• The Korean Journal of Medicine
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• v.93 no.6
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• pp.548-555
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• 2018

Background/Aims: Assessment of fluid status in hemodialysis patents is very important. Overhydration in hemodialysis is associated with generalized edema, cardiovascular complications, and hypertension. The aim of this study was to determine the factors correlated with mortality of hemodialysis patients, assessing body muscle mass and fluid status using bioelectrical impedance analysis (BIA). Methods: This study enrolled 93 patients who underwent hemodialysis between January 2010 and May 2015 at CHA Bundang Medical Center. Medical records of enrollees up to June 2017 were reviewed retrospectively. These included laboratory results (serum albumin, C-reactive protein [CRP], lipid profile, etc.) and BIA data (extracellular water, intracellular water, total body water, soft lean mass, fat free mass, skeletal muscle mass, etc.). Results: Eleven of 93 patients had expired by May 2017. Among the surviving subjects, mean age was younger, CRP levels were lower, albumin levels were higher, and extracellular water/total body water (ECW/TBW) ratios were lower than in the expired patient group. Kaplan-Meier survival analysis revealed that overhydration (ECW/TBW > 0.4) was associated with higher mortality. Conclusions: In hemodialysis patients, overhydration is an important factor in mortality, and BIA could be a reliable modality in its assessment. We suggest that, for hemodialysis patients, overhydration is more of a risk factor for mortality than is muscle wasting.

• The Korean Journal of Pesticide Science
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• v.7 no.4
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• pp.258-263
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• 2003

In order to get the actual pesticide usage data for fruit crops at farmer's gate, this survey was carried out on the growers of 6 representative fruit crops such as apple, citrus, grape, peach, pear and persimmon, in Korea. One hundred fifty farmers were selected in main production areas to record their pesticide usage during the growing seasons. Pesticides were sprayed in pear 15.2 times/year and persimmon 7 times/year. Pesticide input amount per unit for fruits was 39.5 for citrus, 22.1 for apple, 21.5 for pear, 11.9 for peach, 10.8 for persimmon and 6.7 a.i. kg/ha for grape, respectively. The amounts of pesticides sprayed in 2002 except for peach and pear tend to decrease compared with those in 1999. The major fungicides used were mancozeb, propineb, dithianon, etc., while the major insecticides were fenitrothion, chlorpyrifos, methidathion, etc. Total active ingredients of pesticides used for six fruit crops amounted to 18.3% of total sales amount of pesticides for horticulture in 2002. The amounts of pesticides sprayed on citrus, grape, peach and pear in Korea was less than those in U.S.A., excepting those in apple.