• Clinical and Experimental Pediatrics
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• 제64권6호
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• pp.293-300
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• 2021

Background: Understanding the epidemiology and prevalence of febrile urinary tract infection (fUTI) in children is important for risk stratification and selecting appropriate urine sample collection candidates to aid in its diagnosis and treatment. Purpose: This study aimed to analyze the epidemiology, etiology, and changes in antibiotic susceptibility patterns of the first fUTI in children. Methods: This retrospective observational cohort study included children younger than 19 years of age who were diagnosed and treated for their first fUTI in 2006-2016. Electronic medical records were analyzed and radiologic images were evaluated. Results: A total of 359 patients (median age, 5.1 months; interquartile range, 3.0-10.5 months) fit the inclusion criteria; of them, 78.0% (n=280) were younger than 12 months old. The male to female ratio was 5.3:1 for patients aged 0-2 months, 2.1:1 for those 3-5 months, and 1.6:1 for those 6-11 months. Beyond 12 months of age, there was a female predominance. Escherichia coli was the leading cause (83.8%), followed by Enterococcus species (6.7%), and Klebsiella pneumoniae (3.6%). Significant yearly increases in the proportions of multidrug-resistant strains (P<0.001) and extended-spectrum beta-lactamase (ESBL) producers (P<0.001) were observed. In patients with vesicoureteral reflux (VUR), the overall recurrence rate was 53.6% (n=15). A significantly higher recurrence rate was observed when the fUTI was caused by an ESBL versus non-ESBL producer (75.0% vs. 30.0%, P=0.03). Conclusion: fUTI was most prevalent in children younger than 12 months of age and showed a female predominance in patients older than 12 months of age. The proportion of ESBL producers causing fUTI is increasing. Carbapenems, rather than noncarbapenems, should be considered for treating fUTI caused by ESBL-producing enteric gram-negative rods to reduce short-term recurrence rates in children with VUR.

• 임상간호연구
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• 제28권3호
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• pp.277-288
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• 2022

Purpose: This study was conducted to evaluate the effects of the insulin therapy adherence program (INSTA GRAM) for patients with type 2 diabetes mellitus. Methods: This study examined a total of 63 patients with type 2 diabetes for whom the initiation of insulin therapy is being considered or within 6 months of undergoing insulin therapy. INSTAGRAM is a stage-specific intervention consisting of strategies for motivating patients to initiate and maintain insulin therapy using the transtheoretical model on the stages of change, the process of change, and self-efficacy. The participants were randomly assigned to either the INSTAGRAM group (experimental group, n=32) or the standard diabetes education group (control group, n=31). The INSTAGRAM group received 6 sessions over 8 weeks(face-to-face education was conducted in the first and last sessions, and telephone coaching was conducted from the second to fifth sessions). The outcomes were measured by psychological insulin resistance, self-efficacy, and glycosylated hemoglobin (HbA1c). Results: Psychological insulin resistance (p<.001), self-efficacy (p<.001), and HbA1c (p=.024) of the participants in the INSTAGRAM group significantly improved compared to those in the control group. Conclusion: INSTAGRAM is effective in overcoming psychological insulin resistance and improving self-efficacy and HbA1c. Therefore, the INSTAGRAM can be recommended as a nursing intervention for type 2 diabetic patients who delay the initiation of insulin therapy.

• 한국컴퓨터정보학회논문지
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• 제14권8호
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• pp.65-71
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• 2009

월드 와이드 웹의 정보 검색에서 산출되어지는 수많은 정보를 효율적으로 검색하기 위해서 자연어 정보처리가 필수적이다. 이 논문은 텍스트에서 숫자의 의미 파악을 위한 판별기법을 제안한 것이다. 숫자 의미 판별기법은 챠트 파싱 기법과 함께 문맥자유 문법을 활용하여 숫자 스트링과 연관된 접사를 해석하였으며, N-그램 기반의 단어에 의거하여 조직화된 의미 파악을 하도록 설계되었다. 그리고 POS 태거를 사용하여 트라이그램 단어의 제한조건이 자동 인식되도록 시스템을 구성하여, 점진적으로 효율적인 숫자의 의미 파악을 하도록 하였다. 이 논문에서 제안한 숫자 해석 시스템을 실험한 결과, 빈도수 비례 방법은 86.3%의 정확률을 나타냈고 조건수 비례 방법은 82.8%의 정확률을 나타냈다.

• Asian-Australasian Journal of Animal Sciences
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• 제13권7호
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• pp.948-956
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• 2000

The effect of high and low level of feed intakes on nutrient digestibility, nutrient losses through methane, energy and protein utilization by goats fed on alfalfa (Medicago sativa L.) pellets based diets was investigated in this study. Twelve castrated Japanese goats were employed in two subsequent digestion and metabolism trials. The goats were divided into three groups, offered three diets. Diet 1 consisted of 100% alfalfa pellet, Diet 2 was 70% alfalfa pellet and 30% corn, and Diet 3 was 40% alfalfa pellet and 60% corn. The two intake levels were high (1.6 times) and low (0.9 times) the maintenance requirement of total digestible nutrients (TON). Rumen ammonia nitrogen ($NH_3$-N) level of Diet 1 was lower (p<0.001) compared to Diets 2 and 3, but the values were always above the critical level (I50 mg/liter), The pH values of rumen liquor ranged from 6.02 to 7.30. Apparent digestibility of nutrient components did not show differences (p>0.05) between the two intake levels but inclusion of corn significantly altered the nutrient digestibility. Diet 3 had highest (p<0.001) dry matter (DM), organic matter (OM), ether extract (EE) and nitrogen fee extract (NFE) digestibility followed by the Diet 2 and Diet 1. The crude protein (CP) digestibility values among the three diets were in a narrow range (70.1 to 70.8%). Crude fiber (CF) digestibility for Diet 3 was slight higher (p>0.05) than that for other two diets. When alfalfa was replaced by corn, there were highly significant (p<0.001) increases in DM, OM, EE and NFE apparent digestibility and a slight increase in the CF digestibility (p>0.05). There were no differences (p>0.05) in energy losses as methane ($CH_4$) and heat production among the diets but energy loss through urine was higher for the Diet 1. The total energy loss as $CH_4$ and heat production were higher for the high intake level but the energy loss as $CH_4$ per gram DM intake were same (0.305 kcal/g) between the high and low intake level. Retained energy (RE) was higher for Diet 3 and Diet 2. Nitrogen (N) losses through feces and urine were higher (p<0.001) for Diet 1. Consequently, N retention was lower (p>0.05) for Diet 1 and higher in Diets 3 and 2. It is concluded that inclusion of corn with alfalfa increased the metabolizable energy (ME) and RE, and retained N through reducing the energy and N losses. The high level of intake reduced the rate of nutrient losses through feces and urine.

• 한국식품저장유통학회지
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• 제18권4호
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• pp.590-596
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• 2011

참나물은 광범위하게 이용되는 식용산채임에도 불구하고 그 연구는 전 세계적으로 미미한 상태이다. 본 연구에서는 최근 고급 식용 산채로서 각광받고 있는 참나물의 메탄올 추출물을 조제하고, 이로부터 n-hexane, methylene chloride, ethylacetate 및 butanol을 이용하여 순차적 유기 용매 분획물과 물 잔류물을 조제하여 각각의 항산화, 항균 및 대장암세포 생육억제 활성을 평가하였다. 참나물 메탄올 추출물의 71.51%는 물 잔류물로 이행되어 추출물 대부분이 수용성 물질이었으며, n-hexane, methylene chloride, ethylacetate 및 butanol 분획 효율은 각각 18.71, 0.7, 0.56, 및 4.57%로 나타났다. 총 플라보노이드 및 총 폴리페놀 함량은, 분획수율이 가장 낮은 ethylacetate 분획에서 가장 높았으며 물 잔류물에서 가장 낮았다. 항균 활성 평가결과, ethylacetate 분획에서 그람양성 및 그람음성세균에 대해 광범위한 항균 활성을 나타내었으며, 특히 그람양성세균에는 n-hexane 분획이, 그람음성세균에는 ethylacetate 분획이 효과적이었다. 항산화 활성의 경우 ethylacetate 및 butanol 분획에서 양호한 DPPH 및 ABTS 소거능, 환원력을 나타내었으며, n-hexane및 methylene chloride 분획에서 우수한 nitrite 소거능을 나타내었다. 한편 butanol 분획에서는 다른 분획과는 달리 우수한 인간 대장암세포 생육억제 활성을 나타내었다. 본 연구 결과는 참나물을 이용한 기능성 식품개발 및 ethylacetate 분획을 대상으로 한 유용 소재개발의 기본 자료로 활용될 것이다.

• 대한화학회지
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• 제31권4호
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• pp.308-314
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• 1987

중금속 이온의 흡착, 분리 및 회수에 적합한 킬레이트제 침윤수지의 조건을 조사하기 위하여 cupferron (CP), diphenylcarbazone (DPC), salicylaldoxime (SAO), thiosalicylic acid (TSA), 및 dimethylglyoxime (DMG)등의 킬레이트제를 선택하여 Amberite XAD-7 수지에 대한 흡착성을 조사하였다. 킬레이트제-XAD-7 침윤수지들을 만들고, 각 침윤수지들에 대한 Cu(Ⅱ) 이온의 흡착, 분리 및 회수능을 비교하였다. Cu(Ⅱ) 이온에 대해서 적절한 침윤수지로는 비교적 넓은 pH 영역에서 킬레이트제의 흡착이 안정하고 Cu(Ⅱ)와 넓은 pH 범위에서 정량적인 흡착을 보이는 SAO-XAD-7과 DMG-XAD-7 침윤수지임을 알았다. SAO-XAD-7 수지를 사용하여 Cu(Ⅱ) 이온을 공존하는 Ni(Ⅱ) 이온으로부터 분리하였다. Cu(Ⅱ)이온의 최적흡착량은 SAO-XAD-7 침윤수지의 경우는 수지 1g에 대해서 $7{\times}10^{-3}mmol$이며, DMG-XAD-7의 경우는 $2{\times}10^{-3}mmol$이다. 또한 흡착된 Cu(Ⅱ)이온. 1N HCl로 용출시켜 정량적으로 회수하였다. 한편 혼합 침윤수지에서의 Cu(Ⅱ)와 Ni(Ⅱ) 이온의 선택적 흡착성을 조사하였다.

• 한국응용곤충학회지
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• 제19권3호
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• pp.163-168
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• 1980

본시험은 한국산항생물질 또는 항생균의 개발이용을 목적으로 한 기초연구로서 주로 전년도의 계속연구와 아울러 토양시료로부터 새로히 항생세균을 분리하였다. 청주부근의 토양시료 500점으로부터 83점의 항생균을 분리하였으며 이들은 주로 gram음성균인 Escherichia coli에 유효한 것을 선별하였다. 이들에 대한 연구는 앞으로 계속할 것이며 수년간 계속 연구중인 우수항생균 JS7501은 그동안 수차에 걸쳐 재선별하였기 때문에 JS901로 개칭하여 본시험에 공시하였으며 항균작용법 위도 재확인하였으며 주로 추출을 목적으로 용매추출, 흡착, TLC, 이온교환 수지 등을 총동원하였으나 TLC에 의하여 활성이 확인된 4 spot를 분리할 수 있었다. JS7901의 배양배지로서는 Soytone Sugar배지가 가장 높은 항균력을 보였으며 Soytone보다는 Sugar가 활성물질 증가와 관계가 있었다.

• Neonatal Medicine
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• 제18권2호
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• pp.272-279
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• 2011

목적: 최근 신생아 집중 치료실(neonatal intensive care unit, NICU)에 입원한 신생아들의 병원내 감염 중 그람 음성 간균(Gram negative bacilli, GNB)에 의한 패혈증이 증가하고 있다. NICU에서 정기적인 대변의 감시 배양을 통해 GNB에 의한 장관 집락화가 같은 균에 의한 패혈증으로 이행되는 지를 확인하고, 집락화된 GNB 병원균의 종류를 확인하며 집락화에 관여하는 위험인자를 조사하고자 하였다. 방법: 2007년 10월부터 2008년 5월까지 고신대학교 복음병원 신생아 집중치료실에 입원한 86명의 환아를 대상으로 하였다. 모든 환아에게 총 3회의 대변 채집을 계획하였는데, 출생 후 첫 대변과 2주 간격으로 2회 채집을 계획하였다. 장관의 GNB 집락화와 관련된 위험 인자들은 대상 환아들의 의무기록을 열람하거나 연관된 논문의 고찰을 통해 설정하였다. 결과: 86명의 환아 중 22명(25.6%)이 GNB에 의한 장관 집락화가 있었으나 이 환아들을 퇴원까지 추적하였을 때 GNB로 인한 패혈증은 없었다. Pseudomonas aeruginosa, Enterobcter cloacae, Citrobacter freundii가 가장 많이 분리되었다. 분리된 GNB 중 약 89% (32/36)는 amikacin에 감수성이 있었다. GNB 에 의한 장관 집락화의 가능성은 집락화 당시 수유량이 적을 때 증가한 반면, 첫 수유 시기가 지연될 때 그 가능성은 감소하였다. 결론: 저자들은 NICU에 입원한 신생아에서 장관 감시배양을 통해 장관에 집락화된 GNB를 확인하였으나 연구에 포함된 환아에서 GNB에 의한 패혈증이 발생하지 않았으므로 집락화가 패혈증으로 이행되는 지를 확인할 수는 없었다. 집락화시 적은 수유량(feeding volume at colonization day)이 집락화의 위험요인이었으므로 장관 영양의 진행이 원활하지 않을 경우 장관의 GNB 집락화 가능성을 고려해야 한다.

• Asian-Australasian Journal of Animal Sciences
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• 제24권9호
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• pp.1268-1273
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• 2011

The present study was conducted to determine a feasible method of protein concentrate extraction from rice bran (RBPC) and its effect as a substitution for skim milk in early weaning pig diets. An investigation to extract protein concentrate from full fat rice bran was undertaken to determine the best ratio of water and rice bran, the amount of NaOH and a HCl solvent to use in a simple paddle-type mixer with modified spinning to produce RBPC. The results stated that the best ratio for water mixing in the RBPC extraction process was 1:5 with 20 g NaOH and 30 min in a paddle-type mixer at 300 rpm. A mix of 250 ml 0.2 N HCl was optimum for neutralization and protein precipitation. After the fluid was spun out with a washing machine, the sediment was left for 12-14 hours to complete the filtration. One kilogram of rice bran could produce an average of 324.5 gram RBPC and it contained 3.40% ash, 496.48 kcal of GE/100 gram, 1.94% crude fiber, 28.20% ether extract, 7.64% moisture and 16.66% crude protein, respectively. A total of 45 crossbred piglets, weaned at 3 weeks of age were allotted into control diet (A) and dietary treatments formulated with a four different rates of RBPC substitution for skim milk at a percentage of 25 (B), 50 (C), 77 (D) and 100 (E) respectively, in a randomized complete block (RCB) design. All piglets had free access to feed and water until 8 week of age when the experiment ended. Feed intake, average daily gain, growth rate and feed efficiency were not affected by dietary treatments. Blood test parameters after completion of the growth trial indicated normal health. Even though the mean of cell hemoglobin concentration was significantly different between treatments (p<0.05) it was still within the normal range. The cost difference for BW gain of 100% RBPC substituted for skim milk in the weaning diet was approximately 35% lower than that of the control and the relative cost of production was 96.67, 92.85, 70.75 and 64.48% lower for the replacement of 25, 50, 75 and 100% of skim milk respectively. These results implied that this technology is feasible for use by small scale farmers to improve their self-reliance.

• 한국수산과학회지
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• 제8권2호
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• pp.107-117
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• 1975

Alaska pollack caught in the Northern Pacific Ocean and frozen aboard vessel are skipped to the plant and processed into frozen fillets. In the present paper quality changes during thwaing, refreezing and storage at $-20^{\circ}C$ are discussed. Natural, running-water, vacuum and steam thawing were employed as thawing methods. And contact plate, air blast, immersion in dry ice-alcohol solution freezing and storage at $-5^{\circ}C$ were applied to refreeze the thawed fillets. As quality factors content of drip released, salt-extractable protein, VBN, DNA in the drip and pH were determined. In addition, bacteriological tests were also carried out along with the whole process. In thawing of round material, the vacuum thawing was more effective than any other method, resulting in drip, salt-extractable protein $(N\%)$, VBN and DNA as $4.4\%,\;1.82\%,\;16.21mg\%$ and $13.70\;{\mu}g/ml$, respectively. Storage at $-5^{\circ}C$ as refreezing method yielded lower in drip and DNA content but similar to or slightly higher in both salt-extractable protein and VBN, which might postulate that the quality of the frozen fillet depends not largely on the secondary freezing but on the conditions of thawing and primary freezing. It seemed that most of the bacterial flora in thawed fillet came from skin and viscera of fish, worker's hands, utensils and other processing facilities, since sanitary indicative bacteria were not detected in the frozen flesh of round Alaska pollack. Bacterial quality of fillet varied with thawing methods, vacuum thawing appeared more sanitative compared with other methods as natural, running-water, and steam thawing. Bacterial colonies isolated from the thawed fillet were composed of $73.8\%$ Gram negative rod shape, $4.9\%$ Gram positive rod shape, $18.0\%$ cocci, and $3.3\%$ yeast. Decreasing rate of coliform group of the fillet during the storage at $-20^{\circ}C$ for 30 days was more than $70\%$ and that of plate count was less than of coliform group.