• 제목/요약/키워드: abuse and misuse

검색결과 84건 처리시간 0.028초

여성건강을 위한 개념적 모형 (Conceptual Model for Women s Health)

  • 이경혜
    • 대한간호학회지
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    • 제27권4호
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    • pp.933-942
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    • 1997
  • There has recently been an increased interest in women's health from, various disciplines, with different perspectives presented according to each profession's academic background. This has led to many instances of incorrectly defining, or misinterpretation, of the issues even among professionals. Nurse scholars as well as practitioners who work in women's health care need to have a clear conceptual understanding of women's health in order to build a body of knowledge, delineate curricular activities, and set directions for professional nursing interventions. In addition, a conceptual model that may be directly utilized in practice is needed to maintain and promote women's health issues. The purpose of this study was to apply a Hybrid model, analyzing conceptual definitions and discussions related to women's health gathered from review of the literature. Further to compare analyticals the concepts and properties observed from field work, so as to present a final definition of women's health and, build a conceptual framework for a united comprehensive perspective on the concept as well as on nursing practice. Data collection and analysis consisted of a theoretical stage, field work stage, and final analysis. A heterogeneous group of professionals and lay persons, 39 in all, participated in the field work. Study findings Include several subconcepts under the concept of women's health : a woman's whole life, holistic health, quality of life, awareness of being a woman, individual nursing, self care ability, reproductive health, and family health. Thus, a comprehensive definition was built, 1. e., "Women's health care be defined as improvement in the quality of life of women through attainment of holistic health throughout the life span. With reproductive health at the core, the concept is directly related to family and national health, and includes taking care of one's own health based on awareness of being a woman and utilizing self care activities. Women's health care issues are unique and allow various responses, therefore women's health professionals need to apply individual approaches to reach solutions in attaining holistic health and improving quality of life." The constructual factors of women's health were found to be reproductive functions, diseases more common in woman, self actualization, mental health, women's health policies, sexuality, midlife changes, and marital relations, with each factor having more than three properties. Positive factors affecting women's health were found to be a normal childbearing process, a healthy lifestyle, active health management, health information, support, and resources, and interpersonal relationships. Negative factors were found to be overwhelming role stress, cultural oppression, gender inequality, distorted sexual identity, economic difficulties, misuse and/or abuse of substances, and stress. The model of women's health may be visualized as a balance scale set upon a woman's life, supporting 4 concentric circles. The innermost circle and second circle incorporate conceptual definitions of women's health, and the outer two circles represent the constructional factors and properties of women's health. Each circle has its own color that symbolizes the conceptual meaning. Positive and negative factors are represented as weights at either end of the scale, and are affected by nursing intervention, i. e., health and wellness increase when positive factors are stronger, whereas disease and illness increase when negative factors are stronger. This model is only a preliminary effort and requires much discussion and testing to be further developed. Continuous research is also required.

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충북지역 노인들의 약물복용 및 영양상태 - I. 질병 및 약물복용실태- (Drug Consumption and Nutritional Status of the Elderly in Chung-Buk Area - I. Diseades and Drug Consumption-)

  • 한경희;김기남;박동연
    • 대한지역사회영양학회지
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    • 제3권1호
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    • pp.76-93
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    • 1998
  • Three hundred sixty-two(male 131, female 231) elderly aged over 65 in Chungb- uk area were interviewed to determine the disease states and drug usage patterns. The prebalence of disease was 78% and women reported more chronic diseases(83%) than men(71%). Elderly who live with spouse and have an occupation have a lower rate of disease. Average number of diseases of the elderly was $1.8\pm{1.1}$, and women$(2.1\pm{1.3)}$ have significantly higher average number of diseases than that of men$(1.4\pm{0.7)}$. Also the elderly in urban areas$(2.1\pm{1.4)}$ have significantly higher number of diseases than that of the elderly in rural areas$(1.6\pm{0.9)}$. Arthritis, hypertension, cardiovascular and gastric diseases were the most frequently listed chronic diseases in order for both men and women. Anemia and fracture of bone were relatively higher in women than in men. Particularly, the arthritis of the urban elderly have a rate of 1.5 times higher than that of the rural elderly. Fifty-two percent of the elderly were currently using drugs ; among drug users 71.2% used prescription drugs and 20.5% used nonprescription drugs. The average number taken per person was 2.1$\pm$1.4 and there was no sex or age difference. However, the elderly in rural areas $(2.7\pm{1.7)}$ consumed a significantly higher number of drugs than those in urban areas$(1.7\pm{0.7)}$. The average number of prescripti- on drugs taken was 2.0$\pm$1.4 while the average of nonprescription drugs taken was $(1.3\pm{0.6)}$. Analgesics and antihypertensive drugs were most commonly used. Vitamin and analgesics were the most frequently used self-prescribed drugs. It was noted that potential adverse drug interaction by concominant drug consumption for arthritis and antihypensive drug, abuse of digestants and antiacid without treatment of the underlying disease, and misuse of quick-acting bowel medications were problematic for the elderly. In addition drugs used for the elderly have some adverse effect on the digestive system. The types and composition of drugs used by the elderly were identified and presented. Medication compliance was poor and 13.5% reported adverse reactions such as edema, heartburn, nausea, and difficulty with eating. Seventeen percent of the elderly obtained drugs arranged by those other than medical staff. Also, even among those elderly who obtained drugs prescribed by a doctor, 69.1% of subjects had not receive instruction about potential adverse reactions. These results suggest that nutritional problems related to drug usage might exist and so dietitians, either individually or as members of health teams, need to have a better understanding of drug-nutrient interaction and closer supervision, and drug information/education service should therefore be provided to prevent or minimize adverse drug reaction in elderly users of medication.

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환경유래 젖소유방염 저감을 위한 우분뇨 탈수 시스템의 탈수 및 유방염 원인체 제균 효과 규명 (Dehydrating and bacterial elimination effects of fecal dehydrating system for reducing bovine mastitis derived from environmental contamination)

  • 김동혁;임정주;이진주;김대근;장홍희;이승주;이윤범;장동일;이후장;민원기;김상훈;오권영;김석
    • 대한수의학회지
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    • 제49권3호
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    • pp.257-263
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    • 2009
  • Bovine mastitis is an important disease causing serious economic loss in dairy production and food poison in public health. Escherichia coli and Staphylococcus aureus are the major causative agents of bovine mastitis. These bacteria were found in milk and environmental condition such as feces, water, soil and so on. Bovine mastitis causative micro-organisms can survive in 1-2 weeks in feces and bed complexes. Low level of percentage of water content (PWC) of feces and bed complexes can reduce the spreading of bovine mastitis incidence from environmental contamination. In this study, we developed the fecal dehydrating system and determined the elimination rates of bovine mastitis causative agent from feces and bed complexes. To develop the fecal dehydrating system, the screw pressurized dehydrating system was used and the maximum rate of dehydrating was reached to 52% PWC using 90% PWC (wet base) of fecal and bed complexes. The elimination rates of the dehydrating system for E. coli and S. aureus were reached at 41.19 $\pm$ 7.84% to 62.55 $\pm$ 8.71% in various percentages of PWC of feces and bed complexes (80, 85 and 90%). These results suggested that the application of fecal dehydrating system would reduce the exposure of dairy cattle to bovine mastitis causing agents contaminated feces and bed complexes, and can be used for environmental bovine mastitis control avoiding misuse or abuse of chemical disinfectants and antibiotics in dairy farm.

장옹(腸癰)에 있어서 종양(腫瘍).농양(膿瘍).궤양(潰瘍)의 진단(診斷)과 치료(治療)에 관(關)한 고찰(考察) ('Studies on diagnosis and Treatment of tumor.abscess.ulcer in intestinal carbuncle')

  • 한규언;류봉하;박동원;류기원;장인규
    • 대한한방내과학회지
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    • 제11권1호
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    • pp.93-107
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    • 1990
  • Studies on diagnosis and treatment of tumor . abscess . ulcer in intestinal carbuncle were carried out. The result of studies were summerized as follows: 1. By Nai-Gyung carbuncle-tumor arose from disharmony between nutrient and defensive because of cold, abscess arose from fever victory between cold and fever, ulcer arose from decreasing function of Bi-Kam year. By latter literature Bi-Kam year could be interpreted that spleen stomach was invaded evil influence from unattainable vital force of the earth. 2. Sites of intestinal carbuncle were large intestine, small intestine, intestinal inside or outside between large and small intestine, Intestinal carbuncle was common name of a disease about large intestinal carbuncle, small intestinal carbuncle, pelvic intestinal carbuncle, shrink leg intestinal carbuncle etc.. Pain appeared Chunchu-Hyul in large intestinal carbuncle, and Gwanweon-Hyul in small intestinal carbuncle. 3. On abdominal diagnosis tumor had indistinct pain of Gwanweon Chunchu, edema and heary feeling in low abdomen, no excessive pain by hand press and intestinal boiling sound. In abscess pain descended from right side of low abdomen to huckle, and there was rejection against press, feeling about fever,water sound with flank movement. In ulcer hand approach was difficult since excessive pain diffuse to whole abdomen, and perforating ulcer sometimes caused a serious symptom of umbilical pus. 4. On fecal and urinary diagnosis in tumor urine was yellowish red pollakiuria like gonorrhoea and occasional constipation. In abscess uncomfortable rough pain short red early urine like gonorrhoea appeared during urination, and constipation with stinging pain appeared during defecation. In ulcer red rough pyuria appeared, and stinging and pain with puruloid blood appeared during defecation. 5. On treatment in tumor Daiwhang-Tang Daisenggi-Tang Dangui-Jun by dissipation method, calming down method, interior reliance maturation method, in abscess Mokdan-San Euiiin-Tang Jeokduiin-Tang by the method of water repelling pus discharge, acute breaking, in ulcer Takridanggui-Tang Paljin-Tang Bojungikki-Tang were each used by the method of interior reliance, virulence astriction, supplement vital force and blood, supplement spleen stomach. 6. On treatment patient may have to be careful of excessive moving and suprising anxiety. Abuse of acupuncture and moxibustion made patient worse, misuse of analgesics purgative intestinal irrigation etc. could provoke difficult diagnosis and perforation. So you must treat after exact diagnosis. 7. Prognosis of ease tumor ease abscess ease ulcer and ease astriction was good. If the intestinal carbuncle were not to promote to abscess and ulcer for a long time, its prognosis was bad and it could metastasize to cancer because of dark purple with hardness. So tumor abscess ulcer in intestinal carbuncle may be significant of precancerous lesion.

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디지털시대의 개인정보보호 - 새로운 개인정보보호법을 중심으로 (Personal Information Protection in Digital Era -Reviewing Personal information protection Act-)

  • 유종락
    • 디지털융복합연구
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    • 제9권6호
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    • pp.81-90
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    • 2011
  • 오늘날 인터넷을 통한 전자상거래의 확대추세에 따라 인터넷을 기업의 마케팅수단으로 활용하는 기업이 급속도로 증가하고 있으며, 소비자도 인터넷을 물품구매의 일상화된 생활수단으로 이용하고 있다. 즉, 인터넷을 통한 전자상거래는 시 공간적으로 접근성에 제한이 없다는 장점이 있어 일반 소비자들뿐만 아니라 불특정 다수가 인터넷을 통하여 물품을 구매하거나 거래하는 전자상거래가 본격화되고 있으며 그 내용도 광고, 계약, 대금결제, 클레임처리 등 거래행위 전반으로 확대되고 있는 것이 현실이다. 정보화시대에 정보통신기술의 발전으로 인한 개인정보 침해문제는 모든 국가가 직면하고 있는 가장 큰 문제 중의 하나이다. 따라서 개인정보보호법은 정보인권을 보호하는 기본적인 법률 중의 하나로써 개인정보보호법은 정보화시대에 없어서는 안 될 법률인 것이다. 그런 의미에서 새로운 개인정보보호법은 개인정보 유출로 인한 국민의 피해를 최소화하고 정보사회에서 개인정보자기결정권을 보호하기 위한 다양한 내용들을 담고 있는 진일보한 법이라 할 것이다. 이러한 법제정을 통하여 끊임없이 발생하는 개인정보 유출사고가 줄어들어 국민의 개인정보 보호수준이 월등히 높아지고, 개인정보 관련 산업발전에도 크게 기여할 것으로 전망된다. 그러나 합리적인 개인정보 이용 및 보호 문화의 정착을 위한 사회구성원 모두의 적극적인 참여와 인식개선이 선행되어야 할 것이다. 개인정보보호법의 목적이 개인정보의 수집 유출 오용 남용으로부터 사생활의 비밀 등을 보호함으로써 국민의 권익을 증진하고 개인의 존엄과 가치를 보호할 수 있지만, 사생활의 비밀보호와 정보의 자유로운 흐름을 조화하는 역할도 수행하여야 하기 때문이다.

농약안전사용(農藥安全使用) 및 중독경험(中毒經驗)에 관(關)한 연구(硏究) (A Study on Safe use of Pesticides and Pesticidal Poisoning Among the Korean Farmers)

  • 이택구
    • 농촌의학ㆍ지역보건
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    • 제6권1호
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    • pp.13-24
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    • 1981
  • This study was conducted with 478 farm households located in Pyongtaek Gun of Gyonggi Do, Chongju City and Chongwon Gun of Chung Buk Do, and Hongchon Gun of Gangwon Do for the period of 10, September through 20, October 1980. It dealt with general features of the farmhouseholds, their practices of handling and using pescides, and relationship between safe use of pesticides and poisoning experiences. The results of the study are summarized as follows: 1. Of the total, 63.2% purchased pesticides mainly through the Agricultural Coops, and 95.4% transported them home separately from other goods. 2 Pesticides were sold contained mainly in glass bottles and paper bags. 3. Mixing of the respodents (87.5%) stored pesticides in sheds, warehouses and boxes. 4. Mixing containers and measuring tools were not used by the majority of the group studied. This indicates that there exist serious problems of safety and accuracy with regard to use of pesticides. 5. As to pesticide protective devices, gloves, respirators, goggles and boots were not used in general. Even in case of using them, their quality was not satisfactory. 6. Among the interviewees, 4.2% did not read pesticide label, 33.9% did not wash immediately when pesticide was spilled on the skin, 48.4% did not care the wind direction during pesticide application, and 17.0% did not wash hands when smoking a cigarette while pesticide is being handled. 7. Of the total, 40.4% were found to harvest vegetables within 10 days from the date of pesticide application, which indicates their unawareness of possible hazards by pesticide residues. 8. Empty pesticide containers or bags were not properly disposed of by majority of the respondents. Furthermore, impacts on the environment by the misuse or abuse of pesticides were not understood by 67.6% 9. Of the interviewees, 48.7% were found to have not received instructions on safe use of pesticides. 10. The rate of pesticidal poisoning experience was about 28.0% if minor symptoms excluded, and it rose to about 44.0% if included. Meanwhile, the rate of pesticidal poisoning tends to increase with the size of farm. 11. The study failed to show a statistically significant relationship between the rate of pesticidal poisoning and use of mixing container and/or measuring tools. However, use of gloves showed a statistical significance on the rate of pesticidal poisoning. 12. Among the poisoned cases, 19.0% were cared for in either hospitals or clinics.

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인터넷 신문기사로 본 민간요법 유해사례의 위험성 (Risk associated with Adverse Events of Folk Medicine Reported in the Internet News Articles)

  • 박정환;문수정;김성하;배은경;이상훈
    • 한국콘텐츠학회논문지
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    • 제15권1호
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    • pp.357-365
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    • 2015
  • 민간요법 유해사례란 예로부터 민간에 전해 내려오는 질병 치료법인 민간요법 사용 중에 발생되는 바람직하지 않거나 의도되지 않은 모든 불편감이다. 본 연구는 인터넷 뉴스기사를 통해 민간요법 유해사례의 형태와 위험성을 분석하고자 하였다. 인터넷트렌드(www.internettrend.co.kr)의 웹사이트 분석평가에 의한 점유율 상위 3개 포털 사이트인 네이버(NAVER), 다음(DAUM), 네이트(NATE)를 검색 대상으로 선정하여 최근 5년간(2009년 1월 1일부터 2014년 2월 28일까지) 민간요법 유해사례의 신문기사를 검색하였다. 총 973건의 신문기사가 검색되었고 18건이 포함기준에 만족되었다. 유해사례를 경험한 사람은 총 27명으로 연령은 4개월부터 76세까지이고, 남녀 모두에게 발생하였다. 2회 이상 반복적인 유해사례를 일으킨 민간요법으로는 독성 약재인 봉삼 또는 초오를 재료로 사용하여 복용한 요법, 피부에 외용하는 식초요법, 시술자에 의한 벌침 또는 부항요법이었다. 중대한 유해사례로서 사망이 11명이 있었으며 자신이 직접 복용한 1명을 제외하고는 모두 의료인이 아닌 무자격자의 시술에 의한 사망이었다. 국내에서 대중적인 민간요법은 인터넷 상에서 정보가 활발히 상호 교류되며 전문 의료인의 지도 없이 오, 남용되고 있는 것이 현실이다. 국민의 보건의료측면에서 국가나 의료계가 민간요법 유해사례에 대한 위험성 홍보 및 올바른 건강정보 제공 계획을 세우고 나아가 유해사례를 보고 및 감시하는 체계도 확립해야 할 필요성이 있음을 지적하는 바이다.

한국 무역기업집단의 전략적 의사결정과 기업성과 (The Strategic Decision-making and Its Impact on Corporate Performance in Korean Trading Conglomerates)

  • 전인우;박종돈
    • 통상정보연구
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    • 제13권3호
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    • pp.543-564
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    • 2011
  • 기업경영에 있어 전략적 의사결정과 기업성과는 독립적이지 않고 상호 밀접한 관계가 있다. 본 연구는 한국 5대 무역기업집단 (Big Five Trading Conglomerates)의 전략적 의사결정과 기업성과간의 상관관계를 실증적으로 고찰 하였다. 비록 외환위기 이후 한국기업체들의 전반적 경영변화에 대한 많은 연구가 있었지만 전략적 의사결정을 주제로 한 주목할 만한 연구는 없었다. 연구결과 첫째, 한국 5대 무역기업집단의 의사결정 과정에는, 예전과 비교 해 봤을 때, 주목할 만한 변화가 없었다. 둘째, 의사결정과정에서 최고경영진의 과도한 개업은 기업성과를 방해 하지 않는 것으로 나타났다. 위를 바탕으로 볼 때 한국 무역기업집단 내에서 의사결정권한이 지금도 일부 최고경영진에 집중되어 있음을 시사하며, 이는 조직 전반에 걸쳐 내재된 오랜 유교적 전통과 문화 때문인 것으로 판단된다. 셋째, 그러나 의사결정과정에 있어 이사회의 권한이 점점 더 중요해짐을 알 수 있었다. 마지막으로, 의사결정권자들은 자신들의 정치적 위치나 권력을 개인적 목적을 위해 오용 및 남용하지 않는 것으로 나타났다.

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조직 내 정보보안 행동 관련 윤리적 리더십과 협력적 커뮤니케이션의 영향: 신뢰 및 개인-조직 적합성 역할 (The Influence of Ethical Leadership and Collaborative Communication on IS Behavior in Organizations: The Role of Trust and Person-Organization Fit)

  • 황인호
    • 한국전자통신학회논문지
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    • 제18권3호
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    • pp.465-474
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    • 2023
  • 조직이 보유한 지식 자원의 효과적인 활용과 강력한 보호가 조직의 지속적 성장에 중요한 조건으로 인식되면서, 조직들은 정보관리 및 보호에 대한 기술적, 정책적 투자를 지속해서 높이고 있다. 정보 노출은 해킹과 같은 조직 외부의 침입과 더불어 내부자의 오남용과 관련된 사건으로도 발생할 수 있다. 본 연구는 조직원의 정보보안 참여 행동의 증진 관점에서의 조직 환경과 개인 특성을 고려한 메커니즘을 제안한다. 즉, 조직 환경요인(윤리적 리더십, 협력적 커뮤니케이션)과 개인 요인(개인조직 적합성)이 조직 신뢰 및 제언 행동에 미치는 영향을 복합적으로 제시한다. 본 연구는 정보보안이 포함된 업무적 행동을 요구받는 직장인을 대상으로 설문하였으며, 422개의 표본을 활용하여 가설 검증을 하였다. 결과는 윤리적 리더십이 협력적 커뮤니케이션을 통해 조직 신뢰에 영향을 주었으며, 조직 신뢰는 개인조직 적합성과 상호작용 효과를 가져 제언 행동을 강화하였다. 본 연구는 직장인이 정보보안 관련 업무 수행 증진을 위한 조직 환경 구축 방향을 제언하였으므로, 내부의 정보 노출 억제 목표를 가진 조직에 실무적 시사점을 제공한다.

Streptococcus parauberis의 디스크 확산법 결과에 대한 Epidemiological Cut-off Value의 설정 (Epidemiological Cut-off Values Generated for Disc Diffusion Data from Streptococcus parauberis)

  • 천원경;이윤항;김윤재;노형진;김아란;김남은;서정수;권문경;이지훈;김도형
    • 한국수산과학회지
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    • 제52권4호
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    • pp.382-388
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    • 2019
  • Streptococcosis caused by Streptococcus parauberis is a very important disease in farmed olive flounder Paralichthys olivaceus. For most fish pathogens, including S. parauberis, there are no analytical criteria to distinguish antibioticsusceptible strains from antibiotic-resistant strains. In this study, epidemiological cut-off ($CO_{WT}$) values were generated to classify 75 strains of S. parauberis isolated from 1999 to 2018 as wild type (WT) and non-wild type (NWT) using disc diffusion data and normalized resistance interpretation (NRI) analysis. The susceptibility of the isolates to 16 antibiotics was evaluated using CLSI guideline M42-A. The wild-type cut-off values for amoxicillin, erythromycin, oxytetracycline, and florfenicol for S. parauberis were ${\geq}35$, 31, 28, and 27 mm, respectively. The NWT ratios of S. parauberis strains to treatment with GEN, FFC, ENR, SXT, EFT, VAN, and CHL were 17% or less, indicating that these antibiotics may be used to treat streptococcosis caused by S. parauberis. For recent S. parauberis isolates, the NWT ratios for AMX, ERY, OTC and FFC are much higher than for strains isolated from 1999-2007. The $CO_{WT}$ data from this study will assist aquatic animal disease professionals in prescribing appropriate antibiotics for the treatment of streptococcosis caused by S. parauberis, which will help reduce the misuse and abuse of antibiotics in the aquaculture sector.