• 대한환경공학회지
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• 제29권9호
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• pp.1051-1059
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• 2007

병원성 미생물을 이용하여 인명살상과 사회적 혼란을 야기하는 생물학적 테러에 대응하기 위한 여러 방안 중에서 사후조치로써의 환경에서 생물무기 제독(환경소독)은 매우 중요하다. 이러한 상황에 대한 현재 우리의 환경소독 방법은 대부분 소독제를 물과 반응시킨 고농도의 수용액을 이용한 소독 방법을 적용하고 있다. 생물테러와 같은 고위험 병원성 미생물에 오염된 실내공간을 완벽하게 소독하거나 군사적인 목적의 제독작전을 위해서는 수용액을 이용한 표면의 제독방법과 더불어 가스 상의 멸균제를 혼합한 공간제독이 병행되어야 할 것이다. 이 글에서는 생물테러라는 특수한 상황을 전제로 하여 실내소독에 대한 현행 환경소독의 문제점과 해외 동향을 분석해보고 앞으로의 발전을 위한 제언을 하였다.

• Journal of Korean Biological Nursing Science
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• 제18권4호
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• pp.288-295
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• 2016

Background: This study was conducted in order to survey the current state of cleaning, disinfection, rinsing, drying, and storage of gastrointestinal endoscopes. Methods: Eighty hospitals were selected through convenient sampling. Self-reported questionnaire was distributed from September 14 to October 10 in 2015. Results: The response rate was 67.5% (54/80). In 88.9% of the hospitals, reprocessing was performed in a cleaning space separated from the laboratory and 88.9% used an enzymatic cleaner. Disinfectants used were ortho-phthalaldehyde in 63.0%, and paracetic acid in 33.3%. Eighty seven percent of the hospitals used test strips in order to test the effective concentration of disinfectant and in 61.1%, drying was done through passing air and over 70% alcohol. Microbial culture for the quality control of gastrointestinal endoscopes was performed in 77.8%. In the comparison of the adequacy of gastrointestinal endoscope reprocessing, it was observed that gastrointestinal endoscopes were reprocessed more adequately in larger and tertiary care hospitals. Conclusion: Gastrointestinal endoscopes were reprocessed in similar manners, but there were differences in the detailed process. It is still necessary to segment reprocessing into stages, to prepare standardized guidelines, and to monitor compliance with the guidelines.

• Clinical and Experimental Pediatrics
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• 제54권9호
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• pp.363-367
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• 2011

Central venous catheters (CVCs) are regularly used in intensive care units, and catheter-related bloodstream infection (CRBSI) remains a leading cause of healthcare-associated infections, particularly in preterm infants. Increased survival rate of extremely-low-birth-weight infants can be partly attributed to routine practice of CVC placement. The most common types of CVCs used in neonatal intensive care units (NICUs) include umbilical venous catheters, peripherally inserted central catheters, and tunneled catheters. CRBSI is defined as a laboratory-confirmed bloodstream infection (BSI) with either a positive catheter tip culture or a positive blood culture drawn from the CVC. BSIs most frequently result from pathogens such as gram-positive cocci, coagulase-negative staphylococci, and sometimes gram-negative organisms. CRBSIs are usually associated with several risk factors, including prolonged catheter placement, femoral access, low birth weight, and young gestational age. Most NICUs have a strategy for catheter insertion and maintenance designed to decrease CRBSIs. Specific interventions slightly differ between NICUs, particularly with regard to the types of disinfectants used for hand hygiene and appropriate skin care for the infant. In conclusion, infection rates can be reduced by the application of strict protocols for the placement and maintenance of CVCs and the education of NICU physicians and nurses.

• Parasites, Hosts and Diseases
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• 제49권4호
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• pp.423-426
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• 2011

In the genus Cryptosporidium, there are more than 14 species with different sizes and habitats, as well as different hosts. Among these, C. parvum and C. hominis are known to be human pathogens. As C. parvum can survive exposure to harsh environmental conditions, including various disinfectants or high doses of radiation, it is considered to be an important environmental pathogen that may be a threat to human health. However, the resistance of other Cryptosporidium species to various environmental conditions is unknown. In this study, resistance against ${\gamma}$-irradiation was compared between C. parvum and C. muris using in vivo infection in mice. The capability of C. muris to infect mice could be eliminated with 1,000 Gy of ${\gamma}$-irradiation, while C. parvum remained infective in mice after up to 1,000 Gy of ${\gamma}$-irradiation, although the peak number of oocysts per gram of feces decreased to 16% that of non-irradiated oocysts. The difference in radioresistance between these 2 Cryptosporidium species should be investigated by further studies.

• 상하수도학회지
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• 제20권5호
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• pp.701-707
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• 2006

Disinfectant residual should be maintained to achieve biological stability during distribution of treated water. The wide distribution of retention times associated with storage and transport of water in a network and the reactivity of disinfectants make it difficult to maintain adequate residuals at critical locations. Rechlorination at some intermediate locations may reduce the total disinfectant dose while keeping residuals within specified limits throughout the water distribution system. In order to select the adequate location of rechlorination for achieving to maintain of residual chlorine throughout the distribution system, EPANET was used in this study. EPANET was well predicted chlorine transport and residual loss in the distribution system. Location of rechlorination was selected to maintain 0.4mg/L of residual chlorine throughout a water distribution system by field investigation and model simulation. The quantity of chlorine may reduced 36.7% and provided smooth residual between 0.42 and 0.60mg/L, when rechlorination would be used continuously at strategic location within the distribution system.

• 대한치과보철학회지
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• 제27권2호
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• pp.249-259
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• 1989

Dental impression materials often become contaminated with patients' saliva and blood which creates the potential for cross-infection. It was the purpose of this study to investigate the effects of disinfection of three different rubber impression materials with four different disinfecting solutions. Polysulfide, vinyl polysiloxane and polyether impression materials were mixed according to the manufacturer's directions and samples were formed on a stainless steel model. On removal from the standard model, impressions were immersed in a disinfectant (acid-potentiated glutaraldehyde, phenollic compound, chlorine compound, iodophor) at room tempera tures for ten minutes. After disinfection, the distance between reference points(linear dimension) was measured using the non-contact automatic cordinate measuring projector(MZ-1, Nikon). Through statistical analyses on the data from this study,. the following conclusions were obtained. 1. Polysulfide, vinyl polysiloxane impressions were disinfected without dimensional change.(p>0.05) 2. Polyether impressions which were immersed in acid-potentiated glutaraldehyde were statistically different from control group.(p<0.05) But the amount of shrinkage(0.04%) would not be clinically significant. 3. By immersion of polysulfide, vinyl polysiloxane, polyether impressions in Banicide, Biocide, Multicide plus, sodium hypochlorite for ten minutes, clinically accurate impressions were obtained without dimensional change.

• 상하수도학회지
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• 제7권2호
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• pp.24-33
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• 1993

The effects of chlorine dioxide on the oxidation of phenol and disinfection were studied in the various test water conditions. With the 0.3mg/l of chlorine dioxide dose, the spiked phenol(initial concentration: 0.1mg/l) was completely oxidized within 10 minute. The removal rate of phenol was much faster in distilled water than in ground water and filtered water. The applied dose of chlorine dioxide concentrations higher than 0.2mg/l was sufficiently enough for the complete oxidation of phenol. However, with 0.1mg/l of dose, chlorine dioxide can oxidize only 20% of the spiked phenol. The reactive substances present in test water may influence the chlorine dioxide demand in water. pH effect of oxidation rate was also investigated. Increasing the pH, the removal rate of phenol was found to be increased. The disinfection test of chlorine and chlorine dioxide were conducted and compared. The lethal effect for the both disinfectants are similarly powerful. The time for 99% inactivation of E. coli was obtained within 120 sec with the 0.2mg/l of each dose.

• 생태와환경
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• 제43권4호
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• pp.453-458
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• 2010

DOC (Dissolved Organic Carbon) is an operational terminology for organic carbon molecules dissolved in natural waters. DOC has been studied by ecologists extensively, because it plays a key role in various ecological functions such as substrates for secondary production and the carbon cycle. DOC also represents a substrate for microbial growth within potable water distribution systems, and can react with disinfectants (e.g., chloride) to form harmful disinfection by-products. In addition, residual DOC may carry with it organically bound toxic heavy metals. DOC in aquatic ecosystems may ultimately be transported to the oceans, or released back to the atmosphere by heterotrophic respiration, which can accelerate global climate change. There is evidence that DOC concentrations in aquatic ecosystems are increasing in many regions of the world including Europe, North America, and even in Korea. Land use changes, elevated temperature, elevated $CO_2$, recovery from acidification, and nitrogen deposition have been proposed as mechanisms for the trend. However, the key driving mechanism is yet to be conclusively determined. We propose that more extensive and longer-term observations, research of chemical properties of DOC, impacts of elevated DOC on environmental issues and interdisciplinary approaches are warranted as future studies to fill the gaps in our knowledge about DOC dynamics.

• Restorative Dentistry and Endodontics
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• 제1권1호
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• pp.43-49
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• 1975

This study was divided into two parts. In the first experiment, the in vitro antimicrobial effect was tested in order to evaluate the effect of vapors, and the effectiveness of the nonspecific endodontic medicaments (formocresol, camphorated parachlorophenol and eugenol). In the second experiment, the intracanal effect was tested in vitro under simulated clinical condition. The actual bactericidal effect of the nonspecific endodontic medicaments (formocresol, camphorated parachlorophenol and eugenol) was quantitated. The results were obtained as follows: 1. The zone of inhibition was appeared on the vapors of formocresol only, however there were no zone of inhibition appeared on the vapors of camphorated parachlorophenol and eugenol. 2. Formocresol produced the widest zone of inhibition and eugenol, the next and camphorated parachlorophenol, the narrowest. 3. All of the tested medicaments were vaporized in the root canal. They proved to be the effective antimicrobial activity in the root canal. 4. All of the tested medicaments were showed more bactericidal effect at 72 hours than 48 hours. 5. In comparing with the bactericidal effect of the tested medicaments in the root canal, formocresol was showed the most bactericidal medicament, camphorated parachlorophenol was showed the least. 6. Complete sterilization of the root canal was not achieved in any medicaments applied in this study.

• Tuberculosis and Respiratory Diseases
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• 제80권4호
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• pp.351-357
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• 2017

In 2011, a cluster of peripartum patients were admitted to the intensive care unit of a tertiary hospital in Seoul with signs and symptoms of severe respiratory distress of unknown etiology. Subsequent epidemiological and animal studies suggested that humidifier disinfectant (HD) might represent the source of this pathology. Epidemiological studies, animal studies, and dose-response analysis demonstrated a strong association between HD use and lung injuries. The diagnostic criteria for HD-associated lung injury (HDALI) was defined on the basis of the clinical, pathological, and radiological attributes of the patients. The clinical spectrum of HDALI appears to range from asymptomatic to full-blown acute respiratory failure, and some patients have required actual lung transplantation for survival. The overall mortality of the exposed population was not significant, although peripartum patients and children who were admitted to the intensive care unit did show high mortality rates. Persistent clinical findings such as diffuse ill-defined centrilobular nodules and restrictive lung dysfunction were observed in some of the survivors. The findings of this review emphasize the importance of assessment of the level of toxicity of chemical inhalants utilized in a home setting, as well as the need to identify and monitor afflicted individuals after inhalational injury.