• 제목/요약/키워드: E-health

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코로나19를 경험한 간호대학생의 간호전문직관과 신종감염병 환자 간호의도와의 관계: e-헬스 리터러시의 매개효과 (The relationship between nursing professionalism and nursing intention for patients with emerging infectious diseases of nursing students who had experienced COVID-19 pandemic: the mediating effect of e-Health literacy)

  • 김희정
    • 한국간호교육학회지
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    • 제30권1호
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    • pp.71-81
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    • 2024
  • Purpose: This study aimed to identify the relationship between nursing professionalism and nursing intention for patients with emerging infectious diseases of nursing students who had experienced coronavirus disease 2019 (COVID-19), with a focus on the mediating effect of e-Health literacy. Methods: The study surveyed 177 nursing students who had experienced COVID-19. The data were collected using self-reported questionnaires. The collected data were analyzed using IBM SPSS statistics 25.0, and the mediating effect was analyzed through the SPSS Process macro model 4. Results: Nursing professionalism (β=.26, p=.002) and e-Health literacy (β=.18, p=.021) were found to be significant predictors of nursing intention for patients with emerging infectious diseases. In addition, e-Health literacy partially mediated the relationship between nursing professionalism and nursing intention for patients with emerging infectious diseases. Conclusion: e-Health literacy was a mediating factor in the relationship between the nursing professionalism and nursing intention of nursing students for patients with emerging infectious diseases. In order to improve nursing intention of nursing students for patients with emerging infectious diseases, it is important to develop an education program that can enhance their e-Health literacy as well as nursing professionalism.

일부 여대생의 구강건강이 삶의 질에 미치는 영향 (Oral health related quality of life of women college students)

  • 이향님;김은미
    • 한국치위생학회지
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    • 제5권1호
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    • pp.89-99
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    • 2005
  • The purpose of this study was conducted to evaluated the effects of oral health related quality of life and impacts of oral health related quality of life of early adult group through a questionnaire OHRQoL(Oral health related quality of life). The study subjects were 224 women college students. The results of this study were as follow; 1. Physical aspects score was $41.98{\pm}7.78$, social aspects score was $33.04{\pm}7.25$, psychological aspects score was $32.50{\pm}7.50$ in effects of oral health related quality of life. 2. Physical aspects score was $25.49{\pm}4.86$, social aspects score was $20.65{\pm}4.47$, psychological aspects score was $19.84{\pm}5.53$ in impacts of oral health related quality of life. 3. The better oral health was the higher effects of oral health related quality of life(pE0.05). No missing tooth(pE0.01), use of oral health device(pE0.05), no experience oral health education(pE0.05) group was higher impacts score of oral health related quality of life. 4. The significantly correlated among all items on effects of oral health related quality of life. Therefore it suggested that college students oral health program, need precision oral exam and oral health education.

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Performance of HPV E6/E7 mRNA Genotyping Test on Paired Cervical Cancer Exfoliated Cells and Formalin Fixed Paraffin Embedded Tissues

  • Park, Sunyoung;Wang, Hyeyoung;Kim, Sunghyun;Kim, Geehyuk;Bong, Sungyoung;Jang, Hyoungsoon;Park, Sangjung;Hwang, Kooyeon;Lee, Dongsup
    • 대한의생명과학회지
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    • 제22권3호
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    • pp.98-106
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    • 2016
  • Investigation of human papillomavirus (HPV) in archival formalin-fixed paraffin-embedded (FFPE) material is important for understanding cervical carcinogenesis. The objective of the present study was to identify the high risk HPVs (HR-HPVs) using HPV E6/E7 mRNA testing from archival tissues in cervical cancer and the relation to HR-HPVs genotypes in paired cervical exfoliated cells. HPV E6/E7 mRNA testing and DNA chip testing were performed in 79 paired cervical FFPE tissues and exfoliated cells from women with histologically confirmed squamous cell carcinoma and adenocarcinoma. Overall agreement in HR-HPVs detection from FFPE samples and cytology samples were 98.5% in HPV 16, 100% in HPV 18, HPV 31, HPV 33, HPV 58, HPV 66, and HPV 68. Type-specific agreement between FFPE samples and cytology samples was 89.1% in HPV positive, 93.5% in HPV 16 and more than 70% in the other HR-HPVs. In conclusion, HR-HPVs were reliably detected in paired FFPE and cytology samples with some variation in type-specific detection.

인천지역 반려견 유래 세균의 항생제 내성 모니터링 조사 (A monitoring survey on antimicrobial resistance of bacterial isolates from companion dogs in Incheon)

  • 김경미;조민행;이승환;김경호;이정구;이성모
    • 한국동물위생학회지
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    • 제42권2호
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    • pp.53-60
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    • 2019
  • This study was performed to investigate antimicrobial resistance in bacterial isolates obtained from companion dogs in veterinary hospitals and an animal shelter in Incheon. Drug resistance was examined respectively with the isolates of Escherichia coli, Enterococcus faecalis, and Staphylococcus pseudintermedius. The prevalence of drug resistance was calculated for each bacterial species towards 163 E. coli isolates, 156 E. faecalis isolates, and 86 S. pseudintermedius isolates by using selected antimicrobials. E. coli isolates were highly resistant to ampicillin, ciprofloxacin and tetracycline (47.9%, 28.2% and 28.2%, respectively). E. faecalis isolates were highly resistant to quinupristin-dalfopristin, tetracycline, kanamycin, rifampicin (69.8%, 66.0%, 53.8% and 51.9%, respectively). Higher levels of resistance were detected for ampicillin, penicillin, tetracycline, erythromycin, trimethoprim/sulfamethoxazole, telithromycin in S. pseudintermedius isolates (83.7%~52.6%, respectively). Occurrence of methicillin-resistant S. pseudintermedius (MRSP) was confirmed by oxacillin disc diffusion method, resulted in 23.3% occurrence among the S. pseudintermedius isolates (20/86 strains). The occurrence ratio of multidrug-resistance in the isolates of E. coli, E. faecalis, and S. pseudintermedius was 34.5%, 56.9%, and 67.9%, respectively. In this study, higher levels of antimicrobial drug resistance were observed in bacterial isolates obtained from dogs in Incheon. A regular monitoring and surveillance program should be implemented to prevent the emergence and spread of the drug-resistant bacteria carried in companion dogs.

대구지역 야생조류에서 분리된 대장균의 항생제 내성 조사 (Antimicrobial resistance of Escherichia coli isolated from wild birds in Daegu)

  • 김경희;임현숙;이정우;박대현;양창렬;조재근
    • 한국동물위생학회지
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    • 제44권4호
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    • pp.209-216
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    • 2021
  • This study was aimed to investigate occurrence and the antimicrobial resistance of Escherichia coli isolates obtained from the feces of wild birds in Daegu. In total, 98 E. coli isolates (17.9%) were obtained from 547 fecal samples of wild birds. The E. coli carried by the birds showed a relatively high rate of antimicrobial resistance to tetracycline (27.6%) and ampicillin (21.4%). Drug resistance of the isolates to the others (penicillins, cephems, carbapenems, aminoglycosides, quinolones, sulfonamides and phenicols) resulted in the rates less than 20%, and all isolates were susceptible to imipenem, ciprofloxacin, cefotetan, and amikacin. Approximately, 45% E. coli among the isolates were resistant to one or more drugs tested. The higher rate of tetracycline resistance led us to determine the prevalence of the tet genes (tetA, tetB, tetC, tetD and tetE) in the tetracycline-resistant E. coli isolates by using PCR. All isolates of the tetracycline-resistant E. coli contained at least one or more of these tet genes examined. The most prevalent one was tetA (59.3%), and followed by tetB (7.4%) when tested with the selected 5 tet genes. Except tetA and tetB, however, the remaining tet genes (tetC, tetD, and tetE) tested were not found in this study. Nine isolates among the tetracycline-resistant E. coli contained the two (tetA and tetB) determinants of tetracycline resistance, simultaneously.

당뇨병 노인의 mHealth 이용에 영향을 미치는 요인 (Factors Influencing mHealth Use in Older Adults with Diabetes)

  • 김민진;김범수;박선희
    • 지식경영연구
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    • 제23권4호
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    • pp.113-132
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    • 2022
  • 정보통신기술의 발전과 일상 중심으로의 의료서비스 변화는 스마트폰 건강관리 앱(mHealth) 활용을 통한 자가관리 시대를 열었다. mHealth는 이용자의 건강 자가관리에 도움을 주며 서비스 제공자의 주요 수익원이므로 mHealth 이용 요인을 이해하는 것은 중요하다. 그러나 mHealth의 주요 이용자가 될 수 있는 당뇨병 노인을 대상으로 이용 요인을 규명한 연구는 제한적으로 이루어졌다. 따라서 본 연구는 당뇨병 노인의 mHealth 이용에 영향을 미치는 요인을 파악하는 것을 목표로 하였다. 구체적으로 당뇨병 노인의 주관적 건강상태와 e헬스리터러시가 mHealth 이용에 미치는 영향이 사회적 지지 수준에 따라 어떻게 달라지는지 살펴보는 것에 초점을 두었다. 65세 이상 당뇨병 노인 252명을 대상으로 한 온/오프라인 설문조사를 통해 자료를 수집했으며, 주관적 건강상태 및 e헬스리터러시와 사회적 지지의 상호작용항을 투입하는 위계적 다중회귀분석을 실시하여 조절효과를 검증하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 당뇨병 노인이 남성, 저연령일수록 mHealth 이용이 높았다. 둘째, 당뇨병 노인의 e헬스리터러시가 높을수록 mHealth 이용이 높았다. 셋째, 주관적 건강상태와 mHealth의 관계에서 사회적 지지의 완충효과가 나타났다. 이는 사회적 지지가 높을수록 주관적 건강상태가 mHealth에 미치는 긍정적 영향이 완화되는 것을 의미한다. 본 연구는 mHealth 이용에 관한 정보시스템 및 의료 분야의 지식에 기여하는 한편, mHealth 서비스 제공자의 고객 확보 전략 수립, 정부와 의료진의 당뇨병 노인의 mHealth이용을 통한 자가관리 증진 방안 마련에 유용한 실무적 시사점을 제공할 것으로 기대된다. 나아가 mHealth 이용 활성화를 통한 당뇨병 노인이 삶의 질 개선 및 디지털 포용 사회 구축에 기여할 수 있을 것이다.

The Outcomes of an e-Wellness Program for Lupus Patients in Thailand: A Participatory Action Research Approach

  • Nop T. Ratanasiripong;Steven Cahill;Christine Crane;Paul Ratanasiripong
    • Journal of Preventive Medicine and Public Health
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    • 제56권2호
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    • pp.154-163
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    • 2023
  • Objectives: Systemic lupus erythematosus (SLE) or lupus patients usually experience various physical and psychological challenges. Since the coronavirus disease 2019 pandemic, these challenges have become even harsher. Using the participatory action research approach, this study evaluated how an e-wellness program (eWP) impacted SLE-related knowledge and health behaviors, mental health, and quality of life among lupus patients in Thailand. Methods: A 1-group, pretest-posttest design study was conducted among a purposive sample of lupus patients who were members of Thai SLE Foundation. The 2 main intervention components were: (1) online social support, and (2) lifestyle and stress management workshops. Sixty-eight participants completed all the study requirements, including the Physical and Psychosocial Health Assessment questionnaire. Results: After being in the eWP for 3 months, participants' mean score for SLE-related knowledge increased significantly (t=5.3, p<0.001). The increase in sleep hours was statistically significant (Z=-3.1, p<0.01), with the percentage of participants who slept less than 7 hours decreasing from 52.9% to 29.0%. The percentage of participants reporting sun exposure decreased from 17.7% to 8.8%. The participants also reported significantly lower stress (t(66)=-4.4, p<0.001) and anxiety (t(67)=-2.9, p=0.005). The post-eWP quality of life scores for the pain, planning, intimate relationship, burden to others, emotional health, and fatigue domains also improved significantly (p<0.05). Conclusions: The overall outcomes showed promising results of improved self-care knowledge, health behaviors, mental health status, and quality of life. It is recommended that the SLE Foundation continues to use the eWP model to help the lupus patient community.

물놀이형 수경시설의 수질과 항생제 내성 대장균 분포에 관한 연구 (Distribution of Antibiotic Resistant Escherichia coli and Water Quality in Waterscape Facilities)

  • 윤상훈;김선경;김난희;위환;이세행;조광운;김동수;조영관
    • 한국환경보건학회지
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    • 제40권3호
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    • pp.225-233
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    • 2014
  • Objective: This study was performed in order to investigate the distribution of antibiotic resistant E. coli and water quality in waterscape facilities. Methods: Nine waterscape facilities were selected and classified into three types: ground, wall and general fountain. The items analyzed in this study were pH, turbidity, $KMnO_4$ consumption, total colony, total coliforms, fecal coliforms and E. coli. Additionally, an antibiotic resistance test on E. coli was performed. Results: There were no sampling sites that exceeded the permitted limits of water quality, but the concentration of pollutants was high at the beginning operation in June. Moreover, concentration of turbidity, $KMnO_4$ consumption and total colony were higher in ground fountains than in wall and general fountains. Five species of antibiotic resistant E. coli were detected from three sampling sites. Conclusions: The waterscape facilities were significantly contaminated with water microorganisms, especially total colony, total coliforms and fecal coliforms. Disinfection and filtration systems to remove pollutants should be installed for safe waterscape facilities.

Status and Prospects of PCR Detection Methods for Diagnosing Pathogenic Escherichia coli : A Review

  • Yim, Jin-Hyeok;Seo, Kun-Ho;Chon, Jung-Whan;Jeong, Dongkwan;Song, Kwang-Young
    • Journal of Dairy Science and Biotechnology
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    • 제39권2호
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    • pp.51-62
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    • 2021
  • Escherichia coli are the predominant facultative bacteria found in the gastrointestinal tract of animals and humans. Some strains of E. coli that acquire virulence factors and cause foodborne and waterborne diseases in humans are called pathogenic E. coli and can be divided into five pathotypes according to the virulence mechanism: EAEC, EHEC, EIEC, EPEC, and ETEC. Although selective media have been developed to detect E. coli, distinguishing pathogenic strains from non-pathogenic ones is difficult because of their similar biochemical properties. Therefore, it is very important to find a new and effective diagnostic method to identify pathogenic E. coli. With recent advances in molecular biology and whole genome sequencing, the use of polymerase chain reaction (PCR) is increasing rapidly. In this review paper, we provide an overview of pathogenic E. coli and present a review on PCR detection methods that can be used to diagnose pathogenic E. coli. In addition, the possibility of real-time PCR incorporating IAC is introduced. Consequently, this review paper will contribute to solving the current challenges related to the detection of pathogenic E. coli.

Comparison of Virulence Factors, Phylogenetic Groups and Ciprofloxacin Susceptibility of Escherichia coli Isolated from Healthy Students and Patients with Urinary Tract Infections in Korea

  • Park, Min;Park, Soon-Deok;Kim, Sa-Hyun;Woo, Hyun-Jun;Lee, Gyu-Sang;Kim, Hyun-Woo;Yang, Ji-Young;Cho, Eun-Hee;Uh, Young;Kim, Jong-Bae
    • 대한의생명과학회지
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    • 제18권2호
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    • pp.146-151
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    • 2012
  • Urinary tract infection (UTI) is one of the most common bacterial infections and is predominantly caused by uropathogenic Escherichia coli (UPEC). UPEC strains generally possess several genes encoding virulent factors, which are mostly adhesins, toxins, bacteriocin and siderophores. E. coli is composed of four main phylogenetic group (A, B1, B2, D) and virulent extra-intestinal strains mainly belong to groups B2 and D. Prescription of ciprofloxacin, a kind of fluoroquinolone group antibiotics, is increasing now a days, but resistance to this drug is also increasing. A total of 188 strains of E. coli were collected. Thirteen strains were collected from healthy students in 2011 and 175 strains from patients with urinary tract infection in 2010. Virulence factor genes (papC, fimG/H, sfaD/E, hlyA, cnf1, and usp) were amplified by polymerase chain reaction (PCR) methods for phylogenetic group (A, B1, B2, D) detection. Ciprofloxacin susceptibility test was performed by disk diffusion method. The identified virulence factors (VFs), phylogenetic groups and ciprofloxacin resistance in 13 E. coli strains isolated from healthy students were papC (15.4%), fimG/H (76.9%), sfaD/E (30.8%), hlyA (23.1%), cnf1 (23.1%), usp (7.7%), phylogenetic group A (23%), B1 (8%), B2 (46%), D (23%) and ciprofloxacin resistance (7.7%), while those of in 175 E. coli strains isolated from patients with UTI were papC (41.1%), fimG/H (92.5%), sfaD/E (30.3%), hlyA (10.3%), cnf1 (30.3%), usp (27.4%), phylogenetic group A (9.1%), B1 (5.1%), B2 (60.6%), D (25.1%) and ciprofloxacin resistance (29.7%). In this study, 10 out of 13 E. coli strains (76.9%) from healthy students were found to possess more than one virulence factor associated with adhesion. In addition, one E. coli strain isolated from healthy students who had never been infected with UPEC showed ciprofloxacin resistance. According to these results between the virulence factors and phylogenetic groups it was closely associated, and UPEC strains isolated from patients showed high level of ciprofloxacin resistance.