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      • 훈련병 생활관 공기청정기의 폐렴예방 효과 연구

        이버들 ( Buddle Lee ),석웅 ( Woong Seok ),임형렬 ( Hyungryul Lim ),전철구 ( Cheolgu Jeon ),서남주 ( Namjoo Seo ) 국군의무사령부 2019 대한군진의학학술지 Vol.50 No.1

        Objectives; The purpose of this study is to install an air purifier at the army training center dormitory and to check the pneumonia prevention effect according to the air quality Methods; We selected unit with frequent pneumonia and studied between 568 people who used air purifiers and 1,710 people who did not use them from November 30, 2017 to April 27, 2018. PM2.5, PM10, carbon dioxide and VOC were measured at 9points in both the air cleaner and non-use groups, and were performed every 2hours from 22:00 to 06:00 the next day. The number of pneumonia diagnoses and upper respiratory tract infections between the air pufier and no-use group were checked and statistically verified. Results; Mean±SD of PM2.5, PM10 was 29.7±48.0㎍/㎥, 55.9±135.1㎍/㎥ for air purifier use group, 115.0±346㎍/㎥, 259.0±371.7㎍/㎥ for nonuse group, and significantly lower for air purifier use group.(p<0.05) Mean±SD of carbon dioxide, VOC was 2,439±1,042ppm, 429.9±146.3㎍/㎥ for air purifier use group, 3,147±1388ppm, 589±264㎍/㎥ for nonuse group, and significantly lower for air purifier use group.(p< 0.05) RR(Relative Risk) of pneumonia patients in the air purifier and non-use group was 4.65, but the P-value was 0.08.(p >0.05). Conclusions; Air purifiers improve the air quality of the training dormitory, but have not proved sufficient to prevent pneumonia.

      • 군 생활관 환기주기 설정을 위한 환기효과 비교

        전철구 ( Jeon Cheolgu ),이버들 ( Lee Buddle ),이광진 ( Lee Gwang Jin ),신윤희 ( Shin Yunhee ),정해도 ( Jeong Hadoo ) 국군의무사령부 2018 대한군진의학학술지 Vol.49 No.1

        Objectives : The purpose of this study was to compare indoor air pollution levels and to suggest appropriate ventilation methods for military living room. Methods : To compare the air pollution levels of flat bed type and bed type dormitories by selecting four divisions of educational camps, and to compare the effects of natural and mechanical ventilation for dirty dormitories. Investigation items are carbon dioxide, fine dust(PM10), Total aerobic bacteria. Results : Indoor air pollution was higher in flat bed type dwelling. Natural ventilation was best when door and two windows were opened for 10 minutes at 1 hour intervals and the concentration of carbon dioxide was 700∼2,500ppm. In case of mechanical ventilation, the ventilation system was operated continuously and the door was opened for 10 minutes at intervals of 1 hour and the external air was introduced. The carbon dioxide concentration was 650∼1,580ppm. During the summer, ventilation did not occur during the operation of the air conditioner, so the concentration of carbon dioxide was high but the concentration decreased when the window was opened. Conclusions : In recent year, it is necessary to check the fine dust forecast and determine whether to ventilate because the number of days with high concentration of fine dust is increasing in the air. In the long term, it is necessary to install ventilation device which is not influenced by winter warming and usual outside air pollution desirable.

      • 2020년 경기·강원 전방지역 일부 군부대 신증후군출혈열 바이러스 보유 설치류 분포도 조사

        최지완 ( Jee-wan Choi ),김유진 ( Yu-jin Kim ),박주원 ( Ju-won Park ),이버들 ( Buddle Lee ),송진원 ( Jin-won Song ),노현욱 ( Hyun-wook Noh ),신은옥 ( Eun-ok Shin ) 국군의무사령부 2021 대한군진의학학술지 Vol.52 No.1

        Objective; In this study, we examined the distribution of rodents infected with HFRS virus in several garrisons and training sites located in the front regions of Gyeonggi and Gangwon Province. Method; Wild rodents were collected from 5 garrisons and training sites from June 2020 to November 2020. Sherman traps were installed in areas where wild rodents are expected to inhabit and were collected on the following morning. The captured rodents were transferred to the Molecular Virus Laboratory of Korea University College of Medicine for serological and molecular test. Result; A total of 77 rodents were captured. Apodemus agrarius accounted for 70.1% of the total, followed by Crocidura lasiura (26.0%), Mus Musculus (2.6%), and Rattus norvegicus (1.3%). 10 rodents were confirmed with antibody-positive and Hantaan virus was detected in 5 Apodemus agrarius . As a result, we identified 2 areas with potential risk. Conclusion; The surveillance of vectors infected with HFRS virus is a preemptive measure that can be carried out before the outbreak of a patient. Therefore, further investigation should be conducted in the future.

      • 2019~2021년 육군 군부대 말라리아의 역학적 특성: 매개체 감시활동을 중심으로

        최지완 ( Jeewan Choi ),김유진 ( Yujin Kim ),하범만 ( Beomman Ha ),신현일 ( Hyunil Shin ),이버들 ( Buddle Lee ),주영훈 ( Younghoon Joo ),김재형 ( Jaehyung Kim ) 국군의무사령부 2022 대한군진의학학술지 Vol.53 No.1

        Objective: Military malaria patients continuously occur despite the preventive efforts, and the ROK Army started the malaria vector surveillance program co-operated with the Korea Disease Control and Prevention Agency (KDCA) since 2019. This study was performed to investigate malaria-epidemiological characteristics through malaria-vector surveillance during 2019∼2021. Method: Anopheles spp. were collected from the surveillance military units for 22 weeks from May to September during 2019∼2021. The ratio of Anopheles spp. was calculated, and Anopheles spp. infected with Plasmodium vivax were identified by nested polymerase chain reaction (nPCR). Correlations between the number of Anopheles spp. and the number of military patients were analyzed using the Pearson correlation test. Results: A total of 5,513 Anopheles spp. were collected, 2,866 in 2019, 1,500 in 2020, and 1,147 in 2021. The ratio of Anopheles spp. in total mosquitoes was 62.4%, and numbers of infected Anopheles spp. were 29 pools (17 in 2019, 11 in 2020, and 1 in 2021). There was a strong positive correlation between the number of Anopheles spp. and the number of military malaria-patients by year, but there was no correlation by month except for Paju-si in 2020. Conclusion: Military units had a higher ratio of Anopheles spp. than civilian region, and infected Anopheles species were also continuously collected, so it was necessary to comply with malaria prevention rules including chemoprophylaxis. From our study, we concluded that malaria vector surveillance is crucial and should be continued, and through malaria-vector surveillance, it could be possible to predict the occurrence of military malaria-patients.

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