• 제목/요약/키워드: cross-infection

검색결과 467건 처리시간 0.024초

Associations Between Indoor Air Pollutants and Risk Factors for Acute Respiratory Infection Symptoms in Children Under 5: An Analysis of Data From the Indonesia Demographic Health Survey

  • Ichtiarini Nurullita Santri;Yuniar Wardani;Yohane Vincent Abero Phiri;Gunchmaa Nyam;Tyas Aisyah Putri;Khoiriyah Isni;Dyah Suryani;Grace Sambo
    • Journal of Preventive Medicine and Public Health
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    • 제56권3호
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    • pp.255-263
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    • 2023
  • Objectives: The study investigated the association between indoor air pollution (IAP) and risk factors for acute respiratory infection (ARI) symptoms in children under 5 years of age. Methods: A cross-sectional study was conducted using data derived from Indonesia Demographic and Health Survey in 2017. Binary logistic regression modeling was employed to examine each predictor variable associated with ARI among children under 5 years of age in Indonesia. Results: The study included a total of 4936 households with children. Among children under 5 years old, 7.2% reported ARI symptoms. The presence of ARI symptoms was significantly associated with the type of residence, wealth index, and father's smoking frequency, which were considered the sample's socio-demographic characteristics. In the final model, living in rural areas, having a high wealth index, the father's smoking frequency, and a low education level were all linked to ARI symptoms. Conclusions: The results revealed that households in rural areas had a substantially higher level of reported ARI symptoms among children under 5 years old. Furthermore, the father's smoking frequency and low education level were associated with ARI symptoms.

코로나 바이러스 확산억제를 위한 환경 및 건축마감재료 고찰 - 항바이러스 재료 관련 해외 문헌을 중심으로 (Review of Environmental Characteristics and Building Finishes Controlling the Spread of SARS-CoV-2 - Focused on overseas literature related to antiviral experiments)

  • 박용현;이현진;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제29권4호
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    • pp.37-44
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    • 2023
  • Purpose: Currently, research on environmental conditions and finishing materials for medical facilities with proven antiviral performance is poor in Korea. Through this study, we have explored environmental characteristics and finishing materials that can be used to control cross-infection when constructing medical facilities. Methods: Experiments in overseas papers related to antiviral effects of environmental conditions, spatial compartments, and interior finishes have been analyzed. Results: The higher the temperature, the higher the humidity, and the higher the illuminance of sunlight, the lower the viability of the corona-virus. The proliferation of viruses was suppressed on the surface of the copper alloy. Materials such as brushed steel are the ones that maintain the strongest viability. Among the characteristics of the surface, survival and propagation power differ depending on whether it is porous or hydrophilic. In the case of infection ward actually operated in Italy, the presence of airborne viruses in contaminated and non-contaminated spaces differed significantly. Corona-virus has been identified in reachable parts such as door handles and medical shelves in quasi-contaminated spaces, which are spaces between contaminated and non-contaminated spaces, but the corona-virus has not been identified in cases of out-of-touch walls. Implications: It is necessary to evaluate the performance by testing the construction finishing materials of infection control facilities according to domestic conditions.

Variation of Practice in Prophylactic Protocol to Reduce Prosthetic Joint Infection in Primary Hip and Knee Arthroplasty: A National Survey in the United Kingdom

  • James Morris;Lee Hoggett;Sophie Rogers;John Ranson;Andrew Sloan
    • Hip & pelvis
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    • 제35권4호
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    • pp.228-232
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    • 2023
  • Purpose: Prosthetic joint infection (PJI) has an enormous physiological and psychological burden on patients. Surgeons rightly wish to minimise this risk. It has been shown that a standardised, evidence-based approach to perioperative care leads to better patient outcomes. A review of current practice was conducted using a cross-sectional survey among surgeons at multiple centers nationwide. Materials and Methods: An 11-question electronic survey was circulated to hip and knee arthroplasty consultants nationally via the BOA (British Orthopaedic Association) e-newsletter. Results: The respondents included 56 consultants working across 19 different trusts. Thirty-four (60.7%) screen patients for asymptomatic bacteriuria (ASB) preoperatively, with 19 (55.9%) would treating with antibiotics. Fifty-six (100%) screen for methicillin-resistant Staphylococcus aureus and treat if positive. Only 15 (26.8%) screen for methicillin-sensitive S. aureus (MSSA) or empirically eradicate. Zero (0%) routinely catheterize patients perioperatively. Forty-one (73.2%) would give intramuscular or intravenous gentamicin for a perioperative catheterisation. All surgeons use laminar flow theatres. Twenty-six (46.4%) use only an impervious gown, 6 (10.7%) exhaust pipes, and 24 (42.3%) surgical helmet system. Five different antimicrobial prophylaxis regimens are used 9 (16.1%) cefuroxime, 2 (3.6%) flucloxacillin, 19 (33.9%) flucloxacillin and gentamicin, 10 (17.9%) teicoplanin, 16 (28.6%) teicoplanin and gentamicin. Twenty-two (39.3%) routinely give further doses. Conclusion: ASB screening, treatment and intramuscular gentamicin for perioperative catheterisation is routinely practiced despite no supporting evidence base. MSSA screening and treatment is underutilised. Multiple antibiotic regimens exist despite little variation in organisms in PJI. Practice varies between surgeons and centers, we should all be practicing evidence-based medicine.

High Prevalence of Helicobacter pylori Resistance to Clarithromycin: a Hospital-Based Cross-Sectional Study in Nakhon Ratchasima Province, Northeast of Thailand

  • Tongtawee, Taweesak;Dechsukhum, Chavaboon;Matrakool, Likit;Panpimanmas, Sukij;Loyd, Ryan A;Kaewpitoon, Soraya J;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8281-8285
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    • 2016
  • Background: Helicobacter pylori is a cause of chronic gastritis, peptic ulcer disease, and gastric malignancy, infection being a serious health problem in Thailand. Recently, clarithromycin resistant H. pylori strains represent the main cause of treatment failure. Therefore this study aimed to determine the prevalence and pattern of H. pylori resistance to clarithromycin in Suranaree University of Technology Hospital, Suranree University of Technology, Nakhon Ratchasima, Northeastern Thailand, Nakhon Ratchasima province, northeast of Thailand. Materials and Methods: This hospital-based cross-sectional study was carried out between June 2014 and February 2015 with 300 infected patients interviewed and from whom gastric mucosa specimens were collected and proven positive by histology. The gastric mucosa specimens were tested for H. pylori and clarithromycin resistance by 23S ribosomal RNA point mutations analysis using real-time polymerase chain reactions. Correlation of eradication rates with patterns of mutation were analyzed by chi-square test. Results: Of 300 infected patients, the majority were aged between 47-61 years (31.6%), female (52.3%), with monthly income between 10,000-15,000 Baht (57%), and had a history of alcohol drinking (59.3%). Patient symptoms were abdominal pain (48.6%), followed by iron deficiency anemia (35.3%). Papaya salad consumption (40.3%) was a possible risk factor for H. pylori infection. The prevalence of H. pylori strains resistant to clarithromycin was 76.2%. Among clarithromycin-resistant strains tested, all were due to the A2144G point mutation in the 23S rRNA gene. Among mutations group, wild type genotype, mutant strain mixed wild type and mutant genotype were 23.8%, 35.7% and 40.5% respectively. With the clarithromycin-based triple therapy regimen, the efficacy decreased by 70% for H. pylori eradication (P<0.01). Conclusions: Recent results indicate a high rate of H. pylori resistance to clarithromycin. Mixed of wild type and mutant genotype is the most common mutant genotype in Nakhon Ratchasima province, therefore the use of clarithromycin-based triple therapy an not advisable as an empiric first-line regimen for H. pylori eradication in northeast region of Thailand.

Leptospira 속균(屬菌)에 대한 한우(韓牛)와 돈(豚)의 혈중항체조사(血中抗體調査) (Studies on Leptospiral Antibody in Korean Cattle and Pigs)

  • 서익수;유영표
    • 대한수의학회지
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    • 제12권1호
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    • pp.91-95
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    • 1972
  • Investigation of leptospiral antibody in Korean cattle and pigs was carried out from February to October, 1971. Ten different living antigens, namely L. icterohaemorrhagiae, L. canicola, L. antumnalis, L. hebdomadis, L. australis A, L. pomona, L. pyrogenes, L. grippotyphosa, L. bataviae and L. javanica, were used. A total of 590 Korean cattle and 460 pig blood samples collected from Seoul Majang-dong slaughterhouse were tested by the rapid microscopic agglutination test. Throughout the studies the following results were obtained and summarized. 1. Of 590 serum samples of Korean cattle 51 were positive(8.64%). 2. Of 460 serum samples of pigs 27 were positive (5.87%). 3. Of 51 positive cattle samples, 29(4.92%) showed antibody to a serotype of L. icterohaemorrhagiae and 18(3.0%) to L. canicola, and 4 (0.68%) to L. pomona. Eight of L. icterohaemorrhagiae positive samples showed a cross reaction to L. canicola. 4. Of 27 positive pig samples, 14(3.04%) showed antibody to L. ictereohaemorrhagiae and 7(1.52%) to L. grippotyphosa. 4(0.87%) to L. canicola, 2(0.43%) to L. pomona. Two of L. canicola positive samples showed a cross reaction to L. grippotyphosa. 5. Serum samples of seven pigs, showing antibody positive to L. grippotyphosa were first observed in Korea. 6. Infection rate of bovine and porcine leptospirosis, in Korea, appeared to be lower than that of Japan, Taiwan, Thailand and the Philippines.

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멸강나방에 대한 곤충핵다각체병바이러스의 교류감염성 (Cross Infectivity of Nuclear Polyhedrosis Viruses to the Common Armyworm, Pseudaletia separata)

  • 박소득
    • 한국응용곤충학회지
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    • 제28권1호
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    • pp.10-15
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    • 1989
  • 밤나방류에 대한 천적미생물을 중심으로 하는 신방제법의 개발을 목적으로 멸강나방에 강한 병원성을 갖는 바이러스의 선별시험을 실시하여 다음과 같은 결과를 얻었다. 멸강나방(Pseudaletia(=Leucania) separata, Walker)유충에 강한 병원성을 가진 핵다각체바이러스를 선별코자 21종(개통)의 NPV를 orchard grass의 양면에 발라서 멸강나방 2령 유충에 첨식한 결과 멸강나방 핵다각체병바이러스 4계통과 벼밤나방 핵다각체병바이러스가 병원성이 높았다. 멸강나방 핵다각체병바이러스 3계통(LsNPV-F, LsNPV-G 및 LsNPV-Y)를 공시해서, 다각체를 인공사료에 혼합하여 해서 멸강나방 1~6령의 유충에 대한 병원성 시험을 행한 결과 1~2령 유충에 대한 병원성이 높고, 4령 이후에는 낮아 약령기방제의 중요성을 시사했다.

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Comparison of Different CNN Models in Tuberculosis Detecting

  • Liu, Jian;Huang, Yidi
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제14권8호
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    • pp.3519-3533
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    • 2020
  • Tuberculosis is a chronic and delayed infection which is easily experienced by young people. According to the statistics of the World Health Organization (WHO), there are nearly ten million fell ill with tuberculosis and a total of 1.5 million people died from tuberculosis in 2018 (including 251000 people with HIV). Tuberculosis is the largest single infectious pathogen that leads to death. In order to help doctors with tuberculosis diagnosis, we compare the tuberculosis classification abilities of six popular convolutional neural network (CNN) models in the same data set to find the best model. Before training, we optimize three parts of CNN to achieve better results. We employ sigmoid function to replace the step function as the activation function. What's more, we use binary cross entropy function as the cost function to replace traditional quadratic cost function. Finally, we choose stochastic gradient descent (SGD) as gradient descent algorithm. From the results of our experiments, we find that Densenet121 is most suitable for tuberculosis diagnosis and achieve a highest accuracy of 0.835. The optimization and expansion depend on the increase of data set and the improvements of Densenet121.

추백리의 혈청학적 진단법에 관한 연구 (Studies on serological tests for pullorum disease)

  • 김정태;심항섭;김태종;고태오;우종태;유기승;박유순
    • 한국동물위생학회지
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    • 제21권3호
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    • pp.313-323
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    • 1998
  • In order to establish a sensitive and specific diagnostic method for detection of antibody to Salmonella pullorum, a enzyme-linked immunosorbent assay(ELISA) was designed and standardized. The diagnostic efficacy of the established ELISA was compared with that of the serum plate agglutination test and immunodiffusion test for pullorum disease. 1. The chicken hyperimmune sera to Salmonella pullorum, S gallinarum, S typhimurium and S typhi were shown the cross reaction to S pullorum antigen by serum plate agglutination test. 2. When compared the cross reaction titer of microplate agglutination test for chickens hyperimmune sera, it was found that the titer were 64 in S pullorum, 32 in S gallinarum, 4 in S typhimurium and 8 in S typhi, respectively. 3. When compared the specificity of various antigen(HA, EA, PA and SA) by the immunodiffusion test, the most suitable antigen was phenol-treated bactrium. 4. The optimal concentration of S pullorum antigen for ELISA was 1 : 160 dilution of bacterium. 5. The efficacy of the ELISA for detection of S pullorum antibody was compared with serum Plate agglutination test and immunodiffusion test in chickens infected with S pullorum. The antibody was first detected at 6 days after infection using three tests examined. The antibody was alldetected at 9 days by ELISA, at 12 days by serumplate agglutination test, at 15 days by immunodiffusion test.

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Two Human Cases Infected by the Horsehair Worm, Parachordodes sp. (Nematomorpha: Chordodidae), in Japan

  • Yamada, Minoru;Tegoshi, Tatsuya;Abe, Niichiro;Urabe, Misako
    • Parasites, Hosts and Diseases
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    • 제50권3호
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    • pp.263-267
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    • 2012
  • The present study was performed to describe 2 human cases infected by the horsehair worm, Parachordodes sp., in Japan. Two gordiid worms were collected in the vomit and excreta of an 80-year-old woman in November 2009 in Kyoto city, and in the mouth of 1-year-old boy in December 2009 in Nara city, Japan, respectively. Both worms were males having bifurcated posterior ends and male gonads in cross sectional specimens. They were identified as Parachordodes sp. (Nematomorpha: Chordodidae) based on the characteristic morphologies of cross sections and areoles in the cuticle. DNA analysis on 18S rRNA partial sequence arrangements was also carried out and both worms were assumed to be close to the genus Paragordionus based on tree analysis, and far from Gordius sp. which has already been reported in humans in Japan. DNA sequencing of the Parachordodes worm does not appear on the database; therefore, more information on the gene sequences of the genus Parachordodes from humans, animals, or intermediates is required.

야외곤충에 기생하는 미포자충류에 대하여 (The Parasite of Microsporidia in Insects)

  • 채수근;박대영
    • 한국잠사곤충학회지
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    • 제28권1호
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    • pp.54-60
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    • 1986
  • 야외곤충에 대한 미포자충의 감염여부와 곤충에서 검출된 미포자충의 누에에 대한 감영성 조사 결과는 아래와 같다. 1. 채집한 66종의 야외곤충으로부터 미포자충이 검출된 야외곤충은 똥쉬파리, 꿀벌, 배추흰나비(유충), 아이노각다구, 등록색잎벌레, 벗나무풍뎅이, 노랑테불나방, 밀잠자리, 먼지벌레 및 벼잎벌레 등 10종이었다. 2. 추출된 미포자들을 크기에 따라 분류한 바 똥쉬파리로부터는 3종, 그리고 다른 곤충으로 부터는 각기 다른 1종의 미포자충이 검출됨으로써 총 12종의 미포자충이 분리되었다. 3. 똥쉬파리, 꿀벌 및 배추흰나비(유충)에서 검출된 미포자충들을 누에에의 교우감영성을 실험한 바 어느 것도 교유감염이 나타나지 않았다.

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