• Title/Summary/Keyword: Health Indicator

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Establishment and Application of Polymerase Spiral Reaction Amplification for Salmonella Detection in Food

  • Xu, Wenli;Gao, Jun;Zheng, Haoyue;Yuan, Chaowen;Hou, Jinlong;Zhang, Liguo;Wang, Guoqing
    • Journal of Microbiology and Biotechnology
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    • v.29 no.10
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    • pp.1543-1552
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    • 2019
  • Salmonella is a common zoonotic and foodborne pathogen that causes high morbidity and mortality in developing countries. In this study, we established and validated a polymerase spiral reaction (PSR) assay which targeted the conserved invasion gene (invA) of Salmonella by SYBR Green I indicator methods. Subsequently, assays for determination of the optimal conditions for optimal specificity and sensitivity of PSR were performed. We performed comprehensive evaluations using loop-mediated isothermal amplification (LAMP) and real-time PCR. A total number of 532 samples of daily food were analyzed by PSR. Twenty-seven bacterial strains were tested in the specificity assay, from which positive results were obtained only for 14-Salmonella strains. However, none of the 13 non-Salmonella strains was amplified. Similarly with LAMP and real-time PCR, the detection limit of the PSR assay was 50 CFU/ml. The PSR method was also successfully applied to evaluate the contamination with Salmonella in 532 samples of daily food, corroborating traditional culture method data. The novel PSR method is simple, sensitive, and rapid and provides new insights into the prevention and detection of foodborne diseases.

Comparative Analysis of Risk Assessment Tools for Infectious Diseases (국외 감염병 위험도 평가체계의 비교분석)

  • Choi, Eunmi;Woo, Darae;Choe, YoungJune;Yeh, Jungyong;Park, Sangshin
    • Health Policy and Management
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    • v.32 no.4
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    • pp.380-388
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    • 2022
  • Background: Emerging infectious diseases, such as Middle East respiratory syndrome or coronavirus disease 2019, pose a continuous threat to public health, making a risk assessment necessary for infectious disease control and prevention. Therefore, we aimed to investigate the risk assessment methods for infectious diseases used by major foreign countries and organizations. Methods: We conducted an investigation and comparative analysis of risk assessment and risk determination methods for infectious diseases. The risk assessment tools included the strategic toolkit for assessing risks, influenza risk assessment tool, pandemic severity assessment framework, and rapid risk assessment methodology. Results: The most frequently reported risk elements were disease severity, antiviral treatment, attack rate, population immunity, and basic productive ratio. The risk evaluation method was evaluated quantitatively and qualitatively by the stakeholders at each institution. Additionally, the final risk level was visualized in a matrix, framework, and x and y-axis. Conclusion: Considering the risk assessment tools, the risk element was classified based on the duplicate of each indicator, and risk evaluation and level of risk assessment were analyzed.

Development and Prospects of Environmental Health Indicators in Korea (우리나라 환경보건지표 개발현황과 전망)

  • Lee, Young-Mee;Jung, Soon-Won;Choi, Wookhee;Park, Kyung-Hwa;Lee, Chul-Woo;Yu, Seung-Do;Park, Choong-Hee
    • Journal of Environmental Health Sciences
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    • v.42 no.5
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    • pp.293-301
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    • 2016
  • Objectives: This paper presents the current development progress of environmental health indicators (EHIs) in the Republic of Korea and discusses the utilization, limitations and prospects of EHIs. Methods: The development process and assessment criteria of EHIs were established based on the DPSEEA (Driving force-Pressure-State-Exposure-Effect-Action) framework with reference to that of the World Health Organization-Europe. In order to explore the applicability of EHIs, a case study was performed to compare the atmospheric environmental health status between the Republic of Korea and European region countries using six indicators. Results: Through the development process, 23 indicators in five areas including air quality, indoor air quality, climate change, chemicals, and water quality were developed, mostly using national statistical data. As a result of the case study comparing environmental health indicators in air quality between the Republic of Korea and Europe, it could be useful to understand the different situation of air pollution source, emission, exposure and health effects. Conclusion: In order for EHIs to compare environmental health status and be used as an environmental health policy development tool for vulnerable areas and related factors, it is necessary to develop further indicators for various issues other than air quality and conduct additional research on their interpretation and related implications, such as policy implementation effects.

Differential Effects of Family Income on Self-rated Health by Age: Analysis of Seoul Citizens Health Indicators Survey 2001, 2005 (소득수준이 주관적 건강상태에 미치는 영향의 연령대별 차이: 2001, 2005년 서울시민보건지표조사 자료의 분석 결과)

  • Jung, Youn;Oh, Ju-Hwan;Cho, Young-Tae
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.5
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    • pp.381-387
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    • 2007
  • Objectives: This study was conducted in order to determine how the association between socioeconomic position(SEP) and health status changes with age among Seoul residents aged 25 and over. Methods: We utilized the 2001 and 2005 Seoul Citizens Health Indicators Surveys. We used self-rated 'poor' health status as an outcome variable, and family income as an indicator of SEP. In order to characterize the differential effects of socioeconomic position on health by age, we conducted separate multivariate analyses by 10-year age groups, controlling for sociodemographic covariates. In order to assess the relative health inequality across socioeconomic groups, we estimated the Relative Index of Inequality (RII). Results: The risk of 'poor health' is significantly high in low family income groups, and this increased risk is seen at all ages. However, the magnitude of relative socioeconomic inequality in health, as measured by the odds ratio and RII, is not identical across age groups. The difference in health across income groups is small in early adulthood (ages 25-34), but increases with age until relatively late in life (ages 35-64). It then decreases among the elderly population (ages more than 65). When the RII reported in 2005 is compared to that reported in 2001, RII can be seen to have increased across all ages, with the exception of individuals aged 25-34. Conclusions: The magnitude of health inequality is the greatest during mid- to late adulthood (ages 45-64). In addition, health inequalities have worsened between 2001 and 2005 across all age groups after economic crisis.

The Effects of a Secondary Stroke Prevention Program on the Health Risk Indicators and Self-Care Compliance of Stroke Patients (뇌졸중 이차예방교육이 건강위험지표와 자가간호수행에 미치는 효과)

  • Kim, Ji Yeon;Na, Yeon Kyung;Hong, Hae Sook
    • Journal of Korean Biological Nursing Science
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    • v.18 no.2
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    • pp.69-77
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    • 2016
  • Purpose: This study aimed to investigate the effects of a secondary stroke prevention education program on the health risk indicators and self-care compliance of stroke patients. Methods: A non-equivalent control group pretest-posttest design was used to select the participants. Subjects were 54 stroke patients (27 in the experimental group and 27 in the control group) hospitalized in a K university hospital in D city, Korea. Health risk indicators and self-care compliance were measured both for a baseline, as well as after intervention. The data was analyzed using a chi-square test, paired t-test and ANCOVA. Results: There were significant differences in systolic blood pressure, diastolic blood pressure, fasting blood sugar, weight and self-care compliance. Conclusion: The results of the study indicate that an educational secondary stroke prevention program is effective for health risk indicators and self-care compliance of patients. Therefore it can be used as an effective nursing intervention in clinical practice.

A Study on the Effects of Percutaneous Transluminal Coronary Angioplasty and Pediatric Heart Surgery on the Differences of Risk-Adjusted Length of Stay and In-Hospital Death for Coronary Artery Bypass Graft Patients (관상동맥우회로술(CABG)환자의 재원일수와 병원 내 사망률 변이에 대한 경피적관상동맥성형술(PTCA)과 소아심장수술(PHS)의 영향분석)

  • Kim, Da-Yang;Lee, Kwang-Soo
    • The Korean Journal of Health Service Management
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    • v.8 no.4
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    • pp.47-55
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    • 2014
  • The purpose of this study was to analyze the differences in the outcome for CABG according to whether hospitals provided heart related surgeries. The 2011 National Inpatient Sample (NIS) and inpatient quality indicator principles from the Healthcare Research and Quality (AHRQ) were used for analysis. Hospitals were divided into three groups according to the surgeries they provided. The length of stay and in-hospital deaths were adjusted for the differences in risks. ANOVA was performed to examine the differences for the risk-adjusted in-hospital mortality rate and risk-adjusted length of stay among the three groups. The analysis results showed that hospitals providing CABG, PTCA, and PHS had lower risk-adjusted in-hospital mortality rates or similar risk-adjusted lengths of stay compared to those of hospitals providing only CABG. However, the three groups did not have statistically significant differences in outcome indicators. Another study will be needed with a larger sample.

A Study on the Effect of Air Pollutants in Daegu Area by Biological Indicator of Roadside (道路 指標生物을 이용한 대기오염이 植物에 미치는 영향에 관한 연구)

  • Kang, Hoe-Yang;Cha, Sang-Eun;Ha, Cheong-Gun
    • Journal of Environmental Health Sciences
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    • v.14 no.2
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    • pp.29-41
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    • 1988
  • This study was performed to investigate the air pollution levels in Daegu area titrough measuring of contents of water, chlorophyll, water soluble sulfur and lead metal in the leaves of roadside trees and chemical properties of soil under the urban trees. The results can be summarized as follows 1. The range of water content was from 60.4% to 74.6%. The comparisons of chlorophyll, water soluble sulfur and water content were regression equation, chlorophyll=0.1981+ 0.0040 water content (July), water soluble sulfur=3,139-0.0416 water content (July). and correlation coefficient, r=0.561 and r=0.549 respectively 2. Average contents of chlorophyll, water soluble sulfur and lead metal in the leaves of roadside tree at sampling sites were chlorophyll 0.050, 0.072mg/cm$^2$, water soluble sulfur 0.244, 0.333%, and lead metal 12.25, 12.68ppm in Oct. and Jul. respectively. 3. Correlation between chlorophyll and contents of water soluble sulfur and lead metal in the leaves of roadside tree at sampling sites were water soluble sulfur r=-0.564, -0.613 and lead metal r=-0.693, -0.699 in October and July, respectively. 4. Correlation between chlorophyll and water content, water soluble sulfur and lead metal in the leaves of tree showed positive significance.

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The Development Job Standards for Advanced Health Insurance Review Nurses (보험심사 전문 간호사의 직무표준 개발)

  • Hwang, Hye-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.2
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    • pp.264-274
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    • 2009
  • Purpose: This study is to develop job standards in order to propose proper job level of the advanced nurse practitioners and apply the results to the work and enhance the expertism. Method: This study is a methodical study. The validity was examined by using the content validity index(CVI). Result: The pre-items of job standards for advanced health insurance review nurses were established and the final job standards comprising of 12 standards, 46 criteria, 92 indicators, 418 activities were determined after the examination by the advisory group. The validity of the job standards were examined for two times by the seven professionals. The relevance of the modified job standards was examined by the working level employees above the assistant manager position working in the general hospitals and the result was 93.14% relevance. The job standards comprising of 12 standards, 46 criteria, 89 indicator and 409 activities were developed. Conclusions: By the development of the job standards, it is expected to prove that advanced health insurance review nurses are the most suitable professionals for dealing with medical affairs such as management and propriety evaluation of medical expenses while defining the roles of advanced health insurance review nurses.

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Indicators for Chronic Disease Management of Older Persons (노년기 건강을 위한 만성질환 관리지표 개발)

  • Paek, Kyung Won;Chun, Ki Hong
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.3
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    • pp.1-15
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    • 2014
  • Objectives: This study was performed to develop the indicators for national surveillance of chronic disease, which is a governmental concern to manage the chronic disease for older persons. It is necessary that chronic disease surveillance system needs to be made in Korea for effective management of chronic diseases. With the system, we know the prevalence and incidence of chronic diseases, observe the trend of utilization for caring the chronic diseases, and analyze the behavior change for prevention of chronic diseases. Methods: This study was carried out by analyzing the data by which the indicators was produced, by reviewing how the United States made the indicators. By benchmarking the United States, the sources of data of the national surveillance indicators for chronic diseases in Korea were compared. Results: In this study, the most significant indicators were identified and proposed to improve the surveillance indicators by changing the sources of data. These findings warrant further development of the health policy for the chronic disease prevention and establishment of the chronic disease surveillance system. Conclusions: The results of this study can be used to develop national surveillance indicators to manage the chronic diseases and can be used as basic data to develop community health programs.

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