• Neonatal Medicine
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• v.16 no.2
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• pp.163-171
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• 2009

Purpose: This study was conducted to determine the incidence, causative pathogens, risk factors and mortality for early onset sepsis in the first three days in very low birth weight infants. Methods: The medical records of 1,124 very low birth weight infants admitted to the neonatal intensive care unit of Samsung Medical Center between November 1994 and December 2008 were retrospectively reviewed. The incidence, causative pathogens, risk factors, and mortality for early onset sepsis in the first 3 days of life in very low birth weight infants were evaluated. Results: Early onset sepsis, as confirmed by positive blood cultures, was present in 17 of 1,124 infants (1.5%). Sixty-four percent of the isolated pathogens were gram-positive bacteria and 35% of the isolated pathogens were gram-negative bacteria. The dominant pathogens of early onset sepsis included Staphylococcus aureus (23.5%), Esherichia coli (23.5%), and Enterococcus (17.6%). Vaginal delivery (adjusted odds ratio [OR], 3.7; 95% confidence interval [CI], 1.3-10.3; P=0.01) was associated with early onset sepsis. The overall mortality (adjusted hazard ratio, 3.0; 95% CI, 1.4-6.5; adjusted P=0.0039) and mortality within 72 hours of life (adjusted hazard ratio, 6.5; 95% CI, 2.2-18.9; adjusted P=0.0005) of infants with early onset sepsis were higher than that of uninfected infants. Conclusion: Early onset sepsis remains an uncommon, but potentially lethal problem among very low birth weight infants. Knowledge of the likely causative organisms and risk factors for early onset sepsis can aid in instituting prompt and appropriate therapy, in order to minimize mortality.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.8 no.1
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• pp.31-40
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• 2005

Purpose: This study aimed to provide, as a basic material, the experiences of endoscopy in diagnosis and treatment of tumorous conditions in the upper gastrointestinal tract in children. Methods: The objects were 26 patients diagnosed as having tumorous conditions in the upper gastrointestinal tract among 1,283 patients who underwent upper gastrointestinal endoscopic examination at the Department of Pediatrics, Pusan National University Hospital, from January 1994 to July 2004 retrospectively. The characteristics of patients, the chief complaints for endoscopic examination, the sorts of tumors diagnosed, the endoscopic findings of tumors, and the treatment of tumors were analysed. Results: 1) Eleven male and fifteen female were included, whose mean age was $6.93{\pm}4.02years$. 2) The chief complaints for endoscopic examination were abdominal pain (80.7%), vomiting or nausea (30.8%), and gastrointestinal beeding (30.7%) in order. 3) Six cases of ectopic pancreas, five cases of sentinel polyp, three cases of papilloma and vallecular cyst, two cases of Brunner's gland hyperplasia and gastric submucosal tumor, one case of gastrointestinal stromal tumor, duodenal intramural hematoma, T cell lymphoma, lipoma, and Peutz-Jeghers syndrome were diagnosed by endoscopy with or without biopsy. 4) The location of tumors was in the pharynx (19.2%), esophagus (7.7%), gastro-esophageal junction (23.0%), stomach (30.7%) and duodeneum (26.9%). 5) The size of tumors was less than 10 mm in 53.8%, 10~20 mm in 26.9%, more than 20 mm 19.2%. 6) Treatments for tumors included resection by laser, surgical resection, endoscopic polypectomy with a forcep or snare, and observation 7) There was no significant complication. Conclusion: Various and not a few tumors were found in the upper gastrointestinal tract. The endoscopy was accurate, effective, and safe means for diagnosis and treatment of those lesions in children.

• Journal of Chest Surgery
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• v.40 no.10
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• pp.674-679
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• 2007

Background: Surgical resection is accepted widely as the standard therapy for complete resectable pulmonary metastases. The number of cases of pulmonary metastasectomy and its survival rate is increasing due to the development of the therapeutic modalities. We attempted to analyze the survival rate and prognosis factors of pulmonary metastasectomy during the last 10 years. Material and Method: We retrospectively analyzed the data of 89 patients who underwent 96 procedures of pulmonary metastasectomy between January 1996 and December 2005. The factors that may influence the long term prognosis such as completeness of resection, the type of primary cancer, the disease-free interval, the number and size of metastasis and the laterality were investigated. Result: There was no operative mortality. The mean disease free interval (DFI) was $29.6{\pm}27.9$ months and there were 3 cases of synchronous metastasis (3.4%). The overall 3, 5 and 10 year survival rate was 52.5%, 32.1% and 20.7%, respectively. The median survival time was 38 months. The 5-year survival rate according to the IRLM appraisal was 63.5%, 33.3%, 22.1% and 0% for stage I, II, III and IV, respectively Univariate analysis showed a better prognosis for patients with a disease free interval of 36 months or more, unilateral metastasis and 4 or less metastases. Conclusion: The survival rate for completely resectable pulmonary metastasectomy was favorable. The disease free interval, laterality and the number of metastasis were the prognosis factors.

• Journal of The Korean Society of Grassland and Forage Science
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• v.14 no.4
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• pp.271-280
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• 1994

The aim of this experiment was to investigate the effects of fertilizing mineral nitrogen on dry matter yield of Reed canarygrass and also to estimate proper levels of fertilizing nitrogen when uncultivated rice paddy rapidly increased these days, was used for the production if Reed canarygrass. \ulcornerhe results are as follows. 1. Relative dry matter according to cutting frequency was appeared the highest at the 2nd cut for 3 and 4 cutting frequencies, and the 3rd cut for 5 cutting frequency. Those were 43.1, 34.0 and 34.1 % respectively. 2. When using only phosphrous and potassium, the average dry matter per year and ha was between 9.0 and 12.0 tons(3, 4 and 5 cutting frequency) and the highest dry matter was shown at 5 cutting frequency. 3. In accordance to the increase in the fertilization of nitorgen, the yield of dry matter was increased and, when 30 kg/ha/cut of mineral nitrogen was added, the biggest increase rate per added nitrogen for dry matter yield per year compared to that of no fe~tilization of nitrogen was recorded and it was 2.7, 3.3, and 3.4 tons/ ha for 3, 4 and 5 cutting frequencies respectively. 4. The efficiencies of mineral nitrogen on dry matter yield(DM kg/N kg) were the highest when 30kg nitrogen was applied particularly in 3, 4 and 5 cutting frequencies(29.7, 27.2, 22.8 DM kg/N kg). It recorded the highest of all the treatments. The efficiency was actually decreased in higher application of mineral nitrogen. The total nitrogen yield efficiency was the highest in 30kg(0.45kg and 0.48kg at 4 and 5 cutting frequency) and 60kg fertilization/ha/cut (0.46kg at 3 cuting frequency) and the decreased efficiencies appeared at fertilization of higher nitrogen. 5. Economical borden of mineral nitrogen fertilization were between 199.2 and 243.3kglha at 3 cutting frequency, between 253.4 and 295.9kg at 4 cutting frequency and between 302.2 and 361.3kg at 5 cutting frequency. 6. Under the condition of this experiment, the cutting frequency leading the potential production at maximum was 3 cutting frequency. At 3 cutting frequency, the efficiency of nitrogen utilization was higher and 15 or 16 tons of dry matter was obtained which is a level of economical border at fertilization between 200 and 240kglha. It wrs possible to obtain the maximal dry matter yield(l7 tonslha) at fertilization of lower level than 400kgl ha.

• Tuberculosis and Respiratory Diseases
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• v.55 no.6
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• pp.570-578
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• 2003

Background : Ambient particles during Asian dust events are usually sized less than $10{\mu}m$, known to be associated with the adverse effects on the general populations. But, there has been no considerable evidence linking these particles to the adverse effects on airways. The objectives of this study was to investigate the possible adverse effects of Asian dust events on respiratory function and symptoms in subjects with bronchial asthma. Patients and Methods : From march to June 2002, Asthmatic patients who were diagnosed with bronchial challenge test or bronchodilator response were enrolled. We divided them into three groups; mild, moderate, and severe, according to the severity. Subjects with other organ insufficiency such as heart, kidney, liver, and malignancy were excluded. All patients completed twice daily diaries and recorded peak flow rate, respiratory symptom, and daily activity. Daily and hourly mean pollutant levels of particulate matter < $10{\mu}m$ in diameter($PM_{10}$), nitrogen dioxide($NO_2$), sulphur dioxide($SO_2$), ozone($O_3$) and carbon monoxide(CO) were measured at the 10 different monitoring sites. Results : Dust events occured 14 times during the study period. Daily averages of 4 air pollutant were measured with an increased level of $PM_{10}$, decreased level of $NO_2$ and $SO_2$, and no change in CO during dust days compared to those during control days. An increase in $PM_{10}$ concentration was associated with an increase of subjects with PEF variability of >20% (p<0.05), night time symptom(p<0.05), and a decrease in mean PEF (p<0.05), which were calculated by the longitudinal data analysis. Otherwise, there was no association between $PM_{10}$ level and bronchodialtor inhaler, and daytime respiratory symptoms. Conclusion : This study shows evidence that ambient air pollution, especially $PM_{10}$, during Asian dust events, could be one of the many aggravating factors at least in patients with airway diseases. This data can be used as a primary source to set up a new policy on air environmental control and to evaluate the safety of air pollution index. We also expect that this research will help identify precise components of dust, which are more linked to the adverse effects.

• Tuberculosis and Respiratory Diseases
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• v.64 no.6
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• pp.414-421
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• 2008

Background: Recently, in addition to multi-drug resistant tuberculosis (MDR-TB), extensively drug-resistant tuberculosis (XDR-TB) has become rapidly growing public health threat. This study examined the clinical differences between pulmonary TB patients with extensively drug resistance (XDR) and multi-drug resistance (MDR) at the National Medical Center in Korea in order to determine the clinical characteristics associated more with XDR-TB than MDR-TB. Methods: Patients who received a diagnosis of culture-confirmed pulmonary TB and a drug sensitivity test (DST) for anti-TB drugs at the National Medical Center between January 2000 and August 2007 were enrolled in this study. The patients were identified into the XDR-TB or MDR-TB group according to the DST results. The clinical characteristics were reviewed retrospectively from the medical records. Statistical analysis for the comparisons was performed using a ${\chi}^2$-test, independent samples t-test or binary logistic regression where appropriate. Results: A total 314 patients with culture-confirmed pulmonary TB were included. Among them, 18 patients (5.7%) had XDR-TB and 69 patients (22%) had MDR-TB excluding XDR-TB. A comparison of the clinical characteristics, revealed the XDR-TB group to have a higher frequency of a prior pulmonary resection for the treatment of TB (odds ratio [OR], 3.974; 95% confidence interval [CI], 1.052~15.011; P value 0.032) and longer average previous treatment duration with anti-TB drugs, including a treatment interruption period prior to the diagnosis of XDR, than the MDR-TB group (XDR-TB group, 72.67 months; MDR-TB group, 13.09 months; average treatment duration difference between two groups, 59.582 months; 95% CI, 31.743~87.420; P value, 0.000). In addition, a longer previous treatment duration with anti-TB drugs was significantly associated with XDR-TB (OR, 1.076; 95% CI, 1.038~1.117; P value, 0.000). A comparison of the other clinical characteristics revealed the XDR-TB group to have a higher frequency of male gender, diabetes mellitus (DM), age under 45, treatment interruption history, cavitations on simple chest radiograph and positive result of sputum AFB staining at the time of diagnosis of XDR. However, the association was not statistically significant. Conclusion: Pulmonary TB patients with XDR have a higher frequency of a prior pulmonary resection and longer previous treatment duration with anti-TB drugs than those with MDR. In addition, a longer previous treatment duration with anti-TB drugs is significantly associated with XDR-TB.

• Tuberculosis and Respiratory Diseases
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• v.62 no.1
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• pp.11-18
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• 2007

Background: Patients with chronic obstructive pulmonary disease (COPD) have often been reported to suffer from depression and anxiety possibly due to the exacerbation, hospitalization and mortality of COPD. However,scarce data are available in Korea. This study assessed degree of depression and anxiety, and evaluated the factors associated with depressive symptoms in COPD. Methods: The cross-sectional data on the lung function measurements, smoking behavior, body mass index (BMI), age, gender, depressive symptoms using Beck Depression Inventory (BDI) and anxiety using the State-Trait Anxiety Inventory (STAI) were evaluated in 72 outpatients with COPD and 50 controls without underling lung diseases from September, 2005 to October, 2006 in the Ewha medical center. Results: 1) The age, body mass index (BMI) and serum albumin levels were similar in the patients and controls. The BDI scores (16(0-37) vs. 12(1-30), p=0.001) and the prevalence of depression (36% vs. 6%, p<0.0001) were higher in the COPD patients than in the controls. In the COPD group, the prevalence of depression increased with increasing GOLD stage (p=0.008). The prevalence was 18%(4/22), in mild cases, 30%(6/20) in moderate cases, 52%(13/25) in severe cases and 60%(3/5) in very severe cases. 2) The SAI and TAI scores were higher in the COPD patients (44(20-67) and 47(20-66)) than in the healthy controls (39(26-65) and 44(33-90)). There were a significant correlation between the depression and anxiety scores (p<0.001). 3) A lower BMI, lower postbronchodilator $FEV_1$, current smoking behavior and severity of COPD were univariately associated with the depressive group in COPD, 4) while multivariate logistic analysis revealed only the severe-to-very severe group (OR 3.9, 95% CI 1.2 to 12.9) to be independently associated with depressive symptoms. Conclusion: COPD is strongly associated with depression and anxiety. Therfore, screening for psychological problems in COPD patients is essential, particularly in patients with severe-to-very severe COPD.

• Korean Journal of Ichthyology
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• v.6 no.2
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• pp.132-159
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• 1994

The taxonomic revision of the family Congridae was made based on the specimens collected from the south-western coasts of the Korea from June 1988 to Oct. 1993. The family Congridae was classified into 8 species belonging to 6 genera. based on the external and internal morphological characters : Anago anago, Ariosoma anagodies, Ariosoma shiroanago shiroanago, Conger myriaster, Conger japonicus, Gnathophis nystromi nystromi, Rhechias retrotincta and Uroconger lepturus. Among the species reported as the congrid eels from Korea until now, four species were transferred into different generic or specific name Conger flavirostris into Ariosoma anagoides ; Astroconger myriaster into Conger myriaster ; Congrina retrotincta into Rhechias retrotincta and Rhynchocymba nystromi into Gnathophis nystromi nystromi. A Korean congrid eel, Ariosoma shiroanago shiroanago, was reported for first time in Korea. Intergeneric characters of the family Congridae were the form of the lateralline scales, the state of the tip of tail, the segmented state of the dorsal and anal fin rays, the existance of the supraoccipital bone and of lateral ethmoid process of the skull, the origin of dorsal fin and the forms of upper labial flange. The interspecific classification was made according to the characters such as the numbers of sensory pores of head part and in front of vent, teeth rows and numbers of upper and lower jaw, the numbers of vertebrae, the body color, the shapes of the head part, the color of intestine, the size of eye, the structure of air bladder and the number of branchiostegal rays. A new key on the taxonomical characteristics to the genera and species of the family Congridae has been estabilished and their distribution in Korea is described.

• Animal Systematics, Evolution and Diversity
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• v.10 no.2
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• pp.157-187
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• 1994

This study includes the taxonomy , and a key to species of aphids in the family Lachnidae from Korea. Specimens examined in this study were collected from 24 kinds of plants. Samplings were accomplished at 95 localities in Korea from March, 1987 to August, 1994. A list of Korean lachnids are as follows. *1. Chinara atlantica (Wilson, 1919), *.2. C. cembrae(Seitner, 1936), *3. C. formosana (Takahashi, 1924), *4. C. fresai Blanchard, 1939, *5. C. idahoensis Knowlton,1935, 6. c. juniperi (de Geer, 1773), 7.C.kochi Inouye,1939, *8. C. laridicola (Matsumura, 1917), *9. C. laricis (Hartig, 2839), *10. C.longipennis (Matasumura, 1917), 11. C. orientalis (Takahashi, 1925), *12. C. pinidensiflorae(Essig & Kuwana, 1918), *13. C. piniformosana(Takahashi, 1923), *14 C. shinjii Inouye, 1938, *15. c. tujafilina (Del Guercio, 1909), *16 . c. watanabei Inouye, 1970, *17. C. togyuensis Seo. 1994. *18. C. deodarae Seo. 1994, *19. Eulachnus agilis (Kaltenbach, 1843), *20. E. pumilae Inouye, 1939, *21. E. thunbergi (Wilson, 1919), *22. Schizolachnus orientalis (Takahashi, 1924) , 23. Lachnus, Chosoni Szelegiewicz, 1975, 24. L. japonicus (Matsumura, 1917) , *.25. L. tropicalis 9van der Goot, 1916), *.26. Maculolachnus sumbacula (Walker, 1848), *27. M. paiki Seo. 1994, *28 Nipppolachnus piri Matsumura, 1917, 29. Stomaphis asiphon Szelegiewica, 1975, *30. S. japonica Takahashi, 1960, *31. S. yanonis Takahashi , 1918 , *32. Tuberolachnus salignus *(Gmelin, 1790). Of them , 27 species preceded by an asterisk were observed in this study, and keys to these 27 Korean lachnids are provided . The relationship between Korean lachnids and their host plants, and geogrpahical distribution are discussed.

• The Journal of Korean Academy of Prosthodontics
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• v.47 no.2
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• pp.136-147
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• 2009

Statement of problem: Since the introduction of the concept of osseointegration in dental implants, high long-term success rates have been achieved. Though the use of dental implants have increased dramatically, there are few studies on domestic implants with clinical and objective long-term data. Purpose: The aim of this retrospective study was to provide long-term data on the $Implantium^{(R)}$ implant, which features a sandblasted and acid-etched surface and internal connection with microthreads. Material and methods: 106 $Implantium^{(R)}$ implants placed in 38 patients at Yonsei University Hospital were examined to determine the effect of various factors on implant success and marginal bone loss, through clinical and radiographic results during a 6 to 30 month period. Results: 1. Out of a total of 106 implants placed in 38 patients, one fixture was lost, resulting in a 99.1% cumulative survival rate. 2. Among the 96 implants which were observed throughout the study period, the survival rates were 97.0% in the maxilla and 100% in the mandible. The survival rate in the posterior regions was 98.9% and 100% in the anterior regions. 3. The mean bone loss during the first year after prosthesis placement was 0.17 mm, while the mean annual bone loss after the first year was 0.04 mm, which was statistically less than during the first year(P<.05). 4. There was no significant difference in marginal bone loss according to age during the first year(P>.05), but after the first year, the mean annual bone loss in patients above 50 years was significantly greater(P<.05) compared with patients under 50 years. 5. No significant difference in marginal bone loss was found according to the following factors: gender, jaw, location in the arch, type of implant(submerged or non-submerged), presence of bone grafts, type of prostheses, and type of opposing dentition(P<.05). Conclusion: Based on these results, the sole factor influencing marginal bone loss was age, while factors such as gender, jaw, location in the arch, type of implant, presence of bone grafts, type of prostheses and type of opposing dentition had no significant effect on bone loss. In the present study, the success rate of the $Implantium^{(R)}$ implant with a SLA surface and internal connection with microthreads was satisfactory up to a maximum 30 month period, and the marginal bone loss was in accord with the success criteria of dental implants.