• Title/Summary/Keyword: human agency

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Factors Associated With Long-term Retention in Antiretroviral Therapy Among People Living With HIV: Evidence From a Tertiary Hospital in Jakarta, Indonesia

  • Ifael Yerosias Mauleti;Krishna Adi Wibisana;Djati Prasetio Syamsuridzal;Sri Mulyati;Vivi Lisdawati;Ika Saptarini;Nurhayati;Armedy Ronny Hasugian;Harimat Hendarwan
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.3
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    • pp.252-259
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    • 2024
  • Objectives: This study investigated factors associated with the retention of people living with human immunodeficiency virus (HIV) on antiretroviral therapy (ART) during the first 3 years of treatment. Methods: A retrospective study using electronic health records was conducted at a tertiary hospital in Jakarta, Indonesia. Adult HIV-positive patients who started ART from 2010 until 2020 were included. A binary logistic regression model was used to identify factors associated with ART retention in the first 3 years. Results: In total, 535 respondents were included in the analysis. The ART retention rates for the first, second, and third years were 83.7%, 79.1%, and 77.2%, respectively. The multivariate analysis revealed a negative association between CD4 count when starting ART and retention. Patients with CD4 counts >200 cells/mL were 0.65 times less likely to have good retention than those with CD4 counts ≤200 cells/mL. The year of starting ART was also significantly associated with retention. Patients who started ART in 2010-2013 or 2014-2016 were less likely to have good retention than those who started ART in 2017-2020, with adjusted odds ratios of 0.52 and 0.40, respectively. Patients who received efavirenz-based therapy were 1.69 times more likely to have good retention than those who received nevirapine (95% confidence interval, 1.05 to 2.72). Conclusions: Our study revealed a decline in ART retention in the third year. The CD4 count, year of enrollment, and an efavirenz-based regimen were significantly associated with retention. Patient engagement has long been a priority in HIV programs, with interventions being implemented to address this issue.

Analysis of Physical Component Considered for The Development of Smart Card Protection Profile (스마트 카드 보호프로파일 개발을 위하여 고려하여야 하는 물리적 위협 요소 분석)

  • Kim, Tai-Hoon;Kim, Min-Chul;Sung, Yune-Gie;Cho, Kyu-Min;No, Byung-Gyu
    • Proceedings of the KIEE Conference
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    • 2003.07d
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    • pp.2747-2749
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    • 2003
  • Security is concerned with the protection of assets from threats, where threats are categorised as the potential for abuse of protected assets. All categories of threats should be considered, but in the domain of security greater attention is given to those threats that are related to malicious or other human activities ISO/IEC 15408 requires the TOE(Target of Evaluation) Security Environment section of a Protection Profile(PP) or Security Target(ST) to contain a list of threats about the TOE security environment or the intended usage of the TOE. This paper presents a specific physical threats should be considered in the smart card PP which developers of smart card PP must consider.

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IN VITRO AND IN VIVO EVALUATION OF THE GENOTOXIC EFFECT OF 2-BROMOPROPANE BY THE ALKALINE SINGLE-CELL GEL ELECTROPHORESIS(COMET) ASSAY

  • Kim, Soo-Jin;Yu, Il-Je;Lee, Yong-Mook;Chung, Ho-Keun;Maeng, Seung-Hee
    • Proceedings of the Korean Society of Toxicology Conference
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    • 2002.11b
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    • pp.146-146
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    • 2002
  • The alkaline single cell gel electrophoresis (comet) assay was used to clarify in vitro and in vivo genotoxicity of 2-bromopropane (2-BP). For in vitro studies, fresh medium containing 2-BP (2.50, 1.00, 0.50, 0.25, 0.10, 0.05, 0.01 mM, and vehicle control) were added in human lymphocytes.(omitted)

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Diagnosis of canine brucellosis using recombinant ribosomal protein L7/L12 (재조합 리보솜 단백질 L7/L12을 이용한 개 브루셀라병의 진단)

  • Lee, Hyang-Keun;Kim, Jong-Wan;Ha, Yun-Mi;Her, Moon;Kim, Ji-Yeon;Lee, Kichan;Kang, Sung-Il;Jung, Suk-Chan
    • Korean Journal of Veterinary Research
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    • v.52 no.1
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    • pp.25-31
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    • 2012
  • Brucella (B.) canis is mainly transmitted by direct or indirect contact with aborted fetuses and placenta. It's also known to be able to infect human, which likely results in providing veterinarians and companion animal owners for infectious risk. To develop diagnostic ELISA, we cloned and expressed rp1L gene of B. canis, which encodes the ribosomal protein L7/L12. Using this purified recombinant protein, indirect-ELISA (iELISA) was evaluated using 78 positive and 44 negative sera. The sensitivity and the specificity of iELISA were 94% and 89%, respectively. The results indicated that indirect-ELISA using recombinant ribosomal protein L7/L12 may be useful for diagnosis of canine brucellosis.

Comparative Study of First-in-Human Dose Estimation Approaches using Pharmacometrics (약물계량학을 이용한 초기임상1상 시험 용량 예측 방법에 대한 비교연구)

  • Baek, In-hwan
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.2
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    • pp.150-162
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    • 2016
  • Objective: First-in-human dose estimation is an essential approach for successful clinical trials for drug development. In this study, we systematically compared first-in-human dose and human pharmacokinetic parameter estimation approaches. Methods: First-in-human dose estimation approaches divided into similar drug comparison approaches, regulatory guidance based approaches, and pharmacokinetic based approaches. Human clearance, volume of distribution and bioavailability were classified for human pharmacokinetic parameter estimation approaches. Results: Similar drug comparison approaches is simple and appropriate me-too drug. Regulatory guidance based approaches is recommended from US Food and Drug Administration (FDA) and European Medicines Agency (EMA) regarding no-observed-adverse-effect level (NOAEL) or minimum anticipated biological effect level (MABEL). Pharmacokinetic based approaches are 8 approaches for human clearance estimation, 5 approaches for human volume of distribution, and 4 approaches for human bioavailability. Conclusion: This study introduced and compared all methods for first-in-human dose estimation. It would be useful practically to estimate first-in-human dose for drug development.

Study on the modeling of human resource development in webtoon authors (웹툰작가의 인적자원개발 모델링 연구 : 창의인재동반사업을 중심으로)

  • Kang, Eun-won;Lee, Sung-jin
    • Cartoon and Animation Studies
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    • s.46
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    • pp.129-150
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    • 2017
  • With the change in educational environment of cartoon creation and diversification of webtoon platforms, various ways of engaging webtoon authors have been suggested. Under this situation, Korea Manhwa Contents Agency(KOMACON) and Korea Creative Content Agency(KOCCA) provide support to webtoon authors directly and indirectly to nurture professional webtoon talents. Contents creative human resource joint project being carried out by KOCCA is mainly to nurture and support contents experts by developing their creativity through tight training between mentors and mentees, creating job opportunities, building the support system for creative activities, and supporting commercialization during the project. Undergoing the process of recruitment and selection, the participants of this project are educated, trained and developed according to education programs provided by the hosting agency, and this project has a model to compensate for creative activities for a ceratin period of time. However, there has been a problem that it is difficult to constantly keep and manage webtoon talents who are cultivated by human resource management of less than one-year project. This study analyzed creative human resource joint project which is a human resource development model, using human recourse theory and suggested a strategic human resource model based on webtoon authors' human resource model development.

Seroprevalence and B1 gene Phylogeny of Toxoplasma gondii of Dogs and Cats in Republic of Korea

  • Park, Yeojin;Noh, Jinhyeong;Seo, Hyun-Ji;Kim, Keun-Ho;Min, Subin;Yoo, Mi-Sun;Yun, Bo-Ram;Kim, Jong-Ho;Choi, Eun-Jin;Cheon, Doo-Sung;Hong, Sung-Jong;Yoon, Soon-Seek;Cho, Yun Sang
    • Parasites, Hosts and Diseases
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    • v.58 no.3
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    • pp.257-265
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    • 2020
  • The outbreak of human toxoplasmosis can be attributed to ingestion of food contaminated with Toxoplasma gondii. Toxoplasmosis recently increased in domestic and stray dogs and cats. It prompted studies on the zoonotic infectious diseases transmitted via these animals. Sero- and antigen prevalences of T. gondii in dogs and cats were surveyed using ELISA and PCR, and B1 gene phylogeny was analyzed in this study. Toxoplasmosis antibodies were measured on sera of 403 stray cats, 947 stray dogs, 909 domestic cats, and 2,412 domestic dogs collected at nationwide regions, Korea from 2017 to 2019. In addition, whole blood, feces, and tissue samples were also collected from stray cats (1,392), stray dogs (686), domestic cats (3,040), and domestic dogs (1,974), and T. gondii-specific B1 gene PCR was performed. Antibody prevalence of stray cats, stray dogs, domestic cats, and domestic dogs were 14.1%, 5.6%, 2.3%, and 0.04%, respectively. Antigen prevalence of these animals was 0.5%, 0.2%, 0.1%, and 0.4%, respectively. Stray cats revealed the highest infection rate of toxoplasmosis, followed by stray dogs, domestic cats, and domestic dogs. B1 gene positives were 5 of stray cats, and identified to high/moderate pathogenic Type I/III group. These findings enforce that preventive hygienic measure should be strengthened at One Health level in dogs and cats, domestic and stray, to minimize human toxoplasmosis infections.

Design of Human-Error Detect Filter (휴먼에러의 검출 필터 설계)

  • Kim, Hwan-Seong;Kim, Seung-Ho
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2009.10a
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    • pp.121-123
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    • 2009
  • In previous research results, human error can be detected by using observation theory which assumed with step human failures, thus the detector has a limit to detect the human failures. In this paper, we propose a human error detect filter for given human failures. Various kind of human failures can be modeled, and from these models, an argumented human failure model can constructed. By using the argumented human failure model, the human error detect filter can be designed.

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