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고정은(Jung Eun Ko),어유경(Yugyeong Eo),신혜정(Hae Jung Shin),장유리(Yuri Jang) 한국산학기술학회 2024 한국산학기술학회논문지 Vol.25 No.1
To enhance the mental health of older adults, this study provided remote counseling services to senior residents within a local community. The impact of counseling was assessed by measuring levels of depressive symptoms and loneliness. A cohort of six participants engaged in online counseling sessions conducted by an external professional counselor at a community welfare center. All subjects participated in four sessions based on Narrative Therapy principles. A phased approach was utilized. The experimental group received counseling first, and then the control group. Importantly, all participants completed the program without attrition. Post-counseling assessments showed a significant reduction in depression levels for all participants but variable effects on loneliness. The study highlights the importance and effectiveness of remote counseling services for older adults, offers potential means of improving the well-being and mental health of senior individuals in local communities, and hopefully, should aid the development of strategies aimed at enhancing the mental health of older community residents.
전국 12개 병원 환자에서 분리된 Extended-Spectrum β-Lactamase 생성 Escherichia coli와 Klebsiella pneumoniae
송원근,이경원,김선주,정석훈,장철훈,신혜정,조성란,안지영,어영,신종희,이혜수,홍성근,용동은,정윤섭 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.4
목적 : Extended-spectrum β-lactamase(ESBL) 생성 그람음성간균에 관한 연구가 우리나라에서도 있으나 전국 규모의 연구가 없었으므로 ESBL 생성 Escherichia coli와 Klebsiella pneumoniae의 비율을 검체별, 환자별로 규명하고 다른 항균제에 대한 감수성 양상을 조사하고자 하였다. 방법 : 1999년 9월부터 12월 사이에 전국 12개 병원의 임상검체에서 분리된 일련의 E. coli 1,171주와 K. pneumoniae 585주를 대상으로 하였다. ESBL 생성균주의 선별은 cefpodoxime, cefotaxime, ceftazidime, 및 aztreonam 디스크로 시험하여 National Committee for Clinical Laboratory Standards의 기준에 따라 해석하였고, double disk synergy 시험 양성인 경우를 ESBL 생성균주로 판정하였다. 결과 : 참여 병원 모두에서 ESBL 생성균주가 확인되었다. 균종별 ESBL 생성균주의 비율은 E. coli가 9.8% (3.5-19.6%)이었고, K. pneumoniae가 25.6% (10-41.3%)이었다. 검체 별로는 객담에서, 환자별로는 중환자실에서 분리된 ESBL 생성균주의 빈도가 각각 27.4%와 31.7%로 가장 높았다. ESBL 생성균주의 aminoglycoside제와 co-trimoxazole에 대한 내성율은 ESBL 비생성균주보다 현저히 높았다. 결론 : ESBL 생성 E. coli와 K. pneumoniae는 국내 병원에 널리 퍼져 있었으며, 요와 객담 검체에서 흔히 분리되었고, 중환자실 환자에서의 분리율이 높았고, 다른 항균제에 대한 내성율이 ESBL 비생성균주에 비해 높았다. Background : Presence of extended spectrum β-lactamase (ESBL) -producing gram-negative bacilli have been reported in Korea, but our understanding of the prevalence is limited. The aim of this study was to determine the nationwide prevalence and antimicrobial susceptibility of ESBL -producing Escherichia coli and Klebsiella pneumoniae, and to characterize the patients and sources. Methods: A total of 1.171 E. coli and 585 K. pneumoniae non-duplicate isolates were collected from 12 hospitals in September to December 1999. ESBL production was determined by National Committee for Clinical Laboratory Standards methods using cefpodoxime, cefotaxime, ceftazidime, and aztreonam disk. Positive double disk synergy tests were considered ESBL producers. Results : ESBL-producing E. coli and K. pneumoniae isolates were detected from all 12 hospitals. The proportion of ESBL-producers was 9.8% (3.5-19.6%) of the E. coli and 25.6% (10-41.3%) of the K.. pneumoniae isolates. The common source of ESBL-producers was sputum (27.4%) and patients in intensive care unit (31.7%). ESBL-producing isolates were more often resistant to aminoglycosides and cotrimoxazole. Conclusion : ESBL-producing E. coliand K.. pneumoniae are widespread to all levels of Korean hospitals. ESBL-producers are more prevalent among isolates from urine and sputum and from intensive care unit patients. These organisms are more often resistant than the non- ESBL -producers to amjnoglycosides and cotrimoxazole.