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Is a Fast-track Critical Pathway Possible in Gastric Cancer Surgery? (위암 수술 후 조기회복을 위한 임상진료 지침서의 활용이 가능한가?)

  • Yi, Jeong-Min;Hur, Hoon;Kim, Sung-Keun;Song, Kyo-Young;Chin, Hyung-Min;Kim, Wook;Park, Cho-Hyun;Park, Seung-Man;Lim, Keun-Woo;Jeon, Hae-Myung
    • Journal of Gastric Cancer
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    • v.9 no.1
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    • pp.18-25
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    • 2009
  • Purpose: The postoperative hospital stay after gastric cancer surgery is usually 8 to 14 days. The main reason for a prolonged hospital stay may be the 3 to 4 day period of postoperative starvation. The aim of this study is to investigate the feasibility of a critical pathway for early recovery after gastric cancer surgery, and this pathway included early postoperative feeding. Materials and Methods: One hundred three consecutive patients who underwent gastric resection and reconstruction for gastric cancer from October 2007 to June 2008 at St. Mary's Hospital were prospectively enrolled in a fast-track critical pathway. The pathway included minimal preoperative procedures, optimal pain relief, proper fluid administration, early mobilization and early enteral nutrition at postoperative 1 day. The exclusion criteria were determined preoperatively, intraoperatively and postoperatively. Results: Of the 103 patients, 19 patients were excluded for preoperative (5), intraoperative (7) and postoperative (7) reasons. Eighty-four patients (81.6%) were included in the fast-track critical pathway. Sixty-eight (88.6%) of 84 patients were discharged at the planned 8 day after surgery during the initial period of the study, and the postoperative hospital stay was shortened up to 6 days during the more recent period. Postoperative complications occurred in 22 patients (26.2%), and these were gastrointestinal track-related complications in 6 cases (3 cases of ileus, 1 case of stasis and 2 cases of leakage) and infection-related complications in 8 cases. There was no statistical difference in the incidence of morbidity according to the clinic-operative features that included age, gender, stomach resection and lymphadenectomy. Conclusion: The fast-track critical pathway with using the available exclusion criteria was a valid option for patients who underwent gastric cancer surgery.

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Relationships of Physiological Activity and Anatomical Structure to the Wilting Phenomena in Rice Plant 2. Relationships between the anatomical structure and wilting phenomena of rice variety "Yushin" (수도품종의 위조현상과 생리 및 형태해부학적 구조와의 관련성에 관한 연구 제2보 유신벼의 위조현상발생과 형태해부학적 구조와의 관계)

  • Jong-Hoon Lee
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.25 no.2
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    • pp.6-14
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    • 1980
  • One of the physiological disease, sudden wiliting of Yushin variety suggested that low sunlight, excessive nitrogen application, and highly reduced soil condions either singly or combined, might be possible causes of the disorder. Some visual symptom of sudden wilting are discoloration of leaves, development of nodal roots above the soil surface, total root rot, and lodging. Those observations led to the hypothesis that suffocation of root tissues was a direct cause of the wilting. The oxygen transport characteristics of Yushin, IR262 and Tongil were examined by two methods. First, Soil-cultured plants of the three varieties were subjected to paraffin treatment to decrease the oxygen supply from the air to root tissues through the soil-water system, liquid paraffin was applied to the water surface in the pots at panicle formation stage. In this experiment, sudden wilting was observed of Yushin and IR262 at about a week after the treatment, but Tongil remained green and healthy. Wilting-resistant variety Tongil had higher oxygen release, whereas the susceptible Yushin and IR262 had lower oxygen release. Second, the number and size of the air spaces in each internode were investigated in the 5th internode from the top, all three varieties have a similar number of air spaces, although the air spaces of Thongil were larger. In the 4th internode, Tongil had plenty air spaces, Yushin and one of the Yushin's parents IR262 had scanty or none. The observations indicated that the ability of Yushin and IR262 for oxygen transport is very limited compared with that of Tongil. The limited oxygen supply due to poor development of air space in internode of rice plants may cause suffocation of root tissues, weaken metabolic activity of the tissues, and induce root rot, subsequently inducing sudden wilting and lodging under unfavorable weather, soil and cultural conditions.

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Studies on Heterostylism, Fertility, and Embryological Characteristics in Buckwheat. Fagopyrum esculentum (메밀의 이형예현상과 수정력 발생학적 특징에 관한 연구)

  • Man-Sang Lee
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.31 no.2
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    • pp.129-142
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    • 1986
  • Fifty-five local collections of buck wheat, Fagopyrum esculentum, were investigated their ratios of long-styled (LS) and short-styled (SS) flowers, fertility, meiosis of megaspore and microspore mother cell, female and male gametogenesis, and egg apparatus in accordance with the sowing seasons (spring, summer), altitudes (20m, 50-100m, 300m), and parent style types (L, S). Also they were embryologically investigated the fertility, fertilizing phenomenon and proembryogenesis by the legitimate and illegitimate pollination. There were no differences in the ratios of long-styled and short-5tyled flowers along with altitudes, but more irregularness was observed in plain area than that in the mountaineous or coastal area. LS versus SS ratios by sowing seasons were significantly separated into 1 : 1 in the summer sowing (P 0.1), but they were irregularly separated in the spring sowing. The segregating ratios by parent style types showed more number of short-styled flower in the spring sowing, and were statistically seperated into 1 : 1 in the summer sowing (P 0.25), regardless to parent style types. In the artificial legitimate union, the seed setting rates of the summer sowing (59-61%) were much higher than those of the spring sowing (about 30%), but in the artificial illegitimate union the seed setting rates were only fructified about 0.8-1.8% in the spring sowing. The seed setting rates in accordance with flowering stages were larger in turn early, middle, late, in the summer sowing. The grain number and grain weight per plant of short-styled flower were more than those of long-styled one regardless to style types. The 1,000 grain weight of long-styled flower was heavier than that of short-styled one in large grain, but it was lighter than that of short-styled flower in small or medium grain. The percentage of normal female and male gametogenesis in the summer sowing were higher than those in the spring sowing. The ovule was atropous and two polar nuclei were a synkarion before flowering. The pollens germinated at 30 minuts after pollination and the pollen tube grew continually and penetrated into micropyle at 1.5-2 hours and the two male nuclei fertilized with egg nucleus at 3 -5 hours after pollination. Flertilizing times in summer were shorter than in autumn. The fertilized egg was divided in a small apical cell toward the interior of the embryo sac and a large basal cell toward the micropyle cell at 15-24 hours after pollination, and division times in summer were shorter than in autumn. The proembryo began the embryogenesis at 7-8 days and formed itself into the perfect embryo at 15 days after pollination.

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Concentration of Formaldehyde and Acetaldehyde depending on the Time of Storage into Mineral Water (먹는샘물의 보관 기간에 따른 formaldehyde 및 acetaldehyde의 농도 변화)

  • Lee, Youn-Hee;Lee, Jun-Bae;Park, Ju-Hyun;Choi, Ja-Yoon;Ahn, Kyung-Hee;Ahn, Hye-Sil;Kwon, Oh-Sang;Kim, Tae-Seung;Han, Jin-Suk
    • Korean Journal of Environmental Agriculture
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    • v.30 no.3
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    • pp.281-287
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    • 2011
  • BACKGROUND: According to Korean regulations, bottled waters (BWs) can not be treated with chemical disinfectants like chlorine, so UV and ozone disinfection is applied. During the past several years, chemicals were detected in some BWs, and the public was concerned about the safety of BWs. METHODS AND RESULTS: Mineral waters were stored for 180 days at $25^{\circ}C$ and $50^{\circ}C$, tested acetaldehyde and formaldehyde by HPLC. When mineral waters were put in a PET bottles, the formaldehyde level ranged from 5 to $66{\mu}g/L$ during 180 days at $50^{\circ}C$. While the acetaldehyde level ranged from 31 to $221{\mu}g/L$, it was low than $16{\mu}g/L$ in glass bottle. CONCLUSION(s): This result showed that formaldehyde and acetaldehyde were detected higher in PET bottles than glass bottles, these also increased depending on the time of storage. Concentration of formaldehyde and acetaldehyde could be significantly influenced by the time of storage and temperature.

Estimation of Biomass Resource Conversion Factor and Potential Production in Agricultural Sector (농업부문 바이오매스 자원 환산계수 및 잠재발생량 산정)

  • Park, Woo-Kyun;Park, Noh-Back;Shin, Joung-Du;Hong, Seung-Gil;Kwon, Soon-Ik
    • Korean Journal of Environmental Agriculture
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    • v.30 no.3
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    • pp.252-260
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    • 2011
  • BACKGROUND: Currently, national biomass inventory are being established for efficient management of the potential energy sources. Among the various types of biomass, agricultural wastes are considered to take the biggest portion of the total annual biomass generated in Korea, implying its importance. However, the currently estimated amount is not reliable because the old reference data are still used to estimate total annual amount of agricultural wastes. METHODS AND RESULTS: Therefore, to provide reliable estimation data, a correct conversion factor obtained by taking into account the current situation is required. For this, the current study was conducted to provide the conversion factors for each representative 8 crop through a field cultivation study. Also conversion factors for 18 crops were calculated using the average amount of each crop produced during 2004 and 2008, subsequently; total amount of agricultural wastes generated in 2009 was estimated using these conversion factors. The total biomass of rice straw and rice husk generated in 2009 were 6.5 and 1.1 million tons, respectively, which consist 75% of the total agricultural based wastes, while the total biomass of pepper shoots and apple pruning twigs were 1.0 and 0.6 million tons, respectively. Despite the high amount of rice-based biomass, their applicability for bio-energy production is low due to conventional utilization of these materials for animal feeds and beds for animal husbandry. In addition to exact estimation of the total biomass, temporal variations in both generated amount and the type of agricultural biomass materials are also important for efficient utilization; fruit pruning twigs (January to March); barley-, been-, and mustard-related waste materials (April to June); rice-related waste (September to October). CONCLUSION(s): Such information provided in this study can be used to establish a master plan for efficient utilization of the agricultural wastes on purpose of bio-energy production.

The Influences of Additional Nutrients on Phytoplankton Growth and Horizontal Phytoplankton Community Distribution during the Autumn Season in Gwangyang Bay, Korea (가을철 광양만 식물플랑크톤의 수평 분포와 추가 영양염 공급이 식물플랑크톤 성장에 미치는 영향)

  • Bae, Si Woo;Kim, Dongseon;Kim, Young Ok;Moon, Chang Ho;Baek, Seung Ho
    • Korean Journal of Environmental Biology
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    • v.32 no.1
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    • pp.35-48
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    • 2014
  • In order to estimate the effect of additional nutrients on phytoplankton growth and horizontal phytoplankton community distribution during the autumn season in 2010 and 2011, we investigated the abiotic and biotic factors of surface and bottom waters at 20 stations of inner and offshore areas in Gwangyang Bay, Korea. Also, nutrient additional experiments were conducted to assess additional nutrient effects on phytoplankton assemblage using the surface water. In both years, the total nutrients were high at the enclosed inner bay and the mouth of Seomjin River, whereas it was low at the St.15~20 where in influenced by the surface warm water current from offshore of the bay. On the other hand, nano- and pico-sized Chl. a were gradually increased towards the outer bay and their trends were significant in 2011 than in 2010. The cryptophyta species occupied more than 85% of total phytoplankton assembleges in 2010, whereas their abundance in 2011 remainds to be 1/10 levels of 2010. Following the cryptophata species, the diatom Chaetoceros spp. and Skeletonema-like spp. were found to be dominant species. Further the biosaasy experimental results shows that the phytoplankton biomass in the +N and +NP treatments was higher compared to control and +P treatments and its trend was significant at St.8 and St.20 where nutrient concentration were low. Based on the bioassay and field survey, providing the high nutrients may have stimulated to phytoplankton growth such as S. costatum-like spp.. In particular, opportunistic micro-algae such as Cryptomonas spp. were able to achieve the high biomass under the relatively mid nutrient condition from bottom after break down of seasonal stratification in the Gwangyang Bay.

Effects of Different Media and Oxygen Concentrations on In Vitro Maturation and Development of Porcine Follicular Oocytes (배양액과 산소농도가 돼지난포란의 체외성숙과 배발달에 미치는 영향)

  • 천행수;한만희;김종화;박병권;이규승;서길웅
    • Reproductive and Developmental Biology
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    • v.28 no.2
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    • pp.119-126
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    • 2004
  • The present study was carried out to examine the effect of four different media (NCSU (North Carolina State University)-23, PZM (Porcine Zygotes Medium)-3, PZM-4 and TCM (Tissue Culture Medium)-l99) and two oxygen concentrations (39 , 5% $O_2$, 5% $CO_2$ and 90% $N_2$, 5% $CO_2$ in air) on in vitro production of porcine IVM/IVF embryos. The results were summarized as follows: The rates of GVBD and nuclear maturations were not significantly different (p>0.05) for 44 hours of culture with four media in two oxygen concentrations. The rates of polyspermy, penetrated sperm(s) and male and female prouclei formation were not significantly different (p>0.05). among four media in two oxygen concentrations. The cleavage rates were not significantly different (p>0.05) among four media in two oxygen concentrations. At day 7 under gas atmosphere of 5% $O_2$, 5% $CO_2$ and 90% $N_2$, the blastocyst formation was significantly higher (p<0.05) in PZM-3 (19.9$\pm$2.4) than other media. Also, NCSU-23 medium gave high rate of blastocyst formation at day 7 under gas atmosphere of 5% $CO_2$ in air (p<0.05). Based on the result of differential staining of porcine blastocyst at dat 7, inner cell mass cell and total cell numbers were not significantly different (p>0.05) among four media in two oxygen concentrations. However, the observed total cell number was higher in PZM-3 medium (36.8$\pm$6.5) than other madia. In conclusion, these results suggested that in vitro production of porcine embryos in PZM-3 medium under a gas atmosphere of 5% $O_2$, 5% $CO_2$ and 90% $N_2$ was effective on the blastocyst formation rate and total blastocyst cell number.

A Study on the first inventor defense in the US patent law (미국에서의 선발명자 항변에 관한 연구)

  • Chang, Eun-Ik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.7 no.6
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    • pp.1319-1336
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    • 2006
  • The successive round of talks oil Korea-USA Free Trade Agreement (FTA) has continued, and it also has the Intellectual property(IPR) unit. Until now, tile one of most disputing concerns in IPR unit through talks is the limitation of compulsory license of claimed invention. The US is urging to establish a safeguard for IPR, as similar measure of the US, to protecting the profit of the US enterprises through these on-going talks, it is more likely expected to take the offensive about infringement of the patent seriously. Based on the current circumstances, the provision strategy study is needed to obtain Korea inventors the first inventor defense under the US patent law system as well as understand the current Korea's patent law and its revision against that in the US. In patent Law, both nations with first to file system and first to invent system permit a prior user of an invention to continue to use the invention notwithstanding its subsequent patenting by another under being subject to certain qualifications and limitations, even though a patent by a later inventor is granted. Normally, the first inventor defense has been used to compensate the drawbacks of the first to file system. The US patent Law, however, adopting the first to invent system admits the first inventor defense. Therefore, pursuing counteract provision under consideration with Korean patent Law system and research environment along with investigating the reason why the US adopted its patent law system, the scope of right, and the new reform of Act. 2005 of the institute, which promotes the first Korean inventor to possess the defense right of the US, provides certain preparations for Korean companies against the expected offensive from the US ones under the US patent Law system.

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The influencing effect on E.Q. and personality that both sports activity & speciality aptitude activity in school-childhood can cause (학동기의 스포츠활동과 특기적성활동의 참가가 감성지수 및 성격특성에 미치는 영향)

  • Lee Han-Ki
    • The Journal of Korean Physical Therapy
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    • v.16 no.1
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    • pp.140-156
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    • 2004
  • This study, to find whether a sports activity and a speciality aptitude activity in school-childhood can affect in forming E.Q, has been done in Gyoung-Nam area and Busan wide city with asked 222 of men and women being in their school-childhood and a group of 85 people who had not joined in such activity, using a E.Q testing paper provided by Dae-Gyo Education Corp,. and Seoul National University Educational Research Institute. Following is the results after analyzing the compiled datas. 1. The E.Q. level difference between people who joined, and who not joined in a sports action activity was reported existing, the total E.Q average of those who joined was resulted 212.6, a point 29.6 higher than those not joined of 183.0 ( p< .05). As for the E.Q causing points, it resulted that the points of the joined group is generally up than that of the non-joined group, especially this difference was remarkable in terms of feeling recognition or feeling control, a finding that deserves an attention ( p<.05) 2. Joining periods of sports activity did also have relation to develping E.Q. of school-childhood according to this research, the total E.Q points of a group joined in the activity more than 2 years was 215.5 points, which was 17.4 points higher than those not joined of 186.5 points ( p< .05). Backing again to E.Q causing points in this case, it resulted without exeption of all main causes that those who joined in more than 2 years are generally higher than that of those joined less than 2 years, especially the difference was regarded as big in terms of feeling recognition or feeling control, a finding that deserves an attention ( p<.01). 3. The E.Q. differnce between those joined in a specialty aptitude activity and not joined was studied existing, the total E.Q average points of those joined in a specialty aptitude activity was 207.8, a higher figure by 21.3 points than those not joined group of 186.5 ( p< .05). As for the E.Q causing points, it resulted without exeption of all main causes that those who joined are generally higher than that of those not joined, especially for feeling recognition or feeling control, this difference was more clear, a finding that deserves an attention ( p<.01). 4. It also resulted that E.Q growth depends on the periods to have joined in a speciality aptitude activity, for example, the total E.Q points of those joined in the activity more than 2 years was 217.1, a total more higher by 13.5 points than 203.6 of those not joined ( p< .05). For the E.Q. causing points, it, with the exception of empathy was resulted that those who joined in the speciality aptitude activity more than 2 years are generally higher than those joined less than 2 years, especially the difference is remarkable in terms of feeling recognition or feeling control, a finding that is also remarkable ( p<.05). 5. The E.Q difference between the men and women who joined in both activities of sports & speciality aptitude was found existing, the total E.Q. average for women was resulted 214.2 points, which was 9.2 points higher than men of 205.0. As for the E.Q. causing points, which, without exeption of main causes, women's was reported being high than that of men, in special is more remarkable in terms of feeling control, a finding that deserves an attention. ( p<.05).

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Pulmonary Arterial Growth Pattern after Shunt Operation in Patients of Pulmonary Atresia with Ventricular Septal Defect Associated with Juxtaductal Stenosis (Juxtaductal stenosis가 동반된 PA/VSD환자에서 체폐단락술 부위에 따른 폐동맥 크기의 변화)

  • 이교준;박영환;최재영;조범구
    • Journal of Chest Surgery
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    • v.31 no.9
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    • pp.861-866
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    • 1998
  • Background: Pulmonary atresia (PA) with ventricular septal defect has various morphology of pulmonary arteries and pulmonary blood flow sources, so pulmonary arterial hypoplasia and arborization abnormality make this anomaly difficult to manage surgically. In cases associated with juxtaductal stenosis, we evaluated the change of the pulmonary arterial and juxtaductal stenotic site after shunt operations, and would like to find useful information in surgical planning and methodology of these patients. Material and Method: Among 59 cases diagnosed as PA with ventricular septal defect associated with juxtaductal stenosis, 29 cases who had cardiac catheterization before and after shunt operation were selected from July, 1991 to July, 1996. In 10 cases of right shunt operation(Group I) and 19 cases of left shunt operation (Group II), the diameters of the descending aorta, both pulmonary arteries, and the juxtaductal stenosis site were measured before and after the shunt operation. Result: In both Group I and II, the pre- and postoperative ratio of diameters of the ipsilateral pulmonary artery to the descending aorta was from 0.78${\pm}$0.31 units to 1.01${\pm}$0.26 units and from 0.67${\pm}$0.18 units to 0.84${\pm}$0.27 units respectively, showing a signigicant increase. The contralateral pulmonary artery index was increased from 0.92${\pm}$0.28 units to 1.05${\pm}$0.15 units and from 0.94${\pm}$0.27 units to 1.08${\pm}$0.37 units respectively, but could not be confirmed statistically. In both groups, the change of juxtaductal stenosis showed an aggravating tendency but of no statistical significance from 0.43${\pm}$0.27 units to 0.39${\pm}$0.25 units and from 0.32${\pm}$0.10 units to 0.30${\pm}$0.16 units respectively, and we experienced 2 total obstruction in Group II. Because the increased pulmonary blood flow by shunt operation has a favorable effect to the pulmonary arterial growth, the shunt operation is a recommended treatment in patients with hypoplastic pulmonary arteries. But in PA with ventricular septal defects, the change of juxtaductal stenosis is very important. In conclusion, the growth of ipsilateral (shunt site) pulmonary artery was promoted by shunt operation, but there is a tendency for the juxtaductal stenosis to be aggravated. And we experienced 2 total obstruction in Group II. Conclusion: Thus, in cases operated with shunt method, much careful postoperative follow up study including angiographic evaluation is needed, and after the shunt operation on the side of pulmonary artery associated with juxtaductal stenosis, early precise planning for total correction is recommended.

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