• 한국응급구조학회지
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• 제15권1호
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• pp.47-63
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• 2011

Purpose : This research is to examine the work and job satisfaction of paramedics in the emergency room of university hospitals. This research is done to provide basic data needed for establishing work realms of paramedics in hospitals and to enhance their degree of satisfaction. Methods : Research questionnaire survey was conducted on 141 paramedics working in the emergency room of 32 university hospitals from August 24, 2010 to September 30, 2010 through direct visits and telephone interviews or email to explain the purpose of this research and assurance of confidentiality of responses on the questionnaires. As the tool for the degree of job satisfaction, 'The Index of Work Satisfaction' developed by Slavitt, et al(1978) and revised and supplemented by Soon-shim Kim and Hye-ran Kwon(2002) was used. The collected data were analyzed by evaluating frequency, percentage, mean, standard deviation, t-test and ANOVA, Cronbach's $\alpha$ by using SPSS WIN 18.0 program. Results : 1. Investigating the work and role of paramedics in the emergency room of university hospitals, electrocardiogram(EKG) was found to be highest with $\alpha$ was widely used with the rate of patient evaluation and test area. In the medical treatment for patients area, cardiopulmonary resuscitation(CPR) with 95%(134 persons) and ventilation assistance through ambu bagging(BVM) with 95%(134 persons) were found to be high. $\alpha$ were performed. In the role within the hospital and other areas, a member of CPR team in the hospital accounted for 78%(110 persons). 2. In the measurements of the job satisfaction of paramedics working at university hospitals, the total mean score was 2.91. The mean score in each question area indicated: section on job 3.48, autonomy 3.05, interaction 3.01, organizational demand 2.85, working conditions 2.67, salaries 2.40. This result obviously demonstrates the work of paramedics itself was most satisfied but the salaries were most dissatisfied. 3. In the measurements of the job satisfaction of paramedics working at university hospitals, job satisfaction based on the general characteristics showed significant difference in age (F=6.547, p=.002), gender (F=4.436, p=.000) marital status (F=-3.270, p= .001), religion (F=2.041, p= .043), motive for application (F=3.603, p= .015), and salary (F=6.658, p= .000). 대학병원 응급실 내 1급 응급구조사의 업무와 직무만족도 The Journal of the Korean Society of Emergency Medical Technology Vol. 15 (1) 63 4. In the measurements of the job satisfaction of paramedics working at university hospitals, job satisfaction based on the working environmental characteristics showed significant difference in total number of paramedics (F=3.779, p= .012), form of employment (F=5.601, p= .001), existence or non-existence of intention to change jobs (F=-4.037, p= .000). Conclusion : The work of paramedics in the emergency room of university hospitals consists of lots of treatment processes after specialized diagnosis and performance of professionally subdivided works. However, current legislation does not reflect such circumstances to which paramedics are exposed; thus, it should be considered for further revision and modification. The degree of job satisfaction of paramedics in the emergency room of university hospitals was high but low in salaries and working conditions were the weak points. The measures to enhance their degree of job satisfaction should be taken though improvement of labor conditions such as consideration of the rate of increase in salaries, compensation for overtime work, providing rest areas, improvement of current employment system, and conversion of temporary employees into regular employees.

• 대한가정학회지
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• 제27권2호
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• pp.133-148
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• 1989

This study attempts of analyze empirically the living status of the elderly in Korea by finding out the problems of it in the family and by clarifying the influences of the family environmental variables and the values on the adjustment of the aged. To carryout the aim of this study, the causes and the patterns of the problems for the aged had been found out through the review of literature. Based on them the questionnaire was prepared including the questions of the values, family environmental vriables as well as the degree of satisfaction of thier liver and the extent of life interchange. The former variables were taken as independent and the latter were taken as dependent variables, so that the relationship between the two variables could be exemplified. The 400 aged over 60 living in Seoul and the other cities were selected through the purposive sampling and interviewed. The answers of the 376 respondents, 94% of the sample, were analyzed for this study. The following results have been found out through the various statistical analysis such as frequency distribution, chi-square test, pearson's correlation, analysis of variance and cluster analysis. At first, the results from the examination of the frequency distribution regarding the living status of the aged are; I) sixteen percent of the respondents living with their married offspring were receiving economical support, though they pointed out the problems of the extended family are the inconveniences with their children (60%) and simpleness (20%) of their livers. It seems that the aged in Korea are poor and have negative opinion on the relationship with their offspring even if they live in the same house. Secondly, it has been found out that the family environmental variables, especially such as sex, occupation, residence, education, level, living ability and the family type, play and important role not only on the degree of satisfaction of their liver but also on the extent of interchange of their lives. However, the variables such as religion and whether the spouse is alive or not do not play and important role. Thirdly, the reported main reasons of their delightness were healthy life (1.87%), the well-being of their offspring (2.08%), the spouse's long life (3.38%), religious activity (5.05%), the hobby activity (4.31%) and the participation in the social activity (5.05%). While, they mainly concern about the illness (1.98%), offspring (2.00%), econmic difficulties (3.39%), inharmonious home (3.81%) and the despicable treatment (3.81%). The respondents wer classified into two groups, they are dependent and independent, using cluster analysis. Health, social activity, offspiring, religion, couple's long life among the factors which lead them to be delighted were turned out to be statistically signhificant at 0.01 significance level between the two groups. As far as their worrisome matters are concerned, health and economic difficulties were significantly different between the two groups. Fourthly, regarding the life interchange, it has been proved that there is a statistically significant differences betwwen the two groups in the economic and the emotional satisfaction, help for ordinary life, status in the family, subjective and objective relationship with offspring, but not in economic dependency and the activity status. Fifthly, it has been noted that there is a high correlation between the degree of life's satisfaction and the extent of life interchange. On the basis of the results mentioned above, it could be concluded taht; i) The majority of the aged in Korea are not economically active, and thus they live with their married offspring even of they have a negative opinion on the subjective relationship with them. This can be pointed out as the main problem of the aged and thus it needs to be studied further. ii) the environmental variables such as age, sex education level, family type and occuption (which can not be changed by their effrot) turned out to give an important effect on the extent of the life interchange among the aged. iii) The respondents who are identified as independent group have a higher degree of life satisfaction and family status than the group identified as defendent. Thus, it can be inferred that it is possible for them to adjust their life by making an effort to modify themselves. iv) The high correlation between the extent of life interchange and the degree of life satisfaction indicates that the elderly themselves can adjust in order to obtain the higher degree of life satisfaction. Therefore, the following suggestions are derived from this study. First of all, the aged should try to be psychologically independent. Second, they need to control themselves in order to achieve self-assurance. Third, the community have to prepare a program of self-development for the aged. Fourth, the social welfare policy that can solve the problem of illness and poverty of the elderly should be introduced, so that their minimum requirements can be satisfied.

• 한국응급구조학회지
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• 제15권3호
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• pp.31-44
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• 2011

Purpose : The purpose of emergency medical services(EMS) is to save human lives and assure the completeness of the body in emergency situations. Those who have been qualified on medical practice to perform such treatment as there is the risk of human life and possibility of major physical and mental injuries that could result from the urgency of time and invasiveness inflicted upon the body. In the emergency medical activities, 119 emergency medical technicians mainly perform the task but they are not able to perform such task independently and they are mandatory to receive medical direction. The purpose of this study is to examine the recognition and request for medical direction by 119 emergency medical technicians in order to provide basic information on the development of medical direction program suitable to the characteristics of EMS as well as for the studies on EMS for the sake of efficient operation of pre-hospital EMS. Method : Questionnaire via e-mail was conducted during July 1-31, 2010 for 675 participants who are emergency medical technicians, nurses and other emergency crews in Gyeongbuk. The effective 171 responses were used for the final analysis. In regards to the emergency medical technicians' scope of responsibilities defined in Attached Form 14, Enforcement regulations of EMS, t-test analysis was conducted by using the means and standard deviation of the level of request for medical direction on the scope of responsibilities of Level 1 & Level 2 emergency medical technicians as the scale of medical direction request. The general characteristics, experience result, the reason for necessity, emergency medical technicians & medical director request level, medical direction method, the place of work of the medical director, feedback content and improvement plan request level were analyzed through frequency and percentage. The level of experience in medical direction and necessity were analyzed through ${\chi}^2$ test. Results : In regards to the medical direction experience per qualification, the experience was the highest with 53.3% for Level 1 emergency medical technicians and 80.3% responded that experience was helpful. As for the recognition on the necessity of medical direction, 71.3% responded as "necessary" and it turned out to be the highest of 76.9% in nurses. As for the reason for responding "necessary", the reason for reducing the risk and side-effects from EMS for patients was the largest(75.4%), and the reason of EMS delay due to the request of medical direction was the highest(71.4%) for the reason for responding "not necessary". In regards to the request level of the task scope of emergency medical technicians, injection of certain amount of solution during a state of shock was the highest($3.10{\pm}.96$) for Level 1 emergency rescuers, and the endotracheal intubation was the highest($3.12{\pm}1.03$) for nurses, and the sublingual administration of nitroglycerine(NTG) during chest pain was the highest($2.62{\pm}1.02$) for Level 2 emergency medical technicians, and regulation of heartbeat using AED was the highest($2.76{\pm}.99$) for other emergency crews. For the revitalization of medical direction, the improvement in the capability of EMS(78.9%) was requested from emergency crew, and the ability to evaluate the medical state of patient was the highest(80.1%) in the level of request for medical director. The prehospital and direct medical direction was the highest(60.8%) for medical direction method, and the emergency medical facility was the highest(52.0%) for the placement of medical director, and the evaluation of appropriateness of EMS was the highest(66.1%) for the feedback content, and the reinforcement of emergency crew(emergency medical technicians) personnel was the highest(69.0%) for the improvement plan. Conclusion : The medical direction is an important policy in the prehospital EMS activity because 119 emergency medical technicians agreed the necessity of medical direction and over 80% of those who experienced medical direction said it was helpful. In addition, the simulation training program using algorithm and case study through feedback are necessary in order to enhance the technical capability of ambulance teams on the item of professional EMS with high level of request in the task scope of emergency medical technicians, and recognition of medical direction is the essence of the EMS field. In regards to revitalizing medical direction, the improvement of the task performance capability of 119 emergency medical technicians and medical directors, reinforcement of emergency medical activity personnel, assurance of trust between emergency medical technicians and the emergency physician, and search for professional operation plan of medical direction center are needed to expand the direct medical direction method for possible treatment beforehand through the participation by medical director even at the step in which emergency situation report is received.

• 한국농림기상학회지
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• 제20권1호
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• pp.47-56
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• 2018

농업은 인간의 활동 중 기상 활동에 가장 종속적이며, 기후 변화 및 기상 재해와 같은 대기 변동성의 증가 속에서 농업기상서비스의 중요성은 점점 증가하고 있다. 유용한 농업기상서비스를 제공하기 위해서는 관측 자료의 품질 관리와 더불어 실제 농경 활동 현장을 대표할 수 있는 곳에서의 기상 관측이 필수적이다. 이를 위해 기상청에서는 자동농업기상관측망(AAOS)을 실제 농경지 근처로 재배치하는 등 관측망 환경을 개선하고 있지만, 아직까지 모든 농업기상관측이 실제영농 환경이 아닌 잔디밭에서 이루어지고 있는 문제가 남아 있다. 기온, 상대 습도, 토양 온도, 토양 수분 관측요소는 지표면의 식생 형태와 관개 등의 영농 활동에 큰 영향을 받는데, 현재의 농업기상관측은 이러한 요소들의 영향을 관측하는데 근본적인 한계가 있다. 본 연구에서는 AAOS 관측 자료의 시간적, 연직적 변이를 분석하고, 실제 농경지 위에 설치된 국가농림기상센터(NCAM) 타워에서 관측하고 있는 공통 기상 및 토양 관측 요소를 비교하여, AAOS 관측 자료의 특성 및 문제점을 분석하였다. 분석 시기는 결측이 가장 적고 추수 이전인 8월과 추수 이후인 10월로 선정하였다. 각 관측 요소별로 관측 높이 및 깊이에 차이가 있었으므로, 차이가 가장 적은 높이 또는 깊이 값을 비교대상으로 선정하였다. 기온의 경우 AAOS 4 m 관측 값이 NCAM타워 관측 값이 비해 낮과 밤 또는 추수이전과 이후 모두 낮았으며, 큰 일중 변화 없이 일정한 차이를 유지하였다. 수증기압 역시 NCAM 관측 값이 AAOS 관측 값에 비해 항상 높았으며, 8월이 10월에 비해 더 큰 차이를 보였다. AAOS 순단파복사의 경우 AAOS 관측 반사복사량이 NCAM 관측 값에 비해 높은 경향을 보였다. 한편, 토양 관측 요소는 대기 관측요소에 비해 더 큰 차이를 보였다. 추수 이전인 8월에는 대부분 논에 물이 차 있었으며, 그로 인해 NCAM 관측 토양 온도가 AAOS 관측 토양 온도에 비해 낮았으며, 일 변화 폭 역시 작았다. NCAM 관측 토양 수분은 강수 여부와 관계 없이 지속적으로 포화상태를 유지하는 반면, AAOS 관측 토양 수분은 강수에 의해 증가한 뒤 감소하는 경향을 보였다. 추수 이후인 10월에는 8월과 다른 경향을 보였다. 토양 온도의 경우, NCAM 관측 값과 AAOS 관측 값의 일 평균값은 비슷하였으나 일 변화 폭은 NCAM 관측 값이 더 컸다. 토양 수분은 NCAM 관측 값이 지속적으로 높았으나, 두 관측 값 모두 강수에 의해 상승하고 증발 또는 배수에 의해 감소하는 경향을 보였다. 이상의 결과는 AAOS 관측 자료의 품질 관리 문제와 함께 논과 잔디밭이라는 지표면 피복 및 영농 활동의 영향을 반영하지 못하는 대표성 문제를 보여주는 것으로서, 본 연구는 2011년 이후 이루어지고 있는 기상청 농업기상관측장비의 농지 부근 이동 작업에 이은 후속 조치로, 농업기상 관측을 대표할 수 있도록 잔디밭이 아닌 논, 밭, 과수원 등 실제 지역 대표 농업 현장에 설치되어야 함을 제언한다.

• 대한방사선치료학회지
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• 제29권2호
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• pp.65-73
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• 2017

목 적: Machine Performance Check (MPC)는 Electronic Portal Imaging Device(EPID)를 기반으로 빔 출력을 별도의 설치 없이 측정할 수 있는 장점을 지닌 자체 검사 소프트웨어이다. 본원에서는 MPC와 QA Beamchecker PLUS 간의 일간 빔 출력을 비교 및 상관관계를 분석하여 MPC의 유용성을 확인하고자 하였다. 대상 및 방법: 본 실험을 진행하기 위해 선형가속기(Truebeam 2.5)를 이용하였고, 광자선(6 MV, 10 MV, 15 MV, 6 MV-FFF, 10 MV-FFF), 전자선(6 MeV, 9 MeV, 12 MeV, 16 MeV, 20 MeV) 총 10개의 에너지를 대상으로 5 개월간 치료 전 빔 출력을 MPC와 QA Beamchecker PLUS로 측정하여, 총 80 회의 데이터를 획득하였다. Pearson 상관계수를 사용하여 MPC와 QA Beamchecker PLUS 간의 빔 출력을 비교 및 상관관계를 평가하였다. Pearson 상관계수는 0.8 이상은 아주 강함, 0.6 이상 0.8 미만 강함, 0.4 이상 0.6 미만 보통, 0.2 이상 0.4 미만 약함, 0.2 미만 아주 약함을 의미한다. 결 과: MPC와 QA Beamchecker PLUS 모두 일간 빔 출력 일치도는 2 % 이내로 나타났다. MPC의 빔 출력은 광자선이 $0.29{\pm}0.26%$, 전자선이 $0.30{\pm}0.26%$로 나타났고, QA Beamchecker PLUS의 빔 출력은 광자선이 $0.31{\pm}0.24%$, 전자선이 $0.33{\pm}0.24%$로 나타났다. MPC와 QA Beamchecker PLUS 사이의 Pearson 상관계수는 광자선의 경우 15 MV에서는 아주강함, 6 MV, 10 MV, 6 MV-FFF 그리고 10 MV-FFF에서는 강함으로 나타났고, 전자선의 경우 16 MeV, 20 MeV에서 강함, 9 MeV, 12 MeV에서 보통, 6 MeV에서 아주 약함으로 나타났다. 결 론: MPC는 일간 빔 출력 평가 면에서 광자선과 고에너지 전자선에서는 QA Beamchecker PLUS와 강한 상관관계로 보임을 확인할 수 있었다. 다만, 저에너지 전자선(6 MeV)에서는 낮은 상관관계를 보였지만, 관찰기간동안 MPC, QA Beamchecker PLUS 모두 빔 출력 일치도는 2 % 이내로 일간 빔 출력 확인 용도로는 적절할 것으로 판단된다. MPC는 기존의 일간 빔 출력 측정 도구 보다 빠르게 수행 할 수 있어 사용자 입장에서 효과적인 방법인 것으로 사료된다.

• Korean Chemical Engineering Research
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• 제52권6호
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• pp.814-820
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• 2014

본 연구에서는 토크 측정과 고압 시차주사 열량계를 이용하여 pyrrolidone, caprolactam, acrylamide 계열 수용성 고분자들의 하이드레이트 저해 성능을 평가하였다. 실험 결과, 세 종류의 고분자가 모두 동역학적인 하이드레이트 생성억제제 효과를 나타내는 것으로 확인되었으며, 특히 0.5 wt% polyvinylcaprolactam (PVCap)의 경우 34.4분의 하이드레이트 유도 시간, 15.9 K의 subcooling 성능을 보이며 12.3 분, 6.0 K의 순수 물 시스템보다 월등한 저해 성능을 나타내었다. 0.5 wt% polyvinylpyrrolidone (PVP)의 경우 중간 정도의 저해 성능을 보였으며, polyacrylamide-co-acrylic acid partial sodium salt (PAM-co-AA)의 경우 각각 0.5 wt%와 5.0 wt%의 농도에서 미미한 하이드레이트 저해 성능을 보였다. 반면에 생성된 하이드레이트 입자의 성장속도와 생성 양에서는 PAM-co-AA가 PVCap과 더불어 가장 월등한 저해 효과를 나타내었다. 또 다른 주요 성능 평가 요소 중 하나인 토크 변화의 경우에는 PVCap이 평균 토크 6.4 N cm로 가장 좋은 성능을 보였으며, 0.5 wt%의 PAM-co-AA 시스템이 평균 7.2 N cm의 값으로 그 뒤를 이었다. 고압 시차주사 열량계를 이용한 수용성 고분자 물질의 저해 성능 평가 실험의 결과는 autoclave 실험의 결과와 유사하였다. PVCap을 첨가한 경우 하이드레이트가 생성되기까지의 유도시간이 가장 길어서 저해성능이 뛰어난 것을 확인하였다.

• 보건의료산업학회지
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• 제2권1호
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• pp.105-124
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• 2008

The purpose of this research is to provide the data base for the activation of Quality Improvement operation through investigating the status of Quality Improvement operation, and finding out factors influencing on the goal-orientation of QI performers in the medical centers of more than one hundred beds where are practicing Quality Improvement operation. In order to reach the purpose, document study was carried out grounded on the proceeding researches and formulated statistical data in relation with the status of Quality Improvement performers, and proof study was carried out through questionnaire survey. The subjects of the survey were the Quality Improvement performers working in seventy three medical centers in Pusan-Gyeongnam, Daegu-Gyeongbuk, and Ulsan. Among eighty three Quality Improvement performers, fifty, five were questionnaire surveyed, on the result of which Reliability Analysis, Factor Analysis, and Multiple Regression Analysis were made, using statistical program. The the results of the proof analysis on this research are as follows. First, in the factors influencing the devoting to goal pursuit of QI performers, organization-goal contribution(0.44) had significant positive effects, while organization conflict(-0.25) had significant negative effects. In other words, the higher the organization-goal contribution was, the higher the devoting to goal pursuit was, while the less the organization conflict was, the higher the devoting to goal pursuit was, which was statistically significant.(p<0.05). Second, in the aspect of goal performance types of QI performers, the process-centered type showed high level of the devoting to goal pursuit, which was statistically significant.(p<0.05). Third, in the aspect of QI performance degree, the higher the devoting to goal pursuit was, the higher the QI performance degree was, which was statistically significant.(p<0.05). In addition, the performers who perceived their workplaces organic structure showed much higher QI performance degree, which statistically significant.(p<0.05). Generalizing the results of this research, it is possible to offer a few suggestions as follows. First, as the competition among the medical centers is more severe recently owing to medical center evaluation system, medical centers are practicing various Quality Improvement operation in all of medical services such as clinical performance and management performance, to reach the purpose of both cost-cutting and medical quality improvement. Thus in order to practice Quality Improvement operation more efficiently in medical centers, it is essential to nuke use of problem-solving methods and statistical members. This as the willingness of chief executives and positive attitude and recognition of organization members. This requires the installation of divisions in charge and disposition of persons in charge, not to speak of persistent training of Quality Improvement. Second, the divisions in charge of QI carry out Quality Improvement operation at the medical center level, and take the role of generalizing and adjusting QI performances of various departments. Owing to this role, the division in charge of QI is considered indispensable organization in the QI operation of medical centers along with medical QI committee, while it contributes to the government's goal of reducing quality level gaps among medical centers. Therefore it is necessary for government and QI organizations to give institutional support and resources for the sake of QI operation of medical centers, besides to supply systematic trainning and informations to the divisions and persons in charge of QI. Third, it is certain that disposition of persons in charge should be determined in view of the scale and the scope of QI operation in medical centers.

• 미생물학회지
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• 제41권3호
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• pp.216-224
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• 2005

혈장분획제제 중 혈액응공인자제제와 일부 면역글로불린제제는 혈장에 존재하는 다양한 단백질로부터 유효한 단백성분만을 선택적으로 분리 정제하기 위해 크로마토그래피 방법을 사용하여 생산된다. 효율적인 세척(cleaning) 공정이 이루어지지 않는다면 크로마토그래피는 다양한 종류의 불순물뿐만 아니라 혈액 중 내재 또는 오염 가능성이 있는 위해인자가 오염될 가능성이 있다. 본 연구에서는 혈장분획제제 제조공정에 사용되는 크로마토그래피의 세척 공정에서 혈장유래 바이러스의 제거 및 불활화 공정의 검토 강화로 혈장분획제제의 안전성을 확보하기 위해 크로마토그래피 세척 검증 시스템을 구축하고자 하였다. 크로마토그래피 세척 공정 중 바이러스 제거 검증을 위해 혈장유래 바이러스 중 물리${\cdot}$화학적 처리에 가장 큰 저항성을 갖는 human parvovirus B19의 모델 바이러스의 porcine parvovirus(PPV)를 대상으로 real-time PCR 정량법을 확립하였다. PPV에 특이적인 primer를 선별하였으며 형광염료 SYBR Green I을 사용하여 PPV DNA를 정량하였다. 세포배양법에 의한 감염 역가와 비교한 결과 PCR 민감도는 1.5 $TCID_{50}/ml$이었다. 확립된 검증법의 신뢰성(reliability)을 보증하기 위해 실험법의 특이성(specificity), 재현성(reproducibility) 등을 검증하였다. 구축된 검증시스템을 thrombin 분리${\cdot}$정제를 위한 SP-Sepharose 양이온 크로마토그래피 공정과 factor VIII 분리${\cdot}$정제를 위한 Q-Sepharose 음이온 크로마토그래피 공정에 적용하여 크로마토그래피 세척 검증을 실시하고, 세척 검증 시스템의 적합성을 확인하였다.

• 한국식품위생안전성학회지
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• 제13권3호
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• pp.278-293
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• 1998

본 연구는 학교급식에서 Cook/chill system으로 생산 가능한 음식으로 삼치구이를 선정하고 모의실험을 통해 급식생산체계를 반복 실시함으로서 식품 위해 분석 중요관리점(HACCP)을 규명하고, 저장기간중의 음식품질 평가를 통해 합리적인 저장기한을 설정하고자 수행되었으며, 그 연구결과는 다음과 같다. 심치 구이의 온도소요시간 측정 결과, 온도상승이 일어난 검수 단계를 제외하면 각 생산단계별 온도-소요 시간 기준이 준수된 양호한 상태 하에 삼치구이가 생산되었음을 알 수 있었다. 삼치구이의 생산단계별 미생물 분석 결과 , 중온성 표준평판 균수의 경우 원재료 ($2.58{\pm}0.12\;Log\;CFU/g$)에서 냉장보관($2.70{\pm}0.42\;Log\;CFU/g$)까지의 품질은 우수하였다. 양념장으로 재우는 과정($3.82{\pm}0.52\;Log\;CFU/g$)에서 반복 실험중 일차에서만 대장균군, 분변성 대장균군이 각각 0.84 Log MPN/g으로 검출되었다. $160^{\circ}C$, 10분의 습열 조리와 $180^{\circ}C$, 3분의 건열 조리를 통해 삼치구이 내부온도는 $76^{\circ}C$로 측정되었는데, 조리 직후 심치구이에서는 중온균 ($1.83{\pm}0.49\;Log\;CFU/g$)만 검출되었고 저온균, 대장균군, 분변성 대장균군은 검출되지 않았다. 급성 냉장과 저장 5일을 거치는 동안 중온균은 거의 검출되지 않았으며 나머지 분석대상 미생물도 검출되지 않았다. 재가열과 배분단계에서도 분석대상 미생물이 전혀 검출되지 않았다. 삼치구이 전 생산단계에 걸쳐 Salmonella 와 Listeria monocytogenes는 검출되지 않았다. 5일의 저장동안 분석된 삼치구이의 pH, 산가, 휘발성 염기질소(TVBN) 함량과 관능 평가 결과, 삼치구이의 저장기한은 4일 이내로 제안되었다. 규명된 CCPs는 삼치의 구입과 검수, 가열 조리, 냉각, 냉장, 재가열 및 배식 단계였다.

• 대한방사선치료학회지
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• 제27권2호
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• pp.123-129
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• 2015

목 적 : 본 연구에서는 원격 후 장전치료기를 이용한 근접치료 시, 선원 위치 부정확성의 기하학적 요인인 선원 전달도관의 늘어진 정도를 나타내는 곡률과, 각기 다른 기구의 형태가 선원 위치 재현성에 미치는 영향을 분석하고자 한다. 대상 및 방법 : HDR plus 3.0.5로 선원의 위치 간격 1 cm 씩 10 개의 지점으로 선원이 각 위치에 머무는 시간을 15 초로 하는 치료 계획을 수립하였다. 선원 전달도관(Universal applicator transfer tube)의 늘어짐이 선원의 위치 정확성에 미치는 영향을 파악하기 위하여 선원 전달도관을 MultiSource container에서 GAFCHROMIC$^{(R)}$ EBT3 film 까지 일직선으로 연결한 후, 이 위치부터 MultiSource container를 필름 방향으로 5 cm, 10 cm, 20 cm으로 이동하여 선원의 위치를 측정하였다. 또한 각기 다른 각도를 가진 기구(applicator) 4 종류($0^{\circ}$, $15^{\circ}$, $30^{\circ}$, $65^{\circ}$)에 대해서도 동일한 방법으로 실험을 하였다. 분석을 위해 Image J를 이용하여 선원의 위치 차이 값을 획득하였고 이를 비교 분석하였다. 결 과 : 선원 전달 도관의 형태가 곡률이 없는 일직선일 경우, 형태가 다른 기구의 선원 위치 평균 오차는 기구의 각도가 $0^{\circ}$, $15^{\circ}$, $30^{\circ}$, $65^{\circ}$일 때, 각각 0.90 mm, 0.96 mm, 1.66 mm, 1.83 mm로 나타났고, 선원 위치 오차범위 ${\pm}2mm$ 내에 있는 것으로 확인되었다. MultiSource container을 필름 방향으로 5 cm, 10 cm, 20 cm 이동하였을 때 기구 형태 별 선원 위치의 평균 오차는 증가하였고, 그 값은 ${\pm}2mm$를 초과하였다. 또한, 좌표값을 분석한 결과 4 종류의 기구 모두 치료계획 상의 선원 위치보다 윗부분으로 치우치는 방향성을 나타냈다. 결 론 : 선원 위치의 오차는 선원 전달도관의 곡률과 치료 시 사용되는 기구의 형태에 모두 영향을 받는 것으로 나타났다. 선원 전달도관과 기구 모두 직선의 형태를 갖추고 있을 때 선원 위치 오차가 가장 작았다. 본 연구를 바탕으로 근접치료 시, 선원 전달도관의 곡률 발생을 최소화하여 최대한 직선의 형태로 유지시켜야 할 것이며, 치료 시 사용되는 기구의 굴곡이나 폐암의 기관지 내 강내조사와 같이 곡률이 발생할 수밖에 없는 경우에는 선원 위치점검이 선행되어야 할 것으로 사료된다.