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2.
Psicol. reflex. crit ; 34: 19, 2021. tab, graf
Article in English | LILACS, INDEXPSI | ID: biblio-1340495

ABSTRACT

Abstract Background: For youth in geopolitically at-risk environments, such as Palestine, the issues related to Internet overuse and addictions are complex. Youth residing in the occupied territories of Palestine as in other highly militarized zones have high levels of environmental stressors (e.g., militarization, poverty, lack of employment opportunities, cultural pressures, etc.) and few chemical or social outlets such as alcohol, intoxicants, and leisure activities. As such, the easily accessible and unrestricted opportunities for stress-reducing social contact of social media can lead easily to excessive and maladaptive Internet use. Therefore, interventions directly aimed at awareness and education on how to manage Internet use are critical for addressing these issues in high risk populations. Aims: The purpose of the current study was to test the efficacy of a time-limited group training program aimed at improving social skills and reducing addictive Internet behaviors among university students. Methods and results: The sample consisted of 30 university students who self-reported high scores on an Internet addiction scale. Participants were randomly assigned to either wait list or treatment group (15 in each condition). Results demonstrated that using a social skills training program over an 8-week period improved the level of social skills and reduced addictive Internet behaviors significantly in those who experienced the intervention when compared with a wait list control group. Conclusions: These findings support the implementation of time limited training programs targeting social skills and addictive patterns of Internet use with university students identified with high levels of Internet addictive behaviors.


Subject(s)
Humans , Male , Female , Education/methods , Social Skills , Internet Addiction Disorder/prevention & control , Students , Cognitive Behavioral Therapy , Education, Higher , Middle East
3.
RECIIS (Online) ; 14(4): 812-819, out.-dez. 2020.
Article in Portuguese | LILACS | ID: biblio-1145465

ABSTRACT

Esta nota expõe um breve balanço da história da pandemia de Covid após sete meses de crise. Com esse objetivo, apreendemos três grandes tendências: o impacto letal do negacionismo em países como os Estados Unidos e o Brasil; a chegada da segunda onda na Europa e, enfim, a catástrofe nos países latinoamericanos onde os indicadores pioram em todos eles independentemente das políticas de contenção que foram implementadas desde o mês de março de 2020. Para a discussão dessas três tendências, elaboramos três momentos de reflexão de maior fôlego: a clivagem que separa os modelos de gestão da pandemia na Ásia no Ocidente; a necessidade de uma política social (como o auxílio emergencial) para tornar viáveis as políticas sanitárias na América Latina; e, enfim, uma reflexão mais geral sobre a relação entre as catástrofes e a imaginação.


This paper presents a brief analysis of the history concerning Covid pandemic after its beginning seven months ago. In pursuing this purpose we realised three major trends: the lethal impact of denialism in countries such as United States and Brazil; the arrival of the second wave of coronavirus in Europe; and finally, the Latin American catastrophe where the indicators of people affected by disease worsen in all their countries regardless of the policies to restrain it implemented since March 2020. To discuss these three trends, we have deepened three reflections: the cleavage between the management model of the pandemic in Asia and the Western management model; the need for a social policy (such as an emergency financial aid) to make health policies viable in Latin America; and at last a general reflection on the relationship between the catastrophes and the imagination.


Esta nota expone un breve análisis de la historia de la pandemia de Covid después de siete meses de crisis. Intentando alcanzar este propósito, hemos distinguido tres grandes tendencias: el impacto letal del negacionismo en países como Estados Unidos y Brasil; la llegada de la segunda ola a Europa; y finalmente la catástrofe latinoamericana donde los indicadores del contagio empeoraron en todos los países independiente de las políticas de contención implementadas desde marzo de 2020. Para discutir estas tres tendencias, hemos profundizado tres reflexiones: la diferencia entre el modelo de gestión de la pandemia en Asia y el modelo implementado en Occidente; la necesidad de una política social (como lo auxilio financiero de emergencia) para hacer viables las políticas de salud en Latinoamérica; y por último una reflexión de forma más general sobre la relación entre las catástrofes y la imaginación.


Subject(s)
Humans , Pneumonia, Viral/prevention & control , Social Isolation , Coronavirus Infections/prevention & control , Health Management , Pandemics/prevention & control , United States , Brazil , Viral Vaccines , Western World , Denial, Psychological , Health Policy , Latin America , Middle East
4.
Article in Korean | WPRIM | ID: wpr-765203

ABSTRACT

OBJECTIVES: Patients with an infectious diseases during an outbreak can experience extreme fear and traumatic events in addition to suffering from their medical illness. This study examined the long-term impact of the outbreak of Middle East Respiratory Syndrome (MERS) in Korea, 2015 on the mental health of the survivors. METHODS: Sixty-three survivors from MERS were recruited from a prospective cohort study at six hospitals one year after the outbreak in 2015. The Korean-Symptom Check List 95 was administered to evaluate their psychiatric problems and analyzed according to the patient's characteristics and exposure to traumatic events during the outbreak. RESULTS: A total of 63.5% of survivors suffered from significant psychiatric problems: post-traumatic symptoms (36.5%), sleep problems (36.5%), anxiety (34.9%), and depression (30.2%). Survivors with a history of a ventilator treatment during the MERS epidemic, a family member who died from MERS, and a past psychiatric history showed higher post traumatic stress disorder, anxiety, depression, and suicidality than people who do not have those histories. CONCLUSION: The study suggests that MERS survivors could have a high chance of adverse psychiatric consequences, even after their recovery from MERS. Exposure to traumatic events during the outbreak and premorbid individual vulnerability would affect the long-term mental health problems.


Subject(s)
Anxiety , Cohort Studies , Communicable Diseases , Communicable Diseases, Emerging , Coronavirus Infections , Depression , Humans , Korea , Mental Health , Middle East , Prospective Studies , Stress Disorders, Post-Traumatic , Stress Disorders, Traumatic , Survivors , Ventilators, Mechanical
5.
Article in English | WPRIM | ID: wpr-764964

ABSTRACT

No abstract available.


Subject(s)
Iran , Middle East
6.
Article in English | WPRIM | ID: wpr-764928

ABSTRACT

BACKGROUND: Because there has been a recent increase in refugee applications in Korea, the mental health of these refugees merits greater study. METHODS: We surveyed 129 refugees (including those in process of refugee application) and 121 migrant workers living in urban communities, using: the Patient Health Questionnaire-9 for depressive symptoms, the Impact Event Scale-Revised for post-traumatic stress disorder (PTSD) symptoms, and the health questionnaires used in 2016 Korean National Health and Nutrition Examination Survey (KNHANES). The majority of refugee subjects were from sub-Saharan Africa and Middle East. We compared the prevalence of possible depression and possible PTSD between refugees and migrant workers and refugees and age-gender matched samples from the KNHANES 2016. RESULTS: Frequency of suicidal planning during the last year was higher in the refugee group than Korean nationals, but frequency of suicidal attempt was not. High risk drinking was found in 0.8% of refugees, 6.6% of migrant workers and 27.2% of Korean nationals. Possible depression was present in 42.9% of refugee subjects, 33.3% of migrant workers, and 4.2% of Korean controls. Possible PTSD was present in 38.9% of refugees compared to 12.5% of migrant workers. Only major risk factor for depression among refugees was a traumatic event before entering Korea. CONCLUSION: Possible depression and PTSD are significantly more prevalent in refugees, compared to both migrant workers and Korean nationals. Prevalence rates are commensurate with refugee studies worldwide. Appropriate early screening and intervention schemes need to be developed for refugees entering Korea.


Subject(s)
Adult , Africa South of the Sahara , Depression , Drinking , Humans , Independent Living , Korea , Mass Screening , Mental Health , Middle East , Nutrition Surveys , Prevalence , Refugees , Risk Factors , Stress Disorders, Post-Traumatic , Transients and Migrants
7.
Intestinal Research ; : 330-339, 2019.
Article in English | WPRIM | ID: wpr-764158

ABSTRACT

BACKGROUND/AIMS: A recent study revealed increasing incidence and prevalence of inflammatory bowel disease (IBD) in Iran. The Iranian Registry of Crohn's and Colitis (IRCC) was designed recently to answer the needs. We reported the design, methods of data collection, and aims of IRCC in this paper. METHODS: IRCC is a multicenter prospective registry, which is established with collaboration of more than 100 gastroenterologists from different provinces of Iran. Minimum data set for IRCC was defined according to an international consensus on standard set of outcomes for IBD. A pilot feasibility study was performed on 553 IBD patients with a web-based questionnaire. The reliability of questionnaire evaluated by Cronbach's α. RESULTS: All sections of questionnaire had Cronbach's α of more than 0.6. In pilot study, 312 of participants (56.4%) were male and mean age was 38 years (standard deviation=12.8) and 378 patients (68.35%) had ulcerative colitis, 303 subjects (54,7%) had college education and 358 patients (64.74%) were of Fars ethnicity. We found that 68 (12.3%), 44 (7.9%), and 13 (2.3%) of participants were smokers, hookah and opium users, respectively. History of appendectomy was reported in 58 of patients (10.48%). The most common medication was 5-aminosalicylate (94.39%). CONCLUSIONS: To the best of our knowledge, IRCC is the first national IBD registry in the Middle East and could become a reliable infrastructure for national and international research on IBD. IRCC will improve the quality of care of IBD patients and provide national information for policy makers to better plan for controlling IBD in Iran.


Subject(s)
Administrative Personnel , Appendectomy , Colitis , Colitis, Ulcerative , Consensus , Cooperative Behavior , Data Collection , Dataset , Education , Feasibility Studies , Humans , Incidence , Inflammatory Bowel Diseases , Iran , Male , Mesalamine , Middle East , Opium , Pilot Projects , Prevalence , Prospective Studies
8.
Article in English | WPRIM | ID: wpr-758906

ABSTRACT

The 4a and 4b proteins of the Middle East respiratory syndrome coronavirus (MERS-CoV) have been described for their antagonism on host innate immunity. However, unlike clustering patterns of the complete gene sequences of human and camel MERS-CoVs, the 4a and 4b protein coding regions did not constitute species-specific phylogenetic groups. Moreover, given the estimated evolutionary rates of the complete, 4a, and 4b gene sequences, the 4a and 4b proteins might be less affected by species-specific innate immune pressures. These results suggest that the 4a and 4b proteins of MERS-CoV may function against host innate immunity in a manner independent of host species and/or evolutionary clustering patterns.


Subject(s)
Camelus , Clinical Coding , Coronavirus Infections , Evolution, Molecular , Humans , Immunity, Innate , Middle East Respiratory Syndrome Coronavirus , Middle East , Open Reading Frames , Phylogeny , Zoonoses
9.
Article in English | WPRIM | ID: wpr-786694

ABSTRACT

PURPOSE: The outcomes of endovascular aneurysmal repair (EVAR) for infrarenal abdominal aortic aneurysms (AAAs) in the Middle East have rarely been reported. We analyzed the outcomes of EVAR in a Jordanian population.MATERIALS AND METHODS: We conducted a retrospective review of the medical records of patients with infrarenal AAA who were treated with elective EVAR between January 2004 and January 2017 at a single center in Jordan. Patient characteristics, anatomical characteristics, procedural details, and early and late postoperative outcomes were analyzed.RESULTS: A total of 288 patients (mean age, 70 years; 77.8% males) underwent EVAR for infrarenal AAA (median aneurysm size, 64 mm). Bifurcated endografts were used in 265 patients, and aorto-uni-iliac devices were used in 22 patients. Successful endograft deployment was achieved in all patients with no open conversion. Early complications included localized groin hematoma in 15, femoral artery dissection in 4, wound infection in 3, and seroma in 3 patients. With a mean follow-up of 60 months, 50 endoleaks were detected, including 9 type I, 38 type II, and 3 type III. Seven patients had unilateral graft limb occlusion. The 30-day mortality was 1.7%, and long-term mortality was 7.0%, mostly due to non-AAA-related causes.CONCLUSION: EVAR was safely performed in Jordanian patients with minimal complications. However, long-term surveillance is important due to the risk of endoleaks and consequent intervention.


Subject(s)
Aneurysm , Aortic Aneurysm, Abdominal , Blood Vessel Prosthesis , Endoleak , Extremities , Femoral Artery , Follow-Up Studies , Groin , Hematoma , Humans , Jordan , Medical Records , Middle East , Mortality , Retrospective Studies , Seroma , Transplants , Wound Infection
10.
Article in English | WPRIM | ID: wpr-786454

ABSTRACT

Exploring the unknown is one of the key factors that lead to great discoveries in mankind history.With the advances in medicine and the development of new approaches towards patient care, like next-generation sequencing and patient-centered care, the need for treatments tailored to patient through personalized medicine has become more compelling. Theranostics has been introduced as a combination of a diagnostic tool and a therapeutic tool on the same vector for a specific disease, to facilitate personalized medicine. Nuclear medicine has shown the capability of providing a strong platform for this new approach through its arms, molecular imaging, and targeted molecular therapies. Though the prototype of theranostics has been practiced in Jordan since decades in the field of diagnosis and treatment of well-differentiated thyroid cancer, recently, the King Hussein Cancer Center (KHCC), a leading and comprehensive cancer center in Jordan and in the Middle East, has leaped forward to introduce the new approaches of theranostics through the nuclear medicine applications. This paper sheds the light on the most important aspects of this new theranostics practice in Jordan such as peptide receptor radionuclide therapy (PRRT) and prostate-specific membrane antigen (PSMA)–based theranostics.


Subject(s)
Arm , Diagnosis , Humans , Jordan , Membranes , Middle East , Molecular Imaging , Molecular Targeted Therapy , Nuclear Medicine , Patient Care , Patient-Centered Care , Precision Medicine , Receptors, Peptide , Theranostic Nanomedicine , Thyroid Neoplasms
11.
Yonsei Medical Journal ; : 796-803, 2019.
Article in English | WPRIM | ID: wpr-762104

ABSTRACT

PURPOSE: In May 2015, South Korea experienced an epidemic of Middle East respiratory syndrome (MERS). This study investigated the impacts of MERS epidemic on emergency care utilization and mortality in South Korea. MATERIALS AND METHODS: A natural experimental study was conducted using healthcare utilization and mortality data of the entire Korean population. The number of monthly emergency room (ER) visits was investigated to identify changes in emergency care utilization during the MERS epidemic; these trends were also examined according to patients' demographic factors, disease severity, and region. Deaths within 7 days after visiting an ER were analyzed to evaluate the impact of the reduction in ER visits on mortality. RESULTS: The number of ER visits during the peak of the MERS epidemic (June 2015) decreased by 33.1% compared to the average figures from June 2014 and June 2016. The decrease was observed in all age, sex, and income groups, and was more pronounced for low-acuity diseases (acute otitis media: 53.0%; upper respiratory infections: 45.2%) than for high-acuity diseases (myocardial infarctions: 14.0%; ischemic stroke: 16.6%). No substantial changes were detected for the highest-acuity diseases, with increases of 3.5% for cardiac arrest and 2.4% for hemorrhagic stroke. The number of deaths within 7 days of an ER visit did not change significantly. CONCLUSION: During the MERS epidemic, the number of ER visits decreased in all age, sex, and socioeconomic groups, and decreased most sharply for low-acuity diseases. Nonetheless, there was no significant change in deaths after emergency care.


Subject(s)
Communicable Diseases, Emerging , Coronavirus Infections , Delivery of Health Care , Demography , Disaster Planning , Emergencies , Emergency Medical Services , Emergency Service, Hospital , Heart Arrest , Infarction , Korea , Middle East , Mortality , Otitis Media , Respiratory Tract Infections , Stroke
12.
Article in English | WPRIM | ID: wpr-760888

ABSTRACT

PURPOSE: Proper nutrition is essential for brain development during infancy, contributing to the continued development of cognitive, motor, and socio-emotional skills throughout life. Considering the insufficient published data in the Middle East and North Africa, experts drafted a questionnaire to assess the opinions and knowledge of physicians on the impact of nutrition on brain development and cognition in early life. METHODS: The questionnaire consisted of two parts: The first focused on the responders' demographic and professional characteristics and the second questioned the role of nutrition in brain development and cognition. Descriptive statistics were used to summarize respondents' characteristics and their responses to questions. RESULTS: A total of 1,500 questionnaires were distributed; 994 physicians responded. The majority of the surveyed physicians (64.4%) felt that nutrition impacts brain development in early childhood (0–4 years), with almost 90% of physicians agreeing/strongly agreeing that preventing iron, zinc, and iodine deficiency would improve global intelligence quotient. The majority of physicians (83%) agreed that head circumference was the most important measure of brain development. The majority of physicians (68.9%) responded that the period from the last trimester until 18 months postdelivery was crucial for brain growth and neurodevelopment, with 76.8% believing that infants breast-fed by vegan mothers have an increased risk of impaired brain development. CONCLUSION: The results of this study show that practicing physicians significantly agree that nutrition plays an important role in brain and cognitive development and function in early childhood, particularly during the last trimester until 18 months postdelivery.


Subject(s)
Africa , Africa, Northern , Brain , Cognition , Female , Head , Humans , Infant , Intelligence , Iodine , Iron , Middle East , Mothers , Pregnancy , Pregnancy Trimester, Third , Vegans , Zinc
13.
Article in English | WPRIM | ID: wpr-719268

ABSTRACT

OBJECTIVES: This study is to scrutinize the website of Seoul National University Hospital in Korea, Clinique Valmont in Switzerland, Medical Center of the University of Munich in Germany, Cleveland Clinic Abu Dhabi in the United Arab Emirates (UAE) to suggest successful communication factors to the medical service providers who deal with Middle Eastern patients. METHODS: Using content analysis and in-depth interviews, this research examines four hospitals commonly visited by Middle East patients. The four hospitals approaches to implementing interactive e-health tools on their web sites are reviewed. Four hospitals selection criterion was process by focus group interview of government officials in UAE health sectors. RESULTS: The way of providing medical information differed by hospitals that used e-health tools. The analysis of each website shows a different way providing medical information, services and education. There are important differences among hospitals. These include decision-making, planning processes and outcomes of implementing e-health tools online, as well as potential obstacles to such implementation. Thus, hospitals can learn and design effective interactive tools by applying e-health tools on their websites. CONCLUSIONS: Each website showed different interactive tools such as traditional functional tools, core e-business tools, patient support tools, visitor related tools, emerging functional tools. By applying the interactive e-health tools sets an objective view for e-health strategy and vision for the hospitals conveying information through the website. According to the type of hospitals and its location different methods of strategy should be applied. Targeting not only the patients but also the general website users will eventually improve health information accessibility.


Subject(s)
Education , Focus Groups , Germany , Health Impact Assessment , Humans , Korea , Middle East , Occupational Groups , Patient Participation , Seoul , Switzerland , Telemedicine , United Arab Emirates
14.
Article in English | WPRIM | ID: wpr-741918

ABSTRACT

OBJECTIVE: The relationship among chronic fatigue, depressive symptoms, and post-traumatic stress symptoms (PTSSs) among Middle East respiratory syndrome (MERS) survivors is poorly understood. METHODS: Of 148 survivors who consented to be registered and underwent assessments at 12 months (T1) and 18 months (T2) after the MERS outbreak, 72 (48.65%) were evaluated for chronic fatigue, depressive symptoms, and PTSSs based on the Impact of Event ScaleRevised (IES-R), the Patient Health Questionnaire-9 (PHQ-9), and the Fatigue Severity Scale (FSS). Data from 52 subjects, who completed both assessments, were analyzed using a regression-based serial multiple mediation model (PROCESS Model 6). RESULTS: Bootstrap analyses indicated no direct effects of T1 FSS on T2 IES-R but significant positive indirect effects of T1 FSS on T2 IESR through T1 PHQ-9 and T2 PHQ-9 (B=2.1601, SE=1.3268, 95% confidence interval=0.4250–6.1307). In other words, both T1 PHQ-9 and T2 PHQ-9 fully mediated the relationship between T1 FSS and T2 IES. CONCLUSION: Chronic fatigue 12 months after MERS had indirect effects on prolonged PTSSs 18 months after MERS via persisting depression in MERS survivors. This finding supports the need to promote interventional programs for emerging infectious disease survivors with chronic fatigue to reduce depression and prevent prolonged PTSSs.


Subject(s)
Communicable Diseases, Emerging , Coronavirus Infections , Depression , Fatigue , Humans , Middle East , Negotiating , Survivors
15.
Licere (Online) ; 21(1): 22-46, mar.2018. tab
Article in Portuguese | LILACS | ID: biblio-883341

ABSTRACT

O objetivo deste artigo é investigar o processo de transformação que sofreu a técnica de dança denominada de Dança do Ventre. Para tanto, foi realizada pesquisa com praticantes através de um questionário baseado no Inventário de Motivação para Prática Desportiva de Gaya e Cardoso, tendo os resultados sido tratados com o aplicativo SurveyMonk. Originária do Oriente Médio, em especial das populações árabes, esta dança era apreciada pelos múltiplos significados envolvidos na sua prática, mormente religiosos e familiares. A pesquisa confirmou a hipótese aqui desenvolvida de que a Dança do Ventre pode ser considerada um exemplo de prática cultural que se desterritorializou e se transformou, guardando da tradição basicamente os movimentos e hoje se apresenta com as mesmas propriedades de atividades similares de lazer, como a ginástica e outras danças.


The purpose of this article is to investigate the process of transformation that suffered the dance called Belly Dance. Therefore, conducted survey with practitioners through a questionnaire based on Motivation Inventory for Sports Practice of Gaya and Cardoso and treated the results with SurveyMonk application. Originating in the Middle East, especially the Arab populations, this dance was appreciated by the multiple meanings involved in their practice, particularly religious and family. Today is a leisure activity. The hypothesis developed here is that belly dancing can be considered an example of activity that deterritorialized and has become a practice of their old ways basically kept the movements and stands today with the same properties of similar leisure activities such as gymnastics and other dances.


Subject(s)
Humans , Religion , Self Concept , Exercise , Dancing , Cultural Diffusion , Middle East
16.
Appl. cancer res ; 38: 1-8, jan. 30, 2018. tab, ilus
Article in English | LILACS, Inca | ID: biblio-988355

ABSTRACT

Background: Pain continues to be a prevalent yet undertreated problem among cancer patients. Achieving adequate control of cancer pain is influenced by physicians' knowledge and practices, which have been found to be inadequate by many studies. In this study, we aimed to examine knowledge and practices, as well as perceived barriers relating to the management of cancer pain among Palestinian physicians. Methods: This cross-sectional study took place at eight hospitals in the northern West Bank in Palestine. A questionnaire was developed and distributed to physicians who were responsible for the care of cancer patients. The questionnaire assessed knowledge, perceived barriers, assessment practices, pain documentation, and delaying processes relating to cancer pain management (CPM). Results: In total, we analysed 109 questionnaires. The mean age of the participants was 32.3 ± 7.0 years and 73.4% had less than 10 years of professional experience. After analysing the data, we found physicians' knowledge to be inadequate, with a mean knowledge score of 6.2 ± 1.9 out of 14. The barriers that were perceived by the highest percentages of physicians to affect CPM were inadequate pain assessment (89%), insufficient experience (79.8%), and insufficient knowledge (76.1%), all of which are staff-related. However, 65% reported assessing pain on every round and 70% asked about all items related to the nature of pain. Finally, obtaining opioids from the pharmacy was the most recognized delaying step in CPM. Conclusions: Despite reporting good practices, physicians showed substantial knowledge deficits regarding CPM. Besides, many barriers appear to impede effective CPM. Therefore, appropriate educational programmes and policy changes are recommended in order to improve professional performance as well as patient care (AU)


Subject(s)
Humans , Female , Physicians , Knowledge , Cancer Pain , Cross-Sectional Studies , Surveys and Questionnaires , Middle East
17.
Article in Korean | WPRIM | ID: wpr-764622

ABSTRACT

PURPOSE: The purposes of the study were to examine the knowledge and practice about Middle East Respiratory Syndrome (MERS) isolation precaution, and to explore influencing factors of the isolation practice among hospital nurses. METHODS: A total of 182 nurses were recruited from four general hospitals where MERS patients had been treated. The knowledge and practice of MERS isolation precaution were measured by the scales developed based on the CDC guidelines. The collected data were analyzed by SPSS/WIN 22 with descriptive statistics, T-test, One-way ANOVA, Pearson correlation coefficients, and hierachical multiple regression analysis. RESULTS: The nurses were 30 years old in average, and half of them had less than 5 years of clinical experience. and knowledge on droplet precautions (β=.171, p=.019) were the significant predictors, explaining 19.6% of variance in the MERS isolation guideline practice. Clinical experience (β=.225, p=.002), working at infection unit (β=−.203, p=.011). CONCLUSION: The knowledge on droplet precaution and general knowledge on MERS were the important modifiable factor to improve the MERS isolation guideline practice among hospital nurses, even after adjusting clinical experience and demographic variables. It is necessary to develop an efficient education program on specific guidelines for prevention and management of infection by improving the knowledge on infectious disease such as MERS as well as droplet precaution which are modifiable factors.


Subject(s)
Communicable Diseases , Coronavirus Infections , Education , Hospitals, General , Humans , Middle East , Weights and Measures
18.
Epidemiology and Health ; : 2018014-2018.
Article in English | WPRIM | ID: wpr-786859

ABSTRACT

OBJECTIVES: The rates of asymptomatic infection with Middle East Respiratory Syndrome (MERS) coronavirus vary. A serologic study was conducted to determine the asymptomatic MERS infection rate in healthcare workers and non-healthcare workers by exposure status.METHODS: Study participants were selected from contacts of MERS patients based on a priority system in 4 regions strongly affected by the 2015 MERS outbreak. A sero-epidemiological survey was performed in 1,610 contacts (average duration from exposure to test, 4.8 months), and the collected sera were tested using an enzyme-linked immunespecific assay (ELISA), immunofluorescence assay (IFA), and plaque reduction neutralization antibody test (PRNT). Among the 1,610 contacts, there were 7 ELISA-positive cases, of which 1 exhibited positive IFA and PRNT results.RESULTS: The asymptomatic infection rate was 0.060% (95% confidence interval, 0.002 to 0.346). The asymptomatic MERS case was a patient who had been hospitalized with patient zero on the same floor of the hospital at the same time. The case was quarantined at home for 2 weeks after discharge, and had underlying diseases, including hypertension, angina, and degenerative arthritis.CONCLUSIONS: The asymptomatic infection was acquired via healthcare-associated transmission. Thus, it is necessary to extend serologic studies to include inpatient contacts who have no symptoms.


Subject(s)
Asymptomatic Infections , Coronavirus , Coronavirus Infections , Cross Infection , Delivery of Health Care , Epidemiology , Fluorescent Antibody Technique , Humans , Hypertension , Inpatients , Korea , Middle East Respiratory Syndrome Coronavirus , Middle East , Osteoarthritis
19.
Epidemiology and Health ; : 2018041-2018.
Article in English | WPRIM | ID: wpr-786833

ABSTRACT

Network scale-up is an indirect size estimation method, in which participants are questioned on sensitive behaviors of their social network members. Therefore, the visibility of the behavior affects the replies and estimates. Many attempts to estimate visibility have been made. The aims of this study were to review the main methods used to address visibility and to provide a summary of reported visibility factors (VFs) across populations. We systematically searched relevant databases and Google. In total, 15 studies and reports that calculated VFs were found. VF calculation studies have been applied in 9 countries, mostly in East Asia and Eastern Europe. The methods applied were expert opinion, comparison of NSU with another method, the game of contacts, social respect, and the coming-out rate. The VF has been calculated for heavy drug users, people who inject drugs (PWID), female sex workers (FSWs) and their clients, male who have sex with male (MSM), alcohol and methamphetamine users, and those who have experienced extra-/pre-marital sex and abortion. The VF varied from 1.4% in Japan to 52.0% in China for MSM; from 34.0% in Ukraine to 111.0% in China for FSWs; and from 12.0% among Iranian students to 57.0% in Ukraine for PWID. Our review revealed that VF estimates were heterogeneous, and were not available for most settings, in particular the Middle East and North Africa region, except Iran. More concrete methodologies to estimate the VF are required.


Subject(s)
Africa, Northern , Bias , China , Drug Users , Europe, Eastern , Expert Testimony , Far East , Female , Humans , Iran , Japan , Male , Methamphetamine , Methods , Middle East , Sex Workers , Ukraine
20.
Article in English | WPRIM | ID: wpr-718371

ABSTRACT

We report a case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in a 61-year-old businessman returning from Kuwait. The patient arrived there on August 16, 2018, developed watery diarrhea on August 28 (day 0), and came back to Korea on September 7 (day 10) as his condition worsened. Upon arrival, he complained of diarrhea and weakness, but denied any respiratory symptoms, and he directly went to visit an emergency room. Chest radiography revealed interstitial infiltrates in the lungs, and he was immediately transferred to an isolation unit. Quantitative real-time PCR analysis of sputum samples taken on day 11 returned positive for MERS-CoV. No secondary MERS-CoV infection was identified among people who had close contact with him. This case underscores the importance of a high index of suspicion of MERS-CoV infection in any febrile patients who present after a trip to the Middle East.


Subject(s)
Coronavirus Infections , Diarrhea , Disease Transmission, Infectious , Emergency Service, Hospital , Humans , Korea , Kuwait , Lung , Middle Aged , Middle East Respiratory Syndrome Coronavirus , Middle East , Radiography , Real-Time Polymerase Chain Reaction , Sputum , Thorax
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