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The Epidemiological Survey of Nasal Colonization of Methicillin Resistant Staphylococcus aureus in Patients and Doctors

  • Seong Hee Kyung;Bae Young Soon;Kim Yong Ho
    • Biomedical Science Letters
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    • v.10 no.3
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    • pp.309-315
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    • 2004
  • Methicillin resistant Staphylococcus aureus (MRSA) is one of the most common nosocomial pathogens. Many hospitals are facing the problems which they have to use expensive antibiotics and suffer from long term hospital study of patients due to MRSA. This study is to survey MRSA nasal colonization of patients and doctors, and to investigate the mode of transmission of MRSA by pulsed field gel electrophoresis (PFGE) and then use these data to prevent further spread of cross infection and reduce nosocomial infection. Subjects of this study were 201 patients with MRSA infection at an university hospital in Busan from Sept. 1997 to Aug. 1998. Bacterial genotypes of MRSA strains isolated from nares and wound of patients (14 cases) and nares of doctors (8 cases) were analyzed by PFGE. Nasal cultures of 20 I patients for detecting nasal colonization of MRSA were performed and incidence rate of nasal colonization was 40% (80/201). Among 201 patients MRSA were acquired from hospital in 140 (70%) patients and were acquired from community 61 (30%) patients. Among 14 pairs of MRSA from colonized or infected sites and anterior nares, DNA patterns of 10 pairs (71.4%) were equal. 86% (12/14) MRSA strains isolated from patients and 12.5% (1/8) MRSA strains isolated from doctors show same pattern. DNA patterns were changed in some doctors after nasal oint. Treatment. It could be inferred that the most sources of MRSA in hospital are the endemically existing MRSA. Therefore, we believe that it would be necessary to control MRSA nasal colonization of the patients and the related medical teams to reduce the medical cost and to improve the efficacy of medical cares.

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On the distribution of Toxoplasma antibodies in Cheju-Do 1. Distribution of Toxoplasma antibodies in swine, cats and butchers (제주도에(濟州道) 있어서 Toxoplasma 항체분포(抗體分布)에 관(關)한 연구(硏究) 1. 돼지, 고양이 및 식육취급자(食肉取扱者)에 있어서의 Toxoplasma 항체분포(抗體分布)에 대하여)

  • Kim, Seung-ho;Kim, Young-ju
    • Korean Journal of Veterinary Research
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    • v.29 no.3
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    • pp.333-342
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    • 1989
  • Effect of raising types and environmental conditions on the infection of Toxoplasma in the swine, the cat and the man were studied in Cheju Island from Sept. 1987 to Aug. 1988. Blood samples were taken from 214 conventionally raised swine in 6 villages and 506 swine raised in swine specialized farms, 122 cats raised under free moving or restraned conditions in 8 locations, 113 butchers, and 210 villagers. Toxoplasma antibody values of the blood sera were determined using the enzymelinked immunosorbent assay (ELISA). The eating type of viscera was also investigated by using questionaires 1. When ELISA method was used, the percentage of Toxoplasma infected swine among the conventionally raised and of those raised in swine specialized farms were 60.7% and 21. 390, respectively. The respective mean of antibody values (${\pm}SD$) were 0.589 (${\pm}0.310$) and 0.385 (${\pm}0.237$) and differed very significantly (p<0.01). A significant difference was also found in antibody values among 6 villages (p<0.05). 2. The mean infection percentage of toxoplasma in the cat was 38.2%. the infection percentage for cats raised under free-moving and re~;trained condition were 37.0% and 38.2% respectively. The respective antibody values(${\pm}SD$) for toxoplasma were 0.600(${\pm}0.614$) and 0.637 (0.645), and did not difference significantly. 3. The infection percentage of toxoplasma in villagers and butchers were 26.2 and 38.3% respectively. The respective antibody values (SD) for toxoplasma were 0.429(${\pm}0.195$) and 0.341 (${\pm}0.236$), and differed very significantly (p<0.01). There were also highly significant differences Pyo-sun and other village (p<0.01). 4. Analysis of the questionaires showed that 26.0% of 392 villages eated liver and some villagers eated other viscera.

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A STUDY ON THE DEVELOPMENT OF STANDARD CRITERIA OF EQUIPMENT FOR 3 YEAR NURSING EDUCATION (3년제 간호교육과정의 실험실습 기자재 기준 개발)

  • Chon, Si-Ja;Kwon, Sook-Hee;Kim, Yeon-Hwa;Park, Yeon-Su;Hong, Yong-Hae;In, Kyung-Sun;Lee, Sook-Hee;Oh, Sei-Young;Choi, Byung-Sun;Chu, Su-Kyung
    • The Korean Nurse
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    • v.37 no.3
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    • pp.78-91
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    • 1998
  • This descriptive study was conducted in order to develop a standard criteria for nursing laboratory facilities and equipment for use by the 3 year nursing colleges. The data was collected from Aug. 28 to Sept. 30, 1997 by mail from 44 3 year nursing schools. To develop a standard criteria, the syllabi for Fundamentals of Nursing laboratory and for Physical Assessment were collected and analyzed. The following information was elicited and analyzed by the researchers : 1. for each procedure in the syllabus, the percentage of schools using the procedures 2. the facilities and equipment recognized as necessary and the percentage of schools which possess each item 3. calculation of the standard criteria for size of the nursing laboratory together with a list of the necessary facilities and equipment. The results of the study were as follows : 1. The Size of facility was 181.2m2 for fundamentals of Nursing laboratory and 56.4m2 for the storage room. For those whose number of students exceed 120, 1.98m2 is required for each students. 2. The number of items included in the standard criteria was 92 for Fundamentals of Nursing and Physical Assessment and 47 for other nursing subjects. The items made of rubber, plastic and the disposable ones were suggested but excluded from the standard criteria. Based on the above findings, the following suggestions were made : 1. Periodic review of the standard criteria is necessary to update the standard. 2. A study on the standardization of the curriculum for basic science laboratory, including experiment and a standard criteria of equipment, is necessary. 3. A study to develop a computer program for management of nursing laboratory facilities and equipment is needed.

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A Survey on the Environmental Conditions of the CO Patients treated by Hyperbaric Oxygen Therapy (연탄(煉炭)가스 중독자(中毒者)의 생활환경(生活環境)에 관(關)한 역학적(疫學的) 연구(硏究))

  • Kim, In-Dal;Yun, Dork-Ro;Choi, Y.O.;Yun, I.C.;Lee, C.K.;Yang, Y.H.
    • Journal of Preventive Medicine and Public Health
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    • v.5 no.1
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    • pp.9-15
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    • 1972
  • Carbon monoxide poisoning is one of the most serious health problems in Korea, because we have been encountered with the highest incidence of CO poisoning in the world due to the unique heating system in home called 'ondal'. We opened Hyperbaric chamber unit in the Seoul National University Hospital last Jan, 1969. We have treated 848 patients as of Sept. 30., 1972, around 44 months period. We collected the informations on the environmental conditions of the place where CO intoxication actually occured by filling up the questionaire from 505 patients. The following findings were obtained. 1. Age distribution showed that the highest incidence was found in the younger age group between age of 10 to age of 29 in both sex. 2. Sex ratio of the patients was 1:1.14. 3. The socio-economic level of the patient was relatively low. 4. Housewife & housemaid were the major victims of the intoxication in the female patients & in the case of the male patient, occupational backgrounds were diverse. 5. Many patients from the middle class experienced the intoxication by sleeping at newly built room. 6. Many intoxication has been occured in the structure of houses where communicating doors are existing between living room & kitchen. 7. All findings obtained taught us again that CO poisoning is the serious by-product of the national fuel policy which put emphasis on the use of coal & socio-economic status is a very important parameter in this hazards.

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Detection of an Impact Flash Candidate on the Moon with an Educational Telescope System

  • Kim, Eunsol;Kim, Yong Ha;Hong, Ik-Seon;Yu, Jaehyung;Lee, Eungseok;Kim, Kyoungja
    • Journal of Astronomy and Space Sciences
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    • v.32 no.2
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    • pp.121-125
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    • 2015
  • At the suggestion of the NASA Meteoroid Environment Office (NASA/MEO), which promotes lunar impact monitoring worldwide during NASA's Lunar Atmosphere and Dust Environment Explorer (LADEE) mission period (launched Sept. 2013), we set up a video observation system for lunar impact flashes using a 16-inch educational telescope at Chungnam National University. From Oct. 2013 through Apr. 2014, we recorded 80 hours of video observation of the unilluminated part of the crescent moon in the evening hours. We found a plausible candidate impact flash on Feb. 3, 2014 at selenographic longitude $2.1^{\circ}$ and latitude $25.4^{\circ}$. The flash lasted for 0.2 s and the light curve was asymmetric with a slow decrease after a peak brightness of $8.7{\pm}0.3mag$. Based on a star-like distribution of pixel brightness and asymmetric light curve, we conclude that the observed flash was due to a meteoroid impact on the lunar surface. Since unequivocal detection of an impact flash requires simultaneous observation from at least two sites, we strongly recommend that other institutes and universities in Korea set up similar inexpensive monitoring systems involving educational or amateur telescopes, and that they collaborate in the near future.

The Effect of Crisis Intervention by the Visiting Nurse with Patients with Cancer (방문간호를 통한 암환자의 위기중재 효과에 관한 연구)

  • 김조자;유지수;박지원
    • Journal of Korean Academy of Nursing
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    • v.19 no.1
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    • pp.63-80
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    • 1989
  • This study was undertaken at Yonsei University Medical Center to identify the crisis responses and nursing problems of patients who had been diagnosed with cancer, and changing patterns of grieving over time periods, and to analyse the effectiveness of follow up care through home visiting nursing. This study was carried out in three stages. The 1st study data were collected from a total of 205 patients who had been diagnosed with cancer from Sept.1 to Dec. 31, 1987 using a cross-sectional method. The 2nd study data were collected three times from 30 patients with cancer at 4 weeks intervals from March 1 to June 31, 1988 using a longitudinal method. The 3rd study data were collected from two different groups from March 1 to June 31, 1988. One was an experimental group who was visited by nurses and the other one was a control group not visited by nurses. The subjects of the 3rd study consisted of 60 patients with cancer and a Quasi-experimental research design was used. The results were as follows ; 1. The patients did not experience one stage at a time among the five stages of grieing, denial anger, bargaining, depression and acceptance, as identified by Kubler Ross. They experienced a combination of stages, especially of the bargaining and the depression stages. This stages did not change with the passing of time. 2. The patients expressed more physical and socioecounomical problems than emotional problems. And they used more problem coping methods than emotional coping methods. 3. Follow up care through home visiting nursing positively influenced the patient's quality of life, especially their physical well-being and symptom control The patients responded positively to the home visiting nursing, stating that it was helpful In them. It was concluded that the development of a home visiting nursing program is needed for the effective home care of patients with cancer.

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Studies on the General Fearfulness of Hospitalized School-Age Children and Their Mother공s Emotional Anxiety (학령기 환아의 일반절 공포감과 어머니의 정서적 불안과의 관계에 대한연구)

  • 노승옥
    • Journal of Korean Academy of Nursing
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    • v.14 no.1
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    • pp.69-82
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    • 1984
  • The general fearfulness of hospitalized school-age children and the emotional anxiety of their mothers were investigated and compared to those of normal children and their mothers, in order to provide theoretical basis for establishing comprehensive nursing care of hospitalized children including their mothers. The present study was carried out from Sept. 5th to Oct. 3rd, 1983. A total of 81 hospital I zed children and their mothers were investigated and 95 normal elementary school children and their mothers as control group were surveyed The general fearfulness of children and the emotional anniety of their mothers were measured through questionaire by using Geer's FSS-Ⅱscale and Spielberger's STAI scale, respectively. The results were analyzed by computer using S.P.S.S. program and summarized as follows: 1. The emotional anxiety of the mothers of hospitalized children was greater than that of normal children's mothers. (P=0.000). 2. The general fearfulness of hospitalized children was greater than that of normal children (p=0.000) 3. The general fearfulness of hospitalized children varied with children's age and sex, mother's age and mother's experience of hospitalization. a) The general fearfulness of the hospitalized children at the age of 7∼9 was greater than that of the age 10∼12. (P=0.020) b) Girl's scored greater fearfulness than boys. (p=0.037) c) The younger mother's age resulted in the higher children fearfulness. (P= 0.0059). d) When the mothers did not have experience of hospitalization, the children's fearfulness was high. (P=0.014) 4. The anxiety-state of hospitalized children's mother was proportionally reacted to their anxiety-trait. (r=0.694, p=0.000) 5. The relationship between mother's emotional anxiety and their hospitalized children's general fearfulness failed to show statistical significance. (r= 0.1184, P>0.05). These results indicated that the general fearfulness of hospitalized children was affected by environmental factors beside mother's emotional anxiety. An extensive study on the factors influencing the general fearfulness of hospitalized children is needed.

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Examination Conditions of Root Barrier for Green Roof System and Result of Intermediate Observation of Three Months against Representative Root Barrier (옥상녹화용 방근층의 방근성 시험조건 설정 및 주요 방근소재에 대한 3개월간의 중간관찰 결과)

  • Shin, Yun-Ho;Jang, Dae-Hee;Kim, Hyun-Soo;Choi, Soo-Kyung
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2008.11a
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    • pp.245-249
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    • 2008
  • The purpose of this study is to test performances of 14 types of root barrier materials by applying testing plants and soils suitable for weather and natural features of Korea. For testing plants, Plioblastus pygmaed Mitford A. and Pyracantha angustifolia have been selected. For testing soil, mixture of pearlite and peat moss in 3:1 ratio(volume). Testing container has been fabricated with duplicated structure having inner and outer containers. And the outer container has 2 hinges on its side wall to allow opening and closing. Wet rock wool with 50mm in thickness has been inserted between inner and outer containers to allow root to penetrate through root barrier material and continue to grow. We planted 12 Plioblastus pygmaed Mitford A. and 4 Pyracantha angustifolia per one testing container. Three testing samples have been made for 1 type of root barrier material, which become a total 42 specimens. Planted testing samples have been installed within the greenhouse, which will be observed regularly for 2 years from now on. We started test from July 11, 2008 and had performed intermediate observations every month for initial 3 months. From the 3rd intermediate observation on Sept. 18, we confirmed that 6 types of root barrier materials have penetrated roots. Even though two types of them(EDPM Sheet, Polyethylene Sheet) have been generally used as root barrier materials for roof planting system, all of three testing samples have a lot of penetrated roots. This result proves that it is not reasonable to introduce testing methods of root barrier from Europe or Japan.

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An enhanced VS/VD switching algorithm to support fairly ABR service in ATM (ATM 망에서 공정한 ABR 서비스를 제공하는 확장된 VS/VD 스위칭 알고리즘)

  • 양해권;전광탁
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.4 no.2
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    • pp.313-322
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    • 2000
  • The ATM Forum has been focusing on flow control mechanism for ABR traffic management. The goal of this activity is to efficiently manage the leftover network bandwidth and fairly distribute it among contending ABR VC so that communication links can be optimally utilized. ABR traffic is difficult to predict traffic shape because it has bursts and variable behavior. Also it's sensitive to lose but not to delay. This behavior makes difficult to UPC function in network and cause of congestion in switch, thus performance is degraded. To resolve this problem, various flow control mechanism has been worked in the ATM Forum. Especially, the rate-based flow control mechanism for ABR traffic has been standardized in the ATM Forum, Sept. 1994. Thus, various flow control mechanism has been working which likes EFCI, ER, VS/VD. VS/VD control is superior than existed ER control because it isolate different networks from each other. In this paper, we propose an expanded VS/VD flow control algorithm and compare with existed VS/VD flow control algorithm. Simulation result shows that this algorithm improve a problem in aspect of delay and fairness.

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Observation of Liver Color Scan (Liver Color Scan에 대(對)한 고찰(考察))

  • Choe, Y.K.;Ahn, S.B.
    • The Korean Journal of Nuclear Medicine
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    • v.3 no.2
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    • pp.55-63
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    • 1969
  • In the past few years, scintigraphy has become increasingly important in clinical practice, and the use of a color-printing technique has permited a more accurate interpretation of the scan image. Our liver color scintigrams consist of 51 hepatomas, 35 liver cirrhosis, 22 liver abscessis, 10 hepatitis and other 13 cases of the liver diseases which were clinically arid pathologically diagnosed at Sevarance Hospital, Yonsei Univ., since Feb. 1969 through Sept. 1969. These scintigrams have been analized in terms of various pathologic morphology, such as size, shape, margin of the liver, distribution of radioactivity, and shape of the space occupying lesions. The results are as follows: 1. Enlargement of the liver was the most common finding in the diseased livers. The Rt. lobe enlargement was particularly prominent in the liver abscess. 2. Irregular distribution of radioactivity in the liver (so called mottling) was present in 78% of hepatoma, while it was seen only in 31% of liver abscesses. 3. Liver cirrhosis tends to show perihilar accumulation of the isotope (57%). 4. The deformity of the lower most angle of the Rt. lobe, and the Lt. lateral margin of the Lt. lobe was also impressive throughout the cases ($74{\sim}95%$ of all diseased livers). 5. The frequency of visualization of the spleen was influenced by the size of space occupying lesions and the amount of functioning liver. 6. Differentiation between the liver abscess and hepatoma seems to be possible on scintigram, when shape and margin of defect and patterns of distribution of radioactivity in the remaining liver are clearly demonstrated.

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