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Hyun Il Kim,Yu Jeong Cho,Jong Hoon Yeom,Woo Jae Jeon,Min Gyu Kim 대한외과학회 2021 Annals of Surgical Treatment and Research(ASRT) Vol.100 No.4
Purpose: Primary repair is the standard surgical method for treating duodenal ulcer perforations, with very good results usually anticipated because of the simplicity of the associated surgical techniques. Therefore, this study aimed to analyze the risk factors that affect laparoscopic primary repair outcomes for duodenal ulcer perforation. Methods: Between June 2010 and June 2020, 124 patients who underwent laparoscopic primary repair for duodenal ulcer perforations were reviewed. Early surgical outcomes were evaluated and risk factors for postoperative complications were assessed. Results: All surgeries were performed laparoscopically without open conversion. Multivariate analysis showed that the elderly (over 70 years), and perforations that needed more than 2 stitches for closure were risk factors for overall postoperative complications. Perforations that needed more than 2 stitches and perforations on the superior side of the duodenum were major risk factors for severe postoperative complications. Severe postoperative complications occurred in 6 of the patients, and 1 of them died of multiorgan failure. Conclusion: Based on our results, we suggest that laparoscopic primary repair can be safely performed in duodenal ulcer perforation. However, more careful surgery and postoperative care are needed to improve the surgical outcomes of patients who need more than 2 stitches to close their perforation or who have perforations on the superior side of the duodenum.
Factors and Their Correlation with Injury Severity of Elderly Pedestrian Traffic Accidents
( Tae Gyu Hyun ),( Seok-ran Yeom ),( Sung-wook Park ),( Deasup Lee ),( Hyung Bin Kim ),( Il Jae Wang ),( Byung Gwan Bae ),( Min Keun Song ),( Youngmo Cho ) 대한외상학회 2019 大韓外傷學會誌 Vol.32 No.3
Purpose: No previous study has assessed elderly pedestrian traffic accidents based on a nationwide database. This study aimed to help primary physicians who examine patients in emergency departments to determine and make prompt and accurate treatment decisions. Methods: This study used data from the Emergency Department-based Injury Indepth Surveillance from 2013 to 2017, managed by the Korea Centers for Disease Control and Prevention. Pedestrians aged ≥65 years were included, and using multivariate logistic regression multiple factors were analyzed to determine their relationship with injury severity. Results: Of 227,695 subjects, 6,498 were included, of whom 2,065 (31.8%) were severely injured. There were more female than male patients in all severity groups. Most accidents occurred in the afternoon and on general roads. In the multivariate analysis, the odds ratio (OR) of injury severity for male pedestrians was 1.165 (95% confidence interval: 1.034-1.313, p=0.012). Older age of patients and the use of ambulances were associated with greater injury severity. The accident time affected the degree of injury severity; i.e., compared to dawn, injury severity increased in the morning (OR: 1.246, p=0.047) and decreased at night (OR: 0.678, p<0.001). A significant difference was noted in the correlation between the type of vehicle causing the accident and the accident severity; i.e., motorcycle accidents had lower severity than bicycle accidents (OR: 0.582, p=0.047). Conclusions: Injury severity was correlated with sex, age, transportation to the ED, TA onset time, and type of vehicle. The study results suggest that injury severity may be positively reflected in initial assessments and overall integrated treatments by physicians and in the related policies.
Kim, Hyoung-Il,Lee, Song-Yi,Jin, Sang Man,Kim, Kang Seok,Yu, Jae Eun,Yeom, Su-Cheong,Yoon, Tai Wook,Kim, Jae Hyeon,Ha, Jongwon,Park, Chung-Gyu,Kim, Sang-Joon Blackwell Publishing Ltd 2009 Xenotransplantation Vol.16 No.1
<P>Abstract: Background: </P><P>Islet cell transplantation is a novel therapeutic modality for the cure of diabetes. Pig islet cells are an attractive substitute for human islet cells; however, they are known to be particularly difficult to isolate because of a weak islet capsule and a tendency to be fragmented during enzymatic digestion. Therefore, parameters favoring successful pig islet isolation were investigated using specific-pathogen-free (SPF) miniature pigs.</P><P>Methods: </P><P>Sixty-eight SPF miniature pigs were used for islet isolation. Birth weight, body weight, age, sex, pregnancy history, and the fasting blood glucose levels of each pig were determined. Each pig’s general condition was assessed with regard to feeding status and physical activity. Pancreas procurement was performed by one surgical team. Anesthesia duration, operation duration, procedure quality, and perfusate type were recorded. After pancreatectomy, a biopsy was performed for islet density analysis. Decapsulation, cannulation duration, degree of distension, and cold ischemic time were assessed. During islet isolation, pancreas weight, digestion time, and digested tissue proportion were recorded. Isolation results were evaluated by total islet equivalents (IEQ), islet equivalents per gram of pancreas (IEQ/g), isolation index, islet recovery rate, purity, and visual grade. To identify the predictors of higher islet isolation yield, we performed binary logistic regression analysis with significant (P < 0.05) variables from the univariate analysis.</P><P>Results: </P><P>The pigs were categorized into high (n = 34) and low yield (n = 34) groups according to the median IEQ/g or total IEQ values. Body weight and age were significantly different between the two groups. Being male or a positive history of pregnancy in females was factors favoring successful islet isolation. General condition assessments failed to estimate islet isolation results. Long anesthesia duration, which might have caused ischemic injury to the pancreas, negatively affected islet isolation results. Decapsulation, cannulation duration, and subsequent pancreas distension were significantly important in successful islet isolation. Inter-lot variability of Liberase was not observed because of screening processes performed before purchase. Isolation index and islet recovery rate correlated well with islet yields.</P><P>Conclusions: </P><P>Multivariate analysis using total IEQ and IEQ/g as outcome variables indicated that age older than 2, being male and moderate distension by Liberase injection are major determinants influencing successful islet isolation.</P>
최병영,윤성택,Gyu-Il Yeom,김기현,김경호,Yong-Kwon Koh 한국지질과학협의회 2008 Geosciences Journal Vol.12 No.3
Meteorological and geological factors affecting the pH and ionic concentrations of precipitation were investigated from Jecheon City, Korea. The air quality of the study area is affected by two contrasting stationary sources: 1) a coal-fired power plant to the east-northeast and 2) limestone quarries and cement-manufacturing factories to the east to south-southeast of Jecheon. The temporal change of rainwater chemistry is affected by the interaction between acidic gases and alkaline substances from the above two sources. Accordingly, rainwater pH at a city center widely varies from 4.9 to 8.3. Acidic gases from the power plant are likely to acidify the rainwater pH. As the prevailing wind direction during rainfall events shifted to ENE–SSE, rainwater pH at the city center rapidly increased to >6.5 (up to 7.8). Concomitantly, ionic concentrations (esp., Ca, K, and Na) increased sharply, especially when winds are brown from SE, probably due to major influences of particles coming from limestone quarries. The enrichment factor analyses of acidity and cations also indicate that the acidic components in precipitation are mostly neutralized by limestone particles. In addition, rainwater chemistry showed a spatial variation as a function of the direction and distance from the above two sources. Our results demonstrate a good example of competing roles between the anthropogenic acidic source and the geologic alkaline source.
Hyung Suk Kim,Hyun Il Kim,Young Joon Yoon,Jong Hoon Yeom,Min Gyu Kim 대한외과학회 2023 Annals of Surgical Treatment and Research(ASRT) Vol.105 No.4
Purpose: Because the global geriatric population continues to increase, the assessment of emergency surgical outcomes in elderly patients with acute peritonitis will become more important. Methods: A retrospective review was conducted on the data of 174 elderly patients who underwent emergency surgery for intestinal perforation or intestinal infarction between June 2010 and November 2022. We conducted an analysis of the risk factors associated with postoperative complications and mortality by evaluating the characteristics of patients and their surgical outcomes. Results: In our study, most patients (94.3%) had preexisting comorbidities, and many patients (84.5%) required transfer to the intensive care unit following emergency surgery. Postoperative complications were observed in 84 individuals (48.3%), with postoperative mortality occurring in 29 (16.7%). Multivariate analysis revealed preoperative acute renal injury, hypoalbuminemia, and postoperative ventilator support as significant predictors of postoperative mortality. Conclusion: When elderly patients undergo emergency surgery for intestinal perforation or infarction, it is important to recognize that those with preoperative acute renal injury, hypoalbuminemia, and a need for postoperative ventilator support have a poor prognosis. Therefore, these patients require intensive care from the early stages of treatment.
Shin, Seong Sik,Yeom, Eun Joo,Yang, Woon Seok,Hur, Seyoon,Kim, Min Gyu,Im, Jino,Seo, Jangwon,Noh, Jun Hong,Seok, Sang Il American Association for the Advancement of Scienc 2017 Science Vol.356 No.6334
<P>Perovskite solar cells (PSCs) exceeding a power conversion efficiency (PCE) of 20% have mainly been demonstrated by using mesoporous titanium dioxide (mp-TiO2) as an electron-transporting layer. However, TiO2 can reduce the stability of PSCs under illumination (including ultraviolet light). Lanthanum (La)-doped BaSnO3 (LBSO) perovskite would be an ideal replacement given its electron mobility and electronic structure, but LBSO cannot be synthesized as well-dispersible fine particles or crystallized below 500 degrees C. We report a superoxide colloidal solution route for preparing a LBSO electrode under very mild conditions (below 300 degrees C). The PSCs fabricated with LBSO and methylammonium lead iodide (MAPbI(3)) show a steady-state power conversion efficiency of 21.2%, versus 19.7% for a mp-TiO2 device. The LBSO-based PSCs could retain 93% of their initial performance after 1000 hours of full-Sun illumination.</P>
Choi, Won Yong,Kim, Hyun Il,Park, Seong Ho,Yeom, Jong Hoon,Jeon, Woo Jae,Kim, Min Gyu The Korean Gastric Cancer Association 2020 Journal of gastric cancer Vol.20 No.4
Purpose: Currently, there is no clear evidence to support any specific treatment as a principal therapy for stage IV gastric cancer outlet obstruction (GCOO) patients. This study evaluated the outcomes of palliative gastrectomies and survival prognostic factors in patients with stage IV resectable GCOO. Materials and Methods: We retrospectively reviewed the medical records of 48 stage IV GCOO patients who underwent palliative gastrectomies between June 2010 and December 2019. Palliative gastrectomies were performed only in patients with resectable disease. Early surgical outcomes and prognostic factors were analyzed using univariate and multivariate analyses. Results: There were no specific risk factors for postoperative complications, except for being underweight. Severe postoperative complications developed in five patients, and most of the patients underwent interventional procedures and received broad-spectrum antibiotics for intra-abdominal abscesses. The multivariate survival analysis showed that palliative chemotherapy is a positive prognostic factor, while the specific type of hematogenous and lymphatic metastasis is a negative prognostic factor. Conclusions: We recommend that the treatment method for stage IV GCOO should be selected according to each patient's physical condition and tumor characteristics. In addition, we suggest that palliative gastrectomies can be performed in stage IV resectable GCOO patients without unfavorable prognostic factors (types of hematogenous and lymphatic metastases).