• Title/Summary/Keyword: 병원 감염 관리

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Development of PCR-base Diagnostic System for the Detection of Andean potato latent virus (Andean potato latent virus 검출을 위한 PCR 기반 진단시스템 개발)

  • Lee, Jin-Young;Kim, Jin-Ho;Kim, Eunsil;Lee, Siwon
    • Korean Journal of Agricultural Science
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    • v.42 no.2
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    • pp.105-109
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    • 2015
  • Andean potato latent virus (APLV) is a phytopathogenic virus that belongs to the Group IV (+) sense ssRNA viruses of the genus Tymovirus. It mainly infects potatoes and is specified as a controlled quarantine virus in Korea. In this study, two primer sets of RT-PCR and nested PCR [set 2 ($404{\rightarrow}259bp$) and set 23 ($501{\rightarrow}349bp$)], were selected, which can rapidly and accurately diagnose APLV in quarantine sites. In addition, a modified-positive control plasmid is development, can possible verification of laboratory contamination in diagnosis of APLV detection. The PCR-base system developed in this study is expected to diagnose APLV and contribute to the plant quarantine in Korea.

The Change of IgG Antibody Titer to Measles, Mumps and Rubella According to Age (국내 홍역, 유행성이하선염 및 풍진 백신 접종 후 연령에 따른 항체양성율 변화)

  • Pang, Sung Joon;Choi, Kyong Min
    • Pediatric Infection and Vaccine
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    • v.18 no.2
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    • pp.117-123
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    • 2011
  • Purpose : We investigated the change of antibody titer to measles, mumps and rubella according to age after vaccination. Methods : The IgG antibody titers to measles, mumps and rubella were tested on the residual serum from patients aged 7-20 years old after routine laboratory testing in the hospital with informed consent from the parents. Results : Antibody to measles was present in 275 cases out of 408 cases with a positive rate of 67.4%, the mean IgG titer was 2.77${\pm}$1.18 Index. Antibody to mumps was present in 112 cases out of 408 cases with a positive rate of 27.5%, the mean IgG titer was 2.08${\pm}$1.29 Index. Antibody to rubella was present in 367 cases out of 408 cases with a positive rate of 90.0%, the mean IgG titer was 60.46${\pm}$63.47 IU/mL. Conclusion : It is important to maintain a high rate of vaccination coverage in order to prevent an outbreak of measles, mumps, or rubella. It is also important to stress the maintenance of vaccination records for further reference.

Palliative Care Provided for Older Patients with Terminal Stage of Cardiopulmonary Disease Before and After Life-Sustaining Treatment Decisions (만성 심폐질환을 가진 말기 노인환자의 연명의료결정 전후 완화간호의 제공)

  • Choi, Jung-Ja;Kim, Su Hyun
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.45-53
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    • 2021
  • This study was a retrospective descriptive study to identify frequency and change of palliative care provided for older patients with terminal stage of cardiopulmonary disease before and after life-sustaining treatment (LST) decision making. As a result of chart review of 124 older patients in a university hospital, oral analgesics medication, cold and hot therapy for pain management, antibiotics medication and urine culture for urinary infection, oral care, hair wash, and partial bath were provided significantly less after LST decision making. Provision of praying and relaxation therapy for pain control, oral and nasal care, and emotional care were not changed before and after LST decision making. Spiritual care was the least provided care. Therefore, non-pharmacological pain management, emotional care, and spiritual care need to be improved for older patients with terminal cardiopulmonary disease at the end of life.

Health Risk Related to Waste Incineration (폐기물 소각시설에 의한 주민 건강 영향)

  • Choi, Young-Sook;Ochirpurev, Bolormaa;Chae, Hee-Yun;Eom, Sang-Yong;Kim, Yong-Dae;Kim, Heon
    • Journal of Environmental Health Sciences
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    • v.47 no.1
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    • pp.20-35
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    • 2021
  • Objectives: Waste treatment by incineration is gradually increasing as the emission of harmful substances has decreased owing to developments in incineration technology. However, residents living near incinerators continue to express anxiety regarding the effects on their health. Therefore, we attempted to summarize the health impact of incinerators by comprehensively reviewing the recently reported literature. Methods: Sixty-two epidemiological research papers related to incineration and health effects were selected from the Google Scholar database and analyzed (from between January 2001 and December 2019). Results: When compared to older incinerators, newer incinerators established after 2000 are considered relatively safe in terms of health effects. Nevertheless, there have been some studies that have linked them to various diseases, such as malignant tumors including soft tissue cancer and non-Hodgkin's lymphoma, reproductive disorders, respiratory diseases, and more. In addition, incinerator workers and local residents are considered to be exposed to dioxins and some heavy metals from the incinerator. Since most studies included subjects exposed to older incinerators, it is difficult to apply these results to the health impact assessment of new incinerators. However, it is not appropriate to conclude that new incinerators made with state-of-the-art technology are safe, as chronic environmental diseases caused by hazardous substances tend to appear only after prolonged exposure. Conclusions: In terms of environmental health, it is necessary to continuously monitor the health effects of incinerators. Also, there is a need to develop a research methodology that can minimize various confounders in incineration-related epidemiological study.

An exploratory study on the development plan of the medical tourism industry in the context of the COVID-19 pandemic (코로나 19팬데믹 상황에서 의료관광 산업의 발전 방안에 관한 탐색적 연구)

  • Yoon, Kyung Jae
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.4
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    • pp.577-582
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    • 2021
  • This study was conducted to find ways to restore the domestic medical tourism industry, which was seriously hit by a sharp drop in foreign patients after the COVID-19 Pandemic. Kendall's W verification was used by asking expert panel for keyword advice by ranking. The conclusion of the study is that institutions attracting foreign patients need an opportunity to turn the crisis situation into an opportunity by expanding treatment for severe foreign patients. In addition, it is possible to gain familiarity and trust in hospitals in situations where it is difficult to visit overseas through virtual and augmented reality, and to prevent the risk of infection and protect patients in the untact era. In addition, the blockchain can maintain patient information supplementation, share it safely, minimize customer inconvenience by using payment means using virtual currency, and finally, smart healthcare can manage and provide information to patients regardless of location.

Anthracnose of Strawberry: Etiological and Ecological Characteristics, and Management (딸기 탄저병: 병원·생태학적 특징 및 방제)

  • Myeong Hyeon Nam;Je Hyeok Yoo;Tugsang Yun;Hakhun Kim;Hong Gi Kim
    • Research in Plant Disease
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    • v.29 no.3
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    • pp.205-219
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    • 2023
  • Anthracnose caused by Colletotrichum spp. is a major disease of strawberry plants worldwide. The anthracnose of strawberries in Korea has occurred in most cultivated strawberry varieties since its first report in 1990. Although many studies and efforts have been made to control the disease, anthracnose continues to affect strawberry yields in Korea. In this review, we introduced various management methods to control anthracnose in strawberries, such as identifying pathogens and environmental factors involved in this disease, understanding the importance of latent infection, and developing diagnostic techniques and control methods. Through this review, we propose that researchers can elucidate a comprehensive and practical approach to control anthracnose by understanding this disease and developing strategies to prevent its spread, ultimately benefiting strawberry farmers.

Strategies for the Prevention of Dental Caries as a Non-Communicable Disease (비전염성 질환으로서 치아우식증에 대한 예방 전략)

  • Jae-Gon Kim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.2
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    • pp.131-141
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    • 2023
  • Dental caries is a multifactorial disease influenced by interactions between teeth, biofilm, dietary factors, and various biological, behavioral, sociocultural, and genetic factors. Recent research has shown that dental caries results from dysbiosis, an imbalance in the oral microbial community, shifting the concept from an infectious disease to a non-communicable disease (NCD). Dental caries shares similarities with other chronic NCDs such as cardiovascular diseases and diabetes, as they all relate to dietary intake, lifestyle habits, and environmental factors. Considering the high prevalence of dental caries and its impact on people's health and quality of life, it is important to understand dental caries as an NCD and develop effective oral health management strategies. Ecological prevention methods and efficient public health policies should be provided to reduce risk factors associated with dental caries.

Nursing Students' Exposure to Blood and Body Fluids in Clinical Practicum (일 대학 간호학생의 임상실습 중 혈액 및 체액 노출 정도)

  • Park, Jin-Hee;Chon, Hyung-Ku;Jeong, Seung-Hee;Hwang, Jeong-Hwan;Lee, Chang-Seop;Lee, Heung-Bum
    • Journal of East-West Nursing Research
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    • v.16 no.1
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    • pp.70-75
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    • 2010
  • Purpose: Nursing students face constant threats of blood-borne infections such as HIV, Hepatitis B, and Hepatitis C during their clinical rotation period. This study was done to determine the frequency and risk of the exposure to blood and body fluids. Methods: The data was collected using a questionnaire. Ninety eight junior & senior nursing students were participated in this study. Results: 75.6% of the participants reported more than once during practicum. The exposure occurred most frequently while checking the blood glucose (65.3%). The general ward (45.3%) was the most frequent site for the occurrence of the exposure. However, only eight cases (10.7%) were reported to the medical or nursing personnel in charge. Conclusions: This study shows nursing students are in a great risk of the exposure to blood & body fluid. The risk is highest in the general ward during checking the blood glucose. Thorough education on preventive measures, should be provided to nursing students prior to clinical practium.

Predictors on In-hospital Mortality Following In-hospital Diagnosis of Tuberculosis (결핵으로 입원한 환자의 병원내 사망과 관련된 인자)

  • Shin, Su Rin;Kim, Chang Hwan;Kim, Sung Eun;Park, Yong Bum;Lee, Jae Young;Mo, Eun Kyung;Kim, Cheol Hong;Eom, Kwang Seok;Jang, Seung Hun;Kim, Dong Gyu;Lee, Myung Gu;Jung, Ki Suck
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.3
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    • pp.233-238
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    • 2006
  • Study objectives: To determine the factors associated with mortality after an in-hospital diagnosis of tuberculosis in a region with low levels of HIV coinfection. Methods: From January 2003 to December 2004, all subjects who were > 15 years of age and had received a diagnosis of tuberculosis were registered. The clinical, radiological and laboratory aspects of the patients who died (n=27) were compared with those of an age and gender matched control population(n=54). Logistic regression analyses were carried out, which included age, gender, hospital admission source, initial site of admission, dyspnea, general weakness and initial laboratory data. Results: The mean age of the patients was $60{\pm}16$ years and male patients outnumbered female patients. Univariate analysis identified hemoglobin, blood urea nitrogen, albumin, cholesterol, aspartate aminotransferase (AST), C-reactive protein and the risk factors for tuberculosis to be significantly associated with mortality. Among the characteristics of disease presentation and treatment, emergency department admission, intensive care unit, disease severity, general weakness and dyspnea at the time of admission were associated with mortality. Multiple regression analysis revealed the initial management in the intensive care unit and lower serum albumin to be independently associated with mortality. Conclusion: The markers of disease chronicity and severity appear to be associated with in-hospital mortality. Identifying potentially reversible factors such as malnutrition and respiratory failure suggests specific intervention that might lead to an improvement in the patients' outcomes.

Effects of Cotton Balls of Alcohol and Povidone for Disinfectoin of Skin in Newborns (신생아에서 알코올 솜 및 포비돈 솜의 피부 소독효과 비교)

  • Park, Kyu Chang;Kim, Chang Ryul;Kim, Eun A;Oh, Jae Won;Yum, Myung Kul;Oh, Sung Hee;Moon, Soo Jee;Kang, Jung Oak
    • Pediatric Infection and Vaccine
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    • v.6 no.1
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    • pp.116-122
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    • 1999
  • Purpose : Despite of development of neonatal intensive care, infections, especially catheter-related infection, have been a major problem in newborns on intensive care. Catheter-related infection is closely related to skin colonization so that skin disinfection is crucial to protect newborns from the infection. Cotton balls of seventy percent alcohol made by hospital frequently open to air so that composition of alcohol may be easily evaporated. We hypothesized that 10% povidone would have better disinfection compared to 70% alcohol and normal saline. Methods : The effect of skin disinfection was evaluated in newborn infants who were admitted to the neonatal intensive care unit(NICU) of Hanyang University Kuri Hospital by a skin swab culture before and after disinfectant exposure. Before skin disinfective preparation, the peripheral intravenous catheter insertion sites were swabbed for culture with sterile cotton moistened with normal saline. Cotton balls of 70% alcohol(Alcohol group, n=20) or 10% povidone and 70% alcohol(povidone group, n=20) were randomly selected. Normal saline swabs were used for controls(n=10). After swabbing, the skin swab culture was done on same sites with same procedure. Results : Before skin disinfection, culture-positivity was shown in 9 of 20 leases of alcohol and povidone groups, respectively and in 8 of 10 cases of the controls. After skin disinfection, culture-positivity was still shown in 3 of 9 cases of the Alcohol group, in 2 of 9 of the Povidone group, and in 6 of 8 cases of the controls. Disinfective effect was significantly different among the 3 groups(p=0.0387). The povidone group had significantly better disinfection than the controls(p=0.0156), but the alcohol group was not significantly different from the controls. Conclusion : The cotton balls of povidone had similar effect of disinfection compared to those of alcohol, but better disinfection than the controls. A disinfective effect of the cotton balls of alcohol was not, however, significantly different from the controls. We suggest that purity of alcohol, quality control of cotton balls of alcohol, and disinfection method should be reevaluated.

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