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A Case of Bacillus licheniformis Bacteremia Associated with Bronchoscopy (기관지 내시경 후에 발생한 Bacillus Licheniformis 균혈증)

  • Hong, Tae Won;Kim, Hyo Youl;Jee, Myeong Gwan;Choi, Joung Wook;Youg, Suk Joong;Shin, Kye Chul;Lee, Won Yeon
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.6
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    • pp.553-556
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    • 2004
  • Bacillus species are aerobic, gram-positive, spore forming rods, and they are usually found in the surrounding environment. If they are isolated in the clinical specimen, they are generally considered as contaminants rather than a true pathogen. Infection with Bacillus licheniformis is usually associated with the immunocompromised state, trauma, an indwelling intravenous catheter or an intravenous drug abuser. This infection is easily controlled by removal of the catheter and surgical debridement of the local infected tissue as well as an appropriate antimicrobial therapy. We reported here on a case of Bacillus licheniformis bacteremia associated with a bronchoscopic procedure in an immune competent patient.

English Reading Program of Public Libraries for Non-English Speakers (비영어권 이용자를 위한 공공도서관 영어독서 프로그램 사례 연구)

  • Choi, Sanghee
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.23 no.4
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    • pp.479-496
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    • 2012
  • English is an important tool of information literacy in terms of global information sharing environment. This impacts readers advisory services of public libraries in many ways. In order to identify status of English reading programs in public libraries, this paper investigated 50 public librarries' services for non-English speakers in California, which has long history serving readers advisory services to them. As a result, it is suggested that public libraries have to play a key role to help adult users to be competent in English with English reading programs. Public libraries also need to support families to build English reading environment at home to expand reading activities in libraries. In addition, reading habit in mother tongue is also important for English reading ability, so public libraries consider to build a bridge between them to provide effective English reading programs.

The Main Issues in the International Arbitration Practice in Korea (한국의 국제상사중제에 대한 주요 논점)

  • Suh, Jeong-Il
    • Journal of Arbitration Studies
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    • v.21 no.2
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    • pp.3-25
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    • 2011
  • 국제상사중재를 다루는 중재판정부의 중재인은 당사자들 간의 유효한 합의를 통하여 구속력 있는 중재판정을 행사할 권한을 가진다. 중재계약에 다른 정함이 없는 한 중재인의 판정권에 대한 결정은 중재인 자신이 내린다. 중재인은 중재합의에 의하여 그 권한이 부여된 사건에 대해서만 권한을 갖게 되나, 명시적으로 그 권한에 따라야 하는 사건 외에 당해 사건을 해결하기 위하여 처리하지 않으면 안 될 모든 문제, 즉 당해 사건과 절단될 수 없는 형태로 연계되어 있는 문제 또는 그 부차적인 조건의 문제를 해결하여야 하는 책임을 지게 된다. 중재판정부는 그 자율적인 권한범위를 규율하는 권한을 가지며, 그 권한 속에는 중재합의의 존부 또는 효력에 관한 것도 포함된다. 중재인의 판정권에 이의가 있는 당사자는 법원에 중재계약의 부존재 무효 확인을 청구할 수 있고, 중재판정이 이미 내려진 경우에는 중재판정취소의 소를 제기하거나, 집행판결에서 이의를 제기할 수 있다. 우리 중재법의 입장에서 국제중재판정의 판정기준에 대해 는 중재판정부는 당사자들이 지정한 법에 따라 중재판정을 내려야 하며, 특정 국가의 법 또는 법체계가 지정된 경우에 달리 명시되지 아니하는 한 그 국가의 국제사법이 아닌 분쟁의 실체법을 지정한 것으로 보고 있다. 국제중재의 법적 안정성, 예측가능성의 관점에서 실정법을 그 판단의 규준으로 삼는다. 한국의 국제중재의 특성은 국제성 중립성, 보편성을 보장받는 점이다. 중재인 구성원은 세계 각국의 국적을 가진 전문 중재인들이 참가하고 있다. 중재절차에 있어서도 중재인은 실체법이나 절차법, 또는 법률의 상충에 관계없이 어느 특정법률을 적용하도록 강요받지 않고 각각의 경우에 가장 적합한 법률에 따르며 중재판정부의 진행절차는 국제중재규칙에 의해 규율된다.

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Effects of Action Oriented Breast Self-examination(BSE) Education on Knowledge, Self-efficacy, and Performance Competence in Nursing Students (행위중심적 유방자가검진 교육이 간호학생의 지식, 자기효능감 및 수행능력에 미치는 효과)

  • Park, So-Mi;Hur, Hea-Kung;Park, Mi-Jeong;Song, Hee-Young
    • Women's Health Nursing
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    • v.12 no.1
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    • pp.47-52
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    • 2006
  • Purpose: This study was undertaken to test effects of action oriented BSE education on knowledge, selfefficacy, and performance competence in nursing students. Methods: A non-equivalent pre-posttest of time serial quasi-experimental design was used to prevent diffusion of the experiment. Out of 53 nursing students selected by convenient sampling in the third grade at a nursing college, 27 students were randomly assigned to the control group and were first given a traditional lecture on BSE. For the experimental group of 26 students action oriented BSE education consisted of lectures, demonstrations with breast models, and BSE skill practice by micro teaching. Results: There was no significant difference in general and BSE-related characteristics between the two groups. Scores of the experimental group in knowledge, self-efficacy, and performance after the intervention were significantly higher than those of the control group. Conclusions: Results showed that action- oriented BSE education was effective in increasing knowledge, self-efficacy and performance competence in nursing students. Education for students should incorporate strategies reinforcing confidence by practicing actual BSE skills as well as acquiring knowledge of BSE, so that students can become competent and practical cancer prevention educators.

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Nursing Activities on Continuous Renal Replacement Therapy in the Intensive Care Units (중환자실 내 지속적 신대체 요법과 관련된 간호업무 분석)

  • Yun, Seonyoung;Lee, Young Ock;Kang, Jiyeon;Yun, Mi-Jeong;Won, Youn-Hui;Lee, Mi-Young
    • Journal of Korean Critical Care Nursing
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    • v.6 no.2
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    • pp.65-77
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    • 2013
  • Purpose: The purpose of the study was to analyze the nursing activities related to continuous renal replacement therapy (CRRT) in the intensive care units (ICU). Methods: We developed a list of 31 CRRT related nursing activities based on literature review and reviewed by expert group. A total of 109 direct time measurement records by 43 ICU nurses were collected and analyzed in terms of total time per shift, frequency, standard time, difficulty and performance levels of each CRRT nursing activity. Results: The mean time for CRRT nursing activity was 85.60 minutes per 8 hour shift. Nurses have spent average $9.46{\pm}6.98$ minutes in a shift for "waste fluid bag change" activity. In addition, "check catheter location" was the most time consuming single activity. The most difficult activity was "counseling-answer" and the most competent one was "dialysis solutions change". Conclusion: The CRRT nursing activities accounted for a significant portion of total nursing workload. Practical allocation of nursing staff for CRRT patient along with development of a new nursing cost system need to be considered. Continuous nursing educational and training programs on CRRT should be developed.

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Hospice and Palliative Care Education for Medical Students in Korea (우리나라 의과대학의 호스피스 완화의료 교육)

  • Kim, Do Yeun;Lee, Soon Nam
    • Korean Medical Education Review
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    • v.22 no.3
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    • pp.146-152
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    • 2020
  • Hospice and palliative care (HPC) education is an essential component of undergraduate medical education. Since February 4th, 2018, withholding and withdrawing life-sustaining treatment at the end of life (EOL) has been permitted in Korea as put forth by law, the "Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life." Therefore, Korean medical schools have faced a challenge in providing comprehensive HPC education in order to better prepare medical students to be competent physicians in fulfilling their role in caring for patients at the EOL. There have been considerable variations in the evolution and organization of HPC education across Korean medical schools for the past 20 years. In 2016, all medical schools taught HPC curriculum as a separate course or integrated courses, with the most frequently taught topics including: delivering bad news, pain management, and the concept of palliative medicine. However, the content, time allocation, learning format, and clinical skills practice training of HPC education have been insufficient, inconsistent, and diverse. For this reason, we propose a HPC curriculum containing seven domains with 60 learning objectives in a course duration of over 20 hours based on the Palliative Education Assessment Tool (PEAT) as standard HPC curriculum. Furthermore, we recommend development of a national curriculum for HPC/EOL care education to be organized by the HPC board and managed under the accreditation criteria of the Korea Institute of Medical Education and Evaluation.

Heterologous Transformation of Saccharomyces cerevisiae by Glucoamylase Gene of Saccharomyces diastaticus (Saccharomyces diastaticus Glucoamylase Gene에 의한 Saccharomyces cerevisiae의 Transformation)

  • Kim, Young-Ho;Jun, Do-Youn;Seu, Jung-Hwn
    • Microbiology and Biotechnology Letters
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    • v.16 no.6
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    • pp.489-493
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    • 1988
  • To obtain a new yeast strain that is able to efficiently produce ethanol from starch, the glucoamylase gene of Saccharomyces diastaticus was transformed into S. cerevisiae without a cloning vector. The competent cells of S. cerevisiae, induced by the treatment of Li$_2$SO$_4$, were transformed with the partial BamHI-digests of chromosomal DNA of S. diastaticus, and the transformants were selected by their abilities to utilize and ferment starch. The transformants, which appeared at a frequency of 8.5$\times$10$^{-7}$, were able to withstand up to 800 ppm of copper sulfate like the recipient and retained the phenotypic expression of the recipient with the exception of the acquisition of STA gene and MAL gene, as regards fermentation of carbohydrates. The enzymatic properties of glucoamylases produced by transformants were very similar to those produced by S. diastaticus as based on optimium pH and temperature.

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Anti-proliferative and angio-suppressive effect of Stoechospermum marginatum (C. Agardh) Kutzing extract using various experimental models

  • Vinayak, Rashmi;Puttananjaiah, Shilpa;Chatterji, Anil;Salimath, Bharati
    • Nutrition Research and Practice
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    • v.8 no.4
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    • pp.377-385
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    • 2014
  • BACKGROUND/OBJECTIVES: Abundant consumption of seaweeds in the diet is epidemiologically linked to the reduction in risk of developing cancer. In larger cases, however, identification of particular seaweeds that are accountable for these effects is still lacking, hindering the recognition of competent dietary-based chemo preventive approaches. The aim of this research was to establish the antiproliferative potency and angiosuppressive mode of action of Stoechospermum marginatum seaweed methanolic extract using various experimental models. MATERIALS/METHODS: Among the 15 seaweeds screened for antiproliferative activity against Ehrlich ascites tumor (EAT) cell line, Stoechospermum marginatum extract (SME) was found to be the most promising. Therefore, it was further investigated for its anti-proliferative activity in-vitro against choriocarcinoma (BeWo) and non-transformed Human embryonic kidney (HEK 293) cells, and for its anti-migratory/tube formation activity against HUVEC cells in-vitro. Subsequently, the angiosuppressive activity of S. marginatum was established by inhibition of angiogenesis in in-vivo (peritoneal angiogenesis and chorioallantoic membrane assay) and ex-vivo (rat cornea assay) models. RESULTS: Most brown seaweed extracts inhibited the proliferation of EAT cells, while green and red seaweed extracts were much less effective. According to the results, SME selectively inhibited proliferation of BeWo cells in-vitro in a dose-dependent manner, but had a lesser effect on HEK 293 cells. SME also suppressed the migration and tube formation of HUVEC cells in-vitro. In addition, SME was able to suppress VEGF-induced angiogenesis in the chorio allantoic membrane, rat cornea, and tumor induced angiogenesis in the peritoneum of EAT bearing mice. A decrease in the microvessel density count and CD31 antigen staining of treated mice peritoneum provided further evidence of its angiosuppressive activity. CONCLUSIONS: Altogether, the data underline that VEGF mediated angiogenesis is the target for the angiosuppressive action of SME and could potentially be useful in cancer prevention or treatment involving stimulated angiogenesis.

The Modernization of Stage Costume of Opera "Faust" - Focused on A Hero & Heroine's Costume - (오페라 "파우스트" 무대 의상의 현대적 디자인 개발 I - 남녀 주인공들의 의상을 중심으로 -)

  • Byun, Zee-Hyun;Lee, Su-Yeon;Cho, Jean-Suk
    • The Research Journal of the Costume Culture
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    • v.14 no.4
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    • pp.581-595
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    • 2006
  • Modernization movement has affected classical operas. Today, classical operas are often re-interpreted from the modern perspective and played differently only with the storyline maintained. This study examines modernization of opera costumes. For this study, the author worked as one of costume design staff for "Faust," which was played in Sungnam Art Center from November 24, 2005 to November 27, 2005 in commemoration of the opening of the center. The following outcomes are drawn from this study. Two types of costumes were designed for Faust. An old black shirt, grey checkered trousers, and a white gown were designed to express the old Faust, a respected scholar in his 50s, who was erudite and competent. Red checker of the shirt represented passion and blue checker of the shirt symbolized youth. The cotton trousers were beige, the most favorite color among male college students. For Mephistopheles, a white suit, black shirt, and white neck tie were designed to express the Devil, who changed his face instantly. A white suit symbolized that Mephistopheles looked like an angel, while a black shirt suggested that Mephistopheles, in reality, was the Devil. A white one-piece dress and light jade green cardigan were designed for Margarete, who was innocent and virtuous. The white dress represented innocence and purity of Margarete and the light jade green cardigan symbolized a maiden pure.

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Effect of Various Carbon Sources on the Development of Aspergillus nidulans with $velA^+$ or velA1 allele (각종 탄소원이 $velA^+$ 및 velA1 Aspergillus nidulans의 분화에 미치는 영향)

  • Han, Dong-Min;Han, Yoo-Jeong;Chae, Keon-Sang;Jahng, Kwang-Yeop;Lee, Young-Hoon
    • The Korean Journal of Mycology
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    • v.22 no.4
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    • pp.332-337
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    • 1994
  • Under standard condition (Han, et al., 1990: glucose 1%-nitrate 0.1% minimal medium, 30 ml in 9 cm plate, $10^6$ cells of inoculum per plate), wild type of Aspergillus nidulans developed both sexual and asexual organs in ballance, while velA1 mutant developed asexual ones preferentially. Increase of glucose concentration did not significantly affect the asexual sporulation. However, development of sexual organs were largely affected. It was greatly enhanced when favorable nitrogen source, for example, casein hydrolysate was added, which is contrary to the case of Neurospora or Saccharomyces where limitation of N source induces sexual development. On most of moderate C sources asexual development in $velA^+$ strain was largely inhibited except acetate on which only asexual spores were produced, while that in velA1 mutant strain was not affected. Lactose promoted the sexual development even in velA1 mutant indicating that lactose itself or its metabolic intermediate may induce sexual development independent of allelic state of velA gene. On other moderate favorable C sources, glycerol, galactose and ethanol, asexual development was largely inhibited in $velA^+$ strain but not in velA1 mutant strain. Sexual organs were, however, never produced on acetate. These results suggested that asexual development of wild type is largely dependent on C sources and the velA gene is involved in the repression of asexual development in not-enough-grown (non-competent) thalli resulting in preferential progression of sexual development.

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