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Knowledge and Compliance Level of the Multi-drug resistant Organisms of ICU nurses (중환자실 간호사의 다제내성균 감염관리 지식과 이행도)

  • Shon, Joung-A;Park, Jin Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.280-292
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    • 2016
  • This descriptive survey assessed knowledge of intensive care unit (ICU) nurses regarding compliance with infection control for six kinds of multi-drug resistant organisms to assist in development of effective intervention strategies. Participants included 210 nurses working in the ICUs of general hospitals who completed a structured questionnaire. The results showed that the nurses' knowledge level and infection control compliance was 10.54 and 3.39 for MRSA; 11.25 and 3.69 for VRE; and 9.60 and 3.49 for CRGNB, respectively[ED highlight - consider providing additional information to describe what these values indicate.]. Knowledge regarding MRSA infection control differed significantly based on age, clinical experience, and experience as a trainee, while compliance with MRSA infection control differed based on age. Knowledge regarding VRE infection control was significantly different based on academic qualification level, experience as a trainee, and whether guidelines existed, while compliance with VRE infection control differed based on academic qualification level and the presence of an isolation environment. Knowledge regarding CRGNB infection control differed significantly based on academic qualification level and experience as a trainee, while compliance with CRGNB infection control differed based on the presence of an isolation environment. Thus, intervention strategies should include education programs for enhancing ICU nurse' knowledge regarding strategies for creating isolation environments.

$\small{D}$-Lactic Acid Production by Sporolactobacillus inulinus Y2-8 Immobilized in Fibrous Bed Bioreactor Using Corn Flour Hydrolyzate

  • Zhao, Ting;Liu, Dong;Ren, Hengfei;Shi, Xinchi;Zhao, Nan;Chen, Yong;Ying, Hanjie
    • Journal of Microbiology and Biotechnology
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    • v.24 no.12
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    • pp.1664-1672
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    • 2014
  • In this study, a fibrous bed bioreactor (FBB) was used for $\small{D}$-lactic acid ($\small{D}$-LA) production by Sporolactobacillus inulinus Y2-8. Corn flour hydrolyzed with ${\alpha}$-amylase and saccharifying enzyme was used as a cost-efficient and nutrient-rich substrate for $\small{D}$-LA production. A maximal starch conversion rate of 93.78% was obtained. The optimum pH for $\small{D}$-LA production was determined to be 6.5. Ammonia water was determined to be an ideal neutralizing agent, which improved the $\small{D}$-LA production and purification processes. Batch fermentation and fed-batch fermentation, with both free cells and immobilized cells, were compared to highlight the advantages of FBB fermentation. In batch mode, the $\small{D}$-LA production rate of FBB fermentation was 1.62 g/l/h, which was 37.29% higher than that of free-cell fermentation, and the $\small{D}$-LA optical purities of the two fermentation methods were above 99.00%. In fe$\small{D}$-batch mode, the maximum $\small{D}$-LA concentration attained by FBB fermentation was 218.8 g/l, which was 37.67% higher than that of free-cell fermentation. Repeate$\small{D}$-batch fermentation was performed to determine the long-term performance of the FBB system, and the data indicated that the average $\small{D}$-LA production rate was 1.62 g/l/h and the average yield was 0.98 g/g. Thus, hydrolyzed corn flour fermented by S. inulinus Y2-8 in a FBB may be used for improving $\small{D}$-LA fermentation by using ammonia water as the neutralizing agent.

A Study on the high-speed Display of Radar System Positive Afterimage using FPGA and Dual port SRAM (FPGA와 Dual Port SRAM 적용한 Radar System Positive Afterimage 고속 정보 표출에 관한 연구)

  • Shin, Hyun Jong;Yu, Hyeung Keun
    • Journal of Satellite, Information and Communications
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    • v.11 no.4
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    • pp.1-9
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    • 2016
  • This paper was studied in two ways with respect to the information received from the video signal separation technique of PPI Scop radar device. The proposed technique consists in generating an image signal through the video signal separation and synthesis, symbol generation, the residual image signal generation process. This technology can greatly improve the operating convenience with improved ease of discrimination, screen readability for the operator in analyzing radar information. The first proposed method was constructed for high-speed FPGA-based information processing systems for high speed operation stability of the system. The second proposed method was implemented intelligent algorithms and a software algorithm function curve associated resources.This was required to meet the constraints on the radar information, analysis system. Existing radar systems have not the frame data analysis unit image. However, this study was designed to image data stored in the frame-by-frame analysis of radar images with express information MPEG4 video. Key research content is to highlight the key observations expresses the target, the object-specific monitoring information to the positive image processing algorithm and the function curve delays. For high-definition video, high-speed to implement data analysis and expressing a variety of information was applied to the ARM Processor Support in Pro ASIC3.

Association of Health Perception and Health Promoting Behavior to Attitudes about Child with Asthma in Pre-service Elementary Teachers (예비초등교사의 건강지각, 건강증진행위 및 천식아동에 대한 태도간의 관계)

  • Moon, So-Hyun;Cho, Hun Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.485-492
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    • 2017
  • This study was conducted to identify the preservice teacher's health perception and health promoting behavior, and attitudes towards children with asthma, as well as to examine the relationship between these variables and the influencing factors. The participants were 329 third and fourth grade students from the national university of education in G city. The data were analyzed using Pearson correlation coefficients, t-test, ANOVA, Scheffe test, and multiple regression with SPSS/WIN 23.0. The score for the participants' health perception was 2.85 out of a possible 4, health promoting behavior about 2.49 out of a possible 4, and their score for attitude towards asthma was 3.67 points of a possible 5. The health perception and health promoting behavior showed a positive correlation with the attitudes about child with asthma. Interpersonal relations and health perception and grade had a significant influence on the attitudes about child with asthma. These variables accounted for 12.2% of the attitudes about child with asthma. The results highlight the need for intervention strategies to enhance the health promoting behavior and health perception.

A Study on Sexual Attitude, Autonomy and Harassment Experience of College Students (대학생의 성 태도, 성적 자율성 및 성희롱 경험에 관한 연구)

  • Kim, Soon-Gu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.223-231
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    • 2017
  • The purpose of this study was to determine the relationships among sexual attitudes, autonomy, and harassment experience and to find out how each factor affects the sexual attitudes of college students. The subjects were 236 college students in D city. The data were collected from September 3 - 8, in 2015 using a structured questionnaire. The data were analyzed using the SPSS WIN 18.0 program. For data analysis, a Mann-Whitney U-test, Kruskal-Wallis test, Pearson's correlation coefficients, and multiple regression analysis were carried out. The results are as follows. First, the average scores of sexual attitude, sexual autonomy, and sexual harassment experience were 4.01, 1.95, and 0.95 points, respectively. Second, the individual characteristics in sexual attitude were significantly different in gender (U=2124.50, p=0.000) and department (U=5741.00, p=0.026), sexual autonomy were considerably different in gender (U=2529.50, p=0.001) and satisfaction with personal relationships ($X^2=9.46$, p=0.009), and sexual harassment experience were significantly different in the department (U=5604.00, p=0.007). Third, a positive relationship was observed between the sexual attitudes and sexual autonomy (r=0.517, p<0.01). Sexual autonomy was found to influence the sexual attitudes (${\beta}=0.46$, p<.001). These results highlight the need to develop sex education programs in various situations for college students and that sex education should be implemented constantly.

Sexual Behaviors and Sexual Experience of Adolescents in Korea (한국 청소년의 성 행태와 성 경험)

  • Lee, Gyuyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.71-80
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    • 2016
  • Purpose: The aim of this study was to identify sexual experiences and associated factors among middle and high school students in Korea. Methods: Data were analyzed from 74,186 participants who completed the 2012 Korea Youth Risk Behavior Web-based Survey. Descriptive statistics were used to identify the condition of sexual behavior, and a complex sample logistic regression was used to examine the factors related to sexual behavior. Results: Data showed that 4.3% of adolescents had engaged in sexual intercourse (5.9% of males and 2.6% of females). According to the logistic regression analysis for complex samples, the school level, socioeconomic status, experience of part time work, and living with parents, were all factors associated with the decision to engage in sexual intercourse among boys and girls. In particular, sex education in schools was associated with a reduced risk of sexual intercourse. Conclusion: The results of this study highlight the importance of developing a program that focuses on enhancing sex education and promoting refusal and better decision-making skills in order to effectively reduce the likelihood of sexual experience among adolescents in Korea.

Landscape Preference and Image Property according to Middle Span and Sag Ratio of the Suspension Bridge (현수교의 중앙경간과 새그비에 따른 경관선호도와 이미지특성 분석)

  • Jang, Young-Ju;Son, Seung-Neo;Kum, Ki-Jung;Oh, Heung-Un
    • International Journal of Highway Engineering
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    • v.13 no.1
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    • pp.1-11
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    • 2011
  • This study is aimed at suggesting a plan for creating a landscape environment by grasping a landscape preference according to the change of middle span and sag ratio which is a consideration factor when designing the suspension bridge representing long-span bridges and image property of the bridge while applying SD method to a relation between landscape preference and image factor, and a connection of design element with image factor. An analysis on landscape preference about the bridge landscape showed from what the longer the length of middle span, the extent of sag ratio of preference decreased, the longer the middle span low sag ratio was preferred and the higher the landscape preference became. In landscape preference and image factor, the attribute of sag ratio with high landscape preference was all positively correlated with "stability", "plasticity", and "aesthetic" but an influence of "plasticity" was insignificant. In the relation between design element and image factor, the factor of middle span and sag ratio was more related to the factor of "stability" and the lower the sag ratio and the longer the middle span, the higher the "stability" was rated. This result showed the image property of "plasticity" was insignificant among the one of preference in landscape and to highlight the one of "plasticity" a complementary experiment was done with a change in balance and symmetry elements not in proportional element of middle span and sag ratio. The result showed the image property of "plasticity" was more highlighted in the suspension bridge of 3-tower and different bilateral symmetry at sag, and when designing the landscape of suspension bridge later on, the elements of balance and symmetry as well as the proportional element should be considered and reflected in the design.

A retrospective analysis of risk factors of oromaxillofacial infection in patients presenting to a hospital emergency ward

  • Park, Jinyoung;Lee, Jae-Yeol;Hwang, Dae-Seok;Kim, Yong-Deok;Shin, Sang-Hun;Kim, Uk-Kyu;Song, Jae-Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.49.1-49.8
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    • 2019
  • Background: The purpose of this study was to review the clinical features of oromaxillofacial infections in patients presenting to a hospital emergency ward, to identify the key factors affecting the requirement for hospitalization, and the potential risk factors predisposing to a prolonged length of hospital stay. Methods: A retrospective medical record review of the 598 patients treated for oromaxillofacial infection from 2013 to 2017 at the oral and maxillofacial surgery department, Yangsan Pusan National University Hospital, was conducted. The following information was collected from each patient: sex, age, past medical history, site of infection, etiology, admission or outpatient care, level of C-reactive protein (mg/dL), fascial spaces involved, treatment method, and duration of hospitalization. Chi-squared tests were used to identify risk factors, which were further analyzed using multivariable logistic regression. Results: A total of 606 patients were eligible for inclusion in the study, of which eight were excluded due to having incomplete charts; thus, 598 patients were included: 55% were male, mean patient age was 47.1 ± 19.9 years, and 12.9% of patients were diabetic. Furthermore, 71.2% of patients had infection originating in the mandible; the most common tooth of origin was lower posterior, and 29.8% of patients were hospitalized. Risk factors for hospital admission were elderly patients with concurrent disease, elevated C-reactive protein level, and multiple-space infection in the oromaxillofacial area. The duration of hospitalization was correlated with both diabetes and age. Conclusions: The requirement for hospital admission is determined by the severity of the infection; even severe infections, once treated with appropriate surgery, have no relation to the length of hospital stay. The important risk factors for increased duration of hospitalization are diabetes mellitus and older age. The understanding of risk factors associated with a prolonged hospital stay during the treatment of oromaxillofacial infection will aid in treatment planning as well as highlight the importance of adequate diabetes control in patients at risk of such infection.

Significance of Tissue Expression and Serum Levels of Angiopoietin-like Protein 4 in Breast Cancer Progression: Link to NF-κB /P65 Activity and Pro-Inflammatory Cytokines

  • Shafik, Noha M;Mohamed, Dareen A;Bedder, Asmaa E;El-Gendy, Ahmed M
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8579-8587
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    • 2016
  • Background: The molecular mechanisms linking breast cancer progression and inflammation still remain obscure. The aim of the present study was to investigate the possible association of angiopoeitin like protein 4 (ANGPTL4) and its regulatory factor, hypoxia inducible factor-$1{\alpha}$ (HIF-$1{\alpha}$), with the inflammatory markers nuclear factor kappa B/p65 (NF-${\kappa}B$/P65) and interleukin-1 beta (IL-$1{\beta}$) in order to evaluate their role in inflammation associated breast cancer progression. Materials and Methods: Angiopoietin-like protein 4 (ANGPTL4) mRNA expressions were evaluated using quantitative real time PCR and its protein expression by immunohistochemistry. DNA binding activity of NF-${\kappa}B$/P65 was evaluated by transcription factor binding immunoassay. Serum levels of ANGPTL4, HIF-$1{\alpha}$ and IL-$1{\beta}$ were immunoassayed. Tumor clinico-pathological features were investigated. Results: ANGPTL4 mRNA expressions and serum levels were significantly higher in high grade breast carcinoma ($1.47{\pm}0.31$ and $184.98{\pm}18.18$, respectively) compared to low grade carcinoma ($1.21{\pm}0.32$ and $171.76{\pm}7.58$, respectively) and controls ($0.70{\pm}0.02$ and $65.34{\pm}6.41$, respectively), (p<0.05). Also, ANGPTL4 high/moderate protein expression was positively correlated with tumor clinico-pathological features. In addition, serum levels of HIF-$1{\alpha}$ and IL-$1{\beta}$ as well as NF-${\kappa}B$/P65 DNA binding activity were significantly higher in high grade breast carcinoma ($148.54{\pm}14.20$, $0.79{\pm}0.03$ and $247.13{\pm}44.35$ respectively) than their values in low grade carcinoma ( $139.14{\pm}5.83$, $0.34{\pm}0.02$ and $184.23{\pm}37.75$, respectively) and controls ($33.95{\pm}3.11$, $0.11{\pm}0.02$ and $7.83{\pm}0.92$, respectively), (p<0.001). Conclusion: ANGPTL4 high serum levels and tissue expressions in advanced grade breast cancer, in addition to its positive correlation with tumor clinico-pathological features and HIF-$1{\alpha}$ could highlight its role as one of the signaling factors involved in breast cancer progression. Moreover, novel correlations were found between ANGPTL4 and the inflammatory markers, IL-$1{\beta}$ and NF-${\kappa}B$/p65, in breast cancer, which may emphasize the utility of these markers as potential tools for understanding interactions for axes of carcinogenesis and inflammation contributed for cancer progression. It is thus hoped that the findings reported here would assist in the development of new breast cancer management strategies that would promote patients' quality of life and ultimately improve clinical outcomes. However, large-scale studies are needed to verify these results.

Evaluation of Travel Time Prediction Reliability on Highway Using DSRC Data (DSRC 기반 고속도로 통행 소요시간 예측정보 신뢰성 평가)

  • Han, Daechul;Kim, Joohyon;Kim, Seoungbum
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.17 no.4
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    • pp.86-98
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    • 2018
  • Since 2015, the Korea Expressway Corporation has provided predicted travel time information, which is reproduced from DSRC systems over the extended expressway network in Korea. When it is open for public information, it helps travelers decide optimal routes while minimizing traffic congestions and travel cost. Although, sutiable evaluations to investigate the reliability of travel time forecast information have not been conducted so far. First of all, this study seeks to find out a measure of effectiveness to evaluate the reliability of travel time forecast via various literatures. Secondly, using the performance measurement, this study evaluates concurrent travel time forecast information in highway quantitatively and examines the forecast error by exploratory data analysis. It appears that most of highway lines provided reliable forecast information. However, we found significant over/under-forecast on a few links within several long lines and it turns out that such minor errors reduce overall reliability in travel time forecast of the corresponding highway lines. This study would help to build a priority for quality control of the travel time forecast information system, and highlight the importance of performing periodic and sustainable management for travel time forecast information.