• Journal of Preventive Medicine and Public Health
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• v.42 no.1
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• pp.12-20
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• 2009

Objectives : The purpose of this study was to analyze the association between the pattern of prophylactic antibiotic use(PAU) and the surgical site infection(SSI) rate for major surgeries in Korea. Methods : We retrospectively reviewed the medical records of patients who underwent cardiac, colon and gastric surgery, hysterectomies and hip/knee replacements at 20 hospitals, and inclusive of over 500 beds. We randomly sampled 60 cases per surgery type for patients discharged between September and November, 2006. A total fo 2,924 cases were included in our analysis. Cox's proportional hazard analysis was conducted to evaluate the association between the pattern of PAU and SSI rate. Results : The proportion of patients who received their first prophylactic antibiotics(PA) 1 hour before incision was 65.5%, who received inappropriate PAs was 80.8%, and the proportion of patients whose PA was discontinued within 24 hours of surgery was 0.5%. The average duration of PAU after surgery was 9 days. The relative risk(RR) of SSI in patients who received their first PA more than 1 hour before incision was significantly higher than for those who received it within 1 hour prior to incision(RR=8.20, 95% CI=4.81-13.99). Inappropriate PA selection increased SSI rate, albeit with marginal significance(RR=1.97, 95% CI=0.96-4.03). Also, prolonged PAU following surgery had no effect on SSI rate. Conclusions : These results suggest that the pattern of PAU in the surgeries examined was not appropriate. Errors in the timing of PAU and of PA selection increase SSI rate. SSI rate remained unaltered following prolonged PAU after surgery.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.9
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• pp.472-482
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• 2016

The purpose of this study was to determine if a geriatric injury would have a statistically significant relationship with the spatial safety within a specific region. To achieve the objectives of this study, an independent sample t-test and One-way ANOVA were performed to verify difference in mean value of regional safety grade, depending on the injury intentionality, injury location, activities at the time of injury, and injury mechanism, in 6,572 geriatric injury patients by combining the National Hospital Discharge Patients Injury Survey data and regional safety index data. The results of statistical validation suggested that there was no difference in the mean value of regional safety grade by sub-group with respect to the injury intentionality. However, a statistically significant difference was observed in terms of the mean value of regional safety grade in each sub-group with regard to the injury location, activities at the time of injury, and injury mechanism in connection with some areas of the regional safety index. Based on the results of such analysis, we derived and presented 3 implications related to policies and practice for the prevention of geriatric injury and a reduction of its occurrence rate in light of spatial safety after a discussion of the results through a comparison with previous studies that examined individual areas.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.12 no.10
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• pp.1808-1814
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• 2008

In addition to RBL function, which is used to applying for spam e-mail filtering, as an effective way to deal with the recently widespread spam types, this paper proposes how to extract URL that was comprised in the original e-mail, apply it to RBL, and expand it. The BotNet, which is used to using for sending spam mails these days, has a problem that it is not able to solve with the distributed addresses of sent mails in spam e-mails. In general, as these spam e-mails are sent from the infected Zombi PC of individual user, the sent address itself is not efficient and is meaningless to use in RBL. As an effective way to filter spam e-mail sent by BotNet, this paper analyzes URLs that contained in the original spam e-mail and proposes how to effectively improve filter rate, based on the distribution data of URL site tempting users. This paper proposes the sending mechanism of spam e-mails from BotNet and the methods to realize those types of spam e-mails. In order to gather analyzable spam e-mails, this paper also carries out an experiment by configuring trap system of spam e-mail. By analyzing spam e-mails, which have been received during the certain period of experiment, this paper shows that the expanded RBL method, using URLs that contained in spam e-mails, is effective way to improve the filter distribution of spam e-mail.

• Journal of the Korean Child Neurology Society
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• v.26 no.4
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• pp.233-239
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• 2018

Purpose: Viral gastroenteritis is a common disease in infants and children. Seizures can be associated with viral gastroenteritis as benign convulsions with mild gastroenteritis (CwG). After the development of the rotavirus vaccination, norovirus has become inreasingly significant in children. We retrospectively analyzed the clinical features in a pediatric population presenting with seizures and confirmed enteral viral infections, especially norovirus infections. Methods: We retrospectively reviewed the medical records of pediatric patients aged <15 years admitted due to convulsions and gastroenteritis to the Department of Pediatrics of Myongji Hospital between July 2014 and June 2016. Results: A total of 46 patients (24 male and 22 female) were included. Norovirus was detected in 21 (45.7%) patients, adenovirus in three (6.5%), rotavirus in two (4.3%), astrovirus in one (2.2%), and none of agents were detected in 19 (41.3%) patients. Patients in the norovirus gastroenteritis (NGE) group had a higher incidence of diarrhea than that among in the non-norovirus gastroenteritis (NNGE) group (61.9% vs 28.0%; P<0.05). Twelve patients experienced status epilepticus, including five (23.8%) in the NGE group and seven (33.0%) in the NNGE group (P=0.837). Seizures were effectively terminated by intravenous benzodiazepines in 8 (66.7%) of 12 patients. Additional long-acting antiepileptic drugs such as fosphenytoin or levetiracetam were required in three (25%) of 12 patients. Conclusion: Patients with CwG with and without noroviurs infection did not differ in terms of clinical features. However, status epilepticus was not uncommon among patients with CwG by definition.

• Polymer(Korea)
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• v.34 no.4
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• pp.363-368
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• 2010

Adequate acidic environment in wound healing prevents the inflammation of virus, increases the cell activity, promotes cell proliferation and regular rearrangement of fibroblast, and results in matured epithelialization. In this study, we prepared dressing materials consisting of pectin and carboxymethylcellulose (CMC) with varied ratios. These dressing materials showed different pH values according to the composition ratio. The effect of acidity of pectin/CMC dressing materials on wound healing rates, degree of epithelialization, collagen deposition, and so on, in 3 types of wound models (fresh surgical wounds, $3^{rd}$ degree burn wounds, and infection wounds) were investigated by animal tests. From the results of wound contraction, wound healing, and epithelialization, it can be deduced that dressing material having pectin/CMC ratio of 16/19 (pH 4.67) is most effective among the 3 types of wound models.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.14 no.2
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• pp.97-101
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• 2018

Lesch-Nyhan syndrome is a rare X-linked recessive genetic disorder. During purine metabolism, the hypoxanthine guanine phosphribosyl transferase (HGPRT) enzyme is deficient causing phosphoribosyl transferase to accumulate and resulting in excessive uric acid. Clinical symptoms include hypercalcemia, choreoathetosis, spasticity, mental retardation, and self-injury to lips, tongue or fingers. This results not only in pain caused by the self-injury but also secondary infection of the wound site and the esthetic damage of the soft tissue defect. Dental treatments include conservative methods using intraoral appliances such as soft mouthguards, fixed lip bumpers, and occlusal guards, and invasive methods such as extraction of all teeth or forming an artificial anterior open bite. We report two cases of Lesch-Nyhan syndrome patients with self-mutilation behavior; one was treated with a preservative method using a soft mouthguard, and the other was treated with extraction of all teeth.

• The Journal of the Convergence on Culture Technology
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• v.5 no.1
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• pp.413-416
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• 2019

Alstroemeria (Alstroemeriaceae) is one of the most important cut flowers in international market. Especially, characteristics like long vase-life, various colors, tolerance to low temperature and a low energy requirement during cultivation have stimulated this success. Because of its characteristics such as low multiplication rates, time-consuming process and high risk of carrying viral disease, in vitro propagation techniques based on rhizome meristems culture have been developing nowadays. The callus induction has various cultivation sites compared with the direct plant generation method, and if the callus is maintained well, the plant differentiation can be performed simultaneously while maintaining the callus, so that it can be used for mass proliferation. In this study, we tested various hormones and cultivars for efficient callus induction. As a result of culturing between the nodes and the internodes, the callus began to be formed after 8 weeks, and the calli incidence in the nodes was higher than that between the internodes. Also, in the comparison of 2,4-D and picloram, the callus incidence rate was up to 2 times higher in the medium treated with 2,4-D. Using these results, it is thought that it will help establish the system of mass propagation system of Alstroemeria and cultivate new varieties.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.12
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• pp.404-415
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• 2018

This descriptive research investigates the knowledge of and attitude toward HIV/AIDS among individuals in their 20s to 40s. This study also analyzes the results of the 2011 and 2013 community health surveys to identify the factors influencing their knowledge and attitude. The study subjects were 20 to 49 years old, and the final analysis included 182,315 subjects. The collected data were analyzed through t-tests, ANOVA, correlational analysis, and multiple regression analysis. The survey results showed a high level of knowledge of HIV/AIDS, with 69.4% correct answers. Most individuals lacked knowledge regarding routes of infection, and those in their 20s had the lowest percentage of correct answers. As for attitude toward HIV/AIDS, 44.3% showed a negative attitude. The scores for knowledge and attitude toward HIV/AIDS were higher among males, unmarried individuals, individuals with a higher income, individuals with a higher level of education, individuals working in agriculture, forestry, or fishery, managers, professions that were not homemakers/unemployed, and professional soldiers. A positive correlation (r=0.27, p<0.001) was observed between knowledge and attitude. The factors influencing AIDS knowledge and attitude were gender, marital status, income level, occupation, and education level. This study confirmed that there is a difference by age group. As such, educational programs customized by age and other characteristics are expected to be more effective in enhancing knowledge and in developing a more positive attitude towards HIV/AIDS.

• Journal of Life Science
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• v.31 no.1
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• pp.28-36
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• 2021

Edwardsiella piscicida is a significant cause of hemorrhagic septicemia in fish and gastrointestinal infections in humans. Survival bacteria require specialized mechanisms to adapt to environmental fluctuations. Hence, to understand the mechanism through which E. piscicida senses and responds to environmental osmolarity changes, we determined the protein expression profile and physiological properties under various salinity conditions in this study. The OmpR protein is a part of the Env-ZOmpR two-component system that has been implicated in sensing salt stress in bacteria. However, the physiological role played by this protein in E. piscicida remains to be elucidated. Therefore, in this work, the function of the OmpR protein in response to salt stress was investigated. Phenotypic analysis revealed that, in the mutant, three of the biochemical phenotypes were different from the wild type, including, citrate utilization, hydrogen sulfide, and indole production. Introduction of the plasmid containing the entire ompR gene to the mutant strain returned it to its parental phenotype. The retarded growth rate also partially recovered. Furthermore, in our studies, OmpR was not found to be related to cell motility. Taken together, our results from the mutational analysis, the growth assay, MALDI-TOF MS, qRT-PCR, and the phenotype studies suggest that the OmpR of E. piscicida is implicated in osmoregulation, growth, expression of porins (ETAE_1826), virulence-related genes (EseC, EseD and EvpC), and certain genes of unknown function (ETAE_1540 and ETAE_2706).

• The Journal of Society for e-Business Studies
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• v.26 no.4
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• pp.81-93
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• 2021

Through processors, wholesale markets, intermediate sellers, and retailers, agricultural products have been distributed in a multi-level customary manner for a long time as they are easy to deteriorate and no not have a standardized system of size and quality. However, with the advancement of Internet networks and logistic services during the 2000s that facilitated the development of offline markets, and the rise of the non-contact purchase preference in direct response to COVID-19, previous offline consumers flowed into the online market to purchase agricultural goods. In other words, the volume of online agricultural transactions exploded since the pandemic. Against this social backdrop, this study focused on the difference in distribution costs as a result of converting from conventional offline distribution channels to online channels, and analyzed the reduced distribution costs through a case study of garlic sales on the online platform "H" shopping mall. The analysis found that considerable economic effects occurred, some of the effects being an approximate 39% decrease in distribution cost when comparing direct online transactions of the online shopping mall with other more traditional means, a reduced distribution cost rate of approximately 28%p, and increased profit for farmers.