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The Prognostic role of Electrocardiographic Signs of Cor Pulmonale in Chronic Obstructive Pulmonary Disease (폐성심을 시사하는 심전도 소견 유.무에 따른 만성폐쇄성 폐질환 환자의 예후)

  • Shin, Moo-Chul;Park, Jae-Yong;Bae, Moon-Seob;Bae, Nack-Cheon;Chae, Po-Hee;Kim, Chang-Ho;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.6
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    • pp.944-955
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    • 2000
  • Background : In patients with chronic obstructive pulmonary disease(COPD), several factors have been associated with a poor prognosis. These include old age, low $FEV_1$ low diffusing capacity, high alveolar-arterial oxygen pressure difference, and finally cor pulmonale. This study was done to investigate if the ECG signs suggesting cor pulmonale were independent prognostic factors in patients with COPD. Method : We analyzed ECG, pulmonary function data and arterial blood gas values in 61 patients who were admitted through the emergency department with an acute exacerbation of COPD. The ECG signs reflecting cor pulmonale were right strial overloading(RAO), right bundle branch block, right ventricular hypertrophy and low-voltage QRS. The 61 patients were divided into 2 groups ; group I with no ECG signs(n=36) and group II with one or more ECG signs(n=25) suggesting cor, pulmonale. Results : Poor, prognostic factors by univariate analysis were low $FEV_1$, $FEV_1$ % pred., VC % pred., DLco, DLco % pred., $PaO_2$ and $SaO_2$ high $PaCO_2$ presence of ECG signs reflecting cor pulmonale, presence of mental status change, use of mechanical ventilator, and long term use of glucocorticoid. A multivariate analysis indicated that age(risk ratio=1.13, 95% confidence interval 1.05-1.23), DLco % pred. (risk ratio=0,97. 95% confidence interval 0.94-0.99), $PaO_2$ (risk ratio=0.95, 95% confidence interval 0.90-0.99) and RAO(risk ratio=5.27, 95% confidence interval 1.40-19.85) were independent prognostic factors of survival. There was a significant difference in survival between the patients with and without RAO(p=0.038). The survival rates at 1, 2, and 5 years were 94.5%. 81.4%, and 50.0% in patients without RAO and 82.4%, 70.6%, and 27.5% in patients with RAO, respectively. Conclusion : These results suggest that the presence of ECG signs reflecting cor pulmonale is a predictor of survival and that RAO of these ECG signs is a significant independent predictor of survival in patients with COPD.

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Effect of Microbial Phytase in Low Phosphorus and Calcium Level Diet on the Performance and Nutrient Digestibility in Laying Hens (인과 칼슘의 수준이 낮은 산란계 사료 내 미생물 Phytase의 첨가가 생산성 및 영양소 소화율에 미치는 영향)

  • Min B.J.;Kwon O.S.;Lee W.B.;Son K.S.;Hong J.W.;Yang S.J.;Moon T.H.;Kim I.H.
    • Korean Journal of Poultry Science
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    • v.32 no.1
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    • pp.15-21
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    • 2005
  • This Study was conducted to investigate the effects of microbial phytase in low phosphirus and calcium level diet on the performance and nutrient digestibility in laying hens. One hundred ninety two, 50 wks old, ISA brown commerical layers were used for 12 weeks feeding trial after 7-d adjustment period. Four dietary treatments included CON(control; Co.), P2 ($0.06\%$ Natuphos, BASF) and P3 ($0.06\%$ PHOSMAX, GENOFOCUS). Ca and available P concentrations of P1, P2 and P3 were 90 and $50\%$ of NRC recommecdations to accentuate difference in response to phytase availability. In whole period, egg production was not affected by treatments. At 12 weeks, egg weight was significantly increased in adding phytase treatments (P<0.05). Egg shell thickness was increased in P1, P2 and P3 treatments compared with control (P<0.05) at 9 weeks. Ca concentration of serum tended to decrease in P1 treatment without significant difference (P>0.05). Ca and P concentrations of tibia were higher in layers fed dietary phyrase than those fed control diet without significant difference (P>0.05). Digestibilities of DM, N and ash were improved in P1 treatment compared with P2 and P3 treatments (P<0.05). Ca and P digestibilities were the highest in P2 treatment (P>0.05), but was not significant difference between control and P1 treatments.

The Results of Postoperative Radiotherapy for Hypopharyngeal Carcinoma (하인두암 환자에서의 수술 후 방사선치료의 결과)

  • Kim Won Taek;Ki Yong Kan;Nam Ji Ho;Kim Dong Won;Lee Byung Ju;Wang Su Gun;Kyuon Byung Hyun
    • Radiation Oncology Journal
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    • v.22 no.4
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    • pp.254-264
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    • 2004
  • Purpose: This study was carried out to confirm clinical values and limitations of postoperative radiotherapy for hypopharyngeal carcinoma, to evaluate various prognostic factors which may affect to the treatment results and to use these results as fundamental data for making a new treatment strategy. Methods and Materials:. A retrospective analysis was peformed on 64 previously untreated patients with squamous cell carcinoma of the hypopharynx, seen between 1988 and 1999 at Pusan National University Hospital. Most of patients were treated by laryngopharyngectomy and neck dissection followed by conventional fractionated postoperative radiotherapy on surgical bed and cervical nodal areas. Results: The five-year overall survival rate and cause-specific survival rate were 42.2 percent and 51.6 percent, respectively. Univariate analysis of various clinical and pathologic factors confirmed the overall stage, TN-stage, secondary primary cancers, surgical positive margin, nodal extracapsular extension, total radiation doses as significant prognostic factors of hypopharyngeal carcinomas. But in multivariate analysis, TN-stage, surgical positive margin and extracapsular extesion were only statistically significant. Conclusion: In resectable cases of hypopharyngeal carcinoma, combined surgery and postoperative radio-therapy obtained good treatement results, even though sacrificing the function of larynx and pharynx. But in advanced and unresectable cases, with respect to survivals and qualify of life issues, we were able to confirm some limitations of combined therapy. So we recommend that comparative studies of recent various chemo-radiotherapy methods and advanced radiotherapy techniques with these data should be needed.

The Protective Effects of Ethanol Extract of Wild Simulated Ginseng on Carbon Tetrachloride Induced Acute Hepatic Injury in Mouse (사염화탄소 유발 급성 간독성 생쥐모델에서 산양삼 에탄올 추출물의 간 보호 효과)

  • Lee, Soo-Min;Park, Sun-Young;Jang, Gi-Seuk;Ly, Sun-Yung
    • Journal of Nutrition and Health
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    • v.41 no.8
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    • pp.701-710
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    • 2008
  • The wild simulated ginseng (WSG) has been effectively used in folk medicine as a remedy against hepatic disease, hypertension and arthritic disease. However, there is still lack of scientific proof about its antioxidant capability. The present study has been conducted to evaluate the protective role of the WSG ethanol extract in the CCl4-induced oxidative stress and resultant hepatic disfunction in ICR mice. The electron donating abilities and IC50 of WSG etnanol extract were 76.86 ${\pm}$ 1.06% and 33.3 ${\mu}g$/mL (that of ascobic acid was 16.5 ${\mu}g$/mL), respectively. Total antioxidant status of WSG extract was 2.13 ${\pm}$ 0.06 mmoL/mg, while the values of ascorbic acid and BHT were 3.63 ${\pm}$ 0.06 and 3.12 ${\pm}$ 0.02, respectively. ICR mice (aged 3weeks) were fed for 4 weeks on AIN-93M diet and had free access to food and water. The animals were divided into three groups: normal group (intraperitoneally (i.p) injected with PBS at 100 ${\mu}L$/mouse), group C; CCl4-induced and without any treatment. (i.p injected only PBS, 100 ${\mu}L$ /mice), group G; CCl4-induced and treated with WSG (i.p injected with 5 mg WSG extract per mouse, suspended in 100 ${\mu}L$ phosphate buffer). After the i.p. injection of WSG or PBS (5 times for 7weeks), all mice were administered CCl4 in olive oil at the last day of the experiment, except for normal group. The normal group was administered only olive oil. Determination of plasma triglyceride, total cholersterol, fasting glucose and GPT activity was performed using automatic blood analyzer. To evaluate the protective effect against the oxidative stress, DNA fragmentation and TBARS were determined in blood leucocytes and RBC and hepatocyte, respectively. Body and organs weights and food intake did not show significant differences among the groups. Blood total cholesterol of group G was similar to that of normal group, which was the lowest in group C. The fasting blood glucose level was the highest in normal group (205.20 ${\pm}$ 135.24), which were decreased in group C (134.2 ${\pm}$ 79.31) and group G (126.48 ${\pm}$ 77.05). TBARS values in a red blood cell and hepatic tisuue homogenate were lower in group G comparing to the group C. DNA% in tail, tail length (TL) and tail moment (TM) of blood leucoocytes showed the highest values in group C (20.11 ${\pm}$ 2.47, 17.36 ${\pm}$ 2.58, 94.11 ${\pm}$ 12.29) and they were significantly diminished in group G (9.63 ${\pm}$ 1.19, 7.04 ${\pm}$ 1.50, 38.64 ${\pm}$ 7.60). In conclusion, wild simulated ginseng might be a protective agent against the oxidative stress.

The Community Structure of Macrobenthic Assemblages in the Taehwa River Estuary, Ulsan, Korea (울산 태화강 하구역에 서식하는 대형저서동물의 군집구조)

  • Kim, Hyung-Chul;Choi, Byoung-Mi;Jung, Rae-Hong;Lee, Won-Chan;Yun, Jae-Seong;Seo, In-Soo
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.22 no.6
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    • pp.694-707
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    • 2016
  • This study investigated the community structure of macrobenthic assemblages in the Taehwa River Estuary, Ulsan, Korea. Macrobenthos were collected with a Van Veen Grab Sampler during February and November 2012. The total species number and mean density were $176species/9.6m^2$ and $1,992inds./m^2$, respectively. Polychaetes were the most dominant faunal group in terms of species (91 species) and abundance ($1,463inds./m^2$). The major dominant species were polychaetes Minuspio japonica ($609{\pm}1,221inds./m^2$), Hediste japonica ($174{\pm}318inds./m^2$), Tharyx sp.1 ($106{\pm}283inds/m^2$), Lumbrineris longifolia ($79{\pm}207inds./m^2$), bivalve Theora fragilis ($114{\pm}272inds./m^2$) and amphipod Grandidierella japonica ($88{\pm}223inds./m^2$). Based on community statistics (cluster analysis and non-metric multidimensional scaling (nMDS) ordination), the macrobenthic community was divided into three station groups. Group I(freshwater dominated stations 2-6 with coarse sediment) was characterized by a high abundance of polychaetes Minuspio japonica, Hediste japonica, Capitella capitata, Pseudopolydora kempi, amphipods Grandidierella japonica and Apocorophium acutum. Group II (ecotone, stations 7-9 with mixed sediment) was numerically dominated by bivalve Theora fragilis, polychaetes Cirriformia tentaculata, Tharyx sp.1, Lumbrineris longifolia and Chaetozone sp. Finally, Group III (seawater dominated stations 10-12 with fine sediment) was characterized by a high density of polychaete Magelona japonica. These results showed that changes in salinity gradient and sedimentary characteristics were the main factors behind spatial changes in the macrobenthic communities of the Taehwa River Estuary.

Risk Factors for Recurrence after Conservative Treatment in Early Breast Cancer: Preliminary Report (조기유방암에서 유방보존술 후 재발에 영향을 주는 인자)

  • Suh Chang Ok;Chung Eun Ji;Lee Hy De;Lee Kyong Sik;Oh Ki Keun;Kim Gwi Eon
    • Radiation Oncology Journal
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    • v.15 no.4
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    • pp.331-337
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    • 1997
  • Purpose : To evaluate our experience in the breast-conserving treatment for early breast cancer with special regard to recurrence Pattern and related risk factors. Materials and Method :Two hundred and sixteen patients with AJC stage 1and 11 breast cancer who received breast conserving treatment between January 1991 and December 1994 were evaluated A9e distribution ranged from 23-80 year old with a median a9e of 44. One hundred and seventeen Patients had 71 lesions and 99 Patients had 72 lesions. Axillary lymph nodes were involved in 73 patients. All patients received a breast conserving surgery (wide excision to quadrantectomy) and axillary node dissection followed by radiotherapy. Ninety six patients received chemotherapy before or after radiotherapy. Results : During the follow-up period (3-60 months, median 30 months), local recurrences were noted in six Patients (true: 3, elsewhere; 1, skin: 2). Sixteen patients developed distant metastases as the first sign of recurrence at 8-38 months (median 20 months) after surgery. Among them, three patients simultaneously developed local recurrence with distant metastases. Contralateral breast cancer developed in one Patient and non-mammary cancers developed in three patients. The actuarial 5 year survival rate was $88.4\%\;(stage\;I\;96.7\%,\;stage\;IIa\;95.2\%,\;stage\;IIb\;69.9\%)$. Age, I stage, number of involved axillary lymph nodes. and AJC stage were risk factors for distant metastases in univariate analysis. In the multivariate analysis, the number of involved axillary lymph nodes was the most significant risk factor for metastases. Conclusion : Local recurrence was not common in the early years after radiotherapy. Distant metastases occurred at a steady rate during the first three years and was more common in the Patients with larger tumors, higher number of involved axillary nodes, and younger age.

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Metabolic Changes on Occipital Cortex during Visual Stimulation with Functional MR Imaging and H MR Spectroscopy (기능적 자기공명영상법과 양성자 가지공명분광법을 이용한 시각자극에 의한 후두염 피질의 대사물질 변화)

  • Kim, Tae;Suh, Tae-Suk;Choe, Bo-Young;Kim, Sung-Eun;Lee, Heung-Kyu;Shinn, Kyung-Sub
    • Investigative Magnetic Resonance Imaging
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    • v.3 no.1
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    • pp.47-52
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    • 1999
  • Purpose : The purpose of this study was aimed to evaluate the BOLD(blood oxygen level dependent) contrast fMRI(functional MR imaging) in the occipital lobe and to compare with the metabolic changes based on H MRS (MR spectroscopy) and MRSI (MR spectroscopic imaging) before and after visual stimulation Materials and Methods : Healthy human volunteers (eight males and two females with 24-30 year age) participated in this study. All of the BOLD fMRI were acquired on a 1.5T MR with EPI during supervised visual stimulation in the occipital lobe. The red flicker with 8Hz was used for visual stimulation. After imaging acquisition, the MR images were transferred into unix workstation and processed with acquired from the same location based on the activation map. MRSI (magnetic resonance spectroscopic imaging) was also acquired to analyze the lactate changes before and after stimulation. Results : The activation maps were successfully produced by BOLD effect due to visual stimulation. NAA (N-acetyle aspartate)/Cr (creatine) ratio varied only from $1.79{\pm}0.28{\;}to{\;}1.88{\pm}0.20$ in activation area before and after stimulation. However, the signal intensity of lactate was elevated $9.48{\pm}4.38$ times higher than before activation. Lactate metabolite images were consistent with the activation maps. Conclusion : The BOLD contrast fMRI is enough sensitive to detect the activated area in human brain during the visual stimulation. Lactate metabolite map presents the evidence of lactate elevation on the same area of activation.

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Characterization and Modification of Milk Lipids (유지방의 특성과 변화)

  • Yeo, Yeong-Geun;Choe, Byeong-Guk;Im, A-Yeong;Kim, Hyo-Jeong;Kim, Su-Min;Kim, Dae-Gon
    • Journal of Dairy Science and Biotechnology
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    • v.16 no.2
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    • pp.119-136
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    • 1998
  • The lipids of milk provide energy and many essential nutrients for the newborn animal. They also have distinctive physical properties that affect the processing of dairy products. Milk fat globules mainly consist of neutral lipids like triacylglycerols, whereas the globule membranes contain the complex lipids mostly, Phospholipids are a small but important fraction of the milk lipids and are found mainly in the milk fat globule membrane and other membranous material in the skim-milk phase. The milk fats of ruminant animals are characterized by the presence of relatively high concentrations of short-chain fatty acids, especially butyric and hexanoic acids, which are rarely found in milks of non-ruminants. The fatty acids of milk lipids arise from de novo synthesis in the mammary gland and uptake from the circulating blood. The fatty acid compositions of milks are usually complex and distinctive, depending on the nature of the fatty acids synthesized de novo in the mammary gland and those received from the diet in each species. The content and composition of milks from different species vary widely; presumably, these are evolutionary adaptations to differing environments. The actual process by which these globules are formed is unkonwn, but there are indications that triglyceride-containing vesicles which bleb from endoplasmic reticulum may serve as nucleation sites for globules. Recent studies on milk have centred on the manipulation of milk lipids to increase specific fatty acids, i.e. 20-carbon omega-3 fatty acids (eicosapentaenoic acid 20:5n3, decosahexaenoic acid 22:6n3) from marine sources because the fatty acids are closely associated with a decreased risk of coronary heart disease.

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Community Structure of Macrobenthic Assemblages around Gijang Province, East Sea of Korea (동해 기장군 주변해역에 서식하는 대형저서동물의 군집구조)

  • Kim, Dae-Ik;Seo, In-Soo;Moon, Chang-Ho;Choi, Byoung-Mi;Jung, Rae-Hong;Son, Min-Ho
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.16 no.2
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    • pp.97-105
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    • 2011
  • This study investigated the community structure and spatio-temporal variation of macrobenthic assemblages around Gijang Province, East Sea of Korea. Macrobenthos collected seasonally using a modified van Veen grab sampler from March to November 2006. A total of 157 macrobenthic fauna were collected. The overall average macrobenthos density were $552 \;ind/m^2$. The species number of macrobenthos was in the range from 62 in winter and spring to 122 in autumn. On the other hand, abundance fluctuated between 6,540 (in spring) and 17,920 (in autumn) inds./$18m^2$. Cluster analysis and non-metric multi-dimensional scaling (nMDS) were applied to assess the spatio-temporal fluctuation in the macrobenthic assemblages. Cluster analysis and nMDS ordination analysis based on the Bray-Curtis similarity identified 3 station groups. The group 1 (station 8~10, 12, 13, 17 and 18) was characterized by high abundance of the polychaete Lumbrineris longifolia, the bivalve Ennucula tenuis and the Amphipoda spp., with mean phi range from $6.2{\Phi}$ to $7.1{\Phi}$ (above 50m water depth). The group 2 (station 5~7, 11, 14~16) was numerically dominated by the po1ychaete Ampharete arctica and the bivalve Theorafragilis (mean phi: $6.0{\sim}7.0{\Phi}$; within 40 m water depth). Finally group 3 (station 1~4) was characterized by high density of the polychaetes Magelona japonica and Sternaspis scutata, with mean phi range from $3.5{\Phi}$ to $6.9{\Phi}$ (below 30 m water depth). In conclusion, the Macrobenthic community structure showed a distinct spatial and temporal trend, which seemed to be related to the water depth and sediment composition.

Rhizosphere Enhances Removal of Organic Matter and Nitrogen from River Water in Floodplain Filtration (홍수터 여과를 이용한 하천수의 질소와 유기물 제거에 미치는 근권의 효과)

  • Jeong, Byeong-Ryong;Chung, Jong-Bae;Kim, Seung-Hyun;Lee, Young-Deuk;Cho, Hyun-Jong;Baek, Nam-Joo
    • Korean Journal of Soil Science and Fertilizer
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    • v.36 no.1
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    • pp.8-15
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    • 2003
  • If contaminated river water is sprayed over a floodplain, the microbial processes can simultaneously remove organic matter and nitrogen during the infiltration through the sediment profile. The effect of rhizosphere on the removal of organic matter and nitrogen from contaminated river water was investigated using floodplain lysimeters. River water was sprayed at a rate of $68.0L\;m^{-2}\;d^{-1}$ on the top of the lysimeters with or without weed vegetation on the surface, Concentrations of $NO_3$, $NH_4$ and dissolved oxygen (DO), and chemical oxygen demand (COD) and Eh in water were measured as functions of depth for 4 weeks after the system reached a steady state water flow and biological reactions. A significant reductive-condition for denitrification developed in the 30-cm surface profile of lysimeters with weeds. At a depth of 30 cm, COD and $NO_3$-N concentration decreased to 5.2 and $0.9mg\;L^{-1}$ from the respective influent concentrations of 18.2 and $9.8mg\;L^{-1}$. The removal of $NO_3$ in lysimeters with weeds was significantly higher than in those without weeds. Vegetation on the top was assumed to remove $NO_3$ directly by absorption and to create more favorable conditions for denitrification by supply of organic matter and rapid $O_2$ consumption, In the lysimeters without weeds, further removal of $NO_3$ was limited by the lack of an electron donor, i.e. organic matter. These results suggest that the filtration through native floodplains, which include rhizospheres of vegetation on the surface, can be effective for the treatment of contaminated river water.