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        수술실 손 소독제의 종류에 따른 균주 수의 변화

        홍성윤,김정민,김소영,이수정,오은실,양서인,김화실,김남초 병원간호사회 2006 임상간호연구 Vol.11 No.2

        Purpose: The present study purposed to compare the hand washing effect of 7.5% powidone-iodine, which is used in the operation room of C university hospital in Seoul, with that of Ethyl alcohol-CHG mixture recommended by the US Association of Operating Room Nurses (2002) and to adopt a more effective hand disinfectant. Method: In a quasi-experimental design, 48 medical staff who participated in operations during the period from November 2004 to February 2005 had hand washing using the two kinds of hand disinfectants: 7.5% povidone-iodine and the ethyl alcohol-CHG mixture. Their palms were swabbed and cultured just after hand washing and again after taking dff sterile gloves after the operation. The number of colonies from the two occasions were counted and compared. Result: The number of general bacillus increased significantly in the group using 7.5% povidone-iodine compared to that in the group using the ethyl alcohol-CHG mixture. The number of general bacillus increased signficantly in doctors compared to that in nurses. The factors affecting the increase of the number of general bacillus were disinfectants and medical personnel. The number of general bacillus was expected to increase 9.41 times with 7.5% povidone-iodine than with the ethyl alcohol-CHG mixture and 14.87 times in doctors than in nurses. Conclusion: This study shows that the ethyl alcogol-CHG mixture has a stronger hand disinfection effect than 7.5% povidone iodine. Thus we need to change the hand disinfectant used in operating rooms as soon as possible in order to minimize the infection of wounds resulting from operations.

      • KCI등재

        연마방법에 따른 탄성의치의 표면거칠기와 Candida albicans의 부착율 변화

        오주원,서재민,안승근,박주미,강철균,송광엽 대한치과보철학회 2012 대한치과보철학회지 Vol.50 No.2

        연구 목적: 본 연구는 탄성의치 제작 시 주로 사용되는 polyamide를 수종의 연마방법을 사용하여 처리 후 Candida albicans의 부착정도와 표면거칠기를 비교하고자 하였다. 연구 재료 및 방법: 25×15×2 mm 크기의 polyamide 시편을 4군으로 나누어 연마재를 사용하여 기공용 lathe 연마하는 방법(기공실내 연마방법)과 각기 다른 2종의 실리콘 포인트로 진료실내 연마하는 방법, 그리고 실리콘포인트 연마 후 pumice로 연마하는 방법으로 처리하였다. C. albicans의 부착성을 평가하기 위해 5×106 CFU/ml의 C. albicans 현탁액에 시편을 2시간 동안 침적하였고 5회 수세처리 후 한천배지에서 배양하였다. 그리고 주사전자 현미경(JSM-5900, JEOL LTd., Tokyo, Japan) 촬영을 시행하였다. Profilometer (Surf-pak; Kawasaki, Japan)를 이용하여 표면거칠기를 측정하였고 통계처리를 위하여 SPSS 18.0 프로그램을 사용하였다. 일원변량분석으로 비교 분석하였고 사후검증은 C. albicans의 부착성 검증을 위해 Scheffe test를 시행하였으며 표면조도검증을 위해 Tamhane’s T2 test를 시행하였다(α=.01). 결과: 최대 거칠기 값을 보인 군은 2단계의 연마용 버를 사용한 것으로 0.32 ㎛±0.10 값을 나타냈으며, 가장 낮은 거칠기 값을 보인 것은 tungsten carbide를 사용하지 않고 기공용 lathe로만 연마를 한 군으로 0.02 ㎛±0.00의 거칠기 값을 나타냈다. C. albicans 부착 실험에서는 기공용 lathe만을 이용한 연마방법이 가장 적은 부착수를 보였으며 다른 세 군과 유의한 차이가 발견되었다(P<.01). 결론: 표면거칠기 및 미생물 부착능 실험 결과 기공실 연마만을 시행한 경우 유의하게 낮은 거칠기 값과 부착율을 보였다. Pumice로 추가 연마한 군은 진료실연마를 시행한 군에 비해 낮은 거칠기 값을 보였으나 C. albicans 부착에 있어서는 유의한 차이를 보이지 않았다(P>.01). Purpose: The purpose of this study was to compare the effect of 3 chairside polishing methods and laboratory polishing methods on surface roughness and C. albicans adhesion of polyamide denture base. Materials and methods: Using contact profilometer, the surface of polyamide specimens (25×15×2 mm) was studied after conventional polishing without finishing and after chiarside polishing with 2 chiarside polishing kits and chairside-pumice polishing following finishing with tungsten carbide bur. To evaluate the adhesion of C. albicans, C. albicans suspension was overlayed on the test specimen. And the specimens were incubated for 2 hours. Imprint culture method was achieved and counted the colony on the agar plate. Polished polyamide were evaluated using a scanning electron microscope. The statistics were conducted using one-way ANOVA and in case of difference, Scheffe test and Tamhane’s T2 test were used. Results: Surface roughness (Ra) of surfaces polished with 2 chairside polishing kits had higher than conventional polishing and pumice polishing. The highest roughness value was 0.32 ± 0.10 ㎛, and the lowest was 0.02 ± 0.00 ㎛. The adhesion of C. albicans on the specimens polished with chairside polishing group and pumice polishing group were increased than conventional polishing group (P<.01). Conclusion: Conventional laboratory polishing was found to produce the smoothest surface and the lowest adhesion of C. albicans. Two groups polished with Chairside polishing kits were similar with respect to surface roughness. Surface of the specimen polished with pumice is significantly smoother than 2 chairside polishing groups, but the result of C. albicans adhesion is that group polished with pumice was similar with 2 chairside polishing groups (P>.01).

      • 호남지역 역도 선수들의 스포츠 상해에 관한 연구

        윤오남,위승두,서영환 한국스포츠리서치 2001 한국 스포츠 리서치 Vol.12 No.4

        This study aims to present basic data for prevention of injuries and improvement of competitive power in weight lifting. For this, 42 high school lifters and 50 university lifters were inquired about injuries and the results were analysed as follows : 1. The injuries are caused by chronic fatigue(51.86%, highest), weather, intensity of physical activities, and technical characteristics . 2. Most injuries are caused when lifters are sitting(43.1%) in pulling up. In clean and jerk, sitting causes many injuries. In reinforcement, squat causes 43 injuries, the highest. 3. Consider injured part of lifters : 226 injuries o f(85.28 %) shoulder joints, 58 cases (45.31%) of muscular inflammation of elbow part, 205 cases(82.66%)of lumbago on waist part, 232 cases(88.55%)of pain on the knee, 40 cases(33.90%) of muscular cramp on the leg and 85 injuries(57.82%) of the ankle. 4. Consider the frequency of injuries : 10.00 times of sprains of shoulders, 2.00. times of bruise of the elbow, 3.33 times of lumbago of the waist, 3.39 times of pains of the knee and 10.50 times of ankle fractures. 5. As for first aid for injuries, there are 52 cases(55.91%)of putting PAS. Lifters with injuries usually went to hospital for treatment(50 cases and 5.76%). The period of treatment is one through five days(31 cases and 33.3%). Finally, lifters consider sound rest for prevention of injuries after treatment of injuries(61 cases and 65.59%). Lifters and relevant staff should concentrate on establishment of safety countermeasure and should examine types and parts of injuries to reduce injuries. Lifters with injuries should see professional doctors for proper treatment which would prevent aftereffects and bring complete recovery.

      • 제주도 연안 초망 어선의 소음에 관한 연구

        박성욱,서익조,오승훈,김병엽,이창헌,서두옥 濟州大學校 海洋硏究所 2002 해양과환경연구소 연구논문집 Vol.26 No.-

        제주도 연안에서 이루어지는 초망 어업에서 수중음을 이용하여 멸치 어군을 유효하게 집어하기 위한 기초 자료를 얻기 위하여 어선의 주기관을 공회전시켰을 때의 선상과 어군이 유집되어 투망되는 수심 4m지점과 함께 수심 10m층의 수중 소음을 측정 조사하였다. 이때 사용한 선박의 공회전은 전진시의 800 rpm과 후진시의 1000 rpm으로 그 결과는 다음과 같다. 1. 기관의 회전수 800 rpm에서 선수(B), 갑판(D), 선미(S), 연돌 위(F), 기관실 내(E)의 소음 준위는 각각 90, 93, 106, 107, 101 dB 이었으며, 기관 회전수 1,000 rpm에서의 소음 준위는 각각 93, 95, 110, 109, 103dB이었다. 2. 회전수를 800rpm으로 할 경우 100, 300, 500, 1000, 1500, 2000 Hz에서 선수의 소음 준위는 4m인 경우 각각 92, 95, 102, 97, 94, 92dB 이었으며, 수심 10m인 경우 87, 88, 99, 96, 94, 93 dB이었고, 선체 중앙에서는 4m인 경우 94, 91, 100, 96, 94, 92dB, 10m인 경우 93, 92, 99, 95, 93, 91dB이었다. 선미에서는 4m인 경우 98, 94, 100, 97, 94, 92 dB이었으며 10 m인 경우 92, 93, 99, 96, 93, 92 dB로 나타났다. 3. 후진시 사용하는 회전수 1000 rpm으로 할 경우 100, 300, 500, 1000, 1500, 2000 Hz에서 선수 소음 준위는 4m인 경우 각각 86, 91, 98, 95, 93, 92 dB로 나타났고, 10m인 경우 88, 87, 99, 96, 94, 92 dB로 나타났으며, 선미에서는 4m인 경우 88, 88, 99, 96, 93, 92 dB, 10m인 경우 88, 86, 99, 96, 94, 92 dB로 나타났다. In order to obtain a basic data for alluring a school of fish, anchovy with emitting underwater sound, an experimnet for measuring noise level was carried out on no-load operation of a engine. noise level was measured at the depths of four meters and ten meters and analyzed. Then, the revolution per minute of the ship used at this field experiment was 800 including 1000. The results were followed. 1. On 800 rpm, noise levels on board were 90, 93, 106, 107 and 101 dB in the order of bow, deck, stern, funnel, funnel and engine room. In addition, 93, 95, 110, 109 and 103 dB on 1000 rpm, respectively. 2. on 800 rpm, underwater noise levels of the depth of four meters at the bow were 92, 95, 102, 97, 94 and 92dB at the frequencies of 100, 300, 500, 1000, 1500 and 2000 Hz, respectively and those of the depth of ten meters were 87, 88, 99, 96, 94 and 93 dB. Underwater noise levels of the depth of four meters outside the engine room were 94, 91, 100, 96, 94 and 92 dB at the frequencies of 100, 300, 500, 1000, 1500 and 2000 Hz, respectively and those of the depth of ten meters were 93, 92, 99, 95, 93 and 91 dB. Underwater noise levels of the depth of four meters at the stern were 98, 94, 100, 97, 94 and 92 dB at the frequencies of 100, 300, 500, 1000, 1500, and 2000 Hz, respectively and those of the depth of ten meters were 92, 93, 99, 96, 93 and 92 dB. 3. On 1000 rpm, underwater noise levels of the depth of four meters at the bow were 86, 91, 98, 95, 93 and 92 dB at the frequencies of 100, 300, 500, 1000, 1500 and 2000 Hz, respectively and those of the depth of ten meters were 88, 87, 99, 96, 94 and 92 dB. Underwater noise levels of the depth of four meters at the stern were 88, 88, 99, 96, 93 and 92 dB at the frequencies of 100, 300, 500, 1000, 1500 and 2000 Hz, respectively and those of the depth of ten meters were 88, 86, 99, 96, 94 and 92 dB.

      • 저주파음에 의한 자리돔, Chromis notatus의 청각 능력 : 청각 문턱치

        이창헌,서익조,오승훈,김병엽,서두옥,김동근 제주대학교 해양과환경연구소 2001 해양과환경연구소 연구논문집 Vol.25 No.-

        In order to obtain the fundamenal data about method of luring fish schools by underwater sound, this experiment was carried out to investigte the auditory threshold of coralfish Chromis notatus which was on the coast of Jeju island by heartbeat conditioning technique using pure tones coupled with a delayed electric shock. The coralfish could hear a sound in the frequency range from 80 ㎐ to 800 ㎐. The mean auditory thresholds of coralfish at the frequencies of 80 ㎐, 100 ㎐, 200 ㎐, 300 ㎐, 500 ㎐ and 800 ㎐ were 100 ㏈, 99 ㏈, 91 ㏈, 88 ㏈, 96 ㏈ and 114 ㏈, respectively. As the frequency became higher than 300 Hz the auditory threshold increased rapidly.

      • 위암 환자의 복강내 투여를 위한 Activated Charcoal-Alginate Bead 제형으로부터 Mitomycin C의 용출 거동

        이진호,최선웅,서중기,김동민,정경수,오정연,김진향,노승무,민병무,김용백,김창식,박근성,강대영,송규상,양준묵,조준식,정현용,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

        Locoregional recurrence is the most common type of recurrence in surgical operation of gastric adenocarcinoma, and peritoneal dissemination is one of the most difficult problems in advanced gastric adenocarcinoma treatment. Because the peritoneal cavity is the most common site of the first recurrence after gastric cancer resection, intraperitoneal chemotherapy seems a logical choice for cancer chemotherapy. In this study, Mitomycin C (MMC)-activated charcoal (CH)-alginate (ALG) beads were prepared by the mixtures of CH particles adsorbed with MMC as an anti-cancer drug and aqueous alginate solution. The alginate is recognized as biodegradable, nontoxic, and biocompatible. The release of MMC from the beads in 0.1 M Tris buffer was stable and continuous until about 1 week. The MMC-CH-ALG beads can be applied in the peritoneal cavity for intraperitoneal chemotherapy since they provide a good adhesiveness on the tissue and controlled release pattern of the drugs.

      • 서울 시내 일부 대학생의 성지식과 성태도에 관한 연구

        김보배,노은경,박서영,박영,오승희,전영란,차현진,윤희상,김수지,이자형 이화여자대학교 간호과학대학 2004 이화간호학회지 Vol.- No.38

        This study surveyed and analyzed comparatively college students-knowledge' attitude, was to cultivate the right knowledge and attitude on sex, and serve the foundational data for the suitable sex education. The purpose of the study was to identify and examine: 1) students; sexual knowledge and sexual attitude; 2) the differences between variables of gender, age, and self-perceived sexual knowledge in relation to sexual knowledge and sexual attitude; and 3) the relationship between sexual knowledge and sexual attitude. For this study the questionaires were given to 300 students from five different universities located seoul areas. the questionaires were collected Jenuary 8th to 15th in 2004. Two hundred and nigty one samples were analyzed for the study. The adapted SKAT(saxual knowledge & attitude test; Lief & Reed, 1986) was used to determine sexual knowledge and the students' sexual attitude. Collected data were analyzed statistically by means of percentage, t-test, ANOVA test, and pearson correlation analysis with SPSS 12.0 package program. The main results of this analysis are as follows: Participants consisted of male(48.1%) and female(51.9%) which were mainly between the ages of 21.25(71.8%) with an age range of 19 to 30. Knowledge of sexual disease was scored highest of 92.4%, and konwledge of the knowledge of the male and female's anatomy was the lowest at 60.9%. The respondents' level of sexual attitude was tolerant as on average 3.66(on the basis of 5) Relating to the items, the respondents' score of the sexual curiosity was 4.16, sexual behavior 3.85, self-consolation 3.81, aborthon 3.23, virgine 3.19, extramarital experiences 3.17. There were no significant differences in sexual knowledge between male and females, between younger and older students, residence, sexual experience, and how students mainly obtained their sexual knowledge. But a significant difference was also found religion in their sexual attitude(p<.005). In addition, results showed the relationship between sexual knowledge and sexual attitude(P=0.332).

      • SCIESCOPUSKCI등재
      • SCOPUSKCI등재

        구내 표준 방사선사진을 이용한 구내방사선촬영기의 선질 평가

        이상섭,권혁락,심우현,오승현,이지연,전국진,김기덕,박창서 대한구강악안면방사선학회 2000 Imaging Science in Dentistry Vol.30 No.3

        Purpose : This study was to evaluate the beam quality of intraoral X-ray equipments used at Yonsei University Dental Hospital (YUDH) using the half value layer (HVL) and the characteristic curve of intraoral standard X-ray film. Materials and Methods : The study was done using the intraoral X-ray equipments used at each clinical department at YUDH. Aluminum filter was used to determine the HVL. Intraoral standard film was used to get the characteristic curve of each intraoral X-ray equipment. Results : Most of the HVLs of intraoral X-ray equipments were higher than the least recommended thickness, but the REX 601 model used at the operative dentistry department and the X-707 model used at the pediatric dentistry department had HVLs lower than the recommended thickness. The slopes of the characteristic curves of films taken using the PANPAS 601 model and REX 601 model at operative dentistry department, the X-705 model of prosthodontic dentistry department, and the REX601 model at the student clinic were relatively low. Conclusion : HVL and the characteristic curve of X-ray film can be used to evaluate the beam quality of intraoral X-ray equipment. In order to get the best X-ray films with the least radiation exposure to patients and best diagnostic information in clinical dentistry, X-ray equipment should be managed in the planned and organized fashion. (Korean J Oral Maxillofac Radiol 2000; 30: 183-188)

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