OBJECTIVESTo identify obstetric and maternal factors related to Group B Streptococcus (GBS) colonization in pregnant women in Korea.METHODSThe study was conducted between the years 2006-2008 in four hospitals, Cheil and Eulji hospital in Seoul, and Motae and Eulji hospital in Daejeon. We recruited 2,644 pregnant women between 35 to 37 weeks of gestation who had visited for antenatal care. Participants completed a questionnaire, and urine, vaginal and rectal specimens were obtained and cultured using selective broth media. After delivery, medical records were reviewed.RESULTSGBS colonization was significantly associated with hospital, age group, education, frequency of pregnancy, and premature rupture of membranes (PROM, more than 18 hours). After adjustment for other variables, Cheil hospital (odds ratio [OR], 2.05; 95% confidence interval [CI], 1.20-3.52), and the first pregnancy (OR, 2.32; 95% CI, 1.12-4.81) remained significant. History of vaginitis showed marginal significance (OR, 1.50; 95% CI, 0.98-2.29).CONCLUSIONTo prevent GBS infection of neonates, clinicians should be alert to the potentially higher risk of GBS colonization in pregnant women in their first pregnancy, and women with premature rupture of membranes (PROM) (18 hours+) or who have a history of vaginitis.

Between January 2006 and May 2008, 2624 pregnant S. Korean women between 35-37 weeks gestation were screened for group B streptococcus (GBS). Resistance to antimicrobials was tested by disk diffusion and serotype determined using co-agglutination assays and microarray methods. Overall, 8% of pregnant women were colonized. Serotype III was the predominant serotype (43.8%), followed by serotypes V (20.3%), Ia (12.1%), and Ib (9.5%). GBS was frequently resistant to clindamycin (54.0%) and erythromycin (25.6%); 3.7% were resistant to cefazolin. More than three-quarters of serotype V were resistant to clindamycin or erythromycin or both, and 71% of serotype III were resistant to clindamycin but only 12% were resistant to erythromycin. GBS prevalence exceeded earlier reports by one-third. This is the first report of cefazolin resistance in Korea. These results underscore the need to establish screening measures and chemoprophylaxis guidelines regarding GBS infections in Korea.

PurposePrevious studies have reported that a high critical shoulder angle (CSA) is associated with rotator cuff tears (RCTs). However, the available evidence concerning the strength of the association of these parameters with the pathogenesis of RCTs is conflicting. The aim in the present meta‐analysis was to assess the diagnostic performance of CSA for detecting RCTs. MethodsThe PubMed and EMBASE databases were searched for diagnostic accuracy studies of CSA for detecting RCT. Quality of the included studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies‐2 tool. We calculated the pooled diagnostic accuracy of CSA, including diagnostic odd ratios (DORs) with 95% confidence intervals (CIs). Bivariate random‐effect modeling with forest plots and hierarchical summary receiver operating characteristic curves was performed to evaluate the pooled sensitivity and specificity of CSA. For heterogeneity exploration, we performed meta‐regression analyses. ResultsEight studies including 902 patients (460 patients with RCT and 442 control patients) were included. According to DOR, CSA was an informative feature for RCT (DOR 8; 95% CI 4–16). The overall diagnostic performance of CSA for RCT was good (sensitivity 71% [95% CI 61–80%]; specificity, 77% [95% CI 65–86%]). Meta‐regression analyses revealed that the sensitivity of CSA could be higher for differentiating full‐thickness RCTs and normal patients. Furthermore, the specificity of CSA could be higher using a cut‐off value of 35°. ConclusionCSA on plain radiographs has good diagnostic performance for RCTs. A cut‐off value of 35° is recommended for more accurate diagnosis of full‐thickness RCTs. Measuring CSA on plain radiographs may provide clinicians with a readily available and reliable method for detecting RCT in daily practice. Level of evidenceDiagnostic studies, Level III.

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To prepare for a Korean lunar orbiter mission, a precise lunar orbit propagator; Yonsei precise lunar orbit propagator (YSPLOP) is developed. In the propagator, accelerations due to the Moon's non-spherical gravity, the point masses of the Earth, Moon, Sun, Mars, Jupiter and also, solar radiation pressures can be included. The developed propagator's performance is validated and propagation errors between YSPOLP and STK/Astrogator are found to have about maximum 4-m, in along-track direction during 30 days (Earth's time) of propagation. Also, it is found that the lifetime of a lunar polar orbiter is strongly affected by the different degrees and orders of the lunar gravity model, by a third body's gravitational attractions (especially the Earth), and by the different orbital inclinations. The reliable lifetime of circular lunar polar orbiter at about 100 km altitude is estimated to have about 160 days (Earth's time). However, to estimate the reasonable lifetime of circular lunar polar orbiter at about 100 km altitude, it is strongly recommended to consider at least 50 × 50 degrees and orders of the lunar gravity field. The results provided in this paper are expected to make further progress in the design fields of Korea's lunar orbiter missions.