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Clinical Analysis of 500 Cases of Coronary Artery Bypass Grafting (관상동맥 우회술 500례의 임상적 고찰)

  • Shin, Yoon-Cheol;Kim, Ki-Bong;Ahn, Hyuk;Chae, Hurn;Rho, Joon-Ryang;Suh, Kyung-Phill
    • Journal of Chest Surgery
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    • v.32 no.6
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    • pp.525-531
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    • 1999
  • Background: We analyzed five hundred patients who underwent either isolated or concomitant coronary artery bypass grafting(CABG) between November 1981 and June 1997. Material and Method: There were 330 males and 170 females with a mean age of 57.4$\pm$8.9 years. To evaluate the preoperative status, we performed electrocardiograghy, echocardiography, MIBI scan, Duplex sonogram, common blood test including CK and LDH and coronary angiography. Result: Preoperative clinical diagnoses were unstable angina in 282 (56.4%), stable angina in 141 (28.2%), postinfarction angina in 58 (11.6%), acute myocardial infarction in 8 (1.6%), variant angina in 7 (1.4%) and failed percutaneous transluminal coronary angioplasty in 4 (0.8%) patients. Preoperative angiographic diagnoses were three-vessel disease in 263 (52.6%), two-vessel disease in 93 (18.6%), one-vessel disease in 71 (14.2%), left main disease in 68 (13.6%), and others in 5 (1.0%) patients. Patients had various risk factors for coronary disease, and the frequency of the risk factors such as hypertension, diabetes and smoking showed increasing tendency year by year. We used saphenous vein grafts in 1143, internal thoracic artery grafts in 442, radial artery graft in 17, and gastroepiploic artery graft in 1 anastomosis. The mean number of grafts was 3.2$\pm$1.2 per patient. Concomitant operations were prosthetic valve replacement or valvuloplasty in 31, coronary endarterectomy and angioplasty in 27, left main coronary angioplasty in 13, carotid endarterectomy in 5, and neurologic problems, bleeding, and perioperative myocardial infarction. The mean follow-up period was 25$\pm$23 months and there were 5 cases of reoperation. Conclusion: We hope that the surgical results would improve with the accumulation of experience, application of new myocardial protection technique, and timely intervention of mechanical assisted devices.

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Spawning Behavior, Egg and Larvae Developments of Maroon Clownfish, Premnas biaculeatus (Maroon Clownfish, Premnas biaculeatus의 산란습성과 난 발생 및 자치어의 외부형태발달)

  • Kim, Jong-Su;Choi, Young-Ung;Rho, Sum;Yoon, Young-Seock;Jung, Min-Min;Song, Young-Bo;Lee, Chi-Hoon;Lee, Young-Don
    • Journal of Aquaculture
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    • v.20 no.2
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    • pp.96-105
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    • 2007
  • A pair of maroon clownfishes with an indonesian native, reared in recirculation culture system to develope its aquaculture techniques. Courtship, spawning behavior, egg developments and rearing of the maroon clownfish larvae were documented. The larval development were described with illustrative figures. The spawning was occurred 8 times between Feburary and August 2004. The gravid female spawned during 15:00-20:00. The male mainly took care of the eggs supplying oxygen by water currents using their pectoral fins, anal fin and mouth. The fertilized eggs were separative-adhesive and oval in shape, and $1.99{\pm}0.03\;mm$ in longer diameter and $0.88{\pm}0.03\;mm$ in shorter diameter. The fertilized eggs were in deep-orange color. Cleavage occurred in 30 minutes after fertilization, and the egg reached 2 cells stage in 1 hour 10 minutes after fertilization at $27.0^{\circ}{\pm}0.5^{\circ}C$. The embryo was formed in 23 hours 40 minutes after fertilization. Hatching began in between $120{\pm}2$ hours and $150{\pm}12$ hours after fertilization at $27.0^{\circ}C$ in the incubator. Total length (TL) of the newly hatched larvae was 3.22 mm with mouth and anus opened. Ten days after hatching, mean TL of the larvae were 6.21 mm with 28 dorsal fin rays, 17 anal fin rays and 28 caudal fin rays. Nineteen days after hatching, mean TL of the larvae were 9.34 mm. At this stage the larva had three white bands on the body, and they began to feed on commercial diet.

Effect of Nutrient Solution Concentration on the Growth and Mineral Uptake of Various Wrap-up Vegetables and Herbs Grown with Mixed Planting in DFT Hydroponics (담액 수경재배 시 양액농도 처리가 혼식한 쌈 채소류와 허브류의 생육과 무기양분 흡수에 미치는 영향)

  • Seo, Tae-Cheol;Rho, Mi-Young;Gang, Nam-Jun;Lee, Seong-Chan;Choi, Young-Hah;Yun, Hyung-Kweon
    • Journal of Bio-Environment Control
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    • v.16 no.4
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    • pp.395-406
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    • 2007
  • The twenty seven wrap-up vegetables (13 Compositae, 14 Brassicaceae) and seven herbs (6 Labiatae, 1 Umbelliferae) were cultivated with a deep flow technique (DFT) hydroponic beds and treated with 3 levels of nutrient solution concentrations of 1.2, 2.4, and $3.6dS{\cdot}m^{-1}$ in summer and autumn season. The pH and electrical conductivity (EC) change of nutrient solution, fresh weight, and mineral contents of plants were investigated. The pH was maintained lower in high electrical conductivity (EC) treatment and in summer than autumn. EC of nutrient solution in EC $3.6dS{\cdot}m^{-1}$ treatment increased up to $4.8dS{\cdot}m^{-1}$ during the growing period in summer season. The growth of tested plants showed high variations by plant species and nutrient solution concentrations. The coefficient variation (CV) of the shoot fresh weight of plants was higher in summer than autumn. The growth of Compostiae and herbs was better at EC $1.2dS{\cdot}m^{-1}$, and 14 Brassicaceae was better at EC $2.4dS{\cdot}m^{-1}$ in summer. In autumn, the growth was better at EC $2.4dS{\cdot}m^{-1}$ in all plants except kale 'TBC F1' and red rape 'honchaetae'. In mineral contents, total nitrogen and potassium were higher in autumn than summer. Total nitrogen, potassium, calcium, magnesium were higher in Brassicaceae than others. Iron and manganese, however, were higher in Compositae. As the results, this study suggests that mixed planting of 27 wrap-up vegetables and 7 herbs in DFT hydroponics in two seasons was possible and EC $1.2dS{\cdot}m^{-1}$ in summer and EC $2.4dS{\cdot}m^{-1}$ in autumn be recommended as for the nutrient solution concentration to produce them safely year round.

A Study on Knowledge, Self-efficacy and Quality of Life in Rheumatic Arthritis Patients (류마티스 관절염 환자의 지식, 자기효능감 및 삶의 질과의 관계 연구)

  • Park, Hye-Sook;Kim, In-Sook
    • Journal of agricultural medicine and community health
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    • v.25 no.2
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    • pp.275-292
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    • 2000
  • The purpose of this study was to analyze the relationship between knowledge, self-efficacy and quality of life of patients suffering from rheumatic arthritis. The data were collected from 100 rheumatic arthritis patients 1 university hospital, K rheumatic clinic in kwang-ju city for 20 days from March 2 to March 22, 1999, by means of questionnaires. The instruments used in this study were the knowledge scale developed by Kim, the self-efficacy scale developed by Long et al and the quality of life scale developed by Rho. The data were analyzed by t-test, ANOVA, Pearson's Correlation Coefficient, and Stepwise Multiple Regression by using the SAS program. The results of this study were summarized as follows : 1. The total mean score of knowledge was 15.01(SD${\pm}$3.08), In self-efficacy, the total mean score was 1030.40(SD${\pm}$233.42), In quality of life, the total mean score was 135.19(SD${\pm}$11.07). 2. The relationship between general characteristics and knowledge were significant difference in sex(t=19.03, p=.00), occupation(F=2.34, p=.03), types of exercise (F=2.95, p=.0.3), and time of exercise(F=3.20, p.=02). 3. The relationship between general characteristics and self-efficacy were significant difference in religion(F=2.75, p=.04), in monthly salary(F=3.64, p=.01), in occupation(F=2.30, p=.03), in period of rheumatic arthritis(F=2.70, F=.03), in time of exercise(F=3.77, P=.01), and in effectiveness of exercise (F=4.56, p= .02). 4. The relationship between general characteristics and quality of life were significant difference in age(F=3.36, p=.01), monthly income(F=3.11, p=.02), types of housing(t=4.93, p=.02), arid time of exercise(F=3.03, p=.03). 5. There was not significant correlation between the subjects knowledge and quality of life. 6. There was significant correlation between the self-efficacy and quality of life(r=462, p<.011). 7. The main factor influencing on quality of life was self-efficacy(21.4%).

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Population Size Estimation of the Kaloula borealis in the Daemyung Retarding Basin (대명유수지에 서식하는 맹꽁이 Kaloula borealis 개체군 크기 추정)

  • Choi, Seo-Young;Rho, Paikho
    • Korean Journal of Environment and Ecology
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    • v.30 no.4
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    • pp.684-693
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    • 2016
  • Daemyung retarding basin located near the confluence floodplain of the Nakdong and Kumho River is a large spawning site for the endangered Kaloula borealis, and needs for protecting the habitat of the endangered species are increasing. However, scientific studies are rarely conducted on the population characteristics and ecological knowledge on the species in the basin. This paper aims to estimate the population size and spatial distribution of the species that inhabited at the Daemyung retarding basin, using the capture-recapture method. Also, pitfall traps were installed in each habitat types classified with micro-topographic features, slope aspects, and vegetation communities to identify the spatial distribution characteristics of the Kaloula borealis of each habitat in the retarding basin. Field survey on the species was conducted from May 2013 to October 2014, showing that the species emerged in May, became more active during July and August and started to hibernate at the end of October. Using capture-recapture method, the first survey was carried out from July to August, 2014. Ninety-eight toads were captured, marked, and released back into the site. In the second survey, 68 toads including 5 marked toads of the previous survey were captured. Based on these two-sample surveys, around 535-2,131 individual toads are estimated to inhabit the Daemyung retarding basin. Fifty-seven pitfall traps were installed in four habitat types: mounded and vegetated flatland, lowland swamps, and slope areas of both the southern and western parts of the basin in order to delineate spatial abundance of the endangered Kaloula borealis during the rainy season when the species is actively spawning. Pitfall traps at the spatially explicit array indicated that the species gradually move to the slope areas near the Daemyung stream, showing high occurrence density of the Kaloula borealis compared to the lowland swamps after the spawning season. The emergence of Kaloula borealis in the lowland swamps appeared to be comparatively higher during the spawning season. However, after the spawning season the toads species rapidly moved into the neighboring land of relatively high elevation such as the slope area towards the Dalsung protected wetlands and Daemyung River. These results are closely related to the migration patterns that toads tend to return to the sheltering sites and/or hibernating grounds after the spawning season. Also, the Kaloula borealis moved to the nearest high-level vegetated areas as the lowland swamps of their spawning grounds deteriorated with the expansion of permanent ponds due to the rise in the groundwater level.

Composition-Some Properties Relationships of Non-Alkali Multi-component La2O3-Al2O3-SiO2 Glasses (무알칼리 다성분 La2O3-Al2O3-SiO2 유리의 조성과 몇 가지 물성의 관계)

  • Kang, Eun-Tae;Yang, Tae-Young;Hwang, Jong-Hee
    • Journal of the Korean Ceramic Society
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    • v.48 no.2
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    • pp.127-133
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    • 2011
  • Non-Alkali multicomponent $La_2O_3-Al_2O_3-SiO_2$ glasses has been designed and analyzed on the basis of a mixture design experiment with constraints. Fitted models for thermal expansion coefficient, glass transition temperature, Young's modulus, Shear modulus and density are as follows: ${\alpha}(/^{\circ}C)=8.41{\times}10^{-8}x_1+5.72{\times}10^{-7}x_2+2.13{\times}10^{-7}x_3+1.09{\times}10^{-7}x_4+1.10{\times}10^{-7}x_5+1.15{\times}10^{-7}x_6+2.72{\times}10^{-8}x_7+2.41{\times}10^{-7}x_8-1.08{\times}10^{-8}x_1x_2+4.28{\times}10^{-8}x_3x_7-2.02{\times}10^{-8}x_3x_8-1.60{\times}10^{-8}x_4x_5-2.71{\times}10^{-9}x_4x_8-2.19{\times}10^{-8}x_5x_6-3.89{\times}10^{-8}x_5x_7$ $T_g(^{\circ}C)=7.36x_1+15.35x_2+20.14x_3+8.97x_4+13.85x_5+4.22x_6+28.21x_7-1.44x_8-0.84x_2x_3-0.45x_2x_5-1.64x_2x_7+0.93x_3x_8-1.04x_5x_8-0.48x_6x_8$ $E(GPa)=2.04x_1+14.26x_2-1.22x_3-0.80x_4-2.26x_5-1.67x_6-1.27x_7+3.63x_8-0.24x_1x_2-0.07x_2x_8+0.14x_3x_6-0.68x_3x_8+0.29x_4x_5+1.28x_5x_8$ $G(GPa)=0.35x_1+1.78x_2+1.35x_3+1.87x_4+9.72x_5+29.16x_6-0.99x_7+3.60x_8-0.48x_1x_6-0.50x_2x_5+0.08x_3x_7-0.66x_3x_8+0.94x_5x_8$ ${\rho}(g/cm^3)=0.09x_1+0.51x_2-4.94{\times}10^{-3}x_3-0.03x_4+0.45x_5-0.07x_6-0.10x_7+0.07x_8-9.60{\times}10^{-3}x_1x_2-8.20{\times}10^{-3}x_1x_5+2.17{\times}10^{-3}x_3x_7-0.03x_3x_8+0.05x_5x_8$ The optimal glass composition similar to the thermal expansion coefficient of Si based on these fitted models is $65.53SiO_2{\cdot}25.00Al_2O_3{\cdot}5.00La_2O_3{\cdot}2.07ZrO_2{\cdot}0.70MgO{\cdot}1.70SrO$.

Prevalence of Orthostatic Dysregulation in Elementary School Students and Frequency of Individual Symptoms (학동기 아동의 Orthostatic Dysregulation의 유병률과 임상증상의 빈도에 대한 연구)

  • Yang, Eun Seok;Kim, Eun-Young;Moon, Kyoung-Rae;Park, Sang Kee;Park, Young Bong;Rho, Young Il
    • Clinical and Experimental Pediatrics
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    • v.48 no.2
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    • pp.138-142
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    • 2005
  • Purpose : The purpose of the present study was to access the prevalence of orthostatic dysregulation(OD) and the frequency of each category for major and minor criteria among elementary school students using the OD questionnaire. Methods : We carried out inquiry by questionnaire as to the frequency of OD among two elementary schools with 725 students, 10 to 12 years of age, residing in Gwangju, Korea. The questionnaire was made according to criteria proposed by the Japan OD Study Group. Results : Of the 725 students(male 390; female 335) questioned, the OD was found in 338 students (53.5 percent). Prevalence of OD in males(59.2 percent) was significantly higher than in females(46.8 percent)(P<0.05). Palpitation with slight exercise(95.9 percent) was the most frequent major symptom. Headaches(85.8 percent) were the most frequent minor symptom among cases of OD. Conclusion : The prevalence of OD in elementary school students in this study(53.5 percent) was higher than in other studies. Contrary to studies from other countries, the male to female ratio was reversed. Because the diagnostic criteria seem to be dependent on subjective reporting of the symptoms, a newer diagnostic system based on more objective findings should be established.

Relationship between Admission and Clinical Features of Children Who Visited the Emergency Department with Seizures (경련을 주소로 응급실을 방문한 아이의 임상양상과 입원과의 관계)

  • Yoon, Sung Kwan;Kim, Eun Young;Yang, Eun Seok;Moon, Kyung Rye;Park, Sang Kee;Park, Young Bong;Rho, Young Il;Cho, Soo Hyeong
    • Clinical and Experimental Pediatrics
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    • v.46 no.10
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    • pp.1003-1007
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    • 2003
  • Purpose : To review the seizure-related complaints and analyze the relationship between admission rates and clinical features in children who had visited the emergency department with seizures. Methods : Retrospectively, we reviewed 180 patients(male 100, female 80) suffering from seizures, who had visited to the emergency department of Chosun University Hospital from January 2000 to June 2002. We have analyzed the correlation between admission rate and clinical features such as age, seizure type, seizure duration and individual laboratory findings(CT or MRI, and CSF). Results : Out of 4,865 total children who visited the emergency department, 180 patients(3.7%) were seizure related. The most common seizure type was simple febrile seizure(52.2%). The admission rate of children with seizures was 48.9%. The admission rate according to age, sex and abnormal laboratory findings revealed no significant correlations(P>0.05). There was a significant correlation between admission and both status epilepticus 82.4%(14/17) and complex febrile seizure 63.6%(14/22) (P<0.05). According to the duration of convulsions, admission rates were 41.2% when within five minutes, 60% when six-15 minutes, 58.8% when 16-30 minutes, 85.7% when 30 minutes, to one hour and 66.7% when above one hour of duration. According to the seizure frequency, admission rates of recurrent seizure patients(61.4%=43/70) was higher compared to the first time seizure patients(40.9%=45/110). Conclusion : We found that the admission rate of children visiting the emergency department for seizure treatment was 48.9% and significantly correlated with duration, type and frequency of seizure.

Effects of Germanium-fortified Yeast on the Serum Lipids and Immune Cell Subset (게르마늄강화효모가 혈청지질 및 면역세포변화에 미치는 영향)

  • Lee, Sung-Hee;Oh, Sun-Woo;Rho, Sook-Nyung;Lee, Bog-Hieu;Lee, Hyun-Joo;Jin, Dong-Kyu
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.35 no.6
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    • pp.683-689
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    • 2006
  • This study was established to investigate the effect of germanium-fortified yeasts on the serum lipid composition and immune system of human body. All 50 subjects with the age range of $50{\sim}75$ were entered in this clinical trial for 6 months. The effects were determined by the proliferative responses of immune-mediated cells, T-cell, B-cell and NK-cell during daily supplementation with/without germanium-fortified yeast. The results of hematology and blood chemistry didn't show any significant differences during administration periods. Serum lipid compositions also didn't show any significant differences during administration periods except triglyceride (TG) and VLDL-cholesterol. TG and VLDL-cholesterol levels were increased significantly by the consumption of germanium-fortified yeast (p<0.05). Immune mediated T-celt and NK-cell didn't increased in both control and test group supplemented with germanium fortified yeast, while B-cell increased in the germanium fortified yeast group after 8 week (p<0.05). Also $TNF-{\alpha}$ increased in the group of germanium fortified yeast after 8 week (p<0.05) but not in the control group. From the above results, germanium fortified yeast is expected to be useful on the improvement of the cellular immune response and protection of organs from various chronic diseases.

Environmental Character and Catch Fluctuation of Set Net Ground in the Coastal Water of Hanlim in Cheju Island II. Fluctuation of Temperature, Salinity and Current (제주도 한림 연안 정치망 어장의 환경특성과 어획량 변동에 관한 연구 II. 수온 및 염분의 변동과 해수의 유동)

  • KIM Jun-Teck;JEONG Dong-Gun;RHO Hong-Kil
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.32 no.1
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    • pp.98-104
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    • 1999
  • To investigate the relationships between ocean environmental characteristics, the time-series data of temperature and salinity observed at a station near at Hanlim set net in 1995 and 1996 are analyzed, and the results are as follow ; 1. In hanlim set net, the diurnal range of temperature and salinity variation in summer is very large and the amplitude of short-period fluctuation of temperature and salinity is very large. That is, not only the water of the middle and bottom layers (low temperature and high salinity) but also the coalstal water (high temperature and low salinity) appears alternatively depending on the current direction 2. from the result of mooring for 22 days in Hanlim set net, the mean speed and direction of tidal current in neap tide were 9.1 cm/sec and south westward in ebb time, and 11.6 cm/sec and north or northeastward in flood time, respectively. The highest speed of the current was 15cm/sec in ebb time, and 22.6 cm/sec in flood time. The mean speed and direction of tidal current in spring tide were 10.4 cm/sec, and southwestward in ebb time, and 12.3 cm/sec, and north or northestward in flood time, respectively. The highest speed of the current was 19.4 cm/sec in ebb time, and 20 cm/sec in flood time respectively. The mean speed of the current in flood time was larger than that in ebb time. The velocity vector along the major axis of semidiurnal tide ($M_2$) component was 1.5 times larger than that of diurnal tide ($K_1$), The major directions of two compornants were northwestward and east-southeastward and residiual current were 3.25 cm/sec and northwestward-directed. Result of TGPS Buoy tracer for 3 days between Biyang-Do and Chgui-Do showed that the mean speed was 1.6 knot in ebb time and 1.3 knot in flood time. Direction of tidal was southwestward in ebb time and northeastward in flood time respectively. The maximum current speed was 4.8 knot in ebb time and 3.7 knot in flood time respectively. The mean speed and direction of tidal in of offshore were 1.7 knot and northwestward in flood time. The residual current appeared 0.3 knot northeastward.

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