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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 蔡坤憲(Kun-Hsien Tsai) | |
| dc.contributor.author | Renee Sharon Chuang | en |
| dc.contributor.author | 莊加瑋 | zh_TW |
| dc.date.accessioned | 2021-06-15T13:27:47Z | - |
| dc.date.available | 2021-02-23 | |
| dc.date.copyright | 2021-02-23 | |
| dc.date.issued | 2021 | |
| dc.date.submitted | 2021-02-19 | |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/51220 | - |
| dc.description.abstract | None | zh_TW |
| dc.description.abstract | Background: Scrub typhus (ST) is a febrile, vector-borne disease caused by the intracellular bacterium, Orientia tsutsugamushi, and is transmitted by the bite of infected larval trombiculid mites (Leptotrombidium spp.). Geographically Taiwan is diverse in ecology and its environment, creating habitats ideal for ST throughout the island. This research seeks reveal misconception and misunderstandings of scrub typhus among both medical students studying in Taiwan and physicians practicing in Taiwan. Methods: This study used purposive sampling to collect data through two self-administered anonymous online surveys via snowball sampling: (1) an assessment intended for medical students in Taiwan; and (2) a questionnaire intended for physicians who obtained licensure in and is practicing medicine in Taiwan. Results: A total of 50 responses was collected for the physicians with over half the participants reported that they have minimal barriers to reporting notifiable diseases, such as scrub typhus through the National Notifiable Disease Surveillance System. A total of 111 responses was collected for the medical student assessment with less than half the respondents able to provide the correct diagnosis for scrub typhus and other similar diseases. Conclusions: This study provides relevant information about knowledge of scrub typhus among medical students and an insight to reporting practices of notifiable disease by physicians. Without a stable foundation in scrub typhus and similar diseases, populations in Taiwan remain at risk for this potentially fatal disease. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T13:27:47Z (GMT). No. of bitstreams: 1 U0001-0502202115525700.pdf: 1707639 bytes, checksum: 5ada68c6f669232a9afdf05e89634c52 (MD5) Previous issue date: 2021 | en |
| dc.description.tableofcontents | TABLE OF CONTENTS ACKNOWLEDGEMENTS II ABSTRACT III TABLE OF CONTENTS IV TABLES VII FIGURES VIII 1. INTRODUCTION 9 1.1 Background 9 1.2 Specific Aims 11 2. REVIEW OF LITERATURE 13 2.1 Historical investigation of scrub typhus 13 2.2 Epidemiology 14 2.3 The causative agent of scrub typhus 16 2.4 Ecology of scrub typhus 17 2.5 Clinical manifestations of scrub typhus 19 2.6 Diagnosis 21 2.7 Treatment 22 2.8 Prevention 23 2.9 Surveillance of notifiable diseases in Taiwan 24 2.10 Medical education system in Taiwan 25 3. METHODS 28 3.1. Ethics statement 28 3.2. Study design 28 3.3. Survey instruments 29 3.3.1. Medical student assessment 29 3.3.1.1. Background variables 29 3.3.1.2. Responses 29 3.3.2. Physician questionnaire 30 3.3.2.1. Background variables 31 3.3.2.2. Responses 31 3.3.3. Translation and validation 33 3.4. Data Analysis 34 3.4.1 Medical student assessment 34 3.4.1.1. Data cleaning 34 3.4.1.2. Scoring 34 3.4.1.3. Statistical analysis 34 3.4.1.4 Qualitative analysis 35 3.4.2 Physician questionnaire 35 4. RESULTS 36 4.1. Physician questionnaire 36 4.1.1. Themes, core ideas, opinions, and frequency of physician responses 36 4.1.2. Participant characteristics 36 4.1.3. Reporting Practices 37 4.1.4. Scrub typhus background and clinical manifestations 37 4.1.5. Treatment and recovery from scrub typhus 38 4.1.6. Prevention practices 39 4.1.7. Effects of COVID-19 on diagnosis and reporting of scrub typhus 39 4.2 Medical student assessment 39 4.2.1 Background of participants 39 4.2.2 Overall ability of respondents to diagnose and treat each patient case scenario 40 4.2.3. Summary of misdiagnosis 41 4.2.4. Ability to diagnose and treat scrub typhus compared to other diseases 41 4. DISCUSSION 42 4.1. Knowledge of scrub typhus 42 4.2. Gaps in reporting notifiable diseases by physicians to the NNDSS 44 4.3 Prevention and COVID-19 46 4.4 Study limitations and further research 47 4.5 Conclusion 49 REFRENCES 50 APPENDIX A 66 APPENDIX B 67 APPENDIX C 69 APPENDIX D 70 APPENDIX E 72 APPENDIX F 74 APPENDIX G 76 APPENDIX H 78 APPENDIX I 80 APPENDIX J 82 APPENDIX K 101 | |
| dc.language.iso | en | |
| dc.subject | infectious disease | zh_TW |
| dc.subject | scrub typhus (ST) | zh_TW |
| dc.subject | Orientia tsutsugamushi | zh_TW |
| dc.subject | Leptotrombidium spp | zh_TW |
| dc.subject | Taiwan | zh_TW |
| dc.subject | medical school | zh_TW |
| dc.subject | vector borne infectious disease | zh_TW |
| dc.subject | infectious disease | zh_TW |
| dc.subject | scrub typhus (ST) | zh_TW |
| dc.subject | Orientia tsutsugamushi | zh_TW |
| dc.subject | Leptotrombidium spp | zh_TW |
| dc.subject | Taiwan | zh_TW |
| dc.subject | medical school | zh_TW |
| dc.subject | vector borne infectious disease | zh_TW |
| dc.title | 臺灣醫科學生和醫師對恙蟲病的調查：知識和通報實務 | zh_TW |
| dc.title | Survey of Medical Students and Physicians on Scrub Typhus in Taiwan: Knowledge and Reporting Practices | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 109-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 林先和(Hsien-Ho Lin),林菀俞(Wan-Yu Lin) | |
| dc.subject.keyword | scrub typhus (ST),Orientia tsutsugamushi,Leptotrombidium spp,Taiwan,medical school,vector borne infectious disease,infectious disease, | zh_TW |
| dc.relation.page | 115 | |
| dc.identifier.doi | 10.6342/NTU202100599 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2021-02-19 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 全球衛生碩士/博士學位學程 | zh_TW |
| 顯示於系所單位： | 全球衛生學位學程 | |
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