• 가정∙방문간호학회지
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• 제26권1호
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• pp.51-63
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• 2019

Purpose: The objective of this study was to investigate mothers' perception of antibiotic use for their children. Methods: A cross-sectional survey was conducted of a convenient sample of 210 mothers who visited the two pediatric hospitals in D city. Descriptive statistics, t-test, analysis of variance, Kruskal-Wallis test, Mann-Whitney U test, and Pearson correlation coefficients with SPSS WIN 24.0 were used to analyze the data. Results: The perception of mothers on antibiotic use for their children was relatively low (3.28/5) and showed a statistically significant difference based on the mothers' educational background (${\chi}^2=15.30$, p<.001). About 57-77% of participants discontinued or reduced the dosage of the antibiotics if their children's symptoms were relieved, and about 60% of them perceived that antibiotics treat viral infections. Mothers' adherence to specific doses of antibiotics in their children was positively correlated with their knowledge and beliefs (r=.17, p=.014) and their attitude regarding the use of antibiotics (r=.17, p=.014). Only 1.4% of the participants had educational experience regarding the correct use of antibiotics. Conclusion: Based on the results, it can be concluded that an educational program for mothers should be developed and to verify its effects in order to induce proper use of antibiotics among mothers.

• Animal Bioscience
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• 제35권8호
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• pp.1109-1120
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• 2022

Antibiotics used to be supplemented to animal feeds as growth promoter and as an effective strategy to reduce the burden of pathogenic bacteria present in the gastro-intestinal tract. However, in-feed antibiotics also kill bacteria that may be beneficial to the animal. Secondly, unrestricted use of antibiotics enhanced the antibiotic resistance in pathogenic bacteria. To overcome above problems, scientists are taking a great deal of measures to develop alternatives of antibiotics. There is convincing evidence that probiotics could replace in-feed antibiotics in poultry production. Because they have beneficial effects on growth performance, meat quality, bone health and eggshell quality in poultry. Better immune responses, healthier intestinal microflora and morphology which help the birds to resist against disease attack were also identified with the supplementation of probiotics. Probiotics establish cross-feeding between different bacterial strains of gut ecosystem and reduce the blood cholesterol level via bile salt hydrolase activity. The action mode of probiotics was also updated according to recently published literatures, i.e antimicrobial substances generation or toxin reduction. This comprehensive review of probiotics is aimed to highlight the beneficial effects of probiotics as a potential alternative strategy to replace the antibiotics in poultry.

• Biomolecules & Therapeutics
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• 제31권2호
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• pp.141-147
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• 2023

Antibiotic resistance has emerged as a global threat to modern healthcare systems and has nullified many commonly used antibiotics. β-Lactam antibiotics are among the most successful and occupy approximately two-thirds of the prescription antibiotic market. They inhibit the synthesis of the peptidoglycan layer in the bacterial cell wall by mimicking the D-Ala-D-Ala in the pentapeptide crosslinking neighboring glycan chains. To date, various β-lactam antibiotics have been developed to increase the spectrum of activity and evade drug resistance. This review emphasizes the three-dimensional structural characteristics of β-lactam antibiotics regarding the overall scaffold, working mechanism, chemical diversity, and hydrolysis mechanism by β-lactamases. The structural insight into various β-lactams will provide an in-depth understanding of the antibacterial efficacy and susceptibility to drug resistance in multidrug-resistant bacteria and help to develop better β-lactam antibiotics and inhibitors.

• 농촌의학ㆍ지역보건
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• 제18권2호
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• pp.105-119
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• 1993

The purpose of this study was to evaluate the program for the control of acute respiratory infections(ARI) in children in a Korean rural area(Yonchon county). Evaluating the program, we focused on the pattern of prescription and appropriateness of antibiotics prescribed by the health personnel who had participated in the ARI Control Program. It was implemented at the primary health care setting in rural area, such as district hospital, health subcenters, and health posts. During six-months programme monitoring period, medical records were reviewed and collected data were analysed by the pediatrician, research coordinator of this study. The baseline data were collected from medical records of the same period(six months) of one year before the implementation of the ARI programme. The study results were as follow : 1. Common cold was the most prevalent disease(78.7%. 594 cases) among the all ARI cases (755 cases). The less frequent cases were bronchitis(11.9%), acute pharyngitis(5.2%), and pneumonia(1.8%). 2. Significant reduction in the use of antibiotics was observed after the programme implementation. Ninety three(15.7%) of 594 common cold cases were received antibiotics compared with 282(35.2%) of 802 in the baseline period. In the cases of bronchitis and acute pharyngitis, the reduction rates were 15.1% and 23.2% respectively compared to the baseline period. 3. Mean duration of antibiotics prescription was 1.81-1.75 days, similar to the baseline data. 4. The appropriateness rate of antibiotics prescriptions were 84.3%(common cold), 35.6% (bronchitis) and 28.2%(acute pharyngitis). In the case of pneumonia, the antibiotics prescription was compatible to the criteria developed. 5. Pediatrician prescribed antibiotics more appropriately for all cases than general practitioners in health sub-center, and nurse practitioners in health posts. 6. Antibiotics therapy was shown to be of no effect in the treatment of the all ARI cases. At the 5 and 10 days check-up of common cold cases after visits, proportion of improved patients were 58.3% in the antibiotics-used group and 51.4% in the control group. In the other cases of ARI, the patterns of response were similar to common cold. None of the differences in outcome between the antibiotics-used and control group was statistically significant. This ARI programme may have substantial a substantial impact on antibiotics use at the public health institutions(district hospital, health subcenters, health posts) which are of major domain for primary health care in Korean rural areas.

• Restorative Dentistry and Endodontics
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• 제15권1호
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• pp.16-19
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• 1990

This study was designed to compare the Antimicrobial effect of the several antibiotics on anaerobes. After Bacteroides gingivalis was streaked on the surface of Blood agar plates, antibiotic discs were applied and cultured 5 days anaerobically. Following results were obtained 1. All of the examined antibiotics had antimicrobial activity with varying degree. 2. The antimicrobial activity of Clindamycin and Tetracycline was larger than any other antibiotics. Vancomycin showed the lowest activity. Erythromycin and Ampicillin showed the moderate antimicrobial activity. (P<0.05)

• 약학회지
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• 제28권1호
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• pp.25-27
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• 1984

Some $\betha$-lactam antibiotics-penicillins and cephalosporins-were determined by gas chromatography (GC) with flame photometric detector (FPD) which was selective and sensitive to sulfur-containing compounds. Methyl ester derivatives of carboxyl group in $\betha$-lactam antibiotics were prepared using 0.5Mmethyl iodide in methylene chloride and were taken for gas chromatography with 0.9% or 0.6% QF-1 on Chromosorb WAW-DMCS. We have found that it is possible to determine methyl esters of $\betha$-lactam antibiotics by GC/FPD.

• 한국축산식품학회지
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• 제30권3호
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• pp.504-511
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• 2010

본 연구는 복합생균제(Lactobacillus casei, Bacillus subtilis, Saccharomyces cerevisiae, Aspergillus oryzae, Streptomyces griseus)와 항생제 급여가 육계의 생산성 및 육질에 미치는 영향을 구명하고자 수행하였다. 사양시험 1에서, 생균제 첨가수준은 0.1, 0.3, 0.5% 첨가구중에서 0.3% 첨가구가 일당증체량, 사료요구율, 도계율에서 가장 우수한 결과를 나타내어 적정첨가수준으로 판단되었다. 생균제와 항생제 첨가수준을 달리한 사양시험 2에서는 항생제(oxytetracycline) 100%만을 첨가한 처리구에서 일당증체량과 사료요구율이 가장 우수한 것으로 나타났으나, 복합생균제 0.3%를 첨가한 대신 항생제 수준을 50%로 낮춘처리구에서도 타 처리구에 비해 우수한 일당증체량과 사료요구율을 나타내었고, 도계율은 가장 높은 경향이었다. 복합생균제 0.3%와 항생제 50%를 혼합첨가한 처리구의 육질특성에서도 전단력이 다소 높은 것을 제외하고는 일반성분, pH, 보수력과 육색에서는 큰 차이가 없었다. 그 외 항생제 100%만을 첨가한 처리구에 비해 복합생균제 0.3%와 항생제수준을 50%로 낮춰 첨가한 처리구에서 맹장 내 E. coli와 Salmonella균의 성장억제경향이 관찰되었으며, 혈액 내 총 콜레스테롤 수치와 고밀도 콜레스테롤 수치의 감소경향도 나타나 저항생제 수준의 고품질 닭고기 생산에 적합한 사양방법으로 사료되었다. 그 외 계육내 잔류 항생물질 분석에서 항생제 100% 처리구에서는 0.1 ppm 수준을 보였으나, 생균제 0.3%와 항생제 50% 복합처리구에서는 잔류항생물질을 40% 수준으로 낮출 수 있음을 확인할 수 있었다.

• Tuberculosis and Respiratory Diseases
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• 제83권1호
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• pp.81-88
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• 2020

Background: Use of appropriate antibiotics for the treatment of pneumonia is integral in patients admitted to intensive care units (ICUs). Although it is recommended that empirical treatment regimens should be based on the local distribution of pathogens in patients with suspected hospital-acquired pneumonia, few studies observe patients admitted to ICUs with nursing home-acquired pneumonia (NHAP). We found factors associated with the use of inappropriate antibiotics in patients with pneumonia admitted to the ICU via the emergency room (ER). Methods: We performed a retrospective cohort study of 83 pneumonia patients with confirmed causative bacteria admitted to ICUs via ER March 2015-May 2017. We compared clinical parameters, between patients who received appropriate or inappropriate antibiotics using the Mann-Whitney U, Pearson's chi-square, and Fisher's exact tests. We investigated independent factors associated with inappropriate antibiotic use in patients using multivariate logistic regression. Results: Among 83 patients, 30 patients (36.1%) received inappropriate antibiotics. NHAP patients were more frequently treated with inappropriate antibiotics than with appropriate antibiotics (47.2% vs. 96.7%, p<0.001). Methicillin-resistant Staphylococcus aureus was more frequently isolated from individuals in the inappropriate antibiotics-treated group than in the appropriate antibiotics-treated group (7.5% vs. 70.0%, p<0.001). In multivariate analysis, NHAP was independently associated with the use of inappropriate antibiotics in patients with pneumonia admitted to the ICU via ER. Conclusion: NHAP is a risk factor associated with the use of inappropriate antibiotics in patients with pneumonia admitted to the ICU via the ER.

• Molecules and Cells
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• 제20권1호
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• pp.1-16
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• 2005

The peptidyl transferase center (PTC) is located in a protein free environment, thus confirming that the ribosome is a ribozyme. This arched void has dimensions suitable for accommodating the 3'ends of the A-and the P-site tRNAs, and is situated within a universal sizable symmetry-related region that connects all ribosomal functional centers involved in amino-acid polymerization. The linkage between the elaborate PTC architecture and the A-site tRNA position revealed that the A-to P-site passage of the tRNA 3'end is performed by a rotatory motion, which leads to stereochemistry suitable for peptide bond formation and for substrate mediated catalysis, thus suggesting that the PTC evolved by genefusion. Adjacent to the PTC is the entrance of the protein exit tunnel, shown to play active roles in sequence-specific gating of nascent chains and in responding to cellular signals. This tunnel also provides a site that may be exploited for local co-translational folding and seems to assist in nascent chain trafficking into the hydrophobic space formed by the first bacterial chaperone, the trigger factor. Many antibiotics target ribosomes. Although the ribosome is highly conserved, subtle sequence and/or conformational variations enable drug selectivity, thus facilitating clinical usage. Comparisons of high-resolution structures of complexes of antibiotics bound to ribosomes from eubacteria resembling pathogens, to an archaeon that shares properties with eukaryotes and to its mutant that allows antibiotics binding, demonstrated the unambiguous difference between mere binding and therapeutical effectiveness. The observed variability in antibiotics inhibitory modes, accompanied by the elucidation of the structural basis to antibiotics mechanism justifies expectations for structural based improved properties of existing compounds as well as for the development of novel drugs.

• 한국건축시공학회지
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• 제5권3호
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• pp.75-82
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• 2005

Sewage facilities are positively necessary for environment improvement such as rainwater removal, sewage disposal, preservation of the quality of water and health of the citizens in present-day. Meanwhile, a deterioration of the concrete sewer pipe is increasing rapidly due to the chemical and physical attack and especially biochemical attack that is to say biodeterioration. So, in advanced countries, prediction techniques and corrosion inhibition system for sewer concrete are developed and are being applied. Also, antibiotics were developed already but application of that is low because it is not economical and has no practical use. But, in domestic, countermeasures for the corrosion of sewage concrete are not sufficient and biochemical attack is not reflected in those essentially. In this study, to prevent biochemical corrosion of the sewer concrete, surface of the concrete was spread with liquefied inorganic antibiotics and then its engineering properties were experimentally investigated. As a result, compressive strength of the specimen spread with antibiotics were similar to those of non spread, Both bond strength and abrasion amount of the specimen spread with antibiotics were inferior to non spread. Properties of absorption and air permeability of the specimen spread with antibiotics were superior to non spread. Finally, carbonation depth, chloride ion penetration depth and weight change ration of the specimen spread with antibiotics were smaller than non spread.