• Journal of Chest Surgery
• /
• v.39 no.1 s.258
• /
• pp.28-34
• /
• 2006

Background: There has been an increase in the number of elderly patients considered for coronary artery bypass grafting (CABG). Recently, there were many satisfactory reports of coronary artery bypass grafting (CABG) in old age due to the development in operative technique and postoperative management. We evaluated operative and follow-up results of patients 70 years of age and older compared to 60 years old. Material and Method: We retrospectively studied the cases of 74 consecutive patients 70 years or older (group A) who underwent a elective CABG from January 2000 to December 2003 and compared that of relatively young age group (group B, 60-69 years old). We compared preoperative characteristics, operation technique, postoperative results that effect outcome, also we investigated late mortality and cardiac events at follow-up periods. Result: Preoperative demographic and clinical characteristics of two groups were not different, except preoperative renal dysfunction(serum creatinine: $\geq$1.4 mg/dl) (group A 17, 23$\%$ vs group B 14, 9$\%$) (p=0.024). There was no difference of the mean number of distal anastomosis and the left ventricular ejection fraction in group A decreased significantly from 53.7$\pm$13$\%$ preoperatively to 49.9$\pm$ 12$\%$ postoperatively (p=0.02), but not changed in group B. There was no difference at operative mortality rate and postoperative major morbidity rate, but wound problem of saphenous vein harvest site was significantly higher in group A than group B (6.8$\%$ vs 0.7$\%$, p=0.02). The mean follow up duration was 24.3$\pm$13 months and the cumulative survival were 95.4$\%$ at 2 year and 79.9$\%$ at 4 year in group A and 95.4$\%$ at 2 year and 90.1$\%$ at 4 year in group B (p=ns). Conclusion: We conclude that age is not a factor of determination when we decide about operation because coronary artery bypass grafting in elderly more than 70 years old can be performed with a low mortality rate and acceptable morbidity rate.

• Tuberculosis and Respiratory Diseases
• /
• v.55 no.3
• /
• pp.287-296
• /
• 2003

Background : Drowning represents the third most common cause of all accidental deaths worldwide. Although few studies of submersion injury were done in Korea, the subjects were mainly pediatric patients. The purpose of this study is to describe the clinical feature of submersion injury in adults. Methods : The medical records of 31 patients with submersion injury who were >15 years of age and admitted to Kyungpook National University Hospital from July 1990 to March 2003 were retrospectively examined. Results : The most common age-group, cause, and site of submersion accidents in adults were 15-24 years of age, inability to swim, and river followed by more than 65 years of age, drinking, and public bath respectively. The initial chest radiographics showed bilaterally and centrally predominant distribution of pulmonary edema at lung base in about 90% of patients with pulmonary edema represented by submersion injury but at only upper lung zone in 10%. Eventually, 25 patients (80.6%) survived without any neurologic deficit and 2 patients (6.5%) with significant neurologic deficit, and 4 patients (12.9%) died. Age, arterial gas oxygenation, and mental status among baseline variables showed significant difference for prognosis. Conclusions : More than 65 year of age, drinking, and occurrence in public bath were relatively important in submersion injury of adults, and the successful survival of 80.6% of patients suggests that cardiopulmonary resuscitation should be intensively done in even adults.

• Applied Chemistry for Engineering
• /
• v.16 no.5
• /
• pp.648-652
• /
• 2005

A super ionic conductor, $K^+$-beta-aluminas, which is known to be difficult to obtain in the form of dense sintered density under atmospheric pressure, was pulverized to 350 nm mean particle size using attrition mill. The sample were pressed into tablet form by uniaxial pressing. The specimen was sintered under atmospheric pressure in powder form. Sintering temperature range was $1400^{\circ}C$ to $1650^{\circ}C$ at $50^{\circ}C$ intervals. Additionally, zone sintering was carried out to control the growth grain at high temperature ($1600^{\circ}C$). The density of specimens that were sintered at $1600^{\circ}C$ and $1650^{\circ}C$, and sintered at $1600^{\circ}C$ by zone sintering were about 93% and 95%, respectively. In the case of the lengthened sintering time to 2 h, the density of specimen was reduced to lower than 90%, since the particles were grown to the duplex microstructure.

• Journal of Chest Surgery
• /
• v.40 no.7 s.276
• /
• pp.503-507
• /
• 2007

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) has rarely been reported on in adults because 90% of the untreated infants die in the first year of life. We report here on a case of AICAPA that was detected in a 41-year-old woman and she was successfully treated by direct re-implantation of the anomalous coronary artery into the aorta.

• Korean Journal of Microbiology
• /
• v.24 no.3
• /
• pp.329-334
• /
• 1986

The bacteria capable of utilizing polyethylene glycol(PEG) 6,000 as a sole carbon source were isolated from soil and sewage water connected to factory area. The isolate designated as EL-033 had high biodegradability on PEG 6,000, and was identified as Micrococcus sp. Micrococcus sp. EL-033 could grow on and degrade di-, tri-, tetraethylene glycols and PEGs with molecular weight up to 6,000 and very slowly stilize PEG 20,000 as sole carbon source, but not degrade ethylene glycol. The growth rate of isolate was increased in the higher molecular weight PEGs. The optical culture medium was established to be as follow: PEG 6,000, 0.2%(w/v); $K_2HPO_4$, 0.1%; $NaH_2PO_4{\cdot}12H_2O,\;0.1%\;:\;MgSO_4{\cdot}7H_2O$, 0.05%; polypeptone, 0.1% in distilled water, pH7.5. About 90% of PEG 6,000 was degraded in exponential phase of 48h culture and PEG 6,000 was completely degraded during 72h.

• The Journal of the Korea Contents Association
• /
• v.19 no.1
• /
• pp.574-586
• /
• 2019

The purpose of this study was to investigate housing situation and residential satisfaction of foreigners in Korea, and to identify influential factors for housing satisfaction. A questionnaire survey was conducted to 132 foreigners who reside in Seoul and Gyeonggi-do. Most of the respondents were Chinese and the average age was 45.7. Over 90% of the respondents lived in a rented house and detached house was the most popular type of house. Overall score of residential satisfaction was 3.43 and it was above average. However, scores for parking lot, housing deterioration, and space planning showed the lowest level of satisfaction. Factor analysis was used to summarize the variables related to residential satisfaction and 5 factors -'space planning and organization,' 'amenities & equipment', 'community facilities,' 'near environment' and 'housing expenses'- were drawn. Among those, 'space planning and organization' was the most influential factor to residential satisfaction as the result of multiple regression analysis.

• Water for future
• /
• v.26 no.2
• /
• pp.67-77
• /
• 1993

The increased water level caused by tidal motion at Indokyo is analyzed by the NETWORK model. The tidal effect is studied for 3 real floods in 1990 and 8 classified hypothetical floods in which the peak discharges are in the range of 2, 000-20, 000CMS. The result of numerical simulation shows that the tidal effect is decreased as the flood is increased. The surged level is 50cm when the flood discharge is 2, 000CMS, showing that its effect is considerable. However it shows only 9cm when the discharge is 7, 000CMS which corresponds to 4.5cm of standard flood level of MOC. Therefore, so it may be possible to neglect the influence of the tidal fluctuation when the peak discharge of a flood is bigger than 7, 000CMS.

• The Journal of Korean Orthopaedic Ultrasound Society
• /
• v.5 no.1
• /
• pp.9-14
• /
• 2012

Purpose: The purpose of the study was to evaluate the accuracy and clinical outcome of ultrasound-guided glenohumeral joint steroid injection on adhesive capsulitis. Materials and Methods: Patients who were diagnosed as adhesive capsulitis by MRI and physical examination and did not improve their symptom with physical therapy and NSAIDS treatment more than 6 months were included in the study. Patients who showed any other shoulder pathology or history if trauma were excluded from the study. 33 patients including 15 males and 18 females were enrolled in the study, the average age being 55.1 (age 42~72). Cocktail of steroid, lidocaine, saline and contrast medium injected inside shoulder glenohumeral joint using novel approach (which we called acromioclavicular approach) under ultrasound guidance. Clinical outcome was measured through passive range of motion and VAS scoring system. Results: Based on radiographic findings, cases were classified according to the leakage of contrast medium; perfect confinement of contrast-medium inside the capsule, partial leakage of the medium and contrast-medium found at outside the joint. Total 25 cases (76%) out of 33 cases showed perfect confinement of contrast-medium inside the glenohumeral joint. Partial leakage was observed in 6 cases (18%), and contrast medium was observed outside of the glenohumeral joint in 2 cases (6%). Perfect-confinement group showed $111^{\circ}$($80{\sim}140^{\circ}$) of forward flexion and $48^{\circ}$($0{\sim}90^{\circ}$) of external rotation before injection, and improved to $134^{\circ}$($90{\sim}150^{\circ}$) of forward flexion and $70^{\circ}$($30{\sim}90^{\circ}$) of external rotation after injection (p<0.01). Partial leakage showed $120^{\circ}$($90{\sim}150^{\circ}$) of forward flexion and $70^{\circ}$($10{\sim}90^{\circ}$) of external rotation before injection, and improved to $139^{\circ}$($135{\sim}140^{\circ}$) of forward flexion and $78^{\circ}$($50{\sim}90^{\circ}$) of external rotation after injection (p<0.01). VAS score improved from 7.1 (score 3~9) to 2.6 (score 0~5) (p<0.01) in perfect confinement group, from 7.5 (score 7~9) to 3.3 (score 2~4) (p<0.01) in partial leakage group. Two group showed no significant difference. Conclusion: Accuracy of Acromioclavicular approach was 94% which is better than any other methods published so far. Partial leakage of the injection material did not show inferior result compared to perfect injection.

• Food Science and Industry
• /
• v.55 no.2
• /
• pp.154-165
• /
• 2022

Humans have been breeding the mulberry silkworm for the long period of time to obtain silk fabric and nutrient-rich pupae. Currently, silkworm larvae, pupae, and silk-Fibroin hydrolysates are registered as food raw materials, while silkworm feces and Bombyx batryticatus are registered as Korean traditional medicines. Among sericulture products, individually recognized health functional food ingredients include silk-protein acid-hydrolysates for immunity enhancement, Fibroin-hydrolysates for memory improvement, and freeze-dried 5^th instar and 3^rd-day-silkworm powder for lowering-blood sugar. Recently, HongJam produced by steaming and freeze-drying mature silkworms were reported to have various health-promoting effects such as preventing the onset of Alzheimer's disease and Parkinson's disease, enhancing gastro-intestinal functions, improving skin-whitening and hair growth, and extending healthspan. By consuming silkworm products with various health-promoting effects, it is possible to increase the healthspan of human beings, thereby reducing personal and national medical expenses, resulting in increasing the individual's happiness.

• Pediatric Infection and Vaccine
• /
• v.18 no.2
• /
• pp.109-116
• /
• 2011

Purpose : Pneumococcus is one of the most important causes of invasive infection through the childhood period. In January 2008, the Clinical and Laboratory Standards Institute (CLSI) published revised penicillin breakpoints for Streptococcus pneumoniae and penicillin susceptibility rates of S. pneumoniae increased in Korea. This study was performed to determine the probability of oral amoxicillin for the empirical treatment achieving bactericidal exposure against pneumococcus using pharmacodynamics model. Methods : Twenty-three isolates of pneumococci were subjected to determine minimum inhibitory concentration (MIC) for ${\beta}$-lactams and macrolide. For the ${\beta}$-lactams, exposure of fT >MIC (time that free drug concentrations remain above the MIC) for 50% of the administration interval have determined the probability of target attainment (PTA), and regimens that had a PTA >90% were considered optimal. An analysis was performed by applying MIC of 23 isolates to a 5000-patient Monte Carlo simulation model. Results : Among 23 isolates from healthy children, 7 (30.4%) isolates were MIC ${\leq}$1.0 ${\mu}g$/mL and 19 (82.6%) were MIC ${\leq}$2 ${\mu}g$/mL for amoxicillin. Amoxicillin 40 mg/kg/day achieved PTA >90% at MIC ${\leq}$1.0 ${\mu}g$/mL but PTA decreased to 52% at MIC 2 ${\mu}g$/mL, whereas amoxicillin 90 mg/kg/day can predict 97% of PTA at MIC 2 ${\mu}g$/mL. Overall, oral amoxicillin 90 mg/ kg/day for the empirical treatment against pneumococcus can expect more successful response in Korean children. Conclusion : Considering the resistantce pattern of pneumococci in Korean children, we estimate that oral amoxicillin 90 mg/kg/day will provide a pharmacodynamic advantage for the empirical treatment against pneumococcus. And low dose amoxicillin or macrolide are expected to have higher chance of treatment failure than high dose oral amoxicillin.