• Title/Summary/Keyword: Hand-Washing

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Food Safety Behavior of Low-Income Parents and Guardians of Infants in the U.S.

  • Kwon, Junehee
    • Journal of Community Nutrition
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    • v.4 no.2
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    • pp.71-77
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    • 2002
  • The U.S. government have concerned about food safety over the last two decades. The concept of the continuum, “from farm to table” was created to explore ways to prevent foodborne illnesses in all stages of food systems. On the continuum, consumers were recognized as the last line of defense to prevent foodborne illnesses, and much efforts were made to educate them safe food handling. This research was conducted to investigate infant formula handling and hand-washing behaviors of low-income families, especially parents and guardians of infants. The subject was selected from participants of the Special Supplemental Nutrition Program for Women, Infants, and Children(WIC), a federal program for low-income families in the U.S. Stratified 200 local WIC offices were randomly selected based on the number of WIC participants in each state, and 20 randomly selected WIC participants from each selected office were asked to complete questionnaires. SPSS for Windows was used for statistical analyses including frequency, cross- tabulation, and chi-square analyses. A total of 87 WIC offices returned completed question-naires (N = 1,598), and 492 were parents/guardians of infants. Most respondents were white (51.3%), high school graduates (41.5%) , and participated in WIC>1 yew. Most respondents (80.9%) teamed about food safety from WIC, and only limited number of respondents (10.2%) used the Internet for food safety information. Most respondents stored prepared formula safely (94.6%) and discarded formula left in the bottle after feeding (84.5%) , but fewer used brushes to wash formula bottles (71.3%) and boiled water(15.2%) Chi-square analyses showed respondents in different race/ethnicity had different food handling behaviors. Respondents showed generally good hand-washing behaviors as 94.2% always washing hands after using restroom, 93.2% after touching meat items, and 87.l% before preparing foods. Fewer respondents, however, washed hands after changing baby diapers (77.0%) and touching pets (67.2%). Researchers concluded that WIC education on food safety was effective, as limited food safety education covered during WIC education were followed well (e.g., storing prepared formula and discarding leftover). However, results also indicated that there were many behaviors needed to be reinforced especially to overcome family tradition and culture on food handling behaviors. The WIC may serve as good food safety resources and education agents utilizing mandatory education sessions because the vast amount of food safety information on the Internet was not readily accessible for this low-Income Population.

A comparative investigation of infection control perception and performance of occupational therapists before and after the outbreak of COVID-19 (COVID-19 발생 전후 작업치료사의 감염관리 인식 및 수행도 비교 조사)

  • Joo, HoYeon;Cha, Tae-Hyun
    • Journal of the Korea Convergence Society
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    • v.13 no.3
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    • pp.91-103
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    • 2022
  • This study surveyed 101 occupational therapists who were performing occupational therapy before and after the COVID-19 outbreak to compare their perceptions and performance of hand washing, use of personal protective equipment, and infection control of surrounding environment. Mann-Whitney U test, Kruskal wallis H test, Wilcoxon signed-rank test, Pearson's correlation coefficient were used analyzed. As a result, it was confirmed that they received better infection control education after the outbreak compared to before the outbreak of COVID-19, and their experience with infectious diseases was lower. In addition, it was found that the perception and performance of infection control in hand washing, personal protective equipment, and surrounding environment cleaning were improved after the outbreak compared to before the outbreak of COVID-19. However, to this day, hand washing for more than 40 seconds in running water recommended by the Korea Centers for Disease Control and Prevention, cleaning the treatment room, and disinfection of treatment tools are still in need of improvement. Through this study, infection control education should be repeated regularly to minimize the occurrence of infectious diseases, and It will be a basic data that can be used in infection control education and follow-up studies for occupational therapists in the future.

The Structural Model of Hand Hygiene Behavior for the Prevention of Healthcare-associated Infection in Hospital Nurses (병원간호사의 의료관련감염 예방을 위한 손위생에 관한 구조모형)

  • Jeong, Sun-Young;Kim, Ok-Soo
    • Korean Journal of Adult Nursing
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    • v.24 no.2
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    • pp.119-129
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    • 2012
  • Purpose: The purpose of this study was to test hand hygiene behavior model of hospital nurses, based on theory of planned behavior. Methods: Data were collected from 253 nurses from four university hospitals for the period of December 2010 to January 2011. Data were analyzed using of SAS (ver.9.1). Fitness of the study model was identified with SAS PROC CALIS. Results: The overall fitness was $x^2$=57.81 (df=13, $p$ <.001), GFI=.99, AGFI=.99, CFI=.95, NFI=.93. The variance of actual implementation of hand hygiene by predictor variables was 11.0% and the variance of intention to hand hygiene was 53.5%. Variable that had a direct effect on hand hygiene behavior was intention. Perceived behavior control and attitude affected hand hygiene behavior indirectly. Control belief had a direct effect on perceived behavior control and had an indirect effect on intention and behavior. Behavioral belief had a direct effect on attitude and an indirect effect on intention and behavior. Conclusion: The study provides basic information for understanding nurses' hand hygiene behavior. Further testing of the model will indicate which variables can contribute to improved hand hygiene.

Burden of Disease Attributable to Inadequate Drinking Water, Sanitation, and Hygiene in Korea

  • Kim, Jong-Hun;Cheong, Hae-Kwan;Jeon, Byoung-Hak
    • Journal of Korean Medical Science
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    • v.33 no.46
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    • pp.288.1-288.12
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    • 2018
  • Background: Diarrheal and intestinal infectious disease caused by inadequate drinking water, sanitation, and hygiene (WASH) is not only a great concern in developing countries but also a problem in low-income populations and rural areas in developed countries. In this study, we assessed the exposure to inadequate WASH in Korea and estimated the burden of disease attributable to inadequate WASH. Methods: We used observational data on water supply, drinking water, sewage treatment rate, and hand washing to assess inadequate WASH conditions in Korea, and estimated the level of exposure in the entire population. The disease burden was estimated by applying the cause of death data from death registry and the morbidity data from the national health insurance to the population attributable fraction (PAF) for the disease caused by inappropriate WASH. Results: In 2013, 1.4% of the population were exposed to inadequate drinking water, and 1.0% were living in areas where sewerage was not connected. The frequency of handwashing with soap after contact with excreta was 23.5%. The PAF due to inadequate WASH as a cluster of risk factors was 0.353 (95% confidence interval [CI], 0.275-0.417), among which over 90% were attributable to hand hygiene factors that were significantly worse than those in American and European high-income countries. Conclusion: The level of hand hygiene in Korea has yet to be improved to the extent that it shows a significant difference compared to other high-income countries. Therefore, improving the current situation in Korea requires a continuous hand washing campaign and a program aimed at all people. In addition, continuous policy intervention for improvement of sewage treatment facilities in rural areas is required, and water quality control monitoring should be continuously carried out.

Quality Improvement Activities to Reduce the Neonatal Infection in a Hospital (일 병원에서의 신생아 감염 감소를 위한 활동사례)

  • Sung, Mi Hae;Baik, Seung Nam;Hong, Hae Sung;Wee, Hyun Joo;An, Ji Won;Kim, Soon Hee;Kim, Hyo Mi
    • Quality Improvement in Health Care
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    • v.6 no.1_2
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    • pp.120-134
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    • 1999
  • Background : This study was conducted to reduce the neonatal infection rate in nursery. Methods : 50 items, structural problems in NICU were selected by open questionnaire and categorized into 11 similar items. 38 items were picked out among them and then categorized into 6 similar items. We carried out quality improvement focusing around 6 items. Results : The high achievement of goal in CQI Activities was shown in hand washing for reducing infection of NICU after July. The local infection in IV site was not found and hand washing and gowning of protectors were achieved by 100%. Conclusion : Neonatal infection rate was reduced through the quality improvement activities, but structural problem of Hospital still remained.

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Survey on Consumer's Cognition for Management of Clothing Products (의류제품에 대한 소비자의 인식과 취급실태)

  • Kim, Yang-Weon;Lee, Hae-Young;Lee, Eun-Kyung
    • Korean Journal of Human Ecology
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    • v.6 no.2
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    • pp.115-120
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    • 1997
  • To investigate the cognition of labeling system and its problems, problems in laundry, and consumer's dissatisfaction and to decrease problems in management of clothing products, total 476 subjects were surveyed in Taejon. The major results were as follows ; 1. The cognition of labeling system was understood by 93.1% of respondents, and 72.9% of them prefer to recognized labeling by figures and letters than by either of them. Most of respondents got the knowledge of labeling system from school. The most frequently experienced mislabeling was the label for management. 2. In cleaning, 60.4% of respondents made their decisions of the laundry method after seeing labeling system. When the label recommanded either of hand washing or dry cleaning, they usually laundered with hand washing after a few times of dry cleaning. The first consideration factor for laundry was fiber composition of textiles. 3. About 70% of respondents understood ironing, laundry, and drying mark on labeling system, and 53.8% understood fiber composition and bleaching. 4. More than 90% of respondents experienced dissatisfaction in handling clothing products. The reason of dissatisfaction was deformation and decoloring after laundry. Most of respondents experienced change of tactile sensation, too.

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The Study of the Knowledge and Performance of Nursing Students for the Nosocomial Infection Control (병원감염관리에 관한 간호대학생의 지식 및 실천에 관한 연구)

  • Sung, Younghee;Nam, Hyekyung
    • Korean Journal of Occupational Health Nursing
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    • v.15 no.1
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    • pp.40-49
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    • 2006
  • Purpose: This study was designed to investigate nursing students' exposure experience to infectious diseases and their knowledge and performance for the nosocomial infection control. Method: The data was obtained from 292 nursing students having clinical experience at two university hospitals in Seoul from November 2005 to February 2006. Specific questionnaire was constructed and used for this study. The obtained data was analyzed by using the SPSS window program. Result: The results were as follow : 1. Among the evaluation scores of knowledge for the nosocomial infection control, the score of sterilization and the score of the intravenous therapy management were low(.14). 2. Among the evaluation scores of performance for the nosocomial infection control, the score of hand washing is low(1.63). 3. 86.3 percent of the nursing students had exposure experience to infectious disease. Many of them did not use the protective equipments in clinical experience nor took any treatment after the exposure to infectious diseases. Conclusion: Based on these results, we suggest that the programs for the nosocomial infection control should be developed for nursing students. It is also suggested that nursing students should be educated before their clinical experience to keep protected from the infection. In particular, the hand washing, sterilization and intravenous therapy management should be emphasized in the educational programs.

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Feminine Hygiene and Vaginal Douche Practices in Middle-aged Women (중년여성의 여성생식기 관련 위생과 질 세척 행위)

  • Ahn, Sukhee
    • Women's Health Nursing
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    • v.19 no.4
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    • pp.285-294
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    • 2013
  • Purpose: The study was done to survey feminine hygiene and vaginal douche practices in middle-aged women to obtain basic information for public health education. Methods: With a descriptive survey design, 134 middle-aged women who have menstrual period were recruited via convenience sampling. Survey contents were from the study by Czerwinski (2000) regarding feminine hygiene and vaginal douching practices. After obtaining IRB approval, a self-administered structured questionnaire was distributed to study participants. Results: Mean age of middle-aged women was 46.88 years old. Fifty-six percent of the women practiced vaginal douching. Women performed douching with water (68%), commercial products (13%), soap (12%), and vinegar-mixed water (6%) for clean and fresh feeling, removal of unpleasant odor, and removal of vaginal discharge. Vaginal douche practice was significantly related to a history of vaginitis. Conclusion: The study results indicate that most of the women practiced inadequate feminine hygiene especially in douching, suggesting that is important to develop education programs on feminine hygiene practices for women of all ages, especially regarding douching and hand washing before and after changing pads or tampons.

Evaluation of Marginal and Internal Gap of Temporary Prosthesis Fabricated by 3D Printing Method According to Rinsing Method and Rinsing Time (세척 방법 및 세척 시간에 따른 3D 프린팅 방식으로 제작된 임시 보철물의 변연 및 내면 적합도 평가)

  • Ji-Hyeon Bae;Jae-Won Choi
    • Journal of the Korean Society of Industry Convergence
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    • v.26 no.4_2
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    • pp.561-570
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    • 2023
  • This study was to evaluate the effect of different rinsing times and methods on the accuracy of temporary prostheses fabricated by 3D printing method. Sixty temporary prostheses were fabricated with LCD types of 3D printer(Halot-Sky, Creality, Shenzhen, China) and divided into six groups (n = 10) based on rinsing times and methods. All specimens were rinsed with 99% isopropanol alcohol for 5 and 10 min using three methods-hand washed, ultrasonic cleaning, and automated washing. All specimens were polymerized for 3 minutes under the same conditions. The marginal and internal gaps of specimens were examined using a replica technique. The light-body silicone thickness was measured at 6 reference points(Absolute marginal discrepancy, Marginal, Chamfer, Axial, Angle, and Occlusal gap). All measurements were performed by a stereomicroscope. Reference point images were taken at 100× magnification and then measured using an image analysis program. Statistical analysis was performed using Two-way ANOVA, One-way ANOVA, and the Kruskal-Wallis test (p = .05). The marginal and internal gaps were statistically different according to the rinsing methods and rinsing times(p < .001). In the rinsing time, the temporary prosthesis rinsed for 5 minutes group showed higher accuracy than 10 minutes group. In the rinsing method, the hand washing group showed higher accuracy than the automated washing group.

Factors Influencing Hand Dermatitis in Nurses (임상간호사의 손피부염에 영향을 미치는 요인)

  • Kim, Ki Soon;Lee, Kyung-Sook
    • Journal of Korean Biological Nursing Science
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    • v.21 no.1
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    • pp.37-45
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    • 2019
  • Purpose: This descriptive research was on hand dermatitis in clinical nurses. Nurses often have a high rate of hand dermatitis with several factors associated with the dermatitis. The factors analyzed in this study included; general characteristics, work-related factors, hand washing, and allergies relate to hand dermatitis. Methods: Data were collected from April to May 2016. The subjects were nurses who had worked 12 months or more in a University Hospital. They voluntarily gave their consent for the research. The Symptombased questionnaires were sent to 220 nurses and 199 responses were returned. Collected data were analyzed using frequency, percentage, mean, standard deviation, ${\chi}^2-test$, and logistic regression analysis using SPSS 23.0. Results: Prevalence of dermatitis in nurses was 48.2%. Nurses who had worked for over three years were twice more likely to suffer hand dermatitis than nurses who had worked for 3 years or less (adjusted odds ratio [adj. OR]= 1.97, p= .036). Nurses who used alcohol sponge swabs more than 20 times per shift were 2.5 times more likely to suffer hand dermatitis as compared to those who used them less times (adj. OR = 2.51, p= .023). Conclusion: Results revealed that about a half of the clinical nurses suffered from hand dermatitis, hence it is crucial to find appropriate interventions for dermatitis prevention. This concern needs to be addressed especially in nurses who have more work experience and use more alcohol sponge swabs.