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Reoperations after Fontan Procedures (폰탄 술식 후에 시행한 재수술)

  • Lee, Cheul;Kim, Yong-Jin;Lee, Jeong-Ryul;Rho, Joon-Ryang
    • Journal of Chest Surgery
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    • v.36 no.7
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    • pp.457-462
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    • 2003
  • Background: Surgical results of the Fontan procedures in patients with a single ventricle have improved. As the perioperative mortality continues to decline and late outcome is forthcoming, attention is now being directed toward late complications of the Fontan procedures. We retrospectively analyzed our experience with reoperations after Fontan procedures. Material and Method: Between January 1988 and December 2002, 24 patients underwent reoperations after Fontan procedures. The median age at Fontan procedures and reoperation was 3.3 years and 9.2 years, respectively. Types of initial Fontan procedures were atriopulmonary connection (n=11), lateral tunnel Fontan (n=11), and extracardiac conduit Fontan (n=2). Indications for reoperation included atrioventricular valve regurgitation (n=7), atrial arrhythmia (n=8), Fontan pathway stenosis (n=7), residual right-to-left shunt (n=5), etc. Result: Procedures performed at reoperation included atrioventricular valve replacement (n=6), conversion to lateral tunnel Fontan (n=5), conversion to extracardiac conduit Fontan (n=3), cryoablation of arrhythmia circuit (n=7), etc. There was no operative mortality. There were 2 late deaths. Mean follow-up duration was 2.7$\pm$2.1 years. All patients except two were in NYHA class I at the latest follow-up. Among 8 patients with preoperative atrial arrhythmia, postoperative conversion to normal sinus rhythm was achieved in 7 patients. Conclusion: Reoperations after Fontan procedures could be achieved with low mortality and morbidity. Reoperation may lead to clinical improvement in patients with specific target conditions such as atrioventricular valve regurgitation, refractory atrial arrhythmia, or Fontan pathway stenosis, especially in patients with previous atriopulmonary connection.

Water Quality of Streams and Riparian Vegetation at Rice Cultivation Area of Eastern Jeonnam (벼 재배기간중 전남동부지역 농촌하천의 수질과 분포초종)

  • Lee, Do-Jin;Cho, Ju-Sik;Kuk, Yong-In;Ahn, Ho-Geun
    • Korean Journal of Environmental Agriculture
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    • v.22 no.1
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    • pp.7-15
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    • 2003
  • The characteristic of the quality of stream water and the riparian vegetation during rice cultivation in the rural area of the eastern Jeonnam province was surveyed from April to November, 2000. The water quality of the streams during rice cultivation was variable. The pH of these water bodies ranged from $6.5{\sim}8.3$. Electro conductivity (EC) at each water body ranged from $162{\sim}4,910\;{\mu}S/cm$ for Beogyo-cheoa $114.7{\sim}286.6\;{\mu}g/cm$ for Boseong-cheon, $74.8{\sim}147\;{\mu}S/cm$ for Songgwang-cheon, and $61.6{\sim}82.1\;{\mu}S/cm$ for Isa-cheon. Total nitrogen and other parameters (K, Ca, Mg, Na, $Cl^-$, SS) were higher at May (Boseong-cheon) through June (Songgwang-cheon, Isa-cheon) during the transplanting season than these same parameters at August October and November. Thirty weed species of sixteen families were found in the survey areas of Songgwang-cheon, Boseong-cheon Isa-cheon and Beolgyo-cheon. Nine annual weeds, four biennial weeds, and seventeen perennial weeds were found, several different life forms were identified. Of those species three were submerged, two were free floating, five were emerged, and twenty were water-side weeds.

Taxonomical Classification and Genesis of Donggui Series in Jeju Island (제주도 토양인 동귀통의 분류 및 생성)

  • Song, Kwan-Cheol;Hyun, Byung-Keun;Moon, Kyung-Hwan;Jeon, Seung-Jong;Lim, Han-Cheol;Kang, Ho-Jun
    • Korean Journal of Environmental Agriculture
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    • v.29 no.1
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    • pp.20-26
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    • 2010
  • This study was conducted to reclassify Donggui series based on the second edition of Soil Taxonomy and to discuss the formation of Donggui series in Jeju Island. Morphological properties of typifying pedon of Donggui series were investigated and physico-chemical properties were analyzed according to Soil survey laboratory methods manual. The typifying pedon has very dark grayish brown (10YR 3/2) silt loam A horizon (0~17 cm), gravelly very dark grayish brown (10YR 3/2) silt loam BA horizon (17~42 cm), gravelly very dark grayish brown (10YR 3/2) silty clay loam Bt1 horizon (43~80 cm), brown (7.5YR 4/6) silty clay Bt2 horizon (80~105 cm), and brown (10YR 5/4) silty clay Bt3 horizon (105~150 cm). It is developed in lava plain and are derived from basalt and pyroclastic materials. The typifying pedon contains 1.3~2.1% oxalate extractable (Al + 1/2 Fe), less than 85% phosphate retention, and higher bulk density than 0.90 $Mg/m^3$. That can not be classified as Andisol. But it has an argillic horizon from a depth of 22 to 150 cm and a base saturation (sum of cations) of less than 35% at 125 cm below the upper boundary of the argillic horizon. That can be classified as Ultisol, not as Andisol and Inceptisol. It has udic soil moisture regime, and can be classified as Udalf. Also that meets the requirements of Typic Hapludalf. It has 18-35% clay at the particle-size control section, and have thermic soil temperature regime. Therefore Donggui series can be classified as fine loamy, mixed, thermic family of Typic Hapludalfs, not as fine silty, mixed, thermic family of Dystric Eutrudepts.

Stand Volume Estimation of Pinus Koraiensis Using Landsat TM and Forest Inventory (Landsat TM 영상과 현장조사를 이용한 잣나무림 재적 추정)

  • Park, Jin-Woo;Lee, Jung-Soo
    • Journal of the Korean Association of Geographic Information Studies
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    • v.17 no.1
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    • pp.80-90
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    • 2014
  • The objective of this research is to estimate the stand volume of Pinus koraiensis, by using the investigated volume and the information of remote sensing(RS), in the research forest of Kangwon National University. The average volume of the research forest per hectare was $307.7m^3/ha$ and standard deviation was $168.4m^3/ha$. Before and after carrying out 3 by 3 majority filtering on TM image, eleven indices were extracted each time. Independent variables needed for linear regression equation were selected using mean pixel values by indices. The number of indices were eleven: six Bands(except for thermal Band), NDVI, Band Ratio(BR1:Band4/Band3, BR2:Band5/Band4, BR3:Band7/Band4), Tasseled Cap-Greeness. As a result, NDVI and TC G were chosen as the most suitable indices for regression before and after filtering, and R-squared was high: 0.736 before filtering, 0.753 after filtering. As a result of error verification for an exact comparison, RMSE before and after filtering was about $69.1m^3/ha$, $67.5m^3/ha$, respectively, and bias was $-12.8m^3/ha$, $9.7m^3/ha$, respectively. Therefore, the regression conducted with filtering was selected as an appropriate model because of low RMSE and bias. The estimated stand volume applying the regression was $160,758m^3$, and the average volume was $314m^3/ha$. This estimation was 1.2 times higher than the actual stand volume of Pinus koraiensis.

Effectiveness of Magnesium-and Boron-Enriched Complex Fertilizer(14-10-12-3-0.2) on the Pasture Maintenance and Management I. Changes in the soil chemical properties and mutural balance of mineral nutrients in soil in a mixed grass/clover sward (초지관리용 복합비료(14-10-12-3-0,2)의 비효시험 I. 토양의 화학성 및 무기염기의 상호균형에 미치는 영향)

  • 정연규;이혁호
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.11 no.4
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    • pp.244-251
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    • 1991
  • This study was undertaken to assess the effectiveness of magnesium-and boron-enriched complex fertilizer(CF, N-P$_2$O$_{5}$-K$_2$O-MgO-B$_2$O$_3$: 14-10-12-3-0.2) on the maintenance and management of hilly pasture. The effectiveness of CF was compared to those of some straight fertilizers (SF). This first part of the study was concerned with the soil chemical properties and the mutural balances of mineral nutrients in the soils of a mixed grass-clover and a pure grass swards. The results of a two-year field experiment are summarized as follows: 1. The Mg contents in the soils of the CF plots were higher than those of the SF plots. On the other hand, the Ca contents were higher in the SF plots than in the CF plots. The contents of Mg and Ca, and CEC, except K, in both the CF and SF plots were considerably below the optimum levels. At the normal application rate of NPK, the contents of available P$_2$O$_{5}$ were close to the optimum level in both the CF and SF plots. 2. The contents of exchangeable Mg were lower than the K contents in soils of all the plots. At the normal application rate of NPK, the Mg contents in the CF plots, but not in the SF plots, were close to the critical level for general crops (0.29me Mg/100g soil). The Mg contents in soils of all the plots, however, were considerably below the critical level for pasture forages and grazing cows (0.41me/100g). 3. Considering the desirable base saturation level of soil, the saturation levels of Ca and Mg were insufficient in both the CF and SF plots. The saturation levels of Mg in the CF plots, however, were relatively good compared with the SF plots. The equivalent ratios or Mg/K, Ca/Mg. Ca:Mg:K, and %Mg of CEC in soils were generally unfavorable in all the plots. These ratios of the CF plots, however, were relatively better than those of the SF plots. 4. Considering the contents of exchangeable Ca and Mg in soils, it is suggested that the application of slaked magnesium lime as a soil amelioration might be desirable for the fundamental increment of those contents at pasture establishment.

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The Effects of Object Size and Reaching Distance on Upper Extremity Movement (물체 크기와 뻗기 거리가 상지 움직임에 미치는 영향)

  • Bae, Su-Young;Kim, Tae-Hoon
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.1
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    • pp.51-61
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    • 2020
  • Objectives : The purpose of this study is to investigate the effect of object size and reaching distance on kinematic factors of the upper limb while performing arm reaching for normal subjects. Methods : The subjects of this study were 30 university students who were in D university in Busan, and the measuring tool was CMS-70P(Zebris Medizintechnik Gmbh, Germany), a three-dimensional motion analyzer. The task had six conditions. The average velocity of motion, average acceleration, maximum velocity, and the velocity definite number of movements were measured according to changes in object size(2cm, 10cm) and reaching distance(15%, 37.5%, 60%) when they performed arm reaching. The general characteristics of the subject were technical statistics. One-way ANOVA measurement was used to compare variables when the arm reaching task was performed from two object sizes to three reaching distance, and the post-test was conducted with Tukey test. In addition, an independent t-test was used to analyze the kinematic differences according to the two object sizes at three reaching distances. A two-way ANOVA measurement (3×2 Two-way ANOVA measurement) was performed to identify the interaction of the reaching distance(15%, 37.5%, 60%) and the object size(2cm, 10cm). The statistical significance level α was set to .05. Results : When the size of the object increased, the velocity and maximum velocity also increased, but the definite number of velocity decreased. When the reaching distance increased, the velocity and maximum velocity increased, whereas the definite number of velocity decreased. Conclusion : The clinical significance of this study could be utilized as the baseline data for grading object size and reaching distances when the reaching training is implemented for patients whose central nervous system was damaged.

Comparisons of the Forage Productivity and Mineral Contents Between the Newly Reclaimed and Arable Pasture Soils II. Changes in the soil properties, vigour at early growth, yields, and mineral nutrients of forages as affected by lime application (신개간 및 기경작 초지토양간 목초의 생산성과 무기양분 함량 비교 II. 석회 시용에 따른 토양특성, 목초의 초기생육, 수량 및 무기양분 함량 변화)

  • Jung, Yeun-Kyu
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.22 no.4
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    • pp.279-286
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    • 2002
  • This pot experiment was conducted to find out the forage productivity and contents of mineral nutrients in an orchardgrass sward affected by the compost lime, and phosphorus applications on the newly reclaimed and arable pasture soils. This 2nd part was concerned with the effect of lime application(L$_{0}$=control, L$_1$=279, L$_2$=54g CaCO$_3$/pot). The results obtained are summarized as follows: 1. There were considerable differences between the newly reclaimed and arable pasture soils in the soil chemical properties as follows in general; poor/common in the newly reclaimed soil longrightarrow and common/good in the arable pasture soil in terms of soil fertility standard. 2. It was recognized that the lime application was resulted in somewhat decrease of the concentrations of available P$_2$O$_{5}$ and increase of P$_2$O$_{5}$ absorbtion coefficient in the newly reclaimed soil, whereas these negative effects were positively enhanced by both lime and compost applications. The concentrations of exchangeable Ca and mg in both soils were increased by lime application. 3. The vigour at early growth stage of orchardgrass was better in the arable pasture soil than newly reclaimed soil. It was worsened by the heavy lime application(L$_2$), but this negative effect was positively enhanced by both lime and compost application. 4. Compared with the non-lime application, the forage yields of L$_1$ treatment were increased in both soils by 15~18%. whereas it of L$_2$ treatment was similar or lower than it of L$_1$. 5. The concentrations of Ca, mg, and P in orchardgrass were relatively higher in the arable pasture soil than the newly reclaimed soil, whereas there it was no difference in the K concentration. It was recognized that the concentrations of mg and Ca in orchardgrass were higher in the L$_1$ treatment than the Lo treatment in both soils, whereas there were no difference in it between L$_1$ and L$_2$ treatments.ments.

Intergrated Ecological Health Assessments in Cho River (초강의 통합적 생태건강성 평가)

  • Choi, Ji-Woong;An, Kwang-Guk
    • Korean Journal of Ecology and Environment
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    • v.39 no.3 s.117
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    • pp.320-330
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    • 2006
  • An integrated health of a lotic ecosystem, Cho River, was evaluated by various approaches such as conventional water quality analysis, physical assessments of Qualitative Habitat Evaluation Index (QHEI), and the bioassay of Index of Biological Integrity (IBI) durin August${\sim}$September 2005. The IBI model used in the study was based on original multivariate metric model and then modified the metric attributes of the model for the regional application. Physical habitat health, based on the QHEI, was estimated using eleven metrics. During the study, values of IBI model averaged 36, which was judged as 'fair' to 'good' conditions. Spatial variations in the model values were evident: the headwater site (S1) was estimated as 48, indicating an 'excellent' condition, and the other sites were estimated 32${\sim}$38, 'good' condition. Values of the QHEI in the all sites averaged 148, which is judged as a good condition. The QHEI values varied from 120 (fair condition) to 199 (excellent condition) depending on the location of the stream. Site 5 (S5) was estimated as 'fair${\sim}$good' condition, while Site 7 (S7) was estimated as 'excellent' condition. The biological health, based on the IBI, reflected the habitat health. However, chemical conditions in terms of pH, turbidity, electric conductivity, dissolved oxygen (DO) did not make a difference in the biological health because of minor chemical differences among the locations.

Reconsideration of Rare and Endangered Plant Species in Korea Based on the IUCN Red List Categories (IUCN 적색목록 기준에 의한 환경부 멸종위기 야생식물종에 대한 평가)

  • Chang, Chin-Sung;Lee, Heung-Soo;Park, Tae-Yoon;Kim, Hui
    • The Korean Journal of Ecology
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    • v.28 no.5
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    • pp.305-320
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    • 2005
  • Recently 64 species in Korea have been ranked as rare and endangered taxa by the Ministry of Environment using two categories, I and II. The original threat categories produced by the Ministry of Environment were developed to provide a standard for specifying animals and plants in danger of extinction and has been influential sources of information used in species conservation in Korea. However, the criteria by Ministry of Environment were applied to the whole taxa only by regional boundaries, especially in South Korea, rather than international context, and it also lacked an explicit framework that was necessary to ensure repeatability among taxa because of the absence of quantitative criteria to measure the likelihood of extinction. The World Conservation Union (IUCN) has developed quantitative criteria for assessing the conservation status of species. The threatened species categories, the 2000 IUCN Red List, proposed by SSC (Species Survival Commission) of IUCN have become widely recognized internationally. Details of threatened Korean plants, identified by applying the IUCN threat categories and definitions, were listed and analyzed. The number of species identified as threatened was only 34 out of 64 taxa (48.4%), while the rest of taxa were rejected from the original lists. Many of the species (51.6%, 33 taxa) excluded from the original list proposed by Ministry of Environment do not qualify as Critically Endangered, Endangered or Vulnerable because these taxa were widely distributed either in Japan or in China/far eastern Russia and there is no evidence of substantial decline in these countries. An evaluation of taxa in Korea has been carried out only based on subjective views and qualitative data, rather than quantitative scientific data, such as rates of decline, distribution range size, population size, and risk of extinction. Therefore, the national lists undermine the credibility of threatened species lists and invite misuse, which have been raised by other cases, qualitative estimate of risk, political influence, uneven taxonomic or geographical coverage. The increasing emphasis on international responsibilities means that global scale is becoming more significant. The current listings by Environment of Ministry of Korea should be challenged, and the government should seek to facilitate the resolution of disagreements. Especially the list should be flexible enough to handle uncertainty and also incorporates detailed, quantitative data. It is suggested that the highest priorities for the Red List should be given to endemic species in Korea first. After setting up the list of endemic species to Korea, quantitative data on population size and structure, distributional range, rated of decline, and habitat fragmentation should be collected as one of long term projects for the Red list categories. Transparency and accountability are the most important key factors. Also, species assessors are named and data sources referenced are required for the future objective evaluations on Korean plant taxa.

Numerical Simulation of the Formation of Oxygen Deficient Water-masses in Jinhae Bay (진해만의 빈산소 수괴 형성에 관한 수치실험)

  • CHOI Woo-Jeung;PARK Chung-Kill;LEE Suk-Mo
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.27 no.4
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    • pp.413-433
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    • 1994
  • Jinhae Bay once was a productive area of fisheries. It is, however, now notorious for its red tides; and oxygen deficient water-masses extensively develop at present in summer. Therefore the shellfish production of the bay has been decreasing and mass mortality often occurs. Under these circumstances, the three-dimensional numerical hydrodynamic and the material cycle models, which were developed by the Institute for Resources and Environment of Japan, were applied to analyze the processes affecting the oxygen depletion and also to evaluate the environment capacity for the reception of pollutant loads without dissolved oxygen depletion. In field surveys, oxygen deficient water-masses were formed with concentrations of below 2.0mg/l at the bottom layer in Masan Bay and the western part of Jinhae Bay during the summer. Current directions, computed by the $M_2$ constituent, were mainly toward the western part of Jinhae Bay during flood flows and in opposite directions during ebb flows. Tidal currents velocities during the ebb tide were stronger than that of the flood tide. The comparision between the simulated and observed tidal ellipses showed fairly good agreement. The residual currents, which were obtained by averaging the simulated tidal currents over 1 tidal cycle, showed the presence of counterclockwise eddies in the central part of Jinhae Bay. Density driven currents were generated southward at surface and northward at the bottom in Masan Bay and Jindong Bay, where the fresh water of rivers entered. The material cycle model was calibrated with the data surveyed in the field of the study area from June to July, 1992. The calibrated results are in fairly good agreement with measured values within relative error of $28\%$. The simulated dissolved oxygen distributions of bottom layer were relatively high with the concentration of $6.0{\sim}8.0mg/l$ at the boundaries, but an oxygen deficient water-masses were formed within the concentration of 2.0mg/l at the inner part of Masan Bay and the western part of Jinhae Bay. The results of sensitivity analyses showed that sediment oxygen demand(SOD) was one of the most important influence on the formation of oxygen depletion. Therefore, to control the oxygen deficient water-masses and to conserve the coastal environment, it is an effective method to reduce the SOD by improving the polluted sediment. As the results of simulations, in Masan Bay, oxygen deficient water-masses recovered to 5.0mg/l when the $50\%$ reduction in input COD loads from Masan basin and $70\%$ reduction in SOD was conducted. In the western part of Jinhae Bay, oxygen deficient water-masses recovered to 5.0mg/l when the $95\%$ reduction in SOD and $90\%$ reduction in culturing ground fecal loads was conducted.

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