• Title/Summary/Keyword: multiple resistance

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The Current Status of Multidrug-Resistant Tuberculosis in One Tertiary Hospital in Busan, 2005~2009 (일개 부산지역 3차 병원에서 관찰한 다제내성 결핵의 실태, 2005~2009)

  • Yoon, Neul-Bom;Lee, Sung-Woo;Park, Su-Min;Jeong, Il-Hwan;Park, So-Young;Han, Song-Yee;Lee, Yu-Rim;Jung, Jin-Kyu;Kim, Joon-Mo;Kim, Su-Young;Um, Soo-Jung;Lee, Soo-Keol;Son, Choon-Hee;Hong, Young-Hee;Lee, Ki-Nam;Roh, Mee-Sook;Kim, Kyeong-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.71 no.2
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    • pp.120-125
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    • 2011
  • Background: Although the prevalence of pulmonary tuberculosis has progressively decreased all over the world, drug-resistant tuberculosis is major obstacle in treating tuberculosis. This study was performed to examine the current prevalence and risk factors of drug resistant tuberculosis in a single tertiary hospital in Busan, Korea. Methods: We enrolled 367 patients with active pulmonary tuberculosis on a retrospective basis who had undergone mycobacterium culture and drug sensitivity tests between January 2005 and December 2009. We analyzed all clinical and radiographic parameters to find predictors related to drug resistant tuberculosis. Results: At least one incident of drug resistance was found in 75 (20.4%) patients. Isoniazid (18.8%) was the most frequent resistant drug, followed by rifampin (10.9%), ethambutol (7.1%), streptomycin (4.9%), and fluoroquinolone (2.7%). Resistance to second-line drugs was found in 37 (10.1%) patients. Multidrug resistance and extensively drug resistance was evident in 39 (10.6%) and 4 (1.1%) patients, respectively. Using multiple logistic regression analysis, history of previous treatment including relapse (odd ratio [OR], 11.3; 95% confidence interval [CI], 4.92~26.08; p<0.01), treatment failure (OR, 24.1; 95% CI, 5.65~102.79; p<0.01) and an age of below 46 years-old (OR, 3.8; 95% CI, 1.62~8.65; p<0.01) were found to be independent predictors of multidrug resistant tuberculosis. Conclusion: We found that the prevalence of drug resistant tuberculosis was considerably high. A careful consideration for possible drug resistant tuberculosis is warranted in patients with a history of previous treatment or for younger patients.

Drug-Resistant Pulmonary Tuberculosis In Kosin Medical Center (부산지역의 한 3차 진료기관을 방문한 폐결핵 환자의 약제내성률)

  • Kim, Ji-Ho;Kim, Ji-Hong;Jang, Tae-Won;Jung, Maan-Hong
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.6
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    • pp.831-837
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    • 1995
  • Background: We conducted a study to determine the factors associated with, patterns of, and proportion of cases of pulmonary tuberculosis with multiple drug-resistance at Kosin medical center in Pusan. Methods: We abstracted data from 141 patients, who had active pulmonary tuberculosis and report forms of drug susceptibility between 1986 and 1994, and related the previous treatment history, the extent of lung involvement and the presence of cavities on chest X-ray films to the drug resistance. Results: Overall, 59(41.8%) of the 141 cases of tuberculosis were resistant to at least one drug and 29(20.9%) of the 139 cases were resistant to isoniazid(INH) and rifampin(RIF). Among the 63 patients with previous tuberculosis therapy, 40(63.5%) had isolates that were drug-resistant and 24(38.1%) were multi-drug resistant. Among the 78 without previous therapy, 19(24.4%) had isolates that were drug-resistant and 5(7.5%) were multi-drug resistant. For all 141, resistance to INH was most common(39.0%) followed by RIF(21.6%), ethambutol(EMB, 16.3%), $\rho$- aminosalicylic acid(10.8%), streptomycin(SM, 8.7%), and pyrazinamide(PZA, 8.0%). INH, RIF and PZA resistances were independently associated with a history of previous tuberculosis therapy (odds ratio; 3.3, 7.2 and 10.8 respectively), and RIF and SM resistance were significantly high according to the extent of lung involvement on the chest films(odds ratio; 2.9 and 2.8 respectively). Conclusions: We conclude, (1) that all persons in whom pulmonary tuberculosis is diagnosed should initially receive at least four-drug therapy(INH, RIF, PZA, and EMB or SM), (2) that susceptibility testing be done in all culture-positive patient, and (3) that those with a history of previous tuberculosis therapy or those who have advanced pulmonary tuberculosis need very careful clinical and microbiological follow-up.

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A New Mid-late Maturing Rice Cultivar with High-Quality and Multiple Resistance to Diseases and Insects, 'Dacheong' (벼 중만생 고품질 복합내병충성 신품종 '다청')

  • Kim, Woo-Jae;Ko, Jae-Kwon;Ko, Jong-Cheol;Nam, Jeong-Kwon;Ha, Ki-Yong;Shin, Mun-Sik;Kim, Yeong-Do;Kim, Bo-Kyeong;Kang, Hyun-Jung;Kim, Ki-Young;Baek, Man-Gee;Park, Hyun-Su;Baek, So-Hyeon;Shin, Woon-Chul;Kim, Kyeong-Hun;Choung, Jin-Il;Goo, Hwang-Hung;Kim, Jung-Gon
    • Korean Journal of Breeding Science
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    • v.42 no.6
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    • pp.649-653
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    • 2010
  • 'Dacheong', a new japonica rice variety developed from a cross between Iksan450 having a good eating-quality and multi-disease resistance, and YR21258-GH3 having insect resistance, was developed by the rice breeding team of Department of Rice and Winter Cereal Crop, NICS, RDA in 2008. This variety has about 125 days growth duration from transplanting to harvesting in west-southern coast, Honam and Youngnam plain of Korea. It has 87 cm culm length and tolerance to lodging. In reaction to biotic and abiotic stresses, it shows resistance to blast, bacterial blight pathogen races from $K_1\;to\;K_3$, stripe virus and brown plant hopper. The milled rice of 'Dacheong' exhibits translucent, relatively clear non-glutinous endosperm and medium short grain. It has slightly lower amylose content of 18.8% and lower protein content of 5.7%, and good palatability of cooked rice compared with Nampyeongbyeo. The milled rice yield performance of this variety is about 5.91 MT/ha in local adaptability test for three years. 'Dacheong' would be adaptable to west-southern coast, Honam and Youngnam plain of Korea.

'Samkwang1', a Medium Maturing, Multiple Disease Resistant, and High-quality Rice (중생 복합내병성 고품질 벼 '삼광1호')

  • Lee, Jeong-Heui;Won, Yong-Jae;Cho, Young-Chan;Lee, Jeom-Ho;Yang, Chang-Ihn;Kim, Myeong-Ki;Ahn, Eok-Keun;Suh, Jung-Pil;Lee, Sang-Bok;Jeon, Yong-Hee;Sung, Yeol-Kyu;Jeong, Eung-Gi;Ha, Woon-Goo;Chang, Jae-Ki;Jung, Kuk-Hyun;Yoon, Mi-Ra;Kang, Kyeong-Ho;park, Hyang-Mi;Roh, Jae-Hwan;Kim, Bo-Kyeong
    • Korean Journal of Breeding Science
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    • v.50 no.4
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    • pp.490-496
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    • 2018
  • "Samkwang1," a japonica rice variety, was developed as a cross between "Samkwang" and F1 of Suwon152 (IT008283), which has a medium maturing and lodging resistance and Samkwang (IT284608), a high quality variety with bacterial blight resistance and mid-late maturing property by the rice breeding team at NICS in 2015. The heading date of "Samkwang1" was August 8 in the middle plain area, which was 2 days early than that of "Hwaseong." "Samkwang1" had a culm length of 77 cm, which was 7 cm shorter than that of "Hwaseong," and it had 128 spikelets per panicle. The viviparous germination rate of "Samkwang1" was 2.1%. "Samkwang1" showed resistance to blast, bacterial blight (K1, K2, and K3 race) and stripe virus, but was susceptible to the K3a race of bacterial blight, dwarf and black streak dwarf viruses, and plant hoppers. The milled rice of this variety exhibits translucent and medium short grains. The cooked rice grains of "Samkwang1" have an excellent palatability index (0.35) and lower protein content (6.2%) than that of "Hwaseong." The characteristics related to grain milling were better than those of "Hwaseong," especially the head rice milling recovery ratio and head rice ratio (94.2%). "Samkwang1" showed 5.62 MT/ha of milled rice productivity at 11 sites under ordinary cultivation conditions (Registration No. 6798).

Multiple accelerated degradation test and failure analysis for $Ni-BaTiO_3$ MLCCs ($Ni-BaTiO_3$ MLCCs에 대한 복합 가속 열화 시험 및 고장 분석)

  • Kim, Jung-Woo;Kim, Jin-Seong;Lee, Hee-Soo;Kang, Do-Won;Kim, Jeong-Wook
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.19 no.2
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    • pp.102-105
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    • 2009
  • The accelerated life time test of the MLCCs with different $BaTiO_3$ particle sizes were conducted at $150^{\circ}C$, 75 V condition and the effect of $BaTiO_3$ particle size on the breakdown voltage and degradation characteristics of MLCCs was investigated. The MLCCs were prepared by using the $BaTiO_3$ particles having the size of $0.525{\mu}m$, $0.555{\mu}m$, $0.580{\mu}m$ and Ni-electrode, respectively. The MLCCs which have the particle size of $0.525{\mu}m$, $0.555{\mu}m$, and $0.580{\mu}m$, respectively were confirmed to meet the standard requirements of X5R(change capacitance within ${\pm}15%$ at $-55{\sim}85^{\circ}C$) by TCC(Temperature Coefficient of Capacitance). The effect of the $BaTiO_3$ particle size on the insulation resistance behavior of MLCCs was confirmed by BDV(Breakdown Voltage) measurements and the cause and degree of degradation of MLCCs were characterized by XPS analysis after the accelerated life test. The MLCCs with $0.525{\mu}m-BaTiO_3$ showed better insulation resistance and BDV characteristics compare to other MLCCs and XPS analysis revealed that the MLCCs degradation is caused by the NiO peak and $BaTiO_3$ peak decrease.

Performance of the BacT Alert 3D System Versus Solid Media for Recovery and Drug Susceptibility Testing of Mycobacterium tuberculosis in a Tertiary Hospital in Korea

  • Kim, Seoung-Cheol;Jeon, Bo-Young;Kim, Jin-Sook;Choi, In Hwan;Kim, Jiro;Woo, Jeongim;Kim, Soojin;Lee, Hyeong Woo;Sezim, Monoldorova;Cho, Sang-Nae
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.4
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    • pp.282-288
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    • 2016
  • Background: Tuberculosis (TB) is a major health problem, and accurate and rapid diagnosis of multidrug-resistant (MDR) and extended drug-resistant (XDR) TB is important for appropriate treatment. In this study, performances of solid and liquid culture methods were compared with respect to MDR- and XDR-TB isolate recovery and drug susceptibility testing. Methods: Sputum specimens from 304 patients were stained with Ziehl-Neelsen method. Mycobacterium tuberculosis (Mtb) isolates were tested for recovery on $L{\ddot{o}wenstein$-Jensen (LJ) medium and the BacT Alert 3D system. For drug susceptibility testing of Mtb, isolates were evaluated on M-KIT plates and the BacT Alert 3D system. Results: The recovery rates were 94.9% (206/217) and 98.2% (213/217) for LJ medium and the BacT Alert 3D system, respectively (kappa coefficient, 0.884). The rate of drug resistance was 13.4% for at least one or more drugs, 6.0% for MDR-TB and 2.3% for XDR-TB. M-KIT plate and BacT 3D Alert 3D system were comparable in drug susceptibility testing for isoniazid (97.7%; kappa coefficient, 0.905) and rifampin (98.6%; kappa coefficient, 0.907). Antibiotic resistance was observed using M-KIT plates for 24 of the total 29 Mtb isolates (82.8%). Conclusion: The liquid culture system showed greater reduction in the culture period, as compared with LJ medium; however, drug susceptibility testing using M-KIT plates was advantageous for simultaneous testing against multiple drug targets.

Inhibition of NAD(P)H:Quinone Oxidoreductase 1 by Dicumarol Reduces Tight Junction in Human Colonic Epithelial Cells (인간 대장상피세포 밀착연접 형성과정에서 NQO1 저해 효과)

  • Hong, Ji;Zhang, Peng;Yoon, I Na;Kim, Ho
    • Journal of Life Science
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    • v.26 no.5
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    • pp.531-536
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    • 2016
  • We previously showed that NAD(P)H:quinone oxidoreductase 1 (NQO1) knockout (KO) mice exhibited spontaneous inflammation with markedly increased mucosal permeability in the gut, and that NQO1 is functionally associated with regulating tight junctions in the mucosal epithelial cells that govern the mucosal barrier. Here, we confirm the role of NQO1 in the formation of tight junctions by human colonic epithelial cells (HT29). We treated HT29 cells with a chemical inhibitor of NQO1 (dicumarol; 10 μM), and examined the effect on the transepithelial resistance of epithelial cells and the protein expression levels of ZO1 and occludin (two known regulators of tight junctions between gut epithelial cells). The dicumarol-induced inhibition of NQO1 markedly reduced transepithelial resistance (a measure of tight junctions) and decreased the levels of the tested tight junction proteins. In vivo, luminal injection of dicumarol significantly increased mucosal permeability and decreased ZO1 and occludin protein expression levels in mouse guts. However, in contrast to the previous report that the epithelial cells of NQO1 KO mice showed marked down-regulations of the transcripts encoding ZO1 and occludin, these transcript levels were not affected in dicumarol-treated HT29 cells. This result suggests that the NQO1-depedent regulation of tight junction molecules may involve multiple processes, including both transcriptional regulation and protein degradation processes such as those governed by the ubiquitination/proteasomal, and/or lysosomal systems.

Estimation of Atmospheric Deposition Velocities and Fluxes from Weather and Ambient Pollutant Concentration Conditions : Part I. Application of multi-layer dry deposition model to measurements at north central Florida site

  • Park, Jong-Kil;Eric R. Allen
    • Environmental Sciences Bulletin of The Korean Environmental Sciences Society
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    • v.4 no.1
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    • pp.31-42
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    • 2000
  • The dry deposition velocities and fluxes of air pollutants such as SO2(g), O3(g), HNO3(g), sub-micron particulates, NO3(s), and SO42-(s) were estimated according to local meteorological elements in the atmospheric boundary layer. The model used for these calculations was the multiple layer resistance model developed by Hicks et al.1). The meteorological data were recorded on an hourly basis from July, 1990 to June, 1991 at the Austin Cary forest site, near Gainesville FL. Weekly integrated samples of ambient dry deposition species were collected at the site using triple-fiter packs. For the study period, the annual average dry deposition velocities at this site were estimated as 0.87$\pm$0.07 cm/s for SO2(g), 0.65$\pm$0.11 cm/s for O3(g), 1.20$\pm$0.14cm/s for HNO3(g), 0.0045$\pm$0.0006 cm/s for sub-micron particulates, and 0.089$\pm$0.014 cm/s for NO3-(s) and SO42-(s). The trends observed in the daily mean deposition velocities were largely seasonal, indicated by larger deposition velocities for the summer season and smaller deposition velocities for the winter season. The monthly and weekly averaged values for the deposition velocities did not show large differences over the year yet did show a tendency of increased deposition velocities in the summer and decreased values in the winter. The annual mean concentrations of the air pollutants obtained by the triple filter pack every 7 days were 3.63$\pm$1.92 $\mu\textrm{g}$/m3 for SO42-, 2.00$\pm$1.22 $\mu\textrm{g}$/m-3 for SO2, 1.30$\pm$0.59 $\mu\textrm{g}$/m-3 for HNO3, and 0.704$\pm$0.419 $\mu\textrm{g}$/m3 for NO3-, respectively. The air pollutant with the largest deposition flux was SO2 followed by HNO3, SO42-(S), and NO3-(S) in order of their magnitude. The sulfur dioxide and NO3- deposition fluxes were higher in the winter than in the summer, and the nitric acid and sulfate deposition fluxes were high during the spring and summer.

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A Study on Thermodynamic Natural Ventilation Analysis by the Field Survey of Underground Mines in Korea (현장실측을 통한 국내 일반광의 열역학적 자연통기력 연구)

  • Yu, Yeong-Seok;Roh, Jang-Hoon;Kim, Jin
    • Tunnel and Underground Space
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    • v.23 no.4
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    • pp.288-296
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    • 2013
  • In this study, a total of 13 mines were finally selected as study subjects and field measurements were conducted. Thereafter, calculations of thermodynamic natural ventilation were attempted using spread sheets and solutions for natural ventilation of mine types with multiple vertical shafts were obtained. Based on the results, natural ventilation of each mine was quantified. In addition, changes in natural ventilation energy (NVE) and natural ventilation pressure (NVP) were estimated assuming mine deepening and the resultant values were applied to mine conditions to observe changes in flow rates. Natural ventilation pressure in domestic mines is generally calculated to be in a range of 5 Pa~300 Pa. Although NVP increases as the depth increases, resistance also increases. Therefore, as the depth increases, flow rates show a tendency of converging on a certain value because of the relationship between NVP and mine resistance. Natural ventilation using shafts with depth differences is effective up to depths of 200~300 m. However, flow rate change rates resulting from NVP are small at depths deeper than approximately 200~300 m. Therefore, if a mine is deepened over 300 m, NVP will become insufficient and thus additional pressure obtained through mechanical ventilation will be necessary.

Development of Exercise Analysis System Using Bioelectric Abdominal Signal (복부생체전기신호를 이용한 운동 분석 시스템 개발)

  • Gang, Gyeong Woo;Min, Chul Hong;Kim, Tae Seon
    • Journal of the Institute of Electronics and Information Engineers
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    • v.49 no.11
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    • pp.183-190
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    • 2012
  • Conventional physical activity monitoring systems, which use accelerometers, global positioning system (GPS), heartbeats, or body temperature information, showed limited performances due to their own restrictions on measurement environment and measurable activity types. To overcome these limitations, we developed a portable exercise analysis system that can analyze aerobic exercises as well as isotonic exercises. For bioelectric signal acquisition during exercise, waist belt with two body contact electrodes was used. For exercise analysis, the measured signals were firstly divided into two signal groups with different frequency ranges which can represent respiration related signal and muscular motion related signal, respectively. After then, power values, differential of power values, and median frequency values were selected for feature values. Selected features were used as inputs of support vector machine (SVM) to classify the exercise types. For verification of statistical significance, ANOVA and multiple comparison test were performed. The experimental results showed 100% accuracy for classification of aerobic exercise and isotonic resistance exercise. Also, classification of aerobic exercise, isotonic resistance exercise, and hybrid types of exercise revealed 92.7% of accuracy.