• Title/Summary/Keyword: 감염병 대유행

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Turnover intention of nurses that were cohort quarantined during the Middle East Respiratory Syndrome(MERS) outbreak (메르스 대유행 시 코호트 격리된 병원 간호사의 이직의도)

  • Jung, Heeja;Choi, Aelee;Lee, Gunjeong;Kim, Jiyoung;Jeong, Sunyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.175-184
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    • 2017
  • This study was conducted to identify factors influencing turnover intention of nurses that were cohort quarantined during the Middle East Respiratory Syndrome(MERS) outbreak. Subjects of this study were 267 nurses from three hospitals that came in direct or indirect contact with diagnosed MERS and suspected MERS patients and were group quarantined during the 2015 MERS breakout. The data were collected from October 1, 2015 through November 30, 2015. The collected data were evaluated based on descriptive statistics, t-tests, ANOVA and multivariate regression conducted using the SPSS/WIN 21.0 program. The factors influencing turnover intention were work experience and usual stress levels. While nurses tending to MERS patients had the highest stress levels (p<.001), different types of patient care during the MERS outbreak did not yield to a statistically significant turnover intention. Theresults of this study indicate that work experience and usual stress levels impact turnover intention of nurses and because the stress resulting from the MERS outbreak did not significantly affect the turnover intention, further human resource management is required to reduce the usual stress levels of nurses.

The Effect of COVID-19 Perceived Risk on Railway Customer Experience (COVID-19 위험지각이 철도서비스 고객경험에 미치는영향)

  • Kim, Jiyoung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.369-375
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    • 2022
  • Due to the so-called COVID-19 pandemic, railway service management has also faced an unprecedented situation over the past. This study conducted a survey of customers using high-speed railways during the COVID-19 pandemic to explore the impact of infectious diseases on the railway service customer experience. As a result, customer satisfaction and loyalty increase as customers are more aware of the quarantine-related services provided by railway operators. The moderating role of customer's COVID-19 risk perception was examined as well because there are individual differences in the level of thinking dangerously about Covid-19. As a result, the perceived level of the service's quarantine-related services has a significant impact on customer satisfaction when the customer's risk perception of Covid-19 is at an appropriate level, but its impact is relatively weak when the customer's risk perception is significantly high. Eventually, only the complete extinction of COVID-19 risk will bring a complete recovery to the service industry. Nevertheless, during the epidemic period, it was confirmed that the main service characteristics are that the service operator thoroughly conducts quarantine activities and faithfully communicates with customers.

Factors Influence the Preventive Behavior Intent against Emerging Infectious Diseases of University Students: Focusing on the Health Belief Model (대학생들의 신종감염병 예방행동의도에 영향을 미친 요인: 건강신념 모형을 중심으로)

  • Hye-Jin Lee
    • Journal of the Health Care and Life Science
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    • v.10 no.2
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    • pp.201-209
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    • 2022
  • The purpose of this study was to grasp the degree of preventive behavior of new infectious diseases in university students and to seek a practical plan for preventive behavior. Methods: The subjects of the study analyzed the factors that influenced the degree of preventive behavior of new infectious diseases in university students enrolled in the university of D city material by applying the factors of the health belief model. Results: Research Results First, Severity factors and preventive behavior intent are associated(β.164). Second, no association between the susceptibility factor and the prevent behavior intent. Third, Self-efficacy factors affected preventive behavior intent the most(β.640). Conclusions: The recommendations of the research results are as follows. In the future, institutional supplements and measures to foster the correct awareness level for new infectious diseases and raise the understanding of public health in a state where the possibility of developing new infectious diseases is high, first, regular survey and analysis, secondly, School health education, thirdly, concrete and practicable measures for one's own health management dimension should be introduced preemptively.

Hospital Avoidance and Associated Factors During the COVID-19 Pandemic (COVID-19 대유행 동안의 병원 회피 현상 및 연관 요인)

  • Jong-Wook Jeon;Se Joo Kim;Su-Young Lee;Jhin Goo Chang;Chan-Hyung Kim
    • Anxiety and mood
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    • v.19 no.2
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    • pp.77-82
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    • 2023
  • Objective : During the coronavirus disease 2019 (COVID-19) pandemic, hospital avoidance had a significant impact on public health. We investigated the factors associated with hospital avoidance and explored practical strategies hospitals could employ to address this phenomenon. Methods : We conducted a patient experience survey in a general hospital in Korea during the COVID-19 pandemic. Between July 6, 2020, and July 20, 2020, a total of 842 patients who had previously visited hospitals before the COVID-19 outbreak participated. Self-reported hospital avoidance, factors associated with hospital avoidance, and satisfaction with the hospital's infection control policies were the main outcomes. Binary logistic regression analysis was used to identify associated factors. Results : Data indicated that 29.9% (n=252) of the respondents avoided visiting the hospital after the COVID-19 outbreak. Satisfaction with the hospital infection control policy (odds ratio [OR]=2.297, p<0.001), female sex (OR=1.619, p<0.05), and higher educational level (OR=1.884, p<0.001) were associated with hospital avoidance. The "entrance body temperature check" was the most satisfactory policy among the hospital's infection control policies. Conclusion : To manage hospital avoidance during an infectious disease crisis, targeted policies for at-risk groups and hospital policies to reassure and satisfy patients are needed.

Statistical analysis of estimating incubation period distribution and case fatality rate of COVID-19 (COVID-19 바이러스 잠복 시간 분포 추정과 치사율 추정을 위한 생존 분석의 적용)

  • Ki, Han Jeong;Kim, Jieun;Kim, Sohee;Park, Juwon;Lee, Joohaeng;Kim, Yang-Jin
    • The Korean Journal of Applied Statistics
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    • v.33 no.6
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    • pp.777-789
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    • 2020
  • COVID-19 has been rapidly spread world wide since late December 2019. In this paper, our interest is to estimate distribution of incubation time defined as period between infection of virus and the onset. Due to the limit of accessibility and asymptomatic feature of COVID-19 virus, the exact infection and onset time are not always observable. For estimation of incubation time, interval censoring technique is implemented. Furthermore, a competing risk model is applied to estimate the case fatality and cure fraction. Based on the result, the mean incubation time is about 5.4 days and the fatality rate is higher for older and male patient and the cure rate is higher at younger,female and asymptomatic patient.

Verfassungsrechtliche Rechtfertigung f$\ddot{u}$r Die Kriterien bei Verteilung Knapper Medizinischer G$\ddot{u}$ter in Pandemie (감염병의 대유행에 있어서 의약품 부족 시 의약품 제공기준에 관한 헌법적 정당성)

  • Jeong, Mun-Sik
    • The Korean Society of Law and Medicine
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    • v.13 no.1
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    • pp.155-197
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    • 2012
  • Nach der sog. Neue Influenza(Schweinegrippe)-Pandemie wird die Verh$\ddot{u}$tung und Bek$\ddot{a}$mpfung von Infektionskrankheiten eine essentielle Aufgabe f$\ddot{u}$r das Gemeinwesen und stellt eine komplexe Herausforderung f$\ddot{u}$r die Rechtsordnung dar. Die n$\ddot{a}$chste Pandemie ist nicht mehr eine Frage der Ob, sondern lediglich der Zeit. Zwar ist der jetzige Influenza-Pandemie Plan und der koreanische Infektionsschutzgesetz (ISchG) nicht verfassungswidrig, weil mit ihnen die Untergrenzen des Gestaltungspielraums von Gesetzgeber nicht unterschreitet und damit die grundrechtliche Schutzpflicht von Staat nicht verletzt ist. Jedoch ist aber gesetzlicher Erg$\ddot{a}$nzung bed$\ddot{u}$rftig, denn es gibt keine konkrete Regelungen, die in einer Verknappungssituation von medizinischen G$\ddot{u}$tern bei Pandemien anwendbar sind. W$\ddot{u}$rde die Knappheit von Impfstoff nicht vermeiden, dann d$\ddot{u}$rfte dar$\ddot{u}$ber entschieden werden, wem die Ressourcen in der Verwendungskonkurrenzen bevorzugt zugeteilt werden sollen. In Knappheitssituationen ist zuerst die Frage der Verteilung medizinischer G$\ddot{u}$tern von so wesentlicher Bedeutung, dass sie von Verfassungs wegen durch das Parlament zu regeln ist. Zweitens kann die Verteilung knapper medizinischer Ressourcen auf Maximierung der Uberlebendenzahl als Menschenw$\ddot{u}$rdegrundsatz und Lebensschutzpflichten vom Staat gerichtet sein. Drittens d$\ddot{u}$rfen die in Art.11 KVerf genannte Kriteien, wie Geschlecht oder Religion, weil sie als Ungleichbehandlungskriterium im koreanischen Verfassungstext verboten sind, nicht zur Verteilung und Zuteilung herangezogen werden. Nicht zuletzt darf und muss der Gesetzgeber dar$\ddot{u}$ber regeln, wer in welchem Verfahren behandelt bzw. gesch$\ddot{u}$tzt werden soll.

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A Study on the Librarians' Perception of Public Library about the Response to the COVID-19 (코로나19 대응조치에 관한 공공도서관 사서인식 조사연구)

  • Noh, Younghee;Chang, Rosa
    • Journal of the Korean Society for information Management
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    • v.37 no.3
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    • pp.203-220
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    • 2020
  • With the COVID-19 pandemic being prolonged, the society is being converted into an untact society, thereby affecting the service methodology of domestic and foreign library systems. This study thus surveyed the librarians' awareness of COVID-19 response measures of public libraries, and proposed public libraries' response measures in situations where the novel infectious disease is spreading and prolonging. Specifically, the proposed measures include, first, preparing national-centered library countermeasures to jointly respond to the epidemic disease, second, strengthening various untact and online services of various public libraries through government-level budget support, third, a thorough prevention of epidemics and preemptive response from the viewpoint of employees and users, and fourth, the expansion of library services aimed at resolving the digital cultural divide among classes of people, including information unfairness.

The Study of Effectiveness of MERS on the Law and Remaining Task (국내 메르스(MERS) 사태가 남긴 과제와 법률에 미친 영향에 대한 소고(小考))

  • Yoon, Jong Tae
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.263-291
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    • 2015
  • In May, 2015, a 68 years old man, who has been Middle East Saudi Arabia and the United Arab Emirates, had high fever, muscle aches, cough and shortness of breath. he went two local hospital near his house and the S Medical Center emergency center. He was diagnosed MERS(Middle East respiratory syndrome) and the diseases had put South Korea the fear of epidemics for three months. Especially, this disease has firstly reported in Middle East Asia in September 2012 and spreaded to twenty-six countries. In 21, July, 2015, European Center for disease prevention and control reported 533 people were died and in South Korea, 186 people were infected, 36 people were died and 16,693 people were isolated from MERS. South Korea government were faced into epidemic control and blamed from public. Especially, hospital acquired infection, disease control chain, opening of information, ventilation, lack of isolation bed, the problem of function of local health center, the issue of reparation for hospital and insurance cover rate, the classification of disease, the role of Korea Centers for disease control and prevention, the culture of visiting hospital to see sick people, the issue of hospital multiple room and other related social support policy. it is time to study and discuss to solve these problems. South Korea citizens felt fear and fright from MERS. What is wore, they thought the dieses were out of their government control. It was unusual case for word except Middle East Asia. numerous tourists canceled visiting korea. South korea economic were severly damaged especially, tourism industry. South korea government should admit that they had failed initial action against MERS and take full reasonability from any damages. The government have to open information to public in terms of epidemic diseases and try to prevent any other epidemic diseases and try to work with local governments.

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The Current Pathobiology and Chemotherapy of Clonorchiasis (간흡충증과 최신화학요법)

  • 임한종
    • Parasites, Hosts and Diseases
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    • v.24 no.1
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    • pp.3-141
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    • 1986
  • 간흡충은 우리나라를 비롯하여 중국, 대만, 일본 및 월남등지에 널리 분포되어 있으며 1947년에 Stoll씨의 통계에 의하면 세계적으로 1,900만명이 넘는 감염자가 있다고 하였다. 현재 우리나라에서만 약 200만명의 간흡충 감염자가 있을 것으로 추산되고 있다. 간흡충은 McConnell이 1874년에 인도의 Calcutta에서 한 중국인의 간담도에서 본충을 처음 발견한 것이다. 이것을 Cobbold(1875)가 Distoma sinense라고 명명하였다가 후에 Looss (1907)가 Clonorchis sinensis라고 하였다. Kobayashi (1910)는 담수어가 간흡충감염의 중간숙주로 작용한다는 것을 처음으로 발견하였고 Muto (1918)에 의하여 왜우렁이가 제1중간숙주임을 발견함으로서 간흉충의 생활사가 확실해 졌다. Faust 및 Khaw (1927)에 의하여 중국에서 간흡충의 생물학 및 역학에 관한 광범한 연구업적이 발표된 이래 일본, 한국, 중국등 여러곳에서 많은 사람들에 의하여 연구되어 왔다. 그러나 적절한 치료방법이 없었고 또 민물고기를 생식하는 식습관과 위생시설의 미비등 여러가지 요인때문에 예방이 어려움에 직면하였다. 최근 다행히 새로이 개 발된 praziquantel이 간흡충중에 대하여 우수한 치료효과를 나타내고 집단치료에도 적합하다는 것이 증명됨으로서 간흡충증 예방과 관리에 큰 서광이 보이게 되었다. 따라서 간흉충증의 발생과 임상적 병증의 중요성을 좀 더 이해하기 위하여 간흡충체의 미세구조, 병인, 역학, 임상증상등 최근 알려진 새로운 지견과 우리나라에 있어서 간흡충증의 분포 및 유행지 형성 상황을 수학적으로 역학적 분석을 시도하였다. 그리고 과거 간흡충중의 화학치료에 관한 연구성적을 종합하여 화학요법제의 특성 빚 치료 적용여부에 대하여 논하였고 각약제의 시험관내 및 실험동물에 있어서의 살충효과와 임상시험에 있어서의 치료효과 및 부작용에 대하여 기술하였다. 그리고 새로 개발된 praziquantel의 간흡충에 대한 작용기전에 대하여도 논하였다. (중략)

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Stress and Self-Management Efficacy of COVID-19 among Community-Dwelling Elderly (재가노인의 COVID-19에 대한 스트레스와 자기관리 효능감)

  • Hong, Insook;Cho, Ok-Hee
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.383-392
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    • 2021
  • This study attempted to provide basic data to develop a nursing intervention for managing communicable diseases in the elderly by identifying the relationship between COVID-19 stress and self-management efficacy perceived by elderly individuals. Data were collected from 133 participants using a structured questionnaire on general characteristics, COVID-19 stress, and self-management efficacy. Data analysis included a t-test, ANOVA, and Pearson's correlation coefficients. The results revealed that COVID-19 stress differed according to occupation, educational attainment, economic status, and subjective health status, while self-management efficacy differed according to subjective health status. COVID-19 stress correlated positively with self-management efficacy, and there was a positive correlation in the prevention and home-management areas, among the lower areas. Therefore, appropriate COVID-19 stress among elderly individuals can act as a factor to increase the efficacy of prevention and home-management. As the pandemic continues, repeated studies should expand the range of participants and changes by period.