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A Case Study on Nosocomial Infection Control Activities in A General Hospital in Pusan (일 병원에서의 병원감염관리활동 사례연구)

  • Bae, Young-Soon
    • Quality Improvement in Health Care
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    • v.2 no.2
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    • pp.156-171
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    • 1996
  • Background: Nosocomial infection control is one of important means to assure the quality of medical care in the hospital, however, it has been neglected by most of the hospital personnels. Of nosocomial infections, urinary tract infection is the highest incidence, which is related to the indwelling catheter. It is, therefore, necessary to pay primary attention to the patients with the indwelling catheter in intensive care unit in order to control nosocomial Infection and to improve the quality of medical care in the hospital. Methods : The subjects of this study were patients with indwelling catheter who were admitted to the ICU of Pusan Paik Hospital from March 1994 to May 1995. The author calculated UTI rate among the subjects through the cultivation of the urine, identified the related factors of the UTI through brain storming of study team and head nurses working at ICU, and analized the effectiveness of the proposed approaches through comparing the infection rates of before and after activities. Results : The major activities carried out by the study team were to conduct in-service education programs for the staffs working at ICU about the importance of the nosocomial infection control in QA, and nursing intervention to reduce the UTI rate among the patients with indwelling catether. 1. The major nursing interventions that the study team had implemented were as follows ; 1) Drainage system was changed from partial open system to completely closed system. 2) Bladder irrigation which was routinely practised in all patients stopped among the noninfected patients. 3) Bladder irrigation set was changed to the disposable one. 4) Catheter was inserted under the anesthesia for patients to be operated. 5) Male patient receiving wrapped with gauze after perineal care was not wrapped. 6) Clamp which had not been before was newly attached to drainage tube. 7) Urine bag which had been packed into a lot of pieces was done into each piece. 8) The interval of change of indwelling catheter had regularly been four weeks, however it was used continously until it worked well. 9) Catheter was attached well at the defined site. 10) Paper towel was used instead of cotton towel. 11) Mats at the entrance were removed and cleansing of wards was enhanced. 2. The UTI rate by month was 34.4% in maximum and 9.8% in minimum during the period of this study, however it had gradually decreased. After 6 months from initiating infection control activities, the trend of rates was relatively stable. It was identified that UTI rate was different by season 12.5% in winter and 27.2% in summer. 3. Utilization rate of indwelling catheter was maintained at under 50%, but it was increased above 57% from April 1995. 4. The number of bladder irrigation sets used per day was 33.3 sets in maximum and 2.8 sets in minimum. The number used per day were also remarkably deceased. Conclusion : It was found that a program to control UTI could contribute to nosocomial infection control, and it was, in turn, a mean to assure the quality of medical care in the hospital. The nursing interventions which this study team had implemented were effective in the reduce of UTI rates.

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Metabolisable Energy, In situ Rumen Degradation and In vitro Fermentation Characteristics of Linted Cottonseed Hulls, Delinted Cottonseed Hulls and Cottonseed Linter Residue

  • Bo, Y.K.;Yang, H.J.;Wang, W.X.;Liu, H.;Wang, G.Q.;Yu, X.
    • Asian-Australasian Journal of Animal Sciences
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    • v.25 no.2
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    • pp.240-247
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    • 2012
  • Dietary supplementation with conventional linted cottonseed hulls (LCSH) is a common practice in livestock production all over the world. However, supplementation with mechanically delinted cottonseed hulls (DCSH) and cottonseed linter residue (CLR) is uncommon. Cottonseed by-products, including LCSH, DCSH and CLR, were assessed by chemical analysis, an in situ nylon bag technique, an in vitro cumulative gas production technique and in vitro enzyme procedure. The crude protein (CP) content of CLR (302 g/kg dry matter (DM)) was approximately 3 times that of LCSH and 5 times that of DCSH. The crude fat content was approximately 3 times higher in CLR (269 g/kg DM) than in LCSH and 4 times higher than in DCSH. Neutral detergent fibre (311 g/kg DM) and acid detergent fibre (243 g/kg DM) contents of CLR were less than half those of DCSH or LCSH. Metabolisable energy, estimated by in vitro gas production and chemical analyses, ranked as follows: CLR (12.69 kJ/kg DM)>LCSH (7.32 kJ/kg DM)>DCSH (5.82 kJ/kg DM). The in situ degradation trial showed that the highest values of effective degradability of DM and CP were obtained for CLR (p<0.05). The in vitro disappearance of ruminal DM ranked as follows: CLR>LCSH>DCSH (p<0.05). The lowest digestibility was observed for DCSH with a two-step in vitro digestion procedure (p<0.05). The potential gas production in the batch cultures did not differ for any of the three cottonseed by-product feeds. The highest concentration of total volatile fatty acids was observed in CLR after a 72 h incubation (p<0.05). The molar portions of methane were similar between all three treatments, with an average gas production of 22% (molar). The CLR contained a higher level of CP than did LCSH and DCSH, and CLR fermentation produced more propionate. The DCSH and LCSH had more NDF and ADF, which fermented into greater amounts of acetate.

Laparoscopic Splenectomy in Two Dogs Using SonicisionTM

  • Park, Tae-Yeong;Kim, Hyun-Jin;Kim, Jung-Hoon;Kim, Jun-Min;Seok, Seong-Hoon;Jung, Dong-In;Hong, Il-Hwa;Lee, Hee-Chun;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.33 no.4
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    • pp.214-217
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    • 2016
  • A 10-year-old, 24.1 kg, intact female Siberian husky dog (case 1) and 11-year-old, 5.0 kg, intact male Shihtzu dog (case 2) presented with chief complaints of polydipsia, anorexia, vomiting and exercise intolerance (case 1) and stranguria (case 2). Splenic nodule (case 1) and mass (case 2) were identified in these patients through ultrasonographic examination. Laparoscopic splenectomy was conducted for the histopathologic evaluation. In addition, laparoscopic ovariohysterectomy, liver biopsy (case 1) and castration (case 2) were performed for treatment or diagnosis of primary symptoms. Under general anesthesia, 5 mm three-portal access laparoscopic splenectomy was performed using the Sonicision$^{TM}$ equipment. The dogs were rotated onto right lateral recumbency. The spleen was elevated using a fan or goldfinger retractor, which revealed the ventral aspect of the spleen. Resection of vessels was started at the caudal aspect of the spleen using the Sonicision$^{TM}$. The excised spleen was removed from the abdominal cavity using a 12 mm endo-bag via the enlarged instrument portal. There were no post-operative complications in either patient. Histopathologic diagnoses were splenic lymphoid hyperplasia (case 1) and splenic nodular hyperplasia (case 2). Based on our experience, laparoscopic splenectomy is sufficient to replace traditional splenectomy in small animal surgery. The use of the Sonicision$^{TM}$ could be a novel surgical technique for three-portal laparoscopic splenectomy, regardless of patient size.

Evaluation of Washing Efficiency of Collective PM by Electrostatic Precipitator in Subway Station Using Nano Bubble (나노버블을 이용한 지하철용 전기집진기 포집먼지에 대한 세척효율 평가)

  • Lee, Hyung-Don;Lee, Seung-Hwan;Park, Chan-gyu
    • Clean Technology
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    • v.26 no.1
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    • pp.13-21
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    • 2020
  • Air pollutants in a subway are complexly caused by outdoor factors such as ventilating opening and indoor factors such as the movement of passengers on the subway. According to recent research results, most of the air pollutants generated in subway tunnels and stations are caused by indoor variables such as train movement. To control air pollutants such as particulate matter (PM), a prevention facility such as the electrostatic precipitator (EP) or bag filter collector was required in a subway station. In particular, the PM removed by the EP must be kept clean continuously to manage PM effectively. Therefore, a nano-bubbling washing system was developed in this study to clean a contaminated collecting plate in an EP at the main subway tunnel in Seoul. Removal efficiency compared with normal water and nano-bubbling water was likewise studied. As a result, the washing efficiency of collective PM increased in accordance with the increasing of injection pressure, with nano bubbling washing being 130.8% higher than tap water. According to increase in washing times, the maximum washing efficiency was 143.1% higher than tap water, but suitable washing times were less than 3 times. According to the results of the washing efficiency by variation of residence time, it was confirmed that the maximum residence time of nano-bubble water was maintained within 5 minutes.

Ruminal Behavior of Protein and Starch Free Organic Matter of Lupinus Albus and Vicia Faba in Dairy Cows

  • Yu, P.;Leury, B.J.;Egan, A.R.
    • Asian-Australasian Journal of Animal Sciences
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    • v.15 no.7
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    • pp.974-981
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    • 2002
  • Faba beans (vicia faba) (FB) and lupin seeds (Lupinus Albus) (LS) were dry roasted at three temperatures (110, 130, $150^{\circ}C$) for 15, 30 or 45 min to determine the effects of dry roasting on rumen degradation of crude protein and starch free organic matter ($^{PSF}OM$). Rumen degradation characteristics of $^{PSF}OM$ were determined by the nylon bag incubation technique in dairy cows fed 60% hay and 40% concentrate. Measured characteristics of $^{PSF}OM$ were undegradable fraction (U), degradable fraction (D), soluble fraction (S), lag time (T0), and the rate of degradation (Kd). Based on the measured characteristics, rumen availability ($RA^{PSF}OM$) and bypass $^{PSF}OM$ ($B^{PSF}OM$) were calculated. Dry roasting did not have a greater impact on rumen degradation characteristics of $^{PSF}OM$ (p>0.05). S varied from 32.1 (raw) to 30.0, 27.8, 30.8% (LS) and 15.4 (raw) to 14.4, 20.8, 20.9% (FB); D varied from 65.4 (raw) to 66.3, 66.9, 55.9% (LS) and 54.9 (raw) to 55.0, 51.0, 64.7% (FB); U varied from 2.6 (raw) to 7.3, 7.0, 7.7% (LS) and 29.7 (raw) to 30.6, 28.2, 14.4% (FB); Kd varied from 6.0 (raw) to 7.3, 7.0, 7.7% (LS) and 22.4 (raw) to 24.4, 21.1, 7.9% (FB); $B^{PSF}OM$ varied from 35.5 (raw) to 33.8, 36.6, 38.2% (LS) and 41.3 (raw) to 41.5, 39.7, 47.6% (FB) at 110, 130 and $150^{\circ}C$, respectively. Therefore dry roasting did not significantly affect $RA^{PSF}OM$, which were 353.7, 367.9, 349.6, 336.9 (g/kg DM) (LS) and 12.82, 127.0, 133.7, 117.1 (g/kg DM) (FB) at 110, 130 and $150^{\circ}C$, respectively. These results alone with our previously published reports indicate dry roasting had the differently affected pattern of rumen degradation characteristics of various components in LS and FB. It strongly increased bypass crude protein (BCP) and moderately increased starch (BST) with increasing temperature and time but least affected $^{PSF}OM$. Such desirable degradation patterns in dry roasted LS and FB might be beneficial to the high yielding cows which could use more dry roasted $^{PSF}OM$ as an energy source for microbial protein synthesized in the rumen and absorb more amino acids and glucose in the small intestine.

An Analysis of 2007 Summer Women's Street Fashion in Dalian, China (2007년 여름 중국(中國) 대련(大連)시 여성 스트리트 패션 분석)

  • Bae, Soo-Jeong;Baek, Jeong-Hyun;Choi, Yoon-Kyu;Yoo, Wha-Jung
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.11
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    • pp.1692-1703
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    • 2008
  • On 2008, China comes to be an era of opening the market for 30 years, being both the 4th economically biggest country and 2nd ranked clothing export country in the world. China plays a huge consuming market for the world, along with the competition arena for the numerous world fashion brands while more than 100 kinds of Korean fashion ones being launched into the China. By applying the analysis and investigation of preferred street style. in local area to the development of fashion items and design, the synergistic effect of university and industrial corporation might also be expected. This study aims to provide the basic resources for the development of fashion design on behalf of the Korean fashion brands launched into China and moreover to anticipate the requirement on the part of Chinese consumers by way of understanding the preferred fashion styles, through analysis and investigation of the street fashion in Dalian, northeastern area of China. Conclusively, in terms of clothing style, 80.5% of casual style and 19.5% of formal style were notified. The jean casual, and easy casual being dominant in the former, feminine style in the later. In view of the high frequency of T-shirt, sleeveless on the top, full-length pants and 7/9 length pants on the bottom. The simple and cool style seems to be favored, making them easy through the hot summer. The upper clothes exposed in body part of back, chest and shoulder, were frequently shown. In light of colours. white, black, red were preferred on top, blue and black were preferred on bottom. To deal with accessories, the shoulder bag mostly preferred among bags, the sandal, slippers, snickers in sequential order among shoes, the hair pins and rubber band(tied or, held up style), in hair accessories. Other items of hat, belt, and sunglasses, which could give a point to the summer style, were identified low frequency.

Environmental impact evaluation and improvement measure of incineration plant by life cycle assessment (전과정평가를 이용한 소각시설의 환경영향평가 및 개선방안)

  • Kim, Hyeong-Woo;Kim, Kyeong-Ho;Park, Hung-Suck
    • Journal of the Korea Organic Resources Recycling Association
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    • v.21 no.4
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    • pp.88-100
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    • 2013
  • This study evaluated the direct and indirect environmental impacts of various unit operations of a industrial waste incineration plant by using the life cycle assessment tool and reviewed the improvement plan. During the incineration process, the direct environmental impact was decreased with decrease in emission of various air pollutants by incorporating an air pollution prevention facilities. However, an increase in indirect environmental impacts was observed as a consequence of resources and energy of consumption at the various operational facilities. Consequently, quantitative direct and indirect impact were 89.1%, 10.9%, respectively. The environmental impact analysis of system revealed the highest impact of incineration followed by the impacts of other unit processes such as semidry reactor, and bag-filter. The various air pollutants and ashes generated during the incineration process caused the most significant environmental impact. Among the various categories of environmental impact, global warming accounted the highest impact(more than 85%) followed by eutrophication, and abiotic depletion. As a result of the avoided impact by the utilization of heat generated during the waste incineration process, using an incineration heat for steam and electricity obtained the impact reduction of 45.5%, 19.8%. So, during siting of new incineration plant, the utilization of steam generated from the waste combustion is highly considered to reduce the environmental impact.

Technical development for the short-log bag cultivation of Sparassis crispa (꽃송이버섯의 단목봉지재배 기술개발)

  • Yu, Young-Jin;Seo, Sang-Young;Seo, Kyoung-Won;Choi, Dong-Chil;Jo, Houng-Ki;Yu, Young-Bok;Soung, Young-Ju;Ryu, Jeong
    • Journal of Mushroom
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    • v.8 no.1
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    • pp.16-21
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    • 2010
  • Sparassis crispa(Cauliflower mushroom) was an edible mushroom that shows remarkably high contents of 1.3-${\beta}$-Dglucan compared to other edible mushroom. The mushroom was known to give high antitumor and immunology activated, and then this mushroom was recently cultivated in Japan and Korea. However, cultivation methods ware becoming kept in secret or patents by some companies with complicated procedures. And it was not established cultivation methods of Sparassis crispa up to now. This study was conducted to solve the problem by short-log cultivation method of Sparassis crispa. Some factors effecting on the mycelial growth and primordial formation of Sparassis crispa were investigated. We could produce the mushroom using short-woods of Larix leptolepis, Pinus densiflora, Pinus rigida and Quercus acutissima. We get to high yield fruit-body on short-log cultivaiton of Pinus rigida. And soaking for 8hours in water solution containing 5% uncooked yeast with short-wood of Pinus rigida. The optimal moisture content and temperature were 90~95% and $23{\sim}25^{\circ}C$, respectively.

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Effects of Adding Ginseng Meal on the Quality of Distillers Feed Silage (주정박 사일리지 제조시 인삼박의 혼합이 사일리지의 품질에 미치는 영향)

  • Lee, Soo-Kee;Lee, ln-Duk;Kim, Yong-Kook
    • Korean Journal of Agricultural Science
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    • v.28 no.1
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    • pp.27-32
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    • 2001
  • Two experiments were conducted to investigate the effects of the addition of ginseng meal to distillers feed on the silage quality, and feed intake and dry matter (DM) digestibility in goats. In Experiment I, three levels of ginseng meal (0.15, and 30%) were added to the distillers feed to make three types (treatment) of distillers feed silages (DFS), There were five replicates per treatment. Samples of 20 kg each were put into vinyl bag and vacuumed by an air compressor. Vinyl bags were kept at $20{\sim}25^{\circ}C$ for 30 days before being analyzed. In Experiment II, 12 male Korean native goats were employed to investigate the DM intake and digestibility of silages from Experiment I. There were 4 replicates per treatment. Daily feed intakes and fecal excretion were measured. In Experiment I, the silage pH decreased and the lactic acid increased significantly by the addition of ginseng meal (P

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The optimum media size and composition for sawdust culture of Lentinula edodes (Strain: JNM3022) (표고버섯(JNM3022) 톱밥재배에 적합한 배지조성과 배지크기)

  • Choi, Duck Soo;Jung, Kyung Ju
    • Journal of Mushroom
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    • v.6 no.3_4
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    • pp.131-137
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    • 2008
  • These experiments were conducted to search for the optimum media size and composition for culture of Lentinula edodes (JNM3022). Considering the incubation period and the successful culturing rate, the optimum media size was length 25 $cm{\times}diameter$ 14 cm (weight 2.5 kg). The saturation moisture amount of Oak sawdust was 251 ml/100 g. It is a half of pine sawdust 495 ml/100 g. Considering the hypha growing speed and hypha density, the optimum media composition was Oak sawdust 80%+ wheat bran 20% and Oak sawdust 80%+ rice bran 20% In 10 treatments of media composition. The optimum moisture amount of media for growing Lentinula edodes (JNM3022) was 55%. Injection pipe with 20 holes in media was reduced the incubation periods to 11 days when 20cm length media and 32 days when 30cm length media compare to control. The best method for browning media surface was change temperature condition above $10^{\circ}C$ and punching the vinyl bag. This treat could shortened the browning periods to 54 days.

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