• Title/Summary/Keyword: Mers

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A Feasibility Study of Hand Hygiene Status in Korea Hospitals (국내병원의 유형별 손위생 수행실태 조사분석)

  • Lee, Yongkyoon;Shin, Hyunhee
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.3
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    • pp.9-17
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    • 2017
  • Purpose : The easiest and most cost-effective way to prevent medical-related infections is known as proper hand washing of health care workers. The experience of MERS in domestic medical institutions has increased the importance of hand hygiene for medical workers to prevent infections in hospitals. It is necessary to investigate the level of hand hygiene practice by type of medical institutions and the factors influencing the infection prevention. Methods : Domestic and overseas hand hygiene related business cases and literature data were collected and analyzed in order to investigate the hand hygiene status of medical institutions in Korea. Result : As a result of hand hygiene monitoring of all hospital-level medical institutions in 2016, the total number of observations was 24,328 and the hand hygiene performance rate was 75.9%. The hand hygiene performance rate of hospitals was 71.5% for general hospitals, 75% for general hospitals, and 81.3% for hospitals. Implications : In general hospitals and hospitals, the HR(Hand Rubbing) method is preferred as a way of performing hand hygiene, whereas the HW(Hand Washing) method is relatively high in the small hospitals. It is estimated that the HW system is preferred because of the cost burden at the hospital medical institution. Therefore, it is necessary to compensate the related expenses to improve the hand hygiene performance of the physicians who are engaged in the hospitals.

Quantum Chemical Calculations on the Conformational Structure of the Alanine Oligomer Model (알라닌 올리고머의 배좌구조에 관한 양자화학적 계산)

  • Sim, Jae-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.2
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    • pp.1563-1570
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    • 2015
  • Conformational change during chain propagation of alanine oligomer was investigated by quantum chemical calculation(QCC) using 2~5mers(${\times}=2{\sim}5$) models. For estimation of the end group effects, two types of end group. "amide type" ($CH_3CONH-and-CONHCH_3$) and "methyl type" ($CH_3CONH-and-CONHCH_3$), were prepared as both ends(N-and-C). Conformers optimized for 5-mer converged to three types of ${\Phi}/{\Psi}$ : ${\alpha}$-helix(g+/g+, or g-/g-), PPII-like(extended helix-like, g+/g-, or g-/g+), and ${\beta}$-extended (t+/t-, or t-/t+), in the order of lower energy, and the energies of left- and right- handed conformers were the same (5-mer. amide type ${\Delta}E=-1.05$, right type ${\Delta}E=-1.62$). Energies of the monomer unit(${\Delta}E$) of ${\alpha}$-helix decreased with increases of monomer.

A Study on the Facility Eligibility Inspection & Effect of Environment Improvement for National Inpatient Isolation Units (국가지정 입원치료 격리병상 시설적격성 및 환경개선효과 분석에 관한 연구)

  • Lee, Du Ru Na;Kwon, Soon Jung;Sung, Min Ki;Yoon, Hyung Jin;Hong, Jin Kwan
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.4
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    • pp.67-75
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    • 2017
  • Purpose: This study is for the facility eligibility and improvement evaluation analysis for the patient care environment of 7 facilities which has national inpatient isolation units. Methods: For the evaluation, first of all, the patient care environment of national inpatient isolation units are scrutinized by the checklist which is used on from 2014 with the 4 fields of criteria : architectural planning and layout, general requirement and condition for operating the negative pressured isolated patient room, HVAC system, and waste water discharging system. Finally, the evaluation results are compared with that of 2014. Results: The result shows that the average value of facility eligibility is 89.3 percent and which is 8.9 percent higher than the value before the MERS occurred. Implications: It is clear that facility remodeling of 7 institutions is being performed continuously, and the result of facility eligibility evaluation is reflected on design of a new 21 national inpatient isolation units those are going to be constructed from 2016. Therefore, it is expected that this study is used as a practical reference to establish the criteria of patient care environment management and safety management for both infectious disease outbreak and general service condition.

KTX passenger demand forecast with multiple intervention seasonal ARIMA models (다중개입 계절형 ARIMA 모형을 이용한 KTX 수송수요 예측)

  • Cha, Hyoyoung;Oh, Yoonsik;Song, Jiwoo;Lee, Taewook
    • The Korean Journal of Applied Statistics
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    • v.32 no.1
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    • pp.139-148
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    • 2019
  • This study proposed a multiple intervention time series model to predict KTX passenger demand. In order to revise the research of Kim and Kim (Korean Society for Railway, 14, 470-476, 2011) considering only the intervention of the second phase of Gyeong-bu before November of 2011, we adopted multiple intervention seasonal ARIMA models to model the time series data with additional interventions which occurred after November of 2011. Through the data analysis, it was confirmed that the effects of various interventions such as Gyeong-bu and Ho-nam 2 phase, outbreak of MERS and national holidays, which affected the KTX transportation demand, are successfully explained and the prediction accuracy could be quite improved significantly.

The Impact of Pandemic Crises on the Synchronization of the World Capital Markets (팬데믹 위기가 세계 자본시장 동조화에 미치는 영향)

  • Lee, Dong Soo;Won, Chaehwan
    • Asia-Pacific Journal of Business
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    • v.13 no.3
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    • pp.183-208
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    • 2022
  • Purpose - The main purpose of this study is to widely investigate the impact of recent pandemic crises on the synchronization of the world capital markets through 25 stock indices from major developed countries. Design/methodology/approach - This study collects 25 stock indices from major developed countries and the time period is between January 5, 2001 and February 24, 2022. The data sets used in the study include finance.yahoo.com and Investing.com.. The Granger causality analysis, unit-root test, VAR analysis, and forecasting error variance decomposition were hired in order to analyze the data. Findings - First, there are significant inter-relations among 25 countries around recent major pandemic crises(such as SARS, A(H1N1), MERS, and COVID19), which is consistent result with previous literature. Second, COVID19 shows much stronger impact on the world-wide synchronization than other pandemics. Third, the return volatility of each stock market varies, unit root tests show that daily stock index data are unstable while daily stock index returns are stable, and VAR(Vector Auto Regression) analyses presents significant inter-relations among 25 capital markets. Fourth, from the impulse response function analyses, we find that each market affects the other markets for short term periods, about 2~4 days, and no long term effect was not found. Fifth, Granger causality tests show one-side or two-sides synchronization between capital markets and we estimate, through forecasting error variance decomposition method, that the explanatory portions of each capital market on other markets vary from 10 to 80%. Research implications or Originality - The above results all together show that pandemic crises have strong effects on the synchronization of world capital markets and imply that these synchronizations should be carefully considered both in the investment decisions by individual investors and in the financial and economic policies by governments.

Who is to Blame for Infection?: Emotional Discourse in Editorial Articles during the Emerging Infectious Diseases Epidemics in Korea (감염병과 감정: 신종감염병에 관한 대중매체의 메시지와 공포, 분노 감정)

  • Kim, Jongwoo;Kang, Jiwoong
    • The Journal of the Korea Contents Association
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    • v.21 no.12
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    • pp.816-827
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    • 2021
  • The purpose of this study is to understand the relationship between fear and anger emotions in the discourse produced by the media during the period of major emerging infectious diseases (SARS, Swine Flu, MERS, and COVID-19) that occurred since 2000 in Korea. The researcher collected editorial articles of the major daily newspaper after a significant epidemic of new infectious diseases and analyzed them using the Extended Parallel Processing Model (EPPM) and text mining techniques. In all epidemic times, fear appears stronger than anger, but the smaller the fear, the greater the risk control message is produced. In detail, fear emerges strongly in the discourse of the risk of infectious diseases or the economic crisis. Anger appears strong when the government's quarantine failures, groups where group infections occurred, and concealing information about infectious diseases. In this process, anger is strongly expressed against the factors that threaten the safety of society. Anger is also an emotion that can justify strong quarantine, but it can be the basis for discourse on minority hate. In this respect, anger is a two-sided emotion, so it must be handled carefully in the media.

Trend Analysis of Studies Related to Emerging Infectious Diseases before COVID-19: Focusing on Published Papers from 2000 to 2019 in the Field of Nursing in Korea (코로나 19 이전 신종감염병 관련 연구의 동향분석: 국내 간호학 분야 2000~2019년 게재논문을 중심으로)

  • Hong, Eunjoo;Jung, Aeri
    • Journal of Korean Academy of Rural Health Nursing
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    • v.17 no.1
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    • pp.9-22
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    • 2022
  • Purpose: This study was conducted to suggest the direction of follow-up research by comparing and analyzing studies related to emerging infectious diseases (EID) in the field of nursing published in Korea since 2000 and before the outbreak of COVID-19 to identify overall themes and trends. Methods: The data search period was limited to papers from 2000 to 2019, and a literature review was conducted through a domestic DB search. 1574 papers extracted through search terms were excluded according to the criteria, and the final 39 papers were selected and analyzed. Results: Nursing studies related to EID consisted of 35 quantitative studies and most of them were descriptive research studies. As for specific disease types, MERS accounted for the largest number with 22, followed by 11 influenza A, 4 EID and 2 SARS. Nurses were the most common subjects with 19 cases (48.7%), and the number of study subjects was 200 or more, 23 cases (59.0%). The outcome variables of the analysis target literature were infection prevention behavior performance, knowledge, attitude, stress, anxiety, nursing intention, and infection control. Conclusion: This study is meaningful in suggesting the direction of follow-up research by identifying the trends in EID research.

A Study on the Room Conversion Type when Converting a Patient Bed-Room into a Negative Pressure Isolation Room - Focused on Nationally designated Isolation Wards and Urgent Isolation Wards (일반병실을 음압격리병실로 전환 시 병실 전환 방식에 관한 연구 - 국가지정입원치료병상과 긴급치료병상을 중심으로)

  • Kim, Jiyoon;Lee, Hyunjin;Kwon, Soonjung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.4
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    • pp.29-35
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    • 2023
  • Purpose: The 2015 Middle East Respiratory Syndrome (MERS) outbreak and the recent COVID-19 pandemic have highlighted the lack of negative pressure isolation rooms and the fragility of the healthcare system. The need for healthcare facility transformation for respiratory infectious diseases has become more prominent due to COVID-19, and the purpose of this study is to provide a foundation for the rapid, economical, and safe construction of negative pressure isolation wards. Methods: This study analyzes the current status of hospitals that have been converted to negative pressure isolation rooms, and provides architectural plans and examples to provide a reference for bedroom change. Research data of this study have been obtained by analyzing the drawings of negative pressure isolation wards of nationally designated inpatient treatment beds and urgent isolation beds. In addition, the relevant literature of urgent isolation beds has been analyzed to derive bedroom change type. Result: In this study, a total of 21 isolation bed conversion methods have been presented. Implications: In order to change efficiently from a general ward to an isolation ward, it is necessary to consider the actual hospital's infectious disease transmission patterns and facility conditions.

A Survey of Medical Environments in Regional Public Hospitals Respond to Disasters (지역거점공공병원의 재난 대비 안전한 의료환경 실태조사 연구)

  • Lee, Hyunjin;Song, Sanghoon;Kim, Taeyun;Kim, Youngaee
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.30 no.2
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    • pp.35-46
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    • 2024
  • Purpose: It is the responsibility of public healthcare to respond quickly to infectious disease outbreaks and disasters such as MERS, COVID-19, the Syrian earthquake, and the Miryang Sejong Hospital fire accident. It is very important to secure safe medical facilities and protect lives through emergency medical support and disaster response systems. The purpose of this study is to investigate the safety status of regional medical facilities that play a central role in the event of a disaster. Methods: The target was 41 local public hospitals, including 35 regional medical centers and 6 Red Cross hospitals nationwide. We delivered a questionnaire to 41 medical facilities and collected data from 32 regional public hospitals that received responses. Results: In order to respond to safety accidents, a survey was conducted on infections, falls, patient identification, and incorrect connections for medical accidents, and for in-hospital accidents, a survey was conducted on entrapment, collision, water leaks, falling objects, and crime prevention. For natural disasters, we investigated the response environment for typhoons, floods, and snow damage, and for social disasters, we investigated the response environment for fire, power outages, and radiation damage. Implications: We hope that it will be used as basic data for developing standards and creating hospital facilities and environments that are safe for everyone to respond to various disasters and prevent patient safety accidents in the future.

The Effect of Acute Respiratory Disease Infectious Diseases on the Life Change of People with Developmental Disabilities and Their Families

  • JungHyun Kim
    • International Journal of Advanced Culture Technology
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    • v.12 no.1
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    • pp.43-50
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    • 2024
  • Patients with acute respiratory diseases, such as Middle East Respiratory Syndrome (MERS) due to COVID-19, must wear masks, protective clothing, face shields, and gloves to prevent infection during treatment and performance. Even if it is applied to disabled people, families who protect them are severely mentally tired from severe physical fatigue and stress from exposure to high-risk infectious diseases. As such, the spread of infectious diseases such as respiratory diseases has not only caused difficulties in using existing welfare and medical services but also caused various problems throughout the daily life of disabled people due to the prolonged infectious disease, and its scope is gradually expanding. Therefore, it should not be overlooked that disabled people may experience various difficulties, from the spread of infectious diseases such as respiratory diseases to isolation, diagnosis, and treatment, and it is time to actively assess the life changes felt by families caring for disabled people and consider and research to provide adequate services. According to the survey of disabled people is being conducted in the context of the spread of infectious diseases such as respiratory diseases, while research on the spread of infectious diseases such as respiratory diseases is rare for parents with disabilities. There is a need for additional investigation into the characteristics in other areas of everyday life, including the health field, which is deteriorating through prior research. Therefore, through this survey, the purpose of this study is to investigate the life changes of parents with disabilities in the context of the spread of infectious diseases such as respiratory diseases and to compare and analyze them to find out how parents were affected by each type of disability. It will be used as evidence to identify more necessary needs and problems for parents with disabilities in the spread of infectious diseases such as respiratory diseases and to provide more appropriate health care and welfare services in the future.