• Title/Summary/Keyword: Intervention Strategies

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Porcine epidemic diarrhea virus: an update overview of virus epidemiology, vaccines, and control strategies in South Korea

  • Guehwan Jang;Duri Lee;Sangjune Shin;Jeonggyo Lim;Hokeun Won;Youngjoon Eo;Cheol-Ho Kim;Changhee Lee
    • Journal of Veterinary Science
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    • v.24 no.4
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    • pp.58.1-58.25
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    • 2023
  • Porcine epidemic diarrhea virus (PEDV) has posed significant financial threats to the domestic pig industry over the last three decades in South Korea. PEDV infection will mostly result in endemic persistence in the affected farrow-to-finish (FTF) herds, leading to endemic porcine epidemic diarrhea (PED) followed by year-round recurrent outbreaks. This review aims to encourage collaboration among swine producers, veterinarians, and researchers to offer answers that strengthen our understanding of PEDV in efforts to prevent and control endemic PED and to prepare for the next epidemics or pandemics. We found that collaboratively implementing a PED risk assessment and customized four-pillar-based control measures is vital to interrupt the chain of endemic PED in affected herds: the former can identify on-farm risk factors while the latter aims to compensate for or improve weaknesses via herd immunity stabilization and virus elimination. Under endemic PED, long-term virus survival in slurry and asymptomatically infected gilts ("Trojan Pigs") that can transmit the virus to farrowing houses are key challenges for PEDV eradication in FTF farms and highlight the necessity for active monitoring and surveillance of the virus in herds and their environments. This paper underlines the current knowledge of molecular epidemiology and commercially available vaccines, as well as the risk assessment and customized strategies to control PEDV. The intervention measures for stabilizing herd immunity and eliminating virus circulation may be the cornerstone of establishing regional or national PED eradication programs.

Obesity in children and adolescents (소아청소년 비만)

  • Seo, Jeong Wan
    • Clinical and Experimental Pediatrics
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    • v.52 no.12
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    • pp.1311-1320
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    • 2009
  • Childhood obesity has rapidly increased in Korea during the past 20-30 years. Approximately 1 of 10 children and adolescents is obese. Appropriate prevention and intervention measures urgently need. Obesity prevention starts early in life, i.e., obesity prevention and education begins during the period of fetal development in utero. Behavioral changes are the most positively reflected during pregnancy. Infants should be fed breast milk, and inculcated with healthy eating and behavioral habits during infancy to ultimately establish a healthy lifestyle in children. For achieving a lifestyle and behavior that successfully allow children to overcome obesity, although individual motivation is important, active support of parents and family members is also imperative. Health care providers should also make an effort to actively prevent obesity and take necessary intervention actions. Although the efforts of individuals, family, and healthy care providers are important to prevent the rapid increase in obesity, primary prevention should be encouraged at a higher level. Schools should specifically aim at improving nutrition and physical activity by allocating times for healthy eating, playing, and physical education. Moreover, local communities should provide support by funding for safe recreational environments, such as playgrounds and walking tracks. Public health strategies in community and national policies, such as city planning, food marketing, and advertisements, are required for primary prevention of obesity.

Transition Program for Youth With Disabilities: Research Trend Analysis and Systematic Review (장애청소년의 전환프로그램 : 연구 동향 분석과 체계적 고찰)

  • An, Su-bin;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.11 no.3
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    • pp.23-36
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    • 2022
  • Objectives : This study aimed to provide basic data on intervention strategies that occupational therapists can access by systematically analyzing the intervention and effectiveness for youth with disabilities. Methods : The RISS, PubMed, and Web of Science databases were used to search for papers published between 2006 and 2021. The keywords were "Disability AND Adolescents OR Young adult AND Transition education OR Transition program". Seven papers were selected for analysis, and the full text was reviewed. The keywords and national relations were analyzed and visualized using the WoS (Web of Science) and VOSviewer programs. Results : The participants were classified into five types (ASD or ADHD, ID, DD, and physical disability). The areas used for the intervention were mixed into three categories: occupation (academic), self-management (time), and interaction (personal relations and communication). Sociality and adaptation, quality of life, and at least one of the three categories of daily life activities showed significant improvement. Conclusions : This study can be used as basic data to expand the area where only OTs can contribute while grasping the research trend of the conversion program and presenting the direction of exchange with various experts by organizing the application and its effects.

Factors affecting the ability of older adults to identify symptoms of depression (노인의 우울증상 식별력에 영향을 미치는 요인)

  • Lee, Sun Hae;Ko, Jung Eun
    • 한국노년학
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    • v.29 no.2
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    • pp.529-546
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    • 2009
  • Depression in old age not only is prevalent but also causes a considerable amount of burden in physical, psychosocial, and economic terms. Intervention, however, is often delayed due to the understanding that considers depressive symptoms as a normal process of aging or signs of physical illnesses. Since the recognition of symptoms often initiate one's help seeking process, a correct identification of symptoms can contribute to early detection and intervention to depression in oneself as well as in others. This study interviewed 104 older adults living in an urban area, and explored their ability to correctly identify depressive symptoms and factors related to identification. The study results show that respondents who were able to correctly identify symptoms of depression were only 14%, and the rest defined the symptoms as social, economic, and other psychological issues. Of the factors in the logistic regression model, age being 75 and over and mass media as source of mental health information affected negatively their ability to correctly identify symptoms; mental health education programs affected positively their ability. Based on these results, it is suggested that such strategies as employing a face-to-face provision of concrete information and counseling can be more effective than delivering information via large-scale lectures. Additionally, a future research deems necessary to conduct an in-depth examination of mental health/illness-related contents on mass media.

Right-sided heart failure in congenital heart diseases (선천성 심질환에서 우심부전)

  • Jung, Jo Won
    • Clinical and Experimental Pediatrics
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    • v.50 no.11
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    • pp.1055-1060
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    • 2007
  • Right-sided heart failure is a major problem among patients with congenital heart diseases, due to the prevalence of congenital heart defects and the association of pulmonary hypertension. More attention is focused on the structure of the right heart particularly in association with congenital heart defects and chronic lung disease. The right ventricle (RV) may support the pulmonary circulation, and sometimes the systemic circulation (systemic RV) in congenital heart defects. Despite major progress being made, assessing the RV remains challenging, often requiring a multi-imaging approach and expertise (echocardiography, magnetic resonance imaging, nuclear and cineangiography). Evidence is accumulating that RV dysfunction develops in many of these patients and leads to considerable morbidity and mortality. While there is extensive literature on the pathophysiology and treatment of left heart failure, the data for right-sided heart failure is scarce. Therefore RV function in certain groups of congenital heart disease patients needs close surveillance and timely and appropriate intervention to optimise outcomes. An understanding of RV physiology and hemodynamics will lead to a better understanding of current and future treatment strategies for right heart failure. This will review right-sided heart failure with the implications of volume and pressure loading of the RV in congenital heart diseases.

Experiences of Nurse Turnover (임상간호사의 이직 경험)

  • Lee, Yun-Jung;Kim, Kwuy-Bun
    • Journal of Korean Academy of Nursing
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    • v.38 no.2
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    • pp.248-257
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    • 2008
  • Purpose: This study was designed to search for nursing intervention strategies centering around the meaning structure of the nurse's turnover experience by applying phenomenological methods. Methods: The participants were 6 nurses in small and medium sized hospitals who had experienced at least 1 turnover. Data were collected used MP3 records. The data analysis was done by Giorgi (1985) method. Results: The results were divided into the following categories: 1) Careless decision: wrong decisions, imprudent desire, insufficient patience, unclear future, 2) Inappropriate working environment: irregular working hours, high workload, poor working environment, insufficient understanding of related divisions, lack of opinion collection, low salary, 3) Interpersonal relations problems: discord with colleagues, difficulty in relationships with others, difficulty in daily lives, 4) Lack of specialization: feeling of inertia, lack of role identification, lack of self identification, 5) Inappropriate coping: regret with clinical challenges, difficulty with a new environment, repentance, expectation, relative humility, 6) New self-dignity: expectation, new challenge, relaxing lives, decisions based on future-oriented confidence. Conclusion: The finding of this study will offer profound information on the nurse's turnover experience and provide basic raw materials for improving the quality of nursing performance and contribute to the development of hospital organization.

Psychosocial Factors Associated with Problematic Drinking among Middle- and Older-Aged Korean Men (중년 및 노년 남성의 문제음주 관련 요인)

  • Jeon, Gyeong-Suk;Cho, Sun-Hee;Park, So-Youn;Park, So-Young
    • The Korean Journal of Health Service Management
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    • v.9 no.3
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    • pp.187-199
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    • 2015
  • Objectives : This study was conducted to examine social factors associated with problematic drinking among middle- and older-aged men in South Korea. Methods : The data were collected from the baseline survey of the Korean Longitudinal Study of Aging, and the sample consisted of 3,631 men between 45 and 64 years of age and 1,173 men aged 65 or older. This study employed variables identifying various socioeconomic features, social ties, and health-related factors. Logistic regressions were used for the data analysis. Results : Middle-aged men having frequent social relationship with close persons were significantly more likely to be problematic drinkers than those having less frequent social relationships with close persons. Lower education, unemployment, smoking, and depression were associated with problematic drinking only among middle-aged men. Conclusions : We suggest that health professionals develop specific intervention strategies that could lead to more moderate alcohol habits and better health in middle aged Korean men who are actively engaged in social networks. In addition, health professionals need to focus more on the unemployed, lower educated, depressed, and smoking groups for early detection of problematic drinking among middle-aged Korean men.

A Study on Depression and Activity of Daily Living in Patients with Rheumatoid Arthritis by Gender (성별에 따른 류마티스 관절염 환자의 우울과 일상활동정도)

  • Yoo, Kyung Hee
    • Journal of muscle and joint health
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    • v.20 no.2
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    • pp.131-140
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    • 2013
  • Purpose: The purpose of this study was to investigate depression and activity of daily living of patients with rheumatoid arthritis by their gender. Methods: The subjects for this study were 184 patients registered in S University Hospital. and the period of data collection was from May 1, 2012 to August 20, 2012. The data were analyzed with t-test, ANOVA, Mann-Whitney U test, Kruskal-Wallis H test, and Pearson's correlation. Results: For depression, there were significant differences by marriage and religion in male patients and by education in female patients. For activity of daily living, there were significant differences by marriage, age and education in female patients. Depression was negatively correlated with activity of daily living in patients with rheumatoid arthritis. Conclusion: Managing depression and activity of daily living were important for both male and female patients with rheumatoid arthritis. To promote the quality of life of patients with rheumatoid arthritis, nursing intervention strategies must be developed for decreasing depression or improving their activity of daily living.

Influence of Stress on Family Adaptation of Disabled Family : Focused on the Mediation Effect of Family Strength (장애인가족의 스트레스가 가족적응에 미치는 영향 : 가족건강성의 매개효과를 중심으로)

  • Sim, Mi-Young;Kim, Jae-Lim;Ahn, Seong-Ah
    • The Journal of the Korea Contents Association
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    • v.14 no.4
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    • pp.267-276
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    • 2014
  • The purpose of the study is to examine the influence of family stress on family adaptation and investigate the mediating effect of family strength on the association between family stress and family adaptation of disabled family. As a result, family stress bas also been from multiple regression analysis revealed that family stress has a significant effect on family adaptation through family strength. Family strength is found to have a full mediation effect. In summary, the findings suggest that disabled family with higher levels of family stress are more likely to have lower family strength and lower family strength decreases the probability of conducting family adaptation. Based on these results, the researchers suggest intervention strategies that could prevent family stress, family strength and family adaptation.

Seismic assessment and retrofitting of existing structure based on nonlinear static analysis

  • Ni, Pengpeng
    • Structural Engineering and Mechanics
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    • v.49 no.5
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    • pp.631-644
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    • 2014
  • Seismic assessment and retrofitting of existing structure is a complicated work that typically requires more sophisticated analyses than performing a new design. Before the implementation of a Code for seismic design of buildings (GBJ 11-89), not enough attention has been paid on seismic performance of structures and a great part of the existing reinforced concrete structures built in China have been poorly designed according to the new version of the same code (GB 50011-2010). This paper presents a case study of seismic assessment of a non-seismically designed reinforced concrete building in China. The structural responses are evaluated using the nonlinear static procedure (the so-called pushover analysis), which requires its introduction within a process that allows the estimation of the demand, against which the capacity is then compared with. The capacity of all structural members can be determined following the design code. Based on the structural performance, suitable retrofitting strategies are selected and implemented to the existing system. The retrofitted structure is analyzed again to check the effectiveness of the rehabilitation. Different types of retrofitting strategy are discussed and classified according to their complexity and benefits. Finally, a proper intervention methodology is utilized to upgrade this typical low-rise non-ductile building.