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Ventilator-Associated Pneumonia in Neonatal Intensive Care Unit : Clinical Manifestations, Ddiagnostic Availability of Endotracheal Tip Culture (신생아 집중치료실에서 인공 환기요법 관련 폐렴의 임상양상과 기관내 삽관의 유용성에 관한 연구)

  • Kim, Nam Young;Sung, Tae Jung;Shin, Seon Hee;Kim, Sung Koo;Lee, Kon Hee;Yoon, Hae Sun
    • Pediatric Infection and Vaccine
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    • v.12 no.1
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    • pp.67-74
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    • 2005
  • Purpose : The incidence of mortality associated with respiratory difficulties is decreasing nowadays contributed to the development of neonatology. However, complications associated with mechanical ventilator are increasing. This study is to determine clinical manifestations, diagnositc availability of the endotracheal tip culture in patients with Ventilator-Associated Pneumonia(VAP) in neonatal intensive care unit(NICU). Methods : A retrospective analysis of 50 neonates who were admitted to the NICU of Kangnam Sacred Heart Hospital and had given mechanical ventilator from 1 January 2000 to 30 June 2003. VAP group defined as neonates who had pneumonia with mechanical ventilation longer than 48 hours. They were classified into VAP group(n=13) and control group (n=37) and the prevalence, microorganisms cultured from the endotracheal tube tip and risk factors were investigated. Results : The prevalence of VAP was 26.0%(n=13) and the most dominant microorganism cultured in our NICU was methicillin-resistant coagulase negative staphylococcus(MR-CNS) in 4 cases. Other microorganisms were Pseudomonas, Enterobacter, methicillin-resistant Staphylococcus aureus(MRSA) and Klebsiella. Gestational age, birth weight, Apgar score, respiratory distress syndrome, retinopathy of prematurity, bronchopulmonary dysplasia, sepsis, renal failure, pulmonary hemorrhage, pneumothorax were not different significantly between two groups except intraventricular hemorrhage(P<0.001) and patent ductus arteriosus(P<0.05). Duration of hospital stay and mortality rate were also not different significantly. Conclusion : VAP occurred at a significant rate among mechanically ventilated NICU patients. Despite of limitation of encotracheal tip culture, the most common microorganism was MR-CNS. We should be aware of occurrence of VAP in NICU neonate who were with mechanical ventilator and should treat with great care.

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Evaluation of reverse torque value of abutment screws on CAD/CAM custom-made implant abutments (CAD/CAM을 이용한 맞춤형 임플란트 지대주의 나사 풀림 토크 평가)

  • Lee, Chang-Jae;Yang, Sung-Eun;Kim, Seok-Gyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.2
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    • pp.128-134
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    • 2012
  • Purpose: The purpose of this study was to compare the screw joint stability between the CADCAM custom-made implant abutment and the prefabricated implant abutment by measuring the reverse torque value after cyclic loading. Materials and methods: Twelve screw type implants (Implantium, Dentium Co., Seoul, Korea) were embedded in aluminum cylinder with acrylic resin. The implant specimens were equally divided into 3 groups, and connected to the prefabricated titanium abutments (Implantium, Dentium Co., Seoul, Korea), CADCAM custom-made titanium abutments (Myplant, Raphabio Co., Seoul, Korea) and CADCAM custom-made zirconia abutments (Zirconia Myplant, Raphabio Co., Seoul, Korea). The CAD-CAM milled titanium crown (Raphabio Co., Seoul, Korea) was cemented on each implant abutment by resin cement. Before cyclic loading, each abutment screw was tightened to 30 Ncm and the reverse torque value was measured about 30 minutes later. After the crown specimen was subjected to the sinusoidal cyclic loading (30 to 120 N, 500,000 cycles, 2 Hz), postloading reverse torque value was measured and the reverse torque loss ratio was calculated. Kruskal-Wallis test was used for statistical analysis of the reverse torque loss ratio. Results: The CADCAM custom-made titanium abutments presented higher values in reverse torque loss ratio without statistically significant differences than the prefabricated titanium abutments ($P$>.05). Reverse torque loss ratio of the custom-made zirconia abutments was significantly higher compared to that of the prefabricated titanium abutments ($P$=.014). Conclusion: Within the limitation of the present $in-vitro$ study, it was concluded that there was no significant difference in screw joint stability between the CADCAM custom-made titanium abutments and the prefabricated titanium abutments. On the other hand, the CADCAM custom-made zirconia abutments showed lower screw joint stability than prefabricated titanium abutments.

Change of Blooming Pattern and Population Dynamics of Phytoplankton in Masan Bay, Korea (마산만 식물플랑크톤의 대발생 양상의 변화와 군집 동태)

  • Lee, Ju-Yun;Han, Myung-Soo
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.12 no.3
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    • pp.147-158
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    • 2007
  • To clarify the bloom pattern and species succession in phytoplankton community, the population dynamics with the determination of physico-chemical factors have been studies in Masan Bay, the south sea of Korea, for the periods November 2003-October 2004. Concentration of $NH_4-N$ was always higher than that of $NO_3-N$, which was similar level as compared to other costal areas. $PO_4-P$ concentration was lower than those in other coastal areas but similar to oligotrophic environments. Thus, phosphate seems the limiting nutrient rather than nitrogen. $SiO_2-Si$ concentration was also low as compared to other costal areas. Si:P ratio was low from autumn to winter, suggesting silicate and/or phosphate limitation during this period. The cell density of phytoplankton was high in winter 2003 and early autumn 2004. The carbon biomass was high in winter 2003 and summer 2004. And chlorophyll-a concentration was high in late autumn 2003 and summer 2004. Among 78 species of phytoplankton found in the bay during the investigated period, dominant species were two diatoms of Cylindrotheca closterium, Skeletonema costatum, and three dinoflagellates of Heterocapsa triquetra, Prorocentrum minimum, P. triestinum, and one raphidophyte of Heterosigma akashiwo. P. minimum dominated from late autumn to winter, but it was replaced by H. triquetra in late winter. P. triestinum dominated from late spring to early summer. Simultaneously, H. akashiwo cell density steadily increased, and it became dominant with C. closterium in late summer. With decreasing of H. akashiwo and C. closterium, S. costatum became the most dominant species in autumn. The canonical analyses showed that total phytoplankton cell density related to diatom cell density and it was affected by temperature, and concentrations of $NO_3-N\;and\;PO_4-P$. The carbon bio-mass and $chlorophyll-{\alpha}$ concentration related to diatom- and dinoflagellate cell densities and these were affected by flagellate cell density, salinity, and concentrations of $SiO_2-Si\;and\;PO_4-P$. Last six years monitoring data in Masan city obtained from Korean Meteorological Agency indicates gradual increase in air temperature. And the precipitation decreased especially in spring season. The winter bloom found in 2003 may be caused by the increase in the temperature and this bloom subsequently induced the nutrients depletion, which continued until next spring probably due to no precipitation. Therefore, the spring bloom, which had been usually observed in the bay, might disappear in 2004.

A Study on Volume Reduction of Waste Sludge by Aerobic Thermophilic Bacteria (호기성 호열미생물에 의한 하수슬러지 감량화 효율에 관한 연구)

  • Bae, Yoon-Sun;Kim, Soon-Young;Nam, Duck-Hyun;Park, Chul-Hwi;Kim, Jin-Su;Takada, Kazu
    • Journal of Korean Society of Water and Wastewater
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    • v.19 no.4
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    • pp.497-505
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    • 2005
  • Domestic Sewage Treatment Plants are mostly based on biological treatment, in which large amounts of excess sludge are generated and occupy about 40 ~ 60% of the total sewage treatment costs. Several methods for sludge treatment has been so far reported as upgrading biodegradation of sludge; heat treatment, chemical treatment, including thermo-alkali and ozone, mechanical treatment including ultrasonic pulverization. But, it has a limitation in case of reducing the amount of excess sludge which are already producted. In this study, application of excess sludge reduction process using thermophilic aerobic bacteria for activated sludge was examined. The research was carried out two different stage. one for a biological wastewater treatment and the other for a thermophilic aerobic solubilization of the waste sludge. A portion of excess sludge from the wastewater treatment step was into the thermophilic aerobic sludge solubilization reactor, in which the injected sludge was solubilized by thermophilic aerobic bacteria. The solubilized sludge was returned to the aeration tank in the wastewater treatment step for its further degradation. Sludge solubilization reactor was operated at $63{\pm}2^{\circ}C$ with hydraulic retention time(HRT) of 1.5 ~ 1.7 day. Control group was operated with activated sludge process(AS) and experiment group was operated with three conditions(RUN 1, RUN 2, RUN3). RUN 1 was operated with AS without sludge solubilization reactor. RUN 2 were operated with AS with sludge solubilization reactor to examine correlation between sludge circulation ratio and sludge reduction ratio by setting up sludge circulation ratio to 3. RUN 3 was operated with sludge circulation ratio of 3 and MLSS concentration of 1,700~2,000mg/L to examine optimum operation condition. The quantity of excess sludge production was reduced sharply and in operation of RUN 3, sludge The quantity of excess sludge production was reduced sharply and in operation of RUN 3, sludge solubilization ratio and sludge reduction ratio were 53. 7%, 95.2% respectively. After steady state operation, average concentration of TBOD, SBOD, $TCOD_{Cr}$, $SCOD_{Cr}$, TSS, VSS, T-N, T-P of effluent were 4.5, 1.7, 27 .8, 13.8, 8.1, 6.2, 15.1, 1.8mg/L in the control group and were 5.6, 2.0, 28.6, 19.1, 9.7, 7.2, 16.1, 2.0mg/L in the experimental group respectively. They were appropriate to effluent standard of Sewage Treatment Plants.

Effects of Elevated Atmospheric $CO_2$ on Wetland Plants: A Review (대기중 이산화탄소 농도 증가가 습지 식물에 미치는 영향)

  • Kim, Seon-Young;Kang, Ho-Jeong
    • Korean Journal of Ecology and Environment
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    • v.36 no.4 s.105
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    • pp.391-402
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    • 2003
  • Last 20 years have witnessed many studies dealing with effects of elevated $CO_2$ on terrestrial ecosystems. However, fewer efforts have been made to elucidate effects on wetland ecosystems, although they play a key role in global biogeochemical cycles. This review synthesizes published data to reveal effects of elevated $CO_2$ on wetland plants. In particular, we focused on the changes in primary production, community structures, evapotranspiration, and nutrients in plants. Many studies have reported increases in primary production in individual plants, but we could not conclude that this will lead to increases in carbon sequestration in wetland ecosystems. The reasons include transport of photosynthates into belowground parts, speciesspecific responses, interaction among different species, and limitation of other nutrients. However, elevated $CO_2$ increased transpiration rates in many wetland plants, suggesting substantial influences on water budgets of wetlands. In addition, similar to terrestrial ecosystems, elevated $CO_2$ increased C/N ratio of many plants, which may impede organic matter decomposition in the long term. However, further information on dynamics of belowground carbon supplied from wetland plants is warranted to assess effects of elevated $CO_2$ on wetland carbon cycle accurately.

Self-Reported Halitosis and the Associated Factors in Adults (성인에서 구취인식도의 관련요인 분석)

  • Lee, Mi-Ra;Choi, Jun-Seon
    • Journal of dental hygiene science
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    • v.13 no.2
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    • pp.142-150
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    • 2013
  • The aim of this study was to analyze the factors related to self-reported halitosis. This study performed a questionnaire survey, targeting at 450 adults who lived in Seoul and Gyeonggi area. Main results of this study were as followings. Relationships between socio-demographic characteristics and halitosis showed no significant difference. Relationships between subjective oral health and halitosis, the groups that were treated dental prosthesis, aware of periodontal disease and dry mouth symptoms reported more halitosis (p<0.05). The group that brushed teeth less than twice a day, did not brush teeth after having a snack, and had frequent sweet treat reported more halitosis (p<0.05). The group that more experienced limitation, discomfort, discomfort reported more halitosis (p<0.05). Based on the results derived as above, the self-reported halitosis was shown to be related to periodontal disease, dry mouth, oral hygiene care and quality of life. Therefore, it is considered that preventing periodontal disease and oral dryness as well as reinforcing the oral hygiene care will contribute to prevention of halitosis and enhancement of quality of life.

Comparison of metal wire reinforcement and glass fiber reinforcement in repaired maxillary complete denture (상악 총의치 정중 파절 수리 시 금속선 및 유리섬유의 보강효과 비교)

  • Lee, Jung-Ie;Jo, Jae-Young;Yun, Mi-Jung;Jeon, Young-Chan;Jeong, Chang-Mo;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.4
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    • pp.284-291
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    • 2013
  • Purpose: This study compared fracture strength and fracture modes between metal wire reinforcement and glass fiber reinforcement in repaired maxillary complete denture. Materials and methods: In this study, fracture was reproduced on center of maxillary complete dentures and the denture was repaired with auto-polymerizing resin. The experimental groups (n = 10) were subjected to the following condition: without reinforcing material (control group), reinforcing with metal wire (W group), reinforcing with glass fiber pre-impregnated with light-curing resin (SES MESH, INNO Dental Co., Yeoncheon, Korea, G group). The fracture strength and fracture modes of a maxillary complete denture were tested using Instron test machine (Instron Co., Canton, MA, USA) at a 5.0 mm/min crosshead speed. The flexure load was applied to center of denture with a 20 mm diameter ball attachment. When fracture occurred, the fracture mode was classified based on fracture lines. The Kruskal-wallis test and the Mann-whitney U test were performed to identify statistical differences at ${\alpha}=.05$. Results: W group showed the highest value of fracture strength, there was no significant difference (P>.05) between control group and G group. Control group and W group showed anteroposterior fracture mainly, group W showed adhesive fracture of denture base and reinforcing material. Conclusion: In limitation of this study, the glass fiber did not improve the fracture strength of repaired maxillary complete denture, and adhesive failure was occurred along the lines of glass fiber.

Identification of CM1 as a Pathogenic Factor in Inflammatory Diseases and Cancer

  • Bae, Se-Yeon;Kim, Hyem-In;Yu, Yeon-Sil;Lee, Na-Eun;Kong, Joo-Myoung;Kim, Hang-Rae;Hwang, Young-Il;Song, Yeong-Wook;Kang, Jae-Seung;Lee, Wang-Jae
    • IMMUNE NETWORK
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    • v.11 no.3
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    • pp.175-181
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    • 2011
  • Background: CM1 (centrocyte/-blast marker 1) was defined by a mAb against concavabalin-A (ConA) activated PBMC. It is expressed in germinal center of human tonsil and on the surface of activated PBMC as well as cancer cells. Recently, increased productions of pro-inflammatory mediators were detected from activated PBMC by CM1 ligation. Methods: However, there is a limitation to explain the exact role of CM1 on inflammation and its related mechanisms, since the identity of CM1 is still not clarified. In our previous study, we have already confirmed that soluble form of CM1 was produced by Raji. Therefore, we performed Q-TOF analysis after immunoprecipitation of concentrated Raji culture supernatant using anti-CM1 mAbs. Results: As a result, we found that CM1 is identical to enolase-1(ENO1), a glycolytic enzyme, and we confirmed that results by silencing ENO1 using siRNA. It was also confirmed through competition assay between anti-CM1 and anti-ENO1 mAbs. Finally, we investigated the possible role of CM1 in inflammatory response and cancer. The ligation of CM1 on Raji cells with anti-CM1 mAbs induces the extensive production of prostaglandin $E_2(PGE_2)$. In addition, the increased activity of matrix metalloproteinase (MMP)-2/9 was shown in NCI-N87, stomach cancer cell line by CM1 stimulation. Conclusion: CM1 is identical to ENO1 and it might be an important role in the regulation of inflammatory responses.

Relationship of Self-Perceived Symptoms of Periodontal Disease to Quality of Life in Adults (일부 성인에서 치주질환 자각증상과 삶의 질의 관련성)

  • Lee, Mi-Ra;Choi, Jun-Seon
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.115-121
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    • 2012
  • The aim of this study was to investigate the correlations between the self-reported symptoms of periodontal diseases and the quality of life. This study conducted its questionnaire survey over the subjects of 450 adults who had ever visited dental clinics among the adults of age 35-65 living in Seoul and Gyeonggi-do region from January 7 to March 14, 2010. The data were analyzed using a chi-square test, t-test, binominal logistic regression analysis in the SPSS version 12.0 program. Among the self-reported symptoms of periodontal diseases, 65% of respondents perceived that 'I bleed from the gums in brushing my teeth', which was the most, whereas 18.8% of respondents perceived to 'tooth mobility', which was the least. Self-reported symptoms of periodontal diseases was associated with socio-demographic characteristics such as sex, age, level of education and periodic oral examination, dental scaling(p<0.05). People who perceived the symptoms of periodontal diseases experienced functional limitation, physical pain, psychological discomfort, disability in diverse domains, and social handicap more than the group who did not perceive them(p<0.001). OHIP-14 scores were significantly correlated with sex, bleeding gums, swollen gums and bad breath(p<0.05). This study showed the self-reported periodontal problem had a negative impact on the public's leading their happy life. Therefore, in order to enhance the quality of life in adults, it is necessary to prevent periodontal diseases and reduce the subjective symptoms.

Effect of $K^+-channel$ Blockers on the Muscarinic- and $A_1-adenosine-Receptor$ Coupled Regulation of Electrically Evoked Acetylcholine Release in the Rat Hippocampus

  • Yu, Byung-Sik;Kim, Do-Kyung;Choi, Bong-Kyu
    • The Korean Journal of Physiology and Pharmacology
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    • v.2 no.2
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    • pp.147-154
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    • 1998
  • It was attempted to clarify the participation of $K^+-channels$ in the post-receptor mechanisms of the muscarinic and $A_1-adenosine$ receptor- mediated control of acetylcholine (ACh) release in the present study. Slices from the rat hippocampus were equilibrated with $[^3H]$choline and the release of the labelled products was evoked by electrical stimulation (3 Hz, 5 V/cm, 2 ms, rectangular pulses), and the influence of various agents on the evoked tritium-outflow was investigated. Oxotremorine (Oxo, $0.1{\sim}10\;{\mu}M$), a muscarinic agonist, and $N^6-cyclopentyladenosine$ (CPA, $1{\sim}30\;{\mu}M$), a specific $A_1-adenosine$ agonist, decreased the ACh release in a dose-dependent manner, without affecting the basal rate of release. 4-aminopyridine (4AP), a specific A-type $K^+-channel$ blocker ($1{\sim}100\;{\mu}M$), increased the evoked ACh release in a dose-related fashion, and the basal rate of release is increased by 3 and $100\;{\mu}M$. Tetraethylammonium (TEA), a non-specific $K^+-channel$ blocker ($0.1{\sim}10\;{\mu}M$), increased the evoked ACh release in a dose-dependent manner without affecting the basal release. The effects of Oxo and CPA were not affected by $3\;{\mu}M$ 4AP co-treatment, but 10 mM TEA significantly inhibited the effects of Oxo and CPA. 4AP ($10\;{\mu}M$)- and TEA (10 mM)-induced increments of evoked ACh release were completely abolished in Ca^{2+}-free$ medium, but these were recoverd in low Ca^{2+}$ medium. And the effects of $K^+-channel$ blockers in low Ca^{2+}$ medium were inhibited by $Mg^{2+}$ (4 mM) and abolished by $0.3\;{\mu}M$ tetrodotoxin (TTX). These results suggest that the changes in TEA-sensitive potassium channel permeability and the consequent limitation of Ca^{2+}$ influx are partly involved in the presynaptic modulation of the evoked ACh-release by muscarinic and $A_1-adenosine$ receptors of the rat hippocampus.

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