• Journal of Chest Surgery
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• v.30 no.1
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• pp.27-33
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• 1997

Retrograde myocardial protection is widely accepted in CABG operation because of the limitations of the antegrade method in the coronary arterial stenosis lesions. We analyzed 76 c ses of retrograde myocardial protection among 96 cases of CABG operation performed between April 1994 and August 1995, There were 48 males and 25 females, and the mean age was 58.2 $\pm$ 8.3 years. 53 patients (70%) were operated for unstable angina, 14 (18%) for stable angina, 6 (8%) for post-infarct angina, 1 (1%) for acute myocardial infarction, and 2()%) for failed PTCA. Preoperative coronary angiography revealed 3-vessel disease in 42 cases, 2-vessel disease in 11, 1-vessel disease in 10, and left main disease in 13 cases. We used SVG(63 cases), LIMA(69 cases), RIMA(11 cases), radial artery(6 cases), and gastroepiploic artery(1 case) for the grafts. Mean anastomosis was 3.2 $\pm$ 1.1. We protected the myocardium with antegrade induction and retrograde maintenance in all the cases except a case of retrograde induction and maintenance. During the aortic cross-clamping, blood cardioplegia was administered intermittently in 19 cases, and continuously in 57 In 39 cases, we used retrograde ardioplegia and antegrade perfusion of RCA graft simultaneously. We had no operative motality. Perioperative complications were arrhythmia in 15 cases, perioperatve myocardial infarction in 10, low cardiac output syndrome In 8, transient neurologic problem in 7, transient psychiatric problem in 6, ARF in 3, bleeding in 2, pneumonia in 2, wound infection in 1, and duodenal ulcer perforation in 1 . In this report, we experienced 76 cases of CABG operation with retrograde myocardial protection under the acceptable operative risk without operative mortality.

• Journal of Chest Surgery
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• v.37 no.1
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• pp.56-63
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• 2004

Background: Patch angioplasty is an alternative surgical procedure to coronary artery bypass grafting (CABG) for left main coronary ostial stenosis. The purpose of this study is to evaluate the outcome of patch angioplasty by analyzing the short-term and long-term results. Material and Method: Twenty nine patients who had undergone patch angioplasty due to left main coronary ostial stenosis between July 1991 and May 2003 were enrolled in the study. The mean age of the patients was 53.1 $\pm$12.5 years. There were 8 males and 21 females, and there were 12 female patients who had no risk factor for atherosclerosis. Twenty six (89.7%) patients showed isolated coronary ostial stenosis without any distal coronary lesion. Result: Anterior approach was used in 28 patients and superior approach was used in one patient. Transsection of the main pulmonary artery was used in one patient. Concomitant CABG was performed in 4 patients because of left anterior descending artery lesions in 3 patients and unstable postoperative hemodynamic status in one patient. Hospital mortality had occurred in one patient (3.4%) and late mortality also in one patient, therefore the overall 5 year survival rate was 91.2$\pm$6.1%. Seventeen coronary angiographies were done in 13 patients (44.8%) postoperatively. Two distal patch stenoses, 1 proximal patch stenosis, and 1 new right coronary ostial lesion were identified and 3 percutaneous interventions and 1 CABG were performed during the follow-up period. The overall 5 year freedom from reintervention rate was 82.4 $\pm$ 8.5%. Aortic regurgitation less than grade 1 had developed postoperatively in 4 patients and one patient showed progression of preexisting aortic regurgitation from grade II to III. Conclusion: Patch angioplasty in left main coronary ostial lesion showed acceptable short-term and long-term results in this study. However, restenosis at the patch anastomosis site and aortic regurgitation should be carefully investigated during the follow-up period.

• The Korean Journal of Nuclear Medicine
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• v.33 no.1
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• pp.84-93
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• 1999

Purpose: We investigated the direct labeling method of antibody with $^{99m}Tc$ and $^{188}Re$ and examined the stability and function of these labeled compounds in in vitro and in vivo. Materials and Methods: Disulfide bond of nonspecific human IgG was reduced to -SH group by 2-mercaptoethanol. Stannous ion was used to reduce $^{99m}Tc$ and $^{188}Re$. The stability of $^{99m}Tc$-IgG and $^{188}Re$-IgG was estimated upto 24 hrs. Biodistribution was evaluated in abscess bearing rats at 4 and 24 hr post-injection of $^{99m}Tc$ or $^{188}Re$ labeled IgG. Results: The number of -SH group per reduced IgG molecule was 2.34. The labeling yield of $^{99m}Tc$-IgG and $^{188}Re$-IgG were 90% and 95%, respectively The stability of $^{99m}Tc$-IgG at 1, 4, 6 and 24 hr was 91%, 83%, 78%, 7% and that of $^{188}Re$-IgG at 1, 4, 16 and 24 hr was 94%, 80%, 47%, 42%, respectively. At 4 hr post-injection of $^{99m}Tc$-IgG, high uptake was found on kidney, blood, stomach and abscess ($9.42{\pm}0.68,\;1.43{\pm}0.24,\;0.86{\pm}0.18,\;0.72{\pm}0.10$ %ID/g, respectively). The uptakes at 24 hr were kidney, abscess,.itomach, and blood in descending order. In case of $^{188}Re$-lgG, high uptake at 4 hr post injection appeared on kidney, blood, abscess and stomach ($3.92{\pm}0.62,\;1.32{\pm}0.08,\;0.88{\pm}0.01,\;0.26{\pm}0.06$, respectively). The uptakes at 24 hr were kidney, abscess, blood and stomach in descending order. The abscess to blood uptake ratio of $^{99m}Tc$-IgG was 0.5 at 4 hr and 2.02 at 24 hr and that of $^{188}Re$-IgG was 0.67 and 1.29. Conclusion: $^{99m}Tc$-IgG and $^{188}Re$-IgG canbe labeled efficiently with direct labeling method. However, $^{99m}Tc$-IgG and $^{188}Re$-IgG, labeled with direct method, was unstable. Further study is needed to enhance the stability of the antibody labeling.

• Research in Plant Disease
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• v.14 no.3
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• pp.171-175
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• 2008

The influence of rice bacterial leaf blight (BLB) disease incidence on yield and quality of Nampyung, Gang-baek and Iksan493 was investigated in three areas, Gimje, Yeongam and Jangheung, frequently found BLB infested rice. The infection rate of Nampyung, susceptible to BLB disease, was higher ($23{\sim}93%$) than Gang-baek ($2{\sim}15%$) and Iksan493 ($2{\sim}6%$), have resistant gene Xa7 and xa5, respectively. BLB disease incidence was severely found in Gimj and then yield of Nampyung was reduced 65% (352 kg/10a) compared to Iksan493 (540 kg/10a) due to the decrease in the ripen grain filling, brown/rough ratio and 1,000 grain weight. There was no difference of rice yield among Nampyung, Gangbaek and Iksan493 in Yeongam and Jangheung. The occurrence time of disease in Yeongam and Jangheung was later than Gimje and BLB disease was less infected in these areas. BLB infected rice grain showed inferior grain appearance and taste index to sound grain. independent of rice with resistant gene. In Yeongam and Jangheung, Gangbaek and Iksan493 cultivated showed lower ratio of white color to belly than Nampyung. Iksan493 showed better grain appearance and lower ratio of white core to belly than Gangbaek. In protein content of rice grain, the range of Gangbaek and Iksan493 was $6.9{\sim}9.8%$, but Nampyung showed unstable ranged from undetermined to 9.0%.

• Tunnel and Underground Space
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• v.30 no.3
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• pp.256-269
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• 2020

The objective of this study is to evaluate the stress thresholds in crack development and the corrected fracture toughness of KURT granite under dry and saturated conditions. The stress thresholds were identified by calculation of inelastic volumetric strain from an uniaxial compression test. The corrected fracture toughness was estimated by using the Level II method (Chevron Bend specimen), suggested by ISRM (1988), in which non-linear behaviors of rock was taken into account. Average crack initiation stress(σ_ci) and crack damage stress(σ_cd) under a dry condition were 91.1 MPa and 128.7 MPa. While, average crack initiation stress(σ_ci) and crack damage stress(σ_cd) under a saturated condition were 58.2 MPa and 68.2 MPa. The crack initiation stress and crack damage stress of saturated ones decreased 36% and 47% respectively compared to those of dry specimens. A decrease in crack damage stress is relatively larger than that of crack initiation stress under a saturated condition. This indicates that the unstable crack growth can be more easily generated because of the saturation effect of water compared to the dry condition. The average corrected fracture toughness of KURT granite was 0.811 MPa·m^0.5. While, the fracture toughness of saturated KURT granite(K_CB) was 0.620 MPa·m^0.5. The corrected fracture toughness of rock in saturated condition decreases by 23.5% compared to that in dry condition. It is found that the resistance to crack propagation decreases under the saturated geological condition.

• Neonatal Medicine
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• v.17 no.1
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• pp.53-63
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• 2010

Purpose : Extrauterine growth restriction (EUGR) in preterm infants is a major problem in neonatal intensive care units (NICUs) and it has been related to long-term growth deficit and neurodevelopmental issues. The aim of this study was to investigate the frequency of and risk factors for EUGR. Methods : The study subjects consisted of very low birth weight (VLBW) infants with a gestational age $\leq$32 weeks that were born at the Seoul National University Children's Hospital between November 2005 and April 2009. EUGR was defined as weight for gestation, lower than the 10th percentile on discharge. Results : The frequency of EUGR was 67% (n=111/166). By multiple logistic regression, the presence of small for gestational age (SGA) was the greatest predictor of EUGR, birth weight and daily weight gain during the first 28 days were independent predictors of EUGR. Risk factors for EUGR in non-SGA infants were evaluated because 56% (64/114) of non-SGA infants developed EUGR at discharge. Daily weight gain in the first 28 days was also decreased in EUGR group and independently predicted the risk of EUGR in the non-SGA group. Conclusion : EUGR was a common problem in the NICU. SGA was the most significant predictive factor of the EUGR. Half of the non-SGA infants also developed EUGR, revealing poor weight gain in the early days was as an important predictor. These results support the importance of early nutritional intervention for weight gain which have lagged behind other modern therapeutic interventions when the infant is clinically unstable.

• The Korean Journal of Nuclear Medicine
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• v.28 no.1
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• pp.133-140
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• 1994

Recently, there are many considerations and studies on biological effects of radiations in radiation workers, as well as in accidentally or therapeutically irradiated persons. The most practical and reliable method of dosimetry for radiation accidents is the scoring of gross chromosomal aberrations in human lymphocytes (Ydr) as a biological dosimetry. By the way, although usual doses of $^{131}I$ administered therapeutically for thyroid cancer are ranging from 100 mCi to 200 mCi, there are differences of absorbed doses and Ydr, ranging from 0.004 to 0.04, on equally administered $^{131}I$ due to variations in metabolic characteristics, stage of tumors and physical status of subjects. In this study, We exert to obtain the dose-response relationships of $^{131}I$, as a good guide to evaluating acute effects of accidental irradiations and radiation induced leukemia or solid tumor, by in vitro induction of chromosomal aberrations. we studied the relationship between radiation dose (D) and the frequency of chromosomal aberrations (Ydr) obserbed in peripheral lymphocytes that were irradiated in vitro with $^{131}I$ at doses ranging from 0.05 to 6.00 Gy. By scoring cells with unstable chromosomal aberrations (dicentric chromosomes and ring chromosomes) we obtained this linear-quadratic dose response equation Ydr=0.064351 $D^2$-0.13143 D+0.045684 This dose-response relationship may be useful for evaluating acute and chronic $^{131}I$ induced biological effects.

• Korean Journal of Environmental Biology
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• v.37 no.4
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• pp.652-663
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• 2019

The purpose of this study was to conduct ecological health assessments by using the fish communities in the Manchurian trout habitat. Sampling was conducted twice in July and September 2018. In the survey, 1,119 individuals belonging to 16 species and seven families were collected. The dominant species by number was Rhynchocypris kumgangensis and the subdominant species was Zacco koreanus. Korean endemic species represented 73.33% at Geybang Stream and 76.92% at Naerin Stream. Community analysis revealed that the structure of the fish community was unstable by the dominance index 0.63 (±0.09)-0.97 (±0.01), the diversity index 1.63 (±0.23)-0.33 (±0.09), the evenness index 0.79 (±0.06)-0.24 (±0.07) and the richness index 0.67 (±0.14)-1.80(±0.16). According to the analysis of the tolerance guilds, the total individual number of sensitive species was higher than the intermediate and tolerant species. The insectivore species accounted for 65.09-98.56% of the total trophic guilds, which was the highest observed. The value of the QHEI (Qualitative habitat evaluation index) in the Brachymystax lenok tsinlingensis habitat was 119.5 (±0.5)-153.5 (±0.5), indicating an optimal-suboptimal condition. The FAI (Fish assessment index) stream health value was A to B in the study sites. Correlation analysis with FAI and various factors was conducted and a high correlation in QHEI, Brachymystax lenok tsinlingensis individuals, species, individuals, diversity, richness, sensitive species, carnivorous species, insectivorous species, and omnivorous species was found. The similarity analysis was divided into three groups from A to C, based on 56.9%.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.18 no.4
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• pp.29-41
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• 2015

Abandoned paddy field provides an excellent opportunity to improve the species diversity and habitat quality. Ecological characteristic on the changing of plant communities at different seral stages is a major basis data for ecological restoration. In this study, we investigated changes of the species composition and community indices on the plant community associated with abandonment of cultivated rice paddies. The ecological stability of the habitat was evaluated by using eco-floristic characters(Di; Disturbance index, AUI; Actual urbanization index). Survey sites were grouped into six stages(stageI (${\leq}3years$), stageII(3-5years), stageIII(5-7years), stageIV(7-10years), stageV(10-15years), stageVI(${\geq}20years$). Vegetation investigation was done from May 2009 to October 2012 and carried out phytosociological approach. The total flora were summarized as 176 taxa including 58 families, 127 genera, 157 species, 3 subspecies, 15 varieties and 1 forms. At each of successional stages, 64 taxa in stage I, 34 taxa in stage II, 84 taxa in stage III, 83 taxa in stage IV, 92 taxa in stage V, 23 taxa in stage VI were identified. Of the occurrence plants, the species with the highest r-NCD value were Alopecurus aequalis, Juncus effuusus var. decipiens, Persicaria thunbergii, Artemisia princeps, Salix koreensis and Alnus japonica at each stages. Herbaceous annual plants were dominated in the early stage, but its r-NCD value declined in the middle stage and the late stage. On the other hand, herbaceous perennial plants and Persicaria thunbergii, annual hydrophytes, increases in the middle stage. Woody plant and herbaceous plant which appeared in the forest edge increases in the late stage. Community indices correlate with successional stages. Richness and diversity index increase along the successional gradient. But dominance index decrease along the successional gradient. Evenness index was correlated with lower. In the ecological stability analysis of the habitat that evaluated by eco-floristic characters, stage I was the most unstable habitat. And the stability of the habitat has improved according to the successional stage.

• Economic and Environmental Geology
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• v.50 no.6
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• pp.477-486
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• 2017

In this study, we analyze precise seabed geomorphology and conditions for comparing the nearshore areas of the Dongdo(East Island) and the Seodo(West Island) using detailed bathymetry data and seafloor backscattering images, in Dokdo, the East Sea. We have been obtained the detailed bathymetry data and the seafloor backscattering data. The survey range is about $250m{\times}250m$ including land of islets to the nearshore areas of the southern part of the Dongdo and the Seodo. As a result of bathymetry survey, the southern area of the Dongdo(~50 m) is deeper than the Seodo(~30 m) in the water depth. The survey areas are consist of extended bedrocks from land of the Dongdo and the Seodo. The underwater rock region of the Seodo is larger than the Dongdo. In spite of similar extended rocks features from islets, there are some distinctive seabed characteristics between the southern nearshore areas of the Dongdo and the Seodo. The Talus-shaped seafloor environment formed by gravel and underwater rocks originating from the land of the Dongdo is up to about 15 m depth. And the boundary line of between extended bedrocks and seabottom is unclear in the southern nearshore of the Dongdo. On the other hand, the southern coast of the Seodo is characterized by relatively large scale underwater rocks and evenly distributed sediments, which clearly distinguish the boundary of between extended bedrocks and seafloor. This is because the tuff layers exposed to the coastal cliffs of the Dongdo are weak against weathering and erosion. It is considered that there are more influences of the clastic sediments carried from the land of the Dongdo compared with the Seodo. Particularly, the land of the Dongdo has been undergoing construction activities. And also a highly unstable ground such as faults, joints and cracks appears in the Dongdo. In previous study, there are dissimilar features of the massive tuff breccia formations of the Dongdo and the Seodo. These conditions are thought to have influenced the different seabed characteristics in the southern nearshore areas of the Dongdo and the Seodo.