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Mid-Term Outcomes and Angiographic Patency of Redo Coronary Artery Bypass Grafting: A Comparison between OffPump and On-Pump Surgery

  • Sohn, Suk Ho;Kim, Seung Hyun;Hwang, Ho Young;Kim, Ki-Bong
    • Journal of Chest Surgery
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    • v.54 no.2
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    • pp.106-116
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    • 2021
  • Background: We evaluated the mid-term outcomes and angiographic patency of redo coronary artery bypass grafting (CABG). Methods: Of 2,851 patients who underwent isolated CABG at Seoul National University Hospital from 2000 to 2017, 88 underwent redo CABG. Patients' mean age at redo CABG was 66.0±8.0 years. The mean interval between the first-time and redo CABG was 113.0±62.4 months. The mean follow-up duration was 86 months. Early and mid-term clinical outcomes were evaluated. Angiographic patency rates were evaluated early (1-2 days), 1 year, and 5 years after surgery. Comparative analyses between on-pump and off-pump CABG were also performed. Results: The culprits for reoperation were previous grafts (65.6%), native coronary vessels (17.8%), and both (16.7%). Off-pump CABG was performed in 75 cases (85.2%), and the mean number of distal anastomoses was 1.8±0.8. The saphenous vein (39.7%) was used most frequently, followed by the right internal thoracic artery (28.4%), right gastroepiploic artery (21.3%), left internal thoracic artery (7.8%), and radial artery (2.8%). Operative mortality was 1.1%. The overall survival, cumulative incidence of cardiac death, and cumulative incidence of major adverse cardiac events were 71.3%,12.0%, and 23.3% at 5 years after surgery, respectively. The overall angiographic patency rates were 95.7%, 90.1%, and 92.2% on early, 1-year, and 5-year angiograms, respectively. The angiographic patency rates of saphenous vein grafts were 93.1%, 85.6%, and 91.3% on early, 1-year, and 5-year angiograms, respectively. No significant differences in clinical outcomes or angiographic patency rates were observed between the on-pump (n=13) versus off-pump (n=75) groups. Multivariable analysis revealed that age (hazard ratio [HR], 1.07; p=0.005) and chronic kidney disease (HR, 3.85; p=0.001) were risk factors for all-cause mortality. Conclusion: Redo CABG could mostly be performed using the off-pump technique and did not show increased operative mortality and morbidities.

Analysis of Effect on Camera Distortion for Measuring Velocity Using Surface Image Velocimeter (표면영상유속측정법을 이용한 유속 측정 시 카메라 왜곡 영향 분석)

  • Lee, Jun Hyeong;Yoon, Byung Man;Kim, Seo Jun
    • Ecology and Resilient Infrastructure
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    • v.8 no.1
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    • pp.1-8
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    • 2021
  • A surface image velocimeter (SIV) measures the velocity of a particle group by calculating the intensity distribution of the particle group in two consecutive images of the water surface using a cross-correlation method. Therefore, to increase the accuracy of the flow velocity calculated by a SIV, it is important to accurately calculate the displacement of the particle group in the images. In other words, the change in the physical distance of the particle group in the two images to be analyzed must be accurately calculated. In the image of an actual river taken using a camera, camera lens distortion inevitably occurs, which affects the displacement calculation in the image. In this study, we analyzed the effect of camera lens distortion on the displacement calculation using a dense and uniformly spaced grid board. The results showed that the camera lens distortion gradually increased in the radial direction from the center of the image. The displacement calculation error reached 8.10% at the outer edge of the image and was within 5% at the center of the image. In the future, camera lens distortion correction can be applied to improve the accuracy of river surface flow rate measurements.

Accelerometry of Unimanual and Bimanual Activities in Stroke Patients (뇌졸중 환자에서 한손 및 양손 활동 수행 시 가속도 분석)

  • Lee, Jeong-Eun;Kim, Do-Yeong;Kim, Tae-Hoon
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.129-140
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    • 2021
  • Objective : This study evaluated the differences between the upper and lower arm activities of the affected and non-affected sides in stroke patients performing activities of daily living. It was intended to gather basic data for the measurement of daily activities. Methods : The participants in the study consisted of 20 patients, 10 had left hemiplegia and 10 had right hemiplegia. Between September and November 2017, they performed drinking and dressing as unimanual and bimanual tasks. The 3-axes accelerometers were placed 2cm below the lateral epicondyle on the upper arm and 2cm below the radial styloid on the lower arm. The data were collected at intervals of 1/32 Hz and analyzed. Results : In patients with right hemiplegia, the tendon activity was significantly higher in the lower arm when performing a bimanual activity (p<.05), for all the other activities, those of the lower arm were significantly higher than those of the upper arm (p<.01, p<.05). There was no significant difference between the unimanual and bimanual activities of the affected and tendon sides in patients with left hemiplegia (p>.05). In both hands, the activity of the lower arm was significantly higher than that of the activities of the upper and lower arms, except on the affected side (p<.05). In all patients, the activities of the upper and lower arms were significantly higher (p<.05), and the activity of the lower arm was significantly higher than that of the upper (p<.001, p<.05). Conclusion : The activity was higher on the non-affected side than the affected side during the dressing task, and the overall activity was higher in the lower arm than the upper arm.

Inactivation of Pathogenic Escherichia coli Using Crude Extract of Immunized Silkworm (면역유도누에 추출물을 이용한 병원성 대장균의 불활성화)

  • Park, Jong Woo;Jeong, Chan Young;Lee, Chang Hoon;Kang, Sang Kuk;Ju, Wan-Taek;Kim, Seong-Wan;Kim, Nam-Suk;Kim, Kee Young
    • Journal of Life Science
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    • v.31 no.8
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    • pp.755-760
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    • 2021
  • Swine diarrhea is a livestock disease that causes huge economic losses to pig farms. In general, diarrhea occurs because of the proliferation of pathogenic Escherichia coli (E. coli). The toxins produced by the proliferated E. coli cause edema in pigs. Although the proliferation of these coliforms can be prevented by using a vaccine, the vaccines containing chemically produced dead bacteria are not very effective, making it difficult to control the proliferation of E. coli. Therefore, there is a need to develop new, more effective vaccines. In this study, we prepared killed F4+ and F18ab+ E. coli, which induce diarrhea and edema in pigs, using the extracts of immune-induced silkworms containing antimicrobial peptides and examined their availability as a killed-bacteria vaccine. First, the antimicrobial activity analysis of the prepared immune-induced silkworm extract was conducted using the radial diffusion assay. The results showed high activity against both F4+ and F18ab+ E. coli. The production efficiency of E. coli dead cells was determined using the colony-counting method. The concentration of the E. coli dead cells was the highest (50 mg/ml) when treated at 4℃. In addition, the analysis of the prepared dead cells using a transmission electron microscope confirmed that E. coli leaked out of the cytoplasm and the cell membrane remained intact. Therefore, F4+ and F18ab+ E. coli produced using immune-induced silkworms extract are considered to be highly available as bacterial ghost vaccines that can help prevent swine diarrhea and the resulting edema.

Radon Hazard Review of Spilled Groundwater and Tap Water in Incheon Metropolitan City Subway Station (인천광역시 지하철 역사 내 지하수 및 수돗물의 라돈 위해성 검토)

  • Lee, Yoo-Sang;Lee, Sang-Bok;Kang, Min-Seok;Jeong, Dong-Ha;Kim, Jin-Hong;Oh, Yoon-Sik;Choi, Se-Rin;Park, Jeong-Soo;Kim, Sungchul
    • Journal of radiological science and technology
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    • v.44 no.6
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    • pp.671-677
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    • 2021
  • Interest in the everyday hazards of radon has recently increased as such, this study attempted to examine the dangers of radon in spilled groundwater by comparing the radon concentrations of the drained groundwater and tap water used in recirculating systems in Incheon Subway restrooms. At five stations of Incheon Subway Line 1 and three stations of Line 2, drained groundwater is recirculated and used in restrooms for toilet flushing. Stations restroom tap water for hand washing that used as a control and the measured values of each were compared. With the cooperation of Incheon Transportation Corporation, samples of spilled groundwater and tap water were collected sealed to prevent contact with the air, and a DURRIDGE RAD7 was used as the experimental equipment. The collected samples were subjected to radial equilibration for approximately 3.5 h, at which the radon concentration reached its maximum, and then calculated as 10 measurements using the RAD7 underwater radon measurement mode. In all eight stations, the radon concentration in tap water was lower than the recommended amount. However, in an average of 7 out of the eight stations, the radon concentration in the effluent groundwater was 100 times higher than that in tap water. Since high radon concentrations in groundwater runoff can be harmful to humans, and there is no accurate standard for radon concentrations in domestic water, it is necessary to continuously monitor radon in water and prepare a guidance of recommended values.

Characterization of Charcoals prepared by Korean Traditional Kiln (우리나라 전통 숯가마로부터 생산된 숯의 특성분석)

  • An, Ki Sun;Kwak, Lee Ku;Kim, Hong Gun;Ryu, Seung Kon
    • Korean Chemical Engineering Research
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    • v.60 no.2
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    • pp.208-216
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    • 2022
  • Surface morphology and adsorption characteristics of black and white charcoals prepared from Korean traditional kiln were quantitatively analyzed. TGA and elemental analysis of charcoals were different from produced kiln, and thermal degradation temperature and carbon content of white charcoals were apparently higher than those of black charcoals. Surface morphology shows the activation progressed through the longitudinal direction of woods and new micropores were developed to radial direction on the surface of macropores as the furthermore activation resulting in the pore connection. BET adsorption isotherms show that there are low-pressure hysteresis due to the no desorption of adsorbates, which resulted in unique Type of charcoals overlapping Type I and Type IV. Such a low-pressure hysteresis is occurred from expansion of adsorbates, which were embedded in the micropore entrances and did not get out during the desorption run. The characteristics of charcoals such as specific surface area and pore size distribution did not show correct values depending on not only produced company but also sampling sites of one piece of charcoal. Therefore, it is not easy to suggest the quantitative characteristics of charcoals prepared from Korean traditional kiln. On the other hand, preparation the quality standard of charcoal is necessary for their special uses such as adsorbent.

Providing the combined models for groundwater changes using common indicators in GIS (GIS 공통 지표를 활용한 지하수 변화 통합 모델 제공)

  • Samaneh, Hamta;Seo, You Seok
    • Journal of Korea Water Resources Association
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    • v.55 no.3
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    • pp.245-255
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    • 2022
  • Evaluating the qualitative the qualitative process of water resources by using various indicators, as one of the most prevalent methods for optimal managing of water bodies, is necessary for having one regular plan for protection of water quality. In this study, zoning maps were developed on a yearly basis by collecting and reviewing the process, validating, and performing statistical tests on qualitative parameters҆ data of the Iranian aquifers from 1995 to 2020 using Geographic Information System (GIS), and based on Inverse Distance Weighting (IDW), Radial Basic Function (RBF), and Global Polynomial Interpolation (GPI) methods and Kriging and Co-Kriging techniques in three types including simple, ordinary, and universal. Then, minimum uncertainty and zoning error in addition to proximity for ASE and RMSE amount, was selected as the optimum model. Afterwards, the selected model was zoned by using Scholar and Wilcox. General evaluation of groundwater situation of Iran, revealed that 59.70 and 39.86% of the resources are classified into the class of unsuitable for agricultural and drinking purposes, respectively indicating the crisis of groundwater quality in Iran. Finally, for validating the extracted results, spatial changes in water quality were evaluated using the Groundwater Quality Index (GWQI), indicating high sensitivity of aquifers to small quantitative changes in water level in addition to severe shortage of groundwater reserves in Iran.

Development of Fungal Sapstain in Logs of Japanese Red Pine and Korean Pine (소나무와 잣나무 원목에서 변재변색 발생)

  • Kim, Gyu-Hyeok;Kim, Jae-Jin;Ra, Jong-Bum
    • Journal of the Korean Wood Science and Technology
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    • v.30 no.2
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    • pp.128-133
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    • 2002
  • This study was conducted to investigate the influence of storage time on the sapstain development of Japanese red pine and Korean pine logs during storage in log yard, and their stain characteristics. Japanese red pine and Korean pine trees were harvested and cut into logs in mid January of 2001. These logs were transported to the two local sawmills where they were closely stacked in remote parts of log yard. The logs were then sampled destructively by cutting seven to nine 3-cm long discs along the length of each log at intervals of 3, 4, 5, 6, and 8 month after felling. The stain coverage and maximal radial penetration of stain were measured from the discs of the sampled logs after the isolation of causal staining fungi. The sapstain was primarily infested by the attack of bark beetles and the species of bark beetle was identified as Tomicus piniperda. The main fungal species isolated from stained wood was Ophiostoma species. Based on the present study, the logs could be stored in log yard until May without stain; but stain development was rapid after May and the severity of stain increased proportionally with storage time. Korean pine was more susceptible to fungal stain than Japanese red pine. During summer storage, decay started to develop in logs and the main species were identified as Tyromyces sp. and Schizophyllum commune. Information provided in this paper would be very useful to develop more effective control strategies for sapstain prevention in Japanese red pine and Korean pine logs.

Effects of Acute Transcranial Direct Current Stimulation on Muscle Endurance of the Lower Extremities for Young Healthy Adults (일회성 경두개 직류전기자극(tDCS) 적용이 젊은 성인의 하지 근지구력에 미치는 영향)

  • Park, Shin-Young;Ko, Do-Kyung;Jeong, Hyeong Do;Lee, Hanall;Lee, Hyungwoo;Kim, Chanki;An, Seungho;Kim, Jiyoung;Moon, Bosung;Son, Jee-Soo;Lee, Dohyeon;Lee, Eui-Young;Lee, Ju Hak;Im, Seungbin;Tan, Yuan;Jeon, Kyoungkyu;Kang, Nyeonju
    • Korean Journal of Applied Biomechanics
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    • v.32 no.3
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    • pp.94-102
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    • 2022
  • Objective: The purpose of this study was to investigate the effect of acute transcranial direct current stimulation (tDCS) on the isokinetic muscular endurance of the lower extremity for young adults. Method: Thirteen young adults performed isokinetic fatigue tasks for two experimental conditions including real tDCS and sham stimulation protocols. Before and after the task, the tensiomyography was used for evaluating muscle contraction characteristics of vastus medialis and semitendinosus. Paired t-test was performed to compare the fatigue index, changes in maximum radial displacement (∆Dm), delay time (∆Tc), and velocity of contraction (∆Vc) between tDCS conditions. Results: We found no significant differences in the fatigue index between real and sham conditions. In addition, the analyses identified no significant different values of ∆Dm, ∆Tc, and ∆Vc in the vastus medialis and semitendinosus between real and sham conditions. Conclusion: These findings suggest that the tDCS protocols may have no acute effect on lower limb muscle endurance for young adults. Future studies should consider the long-term effects of repetitive tDCS sessions, various stimulation positions, exercise tasks, and participant characteristics to more clearly understand the effect of tDCS on muscle endurance of lower extremities.

Analysis and verification of the characteristic of a compact free-flooded ring transducer made of single crystals (압전단결정을 이용한 소형 free-flooded ring 트랜스듀서의 성능 특성 예측 및 검증)

  • Im, Jongbeom;Yoon, Hongwoo;Kwon, Byungjin;Kim, Kyungseop;Lee, Jeongmin
    • The Journal of the Acoustical Society of Korea
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    • v.41 no.3
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    • pp.278-286
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    • 2022
  • In this study, a 33-mode Free-Flooded Ring (FFR) transducer was designed to apply piezoelectric single crystal PIN-PMN-PT, which has high piezoelectric constants and electromechanical coupling coefficient. To ensure low-frequency high transmitting sensitivity characteristics with a small size of FFR transducer, the commercial FFR transducer based on piezoelectric ceramics was compared. To develop the FFR transducer with broadband characteristics, a piezoelectric segmented ring structure inserted with inactive elements was applied. The oil-filled structure was applied to minimize the change of acoustic characteristics of the ring transducer. It was verified that the transmitting voltage response, underwater impedance, and beam pattern matched the finite element numerical simulation results well through an acoustic test. The difference in the transmitting voltage response between the measured and the simulated results is about 1.3 dB in cavity mode and about 0.3 dB in radial mode. The fabricated FFR transducer had a higher transmitting voltage response compared to the commercial transducer, but the diameter was reduced by about 17 %. From this study, it was confirmed that the feasibility of a single crystal-applied FFR transducer with compact size and high-power characteristics. The effectiveness of the performance prediction by simulation was also confirmed.