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Risk of Seizures after Operative Treatment of Ruptured Cerebral Aneurysms (뇌동맥류 파열 환자의 수술 후 경련발작의 위험인자)

  • Chang, In-Bok;Cho, Byung-Moon;Shin, Dong-Ik;Shim, Young-Bo;Park, Se-Hyuck;Oh, Sae-Moon
    • Journal of Korean Neurosurgical Society
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    • v.30 no.6
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    • pp.705-710
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    • 2001
  • Objective : Postoperative seizure is a well documented complication of aneurysm surgery. The purpose of the present study was to analyze risk factors for postoperative seizure. Methods : Between January 1990 and December 1996, we performed craniotomy for ruptured cerebral aneurysms in 321 patients. Among them 206 patients who could be followed up for more than 1 year(range, 1 to 4.6 years) were enrolled to present study. All patients were treated with anticonvulsants for 3 to 18 months postoperatively. We analyze the incidence of postoperative seizure in different sex and age groups, and risk factors associated with postoperative seizures following aneurysm rupture. For statistical processing chi-square test and Fisher's exact test were used. Results : In the follow-up period of 1 to 4.6 years(mean, 1.8 years) postoperative seizure appeared in 18 out of 206 patients(8.7%). Mean latency between the operation and the first seizure was 6 months(range, 3 weeks to 18 months). The age of the patients has significant influence on the risk of seizure, it occurred more often in younger patients(p =0.0014). Aneurysm location in the MCA was associated with a significantly a higher risk of seizure(p = 0.042). Eight patients(19%) out of 42 patients who suffered delayed ischemic neurologic deficit(DID) developed seizure. Delayed ischemic neurologic deficit was associated with significantly a higher risk of seizure(p =0.019). Infarct and hypertension were associated with significantly a higher risk of seizure(p <0.05). pre- or postoperative intracranial hematoma(intracerebral or epidural hematoma) was associated with significantly a higher risk of seizure(p <0.0001). H-H grade, Fisher grade, Glasgow Outcome Scale of patients and timing of operation after subarachnoid hemorrhage had no significant relation with the risk of seizure. Conclusion : Factors associated with the development of postoperative seizure were middle cerebral artery aneurysm, delayed ischemic neurologic deficit, infarct on late postoperative CT scan, hypertension, pre or postoperative intracranial hematoma(intracerebral or epidural hematoma). Identification of the risk factors may be help to focus the antiepileptic drug threapy in cases prone to develop seizures. Prospective evaluation is indicated.

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Growth, Development, and Reproduction of Monochamus saltuarius (Coleoptera: Cerambycidae) on Conifers Fed to Larvae (북방수염하늘소 유충의 이목 침엽수 종류에 따른 성장과 발육 및 생식)

  • Hwang, In-Cheon;Kim, Ju-Huyn;Park, Jong-Bin;Shin, Sang-Chul;Chung, Young-Jin;Cho, Sae-Youll;Park, Yong-Chul
    • Korean journal of applied entomology
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    • v.47 no.4
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    • pp.385-394
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    • 2008
  • Larvae of Monochamus saltuarius showed normal growth and development on conifers of Pinus koraiensis, P. densiflora, Abies holophylla, Larix leptolepsis, P. bungeana, and P. rigida, respectively, but the conifers influenced significantly the body weight and the survival rate of larvae. Though the larval body weights were in a wide spectrum among treatments, growth curves of them were very similar from each other, showing continuous increase from the early larval stage to about 3 months old. The body weight was decreased slightly after the feeding period of the early 3 months. The size of larvae and adults became the largest from P. bungeana fed larvae. The mid-sized ones were from P. koraiensis, P. densiflora and A. holophylla. Small ones came from L. leptolepsis and P. rigida. The larval growth was retarded without water supply. Overall survival rates from the early stage of a larva to a fertile adult were 53.6% from P. koraiensis; 51.8%, P. densiflora; 34.7%, A. holophylla; 17.8%, P. bungeana; 16.7%, L. leptolepsis; and 12.3%, P. rigida. Adults from larvae fed the 6 species of conifers, respectively, were grown into the reproductively potent adults, which laid viable eggs. A few of overwintered larvae did not pupate and remained still as a larva until the late October of the year. Data from the field survey, the head width emerged from P. koraiensis was larger than that of L. leptolepsis. The adult emergence hole in P. koraiensis was larger also. While, the size of the emergence hole was larger in the artificially innoculated log of P. koraiensis, which was kept for a larva to be with a minimized food competition and sufficient water supply, than that of the field.

Decomposition of Leaf Litter Containing Heavy Metals in the Andong Serpentine Area, Korea (안동 사문암지대의 중금속 함유 낙엽의 분해)

  • Ryou, Sae-Han;Kim, Jeong-Myung;Cha, Sang-Seub;Shim, Jae-Kuk
    • Korean Journal of Environment and Ecology
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    • v.24 no.4
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    • pp.426-435
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    • 2010
  • The present study attempts to compare the soil chemical characteristics and biological activities (i.e. microbial biomass and soil enzyme activities), and litter decomposition rate of Arundinella hirta and Miscanthus sinensis var. purpurascens) collected from serpentine and non-serpentine sites by litter bag techniques at serpentine and non-serpentine field experiment sites over a 9-month period. The serpentine soil showed higher pH and soil alkaliphosphatase activity, and lower soil dehydrogenase and urease activities than the non-serpentine soil. Microbial biomass-N at the serpentine soil was larger than the non-serpentine soil, although the microbial biomass-C and microbial biomass-N represented no significant difference between serpentine and non-serpentine soil. These results suggest that the larger microbial biomass-N caused the lower C/N in serpentine soil. At the end of the experiment, the litter samples of A. hirta and M. sinensis collected from serpentine soil revealed a 39.8% and 38.5% mass loss, and the litter sample from non-serpentine soil also showed a 41.1% and 41.7% mass loss at the serpentine site. On the other hand, at the non-serpentine site, 42.2%, 37.4%, and 46.8%, 44.8% were respectively shown. These results demonstrate that the litter decomposition rate is more intensely affected by the heavy metal content of leaf litter than soil contamination. Moreover, the litter collected from the serpentine soil had a lower C/N, whereas the litter decomposition rate was slower than the litter from the non-serpentine soil, because the heavy metal inhibition activities on the litter decomposition process were more conspicuous than the effect of litter qualities such as C/N ratio or lignin/N. The nutrient element content in the decomposing litter was gradually leached out, but heavy metals and Mg were accumulated in the decaying litter. This phenomenon was conspicuous at the serpentine site during the process of decomposition.

Assessment of the Functions of Vegetation and Soil on the Nutrient Cycling in Paddy Field Ecosystem with Inflow of Animal Wastes (빗물에 의해 축산폐수가 유입되는 논 생태계에서 영양물질 순환에 미치는 토양과 식생의 영향평가)

  • Ahn, Yoon-Soo;Kang, Kee-Kyung;Kim, Sae-Geun;Roh, Kee-An;Park, Moo-Eon
    • Korean Journal of Soil Science and Fertilizer
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    • v.31 no.2
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    • pp.162-169
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    • 1998
  • This study was carried out to assess the roles of soil and vegetation on the nutrient cycling in paddy ecosystem where excessive amounts of animal wastes were flowed in due to the rain. Experimental sites included one abandoned and four cropping paddy fields which were moderately terraced under a small farm village raising 90 milk cows and 35 deer under open-air condition. The watershed covered 4 ha with every 50% of uptown and fodder crops. Concentrations of $NH_4-N$ and $P_2O_5$ in waste water flowed into the abandoned paddy field, enforced by the rain of $56.4mm\;day^{-1}$, were $8.3mg\;{\ell}^{-1}$ and $1.8mg\;{\ell}^{-1}$, respectively. Total mass of rainfall inflow to abandoned field during rice growing period (1 May to 30 Sept.) was $20,900Mg\;ha^{-1}$. Total amounts of $NH_4-N$ and $P_2O_5$ contained in that inflow were estimated as 173 kg and 38 kg, respectively. Concentrations in the outflow water through one abandoned and four rice paddy fields were reduced by 92% for $NH_4-N$ and 95% for $P_2O_5$, as compared to those in the inflows. The reserved portions of nutrients in the abandoned paddy field ecosystem, which were the summation of the uptake by weed and residues in soil, were 29% of the inflow amount for $NH_4-N$ and 30% for $P_2O_5$. These results demonstrated that soil and vegetation in paddy field ecosystem reduced the excessive nutrients from the animal waste inflow to the extents that might be suitable not only for the better growth of rice plant, located at the lower paddy fields, but also for preservation of the downstream from eutrophication.

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Studies on the effect of Phosphorus application and availability of silicate in Basalt soil applied Lime (현무암토양(玄武岩土壤)에서 수도(水稻)에 대(對)한 석회(石灰) 및 인산시용효과(燐酸施用効果))

  • Choeng, Hyun-Sik;Kim, Jung-Jae;Han, Sae-Gee
    • Korean Journal of Soil Science and Fertilizer
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    • v.10 no.1
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    • pp.49-53
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    • 1977
  • In order to know the effect of lime application on the phosphorus and silicate, lime and phosphorus were applied in the soil where phosphorus concentration was low and pH 5.4 The results are as follows 1. The filled grain ratio increases by applying the lime in moderate quantity, conversely the large amount of lime reduced the number of panicles per hill and number of spikelets per panicle. 2. The phosphorus application increased the panicle number, grain number and filled grain ratio. Similarly the yield was also significantly increased. 3. Among the inorganic matter of plant absorbed at the heading time the nitrogen contents was highly correlated with the number of heads, grain number per head and yield, while contents of $P_2O_5$ and $SiO_2$ were significantly correlated with the grain number maturerate and yield respectively. 4. Under the lime application the silica of soil was partly correlated with yield and yield components. But there was a significant difference between contents of $P_2O_5$ in soil and yield componentas. And in the plot of double application of neutralizing lime, significance of 1% level was shown between the $P_2O_5$ in soil and the panicles number and grain number respectively, where as significance of 5% with yield. 5. The phosphorus concentration in soil was gradually increased by the increment of lime application. Also the rate of available silicate in soil was considerably increased by the increment of lime application. That is, the silicated concentration in soil was 86ppm with lime and 59ppm without lime.

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Responses to 1-MCP during Storage of Kimchi Cabbage Ryouckgwang Cultivar (배추 력광 품종의 저장 중 1-MCP에 대한 반응)

  • Hong, Sae Jin;Kim, Byung-Sup;Kim, Byeong-Sam;Eum, Hyang Lan
    • Journal of Bio-Environment Control
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    • v.27 no.2
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    • pp.125-131
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    • 2018
  • The effect of 1-methylcyclopropene (1-MCP) in the storability of kimchi cabbage at cold storage condition was investigated. Kimchi cabbage (Brassica campestris L. cv Ryouckgwang) was divided four groups, forced air cooling (FAC), FAC + 0.03 mm linear low density polyethylene liner (Liner), $FAC+2{\mu}L{\cdot}L^{-1}$ 1-MCP (1-MCP), and FAC + 1-MCP + Liner. After each treatment kimchi cabbage was stored at $2^{\circ}C$, 95% RH. Quality parameters were weight loss, soluble solids content (SSC), firmness, and color ($CIE\;L^*$, $a^*$, $b^*$, chroma, hue angle). Weight loss during storage was showed significant difference by Liner treatment. In particular FAC + 1-MCP + Liner treatment showed 12.5% reduction after 6 weeks of storage period and minimized the weight loss rate compared to other treatments. SSC of kimchi cabbage was $2.5^{\circ}Brix$ at harvest and FAC + 1-MCP + Liner treatment maintained the SSC until 3 weeks, while in other treatments gradually were increased. The firmness of kimchi cabbage was 24.0 N immediately after harvest and the firmness at harvest time tended to be maintained at 22.6 N after 6 weeks of storage in FAC + 1-MCP + Liner treatment. During the storage period, the color change of the kimchi cabbage leaf can be confirmed by $CIE\;a^*$ and hue angle value. 1-MCP treatment alone did not affect the color change, however 1-MCP + Liner treatment was able to maintain the chromaticity at harvest time while minimizing the change of $CIE\;a^*$ and hue angle. These results suggest that 1-MCP treatment is not effective for the storage of kimchi cabbage but can be maintained for up to 6 weeks when treated with Liner.

A Study of the Effects and Risks of Baby-walkers on Motor Development in Human Infants (보행기가 유아 운동발달에 주는 영향에 관한 연구)

  • Lee, Ji Young;Min, Sae Ah;Yu, Sun Hee;Jang, Young Taek
    • Clinical and Experimental Pediatrics
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    • v.46 no.2
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    • pp.122-127
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    • 2003
  • Purpose : Baby-walkers are used by many parents because of the convenience they provide in keeping children occupied, quiet, happy, and in stimulating ambulation. But, these devices have more risks than benefits. Therefore, we performed a study to evaluate the effects of baby-walkers on motor development of human infants according to the hours used in a day, total duration(months), and types of injuries associated with the walkers, and to establish effective methods. Methods : 1,045 questionnaires were filled out by parents who had a baby whose aged between 8 months and 15 months that visited local pediatric clinics and medical centers in Chonju and Iksan from May 1, 2002 to July 31, 2002. They were analyzed in a control group that didn't use babywalkers, a low-user group that used baby-walkers less than 2 hours a day and a high-user group that used them more than 2 hours a day. Results : The mean age of the 1,045 babies whose parents responded to the question investigation was $12.6{\pm}2.4$ months. The number of babies who used the baby-walkers were 811(77.6%). Crawling and walking alone were delayed in the high-user group. The parents who knew the side effects of the baby-walkers totalled 392(48.3%). Conclusion : The findings of this study revealed that many parents didn't know the effects of baby-walkers on motor development in their infants and the risks associated with baby-walkers. Therefore, we should educate parents on the risks of baby-walkers and recommend reducing the use of baby-walkers.

The Clinical Manifestations of Patients with Severe Alcoholic Ketoacidosis Treated at a Medical Intensive Care Unit (한 내과계 중환자실에서 치료하였던 중증 알코올성 케톤산증 환자들의 임상적 특성)

  • Lee, Kwang Ha;Lee, Sae Hwan;Oh, Yeon-Mok;Shim, Tae Sun;Lim, Chae-Man;Lee, Sang Do;Koh, Yoonsuck;Kim, Woo Sung;Kim, Dong Soon;Kim, Won Dong;Hong, Sang Bum
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.5
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    • pp.548-553
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    • 2006
  • Background : Alcoholic ketoacidosis(AKA) is a metabolic disturbance that is caused by prolonged and excessive alcohol consumption. Though the prognosis is reportedly good, its outcome is unclear in some cases that are combined with multi-organ failure. There are few reports of an analysis of cases admitted to an intensive care unit(ICU) Method: Cases of AKA admitted to the ICU over the last 5 years were retrospectively analyzed. Severe AKA was characterized by multi-organ failure that required treatment in an ICU Results : All patients were males with a history of excessive alcohol consumption. Five of them (50%) mainly complained of gastrointestinal symptoms (nausea, vomiting, diarrhea), showing metabolic acidosis with an increased asmolar and anion gap. Rhabdomyolysis with acute renal failure was the most common combined organ failure. Mechanical ventilation was performed in 80%. Six patients died and 4 patients survived. In the surviving patients, the arterial blood gas analysis(ABGA) was normalized within 12 hours after admission. Conclusion : In severe AKA patients, rhabdomyolysis with acute renal failure was the most common complication. The mortality rate was high and death from shock occurred within 3 days.

The Complementary Role of FEV6 in Bronchodilator Reversibility Test for the Old Age (노인환자의 기도가역성 검사에서 FEV6의 보완적 지표로서의 역할)

  • Kim, Sae Hee;Lee, Yang Deok;Lee, Jung Yun;Cho, Yong Seon;Na, Dong Jip;Han, Min Soo
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.3
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    • pp.227-232
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    • 2006
  • Background: In the measurement of bronchodilator reversibility, the forced expiratory volume in one second($FEV_{1}$) and the forced vital capacity(FVC) are commonly used parameters and recommended criteria for the reversibility requiring an increase of more than 200ml and 12% above the baseline, respectively. However, aged patients do not often meet the criteria of an increase in volume(>200ml) even though the medical history of that patient is adequate for asthma. This study investigated the role of the forced expiratory volume in six seconds($FEV_{6}$) in the bronchodilator reversibility test in elderly patients. Methods: A total of 236 patients more than 65 years of age with a $FEV_{1}$/FVC ratio<80% were enrolled in this study. The bronchodilator revesibility tests were examined. With the setting $FEV_{1}$ as the baseline, the patients were divided into three groups; Group I : $$FEV_{1}{\geq_-}80%$$ of the predicted value, Group II : 60%<$FEV_{1}$<80% of the predicted value, Group III : $$FEV_{1}{\leq_-}60%$$ of the predicted value. Results: Positive reversibility in the $FEV_{1}$, $FEV_{6}$, and FVC was in 33(14.0%), 49(20.8%) and 55(23.3%). However, Group III presented with reversibility in the $FEV_{1}$, $FEV_{6}$, and FVC in 15(22.4%), 30(44.8%) and 32(47.8%) respectively. Conclusions: The $FEV_{6}$ might be used as a complementary parameter in bronchodilatror reversibility in elderly patients. However, more study will be needed to determine the usefulness of $FEV_{6}$ in bronchodilator reversibility test.

Effect of additional coating of bonding resin on the microtensile bond strength of self-etching adhesives to dentin (접착레진의 추가도포가 자가부식형 접착제의 상아질에 대한 미세인장접착강도에 미치는 영향)

  • Jung, Moon-Kyung;Cho, Byeong-Hoon;Son, Ho-Hyun;Um, Chung-Moon;Han, Young-Chul;Choung, Sae-Joon
    • Restorative Dentistry and Endodontics
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    • v.31 no.2
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    • pp.103-112
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    • 2006
  • This study investigated the hypothesis that the dentin bond strength of self-etching adhesive (SEA) might be improved by applying additional layer of bonding resin that might alleviate the pH difference between the SEA and the restorative composite resin. Two SEAs were used in this study; Experimental SEA (Exp, pH: 1.96) and Adper Prompt (AP, 3M ESPE, USA, pH: 1.0) In the control groups they were applied with two sequential coats In the experimental groups, after applying the forst coat of assigned SEAs, the D/E bonding resin of All-Bond 2 (Bisco Inc., USA, pH: 6.9) was applied as the intermediate adhesive. Z-250 (3M ESPE, USA) composite resin was built-up in order to prepare hourglass-shaped specimens . The microtensile bond strength (MTBS) was measured and the effect of the Intermediate layer on the bond strength was analyzed for each SEA using t-test. The fracture mode of each specimen was inspected using stereomicroscope and Field Emission Scanning Electron Microscope (FE-SEM). When D/E bonding resin was applied as the second coat, MTBS was significantly higher than that of the control groups . The incidence of the failure between the adhesive and the composite or between the adhesive and dentin decreased and that of the failure within the adhesive layer increased. According to the results , applying the bonding resin of neutral pH can increase the bond strength of SEAs by alleviating the difference in acidity between the SEA and restorative composite resin.