• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
• /
• v.14 no.3
• /
• pp.134-144
• /
• 2009

Paleoproductivity changes in the central part of the Bering Sea since the last glacial period were reconstructed by analyzing opal and total organic carbon (TOC) content and their mass accumulation rate (MAR) in sediment core PC23A. Ages of the sediment were determined by both AMS $^{14}C$ dates using planktonic foraminifera and Last Appearance Datum of radiolaria (L. nipponica sakaii). The core-bottom age was calculated to reach back to 61,000 yr BP. and some of core-top was missing. Opal and TOC contents during the last glacial period varied in a range of 1-10% and 0.2-1.0%, and their average values are 5% and 0.7%, respectively. In contrast, during the last deglaciation, opal and TOC contents varied from 5 to 22% and from 0.8 to 1.2%, respectively, with increasing average values of 8% and 1.0%. Opal and TOC MAR were low ($1gcm^{-2}kyr^{-1}$, $0.2gcm^{-2}kyr^{-1}$) during the last glacial period, but they increased (>5 and >$1gcm^{-2}kyr^{-1}$) during the last deglaciation. High diatom productivity during the last deglaciation was most likely attributed to the elevated nutrient supply to the sea surface resulting from increased melt water input from the nearby land and enhanced Alaskan Stream injection from the south under the restricted sea-ice and warm condition during the rising sea level. On the contrary, low productivity during the last glacial period was mainly due to decreased Alaskan Stream injection during the low sea-level condition as well as to extensive development of sea ice under low-temperature seawater and cold environment.

• Journal of Chest Surgery
• /
• v.41 no.6
• /
• pp.703-709
• /
• 2008

Background: Diagnosis and treatment are often successful in the setting of cardiac myxomas. However, cardiac myxomas can lead to catastrophic complications, due to intracardiac obstruction and embolism preoperatively, and can recur postoperatively. Material and Method: We retrospectively reviewed the clinical characteristics, surgical treatment, and recurrence data of 85 patients who underwent cardiac myxoma surgery at Asan Medical Center between November 1994 and June 2007. We analyzed the morphologic characteristics of 58 patients with left atrial myxomas and determined the development of functional mitral valve stenosis and systemic embolism through reviewing the results of preoperative echo-cardiograms to find potential preoperative risk factors. Result: Twenty-seven (31.8%) patients were men, and 58 (68.2%) were women. The mean patient age was $54.5{\pm}14.3$ years. Preoperative symptoms included obstructive symptoms in 41 (48.2%) patients, signs of embolism in 19 (22.4%), constitutional symptoms in 8 (9.4%), and no symptoms in 19 (20.0%). Among the 58 patients with left atrial myxomas, the mean maximal tumor diameter was $4.3{\pm}1.8$ (range $1.1{\sim}8\;cm$)cm. Twenty-six (44.8%) patients had a prolapsing type, defined as a tumor mobile enough to move down. to the mitral. annular plane during diastole, and 32 (55.2%) had villous type, defined as a tumor consisting of multiple fine villous extensions on the surface. Twelve (20.7%) patients had severe functional mitral valve stenosis, and 15 (25.9%) had systemic embolism preoperatively. The incidence of severe functional mitral valve stenosis was significantly higher in patients with the prolapsing type than in those with the non-prolapsing type (p=0.001). The mean maximal tumor diameter in patients with severe functional mitral valve stenosis was $5.1{\pm}1.0\;cm$, significantly larger than that seen in patients without severe functional mitral valve stenosis (p=0.041). The incidence of systemic embolism was significantly higher in patients with the villous type than in those with the smooth type (p=0.006). Postoperative complications were noted in 6 (7.1%) patients, and early mortality was noted in 1 (1.2%). The mean postoperative follow-up duration was $36.2{\pm}37.5$ months, with recurrence reported in 2(2.4%) patients during the follow-up period. The disease free interval were 48, 12 months, respectively. Conclusion: Surgical treatment for cardiac myxomas was performed safely, and long-term prognosis was good. In patients with left atrial myxoma, close attention should be maintained and surgery should be performed promptly in those of prolapsing type, those with large maximal diameter in order to prevent severe functional mitral valve stenosis, and those of villous type in order to prevent systemic embolism. Echocardiography should be followed serially in order to detect recurrence.