Purpose: This study was conducted to identify factors influencing grit among nursing students. Methods: A cross-sectional survey was conducted in September 2023 involving 135 nursing students from a college in J City, South Korea. The survey included measures of positive psychological capital, mindset, and grit. At the same time, stress, as part of the general characteristics, was evaluated through the power values of high beta waves in brain waves. Statistical analyses included t-tests, analysis of variance, Pearson’s correlation coefficient, and multiple regression analysis. Results: Positive correlations were found between positive psychological capital, mindset, and grit in nursing students. Volunteer experience and positive psychological capital were identified as significant factors influencing grit. Conclusion To enhance grit among nursing students, it is essential to encourage participation in volunteer activities at the societal, educational, and familial levels, in conjunction with interventions to strengthen positive psychological capital.

Purpose: This study was conducted to identify factors influencing grit among nursing students. Methods: A cross-sectional survey was conducted in September 2023 involving 135 nursing students from a college in J City, South Korea. The survey included measures of positive psychological capital, mindset, and grit. At the same time, stress, as part of the general characteristics, was evaluated through the power values of high beta waves in brain waves. Statistical analyses included t-tests, analysis of variance, Pearson’s correlation coefficient, and multiple regression analysis. Results: Positive correlations were found between positive psychological capital, mindset, and grit in nursing students. Volunteer experience and positive psychological capital were identified as significant factors influencing grit. Conclusion To enhance grit among nursing students, it is essential to encourage participation in volunteer activities at the societal, educational, and familial levels, in conjunction with interventions to strengthen positive psychological capital.

Purpose: This study was conducted to identify factors influencing grit among nursing students. Methods: A cross-sectional survey was conducted in September 2023 involving 135 nursing students from a college in J City, South Korea. The survey included measures of positive psychological capital, mindset, and grit. At the same time, stress, as part of the general characteristics, was evaluated through the power values of high beta waves in brain waves. Statistical analyses included t-tests, analysis of variance, Pearson’s correlation coefficient, and multiple regression analysis. Results: Positive correlations were found between positive psychological capital, mindset, and grit in nursing students. Volunteer experience and positive psychological capital were identified as significant factors influencing grit. Conclusion To enhance grit among nursing students, it is essential to encourage participation in volunteer activities at the societal, educational, and familial levels, in conjunction with interventions to strengthen positive psychological capital.

Purpose: This study was conducted to identify factors influencing grit among nursing students. Methods: A cross-sectional survey was conducted in September 2023 involving 135 nursing students from a college in J City, South Korea. The survey included measures of positive psychological capital, mindset, and grit. At the same time, stress, as part of the general characteristics, was evaluated through the power values of high beta waves in brain waves. Statistical analyses included t-tests, analysis of variance, Pearson’s correlation coefficient, and multiple regression analysis. Results: Positive correlations were found between positive psychological capital, mindset, and grit in nursing students. Volunteer experience and positive psychological capital were identified as significant factors influencing grit. Conclusion To enhance grit among nursing students, it is essential to encourage participation in volunteer activities at the societal, educational, and familial levels, in conjunction with interventions to strengthen positive psychological capital.

OBJECTIVES: This study was designed to investigate the usability of IVA + Plus (Continuous Performance Test) and NeuroGuide [Quantitative electroencephalography (EEG) normative database] as an auxiliary diagnostic tools for attention-deficit hyperactivity disorder (ADHD). METHODS: The scores of IVA + Plus and resting EEG were obtained from 34 elementary school-aged children. Also, the Korean ADHD Rating Scale (K-ARS) and the Diagnostic Interview Schedule for Children version IV (DISC-IV) was done for the parent of them. From the result of the DISC-IV, we divided them into three groups, ADHD Not Otherwise Specified (NOS), and Normal Control (NC). Using NeuroGuide, the z-scores of relative power for delta (1-4 Hz), theta (4-8 Hz), alpha (8-12 Hz), and beta (12-25 Hz) were calculated. Then the correlation and variance analysis were done to investigate the differences between three groups. RESULTS: The scores of IVA + Plus were negatively correlated with the K-ARS. IVA + Plus have successfully discriminated the ADHD from NC and NOS. The z-scores of relative power of delta and theta were positively correlated with the K-ARS. The z-scores of relative power of alpha and beta were negatively correlated with the K-ARS. CONCLUSIONS: The IVA + Plus and NeuroGuide QEEG test are expected to be used as the valuable tools for diagnosing ADHD accurately.
Appointments and Schedules ; Child ; Electroencephalography ; Humans ; Parents

OBJECTIVE: The primary aim of this study was to compare electronic monitoring with other measures of adherence to Osmotic-controlled Release Oral delivery System methylphenidate in children with attention-deficit hyperactivity disorder (ADHD). The secondary aim was to analyze the relationships between adherence and clinical factors, including ADHD symptoms. METHODS: Thirty-nine children diagnosed with ADHD were monitored for adherence to medication over the course of eight weeks. Medication adherence was assessed using the Medication Event Monitoring System (MEMS), which is a bottle cap with a microprocessor that records all instances and times that the bottle is opened; patient self-report; clinician rating; and pill count. Information, including demographic and clinical characteristics, symptom rating scale, and psychological test results, were also collected. The relationships between adherence and clinical factors, including ADHD rating scores of baseline and of the changes, were assessed. RESULTS: The rate of non-adherence measured by the MEMS was found to be 46.2%, which was considerably higher than those of the patient self-report (17.9%), clinician rating (31.7%), and pill count (12.8%) of non-adherence. The rate of adherence measured by the MEMS was not significantly associated with baseline symptom severity or symptom changes over the eight weeks, although non-adherent group showed more severe baseline symptoms and inferior improvement. CONCLUSION: Adherence as measured by the MEMS showed a discrepancy with other measures of adherence in patients with ADHD. The symptom severity and level of improvement were not related to adherence with MEMS. Further studies are needed to evaluate the variables that may impact medication adherence in children with ADHD.
Attention Deficit Disorder with Hyperactivity ; Child ; Electronics ; Electrons ; Humans ; Medication Adherence ; Methylphenidate ; Micro-Electrical-Mechanical Systems ; Microcomputers ; Psychological Tests

No abstract available.
Central Nervous System ; Lymphoma

OBJECTIVES: To analyze the adherence of once-yearly intravenous zolendronic acid for osteoporosis. MATERIALS AND METHODS: The subjects were 322 osteoporotic patients who received more than single infusion of zolendronic acid. On clinical assessment, we assessed adherence. The changes of bone mineral density (BMD) and bone turnover marker were measured before and after infusion. RESULTS: Reinfusion rate was 48.4% (109/225) at second infusion, and 51.3% (41/80) at third infusion. Adverse event at each time was 161 (42.1%) cases, 30 (27.5%) cases, and 8 (19.5%) cases, respectively. The measured mean BMD change was significantly increased (P-value<0.001). CONCLUSIONS: In this study, once-yearly intravenous zolendronic acid for 2 years was safe and efficacious in terms of BMD and bone turnover marker. The adherence was higher than most published studies of adherence to oral bisphosphonates, but lower than optimal. Physicians should fully explain to patients about medications and educate to improve their adherence.
Bone Density ; Diphosphonates ; Humans ; Osteoporosis

OBJECTIVE: This study evaluated the feasibility of ultrasound-guided lumbar nerve root block (LNRB) and S1 nerve root block by identifying spread patterns via fluoroscopy in cadavers.METHOD: A total of 48 ultrasound-guided injections were performed in 4 fresh cadavers from L1 to S1 roots. The target point of LNRB was the midpoint between the lower border of the transverse process and the facet joint at each level. The target point of S1 nerve root block was the S1 foramen, which can be visualized between the median sacral crest and the posterior superior iliac spine, below the L5-S1 facet joint. The injection was performed via an in-plane approach under real-time axial view ultrasound guidance. Fluoroscopic validation was performed after the injection of 2 cc of contrast agent.RESULTS: The needle placements were correct in all injections. Fluoroscopy confirmed an intra-foraminal contrast spreading pattern following 41 of the 48 injections (85.4%). The other 7 injections (14.6%) yielded typical neurograms, but also resulted in extra-foraminal patterns that occurred evenly in each nerve root, including S1.CONCLUSION: Ultrasound-guided injection may be an option for the delivery of injectate into the S1 nerve root, as well as lumbar nerve root area.
Cadaver ; Fluoroscopy ; Injections, Spinal ; Lumbosacral Region ; Methods ; Needles ; Spinal Nerve Roots ; Spine ; Ultrasonography ; Zygapophyseal Joint

Background and Objectives: To identify the factors associated with adverse outcomes following surgery for functional insufficiency of the mitral valve (MV) or tricuspid valve (TV) associated with atrial fibrillation (AF). Methods: We evaluated 100 patients (age, 66.5±10.0 years; 47 males) who consecutively underwent surgery for functional insufficiency of the MV or TV associated with AF between January 2000 and December 2020 at our center. The primary outcome was a composite endpoint of all-cause death, valve reoperation, congestive heart failure (CHF) requiring rehospitalization, and stroke. Results: During follow-up (532 patients-years [PYs]), adverse events included death in 16 (3.0%/yr), MV reoperation in 1 (0.2%/yr), CHF in 14 (2.6%/yr), and stroke in 5 (0.9%/yr) patients, demonstrating a 5-year rate of freedom from the primary endpoint of 69.5%. The rate of postoperative AF was high even in those who underwent AF ablation (n=92), with cumulative rates of 48.1% at 1 year and 60.2% at 5 years. In multivariable analyses, the primary outcome was significantly associated with age (adjusted hazard ratio [aHR], 1.06; 95% confidence interval [CI], 1.02–1.10; p=0.005), chronic kidney disease (aHR, 7.76; 95% CI, 2.28–26.38;p=0.001), left atrial appendage exclusion (aHR, 0.35; 95% CI, 0.16–1.78; p=0.010), and postoperative AF as a time-varying covariate (aHR, 3.33; 95% CI, 1.50–7.40; p=0.003). Conclusion Among patients undergoing surgery for functional atrioventricular insufficiency associated with AF, a significant proportion showed recurrence of AF over time after concomitant AF ablation, which was significantly associated with poor clinical outcomes.