1.Incidence and Temporal Dynamics of Combined Infections in SARS-CoV-2-Infected Patients With Risk Factors for Severe Complications
Sin Young HAM ; Seungjae LEE ; Min-Kyung KIM ; Jaehyun JEON ; Eunyoung LEE ; Subin KIM ; Jae-Phil CHOI ; Hee-Chang JANG ; Sang-Won PARK
Journal of Korean Medical Science 2025;40(11):e38-
Background:
Coronavirus disease 2019 (COVID-19) is a newly emerged infectious disease that needs further clinical investigation. Characterizing the temporal pattern of combined infections in patients with COVID-19 may help clinicians understand the clinical nature of this disease and provide valuable diagnostic and therapeutic guidelines.
Methods:
We retrospectively analyzed COVID-19 patients isolated in four study hospitals in Korea for one year period from May 2021 to April 2022 when the delta and omicron variants were dominant. The temporal characteristics of combined infections based on specific diagnostic tests were analyzed.
Results:
A total of 16,967 COVID-19 patients were screened, 2,432 (14.3%) of whom underwent diagnostic microbiologic tests according to the clinical decision-making, 195 of whom had positive test results, and 0.55% (94/16,967) of whom were ultimately considered to have clinically meaningful combined infections. The median duration for the diagnosis of combined infections was 15 (interquartile range [IQR], 5–25) days after admission. The proportion of community-acquired coinfections (≤ 2 days after admission) was 11.7% (11/94), which included bacteremia (10/94, 10.63%) and tuberculosis (1/94, 1.06%). Combined infections after 2 days of admission were diagnosed at median 16 (IQR, 9–26) days, and included bacteremia (72.3%), fungemia (19.3%), cytomegalovirus (CMV) diseases (8.4%), Pneumocystis jerovecii pneumonia (PJP, 8.4%) and invasive pulmonary aspergillosis (IPA, 4.8%).
Conclusion
Among COVID-19 patients with risk factors for severe complications, 0.55% had laboratory-confirmed combined infections, which included community and nosocomial pathogens in addition to unusual pathogens such as CMV disease, PJP and IPA.
2.Incidence and Temporal Dynamics of Combined Infections in SARS-CoV-2-Infected Patients With Risk Factors for Severe Complications
Sin Young HAM ; Seungjae LEE ; Min-Kyung KIM ; Jaehyun JEON ; Eunyoung LEE ; Subin KIM ; Jae-Phil CHOI ; Hee-Chang JANG ; Sang-Won PARK
Journal of Korean Medical Science 2025;40(11):e38-
Background:
Coronavirus disease 2019 (COVID-19) is a newly emerged infectious disease that needs further clinical investigation. Characterizing the temporal pattern of combined infections in patients with COVID-19 may help clinicians understand the clinical nature of this disease and provide valuable diagnostic and therapeutic guidelines.
Methods:
We retrospectively analyzed COVID-19 patients isolated in four study hospitals in Korea for one year period from May 2021 to April 2022 when the delta and omicron variants were dominant. The temporal characteristics of combined infections based on specific diagnostic tests were analyzed.
Results:
A total of 16,967 COVID-19 patients were screened, 2,432 (14.3%) of whom underwent diagnostic microbiologic tests according to the clinical decision-making, 195 of whom had positive test results, and 0.55% (94/16,967) of whom were ultimately considered to have clinically meaningful combined infections. The median duration for the diagnosis of combined infections was 15 (interquartile range [IQR], 5–25) days after admission. The proportion of community-acquired coinfections (≤ 2 days after admission) was 11.7% (11/94), which included bacteremia (10/94, 10.63%) and tuberculosis (1/94, 1.06%). Combined infections after 2 days of admission were diagnosed at median 16 (IQR, 9–26) days, and included bacteremia (72.3%), fungemia (19.3%), cytomegalovirus (CMV) diseases (8.4%), Pneumocystis jerovecii pneumonia (PJP, 8.4%) and invasive pulmonary aspergillosis (IPA, 4.8%).
Conclusion
Among COVID-19 patients with risk factors for severe complications, 0.55% had laboratory-confirmed combined infections, which included community and nosocomial pathogens in addition to unusual pathogens such as CMV disease, PJP and IPA.
3.Incidence and Temporal Dynamics of Combined Infections in SARS-CoV-2-Infected Patients With Risk Factors for Severe Complications
Sin Young HAM ; Seungjae LEE ; Min-Kyung KIM ; Jaehyun JEON ; Eunyoung LEE ; Subin KIM ; Jae-Phil CHOI ; Hee-Chang JANG ; Sang-Won PARK
Journal of Korean Medical Science 2025;40(11):e38-
Background:
Coronavirus disease 2019 (COVID-19) is a newly emerged infectious disease that needs further clinical investigation. Characterizing the temporal pattern of combined infections in patients with COVID-19 may help clinicians understand the clinical nature of this disease and provide valuable diagnostic and therapeutic guidelines.
Methods:
We retrospectively analyzed COVID-19 patients isolated in four study hospitals in Korea for one year period from May 2021 to April 2022 when the delta and omicron variants were dominant. The temporal characteristics of combined infections based on specific diagnostic tests were analyzed.
Results:
A total of 16,967 COVID-19 patients were screened, 2,432 (14.3%) of whom underwent diagnostic microbiologic tests according to the clinical decision-making, 195 of whom had positive test results, and 0.55% (94/16,967) of whom were ultimately considered to have clinically meaningful combined infections. The median duration for the diagnosis of combined infections was 15 (interquartile range [IQR], 5–25) days after admission. The proportion of community-acquired coinfections (≤ 2 days after admission) was 11.7% (11/94), which included bacteremia (10/94, 10.63%) and tuberculosis (1/94, 1.06%). Combined infections after 2 days of admission were diagnosed at median 16 (IQR, 9–26) days, and included bacteremia (72.3%), fungemia (19.3%), cytomegalovirus (CMV) diseases (8.4%), Pneumocystis jerovecii pneumonia (PJP, 8.4%) and invasive pulmonary aspergillosis (IPA, 4.8%).
Conclusion
Among COVID-19 patients with risk factors for severe complications, 0.55% had laboratory-confirmed combined infections, which included community and nosocomial pathogens in addition to unusual pathogens such as CMV disease, PJP and IPA.
4.Incidence and Temporal Dynamics of Combined Infections in SARS-CoV-2-Infected Patients With Risk Factors for Severe Complications
Sin Young HAM ; Seungjae LEE ; Min-Kyung KIM ; Jaehyun JEON ; Eunyoung LEE ; Subin KIM ; Jae-Phil CHOI ; Hee-Chang JANG ; Sang-Won PARK
Journal of Korean Medical Science 2025;40(11):e38-
Background:
Coronavirus disease 2019 (COVID-19) is a newly emerged infectious disease that needs further clinical investigation. Characterizing the temporal pattern of combined infections in patients with COVID-19 may help clinicians understand the clinical nature of this disease and provide valuable diagnostic and therapeutic guidelines.
Methods:
We retrospectively analyzed COVID-19 patients isolated in four study hospitals in Korea for one year period from May 2021 to April 2022 when the delta and omicron variants were dominant. The temporal characteristics of combined infections based on specific diagnostic tests were analyzed.
Results:
A total of 16,967 COVID-19 patients were screened, 2,432 (14.3%) of whom underwent diagnostic microbiologic tests according to the clinical decision-making, 195 of whom had positive test results, and 0.55% (94/16,967) of whom were ultimately considered to have clinically meaningful combined infections. The median duration for the diagnosis of combined infections was 15 (interquartile range [IQR], 5–25) days after admission. The proportion of community-acquired coinfections (≤ 2 days after admission) was 11.7% (11/94), which included bacteremia (10/94, 10.63%) and tuberculosis (1/94, 1.06%). Combined infections after 2 days of admission were diagnosed at median 16 (IQR, 9–26) days, and included bacteremia (72.3%), fungemia (19.3%), cytomegalovirus (CMV) diseases (8.4%), Pneumocystis jerovecii pneumonia (PJP, 8.4%) and invasive pulmonary aspergillosis (IPA, 4.8%).
Conclusion
Among COVID-19 patients with risk factors for severe complications, 0.55% had laboratory-confirmed combined infections, which included community and nosocomial pathogens in addition to unusual pathogens such as CMV disease, PJP and IPA.
5.Experiences of the Healthcare Disparities in the Acquired Vision Impairments
Taehi HA ; Eunyoung JEON ; Naeun KIM ; Minchae KIM ; Jiyoung PARK ; Ga Young LEE ; Eunyoung CHOI
Korean Journal of Rehabilitation Nursing 2024;27(2):108-120
Purpose:
The purpose of this study was to explore the experiences of healthcare disparities in the individuals with acquired vision impairments.
Methods:
This study is a qualitative research using thematic analysis. Data were collected from January to March 2024 through one-on-one semi-structured interviews with a total of 11 individuals with acquired vision impairments.
Results:
The analysis revealed 5 main themes and 19 subthemes. The identified main themes were physical injury and aggravation, psychological tension, difficulty maintaining a healthy lifestyle, mastery of self-management and emergence of social requirements.
Conclusion
The findings of this study contribute to a deep understanding of the health management experiences of individuals with acquired vision impairments. Additionally, this study identifies their healthcare needs and provides directions for rehabilitation nursing and health promotion behaviors. It is necessary to explore methods for developing tailored health care programs for individuals with acquired vision impairments and to address their needs for physical environments and social systems.
6.Experiences of the Healthcare Disparities in the Acquired Vision Impairments
Taehi HA ; Eunyoung JEON ; Naeun KIM ; Minchae KIM ; Jiyoung PARK ; Ga Young LEE ; Eunyoung CHOI
Korean Journal of Rehabilitation Nursing 2024;27(2):108-120
Purpose:
The purpose of this study was to explore the experiences of healthcare disparities in the individuals with acquired vision impairments.
Methods:
This study is a qualitative research using thematic analysis. Data were collected from January to March 2024 through one-on-one semi-structured interviews with a total of 11 individuals with acquired vision impairments.
Results:
The analysis revealed 5 main themes and 19 subthemes. The identified main themes were physical injury and aggravation, psychological tension, difficulty maintaining a healthy lifestyle, mastery of self-management and emergence of social requirements.
Conclusion
The findings of this study contribute to a deep understanding of the health management experiences of individuals with acquired vision impairments. Additionally, this study identifies their healthcare needs and provides directions for rehabilitation nursing and health promotion behaviors. It is necessary to explore methods for developing tailored health care programs for individuals with acquired vision impairments and to address their needs for physical environments and social systems.
7.Experiences of the Healthcare Disparities in the Acquired Vision Impairments
Taehi HA ; Eunyoung JEON ; Naeun KIM ; Minchae KIM ; Jiyoung PARK ; Ga Young LEE ; Eunyoung CHOI
Korean Journal of Rehabilitation Nursing 2024;27(2):108-120
Purpose:
The purpose of this study was to explore the experiences of healthcare disparities in the individuals with acquired vision impairments.
Methods:
This study is a qualitative research using thematic analysis. Data were collected from January to March 2024 through one-on-one semi-structured interviews with a total of 11 individuals with acquired vision impairments.
Results:
The analysis revealed 5 main themes and 19 subthemes. The identified main themes were physical injury and aggravation, psychological tension, difficulty maintaining a healthy lifestyle, mastery of self-management and emergence of social requirements.
Conclusion
The findings of this study contribute to a deep understanding of the health management experiences of individuals with acquired vision impairments. Additionally, this study identifies their healthcare needs and provides directions for rehabilitation nursing and health promotion behaviors. It is necessary to explore methods for developing tailored health care programs for individuals with acquired vision impairments and to address their needs for physical environments and social systems.
8.Experiences of the Healthcare Disparities in the Acquired Vision Impairments
Taehi HA ; Eunyoung JEON ; Naeun KIM ; Minchae KIM ; Jiyoung PARK ; Ga Young LEE ; Eunyoung CHOI
Korean Journal of Rehabilitation Nursing 2024;27(2):108-120
Purpose:
The purpose of this study was to explore the experiences of healthcare disparities in the individuals with acquired vision impairments.
Methods:
This study is a qualitative research using thematic analysis. Data were collected from January to March 2024 through one-on-one semi-structured interviews with a total of 11 individuals with acquired vision impairments.
Results:
The analysis revealed 5 main themes and 19 subthemes. The identified main themes were physical injury and aggravation, psychological tension, difficulty maintaining a healthy lifestyle, mastery of self-management and emergence of social requirements.
Conclusion
The findings of this study contribute to a deep understanding of the health management experiences of individuals with acquired vision impairments. Additionally, this study identifies their healthcare needs and provides directions for rehabilitation nursing and health promotion behaviors. It is necessary to explore methods for developing tailored health care programs for individuals with acquired vision impairments and to address their needs for physical environments and social systems.
9.Experiences of the Healthcare Disparities in the Acquired Vision Impairments
Taehi HA ; Eunyoung JEON ; Naeun KIM ; Minchae KIM ; Jiyoung PARK ; Ga Young LEE ; Eunyoung CHOI
Korean Journal of Rehabilitation Nursing 2024;27(2):108-120
Purpose:
The purpose of this study was to explore the experiences of healthcare disparities in the individuals with acquired vision impairments.
Methods:
This study is a qualitative research using thematic analysis. Data were collected from January to March 2024 through one-on-one semi-structured interviews with a total of 11 individuals with acquired vision impairments.
Results:
The analysis revealed 5 main themes and 19 subthemes. The identified main themes were physical injury and aggravation, psychological tension, difficulty maintaining a healthy lifestyle, mastery of self-management and emergence of social requirements.
Conclusion
The findings of this study contribute to a deep understanding of the health management experiences of individuals with acquired vision impairments. Additionally, this study identifies their healthcare needs and provides directions for rehabilitation nursing and health promotion behaviors. It is necessary to explore methods for developing tailored health care programs for individuals with acquired vision impairments and to address their needs for physical environments and social systems.
10.Functional Status and Health Service Accessibility of the Disabled Children in Dar es Salaam, Tanzania
Eunyoung JEON ; Taehi HA ; Hye-Kyung OH
Korean Journal of Rehabilitation Nursing 2024;27(1):48-57
Purpose:
This study aimed to evaluate the functional status and health service accessibility of the disabled children in Dar es Salaam, Tanzania.
Methods:
The research design for this study was a descriptive survey using convenience sampling using questionnaires. A total of 184 subjects were used to analysis. Data were analyzed using SPSS program version 22.0 to conduct independent t-tests, one-way ANOVA tests, χ2 tests, and multiple regressions.
Results:
The disabled children had more difficulty accessing health services compared to those without any disabilities. Factors negatively influencing health service accessability were inadequate drugs or medical equipment (t=2.18, p=.031), inability to afford transportation(t=3.00, p=.003), and inability afford the medical costs (t=2.54, p=.012). Also, Mother’s anxiety (β=-.50, p<.001) and child’s education experience (β=.22, p=.029) were identified as the influencing factors on the barriers to health care services. The relevant variables showed 30.5% influence (F=16.60, p<.001) on the barriers to health care services in disabled children.
Conclusion
The findings indicate that in order to enhance the disabled children‘s accessibility to health services, governmental support for transportation and medical costs are needed. In addition, it is necessary to promote the mental health of mothers raising children with disabilities.

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