• 농촌의학ㆍ지역보건
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• 제35권1호
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• pp.67-76
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• 2010

광주지역의 한 종합병원 수검자를 대상으로 백혈구 수와 대사증후군과의 관련 요인을 분석하고자 단면 연구를 시행한 결과 대사증후군의 유병률은 남성이 25.2%, 여성은 13.3%로 나타났으며, 연령별 유병률은 남성은 40대에서, 여성은 60세 이상에서 가장 높은 유병률을 보였고 남녀 모두 백혈구수가 증가 할수록 대사증후군의 유병률이 높게 나타났다. 대사증후군과 백혈구수와의 로지스틱 회귀분석의 결과에서는 남, 여 모두 백혈구 수가 증가 할수록 대사증후군의 위험도가 증가하였다. 결론적으로 본 연구에서는 비록 정상범위 일지라도 증가된 백혈구 수는 대사증후군과 연관성이 있다는 것을 확인할 수 있으며, 대사증후군 기준을 충족시키는 항목수가 많을수록 백혈구 수는 증가하는 경향을 보였고, 백혈구 수를 네 개의 군으로 나누었을 때 백혈구 구분수가 증가할수록 대사증후군의 유병률도 증가하고 있었다. 백혈구수와 백혈구 감별계산이 대사증후군을 예측하는 인자로 가치가 있는지는 광범위한 대단위 연구와 시간적 순서에 의해 인과관계를 규명하는 코호트연구가 필요하다고 생각된다.

• 한국환경보건학회지
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• 제39권5호
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• pp.456-464
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• 2013

Objectives: The aim of this study was to investigate the microbial contamination levels in elevators in apartment buildings and to provide information on such microbial contamination. Methods: A total of 144 samples, including from the exterior buttons, interior buttons, elevator handrails, walls, ventilators and airborne bacteria were collected in the morning and afternoon from July to August 2013 for six different elevators. The samples were used to detect sanitary indicator bacteria (total bacteria, coliform, and Escherichia coli), pathogenic bacteria (E. coli O157, L. monocytogenes, Salmonella spp., B. cereus, S. aureus) and fungi. Results: Contamination levels of total bacteria were 0.3-3.8 and 0.0-2.4 log CFU/100 $cm^2$ in the morning and afternoon, respectively. In the case of coliform bacteria, the levels were 0.0-3.7 log CFU/100 $cm^2$ in the morning and 0.0-0.3 log CFU/100 $cm^2$ in the afternoon. However, E. coli was not detected among all samples. Bacillus cereus, pathogenic bacteria, was only detected in 13 (11%) among 144 samples. E. coli O157, L. monocytogenes, Salmonella spp. and S. aureus were not detected among all samples. Comparing the samples collected in the morning and afternoon, we could confirm that the samples in the afternoon were cleaner. Conclusions: This study indicates that the samples in the afternoon were cleaner because these samples were collected following routine cleaning. Also, the levels of contamination in the elevators were low and the sanitary conditions were comparatively well-managed. Therefore it is deemed necessary for elevators be cleaned regularly to provide good conditions for people using elevators.

• Nutrition Research and Practice
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• 제7권1호
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• pp.49-58
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• 2013

The most critical point in the assessment of adherence to dietary guidelines is the development of a practical definition for adherence, such as a dietary pattern score. The purpose of this study was to develop the Korean Diet Score (KDS) based on the Korean Food Balance Wheel and to examine the association of KDS with various lifestyle characteristics and biochemical factors. The dietary data of 5,320 subjects from the 4th Korean National Health and Nutritional Examination Survey were used for the final analysis. The food guide was composed of six food group categories; 'grain dishes', 'fish and meat dishes', 'vegetable dishes', 'fruits', 'milk' and 'oils and sugars'. Based on the recommended serving numbers for each group, the scores measuring adherence to this food guide were calculated from the dietary information from the 24-hour dietary recall questionnaire, and then its correlation with various characteristics was assessed. KDS was significantly associated with several clinical, lifestyle and socioeconomic factors as well as diagnosed disease history. The higher quintile group of KDS showed a significantly lower level in fasting blood glucose, systolic blood pressure, triglycerides, current smoking and drinking as well as higher leisure time activity, house income and education. Furthermore, the KDS quintile group of women was inversely associated with hypertension, osteoporosis and diabetes. A higher KDS quintile was characterized with a higher intake of several critical nutrients, such as Ca, Fe and vitamins as well as a desirable nutrition balance such as the ratio of macronutrients. Our results demonstrate that KDS is a beneficial tool in assessing the adherence to a healthy diet based on the Korean dietary guidelines. We suggest that KDS could be a useful indicator for evaluating the dietary balance of the Korean population.

• 방사성폐기물학회지
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• 제4권1호
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• pp.25-32
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• 2006

이 연구에서는 원자력발전소 주변 환경 방사선이 생태에 미치는 영향을 감시할 수 있는 생물학적 지표로서 야생 등줄쥐의 활용 가능성을 평가하였다. 국내 5지 역을 선정하여 10월에 한정하여 등줄쥐를 채집하였는데, 농경지에서 산중턱에 이르기까지 폭 넓게 서식하였다. 채집한 쥐들에 대하여 황갈색 피모와 검은색 등줄무늬를 관찰하였는데, 외부형태 특성 가운데 몸통의 길이, 꼬리의 길, 귀의 길이를 계측한 결과, 등줄쥐의 분류기준과 일치하였다. 아울러, 간장내 효소형을 분석한 결과 국내에 서식하는 대부분의 등줄쥐가 Apodemus agrarius라는 것을 알 수 있었다. 또한, 야외에서 생포한 등줄쥐를 암수 한 마리씩 동거시키고 생산된 새끼가 5주령에 도달하였을때 방사선을 조사하고, ICR 마우스를 비교로 생존율과 적혈구내 미소핵 출현빈도를 분석한 결과, 반치사 선량$(LD_{50/30})$은 5와 7.9Gy였다. 이 연구결과로 야생 등줄쥐가 원자력 발전소 주변 수준의 방사선이 인간생환에 미치는 영향을 판단할 수 있는 생물학적 인 지표로서 잠재적 활용성이 높다는 것을 알 수 있었다.

• 한국의료질향상학회지
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• 제4권2호
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• pp.260-278
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• 1997

Background : Quality of professional nursing care is the most essential factor for survival and growth of nursing profession. Then, nursing professionals have responsibility for the evaluation of quality of professional nursing care. The purpose of this study was to develope an evaluation tool of nursing care for patients received gastrointestinal surgery with general anesthesia. This study was a primary work for the developement of a computer program for the evaluation of nursing care. Methods : This study was done through some consecutive steps. They were (1) Developement of items for the tool (2) Developement of an evaluation tool of nursing care quality for the G-I surgery patient (3) Test of reliability and validity of the tool. Two groups of experts and expert pannels who had much experience of the QA and the care of G-I surgery patients participated for developement of the items. 85 nursing records were used for the test of reliability and validity of the developed tool. The evaluation tools were developed with two types of scoring, norm-referenced tool and criterion-referenced tool. Results The system of items for tool was evaluation area evaluation item-indicator. There were 7evaluation areas which contained 32evaluation items which contained 7lindicators. Evaluation areas 1, 2, 3, 4 were for the evaluation of process and 5, 6, 7 were for the evaluation of outcome of nursing care for G-I surgery patient. For the test of interrator reliability, correlation coefficients of each scores of items and intragroup correlation coefficients were calculated. The average correlation coefficients between two rators were 0.65, 0.54 and the intragroup correlation coefficient were 0.99 and 1.00 by the types of scoring. The Cronbach alpha coefficients of the tools were 0.54 and 0.46 by the types of scoring. The average content validity index of the items was 0.95 from 4 pairs of experts. Because there were significant differences between some scores of quality of nursing care of 3 general hospitals regardless of the types of scoring, the tools could be thought to have some construct validity. And also, there were significant correlations between some scores of quality of nursing care and admission days and admission days after surgery regardless of the types of scoring, the tools could be thought to have predictive validity. Conclusion In this study, the evaluation tool of nursing care was developed for the very specified group of patient, G-I surgery patient. And the items were developed and tested by the experts of nursing practice. Because of these reasons, it was supposed that the tool could be used effectively in nursing pratice. And the procedures for the development and the test of the evaluation tool of nursing care in this study were supposed to be used for the developement of other tools.

• 한국안광학회지
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• 제15권3호
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• pp.293-297
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• 2010

목적: 본 연구는 안압 상승의 예측인자로서의 비만 지표인 체질량지수(body mass index: BMI)와 허리둘레 중 어떤 지표가 예측인자로서 더 적절한지를 판단하기 위하여 수행되었다. 방법: 본 연구에 참여한 20세 이상의 성인 458명을 대상으로 분석을 시행하였다. BMI를 삼분위로 층화한 후 허리둘레(삼분위)에 따른 안압을 비교하였으며, 다음으로 허리둘레를 삼분위로 층화한 후 BMI(삼분위)에 따른 안압을 비교하였다. 또한, BMI, 허리둘레와 안압 간의 선형회귀분석을 각각 시행하였다. 결과: 허리둘레 층화 후 BMI에 따른 안압의 증가는 관찰되지 않았지만, BMI $24.9kg/m^2$ 이상의 대상자들에게서는 허리둘레와 안압이 양의 상관관계를 가지는 것을 확인할 수 있었다. 성별과 연령을 보정한 경우에는 허리둘레만이 안압과 유의한 양의 상관관계를 보였고, 여기에 생활변수까지 보정한 다중선형회귀분석결과 BMI와 허리둘레는 모두 안압과 유의한 양의 상관관계를 보였다. 그러나 허리둘레 증가가 안압 상승에 대해서 보다 높은 설명력과 유의수준을 보이는 것으로 평가되었다. 결론: 본 연구결과, BMI와 허리둘레 모두 안압과 양의 상관관계가 있는 것으로 확인되었으며, 허리둘레가 BMI보다 안압에 더 큰 영향을 미치는 것으로 나타났다.

• 한국환경보건학회지
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• 제28권3호
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• pp.1-8
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• 2002

The experiments for the characterization of inactivation were performed in a series of batch processes with the total coliform as a general indicator organism based on chlorine, chlorine dioxide and ozone as disinfectants. The water sam-ples were taken from the outlet of settling basin in a conventional surface water treatment system that is provided with the raw water drawn from the mid-stream of the Han River. The inactivation of total coliform was experimentally ana-lyzed for the dose of disinfectant contact time, pH, Temperature and DOC. The nearly 2.4,3.0,3.9 log inactivation of total coliform killed by injecting 1 mか1 at 5 minutes for chlorine, chlorine dioxide and ozone. For the inactivation of 99.9%(3 log), Disinfectants required were 1.70, 1.00 and 0.60 mか1 for chlorine, chlorine dioxide and ozone, respec-tively. The higher the pH is, the poorer the disinfections effects are in the range of pH 6-9 by using chlorine and ozone. But the irfluence of pH value on killing effects of chlorine dioxide is weak. The parameters estimated by the models of Chick-Watson, Hom, and Selleck from our experimental data obtained for chlorine are: log(N/ $N_{0}$ )=-0.16 CT with n= 1, log(N/ $N_{0}$ )=-0.71 $C^{0.87}$T with n$\neq$1, for Chicks-Watson model, log (N/ $N_{0}$ )= -1.87 $C^{0.47}$ $T^{0.36}$ for Hom model. For chlorine dioxide are: log(N/ $N_{0}$ )= -1.53 CT with n = 1, log(N/ $N_{0}$ )= -2.29 $C^{0.94}$T with n$\neq$1,, for Chicks-Watson model, log(N/ $N_{0}$ )= -3.64 $C^{0.43}$ $T^{0.24}$ for Hom model and for ozone are: log(N/ $N_{0}$ )= -2.59 CT with n = 1, log(N/ $N_{0}$ )= -2.28 $C^{0.36}$T with n$\neq$1, for Chicks-Watson model, log(N/ $N_{0}$ )= -4.53 $C^{0.26}$ $T^{0.19}$ for Hom model.19/ for Hom model.

• Tuberculosis and Respiratory Diseases
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• 제59권6호
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• pp.619-624
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• 2005

연구배경 : 치료 경력이 있는 환자의 약제 내성은 진료의사의 처방의 적절성 및 환자의 복용 순응도를 복합적으로 나타내어 주는 지표가 될 수 있으므로, 우리나라에서 재치료 대상 결핵 환자에서 장기간의 약제내성률 추이를 파악하고자 하였다. 방 법 : 연도별 보건소 등록환자의 약제감수성 검사 결과 및 결핵연구원의 전산 입력된 자료를 활용하여 1981년부터 2004년 사이에 주요 약제에 대한 내성률의 변화를 분석하였다. 결 과 : Isoniazid 내성은 90%에서 20%로 감소하였다. Ethambutol 내성률도 45%에서 6%로 감소하였다. Rifampin 내성률은 13%에서 28%까지 증가하다가 13%까지 감소하였다. 다제내성률은 rifampin 내성률보다 약 2-3% 낮았다. Pyrazinamide 내성률은 5% 미만에서 10% 정도까지 증가하였다가 다시 5%까지 감소하였다. 2차약제에 대한 내성률은 1-2% 정도였다. 내성 빈도는 남녀 간에 차이가 없었으며, 대도시 지역이 중소도시/농촌지역보다 낮은 약제 내성률을 보였다. 결 론 : 우리나라보건소에 등록되는 재치료 대상 결핵 환자의 주요 항결핵 약제에 대한 내성률은 2004년을 기준으로 isoniazid 20%, rifampin 13%, 다제내성 11%, ethambutol 6%, pyrazinamide 5% 기타 2차 항결핵제에 1-3%로 나타났으며 1981년 이후 모든 항결핵 약제에서 그 내성률이 유의하게 감소하고 있었다.

• 한국환경복원기술학회지
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• 제18권2호
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• pp.1-17
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• 2015

Ecological reservoir is a multifunctional space where provides the functions of retention, animal habitat and improvement of ecosystem health and landscape. The ecological reservoir of Anteo Eco Park located in Gwangmyeong-si has established to functions for water purification, maintenance of healthy aquatic ecosystem. Because the Anteo Eco Park is located in the site where nonpoint pollutant materials flow in, Anteo Eco Park has potential factors which aquatic ecosystem health deteriorates and damages the habitat of golden frog(Rana plancyi chosenica) which is restoration target species. Therefore, the purpose of this study is to suggest the plan to manage the variables which impede the right functions of aquatic ecosystem by understanding the causal loop diagram for the change of water quality environment and the interaction of predator-prey through system thinking. The results are as follows. First, the study showed that the individual number of golden frog which is an indicator species of Anteo Eco Park is threatened by snakeheaded fish, which is an upper predator. Therefore, balanced food chain should be hold to protect golden frog by capturing the snakeheaded fish which is individual number's density is high, and the monitoring management of the individual number for predator(snakeheaded fish)-prey(golden frog) should be performed. Second, the study represented that water pollution and carnification is caused by the sediment as the dead body of the large emergent vegetation in the winter cumulates as sediment. Ecological reservoir in Anteo Eco Park has been managed by eliminating the dead body of the large emergent vegetation, but the guideline for the proper density maintenance of vegetation community is additionally needed. Lastly, the study showed that aquatic ecosystem of Anteo Eco Park where is contaminated from the inflow of nonpoint pollutants affects the individual number's decline of golden frog and snakeheaded fish. Accordingly, the creation of a buffer area and a substitution wetland is needed in the periphery of the Anteo Eco Park to control the inflow of nonpoint pollutants including organic matters, nutrients and heavy metals. This study will be helpful that Anteo Eco Park improves the regional landscape and maintain healthy aquatic ecosystem space for the park visitors including local residents.

• 한국환경보건학회지
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• 제43권6호
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• pp.499-508
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• 2017

Objective: This study was conducted to investigate changes in microbiological quality according to various storage conditions in the drinking process of bottled mineral water. Methods: Heterotrophic plate counts ($21^{\circ}C$ and $36^{\circ}C$) and pathogenic indicators (total coliforms, fecal Streptococcus, Pseudomonas aeruginosa, Clostridium perfringens, Salmonella, and Shigella) were analyzed in commercial bottled mineral water stored under different conditions ($4^{\circ}C$, $20-25^{\circ}C$, $36^{\circ}C$) after injecting saliva. The heterotrophic plate counts were analyzed twice per day for the first week and once per day for the three weeks after. Pathogenic indicators were analyzed at the beginning and end (initial and final). Results: The results of the microbiological quality of the bottled mineral water in contact with saliva showed that heterotrophic plate counts ($21^{\circ}C$) had a tendency to be sustained or decrease slightly after 10 days. Heterotrophic plate counts ($36^{\circ}C$) had a high population in the initial samples and gradually decreased at $4^{\circ}C$ storage, but it remained constantly high in storage at $20-25^{\circ}C$ and $36^{\circ}C$. In the general drinking condition, the population was slightly higher than the control, but the overall trend was similar. Conclusions: As a result of the microbiological quality of mineral bottled water in contact with saliva during the process of drinking, heterotrophic plate counts ($21^{\circ}C$ and $36^{\circ}C$) showed a high population compared to the control, which was only opened and not in contact with saliva. In some samples, pathogenic indicators were also detected. Therefore, it is desirable to consume bottled mineral water as soon as possible after opening.