• 제목/요약/키워드: Isolation Unit

검색결과 230건 처리시간 0.025초

일지역 신경외과 중환자실내의 통행량에 따른 낙하균 분석 (A Study of Airborne Microbes in the NSICU According to Number of Persons Who Pass through Every Hour)

  • 박형숙;강인순;김진화;어현주
    • 기본간호학회지
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    • 제11권1호
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    • pp.41-48
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    • 2004
  • Purpose: The purpose of this study was to analyze the colony count of airborne microbes contamination every hour in the Neurosurgical Intensive Care Unit (NSICU) in order to identify the relationship of colony count to person-visits. Method: Data were collected during from 11:00 a.m. September 5 to 11:00 a.m. September 6, 2002. This study used blood agar & nutrient agar and handtally counter (USA) for collection of airborne microbes and number of person-visits. Data was analyzed using the SPSSWIN 10.0 with means, Pearson correlation coefficient, and simple regression. Result: The result of this study are as follows. Total colony count of airborne microbes for 24 hours in the NSICU was 4,609. Total number of person-visits to the NSICU was 15,347. The highest scores fur the total colony count in different areas of the NSICU was the rear door, followed by the preparation room, and the front entrance, while the lowest count was in the isolation rooms. There was a statistically significant relationship between colony count and number of person-visits to the NSICU. The most frequently airborne microbes in the NSICU were Micrococcus, CNS, Staphylococcus Micrococcus, Aureus. Conclusion: These findings indicate that the number of person-visits in hospitals influences total colony count of airborne microbes. This study contributes to assessment of biological indoor air quality in hospital and in the development of an NSICU care plan.

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Molecular characterization of Malaysian fowl adenovirus (FAdV) serotype 8b species E and pathogenicity of the virus in specific-pathogen-free chicken

  • Sabarudin, Nur Syazana;Tan, Sheau Wei;Phang, Yuen Fun;Omar, Abdul Rahman
    • Journal of Veterinary Science
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    • 제22권4호
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    • pp.42.1-42.16
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    • 2021
  • Background: Inclusion body hepatitis (IBH) is an economically important viral disease primarily affecting broiler and breeder chickens. All 12 serotypes of fowl adenovirus (FAdV) can cause IBH. Objectives: To characterize FAdV isolates based on phylogenetic analysis, and to study the pathogenicity of FAdV-8b in specific-pathogen-free (SPF) chickens following virus inoculation via oral and intramuscular (IM) routes. Methods: Suspected organ samples were subjected to virus isolation and polymerase chain reaction (PCR) for FAdV detection. Hexon gene sequencing and phylogenetic analysis were performed on FAdV-positive samples for serotype identification. One FAdV-8b isolate, UPM/FAdV/420/2017, was selected for fiber gene characterization and pathogenicity study and was inoculated in SPF chickens via oral and IM routes. Results: The hexon gene phylogenetic analysis revealed that all isolates belonged to FAdV-8b. The fiber gene-based phylogenetic analysis of isolate UPM/FAdV/420/2017 supported the grouping of that isolate into FAdV species E. Pathogenicity study revealed that, chickens infected with UPM/FAdV/420/2017 via the IM route had higher clinical score values, higher percent mortality, higher degree of the liver lesions, higher antibody response (p < 0.05), and higher virus shedding amounts (p < 0.05) than those infected via the oral route. The highest virus copy numbers were detected in liver and gizzard. Conclusions: FAdV-8b is the dominant FAdV serotype in Malaysia, and pathogenicity study of the FAdV-8b isolate UPM/FAdV/420/2017 indicated its ability to induce IBH in young SPF chickens when infected via oral or IM routes.

Identification of Green Alga Chlorella vulgaris Isolated from Freshwater and Improvement Biodiesel Productivity via UV Irradiation

  • Gomaa, Mohamed A.;Refaat, Mohamed H.;Salim, Tamer M.;El-Sayed, Abo El-Khair B.;Bekhit, Makhlouf M.
    • 한국미생물·생명공학회지
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    • 제47권3호
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    • pp.381-389
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    • 2019
  • Chlorella vulgaris was isolated from the Nile River, Qalubia Governorate, Egypt, for possible use in biodiesel production. BG-II nutrient growth media was used for isolation and laboratory growth. Identification was performed via 18S rRNA gene amplification, followed by sequencing. The alga was exposed to UV-C (254 nm) for 15, 30, and 45 s to improve dry weight accumulation and to increase the oil production. Daily measurements of dry weight ($g{\cdot}l^{-1}$) were performed; oil content and volumetric lipid productivity were also determined. UV-C exposure led to an increase in the volumetric lipid productivity by 27, 27.3, and $32.4mg{\cdot}l^{-1}{\cdot}d^{-1}$ with 15, 30, and 45 s, respectively, as compared with the control, which resulted in $18mg{\cdot}l^{-1}{\cdot}d^{-1}$. Of the examined mutants, the one with the highest productivity was re-irradiated by UV-C (254 nm) for 15, 30, 45, and 60 s. For 15 s of exposure time, the oil content increased to 34%, while it was 31% at 30 s; further, it decreased to 22% at 45 and 60 s exposures. The fatty acid methyl ester profile was 82.22% in the first mutant at 45 s, compared with the wild strain that contained a total of 66.01% of FAs. Furthermore, the highest levels of polyunsaturated fatty acid methyl ester were observed in the mutant exposed for 45 s, and it reached 11.41%, which reduced the cetane number to 71.3.

지역거점 공공병원의 인공신장부 공간구성에 관한 연구(1) (A Study on the Space Composition for Department of Kidney Dialysis in Regional Public Hospital(1))

  • 채철균;박경현
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제28권2호
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    • pp.31-38
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    • 2022
  • Purpose: This study presents the results of the analysis on space utilization of kidney dialysis units in regional public hospitals, which plays a key role in local public medical services. The result aims to achieve safety from infection, allow comfort for the dialysis environment, and stability for medical support. The purpose of this study is to present fundamental data for architectural plans for the kidney dialysis unit, as well as to alleviate potential infectious diseases such as COVID-19. Methods: For research purposes, the investigation and analysis of space utilization were based on architectural floor plans, research papers and literature, related legal systems, and public statistics. Of the main 35 regional public hospitals, in regards to data accessibility, 15 facilities were selected to conduct the survey and analysis for the objective. Results: The space composition by area research results of kidney dialysis units in public hospitals are as follows: Firstly, most targets do not have required rooms in the access and support area, except for the hemodialysis beds in the treatment section. Secondly, the access area requires necessary room and space design that took into consideration of convenience and accessibility for patients. Thirdly, in regards to infection prevention and control, proper circulation and room plan is essential for storage and disposal of contaminated products and linen after use. For the treatment area, the arrangement plan needs to establish a visual connection between the isolation room, the nursing station, and the bed area. Additionally, consideration of circulation in the preparation, treatment, observation, examination, and all other rooms in the facility is required. Lastly, for the support area, the room is designed to consider adequate working and meeting spaces for the medical staff, consultation space for patients or guardians, separate storage and disposal of clean and contaminated items, and the storage of various equipment for dialysis. Implications: In preparation for the increase in chronic kidney failure patients and the spread of infectious diseases, such as COVID-19, the researched data demonstrates the basic guidelines for space composition of kidney dialysis units and the significant role of regional public hospitals.

포스트 코로나 시대 신종 감염병 대비를 위한 기존 의료시설의 비상시 운영사례 조사 및 분석 (Investigations on the emergency operation status of existing medical facilities to prepare for emerging infectious diseases in the post-COVID-19 era)

  • 이세진;이원석;김은석;여명석
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제29권1호
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    • pp.43-51
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    • 2023
  • Purpose: To accommodate the increasing number of patients during the COVID-19 pandemic, numerous portable HEPA filter units (PHUs) were installed in the general wards of existing medical facilities(EMFs) to convert them into emergency conversion facilities (ECFs). The purpose of this study was to build a dataset in preparation for emerging infectious diseases in the post-COVID-19 era by analyzing the construction and operation of ECFs. Methods: Field investigations were conducted during ECF operation periods based on the analysis of heating, ventilation, and air conditioning (HAVC) system design documents for six ECFs across Korea. Interviews were conducted with facility managers during the field investigations. Results: When constructing an ECF within an EMF, the installation status and characteristics of the existing system should be considered. Field investigations and verifications of the operation of HAVC systems must be conducted beforehand for smooth ECF operations. If heating and cooling are required with indoor air circulation type equipment in an ECF zone, the implementation of a heating and cooling method that can satisfy the comfort requirements of the occupants while minimizing cross-contamination is essential. When using PHUs that do not meet the performance standards required by medical equipment, the noise level resulting from such equipment operation must be evaluated and improved. Implications: For EMFs, various guidelines that can be referred to for the construction and operation of ECFs must be developed to prepare for emerging infectious diseases in the future.

A NEW BIOPOLYMER FOR REFRESHMENT

  • Bozou, J.C.;Gautry, L.;Pianelli, G.
    • 대한화장품학회:학술대회논문집
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    • 대한화장품학회 2003년도 IFSCC Conference Proceeding Book I
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    • pp.480-490
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    • 2003
  • An innovative biopolymer known as the Rhizobian gum has been developed in France, which shows some dramatic refreshing effect on the skin. The origin of this innovative project takes its source in the natural environment, and in particular the natural environment of the roots of sunflowers and wheat, where a symbiotic bacterium has been discovered. It is a Rhizobium bacterium, which is hosted by the roots, and which is able to synthesize a specific polymer showing a dramatic water binding capacity. This polymer is in particular synthesized in period of drought, and its biological role is to concentrate the small amount water present in the soil in order to take it available for the root, which becomes then able to absorb it. This vital mechanism allows the plant to survive despite a severe climatic environment. This basic research has been conducted in collaboration whit the French National centre of scientific Research (CNRS), and has lead to the isolation of the Rhizobium bacteria. Rhizobian gum is a branched biopolymer consisting in the repetition of a polysaccharide unit of 3 molecules of glucose, 3 molecules of galactose and 1 molecule of glucuronic acid, whit one pyruvate group an average 1.6 acetyl groups. The fresh effect of Rhizobian gum is a strong sensorial impact that 100 % of the consumers are able to perceive, and which is judged very pleasant by most of them. In addition to this, a large majority of consumers are perceived, and which is judge very pleasant by most of them. In addition to this, a large majority of consumers also feel a very pleasant relaxing sensation. Smoothness and softness are also felt by most consumers and qualified positively by most of them. These qualities guarantee a strong impact on today's consumers.

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A NEW BIOPOLYMER FOR REFRESHMENT

  • Bozou, J.C.;Gautry, L.;Pianelli, G.
    • 대한화장품학회:학술대회논문집
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    • 대한화장품학회 2003년도 IFSCC Conference Proceeding Book I
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    • pp.50-60
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    • 2003
  • An innovative biopolymer known as the Rhizobian gum has been developed in France, which shows some dramatic refreshing effect on the skin. The origin of this innovative project takes its source in the natural environment, and in particular the natural environment of the roots of sunflowers and wheat, where a symbiotic bacterium has been discovered. It is a Rhizobium bacterium, which is hosted by the roots, and which is able to synthesize a specific polymer showing a dramatic water binding capacity. This polymer is in particular synthesized in period of drought, and its biological role is to concentrate the small amount water present in the soil in order to take it available for the root, which becomes then able to absorb it. This vital mechanism allows the plant to survive despite a severe climatic environment. This basic research has been conducted in collaboration whit the French National centre of scientific Research (CNRS), and has lead to the isolation of the Rhizobium bacteria. Rhizobian gum is a branched biopolymer consisting in the repetition of a polysaccharide unit of 3 molecules of glucose, 3 molecules of galactose and 1 molecule of glucuronic acid, whit one pyruvate group an average 1.6 acetyl groups. The fresh effect of Rhizobian gum is a strong sensorial impact that 100 % of the consumers are able to perceive, and which is judged very pleasant by most of them. In addition to this, a large majority of consumers are perceived, and which is judge very pleasant by most of them. In addition to this, a large majority of consumers also feel a very pleasant relaxing sensation. Smoothness and softness are also felt by most consumers and qualified positively by most of them. These qualities guarantee a strong impact on today's consumers.

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지향성을 가지고 동작하는 위성 안테나 진동저감 장치 (Vibration Reduction Device for Directional Moving Satellite Antenna)

  • 최석원;용상순
    • 우주기술과 응용
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    • 제2권3호
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    • pp.187-194
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    • 2022
  • 안테나의 고속 정밀 지향성 확보를 위해 동작되는 모터의 구동에 의한 외란의 크기는 극히 미소함에도 불구하고, 정밀 지향 성능이 요구되는 관측 위성의 영상 품질을 저해하는 주요 원인으로 작용하게 된다. 고해상도 관측위성의 지향 성능 향상을 통한 고해상도 영상정보 획득을 위해서는 지향성 안테나의 모터 구동시 발생하는 미소진동(Jitter)이 주요 임무 장비에 전달되지 않도록 적절한 진동절연 및 저감 설계가 요구된다. 본 논문에서는 실제 위성에 적용된 지향성 안테나 진동저감 장치에 대해 개발과정과 적용 전후의 미소 진동 저감 효과에 대해 살펴보고자 한다. 이 장치는 별다른 인터페이스 추가 장비 없이, 지향성 안테나 구동부 내에 있는 기어 하나만을 스프링 댐퍼 기어 형태로 교체함으로서, 발생되는 지터문제를 획기적으로 개선할 수 있는 방법으로 고안되었으며, 이 방식은 2015년에 발사된 서브미터급 고해상도 지구관측 위성에 처음으로 적용되어 발사되었으며, 현재까지 성공적으로 운용 중에 있다.

The Impact of COVID-19 on Healthcare Services in Bangladesh: A Qualitative Study on Healthcare Providers' Perspectives

  • Sharmin Parveen;Md. Shahriar Mahbub;Nasreen Nahar;K. A. M. Morshed;Nourin Rahman;Ezzat Tanzila Evana;Nazia Islam;Abu Said Md. Juel Miah
    • Journal of Preventive Medicine and Public Health
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    • 제57권4호
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    • pp.356-369
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    • 2024
  • Objectives: The objective of this study was to explore healthcare providers' experiences in managing the coronavirus disease 2019 (COVID-19) pandemic and its impact on healthcare services. Methods: A qualitative study was conducted with 34 healthcare professionals across 15 districts in Bangladesh. Among the participants, 24 were health managers or administrators stationed at the district or upazila (sub-district) level, and 10 were clinicians providing care to patients with COVID-19. The telephone interviews were conducted in Bangla, audio-recorded, transcribed, and then translated into English. Data were analyzed thematically. Results: Most interviewees identified a range of issues within the health system. These included unpreparedness, challenges in segregating COVID-19 patients, maintaining isolation and home quarantine, a scarcity of intensive care unit beds, and ensuring continuity of service for non-COVID-19 patients. The limited availability of personal protective equipment, a shortage of human resources, and logistical challenges, such as obtaining COVID-19 tests, were frequently cited as barriers to managing the pandemic. Additionally, changes in the behavior of health service seekers, particularly increased aggression, were reported. The primary motivating factor for healthcare providers was the willingness to continue providing health services, rather than financial incentives. Conclusions: The COVID-19 pandemic presented a unique set of challenges for health systems, while also providing valuable lessons in managing a public health crisis. To effectively address future health crises, it is crucial to resolve a myriad of issues within the health system, including the inequitable distribution of human resources and logistical challenges.

단일 기관에서 소아 환자들의 임상검체로부터 분리된 Vancomycin 내성 장구균에 대한 임상적 고찰 (Clinical implications on vancomycin-resistant enterococci isolated from the specimen of pediatric patients in a university hospital)

  • 박여훈;김기주;김기환;전진경;이택진;김동수;박은숙
    • Pediatric Infection and Vaccine
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    • 제14권2호
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    • pp.162-170
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    • 2007
  • 목 적 : Vancomycin 내성 장구균(이하 VRE)은 1980년대 후반 처음으로 보고된 이후 전세계적으로 그 빈도가 증가하고 있으나 소아 환자에 대한 체계적인 연구는 미흡한 실정이다. 이에 저자 등은 소아 환자의 VRE 감염 빈도 및 임상 검체에서 분리된 VRE 균주의 임상 양상과 VRE 감염의 위험인자 및 경과에 대해 조사하여 VRE 감염에 대한 적절한 대처 방안을 모색하고자 본 연구를 시행하였다. 방 법 : 2001년 1월부터 2006년 12월까지 연세의료원 세브란스병원에 입원한 15세 이하의 소아 환자에서 분리된 VRE 230주를 대상으로 후향적으로 자료를 분석하였다. 대상 환아는 ICU 환자군과 Non-ICU 환자군으로 분류하여 두 군간에 있어 VRE가 분리되기 전 처치형태 및 분리된 균주의 항균제 감수성을 조사하였다. 결 과 : ICU 환자군 및 수술이나 중재적 시술을 받았던 경우, 3세대 cephalosporin이나 glycopeptide등의 광범위 항생제를 투여했던 경우에서 VRE 분리 빈도가 높았으며 대부분의 경우 E. faecium이 분리되었다. 항균제 감수성 검사에서는 tetracycline을 제외한 항생제에 높은 내성을 지니고 있었으며 분리 전 3세대 cephalosporin의 투여 비율이 가장 높았다. 3세대 cephalosporin의 투여 비율은 계속 증가하는 추세이나 2006년에 들어서는 glycopeptide의 사용이 감소하였으며, 2006년에는 VRE가 분리된 환아 수가 감소하였으나 1998년부터 보았을 때 전체적으로는 증가 추세를 보였다. 결 론 : 소아의 경우에서도 VRE는 증가하고 있는 추세로 VRE 감염의 전파를 방지하기 위해서는 위험인자를 가진 환자군에 대한 적극적인 감시와 항균제 사용 제한이 필요하며 이미 분리된 환자에 있어서도 신중한 항생제 선택과 함께 지속적이고 적극적인 감염 관리가 중요할 것으로 사료된다.

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