• 제목/요약/키워드: C. difficile

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오미자 추출물이 비만과 관련된 장내 세균의 생육에 미치는 영향 (Effects of Schizandra chinensis Extract on the Growth of Intestinal Bacteria Related with Obesity)

  • 정은지;이운종;김광엽
    • 한국식품과학회지
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    • 제41권6호
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    • pp.673-680
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    • 2009
  • 본 연구에서는 비만의 원인 중 하나인 장내균총의 변화를 개선하고자 in vitro 상에서 천연소재를 탐색하였고 선발된 소재인 오미자로 항균활성과 기능성을 분석하고 세포에 대한 독성 및 동물 실험을 수행하였다. 나아가 풍미증진과 기능성 가미를 위한 오미자 열수추출물을 첨가한 음료로의 개발 가능성을 확인하고자 하였다. 96 well plate법을 이용하여 screening한 결과, 유익균인 B. fragilis와 B. spp.의 활성을 증진시키고, 유해균인 E. limosum과 C. perfringens을 억제시키는 오미자를 선발하였다. 오미자 열수 추출물의 항균활성을 paper disc method를 이용하여 실험한 결과 E. limosum, B. fragilis, C. perfringens, C. difficile에 대한 항균력을 가지고 B. bifidum에 대한 항균력은 나타내지 않았다. 이 결과를 바탕으로 MIC를 측정한 결과, E. limosum, B. fragilis, C. perfringens, C. difficile를 오미자 열수 추출물 $1\;{\mu}g/mL$의 농도에서 최소 저해 하였다. 기능성을 가진 오미자 열수추출물을 이용한 음료로의 제품화를 위해 과채류 주스의 살균온도인 $96^{\circ}C$, 15초를 기준으로 $60-100^{\circ}C$에서 $10^{\circ}C$씩 변화를 주어 10분씩 처리하여 실험한 결과, 항균활성의 경우 대체로 안정하였고 큰 항균력을 위해서는 $80^{\circ}C$ 이상 살균 처리하는 것이 좋을 것으로 사료된다. 또한 열처리에 따른 총 폴리페놀 함량과 전자공여능을 이용한 항산화력의 변화를 측정한 결과 대체로 안정하였다. 이는 음료 개발에 있어서 중요한 이점이 될 것으로 사료된다. 또한 열처리에 따른 항균활성과 항산화를 나타내는 폴리페놀 함량과 전자공여능을 비교해봤을 때 서로 비례하는 것으로 보아 폴리페놀 함량과 전자공여능의 함량이 항균활성에 관련이 있을 것으로 사료된다. 소장상피세포에 대한 독성 유무를 확인하기 위해 소장상피 정상세포인 Caco-2에 대한 오미자 열수 추출물의 독성 영향을 MTT assay를 통해 확인하였다. 그 결과 고농도인 $5\;{\mu}g/mL$에서도 세포에 영향을 주지 않았다. 이 결과를 통해 미루어 볼 때 동물 실험하기 전, in vitro 상에서 오미자 추출물이 세포에 영향을 주는지 여부를 판단한 것으로 다음 진행되는 동물 실험에 대한 오미자 추출물의 안정성을 확인하였다. 동물 실험은 high-fat-diet rats에 오미자 열수 추출물을 0.5 mg/kg/day 투여한 경우 체중증감에 영향을 미치지 않았다. 장내미생물 균총 변화에서 control군과 extract 투여군을 비교한 결과, in vitro 실험결과와 같이 Bifidobacterium spp.를 7.62% 증진시키고 Clostridium spp.를 12.39% 감소시켰다. 또한 비만과 관련된 Eubacterium을 억제시켰다. 이는 오미자가 유익균을 증진시키고, 유해균은 감소시키는 장내 균총을 유익한 균총으로 개선시키는 식품소재로 이용이 가능할 것으로 기대된다. 오미자 추출물을 첨가한 음료의 관능평가 결과 인체 내에 부족하기 쉬운 미량 영양소를 보충해주는 자작 나무수액에 장내 균총 변화에 영향을 주는 오미자 추출물과 기능성 올리고당인 자일리톨을 첨가하여 관능평가한 결과 전반적 기호도는 자작나무수액 100%, 오미자추출물 5%, 자일리톨 5%을 첨가한 sample C가 6.68로 다른 sample에 비해 높은 점수를 받았다(p<0.05). 그러므로 5% xylitol, 5% 오미자 열수 추출물을 첨가한 sample C가 관능적으로 우수함을 보여 앞으로 맛과 기능성, 풍미를 가미한 음료로의 개발이 가능할 것으로 생각된다.

우리나라 가공식품(加工食品)중의 Clostridia perfrigens의 분포(分布) (Clostridium Perfringens Associated with Korean Canned Foods)

  • 한왕수;조양자;권종규;서인수
    • 대한미생물학회지
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    • 제11권1호
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    • pp.57-67
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    • 1976
  • A total of 100 swelled, springered or flippered canned meat and fish products were studied the degree of contamination with clostridias and serological relationships to Hobbs'13 "heat resistant" types, heat resistance of spores and susceptibility of Clostridium perfringens isolates to several antibiotics. Samples examined in this study were collected from Seoul area from June to October, 1975 and prepared in Korea. Clostridias were isolated from 46(46%) of these samples; 19 strains of Cl. perfringens, 9 strains of Cl. oedematiens A, B, 5 strains of Cl. sordelli, each 3 strains of Cl. chauvoei, Cl, oedematiens C.E, and Cl. difficile, 2 strains of Cl. sporogenes. The highest percentage of contamination by Cl. perfringens was found in beef products(26.5%), and the following(5.2%) in mackerel pike and none in baitop shell. whale, manna brand. and top shell. One of 19 isolates of Clostridium perfringens found in meat products was shown to produce heat resistant spores which resist $100^{\circ}C$ for 60 minutes and others were heat labile strains which is killed at $90^{\circ}C$ for 30 minutes. The distribution of Hobbs' serotype of 19 isolates were each 4 strains of type 6, 8, and 11, 1 strain of type 13 and others untypable. 19 Strains of Cl. perfringens were shown a marked susceptibility to cefamezin, lincomycin and minocin and relatively sensitive to vibraimycin, geopen, and chloramphenicol. A marked resistance to kanamycin, colimycin, and gentamycin were shown. Aerobic enteropathogens from samples were not recovered.

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Effects of liposomal-curcumin on five opportunistic bacterial strains found in the equine hindgut - preliminary study

  • Bland, S.D.;Venable, E.B.;McPherson, J.L.;Atkinson, R.L.
    • Journal of Animal Science and Technology
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    • 제59권6호
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    • pp.15.1-15.5
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    • 2017
  • Background: The horse intestinal tract is sensitive and contains a highly complex microbial population. A shift in the microbial population can lead to various issues such as inflammation and colic. The use of nutraceuticals in the equine industry is on the rise and curcumin is thought to possess antimicrobial properties that may help to minimize the proliferation of opportunistic bacteria. Methods: Four cecally-cannulated horses were utilized to determine the optimal dose of liposomal-curcumin (LIPC) on reducing Streptococcus bovis/equinus complex (SBEC), Escherichia coli K-12, Escherichia coli general, Clostridium difficile, and Clostridium perfringens in the equine hindgut without adversely affecting cecal characteristics. In the first study cecal fluid was collected from each horse and composited for an in vitro, 24 h batch culture to examine LIPC at four different dosages (15, 20, 25, and 30 g) in a completely randomized design. A subsequent in vivo $4{\times}4$ Latin square design study was conducted to evaluate no LIPC (control, CON) or LIPC dosed at 15, 25, and 35 g per day (dosages determined from in vitro results) for 9 days on the efficacy of LIPC on selected bacterial strains, pH, and volatile fatty acids. Each period was 14 days with 9 d for acclimation and 5 d withdrawal period. Results: In the in vitro study dosage had no effect ($P{\geq}0.42$) on Clostridium strains, but as the dose increased SBEC concentrations increased (P = 0.001). Concentrations of the E. coli strain varied with dose. In vivo, LIPC's antimicrobial properties, at 15 g, significantly decreased (P = 0.02) SBEC when compared to 25 and 35 g dosages. C. perfringens decreased linearly (P = 0.03) as LIPC dose increased. Butyrate decreased linearly (P = 0.01) as LIPC dose increased. Conclusion: Further studies should be conducted with a longer dosing period to examine the antimicrobial properties of curcumin without adversely affecting cecal characteristics.

Clinical Characteristics and Ultrasonographic Findings of Acute Bacterial Enterocolitis in Children

  • Chun, Peter;Lim, Taek Jin;Hwang, Eun Ha;Mun, Sang Wook;Lee, Yeoun Joo;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제20권2호
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    • pp.107-113
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    • 2017
  • Purpose: This study clarified the bacterial pathogens currently causing acute infectious enterocolitis (AIE) in children and evaluated the clinical characteristics and ultrasonographic findings according to the different pathogens. Methods: Medical records regarding age, sex, clinical symptoms, laboratory data, identified enteropathogens, ultrasonographic findings, treatment, and outcome of 34 patients who were diagnosed with AIE via stool examination using multiplex polymerase chain reaction (PCR) or culture, were retrospectively reviewed. Results: Twenty-four patients (70.6%) were male. The mean age of the patients was $8.5{\pm}6.2$ (range, 1.1-17.1) years. Six bacterial pathogens were isolated: Salmonella species (spp.) (32.4%), Campylobacter spp. (20.6%), verotoxin-producing Escherichia coli (14.7%), Staphylococcus aureus (11.8%), Clostridium difficile (8.8%), and Shigella spp. (2.9%). Abdominal pain occurred in all patients regardless of pathogen. The patients infected with Salmonella were older than those infected with verotoxin-producing E. coli (p<0.05). C-reactive protein levels were higher in patients with Salmonella and Campylobacter infections than in those with verotoxin-producing E. coli infection (p< 0.05), the other clinical and laboratory data were indistinguishable between pathogens. Ultrasonography demonstrated diverse involvement of bowel segments according to pathogen. Wall thickening of both the ileum and the entire colon was the most common lesion site regardless of pathogen. Conclusion: Various bacterial agents cause AIE and the symptoms are diverse symptoms, however, all most children recovered spontaneously. Use of multiplex PCR on stool samples warrants improvement of its sensitivity for diagnosis of enteropathogenic bacteria. Ultrasonographic examination is useful for diagnosis of AIE; it can also detect the disease extent and severity.

Impact of the coronavirus disease 2019 pandemic on the incidence of other infectious diseases in the hematology hospital in Korea

  • Seohee Oh;Yu-Sun Sung;Mihee Jang;Yong-Jin Kim;Hyun-Wook Park;Dukhee Nho;Dong-Gun Lee;Hyeon Woo Yim;Sung-Yeon Cho
    • The Korean journal of internal medicine
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    • 제39권3호
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    • pp.513-523
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    • 2024
  • Background/Aims: Since the coronavirus disease 2019 (COVID-19) outbreak, hospitals have implemented infection control measures to minimize the spread of the virus within facilities. This study aimed to investigate the impact of COVID-19 on the incidence of healthcare-associated infections (HCAIs) and common respiratory virus (cRV) infections in hematology units. Methods: This retrospective study included all patients hospitalized in Catholic Hematology Hospital between 2019 and 2020. Patients infected with vancomycin-resistant Enterococci (VRE), carbapenemase-producing Enterobacterales (CPE), Clostridium difficile infection (CDI), and cRV were analyzed. The incidence rate ratio (IRR) methods and interrupted time series analyses were performed to compare the incidence rates before and after the pandemic. Results: The incidence rates of CPE and VRE did not differ between the two periods. However, the incidence of CDI increased significantly (IRR: 1.41 [p = 0.002]) after the COVID-19 pandemic. The incidence of cRV infection decreased by 76% after the COVID-19 outbreak (IRR: 0.240 [p < 0.001]). The incidence of adenovirus, parainfluenza virus, and rhinovirus infection significantly decreased in the COVID-19 period (IRRs: 0.087 [p = 0.003], 0.031 [p < 0.001], and 0.149 [p < 0.001], respectively). Conclusions: The implementation of COVID-19 infection control measures reduced the incidence of cRV infection. However, CDI increased significantly and incidence rates of CPE and VRE remained unchanged in hematological patients after the pandemic. Infection control measures suitable for each type of HCAI, such as stringent hand washing for CDI and enough isolation capacities, should be implemented and maintained in future pandemics, especially in immunocompromised patients.

석이버섯과 운지버섯 균사체 추출물이 장내 세균의 생육에 미치는 영향 (Effects of the Extracts from Gyrophora esculenta and Coriolus versicolor judae Mycelia on the Growth of Intestinal Bacteria)

  • 박경란;이운종;조민규;박의석;정준영;권오성;윤향식;김광엽
    • 한국식품영양과학회지
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    • 제39권6호
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    • pp.820-825
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    • 2010
  • 본 연구에서는 비만과 관련된 요소 중 하나인 장내 균총을 개선하고자, 식이섬유소가 풍부하고 저칼로리인 담자균류 추출물을 이용하여 in vitro 상에서 비만 관련 장내 미생물에 대한 항균활성을 조사하였다. 항균성 담자 균류 소재 탐색결과 석이버섯 자실체와 운지버섯 균사체의 추출물을 선발하였고, 선발된 담자균류 소재 추출물의 특성을 분석한 결과 열에 대단히 안정하였고, pH에도 비교적 안정한 것으로 나타났다. 또한 rat을 이용한 동물실험에서 석이버섯 80% 에탄올 추출물 투여군이 고지방식이만 투여한 군에 비하여, 장내 균총에서 Bifidobacterium spp.가 증가되었고, Clostridium spp.와 Eubacterium spp.는 감소된 것으로 나타났다. 석이버섯과 운지버섯 추출물이 첨가된 기능성 음료를 제조하고자 관능평가를 실시한 결과, 운지버섯 균사체 배양액에 석이버섯 추출물을 3% 첨가한 실험구가 가장 좋은 평가를 받았다. 이러한 결과를 토대로 석이버섯과 운지버섯 추출물이 장내 균총 개선을 위한 기능성 식품소재로 활용될 수 있을 것으로 생각된다.

Molecular Analysis of Colonized Bacteria in a Human Newborn Infant Gut

  • Park Hee-Kyung;Shim Sung-Sub;Kim Su-Yung;Park Jae-Hong;Park Su-Eun;Kim Hak-Jung;Kang Byeong-Chul;Kim Cheol-Min
    • Journal of Microbiology
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    • 제43권4호
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    • pp.345-353
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    • 2005
  • The complex ecosystem of intestinal micro flora is estimated to harbor approximately 400 different microbial species, mostly bacteria. However, studies on bacterial colonization have mostly been based on culturing methods, which only detect a small fraction of the whole microbiotic ecosystem of the gut. To clarify the initial acquisition and subsequent colonization of bacteria in an infant within the few days after birth, phylogenetic analysis was performed using 16S rDNA sequences from the DNA iso-lated from feces on the 1st, 3rd, and 6th day. 16S rDNA libraries were constructed with the amplicons of PCR conditions at 30 cycles and $50^{\circ}C$ annealing temperature. Nine independent libraries were produced by the application of three sets of primers (set A, set B, and set C) combined with three fecal samples for day 1, day 3, and day 6 of life. Approximately 220 clones ($76.7\%$) of all 325 isolated clones were characterized as known species, while other 105 clones ($32.3\%$) were characterized as unknown species. The library clone with set A universal primers amplifying 350 bp displayed increased diversity by days. Thus, set A primers were better suited for this type of molecular ecological analysis. On the first day of the life of the infant, Enterobacter, Lactococcus lactis, Leuconostoc citreum, and Streptococcus mitis were present. The largest taxonomic group was L. lactis. On the third day of the life of the infant, Enterobacter, Enterococcus faecalis, Escherichia coli, S. mitis, and Streptococcus salivarius were present. On the sixth day of the life of the infant, Citrobacter, Clostridium difficile, Enterobacter sp., Enterobacter cloacae, and E. coli were present. The largest taxonomic group was E. coli. These results showed that microbiotic diversity changes very rapidly in the few days after birth, and the acquisition of unculturable bacteria expanded rapidly after the third day.

Diagnostic value of serum procalcitonin and C-reactive protein in discriminating between bacterial and nonbacterial colitis: a retrospective study

  • Jae Yong Lee;So Yeon Lee;Yoo Jin Lee;Jin Wook Lee;Jeong Seok Kim;Ju Yup Lee;Byoung Kuk Jang;Woo Jin Chung;Kwang Bum Cho;Jae Seok Hwang
    • Journal of Yeungnam Medical Science
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    • 제40권4호
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    • pp.388-393
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    • 2023
  • Background: Differentiating between bacterial and nonbacterial colitis remains a challenge. We aimed to evaluate the value of serum procalcitonin (PCT) and C-reactive protein (CRP) in differentiating between bacterial and nonbacterial colitis. Methods: Adult patients with three or more episodes of watery diarrhea and colitis symptoms within 14 days of a hospital visit were eligible for this study. The patients' stool pathogen polymerase chain reaction (PCR) testing results, serum PCT levels, and serum CRP levels were analyzed retrospectively. Patients were divided into bacterial and nonbacterial colitis groups according to their PCR. The laboratory data were compared between the two groups. The area under the receiver operating characteristic curve (AUC) was used to evaluate diagnostic accuracy. Results: In total, 636 patients were included; 186 in the bacterial colitis group and 450 in the nonbacterial colitis group. In the bacterial colitis group, Clostridium perfringens was the commonest pathogen (n=70), followed by Clostridium difficile toxin B (n=60). The AUC for PCT and CRP was 0.557 and 0.567, respectively, indicating poor discrimination. The sensitivity and specificity for diagnosing bacterial colitis were 54.8% and 52.6% for PCT, and 52.2% and 54.2% for CRP, respectively. Combining PCT and CRP measurements did not increase the discrimination performance (AUC, 0.522; 95% confidence interval, 0.474-0.571). Conclusion: Neither PCT nor CRP helped discriminate bacterial colitis from nonbacterial colitis.

열린 기호학을 활용한 연극비평 연구 -장 주네의 <하녀들> 공연을 중심으로- (Une étude pour la critique de théâtre avec la sémiotique ouverte -avec par Jean Genet-)

  • 임선옥
    • 한국연극학
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    • 제40호
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    • pp.239-275
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    • 2010
  • Cette ${\acute{e}}tude$ a pour but de proposer une $m{\acute{e}}thodologie$ de critique avec la $s{\acute{e}}miotique$ ouverte. La critique de $th{\acute{e}}{\hat{a}}tre$ commence ${\grave{a}}$ lire le $th{\acute{e}}{\hat{a}}tre$, l'analyse et juge son valeur. Il arrive souvent qu'on juge avec intutition. On dit que c'est une critique d'impressionnisme. Cette critique est subjective, mais pas objective. La $s{\acute{e}}miotique$ de Saussure offre la $m{\acute{e}}thodologie$ scientifique ${\grave{a}}$ la critique. A $c{\hat{o}}t{\acute{e}}$ de la critique d'impressionnisme qui est subjective, la $s{\acute{e}}miotique$ peut expliciter la raison objective. On ${\acute{e}}tait$ admiratif devant sa scientisme, pourtant $apr{\grave{e}}s$ quoi on critique sa non-$subjectivit{\acute{e}}$ et sa non-$historicit{\acute{e}}$. Dans l'opposition de $l^{\prime}objectivit{\acute{e}}$ et de la $subjectivit{\acute{e}}$, on tente de rechercher un model $int{\acute{e}}gr{\acute{e}}$ dialectiquement entre l'impressionisme(subjective) et la scientisme(objective). Pour cela, on doit aux Ecrits de linguistique $g{\acute{e}}n{\acute{e}}rale$ ($publi{\acute{e}}$ en 2002 chez Gallimard). Ces Ecrits nous aident ${\grave{a}}$ amener la $s{\acute{e}}miotique$ $ferm{\acute{e}}e$ sur la $s{\acute{e}}miotique$ ouverte et ${\grave{a}}$ $red{\acute{e}}couvrir$ la $pens{\acute{e}}e$ de Saussure. Ils nous font ouvrir un nouveau champ de recherche pour la $s{\acute{e}}miotique$ ouverte. L'essentiel de la $th{\acute{e}}orie$ saussurienne du signe $d{\acute{e}}pend$ de l'arbitraire et du circulaire du signe. On $red{\acute{e}}couvre$ la notion ${\acute{e}}largie$ du signe, dans Ecrits de linguistique $g{\acute{e}}n{\acute{e}}rale$, contre le courant majeur de linguistique et de structuralisme. Cette notion s'y focalise, ${\grave{a}}$ la valeur, ${\grave{a}}$ la $relativit{\acute{e}}$, ${\grave{a}}$ la $diff{\acute{e}}rence$ et au $syst{\grave{e}}me$. Avec elle, on tente d'adopter la $s{\acute{e}}miotique$ ouverte pour rechercher une $m{\acute{e}}thodologie$ de critique qui se veut objective et ${\grave{a}}$ la fois subjective. Il s'agit d'une difficile combinaison de l'impressionisme et de la scienticisme. Pour cela, la $m{\acute{e}}thodologie$ se $d{\acute{e}}veloppera$ en trois ${\acute{e}}tapes$. $1{\grave{e}}re$ ${\acute{e}}tape$: c'est lire le $th{\acute{e}}{\hat{a}}tre$ comme un signe total pour 1er jugement d'impressionnisme. $2{\grave{e}}me$ ${\acute{e}}tape$: c'est retrouver sa structure invisible dans la $relativit{\acute{e}}$ des signes. $3{\grave{e}}me$ ${\acute{e}}tape$: c'est juger, dans leur $relativit{\acute{e}}$, comment les $d{\acute{e}}tails$ de signes se fonctionnent. C'est lire les $d{\acute{e}}tails$ de signes et puis $r{\acute{e}}affirmer$ le jugement en $1{\grave{e}}re$ ${\acute{e}}tape$. Selon les $derni{\grave{e}}res$ deux ${\acute{e}}tapes$, on pourra comparer le premier jugement (impressif) et le dernier jugement (objectif), et enfin s'assumer comme critique. Selon la $m{\acute{e}}thodologie$ $propos{\acute{e}}e$, on pratique la critique sur ${\acute{e}}crit$ par Jean Genet, et mise en $sc{\grave{e}}ne$ par Lee Youn-Taek et par Park Jung-Hee. Pour la critique intertextuelle, on la fera en comparant les deux spectacles avec la $pi{\grave{e}}ce$ de Jean Genet. $D^{\prime}apr{\grave{e}}s$ la comparaison, Lee Youn-Taek met en $sc{\grave{e}}ne$ avec $fid{\acute{e}}lit{\acute{e}}$ la structre et les signes de $d{\acute{e}}tail$ de l'auteur, Park Jung-Hee change sa structre et ses signes pour mettre en $sc{\grave{e}}ne$ la $pi{\grave{e}}ce$ de Genet. Ils se $diff{\grave{e}}rent$ l'un et l'autre: Lee incite le discours de la classe sociale dans le spectacle, et Park y incite le discours du $d{\acute{e}}sir$. La $diff{\acute{e}}rence$ des signes dans la $relativit{\acute{e}}$ apporte la $diff{\acute{e}}rence$ de la signification de discours $th{\acute{e}}{\hat{a}}tral$, et enfin se font changer les significations de deux spectacles.

접촉성 감염환자 흉부검사 시 의료관련감염 예방에 대한 연구 (A Study on the Prevention of Healthcare Associated Infection in Chest PA Projection of Contact Infected Patients)

  • 이상원;김동진;이배원
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권4호
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    • pp.297-304
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    • 2018
  • This study proposes measures and methods to reduce healthcare associated infections by comparing and analyzing the bacterial contamination level before and after putting on personal protective equipment (PPE) on the test equipment and the contact infected patients getting chest PA projections. Among the 50 inpatients who were diagnosed with C. difficile, MRSA, and VRE, 28 patients who were instructed to undergo chest PA projection and follow-up were chosen, The 3 parts that come in contact with the detector, chin, chest, and hands, were designated for all, and the bacterial contamination level before and after disinfection and before and after putting PPE was determined. Statistical analysis was performed using Medcalc version 14, and quantitative analysis was performed using paired student t-test, with statistical significance being noted at p<0.05. Results for the comparison of the mean values before and after disinfection of the detector, chin (3.000), chest (2.000), and hands (3.430), showed that the number of bacteria after disinfection was lower than it was before disinfection. Analyzing for each part before and after disinfection, there were statistically significant differences for the chin, chest, and hands (p<0.01). Results for the comparison of the mean values before and after putting on PPE, chin (2.202), chest (2.140), and hands (4.213), showed that the number of bacteria after putting on PPE was lower than it was before putting on PPE. Analyzing for each part before and after putting on PPE, there were statistically significant differences for the chin, chest, and hands (p<0.03). As a result, it was confirmed that the number of bacteria after putting on PPE was lower than it was before putting it on. In the future, expanding the research scope for contact infected patients will establish standards for quarantine guidelines depending on the way it spreads, and contribute to the prevention of healthcare associated infections.