at 5 years after surgery. In a sub-analysis limited to prostheses in the supra-annular position, the AVMPG was higher in the tissue group, but the LVMI was still not significantly different. There was no early mortality. The 10-year survival rate was 83% in the mechanical group and 90% in the tissue group. The type of aortic prosthesis did not influence overall mortality, cardiac mortality, or major adverse valve-related events. Anticoagulation-related events were more common in the mechanical group than in the tissue group (p=0.034; hazard ratio, 4.100; 95% confidence interval, 1.111-15.132). Conclusion: The type of aortic prosthesis was not associated with hemodynamic or clinical outcomes, except for anticoagulation-related events.

• 농촌의학ㆍ지역보건
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• 제18권1호
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• pp.43-54
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• 1993

In order to find the factors associated with the death of hypertensives, 12 year follow-up study for 267 hypertensives whose average blood pressure were 140/90 mmHg or above during their first health screening in 1979-1980 at YongJin Township, Wanju Country, North Cholla Province by the Community Health Team of Chonju Presbyterian Medical Center. The study results are as follows : 1. Initial general characteristics of hypertensives were studied. The age distribution of studied hypertensives showed 27.3% in 40-49 years, 25.8% in 50-59 years, 29.6% in 60-69 years and 17.2% In 70 + years old group. Marital status showed that 82.8% of hypertensives had their wife or husband. 74. 5% were employed on agriculture. 56.5% of hypertensives were illiterate. 2. Among the hypertensives, 91.6% of male and 22.8% of female reported that they were smokers. 82.6% of hypertensives had body mass index lower than 25 Kg/$m^2$. 46.8% of average systolic blood pressure were 160mmHg or above and 54.3% of average diastolic blood pressure were 95mmHg or above. 3. Twenty percent of hypertensives reported that they were treating hypertension at the beginning of follow up, while 68.5% reported that they were not treated. 28.1% reported that they were treating hypertension within 6 months before last follow-up. but 69.3% reported that they were not treated for hypertension within Ii months before last follow up. So 50.6% were classified as never treated group and 41.2% as treated group. 4. Average blood pressure for initial 3 years were calculated. The change of average systolic blood pressure was observed as $161.3{\pm}19.4mmHg$ at the first year, $145.6{\pm}28.0mmHg$ at the second year and $141.4{\pm}37.2mmHg$ at the third year. Average diastolic blood pressure were changed from $96.2{\pm}14.4mmHg$ at the first year to $90.6{\pm}18.6mmHg$ at the second year and $86.4{\pm}22.9mmHg$ at the third year. 5. By the follow-up of hypertensives, 54 hypertensives (46.2%) among 117 male hypertensives and 50 hypertensives (33.3%) among 150 female hypertensives died for 12 years. 42.6% of male death and 52.0% of female death were caused by cerebrovascular diseases. 6. Through univariate statistical test about the association between general characteristics or cardiovascular risk factors of hypertensives and mortality for 12 years, age variable among male and among female age, marital status, occupation. educational level. systolic blood pressure and treatment status were shown as significant variable to influence upon the mortality. 7. By multiple logistic regression analysis, among male age and systolic blood pressure were selected as significant variable to be associated with the total mortality for 12 years. Among female age, systolic blood pressure and treatment status were selected as statistically significant variable to be associated with the total mortality for 12 years.

• 한국해양학회지:바다
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• 제16권1호
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• pp.39-51
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• 2011

본 연구는 해수담수화 부산물인 고염해수에 대한 어류의 단기적인 영향을 평가하기 위하여 해양생태독성평가용 표준시험종인 송사리(Oryzias latipes)를 이용하여 급성독성평가 및 행동패턴의 변화를 관찰하였다. 30.0 psu 해수에 순치된 송사리를 7일 동안 고염수에 노출하여 급성독성평가를 수행한 결과, 40.0~80.0 psu에 노출된 송사리의 사망률은 농도-반응의 선형관계가 뚜렷하였다. 반면 40.0 psu 이하의 염분에서는 송사리의 독성반응이 관찰되지 않았으나 50.0 psu 보다 높은 농도에서는 뚜렷한 독성 반응이 나타났다(7-day $LC_{50}$=514 psu). 송사리의 행동 변화 분석은 카메라를 통해 투시된 실시간 배정 영상을 추출하여 현재의 프레임과 차영상을 추출하는 기법을 이용하였다. 고염수 노출에 따른 송사리의 행동변화를 분석한 결과, 40.0 psu와 50.0 psu에 노출되고, 각각 3.1시간과 4.6시간 동안 초기 염분 스트레스를 받은 후에는 안정된 활동패턴을 보였다. 그러나 60.0 psu 보다 높은 농도에 노출된 송사리의 활동량은 염분노출 초기에 급격히 증가하였으며, 50% 가량 사망하였다. 70.0 psu 보다 높은 농도에서 실험생물의 활동량은 노출 후 급격히 증가하였으며, 행동패턴은 심각하게 교란되었고, 12시간 이내에 모든 개체가 사망하였다. 본 연구 결과, 고염해수에 대한 급성독성평가와 행동변화 모니터링 결과는 유의한 연관성이 나타났으며, 따라서 해수담수화에 따른 고염해수의 해양배출은 확산후 최종농도가 50.0 psu 이하로 배출될 수 있도록 조절하여야한다. 또한 카메라 관찰을 통한 영상 분석 기법은 시험생물의 행동변화에 따른 영향을 실시간으로 모니터링할 수 있으므로 조기 경보시스템으로 활용 가지가 높은 것으로 판단된다.

• 대한두개안면성형외과학회지
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• 제14권2호
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• pp.129-132
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• 2013

Cutaneous squamous cell carcinoma is the second-most common skin cancer and represents 20% of all skin cancers. Cutaneous squamous cell carcinoma often spreads to the parotid gland through lymph nodes, but, direct invasion of an adjacent organ may also occur. We present the case of 78-year-old man with ulcerated mass on the right infra-auricular area. The histopathologic finding was squamous cell carcinoma. There was no evidence of distant metastasis, but the mass was found to invade the superficial lobe of the right parotid gland. The mass was widely excised and superficial parotidectomy was performed while preserving the facial nerve. The defect was covered by primary closure. Postoperative radiotherapy was performed. At 20 months after surgery, our patient had no facial palsy, local recurrence, or metastasis. Cutaneous squamous cell carcinoma involving the parotid gland is an aggressive, rapidly advancing lesion, which if not recognized and treated early will result in high morbidity and mortality. Squamous cell carcinoma of the parotid gland has shown that patients who receive adjuvant radiotherapy have a lower recurrence rate and a higher survival rate than patients treated with surgery alone. The role of elective neck dissection remains controversial.

• 한국패류학회지
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• 제30권3호
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• pp.273-279
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• 2014

The mass mortalities have been occurring of Korean scallop Patinopecten yessoensis from 1997's to now in Korea east sea. Cages behavior and interference effect (common name; curtain effect) between scallop cages were investigated in culture grounds on the eastern coastal waters of Korea for understand to mechanism of rising about mass mortalities of Korean scallop quickly. The first experiment was carried out in circulating water channel to assess inclination angel from relationship between velocity and cages interval, velocity with culture cages position. An angle of inclination of scallop culture cages were 94.6 to 92.3 degree under a several velocity which were from 0.1 m/s and 131.9 to 118.1 degree under 0.5 m/s with cages interval were 1 m, 94.3 to 91.0 degree under velocity is 0.1 m/s and 133.2 to 122.4 degree under 0.5 m/s with cages interval were 1.5 m and 94.6 to 96.4 degree under velocity is 0.1 m/s and 131.7 to 131.8 under 0.5 m/s with cages interval were 2 m. The second experiment was designed to prove the tank test. Velocities were measured inside and outside of the scallop culture ground at eastern sea of Korea. The velocity of inside of the culture was the slowest as 0.1m/s. In this result, interference between former cage and after cage was occurred.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7497-7500
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• 2013

Background: This study concerns clinical characteristics and survival of renal cell carcinoma (RCC) patients in University Malaya Medical Centre (UMMC), as well as the prognostic significance of presenting symptoms. Materials and Methods: The clinical characteristics, presenting symptoms and survival of RCC patients (n=151) treated at UMMC from 2003-2012 were analysed. Symptoms evaluated were macrohaematuria, flank pain, palpable abdominal mass, fever, lethargy, loss of weight, anaemia, elevated ALP, hypoalbuminemia and thrombocytosis. Univariate and multivariate Cox regression analyses were performed to determine the prognostic significance of these presenting symptoms. Kaplan Meier and log rank tests were employed for survival analysis. Results: The 2002 TNM staging was a prognostic factor (p<0.001) but Fuhrman grading was not significantly correlated with survival (p=0.088). At presentation, 76.8% of the patients were symptomatic. Generally, symptomatic tumours had a worse survival prognosis compared to asymptomatic cases (p=0.009; HR 4.74). All symptoms significantly affect disease specific survival except frank haematuria and loin pain on univariate Cox regression analysis. On multivariate analysis adjusted for stage, only clinically palpable abdominal mass remained statistically significant (p=0.027). The mean tumour size of palpable abdominal masses, $9.5{\pm}4.3cm$, was larger than non palpable masses, $5.3{\pm}2.7cm$ (p<0.001). Conclusions: This is the first report which includes survival information of RCC patients from Malaysia. Here the TNM stage and a palpable abdominal mass were independent predictors for survival. Further investigations using a multicentre cohort to analyse mortality and survival rates may aid in improving management of these patients.

• 한국가금학회지
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• 제14권2호
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• pp.125-135
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• 1987

본 시험은 산란계사료의 에너지 및 단백질 수준이 하절기에 있어서 갈색 산란계의 생산성에 미치는 영향을 구명하기 위하여 대사에너지 3수준(2,500, 2700 및 2900Kcal/kg)과 단백질 3수준(13, 15 및 17%)을 조합한 9개처리에 24주령된 Warren 산란계 720수를 공시하여 1983년 6월 3일부터 동년 8월 25일까지 12주간에 걸쳐 시험을 실시한 바 그 결과는 다음 요약과 같다. 1. 산란율은 에너지 수준이 증가할수록 점차 저하되었고 단백질 수준이 증가할수록 점차 증가하였다. 2. 란중은 에너지 수준에 따라서 큰 차이가 없었으나 단백질 수준이 증가할수록 증가하였다. 3. 사료섭취량은 에너지 수준이 증가할수록 점차 감소하였으나, 단백질 수준에 따라서는 차이가 없었다. 4. 사료요구율은 단백질 수준이 증가할수록 점차 개선되었다. 5. 폐사율은 사료중의 에너지 및 단백질 수준에 영향을 받지 않았다. 6. 1일수당 에너지 섭취량은 사료중의 에너지 수준이 증가할수록 점차 증가하였다. 7. 산란 kg당 대사에너지 요구량은 에너지 수준이 증가할수록 점차 증가하였으며 단백질 수준이 증가할수록 감소하였다. 8. 산란kg당 단백질 요구량은 에너지 및 단백질수준이 증가할수록 점차 증가하였다. 9. 산란kg당 사료비는 에너지 수준이 증가할수록 점차 증가하였고 단백질 수준이 증가할수록 점차 감소하였다.

• Journal of Gastric Cancer
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• 제12권2호
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• pp.108-112
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• 2012

Purpose: Since a patient's obesity can affect the mortality and morbidity of the surgery, less drastic surgeries may have a major benefit for obese individuals. This study evaluated the feasibility of performing a totally laparoscopic distal gastrectomy, with intracorporeal anastomosis, in obese patients suffering from gastric cancer. Materials and Methods: This was a retrospective analysis of the 138 patients, who underwent a totally laparoscopic distal gastrectomy from April 2005 to March 2009, at the National Kyushu Cancer Center. The body mass index of 20 patients was ${\geq}25$, and in 118 patients, it was <25 kg/$m^2$. Results: The mean values of body mass index in the 2 groups were $27.3{\pm}2.2$ and $21.4{\pm}2.3$. Hypertension was significantly more frequent in the obese patients than in the non-obese patients. The intraoperative blood loss, duration of surgery, post-operative complication rate, post-operative hospital stay, and a number of retrieved lymph nodes were not significantly different between the two groups. Conclusions: Intracorporeal anastomosis seemed to have a benefit for obese individuals. Totally laparoscopic gastrectomy is, therefore, considered to be a safe and an effective modality for obese patients.