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Clonal Dissemination of Multidrug Resistant Acinetobacter baumannii Isolates Harboring blaOXA-23 at One University Hospital in Daejeon, Korea (대전지역 소재 대학병원에 blaOXA-23 유전자를 가지고 있는 다제내성 Acinetobacter baumannii의 확산)

  • Sung, Ji Youn
    • Korean Journal of Clinical Laboratory Science
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    • v.48 no.2
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    • pp.94-101
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    • 2016
  • Acinetobacter species isolates are important opportunistic pathogens and commonly implicated in nosocomial infections. The therapeutic options for treatment of the bacterial infections are limited because the bacteria isolates are usually multidrug resistant (MDR). In the current study, we investigated various carbapenemase genes in 68 Acinetobacter species isolates. Antimicrobial susceptibilities were tested using the disk diffusion method. Screening of carbapenemase genes was performed via multiplex PCR. In addition, PCR and DNA sequencing were used to identify the carbapenemase genes. Repetitive extragenic palindromic-PCR (REP-PCR) was also performed to assess the clonality of isolates. In our study, A. baumannii isolates were highly resistant to all agents tested while all non-A. baumannii isolates were susceptible to all agents tested, with the exception of aztreonam and cefotaxime. All 51 A. baumannii isolates contained the $bla_{OXA-51}$ gene and 37 (72.5%) isolates also harbored the $bla_{OXA-23}$ gene. In addition, 39 MDR A. baumannii isolates were identified in our study and 37 isolates contained the $bla_{OXA-23}$ gene. The 37 MDR strains harboring $bla_{OXA-23}$ showed type I (n=22) or type II (n=15) banding patterns on their REP-PCR profiles. Our results suggest clonal relation and horizontal spreading of MDR A. baumannii isolates containing the $bla_{OXA-23}$ gene at the hospital located in Daejeon. Continuous investigation of antimicrobial resistant determinants and monitoring emergence and dissemination of MDR isolates is required to prevent and control infection and colonization of MDR A. baumannii isolates.

The Factors Affecting Accurate Quantitaion of Proteinuria Using Sp ot Urine Protein/Creatinine Ratio in Children (소아 단백뇨 검사에 있어서 단회뇨 단백 크레아티닌 비에 영향을 미치는 요인)

  • Jung, Ji-Mi;Kwon, Eun-Ji;Chung, Woo-Yeong
    • Childhood Kidney Diseases
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    • v.12 no.2
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    • pp.150-156
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    • 2008
  • Purpose : Many results have reported a correlation between the spot urine protein/creatinine ratio(P/C ratio) and 24-hour urinary protein(24UP) amount. This study was designed to evaluated correlation between 24UP amounts and P/C ratio in children and to find the factors that affect this correlation. Methods : 210 patients who visited the Department of Pediatrics in Busan Paik Hospital from september 2003 to december 2007 were included in this study. All the patients were divided into I, II, III/A, B, C group[I:24UP(mg/$m^2$/day)]<100, II: 100$\leq$24UP<1,000, III: 24UP$\geq$1,000, A: Cr excretion(mg/kg)<15, B: 15$\leq$Cr excretion<25, C: Cr excretion$\geq$25)]. Pearson correlation analysis was performed between 24UP and P/C ratio to evaluate the relationship. We defined fractional difference between 24UP and P/C ratio, and then performed multiple regression analysis. Results : There was a strong positive linear correlation between 24UP and P/C ratio in all patients, and the correlation was also good in each group. The factors affecting accurate quantitation of proteinuria using spot urine P/C ratio was creatinine excretion. Conclusion : Spot urine P/C ratio is a useful test to predict proteinuria roughly. Therefore, we expect that urine P/C ratio can be used as parameter instead of 24UP, if we set cutoff value of P/C ratio considered to creatinine excretion according to age and sex in large pediatric population.

In vitro activity comparison of Erm proteins from Firmicutes and Actinobacteria (Firmicutes와 Actinobacteria에 속하는 세균들의 Erm 단백질 in vitro 활성 비교)

  • Jin, Hyung Jong
    • Korean Journal of Microbiology
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    • v.52 no.3
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    • pp.269-277
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    • 2016
  • Erm proteins methylate the specific adenine residue ($A_{2058}$, E. coli numbering) on 23S rRNA to confer the $MLS_B$ (macrolidelincosamide-streptogramin B) antibiotic resistance on a variety of microorganisms ranging from antibiotic producers to pathogens. When phylogenetic tree is constructed, two main clusters come out forming each cluster of Actinobacteria and Firmicutes. Two representative Erm proteins from each cluster were selected and their in vitro methylation activities were compared. ErmS and ErmE from Actinobacteria cluster exhibited much higher activities than ErmB and ErmC' from Firmicutes: 9 fold difference when ErmC' and ErmE were compared and 13 fold between ErmS and ErmB. Most of the difference was observed and presumed to be caused by N-terminal and C-terminal extra region from ErmS and ErmE, respectively because NT59TE in which N-terminal end 59 amino acids was truncated from wild type ErmS exhibited only 22.5% of wild type ErmS activity. Meanwhile, even NT59TE showed three and 2.2 times more activity when it was compared to ErmB and C, respectively, suggesting core region from antibiotic producers contains extra structure enabling higher activity. This is suggested to be possible through the extra region of 197RWS199 (from both ErmS and ErmE), 261GVGGSLY267 (from ErmS), and 261GVGGNIQ267 (from ErmE) and 291SVV293 (from ErmS) and 291GAV293 (from ErmE) by multiple sequence alignment.

A Study on Pulping Process Condition through Design of Experiments (실험계획법을 이용한 고지 해리 공정조건에 관한 연구)

  • Kim, Sung-Kwon;Lee, Joon-Koo;Sung, Dae-Hyung
    • Applied Chemistry for Engineering
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    • v.9 no.4
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    • pp.529-535
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    • 1998
  • This study was made to investigate the effect of variation in pulping process conditions such as wastepaper blending treatments, temperature, and chemical blending treatments on the deinked pulp. Design of experiments was used to select the major factors which significantly influenced on the deinked pulp. As one of the statistical analysis technique, analysis of variance and multiple comparison technique was used to find the best process condition and the predicted values and confidence intervals for brightness and strength were obtained. In the condition of $Na_2SiO_3$ 2.0%, $H_2O_2$ 0.5% and wastepaper blending treatments (KONP : AONP : OMG = 40 : 30 : 30 wt %) the highest brightness of 50.5% was predicted with 90% confidence interval (49.0, 52.0). On a concentration of $H_2O_2$ 0.5%, the highest tensile index of $35.7N{\cdot}m/g$ was predicted with 90% confidence interval (34.6, 36.6) at the pulping temperature of $50^{\circ}C$. On a concentration of surfactant 0.1%, the highest burst index of $0.129kPa{\cdot}m^2/g$ was predicted with 90% confidence interval (0.125, 0.133) at the pulping temperature of $50^{\circ}C$.

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Characteristics of dose distribution for virtual wedge (가변형 쐐기필터의 선량분포에 관한 특성)

  • 김부길;김진기
    • Progress in Medical Physics
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    • v.12 no.2
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    • pp.125-131
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    • 2001
  • We was investigate the dosimetric characteristics of the virtual wedge and it compared to the conventional fixed wedge. Also we was evaluate the quality factor of the experimental multi-channel dosimetry system for virtual wedge. Recently virtual wedge technique and wedge fraction methods are available through the computer controlled asymmetric collimator or the independent jaw in medical linear accelerator for radiation therapy. The dosimetric characteristics are interpreted by radiation field analyzer RFA-7 system and PTW-UNIDOS system. Experimental multi-channel dosimetry system for virtual wedge was consists of the electrometer, the solid detector and array phantom. The solid detectors were constructed using commercially diodes for the assessment of quality assurance in radiotherapy. And it was used for the point dose measuring and field size scanning. The semiconductor detector and ion chamber were positioned at a dmax, 5 cm, 10 cm, 20 cm depth and its specific ratio was determined using a scanning data. Wedge angles in fixed and virtual type are compared with measurements in water phantom and it is shown that the wedge angle 15$^{\circ}$, 30$^{\circ}$, 45$^{\circ}$were agree within 1$^{\circ}$ degree in 6, 10 MV photon beams. In PDD and beam flatness, experimental multi-channel disimetry system was capable of reproduceing the measured values usually to within $\pm$2.1% the statistical uncertainties of the data. It was used to describe dosimetric characteristics of virtual wedge in clinical photon beams. Also we was evaluate optimal use of the virtual wedge and improve the quality factor of the experimental multi-channel dosimetry system for virtual wedge.

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Behavioral factors associated with serum gamma-glutamyl transferase activity in a male rural population (농촌 지역 남성들의 혈청 gamma-glutamyl transferase 활성도와 관련된 행태적 요인에 관한 연구)

  • Cho, Byung-Mann
    • Journal of agricultural medicine and community health
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    • v.23 no.2
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    • pp.287-293
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    • 1998
  • Although serum gamma-glutamyl transferase(GGT) has been widely used as a marker of alcoholic hepatic dysfunction, little is known as to behavioral correlates in the normal population. To examine the association between serum GGT activity and some behavioral factors in male rural population, data un health examination in a rural population (248 males aged 40 years and older) was analyzed Multiple linear regression and analysis of convariance were used to control the effect of confounding factors. Adjusted average differences in the level of serum GGT according to body mass index(BMI: $kg/m^2$) and alcohol intake(ml/day) were statistically significant(p=0.051 0<0.001 respectively). Serum GGT activity for BMII$\geq$25 was significantly higher than for BMI<25 in non-drinkers(p=0.007), but not significantly different in drinkers(p=0.892). Alcohol intake was significantly associated with elevated serum GGT activity for both BMI$\geq$25 and BMI<25(p<0.001, p=0.002 respectively). These findings suggest that alcohol drinking, obesity in non-drinkers are important factors associated with serum GGT in male rural population.

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A Study on the Recognition Differences about Using the Private Forests and Conflicts among the Stakeholders related with Mt. Jiri National Park (지리산국립공원 내 사유림이용에 있어서 이해당사간의 갈등과 산림이용에 대한 인식의 차이에 관한 연구)

  • Kim, Eui-Gyeong;Kim, Dong-Hyeon;Kim, Hyeon-Geun;Kim, Seong-Ju
    • Journal of Korean Society of Forest Science
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    • v.96 no.4
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    • pp.494-501
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    • 2007
  • There has been a conflict over the use of private forest in Mt. Jiri National Park among the stakeholders. Therefore, the purpose of this study is to define each stakeholders' recognition difference about value and conflict of Mt. Jiri National Park and find the possibility of creating agreement point for solving conflict. For the purpose, the study performs factor analysis on the value of national park and conflict factor and abbreviates them to 4 factors respectively. The study classifies and compares the recognition difference among the stakeholders with t-test and Duncan multiple comparison. The result of this study is that village residents, Korea Forest Service and local autonomy share the same recognition about the value of national park but National Park has different recognition. Regarding the conflict, National Park, Korea Forest Service and local autonomy share the same recognition but village residents have different recognition. Regarding the organization of conference as a direction to solve conflict and its reason, all of the stakeholders share the same recognition. It is necessary to adopt clear standard for the use of forest and apply the different execution of regulation to each area.

Risk Analysis using Construction Insurance Claim Payouts (건설공사보험 피해 보상금 지급액을 활용한 리스크 분석)

  • Yu, Yeong-Jin;Son, Kiyoung;Kim, Ji-Myong
    • Journal of the Korea Institute of Building Construction
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    • v.16 no.4
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    • pp.349-357
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    • 2016
  • Recently, the quantity of risk in construction project has been inflated due to the fact that current construction projects have been large and complicated. Therefore, a study on the risk management methods is necessary that can predict and respond to the need in complicated modern construction projects. In this study, the objective is to analyze the cause of accident in actual construction sites and develop a risk assessment model based on insurance claims records. To reach the goal of this study, first, the frequency and severity of accidents are analyzed the causes of accidents based on the classification; progress rate, season, and total construction costs. Second, a risk assessment model is developed by utilizing a multiple regression analysis. The dependent variable is loss ratio of material damage and three categories; natural hazards, geographic information, and construction method & ability, are used as the independent variables. The model's adjusted R-square is 0.455. The contributions of this study will be used as a material for a quantitative risk analysis model development and review of the construction risk factors for future study.

Numerical Modeling for the Detection of Debris Flow Using Detailed Soil Map and GIS (정밀토양도와 GIS를 이용한 토석류 발생지역 예측 분석)

  • Kim, Pan Gu;Han, Kun Yeun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.37 no.1
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    • pp.43-59
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    • 2017
  • This study presents the prediction methodology of debris flow occurrence areas using the SINMAP model. Former studies used a single calibration region applying some of the soil test results to predict debris flow occurrence in SINMAP model, which couldn't subdivide the soil properties for the target areas. On the other hands, a multi-calibration region using a detailed soil map and soil strength parameters (c, ${\phi}$) for each soil series to make up for limitation of former studies is proposed. In this process, soils with soil erodibility factor (K) are classified into three types: 1) gravel and gravelly soil. 2) sand and sandy soil, and 3) silt and clay. In addition, T/R estimation method using mean elevation of target area instead of T/R method using actual occurrence time is suggested in this study. The suggested method is applied to Seobyeok-1 ri area, Bonghwa-gun where debris flow occurred. As a result of comparison between two T/R estimation method, both T/R estimations are almost equal. Therefore, the suggested methodologies in this study will contribute to set up the national-wide mitigation plan against debris flow occurrence.

Predictors and Frailty Level in the Frail Elderly Receiving Home Visiting Health Care Services (방문건강관리사업 대상 재가노인의 허약정도와 예측요인)

  • Park, Jeong Sook;Oh, Yun Jung
    • Journal of agricultural medicine and community health
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    • v.41 no.3
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    • pp.129-139
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    • 2016
  • Objective: The purpose of this study was to identify the predictors and frailty level in the frail elderly receiving home visiting health care services. Methods: The subjects were 177 frail elders aged over 65 registered in the home visiting health care services of three public health centers in Daegu. The data collection was performed from June 9 to June 24, 2015. This study used descriptive statistics, t-test, ANOVA, scheffe test and stepwise multiple regression by SPSS Win 18.0 program. Results: The mean of the frailty score was 10.05 (${\pm}4.52$). Age and life satisfaction were the significant factors related to the frailty score in frail elderly. Health promotion behavior, empowerment, social participation and perceived health status had a negative correlation with the frailty score. Thirty seven point four percent of the variance in the frailty score can be explained by perceived health status (${\beta}=-0.398$, p<0.001), health promotion behavior (${\beta}=-0.251$, p<0.001) and age (${\beta}=0.232$, p<0.001)(Cum $R^2=0.374$, F=25.744, p<0.001). Perceived health status was the most important factor related to the frailty score in our study. Conclusions: An integrative care program which includes these significant variables of subjects is essential to prevent the deterioration of frailty in frail elderly.