• Title/Summary/Keyword: 감소효과

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Antibiotics Susceptability of Streptococcus pneumoniae Isolated from Pharynx in Healthy Korean Children and Choice of Proper Empirical Oral Antibiotics Using Pharmacokinetics/Pharmacodynamics Model (국내의 소아에서 분리된 폐구균의 항생제 감수성 양상 및 약력동학 모델을 이용한 적절한 항생제의 선택)

  • Paik, Ji Yeun;Choi, Jae Hong;Cho, Eun Young;Oh, Chi Eun;Lee, Jina;Choi, Eun Hwa;Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.18 no.2
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    • pp.109-116
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    • 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.

A Study on the Insurance Contribution and Health Care Utilization of the Regional Medical Insurance Scheme (1개 군지역 의료보험제도에서의 보험료 부담수준별 병.의원 의료이용에 관한 연구)

  • Lee, Sang-Il;Choi, Hyun-Rim;Ahn, Hyeong-Sik;Kim, Yong-Ik;Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.4 s.28
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    • pp.578-590
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    • 1989
  • This study was conducted to assess the equity in the regional insurance scheme through analysis of the computerized data from one regional insurance society and National Federation of Medical Insurance. We analysed the insurance contribution and benefit by the classes based on total and income-related contribution per household. The major findings of this study are as follows : 1. The average proportion of income-related contribution among the total was 39.2% and the upper classes show higher proportion of the income-related contribution. 2. The upper classes show higher health care utilization rate than the lower classes. It suggests that the lower classes have relatively large unmet medical needs. 3. The analysis through the Lorenz curve reveals that there exists transference of contributions from the upper to lower classes. But the cumulative percentage of insurance benefit is smaller than that of the number of the insured. It implies that regional medical insurance scheme in Korea has still some inequity in the context of social security principles.

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The Effects of Different Type of Triglyceride Supplements on Exercise Performance Time, Energy Substrates, Insulin Hormone and Lipase Activity in the Trained Rats (서로 다른 형태의 지방산 투여가 훈련된 흰쥐의 지구성 운동수행력, 안정시기와 운동스트레스 시기의 에너지 기질, Insulin 호르몬과 Lipase 활성에 미치는 영향)

  • Kwak, Yi-Sub
    • Journal of Life Science
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    • v.17 no.3 s.83
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    • pp.368-374
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    • 2007
  • The purpose of this study was to investigate the effects of different type of triglycerides (MCT & LCT) on weight, survival time, energy substrate (FFA, TG, pyruvate, lactate), insulin and lipase in the trained rats. Fifty-four Sprague-Dawley rats were divided into 3 groups: control group (CG, n=18), MCT supplement group (MG, n=18), and LCT supplement group (LG, n=18). They also were divided into 3 periods: trained resting (R, n=6) and trained & exercise load (E, n=6), and survival time test was performed to know the supplemented effects. Body weight of all animals was checked every week, MCT group and LCT group received supplementary MCT and LCT orally and preliminary swimming training for 6 days before the start of main experiment. All animals received 15-minute swimming training 5 times during first week of experiment, and swimming training time was increased 15 minutes every week until it reached 90 minutes at last 9th week. After last swimming training, animals were fasted for 12 hours and blood samples were taken from abdominal aorta in the Department of Animal Medicine at the D university Animal Center. Among the CGE, MGE, and LGE groups, the MGE had the greatest increase in physical performance time. In the FFA levels, there was significant differences(p<.05) in CG, MG and LG groups, and also there was major difference of FFA levels in the MG and LG. In the lipase levels, there was signifi.ant differences (p<.05) in CG, MG and LG groups. MG was the greatest than the other groups. In the insulin hormone levels, there was the great differences (p<.05) in LG compare to CG groups, whereas there was no significant difference in the CG and MG. In conclusion, these results suggest that regular prolonged physical training with MCT supplementation, improves exercise performance time through the increase of energy substrate utilization, lipase activity and FFA levels, irrespective of insulin hormone responses.

Effects of Non-ionic Surfactant Tween 80 on the in vitro Gas Production, Dry Matter Digestibility, Enzyme Activity and Microbial Growth Rate by Rumen Mixed Microorganisms (비이온성 계면활성제 Tween 80의 첨가가 반추위 혼합 미생물에 의한 in vitro 가스발생량, 건물소화율, 효소활력 및 미생물 성장율에 미치는 영향)

  • Lee, Shin-Ja;Kim, Wan-Young;Moon, Yea-Hwang;Kim, Hyeon-Shup;Kim, Kyoung-Hoon;Ha, Jong-Kyu;Lee, Sung-Sil
    • Journal of Life Science
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    • v.17 no.12
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    • pp.1660-1668
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    • 2007
  • The non-ionic surfactant (NIS) Tween 80 was evaluated for its ability to influence invitro cumulative gas production, dry matter digestibility, cellulolytic enzyme activities, anaerobic microbial growth rates, and adhesion to substrates by mixed rumen microorganisms on rice straw, alfalfa hay, cellulose filter paper and tall fescue hay. The addition of NIS Tween 80 at a level of 0.05% increased significantly (P<0.05) in vitro DM digestibility, cumulative gas production, microbial growth rate and cellulolytic enzyme activity from all of substrates used in this study. In vitro cumulative gas production from the NIS-treated substrates; rice straw, alfalfa hay, filter paper and tall fescue hay was significantly (P<0.05) improved by 274.8, 235.2, 231.1 and 719.5% compared with the control, when substrates were incubated for 48 hr in vitro. The addition of 0.05% NIS Tween 80 to cultures growing on alfalfa hay resulted in a significant increase in CMCase (38.1%), xylanase (121.4%), Avicelase (not changed) and amylase (38.2%) activities after 36 h incubation. These results indicated that the addition of 0.05% Tween 80 could greatly stimulate the release of some kinds of cellulolytic enzymes without decreasing cell growth rate in contrast to trends reported with aerobic microorganism. Our SEM observation showed that NIS Tween. 80 did not influence the microbial adhesion to substrates used in the study. Present data clearly show that improved gas production, DM digestibility and cellulolytic enzyme activity by Tween 80 is not due to increased bacterial adhesion on the substrates.

Efficient Application of Westgard Multi-Rules and Quality Control Implementation Improvement (Westgard Multi-Rules의 효율적 적용과 조치사항의 개선)

  • Jung, Heung Soo;Oh, Youn Jung;Bae, Jin Soo;Baek, Jin Young;Hwang, Bo ra;Shin, Yong Hwan
    • The Korean Journal of Nuclear Medicine Technology
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    • v.21 no.1
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    • pp.60-64
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    • 2017
  • Purpose Westgard multi-rules application based on test quality improvement and commercialized international standard has been widely used in quality control. However, it is difficult to applicate the Westgard multi-rules in nuclear medicine in vitro tests due to the larger sample sizes and the simultaneous measurement of quality control material and patient sample. This study investigated the usefulness of Westgard multi-rules application in nuclear medicine in vitro tests. Materials and Methods A total of 282 systematic error multi-rules (22s, 101s) recorded in the samsung medical center computer system from January 2013 to June 2016 along with 117 cases of corrective measure record was analyzed. The Quality control implementation is recorded in Hospital information system were divided into 4 high-level areas including quality control material error, experimental procedural error, Kit lot number management error, and others. To prevent quality control material error, the existing method that each staff used their own method was changed. The staff who in charge of managing the quality control material was designated and daily consumption amount of every test was strictly controlled by one person. To prevent other errors, every test step was standardized so that the entire test procedures are identically implemented. Results The total quality control implementation was 117 cases; As a result, 62 quality control material errors were 62 cases, experimental process errors were 24 cases, Kit lot number control errors were 18 cases, and other errors were 13 cases. The quality control material error was corrected and could be used fresh materials within 2 days after thawing. The cases of systemic error were decreased to causes as quality control material error. The quality control materials were reduced above 10 vials to a monthly average. In addition, these errors of experimental processing and Kit lot number were improved by test standardization. Consequently, the cases of 101s and 22s in systematic error rules decreased at least 2 cases to a monthly average. Conclusion To confirm of systematic error through multi-rules application quickly, it is necessary to base on management of the QC material, target values and standard deviation. Moreover, in the event of a systematic error, it was found important to record measures based on test cause analysis. The experiment results are expected to contribute to internal quality control improvement and prompt and accurate result reporting through error recording and causal analysis based on Westgard multi-rules analysis.

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Influence of Ca Containing Fertilizers on the Growth of Mother and Daughter Plants, and Physiological Disorders in Propagation of 'Seolhyang' Strawberry through Plastic Bag Cultivation (배지경 자루 재배를 통한 '설향' 딸기의 번식에서 칼슘 혼합비료가 모주 및 자묘의 생장과 생리장해에 미치는 영향)

  • Choi, Jong Myung;Lee, Hei Soo
    • Horticultural Science & Technology
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    • v.31 no.1
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    • pp.50-55
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    • 2013
  • The objective of this research was to investigate the impact of Ca fertilizer on the growth of mother plants, physiological disorders, and occurrence of daughter plants in propagation of 'Seolhyang' strawberry through plastic bag cultivation. To achieve this, chemicals of 1.125 mM $Ca(OH)_2$, 0.375 mM $MgCl_2$, 1.250 mM KCl were blended and designated to combined fertilizer (CF). Then, the effect was compared to the treatment of no Ca application (control) and a commercial fertilizer, CalMag (13-0-1.9-16-6:N-$P_2O_5$-$K_2O$-CaO-MgO), when those were applied every two weeks with controlled electrical conductivity (EC) of solution such as 0.6 or 1.0 $dS{\cdot}m^{-1}$. The number of plants showing Ca deficiency symptoms was the highest in control treatment, but those decreased significantly in CF or CalMag treatments. The differences between CF and CalMag in appearance of Ca deficient plants were not significant when two fertilizers were applied with same EC. The fresh and dry weights of mother plants were the greater in the treatments of CF or CalMag than those of control treatment. The treatments of 1.0 $dS{\cdot}m^{-1}$ of CF or CalMag were more effective than those of 0.6 $dS{\cdot}m^{-1}$ on the fresh and dry weight of the mother plants. The runner lengths in the treatment of 1.0 $dS{\cdot}m^{-1}$ of CF were the longest among the all treatments tested. The treatments of 1.0 $dS{\cdot}m^{-1}$ were more effective than those of 0.6 $dS{\cdot}m^{-1}$ of CF or CalMag in lengths and fresh and dry weight of runners. The fresh and dry weights of daughter plants were heavier in the treatments of CF than those of CalMag. Based on the above results, we concluded that the Ca deficiency in raising 'Seolhyang' strawberry can be lessened by the application of Ca containing fertilizers, but combined application of Ca, K and Mg was more effective than that of Ca alone for seedling production.

Effects of the High Pressure Sodium Lamp Lighting on the Dynamics of Growth and Dry Mass Partitioning in Sweet Pepper Plant (고압나트륨등 조사가 파프리카의 동적 생장과 건물분배율에 미치는 영향)

  • Kim, Eun Jeong;Lee, Sang Hyun;Lee, Jeong Hyun
    • Horticultural Science & Technology
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    • v.31 no.5
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    • pp.565-572
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    • 2013
  • The objective of this study was to describe and analyze the effect of high pressure sodium lamp lighting (HPS) on dynamics of growth and dry matter partitioning, and light use efficiency of sweet pepper crop grown over winter season. Young sweet pepper seedlings were planted at 3.75 plants per $m^2$ on September 29, 2010 and treated with HPS for 16 hours from December 14, 2010 until March 18, 2011. The number of leaves per plant were significantly increased with HPS, whereas the number of internodes and leaf area were less affected. HPS reduced the plant height with higher number of fruits per stem compared to those of without HPS lighting (CON). There were large differences in total dry mass production, stem and fruit dry mass between HPS and CON and those with HPS increased by 67.8%, 28.5%, and 97.1% compared to CON, respectively. Each organs of dry mass partitioning was calculated by leaf, stem or fruit growth rate divided by total plant growth rate. Dynamics of dry mass partitioning to leaf and stem between HPC and CON was measured in range of 45-47% at beginning of growth phase and drastically decreased after starting fruit growth in both treatments. Dry matter partitioning to vegetative organs was 4% higher compared to the plant grown under HPS lighting. Averaged dry matter partitioning to fruit with HPS, however, was largely increased by 14.2% compared to CON. Dynamics of the plant growth were well described by expolinear growth equation with three parameters of maximum relative growth rate, absolute growth rate and lost time to reach linear phase. The maximum growth rate of leaf, stem and fruit with HPS was increased by 18.6%, 74.7%, and 143.5% compared to CON. There was a linear relationship between intercepted light integral and vegetative organs (leaf and stem), fruit or total dry mass production. Light use efficiency (LUE, $g{\cdot}MJ^{-1}$) of total dry mass was $4.90g{\cdot}MJ^{-1}$ for HPS and $3.84g{\cdot}MJ^{-1}$ for CON, LUE of vegetative organs was $1.56g{\cdot}MJ^{-1}$ for HPS and $1.61g{\cdot}MJ^{-1}$ for CON and LUE of fruit dry mass was $3.34g{\cdot}MJ^{-1}$ for HPS and $2.23g{\cdot}MJ^{-1}$ for CON. The difference in LUE of total dry mass between treatments, therefore, occurred mainly from the different in LUE of fruit dry mass.

Effects of Boron Application on the Forage Traits in the Pure and Mixed Cultures of Orchardgrass and White Clover - IV. Changes in the contents of micronutrients(Fe, Mn, Zn, Cu, and B) in forages - (Orchardgrass 및 White Clover의 단파 및 혼파재배에서 붕소의 시용이 목초의 여러 특성에 미치는 영향 - IV. 목초 중 미량요소(Fe, Mn, Cu, Zn과 B)의 함량 변화 -)

  • Jung, Yeun-Kyu
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.23 no.3
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    • pp.179-186
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    • 2003
  • This pot experiment was conducted to find out the effects of boron application( $B_{0}$ ) ; control, B$_1$; 0.2, $B_2$; 2.0, $B_3$; 6.0, $B_4$; 15.0 boron me/pot) on the forage performance of pure and mixed cultures of orchardgrass and white clover. The fourth part was concerned with the changes in the contents of B, Fe, Mn, Cu, and Zn in forages. The results obtained are summarized as follows: 1. The boron(B) contents of both forages and their differences among the B treatments generally decreased according to the cutting order. The B contents of white clover were somewhat lower in the $B_{0}$ than in the $B_2$. However, the differences in the yields between $B_{0}$ and $B_2$ were relatively great. It was probably caused by the latent B-deficiency in the $B_{0}$. Compared with white clover, the B contents of orchardgrass had relatively great differences between the $B_{0}$ and B$_2$, but both yields tended to be similar. 2. The contents of Fe, Mn, Cu, and Zn in both forages were generally different according to the forage species, whether it was a pure or mixed cultures, and additional fertilization. The effects of B application on their contents were different according to the micronutrients and above factors. 3. The Fe contents of white clover were lower in the $B_{0}$ and $B_4$ than in the$ B_2$. It tended to be related to the weak growth of roots and low yields in the $B_{0}$ and $B_2$. However, there were not consistent in the changes of contents of Mn, Cu, and Zn by the rates of B application. 4. The effects of B application on the total ion concentrations of Fe, Mn, Cu, and Zn were not consistent in both forages. However, the concentrations were generally affected by the changes in the contents of Mn and Zn. The concentrations of white clover were higher in a pure than in mixed culture.

The Anti-diabetic Effects of Kocat-D1 on Streptozotocin-Induced Diabetic Rats (Kocat-D1의 streptozotocin으로 유도한 당뇨모델에 대한 항당뇨 활성)

  • Won, Hye-Jin;Lee, Hyun-Sun;Kim, Jong-Tak;Hong, Chung-Oui;Koo, Yun-Chang;Lee, Kwang-Won
    • Korean Journal of Food Science and Technology
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    • v.42 no.2
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    • pp.204-209
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    • 2010
  • This study was conducted to investigate the anti-diabetic activity of Kocat-D1, which is widely used in traditional medicine to treat diabetes in Shandong, China. Sprague Dawley rats (8 weeks of age) were separated into 4 groups: a normal control, streptozotocin (STZ)-induced diabetic rat group (DM control), Kocat-D1-1 (diabetic rat treated with 0.25 g/kg/day hot water extract), and Kocat-D1-2 (diabetic rat treated with 1 g/kg/day hot water extract). After eight weeks of treatment, the fasting blood glucose levels of the Kocat-D1-1 ($334.3{\pm}32.9\;mg/dL$) and Kocat-D1-2 group ($259.5{\pm}35.0\;mg/dL$) were significantly lower when compared to the DM control group ($451{\pm}42.6\;mg/dL$). Furthermore, the levels of glutamate oxaloacetate transaminase (GOT), glutamate pyruvate transaminase (GPT), albumin and high-density lipoprotein (HDL) cholesterol in the serum of the Kocat-D1-2 group were significantly normalized when compared to the DM control group. However, significant differences were not observed between the Kocat-D1-1 group and the DM control group. Histochemical staining of the liver of the Kocat-D1-2 group revealed no fat accumulation. The insulin level was significantly upregulated in the Kocat-D1-2 group ($0.13{\pm}0.02\;ng/mL$) when compared to the DM control group ($0.05{\pm}0.04\;ng/mL$). The relative volume of $\beta$-cells in the pancreas of the Kocat-D1-2 group ($49.4{\pm}4.2%$) also increased significantly when compared to the DM control group ($12.9{\pm}7.9%$). These results suggest that Kocat-D1 exerts an anti-hyperglycemic effect through the enhancement of insulin secretion.

Effects of garlic Allium sativum extract immersion on the immune responses of olive flounder Paralichthys olivaceus prechallenged with pathogenic bacteria (어류 병원성 세균 공격 후 마늘, Allium sativum 착즙액의 침지가 넙치, Paralichthys olivaceus 의 면역반응에 미치는 영향)

  • Woo, Sung-Ho;Lee, Jun-Hee;Kim, Yi-Kyung;Cho, Mi-Young;Jung, Sung-Hee;Kim, Jin-Woo;Park, Soo-Il
    • Journal of fish pathology
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    • v.23 no.2
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    • pp.199-209
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    • 2010
  • This study was aimed to investigate the effects in different immersion doses of garlic, Allium sativum, juice to modulate on the nonspecific immune responses of the olive flounder, Paralichthys olivaceus, artificially prechallenged with Streptococcus iniae BS10 and Edwardsiella tarda KE-1, respectively. The nonspecific immune responses of the tested fish were assessed in term of skin mucus lysozyme activity, the change of bacterial cell counts in organs, the number of lymphocytes and neutrophils in blood, and SOD activity. Almost groups of the prechallenged with either S. iniae BS10 or E. tarda KE-1 fish which had been immersed in garlic juice showed the enhanced skin mucus lysozyme activity, the number of lymphocytes and neutrophils in blood, and SOD activity in the kidney but the decreased the number of bacterial cell in surveyed organs. RPS in the group immersed in 0.25 g/L of garlic juice was much higher than in other immersed test groups. These results suggested that the garlic juice immersion can be effective on enhancement of the nonspecific immune responses and the protective ability of olive flounder to the artificial challenge with S. iniae BS10 and E. tarda KE-1.