• Title/Summary/Keyword: Hand-Washing

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Congenital and perinatal cytomegalovirus infection

  • Kim, Chun Soo
    • Clinical and Experimental Pediatrics
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    • v.53 no.1
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    • pp.14-20
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    • 2010
  • Cytomegalovirus (CMV) is currently the most common agent of congenital infection and the leading infectious cause of brain damage and hearing loss in children. Symptomatic congenital CMV infections usually result from maternal primary infection during early pregnancy. One half of symptomatic infants have cytomegalic inclusion disease (CID), which is characterized by involvement of multiple organs, in particular, the reticuloendothelial and central nervous system (CNS). Moreover, such involvement may or may not include ocular and auditory damage. Approximately 90% of infants with congenital infection are asymptomatic at birth. Preterm infants with perinatal CMV infection can have symptomatic diseases such as pneumonia, hepatitis, and thrombocytopenia. Microcephaly and abnormal neuroradiologic imaging are associated with a poor prognosis. Hearing loss may occur in both symptomatic and asymptomatic infants with congenital infection and may progress through childhood. Congenital infection is defined by the isolation of CMV from infants within the first 3 weeks of life. Ganciclovir therapy can be considered for infants with symptomatic congenital CMV infection involving the CNS. Pregnant women of seronegative state should be counseled on the importance of good hand washing and other control measures to prevent CMV infection. Heat treatment of infected breast milk at $72{^{\circ}C}$ for 5 seconds can eliminate CMV completely.

Effects of Periodic Visiting Education Support on Nutrition and Hygiene Practices at Center for Childeren's Foodservice Management -Focus on Ulsan Area- (어린이급식관리지원센터의 영양 및 위생·안전관리 방문교육지원 효과 -울산지역을 중심으로-)

  • Lee, Jee Hye
    • Journal of the Korean Dietetic Association
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    • v.22 no.1
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    • pp.1-12
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    • 2016
  • The purpose of this current study was to examine the effects of nutrition and food safety management support by the Center for Children's Foodservice Management (CCFSM) in foodservice facilities for children in the Ulsan area. From December 2014 to July 2015, the status of nutrition practices and hygiene practices was assessed by dietitians using nutrition and hygiene practice checklists. The subjects of study were 48 institutional foodservice facilities for children. Some nutrition practice items showed significant increases in average scores of 'using CCFSM menus (P<0.001), revising menus (P<0.05), and reconfirm menus (P<0.01)' from pre-support to post-support. Regarding hygiene practices, some items between pre-support to post-support showed significant increases in average scores of 'having equipment for hand washing & disinfecting' (P<0.01), 'wearing disinfected clothing for kitchen hygienically' (P<0.05), 'proper sterilization' (P<0.05), 'recording the origin of ingredients' (P<0.01), 'use of different knives/cutting boards' (P<0.05), and 'an appropriate thawing process' (P<0.05) from pre-support to post-support. Based on the above results, we found that nutrition and hygiene management support by CCFSM in foodservice facilities for children had a positive influence on status of some nutrition and food safety practices.

Experimental Study on Synthetic Fiber Filled Channel for Treating Turbid Water at the Construction Sites and Protecting Drain System (합성섬유 충진 여과수로를 이용한 건설사업장의 흙탕물 처리 및 배수구 보호에 관한 실험적 연구)

  • Yuan, Qingke;Cheng, Jing;Park, Kisoo;Kim, Youngchul
    • Journal of Korean Society on Water Environment
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    • v.32 no.6
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    • pp.537-545
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    • 2016
  • In order to cope with the new and strict government regulations for turbid water discharge from construction sites, this study tested whether synthetic fiber filters can replace conventional best management practices. The filter efficiency was about 10 to 60% with a varying filter depth of 5 to 15cm, presuming extreme storm flow conditions to be in the range of 800 to 1500m/day of filtration rates. Fiber filter acts exactly like a granular filter, i.e. the separation efficiency is directly and inversely proportional to filter depth and rate, respectively. Based on the operational data, we suggested the Log-Log design relationship, which can be used to determine the filter depth and area. Compared to the widely used gravel filter which treats the turbid water at the construction site, about 20% higher efficiency was obtained under similar operating conditions. Cleaning the filter through a simple hand-washing method at the time of break-through, achieved about 90% soil recovery.

A Study on the Bacterial Contamination and Antimicrobial Resistance in Expressed Human Milk (수집모유의 미생물오염과 항균제 내성에 관한 연구)

  • Hwang, Kyeong-Mi;Kang, Young-Sil
    • Journal of Korean Biological Nursing Science
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    • v.10 no.2
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    • pp.131-140
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    • 2008
  • Purpose: This study is about safety of the expressed human milk by investigating its bacterial contamination and antibiotic resistance of the microbes in the expressed milk. Methods: The data are collected from the 156 mothers and their newborn infants in NICU of U University Hospital from January 2004 to September 2005. Results: 1) The expressed human milk was contaminated by Staphylococcus epidermidis for 66.7%, Two mixed bacterial strain for 11.5%, Acinetobacter species for 8.0%, Klebsiella species for 4.6%, Staphylococcus aureus for 4.6%. 2) The microbes in the human milk had high resistance to the Antimicrobial agents: 77.5% for Penicillin-G, 66.6% for Oxacillin, and 63.7% for Cephalothin. 3) The distribution of microbes showed a significant depending on the place of the milk expression (p=.020). In particular, mixed bacterial strain was found more in the milks expressed at home than the milk expressed at the hospital. Conclusion: This study shows the importance of systematic education of feeding process in expressed milk: poor management of a breast pump, inadequate hand washing and imperfect breast cleaning explain the reasons of contamination 156 cases.

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Knowledge and Compliance with Cough Etiquette among Elderly in the Community (지역사회 거주 노인의 기침예절에 관한 지식과 실천도)

  • Song, Min Sun;Yang, Nam Young
    • Journal of Home Health Care Nursing
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    • v.24 no.1
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    • pp.52-60
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    • 2017
  • Purpose: This study sought to identify the relationship between knowledge and compliance with cough etiquette among elders in the community. Methods: Participants were 186 olders. Data were collected December 2016 and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Mean scores for knowledge and compliance relating to cough etiquette were above average. Several factors were related to significant differences in level of knowledge: education level, use of items to cover a cough, Carrying a handkerchief or tissue, daily frequency of hand washing, awareness of cough etiquette, and prior education on cough etiquette. Compliance differed according to use of items to cover a cough, awareness of cough etiquette, and prior education on cough etiquette. Significant correlations were found between knowledge and compliance with cough etiquette. Awareness of cough etiquette and knowledge of cough etiquette were predictors of cough etiquette compliance. Conclusion: These findings indicate that publicity and education taking into account the characteristics of the elderly are required to improve compliance with cough etiquette among olders. The results of the study can be utilized in health promotional programs for this population.

Effects of the Culturally Sensitive Education of Perinatal Care on Knowledge, Skills, and Self-Efficacy among Korean Husbands and Vietnamese Wives (베트남 결혼이주여성 부부의 임신·출산 및 양육준비를 위한 개별교육의 효과)

  • Kim, Youngmee;Cho, Kap-Chul
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.515-524
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    • 2017
  • Purpose: The study was undertaken to see whether the culturally sensitive education for perinatal care using a face to face approach improves understanding of spouse's culture, knowledge of pregnancy and parenting skills, and self-efficacy among Korean husbands and Vietnamese wives. Methods: This study has a pre- and post-test study design conducted in a total of 13 couples who live in Seoul and agreed to participate. The education program consisted of lecture and hands on practice. The self-administered questionnaires and the checklist developed based on the educational purpose were used to assess the education effects. Results: The knowledge scores on Korean/Vietnamese culture, pregnancy and parenting skills as well as the performance scores on hand washing, pelvic strengthening, feedings and newborn bathing techniques were significantly improved in both husbands and wives after education, but pelvic floor exercises were improved only in wives. Conclusion: Overall, the individual education for culturally sensitive perinatal care was effective in our study participants.

Preventive Strategies of Ventilator Associated Pneumonia

  • Kim, Jin-A;Kim, Keum-Soon
    • Journal of Korean Critical Care Nursing
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    • v.2 no.2
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    • pp.42-55
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    • 2009
  • Purpose: Despite numerous evidence based preventive strategies of ventilator associated pneumonia (VAP) have been introduced, the incidence rate of VAP continues in an unacceptable range. The purposes of this review were to identify risk factors and diagnosis of VAP and to introduce current evidence based preventive strategies of VAP. Methods: A comprehensive literature search using keywords, including ventilator associated pneumonia were entered into a search engine. A number of highly pertinent papers relevant to the purpose of the review were identified. The papers that discussed specific preventive strategies of VAP were selected for analysis and inclusion in this review. Results: A number of evidence based preventive strategies that nurses can implement in their clinical practice to prevent VAP were identified. Such strategies include hand washing, use of protective gloves and gowns, oral care, stress ulcer prophylaxis, avoidance of unnecessary intubation, weaning protocol, sedation vacation, use of non-invasive ventilation, semi-recumbent position, continuous aspiration of subglottic secretions, and maintenance of proper endotracheal tube cuff pressure. Staff education is essential in preventing VAP. Conclusion: Preventive strategies of VAP should be applied to daily nursing care and each critical nurse should play a functional role in preventing VAP.

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Effects of Infection Control Strategies for Vancomycin Resistant Enterococci in Intensive Care Units (중환자실에서 적용한 반코마이신(Vancomycin) 내성 장구균의 감염관리 전략 효과)

  • Choi, Kyung-Ok;Kim, Nam-Cho
    • Korean Journal of Adult Nursing
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    • v.21 no.4
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    • pp.435-445
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    • 2009
  • Purpose: This study was to examine whether VRE infection control strategies have an effect on the decrease in incidence rates for VRE acquisition and VRE nosocomial infection in ICU. Methods: All the patients were examined for VRE carriers on ICU admission. Among them, patients hospitalized for over 48 hours were investigated for VRE acquisition rates and VRE nosocomial infection rate using VRE infection control strategies in ICU for the experimental group from September 2007 to April 2008. Before that, incidence of VRE acquisition and VRE nosocomial infection for the control group without Intervention were investigated from May to August 2007 retrospectively. Results: VRE acquisition rate in clinical specimens was 0.6% in the experimental group, that was significantly lower when compared to the control group. VRE carrier rate at admission to ICU was 15.4%. Out of 182 VRE carriers, 180 patients were identified by the active surveillance culture. Conclusion: These results suggested that active surveillance culture at admission was considered to be an essential measure for detection of VRE carrier. But without strict isolation and adherence rating after each intervention, hand washing and contact isolation alone did not significantly decrease VRE nosocomial infection, although it did significantly decrease incidence of VRE acquired from clinical specimen.

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Dyeing Properties of Blanket Fabric of Dyeable Polypropylene

  • Kim, Hyun-Jin;Lee, Jin-Ah;Chang, Young-Min;Park, Jong-Ho;Kim, Sung-Dong
    • Textile Coloration and Finishing
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    • v.19 no.2
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    • pp.36-43
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    • 2007
  • Dyeing and fastness properties of a dyeable PP fiber were examined with four different types of disperse dyes. It was found that the dyed PP fiber could be cleared by soaping without using sodium hydrosulphite, and that the heat setting above $140^{\circ}C$ resulted in the melting of the PP fiber. The rates of dyeing and the extents of exhaustion of three primary E type dyes were different with each other, the apparent color strength did not increase with increasing dye concentration, and color fastness to washing was not satisfactory. In the cases of both high wash fastness and high light fastness dyes, the rates of dyeing were slow and the extents of exhaustion were very low. On the other hand, the dyeing rates of three primary S type dyes were similar and the build-up properties were good with good color fastnesses. It might be concluded that the best disperse dyes for the dyeable PP fiber were S type dyes.

A survey of cognition on infection control of the clients in dental hospital (치과 감염관리에 대한 의료소비자의 인지도에 관한 사례 조사)

  • Lee, Jung-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.2
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    • pp.249-260
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    • 2013
  • Objectives : To figure out the status of infection control (IC) in dental healthcare field and to propose the way for improvements through assessment about cognition of the clients. Methods : Study subjects were 151 patients who visited H dental health organization (DHO) of the four DHO in Busan city. The questionnaire survey performed from November 10 to December 7, 2010. Results : 1. 43.0% of consumers were interested in perception and experience in the infection control, and 38.4% were related behavioral changes in the infection control. 2. In the clients survey, the major considerations about the performance for IC were hand washing(73.5%). 3. There was significantly higher in middle-aged to think for ages infection prevention behaviors recognized as important to wear safety glasses. 4. In the confidence for dental care organization according to gender and age, appearance and outfits of staffs was the highest major consideration items. Conclusions : Infection control closely related to the clients' satisfaction and credits, therefor changing of interest, cognition and attitude for the client's IC have to be emphasized.