• Composites Research
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• v.30 no.1
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• pp.21-25
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• 2017

The aim of this study is to fabricate composite bone plates consisted of unidirectional biodegradable glass fibers (BGF) and polylactic acid (PLA) and evaluate the performance of the composite bone plates according to the temperature ($50.0^{\circ}C$) of PBS (Phosphate Buffer Saline) solution and exposure time (0~3 weeks). Mechanical characteristics, such as bending stiffness, flexural strength, water uptake and mass loss, were investigated and the results showed that mechanical properties of the plates decreased as soaking duration increased due to loss of composite material.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.13 no.3
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• pp.368-375
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• 2006

Purpose: The purpose of this study was to investigate the risk factors of exposure to blood and body fluid by clinical nurses. Method: The participants in this descriptive study were 276 clinical nurses involved in nursing care in a general hospital located in Seoul. The collected data were analyzed using a logistic regression model. Results: The annual exposure rate to blood and body fluid by clinical nurses was 66.3%, and the ratio was higher in the exposed group than in the non-exposed group for nurses under the age of 25, nurses who were unmarried, nurses with low clinical experience, and nurses who work night shifts more than six days a week. Clinical nurses who were unmarried were 1.9 times more likely to have been exposed compared to married nurses. Nurses whose work experience was less than 18 months were 2.7 times more at risk than nurses with more than 18 months of experience. Also, nurses whose fatigue scores were high had an increased chance of exposure (1.9 times). Conclusion: It is necessary to provide intensive training programs for clinical nurses who are in the early months of their career and are likely to be young and unmarried, in order to prevent exposure to blood and body fluid. Administrative supports to self-control and hospital ward operation measures to relieve nurses' fatigue should be provided.

• The Journal of the Korea Contents Association
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• v.15 no.4
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• pp.316-329
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• 2015

The purpose of this study was to investigate the actual situation of nursing students' exposure to blood and body fluids, and their knowledge, awareness and performance of standard precautions in an attempt to offer basic data for education of nursing students concerning infection control. The participants of this study were 309 juniors and seniors enrolled in the nursing colleges in J province. Of the participants, 71.5% turned out to have experienced exposure to the blood and body fluids of patients. The mean score of the knowledge about standard precautions was $20.59{\pm}2.05$, whereas grade, infection control education were statistically significant. The average awareness of standard precautions scored $4.67{\pm}.36$, and age, no follow-up measures were statistically significant. The mean sore for the performance of standard precautions was $4.25{\pm}.70$, while exposure to blood and body fluids was found to be statistically significant. There was positive correlation between the participants' knowledge, awareness and performance. The awareness(${\beta}=.274$) of standard precautions only stood out significantly among the factors affecting the performance of standard precautions, accounting for 8.6% in the performance variance of standard precautions. The study found it necessary to develop the infection control program in diverse ways by complementing especially the areas which used to show low awareness and performance of standard precautions. It is thus suggested to intensify education for students about infection control prior to starting clinical training.

• RED RIBBON
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• s.58
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• pp.8-11
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• 2004

HIV는 주로 성접촉을 통해 전염된다는 사실을 대부분 알고 있지만 막상 가족 중 한 사람이 HIV에 감염되었다고 했을 때 어떻게 해야 하는지 당황하는 경우가 많다. 일상적인 접촉으로는 전염되지 않는다는 피상적인 정보는 알고 있지만 국을 같이 떠먹고 세탁물을 함께 넣고 빨아도 되는지, 감염된 가족의 식기는 항상 소독을 해두어야 하는지 모든 것이 궁금할 것이다.

• Clinical and Experimental Pediatrics
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• v.45 no.3
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• pp.295-301
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• 2002

미세혈관의 모든 분절(세동맥, 모세혈관, 세정맥)에 있는 내피세포의 기능은 허혈-재관류(ischemia-reperfusion)에 노출시 장애가 발생하게 되는데, 세동맥에서는 혈관확장 능력이 떨어지고, 모세혈관에서는 체액 여과 및 백혈구에 의한 혈관의 막힘(leukocyte plugging)이 증가되며, 세정맥에서는 백혈구-내피세포 접착(leukocyte-endothelial cell adhesion)과 단백의 혈관 외 누출이 증가한다. 활성 산소(reactive oxygen species)와 nitric oxide의 생산의 불균형은 이들 반응을 촉진시키며, 심혈관 질환의 위험 인자인 hypercholesterolemia, 당뇨병, 고혈압 등은 I/R에 대한 미세혈관 반응을 더욱 악화시킨다.

• KOREAN POULTRY JOURNAL
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• v.29 no.9 s.335
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• pp.168-173
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• 1997

효과적인 백신 프로그램을 디자인하기 위해서는 질병과 면역에 대한 기본적인 이해가 필수적이다. 면역에 대해서 이해하기 위해서는 크게 체액성 면역과 세포성 면역으로 구분하여 이해하는 것이 유용할 수 있으며, 또한 이 두 가지 기전은 서로 상호협동적으로 작용한다는 사실을 이해하여야 한다. 숙주동물(닭)이 병원체이든 백신이든 일단 항원에 한 번 노출이 되면 이를 기억하는 기억 세포를 생성하여 두 번째 노출되었을 때 폭발적인 면역반응이 일어나도록 한다. 순환항체가 형성이 되면, 이 항체는 난황을 통하여 후대 병아리에게 전달될 수 있다. 면역의 형성은 백신이 가진 항원의 특성과 백신의 타입(생독, 사독)에 따라 다른 방식으로 나타난다. 면역에 대한 기본적인 개념을 충분히 숙지하고 다음의 사항을 고려하면 효과적인 백신 프로그램을 선택하기가 용이하다. (1) 전례 : 어떤 프로그램이 효과적이었는가? (2) 질병 : 어떤 질병이 문제가 되고 있는가? (3) 균주 : 균주의 차이는 중요한가? (4) 관리 : 백신의 사용을 불필요하게 할 효과적인 사양관리가 이루어질 수 있는가? (5) 모체이행항체 : 모체이행항체가 적절한 방어력을 가질 수 있을까? (6) 면역증강효과 : 그 중요성과 접종시기가 숙지되어 있는가? (7) 접종기술 : 접종기술에 문제가 있는데 프로그램이 제대로 효과를 발휘할 수 있을까?

• Journal of Korean Clinical Nursing Research
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• v.15 no.2
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• pp.115-126
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• 2009

Purpose: The purpose of this study was to assess the frequency and characteristics of occupational blood and body fluid exposure for operating room personnel during surgical procedures and identify risk factors. Methods: A self-report questionnaire was used to survey 519 operating room personnel who participated in 132 surgeries in an acute care hospital in Seoul between April 12 and 20, 2006. Results: The response rate was 82% (530/646) and analyzed total 519 except for improper 11 questionnaires. Exposure rate was 45.5% (60/132) during operations and 20.4% (106/519) for operating room personnel. By job categories, the exposure rate was as follows; anesthesiologists and nurses 31.2% (44/141), operators and assistants 22.1% (32/145), circulating nurses 12.0% (11/92), scrub nurses 11.4% (14/123). The mucous membrane-eye exposure with a high risk of transmitting infection was 6.6% (7/106) and the most frequent route of exposure was blood and body fluid touching unprotected skin. In multivariate analysis, the risk factors of exposure were services, duration of operation, a patient who had a peripheral arterial catheter line, and job category. Conclusion: Educational programs and appropriate use of personal protective equipment are necessary to prevent operating room personnel from being exposed to blood and body fluid.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.11
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• pp.563-572
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• 2016

The purpose of this study was to identify blood and body fluids exposure, and factors influencing compliance with standard precautions among nurses. Participants consisted of 144 nurses in three general hospitals located in C province. Data were collected using a questionnaire that consisted of awareness, compliance, safety environment and attitude toward standard precautions. A total of 40.3% of participants had been injured by syringes or sharp tools that had already been used for patients within the last 1 year 1.01 times. Moreover, 22.9% of participants had been exposed to blood and body fluid of patients 1.06 times within the last 1 year. The mean score for compliance with standard precautions was lower than its awareness. There was a significant correlation between compliance and awareness and a safe environment. Multiple regression revealed an adjusted $R^2$ of 0.166 with the awareness score serving as the major predictor variable for compliance of standard precautions. Therefore, it is necessary to develop strategies to apply to systemic and continuous education regarding standard precautions and to foster a safe environment to enhance nurses' compliance with standard precautions.

• Korean Journal of Adult Nursing
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• v.22 no.5
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• pp.466-476
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• 2010

Purpose: The purpose of this study was to examine the under-reporting rate and related factors after blood and body fluid (BBF) exposure among hospital employees. Methods: Fifteen hundred l employees were conveniently sampled from ten university and acute care hospitals. The survey questionnaire consisted of 37 items. Data were collected from September 10 to November 30, 2008. Results: The survey response rate was 88.7%. The 47.9% (638/1,331) of hospital employees were exposed to BBF and the mean number of exposure was $4.7{\pm}5.942$ within the previous year. Under-reporting rate after BBF exposure was 69.4% (443/638). By multi-variate logistic regression analysis, the exposure number, exposure type, infectious disease and hospital were independently related to the under-reporting of BBF among hospital employees. Conclusion: The under-reporting rate after being exposed to blood and body fluids was relatively high. To address this problem, educational programs are needed to decrease the under-reporting rate for healthcare workers. Further, it might be helpful if other factors related to under-reporting be investigated in future studies.

• Journal of Korean Academy of Nursing
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• v.50 no.5
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• pp.658-670
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• 2020

Purpose: This study aimed to identify the predictors of blood and body fluid exposure (BBFE) in multifaceted individual (sleep disturbance and fatigue), occupational (occupational stress), and organizational (hospital safety climate) factors, as well as infection prevention behavior. We also aimed to test the mediating effect of infection prevention behavior in relation to multifaceted factors and the frequency of BBFE. Methods: This study was based on a secondary data analysis, using data of 246 nurses from the Shift Work Nurses' Health and Turnover study. Based on the characteristics of zero-inflated and over-dispersed count data of frequencies of BBFE, the data were analyzed to calculate zero-inflated negative binomial regression within a generalized linear model and to test the mediating effect using SPSS 25.0, Stata 14.1, and PROCESS macro. Results: We found that the frequency of BBFE increased in subjects with disturbed sleep (IRR = 1.87, p = .049), and the probability of non-BBFE increased in subjects showing higher infection prevention behavior (IRR = 15.05, p = .006) and a hospital safety climate (IRR = 28.46, p = .018). We also found that infection prevention behavior had mediating effects on the occupational stress-BBFE and hospital safety climate-BBFE relationships. Conclusion: Sleep disturbance is an important risk factor related to frequency of BBFE, whereas preventive factors are infection prevention behavior and hospital safety climate. We suggest individual and systemic efforts to improve sleep, occupational stress, and hospital safety climate to prevent BBFE occurrence.