• Title/Summary/Keyword: e-health

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Colistin resistance and plasmid-mediated mcr genes in Escherichia coli and Salmonella isolated from pigs, pig carcass and pork in Thailand, Lao PDR and Cambodia border provinces

  • Pungpian, Chanika;Lee, Scarlett;Trongjit, Suthathip;Sinwat, Nuananong;Angkititrakul, Sunpetch;Prathan, Rangsiya;Srisanga, Songsak;Chuanchuen, Rungtip
    • Journal of Veterinary Science
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    • v.22 no.5
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    • pp.68.1-68.15
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    • 2021
  • Background: Colistin and carbapenem-resistant bacteria have emerged and become a serious public health concern, but their epidemiological data is still limited. Objectives: This study examined colistin and carbapenem resistance in Escherichia coli and Salmonella from pigs, pig carcasses, and pork in Thailand, Lao PDR, and Cambodia border provinces. Methods: The phenotypic and genotypic resistance to colistin and meropenem was determined in E. coli and Salmonella obtained from pigs, pig carcasses, and pork (n = 1,619). A conjugative experiment was performed in all isolates carrying the mcr gene (s) (n = 68). The plasmid replicon type was determined in the isolates carrying a conjugative plasmid with mcr by PCR-based replicon typing (n = 7). The genetic relatedness of mcr-positive Salmonella (n = 11) was investigated by multi-locus sequence typing. Results: Colistin resistance was more common in E. coli (8%) than Salmonella (1%). The highest resistance rate was found in E. coli (17.8%) and Salmonella (1.7%) from Cambodia. Colistin-resistance genes, mcr-1, mcr-3, and mcr-5, were identified, of which mcr-1 and mcr-3 were predominant in E. coli (5.8%) and Salmonella (1.7%), respectively. The mcr-5 gene was observed in E. coli from pork in Cambodia. Two colistin-susceptible pig isolates from Thailand carried both mcr-1 and mcr-3. Seven E. coli and Salmonella isolates contained mcr-1 or mcr-3 associated with the IncF and IncI plasmids. The mcr-positive Salmonella from Thailand and Cambodia were categorized into two clusters with 94%-97% similarity. None of these clusters was meropenem resistant. Conclusions: Colistin-resistant E. coli and Salmonella were distributed in pigs, pig carcasses, and pork in the border areas. Undivided-One Health collaboration is needed to address the issue.

Relationship between Oral Health Status and Oral Health Management by Smoking Type in Korean Adults (우리나라 성인의 흡연형태별 구강건강상태 및 구강건강관리와의 관련성)

  • Yun, Ji-Hyun;Lee, Young-Hoon;Lee, Jeong-mi
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.436-448
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    • 2020
  • This study aims to determine the effect of e-cigarettes on oral health by investigating the association between the use of different tobacco products and oral health among Korean adults aged 19 years and older. Data from the 2017 Community Health Survey were used for the study. Respondents were divided into four groups: non-smokers, cigarette smokers, e-cigarette smokers, and users of both products. A sample of 228,357 respondents was selected for analysis. Twenty-four questionnaires with missing values (non-response or refusal) were excluded from the sample. A regression analysis was performed with oral as the dependent variable. A multivariate regression analysis showed a significant difference between cigarette smokers and users of both products when compared to the non-smokers. However, e-cigarette users showed a significant when the variables were correlated with age and gender. There was no significant difference in other dependent variables in a multivariate regression analysis. The results of the study indicated no association between e-cigarette use and oral health. More research is needed on factors such as amount and intensity of e-cigarette use.

Inhibition Effects of Frankincense Oil on Skin Aging (II): Focussed on Histological Observation (프랑킨센스 오일의 피부노화 억제 효과 (II) - 조직학적 관찰을 중심으로 -)

  • Choi, Oi-Sook;Kwon, Mi-Hwa;Kong, Min-Kyu;Lee, Soon-Hee;Gang, Sung-Rye;Kim, Pil-Sun;Kim, Young-Chul
    • Environmental Analysis Health and Toxicology
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    • v.23 no.2
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    • pp.129-138
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    • 2008
  • The purpose of this study was to investigate the effects of frankincense oil in skin aging animal model. Skin aging was induced by both the irradiation of UVB and the application of squalene monohydroperoxide (Sq-OOH) to the back of experimental animals for 4 weeks. And at the same time experimental materials were applied topically. Six to seven weeks female SHR-1 hairless mice were divided into five groups including normal (N: saline), control (C: UVB+Sq-OOH+saline), vehicle control (VC: UVB+Sq-OOH+jojoba oil), positive control (PC: UVB+Sq-OOH+0.01% retinoic acid) and experimental (E: UVB+Sq-OOH+3% Frankincense oil) groups, five animals each group. Lipid lamella and lipid content in stratum corneum of the E group were almost intact with a regular arrangement which were similar to the N group. Collagen fibers in dermis of the E group were almost intact with a regular arrangement which were similar to the N group. Relatively much less number of mast cells and inflammatory cells were found in the E group compared to the C group. The activities of XO, SOD and CAT were no significant difference between the E and N groups. In conclusion, the application of frankincense oil to the skin aging animal model reduced both the generation of free radicals and the damage of skin tissues. Therefore, frankincense oil can be used practically for the prevention or improvement of skin aging in terms of health promotion and beauty for the people.

Study of Oral Microbial Prevalence and Oral Health in Adults

  • Moon, Kyung-Hui;Lee, Jin-Young;Kang, Yong-Ju
    • International Journal of Clinical Preventive Dentistry
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    • v.14 no.4
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    • pp.264-270
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    • 2018
  • Objective: This study performed a quantitative analysis using the real-time polymerase chain reaction technique to examine the oral microbial prevalence in adults and intended to examine the correlations between risk factors of periodontal disease and oral bacteria and correlation between oral test scores and oral microorganisms. Methods: We examined papillary marginal attached (PMA) index, modified patient hygiene performance (M-PHP) index, probing depth (PD), modified gingival index, and oral bacteria counts and surveyed 117, 20 years or older adult males and females who visited dental clinics in the Daejeon region to analyze the prevalence and oral health. Results: The prevalence was 100% for Fusobacterium nucleatum, meaning it was observed in all examined subject, 85.5% for Parvimonas micra, 76.1% for Prevotella intermedia, and 72.6% for Tannerella forsythia. The averages of P. gingivalis and T. forsythia increased as the examined subjects were older, and there was a statistically significant difference between T. forsythia and E. nodatum in relation to medical history, between P. intermedia and P. micra in relation to gender, and between P. intermedia and E. corrodens in relation to smoking (p<0.05). For a correlation between the oral test scores and oral microorganisms, P. gingivalis and F. nucleatum was highly correlated with PD (correlation coefficient of 0.51 and 0.41) (p<0.01) while P. gingivalis, P. micra, C. rectus, and E. nodatum were significantly correlated with M-PHP index, gingival index, PD, and PMA index (p<0.01, p<0.05). Conclusion: For oral health management of adults, the age, systemic disease, and smoking are closely related to oral bacteria, and P. gingivalis, T. forsythia, F. nucleatum, P. intermedia, P. micra, C. rectus, E. corrodens, and E. nodatum are considered to be the oral microorganisms that indicate periodontal health.

A Study on Development of Evaluation Scale for Health-Grade of Families (가정건강성 평가도구 개발에 관한 연구)

  • Jeong, Young-Keum;Park, Jeong-Yoon;Song, Hye-Rim
    • Journal of Family Resource Management and Policy Review
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    • v.15 no.1
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    • pp.177-197
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    • 2011
  • This study was designed to develop the evaluation scale for health-grade of families. For this goal the related references and the programs of Healthy-Families-Center were analyzed. In the context with the goals and objects of programs in Healthy-Families-Center the index for the evaluation the health-grade of families was deducted. And the concrete items of health-grade of families in 3 parts(R: relation, M: management, E: environment) was discussed. In order to verify the validity and significance of the scale the survey for 200 samples was performed and the data from 191 samples was statistically analyzed. We suggested the application methods of this evaluation scale for health-grade of families. So the 8 types of families were came out: RME, RMe, RmE, rME, Rme, rMe, rmE, rme. Using this type of families the consulting and counselling for the enhancement of health-grade can be developed. We reached the conclusion that this evaluation scale has to be continuously developed and eleborated because the health-grade of families is one of the most important index for the effect of programs of Healthy Families Center.

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Developing Job Description for Dietitians Working in Public Health Nutrition Areas (보건소 영양사를 위한 직무 기술서 개발)

  • Cha, Jin-A;Park, Hae-Ryun;Lim, Young-Suk;Lim, Seung-Hee
    • Korean Journal of Community Nutrition
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    • v.13 no.6
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    • pp.890-902
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    • 2008
  • The purpose of this study was to develop a standardized job description for dietitians working in the public health nutrition area. Work-oriented job analysis methodology was employed for the study purpose. Subjects of 38 dietitians currently working at health centers in 2002 were recruited. Based on the focus group interview with 7 public health nutritionists and 7 professors, information about task elements was collected. Questionnaires measuring work performance and self-perception of importance of the selected task elements were administered. Reliability and validity of this instrument were tested by Chronbach's alpha and factor analysis. SAS PC package program was used for the statistical analysis. The final developed job description for public health nutritionists included 5 duties, 20 tasks and 93 task elements. The results of this study can be summarized as follows; 1) 5 duty areas are A. plan and evaluation of public health nutrition services, B. developing nutrition education materials, C. implementing nutrition services, D. networking community, and E. self development. 2) Each duty area from A to E was composed with 6, 2, 6, 4, 2 tasks, respectively. 3) Each duty area from A to E was composed with 24, 8, 38, 14, 9, and 2 task elements, respectively.

Antibiotic Resistance Patterns of Enterococcus spp. Isolated From Commercial Frozen Foods (시판 냉동식품에서 분리한 장구균의 항생제 내성 양상)

  • Park, Sun-Hee;Kim, Kyung-Sig;Yoo, Young-A;Lee, Jae-Kyoo;Jung, Sung-Kook;Han, Ki-Young;Kim, Moo-Sang
    • Journal of Food Hygiene and Safety
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    • v.25 no.2
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    • pp.122-128
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    • 2010
  • From April to December in 2009, microbial investigation is accomplished for 100 frozen foods asked to microbial control team that corresponds with total aerobic viable bacteria, coliform group, Escherichia coli, Enterococcus spp. and antibiotic resistance patterns of Enterococcus spp. isolates are investigated. Average of total erobic viable bacteria numbers is $4.3{\times}10^4CFU/g$. Average of coliform group numbers is $4.3{\times}10^3CFU/g$. Average f Enterococcus spp. numbers is $1.8{\times}10^3CFU/g$. Escherichia coli from 100 frozen foods is not detected and detection ate is 0.0%. 22 Enterococcus spp. are isolated from 100 frozen foods. 12 of 22 Enterococcus spp. strains are identified as E. faecium. 7 of 22 Enterococcus spp. strains are identified as E. faecalis. 2 of 22 Enterococcus spp. trains are identified as E. gallinarum. 1 of 22 Enterococcus spp. strains is identified as E. hirae. Enterococcus spp. solates show a high resistance to erythromycin, rifampin, tetracycline, ciprofloxacin, chlorampenicol, penicillin and susceptibility to vancomycin, ampicillin, gentamicin, strepomycin, linezolid. 15 of 22 Enterococcus spp. strains are multi-resistant and the most frequent multi-resistant pattern is erythromycin-rifampin for 6 Enterococcus spp. strains.

How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?

  • Ruitenburg, Martijn M.;Frings-Dresen, Monique H.W.;Sluiter, Judith K.
    • Safety and Health at Work
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    • v.7 no.1
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    • pp.18-31
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    • 2016
  • Background: A job-specific Worker's Health Surveillance (WHS) for hospital physicians is a preventive occupational health strategy aiming at early detection of their diminished work-related health in order to improve or maintain physician's health and quality of care. This study addresses what steps should be taken to determine the content of a job-specific WHS for hospital physicians and outlines that content. Methods: Based on four questions, decision trees were developed for physical and psychological job demands and for biological, chemical, and physical exposures to decide whether or not to include work-related health effects related to occupational exposures or aspects of health reflecting insufficient job requirements. Information was gathered locally through self-reporting and systematic observations at the workplace and from evidence in international publications. Results: Information from the decision trees on the prevalence and impact of the health- or work-functioning effect led to inclusion of occupational exposures (e.g., biological agents, emotionally demanding situations), job requirements (e.g., sufficient vision, judging ability), or health effects (e.g., depressive symptoms, neck complaints). Additionally, following the Dutch guideline for occupational physicians and based on specific job demands, screening for cardiovascular diseases, work ability, drug use, and alcohol consumption was included. Targeted interventions were selected when a health or work functioning problem existed and were chosen based on evidence for effectiveness. Conclusion: The process of developing a job-specific WHS for hospital physicians was described and the content presented, which might serve as an example for other jobs. Before implementation, it must first be tested for feasibility and acceptability.

Probiotic Potential of Enterococcus faecium Isolated from Chicken Cecum with Immunomodulating Activity and Promoting Longevity in Caenorhabditis elegans

  • Sim, Insuk;Park, Keun-Tae;Kwon, Gayeung;Koh, Jong-Ho;Lim, Young-Hee
    • Journal of Microbiology and Biotechnology
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    • v.28 no.6
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    • pp.883-892
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    • 2018
  • Probiotics, including Enterococcus faecium, confer a health benefit on the host. An Enterococcus strain was isolated from healthy chicken cecum, identified as E. faecium by 16S rDNA gene sequence analysis, and designated as E. faecium L11. To evaluate the potential of E. faecium L11 as a probiotic, the gastrointestinal tolerance, immunomodulatory activity, and lifespan extension properties of the strain were assayed. E. faecium L11 showed >66% and >62% survival in artificial gastric juice (0.3% pepsin, pH 2.5) and simulated small intestinal juice (0.5% bile salt and 0.1% pancreatin), respectively. Heat-killed E. faecium L11 significantly (p < 0.05) increased immune cell proliferation compared with controls, and stimulated the production of cytokines (IL-6 and $TNF-{\alpha}$) by activated macrophages obtained from ICR mice. In addition, E. faecium L11 showed a protective effect against Salmonella Typhimurium infection in Caenorhabditis elegans. In addition, feeding E. faecium L11 significantly (p < 0.05) extended the lifespan of C. elegans compared with the control. Furthermore, genes related to aging and host defense were upregulated in E. faecium L11-fed worms. In conclusion, E. faecium L11, which prolongs the lifespan of C. elegans, may be a potent probiotic supplement for livestock.

Prevalence and Antibiotic Susceptibility of Vancomycin-Resistant Enterococci in Chicken Intestines and Fecal Samples from Healthy Young Children and Intensive Care Unit Patients

  • Kim, Shin-Moo;Shim, Eun-Sook;Seong, Chi-Nam
    • Journal of Microbiology
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    • v.39 no.2
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    • pp.116-120
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    • 2001
  • The prevalence resistance genotype and antibiotic susceptibility of vancomycin-resistant enterococci (VRE) were determined. Prevalence of VRE in chickens, healthy children and intensive care unit (ICU) patients was 43.0%, 12.7% and 24.1%, respectively. Forty out of 56 isolates from chicken intestines were identified as Enterococcus faecium, and 12 were E. faecalis. All the isolates contained the vanA gene. Nine out of 13 VRE isolates from patients and two out of 21 from healthy young children were identified as E. faecium. The resistance types of E. faecium, E. gallinarium and E. casseliflavus were VanA, VanCl, and VanC2, respectively. The minimum inhibitory concentrations (MICs) of E. faecium, E. gallinarium, and E. casseliflavus to vancomycin were 512,8 and 4 g/ml, respectively. Specifically, E. faecium isolates were resistant to most of antibiotics except ampicillin and gentamicin. This is the first report of high VanA type VRE prevalence in nonhospitalized young children in Korea.

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