• Clinical and Experimental Pediatrics
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• 제62권1호
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• pp.36-41
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• 2019

Purpose: In this study, we investigated the clinical features and prognostic factors of early-onset sepsis (EOS) in neonatal intensive care unit (NICU) patients. Methods: A retrospective analysis was conducted on medical records from January 2010 to June 2017 (7.5 years) of a university hospital NICU. Results: There were 45 cases of EOS (1.2%) in 3,862 infants. The most common pathogen responsible for EOS was group B Streptococcus (GBS), implicated in 10 cases (22.2%), followed by Escherichia coli, implicated in 9 cases (20%). The frequency of gram-positive sepsis was higher in term than in preterm infants, whereas the rate of gram-negative infection was higher in preterm than in term infants (P<0.05). The overall mortality was 37.8% (17 of 45), and 47% of deaths occurred within the first 3 days of infection. There were significant differences in terms of gestational age (26.8 weeks vs. 35.1 weeks) and birth weight (957 g vs. 2,520 g) between the death and survival groups. After adjustments based on the difference in gestational age and birth weight between the 2 groups, gram-negative pathogens (odds ratio [OR], 42; 95% confidence interval [CI], 1.4-1,281.8) and some clinical findings, such as neutropenia (OR, 46; 95% CI, 1.3-1,628.7) and decreased activity (OR, 34; 95% CI, 1.8-633.4), were found to be associated with fatality. Conclusion: The common pathogens found to be responsible for EOS in NICU patients are GBS and E. coli. Gram-negative bacterial infections, decreased activity in the early phase of infection, and neutropenia were associated with poor outcomes.

• 융합보안논문지
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• 제22권5호
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• pp.145-154
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• 2022

최근 봇넷의 광범위한 확산과 고도의 정교함은 기업과 사용자뿐만 아니라 국가 간 사이버전에도 심각한 결과를 초래하고 있다. 이 때문에 봇넷을 탐지하고자 하는 연구는 꾸준히 되고 있다. 하지만, DGA 기반의 봇넷은 기존의 시그니처 및 통계 기반의 기술로는 탐지율은 높지만, 오탐율 또한 높은 한계가 있다. 이에 본 논문에서는 DGA 기반의 봇넷을 탐지하고자 문자 기반의 n-gram을 활용한 탐지모델을 제안한다. 제안한 모델을 통해 기존의 탐지 기술의 한계인 탐지율을 높이고 오탐율을 최소화할 수 있다. 다양한 DGA 봇넷에서 사용하는 대규모의 도메인 데이터셋과 정상 도메인에 대한 실험을 통해 기존의 모델보다 성능이 우수함을 확인하였다. 제안된 모델의 오탐율은 2~4% 미만이며 전체 탐지 정확도와 F1 점수는 모두 97.5%임을 확인하였다. 이처럼 본 논문에서 제안한 모델을 통해 DGA 기반의 봇넷에 대한 탐지 및 대응 능력이 향상될 것을 기대한다.

• Journal of Korean Neurosurgical Society
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• 제46권4호
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• pp.397-402
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• 2009

Objective : In this study, the authors assessed the ability of rat bone marrow derived mesenchymal stem cells (BMDMSCs), in the presence of a growth factor, fibroblast growth factor-4 (FGF-4) and hydroxyapatite, to act as a scaffold for posterolateral spinal fusion in a rat model. Methods : Using a rat posterolateral spine fusion model. the experimental study comprised 3 groups. Group 1 was composed of 6 animals that were implanted with 0.08 gram hydroxyapatite only. Group 2 was composed of 6 animals that were implanted with 0.08 gram hydroxyapatite containing $1{\times}10^6/60{\mu}L$ rat of BMDMSCs. Group 3 was composed of 6 animals that were implanted with 0.08 gram hydroxyapatite containing $1{\times}10^6/60{\mu}L$ of rat BMDMSCs and FGF-4 $1{\mu}G$ to induce the bony differentiation of the BMDMSCs. Rats were assessed using radiographs obtained at 4, 6, and 8 weeks postoperatively. After sacrifice, spines were explanted and assessed by manual palpation, high-resolution microcomputerized tomography, and histological analysis. Results : Radiographic, high-resolution microcomputerized tomographic, and manual palpation revealed spinal fusion in five rats (83%) in Group 2 at 8 weeks. However, in Group 1, three (60%) rats developed fusion at L4-L5 by radiography and two (40%) by manual palpation in radiographic examination. In addition, in Group 3, bone fusion was observed in only 50% of rats by manual palpation and radiographic examination at this time. Conclusion : The present study demonstrates that 0.08 gram of hydroxyapatite with $1{\times}10^6/60{\mu}L$ rat of BMDMSCs induced bone fusion. FGF4, added to differentiate primitive $1{\times}10^6/60{\mu}L$ rat of BMDMSCs did not induce fusion. Based on histologic data, FGF-4 appears to induce fibrotic change rather than differentiation to bone by $1{\times}10^6/60{\mu}L$ rat of BMDMSCs.

• 환경위생공학
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• 제15권4호
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• pp.84-90
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• 2000

5L laboratory-scale anaerobic digester was used to study the effects of food size and washing rate of food waste on the mixed digestion with sewage sludge. Food waste was crushed with particle diameters of 4mm and 2mm and washed two to three times, and seven to eight times before feeding the batch digester. The digester with crushed of washed food waste showed better performance than that with uncrushed of unwashed to produce methane gas of reduce volatile solids. The digester with 2mm food waste showed 17.4% higher VS/TS reduction rate and 18ml higher methane production rate per gram VS input than that with uncrushed food waste, where VS and TS are volatile solid and total solids in the liquid effluent, respectively. Also food waste crushed eight times gave 8% higher VS/TS reduction rate and 11ml higher methane production rate per gram VS input than unwashed food waste.

• 한국응용과학기술학회지
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• 제17권4호
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• pp.267-272
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• 2000

Dual-actions are the most recently used delivery system in drug study. Dual-action agents are unique chemical entities comprised of two different type of antibacterial compounds covalently linked together in a single molecule in such a way that both components are able to exert their bactericidal properties. Crosslinked sulfadiazine-sulfanilamide such as antibiotics is synthesized by synthetic handle with glutaraldehyde. As a result, New synthetic antibacterial agent exhibited the broad antibacterial activities against gram(+) and gram(-) of 4 strains and a long durability supposing that the stomach and blood.

• 약학회지
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• 제37권3호
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• pp.295-305
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• 1993

In order to develop oral cephalosporin having a new substituent at 3 position, the synthesis of cephalosporins modified at C-3 and the effect of the substituents on the oral absorption is studied. 7-[(Z)-2-(2-Aminothiazole- 4-yl)-2-methoxyiminoacetamidol-3-[4-(2-pyridyl )piperazinyl] thiocarbonylthiomethyl-3-cephem-4-carboxylic acid (CEN1) and 7-[(Z)-2-(2-aminothiazole-4-yl)-2-methoxyiminoacetamido]-3-[4-(2-pyrimid yl)piperazinylthiocarbonylthiomethyl-3-cephem-4-carboxylic acid (CEN2) were synthesized from 4-(2-piridyl)piperazinyl dithiocarbamate potassium salt or 4-(2-pirimidyl)piperazinyl dithiocarbamate potassium salt and cefotaxime. Also pivaloyloxymethyl esters of CEN1 and CEN2, pivaloyloxymethyl 7-[(Z)-2-(2-aminothiazole-4-yl)-2-methoxyiminoacetamido]-3-[4-(2-pyridyl )piperazinyllthiocarbonylthiomethyl-3-cephem-4-carboxylate (CENIP) and pivaloyloxymethyl 7-[(Z)-2-(2-aminothiazole-4-yl)-2-methoxyiminoacetamidol-3- [4-(2-pyrimid yl)piperazinyllthiocarbonylthiomethyl-3-cephem-4-carboxylate (CEN2P) were synthesized. The in vitro activities of two new oral cephalosporins, CEN1 and CEN2, were compared with the in vitro activities of cefaclor and cefotaxime against a variety of bacterial species. CEN2 has a broad antibacterial spectrum covering Gram-positive and Gram-negative bacteria, similar to that exhibited by CEN1 and cefotaxime. CEN1 and CEN2 were more active in vitro than cefaclor against Streptococcus pyogenes, Klebsiella aerogenes and Enterobacter cloacae.

• 대한간호학회지
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• 제19권3호
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• pp.240-248
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• 1989

The increase in size and numbers of general hospitals in the process of conspicuous development of modem medicine has been accompanied by a serious increase in hospital acquired infections. Hospital aquired infections cause pain and discomfort, may threaten life, adds an economic burden, and delays recovery and return to society. Even though respiratory hospital infection rates resulting for tracheostomy and respiratory inhalation therapy, may be low, they are serious because of their bad prognosis and high mortality rates. This study was designed to assess certain aspects of respiratory infections of patients with a tracheostomy and thus provide baseline data for further research related to preventive or therapeutic nursing interventions. The specific objectives were to determine the incidence of colonization in the trachea, clinical signs, type of colonized bacteria and sensitivity to antibiotics. Data were collected from July 1 to December 10, 1989 at two university Hospital in Seoul. Subjects were 20 patients with a tracheostomy admitted to the Intensive Care Unit or Cerebral Vascular Accident Center. Clinical signs related to respiratory infection were observed using a checklist based on previous study outcomes. Bacterial culture, sensitivity test to antibiotics, WBC counts and chest X-ray were also performed. Cultures were done on the day of tracheostomy, and on the third, fifth and seventh day. Cultures were then done on seventh days after the first colonization. The results were as follows : 1. The incidence of bacteria colonization in a week was 90%(18 patients) 50% (10/20 patients) on the day of tracheostomy, 70%(7/10 patients) on the third day, and 0% on the fifth day, and 33%(1/3 patient) on the seventh day. 3 of 18 patients (16.7%) were colonies of mixed growth isolated. 2. The observed clinical signs related to respiratory infection were high fever 38.9%(7 patients), prulent secretion 16.7%(12 patients) and infiltration seen on chest X-ray 33.3%(6 patients). 3. The total number of types of bacteria isolated among the 18 subjects was 21 ; gram negative 71.4%, gram postive 28.6%. The dominant bacteria type was Staphylococcus aureus(5 cases) for gram(equation omitted) and Pseudomonas aeruginosa(3 cases), Klebsiella (4 cases), Enterobacter(3 cases) for gram (equation omitted). The results of culture on 7th day after the first colonization, 6 cases showed same type of bacteria, 3cases showed different type of bacteria and 1 cases showed no growth. 4. The sensitivity tests to antibiotics showed that Pseudomonas aeruginosa and Staphylococcus were strongly resistant to most kinds of antibiotics, but Klebsiella and the rest of gram negative bacteria were moderately sensitive to antibiotics.

• 약학회지
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• 제41권4호
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• pp.473-479
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• 1997

New cephalosporin antibiotics, 7-[(3,4-dihydro-6-methoxycarbonyl-2,2-dimethyl-2H-1,4-thiazin-3-yl)acetamido]-3-substituted-3-cephem-4-carboxylic acid derivatives 2a-2d, 7 -[(3,4-dihydro-6-ethoxycarbonyl-2,2-dimethyl-2H-1,4-thiazin-3-yl)acetamido] -3-substituted-3-cephem-4-carboxylic acid derivatives 3a-3d and 7-[(3,4-dihydro-6-methoxycarbonyl-2,2-dimethyl-2H-1,4-thiazin-3-yl-1-(S)-oxide)acetamido]-3-substituted-3-cephem-4-carboxylic acid derivatives 4a-4d were synthesized. Antibacterial activities of these new cephalosporin derivatives and the relationship between their structures and their activities were examined. Among them, 7-[(3,4-dihydro-6-methoxycaronyl-2,2-dimethyl-2H-1,4-thiazin-3-yl-1-(S)oxide)-acetamido]-3-[(1,2,3-triazol-5-yl)thiomethyl]-3-cephem-4-carboxylic acid 4d exhibited the antibacterial activities against Gram(+)and Gram(-) bacteria.

• 한국융합학회논문지
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• 제8권1호
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• pp.51-59
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• 2017

본 연구는 종합병원 내 응급실에 설치된 CT 장비와 일반촬영장비에 대한 세균 오염도 검사를 실시하여 보건학적 융복합 감염관리에 대한 기초자료를 마련하고자 하였다. 연구는 2015년 12월 1일부터 12월 31일까지 수도권 3곳과 전라도 2곳, 충청도 2곳 등 총 7곳의 의료기관을 대상으로하였다. 영상의학과 응급실 내 CT장비의 검출된 표면 오염 균주는 Micrococcus species(4,5%), Stenotrophomonas maltophilia(9%), Enteococcus faecium(4.5%), Providencia stuartii(4.5), Gram negative bacilli(4.5%), 일반촬영장비에서 검출된 표면 오염 균주는 Providencia stuartii(11%), Klebsiella pneumonia(3.5%), Stenotrophomonas maltophilia(11%), Pantoea species(11%), Acinetobacter baumannii(3.5%), Micrococcus species(3.5%), Escherichia coli(3.5%), Enterobacter species(3.5%), Gram negative bacilli(11%) 로 병원 감염의 원인균으로 알려진 균주는 없었고, 특이성을 가진 균주 역시 없었지만 가장 많이 검출된 구역이 모두 환자와 밀접한 관련을 갖는 곳이므로 방사선사는 검사 전후 알코올 등으로 깨끗이 닦아내야 할 것이다.

• 한국토양비료학회지
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• 제31권3호
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• pp.291-300
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• 1998

본 시험은 염류의 종류와 처리함량에 따른 작물근권 생태계의 미생물상 변동과 근권정착성을 구명하고자 하였다. 토양처리 염류($KNO_3$, $K_2HPO_4$, KCl, $K_2SO_4$)의 염농도(EC)와 포자형성세균, 그람음성세균수는 부의 상관관계를 보였으며, $K_2HPO_4$, $K_2SO_4$보다 KCl, $KNO_3$ 처리구에서 균수가 급격히 감소하였다. 균형염 처리토양의 미생물 밀도는 탄소원 첨가의 경우 그람음성세균은 EC $0.5dS\;m^{-1}$, 포자형성균은 EC $2.1dS\;m^{-1}$, 사상균 및 Fusarium sp.은 EC $8.0dS\;m^{-1}$에서 최대의 균수를 보였다. 균형염 처리토양의 Bacteria/Fungi 율은 염농도가 높아질수록 현저히 감소하며 토양처리 10일 경과후 757~1571, 30일 경과 후 89~215로 현저하게 낮아졌다. 오이, 토마토 근권 미생물의 뿌리정착밀도는 토양의 염농도가 높아질수록 형광성 Pseudomonas sp.은 현저하게 감소하였으나 병원성 Fusarium sp.은 증가하였다.