• Tuberculosis and Respiratory Diseases
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• v.50 no.4
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• pp.415-425
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• 2001

Background : The correlation between the high resolution computed tomography(HRCT) emphysema score and the physiologic parameters including resting and exercise pulmonary function test was investigated in 14 patients($60.6{\pm}10.3$ years) with pulmonary emphysema. Methods : The patients underwent a HRCT, a resting pulmonary function test, and incremental exercise testing(cycle ergometer, 10 W/min). Computed tomography scans were obtained on a GE highlight at 10 mm intervals using 10 mm collimation, from the apex to the base after a full inspiration. The emphysema scores were determined by a CT program 'Density mask' outlining the areas with attenuation values less than -900 HU, indicating the emphysema areas, and providing an overall percentage of lung involvement by emphysema. Results : Among the resting PFT parameters, only the diffusing capacity(r=-0.75) and $PaO_2$ (r=-0.66) correlated with the emphysema score(p<0.05). Among the exercise test parameters, the emphysema score correlated significantly with the maximum power(r=-0.74), maximum oxygen consumption(r=-0.68), anaerobic threshold(V-slope method: r=-0.69), maximal $O_2$-pulse(r=-0.73), and the physiologic dead space ratio at the maximum workload(r=-0.80)(p<0.01). Conclusion: We could find that exercise testing parameters showed a much better correlation with the HRCT emphysema score, which is known to have a good correlation with the pathologic severity than the resting PIT parameters. Therefore it is suggested that exercise testing is superior to resting PIT for estimating in the estimation of the physiologic disturbance in emphysema patients.

• Journal of Chest Surgery
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• v.29 no.5
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• pp.564-568
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• 1996

Pseudoaneurysm of the ascending aorta following cardiac surgery is very unusual and it is poten- tially fatal. We report here a fourteen year-old female patient with pseudoaneurysm of the ascending aorta following a repair of a congenital ventricular septal defect at other hospital 50 months ago. Although she had a mild superficial wound infection postoperatively, she enjoyed uneventful. life until she visited our hospital for a generalized weakness and exertional dyspnea which developed a month ago. Chest CT and echocardiogram showed partially calcified pseudoaneurysm of the ascending aorta. Two aortic defects were located on the anterolateral ascending aortic wall wkere it was suspected as a previous sites of aortic and cardioplegic cannulation. The internal wall of the pseudoaneurysm was covered with neoendothelium and intervened by septal tissue. Two defects on he aortic wall were oval in shape and about 1.5cm in the greatest diameter The defects were trimmed to make a one large de- fect and it was reconstructed with patch designed from 22mm collagen impregnated double velour Dacron graft. The postoperative course was uneventful.

• 한국노년학
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• v.34 no.2
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• pp.299-313
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• 2014

Recently, an interest on parenting stress and depression of grandparents raising grandchildren is rising according to the increase of working couple and divorce. Discussing around developmental task of elderly, one of the influencing factors on increase of grandparents' parenting stress and depression is leisure restriction. However, this factor has received far less rigorous analysis. Thus, the purpose of this article is to offer an analysis of the effect of leisure activities on depression in grandparents raising grandchildren. The data was collected from 172 grandparents raising their grandchildren in 2011 national survey results on the elderly life conditions. Their analyses were composed of descriptive statistic and multiple regression analysis. The study generated several findings. First, grandparents participated in activities for exercise and religion at a high rate and their mean score of depression was 7.1 of 15 what suggests middle level of depression. second, multiple regression analysis showed that the factor of exercise, travel experience, leisure activities satisfaction and other special leisure activities were statistically significant predictors of depression. Implication for social welfare services and programs to improve the mental health of grandparents raising their grandchildren to have positive self-awareness and attitude about life in their position and living condition for help prevent depression were discussed.

• Journal of the Korean earth science society
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• v.21 no.3
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• pp.230-249
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• 2000

Southeastern Korean Peninsula has undergone the polyphase deformations according to the changes of regional tectonic settings during the Cenozoic. Through analyses of more than 600 fault-slip data gathered in the study area, five tectonic events are revealed as the followings: (I) NW-SE transtension, (II) NW-SE transpression, (III) NE-SW pure or radial extension, (IV) NNE-SSW transpression, (V) NE or ENE-WSW transpression. Event I was induced by the pull-apart type extension of the East Sea during 24-16 Ma, which resulted in the NW-SE extension of the Tertiary Basins in SE Korea. Event II was resulted from the collision of SW Japan and Izu-Bonnin Arc (or Kuroshio Paleoland) on the Philippine Sea Plate at ${\sim}$ 15 Ma, which stopped the extension of the Tertiary Basins and originated the uplift of fault blocks in and around SE Korean Peninsula. It was continued until ${\sim}$ 10 Ma. Event III is interpreted as the post-tectonic event after the block-uplifts due to the event II, which indicates a temporal lull in activity of the Philippine Sea Plate since 10 Ma. Event IV was originated from the resumption in activity of the Philippine Sea Plate which was restarted to move toward north at ${\sim}$ 6 Ma. The event made the EW compressional structures behind SW Japan as well as in the Korea Straits, and thus the block-uplifts in SE Korea was resumed again. Lastly, event V was resulted from the gradual decrease in influence of the Philippine Sea Plate and the cooperative compression due to the subduction of the Pacific Sea Plate and the collision of the Indian Plate since 5-3.5 Ma, which generated the NS compressional structures in the offshore along the eastern coast of the Korean Peninsula and thrust up the fault-blocks toward west. This event is continuing so far, and thus is making the active faultings resulting in the present earthquakes of the Korean Peninsula.