Background: Although small- and medium-sized hospitals comprise most healthcare providers in South Korea, data on antibiotic usage is limited in these facilities. We evaluated the pattern of antibiotic usage and its appropriateness in hospitals with <400 beds in South Korea. Methods: A multicenter retrospective study was conducted in 10 hospitals (6 long-term care hospitals, 3 acute-care hospitals, and 1 orthopedic hospital), with <400 beds in South Korea. We analyzed patterns of antibiotic prescription and their appropriateness in the participating hospitals. Data on the monthly antibiotic prescriptions and patient days for hospitalized patients were collected using electronic databases from each hospital. To avoid the effect of the COVID-19 pandemic, data were collected from January to December 2019. For the evaluation of the appropriateness of the prescription, 25 patients under antibiotic therapy were randomly selected at each hospital over 2 separate periods. Due to the heterogeneity of their characteristics, the orthopedics hospital was excluded from the analysis. The collected data were reviewed, and the appropriateness of antibiotic prescriptions was evaluated by 5 specialists in infectious diseases (adult and pediatric). Data from 2 hospitals were assigned to each specialist. The appropriateness of antibiotic prescriptions was evaluated from 3 aspects: route of administration, dose, and class. If the 3 aspects were ‘optimal,’ the prescription was considered ‘optimal.’ If only the route was ‘optimal,’ and the dose and/or class was ‘suboptimal,’ but not ‘inappropriate,’ it was considered ‘suboptimal.’ If even 1 aspect was ‘inappropriate,’ it was classified as ‘inappropriate.’ Results: The most commonly prescribed antibiotics in long-term care hospitals was fluoroquinolone, followed by β-lactam/β-lactamase inhibitor (antipseudomonal). In acute-care hospitals, these were third-generation cephalosporin, followed by first-generation cephalosporin and second-generation cephalosporin. The major antibiotics that were prescribed in the orthopedics hospital was first-generation cephalosporin. Only 2.3% of the antibiotics were administered inappropriately. In comparison, 15.3% of patients were prescribed an inappropriate dose. The proportion of inappropriate antibiotic prescriptions was 30.6% of the total antibiotic prescriptions. Conclusions: The antibiotic usage patterns vary between small- and medium-sized hospitals in South Korea. The proportion of inappropriate prescriptions exceeded 30% of the total antibiotic prescriptions.

Funding: None

Disclosures: None

South-east Asia's diverse coastal wetlands, which span natural mudflats and mangroves to man-made salt pans, offer critical habitat for many migratory waterbird species in the East Asian–Australasian Flyway. Species dependent on these wetlands include nearly the entire population of the Critically Endangered spoon-billed sandpiper Calidris pygmaea and the Endangered spotted greenshank Tringa guttifer, and significant populations of several other globally threatened and declining species. Presently, more than 50 coastal Important Bird and Biodiversity Areas (IBAs) in the region (7.4% of all South-east Asian IBAs) support at least one threatened migratory species. However, recent studies continue to reveal major knowledge gaps on the distribution of migratory waterbirds and important wetland sites along South-east Asia's vast coastline, including undiscovered and potential IBAs. Alongside this, there are critical gaps in the representation of coastal wetlands across the protected area networks of many countries in this region (e.g. Viet Nam, Indonesia, Malaysia), hindering effective conservation. Although a better understanding of the value of coastal wetlands to people and their importance to migratory species is necessary, governments and other stakeholders need to do more to strengthen the conservation of these ecosystems by improving protected area coverage, habitat restoration, and coastal governance and management. This must be underpinned by the judicious use of evidence-based approaches, including satellite-tracking of migratory birds, ecological research and ground surveys.

Bovine spongiform encephalopathy (BSE) involves insertion/deletion (in/del) polymorphisms in the prion protein gene (PRNP) promoter region that are associated with vulnerability to disease progression. Recently, a second member of the prion gene family, prion-like protein gene (PRND), has been reported to show the PRND R132Q polymorphism, which is associated with the susceptibility to BSE in German Fleckvieh breeds. The objective of this study was to examine the genotype, allele, and haplotype frequencies of PRND gene in Korean cattle and evaluate their susceptibility to BSE. We did this in 277 Korean native cattle (Hanwoo) and 124 Korean dairy cattle (Holstein) by direct sequencing and compared the R132Q genotype frequency between BSE-affected German cattle and Korean cattle. The results indicated a total of 5 single nucleotide polymorphisms (SNPs) including PRND c.149G > A (p.50Arg > His; R50H), PRND c.285C > T (C4819T), PRND c.395G > A (p.132Arg > Gln; R132Q) and PRND c.528T > A (T5063A) in the open reading frame (ORF) and c.602C > G in the 3′ untranslated region (UTR) of exon 2 in Korean Holstein and Hanwoo cattle. Except for c.149G > A, the remaining 4 SNPs showed significantly different genotype and allele frequencies between the Korean Holstein and Hanwoo (P < 0·01). There were no significant differences in genotype distribution of c.395G > A SNP between BSE-affected German and Korean Holstein cattle (P = 0·6778), but a significant difference was detected between BSE-affected German cattle and Hanwoo cattle (P = 0·0028). The results suggest that Hanwoo cattle may possess a relatively more BSE-resistant genotype than Korean Holstein cattle.

Let $p(z)= z{f}^{\prime } (z)/ f(z)$ for a function $f(z)$ analytic on the unit disc $\mid z\mid \lt 1$ in the complex plane and normalised by $f(0)= 0, {f}^{\prime } (0)= 1$. We provide lower and upper bounds for the best constants ${\delta }_{0} $ and ${\delta }_{1} $ such that the conditions ${e}^{- {\delta }_{0} / 2} \lt \mid p(z)\mid \lt {e}^{{\delta }_{0} / 2} $ and $\mid p(w)/ p(z)\mid \lt {e}^{{\delta }_{1} } $ for $\mid z\mid , \mid w\mid \lt 1$ respectively imply univalence of $f$ on the unit disc.

Electron tomography and high-resolution transmission electron microscopy were used to characterize the unique 3-dimensional (3D) structures of twinned Zn3P2 (tetragonal) and InAs (zinc blende) nanowires synthesized by the vapor transport method. The Zn3P2 nanowires adopt a unique superlattice structure that consists of twinned octahedral slice segments having alternating orientations along the axial [111] direction of a pseudocubic unit cell. The apices of the octahedral slice segment are indexed as six equivalent <112> directions at the [111] zone axis. At each 30 degrees turn, the straight and zigzagged morphologies appear repeatedly at the <112> and <011> zone axes, respectively. The 3D structure of the twinned Zn3P2 nanowires is virtually the same as that of the twinned InAs nanowires. In addition, we analyzed the 3D structure of zigzagged CdO (rock salt) nanowires and found that they include hexahedral segments, whose six apices are matched to the <011> directions, linked along the [111] axial direction. We also analyzed the unique 3D structure of rutile TiO2 (tetragonal) nanobelts; at each 90 degree turn, the straight morphology appears repeatedly, while the in-between twisted form appears at the [011] zone axis. We suggest that the TiO2 nanobelts consist of twinned octahedral slices whose six apices are indexed by the <011>/<001> directions with the axial [010] direction.

McCoy proved that for a right ideal A of S = R[x1, . . ., xk] over a ring R, if rS(A) ≠ 0 then rR(A) ≠ 0. We extend the result to the Ore extensions, the skew monoid rings and the skew power series rings over non-commutative rings and so on.

A novel route to organic-inorganic composites was described based on biomineralization of poly(ethylene glycol) (PEG)-based hydrogels. The 3-dimensional hydrogels were synthesized by radical crosslinking polymerization of poly(ethylene glycol fumarate) (PEGF) in the presence of ethylene glycol methacrylate phosphate (EGMP) as an apatite-nuclating monomer, acrylamide (AAm) as a composition-modulating comonomer, and potassium persulfate (PPS) as a radical initiator. We used the urea-mediated solution precipitation technique for biomineralization of hydrogels. The apatite grown on the surface and interior of the hydrogel was similar to biological apatites in the composition and crystalline structure. Powder x-ray diffraction (XRD) showed that the calcium phosphate crystalline platelets on hydrogels are preferentially aligned along the crystallographic c-axis direction. Inductively-coupled plasma mass spectroscopy (ICP-MS) analysis showed that the Ca/P molar ratio of apatites grown on the hydrogel template was found to be 1.60, which is identical to that of natural bones. In vitro cell experiments showed that the cell adhesion/proliferation on the mineralized hydrogel was more pronounced than on the pure polymer hydrogel.

By injecting additional argon gas, we were able to grow one-dimensional ZnO nanorod arrays with a uniform distribution on a large scale at a low temperature of less than 330 °C by metalorganic chemical vapor deposition. All of the nanorods grown on the sapphire substrate had a 30° in-plane rotation with respect to the substrate and showed the epitaxial characteristics of [10¯10]ZnO//[11¯20]sapphire, despite the low-temperature growth. These ZnO nanorods with high crystalline quality exhibited a high enhancement factor and low turn-on field value, thus having good potential to be used as a field emitter.

The purpose of this study is to examine the retinal expression of intrinsic cell survival molecules and to elucidate the effect of an α2-adrenergic receptor agonist in the chronic ocular hypertensive rat model. Chronic ocular hypertension was induced in both eyes of each rat by episcleral vein cauterization. Two five-microliter drops of the selective α2-adrenoceptor agonist brimonidine 0.2% (Alphagan; Allergan Inc., Irvine, CA, USA) were topically administered twice daily for up to eight weeks in one eye. The fellow eye received balanced salt solution as a control. Protein and mRNA expression were evaluated at 1, 4, and 8 weeks after injury. Retinal expression of BDNF, Akt, and GFAP was assessed using immunohistochemistry. Retinal levels of mRNA for BDNF, bcl-2, and bcl-xL were determined using semi-quantitative RT-PCR. Retinal ganglion cell (RGC) density was evaluated after retrograde labeling with 4-Di-10-ASP (DiA). A significant decrease in RGC density was observed in ocular hypertensive eyes. Cauterized eyes showed an increase in GFAP expression from one week after injury, and the expression of bcl-2, bcl-xL, and BDNF mRNA was also increased. Treatment of ocular hypertensive eyes with brimonidine resulted in a reduction in RGC loss, a decrease in the level of GFAP immunoreactivity, and an increment in BDNF mRNA and p-Akt expression. Brimonidine appears to protect RGCs from neurodegeneration through mechanisms involving α2-adrenergic receptor mediated survival signal activation and up-regulation of endogenous neurotrophic factor expression in the chronic ocular hypertensive rat retina.

This study investigated a mechanism for controlling the shape of Cu nanocrystals fabricated using the polyol process, which considers the thermodynamic transition from a faceted surface to a rough surface and the growth mechanisms of nanocrystals with faceted or rough surfaces. The faceted surfaces were stable at relatively low temperatures because of the low entropy of perfectly faceted surfaces. Nanocrystals fabricated using a coordinative surfactant stabilized the faceted surface at a higher temperature than those fabricated using a noncoordinative surfactant. The growth rate of the surface under a given driving force was dependent on the surface structure, i.e., faceted or rough, and the growth of a faceted surface was a thermally activated process. Surface twins decreased the activation energy for growth of the faceted surface and resulted in rod- or wire-shaped nanocrystals.

A sharp norm estimate will be given to the pre-Schwarzian derivatives of close-to-convex functions of specified type. In order to show the sharpness, we introduce a kind of maximal operator which may be of independent interest. We also discuss a relation between the subclasses of close-to-convex functions and the Hardy spaces.

Under prolonged electron-beam exposure, perovskite-structured SrTiO3:Pr,Al,Ga (STO) phosphor can be easily reduced due to oxygen loss. In particular, it is well known that dissociative H2O molecules are well adsorbed on reduced STO surfaces. The hydroxyl species produced by such dissociative adsorption of H2O strongly decompose organic compounds chemisorbed on the surface from vacuum ambient used in display devices into carbon species due to the photocatalytic properties of STO. Consequently, it is very likely that this mechanism attributes to the larger amounts of carbon adsorption by electron-stimulated chemical reactions on the STO phosphor surface than other phosphors.

A nanoscale continuous coating of In2O3 on phosphors for low-voltage display applications is proposed in which the electrical conductivity of phosphor screen plays a major role. The effect of In2O3 coating by the sol-gel method on the cathodoluminescence (CL) of ZnGa2O4:Mn phosphors improves the intensity of low-voltage CL noticeably compared with that of In2O3 mixing. It is understood that electrically conductive channels are formed by a much smaller amount of In2O3 addition than that of In2O3 mixing. Especially, based on transmission electron microscopy analysis, the formation of uniform nanoscale continuous In2O3 layers on the phosphor surface was confirmed. Also, the structural and CL characterizations presented in this paper clearly demonstrate that the nanoscale encapsulation of In2O3 layers on phosphors served as protective layers retarding the CL degradation introduced by the low-energy electron irradiation, which is critically important for the development of low-voltage display applications.

In this study, the quality of thin film diode (TFD) as a switching device for active-matrix liquid-crystal-displays (AM-LCDs) was enhanced by low temperature annealing conditions with high reliability and good electrical properties. Device was composed with Ta as bottom electrode, anodic Ta2O5 as insulator layer and top electrode. Two types of material such as Ti and Cr were evaluated as a top electrode of the TFD device to optimize the symmetry of current-voltage characteristic curve, respectively. The annealing was done at low temperature conditions below 350°C. The low temperature annealing improved the TFD device with nearly perfect symmetry under high electric field.

Hatching has been suggested to occur as a result of protease-mediated lysis and the blastocoele tension. However, even if rupturing is initiated at multiple sites, interestingly only a single site is used for escape. This implies that there are several mechanisms involved in hatching. In this study, the involvement of actin filaments in mouse embryo hatching was examined. We treated mouse embryos with cytochalasin B for 12 h or 24 h at the morula, middle blastocyst, expanded blastocyst, lobe-formed blastocyst and hatching blastocyst stages, and measured the amount and distribution of actin filaments using a confocal microscope. At morula, middle blastocyst, lobe-formed blastocyst and hatching blastocyst stages embryonic development was completely arrested by cytochalasin B. However, when transferred to cytochalasin-B-free medium, the embryos resumed development and escaped the zona pellucida. In the expanded blastocysts development was almost completely inhibited by cytochalasin B, but rupturing occurred in some embryos. However, development stopped completely at the ruptured stage. Distribution of actin filaments was prominent at rupturing and hatching sites regardless of cytochalasin B treatment. The amount of actin filaments was prominent at hatching embryos compared with other developmental stages of embryos. These actin filaments were distributed intensively between the trophectodermal cells, and formed locomotion patterns. Taken together, these results suggest that not only tension and lytic enzymes are required to rupture, but the activity of actin filaments may have a crucial role in the process of hatching.

A stress-driven formation of self-assembled InGaAs islands has been studied by the growth on GaAs (100) substrates with sub-micron platinum stripe pattern. Islands or quantum dots preferentially nucleate at the boundary of metal patterns. In addition, a quantum dot-free region near the boundary of the metal pattern is found. Those results are attributed to the stress between metal stripe and GaAs surface, which produces a laterally stressed region around the metal stripe. Adatoms on this region preferentially migrate toward the edge of metal stripes with maximum stress. This result may show a possible way for the interconnection between randomly distributed self-assembled quantum dots and metal stripes.

Segregation of second-phase particles within Y1Ba2Cu3O7−y domain was investigated in melt-textured Y-Ba-Cu-O with metal oxide (CeO2, SnO2, and ZrO2) addition. It is found that coarse particles (Y2Ba1Cu1O5) are trapped with a special pattern in the interior of Y1Ba2Cu3O7−y domain, while fine BaCeO3 and BaSnO3 particles are present within the remnant liquid-phase region. During the growth of Y1Ba2Cu3O7−y domain, fine particles appear to be pushed out of the advancing Y1Ba2Cu3O7−y /liquid interface toward the liquid phase. The particle segregation that occurred during peritectic growth of the Y1Ba2Cu3O7−y domain was explained in terms of the Uhlmann-Chalmers-Jackson theory based on the particle interaction at solid/liquid interface.

Let S(n) be a unilateral shift operator on a Hilbert space of multiplicity n. In this paper, we prove a generalization of the theorem that if S(1) is unitarily equivalent to an operator matrix form relative to a decomposition ℳ ⊕ N, then E is in a certain class C0 which will be defined below.