• Journal of Chest Surgery
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• v.45 no.4
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• pp.263-266
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• 2012

Endobronchial inflammatory myofibroblastic tumor is a rare primary lung disease. A 39-year-old woman with dyspnea and a productive cough underwent complete surgical resection of a small-sized inflammatory myofibroblastic tumor that invaded the left main bronchus and the carina with lung-saving modified left one-stoma-type carinoplasty. We report this case with a review of literature.

• Journal of Korean Academy of Nursing
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• v.48 no.5
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• pp.545-553
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• 2018

Purpose: The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors. Methods: A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model. Results: The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (${\beta}=.33$, p<.001), followed by difficulty in activities of daily living (${\beta}=-.24$, p=.001), posttraumatic growth (${\beta}=.20$, p=.004), and having a stoma (${\beta}=-.19$, p=.004). Conclusion: Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.

• Journal of Plant Biology
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• v.30 no.1
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• pp.43-57
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• 1987

The epidermal structure and stomatal types in vegetative and reproductive organs of three species of Bryophyllum(B. crenatum, B. diagremontion, B. tubiflorum) were described. The epidermal cells were polygonal, isodiametric, and rectangular in the leaves and stems, and elongated cells in the stamens, styles, and ovaries. These cells were commonly thick, and arched or sinuous in the leaves, epiphylous bunds, petals and ovaries. They were straight in the stems, petioles, pedicels, and peduncles. In both vegetative and reproductive organs, the subsidiary cell walls were commonly thin and mostly arched in all the organs. The great majority of the mature stomata in all the organs were helicocytic type with a helix of four to six subsidiary cells. The mature stomata varied from organ to organ with regard to the number and arangement of subsidiary cells. The ontogenetic type of stomata in all the organs was mostly helico-eumesogenous type. This type was subdivided into three subtypes such as parahelico-eumesogenous, anomohelico-eumesogenous, and diahelico-eumesogenous stomata on the basis of the division angle fo the guard mother cell. Sometimes, the anisoeumesogenous type was found in various organs. This type was subdivided into three subtypes such as paraniso-eumesogenous, anomoaniso-eumesogenous, and dianisoeummesogenous stomata. The tetra-eumesogenous and duplotetra-eumesogenous types were rarely found; the former in the leaf of B. crenatum and the latter in the leaf of B. diagremontiana. Anomometric patterns in the mesogenous categorry of stomatal types was observed in a few organs of all the materials. A new stomatal type with tetra-eumesogenous stoma within a girdle of three subsidiary cells fo aniso-eumesogenous in the leaf of B. diagremontiana was firstly observed in the vascular plants. This stoma was termed the cotetra-aniso-eumesogenous type. Anormal stomata such as aborted stomata, single guard cells, stoma with a constricted part in the middle of large guard cells, and arrested stomata were found in the various organs of all the materials.

• KOREAN JOURNAL OF CROP SCIENCE
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• v.40 no.4
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• pp.481-486
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• 1995

The salt stress at seedling stage of winter barley was examined in different concentrations of NaCl containing 1/2 Hoagland solution. Fresh weight of seedling at 30 days after seeding was highest at 25mM of NaCl concentration containing 1/2 Hoagland solution but if the NaCl concentration was more than 50mM it began to decrease seriously. Water content in plant was decreased according to increase of NaCl concentration in 1/2 Hoagland solution, so physiological mechanism of NaCl in barley was different from saline plant. Stoma number per cm$^2$ of first leaf was higher than that of control in case of stressed by NaCl but in that case the leaf length was decreased so the number of stoma per first leaf was slightly decreased. Chloroplast shape was not changed by 75mM of high NaCl contained 1/2 Hoagland solution but cell division at root growing point was inhibited by 75mM of NaCl. As the result of salt stress mitochondria was ruined in structure and irregular solid was found to be transfered from the cytoplasm to the cell wall in root growing point.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.4
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• pp.506-514
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• 2009

Purpose: This study was conducted to define factors influencing psychosocial adaptation of patients with a permanent colostomy. Independent variables including perceived stress, stoma care self-efficacy, self-care behavior, self-esteem and family support were used to predict psychosocial adaptation. Method: The data was analyzed using the SPSS pc program window version 12.0 for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Ninety patients with a permanent colostomy were recruited between September 2007 and May 2008. The reliability of the instruments was tested with Cronbach's alpha which ranged from .78 to .92. Result: The results were as follows: The mean psychosocial adaptation score was 3.05. There were significant correlations between all the predictive variables and psychosocial adaptation (r= .63~ -.43, p<.001). Stepwise multiple regression analysis showed that self-esteem (40%), stoma care self-efficacy (7%), perceived stress (2%), and self-care behavior (2%) accounted for 51% of the variance in psychosocial adaptation. Conclusion: These findings indicate that to improve psychosocial adaptation of patients with permanent colostomy, the major related factors identified in this study should be considered.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.7 no.2
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• pp.260-263
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• 2004

Short-bowel syndrome is functionally defined as a state of malabsorption following loss of small bowel, which comprises the sequelae of nutrient, fluid, and weight loss. The proximal segment of the bowel of a patient with intestinal atresia is usually grossly distended and atonic. In contrast, distal segment is smaller. For this reason, anastomosis of the proximal and the distal segment is technically difficult and may cause no propulsion even when they are anastomosed. We experienced that continuous drip ileostomy feeding with the secretions from the proximal stoma stimulated the distal bowel to accommodate and resolved many sequelae following loss of small bowel in a patient with short-bowel syndrome due to IIIa ileal atresia.

• Archives of Plastic Surgery
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• v.46 no.3
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• pp.277-281
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• 2019

Recto-vaginal fistulas are difficult to treat due to their high recurrence rate. Currently, no single surgical intervention is universally regarded as the best treatment option for recto-vaginal fistulas. We present a case of recurrent recto-vaginal fistula surgically treated with a gracilis pull-through flap. The surgical goals in this patient were complete excision of the recto-vaginal fistula and introduction of fresh, vascularized muscle to seal the fistula. A defunctioning colostomy was performed 1 month prior to the present procedure. The gracilis muscle and tendon were mobilized, pulled through the freshened recto-vaginal fistula, passed through the anus, and anchored externally. Excess muscle and tendon were trimmed 1 week after the procedure. Follow-up at 4 weeks demonstrated complete mucosal coverage over an intact gracilis muscle, and no leakage. At 8 weeks post-procedure, the patient resumed sexual intercourse with no dyspareunia. At 6 months post-procedure, her stoma was closed. The patient reported transient fecal staining of her vagina after stoma reversal, which resolved with conservative treatment. The fistula had not recurred at 20 months post-procedure. The gracilis pull-through flap is a reliable technique for a scarred vagina with an attenuated recto-vaginal septum. It can function as a well-vascularized tissue plug to promote healing.

• Archives of Plastic Surgery
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• v.50 no.5
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• pp.496-500
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• 2023

Fournier's gangrene is a life-threatening infection which requires prompt recognition, early surgical debridement of unhealthy tissue, and initiation of broad-spectrum antibiotics. Relook debridement are usually performed until all the devitalized tissue has been removed. Involvement of the anal sphincter may result in significant morbidity such as permanent incontinence. Dynamic reconstruction of the anal sphincter has always been one of the holy grails in the field of pelvic reconstruction. We demonstrate a new method of camera shutter style double-opposing gracilis muscle flaps that allows dynamic sphincteric function without the need for electrostimulation. The bilateral gracilis muscles are inset in a fashion that allows orthograde contraction of the muscle to narrow and collapse the neoanal opening. With biofeedback training, the patient is able to regain dynamic continence and return to function without a stoma. There was also no need for neurotization or microsurgery techniques to restore sphincteric function to the anus. The patient was able to reverse his stoma 14 months after the initial insult and reconstruction with biofeedback training without the use of electrostimulation.

• Journal of Forest and Environmental Science
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• v.15 no.1
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• pp.107-116
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• 1999

For the study on the variation of Pinus densiflora S. et Z. natural populations. 13 stands were selected in Kangwondo region in 1994. They were located in Hyoja-Dong, Chunchon-Si [plot 1]; Sinnam-Myun, lnje-Gun [plot 2]; Buk-Myun, lnje-Gun [plot 3]; Seo-Myun, Yangyang-Gun [plot 4 and 5]; Sonyang-Myun, Yangyang-Gun [plot 6]; Toseong-Myun, Goseong-Gun [plot 7]; Synrim-Myun, Wonju-Si [plot 8]; Dunnae-Myun, Hoengsong-Gun [plot 9]; Jinbu-Myun, Pyungchang-Gun [plot 10]; Sogumgang, Kangneung-Si [plot 11]; Seo-Myun, Ulchin-Gun [plot 12]; and Mitan- Myun, Pyungchang-Gun [plot 13]. The morphological characteristics of needles and cones were investigated for twenty individual trees from each population. The results are summarized as follows: 1. Among needle characteristics, length, the number of serration. and the number of stoma row were significantly different among populations and between individuals within a population. They were 69.3~91.9mm, 25.1~28.7 per 0.5cm, and 4.1~6.2 rows for abaxial side and 2.9~4.6 rows for adaxial side, respectively. 2. Among cone characters surveyed. length and diameter were significantly different among populations and between individuals within a population. They were 31.1~43.7mm and 20.0~24.1mm, respectively. 3. A highly positive correlation was observed between the number of stoma row of abaxial side and that of adaxial side. and between length and diameter of cone. But the number of serration was negatively correlated with all traits. 4. The distance from seashore was positively correlated with needle length and the number of serration, but negatively correlated with the number of stoma row and cone length. However, the altitude was positively correlated with the number of serration, but negatively correlated with the number of stoma row and cone length. 5. Cluster analysis using average linkage method for needle and cone characteristics showed two groups to Euclidean distance 1.0. They were group I consisting of plots 1, 8, 12, and 13 and group II of plots 2, 3, 4, 5, 6, 7, 9, 10, and 11. However, group II was divided again to Euclidean distance 0.8, that is a group including plots 2, 3, 9, and 11 and the other group comprising plots 4, 5, 6, 7, and 10.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.18
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• pp.8107-8112
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• 2016

Background and Aims: Colorectal cancer is the second most frequent cancer in Malaysia. We aimed to assess the validity and reliability of the Malaysian Chinese version of European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire core (QLQ-C30) in patients with colorectal cancer. Materials and Methods: Translated versions of the QLQ-C30 were obtained from the EORTC. A cross sectional study design was used to obtain data from patients receiving treatment at two teaching hospitals in Kuala Lumpur, Malaysia. The Malaysian Chinese version of QLQ-C30 was self-administered in 96 patients while the Karnofsky Performance Scales (KPS) was generated by attending surgeons. Statistical analysis included reliability, convergent, discriminate validity, and known-groups comparisons. Statistical significance was based on p value ${\leq}0.05$. Results: The internal consistencies of the Malaysian Chinese version were acceptable [Cronbach's alpha (${\alpha}{\geq}0.70$)] in the global health status/overall quality of life (GHS/QOL), functioning scales except cognitive scale (${\alpha}{\leq}0.32$) in all levels of analysis, and social/family functioning scale (${\alpha}=0.63$) in patients without a stoma. All questionnaire items fulfilled the criteria for convergent and discriminant validity except question number 5, with correlation with role (r = 0.62) and social/family (r = 0.41) functioning higher than with physical functioning scales (r = 0.34). The test-retest coefficients in the GHS/QOL, functioning scales and in most of the symptoms scales were moderate to high (r = 0.58 to 1.00). Patients with a stoma reported statistically significant lower physical functioning (p=0.015), social/family functioning (p=0.013), and higher constipation (p=0.010) and financial difficulty (p=0.037) compared to patients without stoma. There was no significant difference between patients with high and low KPS scores. Conclusions: Malaysian Chinese version of the QLQ-C30 is a valid and reliable measure of HRQOL in patients with colorectal cancer.