• Neonatal Medicine
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• v.18 no.2
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• pp.272-279
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• 2011

Purpose: The incidence of nosocomial infection caused by Gram-negative bacilli (GNB) has increased in neonatal intensive care units (NICU). This study identified the progression of sepsis caused by GNB colonization and analyzed the risk factors associated with using periodic stool culture surveillance. Methods: We included 86 newborns admitted to the NICU, Kosin University Gospel Hospital from October 2007 to May 2008. Three stool specimens were collected right after birth and two more were collected at 2 week intervals. The risk factors related to GNB colonization were established from each medical record and related references. Results: The incidence of colonization by GNB was 22 (25.6%) per 86 neonates but none had culture-proven sepsis. The three most commonly isolated GNB were Pseudomonas aeruginosa, Enterobacter cloacae, and Citrobacter freundii. Approximately 89% (32/36) of isolated GNB were susceptible to amikacin. The probability of GNB colonization increased in infants who were fed a small volume during enteral feeding. In contrast, delayed enteral feeding resulted in a decreased probability for GNB colonization. Conclusion: Colonized GNB in the intestine was confirmed by enteric surveillance culture of newborns admitted to the NICU. However, we found no evidence of culture-proven GNB sepsis. As lower feeding volume on the colonization day is a risk factor for GNB colonization, the chance for GNB colonization should be considered when feeding intolerance is present.

• Communications for Statistical Applications and Methods
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• v.5 no.1
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• pp.99-105
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• 1998

본 논문에서는 매우 민감한 조사에서 모집단이 여러 개의 집락으로 구성되어 있을 때, 모집단으로부터 집락을 단순임의추출한 후 추출된 각 집락에서 다시 조사단위의 표본을 추출하는 2단계 집락추출법에 확률화응답모형을 적용하였다. 그리고, 일정한 비용 하에서 분산을 최소로 하는 1단계 집락의 수와 2단계 집락에서 추출된 조사단위의 수의 최적값을 구하여 최소분산의 형태를 도출하였다.

• The Korean Journal of Applied Statistics
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• v.13 no.2
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• pp.207-224
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• 2000

Generally cluster size is predetermined when we use the stratified two-stage cluster sampling But in case that the sizes of clusters vary greatly one may want to make the sizes to be about equal. In this paper we study the optimal cluster size in stratified twostage cluster sampling. Also we find the optimal primary sampling unit sizes and optimal secondary sampling unit sizes under the given cost restriction.

• The Korean Journal of Applied Statistics
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• v.19 no.1
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• pp.69-80
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• 2006

In this study, we make an effort to find a method to acquire sensitive information when sensitive populations are consisted of several clusters that vary in size. We suggest and systemize the theoretical validity for applying RRT(Randomized Response Technique) to PPS(Probability Proportional to Size) sampling method and derive the estimate and it's variance of the proportion of sensitive characteristic of population by using the suggested method. We compare the efficiency of the suggested technique by two-stage equal probability sampling. We examine practical aspects of the suggested method of RRT by PPS sampling through field survey.

• The Korean Journal of Applied Statistics
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• v.8 no.1
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• pp.39-50
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• 1995

This article deals with the problem that all the statistical clustering methods do not supply the clustering rule after the analysis. We modify the Coulomb Energy Network model basically developed in physics and suggest one model appropriate for our purpose and show the implementation using an actual data. Finally the method suggested is compared with one of the well known methods, K-means algorithm using Rand C.

• 한국ITS학회:학술대회논문집
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• 2005.11a
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• pp.29-33
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• 2005

• Korean Journal of Soil Science and Fertilizer
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• v.42 no.6
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• pp.447-453
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• 2009

Vegetation distribution and soil salinity were surveyed on the conservation plot in the Daeho reclaimed tidal land, in where the plants species distribution was more various than a periodically inundated tidal flat and the early stage of reclamation. According to the soil salinity where the vegetation patches were occurred, the mono patches of Salicornia europaea, Suaeda maritima, and Suaeda glauca were distributed in the average range of 31.05 dS/m in soil salinity, the mixed patches of them were distributed in the average range of 42.75 dS/m. Therefore, Salicornia europaea, Suaeda maritima, and Suaeda glauca showed strong salt tolerance. The mono patches of Aster tripolium, Sonchus brachyotus, and Scirpus planiculm were distributed in the range of 11.73 dS/m in soil salinity, and the mixed patches were distributed in the average range of 9.43 dS/m. Therefore Aster tripolium, Sonchus brachyotus, and Scirpus planiculmis showed moderate salt tolerance. The mono patches of Imperata cylindrica, Trifolium pratense, Miscanthus sinensis, Setaria viridis, and Trisetum bifidum were distributed in the range of 2.42 dS/m in soil salinity. These species showed characteristics of glycophytes with weak salt tolerance. The distribution of vegetation patches was influenced by the soil salinity as pioneer halophytes patches occurred at higher soil salinity zone than facultative halophytes patches, glycophytes patches occurred at lower soil salinity zone than facultative halophytes. These results suggested that occurrence of plant species and plant distribution type might be useful index to evaluate the soil salinity and desalinization in the reclaimed land of the midwest coastal area of Korea.

• Tuberculosis and Respiratory Diseases
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• v.65 no.3
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• pp.198-206
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• 2008

Background: Tracheobronchial suctioning using the closed suctioning system has physiological benefits for critically ill patients. Despite these benefits, there are concerns about increased colonization of tracheobronchial tree by pathogenic organisms. The cost is another hinder to the introduction of closed suction system. The aim of this study was to evaluate the incidence of colonization and ventilator associated pneumonia and the cost-effectiveness of closed suction compared with open suction. Methods: During separated one month period, patients admitted MICU were cared by multiple-use, open suction, single-use, open suction and multiple-use, closed suction method, consecutively. Costs, colonization of tracheobronchial tree by MRSA and the incidence of ventilator-associated pneumonia (VAP) were analyzed. Results: One-hundred and six patients were enrolled. Twenty patients were treated with multiple-use, open suction, while 42 and 44 patients were cared with single-use, open catheter and multiple-use, closed catheter, respectively. Colonization by MRSA and the incidence of VAP were not different among three ways of suctioning. The overall costs per patient per day for suctioning were $10.58 for multiple-use, open suction, $28.27 for single-use, open suction and $23.76 for multiple-use, closed suction. Conclusion: Multiple-use, closed suctioning, when suction catheters were changed every 48 hrs, has the similar incidence of colonization of MRSA and occurrence of VAP and is a cost-efficient way of endotracheal suction.

• Journal of Korean Academy of Nursing
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• v.41 no.2
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• pp.175-181
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• 2011

Purpose: This study was conducted to identify endotracheal colonization and the incidence of ventilator-associated pneumonia related to the type of endotracheal suction system. Methods: The participants in this study were ICU patients hospitalized between October 2009 to March 2010 who used ventilators for over 48 hr with closed (CSS, n=30) or open (OSS, n=32) suction systems. To standardize the pre-intervention suction system, a suctioning protocol was taught to the ICU nurses. Collected data were analyzed using ${\chi}^2$-test, Fisher's exact test, Wilcoxon rank sums test, Wilcoxon test, Log-rank test and Poisson regression. Results: Endotracheal colonization was higher in OSS than CSS from day 1 to day 8 while using a ventilator and there was a significant difference between the two groups. The CSS reached 50% of endotracheal colonization by the 4th day, whereas for the OSS, it was the 2nd day (p=.04). The incidence of ventilator-associated pneumonia showed no significant difference. Conclusion: For patients with a high risk of pneumonia, CSS must be used to lower endotracheal colonization.

• Korean Journal of Microbiology
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• v.48 no.2
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• pp.109-115
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• 2012

Helicobacter pylori is an important factor of chronic gastritis, digestive ulcer, and stomach cancer. CagL, a virulence factor of H. pylori, is well-known as a pilus protein which acts as adhesion to host cell and a component of Type 4 secretion system. In this study, we evaluated the protective response of recombinant CagL protein (rCagL) using Mongolian gerbil animal model for H. pylori infection. The cagL gene was cloned from 26695 H. pylori followed by over-expression and purification of the protein in E. coli. Mongolian gerbils were immunized with rCagL protein mixed with aluminum adjuvant via intramuscular injections once a week during 4 weeks. At a week after the last immunization, the Mongolian gerbils were administrated with H. pylori 7.13 strain into the stomach and sacrificed to measure antibody titer on rCagL by ELISA and bacterial colonization in the stomach, and to examine the histopathological changes and cytokine expression at 6 week after challenge. Antibody titers on recombinant protein were significantly increased from a week after the first immunization. There was no significant change of the number of bacterial colony between control group and immunized group. The relative stomach weight was significantly decreased in immunized group, but the significant change of histopathological assessment was not observed in the stomach. Cytokine expression such as IL-$1{\beta}$ and KC also was not significantly different between control and immunized groups. These results indicate that rCagL could effectively induce the formation of the specific IgG antibodies. However, bacterial colonization and histopathological lesions could not be inhibited by the immunization in the stomach, indicating not enough protection against H. pylori infection. We consider that along with CagL other adequate antigens could be needed stimulating immune response and inducing protective effects against gastric disease, and also a better adjuvant could be considered.