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A Study on the Characteristics of the Patients Discharged Against Medical Advice (한 대학병원 자의퇴원 환자의 특성 연구 - 퇴원환자 지료정보 DB를 이용하여 -)

  • Hong, Joonhyun;Choi, Kwisook;Lee, Jeonghwa;Lee, Eunmee
    • Quality Improvement in Health Care
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    • v.8 no.2
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    • pp.208-217
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    • 2001
  • Background : The objective of this study is proving the basic data for developing a management system for the discharges against medical advice(AMA) by identifying the characteristics of the AMA patients of an university hospital for 10 years. Methods : By using discharge abstract data base, we divided the total discharges(435,254) into two groups, discharge against medical advice and discharge with discharge order. We confirmed the characteristics of AMA group by analyzing discharge abstract data of the both groups by SAS software V6.12 and $x^2$ test. Medical records of AMA patients in the year 2000 were reviewed to identify the reasons for AMA which we couldn't extract from discharge abstract DB. Result : The total number of AMA for 10 years were 9,358(2.15%) and the AMA rate has been continuously decreased for 10 years. Male, admission through emergency room, discharges admission via other hospital, patients without operation during hospitalization, discharges in hopeless or not improved condition showed higher AMA rate. The AMA rate was higher as the age of the patients was higher, and the average length of stay was longer in AMA patients than in those with discharge order. The AMA rate in psychiatry was highest(14.3%) and it was higher in surgery departments than those of medical or other sections. The AMA rate varied by attending physicians even in the same department and it was statistically significant. Patients with the principal diagnosis of "medical observation and evaluation for suspected diseases" showed the highest AMA rate(15.5%), and that of schizophrenia or psychosis was the nest. One hundred twenty-one patients(19.5%) out of 622 AMA in 2000 discharged against medical advice for transfer to order health care facilities. Among them 71 patients(58.7%) discharged with their medical care information, such as copies of medical record, medical certificates, summaries, etc. Written oath of the patients discharged AMA was filed in their medical records in 466 cases(74.9%) although some of them were incomplete. Conclusion : Characteristics of AMA discharge could be used as the basic data in developing a system to manage the patients who have risk factors to leave the hospital against medical advice. By reducing number of patients leaving the hospital against medical advice we can increase satisfaction of medical providers and consumers.

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An Emotion Scanning System on Text Documents (텍스트 문서 기반의 감성 인식 시스템)

  • Kim, Myung-Kyu;Kim, Jung-Ho;Cha, Myung-Hoon;Chae, Soo-Hoan
    • Science of Emotion and Sensibility
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    • v.12 no.4
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    • pp.433-442
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    • 2009
  • People are tending to buy products through the Internet rather than purchasing them from the store. Some of the consumers give their feedback on line such as reviews, replies, comments, and blogs after they purchased the products. People are also likely to get some information through the Internet. Therefore, companies and public institutes have been facing this situation where they need to collect and analyze reviews or public opinions for them because many consumers are interested in other's opinions when they are about to make a purchase. However, most of the people's reviews on web site are too numerous, short and redundant. Under these circumstances, the emotion scanning system of text documents on the web is rising to the surface. Extracting writer's opinions or subjective ideas from text exists labeled words like GI(General Inquirer) and LKB(Lexical Knowledge base of near synonym difference) in English, however Korean language is not provided yet. In this paper, we labeled positive, negative, and neutral attribute at 4 POS(part of speech) which are noun, adjective, verb, and adverb in Korean dictionary. We extract construction patterns of emotional words and relationships among words in sentences from a large training set, and learned them. Based on this knowledge, comments and reviews regarding products are classified into two classes polarities with positive and negative using SO-PMI, which found the optimal condition from a combination of 4 POS. Lastly, in the design of the system, a flexible user interface is designed to add or edit the emotional words, the construction patterns related to emotions, and relationships among the words.

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Intestinal Immune Modulating Polysaccharides of Atractylodes lancea DC. Rhizomes

  • Yu, Kwang-Won
    • Proceedings of the Korean Journal of Food and Nutrition Conference
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    • 2000.05a
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    • pp.1-3
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    • 2000
  • A kind of traditional herbal prescription, Sip-Jeon-Dae-Bo-Tang (TJ-48), has been reported to improve the general condition of cancer patients receiving chemotherapy and /or radiation therapy, and to accelerate hematopoietic recovery from bone marrow injury by mitomycin C. In the present studies, we found that hot-water extract from Atractylodes lancea DC. rhizomes contributed mainly to intestinal immune modulating activity of TJ-48 on Peyer's patch cells mediated-hematopoietic response. After the fractionation, ALR-5 II a-1-1, 5 II b-2-2 and 5 II c-3-1 were further purified from crude polysaccharide fraction. Chemical analyses of each fraction indicated that ALR-5 II a-1-1 mainly contained arabinogalactan fraction whereas ALR-5 II b-2-2 and 5 II c-3-1 mostly comprised pectic polysaccharide fractions as the active polysaccharide ingredients. In order to analyze the essential structure of the activity, ALR-5 II a-1-1 was treated by sequential enzymatic digestion using exo-${\alpha}$-L-arabinofuranosidase and exo-${\beta}$-D-(1\longrightarrow3)-galactanase. Based upon the results of chemical and MALDI-TOF-MS analyses and activity on the digested fractions, the galactosyl side chains consisting of 6-linked Galf and Galp over tetrasaccharide in ALR-5 II a-1-1 might be responsible for the potent intestinal immune modulating activity. To characterize moiety of ALR-5 II c-3-1 for the expression of activity, endo-${\alpha}$-D-(1\longrightarrow4)-polygal acturonase (GL-PGase) purified from dried leaves of Panax ginseng digested ALR-5 II c-3-1. The results of structural analyses and activity on the digested fractions showed that PG-2, which structurally resembles to rhamnogalacturonan II (RG II), and PG-3 (galacturono-oligosaccharides) contained potent intestinal immune modulating activity. Further purification of the other acidic fraction (ALR-5 II b-2-2) indicated that ALR-5 II b-2-2Bb showed that the most potent activity. ALR-5 II b-2-2Bb also contained the unusual component sugars characteristics in RG- II as well as PG-2 derived from ALR-5 II c-3-1, but it could not be digested with GL-PGase. The present studies of relationship between structures and intestinal immune modulating activity of the active polysaccharides purified from A. lancea DC. rhizomes suggested that neutral galactosyl chains consisting mainly of (1\longrightarrow6)-linked Galf and Galp, and RG- II -like moiety with unique component sugars, such as 2-Me-Xyl, 2-Me-Fuc, Api, AceA, Kdo and Dha should play an important role in the potent intestinal immune modulating action of A. lancea DC. rhizomes.

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Production and Separation of Anti-hypertensive Peptide during Chunggugjang Fermentation with Bacillus subtilis CH-1023 (청국장 발효과정 중 항고혈압성 peptide의 생산 및 분리)

  • Cha, Woen-Suep;Bok, Su-Kyung;Kim, Myoung-Uk;Chun, Sung-Sook;Choi, Ung-Kyu;Cho, Young-Je
    • Applied Biological Chemistry
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    • v.43 no.4
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    • pp.247-252
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    • 2000
  • As functionality investigation of Korean traditional soybean fermentation foods, an antihypertensive peptide was separated during Chunggugjang fermentation by Bacillus subtilis CH-1023 and investigated inhibitory effect against angiotensin converting enzyme. After incubation at $20^{\circ}C,\;30^{\circ}C,\;40^{\circ}C,\;50^{\circ}C,\;60^{\circ}C$ for the $0{\sim}72$ hrs, protein content, protease activity and angiotensin converting enzyme inhibitory rate were determined. The protein content and protease activity were increased and reached maximum at 60 hrs fermentation with $40^{\circ}C$ and decreased after the 60 hrs fermentation. The optimum condition for antihypertensive peptide from Chunggugjang was appeared for 60 hrs at $40^{\circ}C$. Crude extract of Chunggugjang was partially purified by Amicon YM-3 membrane filtration and Sephadex G-10, G-25 gel filtration. The purified peptide showed inhibitory rate of 94.3% with 0.5 mg peptide content. The most prominent amino acid composition of the peptide from Chunggugjang was alanine, followed by phenylalanine, histidine.

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Molecular Cloning and Characterization of myo-Inositol Dehydrogenase from Enterobacter sp. YB-46 (Enterobacter sp. YB-46의 myo-Inositol dehydrogenase 유전자 클로닝과 특성분석)

  • Park, Chan Young;Kim, Kwang-Kyu;Yoon, Ki-Hong
    • Microbiology and Biotechnology Letters
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    • v.46 no.2
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    • pp.102-110
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    • 2018
  • A bacterial strain capable of metabolizing myo-inositol (MI) and converting to other substances was isolated from soil of orchard. The isolate, named YB-46, was grown on minimal medium supplemented with MI as the sole carbon source and was presumed to belonging to genus Enterobacter according to the 16S rDNA sequence. Escherichia coli transformant converting MI into unknown metabolites was selected from a metagenomic library prepared with fosmid pCC1FOS vector. Plasmid was isolated from the transformant, and the inserted gene was partially sequenced. From the nucleotide sequence, an iolG gene was identified to encode myo-inositol dehydrogenase (IolG) consisting of 336 amino residues. The IolG showed amino acid sequence similarity of about 50% with IolG of Enterobacter aerogenes and Bacillus subtilis. The His-tagged IolG (HtIolG) fused with hexahistidine at C-terminus was produced and purified from cell extract of recombinant E. coli. The purified HtIolG showed maximal activity at $45^{\circ}C$ and pH 10.5 with the highest activity for MI and D-glucose, and more than 90% of maximal activity for D-chiro-inositol, D-mannitol and D-xylose. $K_m$ and $V_{max}$ values of the HtIolG for MI were 1.83 mM and $0.724{\mu}mol/min/mg$ under the optimal reaction condition, respectively. The activity of HtIolG was increased 1.7 folds by $Zn^{2+}$, but was significantly inhibited by $Co^{2+}$ and SDS.

Emulsifying Properties of Surface-Active Substances from Defatted Rapeseed Cake by Supercritical Carbon Dioxide Extraction (초임계 $CO_2$ 유체 추출법으로 얻은 탈지 유채박 중 표면활성 물질의 유화 성질 연구)

  • Kim, Jeong-Won;Jeong, Yong-Seon;Lee, Eui-Seok;Gil, Na-Young;Kim, San-Seong;Kim, Hyun-Hyo;Kim, Tae Young;Lee, Yong-Hwa;Jang, Young-Seok;Lee, Ki-Teak;Hong, Soon-Taek
    • Journal of the Korean Applied Science and Technology
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    • v.30 no.4
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    • pp.635-648
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    • 2013
  • This study was carried out to investigate the emulsifying properties of surface-active substances from defatted rapeseed cake by supercritical $CO_2$ extraction. Based on the interfacial tension data, a supercritical fluid extract (SFE) with the lowest value of 14.16 mN/m was chosen for evaluation which was obtained from No. 2 extraction condition (150 bar, $65^{\circ}C$, 250 g). For emulsions with SFE, some physicochemical properties (i.e., fat globule size, creaming stability, zeta potential etc) were investigated according to changes in SFE concentration, pH, and NaCl addition in an emulsion. It was found that fat globule size was decreased with increasing SFE concentration in emulsion, with showing a critical value at 0.5 wt%, thereby resulting in less susceptibility to creaming behavior. The SFE emulsion also showed instability at acidic conditions (pH<7.0) as well as by NaCl addition. This was coincided with zeta potential data of emulsion. In addition, SSL (sodium stearoyl lactylate) found to be suitable as a co-surfactant, as it helped considerably in decreasing fat globule size in emulsions and its optimum concentration to be over 0.03 wt%, based on 0.1 wt% SFE in emulsion.

REMOTE SENSING AND GIS INTEGRATION FOR HOUSE MANAGEMENT

  • Wu, Mu-Lin;Wang, Yu-Ming;Wong, Deng-Ching;Chiou, Fu-Shen
    • Proceedings of the KSRS Conference
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    • v.2
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    • pp.551-554
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    • 2006
  • House management is very important in water resource protection in order to provide sustainable drinking water for about four millions population in northern Taiwan. House management can be a simple job that can be done without any ingredient of remote sensing or geographic information systems. Remote sensing and GIS integration for house management can provide more efficient management prescription when land use enforcement, soil and water conservation, sewage management, garbage collection, and reforestation have to be managed simultaneously. The objective of this paper was to integrate remote sensing and GIS to manage houses in a water resource protection district. More than four thousand houses have been surveyed and created as a house data base. Site map of every single house and very detail information consisting of address, ownership, date of creation, building materials, acreages floor by floor, parcel information, and types of house condition. Some houses have their photos in different directions. One house has its own card consists these information and these attributes were created into a house data base. Site maps of all houses were created with the same coordinates system as parcel maps, topographic maps, sewage maps, and city planning maps. Visual Basic.NET, Visual C#.NET have been implemented to develop computer programs for house information inquiry and maps overlay among house maps and other GIS map layers. Remote sensing techniques have been implemented to generate the background information of a single house in the past 15 years. Digital orthophoto maps at a scale of 1:5000 overlay with house site maps are very useful in determination of a house was there or not for a given year. Satellite images if their resolutions good enough are also very useful in this type of daily government operations. The developed house management systems can work with commercial GIS software such as ArcView and ArcPad. Remote sensing provided image information of a single house whether it was there or not in a given year. GIS provided overlay and inquiry functions to automatically extract attributes of a given house by ownership, address, and so on when certain house management prescriptions have to be made by government agency. File format is the key component that makes remote sensing and GIS integration smoothly. The developed house management systems are user friendly and can be modified to meet needs encountered in a single task of a government technician.

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Estimation of Cadmium, Copper, Lead Mobility in Column Packed with Furnace Slag (제강슬래그로 충전된 컬럼에서의 카드뮴, 구리, 납의 이동성 평가)

  • Lee, Gwang-Hun;Chung, Jae-Shik;Nam, Kyoung-Phile;Park, Jun-Boum
    • Journal of Soil and Groundwater Environment
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    • v.13 no.4
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    • pp.54-61
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    • 2008
  • Permeable reactive barriers (PRBs) technology has been focused in contaminated groundwater remediation. It is necessary to select adequate reactive material according to characteristics of contaminant in groundwater. In this research, the reaction between reactive material and heavy metal contaminants was estimated through column test. Reactive material was slag, which has been produced in Gwangyang power plant, and heavy metal contaminants were cadmium, lead and copper. Column test was performed in the condition of 1) single and multi contaminated solution and 2) different initial concentration of cadmium. Retardation factor of cadmium is 3.94 in multi contamination. But that of copper is 40.3 in single and 25 in multi. The difference of retardation between cadmium and copper is due to affinity, resulted from the difference of electronegativity. In multi-contamination, copper effluent concentration was above initial copper concentration and at the same time lead effluent concentration was decreased. This phenomenon was considered that lead extract copper sorbed in slag and then lead was sorbed to the vacant sorption site instead. And as the initial concentration was increased, the retardation factor of cadmium became decreased.

Antilisterial activity of fresh cheese fermented by Lactobacillus paracasei BK57 (Lactobacillus paracasei BK57 균주로 발효시킨 프레쉬 치즈의 항리스테리아 활성)

  • Lim, Eun-Seo;Lee, Eun-Woo
    • Korean Journal of Microbiology
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    • v.51 no.4
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    • pp.407-418
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    • 2015
  • This study is focused on establishing the optimal conditions to enhance the production of antilisterial substances by Lactobacillus paracasei BK57 isolated from Baikkimchi. In addition, the growth and in situ lactic acid and bacteriocin production of this strain were investigated during the manufacture of fresh cheese. And then the efficacy of using Lactobacillus starter as a protective culture to improve the safety of fresh cheese against Listeria monocytogenes KCTC 3569 was estimated. Maximum growth rate and activity of antibacterial substances were obtained in Lactobacilli MRS broth at $37^{\circ}C$ with controlled pH 6.0 after 30 h of incubation under aerobic condition. However, the growth rate and antimicrobial activity of bacteriocin produced in whole milk supplemented with yeast extract (2.0%) as a substrate were lower than those obtained in MRS broth. Live cells and cell-free culture supernatant of BK57 strain were effective in the suppression of L. monocytogenes in milk, whereas the inhibitory of the bacteriocin obtained from BK57 strain was higher in BHI broth than in milk. During storage at $4^{\circ}C$ and $15^{\circ}C$ for 6 days, no significant difference was found in the cell viability and antimicrobial activity of BK 57 strain in fresh cheese. In samples held at two temperatures, there was at least a 15% reduction in the numbers of the pathogen in fresh cheese artificially contaminated with approximately $10^5CFU/ml$ of L. monocytogenes within 6 days. Our results demonstrated the usefulness of L. paracasei BK57 having antilisterial activity as a biopreservative in the cheese making process.

Sex Pheromone and Seasonal Occurrence of the peach leafminer, Lyonetia clerkella Linne (복숭아굴나방의 성페로몬과 성충 발생소장)

  • Yang Chang-Yeol;Jeon Heung-Yong;Kim Dae-Young;Kim Hyeong-Hwan
    • Korean journal of applied entomology
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    • v.45 no.1 s.142
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    • pp.25-30
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    • 2006
  • The female sex pheromone of the peach leafminer, Lyonetia clerkella Linne (Lepidoptera: Lyonetiidae), was analyzed by coupled gas chromatographic-electroantennographic detector (GC-EAD). GC-EAD analyses of pheromone gland extract revealed a single compound that elicited responses from male antennae. Retention time on DB-1 column of EAD-active compound was identical to that of synthetic (145)-14-Methyl-1-octadecene (14Sme-1-18Hy). In field tests, sticky traps baited with synthetic 14Sme-1-18Hy alone were highly attractive to male. Traps with 0.1 mg dose showed the lowest catches, but there were no significant difference in the numbers of moth caught in traps baited with doses of 0.5 and 1.0 mg. The results of the field assays for longevity of pheromone traps showed that effectiveness of lures maintained for at least 8 weeks under field condition. The attractiveness of 14Sme-1-18Hy was not affected by the addition of butylated hydroxytoluene (BHT) in lures as an antioxidant. Traps baited with 0.5 mg 14Sme-1-18Hy were successfully used to monitor L. clerkella male flights. Analysis of seasonal trap catches over two years showed that moth flight activity in peach orchards occurred over a period of seven months with six generations in Suwon.