Park, Hyeon Seon;Lee, Jae Whan;Kim, Jin Young;Shin, Yong Sam;Joo, Jin Yang;Huh, Seung Kon;Lee, Kyu Chang
Journal of Korean Neurosurgical Society
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v.29
no.6
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pp.786-793
/
2000
Objectives : A clinical analysis was performed to provide management strategy and to improve management outcome of elderly patients with intracranial aneurysm. Patients and Methods : We reviewed medical records of 746 consecutive patients with intracranial aneurysm who were admitted from July 1991 to December 1996. They were divided into two age groups : elderly(120 patients aged 65 years or older) and non-elderly(626 patients aged 64 years or younger). We investigated the differences between the two groups in clinical characteristics, management outcome and surgical results. Results : Female(80.0%), internal carotid artery aneurysm(48.9%), poor clinical grade(Hunt and Hess Grade IV, V : 39.8%), postoperative subdural fluid collection(38.2%), and postoperative hydrocephalus(39.7%) were more frequent in the elderly patients. There were no significant differences in the incidence of hypertension, multiple aneurysm, unruptured aneurysm, rebleeding, delayed ischemic neurological deficits, postoperative hemorrhage, and low density on the postoperative brain CT scan. In some cases, surgical clipping of ruptured aneurysm could not be performed due to moribund state or refusal of surgery by the elderly patient's family. Both management outcome and surgical results in elderly aneurysm patients at 3 months after rupture were worse than those of the non-elderly group. The most common reason of unfavorable outcome was poor clinical grade in both groups, while serious medical illness causing unfavorable outcome was more common in the elderly group. Conclusion : Surgical treatment of a ruptured aneurysm should not be avoided in elderly patient solely on the basis of advanced age. If the patients are in good clinical grade, early aneurysm surgery followed by early ambulation should be recommended. Further improvements in outcome may be achieved by thorough knowledge of poor resilience of brain, CSF flow dynamics, and diminished cardiopulmonary reserve in elderly patients with intracranial aneurysm.
Song, Ki Ryong;Cho, Yongseon;Sin, Sung Kyun;Jeon, Ho Seok;Hyun, Woo Jin;Lee, Yang Deok;Han, Min Soo;Rho, Ji Young;Kim, Kyung Hee
Tuberculosis and Respiratory Diseases
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v.57
no.3
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pp.278-283
/
2004
The incidence of a pulmonary leiomyosarcoma as a primary lung tumor is quite rare. We report a case of primary leiomyosarcoma with a cardiac invasion in a 76 year old man. He was admitted due to left anterior chest wall pain for one month. Chest computed tomography showed a $9{\times}8{\times}10cm$ sized, large round mass in the left upper and lower lobes, and an amorphous low density lesion within the left atrium. Chest magnetic resonance imaging showed a large round mass in the left upper and lower lobes with growth into the left atrium. A diagnosis of leiomyosarcoma with prominent osteoclast-like giant cells was made based on the microscopic and immunohistochemical findings of a permanent specimen by explothoracotomy. The pathologic features of the tumor showed round mononuclear hyperchromatic cells and multinucleated giant cells that resembled osteoclasts. The immunohistochemical staining showed that the giant cells are positive for CD68 but negative for the muscle markers while the round cells were positive for the muscle marker. The patient refused further treatment and died after two months.
This experiment was conducted to investigate the effect of greenhouse orientation on the greenhouse environment and the growth and yield of tomato cv 'Momotaro-Yoku' in forcing culture. The photosynthetic phpton flux density (PPFD) of a.m was higher in north-south orientation than that in east-west orientation and it was opposed in the p.m. Mean PPFD of a day was higher in east-west orientation than that in north-south orientation because the light transmitting area became larger in east-west orientation with decrease of incidence angle. The PPFD at 60 cm point above ground of all furrows was poor due to shadows near plants and it was higher in north-south orientation than that in east-west orientation. The air temperature in the greenhouse was higher in east-west orientation than that in north-south orientation but there was no significant difference since mid February as solar altitude goes up. The soil temperature was some higher in east-west orientation than that in north-south orientation and there was not significant difference among ridges. In east-west orientation, as ripening was promoted, high early yield of tomato were obtained. So total yield was greater about 8% in east-west orientation than that in north-south orientation. Therefore, it was considered that east-west orientation is more advantageous than north-south orientation for forcing culture of tomato.
The fungus Cylindrocarpon destructans is the cause of root rot in many ginseng production areas in Korea. A total of 57 isolates of C. destructans were recovered from diseased roots in a survey of ginseng-growing fields from 2011-2012. Among these isolates, 37% were classified as highly virulent (causing lesions on unwounded mature roots) and 61% were weakly virulent(causing lesions only on previously wounded roots). Radial growth of highly and weakly virulent isolates on potato dextrose agar was highest at $20^{\circ}C$ and there was no growth at $35^{\circ}C$. Mycelial mass production was significantly (P = 0.05) lower at pH 7.0 compared with pH 5.0. To study the effects of pH (5.0 and 7.0) and wounding on disease development, ginseng roots were grown hydroponically in nutrient solution. Lesions were significantly larger (P < 0.01) at pH 5.0 compared with pH 7.0 and wounding enhanced disease by a highly virulent isolate at both pHs. In artificially infested soil, 2-yearold ginseng roots were most susceptible to Cylindrocarpon root rot among all root ages tested (1 to 4 years) when evaluated using a combined scale of disease incidence and severity. Root rot severity was significantly (P<0.05) enhanced by increasing the inoculum density from $3.5{\times}10^2cfu/g$ of soil to $2.0{\times}10^3cfu/g$ of soil.
Stand level survival prediction model was developed that incorporated the incidence of fusiform rust(Cronartium quercuum [Berk.] Miyabe ex Shirai f. sp. fusiforme) and allowed the transition of trees from an uninfected stage to an infected stage. The influence of hardwood interspecific competition on the survival of unthinned planted stands of loblolly pine (Pinus taeda L.) was analyzed by using of information from twelve years of tracking a set of permanent plots representing a broad range of plantation parameters. Significant interaction effects between site index and hardwood basal area per acre were revealed in the survival model. Survival of the planted pines decreased with increasing density of hardwood trees per acre and site index as the productivity rating of the forest land. The effects of hardwood trees interspecific competition on loblolly pine tended to show a negative effect on predicted future number of planted pine trees.
Jo, Dae-Jean;Jun, Jae-Kyun;Kim, Ki-Tack;Kim, Sung-Min
Journal of Korean Neurosurgical Society
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v.48
no.5
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pp.412-418
/
2010
Objective : To evaluate the clinical and radiological outcomes of lumbar interbody fusion and its correlation with various factors (e.g., age, comorbidities, fusion level, bone quality) in patients over and under 65 years of age who underwent lumbar fusion surgery for degenerative lumbar disease. Methods : One-hundred-thirty-three patients with lumbar degenerative disease underwent lumbar fusion surgery between June 2006 and June 2007 and were followed for more than one year. Forty-eight (361%) were older than 65 years of age (group A) and 85 (63.9%) were under 65 years of age (group B). Diagnosis, comorbidities, length of hospital stay, and perioperative complications were recorded. The analysis of clinical outcomes was based on the visual analogue scale (VAS). Radiological results were evaluated using plain radiographs. Clinical outcomes, radiological outcomes, length of hospital stay, and complication rates were analyzed in relation to lumbar fusion level, the number of comorbidities, bone mineral density (BMD), and age. Results : The mean age of the patients was 61.2 years (range, 33-86 years) and the mean BMD was -2.2 (range, -4.8 to -2.8). The mean length of hospital stay was 15.0 days (range, 5-60 days) and the mean follow-up was 23.0 months (range, 18-30 months). Eighty-five (64.0%) patients had more than one preoperative comorbidities. Perioperative complications occurred in 27 of 133 patients (20.3%). The incidence of overall complication was 22.9% in group A, and 18.8% in group B but there was no statistical difference between the two groups. The mean VAS scores for the back and leg were significantly decreased in both groups (p < 0.05), and bony fusion was achieved in 125 of 133 patients (94.0%). There was no significant difference in bony union rates between groups A and B (91.7% in group A vs. 95.3% in group B, p = 0.398). In group A. perioperative complications were more common with the increase in fusion level (p = 0.027). Perioperative complications in both groups A (p = 0.035) and B (p = 0.044) increased with an increasing number of comorbidities. Conclusion : Elderly patients with comorbidities are at a high risk for complications and adverse outcomes after lumbar spine surgery. In our study, clinical outcomes, fusion rates, and perioperative complication rates in older patients were comparable with those in younger populations. The number of comorbidities and the extent of fusion level were significant factors in predicting the occurrence of postoperative complications. However, proper perioperative general supportive care with a thorough fusion strategy during the operation could improve the overall postoperative outcomes in lumbar fusion surgery for elderly patients.
Osteoporosis, a disease characterized by low bone mass and microarchitectural deterioration of bone tissue leading to enhanced bone fragility and fracture risk, is a major public health problem. The diagnostic methods for osteoporosis include simple radiography, bone scan, DXA (Dual energy X-ray Absortiometry) and biochemical markers of bone turnover. Optimal treatment and prevention of osteoporosis require modification of risk factors, particularly smoking cessation, adequate physical activity, and attention to diet, in addition to pharmacologic intervention. The estrogens and raloxifene both prevent bone loss in postmenopausal women, and the estrogens probably also decrease the risk of first fracture. There is good evidence that raloxifene prevents further fractures in postmenopausal women who already have had fractures and some evidence that estrogen does as well. Bisphosphonate prevents bone loss and reduces fractures in healthy and osteoporotic postmenopausal women and in osteoporotic men as well. Risedronate is more potent and has fewer side effects than alendronate and reduces the incidence of fractures in osteoporotic women. Calcitonin increases bone mineral density in early postmenopausal women and men with idiopathic osteoporosis, and also reduces the risk of new fractures in osteoporotic women. All of the agents discussed above prevent bone resorption, whereas teriparatide and strontium increase bone formation and are effective in the treatment of osteoporotic women and men. New avenues for targeting osteoporosis will emerge as our knowledge of the regulatory mechanisms of bone remodeling increases, although issues of tissue specificity may remain to be addressed.
Purpose : This study aimed to assess the prevalence of obesity, hypertension, and hyperlipidemia in children from low-income families in Gunpo and to evaluate whether economic status affects the prevalence of obesity. Methods : Between October 2007 and March 2008, 341 children (167 girls and 174 boys; age, 6 to 13 years) were enrolled in this study. All these children came from families who earned minimum wages and who were supported by government. We measured height, weight, and blood pressure and performed laboratory examinations, including total cholesterol, high-density lipoprotein cholesterol, and triglycerides. Body mass index (BMI) was calculated using weight and height. We compared the prevalence of obesity, hypertension, and hyperlipidemia in children from low-income families with the prevalence of these maladies found in other studies. Results : Prevalence of obesity ($BMI{\geq}95^{th}$) was 7.1%. Prevalence of hypertension and hyperlipidemia was 8.2% and 16.7%, respectively. In the obese group, prevalence of hypertension and hyperlipidemia was 25.0% and 45.8%, respectively. Obesity and hyperlipidemia were slightly more frequent in our study than those found in other reports, and the prevalence of hypertension in the obese group was very high compared with statistics from the Korean National Health and Nutrition Examination Survey (25% vs. 19.5%) and those from other reports. Conclusion : Low-income status was associated with an increased incidence of obesity, hyperlipidemia, and hypertension. Hypertension showed an especially strong association with economic status, which seemed to correlate with genetic, environmental, and dietary effects.
Seo, Kyung-Ae;Na, Jeong-Eun;Ryu, Hui-Seong;Kim, Kyunghyun
Journal of Korean Society on Water Environment
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v.34
no.4
/
pp.423-430
/
2018
Insomuch as it is important to manage water quality, from the perspective of water management, it is essential to understand the effect of the weirs on water quality and phytoplankton dynamics in various regions. The purpose of this study is to investigate the characteristics of nitro-nutrients, as well as occurrences and succession patterns of phytoplankton, in the river sections of the two weirs in the Yeongsan River for the five years (from 2012 to 2016) after the weir construction. In respect to this data, the average water temperature measured at the representative point in the section of the Seungchon Weir ($17.1^{\circ}C$) was higher than that of the Juksan Weir ($16.6^{\circ}C$) by comparison. By way of an analysis of this data, it was found that the water quality variables such as, organic matter, nitrogen nutrients and phosphorus nutrients were improved gradually during the period, but the degree of the improvement differs as noted and measured between the weirs. Under the circumstances, it is especially noted that the $NH_3-N$ concentration was higher for the point of the Seungchon Weir (2.204 mg/L) than that of the Juksan Weir (1.157 mg/L). This indicates that effluent as seen from sewage treatment plants and hydrological feature near the densely population area, could be the main cause for the incidence of water pollution in the upstream section of the Seungchon Weir. Additionally, the phytoplankton analysis showed that a relative abundance of diatoms and green algae were 56.9 % and 25.8 % respectively. However, it is noted that the cyanobacteria was measured lower as 10.7 %. Also, in the study sites cell density and occurrence frequency of cyanobacteria were relatively lower than compared to the same measurements noted in other rivers.
This study was carried out to investigate insect pests and their damage caused to commercial amaranth in Gangneung, Gangwon-do, Korea, during 2019-2020. A total of seven families and 18 species were identified including three species of aphids, twelve species of stink bugs, and four species of moths. Among them, five species caused significant economic damage due to a large number of occurrences; Aphis fabae, Nysius plebejus, Polymerus cognatus, Spoladea recurvalis and Spodoptera exigua. Aphids started to occur from the end of April, and showed the greatest incidence in early June. Three Nysius species occurred from mid-May and showed the maximum density in late August, and then its population decreased from the beginning of September. Two species of moth caterpillars began to occur from mid-August and damaged amaranth until mid-October. Comparing the yields between amaranth plants with and without a spray of pesticides for each pest, the yield loss of seed by aphids and stink bugs were 51.9% and 69.8%, respectively. Also, the reduction rates of leaf biomass by S. recurvalis and S. exigua were 72.5% and 36.5%, respectively.
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