• Title/Summary/Keyword: Yi Jin sang

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The Extent of Late Gadolinium Enhancement Can Predict Adverse Cardiac Outcomes in Patients with Non-Ischemic Cardiomyopathy with Reduced Left Ventricular Ejection Fraction: A Prospective Observational Study

  • Eun Kyoung Kim;Ga Yeon Lee;Shin Yi Jang;Sung-A Chang;Sung Mok Kim;Sung-Ji Park;Jin-Oh Choi;Seung Woo Park;Yeon Hyeon Choe;Sang-Chol Lee;Jae K. Oh
    • Korean Journal of Radiology
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    • v.22 no.3
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    • pp.324-333
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    • 2021
  • Objective: The clinical course of an individual patient with heart failure is unpredictable with left ventricle ejection fraction (LVEF) only. We aimed to evaluate the prognostic value of cardiac magnetic resonance (CMR)-derived myocardial fibrosis extent and to determine the cutoff value for event-free survival in patients with non-ischemic cardiomyopathy (NICM) who had severely reduced LVEF. Materials and Methods: Our prospective cohort study included 78 NICM patients with significantly reduced LV systolic function (LVEF < 35%). CMR images were analyzed for the presence and extent of late gadolinium enhancement (LGE). The primary outcome was major adverse cardiac events (MACEs), defined as a composite of cardiac death, heart transplantation, implantable cardioverter-defibrillator discharge for major arrhythmia, and hospitalization for congestive heart failure within 5 years after enrollment. Results: A total of 80.8% (n = 63) of enrolled patients had LGE, with the median LVEF of 25.4% (19.8-32.4%). The extent of myocardial scarring was significantly higher in patients who experienced MACE than in those without any cardiac events (22.0 [5.5-46.1] %LV vs. 6.7 [0-17.1] %LV, respectively, p = 0.008). During follow-up, 51.4% of patients with LGE ≥ 12.0 %LV experienced MACE, along with 20.9% of those with LGE ≤ 12.0 %LV (log-rank p = 0.001). According to multivariate analysis, LGE extent more than 12.0 %LV was independently associated with MACE (adjusted hazard ratio, 6.71; 95% confidence interval, 2.54-17.74; p < 0.001). Conclusion: In NICM patients with significantly reduced LV systolic function, the extent of LGE is a strong predictor for long-term adverse cardiac outcomes. Event-free survival was well discriminated with an LGE cutoff value of 12.0 %LV in these patients.

Deep learning-based automatic segmentation of the mandibular canal on panoramic radiographs: A multi-device study

  • Moe Thu Zar Aung;Sang-Heon Lim;Jiyong Han;Su Yang;Ju-Hee Kang;Jo-Eun Kim;Kyung-Hoe Huh;Won-Jin Yi;Min-Suk Heo;Sam-Sun Lee
    • Imaging Science in Dentistry
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    • v.54 no.1
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    • pp.81-91
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    • 2024
  • Purpose: The objective of this study was to propose a deep-learning model for the detection of the mandibular canal on dental panoramic radiographs. Materials and Methods: A total of 2,100 panoramic radiographs (PANs) were collected from 3 different machines: RAYSCAN Alpha (n=700, PAN A), OP-100 (n=700, PAN B), and CS8100 (n=700, PAN C). Initially, an oral and maxillofacial radiologist coarsely annotated the mandibular canals. For deep learning analysis, convolutional neural networks (CNNs) utilizing U-Net architecture were employed for automated canal segmentation. Seven independent networks were trained using training sets representing all possible combinations of the 3 groups. These networks were then assessed using a hold-out test dataset. Results: Among the 7 networks evaluated, the network trained with all 3 available groups achieved an average precision of 90.6%, a recall of 87.4%, and a Dice similarity coefficient (DSC) of 88.9%. The 3 networks trained using each of the 3 possible 2-group combinations also demonstrated reliable performance for mandibular canal segmentation, as follows: 1) PAN A and B exhibited a mean DSC of 87.9%, 2) PAN A and C displayed a mean DSC of 87.8%, and 3) PAN B and C demonstrated a mean DSC of 88.4%. Conclusion: This multi-device study indicated that the examined CNN-based deep learning approach can achieve excellent canal segmentation performance, with a DSC exceeding 88%. Furthermore, the study highlighted the importance of considering the characteristics of panoramic radiographs when developing a robust deep-learning network, rather than depending solely on the size of the dataset.

Modern diatom seasonal variation records from the bottom sediments of reservoirs, southern area in Korean Peninsula (한반도 남부지역의 저수지에서 계절 변화에 따른 규조류 변화 기록)

  • Young-Suk Bak;Sangheon Yi;Dong Wook Kim;Eunmi Lee;Yongmi Kim;Chang Pyo Jun;Jin Cheul Kim;Han Woo Choi;Moon Sang Shin
    • The Korean Journal of Quaternary Research
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    • v.32 no.1_2
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    • pp.1-29
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    • 2018
  • We investigated the seasonal variation of diatoms from the modern bottom floor sediments of the reservoirs distributed in the southern part of the Korean Peninsula. The studied reservoirs include each three reservoirs from Southeastern part, Central Southern part and Southwestern part, respectively, to compare the dominant diatom assemblages that are ecologically controlled by local environments. In the Southeastern region, Aulacoseira spp., Fragilaria crotonensis, Fragilaria tenera, Gomphonema gracile, G. parvulum and Gyrosigma attenuatum were dominant species. Aulacoseira spp., Cymbella tumida, Cymbella turgidula, Diploneis finnica and Fragilaria crotonensis were dominant taxa in the Central Southern regions. In the southwestern region, Aulacoseira spp., Fragilaria crotonensis, Gomphonema parvulum and Stenopterobia curvular were predominated. Of which Aulacoseira spp. were predominant species at all reservoirs. In addition most of dominants are saproxenous taxa living in the clean water area, and the water quality of these reservoirs is considered to be less polluted water. As a result of seasonal comparison of diatom productivity, the first productivity is higher in summer than in winter. However, diatom valve abundance in the southeastern reservoirs was fewer from the samples collected at May than February.

Preparation of guidance documents item by item for one-step evaluation and approval for Medical Devices (의료기기 일괄허가 및 기술문서 심사를 위한 품목별 길라잡이 개발)

  • Kim, Yong-Woo;Shin, Chae-Min;Bang, Ji-Young;Yi, Jung-Yeon;Oh, Hyeon-Joo;Bae, Woo-Jin;Choi, Jin-Man;Lim, Kyung-Mi;Oh, Heon-Jin;Kim, Mi-Young;Hur, Chan-Hoi;Kim, Hyung-Bum;Choi, Min-Yong;Kwak, Ji-Young;Kim, Su-Yeon;Hwang, Sang-Yeon;Youn, Hae-Suk;Hong, Hye-Kyeong;Ahn, So-Young;Lee, Chang-Hyung;Jeong, Jin-Baek;Koo, Ja-Jung;Kang, Se-Gu;Jung, Jae-Hoon;Lim, Kyoung-Taek;Lim, Chang-Keun;Kim, Min-Su;Lee, Seong-Hyi;Lee, Jae-Keun;Park, Ki-Jung
    • Journal of Biomedical Engineering Research
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    • v.31 no.4
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    • pp.280-284
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    • 2010
  • Approvals of medical device increase every year as industry of medical device grows. Therefore KFDA keeps trying to improve approval systems. However, the firms of medical device are in trouble due to regulation amendment, a firm of small size, exchange of the person in charge. The staffs of KFDA increase their work load because applicants of approval of medical device aren't used to writing of document. Therefore the firm of medical device in business have a long term. KFDA develops eight guidance document item by item for one-step evaluation and approval for Medical Devices because applicants of approval of medical device write documents easily. KFDA reviewer can carry on quick reviewing in use of this eight guidances. This guidance are improved on satisfaction of applicants of approval of medical device.

A New Rice Cultivar 'Manjong', Suitable to the Rice-Cash Crop Double Cropping System (중생 소득작물 후작지 적응 벼 품종 '만종')

  • Lee, Jong-Hee;Park, Dong-Soo;Cho, Jun-Hyeon;Song, You-Chun;Jeon, Myeong-Gi;Kwak, Do-Yeon;Kim, Choon-Song;Yeo, Un-Sang;Lee, Ji-Yoon;Kim, Sang-Yeol;Jung, Kuk-Hyun;Park, No-Bong;Han, Sang-Ik;Yi, Gihwan;Oh, Byeong-Geon;Shin, Mun-Sik;Kang, Jong-Rae;Oh, Sung-Hwan;Hwang, Heung-Goo;Kang, Hang-Won;Ahn, Jin-Gon
    • Korean Journal of Breeding Science
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    • v.43 no.6
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    • pp.611-615
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    • 2011
  • 'Manjong' is a new japonica rice cultivar developed in 2009 derived from a cross between 'Yeongdeog34' and 'Nampyeongbyeo' at the Department of Functional Crop, NICS, RDA. This cultivar is suitable for the double cropping system after the cash crop cultivation. Heading date of 'Manjong' is later than 'Keumobyeo' under the late transplanting cultivation on July 10. It has high grain fertility under cold conditions and low premature heading. One of the distinguishing characteristics of this variety is its resistance to major diseases like leaf blast and rice stripe virus disease. However, it shows susceptibility to major insect pests and bacterial blight disease. Milled rice kernels are translucent with non-glutinous endosperm and have 7.2% protein and 18.7% amylose contents. Ripening ratio and head rice ratio is very higher than those of 'Keumobyeo'. The palatability of cooked rice is also better than 'Keumobyeo'. The milled rice yield of 'Manjong' in local adaptability tests after harvest of the cash crop is $4.81MT\;ha^{-1}$. This cultivar is suitable for planting in the plain paddy fields of Honam and Yeonnam regions in Korea.

Analysis of Distribution Characteristics of Flowrate and Water Quality in Tributary at Chungcheongnam-do (충청남도 지류하천의 유량 및 수질 분포특성 분석)

  • Park, Sang-Hyun;Moon, Eun-Ho;Choi, Jeong-Ho;Cho, Byung-Wook;Kim, Hong-Su;Jeong, Woo-Hyeok;Yi, Sang-Jin;Kim, Young-Il
    • Journal of Korean Society of Environmental Engineers
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    • v.33 no.10
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    • pp.739-747
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    • 2011
  • The major 81 tributaries in Chungcheongnam-do were monitored for flowrate and water quality in order to understand the characteristics of the watershed and to select the tributary catchment for improving water quality. The value of flowrate in the tributaries at Nonsancheon catchment at the Geum-River watershed and Gokgyocheon, Muhancheon, Sapgyocheon at the Sapgyo-Reservoir watershed, which is located in the southern and northern area in Chungcheongnam-do, was relatively greater than the other watersheds. The concentration of water pollutants regardless of water quality parameters in Nonsancheon catchment at the Geum-River watershed, Gokgyocheon catchment at the Sapgyo-Reservoir watershed and the Anseongcheon watershed, which have a dense source of pollution, were higher than the other watersheds. However, 64 percent of the tributaries at the Geum-River watershed, 45 percent of tributaries at the Sapgyo-Reservoir watershed, 26 percent of tributaries at the Geum-River watershed all satisfied the Class II regulations in the Framework Act on Environment Policy, but all of the tributaries located in the Anseongcheon watershed exceeded the Class II regulations. Therefore, the policy for improving the water quality of the tributary in Chungcheongnam-do should be established in the following order: Anseongcheon, Seohae, Sapgyo-Reservoir watersheds. Consequently, the tributary catchment for improving water quality, which has a large flowrate and a high concentration of water pollutants, was selected at Ganggyeongcheon, Geumcheon, Nonsancheon, Seokseongcheon, Seungcheoncheon, Jeongancheon, Jeungsancheon (so far Geum-River watershed), Gokgyocheon, Namwoncheon, Maegokcheon, Muhancheon, Sapgyocheon Oncheoncheon, Cheonancheon (so far Sapgyo-Reservoir watershed), Gwangcheoncheon, Dangjincheon, Daecheoncheon, Dodangcheon, Waryongcheon, Cheongjicheon, Pangyocheon, Heungincheon (so far Seohae watershed), Dunpocheon, Seonghwancheon, Ipjangcheon (so far Anseongcheon watershed). The plans as installation of environmental facilities to reduce the source of pollution for improving the water quality of these tributary catchments should be urgently established and implemented.

Preliminary Results of Phase I/II Study of Simultaneous Modulated Accelerated (SMART) for Nasopharyngeal Carcinoma (비인강암의 치료에서 동시차등조사가속치료를 적용한 제1상/2상 연구의 예비적 결과)

  • Park Jin-Hong;Back Geum-Mun;Yi Byong-Yong;Choi Eun-Kyung;Ahn Seung-Do;Shin Seong-Soo;Kim Jung-Hun;Kim Sang-Yoon;Lee Bong-Jae;Nam Soon-Yuhl;Choi Seung-Ho;Kim Seung-Bae;Lee Sang-Wook
    • Radiation Oncology Journal
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    • v.24 no.1
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    • pp.1-10
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    • 2006
  • Puroose: To present preliminary results of intensity-modulated radiotherapy (IMRT) using the simultaneous modulated accelerated radiation therapy (SMART) boost technique in patients with nasopharyngeal carcinoma (NPC). Materials and Methods: Twenty patients who underwent IMRT for non-metastatic NPC at the Asan Medical Center between September 2001 and December 2003 were prospectively evaluated. IMRT was delivered using the 'step and shoot' SMART technique at prescribed doses of 72 Gy (2.4 Gy/day) to the gross tumor volume (GTV), 60 Gy (2 Gy/day) to the clinical target volume (CTV) and metastatic nodal station, and 46 Gy (2 Gy/day) to the clinically negative neck region. Eighteen patients also received concurrent chemotherapy using cisplatin once per week. Results: The median follow-up period was 27 months. Nineteen patients completed the treatment without interruption; the remaining patient interrupted treatment for 2 weeks owing to severe pharyngitis and malnutrition. Five patients (25%) had RTOG grade 3 mucositis, whereas nine (45%) had grade 3 pharyngitis. Seven patients (35%) lost more than 10% of their pretreatment weight, whereas 11 (55%) required intravenous fluids and/or tube feeding. There was no grade 3 or 4 chronic xerostomia. All patients showed complete response. Two patients had distant metastases and loco-regional recurrence, respectively. Conclusion: IMRT using the SMART boost technique allows parotid sparing, as shown clinically and by dosimetry, and may also be more effective biologically. A larger population of patients and a longer follow-up period are needed to evaluate ultimate tumor control and late toxicity.

The Cumulative Recurrence Rate of Colonic Adenomatous Polyps After Colon Polypectomy in a Single University Hospital Health Check-up Examinees (일개 대학병원 건강검진 수진자를 대상으로 한 선종성 대장용종절제술 후 대장용종의 누적재발률)

  • Hwang, Hye-Lim;Jung, Woo-Geun;Kim, Yun-Jin;Lee, Sang-Yeoup;Cho, Byung-Mann;Yi, Yu-Hyeon;Cho, Young-Hye;Tak, Young-Jin;Jeong, Dong-Wook;Lee, Jeong-Gyu
    • Journal of agricultural medicine and community health
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    • v.39 no.3
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    • pp.137-145
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    • 2014
  • Objectives: Colonoscopy is a popular tool for screening for colon cancer throughout the world. The incidence of polypectomy and follow-up colonoscopy are persistently increasing but the studies about follow-up test after polypectomy are still lack of its domestic sources. This study is designed to look into the recurrence rate of colon polyps and risk factors after polypectomy. Methods: This is a retrospective study by reviewing medical charts of 147 patients who underwent polypectomy and follow-up colonoscopy from Jan. 2000 to Mar. 2008. The Kudo classification was used to describe the polyps found in the colonoscopy. The follow-up period was defined as the term between polypectomy and the first colonoscopy follow up. Results: Seventy six point two percent of the enrolled patient were male and the mean age was $56.5{\pm}8.1$. Mean follow-up period was $24.9{\pm}13.7$ (6 - 65) months. The cumulative recurrence rate of 1 year was 11.6%. The rate of 2 years was 36.7% and that of 3 years was 55.8%. The number of polyps was the factor which statistically showed significant relation of its recurrence rate. The histological morphology characteristic of polyps could be one independent factor which may be associated to the recurrence of polyps. Conclusions: The importance of colonoscopy follow up after polypectomy was clearly emphasized through the cumulative recurrence rate of 55.8%. Therefore, there is a need for more domestic studies with a large number of patients about the recurrence of polyps after polypectomy.

Experimental Study on Helical Turbine Efficiency for Tidal Current Power Plant (조류 발전용 헬리컬 수차의 효율에 대한 실험적 연구)

  • Han, Sang-Hun;Lee, Kwang-Soo;Yum, Ki-Dai;Park, Woo-Sun;Park, Jin-Soon;Yi, Jin-Hak
    • Proceedings of the Korea Water Resources Association Conference
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    • 2006.05a
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    • pp.530-534
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    • 2006
  • 조류발전은 조류 유속이 빠른 곳에 수차발전기를 설치하여 해수의 운동에너지로부터 전기를 생산하는 발전방식이다. 2001년부터 해양연구원에서는 울돌목의 우수한 조류발전 개발 여건을 바탕으로 조류에너지 실용화 기술을 개발하고 있다. 본 연구에서는 조류발전 시스템에 사용되는 헬리컬 수차의 효율을 현장실험을 바탕으로 판단하고자 하였다. 현장실험을 위하여 지름 2.2 m, 높이 2.5 m의 수차를 제작하고, 울돌목 협수로의 한 쪽 면에 쟈켓구조물을 설치하여 수차를 거치한다. 수차가 회전함에 따라 회전봉에 일정 마찰을 주어 토크와 RPM을 측정하고, 함께 측정된 유속자료를 이용하여 수차를 효율을 산정한다. 유속-수차효율, TSR(수차의 날개속도와 유속의 비)-수차효율의 상관관계로 실험결과를 고찰하였다. 1중 날개 수차인 경우에 유속 1.4에서 2.6 m/s 사이에서 최대효율이 30 - 35 % 정도였고, 2중 날개 수차에 대한 실험에서는 유속 1.4에서 2.6 m/s 사이에서 최대수차효율이 25 - 35 % 사이임을 알 수 있었다. TSR과 최대수차효율의 상관관계는 실험 case별로 조금씩 다르다. 전체적으로 1중 날개의 경우가 최대수차효율에서 2중 날개보다 TSR 값이 조금 큰 경향을 나타냄을 알 수 있다. 이것은 1중 날개가 2중 날개보다 가벼워 좀 더 큰 RPM을 발생시켜서 나타난 현상으로 생각된다. 현재의 실험결과들을 이용하여 TSR과 최대수차효율을 상관관계를 나타내는 모델식을 도출하였다. 현장시험결과를 종합하면, 현장조류발전 시설이 최소 600 kW의 전력이 생산되기 위해서는 지름 3 m, 높이 3.6 m 인 수차 3개가 하나의 축에 설치되어야하는 것으로 계산되었다. 정격유속이 4.8 m/s이고 수차의 지름이 3m 라면, 최적 전력발생시의 RPM은 1중 날개의 경우 79이고 2중 날개의 경우는 63정도임을 추정할 수 있었다.촬영하여 실시간으로 전송하기 때문에 홍수시 하천 상황에 대한 모니터링 목적으로 사용될 수 있다. 영상수위계는 우물통 등을 이용하는 기존 방법과 비교하여 구조물이 필요 없어 설치 비용이 저렴하고, 영상에 의한 하천 모니터링 기능을 자체적으로 가지고 있기 때문에 효율적이라고 할 수 있다.따른 4개의 평가기준과 26개의 평가속성으로 이루어진 2단계 기술가치평가 모형을 구축하였으며 2개의 개별기술에 대한 시범적용을 실행하였다.하는 것으로 추정되었다.면으로의 월류량을 산정하고 유입된 지표유량에 대해서 배수시스템에서의 흐름해석을 수행하였다. 그리고, 침수해석을 위해서는 2차원 침수해석을 위한 DEM기반 침수해석모형을 개발하였고, 건물의 영향을 고려할 수 있도록 구성하였다. 본 연구결과 지표류 유출 해석의 물리적 특성을 잘 반영하며, 도시지역의 복잡한 배수시스템 해석모형과 지표범람 모형을 통합한 모형 개발로 인해 더욱 정교한 도시지역에서의 홍수 범람 해석을 실시할 수 있을 것으로 판단된다. 본 모형의 개발로 침수상황의 시간별 진행과정을 분석함으로써 도시홍수에 대한 침수위험 지점 파악 및 주민대피지도 구축 등에 활용될 수 있을 것으로 판단된다. 있을 것으로 판단되었다.4일간의 기상변화가 자발성 기흉 발생에 영향을 미친다고 추론할 수 있었다. 향후 본 연구에서 추론된 기상변화와 기흉 발생과의 인과관계를 확인하고 좀 더 구체화하기 위한 연구가 필요할 것이다.게 이루어질 수 있을 것으로 기대된다.는 초과수익률이 상승하지만, 이후로는 감소하므로, 반전거래전략을 활용하는 경우 주식투자기간은 24개월이하의 중단기가 적합함을 발견하였다. 이상의 행태적 측면과 투자성과측면의 실증결과를 통하여 한국주식시장에 있어서 시장수익률을 평균적으로 초과할 수 있는 거래전략은 존재하므로 이러한 전략을 개발 및 활용할 수 있으며, 특히, 한국주식시장에 적합한 거래전략은 반전거래전

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Microbiological Contamination Levels in the Processing of Korea Rice Cakes (떡류의 제조공정별 미생물학적 오염도 평가)

  • Jeong, Se-Hee;Choi, Song-Yi;Cho, Joon-Il;Lee, Soon-Ho;Hwang, In-Gyun;Na, Hye-Jin;Oh, Deog-Hwan;Bahk, Gyung-Jin;Ha, Sang-Do
    • Journal of Food Hygiene and Safety
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    • v.27 no.2
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    • pp.161-168
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    • 2012
  • This study was conducted to evaluate microbial contamination levels of Korea traditional rice cakes such as Sirutteok, Garaetteok and Gyeongdan in the manufacturing process and environment. The microbial contamination levels such as total aerobic bacteria, fungi, coliforms, Escherichia coli, Staphylococcus aureus, Bacillus cereus and Clostridium perfringens of rice cake products were analyzed. The contamination levels of total aerobic bacteria, coliforms, fungi and B. cereus in raw materials were in the range of 2.4~4.5, ND~1.9, 1.2~2.1 and 1.0~2.1 log CFU/g, respectively. The microbial contamination levels of total aerobic bacteria, coliforms, fungi and B. cereus in manufacturing process of rice cakes were increased in the soaking and grinding steps and were decreased in steaming step. E. coli, S. aureus and C. perfringens were not detected in any manufacturing process and environment. The microbial contamination levels of raw materials and final products of rice cake were suitable for microbial safety standard in Korea. However, the manufacturing environment such as equipments and employee's sanitation were in trouble for microbial safety. The results of this study suggest that safety educatio n for personal hygiene and safetymanagement in processing environment are continuously required to assure safety in working environment and employee's individual hygiene.