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A Survey for Changed Control Policies of Hepatitis B in Republic of Korea (우리나라의 B형 간염 조절 정책의 변화에 대한 조사)

  • Han, Ji Yoon;Jung, Tae Woong;Koh, Dae Kyun;Kim, Jong Hyun
    • Pediatric Infection and Vaccine
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    • v.18 no.2
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    • pp.124-134
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    • 2011
  • Purpose : We have tried to search all concerning data on the policies of hepatitis B vaccination or surveillance of medical equipments that can transmit blood mediated diseases, including disposable syringe, in Republic of Korea, to propose references to other medical professionals. Methods : Data from domestic journals, government websites, computerized newspapers, etc. were reviewed. The data were arranged into four categories (governmental policies on hepatitis B control, hepatitis B mass immunization program in school, using process of hepatitis B vaccine, and policies on medical equipments surveillance, including disposable syringes, which is considered as source of blood mediated infection), and the periodic changes on each subjects in policies were reviewed. Results : Due to growing social concerns on hepatitis B in early 1980s, swift introduction and production of hepatitis B vaccine was made. After establishment of "5 year project for eradication of hepatitis B" in late 1983, number of vaccinated population jumped up to 6 million within 2 years (1984-85). However, since the immunization targets were mainly adult, not infant, this project was annulled in late 1985. Following this project, hepatitis B mass immunization program in school was carried out. In year 1995, hepatitis B vaccine was included in national immunization program. The use of disposable syringe was recommended from year 1980 but legislated in year 1985, finally. Conclusion : The mainstay in controlling hepatitis B in Republic of Korea was coordination of prompt introduction of vaccine, mass immunization, high vaccination coverage rate, or use of disposable syringes. However, since there is lack of official data available, it is urgent to arrange and computerize all government data related to infectious diseases.

Clinical Presentations and Causative Organisms in Children and Adolescents with Osteoarticular Infections: A Retrospective Study (소아청소년기에 발생한 골관절염의 임상 양상 및 원인균에 대한 고찰)

  • Lee, Soyoung;Kim, Han Wool;Cho, Hye-Kyung;Yun, Yoe Hon;Ryu, Kyung Ha;Kim, Kyung-Hyo
    • Pediatric Infection and Vaccine
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    • v.22 no.3
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    • pp.154-163
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    • 2015
  • Purpose: Osteoarticular infections in children and adolescents are important because it can cause functional compromise if appropriate treatment is delayed. Therefore, this study was designed to describe the clinical presentations and causative organisms of osteoarticular infections in children and adolescents in order to propose early diagnosis method and an appropriate empiric antimicrobial therapy. Methods: Forty-two medical records were reviewed retrospectively, which were confirmed as osteomyelitis (OM) or septic arthritis (SA) at Department of Pediatrics or Orthopedic Surgery in patients under 18 years old of Ewha Womans University Mokdong Hospital from March 2008 to March 2015. Results: We identified 21 cases of OM, 13 cases of SA and 8 cases of OM with SA. There were 31 males and 11 females and mean age was 7.1 years old. The most common symptoms were pain and tenderness of involved site. Major involved bones were femur (10 cases, 34.5%), tibia (7 cases, 24.1%) and major involved joints were hip (9 cases, 42.9%), and knee (5 cases, 23.8%). Increased serum C-reactive protein and erythrocyte sedimentation rate were observed in 37 cases (88.1%) respectively. Magnetic resonance imaging was performed in 40 cases among 42 cases and was used to demonstrate osteoarticular infections and other adjacent infections. Nine cases (23.7%) among 38 cases and 20 cases (50.0%) among 40 cases were positive in blood culture and infected site culture respectively. The most common causative organism was Staphylococcus aureus, which was represented in 22 cases (75.9%), of which nine cases (40.9%) were resistant to methicillin. Conclusions: S. aureus was the most common causative organism of osteoarticular infections in children and adolescents and the proportion of MRSA was high in this study. Therefore, we recommend vancomycin as the first empiric antimicrobial therapy and suggest that further study is necessary to elucidate an appropriate guideline for treatment which takes into account MRSA proportion.

Presence of Leukemia-maintaining Cells in Differentiation-resistant Fraction of K562 Chronic Myelogenous Leukemia (만성 골수성 백혈병 K562세포의 분화 내성 분획에서 백혈병 유지 세포의 동정)

  • Lee, Hong-Rae;Kim, Mi-Ju;Ha, Gahee;Kim, So-Jung;Kim, Sun-Hee;Kang, Chi-Dug
    • Journal of Life Science
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    • v.23 no.2
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    • pp.197-206
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    • 2013
  • The present study investigated whether leukemia-maintaining cells reside in a differentiation-resistant fraction using a megakaryocytic differentiation model of K562 cells. Treatment with phorbol-12-myristate-13-acetate (PMA) significantly inhibited the colony-forming efficiency of the K562 cells. At a PMA concentration of 1 nM or higher, colony was not formed, but approximately 40% of K562 cells still survived in soft agar. Approximately 70% of colony-forming cells that were isolated following the removal of PMA after exposure to the agent were differentiated after treatment with 10 nM PMA for 3 days. The differentiation rate of the colony-forming cells was gradually increased and reached about 90% 6 weeks after colony isolation, which was comparable to the level of a PMA-treated K562 control. Meanwhile, imatinib-resistant variants from the K562 cells, including K562/R1, K562/R2, and K562/R3 cells, did not show any colony-forming activity, and most imatinib-resistant variants were CD44 positive. After 4 months of culture in drug-free medium, the surface level of CD44 was decreased in comparison with primary imatinib-resistant variants, and a few colonies were formed from K562/R3 cells. In these cells, Bcr-Abl, which was lost in the imatinib-resistant variants, was re-expressed, and the original phenotypes of the K562 cells were partially recovered. These results suggest that leukemia-maintaining cells might reside in a differentiation-resistant population. Differentiation therapy to eliminate leukemia-maintaining cells could be a successful treatment for leukemia if the leukemia-maintaining cells were exposed to a differentiation inducer for a long time and at a high dose.

The Relationship between F-18-FDG Uptake, Hexokinase Activity and Glut-1 Expression in Various Human Cancer Cell Lines (다양한 사람 종양세포주에서 F-18-FDG의 섭취와 Hexokinase 활성 및 Glut-1 발현과의 상관관계)

  • Kim, Bo-Kwang;Chung, June-Key;Lee, Yong-Jin;Choi, Yong-Woon;Jeong, Jae-Min;Lee, Dong-Soo;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.4
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    • pp.294-302
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    • 2000
  • Purpose: To investigate the mechanisms related to F-18-FDG uptake by tumors, F-18-FDG accumulation was compared with glucose transporter-1 (Glut-1) expression and hexokinase activity in various human cancer cell lines. Materials and Methods: Human colon cancer (SNU-C2A, SNU-C4, SNU-C5), hepatocellular carcinoma (SNU-387, SNU-423, SNU-449), lung cancer (NCI-H522, NCI-H358, NCI-H1299), uterine cervical cancer (HeLa, HeLa 229, HeLa S3) and brain tumor (A172, Hs 683) cell lines were used. After 24 hr incubation of $5{\times}10^5$ cells, 37 kBq F-18-FDG was added and the uptake by cells at 10 min was measured using a gamma counter. Hexokinase activity was measured by continuous spectrophotometric rate determination. To measure mitochondrial hexokinase activity, mitochondrial fraction was separated by a high speed centrifuge. Immunohistochemical staining of Glut-1 was performed, and graded as 0, 1, 2, or 3 according to expression. Results: There was difference among F-18-FDG uptake, total and mitochondrial hexokinase activity, and Glut-1 expression with different cancer cell lines. The correlations of F-18-FDG with total hexokinase and mitochondrial hexokinase activity were low (r=0.27 and 0.26, respectively). Glut-1 expression showed a good correlation with F-18-FDG uptake (p=0.81, p=0.0015). Previously, we reported no correlation of F-18-FDG uptake with hexokinase activity in colon cancer cell lines. Thus, when colon cancer cells were excluded, F-18-FDG uptake showed higher correlation with total hexokinase and mitochondrial hexokinase activity (r=0.81, p=0.0027 and r=0.81, p=0.0049, respectively). Conclusion: Both Glut-1 expression and hexokinase activity were contributing factors related to F-18-FDG accumulation in human cancer cell lines. The relative contribution of Glut-1 expression and hexokinase activity, however, was different among different cancer cell types.

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A Study on the Tendency of Dose value According to Dose calibrator Measurement Depth and Volume (Dose calibrator 측정 깊이와 용량의 변화에 따른 선량 값의 성향에 대한 고찰)

  • Kim, Jin Gu;Ham, Jun Cheol;Oh, Shin Hyun;Kang, Chun Koo;Kim, Jae Sam
    • The Korean Journal of Nuclear Medicine Technology
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    • v.24 no.1
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    • pp.20-26
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    • 2020
  • Purpose It is intended to figure out the errors derived from changes in depth and volume when measuring the Standard source and 99mTc-pertechnetate by using a Dose calibrator. Then recommend appropriate measurement depth and volume. Materials and Methods As a Dose calibrator, CRC-15βeta and CRC-15R (Capintec, New Jersey, USA) was used, and the measurement sources were 57Co, 133Ba, 137Cs and 99mTc-pertechnetate was also adopted due to its high frequency of use. The Standard source was respectively measured the changes according to its depth without changing the volume, in a range of 0 cm to 15 cm from the bottom of the ion chamber. 99mTc-pertechnetate was measured at each depth by changing the volume with 0.1 mL, 0.3 mL, 0.5 mL, 0.7 mL and 0.9 mL Respectively. And the depth range was from 0 cm to 15 cm at the bottom of the ion chamber. Results In the case of Standard source 57Co, 133Ba, 137Cs and 99mTc-pertechnetate, there were significant differences according to the measurement depth(p<0.05). 99mTc-pertechnetate has a negative correlation coefficient according to the depth, and the error of the measured value was negligible at a depth from 0 cm to 7 cm at 0.3 mL and 0.5 mL, and the range of error increased as the volume increased. Conclusion In clinical practice, it is sometimes installed differently than the Standard depth recommended by the equipment company. If it's measured at the recommended depth and volume, it could be thought that unnecessary exposure of the operator and the patient will be reduced, and more accurate radiation exams will be possible in quantitative analysis.

An Assessment of Notice Exposure by Job and Dosimeter Parameters Setting in Automobile Press Factory (자동차 프레스 공정에 있어서 직무 및 누적소음기 설정치 차이에 따른 작업자의 소음노출 평가)

  • Jeong, Jee Yeon;Park, Seunghyun;Yi, GwangYong;Lee, Naroo;You, Ki Ho;Park, Junsun;Chung, Ho Keun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.11 no.3
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    • pp.190-197
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    • 2001
  • Noise-induced hearing loss(NIHL) was the highest rate (43.5%~58.5% from 1996 to 1998) of positive findings through specific medical program in Korea. There were much more NIHL at workers of automobile manufacturing factories than other manufacturing factories. The specific aim of the present study was to determine the noise exposure of automobile press lines, according to their job titles, press line types(auto, semiauto), dosimeter parameters setting. There were a total 11 press lines sampled at a automobile manufacturing company. Among those press lines, 10 press lines were autolines with acoustic enclosure, one semiauto press line was no aucostic enclosure Noise exposure data were sampled for an work shift using noise dosimeter, which recorded both time-weighted average(TWA) and 1-min average. The mean OSHA TWA(Korea TWA with threshold 90) was $80.7dB(A){\pm}4.7dB(A)$ for leader, $82.8dB(A{\pm}4.5dB(A)$ for pallette man, $76.7dB(A){\pm}4.3dB(A)$ for press operators, $76.6dB(A){\pm}5.6dB(A)$ for crane operators, $77.1dB(A){\pm}2.8dB(A)$ for forklift drivers, whereas the mean NIOSH TWA was $88.9dB(A){\pm}1.7dB(A)$ for leader, $89.6dB(A){\pm}2.1dB(A)$ for pallette man, $86.7dB(A){\pm}1.8dB(A)$ for press operators, $88.5dB(A){\pm}2.0dB(A)$ for crane operators, $87.7dB(A){\pm}1.0dB(A)$ for forklift drivers. While L10 for NIOSH TWA samples was 84.8 dB(A) ~ 87.3 dB(A), L10 for OSHA TWA samples was 69.5 dB(A) ~ 77.4 dB(A). L10 means that the TWA for 90% of the samples exceeded L10. Among OSHA TWA(Korea TWA with threshold 90) samples for pallette man, 7.7 % exceeded 90 dB(A), the OSHA permissible exposure level, but OSHA TWA samples for the other job titles didn't. Among NIOSH TWA samples, the samples over 85 dB(A), the NIOSH recommended exposure limit, was 100% (leaders), 83.3 %(operators), 97.4%(palletteman), 100%(forklift drivers), 91.7 %(crane operator). The results of One-way random effects analysis of variance models shows that the difference between job titles was significant by OSHA TWA(p<0.05), but not significant by NIOSH TWA(p>0.05). NIOSH TWA samples were significantly higher than OSHA TWA samples(P<0.05). Regression analysis was used to obtain relationships between OSHA TWA samples and NIOSH TWA samples. In this case the coefficient of determination = 0.90, which shows the high degree association between two methods. Regression equation, NIOSH TWA = 0.552 * OSHA TWA + 42.13 dB(A), shows that if OSHA TWA is known, NIOSH TWA can be predicted by the equation. The mean TWA difference between threshold 80 dBA and 90 dBA was significant(p<0.01). While the TWA noise exposures were 7.7% above the Korea(OSHA) PEL, they were more than 83.3% over NIOSH REL. Automobile workers were exposed to noise level that could be potentially damaging to their hearing. It found that there is approximately 25% excess risk of hearing loss even if a worker is protected to the PEL in according to NIOSH study.

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Early Growth of Sweet Pepper by Difference between Day and Night Temperature after Planting (정식 후 주야간온도차에 따른 착색단고추의 초기 생육)

  • Kim, Ho Cheol;Ku, Yang-Gyu;Lee, Yong Beom;Lee, Jeong Hyun;Choi, Joon Ho;Bae, Jong Hyang
    • Horticultural Science & Technology
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    • v.31 no.5
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    • pp.552-557
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    • 2013
  • This study was carried out to investigate the different DIF (day/night temperature differential) treatments on early growth of sweet pepper plants (Capsicum annuum L.) after planting. The DIF treatments were thus as follows. DIF levels are DIF-6 ($20-26^{\circ}C$) and DIF 0 ($23^{\circ}C$), DIF 3 ($24.5-21.5^{\circ}C$) and DIF 6 ($26-20^{\circ}C$). The DIF 3 and DIF 6 treatments significantly increased plant height of the sweet pepper plants during ten weeks after planting compared to DIF-6 and DIF 0. Leaf area per plant of DIF 3 treatment constantly increased and the level was greatest leaf area at ten weeks after planting. Fresh weight per plant treated with DIF-6 was lower and was reduced 74-77% range compared to other treatments. DIF 0 and DIF 3 treatments significantly affected dry weight and percentage of dry matter compared to DIF-6 and DIF 6. Especially DIF 6 treatment significantly decreased from eight weeks after planting. Percentage of dry matter of the leaf treated with DIF 0 and DIF 3 consistently increased from six weeks after planting, however, DIF-6 and DIF 6 treatments dramatically decreased from eight weeks after planting. High levels of DIF management cause growth retardant on early growth of sweet pepper plants, especially when night temperature is higher than day temperature, plants are indicated to be greater growth retardant.

Water Quality Improvement with the Application of Filter-feeding Bivalve (Corbicula leana Prime) in a Eutrophic Lake (참재첩을 이용한 부영양호의 수질개선)

  • Kim, Ho-Sub;Park, Jung-Hwan;Kong, Dong-Soo;Hwang, Soon-Jin
    • Korean Journal of Ecology and Environment
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    • v.37 no.3 s.108
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    • pp.332-343
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    • 2004
  • This study was conducted to test a possibility of water quality improvement using a filter-feeding bivalve (Corbicula leana). In mesocosm scale (width ${\times}$ length ${\times}$ depth: 3 m ${\times}$ 3 m ${\times}$ 0.5 m), we investigated the changes of dissolved nutrient and particulate matter including both abiotic and biotic seston. Short term (16 days) mesocosm experiment was conducted in two stages: the first stage for 8 days and consecutive 8 days of the second stage. Both treatment and control mesocosm were switched over by translocating mussels from the treatment mesocosm to the control, at 8th days since the start of the experiment. This design made it possible to compare mussel effect on the water quality change more clearly. The high mortality of mussel was observed in the treatment of the first stage, but it decreased rapidly and stabilized on the 8th day to less than< 4 ind $day^{-1}$. Chl. a concentration in the treatment mesocosm of the first and second stage decreased to 71 and 88% of initial concentration, respectively, and suspended solids decreased to 70 and 77%. At those times, average filtering rate were 0.46 and 0.61 mL AFDW $mg^{-1}$ $hr^{-1}$, respectively. Both $NH_3-N$ and dissolved total phosphorus (DTP) concentrations increased with the mussel mortality. $NH_3-N$ concentration was positively correlated with the mussel mortality, while DTP concentration showed negative correlation with it. After translocating mussel from the treatment to the control, $NH_3-N$ concentration significantly increased compared with that of initial control. Although DTP concentration also increased, there was no significant difference relative to that of initial control. These results suggest that application of this filter-feeding bivalve in a eutrophic reservoir could be a potential tool to improve water quality if mussels could acclimatize successfully in early stage of the introduction.

Studies on N-P-K Fertilizer Levels for Maximum Production of Grasses and Legumes on Hilly Land (산지에 있어서 주요 목초초종의 최대생산을 위한 N-P-K 시비 수준에 관한 실험)

  • 권순조;김문규;김용국;이인덕
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.4 no.2
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    • pp.98-107
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    • 1983
  • This experiment was carried out to determine the optimum fertilizer level of N-P-K for maximum yield of grasses at hill-land pasture. The pasture species tested were orchardgrass, tall fescue, alfalfa and ladino clover. The results are summarized as follows: 1. The difference in yield of treatment 1, 2, and 4, 5 was significant at the 5% level. In other word, alfalfa yields from 6-30-30 kg/10a and 6-40-30 kg/10a (N-P-K) application were significantly increased over the yields from 4-20-20 kg/10a and 4-30-20 kg/10a (N-P-K). In observing the yield from the treatment 5 where 10 kilograms of phosphate was additionally applied over the treatment 4, it was increased in yield but failed to show statistical significance. With these results, the most optimum rates of N-P-K for alfalfa production are 6-30-30 kg/10a. 2. Ladino clover showed the highest yield at treatment 6 with statistic significance at the 1 percent level over the other treatments. Therefore, NPK rates of 6-30-40 kg/10a would be the most optimal rates for maximum production of ladino clover. 3. Orchard grass yield showed significance at the 1 percent level among other treatments except treatment 3 and 4. The highest yield was also shown at treatment 6 where NPK rates applied 40-30-40 kg/10a. 4. Tall fescue yield showed high significance at the 1 percent except treatments between 2 and 3, 5 and 6. The highest yield was observed at treatment 6 where NPK was applied 40-30-40 kilograms per 10a. 5. Nitrogen content of dry matter was 0.91-1.05% in 20 kg of N and 1.05-1.26% in 30-40 kg of N per 10a. The absorption rate of nitrogen applied was 23-31% regardless of the nitrogen level. Potash content of dry matter was increased in accordance with increasing K rates. 6. The gross income was the highest on the N-P-K application of 4-20-30 kg/10a in alfalfa and ladion clover, 40-30-40 kg/10a in orchardgrass and 30-20-20 kg/10a in tall fescus.

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Effect of Environmental Factors on Sprout Germination, Growth, and Storage of Six Aster Species (쑥부쟁이속 6종의 새싹채소 발아, 재배 및 저장에 미치는 환경요인의 영향)

  • Kim, Ji Soo;Cho, Ju Sung;Lee, Cheol Hee
    • Horticultural Science & Technology
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    • v.33 no.5
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    • pp.638-646
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    • 2015
  • To increase the utility of seeds in plant resources, seeds of 6 Aster species(A. incisus, A. hayatae, A. koraiensis, A. scaber, A. spathulifolius, and A. yomena) were subjected to experiments to develop adequate methods for sprout production. To study optimum germination conditions, germination rates of the seeds were analyzed at different temperature (15, 20, 25, and $30^{\circ}C$) and light conditions. A longitudinal growth experiment was performed in dark conditions for 10 days. Seedlings, with optimum germination rate and longitudinal growth, were placed in the light for 0-3 days to seek the adequate greening periods. Sprouts grown under optimum environmental conditions were placed in vessels with or without ventilation, and stored under $4^{\circ}C$ and $10^{\circ}C$ to examine storage environment and period. As a result of this analysis, seeds were selected that germinated over 50% within 12 days. Longitudinal growth was promoted at $20-25^{\circ}C$, and optimum growth was obtained with 7-9 days. As greening days increased longitudinal growth was retarded, but orbital growth of radicles and cotyledons was promoted. Considering all these factors, greening treatment of 2 days showed the best results. In a storage ability experiment, the best result was achieved by storage in vessels without ventilation under $4^{\circ}C$. Ventilation prevented rotting of sprouts, but reduced moisture contents of sprouts. Most sprouts were fresh at $4^{\circ}C$ for 3-6 days. In particular, sprouts of A. hayatae and A. yomena had high keeping quality, and remained fresh over 3 days even at $10^{\circ}C$.