핸드피스 부문조건에 따른 부유세균 (氣菌) 의 분포

고영한,백병주,김재곤,양영미,신정근 大韓小兒齒科學會 2008 大韓小兒齒科學會誌 Vol.35 No.4

최근 치과계에는 교차감염의 문제가 점차 대두되고 있으며, 그 감염경로에는 혈액이나 구강 분비물을 통한 직접접촉과 진료실 장비 등에 의한 간접접촉이 있다. 또한 병원 등 한정된 공간 내에 많은 인원이 수용된 환경에서는 공기 중을 떠다니는 오 염물질에 의한 공기 감염에 보다 많은 관심이 모아지고 있으며, 치과 진료실에서는 고속회전 핸드피스에서 발생하는 분무에 의한 감염이 가장 우려되고 있는 상황이다. 따라서 본 실험에서는 치과 진료실 내 핸드피스 분무에 의한 공기 중 세균 감염 위험성을 파악하고 실제 진료 시, 감염 방지 에 도움을 주는데 그 목적을 두었으며, 다음과 같은 결론을 얻었다. 1. 핸드피스를 사용해 진료한 군 97.4 cfu, 핸드피스를 사용하지 않고 진료한 군 5.6 cfu로 핸드피스를 사용해서 진료한 군에서 박테리아 군집의 수가 높게 나타났으며 통계학적으로 유의한 차이를 보였다(P<0.01). 2. 핸드피스 사용 시 러버댐을 같이 사용한 진료는 22.4 cfu로 러버댐을 사용하지 않고 진료하는 경우보다 박테리아 군집의 수가 낮게 나타났으며, 통계학적으로 유의한 차이를 보였다(P<0.01). 3. 핸드피스 물 공급원으보 관주용액을 사용한 경우와 증류수를 사용한 경우를 비교 시 관주용액을 사용한 경우 cfu는 22.4 cfu, 증류수의 경우 17.0 cfu로 측정되었으나, 통계학적으로 유의한 차이를 보이지 않았다(P>0.05). 4. 핸드피스를 사용해 진료하는 경우, 0.5m와 1.5m 거리에서 측정 시 97.4 cfu와 22.0 cfu로 0.5m 거리에서 박테리아 군집의 수가 높게 나타났으며 통계학적으로 유의한 차이를 보였다(P<O.01). 또한 원거리에서도 핸드피스 분무에 의해 박테리아가 검출되었다. 5. 박테리아균을 분류한 결과 그램양성 구균의 수가 73.9%로 가장 많은 비중을 보였고, 그램음성 구균, 그램음성 간균, 그램양성 간균의 순이었다. In recent years, cross-contamination has become one of the noticeable issues in dental clinic. Two major routes of contamination are the direct-contamination through blood and oral secretion and the indirect-contamination through dental office equipments. Especially, air-contamination through air-floating pollutant in a confined space like hospital, and also contamination through aerosol ejected from high-speed handpiece in a dental office was interested. The purpose of this study was to understand risk of bacterial infection through aerosol from handpiece in a dental office, which will help the practitioner with prevention of contamination during dental treatment. The main findings are as follows. 1. In a comparative test, the group using handpiece has higher bacterial number than the group not using handpiece with significant statistical difference(P<0.01). 2. The group using handpiece with rubber dam has lower bacterial number than the group using handpiece without rubber dam with significant statistical difference(P<0.01). 3. Comparing the group using drainage water with the group using distilled water as a handpiece water source results in 22.4 cfu and 17.0 cfu respectively but the difference is no statistically significant(P>0.05). 4. Measuring cfu at O.5m and 1.5m distance, O.5m distance showed higher bacterial number with statistical significance(P<0.01). 5. Classification of bacterial types showed the largest bacterial number came from gram-positive micrococcus(73.9%), and gram-negative micrococcus, gram-negative bacillus, and gram-positive bacillus follow in descending order.

최근 8년간 전북대학교치과병원 소아치과에 내원한 초진환자에 관한 실태조사

고영한,백병주,김재곤,양연미 대한소아치과학회 2007 大韓小兒齒科學會誌 Vol.34 No.2

과거 소아치과 치료의 경향은 충치 및 발치 등의 주소에 따른 치료 중심이었지만 최근 출생률 감소, 우식 유병율 감소, 보호자의 치과적 지식의 증가에 따라 그 양상이 변화하고 있다. 이러한 변화양상을 파악하고 앞으로 전북 지역 어린이 환자 치료의 방향을 설정하고자 본 조사를 시행하였다. 1998년 1월 1일부터 2005년 12월 31일까지 전북대학교치과병원 소아치과에 내원한 모든 초진환자를 대상으로 분포를 연구한 결과 다음과 같은 결론을 얻었다. 1. 초진환자의 수는 2004년까지 증가하다가 2005년에는 감소하였으며, 남아가 여아보다 많았다. 2. 방학기간에 초친환자의 수가 증가하였다. 3. 내원 환아의 97.7%가 도내 거주자였다. 4. 연령별 분포에서 31개월~6세 군이 48.2%로 가장 높게 나타났으며, 7~13세 군이 31.3%, 13~30개월 군이 17.2%였다. 5. 의뢰되어 내원한 환자가 33.8%였으며, 의뢰된 환자 중 31개월~6세 군이 49.5%로 가장 많았고, 7~13세 군이 35.2%, 13~30세 군이 12.9%를 나타냈다. 6. 전신질환을 가진 환자는 전체의 5.5%를 차지했으며, 이 중 심혈관질환이 21.8%로 가장 높은 비율을 보였고, 정신지체가 13.6%, 호흡기질환이 11.0%순 이었다. 7. 내원환자들은 치아우식증을 주소로 내원한 경우가 42.9%로 가장 많았다. 8. 치수치료, 수복, 보철 치료가 전체 치료의 42.6%로 가장 많았다. In order to thoroughly understand change patterns and to set up an appropriate approach on the direction of future treatment towards children in Chonbuk area, we carried out this research. we could draw below conclusions from the studies based on researches of distribution of new patients visited Dept. of Pediatric Dentistry, Chonbuk Nat' university from 1998 to 2005 and current changes in dental treatment. 1. There was an increase in the number of patients until 2004 but it decreased in 2005. Boys took higher portion. 2. Number of patients increased during school holidays. 3. 97.7% of patients were urbanites. 4. An age group from 31 months to 6 years showing 48.2% was the highest, each percentage of 7~13 years, 13~30 months showed 31.3%, 17.2%. 5. 33.8% of patients were referred from local dental clinics and among them, an age group from 31 months to 6 years showing 49.5% was the highest, each percentage of 7~13 years, 13~30 months showed 35.2%, 12.9%. 6. 5.5% of patients who had systemic diseases, among them, each percentage of cardiovascular disease, mental retardation, respiratory disease showed 21.8%, 13.6%, and 11.0%. 7. According to the distribution of chief complaints, dental caries showing 42.9% was the highest. 8. Root canal treatment, restoration, prosthesis showing 42.6% were the highest of all treatments.

국내에서 발생하고 있는 사람 브루셀라증의 임상적 특성

김연숙,최영실,오원섭,권기태,이혁,이선희,손준성,김신우,장현하,정숙인,고관수,박미연,백경란,송재훈 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

배경 : 2002년 내국인에서의 첫 사람 브루셀라증의 증례 보고 이후 국내에서 사람 브루셀라증이 빠른 증가를 보이고 있다. 이에 연구자들은 국내에서 발생하는 브루셀라증의 임상적 특성을 연구하고자 하였다. 방법 : 2003년부터 2006년 7월까지 7개 대학병원에 내원한 환자들을 대상으로 WHO의 진단기준에 의하여 확진된 브루셀라증 환자들의 의무기록을 후향적으로 조사분석 하였다. 배양된 균은 삼성서울병원에 의뢰하여 16S rRNA 유전자 분석방법을 이용하여 종을 확인하였고, 표준시험관응집검사는 국립보건원에 의뢰하여 시행하였다. 결과 : 34예의 환자들이 브루셀라증으로 확진되었고, 31명이 남자였다. 혈액에서 B. abortus가 증명된 경우가 8예, 표준시험관 응집검사상 의미 있는 항체가 상승을 보인경우가 26예이었다. 환자들은 대부분 축산업관련 종사자였고, 추후 브루셀라증으로 확진된 소와의 직접 접촉을 통해 감염된 것으로 여겨진다. 국내 사람 브루셀라증의 가장 흔한 증상은 발열이었고, 위장관계 합병증이 가장 흔히 동반되었다. 치료로는 doxycycline/rifampicin이 24예의 환자에서 doxycycline/aminoglycoside (streptomycin 혹은 gentamicin)이 10예의 환자에서 6주 이상의 기간 동안 투여되었다. 치료에 반응을 보이지 않는 환자는 없었고, 재발이 1예 있었다. 결론 : 국내에서 발생하는 사람 브루셀라증의 원인균으로 현재까지 분리 동정된 것은 B. abortus이며, 소 브루셀라증의 증가로 인해 인체감염사례가 함께 증가하는 것으로 사료된다. 위험 직업군 종사자들에서 감염된 소와의 직접 접촉을 통해 주로 발생하고 있는 브루셀라증의 임상종상은 국외에서 발생하는 경우와 유사한 양상을 보이고 있으며 치료에 대한 반응은 비교적 좋은 편이긴 하나, 추후 보다 많은 환자들을 대상으로 한 연구가 필요하리라 사료된다. 사람 브루셀라증의 조절을 위해서는 소 브루셀라증의 조절이 필수적이며, 브루셀라증의 조절에 성공한 선진국의 사례를 적극적으로 도입해야 할 것으로 생각된다. Background : Since the first Korean case of human brucellosis was reported in 2002, the incidence of human brucellosis has been rapidly increasing. We performed this study to evaluate the clinical characteristics of human brucellosis occurring in South Korea. Materials and Methods : Demographic features, clinical manifestations, and therapeutic outcomes of cases confirmed as brucellosis according to WHO diagnostic criteria were evaluated. Species of Brucella isolates were identified with 16S rRNA gene sequencing method. Serologic diagnosis was performed with standard tube agglutination test (STA). Results : A total of 34 cases were enrolled from 2003 to 2006 in six hospitals. Eight cases were confirmed with the isolation of Brucella from blood and 26 cases were confirmed with titer of antibodies ≥1:160 by STA. Male (31) was predominant and most of the patients were cattle farmers. The most common transmission route was direct contact with infected or their cattle byproducts. Fever was the most prominent symptom and fatigue followed. Gastrointestinal and musculoskeletal systems were commonly complicated. Patients were treated with doxycycline and rifampin or aminoglycosides for more than 6 weeks. All patients responded well to the therapeutic regimens, but one patient relapsed 10 months after treatment. Conclusion : Brucellosis occurring in Korea has been caused by B. abortus, whose preferred natural host animals are cattle. Korean patients were infected through direct contact with bovine brucellosis. Clinical manifestations of brucellosis were similar to those occurring worldwide. Therapeutic outcomes were good among patients with brucellosis in Korea. In order to prevent human brucellosis, measures to eradicate bovine brucellosis should precede.

Physicochemical Characteristics and Antioxidant Effects of Cooked-rice Added Foxtail Millet according to Cooking Method

Koan Sik Woo,Mi-Jung Kim,Hyun-Joo Kim,Eun-Yeong Sim,Jee Yeon Ko3,Byong Won Lee,Choon Ki Lee,Yong Hee Jeon,Byoung Kyu Lee 한국작물학회 2017 한국작물학회 학술발표대회 논문집 Vol.2017 No.-

환자 만족도 조사를 통한 QI활동의 효과 평가 : 일개 병원을 중심으로

박연옥,김미숙,고은정,김연정,홍창호 한국의료QA학회 1998 한국의료질향상학회지 Vol.5 No.2

Background : Evaluation of patient's satisfaction is one of the most important aspects of quality improvement. If the patient highly satisfies with the medical service provided in the hospital, he/she will be likely to visit the same hospital again. Patient's satisfaction of a particular hospital is directly correlated with hospital profits as well as reputation in the community. For this reason, various kinds of survey measuring satisfaction level have been performed and many kind of QI activities for enhancing the profits as well as reputation in the community. For this reason, various kinds of survey measuring satisfaction level have been performed and many kind of QI activities for enhancing the patient's satisfaction. This study is to find the effect of hospital QI activities on the patient's satisfaction level. Methods : After questionnares were developed, survey of measuring satisfaction level was performed in August. 1998. On the basis of survey results. Ql activities were carried out to attain the target point of 4.0 and subsequent survey was done in November. 1998. Results : With three main principles of "problem solving approach with kindness". "helping patient to participate in medical procedure with sufficient information", and "putting employees into practice of attitude with human respect", the average level of satisfaction was enhanced from 3.45 to 3.55 level. Also kindness level of employees was increased from 3.71 to 3.82. Level of dissatisfaction about insufficient explanation and unkind attitude was dropped from 69% to 48% and from 82% to 46% respectively. Conclusion : With the result of this study overall satisfaction level was enhanced. In order to keep these advantages a operation of Quality Improvement Task Force Team in each subject will be required.

Antimicrobial Activity of Radish Root Extract against Oral Microorganisms

Mi-Ok Ko,Jeong-Yeon Ko,Mi-Bo Kim,Sang-Bin Lim 한국식품영양과학회 2015 한국식품영양과학회 학술대회발표집 Vol.2015 No.8

Antimicrobial Activity of Isothiocyanates against Oral Microorganisms

Mi-Ok Ko,Jeong-Yeon Ko,Mi-Bo Kim,Sang-Bin Lim 한국식품영양과학회 2015 한국식품영양과학회 학술대회발표집 Vol.2015 No.8

Enhanced Production of Phenolic Compounds from Pumpkin Leaves by Subcritical Water Hydrolysis

Ko, Jeong-Yeon,Ko, Mi-Ok,Kim, Dong-Shin,Lim, Sang-Bin The Korean Society of Food Science and Nutrition 2016 Preventive Nutrition and Food Science Vol.21 No.2

Enhanced production of individual phenolic compounds by subcritical water hydrolysis (SWH) of pumpkin leaves was investigated at various temperatures ranging from 100 to $220^{\circ}C$ at 20 min and at various reaction times ranging from 10 to 50 min at $160^{\circ}C$. Caffeic acid, p-coumaric acid, ferulic acid, and gentisic acid were the major phenolic compounds in the hydrolysate of pumpkin leaves. All phenolic compounds except gentisic acid showed the highest yield at $160^{\circ}C$, but gentisic acid showed the highest yield at $180^{\circ}C$. The cumulative amount of individual phenolic compounds gradually increased by 48.1, 52.2, and $78.4{\mu}g/g$ dry matter at $100^{\circ}C$, $120^{\circ}C$, and $140^{\circ}C$, respectively, and then greatly increased by $1,477.1{\mu}g/g$ dry matter at $160^{\circ}C$. The yields of caffeic acid and ferulic acid showed peaks at 20 min, while those of cinnamic acid, p-coumaric acid, p-hydroxybenzoic acid, and procatechuic acid showed peaks at 30 min. Antioxidant activities such as 2,2-diphenyl-1-picrylhydrazyl and ferric reducing antioxidant power values gradually increased with hydrolysis temperature and ranged from 6.77 to 12.42 mg ascorbic acid equivalents/g dry matter and from 4.25 to 8.92 mmol $Fe^{2+}$/100 g dry matter, respectively. Color $L^*$ and $b^*$ values gradually decreased as hydrolysis temperature increased from $100^{\circ}C$ to $140^{\circ}C$. At high temperatures ($160^{\circ}C$ to $220^{\circ}C$), L* and b* values decreased suddenly. The $a^*$ value peaked at $160^{\circ}C$ and then decreased as temperature increased from $160^{\circ}C$ to $220^{\circ}C$. These results suggest that SWH of pumpkin leaves was strongly influenced by hydrolysis temperature and may enhanced the production of phenolic compounds and antioxidant activities.

차그림에 나타난 茶筅연구

고연미(Yeon-Mi Ko) 한국차학회 2009 한국차학회지 Vol.15 No.1

The purpose of this article is to examine the development and features of tea whisks on the pictures of tea in Korea, China, and Japan. This paper employs two methods to examine literature and the pictures of tea. The result of this study provides that the origin of tea whisks was the straight line type which made with bamboo in Song dynasty and appeared to develop bamboo butt type of Yuan dynasty. In addition, it provides that the types of tea whisks in Yuan dynasty have succeeded to these days past Muromachi dynasty in Japan. Also, the tea whisk of five joint type with bamboo in Joseon dynasty has received attention in aspect of measurement and shape among that of Eastern Asia.

송대 회화를 통해 본 차문화 공간의 형태와 기능

고연미(Yeon-Mi Ko) 한국차학회 2013 한국차학회지 Vol.19 No.3

The main purpose of this study was to examine the form and function of tea culture space on the Song dynasty paintings. This paper employed two methods to examine the literature on the royal palace, private garden, tea house and paintings of tea culture in the Song dynasty. The conclusion to be drawn here was that the emperor's, literary men's, Buddhist monks, and stall keepers' space form of tea culture were observed in the royal palace, private garden, temple in mountain, and street respectively. In addition, the space function of tea culture suggests that literary men held mostly literary gatherings including literary activity and tea parties, Buddhist monks had tea ceremonies in the Seon temple near the mountain, and stall keepers took pleasure in Song's representative tea culture called tea fight and sold tea prepared in advance on the street.