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Early surgical intervention for unusually located cardiac fibroelastomas

  • Chung, Eui Suk;Lee, Jae Hoon;Seo, Jong Kwon;Kim, Byung Gyu;Kim, Gwang Sil;Lee, Hye Young;Byun, Young Sup;Kim, Hyun Jung
    • Journal of Yeungnam Medical Science
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    • v.37 no.4
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    • pp.345-348
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    • 2020
  • Papillary fibroelastomas are the second most common primary cardiac tumor in adults. Over 80% of fibroelastomas occur on the cardiac valves, usually on the left side of the heart, while the remaining lesions are typically scattered throughout the atria and ventricles. Although the optimal timing for surgery is controversial and depends on tumor size and location, prompt surgical resection is warranted in patients at high risk of embolism. A tumor on the cardiac valve can be removed using the slicing excision technique without leaflet injury. Here we present two cases of papillary fibroelastomas occurring on the ventricular surface of the aortic valve and in the right ventricle.

Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia

  • Choi, Kuk Bin;Kim, Hwan Wook;Kim, Do Yeon;Jo, Keon Hyon;Choi, Hang Jun;Hong, Seok Beom
    • Journal of Chest Surgery
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    • v.49 no.3
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    • pp.195-198
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    • 2016
  • We report a 72-year-old male with known myelodysplastic syndrome who presented to the emergency department with a 7-day history of fever and dyspnea. Echocardiography revealed a round echogenic mass $13{\times}16mm$ in size attached to the atrial side of the tricuspid valve. Considering the high risk of infective endocarditis in the patient with a low absolute neutrophil count ($130/mm^3$), emergency surgery was performed. Intraoperatively, a single gelatinous neoplasm was resected, and subsequent reconstruction of the involved leaflet was accomplished using autologous pericardium. The tumor was pathologically confirmed as papillary fibroelastoma with no evidence of infective endocarditis. Papillary fibroelastoma is a rare cardiac neoplasm that occurs in either the mitral or aortic valves. Interestingly, a few cases of tricuspid valve papillary fibroelastoma have been reported so far. Similar echocardiographic findings between vegetation and tricuspid valve neoplasm make it difficult to distinguish these two disease entities.

Assessment of Waste Management Practices , Source - reduction Programs and Related Tasks in Elementary School Foodservice in Seoul and Kyonggi Province Areas (서울.경기지역 초등학교 급식소의 쓰레기 감량화 프로그램 및 관리업무영역 규명)

  • Ryu, Gyeong;Gwak, Dong-Gyeong;Choe, Eun-Hui
    • Journal of the Korean Dietetic Association
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    • v.7 no.4
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    • pp.410-425
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    • 2001
  • This study was designed to assess the waste management practices, source-reduction programs and related tasks in elementary school foodservice in Seoul. and Kyonggi Province Areas. A questionnaire mailed to 910 school foodservice managers in Seoul and Kyonggi province: a 202% (N=184) response rate was obtained. About 83.7% of school foodservice managers were responsible for managing solid waste. Most foodservice operations take the responsibility of food waste but not packaging wastes. The average disposal cost per month per person was about 19 won and income was about 35 won. Leftovers were mainly disposed with platewaste. Platewaste was reused for the livestook feed(68.0%), and some platewaste was composted(11.6%). Source reduction programs implemented in half of school foodservice operations were adjustment of portion size', checking the plate waste', 'working with classroom teachers on waste reduction campaign', 'providing information leaflet on food waste minimization', posting education materials, 'classroom instruction about food waste minimization', and 'improving cooking method. According to factor analysis based on importance rating. slid waste management activities of elementary school foodservice operations were divided to 7 dimensions such as communication and cooperation with others', 'employee training', 'product quality control, 'yield control', plate waste control', 'purchasing', and 'public relations'. As a result of Important-Performance Analysis(IPA), sine dimensions such as 'communication and cooperation with others' and 'plate waste control were identified in Focus Here' quardrant area which need more enhanced performance.

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Status survey on short-term agricultural machinery rental system for efficient operation (농업기계 단기임대사업의 효율적 운영을 위한 실태조사 연구)

  • Hong, Soon-Jung;Huh, Yun-Kun;Chung, Sun-Ok;Shin, Seung-Yeoub
    • Korean Journal of Agricultural Science
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    • v.38 no.3
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    • pp.583-591
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    • 2011
  • Status survey on short-term agricultural machinery rental business was conducted to provide basic data for effective and sustainable implementation of the rental system. Selected survey samples were 34 rental management institutions such as city and county level government offices and agricultural technology development centers, and Primary Agricultural Cooperatives. Survey was conducted through mailing of questionnaire papers and direct interviews with the officers in charge of the agricultural machinery short-term rental management. Number of agricultural machinery retained by the 34 management institutions for the machinery rental business was 3,699, and numbers of the machinery were 1630 for upland crops, 929 for rice, 542 for orchard farming, 274 for animal husbandry, and 324 for common use. Regarding size of warehouse for rental agricultural machinery, 50% of the institutes were less than 660 $m^2$, 26.5% were greater than 993 $m^2$, and 23.5% were between 663 and 990 $m^2$. Institutes maintaining machinery washing facilities were only 10 (29%) among the 34 rental management institutions. Agricultural machinery rental business was advertised to farmers by 91% of the institutes, and the methods were leaflet (35.2%), village broadcasting (26.5%), call-up education (23.6%), and TV and radio (14.7%). Major contents of the advertisement were rental procedure (52.9%), rental machinery (26.5%), and rental cost (20.6%).

A new species of Potentilla (Rosaceae): P. baekdusanensis M. Kim (양지꽃속(장미과)의 신종: 백두산양지꽃(Potentilla baekdusanensis M. Kim))

  • JO, Hyun;SHIN, Changkeun;SEO, Eunkyoung;KIM, Muyeol
    • Korean Journal of Plant Taxonomy
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    • v.48 no.1
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    • pp.37-42
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    • 2018
  • A new species, Potentilla baekdusanensis M. Kim, is described here. It is found in Baekdusan Mt., Korea. Potentilla baekdusanensis shares several characteristics (pinnately compound leaves, pubescent leaf blades and leaf petioles, different leaflets size, and absent stolons) with the related species P. fragarioides. However, this new species has small plants with short and curved hairs, 7 leaflets, small lower leaflets, a glabrous leaflet margin, and yellow petals with a reddish yellow base. In contrast, P. fragarioides are large plants with long and straight hairs, 9-15 leaflets, large lower leaflets, a ciliate leaf margin, and yellow petals without a reddish yellow base.

Cardiac Malignant Mesenchymoma - Two Cases Report - (심장의 악성 간엽세포종 - 2례 보고 -)

  • Ku, Gwan-Woo;Kang, Shin-Kwang;Won, Tae-Hee;Kim, Si-Wook;Yu, Jae-Hyun;Na, Myung-Hoon;Lim, Seung-Pyung;Lee, Young
    • Journal of Chest Surgery
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    • v.35 no.10
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    • pp.750-754
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    • 2002
  • Primary cardiac tumors are rare and about 20~25% of primary cardiac tumors are malignant. Moreover, primary malignant mesenchymoma of the heart is extremely rare. Recently, we have experienced two cases of cardiac malignant mesenchymoma. In the first case, malignant mesenchymoma which was originated from the posterior wall of the left atrium obstructing the mitral orifice was revealed pathologically in a 61-year-old woman with mitral regurgitation. The mass, which was 2.7$\times$3.7cm in size on the posterior wall of left atrium, was extended to the posteromedial commissure and annulus of the mitral valve. The mass was resected partially without excision of the left atrial free wall. She was discharged after 30 days without any problems and she received chemotherapy and followed up for 19months. The second case was a 4$\times$5cm in size, friable, yellow-whitish multilobulated mass in the left atrium which was originated from the left lower pulmonary vein. Multiple minor tumor nodules were found in the wall of the left atrium and the posterior leaflet of mitral valve. Partial mass excision and mitral valve replacement were performed.

A New Sprout-soybean Cultivar, "Hoseo" with Early maturity, Small Seed Size and High Sprout yielding (극소립·조숙 고수율 나물콩 신품종 "호서")

  • Oh, Young-Jin;Cho, Sang-Kyun;Kim, Kyong-Ho;Kim, Young-Jin;Kim, Tae-Soo;Kim, Jung-Gon;Moon, Jung-Kyung;Han, Won-Young;Kim, Hyun-Tae;Ko, Jong-Min;Yun, Hong-Tae;Baek, In-Youl;Kim, Dong-Kwan;Kim, Yong-Duk
    • Korean Journal of Breeding Science
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    • v.40 no.4
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    • pp.479-483
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    • 2008
  • A new sprout-soybean cultivar, "Hoseo" was developed at the Honam Agricultural Research Institute (HARI) in 2007. Hoseo was selected from a cross between Camp and Nattosan. The preliminary, advanced, and regional yield trials to evaluate the performance of Iksan 57 were carried out from 2003 to 2007. This cultivar has a determinate growth habit with purple flower, grayish brown pubescence, yellow seed coat, grayish brown hilum, rhomboid leaflet shape and small seed size (7.4 g/100 seeds). The maturity date of "Hoseo" is 12 days earlier than the check variety, "Pungsan". It has good seed quality for soybean-sprout and resistance to lodging. This cultivar has resistance to soybean mosaic virus (SMV) and necrotic symptom (SMV-N). The average yield of "Hoseo" was 2.51 ton per hectare in the regional yield trials (RYT) for double cropping carried out for three years from 2005 to 2007.

Comparison of defect size measured by transthoracic and transesophageal echocardiography with balloon occlusive diameter measured during transcatheter closure of atrial septal defect (경피적 심방중격결손 폐쇄술 시 경흉부 및 경식도 초음파 검사 상의 결손의 크기와 풍선 폐쇄 직경과의 관계)

  • Hur, Kyong;Kim, Jeong Eun;Kim, Yuria;Kwon, Hae Sik;Yoo, Byung Won;Choi, Jae Young;Sul, Jun Hee
    • Clinical and Experimental Pediatrics
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    • v.50 no.10
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    • pp.970-975
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    • 2007
  • Purpose : Accurate measurement of defect size is important in transcatheter closure of atrial septal defect (ASD). We performed this study to analyze the difference between the measured ASD size and balloon occlusive diameter (BOD) by transthoracic (TTE) or transesophageal echocardiography (TEE). Methods : We investigated 78 patients who underwent transcatheter closure of ASD. The defect size and the distance between the surrounding structures were measured by TTE and TEE. The BOD was measured by TEE during cardiac catheterization. Clinical characteristics and echocardiographic data were compared and analyzed. Results : The difference between BOD and diameter by TTE was $4.8{\pm}3.6mm$ on short axis view, $5.4{\pm}3.2mm$ on long axis view. The difference between BOD and diameter by TEE was $3.6{\pm}2.2mm$ on short axis view, $4.2{\pm}3.1mm$ on long axis view. The difference between BOD and the diameter of defects on TTE, TEE had statistically significant positive correlations with the age of the patients, distance between the, defect and posterior atrial septal wall, the distance between the defect and the mitral valve leaflet, and the diameter of defects and the length of the atrial septum on TTE (P<0.05). Conclusion : BOD of ASD can be estimated by the diameter on TTE and TEE. BOD is expected to measure larger, depending on the size of defects, the distance from surrounding structures and the location of defects on echocardiography. Our data offers important information on details of transcatheter ASD closure which can be helpful in predicting suitability and judging the procedural appropriateness during the procedure.

Development of Nutrition Education Materials for Prevention and Management of Diabetes Mellitus for Older Adults

  • Kim, Kyungwon;Hyunjoo Kang;Yun Ahn;Kim, Se-Hwa;Kim, Hee-Seon
    • Journal of Community Nutrition
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    • v.4 no.2
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    • pp.118-129
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    • 2002
  • Nutrition is important in the management of diabetes mellitus, however, there are few little education materials specifically designed for older adults. The objective of this study was to develop nutrition education materials for prevention and management of diabetes moll for older adults. Materials developed were a booklet and four leaflets. The contents of materials were based on lesson plans. After several revisions of the draft of materials, illustrations and icons appropriate to the contents were designed using illustrator 9.0 and Photoshop 6.0. The booklet was composed of five chapters and 40 pages. The first chapter began with an introduction about diabetes and diabetes management by diet, exercise and medication. The second chapter dealt with ideal body weight, calculation of adequate caloric intake and food exchange list. The third chapter provided information for meal planning and sample menus. The fourth chapter focused on practical tips on nutritional care of diabetes, by providing tips on reducing sugars, fat and salt, and suggestions on eating for special occasions. The fifth chapter dealt with information in case of low blood sugars, exercise and foot care. The topics of the four leaflets were “Diabetes, what is it and care”, “Food exchange list and meal planning”, “Healthy eating for diabetes”, “Special care for diabetes low blood sugars, exercise and foot care” Each leaflet was composed of six sections and was printed in large paper (B4 size) for older adults. The draft of educational materials were re-viewed by four nutrition professionals and finally pilot-tested with ten adults aged 50 and older. The characteristics of the developed materials are as follows, i) messages are delivered using simple, specific information, ⅱ) messages focused on practical applicable tips, ⅲ) various pictures, illustrations and artwork were created and inserted to enhance understanding and interest, ⅳ) sections including risk factor assessment, calculation of ideal body weight and meal planning were designed to induce the user's participation, ⅴ) sample menus and food pictures were inserted in the booklet, vi) characteristics of older adults and transformed characteristics are diversely used to help the user feel familiarity. These materials are self-explanatory and can be used by older adults. These materials also can be used widely in nutrition education at public health centers or senior centers.

Effect of Leaf Temperature on Light Response and Respiration in Panax ginseng C. A. Meyer (고려인삼에서 광반응 및 호흡에 미치는 잎온도의 영향)

  • 현동윤;유남희
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.41 no.6
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    • pp.725-728
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    • 1996
  • This study was conducted to investigate effect of leaf temperature on light response and respiration during short-term exposure to a sequnce of PPFD cycle(100-200-300-400$\mu$ mol m$^{-2}$ s$^{-1}$ ) under increasing leaf temperature sequnce up to 3$0^{\circ}C$ and in dark condition, increasing up to 46$^{\circ}C$ with step size (1$^{\circ}C$) in Panax ginseng C. A. Meyer. When leaflet exposed to low light intensity and temperature, Rubisco activity was higher than remained activity in high condition. Leaves adapted to 100$\mu$mol m$^{-2}$ s$^{-1}$ PPFD had a peak response similar to that of 200$\mu$mol m$^{-2}$ s$^{-1}$ at 18$^{\circ}C$, but in above PPFD cycle(300, 400$\mu$mol m$^{-2}$ s$^{-1}$ ) it represented at 17$^{\circ}C$ and 16$^{\circ}C$, re-spectively. $CO_2$ evolution in dark condition increased rapidly when leaf temperature was increased up to 28$^{\circ}C$ and then 'dipped' below steady-state level from above 4$0^{\circ}C$. Thus, Pananx ginseng is able to take advantage of irradiance increase and decrease of $CO_2$ evolution in dark condition to control leaf temperature.mperature.

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