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      • 군 병원내 의료 환경 중의 부유세균 발생현황

        장제윤 ( Jeyoun Jang ),권순환 ( Soon-hwan Kwon ),김민호 ( Minho Kim ),박정미 ( Jeongmi Park ),서유미 ( Yumi Se ),정혜민 ( Haemin Jung ),조은옥 ( Eunok Jo ),최창옥 ( Changok Choi ) 국군의무사령부 2017 대한군진의학학술지 Vol.48 No.1

        Objectives: Evidence that contaminated surfaces contribute to the transmission of hospital pathogens comes from studies modeling transmission routes, microbiologic studies, observational epidemiologic studies, intervention studies, and outbreak reports. This Study was conducted to confirm the status of airborne microbe, surface microbe, and hand hygiene in military hospitals. Methods: This study was measure the concentrations of total culturable bacteria (TCB) and to identity the bacteria in 2i identical areas in 5 military hospitals. The surface microbe were collected from apporoimately 40 identical areas using the rodac plate methods. Hand microbe was collected from hospital workers using the contact culture method. Results: Concentrations of airborne bacteria was 76 and 434 CFU/m<sup>3</sup> in the hospitals. To find, the level of airborne microbes was significantly highest in the main looby. Staphylococcus, Micrococcus, Bacillus spp, and Pseudomonas spp. were identified as surface flora. There were no difference in the species of airborne microbe and surface microbe between hospitals. Staphylococcus was identified in the hand and did not show antibiotic resistance. Conclusions: The indoor air quality is associated with respiratory disease and allergic disease, and nosocomial infection. This study should be used to monitor microbial contamination in the hospital environment and to eliminate the risk factors.

      • 핸드 드라이어의 위생

        장제윤 ( Jeyoun Jang ),이종태 ( Jong Tae Lee ) 국군의무사령부 2018 대한군진의학학술지 Vol.49 No.1

        Objectives; Paper towels, warm air hand dryers, jet air dryers and cloth towels are the most frequently used means of hand drying in public washrooms. The purpose of this study is to investigate the hygiene of hand dryers in the public washroom and to investigate the changes of total microorganism when using a paper towel or a hand dryer in the process of washing and desiccation the hands and the change of airborne bacteria in the toilet air by using a hand dryer in a general situation. Methods; The three hand dryers in washroom of Armed Forces Medical Research institute were used to assess the bacterial contamination. Bacterial contamination of the warm air hand dryer was evaluated by exposing air flows to petri dishes containing nutrient agar medium in a washroom. Identification of bacterial isolates was performed using conventional methods. Seven volunteers participated in the experiment to observe changes in bacterial colonies according to the drying method. The hands washed in a standardized manner. After hand drying, hand were pressed onto agar media and transfer of residual bacteria. There was significant difference between the after CPU between paper towel, air dryer. Results & Conclusions; Bacteria were found to be relatively numerous in the air flows. Bacterially contaminated air was found to be emitted whenever a warm air dryer was running, even when not being used for hand drying. Hot air from hand dryers can deposit pathogenic bacteria onto the hands and body of users. The risk of this bacteria to the general public not entirely clear, but they can be a risk factor for patients such as immunodeficiency. It is recommended therefore that the use of hand-dryers should be carefully considered on health grounds, especially in sensitive locations such as hospitals, catering establishments and food preparation areas. Guidelines for hygienic management of hand dryers should be provided for safe and hygienic hand dryer use.

      • 군용 수통의 미생물 오염도 평가 및 위생기준 설정

        장제윤 ( Jeyoun Jang ),송영조 ( Young-jo Song ),박창보 ( Changbo Park ),성경용 ( Kyungyong Sung ),신윤희 ( Yunhee Shin ) 국군의무사령부 2016 대한군진의학학술지 Vol.47 No.1

        People alive a short time if you do not drink water. In particular, water intake is essential to maintain the viability and the combat capability to the battlefield soldiers. Canteen is equipment for providing a personal potable water and Canteen is being used more than 700,000. Canteen has no sanitation standard operating procedures therefore it does not guarantee the safety of canteen water. In this study, we investigate microbial contamination of the canteen water of the week in a month and we would like to present the scientific evidence for hygiene management guidelines of canteen.

      • KCI등재

        한류 드라마에 나타난 가족주의

        김기덕(Kim, Ki Duk),이동배(Lee, Dong Bae),장제윤(Jang, Je Yoon) 건국대학교 글로컬문화전략연구소 2012 문화콘텐츠연구 Vol.0 No.2

        한국 드라마 중 해외에 소개되어 인기가 높은 드라마를 ‘한류 드라마’라고 표현할 수 있다. 한류 드라마에는 여러 유형이 있는데, 크게 보아 ①가정극 ②애정극 ③역사극으로 나눌 수 있다. 본 글은 먼저 한류 드라마에 대한 반응에서 현대 중국인들이 가장 열광한 ‘가족주의’에 초점을 맞추어 분석하였다. 중국은 1949년 사회주의 국가를 건설하면서 가부장제에 따른 효를 버리게 되었다. 그러나 효의 긍정적인 측면도 당연히 존재하는 것으로, 오히려 한국 드라마를 보면서 부모를 생각하고, 부모 때문에 결혼을 망설이고 갈등하는 모습을 보면서 자신들의 잃어버린 가치관을 되살리는 것이다. 특히 중국은 부부 맞벌이에 아이하나의 정책, 그리고 할아버지 할머니 분가라는 일반적인 경향을 갖고 있다. 여기에 더해 현대 중국은 광범위한 영토 속에서 농촌과 대도시의 분리에 따른 가족의 이산으로 친척은 말할 것도 없고 직계가족의 왕래도 쉽지 않다. 이러한 현실에서 광범위한 친족 범주가 등장하면서 예의가 남아 있는 한국 드라마의 가족주의는 당연히 관심의 대상이 되었다고 할 수 있다. 다음으로는 이러한 중국인의 시각을 확장하여, 한국의 현대 문화콘텐츠 분야에서도 ‘가족주의’라는 측면이 다양하게 작동되고 있다는 점을 밝혔다. 그리고 이러한 가족주의는 단순히 유교적 잔재로서가 아니라, 인류의 보편적인 가치를 갖는다는 점을 지적하였다. 따라서 실제 한국의 현실은 가족해체의 상황도 많이 발견되고 있으나, 이러한 한국 드라마에 담긴 가족주의의 가치관은 면면히 이어 내려온 한국인의 공동체적 문화유전자로 자리매김될 수 있을 것이다. The Korean TV dramas that have been exported to foreign markets and were met with huge responses, can be labelled as “Korean-wave Dramas.” Examined here in this article is the huge response of the Chinese public for such “Korean-wave dramas,” through a singular aspect which seems to have most appealed to the Chinese viewers, no other than the concept which we call ‘Familism.’ In China, most of the parents have their respective jobs, are obliged by the government to have only one child, and are living separately from the grandparents of their children. Added to this problem, agricultural regions are separated from the cities, and people have to travel long distances to meet their family members. Even the closest relatives, like brothers or sisters, find it very hard to meet each other. Then, the Korean dramas that are suddenly presented to them, usually depict large families, with traditional values still in tact. Obviously, such depiction instantly drew the public’s attention in China. In fact, the aspect of ‘familism’ is widely present in the cultural contents of modern Korea as well. They are displayed here and there, in various forms and shapes. The concept and value of ‘filial piety’ present inside the concept of familism, is not a mere remnant of Confucianism of the past. It is a universal value that can be attractive to all kinds of people, regardless of their nationalities. In Korea, many of the families are already dismantled, but the description of a traditional Korean family in the Korean-wave dramas are garnering positive responses. Such results can be attributed to the extraordinary community culture DNA of the Korean people.

      • 일 군병원의 멸균품 유효기간 조사 - 포장재와 보관환경을 중심으로 -

        박임희 ( Imhee Park ),오숙미 ( Sukmi Oh ),김은순 ( Eunsoon Kim ),장제윤 ( Jeyoun Jang ),백현주 ( Hyunju Baek ),박지희 ( Jihee Park ) 국군의무사령부 2023 대한군진의학학술지 Vol.54 No.1

        Objective The purpose of this study is to check the temperature and humidity of the sterilized product storage site and to check the appropriateness of the expiration date by the packaging materials operated in the hospital and to provide the basis for extending the expiration date. Method The study samples were stored in five departments of the Armed Forces Yangju Hospital after steam, E.O gas, and plasma sterilization. Samples of nonwoven packaging materials were collected 12 times every 2 weeks from 1 month to 6 months of expiration date, and microbial culture tests were conducted. The paper-plastic pouches samples were collected once at the expiration date of 6 months and tested for microbial culture. During the study period, the temperature and humidity of the storage place were measured once a day. Results On average, the temperature and humidity of the storage place met the guidelines of the Central Supply Nurses' Association, but in some cases, they exceeded the recommended range depending on the season. Microorganisms were cultured in two samples of the first out of 540 nonwoven packaging samples, and it was confirmed that there was no contamination in the subsequent samples. All samples of paper-plastic pouches were not cultured with microorganisms. Conclusion This study identified ALT levels, BMI, and hypertriglyceridemia as factors associated with significant fibrosis in young soldiers with NAFLD. Two models with excellent performance were developed using these variables to predict significant fibrosis. However, biopsy-proven data are required to validate the performance of the proposed scoring system.

      • 한타박스의 신증후군출혈열 예방효과 분석

        권순환 ( Soon-hwan Kwon ),이수진 ( Sujin Lee ),강대연 ( Daeyoun Kang ),최지선 ( Jisun Choi ),장제윤 ( Jeyoun Jang ) 국군의무사령부 2018 대한군진의학학술지 Vol.49 No.1

        Objectives; Hantavax is not yet improved due to absence of prospective randomized controlled study. The analysis of neutralizing antibody is known to the method of guessing of protectiveness of vaccine. To investigate the effectiveness of Hantavax more correctly. we were carried out immunogenicity studies before and after vaccination with Hantavax. Methods; The new solider of 17 and 20 division of Korean army are enrolled in this study. 246 blood samples collected before vaccination and 3 and 6 month after vaccine inoculation. Before and after vaccination, hantaanvirus antibodies in the serum were analyzed by ELISA, IFA, and PRNT in the collected serum. Results; The result of the vaccination status, 246 enrolled persons were able to confirm the vaccination status. In the basic vaccination, second vaccination inoculated at 1 to 3 month intervals from first shot and booster vaccination was inoculated after 7 to 11 months from second vaccination. 20% of persons are vaccinated only once in the training center. According to the results, in the group that was boosted at 7 months after basic vaccination, 37.5% from ELISA and 53.33% from IFA were detected the hantaanvirus antibodies at 6 months after the boosting. The group that was boosted at 11 months after basic vaccination was able to confirm the antibody retention by 75% in EISA and 100% in IFA at 6 months after the boosting. Conclusions; We found problems with vaccination and management of vaccine in the army. It is very important to vaccinate at the correct vaccination guideline. To find this study confirmed that the interval of hantavax vaccination was very important for the vaccine efficacy.

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