• Title/Summary/Keyword: 호흡기

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A Study on Knowledge, Attitude, Infection Management Intention & Educational needs of New Respiratory Infectious Disease among Nurses who unexperienced NRID(SARS & MERS) (신종호흡기감염병(SARS와 MERS) 간호경험이 없는 간호사의 신종호흡기감염병에 대한 지식, 태도, 감염관리활동 의도와 교육요구도)

  • Choi, Young-Eun;Lee, Eun-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.721-731
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    • 2019
  • The purpose of this study was to investigate the knowledge, attitude, infection management intention and educational needs among nurses with no experience of new respiratory infectious diseases (NRID: SARS and MERS). Data were collected from 162 nurses working at the general hospitals in B city using structured questionnaires from October 10 to 31, 2017. The infection management intention of NRID was high in those who were over 30 years old, married, highly educated, and had a total working experience of more than 5 years. Nurses' infection management intention for NRID showed a positive correlation between knowledge of NRID (r=.27, p<.001) and attitude toward NRID (r=.65, p<.001). In other words, the higher the knowledge score for NRID, the more positive the attitude and the higher the infection management intention. In addition, the knowledge score related to incubation period, treatment, isolation, and release criteria was low while the educational needs were high. Therefore, in preparation for the possibility of NRID relapse and other NRID in the future, a systematic program addressing these educational needs for nurses should be periodically implemented to enhance infection management.

겨울철 더욱 심해지는 호흡기 질병

  • Yun, Hyeon-Jung
    • Monthly Korean Chicken
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    • s.127
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    • pp.98-101
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    • 2006
  • 금년 겨울은 유난히 눈이 많고 추운 것으로 기록되고 있다. 서해안과 전북 지방의 기록적인 폭설과 연일 지속되는 강추위로 정읍, 고창 지역의 양계 농장에 많은 피해가 발생했다. 이처럼 추위와 눈이 많은 겨울철에는 대부분의 농장에서 겪게 되는 것이 호흡기 질병이다. 호흡기 질병이야 일년 열두달 닭을 사육하면 농장에서 끊이지 않는 고질적인 질병이지만 겨울철에는 보온 문제로 인해 환기의 제한을 받다 보니 그 피해가 더욱 심해지고 있다. 따라서 겨울철 계사내 가스 증가와 이로 인한 호흡기성 질병의 증가는 생산성을 저해하는 중요한 요인이 되고 있다. 본고에서는 겨울철에 다발하는 호흡기 질병에 대해 간략히 소개하고자 한다.

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Compliance and Influencing Factors to Respiratory Infection Prevention among College Students Who Have Experienced the COVID-19 Pandemic (코로나19 대유행을 경험한 대학생들의 호흡기감염 예방 이행 수준과 영향요인 )

  • Jin Hwan Oh;Og Son Kim
    • Journal of the Korean Applied Science and Technology
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    • v.41 no.2
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    • pp.188-198
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    • 2024
  • This study was conducted to understand the level of compliance and influencing factors to respiratory infection prevention among the college students who experienced the COVID-19 pandemic. An online survey was conducted on 200 college students from December 15, 2023 to January 5, 2024, and the data of 199 people who responded faithfully were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression through SPSS 18.0. According to the result, the compliance level of respiratory infection prevention was 32.95±6.05 points on average out of 48 points. The general characteristics, which showed differences in the compliance level of respiratory infection prevention, and the characteristics related to respiratory infections were identified to be major (t=-2.59, p=.010), education on respiratory infection prevention (t=1.99, p=.048), influenza vaccination of the year (t=-2.10, p=.037), COVID-19 vaccination of the year (t=3.56, p<.001), and mask wearing in crowded places (t=4.96, p<.001). As for the factors influencing the compliance to respiratory infection prevention, major (β=0.31, p<.001), influenza vaccination of the year (β=-0.15, p=.046), and mask wearing in a crowded places (β=-0.31, p<.001) were identified as a significant variable in the multiple regression analysis. In conclusion, since respiratory infections continue to occur even after the termination of COVID-19 epidemic, it is necessary to make efforts to promote compliance to respiratory infection prevention practice, and it is expected that the factors identified in this study can be used as the basic data when developing a respiratory infection prevention program targeting college students.

Respiratory Viral Infection and Bronchial Asthma (호흡기 바이러스 감염과 기관지 천식)

  • Hwang, Young-Sil;Lee, Jong-Deog
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.1
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    • pp.18-29
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    • 2000
  • 호흡기 바이러스 감염은 모든 연령층의 천식에 상당한 영향을 미치는 데 영아에서 RSV는 천명을 야기하고 대부분 일시적이나 재발성 일수도 있다. 어릴 때 바이러스 감염은 면역체계 형성에 영향를 미쳐 알러지와 천식의 위험을 완하할 수있다고 한다. 또한 소아와 성인 천식에서 RV같은 감기 바이러스는 천식의 급성 증상을 유발한다. 호흡기 바이러스 감염에 대한 면역반응이, 기관지로 부터 바이러스 제거 기능외에 기도수축과 호흡기 증상에 관여한다고 한다. 이러한 변화가 일어나는 기전은 호흡기 바이러스가 proinflammatory 사이토카인과 매개체 생성을 유도하는 능력과 연관성이 있는 것 같고 이들이 상하기도 호흡기 증상 및 기도반응 변화에 관여하는 것으로 생각된다. 호흡기 바이러스 감염에 대한 면역반응을 요약하면 바이러스 감염으로 상피세포, 내피세포, 과립백혈구가 활성화되며, 상피세포는 사이토카인, 키모카인, 매개체들을 분비하여 항 면역 반응를 주도하다. 이와 같은 상피세포와 다른 기관지 세포들의 조기 활성화로 내피 세포에 유착분자 표현을 증가시켜 백혈구 동원 증가 및 혈관 투과성을 증가시켜 부종과 분비물을 증가시킨다. 바이러스 또는 바이러스 유발 사이토카인에 의해 활성화된 과립 백혈구, 대식세포, T세포들도 기도염증 증가, 기도폐쇄를 야기하고 기도반응을 증가시킨다. 세포독성 임파구에 의한 바이러스 감염세포의 분해, TGF-$\beta$ IL-10 같은 사이토카인에 의해 부분적으로 염증억제, 기도 remoldeling에 의한 기도구조의 재생등이 바이러스 감염후 기관지 기능의 지속적 변화를 결정한다. 끝으로 천식환자에서 RV 감염의 병인에 관한 기본적 문제는 RV감염이 정상인에서는 경한 증상을 나타내는 데 천식환자에서는 왜 심한 임상증상을 나타내는지 아직 완전히 밝혀지지 않았다. 항 바이러스에 대한 면역반응이 천식환자에서 손상되었는지 또는 천식환자에서 RV감염에 의한 중증의 임상증상은 어떤 다른 세포가 관여하는지? 이들에 대한 답은 기도염증이 천식에서 어떻게 조절되는지 또한 바이러스 감염에 의한 악화된 증상을 어떻게 치료할 것인가에 대한 방향을 제시해줄 것이다.

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지혜 깊어지는 건강: 활기찬 실버 세대 -호흡기에 찾아온 노화 황사철 미세먼지가 노인성 폐렴 부른다

  • Lee, Jeong-Geun
    • 건강소식
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    • v.35 no.4
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    • pp.26-27
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    • 2011
  • 유난스러웠던 꽃샘추위 때문에 힘들었던 시간이 지나고 햇살이 따스한 것이 어느새 봄은 한 걸음 더 우리에게 다가와 있다. 덕분에 움츠러들었던 몸도 풀리고 기분도 상쾌해지고 있지만, 기온 변화와 공기의 상태에 민감한 우리 호흡기는 제 리듬을 찾지 못하고 힘겨워하기 일쑤다. 노인들의 경우에는 면역력이 저하되고 있고, 호흡기 자체에도 노화가 오기 때문에 계절이 바뀌는 요즘 같은 환절기에는 특히 건강을 잘 챙겨야 한다.

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Pulmonary Complications after Surgery for Esophageal Cancer (식도암 수술 후 발생한 호흡기 합병증)

  • Lee, Jang-Hoon;Lee, Jung-Cheul
    • Journal of Chest Surgery
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    • v.39 no.2 s.259
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    • pp.134-139
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    • 2006
  • Background: Complications after surgery for esophageal cancer are various and not rare. Among them, pulmonary complication is well known as one of the most important insults which has negative influence on the postoperative course and results in mortality. So we attempted to analyze the factors which may have relation to postoperative pulmonary complication. Material and Method: The retrospective study was undertaken in 87 patients who underwent curative surgery for esophageal cancer from Jan. 1996 to Aug. 2005. We divided them into two groups, patients with pulmonary complication (group A, n=28), without pulmonary complication (group B, n=59). Statistical analysis was performed with Fisher's exact test. Result: The postoperative pulmonary complication developed in 28 patients ($32\%$). There was no difference between two groups in past medical history, preoperative pulmonary function, surgery time, anastomosis method, pathologic stage, and trial of neoadjuvant therapy. Age and incidence of cervical anastomosis were significantly higher in group A (p=0.001, p=0.023). The rate of routine postoperative ventilator care was significantly higher in group S (p=0.007). Chest tube indwelling time and hospital stay were significantly longer in group A (p=0.011, p=0.001). There were 6 postoperative deaths ($6.8\%$) and 5 deaths were related to pulmonary complication. Pneumonia was the most common cause of death and MRSA (methicillin resistant staphylococcus aureus) was the most common organism in sputum culture. Conclusion: Pulmonary complication after esophageal cancer surgery was the most important cause of death. Pulmonary complication was closely related to patient's age and cervical anastomosis. We think postoperative routine ventilator care is helpful for prevention of pulmonary complications, especially MRSA pneumonia, and reducing mortality.

Congenital Tracheoesophageal Fistula in an Adult (성인에서 발견된 선천성 기관 식도루)

  • 김응수;강종렬;이준영
    • Journal of Chest Surgery
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    • v.32 no.3
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    • pp.322-325
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    • 1999
  • Congenital esophago-respiratory fistulae in adults have rarely been reported. Moreover, most of those are the cases of bronchoesophageal fistulae, that is to say esophago-lower respiratory fistulae. We experienced case of a congenital tracheoesophageal fistula in an adult, not a bronchoesophageal fistula. At our hospital, a 20-year-old male with recurrent episodes of a paroxysmal(especially postprandial) cough, respiratory infection and relative growth retardation had been diagnosed by using esophagography and esphagoscopy as having a congenital tracheoesophageal fistula with a concomittant esophageal diverticulum. The surgical correction was done successfully. We are excited to report a case of a congenital tracheoesophageal fistula in an adult, which is believed to be the first case of its kind in Korea.

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Automatic Detection of Pig Wasting Diseases Using Audio and Video Data (소리와 영상 정보를 이용한 돼지 호흡기 질병 탐지)

  • Kim, Heegon;Sa, Jaewon;Lee, Jonguk;Chung, Yongwha;Park, Daihee
    • Proceedings of the Korea Information Processing Society Conference
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    • 2015.10a
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    • pp.1431-1434
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    • 2015
  • 24시간 모니터링 환경에서 돈사 내 개별 돼지들의 상태를 자동으로 탐지하는 연구는 효율적인 돈사 관리 측면에서 중요한 이슈로 떠오르고 있다. 특히 돼지 호흡기 질병은 전염성이 매우 강하여, 막대한 경제적 손실을 최소화하기 위해서는 조기에 탐지하는 것이 매우 중요하다. 본 논문에서는 마이크를 통한 소리 정보뿐 아니라 카메라를 통한 영상 정보를 동시에 활용하여 호흡기 질병에 걸린 개별 돼지를 조기에 탐지하는 방법을 제안한다. 즉, 돈사의 천장에 설치된 마이크로부터 호흡기 질병에 걸린 소리 정보를 먼저 탐지한 후 카메라로부터 획득된 영상 정보의 MHI 분석을 수행하여 호흡기 질병에 걸린 돼지를 특정한다. 실험결과, 소리와 영상 정보를 동시에 활용하는 제안 방법을 이용하여 호흡기 질병에 걸린 돼지를 특정할 수 있음을 확인하였다.

Risk Factors Associated with Respiratory Virus Detection in Infants Younger than 90 Days of Age (생후 90일 이하의 영아에서 호흡기 바이러스 검출과 관련된 위험인자)

  • Eem, Yeun-Joo;Bae, E Young;Lee, Jung-Hyun;Jeong, Dae-Chul
    • Pediatric Infection and Vaccine
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    • v.21 no.1
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    • pp.22-28
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    • 2014
  • Purpose: This study aimed at determining the detection rate of respiratory viruses and at investigating the risk factors associated with respiratory virus detection in young infants. Methods: From September 2011 to August 2012, nasopharyngeal swabs were obtained from 227 infants aged ${\leq}90$ days with suspected infectious diseases, including sepsis. We performed a retrospective analysis of their clinical characteristics. The prevalence of respiratory viruses in their nasopharyngeal swabs was assayed by real-time polymerase chain reaction (real-time PCR). Results: In total, 157 (69.2%) infants had more than one of the following respiratory viruses: respiratory syncytial virus (n=75), rhinovirus (n=42), influenza virus (n=18), parainfluenza virus (n=15), human metapneumovirus (n=9), coronavirus (n=9), adenovirus (n=4), and bocavirus (n=3). During the same period, bacterial infections were confirmed in 24 infants (10.6%). The detection of respiratory viruses was significantly associated with the presence of cough, a family history of respiratory illness, and a seasonal preference (fall/winter). Using logistic regression analysis, these 3 variables were also identified as significant risk factors. During fall and winter, detection of respiratory viruses was significantly higher in infants who did not have a bacterial infection. Conclusion: Respiratory virus is an important pathogen in young infants admitted to a hospital, who are suspected with infectious diseases. Detection of respiratory viruses in young infants was associated with seasonality (fall/winter), presence of respiratory symptoms and a family history of respiratory illness.