• Title/Summary/Keyword: occupational infection

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Influence of COVID-19-related Nursing Experience on Job Stress of Nurses (COVID-19 관련 업무 경험이 간호사의 직무 스트레스에 주는 영향)

  • Kim, Yeon Hee;Joo, Hyun Sil;Lee, Jeong Eon;Lee, Mi Sun
    • Korean Journal of Occupational Health Nursing
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    • v.31 no.4
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    • pp.147-156
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    • 2022
  • Purpose: This study aimed to compare and analyze the job stress of nurses with and without in COVID-19-related work. Methods: A structured self-reported questionnaire survey was conducted to assess job stress. The extent of job stress was compared between nurses with COVID-19 (COVID-19 group) and those without such experience (non-COVID-19 group). Multiple regression analysis was performed to identify the factors influencing job stress. Results: Job stress was higher in the COVID-19 group compared to the non-COVID-19 group (t=2.54, p=.12). In sub-categorical comparison, stress driven by a taxing work environment, relationship conflict, and work schedule was higher in the COVID-19 group than the non-COVID-19 group. Multiple regression analysis revealed the job stress was higher among nurses with COVID-19-related work experience than that of non-experienced nurses. The factors affecting job stress of nurses with COVID-19-related work experience included emergency room work, providing nursing assistant for COVID-patients, and caring for these patients. Conclusion: Since COVID-19-related work experience is a major factor that affects nurses' job stress, it is imperative to provide various support measures for nursing assistants such as providing a break from working in an environment with high risk of infection, adjusting work schedules, resolving conflicts between personnel, and securing support.

Exposure to Blood and Body Fluid in Operating Room Personnel in One Acute Care General Hospital (일개 종합병원 수술실 의료인의 혈액 및 체액 노출 실태조사)

  • Shin, Young Ran;Park, Kwang Ok;Jeong, Jae Sim;Kim, Kyung Mi
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.2
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    • pp.115-126
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    • 2009
  • Purpose: The purpose of this study was to assess the frequency and characteristics of occupational blood and body fluid exposure for operating room personnel during surgical procedures and identify risk factors. Methods: A self-report questionnaire was used to survey 519 operating room personnel who participated in 132 surgeries in an acute care hospital in Seoul between April 12 and 20, 2006. Results: The response rate was 82% (530/646) and analyzed total 519 except for improper 11 questionnaires. Exposure rate was 45.5% (60/132) during operations and 20.4% (106/519) for operating room personnel. By job categories, the exposure rate was as follows; anesthesiologists and nurses 31.2% (44/141), operators and assistants 22.1% (32/145), circulating nurses 12.0% (11/92), scrub nurses 11.4% (14/123). The mucous membrane-eye exposure with a high risk of transmitting infection was 6.6% (7/106) and the most frequent route of exposure was blood and body fluid touching unprotected skin. In multivariate analysis, the risk factors of exposure were services, duration of operation, a patient who had a peripheral arterial catheter line, and job category. Conclusion: Educational programs and appropriate use of personal protective equipment are necessary to prevent operating room personnel from being exposed to blood and body fluid.

Detection of immunity in sheep following anti-rabies vaccination

  • Hasanthi Rathnadiwakara;Mangala Gunatilake;Florence Cliquet;Marine Wasniewski;Mayuri Thammitiyagodage;Ramani Karunakaran;Jean-Christophe Thibault;Mohamed Ijas
    • Clinical and Experimental Vaccine Research
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    • v.12 no.2
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    • pp.97-106
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    • 2023
  • Purpose: Rabies is a fatal but preventable disease with proper pre-exposure anti-rabies vaccination (ARV). Dogs, as household pets and strays, are the reservoir and vector of the disease, and dog bites have been associated with human rabies cases in Sri Lanka over the past few years. However, other susceptible species having frequent contact with humans may be a source of infection. One such species is sheep and immunity following ARV has never been tested in sheep reared in Sri Lanka. Materials and Methods: We have tested serum samples from sheep reared in the Animal Centre, Medical Research Institute of Sri Lanka for the presence of anti-rabies antibodies following ARV. Sheep serum samples were tested with Bio-Pro Rabies enzyme-linked immunosorbent assay (ELISA) antibody kits used for the first time in Sri Lanka and our results were verified by a seroneutralization method on cells (fluorescent antibody virus neutralization, FAVN test) currently recommended by World Organization for Animal Health and World Health Organization. Results: Sheep received annual ARV and maintained high neutralizing antibody titers in their serum. No maternal antibodies were detected in lamb around 6 months of age. Agreement between the ELISA and FAVN test, i.e., coefficient concordance was 83.87%. Conclusion: Annual vaccination in sheep has an effect on maintaining adequate protection against rabies by measurements of anti-rabies antibody response. Lambs need to be vaccinated earlier than 6 months of age to achieve protective levels of neutralizing antibodies in their serum. Introducing this ELISA in Sri Lanka will be a good opportunity to determine the level of anti-rabies antibodies in animal serum samples.

Seroepizootiology of Hantavirus Infection in Indigenous Rodents in Korea, During 1995-2000

  • Baek, Luck-Ju;Song, Jin-Won;Park, Kuang-Sook;Kho, Eun-Yong;Ryu, Sung-Ho;Richard Yanagihara;Song, Ki-Joon
    • Journal of Microbiology and Biotechnology
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    • v.12 no.1
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    • pp.53-58
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    • 2002
  • To better understand the reservoir host range and distribution of hantaviruses in small mammal populations in Korea, a serological survey was conducted on 1,375 wild rodents and 62 insectivores captured in seven provinces during the six-year period, 1995 to 2000. As determined by the indirect immunofluorescent antibody (IFA) test, 90 ($13.1\%$) of 685 Apodemus agrarius, 47 ($13.6\%$) of 345 Apodemus peninsulae, and 4 ($6.5\%$) of 62 Crocidura laciura were seropositive against the Hantaan virus, while 38 ($13.5\%$) of 282 Eothenomys regulus were seropositive against the Puumala virus. Serological evidence for hantavirus infection was not found in 50 Microtus fortis, six Micromys minutus, six Mus musculus, and one Cricetulus triton. Our serological data indicate that hemorrhagic fever with renal syndrome (HFRS)-related hantaviruses are widely distributed in indigenous rodents in Korea. Particularly noteworthy was the high seropositivity rates among Apodemus peninsulae and Eothenomys regulus captured in certain mountainous regions, suggesting that HFRS may be under-reported among nearby residents or among individuals who might visit such areas for recreational or occupational purposes.

Influencing Factors on Performance for Standard Precaution of Healthcare Workers of General Hospital for Infection Control (종합병원 의료종사자의 감염관리 표준주의 수행도 영향요인)

  • Oh, Ji Eun;Park, Ju Young
    • Journal of Digital Convergence
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    • v.16 no.4
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    • pp.231-249
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    • 2018
  • The purpose of this study is analyze the factors affecting the standard precaution(SP) performance on the knowledge, awareness, attitude and safety environment for SP of healthcare workers of general hospitals. The research method was a descriptive research study. The subject were 262 of healthcare workers of general hospitals. The data were analyzed using descriptive statistics, t-test, Chi-square test, ANOVA, Person's correlation coefficient and Multiple regression analysis using the SPSS program. As a result of the correlation analysis SP Performance was positively correlated with attitude (r=.18, p=.003), safety environment (r=.42, p<.001) and awareness (r=.63, p<.001). As a result of the stepwise multiple regression analysis on the factors influencing SP performance were SP awareness and safety environment. Therefore, in order to improved performance of SP, it's important to improve a awareness and safety environment of SP. Different and persistent infection management educational programs that consider the occupational characteristics and monitoring are required.

Overview of Methodological Quality of Systematic Reviews about Gastric Cancer Risk and Protective Factors

  • Li, Lun;Ying, Xiang-Ji;Sun, Tian-Tian;Yi, Kang;Tian, Hong-Liang;Sun, Rao;Tian, Jin-Hui;Yang, Ke-Hu
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.2069-2079
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    • 2012
  • Background and Objective: A comprehensive overall review of gastric cancer (GC) risk and protective factors is a high priority, so we conducted the present study. Methods: Systematic searches in common medical electronic databases along with reference tracking were conducted to include all kinds of systematic reviews (SRs) about GC risk and protective factors. Two authors independently selected studies, extracted data, and evaluated the methodological qualities and the quality of evidence using R-AMSTAR and GRADE approaches. Results: Beta-carotene below 20 mg/day, fruit, vegetables, non-fermented soy-foods, whole-grain, and dairy product were GC protective factors, while beta-carotene 20 mg/day or above, pickled vegetables, fermented soy-foods, processed meat 30g/d or above, or salty foods, exposure to alcohol or smoking, occupational exposure to Pb, overweight and obesity, helicobacter pylori infection were GC risk factors. So we suggested screening and treating H. pylori infection, limiting the amount of food containing risk factors (processed meat consumption, beta-carotene, pickled vegetables, fermented soy-foods, salty foods, alcohol), stopping smoking, avoiding excessive weight gain, avoidance of Pb, and increasing the quantity of food containing protective components (fresh fruit and vegetables, non-fermented soy-foods, whole-grain, dairy products). Conclusions: The conclusions and recommendations of our study were limited by including SRs with poor methodological bases and low quality of evidence, so that more research applying checklists about assessing the methodological qualities and reporting are needed for the future.

Gender Reassignment Surgery in Human Immunodeficiency Virus-Positive Patients: A Report of Two Cases

  • Kim, Seok-Kwun;Choi, Ji-An;Kim, Myung-Hoon;Kim, Min-Su;Lee, Keun-Cheol
    • Archives of Plastic Surgery
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    • v.42 no.6
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    • pp.776-782
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    • 2015
  • It is believed that surgery on human immunodeficiency virus (HIV)-positive patients is dangerous and should be avoided due to the possibility of postoperative infection of the patients or HIV occupational transmission to the medical staff. We discuss here the preparations and measures needed to conduct surgery safely on HIV-positive patients, based on our experience. We performed sex reassignment surgery on two HIV-positive patients from January 2013 to January 2015. Both of them were receiving highly active antiretroviral therapy and were asymptomatic, with a normal CD4 count ($>500cells/{\mu}L$). The HIV-RNA was undetectable within the bloodstream. All the staff wore protective clothing, glasses, and three pairs of protective gloves in the operating room because of the possibility of transmission. Prophylactic antibiotics were administered to the patients, and antiviral therapy was performed during their perioperative course. Neither of the patients had postoperative complications, and none of the medical staff experienced accidental exposure. Both patients had satisfactory surgery outcomes without complications. HIV-positive patients can undergo surgery safely without increased risk of postoperative complications or HIV transmission to the staff through the proper use of antibiotics, active antiretroviral therapy, and supplemental protective measures with post-exposure prophylaxis for the staff in case of HIV exposure.

Epidemiologic Study of Clonorchis Sinensis Infestation in a Rural Area of Kyongsangnam-do, South Korea (경상남도 일부 농촌지역의 간흡충 감염에 대한 역학적 연구)

  • Ju, Young-Hee;Oh, Jin-Kyoung;Kong, Hyun-Joo;Sohn, Woon-Mok;Kim, Yoon-Gyu;Kim, Jung-Il;Jung, Kap-Yeol;Shin, Hai-Rim
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.4
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    • pp.425-430
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    • 2005
  • Objectives : To investigate the prevalence of Clonorchis Sinensis infestation and to determine the associated risk factors among a population in a part of the rural area of Gyeongsangnam-do, Korea, which is an area known to have a high mortality from liver cancer and a high infection of C. sinensis. Methods : The study populat ion consisted of those people who have lived in rural areas and who were over 40 years old. This study was performed in 5 areas during the period from 1999 to 200 3. Informed consents were obtained from the 2,381 study participants, and these people were interviewed about their life style habits with using the structured questionnaire that was administered by trained staff members. The subjects underwent blood sampling and their stool specimens were examined by using the Formalin-ether sedimentation technique. Results : Among the study subjects (N=2,381), the positivity for C. sinensis in the stool was 34.4% (95% CI=36.3-42.5); it was 39.4% (95% CI=36.3-42.5) in the males and 30.9% (95% CI=28.5-33.3) in the females . The positivity for C. sinensis was associated with current alcohol drinking (odds ratio=1.8, 95% CI: 1.5-2.1) and raw fish consumption (odds ratio 1.2, 95% CI: 0.9-1.6). Conclusion : The present study confirmed the high prevalence of C. sinensis in the study subjects. It is necessary to establish consistent medical management and education programs for the treatment and prevention of C. sinensis infestation in the rural inhabitants of Korea.

Comparison of Hand Washing Awareness and Performance of College Students by Health Departments (일부 보건 계열 대학생에서 손 씻기의 인식도 및 실천도에 대한 비교)

  • Jang, Il-Yong;Yu, Seong-Hun;Kim, Jung-Sook
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.375-382
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    • 2020
  • The purpose of this study was to examine the awareness and performance of hand washing in some health-related college students and to provide basic data on the management of hand washing through the difference and correlation between awareness and performance. This study collected data from 367 questionnaires excluding non-response and unfaithful responses from health-related college students in nursing, physiotherapy and occupational therapy. The survey tool was a Likert 5-point scale self-filled questionnaire that examined general characteristics, hand washing awareness and performance. The general characteristics of the subjects were calculated by frequency analysis, and one-way ANOVA, awareness and performance were analyzed by Pearson's correlation. There was a significant difference in the awareness of hand washing in some health-related college students in the presence or absence of infection education and in all areas except gender. According to the characteristics of the health department, the awareness and performance of hand washing showed a significant difference in the order of physical therapy, occupational therapy, and nursing. There was a significant difference in hand washing awareness in grade characteristics and no significant difference in performance. There was a high correlation between awareness and performance of hand washing.

A Phenomenological Study of the Lifestyle Change Experiences of Undergraduate Due to COVID-19 (코로나-19로 인한 대학생들의 라이프 스타일 변화 경험에 대한 현상학적 연구)

  • Kang, Jin-Ho;Bak, Ah-Ream;Han, Sueng-Tae
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.5
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    • pp.289-297
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    • 2020
  • The purpose of this study is to learn about the life style change experience of undergraduate due to COVID-19. The study was conducted from March 23, 2020 to March 30, 2020 and was conducted on five undergraduate residing in Jeonju. We valued individual's subjective experiences and analyzed them by applying on of the qualitative studies to identify and describe the phenomena as they are. The study found that the lifestyle changes of undergraduate due to COVID-19 were derived from three components: Psychological change, Environmental change, and Behavioral change. Though the participants felt uneasy and terrified by COVID-19 through the experience of psychological change, they expressed relief and anticipation for the increase in the number of complete healers. Experience of environmental change has experienced social distance, changes in academic operation, and difficulty in finding jobs to prevent infection. Behavioral changes have experienced a matrix of mask purchases and thorough management of personal hygiene, which is considered to protect oneself from COVID-19 while also being considerate to others. It is believed that the government will need to provide psychological and behavioral mediation programs for problems arising from the practice of social distance.