Purpose: The rationale for skin surface cultures is that bacterial colonization precedes infection and, as a result, that identification of a potential pathogen is predictive of later systemic infection in preterm infants. We aimed to analyze results of surveillance surface cultures in extremely low birth weight (ELBW) infants and seek for effective ways of performing surveillance surface cultures. Methods: We analyzed the surveillance surface cultures of 113 ELBW infants over a 4-year period. Surveillance cultures were obtained routinely from five sites: axilla, external ear canal, nasopharynx, throat (or tracheal aspirate if intubated) and anus. Each surface culture obtained during the 13 days, prior to the date of the blood culture, was compared with the blood culture obtained when sepsis was suspected. The sensitivity, specificity and positive predictive value (PPV) of the surveillance cultures were calculated among 1894 blood-surface culture pairs by surface sites, recovered organisms and interval between surveillance samples and blood cultures. Results: The overall sensitivity, specificity and PPV of surface cultures were 45.9, 22.4 and 6.8%, respectively. The PPV was highest for the throat/tracheal cultures (11.0%) and lowest for the anal cultures (2.3%). As the time of culturing progressed toward the day of blood culturing, the sensitivity and specificity of the surface cultures significantly increased. Only axillary and throat/tracheal cultures were useful in predicting the microorganisms causing sepsis. Conclusion: Surface cultures could help to predict sepsis pathogens and infection surveillance in preterm infants could be continued with a reduced number of cultured sites focusing on the axilla and throat/trachea.
Lee, Hee Su;Choi, Jong Myung;Kim, Tae Il;Kim, Hyun Sook;Jang, Won Suk;Lee, Hee Chul;Lee, In Ha;Nam, Myeong Hyeon
Horticultural Science & Technology
/
v.34
no.4
/
pp.607-615
/
2016
This research was conducted to investigate the influence of different kinds of acids added to irrigation water containing high levels of bicarbonate on the growth and daughter plant production during the propagation of 'Seolhyang' strawberry. Fertigation solution was prepared with equal concentrations of essential nutrients as found in Hoagland solution, plus $240mg{\cdot}L^{-1}\;HCO_3{^-}$. The concentrations of $HCO_3{^-}$ in the treatment solution were decreased to $60mg{\cdot}L^{-1}$ by the addition of $HNO_3$, $H_3PO_4$, $H_2SO_4$, $HNO_3+H_3PO_4$, or salicylic acid. The mother plants transplanted to raised beds were treated with a specific treatment solution for 126 days and growth and daughter plant productions were monitored. The fresh weight of mother plants in the -control treatment ($240mg{\cdot}L^{-1}\;HCO_3{^-}$) was significantly lower than those in acid containing treatments. The number of daughter plants produced per mother plant was 13 in the -control treatment, but 19.4, 20.1, 18.6, 22.4, and 18.9 in the treatments of $HNO_3$, $H_3PO_4$, $H_2SO_4$, $HNO_3+H_3PO_4$ and salicylic acid, respectively. The substrate pHs after 126 days of treatment were 8.2 and 7.3 in the -control and salicylic acid treatments, respectively, but 5.5, 5.4, 5.3, and 5.5 in the treatments of $HNO_3$, $H_3PO_4$, $H_2SO_4$, and $HNO_3+H_3PO_4$ treatments, respectively. The tissue Ca and Mg contents of mother plants were significantly higher in +control ($90mg{\cdot}L^{-1}\;HCO_3{^-}$) and various acid blending treatments compared to the -control treatment. By contrast, Ca and Mg contents were not significantly different among treatments with acids. The Fe, Mn, Zn, and Cu contents in plant tissue of -control were also significantly lower than those in all other treatments.
Purpose: Routine pancreatico-splenectomy with total gastrectomy should no longer be considered as the standard surgical procedure for gastric cancer because of the lack of proven surgical benefit for survival. The aim of this study is to evaluate the clinicopathologic factors and the survival of patients with locally advanced gastric cancer and they had undergone combined pancreatico-splenectomy with a curative intent. Material and Methods: We retrospectively reviewed a total of 118 patients who had undergone total gastrectomy with distal pancreatico-splenectomy from 1990 to 2001. The patients were divided into 2 groups: 90 patients who were free from cancer invasion (group I), and 28 patients with histologically proven cancer invasion into the pancreas (group II). The various clinicopathologic factors that were presumed to influence survival and the survival rates were analyzed. Results: The rate of pathological pancreatic invasion was 23.7%. The tumor stage, depth of invasion, pancreas invasion, lymph node metastasis, lymph node ratio, curability and the hepatic and peritoneal metastasis were statistically significance on univariate analysis. Among these factors, the tumor stage, lymph node ratio and curability were found to be independent prognostic factor on multivariate analysis. The 5-years survival rates were 36.2% for group I and 13.9% for group II. The morbidity rate was 22.1%, and this included pancreatic fistula (5.1%), intra-abdominal abscess (4.2%) and bleeding (4.2%). The overall mortality rate was 0.8%. Conclusion: Combined distal pancreatico-splenectomy with total gastrectomy with a curative intent was selectively indicated for those patients with visible tumor invasion to the pancreas, a difficult complete lymph node dissection around the distal pancreas and spleen, and no evidence of liver metastasis or peritoneal dissemination.
This study was conducted to determine effect of dietary reduced antibiotics supplementation on carcass characteristics and meat quality of finishing pigs fed stevia and charcoal. A total of 180 pigs (LYD) were randomly allocated into 3 treatments with 3 replications. Dietary treatments were 1) T1 (control, basal diet, no stevia and charcoal addition, antibiotics both in early and late fattening periods), 2) T2 (basal diet, 0.3% stevia + 0.3% charcoal, antibiotics both in early and late fattening periods), 3) T3 (basal diet, 0.3% stevia + 0.3% charcoal, antibiotics in early fattening period only). At each marketing day, pigs were conventionally slaughtered, examined the carcass characteristics and loin (Longissimus) muscles were removed for the meat quality traits. In the carcass characteristics, T3 group showed higher incidence of A carcass grade compared to the other treatments. Backfat thickness was higher in T2 group compared to the others (p<0.05). In the meat quality traits, pH was higher in T1 group than T3 group (p<0.05). Cooking loss was higher in T2 group than T1 group (p<0.05). However, WHC (water holding capacity), drip loss and shear force values did not show any significant differences among treatments. In the panel test, there were no significant differences in tenderness, juiciness, flavor, and total acceptability scores among treatments. As a result, dietary supplementation of reduced antibiotics to finishing pigs fed stevia and charcoal showed similar growth performance and meat quality traits compared to conventional method.
Korean Journal of Agricultural and Forest Meteorology
/
v.2
no.2
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pp.47-61
/
2000
Agroclimatic zoning was done for paddy rice culture in North Korea based on a simulation experiment. Daily weather data for the experiment were generated by 3 steps consisting of spatial interpolation based on topoclimatological relationships, zonal summarization of grid cell values, and conversion of monthly climate data to daily weather data. Regression models for monthly climatological temperature estimation were derived from a statistical procedure using monthly averages of 51 standard weather stations in South and North Korea (1981-1994) and their spatial variables such as latitude, altitude, distance from the coast, sloping angle, and aspect-dependent field of view (openness). Selected models (0.4 to 1.6$^{\circ}C$ RMSE) were applied to the generation of monthly temperature surface over the entire North Korean territory on 1 km$\times$l km grid spacing. Monthly precipitation data were prepared by a procedure described in Yun (2000). Solar radiation data for 27 North Korean stations were reproduced by applying a relationship found in South Korea ([Solar Radiation, MJ m$^{-2}$ day$^{-1}$ ] =0.344 + 0.4756 [Extraterrestrial Solar Irradiance) + 0.0299 [Openness toward south, 0 - 255) - 1.307 [Cloud amount, 0 - 10) - 0.01 [Relative humidity, %), $r^2$=0.92, RMSE = 0.95 ). Monthly solar irradiance data of 27 points calculated from the reproduced data set were converted to 1 km$\times$1 km grid data by inverse distance weighted interpolation. The grid cell values of monthly temperature, solar radiation, and precipitation were summed up to represent corresponding county, which will serve as a land unit for the growth simulation. Finally, we randomly generated daily maximum and minimum temperature, solar irradiance and precipitation data for 30 years from the monthly climatic data for each county based on a statistical method suggested by Pickering et a1. (1994). CERES-rice, a rice growth simulation model, was tuned to accommodate agronomic characteristics of major North Korean cultivars based on observed phenological and yield data at two sites in South Korea during 1995~1998. Daily weather data were fed into the model to simulate the crop status at 183 counties in North Korea for 30 years. Results were analyzed with respect to spatial and temporal variation in yield and maturity, and used to score the suitability of the county for paddy rice culture.
So, Woong-Seob;Lee, Hyun-Jong;Choi, Woo-Jin;Hong, Sung-Jin;Ryu, Kyung-Hee;Choi, Dae-Gyun
The Journal of Korean Academy of Prosthodontics
/
v.49
no.4
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pp.324-332
/
2011
Purpose: The purpose of this study was to compare the stress distribution of teeth and jaw on load by differentiating property of materials according to each layer of widely used mouthguard. Materials and methods: A Korean adult having normal cranium and mandible was selected to examine. A customized mouthguard was constructed by use of DRUFOMAT plate and DRUFOMAT-TE/-SQ of Dreve Co. according to Signature Mouthguard system. The cranium was scanned by means of computed tomography with 1mm interval. It was modeled with CANTIBio BIONIX/Body Builder program and simulated and interpreted using Alter HyperMesh program. The mouthguard was classified as follows according to the layers. (1) soft guard (Bioplast)(SG) (2) hard guard (Duran)(HG) (3) medium guard (Drufomat)(MG) (4) soft layer + hard layer (SG + HG) (5) hard layer + soft layer (HG + SG) (6) soft layer + hard layer + soft layer (SG + HG + SG) (7) hard layer + soft layer + hard layer (HG + SG + HG) The impact locations on mandible were gnathion, the center of inferior border, and the anterior edge of gonial angle. And the impact directions were oblique ($45^{\circ}$). The impact load was 800 N for 0.1 sec. The stress distribution was measured at maxillary teeth, TMJ and maxilla. The statistics were conducted using Repeated ANOVA and in case of difference, Duncan test was used as post analysis. Results: In teeth and maxilla, the mouthguard contacting soft layer of mandibular teeth presented lowest stress measure and, in contrast, in condyle, the mouthguard contacting hard layer of mandibular teeth presented lowest stress measure. Conclusion: For all impact directions, soft layer + hard layer + soft layer, the mouthguard with three layers which the hard layer is sandwiched between two soft layers, showed relatively even distribution of stress in impact.
Lee, Jeong Ju;Kim, Yong-Jin;Shin, Jae Il;Yim, Hyunee;Park, Se Jin
Childhood Kidney Diseases
/
v.17
no.2
/
pp.92-100
/
2013
Purpose: To investigate the clinicopathologic effects of cyclosporine A (CsA) in children with diseases characterized by mesangial immunoglobulin A deposits such as immunoglobulin A nephropathy (IgAN) and Henoch-Sch$\ddot{o}$nlein purpura nephritis (HSPN). Methods: We retrospectively reviewed the clinicopathologic outcomes of 54 children (IgAN, 36; HSPN, 18) treated with CsA. The starting dose of CsA was 5 mg/kg per day, and it was administered in 2 divided doses. The degree of proteinuria and pathologic changes in renal biopsies were evaluated before and after CsA treatment. Results: The mean protein to creatinine ratio decreased from $3.7{\pm}1.5$ to $0.6{\pm}0.4$(P <0.001), and 32 (59.2%) children achieved complete remission of proteinuria after 1-year CsA treatment. Among the 54 children, 24 maintained normal renal function and 25 exhibited microscopic hematuria or proteinuria at the end of CsA treatment. In the HSPN group, 3 children whose initial biopsies indicated class IIIb disease showed class II disease on follow-up, and the follow-up biopsies of 2 children who had class II disease indicated the same class II disease. In the IgAN group, cortical tubular atrophy occurred in 1 child, and no child with IgAN had cortical interstitial fibrosis or tubular atrophy after 1-year CsA treatment. No significant complications were found in the children treated with CsA. Conclusion: Our findings indicate that CsA treatment is effective and beneficial in reducing massive proteinuria and preventing progression to end-stage renal failure in children with glomerular diseases characterized by IgA deposits, such as IgAN and HSPN, within 1 year of treatment.
Oh, Seung Min;Kim, Ji Yun;Lee, Bae Hun;Peng, Jinglun;Chemere, Befekadu;Nejad, Jalil Ghassemi;Sung, Kyung Il;Kim, Byong Wan
Journal of The Korean Society of Grassland and Forage Science
/
v.36
no.2
/
pp.124-128
/
2016
The objective of this research was to determine the effects of harvesting frequency and fertilization levels on botanical composition, dry matter yield, and forage feed compositions of Alpine grassland at 800 m altitude. This research lasted for three years at National Alpine Agricultural Research Institute in Pyeongchang with two harvesting frequency schedules (two and three times annually) and two levels of fertilizer application (conventional level of fertilizer at 280-200-240 kg/ha and a lower level of fertilizer at 200-200-200 kg/ha for N, $P_2O_5$, and $K_2O$). Mixture combinations with seeding rate (kg/ha) were as follows: Orchardgrass 18, Tall fescue 9, Timothy 8, Kentucky bluegrass 3, and Ladino Clover 2. The gramineae ratio ranged from 93.2 to 95.3%. Therefore, gramineae forage was considered as the dominant plant in this experiment. No significant (p>0.05) difference was observed in forage dry matter yield between the two harvesting frequency treatments (two times at 9.8 ton/ha and three times at 8.6 ton/ha). However, forage dry matter yield in the two times of harvesting frequency tended to be greater than that in the three times of harvesting frequency. Significantly (p<0.05) higher forage dry matter yield in the standard fertilization level group than the lower fertilization level group (9.8 ton/ha vs. 8.7 ton/ha) was observed. However, there was no significant (p>0.05) difference in forage crude protein concentration between the two harvesting frequency treatment groups, although the concentration in the group with three times of harvesting frequency tended to be higher. In contrast, crude fiber concentration in the group with two times of harvesting frequency tended to be higher, although the difference was not statistically significant (p>0.05). Crude protein, ether extract, crude fiber, and organic matter concentrations were not significantly (p>0.05) different between the two groups with different fertilization levels. Based on these results, it was concluded that the group with two times of harvesting frequency with conventional fertilization level might be proper for obtaining better forage productivity for Alpine grassland at 800 m altitude.
The purpose of this study is to apply urban heat island reduction techniques(green roof, cool roof, and cool pavements using heat insulation paint or blocks) recommended by the Environmental Protection Agency (EPA) to our study area and determine their actual effects through a comparative analysis between land cover objects. To this end, the area of Mugye-ri, Jangyu-myeon, Gimhae, Gyeongsangnam-do was selected as a study area, and measurements were taken using a drone DJI Matrice 300 RTK, which was equipped with a thermal infrared sensor FLIR Vue Pro R and a visible spectrum sensor H20T 1/2.3" CMOS, 12 MP. A total of nine heat maps, land cover objects (711) as a control group, and heat island reduction technique-applied land covering objects (180) were extracted every 1 hour and 30 minutes from 7:15 am to 7:15 pm on July 27. After calculating the effect values for each of the 180 objects extracted, the effects of each technique were integrated. Through the analysis based on daytime hours, the effect of reducing heat islands was found to be 4.71℃ for cool roof; 3.40℃ for green roof; and 0.43℃ and -0.85℃ for cool pavements using heat insulation paint and blocks, respectively. Comparing the effect by time period, it was found that the heat island reduction effect of the techniques was highest at 13:00, which is near the culmination hour, on the imaging date. Between 13:00 and 14:30, the efficiency of temperature reduction changed, with -8.19℃ for cool roof, -5.56℃ for green roof, and -1.78℃ and -1.57℃ for cool pavements using heat insulation paint and blocks, respectively. This study was a case study that verified the effects of urban heat island reduction techniques through the use of high-resolution images taken with drones. In the future, it is considered that it will be possible to present case studies that directly utilize micro-satellites with high-precision spatial resolution.
This research aims to provide the characteristics of the world's first active lidar sensor Atmospheric Laser Doppler Instrument (ALADIN) wind data and Geostationary Korea Multi Purpose Satellite 2A (GK2A) Atmospheric Motion Vector (AMV) data by comparing two wind data. As a result of comparing the data from September 2019 to August 1, 2020, The total number of collocated data for the AMV (using IR channel) and Mie channel ALADIN data is 177,681 which gives the Root Mean Square Error (RMSE) of 3.73 m/s and the correlation coefficient is 0.98. For a more detailed analysis, Comparison result considering altitude and latitude, the Normalized Root Mean Squared Error (NRMSE) is 0.2-0.3 at most latitude bands. However, the upper and middle layers in the lower latitudes and the lower layer in the southern hemispheric are larger than 0.4 at specific latitudes. These results are the same for the water vapor channel and the visible channel regardless of the season, and the channel-specific and seasonal characteristics do not appear prominently. Furthermore, as a result of analyzing the distribution of clouds in the latitude band with a large difference between the two wind data, Cirrus or cumulus clouds, which can lower the accuracy of height assignment of AMV, are distributed more than at other latitude bands. Accordingly, it is suggested that ALADIN wind data in the southern hemisphere and low latitude band, where the error of the AMV is large, can have a positive effect on the numerical forecast model.
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