1.Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
Journal of Korean Academic Society of Nursing Education 2021;27(3):261-273
Purpose:
This study used a descriptive investigative design to identify educational needs for developmental supportive care for the purpose of establishing a developmental supportive care education program for nurses in neonatal intensive care units.
Methods:
A survey was conducted on 93 nurses working in neonatal intensive care units located in a metropolitan area, and the collected data were analyzed using descriptive statistics and a paired t-test with the SPSS 25.0 program. For the purpose of analyzing educational needs, we further analyzed data through an importance-performance analysis (IPA) and the Borich needs assessment and the locus for focus models.
Results:
The average importance of the developmental supportive care of nurses in neonatal intensive care units was 3.74±0.78 out of 5, and the average performance was 3.46±0.81 out of 5. A t-test on the difference between the IPA and Borich needs assessment showed the highest educational need in the categories of ‘individualized care’, and ‘I serve on the Developmental Care Committee at my institution’. In addition, according to the results of deriving the priorities of educational needs using the Borich needs assessment and the locus for focus model, the highest priority was ‘I provide appropriate pain management when noxious procedures are necessary’.
Conclusion
These findings can be used as basic data to design a developmental supportive care program suitable for nurses in neonatal intensive care units to meet the educational needs for developmental supportive care.
2.Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
Journal of Korean Academic Society of Nursing Education 2021;27(3):261-273
Purpose:
This study used a descriptive investigative design to identify educational needs for developmental supportive care for the purpose of establishing a developmental supportive care education program for nurses in neonatal intensive care units.
Methods:
A survey was conducted on 93 nurses working in neonatal intensive care units located in a metropolitan area, and the collected data were analyzed using descriptive statistics and a paired t-test with the SPSS 25.0 program. For the purpose of analyzing educational needs, we further analyzed data through an importance-performance analysis (IPA) and the Borich needs assessment and the locus for focus models.
Results:
The average importance of the developmental supportive care of nurses in neonatal intensive care units was 3.74±0.78 out of 5, and the average performance was 3.46±0.81 out of 5. A t-test on the difference between the IPA and Borich needs assessment showed the highest educational need in the categories of ‘individualized care’, and ‘I serve on the Developmental Care Committee at my institution’. In addition, according to the results of deriving the priorities of educational needs using the Borich needs assessment and the locus for focus model, the highest priority was ‘I provide appropriate pain management when noxious procedures are necessary’.
Conclusion
These findings can be used as basic data to design a developmental supportive care program suitable for nurses in neonatal intensive care units to meet the educational needs for developmental supportive care.
3.Analysis of the Microbiome of the Ear Canal in Normal Individuals and Patients with Chronic Otitis Externa
Ji Su LEE ; Seon Mi LEE ; Hyung Seok SON ; Yi Na YOON ; Jung Eun SHIN ; Woo Jun SUL ; Da Ae YU ; Yong Beom CHOE ; Yang Won LEE
Annals of Dermatology 2022;34(6):461-471
Background:
Recently, microbiome research has been actively conducted for various skin areas. However, no study has yet compared the microbiome of bacteria and fungi in the ear canal of healthy individuals and patients with chronic otitis externa in Korea.
Objective:
This study aimed to investigate the difference in the distribution of fungal and bacterial microbial communities in ear canal samples of healthy individuals and patients with chronic otitis externa.
Methods:
In 24 patients with bilateral chronic otitis externa and 24 healthy controls, cotton swabs were used to obtain samples from the bilateral ear canal. To characterize the fungal and bacterial communities, we sequenced and analyzed the 16S rRNA V4–V5 and ITS1 regions using Quantitative Insights into Microbial Ecology 2, respectively.
Results:
The alpha diversity analysis for bacteria and fungi confirmed that both richness and evenness decreased in the patient group. The beta diversity analysis for bacteria confirmed that these parameters differed between the control and patient groups. The beta diversity analysis for fungi showed no difference between the groups.
Conclusion
We observed different skin microbiomes in the patients with chronic otitis externa compared with those in the healthy individuals.
4.Severe Hypophosphatemia-Induced Acute Toxic-Metabolic Encephalopathy in Continuous Renal Replacement Therapy
Sun Ae HAN ; Ha Yeol PARK ; Hyun Woo KIM ; Jong In CHOI ; Da Yeong KANG ; Hyun Lee KIM ; Jong Hoon CHUNG ; Byung Chul SHIN
Electrolytes & Blood Pressure 2019;17(2):62-65
Acute toxic-metabolic encephalopathy (TME) is an acute condition of global cerebral dysfunction in the absence of primary structural brain disease. Severe hypophosphatemia leads to muscle weakness and involves the diaphragm but hypophosphatemia-induced TME is very rare. Herein, we report the case of a 43-year-old woman with encephalopathy with severe hypophosphatemia during continuous renal replacement therapy. She presented with features of oliguric acute kidney injury on diabetic kidney disease due to volume depletion. At admission, her mental status was alert but gradually changed to stupor mentation during continuous renal replacement therapy. Her phosphate level was less than 0.41 mEq/L and Glasgow coma scale decreased from 15 to 5. After phosphate intravenous replacement and administration of phosphate-containing replacement solution, the phosphate level increased to 2.97 mEq/L and mental state returned to alert state. This case demonstrates that the level of phosphorus should be observed during continuous renal replacement therapy.
5.Nursing students’ confidence in clinical competency and job readiness during the COVID-19 pandemic era
Kyung-Sook BANG ; Jeong Hee KANG ; Eun Sook NAM ; Mi Yeul HYUN ; Eunyoung SUH ; Sun-Mi CHAE ; Heeseung CHOI ; Da-Ae SHIN
Journal of Korean Academic Society of Nursing Education 2021;27(4):402-411
Purpose:
This study explored nursing students’ experiences of attending clinical practicum courses in 2020 during the COVID-19 pandemic era, focusing on their confidence in clinical competency and job readiness.
Methods:
The data for this study were collected using online questionnaires that were uploaded to a free online survey website and distributed via a link to the survey to 334 nursing students attending four-year nursing colleges at four national universities. Data analysis was done with descriptive statistics, independent t-tests, and ANOVA.
Results:
The participants were mostly female (83.2%) college seniors (78.1%). About 60% of the participants practiced between 40% to 100% of their clinical practicum hours in alternative ways. Almost a third of the participants reported that they were not ready for a job (30.2%). However, participants’ confidence in clinical competency and job readiness was not related to the rate of alternative practice, but rather to both achievement of educational outcomes and satisfaction in the nursing practicum.
Conclusion
Due to COVID-19, it is evident that effective and efficient materials and ways of delivering clinical courses are constantly to be sought and developed. In particular, recently graduated nurses who experienced abrupt and considerable alterations in their clinical practicum courses due to COVID-19 are in need of attention while they strive to make clinical adaptations.
6.Free-Living Amoeba Vermamoeba vermiformis Induces Allergic Airway Inflammation
Da-In LEE ; Sung Hee PARK ; Shin-Ae KANG ; Do Hyun KIM ; Sun Hyun KIM ; So Yeon SONG ; Sang Eun LEE ; Hak Sun YU
The Korean Journal of Parasitology 2022;60(4):229-239
The high percentage of Vermamoeba was found in tap water in Korea. This study investigated whether Vermamoeba induced allergic airway inflammation in mice. We selected 2 free-living amoebas (FLAs) isolated from tap water, which included Korean FLA 5 (KFA5; Vermamoeba vermiformis) and 21 (an homolog of Acanthamoeba lugdunensis KA/ E2). We axenically cultured KFA5 and KFA21. We applied approximately 1 × 106 to mice’s nasal passages 6 times and investigated their pathogenicity. The airway resistance value was significantly increased after KFA5 and KFA21 treatments. The eosinophil recruitment and goblet cell hyperplasia were concomitantly observed in bronchial alveolar lavage (BAL) fluid and lung tissue in mice infected with KFA5 and KFA21. These infections also activated the Th2-related interleukin 25, thymic stromal lymphopoietin, and thymus and activation-regulated chemokines gene expression in mouse lung epithelial cells. The CD4+ interleukin 4+ cell population was increased in the lung, and the secretion of Th2-, Th17-, and Th1-associated cytokines were upregulated during KFA5 and KFA21 infection in the spleen, lung-draining lymph nodes, and BAL fluid. The pathogenicity (allergenicity) of KFA5 and KFA21 might not have drastically changed during the long-term in vitro culture. Our results suggested that Vermamoeba could elicit allergic airway inflammation and may be an airway allergen.
7.The Relationship between Health Risk Appraisal and Health-related Quality of Life among Middle-aged Men.
Jung Il JANG ; Cheol Hwan KIM ; Ho Cheol SHIN ; Yong Woo PARK ; Eun Ju SUNG ; Eun Jung LEE ; Da Hye CHOI ; Yu Jin PAIK ; Ae Jung KIM
Journal of the Korean Academy of Family Medicine 2006;27(7):534-539
BACKGROUND: Recently, several health risk appraisal programs have been developed to suit Korean character which is currently implemented. This study was conducted to find out the correlation with health age and health-related quality of life through health risk appraisal. METHODS: From March 1, 2004 to July 30, 2004, 107 male patients aged 30 to 59 who visited the family medicine clinic in a university hospital and had agreed to participate in the study have been assessed to determine the correlation between health age and health-related quality of life by measuring tools of health risk appraisal, CMCHS V1.0 questionnaire and Yangseng measurement questionnaire. RESULTS: Among the total 107 subjects, 3 were excluded because of incomplete questionnaire. There were 28 people aged in their thirties, 36 in forties, and 40 in fifties. The health age and health-related quality of life showed a negative correlation. The correlation in men in their fift showed the strongest. Indexes between the health age and health perception, changes in health, vitality, morality Yangseng, diet Yangseng, sleep Yangseng and active and rest Yangseng have shown a strong negative correlation (P<0.05). CONCLUSION: The lower the health age is, the better health-related quality of life in several domains of CMCHS V1.0 and Yangseng in middle aged Korean men.
Diet
;
Health Status Indicators*
;
Humans
;
Male
;
Middle Aged
;
Morals
;
Quality of Life*
;
Surveys and Questionnaires
8.Clinical Characteristics of Exacerbation-Prone Adult Asthmatics Identified by Cluster Analysis.
Mi Ae KIM ; Seung Woo SHIN ; Jong Sook PARK ; Soo Taek UH ; Hun Soo CHANG ; Da Jeong BAE ; You Sook CHO ; Hae Sim PARK ; Ho Joo YOON ; Byoung Whui CHOI ; Yong Hoon KIM ; Choon Sik PARK
Allergy, Asthma & Immunology Research 2017;9(6):483-490
PURPOSE: Asthma is a heterogeneous disease characterized by various types of airway inflammation and obstruction. Therefore, it is classified into several subphenotypes, such as early-onset atopic, obese non-eosinophilic, benign, and eosinophilic asthma, using cluster analysis. A number of asthmatics frequently experience exacerbation over a long-term follow-up period, but the exacerbation-prone subphenotype has rarely been evaluated by cluster analysis. This prompted us to identify clusters reflecting asthma exacerbation. METHODS: A uniform cluster analysis method was applied to 259 adult asthmatics who were regularly followed-up for over 1 year using 12 variables, selected on the basis of their contribution to asthma phenotypes. After clustering, clinical profiles and exacerbation rates during follow-up were compared among the clusters. RESULTS: Four subphenotypes were identified: cluster 1 was comprised of patients with early-onset atopic asthma with preserved lung function, cluster 2 late-onset non-atopic asthma with impaired lung function, cluster 3 early-onset atopic asthma with severely impaired lung function, and cluster 4 late-onset non-atopic asthma with well-preserved lung function. The patients in clusters 2 and 3 were identified as exacerbation-prone asthmatics, showing a higher risk of asthma exacerbation. CONCLUSIONS: Two different phenotypes of exacerbation-prone asthma were identified among Korean asthmatics using cluster analysis; both were characterized by impaired lung function, but the age at asthma onset and atopic status were different between the two.
Adult*
;
Asthma
;
Clothing
;
Cluster Analysis*
;
Eosinophils
;
Follow-Up Studies
;
Humans
;
Inflammation
;
Lung
;
Methods
;
Phenotype
9.Colonic Mucormycosis Mimicking Ischemic Colitis in Kidney Transplant Recipient.
Hyun Woo KIM ; Young Min YOON ; Mi Ja LEE ; Nam Gyu CHOI ; Sung Pyo MOON ; Na Ra YOON ; Sun Ae HAN ; Hyung Nam KIM ; Jun Hyung LEE ; Da Yeong KANG ; Hee Jung AHN ; Byung Chul SHIN ; Hyun Lee KIM ; Jong Hoon CHUNG
The Journal of the Korean Society for Transplantation 2016;30(2):98-102
Mucormycosis is an extremely rare but potentially life-threatening fungal infection. Mucormycosis of the gastrointestinal tract manifests with features similar to ischemic colitis. A 48-year-old man with end-stage renal disease due to diabetic nephropathy underwent deceased donor kidney transplantation. He complained of abdominal pain and distension on postoperative day 17. A computed tomography (CT) scan revealed symmetrical wall thickening of the ascending colon, which was consistent with ischemic colitis. However, a follow-up CT scan showed a localized wall-off colon perforation in the hepatic flexure and segmental mural gas in the ascending colon. Microscopic examination obtained from a surgical specimen demonstrated numerous fungal hyphae and spores in the mucosa and submucosa. A total colectomy was performed, but the patient died 36 days later due to multiple organ failure, despite antifungal agents. Clinicians should be informed about fungal infection, such as colonic mucormycosis mimicking ischemic colitis, in kidney transplant patients with diabetes mellitus, and treatment should be initiated at the earliest.
Abdominal Pain
;
Antifungal Agents
;
Colectomy
;
Colitis, Ischemic*
;
Colon*
;
Colon, Ascending
;
Diabetes Mellitus
;
Diabetic Nephropathies
;
Follow-Up Studies
;
Gastrointestinal Tract
;
Humans
;
Hyphae
;
Kidney Failure, Chronic
;
Kidney Transplantation
;
Kidney*
;
Middle Aged
;
Mucormycosis*
;
Mucous Membrane
;
Multiple Organ Failure
;
Spores
;
Tissue Donors
;
Tomography, X-Ray Computed
;
Transplant Recipients*
10.Epidemiological Characteristics of COVID-19 Outbreak at Fitness Centers in Cheonan, Korea
Sanghyuk BAE ; Hwami KIM ; Tae-Young JUNG ; Ji-Ae LIM ; Da-Hye JO ; Gi-Seok KANG ; Seung-Hee JEONG ; Dong-Kwon CHOI ; Hye-Jin KIM ; Young Hee CHEON ; Min-kyo CHUN ; Miyoung KIM ; Siwon CHOI ; Chaemin CHUN ; Seung Hwan SHIN ; Hee Kyoung KIM ; Young Joon PARK ; Ok PARK ; Ho-Jang KWON
Journal of Korean Medical Science 2020;35(31):e288-
Background:
In February 2020, a coronavirus disease 2019 (COVID-19) outbreak was reported in fitness centers in Cheonan, Korea.
Methods:
From February 24 to March 13, an epidemiological investigation was conducted on the fitness center outbreak. All those who were screened were tested for severe acute respiratory syndrome coronavirus-2 (SARS CoV-2) using real-time reverse transcriptase polymerase chain reaction. Contacts were traced and self-isolated for 14 days. We determined the epidemiological characteristics of confirmed cases of SARS-CoV-2 infection, and estimated the time-dependent reproduction number to assess the transmission dynamics of the infection.
Results:
A total of 116 cases were confirmed, and 1,687 contacts were traced. The source cases were 8 Zumba instructors who led aerobics classes in 10 fitness centers, and had the largest average number of contacts. A total of 57 Zumba class participants, 37 of their family members, and 14 other contacts were confirmed as cases. The attack rate was 7.3%. The contacts at Zumba classes and homes had a higher attack rate than other contacts. The mean serial interval (± standard deviation) were estimated to be 5.2 (± 3.8) days. The time-dependent reproduction number was estimated to be 6.1 at the beginning of the outbreak, but it dropped to less than 1, 2 days after the epidemiological investigation was launched.
Conclusion
The results suggest that the COVID-19 outbreak was effectively contained with rigorous contact tracing, isolating, and testing in combination with social distancing without a lock-down.