• Title/Summary/Keyword: review study

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Association Between Prophylactic Antibiotic Use and Surgical Site Infection Based on Quality Assessment Data in Korea (요양급여적정성 평가자료를 이용한 예방적 항생제 사용과 수술부위 감염 발생의 관련성 연구)

  • Kim, Kyoung-Hoon;Park, Choon-Seon;Chang, Jin-Hee;Kim, Nam-Soon;Lee, Jin-Seo;Choi, Bo-Ram;Lee, Byung-Ran;Lee, Kyoo-Duck;Kim, Sun-Min;Yeom, Seon-A
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.3
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    • pp.235-244
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    • 2010
  • Objectives: To examine the prophylactic antibiotic use in reducing surgical site infection. Methods: This was a retrospective study for patients aged 18 years and older who underwent gastrectomy, cholecystectomy, colectomy, cesarean section and hysterectomy. The data source was quality assessment data of the Health Insurance Review & Assessment Service gathered from medical records of 302 national hospitals. Prophylactic antibiotic use was defined as: timely antibiotic administration or inappropriate antibiotic selection. We performed hierarchical logistic regression to examine the association between prophylactic antibiotic use and surgical site infection with adjustment for covariates. Results: The study population consisted of 16 348 patients (1588 gastrectomies, 2327 cholecystectomies, 1,384 colectomies, 3977 hysterectomies and 7072 cesarean sections) and surgical site infection was identified in 351 (2.1%) patients. The rates of timely antibiotic administration and inappropriate antibiotic selection varied according to procedures. Cholecystectomy patients who received timely prophylactic antibiotic had a significantly reduced risk of surgical site infection compared with those who did not receive a timely prophylactic antibiotics (OR 0.64, 95% CI=0.50-0.83), but no significant reduction was observed for other procedures. When inappropriate prophylactic antibiotics were given, the risk of surgical site infection significantly increased: 8.26-fold (95% CI=4.34-15.7) for gastrectomy, 4.73-fold (95% CI=2.09-10.7) for colectomy, 2.34-fold (95% CI=1.14-4.80) for cesarean section, 4.03-fold (95% CI=1.93-8.42) for hysterectomy. Conclusions: This study examines the association among timely antibiotic administration, inappropriate antibiotic selection and surgical site infection. Patients who received timely and appropriate antibiotics had a decreased risk of surgical site infection. Efforts to improve the timing of antibiotic administration and use of appropriate antibiotic are needed to lower the risk of surgical site infection.

Role of Social Media in Online Radicalization: Literature Review and Research Agenda

  • Tanu Shree;Sumeet Gupta
    • Asia pacific journal of information systems
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    • v.29 no.2
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    • pp.268-282
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    • 2019
  • This study attempts to synthesize the literature on radicalization and examine the role of social media in promoting radicalization. The study is based on the review of prominent studies on radicalization in both offline and online settings. The study builds upon the literature in offline settings on radicalisation and presents a research agenda for radicalization in online settings. The study also presents a model of radicalization delineating the role of social media.

Risk of falls in community-dwelling older adults aged 65 or over with type 2 diabetes mellitus: a systematic review

  • Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • v.7 no.3
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    • pp.139-145
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    • 2018
  • Objective: Older persons with diabetes mellitus (DM) are particularly more likely to have fallen in the previous year than those without DM. The purpose of this study was to investigate the relationship between the risk of falls and type 2 DM in older adults who are 65 years of age or above. Design: A systematic review. Methods: PubMed and other two databases were searched up to August 2, 2018. Observational and cohort studies evaluating fall risk in people who are 65 years of age or above with DM were included. This review extracted the following information from each study selected: first author's surname, year of publication, country, average follow-up period, sex, age at enrollment, study population, measurement variables, relative risk, 95% confidence intervals and controlled variables. Results: This review involved nine cohort studies with 3,765 older adults with DM and 12,989 older adults without DM. Six studies compared with or without DM and two studies compared fallers with non-fallers with DM. Risk factors for falls included impaired cognitive function, diabetes-related complications (peripheral nerve dysfunction, visual impairment), and physical function (balance, gait velocity, muscle strength, and severity of physical activities). Conclusions: People who are 65 years of age or above with DM have increased risk of falling caused by impaired cognitive function, peripheral nerve dysfunction, visual impairment, and physical function in community-dwellers. For adults who are 65 years of age or older with DM, research fields and clinical settings should consider therapeutic approaches to improve these risk factors for falls.

A Critical Review of Health Behavior Studies of Adolescents Conducted in Korea (청소년 건강행위에 대한 국내연구동향)

  • Park, Nam-Hee;Lee, Hae-Jung
    • Research in Community and Public Health Nursing
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    • v.13 no.1
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    • pp.98-114
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    • 2002
  • Purpose: This review examined literature relevant to adolescent's health behavior in order to identify key behaviors and factors related to health behaviors for targeting health promotion interventions. Method: A critical review of 29 research articles was carried out using the guidelines suggested by Cooper. Result: The majority of the studies were descriptive and cross-sectional. Generally. the study includes sub-dimensions such as general hygiene and daily life habit, safety and accident prevention, nutrition and eating (tobacco, drinking), exercise, mental health and stress management, health duty (drug, health examination, disease prevention). Factors highly related to health behaviors were age, living areas, economic status, parent health behaviors, parent health concern, social support, friends influence, self-efficacy, self-esteem, locus of control, and the perceived health status. Sex, parent education and health knowledge were not related to health behaviors of adolescents. Conclusion: Several conceptual and methodological problems were identified in the studies review, such as restricted conceptualization of health behaviors and sampling issues which limit the generalizability of the study outcomes. Further research is needed to enhance the concept clarification and generalizablity of the study results.

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A Study on Environment-related Factors that Affect Wandering for People with Dementia - A Systematic Review of Literature: Focused on the Context of Long-term Care Facilities for People with Dementia (치매 환자의 배회에 영향을 주는 환경요소에 관한 연구 - 체계적 문헌연구: 치매 환자를 위한 노인전문병원 및 요양시설을 중심으로)

  • Choi, Young-Seon;Choi, Yeo Jin
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.3
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    • pp.9-23
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    • 2015
  • Purpose: This paper's main objective is to provide a systematic review of research evidence that articulates the impact of environment-related factors on wandering for people with dementia in the Long-term Care Facilities. Another objective of this study is to identify design implications that can be incorporated into design process and decisions to positively improve wandering abilities for people with dementia. Methods: Comprehensive literature review has been performed to investigate empirical studies and peer-reviewed articles published in many different fields including psychology, architecture, nursing to gerontology. Results: The review found studies that identified environment-related factors, affecting wandering for people with Dementia living in Long-term Care Facilities. Implications: The findings can help us understand wandering behavior and the recommendations in this research can serve as parts of considerations in practice that can help efficiently manage wandering abilities of people with dementia living in Long-term Care Facilities. Further studies with larger samples and various environmental conditions are required to confirm the findings in this study.

A Review Study on Nursing Students' Stress for Improvement of Nursing Education (간호교육 개선을 위한 간호대학생의 스트레스 관련 문헌 분석)

  • Kim, Jong Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.1
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    • pp.47-59
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    • 2014
  • Purpose: The purpose of this study was to review articles and theses on Korean nursing students' stress, identifying overall research trends regarding such stress and suggesting strategies for stress management and nursing education system. Methods: The subjects for this study were 31 articles selected from three databases according to specific inclusion criteria. Results: Twenty-seven articles described survey research and four articles reported on experiments. Twenty-two studies related to stress from clinical practice among nursing students. Thirty-one articles reported on 40 regions and 44 colleges. Seventeen types of tools were used to measure nursing students' stress. The reported reliability of tools ranged from .76 to .96, and the mean score for nursing students' stress fell between 1.98 and 3.95. Conclusion: The findings from this review article indicate that nursing students exhibit different levels of stress as a result of school. Thus, they must learn to cope with stress to support their physical and psychological health. Moreover, finding ways to help student nurses handle job-related stress will require research related to the overall school, the curriculum, learning, and the life of nursing students, as well as stress intervention.

Work Stress and Fatigue among Medical Insurance Review Nurses (보험심사간호사의 직무 스트레스와 피로도)

  • Kim, Jea-Ran;Suh, Soon-Rim;Shin, Jee-Won
    • Korean Journal of Health Education and Promotion
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    • v.26 no.4
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    • pp.63-70
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    • 2009
  • Objectives: Work stress is associated with increased risk of fatigue. The purpose of this study was to identify the relationship of work stress and fatigue among Medical Insurance Review Nurses. Methods: The subjects of this study were 117 nurses in charge of medical insurance review. A structured questionnaires were employed to evaluate the nurses' sociodemographics, work stress and fatigue. The data were analysed through frequency, percentile, mean, standard deviation, Chronbach's $\alpha$, Pearson's correlation coefficient, and multiple regression. Results: Mean scores of work stress and fatigue of participants were 3.29 and 1.97 respectively. Work stress was correlated with fatigue significantly (r=.39). There were effects on fatigue by work performance satisfaction and the frequency of insurance request among sociodemographics. Job conflicts with doctors which was a domain of work stress was increased fatigue. Conclusion: The results of this study suggest that work performance satisfaction, the frequency of insurance request and job conflicts with doctors are significant predictors of fatigue. Thus, a strategy to enhance nurses' work environment and to reduce work stress through developing interpersonal relationship is recommended.

A Study on The Prior Environmental Review System in a Costal Improvement Project (연안정비사업의 사전환경성검토 방안에 관한 연구)

  • Maeng, Jun-Ho;Cho, Kwang-Woo
    • Journal of Environmental Impact Assessment
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    • v.19 no.2
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    • pp.179-187
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    • 2010
  • A costal improvement project is designed for preventing disasters on the coast, improving costal environment, and promoting costal functions, so it is different from the one for developing coasts. However, the costal improvement project also affects the surrounding environment and it may damage the costal environment in some cases. In line with this, this study was carried out to provide the guideline to the review on environmental conditions, which should be performed in the stage of establishing the plan for a costal improvement project, so that the influence affecting marine environment can be reduced and more efficient coastal project can be planned. The costal improvement project is different in the degree of affecting the costal environment according to kinds, scales, and regions. Accordingly, in this study the state of the coastal improvement project and involved problems were analyzed. The prior environmental review system was divided into a seawall-installation project, a marine construction such as the installation of submerged breakwater and jetties, and a project for creating water-friendly coast including a park without marine landfill. The main items for reviewing these specific projects were presented.

Prevalence and Indicators of Musculoskeletal Diseases on Nurses: An Integrated Review (통합적 고찰을 통한 간호사들의 직업 관련 근골격계 질환 유병률과 예측요인)

  • Choi, Eun Hee
    • Journal of muscle and joint health
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    • v.27 no.1
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    • pp.1-11
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    • 2020
  • Purpose: The purpose of this study was to explore prevalence and causal factors of musculoskeletal diseases on nurses. Methods: This study was an integrated review. Documentations were searched through electric databases using SAGE journals, EBSCOhost, Pubmed, RISS, NDSL and KCI. Terminology for this review was "Nurse" and "Musculoskeletal" and language versions were Korean or English. Number of final articles was 70 (Korean articles were 11 and english versions were 59). Results: Studies related to musculoskeletal diseases on nurses started in Sweden and USA from 1995. Subjects of studies were general hospital nurses in 50 out of 70 studies. Lower back in Korea and waist in other countries were highest areas of muculoskeletal disease's prevalence. Revisable factors of musculoskeletal diseases on nurses included physical, psychosocial and environmental factors that were more than unrevised factors. Conclusion: This study suggests to develop programs for preventing musculoskeletal disease of lower back or waist in general hospitals because of high frequency. Interventions to prevent musculoskeletal diseases need to consider prevalence and quality indicators on nurses.

A Systematic Literature Review on Service Quality: Bibliomertics and Network Analysis (서비스 품질의 체계적 문헌 조사 연구: 계량서지학과 네트워크 분석을 중심으로)

  • Jeong, EuiBeom;Park, Jinsoo
    • Journal of Korean Society for Quality Management
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    • v.47 no.2
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    • pp.327-344
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    • 2019
  • Purpose: This study aims to conduct a systematic literature review to suitably identify wide and specific issues and topics on service quality in supply chain. Methods: This study is to investigate service quality in supply chain research using a systematic literature review methodology. In order to extract influential journals and papers, we used the SJR impact factor provided by the SCOPUS database. The collected 169 papers were analyzed using bibliometric analysis, citation analysis as well as keywords network. Results: We conducted a bibliometric analysis to identify top authors contributing to service quality in supply chain and their issues, and further examined important keywords and new emerging keywords. In addition, we extracted five influential papers by PageRank to clarify critical issues and divided into five clusters to identify topics of service quality in supply chain by using network-based approach. In order to examine comprehensive issues and topics of service quality in supply chain, we constructed a keyword network to observe difference in the classification of important keywords across network centrality measures. Conclusion: Our study reviewed literature on service quality in supply chain and explored the future directions and trends of service quality in supply chain.