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A Delphi Study on National Public Vaccine Research and Development Policy in Korea (델파이기법을 활용한 국가 공공(公共)백신 연구개발 정책수립 기초조사)

  • Lee, Somin;Yeo, Sang-Gu;Kang, Shin Jung;Han, Soon Young;Lee, Sang-Won
    • Health Policy and Management
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    • v.25 no.2
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    • pp.140-148
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    • 2015
  • Vaccination is the most powerful and useful preparation against infectious diseases. However, developing vaccines costs a lot and requires extensive long-term efforts. Therefore, the government should research and develop vaccines with a national-level policy. To greatly enhance the success rate of vaccine development, the policy should be set up considering priorities such as the current status of domestic research, the importance for public health, the urgency of research. The Delphi technique was utilized to draft this survey, through a brainstorming stage, then two inquiries, and finally the final panel meeting where unresolved items were discussed, to draw the conclusion. Among the results, firstly, the highest ranked item on centralized fields for vaccine development by the Ministry of Health was 'self-sufficiency of vaccines.' Secondly, 'emerging infectious disease' was most highly ranked in prioritized fields of vaccine development and research. Thirdly, for the vaccine that needs to be improved and developed further by the government to improve its efficacy and safety, BCG (Bacille de Calmette) for tuberculosis was ranked the highest on both types (intradermal and subcutaneous injection) from National Immunization Programme (NIP) and non-NIP. As for the high risk pathogens, 'anthrax' and 'smallpox' were first and second, consecutively. Lastly, 'development and control of vaccine candidates' was ranked the highest for the area in need for technique development in order to improve domestic vaccine's research level. The results of this study will be put to good use as basic data for the national vaccine research and development (R&D) policy of the country. This study was first step and more studies should be carried out for the final decision of the national vaccine R&D priority.

Cloning and protein expression of Aggregatibacter actinomycetemcomitans cytolethal distending toxin C

  • Lee, Eun-Sun;Park, So-Young;Lee, Eun-Suk;Kim, Hyung-Seop
    • Journal of Periodontal and Implant Science
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    • v.38 no.sup2
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    • pp.317-324
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    • 2008
  • Purpose: Aggregatibacter actinomycetemcomitans was associated with localized aggressive periodontitis, endocarditis, meningitis, and osteomyelitis. The cytolethal distending toxin (CDT) of A. actinomycetemcomitans was considered as a key factor of these diseases is composed of five open reading frames (ORFs). Among of them, An enzymatic subunit of the CDT, CdtB has been known to be internalized into the host cell in order to induce its genotoxic effect. However, CdtB can not be localized in host cytoplasm without the help of a heterodimeric complex consisting of CdtA and CdtC. So, some studies suggested that CdtC functions as a ligand to interact with GM3 ganglioside of host cell surface. The precise role of the CdtC protein in the mechanism of action of the holotoxin is unknown at the present time. The aim of this study was to generate recombinant CdtC proteins expression from A. actinomycetemcomitans, through gene cloning and protein used to investigate the function of Cdt C protein in the bacterial pathogenesis. Materials and Methods: The genomic DNA of A. actinomycetemcomitans Y4 (ATCC29522) was isolated using the genomic DNA extraction kit and used as template to yield cdtC genes by PCR. The amplifed cdtC genes were cloned into T-vector and cloned cdt C gene was then subcloned to pET28a expression vector. The pET28a-cdtC plasmid expressed in BL21 (DE3) Escherichia coli system. Diverse conditons were tested to opitimize the expression and purification of functional CdtC protein in E. coli. Results: In this study we reconstructed CdtC subunit of A. actinomycetemcomitans Y4 and comfirmed the recombinant CdtC expression by SDS-PAGE and Western Blotting. The expression level of the recombinant CdtC was about 2% of total bacterial proteins. Conclusion: The lab condition of procedure for the purification of functionally active recombinant CdtC protein is established. The active recombinant CdtC protein will serve to examine the role of CdtC proteins in the host recognition and enzyme activity of CDT and investigate the pathological process of A. actinomycetemcomitans in periodontal disease.

Opto-Electrochemical Sensing Device Based on Long-Period Grating Coated with Boron-Doped Diamond Thin Film

  • Bogdanowicz, Robert;Sobaszek, Michał;Ficek, Mateusz;Gnyba, Marcin;Ryl, Jacek;Siuzdak, Katarzyna;Bock, Wojtek J.;Smietana, Mateusz
    • Journal of the Optical Society of Korea
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    • v.19 no.6
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    • pp.705-710
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    • 2015
  • The fabrication process of thin boron-doped nanocrystalline diamond (B-NCD) microelectrodes on fused silica single mode optical fiber cladding has been investigated. The B-NCD films were deposited on the fibers using Microwave Plasma Assisted Chemical Vapor Deposition (MW PA CVD) at glass substrate temperature of 475 ℃. We have obtained homogenous, continuous and polycrystalline surface morphology with high sp3 content in B-NCD films and mean grain size in the range of 100-250 nm. The films deposited on the glass reference samples exhibit high refractive index (n=2.05 at λ=550 nm) and low extinction coefficient. Furthermore, cyclic voltammograms (CV) were recorded to determine the electrochemical window and reaction reversibility at the B-NCD fiber-based electrode. CV measurements in aqueous media consisting of 5 mM K3[Fe(CN)6] in 0.5 M Na2SO4 demonstrated a width of the electrochemical window up to 1.03 V and relatively fast kinetics expressed by a redox peak splitting below 500 mV. Moreover, thanks to high-n B-NCD overlay, the coated fibers can be also used for enhancing the sensitivity of long-period gratings (LPGs) induced in the fiber. The LPG is capable of measuring variations in refractive index of the surrounding liquid by tracing the shift in resonance appearing in the transmitted spectrum. Possible combined CV and LPG-based measurements are discussed in this work.

A reappraisal of the Acer wilsonii complex and Related Species in China (중국 Acer wilsonii 와 근연분류군의 분류학적 재검토)

  • Eom, Hyun Joo;de Jong, Piet C.;Chang, Chin-Sung
    • Korean Journal of Plant Taxonomy
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    • v.41 no.4
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    • pp.329-337
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    • 2011
  • The Acer wilsonii complex including A. wilsonii, A. tutcheri, and A. confertifoilum is distributed in southern China. Morphological variation was examined to delimit the species and to determine whether recognition at the specific level was warranted. Univariate and bivariate statistical methods, based on data taken from herbarium specimens, were used to examine morphological variation between and within species. This study showed that A. tutcheri differed from A. wilsonii by its rather short inflorescence, small leaf blades, and three leaf lobes with distinctive serrate leaf lobes. In contrast, there was virtually no separation of taxa with respect to the paniculate-corymbose or short paniculate inflorescence between A. confertifolium and A. tutcheri, suggesting that A. confertifolium morphologically resembled A. tutcheri and is a rather smaller form of it. Circumscription of Acer wilsonii has been quite troublesome, because the important holotype and isotype specimens contained different species under the same number and were misleading with respect to the correct application of the name. Furthermore, lobation is very weak within ser. Sinensia, but diversified inflorescences usually occur in China. A three lobed leaves species, A. wilsonii, represents the reduction in lobation without any modification of panicle inflorescences and seems to be closely related to A. sinense. However, A. tutcheri, which shows a reduction in panicle inflorescence with four petals and sepals, may not be closely related to A. sinense. Three lobed taxa may not correctly reflect the true relationship within ser. Sinensia. The designated lectotype of A. wilsonii, line drawings of representative leaves of related species, a key, and distribution maps of these taxa are presented.

Application of Precipitate Flotation Technique to Separative Preconcentration and Determination of Arsenic in Water Samples (물시료 중 비소의 분리 정량을 위한 침전 부선기술의 응용)

  • Park Sang-Wan;Choi Hee-Seon;Kim Young-Man;Kim Young-Sang
    • Journal of the Korean Chemical Society
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    • v.35 no.4
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    • pp.389-396
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    • 1991
  • The pre-concentration and determination of ultratrace arsenic in water samples was studied by the precipitate flotation technique. The arsenic in 1.0l of water sample, in which all suspended materials were filtered out, was coprecipitated together with La(OH)$_3$ precipitates at pH 8.5${\pm}$0.1. After the precipitate was made to be hydrophobic by adding mixed surfactant of 1 : 8 mole ratio of sodium oleate and sodium dodecyl sulfate, it was floated with the aid of tiny bubbles of nitrogen gas in a flotation cell. The floated precipitate was quantitatively collected on a micropore glass filter by the suction, dissolved with small volume of 1.0M sulfuric acid, and accurately diluted to 25.00ml with a de-ionized water. Total arsenic was spectrophotometrically determinated by forming silver diethyldithiocarbamate complex of arsine generated from arsenic in the concentrated solution. The calibration curve was linear up to 20ng/ml in the original solution. Analytical results showed that contents of arsenic in a campus wastewater and a river water were 8.2ng/ml and l.0ng/ml, respectively, and their recoveries were 93${\%}$ and 90${\%}$ in water samples which a given amount of arsenic was added into. From above result, it could be concluded that this method was applicable to the determination of arsenic in various kinds of water at low ng/ml levels.

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Optimi Design for R.C. Beam with Discrete Variables (이산형 설계변수를 갖는 철그콘크리트보의 최적설계)

  • 구봉근;한상훈;김홍룡
    • Magazine of the Korea Concrete Institute
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    • v.5 no.4
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    • pp.167-178
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    • 1993
  • The objective of this paper is to look into the possibility of the detailed and practical optimum design of rt:inforced concrete beam using methods oi discrete mathematical programming. In this discrete optimum formulation, the design variables are the overall depth, width and effective depth of members, and area of longitudinal reinforcement. In addition, the details such as the amount of web reinforcement and cutoff points of longitudinal reinforcement are also considered as variables. Total cost has been used as the objective function. The constraints include the code requirments such as flexural strength, shear strength, ductility, serviceability, concrete cover. spacing, web reinforcement, and development length and cutoff points of longitudinal renforcement. An optimization algorithm is presented for effective optimum design of R.C. beam with discrete de sign variables. First, the continuous variable optimization can be achieved by Feasible Direction Method. Using the results obtained from the continuous variable optimization, a branch and bound method is used to obtained the discrete design values. The proposed algorithm is applied to test problem for reliability, and the results are compared with those of graphical method and rounded-up method. And a simply supported R.C. beam and a two-span continuous R.C. beam are presented as numerical examples for effectiveness and applicability. It is considered that the presented algorithm can be effectively applied to the discrete optimum design of R.C. beams.

Refusal of care by chronically and terminally ill patients : An ethical problem faced by nurses (간호사의 간호 제공 의무와 말기 환자의 간호 거부에 관련된 윤리 문제에 관한 연구)

  • 엄영란;홍여신
    • Journal of Korean Academy of Nursing
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    • v.24 no.2
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    • pp.190-205
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    • 1994
  • Respect for human life and respect for human dignity are two basic values to which organized nursing has urged its members to adhere in their service to mankind. Thus it is the nurses’ duty to provide health care in support of sustenance of life and to pay respect for the patient’s right to dignity. In practice, however, nurses may experience dilemmas between these duties much due to the de velopment of modern advanced techniques. These dilemmas have become more complex and difficult to resolve. Nurses are often faced with situations in which the terminally ill refuse professional care, posing serious conflicts between respect for human life and respect for human rights to self-determination. In such cases, resolution of the problem is not a simple matter, thus requires intensive study into the ethical questions related to the situation. The purpose of this study was to identify ethical problems that nurses experience in caring for terminally ill patients and explore the ways to the resolution of problems within the context of the situations. The methodology used for the study was a case study method which ‘New Casuistry’ proposed by Jonsen & Toulmin(1988) and the ‘Specified Principlism’ proposed by Degrazia(1992) as an alternative to old deductive and intuitive method. Cases were developed through semistructured indepth interviews according to the casutistry method. A total of seven nurses were interviewd who were caring for therminally ill patients. Four cases out of a total 14 cases were related to the topic. Through the case analysis it became evident that nurses appreciated other values more often than respect for the patient’s right to self-determination. These other values were convenience and efficiency in nursing practice in case 1, preservation of life above all other values in case 2, provision of nursing care to fulfill the nurse’s professional obligation at most in case 3, and respect for the family’s demand against the patient’s wish in case 4. This study showed that the most important ethical problems were conflict between respect for the patient’s right to self-determination and sustenance of life for the fulfillment of professional obligation. For this problem, benefit /burden analysis from the perspective of the patient and family for the promotion of patient’s wellbeing may be a way to resolve the conflict. Further, through these analysis it was shown that physicians’ and families’ opinions dominated in the decision - making and the opinions of nurses’ and patients’ tended not to be reflected. Thus the patient's right to his or her care was not readily respected. To solve this problem. nurses should make efforts to communicate reciprocally with their patients, family members and physicians in an effort to respect for their patient’s rights to life and diginity from the point of view and values of the patient. It is also important that nurses provide good basic nursing care up to the time of death regardless of decisions about providing or not aggressive treat-ment for chronically and terminally ill patients.

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Analysis of Formaldehyde and Acetaldehyde in Alcoholic Beverage (유통 주류의 포름알데히드 및 아세트알데히드 함량분석)

  • Park, Young-Seok;Lee, Yun-Jeung;Lee, Ki-Teak
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.35 no.10
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    • pp.1412-1419
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    • 2006
  • Concentrations of formaldehyde and acetaldehy de were respectively analysed in forty-five alcoholic beverages obtained from the market. After derivatization with PFBHA, GC-ECD and GC-MSD were employed for analysis. The peak area of aldehyde oximes (derivatives with PFBHA) increased with the increasing ethanol content (5%, 10%, 15%, 20% and 40%). When three-point calibration corves for the selected ethanol concentration (5, 13, 21 and 40%, v/v) were studied, suitable linearity against ethanol concentration was observed only under 5, 13, and 21% (ethanol, v/v). After analysis, maximum content of formaldehyde (average of 0.272 ppm) and acetaldehyde (average of 15.262 ppm) among the observed 45 alcoholic beverages was found from whisk (2 species) while minimum content of formaldehyde (average of 0.009 ppm) and acetaldehyde (average of 0.805 ppm) was found from diluted soju (4 species).

CLINICAL STUDY OF VELOPHARYNGEAL CLOSURE AFTER THE PRIMARY PALATORRHAPHY IN CLEFT PALATE PATIENTS (구개열(口蓋裂) 환자(患者)에 있어서 구개(口蓋) 성형술후(成形術後) 비인강(鼻咽腔) 폐쇄(閉鎖)에 관(關)한 임상적(臨床的) 연구(硏究))

  • Koh, Kwang-Hee;Shin, Hyo-Keun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.1_2
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    • pp.1-21
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    • 1992
  • In order to find the causes of velopharyngeal incompetency after primary palatorrhaphy in cleft patients, we analyzed the form and function of the velopharyngeal space of fifteen operated cleft palate patients and five normal subjects. The velopharyngeal function was evaluated by lateral cephalometric radiography, velopharyngography and hypernasality cul-de-sac test. The obtained results were as follows. 1. The rate of velopharyngeal incompetency was twenty percent, three of the fifteen operated patients. Two of them were complete cleft palate and the other was incomplete one. 2. The length of soft palate and levator eminence were longer in normal group than those of good speech group and complete cleft palate group during phonation of /i/ (P<0.05). The lengthening rate of soft palate was smaller in good and poor speech group than that of normal group(P<0.05), and, reduced in order, normal group, complete cleft palate group and incomplete palate group(P<0.05). 3. The nasopharyngeal distance had no significant difference between all groups at rest, but, smaller in normal group than that of both cleft palate group(P<0.05), good speech group and poor speech group(P<0.05) during phonation of /i/ The difference in nasopharyngeal distance between rest and /i/ phonation was greater in normal group than that of both cleft palate group, good speech group and poor speech group. 4. The moving distance of sop palate reduced in order, normal group, incomplete cleft palate group, complete cleft palate group(P<0.05). 5. The distance between lateral pharyngeal wall had no significant difference between all groups in rest, but, smaller than that of complete cleft palate group in normal group(P<0.01) and increased in order normal group, good speech group, poor speech group(P<0.01) during phonation of /a/. The mobility of lateral wall was reduced in order, normal group, good speech group poor speech group(P<0. 01). 6. There was low corelationship between the mobility of lateral pharyngeal wall and soft palate. Therfore, it suggest that the movements of lateral pharyngeal wall and soft palate occurs independently.

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A study on the Characteristic of Waste Ground Rubber Tire Powders with Pre-treatment Process for Recycling (전처리 공정에 따른 폐타이어 재생 고무분말의 특성연구)

  • Park, Jongmoon;An, Ju-Young;Park, Jin-Eui;Bang, DaeSuk;Kim, Bong-Suk;Oh, Myung-Hoon
    • Resources Recycling
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    • v.24 no.2
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    • pp.55-61
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    • 2015
  • In this study, mechanical properties of waste ground rubber tire powder were investigated to evaluate the influence of pre-treatment process for recycling. The tensile test, fracture test and morphology observation were carried out using various kinds of waste ground tire powders, which were produced by grinding and devulcanization process, respectively. As a results, it was found that the produced rubber powder through grinding process increased its tensile strength and elongation with decreasing particle size because of decreasing surface area. Devulcanized rubber powder also increased its tensile strength and elongation by de-crosslink with sulfur. It could be also suggested that devulcanization treatment after grinding process was more efficient recycling process for both increasing tensile property and fracture elongation of waste ground rubber tire powders.