Inherited platelet disorders (IPDs) can cause mucocutaneous bleeding due to impaired primary hemostatic function of platelets, thrombocytopenia, or both. Recent advances in molecular technology can help identify many genes related to platelet biology, control the overall steps of megakaryopoiesis, and cause IPD. In this article, currently available laboratory tools for diagnosing IPDs with the characteristic laboratory features of each IPD are reviewed, and a general diagnostic approach for the evaluation of IPD patients is presented.

Purpose: This study compared health behaviors and health-related clinical characteristics between individuals with normal glucose levels without diabetes and those with undiagnosed diabetes. Factors that were associated with undiagnosed diabetes were identified by sex. Methods: This was an observational study with a cross-sectional design based on data from the eighth Korea National Health and Nutrition Examination Survey, which used a stratified, multi-stage, cluster-sampling design to obtain a nationally representative sample. Multiple logistic regression analysis was employed to compute the odds ratios of health behaviors and clinical characteristics to identify risk factors for undiagnosed diabetes. Results: The overall prevalence of undiagnosed diabetes was 5.2% (weighted %, n = 700, p < .001). Among individuals with undiagnosed diabetes, 58.3% were men. Univariate logistic regression for undiagnosed diabetes identified sex, age, house income, educational level, and triglycerides as influencing factors. In multiple logistic regression by sex, the factors associated with undiagnosed diabetes in men were age, perceived health status, a diagnosis of angina, and triglycerides. Conclusion Strategies should be targeted to improve health behaviors and clinical characteristics for those in specific age groups, men in bad perceived health status, women with high systolic blood pressure, and high triglycerides. Moreover, healthcare providers should understand the barriers to health behaviors and health-related quality of life to effectively deliver healthcare services.

PURPOSE: The purpose of this study was to analyze the migration patterns of new nurses and experienced nurses and to identify the factors influencing inter-regional migration for solving regional imbalances of clinical nurses in South Korea. METHODS: This study involved a secondary analysis of data from the Health Insurance Review and Assessment Service (HIRA). Data were analyzed using descriptive statistics and multiple logistic regression analysis. RESULTS: New nurses tended to migrate from Kyunggi to Seoul. However, experienced nurses tended to migrate from Seoul and Chungchung to Kyunggi. Significant predictors of inter-regional migration among new nurses were location and nurse staffing grade of hospitals. Significant predictors of inter-regional migration among experienced nurses were location, hospital type, nurse staffing grade, ownership of hospitals and age of nurses. CONCLUSION: Inter-regional migration occupied a small portion of total hospital movement among clinical nurses. The regional imbalances of nurses were not caused by the migration from non-metropolitan areas to Seoul. Nurse shortage problems in the small and medium hospitals of the non-metropolitan area can be solved only through improvement of work environment.
Geography ; Gyeonggi-do ; Health Care Rationing ; Human Migration ; Insurance, Health ; Korea ; Logistic Models ; Ownership ; Personnel Turnover ; Seoul

Purpose: The objectives of this study were to categorize the conflict management types of preceptor nurses and determine the effects of these types on preceptors’ role perception and core competencies. Methods: Data was collected from 192 preceptor nurses with at least two years experiences in general hospitals, from July 1 to July 31, 2022. Conflict management type, preceptor role perception, and core competency were investigated using structured instruments. The data was analyzed using K-means cluster analysis, Independent samples t-test, One-way ANOVA with Scheffé‘s test, and multiple regression analysis. Results: The conflict management types were categorized into four types; comprehensive type (cluster 1), integrating, obliging, compromising type (cluster 2), undifferentiated type (cluster 3) and obliging, avoiding type (cluster 4). The effect of conflict management types on preceptors’ role recognition occurred in the following order of cluster 2 (integrating/obliging/compromising type), cluster 1 (comprehensive type), and cluster 4 (obliging/avoiding type). Next, cluster 1 (comprehensive type), cluster 2 (integrating/obliging/compromising type), and cluster 4 (obliging/avoiding type) were shown in the order of the impact on the core competencies of the preceptor. Conclusion When preceptor nurses use a mixture of various attributes of conflict management evenly, they have been shown to demonstrate effective preceptor role recognition and core competencies. Therefore, it is proposed that future development of conflict management training programs for preceptor nurses should begin with identifying their conflict management type, followed by creating a program that addresses any deficiencies.

Purpose: s: Sepsis is a critical condition in which nurses should detect clinical manifestations and provide early intervention to prevent unwanted serious conditions in the patients. The initial occurrence and management of sepsis take place in general units, but there is a lack of knowledge in nurses. The purpose of this study was to examine the effects of a case-based sepsis education program and compare the case-based education program with and without smartphone applications. Methods: A quasi-experimental pre-testpost-test design with a control group was used. We provided a case-based education program with and without smartphone applications to the nurses and tested the effects of the program on knowledge, the accuracy of sepsis assessment, and self-efficacy as outcome variables. A total of 60 nurses in general units participated. To test differences in knowledge, the accuracy of sepsis assessment, and self-efficacy regarding sepsis between the groups over time, a mixed-design ANCOVA was used for parametric analysis, and generalized estimating equations (GEE) were used for nonparametric analysis. Results: There were significant differences in knowledge, the accuracy of sepsis assessment, and self-efficacy between the groups and within the groups over time. The intervention groups treated with the case-based education program showed improved outcome variables compared to the control group. There was no difference between case-based education with the smartphone application or without the application. Conclusions The case-based education improved knowledge, the accuracy of sepsis assessment, and self-efficacy in the care of sepsis by nurses working in the general wards. The results suggest that the case-based education program for nurses was effective and eventually improved patient health outcomes.

Portal flow steal occasionally persists even after the liver transplantation, which may reduce the portal flow and thus threaten the patients' outcome. Therefore, pre- and peri-operative detection of portal steal phenomenon requiring radiological or surgical interruption is essential for the liver transplantation candidates as well as for the recipients.
Adult ; Hepatitis B, Chronic/complications ; Humans ; Liver Cirrhosis/etiology/*therapy ; *Liver Transplantation ; Male ; Mesenteric Veins/*ultrasonography

A 67-year-old woman with a history of subtotal parathyroidectomy, distal pancreatectomy, and total splenectomy 23 years prior underwent surgical gastric resection for neuroendocrine tumors of the stomach and duodenum. Meticulous examination of the entire stomach and duodenum revealed multiple scattered, minute neuroendocrine tumors. To the best of our knowledge, this is the first case report of a patient diagnosed with gastroduodenal neuroendocrine tumors associated with multiple endocrine neoplasia type 1 (MEN 1) in whom complete histologic mapping of the whole gastrectomy specimen was performed. The presence of MEN 1–associated neuroendocrine tumors in the stomach is very rare, but should be considered in patients diagnosed with MEN 1 who present with a new tumor in the stomach.
Aged ; Duodenum ; Female ; Gastrectomy ; Humans ; Male ; Multiple Endocrine Neoplasia Type 1 ; Multiple Endocrine Neoplasia ; Neuroendocrine Tumors ; Pancreatectomy ; Parathyroidectomy ; Splenectomy ; Stomach Neoplasms ; Stomach

Purpose: This study investigated the impact of depression, fear of falling, and activities of daily living (ADL) on the quality of life (QoL) among patients with spinal cord injuries (SCIs) in South Korea. Methods: This study adopted a prospective cross-sectional design. Data were collected using self-reported questionnaires from 70 SCI patients who visited the outpatient department of rehabilitation medicine. The data collection period was from October 16, 2017 to February 2, 2018. Participants’ American Spinal Injury Association Impairment Scale classifications were C and D. Results: The study found that QoL correlated with self-rated health (Spearman rho=.41, p<.001), SCI duration (Spearman rho=-.26, p=.030), depressive symptoms (Spearman rho=-.43, p<001), and fear of falling (Spearman rho=-.75, p<.001). Additionally, QoL was associated with fear of falling (β=-.68, p<.001) and SCI duration (β=-.18, p=.025) in the regression analyses. These results were significant and accounted for 59.5% of the variance in QoL. Conclusion Interventions targeting the QoL of patients with SCI can help reduce the fear of falling.

Purpose: This study investigated the impact of depression, fear of falling, and activities of daily living (ADL) on the quality of life (QoL) among patients with spinal cord injuries (SCIs) in South Korea. Methods: This study adopted a prospective cross-sectional design. Data were collected using self-reported questionnaires from 70 SCI patients who visited the outpatient department of rehabilitation medicine. The data collection period was from October 16, 2017 to February 2, 2018. Participants’ American Spinal Injury Association Impairment Scale classifications were C and D. Results: The study found that QoL correlated with self-rated health (Spearman rho=.41, p<.001), SCI duration (Spearman rho=-.26, p=.030), depressive symptoms (Spearman rho=-.43, p<001), and fear of falling (Spearman rho=-.75, p<.001). Additionally, QoL was associated with fear of falling (β=-.68, p<.001) and SCI duration (β=-.18, p=.025) in the regression analyses. These results were significant and accounted for 59.5% of the variance in QoL. Conclusion Interventions targeting the QoL of patients with SCI can help reduce the fear of falling.

Purpose: This study investigated the impact of depression, fear of falling, and activities of daily living (ADL) on the quality of life (QoL) among patients with spinal cord injuries (SCIs) in South Korea. Methods: This study adopted a prospective cross-sectional design. Data were collected using self-reported questionnaires from 70 SCI patients who visited the outpatient department of rehabilitation medicine. The data collection period was from October 16, 2017 to February 2, 2018. Participants’ American Spinal Injury Association Impairment Scale classifications were C and D. Results: The study found that QoL correlated with self-rated health (Spearman rho=.41, p<.001), SCI duration (Spearman rho=-.26, p=.030), depressive symptoms (Spearman rho=-.43, p<001), and fear of falling (Spearman rho=-.75, p<.001). Additionally, QoL was associated with fear of falling (β=-.68, p<.001) and SCI duration (β=-.18, p=.025) in the regression analyses. These results were significant and accounted for 59.5% of the variance in QoL. Conclusion Interventions targeting the QoL of patients with SCI can help reduce the fear of falling.