1.The Effects of Rehabilitation Nursing Interventions for Improving Activities of Daily Living and Motor Functions of Stroke Patients with Hemiplegia: A Scoping Review
Daun LEE ; Sunhee SONG ; Gyeongeun LEE ; Jaemin SONG
Korean Journal of Rehabilitation Nursing 2024;27(1):21-37
Purpose:
This scoping review aims to provide established basic data on the characteristics and the effects of rehabilitation nursing interventions for improving the daily living ability and motor functions of stroke patients with hemiplegia to suggest the future direction of rehabilitation nursing interventions.
Methods:
The study population, concept and context were as of the following: ‘patients with hemiplegia’, ‘improvement of daily living abilities and motor functions’, and ‘published literature on the effects of rehabilitation nursing interventions’. Databases including PubMed, Embase, CINAHL, Cochrane Library, and DBpia were searched.
Results:
A total of 14 articles published within the past 5 years were identified. This review summarizes 1) the general characteristics of the reviewed literature (authors, year of publication, research method, research subjects), 2) the characteristics of the identified rehabilitation nursing interventions (interventionist, intervention type, period, measurement tool), 3) the effects of the rehabilitation nursing interventions, and the academic and clinical implications.
Conclusion
This scoping review provides theoretical basis for the future development of rehabilitation nursing interventions for stroke patients with hemiplegia.
2.Experience of Developing and Implementing a Motivation Induction Course for Konyang University Medical College Freshmen.
Beag Ju NA ; Keumho LEE ; Kunil KIM ; Daun SONG ; Yera HUR
Korean Journal of Medical Education 2012;24(2):141-152
PURPOSE: This study aimed to develop a new course for Konyang University College of Medicine freshmen to motivate them with regard to their vision and medical professionalism and experience various learning methods of medical education. METHODS: The course was developed by 4 faculty members through several intensive meetings throughout the winter of 2010. A 4-credit course was designed for 61 freshmen of Konyang University College of Medicine to provide structured guidance and an introduction to their medical education and increase their motivation with regard to their studies and school life. The course lasted for 4 weeks (February 28 to March 25), and every session of the program was evaluated by the students. RESULTS: The 'motivation induction course' consisted of the following sessions: university-wide: 'leadership camp' and 'special lectures for future vision;' college-wide: 'major immersion session,' 'Enneagram workshop,' 'STRONG workshop,' 'medical professionalism,' and 'team-based learning.' The group results were presented in a poster and by oral presentation and were awarded prizes for the best performance. Special features included: group discussion session on medical ethics, which used scenarios that were developed by a medical humanity course committee and visiting all departments and mentors of the medical college to fulfill their curiosity of their future major or workplace. Overall, the course was evaluated as satisfactory (M=4.22, SD=0.81). CONCLUSION: Although there was some dissatisfaction, the overall experience of the "motivation induction course" was a success. The course will continue to be valuable for freshmen in adapting to medical school and its culture and in defining one's view of a good doctor.
Awards and Prizes
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Education, Medical
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Ethics, Medical
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Exploratory Behavior
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Humans
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Immersion
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Learning
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Lectures
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Mentors
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Motivation
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Schools, Medical
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Students, Medical
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Vision, Ocular
3.Comparison of Suicide Risk by Mental Illness: a Retrospective Review of 14-Year Electronic Medical Records
Yoojin SONG ; Sang Jin RHEE ; Hyunju LEE ; Min Ji KIM ; Daun SHIN ; Yong Min AHN
Journal of Korean Medical Science 2020;35(47):e402-
Background:
Korea is one of the countries with the highest rate of suicide, while suicidality is known to be closely related to mental illnesses. The study aimed to evaluate the suicide rates in psychiatric patients, to compare it to that of the general population, and to investigate the differences among psychiatric diagnoses and comorbidities.
Methods:
Medical records and mortality statistics of psychiatric patients at Seoul National University Hospital from 2003 to 2017 were reviewed. The standardized mortality ratio (SMR) for suicide was calculated to compare the psychiatric patients with the general population. The diagnosis-specific standardized mortality rate and hazard ratio (HR) were adjusted by age, sex, and psychiatric comorbidity (i.e., personality disorder and/or pain disorder).
Results:
A total of 40,692 survivors or non-suicidal deaths and 597 suicidal death were included. The suicide rate among psychiatric patients was 5.13-fold higher than that of the general population. Psychotic disorder had the highest SMR (13.03; 95% confidence interval [CI], 11.23–15.03), followed by bipolar disorder (10.26; 95% CI, 7.97–13.00) and substancerelated disorder (6.78; 95% CI, 4.14–10.47). In survival analysis, psychotic disorder had the highest HR (4.16; 95% CI, 2.86–6.05), which was further increased with younger age, male sex, and comorbidity of personality disorder.
Conclusion
All psychiatric patients are at a higher risk of suicide compared to the general population, and the risk is highest for those diagnosed with psychotic disorder.
4.Never-Smoker Lung Cancer Is Increasing.
Hyunwook KANG ; Chan Woo PARK ; Woojin KIM ; Sang Yun SONG ; Kook Joo NA ; Jae Uk JEONG ; Mee Sun YOON ; Sung Ja AHN ; Yoo Duk CHOI ; Chan CHOI ; Daun LEE ; Hyun Ju SEON ; Yun Hyeon KIM ; Seong Young KWON ; Hee Seung BOM ; In Jae OH ; Kyu Sik KIM ; Young Chul KIM
Journal of Lung Cancer 2012;11(2):89-93
PURPOSE: Lung cancer has been the leading cause of death in South Korea since the year 2000. Adenocarcinoma became the most frequent type in the national survey of lung cancer since year 2005. MATERIALS AND METHODS: We analyzed 5,456 cases with lung cancer from 2004 to 2012 in a community cancer center. The mean age was 69.9 years, and 78.9% was male. RESULTS: Adenocarcinoma (ADC, 40.8%) was the most frequent type, followed by squamous cell carcinoma (SQC, 36.4%), small cell carcinoma (SCC, 14.8%) and non-small cell lung cancer (NSCLC) not otherwise specified (8.1%). In male patients, SQC was the most frequent type (43.5%), while ADC showed highest incidence in females (72.6%). Anatomic stage at diagnosis in NSCLC was I (10.3%), II (5.8%), IIIA (15.7%), IIIB (19.2%), and IV (49.0%). In SCC, 41.7% was in limited stage and 58.3% was diagnosed in extensive stage. The proportion of never smoker has been increased from 19.1% in 2004~2008 to 25.4% in 2009~2012. Never-smokers are more likely to be female (68.2% vs. 4.0%, p<0.001), have ADC (69.9% vs. 31.3%, p<0.001), and manifest as stage IV disease (58.5% vs. 45.2%, p<0.001), compared to smokers. Among 1,908 cases whose initial treatment was recorded, 42.5% received chemotherapy, 25.7% received radiation treatment, 20.5% received surgery and the remaining 11.3% received supportive cares only or transferred to other health care facilities. CONCLUSION: In conclusion, proportion of lung cancer in never-smoker is increasing. As screening for smokers will miss this growing population, we need to discover biomarkers to find high risk population of lung cancer.
Adenocarcinoma
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Biomarkers
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Carcinoma, Non-Small-Cell Lung
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Carcinoma, Small Cell
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Carcinoma, Squamous Cell
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Cause of Death
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Delivery of Health Care
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Female
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Humans
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Incidence
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Lung
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Lung Neoplasms
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Male
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Mass Screening
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Republic of Korea
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Smoking