• 제목/요약/키워드: CNS

검색결과 1,051건 처리시간 0.023초

핵의학 검사실내 세균 분석 (Analysis of the Bacteria in Nuclear Medicine)

  • 신성규;이효영
    • 대한안전경영과학회지
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    • 제19권2호
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    • pp.95-100
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    • 2017
  • In this study, the bacterial contamination level of equipments and devices in the nuclear medicine department of a university hospital was investigated. CNS was detected from the sample collected from the door opening button of the nuclear medicine department. Bacillus sp. was detected from the table and CNS with Bacillus sp. were detected from the control button at the PET-CT room no.1. Also, CNS was detected from the table and the control button at the PET-CT room no.2. In the distribution room no.1, CNS and Bacillus sp. were detected while CNS being detected from the distribution room no.2 and CNS with Bacillus sp. being detected from the distribution room no.3. In the injection room, Enterrococcus faecium and Pontoea sp. were detected. On the table of the ecsomatics room, Pontoea sp. was detected. Bacillus sp. was detected from the inside of the syringe Pb shield and CNS was detected from the outside. Enterrococcus faecium was detected from the Gamma camera table and Bacillus sp. was detected from the door grip. On the chair at the patient waiting room, Pseudomonas aeruginosa abd Bacillus sp. were detected. Therefore, it was understood that infection should be prevented by securely sterilizing examination devices after each examination, maintaining cleanliness by regular sterilization of waiting chairs and such objects with a number of direct contacts with patients, and infection education for the features of nuclear department.

A Validation Study of the Korean Version of the Connectedness to Nature Scale

  • Gim, Wan-Suk;Lee, Min-Hyung;Kim, Kwang-Hyune
    • 인간식물환경학회지
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    • 제22권6호
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    • pp.621-628
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    • 2019
  • The purpose of this study was to investigate the reliability and validity of the Korean version of the Connectedness to Nature Scale(K-CNS), which was translated from the Connectedness to Nature Scale(CNS) developed by Mayer and Frantz. For this study, questionnaires were conducted with a sample of 407 Korean citizens from various backgrounds and regions, with the ages ranging from 17 to 60. Exploratory factor analysis, internal consistency test and correlation checks were conducted on this questionnaires data. The results of exploratory factor analysis supported that the K-CNS has 10 items in a single factor. The internal consistency of the K-CNS was .880. The K-CNS was positively correlated to the NEP (New Environmental Paradigm), satisfaction with life, mental health, compassionate love, and negatively correlated to stress response. In addition, differences were found by group and age, but not by the gender. The K-CNS was higher in the natural-friendly group than in the general group. By age, the K-CNS scores was high in 40s and 50s than 10-39 years old.

신생아 중환자실에서 Methicillin Resistant-Coagulase Negative Staphylococcus 감염에 대한 임상적 고찰 (A Study about Clinical Characteristics of Methicillin Resistant-Coagulase Negative Staphylococcus Infections in Neonatal Intensive Care Unit)

  • 윤순화;성태정;신선희;김성구;이건희;윤혜선
    • Pediatric Infection and Vaccine
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    • 제11권1호
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    • pp.112-120
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    • 2004
  • 목 적 : Methicillin 저항 coagulase negative staphylococcus의 감염은 계속 보고되어 왔음에도 불구하고 실제적으로 임상적 중요성이 부각되지 못하였으며 실제 신생아에서 유병률의 큰 원인 중 하나이다. 저자들은 병원감염의 가장 큰 원인 중의 하나인 MR-CNS에 대하여 임상 양상을 알아내고 그 중요성을 재검토 하고자 하였다. 방 법 : 1998년 1월부터 2002년 7월까지 4년 6개월간 한림대학교 강남성심병원 신생아 중환자실에 패혈증으로 입원한 총환아 253명을 대상으로 하여 환아의 병력 및 임상 기록 등을 후향적으로 조사하였다. 주산기 위험요인, 발열, 빈호흡, 빈맥, 호흡곤란 및 그렁거림, 무호흡, 구토 및 설사, 청색증, 황달 등의 임상증상과 제대 동맥이나 제대 정맥 도관과 같은 카데터 삽입유무, 흉관 삽관 유무, 인공호흡기 사용 등의 위험인자를 조사하였으며 항생제 치료 기간, 입원기간 등에 관한 의무기록을 후향적으로 조사하였다. 결 과 : 총 253명 중 MR-CNS 패혈증은 40명(전체 패혈증 환아의 15.8%, 후기 패혈증의 17.7% 포함)이었으며 MR-CNS 패혈증 환아 중 남아가 여아에 비해 1.5배 많았고 감염된 환아들의 출생 시 제태 연령은 평균 $32.4{\pm}4.3$주였다(Table 1). 처음 패혈증 증상을 보여 혈액 배양(MR-CNS 양성)을 실시한 시기는 평균 $10.6{\pm}9.3$일이었다. 임상 증상을 조사했을 때 발열, 호흡 곤란, 청색증, 무호흡, 그렁거림, 황달, 서맥, 구토, 설사, 빈맥의 순으로 많이 나타났으며(Table 2) 병원 감염에의 위험인자로서는 기계호흡 및 유지기간, 카데터 삽입, 항생제 사용기간, 입원기간 등이 있었다. 결 론 : 장기간 입원하는 미숙아의 경우 후기 패혈증이나 병원 감염의 원인 중 MR-CNS는 중요한 원인 균이며 증상과 징후를 보이는 환아에서 혈액 배양 시 MR-CNS 양성일 경우 오염된 결과로 단정해서는 안 된다. 불필요한 항생제 사용의 감소와 카데터 삽입 기간의 감소 및 입원 기간의 단축을 통한 의료의 질적 향상이 중요하다고 생각된다.

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Newly-Diagnosed, Histologically-Confirmed Central Nervous System Tumours in a Regional Hospital in Hong Kong : An Epidemiological Study of a 21-Year Period

  • He, Zhexi;Wong, Sui-To;Yam, Kwong-Yui
    • Journal of Korean Neurosurgical Society
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    • 제63권1호
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    • pp.119-135
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    • 2020
  • Objective : To investigate the epidemiology of newly-diagnosed, histologically-confirmed (NDHC) central nervous system (CNS) tumours and its changes over a 21-year period in a regional hospital in Hong Kong. Methods : This is a single-institute retrospective descriptive study of patients undergoing surgery for CNS tumours in a regional hospital of Hong Kong in the period from January 1996 to December 2016. The histological definition of CNS tumours was according to the World Health Organization classification, while the site definition for case ascertainment of CNS tumours was as set out by the Central Brain Tumour Registry of the United States. Patients of any age, who had NDHC CNS tumours, either primary or secondary, were included. The following parameters of the patients were retrieved : age at diagnosis, gender, tumour location, and histological diagnosis. Population data were obtained from sources provided by the Government of Hong Kong. The incident rate, estimated by the annual number of cases per 100000 population, for each histology grouping was calculated. Statistical analyses, both including and excluding brain metastases, were performed. Statistical analysis was performed with Microsoft Excel, 2016 (Microsoft, Redmond, WA, USA). Results : Among the 2134 cases of NDHC CNS tumours, there were 1936 cases of intracranial tumours and 198 cases of spinal tumours. The annual number of cases per 100000 population of combined primary intracranial and spinal CNS tumours was 3.6 in 1996, and 11.1 in 2016. Comparing the 5-year average annual number of cases per 100000 population of primary CNS tumours from the period 1996-2000 to 2011-2015, there was an 88% increase, which represent an increase in the absolute number of cases by 4.52 cases/100000 population. This increase was mainly contributed by benign histologies. In the aforementioned periods, meningiomas increased by 1.45 cases/100000 population; schwannomas by 1.05 cases/100000 population, and pituitary adenomas by 0.91 cases/100000 population. While gliomas had a fluctuating 5-year average annual number of cases per 100000 population, it only had an absolute increase of 0.51 cases/100000 population between the 2 periods, which was mainly accounted for by the change in glioblastomas. Conclusion : This retrospective study of CNS tumour epidemiology revealed increasing trends in the incidences of several common CNS tumour histologies in Hong Kong, which agrees with the findings in large-scale studies in Korea and the United States. It is important for different geographic locations to establish their own CNS tumour registry with well-defined and structured data collection and analysis system to meet the international standards.

부산지역 치과환경에서 분리된 coagulase-negative staphylococci의 특성 (Characteristics of Coagulase-negative Staphylococci Isolates from Dental Clinic Environments in Busan, Korea)

  • 정혜인;정소영;박인달;배일권
    • 생명과학회지
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    • 제26권2호
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    • pp.220-225
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    • 2016
  • 본 연구는 치과 병의원 진료실 주변환경과 치과종사자의 휴대전화에서 분리된 coagulase-negative staphylococci (CNS)의 분리율과 항균제 내성양상 및 분자 역학적 특성을 분석하고자 하였다. 2014년 12월부터 2015년 1월까지 부산지역 10개의 치과 병의원에서 총 154개의 샘플을 수집하여 MALDI-TOF분석법을 통해 동정하였다. 항균제 감수성검사는 디스크 확산법을 시행하였고 mupA, mecA 유전자 보유현황 및 SCCmec type은 PCR과 염기 서열분석에 의해 결정하였다. 154개의 샘플 중 10개(6.5%)에서 CNS 균주(Staphylococcus epidermidis 5주, Staphylococcus capitis 2주, Staphylococcus warneri 2주, Staphylococcus haemolyticus 1주) 가 분리되었다. 항균제 감수성검사에서 penicillin 10주, mupirocin 6주, gentamicin 5주, tetracycline 3주 및 cefoxitin과 erythromycin 2주가 내성이었고 clindamycin, ciprofloxacin, teicoplanin, trimethoprim-sulfamethoxazole에 내성인 세균은 없었다. 2개의 CNS균주(S. warneri, S. haemlyticus)에서 mecA 유전자가 검출되었고 1개의 CNS균주(S. epidermidis)에서 mupA가 확인되었다. Methicillin 내성 CNS균주 가운데 1주는 SCCmec I형이었고 1균주는 SCCmec의 유전형이 구분되지 않았다. 본 연구를 통하여 다약제 내성을 보이는 CNS균주가 더 이상 우리나라 치과병의원 환경에서 드물지 않음을 알 수 있었다.

Compact CNS shear box를 활용한 모의 절리암석시료의 정적 전단 거동에 관한 연구 (Study of the Static Shear Behaviors of Artificial Jointed Rock Specimens Utilizing a Compact CNS Shear Box)

  • 김한림;민경조;김경규;김영준;윤경재;양주석;배상호;조상호
    • 터널과지하공간
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    • 제33권6호
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    • pp.574-593
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    • 2023
  • 본 연구에서는 절리면 암석 시료에 대한 직접 전단시험을 수행하기 위해 새로 고안된 Compact CNS shear box의 성능과 적용 가능성에 대해 조사하였다. 정적 CNS 절리면 직접 전단시험은 인공적으로 거칠기를 생성한 절리 암석을 대상으로 실시하였으며 절리면 거칠기 계수 및 초기 수직응력 조건을 변화시키면서 수행하였다. 또한, DIC 분석을 통해 변위 데이터 검증 및 파괴 패턴을 관찰하였고 실험으로부터 도출된 전단 특성들을 기존에 연구되었던 전단 거동 예측 모델들과 비교분석하였다. 그 결과 기존의 특정 경험적 전단 거동 예측 모델과 높은 상관관계를 나타내는 것을 확인하였으며 전단 거동 특성이 파괴 패턴과 관련이 있을 가능성에 대해 고찰하였다. 결론적으로, 절리면 전단 특성에 대한 데이터를 제공하는데 있어서 CNS 전단 박스의 적용 가능성과 효과를 입증하였다.

목단피(牧丹皮)가 손상된 성상신경세포의 CD81 및 GFAP의 발현에 미치는 영향 (The Effect of the Moutan Radicis Cortex on Expression of CD81 and GFAP in Injured Astrocyte)

  • 문성진;성기문;임진영;송봉근
    • 대한한방내과학회지
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    • 제30권1호
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    • pp.24-35
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    • 2009
  • Object : In conditions of brain infarction, irreversible axon damage occurs in the central nerve system (CNS), because gliosis makes physical and mechanical barriers. If gliosis formation could be suppressed, irreversible axon damage would be reduced. This could mean that an injured CNS could be regenerated. CD81 and GFAP have close relationships to gliosis. The increase in glial cells at CNS injury gives rise to the expression of CD81 and GFAP. CD81 was postulated to play a central role in the process of CNS scar formation. Method : In this study, the author investigated the effect of the water extract of the Moutan Radicis Cortex on regulation of CD81 and GFAP expression in injured CNS cells. MTT assay was used to examine cell viability, while RT-PCR and ELISA methods were carried out to measure the expression of CD81 and GFAP in the astrocyte. Results : We observed that water extract of the Moutan Radicis Cortex increased cell viability under hypoxia induced by $CoCl_2$ and suppressed the expression of CD81 and GFAP up-regulated by hypoxia. Conclusion : These results suggest that the Moutan Redicis Cortex could promote neural regeneration as a consequence of protecting CNS cells from hypoxia and suppressing the reactive gliosis following CNS injury.

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Model tests for the inhibition effects of cohesive non-swelling soil layer on expansive soil

  • Lu, Zheng;Tang, Chuxuan;Yao, Hailin;She, Jianbo;Cheng, Ming;Qiu, Yu;Zhao, Yang
    • Geomechanics and Engineering
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    • 제29권1호
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    • pp.91-97
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    • 2022
  • The cohesive non-swelling soil (CNS) cushion technology has been widely applied in the subgrade and slope improvement at expansive soil regions. However, the mechanism of the inhibition effect of the CNS layer on expansive soil (ES) has not been fully understood. We performed four outdoor model tests to further understand the inhibition effect, including different kinds of upper layer and thickness, under the unidirectional seepage condition. The swelling deformation, soil pressure, and electrical resistivity were constantly monitored during the saturation process. It is found that when a CNS layer covered the ES layer, the swelling deformation and electrical resistivity of the ES layer decreased significantly, especially the upper part. The inhibition effect of the CNS layer increases with the increase of CNS thickness. The distribution of vertical and lateral soil pressure also changed with the covering of a CNS layer. The electrical resistivity can be an effective index to describe the swelling deformation of ES layer and analyze the inhibition effect of the CNS layer. Overall, the CNS deadweight and the ion migration are the major factors that inhibit the swelling deformation of expansive soil.