• 문화기술의 융합
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• 제8권2호
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• pp.131-138
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• 2022

본 연구는 병원간호사의 코로나바이러스감염증-19 감염예방행위 수행도의 영향요인을 규명하기 위해 시행된 서술적 조사연구이다. 본 연구의 대상자는 대전광역시에 소재한 상급종합병원 간호사 190명이며, 자료수집은 2021년 3월에 시행하였다. 연구결과 대상자의 감염예방행위 수행도에 미치는 영향요인으로 연령(β=.25, p=.008), 근무부서(β=.15, p=.046) 및 병원안전문화(β=.17, p=.025)로 나타났으며, 모형의 전체 설명력은 8.2%로 나타났다. 따라서 상급종합병원 간호사의 감염예방행위 수행도를 높이기 위해서는 병원안전문화 형성을 증진시킬 수 있는 교육과 정책이 필요할 것으로 사료된다.

• Journal of Preventive Medicine and Public Health
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• 제48권6호
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• pp.330-341
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• 2015

Objectives: Emergency medical personnel (EMPs) are pre-hospital emergency responders who are at risk of exposure to infections and may also serve as a source for the transmission of infections. However, few studies of infection control have specifically addressed EMPs in the Republic of Korea (hereafter Korea). The goal of this study was to assess the current status of infection prevention and control programs (IPCPs) for EMPs in Korea. Methods: A cross-sectional survey was conducted to quantitatively assess the resources and activities of IPCPs. A total of 907 EMPs in five metropolitan cities completed a structured questionnaire from September 2014 to January 2015. The data were analyzed using descriptive statistics, multi-response analysis, and the chi-square test. Results: The mean age of the participants was $34.8{\pm}15.1years$. IPCPs were found to have weaknesses with regard to the following resources: the assignment of infection control personnel (ICP) (79.5%), hand hygiene resources such as waterless antiseptics (79.3%), the use of paper towels (38.9%), personal protective equipment such as face shields (46.9%), and safety containers for sharps and a separated space for the disposal of infectious waste (10.1%). Likewise, the following activities were found to be inadequately incorporated into the workflow of EMPs: education about infection control (77.5%), post-exposure management (35.9%), and the decontamination of items and spaces after use (88.4%). ICP were found to have a significant effect on the resources and activities of IPCPs (p<0.001). The resources and activities of IPCPs were found to be significantly different among the five cities (p<0.001). Conclusions: IPCPs for EMPs showed some limitations in their resources and activities. IPCPs should be actively supported, and specific IPCP activities for EMPs should be developed.

• 한국콘텐츠학회논문지
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• 제22권9호
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• pp.360-374
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• 2022

본 연구는 기업의 감염 예방 서비스품질 개선을 위한 정보공유가 방문업체의 질병관리에 대한 만족에 어떠한 영향을 미치는지 규명하여, 실무적인 관점에서 기업의 경쟁력 확보방안에 대한 기초정보를 제공하고자 하였다. 본 연구목적을 달성하기 위하여, 부산, 경남에 위치한 오프라인 매장에 방문한 만 19세 이상의 341명의 방문객을 연구대상자로 선정하였다. 본 연구결과, 소비자가 지각된 건강신념, 지각된 질병 감염 가능성과 지각된 질병 감염 심각성이 방문업체의 질병관리에 대한 만족에 유의미한 영향 관계가 나타났다. 아울러 기업의 감염 예방 정보공유에 대한 인식과 감염 예방 고객관리에 대한 인식은 지각된 건강신념과 방문업체의 질병관리에 대한 만족과의 관계에서 유의미한 매개효과가 있는 것으로 파악되었다. 이러한 연구 결과를 토대로 살펴본, 결론은 기업이 감염 예방 정보공유에 대한 인식과 고객관리 차원에서 조직 구성원 간 이와 관련한 정보공유와 경영성과 달성에 기여할 수 있는 일련의 경영 활동이 필요함을 제기하였다.

• 지역사회간호학회지
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• 제24권4호
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• pp.398-406
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• 2013

Purpose: The study was conducted to clarify effects of a clonorchiasis prevention education program for clonorchiasis prevention lecturers. Methods: The research adopted a single group pretest-posttest design to see effects of the educational program to prevent Clonorchis sinensis infection. The subjects of this study were 74 clonorchiasis prevention lecturers from primary health care facilities. The pretest was conducted before the clonorchiasis prevention education program and the post test was done after the 2-day program in August, 2011. Descriptive statistics, t-test, and ANOVA were conducted to analyze the data. Results: The confidence level in Clonorchiasis management activities was improved significantly from $4.1{\pm}0.53$ points before the education to $4.4{\pm}0.46$ points after the education (t=-5.117, p<.001). The knowledge level about prevention of Clonorchis sinensis was improved significantly from $16.1{\pm}2.72$ points before the education to $18.3{\pm}1.14$ points after the education (t=-6.629, p<.001). Conclusion: The results suggest that the education program was effective in improving the confidence and knowledge levels in Clonorchiasis management activities for the clonorchiasis prevention lecturers. Based on the results of this study, continuous research on how the increased knowledge and confidence levels of Clonorchis sinensis prevention affect the prevalence of Clonorchis sinensis infection.

• 한국산학기술학회논문지
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• 제21권3호
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• pp.360-369
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• 2020

본 연구는 요양병원 종사자들의 비말감염 예방 활동과 기침예절 지식을 비교하기 위해 시행되었다. 대상자는 A시의 3개 요양병원 종사자 177명이었다(의료인: 간호사 61명, 비의료인: 간호조무사와 요양보호사 116명). 자료는 2019년 3월 4일부터 29일까지 구조화된 질문지를 이용하여 수집되었다. 자료분석방법은 x²-test, Fisher exact test, independent t-test, ANOVA를 이용하였다. 분석결과, 의료인과 비의료인의 일반적 특성은 성별과 연령에서 두 집단간 유의한 차이를 나타냈다. 의료인과 비의료인의 비말감염 예방 활동은 평상 시 티슈 휴대, 평상 시 손수건 휴대, 평상시 마스크 휴대, 호흡기 증상 시 손수건 휴대, 손씻기 횟수, 기침예절 준수에서 통계적으로 두 집단 간 유의한 차이를 나타냈다. 기침예절 지식은 통계적으로 두 집단 간 유의한 차이를 나타냈다. 비의료인의 비말감염 예방 활동에 따른 기침 예절 지식 정도의 차이에서 평상 시 마스크 휴대, 기침예절 교육 유무에서 통계적으로 유의한 차이를 나타냈다. 본 연구를 통해 요양병원 종사자별로 기침예절에 관한 지식을 높이고 기침예절의 습관화를 위한 전략 마련이 필요하다.

• 보건교육건강증진학회지
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• 제8권1호
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• pp.5-13
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• 1991

While the threat from traditional communicable diseases have been decreasing non communicable chronic diseases are increasing due to the aging of population and change in life pattern of the people such as over intake of cholesterol and lack of physical exercise etc. On the other hand, since 1980s, AIDS is spreading rapidly throughout the globe and environmental pollution, accidents, addictive diseases such as drug abuse and alcoholism are becoming serious factors to hinder the health promotion of the people. In order to improve general public health and promote individual health status, existing program for communicable disease control by the government such as tuberculosis, leprosy, STD and acute communicable diseases should be effectively continued. In principle, effort should be placed on eradication of source of infection, reduction of communicability of source in infection, treatment of source of infection as well as increase of individual registance to the diseases through immunization and improvement of physical status. Since the pattern of illness is being shifted from communicable diseases to non communicable chronic diseases such as cancer, cerebral hemorrhage, heart disease and hypertention etc., special emphasis should be placed on the prevention and control of those adult diseases. Early detection of the patients, registration and treatment of patients and health education should be systematically developed for effective control of the diseases. In addition, program activities on MCH, nutrition, dentistry, mental health, environmental health, accident prevention. medical delivery system, health insurance. and all other health issues should be improved in order to achieve our goal of health promotion.

• Asian Pacific Journal of Cancer Prevention
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• 제13권1호
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• pp.37-40
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• 2012

The burden of cervical cancer is increasing in Vietnam in the recent years, infection with high risk HPV being the cause. This study aimed to examine the prevalence of HPV and the distribution of HPV specific types among the general population in 5 big cities in Vietnam. Totals of 1500 women in round 1 and 3000 in round 2 were interviewed and underwent gynecological examination. HPV infection status, and HPV genotyping test were perfoirmed for all participants. Results indicated that the prevalence of HPV infection in 5 cities ranged from 6.1% to 10.2% with Can Tho having highest prevalence. The most common HPV types in all 5 cities were HPV 16, 18 and 58. Most of the positive cases were infected with high risk HPV, especially in Hanoi and Can Tho where more than 90% positive cases were high risk HPV. Furthermore, in Can Tho more than 60% of women were infected with multiple HPV types. The information from this study can be used to provide updated data for planning preventive activities for cervical cancer in the studied cities.

• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.2145-2150
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• 2016

Background: Infection with hepatitis B virus (HBV) is a major global public health problem, with a wide spectrum of clinical manifestations. Human cytosolic glutathione-S-transferases (GSTs) include several classes such as alpha (A), mu (M), pi (P), sigma (S), zeta (Z), omega (O) and theta (T). The present study aimed to investigate the role of GST omega genes (GSTO1 and GSTO2) in different groups of patients infected with HBV. Materials and Methods: HBV groups were classified according to clinical history, serological tests and histological analysis into normal carriers (N), acute (A), chronic (CH), cirrhosis (CI) and hepatocellular carcinoma (HCC) cases. The study focused on determination of the genotypes of GST omega genes (GSTO1 and GSTO2) and GST activity and liver function tests. Results: The results showed that GSTO1 (A/A) was decreased in N, A, CH, CI and HCC groups compared to the C-group, while, GSTO1 (C/A) and GSTO1(C/C) genotypes were increased significantly in N, A, CH, CI and HCC groups. GSTO2 (A/A) was decreased in all studied groups as compared to the C-group but GSTO2(A/G) and GSTO2(G/G) genotypes were increased significantly. In addition, GST activities, albumin and TP levels were decreased in all studied groups compared to the C-group, while the activities of transaminases were increased to differing degrees. Conclusions: The results indicate that GSTO genetic polymorphisms may be considered as biomarkers for determining and predicting the progression of HBV infection.

• Parasites, Hosts and Diseases
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• 제57권3호
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• pp.291-294
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• 2019

Primary amebic encephalitis (PAM) is a devastating central nervous system infection caused by Naegleria fowleri, a free-living amoeba, which can survive in soil and warm fresh water. Here, a 43-year-old healthy male was exposed to warm freshwater 5 days before the symptom onset. He rapidly developed severe cerebral edema before the diagnosis of PAM and was treated with intravenous conventional amphotericin B while died of terminal cerebral hernia finally. Comparing the patients with PAM who has similar clinical symptoms to those with other common types of meningoencephalitis, this infection is probably curable if treated early and aggressively. PAM should be considered in the differential diagnosis of purulent meningoencephalitis, especially in patients with recent freshwater-related activities during the hot season.

• Journal of Preventive Medicine and Public Health
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• 제42권6호
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• pp.408-415
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• 2009

Objectives : This study was performed to investigate the mumps transmission control status and inapparent infection rate among middle and high school students in Daegu City during a mumps outbreak. Methods : Nine schools (two middle schools and seven high schools), which reported a number of mumps cases between 2007 and 2008 were selected for investigation. During March-May 2008, a standard questionnaire was distributed to gather information about case identification, instructed isolation measure, isolation status of mumps cases and related factors, and outdoor activities of nonisolated mumps case. Inapparent infection rate was estimated by serum mumps IgM and IgG antibodies status and self-reported mumps symptoms in three of the nine schools. Results : Among 2,560 respondents, more than half of students answered that they did not receive instructions in mumps transmission control measures during the outbreak. Among the 327 mumps cases identified by the questionnaire, 131 cases (40.1%) were considered as isolated and the isolation rates were significantly different among schools, grades, and gender. Of the non-isolated cases, 88.3% continued attending school. Inapparent mumps infection rates were between 56.3% and 70.2%. Conclusions : Mumps transmission control was inadequate to control the mumps outbreak. Although high inapparent infection rate would mitigate the transmission control effect of case isolation, this measure is fundamental for infection control. The reasons of this inadequate status need to be explored to develop an effective intervention strategy.