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Future Management Strategies for Zoonoses Based on One Health

Journal of Agricultural Medicine & Community Health.2019;44(1):39-42. doi:10.5393/JAMCH.2019.44.1.039

Zoonoses are the diseases that are transmitted to human being from vertebrate animals either from livestock animals or from wildlife. Recently, zoonoses are increasingly common as a result of incremental human-animal contact. Propagative infections in wild animals and livestock are transmitted to human beings who are encountered with them. In general, wild animals can transmit infectious agents to livestock, and then livestock further transmit them to human being is a simple model of on how zoonotic diseases get transmitted to human being. This model emphasizes the importance of early detection of zoonoses by surveillance at its incipient stage. Cooperation between the respective ministries plays an important role in the identification of zoonoses and planning for the formulation of better preventive and control policy and strategy. We will be able to predict the occurrence of zoonotic diseases in human on the basis of disease trends in wildlife and livestock once when we obtain the surveillance data and data generated by respective ministries through sound cooperation and collaboration.
Animals ; Animals, Wild ; Cooperative Behavior ; Humans ; Livestock ; Vertebrates ; Zoonoses

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Current State and the Future Tasks of Home Visit Nursing Care in South Korea

Eunok PARK

Journal of Agricultural Medicine & Community Health.2019;44(1):28-38. doi:10.5393/JAMCH.2019.44.1.028

OBJECTIVES: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in South Korea. METHOD: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in Korea. RESULTS: There are three types of home care nursing in Korea. Public health center provides home visit nursing to vulnerable population by registered nurses for free, based on community health act in public health center. As of 2017, 1,261,208 people were enrolled in the visiting health program of public health center. Health behavior and disease management has been improved and showed having cost-benefit effect among the enrolled people in visiting health program. Visiting nursing care in long-term care services is provided by registered nurses or nurse aid, based on long-term care act. The cost is paid as the unit price according to service time. 1,095,764 older people used long-term care services in 2017, only 0.2% of total cost used for home visiting nursing. Even though the number of user of home visiting nursing, it was reported that users spent less medical cost and hospitalized shorter. Hospital-based home care nursing is provided to patients and their families under the prescription of a doctor by family nurse specialists who are employed by medical institute based on medical law. Four hundred sixty family nurse specialists worked for hospital-based home care nursing and hospital-based home care services accounted for 0.038% of total medical expenses in 2017. CONCLUSION: Even though home visit nursing care services are different in aspect of legal basis, personnel, running institutes, and cost basis, home visit nursing care showed cost-benefit effect and good health outcomes. In order to advance home visit nursing care, the integrated home visiting care, improvement of working condition, and revision of legal basis should be considered.
Academies and Institutes ; Disease Management ; Health Behavior ; Home Care Services ; Home Care Services, Hospital-Based ; House Calls ; Humans ; Jurisprudence ; Korea ; Long-Term Care ; Methods ; Nurses ; Nursing Care ; Nursing ; Prescriptions ; Public Health ; Running ; Specialization ; Vulnerable Populations

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Preparation and Measures for Elderly with Dementia in Korea: Focus on National Strategies and Action Plan against Dementia

Moo Sik LEE

Journal of Agricultural Medicine & Community Health.2019;44(1):11-27. doi:10.5393/JAMCH.2019.44.1.011

No abstract available in English.
Aged ; Dementia ; Humans ; Korea

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A Study on the Febrile Illness in Autumn among Farmers in Gyeongju-si: Scrub typhus, Leptospirosis, HFRS

Dong Seob KIM ; Dilaram ACHARYA ; Seok Ju YOO ; Ji Hyuk PARK ; Kwan LEE

Journal of Agricultural Medicine & Community Health.2019;44(1):1-10. doi:10.5393/JAMCH.2019.44.1.001

OBJECTIVES: This study aimed to assess the status of Scrub typhus, Leptospirosis and HFRS(hemorrhagic fever with renal syndrome) among farmers with febrile illness. METHODS: We involved a total of 841 farmers who had febrile illness(508 and 333 village residents were, respectively, three and four district of Gyeongju city) selected during autumn of 2014 and 2015. Data were collected by survey questionnaires and blood sample examination. RESULTS: Serum response rate for Scrub typhus and Leptospirosis was 1.5% each and 1.9% for HFRS. Serum response rate for Scrub typhus was significantly higher for tick-bite cases(38.5%), while Leptospirosis was significantly higher for those who were in fruit–planting work(23.1%). Similarly, serum response rate was significantly higher for HFRS who were working in venyl green house work(25.0%). CONCLUSIONS: Government authority should develop effective and efficient preventive strategies to create awareness of infectious diseases among farmers. Extending information, education and communication be reached to farmers that could change their perception and help early diagnosis and treatment and reduce the disease burden and its complication.
Communicable Diseases ; Early Diagnosis ; Education ; Farmers ; Fever ; Gyeongsangbuk-do ; Hemorrhagic Fever with Renal Syndrome ; Leptospirosis ; Risk Factors ; Scrub Typhus

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A Case Report of Human Brucellosis Found by Zoonoses Surveillance System Based on One Health

Dong Seob KIM ; Sung Jun PARK ; Kwan LEE

Journal of Agricultural Medicine & Community Health.2019;44(2):90-93. doi:10.5393/JAMCH.2019.44.2.090

Brucellosis is one of the zoonoses, and it is a disease that is almost eliminated in South Korea. This disease is also known as a representative disease of one health. We would like to introduce brucellosis found by one health in this study. One Health means an approach in which multiple sectors communicate and work together to achieve better public health outcomes. The Gyeongbuk Agricultural Safety and Health Center established a cooperation system between a Veterinary Service Laboratory and a Public Health Center, and found a case of human brucellosis in a farm with cattle brucellosis. Through this case, to be effective control of zoonoses as above case, epidemiological investigation for cattle and human should be concurrently conducted. And we once again recognized the need for multi-sectoral cooperation in prevention and management of zoonoses.
Agriculture ; Animals ; Brucellosis ; Cattle ; Gyeongsangbuk-do ; Humans ; Korea ; Public Health ; Zoonoses

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Seroprevalence and risk factors of Lyme disease among Korean deer farmers

Dilaram ACHARYA ; Jae Hak CHO ; Seok Ju YOO ; Ji Hyuk PARK

Journal of Agricultural Medicine & Community Health.2019;44(2):82-89. doi:10.5393/JAMCH.2019.44.2.082

No abstract available.
Deer ; Farmers ; Lyme Disease ; Risk Factors ; Seroepidemiologic Studies

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Awareness regarding Safe Abortion among Adolescent Girls in Rural area of Mahottari district of Nepal

Jitendra Kumar SINGH ; Poonam Kumari SAH ; Shambhu Prasad KUSHWAHA ; Bishnu Bahadur BAJGAIN ; Sanjay CHAUDHARY

Journal of Agricultural Medicine & Community Health.2019;44(2):73-81. doi:10.5393/JAMCH.2019.44.2.073

No abstract available.
Adolescent ; Female ; Humans ; Nepal

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Salila GAUTAM ; Babita GURUNG ; Dilaram ACHARYA

Journal of Agricultural Medicine & Community Health.2019;44(2):65-72. doi:10.5393/JAMCH.2019.44.2.065

No abstract available.
Communicable Diseases ; Nepal ; Poverty Areas

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Risk Assessment and Intervention of Ergonomic Risk Factor in Beekeeping

Chanhwi LEE ; Taesun KANG

Journal of Agricultural Medicine & Community Health.2019;44(3):138-143. doi:10.5393/JAMCH.2019.44.3.138

OBJECTIVES: The purpose of this study was to assess the ergonomic risk factors in beekeeping, and to evaluate the effectiveness of assistive device hive lift. METHODS: This study included 30 subjects of beekeeper in Pocheon, Korea. We assessed the ergonomic risk of main task in beekeeping with NLE, OWAS and evaluate the effectiveness of hive lift. We also surveyed prevalence of musculoskeletal symptoms among the subjects based on the Korea Working Condition Survey. RESULTS: Moving to different floral origin, internal inspection of beehives, feeding syrup is the most burdensome to musculoskeletal system (NLE LI value=2~3. OWAS action category=4). The prevalence of musculoskeletal symptoms (lower and upper extremities) among the subjects was over 80 %. The introduction of assistive devices in the three hazardous tasks has dramatically reduced the risk by removing manual lifting hives (OWAS action category<1). CONCLUSIONS: Beekeeping is a heavy workload on the musculoskeletal system because it has a lot of manual lifting task. As a result of applying the hive lift, the burden could be reduced.
Beekeeping ; Korea ; Lifting ; Musculoskeletal System ; Prevalence ; Risk Assessment ; Risk Factors ; Self-Help Devices ; Urticaria

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Factors Affecting Self-efficacy of Cardiopulmonary Resuscitation(CPR) in Adults

So Youn JEON

Journal of Agricultural Medicine & Community Health.2019;44(3):124-137. doi:10.5393/JAMCH.2019.44.3.124

OBJECTIVES: The purpose of this study was factors affecting self-efficacy of cardiopulmonary resuscitation (CPR) in adults. Therefore, the provide basic data for strategy development to improve the performance rate of bystander CPR. METHODS: The data were collected from 164,165 adults of the 2016 Korean Community Health Survey. The survey method was 1:1 interview with households, and the survey period was from August 16, 2016 to October 31, 2016. The survey variables were as follows: self-efficacy of CPR, awareness of CPR, training experience of CPR, demographic characteristics, medical characteristics, health promoting behaviors, and safety practices. RESULTS: The rate of self-efficacy of CPR in adults was 60.6%. Factors affecting self-efficacy of CPR were age, sex, residence, education level, occupation, marital status, any CPR training, CPR training within the last 2 years, CPR training with manikin within the last 2 years, emergency room visit within the last 1 year, physical activity status, drive a bicycle, seat belts on rear seat, seat belts when riding a bus were statistically significant. CONCLUSIONS: In conclusion, in order to improve the self-efficacy of CPR in adults, the recent experience rate of CPR education, the practice rate of health promotion behavior, and the practice rate of safety behavior should be improved. The government should expand the provision of education programs to improve the self-efficacy of CPR and actively prepare national-level public advertisements strategies.
Adult ; Cardiopulmonary Resuscitation ; Education ; Emergency Service, Hospital ; Family Characteristics ; Health Promotion ; Health Surveys ; Humans ; Manikins ; Marital Status ; Motor Activity ; Occupations ; Seat Belts ; Surveys and Questionnaires

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