• Journal of Chest Surgery
• /
• v.39 no.1 s.258
• /
• pp.35-41
• /
• 2006

Background: The radial arteries are being used more often for coronary artery bypass grafting, We tried to the endoscopic radial artery harvest to reduce the cosmetic problems and neurologic complications of the conventional open harvesting and report the techniques and early results. Material and Method: The 86 patients underwent coronary artery bypass grafting between May 2003 and April 2005 had their nondominant radial artery endoscopically removed through a 2 cm incision at the wrist. The radial pedicle was dissected and was divided at antecubial area through a 5 mm counterincision. Result: The 23 patients complained of neuralgias on territory of superficial raidal none but no one complained of neuralgias on territory of lateral antebrachial cutaneous none. There was no functional impairment of the hand. There was no wound complication except a localized hematoma. All patients were contacted by telephone after postoperative 7.9$\pm$3.6 months. The 4 patients still complained of neuralgia. All the patients were satisfied with the aesthetics of the wounds. The multidetectional tomography was done on the 66 patients for the estimation of early patency of radial artery. There were 2 cases of stenosis and a case of occlusion. Conclusion: Endoscopic radial artery harvest had no functional impairment of the hand, lesser rate of neurologic complications and outstanding aesthetics. The results of early patency of the radial artery was similar to conventional methods. Therefore, we think that endoscopic radial artery harvest is the optimal procedure.

• Journal of Chest Surgery
• /
• v.39 no.2 s.259
• /
• pp.127-133
• /
• 2006

Background: In the studies of the distribution of time to death in trauma patients, the early deaths within several hours after injury were a large component of total trauma deaths. Due to the development of trauma system, overall mortality of trauma was decreased, but trauma is still the major cause of deaths. Material and Method: From January 1994 to December 2003, trauma patients who had been admitted and had expired at tertiary hospital were enrolled. There was a total of 400 cases, a retrospective study was done to determine the distribution of trauma mortality according to the part of the body that were severely injured part and compared the difference between early deaths within 6 hours and late deaths after 6 hours. We also analysed the risk factors of early deaths due to trauma. Result: In severe injury to the head and abdomen, the distribution of mortality was bimodal. But, in severe chest injuries, the distribution was log-shape and most early deaths were almost of trauma related. The average of GCS were 5.86$\pm$4.15 for the early deaths and 8.24$\pm$5.02 for the late deaths (p < 0.05). The AIS of thorax were 2.66$\pm$1.87 for the early deaths and 1.55$\pm$1.76 for late deaths. The risk factors for early mortality were non-EMS transportation (odds ratio 3.474), high AIS (odds ratio 1.491) and GCS (odds ratio 0.859). Conclusion: In trauma patients, the causes of early mortality were severe brain injury and massive hemorrhage. Also severe chest injuries were the major cause of the early deaths in truama. Early diagnosis of chest injury can frequently be missed in the acute trauma setting. Therefore, high index of suspicion, a careful examination, and aggressive surgical treatment are important in multiple trauma patients.

• Journal of Food Hygiene and Safety
• /
• v.24 no.1
• /
• pp.69-77
• /
• 2009

This study was performed to investigate the effect of dried powder of chestnut on lipid metabolism, anti-thrombotic effect in rats. Thirty 5-week-old male Sprague Dawley (SD) rats were randomly allocated into five groups and used for experiment. We examined the lipid metabolism and antithrombotic capacity of SD rats administered for 5 weeks with 0.16 g/kg, 0.5 g/kg chestnut flesh powder and 0.16 g/kg, 0.5 g/kg chestnut inner shell and flesh powder mixture, respectively. Food intake, body weight gain and food efficiency ratio were also checked. The levels of serum triglyceride and tree fatty acid were not statistically significant between the all experimental groups. However, the antithrombotic capacity and total lipid levels of the treatment groups were significantly lower than those of the negative control group. These results suggest that the supplementation of chestnut on diet lower the total lipid level in SD rats.

• Journal of Preventive Medicine and Public Health
• /
• v.35 no.3
• /
• pp.245-254
• /
• 2002

Objective : To test if the intake of $H_2$ receptor antagonists ($H_2$-RAs) increases the risk of gastric cancer in the elderly. Methods : The source population for this study was drawn from the responders to a questionnaire survey administered to the Korea Elderly Pharmacoepidemiological Cohort (KEPEC), who were beneficiaries of the Korean Medical Insurance Corporation, were at least 65 years old, and residing in Busan in 1999. The information on $H_2$-RAs exposure was obtained from a drug prescription database compiled between inn. 1993 and Dec. 1994. The cases consisted of 76 gastric cancer patients, as confirmed from the KMIC claims data, the National Cancer Registry and the Busan Cancer Registry. The follow-up period was from Jan. 1993 to Dec. 1998. Cancer free controls were randomly selected by 1:4 individual matching, which took in to consideration the year of birth and gender. Information on confounders was collected by a mail questionnaire survey. The odds ratios, and their 95% confidence intervals, were calculated using a conditional logistic regression model. Results : After adjusting for a history of gastric ulcer symptoms, medication history, and body mass index, the adjusted OR (aOR) was 4.6 (95% CI=1.72-12.49). The odds ratio of long term use (more than 7 days) was 2.3 (95% CI=1.07-4.82). The odds ratio of short term use was 4.6 (95% CI=1.26-16.50). The odds ratio of parenteral use was 4.4 195% CI=1.16-17.05) and combination use between the oral and parenteral routes (aOR, 16.8; 95% CI=1.21-233.24) had the high risk of gastric cancer. The aOR of cimetidine was 1.7 (95% CI=1.04-2.95). The aOR of ranitidine was 2.0 (95% CI=1.21-3.40). The aOR of famotidine was 1.7 (95% CI=0.98-2.80). Conclusion : The intake of $H_2$-RAs might increase the risk of gastric cancer through achlorhydria in the elderly.

• Journal of Preventive Medicine and Public Health
• /
• v.35 no.3
• /
• pp.205-213
• /
• 2002

Objective : Whether exposure to chronic noise induces an increase in blood pressure, or the development of hypertension, has not been established. A cohort study was performed to identify the effects of chronic noise exposure on blood pressure. Methods : 530 males working at a metal manufacturing factory in Busan, Korea were enrolled for the study. They were monitored for 9 consecutive years, from 1991 to 1999, with an annual health check-up. The subjects were divided into 4 groups, which were determines by noise level categories(NLC) according to noise intensity ; NLC-I: office workers, exposed to noise a level below 60dB(A) ; NLC-II: field technical supporters or supervisors, frequently exposed to workplace noise, wearing no hearing protection device; NLC-III: workers, exposed to workplace noise below 85dB(A), wearing ear plugs or muffs; NLC-IV: workers, exposed to workplace noise over 85 dB(A), wearing both ear plugs and muffs. Results : After controlling possible confoundens, such as baseline age, smoking, alcohol intake, exercise, family history of hypertension, systolic(SBP) of diastolic blood pressure(DBP) and changes in BMI (body mass index), the pooled mean for the systolic blood pressures, over the duration of the study period, were 3.8mmHg, 2.0mmHg and 1.7mmHg higher in NLC-IV, NLC-III NLC-II groups, respectively, than in the NLC-I group. There were no significant differences in the diastolic blood pressures between the groups. Conclusion : This study suggests that chronic noise exposure increases systolic blood pressure independently, among male workers.

• Journal of Preventive Medicine and Public Health
• /
• v.33 no.2
• /
• pp.208-214
• /
• 2000

Objectives : Face-to-face interviews were conducted to investigate the relationship between blood pressure and the impairment of cognitive function in rural elderly (N=932) aged 60-64 in Dalsung County, April to September in 1996 Methods : Impairment of cognitive function was defined as a score of less than 23 by the Korean version of the Mini-Mental State Examination (MMSEK). Blood pressure was measured once in each subject using a portable automatic sphygmomanometer. Results : By univariate logistic regression on males, no category of systolic blood pressure bore statistical significance. Groups with diastolic blood pressures of, less than 80 mmHg, 90-94 mmHg, and more than 95mmHg had odds ratios of more than one compared with the reference group (80-89 mmHg). This was most significant in the group with blood pressures lower than 80 mmHg, which had a statistically significant odds ratio of 1.68 (95% confidence interval CI; 1.02-2.75). No category of blood pressure was statistically significant in females. Multivariate logistic regression for males, with adjustment for age, educational attainment, smoking, alcoholic drinking, body mass index, atherosclerotic disease, and antihypertensive medication use, did not alter the odds ratios significantly in terms of systolic blood pressure. However, the group with diastolic blood pressure of less than 80 mmHg had an increased odds ratio of 2.01 (95% CI; 1.15-3.52) compared with the reference group. In females, systolic blood pressure did not alter the odds ratio, but the group with a diastolic blood pressure of less than 80 mmHg had a statistically significant odds ratio of 0.57 (95% CI; 0.37-0.89). Conclusions : These results suggest that the relationship between blood pressure and cognitive function status is stronger diastolic than systolic blood pressure and that there is a complex relationship between blood pressure and cognitive function by sex.

• Korean Journal of Organic Agriculture
• /
• v.17 no.1
• /
• pp.111-125
• /
• 2009

Pitamin is a component of pine bark extract that exhibits antimicrobial activity and a variety of physiological effects. This study was earned out to investigate the effects of dietary pitamin as an organic livestock feed additive in broiler chickens. A 35 day trial was conducted to determine the influence of dietary premix containing 5% pitamin; investigated parameters included blood lipids, growth performance, quality characteristics of carcasses, and changes of caecal microbials in broiler chickens. Chickens were randomly divided into groups that were untreated (control), treated conventionally with antibiotics in the absence of premix, received 0.1 % or 0.2% premix containing 5% pitamin. Plasma lipids were lower in groups fed diets with pitamin premix (p<0.05). The body weight gain from broiler chickens fed with the diet containing 0.1% pitamin premix and antibiotics was similar, and was significantly higher than that of the other groups (p<0.05). The weight of breast muscle and thigh meat of carcasses was similar, and was higher than that of the control group (p<0.05). Abdominal fat and thymus index from chickens receiving either pitamin-supplemented premix was significantly lower and increased, respectively, that of the antibiotic and control groups (both p<0.05). The chickens on the pitamin premix-supplemented diets evidenced significantly higher caecal levels of Bifidobacterium species as compared with the chickens on the control diet (p<0.05). These results suggest that feeding a diet supplemented with a 0.1% premix containing 5.0% pitamin for 35 days maintains the production of broiler chickens at a level comparable to that obtained from the use of antibiotics.

• Journal of Chest Surgery
• /
• v.29 no.6
• /
• pp.599-605
• /
• 1996

A total of 249 patients undergoing isolated coronary revascularization were studied for the occurrence of postoperative atrial fibrillation(AF). Possible associations of this arrhythmia with various preoperative, intraoperative and postoperative factors were studied by univariate and multivariate analysis. The overall incidence of postoperative AF was 15%, with the median time occurence of 48 hours(mean time : 59.1 $\pm$ 56.9 hours) after arrival to the intensive care unit. Cardiac index decreased significantly after occurence of AF(p=0.001). There were no in-hospital complications in those patients with AF. Univariate studies indicated preoperative ejection fract on(EF), triglyceride level, postoperative peak CKMB isoenzpme and atrial pacing to be the dominant factor promoting postoperative AF, with an increasing prevalence in lower EF(p=0.025), triglyceride(p=0.006) and peak CKMB isoenzyme(p=0.002), and in patients with atrial pacing(p=0.001). Hospital stay(p=0.001) and late mortality(p=0.003) were significantly increased in patients with postoperative AF Multivariate analysis showed that body weight and postoperative atrial pacing to be the dominant factor promoting postoperative AF, with an increasing prevalence in over- weight patients(p=0.011) and patients with atrial pacing(p=0.001). Both univariate and multivariate analy- sis showed that the age was not a significant factor but tended to promote postoperative AF respectively (p=0.053, 0.064). After 30.1 $\pm$ 11.4 months gfollow-up, those patients with AF had sinus rhythm. We think that we must try to prevent postoperative AF after ccoronary artery bypass grafting because of its deleterio s hemodynamic effect, prolonged hospital stay, and increased late mortality.

• Korean Journal of Ecology and Environment
• /
• v.45 no.2
• /
• pp.174-189
• /
• 2012

The objective of this study was to determine the weight-length relations and condition factor (K) of Zacco platypus, along the trophic gradients from oligotrophic to eutrophic state in six reservoir ecosystems ($B_aR$, $Y_yR$, $J_yR$, $G_pR$, $Y_dR$, and $M_sR$), during 2008~2010. The species was selected as a sentinel species for the study, due to its wide distribution and wide trophic gradient. The analysis of trophic state index (TSI), based on total phosphorus (TP) and chlorophyll-a (Chl-a), indicated that reservoirs of $Y_yR$ and $B_aR$ were classified as to be in an oligotrophic state (30~40), the $J_yR$ and $G_pR$ as mesotrophic (40~50), and the $Y_dR$ and $M_sR$ as eutrophic state (50~70). Total 47 species and 26,226 individuals were sampled from 6 reservoirs and sensitive species dominated in the oligotrophic reservoirs ($Y_yR$ and $B_aR$). In the mean time, the tolerant speciesdominated the community in the mesotrophic ($J_yR$ and $G_pR$) and eutrophic ($Y_dR$ and $M_sR$) reservoirs. Regression analysis of body weight, against the total length, indicated that the regression coefficient (b value) was lower in the oligotrophic reservoir (2.77~2.79) than the mesotrophic (3.07~3.17) and eutrophic reservoirs (3.15~ 3.21). This result suggests that the population growth rate Zacco platypus reflected the trophic gradients of the reservoirs. The analysis of condition factor (K) against the total length showed positive slopes (b>3.0) in mesotrophic and eutrophic reservoirs, and a negative slope (b<3.0) in oligotrophic reservoir. The variation of the regression slope of "b" in Z. platypus was accounted for 79.7% [$b=0.012{\times}TSI(TP)+2.395$, p=0.017] by the variation of TSI (TP) and 82.2% [$b=0.013{\times}TSI(Chl-a)+2.36$, p=0.013] by the variation of TSI (Chl-a). The proportion of DELT abnormality increased as the trophic state increases in the reservoirs. The overall data suggest that the growth of the fish populations, based on the length-weight relations and condition factor, reflected the trophic state of nutrient and phytoplankton biomass of the reservoir waters. Thus, in spite of the tolerant characteristics of Z. platypus, hypertrophic states might negatively affect the health of the population.

• Journal of The Korean Society of Grassland and Forage Science
• /
• v.9 no.1
• /
• pp.7-14
• /
• 1989

This experiment was carried out to determine the seasonal herbage production and utilization during the growing season of pasture on the forest (shading 30%). Plant height, leaf area index(LAl), dry matter(DM) production and distribution, chemical composition, in vitro dry matter digestibility(IVDMD), herbage utilization percentage and chewing efficiency were investigated using the Corridale sheep. Experimental field was treated by one plot design(3 rep.) and performed from 1987 to 1988 at Chungnam National University, Daejon. The results obtained are summarized as follows: 1. The highest plant height and LA1 were observed in May(35.0 cm, 4.89), followed by April(28.0 cm, 4.23), while the plant height and LA1 in October (13.0 cm, 0.49) showed very low. 2. During the growing season, about 58.3 % of annual DM production (7240 kg/ha) was produced during the spring (April, May and June) and the highest DM production was obtained in May (2040 kg/ha), which was more than 28.2 % of total DM production. However, DM production in July and August was about 24.2 % and those in September and October (17.5 %) was very low, but the difference of DM production from June to September was small. 3. The maximum DM production per day (65.8 kg/ha) was observed in May, followed by June (28.7 kglha), while DM production per day in October (16.5 kg/ha) showed very low (p <0.01). 4. Crude protein content and IVDMD of herbage samples during the spring (April, May and June) were higher, while crude fiber, ADF, and NDF content were lower in an summer growth herbage samples (July and August), but autumn growth herbage samples was intermediate. Crude ash content and IVDMD of collected herbage samples were slightly more, while crude fiber, ADF and NDF content were slightly less than offered and residued herbage samples during the growing season. 5. The maximum DM intake per metabolic body size was observed in May(68.9 g), followed by October (66.7 g), while very low in August (52.5 g). Significant positive correlation (p <0.05) was found between DM intake and IVDMD. 6. Herbage utilization percentage was very high in April (83.4 %), while very low in August (64.0 %). The percentage of annual herbage utilization was about 75.5 %. 7. The maximum ruminating and chewing efficiency of herbage samples were observed in May, followed by October, while very low in August.