Purpose: This study conducted a concept analysis of rejection sensitivity using the Walker and Avant method, to clarify its defining attributes, antecedents, and consequences. So, this contributes to a deeper understanding of its role in interpersonal relationships. Methods: Walker and Avant’s framework, this concept analysis included a thorough literature review across multiple disciplines. The literature was extracted from databases such as PubMed, Web of Science, CINAHL, and RISS. Results: Rejection sensitivity is a psychological construct encompassing several attributes, including rejection expectation, perception of rejection, and reaction to perceived rejection. This trait is influenced by various antecedents, including early life experiences, attachment style, and cultural factors. The consequences or events associated with rejection sensitivity span multiple domains and can significantly affect an individual’s life. Conclusion According to interpersonal psychology and attachment theory, problem behavior in adolescents is a state of unsatisfied affection for parents and a response to feelings of unacceptance. Rejection sensitivity is particularly important in the Korean culture because of cultural factors.

Multisystem inflammatory syndrome in children (MIS-C) is a rare complication of coronavirus disease 2019 (COVID-19), causing multi-organ damage affecting the heart, lungs, kidneys, digestive tract, and nervous system. As the cases of MIS-C have been increasing following the COVID-19 pandemic, the importance of appropriate management for MIS-C is becoming increasingly apparent. Immunomodulating agents such as anakinra, infliximab, and steroids are regarded as supplementary therapy to the first-line treatment with intravenous immunoglobulin. However, these immunomodulating therapies can potentially precipitate opportunistic infections, including those caused by cytomegalovirus (CMV), Epstein-Barr virus, and tuberculosis, or increase the risk of co-infections. Herein, we report a case of a 3-year-old boy who was treated with immunoglobulin, infliximab, and high-dose methylprednisolone for MIS-C, and subsequently developed a persistent fever lasting 32 days caused by a CMV infection.

Multisystem inflammatory syndrome in children (MIS-C) is a rare complication of coronavirus disease 2019 (COVID-19), causing multi-organ damage affecting the heart, lungs, kidneys, digestive tract, and nervous system. As the cases of MIS-C have been increasing following the COVID-19 pandemic, the importance of appropriate management for MIS-C is becoming increasingly apparent. Immunomodulating agents such as anakinra, infliximab, and steroids are regarded as supplementary therapy to the first-line treatment with intravenous immunoglobulin. However, these immunomodulating therapies can potentially precipitate opportunistic infections, including those caused by cytomegalovirus (CMV), Epstein-Barr virus, and tuberculosis, or increase the risk of co-infections. Herein, we report a case of a 3-year-old boy who was treated with immunoglobulin, infliximab, and high-dose methylprednisolone for MIS-C, and subsequently developed a persistent fever lasting 32 days caused by a CMV infection.

Multisystem inflammatory syndrome in children (MIS-C) is a rare complication of coronavirus disease 2019 (COVID-19), causing multi-organ damage affecting the heart, lungs, kidneys, digestive tract, and nervous system. As the cases of MIS-C have been increasing following the COVID-19 pandemic, the importance of appropriate management for MIS-C is becoming increasingly apparent. Immunomodulating agents such as anakinra, infliximab, and steroids are regarded as supplementary therapy to the first-line treatment with intravenous immunoglobulin. However, these immunomodulating therapies can potentially precipitate opportunistic infections, including those caused by cytomegalovirus (CMV), Epstein-Barr virus, and tuberculosis, or increase the risk of co-infections. Herein, we report a case of a 3-year-old boy who was treated with immunoglobulin, infliximab, and high-dose methylprednisolone for MIS-C, and subsequently developed a persistent fever lasting 32 days caused by a CMV infection.

Purpose: This study conducted a concept analysis of rejection sensitivity using the Walker and Avant method, to clarify its defining attributes, antecedents, and consequences. So, this contributes to a deeper understanding of its role in interpersonal relationships. Methods: Walker and Avant’s framework, this concept analysis included a thorough literature review across multiple disciplines. The literature was extracted from databases such as PubMed, Web of Science, CINAHL, and RISS. Results: Rejection sensitivity is a psychological construct encompassing several attributes, including rejection expectation, perception of rejection, and reaction to perceived rejection. This trait is influenced by various antecedents, including early life experiences, attachment style, and cultural factors. The consequences or events associated with rejection sensitivity span multiple domains and can significantly affect an individual’s life. Conclusion According to interpersonal psychology and attachment theory, problem behavior in adolescents is a state of unsatisfied affection for parents and a response to feelings of unacceptance. Rejection sensitivity is particularly important in the Korean culture because of cultural factors.

Purpose: This study conducted a concept analysis of rejection sensitivity using the Walker and Avant method, to clarify its defining attributes, antecedents, and consequences. So, this contributes to a deeper understanding of its role in interpersonal relationships. Methods: Walker and Avant’s framework, this concept analysis included a thorough literature review across multiple disciplines. The literature was extracted from databases such as PubMed, Web of Science, CINAHL, and RISS. Results: Rejection sensitivity is a psychological construct encompassing several attributes, including rejection expectation, perception of rejection, and reaction to perceived rejection. This trait is influenced by various antecedents, including early life experiences, attachment style, and cultural factors. The consequences or events associated with rejection sensitivity span multiple domains and can significantly affect an individual’s life. Conclusion According to interpersonal psychology and attachment theory, problem behavior in adolescents is a state of unsatisfied affection for parents and a response to feelings of unacceptance. Rejection sensitivity is particularly important in the Korean culture because of cultural factors.

Purpose: This study conducted a concept analysis of rejection sensitivity using the Walker and Avant method, to clarify its defining attributes, antecedents, and consequences. So, this contributes to a deeper understanding of its role in interpersonal relationships. Methods: Walker and Avant’s framework, this concept analysis included a thorough literature review across multiple disciplines. The literature was extracted from databases such as PubMed, Web of Science, CINAHL, and RISS. Results: Rejection sensitivity is a psychological construct encompassing several attributes, including rejection expectation, perception of rejection, and reaction to perceived rejection. This trait is influenced by various antecedents, including early life experiences, attachment style, and cultural factors. The consequences or events associated with rejection sensitivity span multiple domains and can significantly affect an individual’s life. Conclusion According to interpersonal psychology and attachment theory, problem behavior in adolescents is a state of unsatisfied affection for parents and a response to feelings of unacceptance. Rejection sensitivity is particularly important in the Korean culture because of cultural factors.

PURPOSE: This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population. METHODS: This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients. RESULTS: In the regression model, diabetes knowledge (beta=.322, p<.001), exercise (beta=.337, p<.001), and experiences of diabetes education (beta=.241, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled. CONCLUSION: To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.
Aged ; Delivery of Health Care ; Diabetes Mellitus ; Education ; Health Education ; Health Literacy* ; Humans ; Korea ; Self Care* ; Vital Signs ; Vulnerable Populations ; Surveys and Questionnaires

No abstract available.
Hypercholesterolemia* ; Lipoprotein-X* ; Lipoproteins*

Background: According to the results of the age-standardized suicide rate (suicide deaths per 100,000 population) published by Organization for Economic Cooperation and Development countries from 2003 to 2019, the suicide rate in Korea is ranked first almost every year, so it should be managed at the national level. To reduce the suicide rate, many scholars are studying suicide. The suicidal process begins with suicidal ideation, progresses through suicide attempts, and ends with suicide. Among them, the frequency of suicidal thoughts was found to be highly correlated with suicide plans and attempts, and it is said that 60% of those who change from suicidal ideation to attempts appear within one year. Therefore, research related to suicidal ideation to lower the suicide rate will contribute to preventing suicide at an early stage. Methods: This study used data from the Korea National Health and Nutrition Examination Survey (KNHANES). Among them, data from 2013, 2015, 2017, and 2019 surveyed adults were compared for suicidal ideation among 18,339 adults. Considering the characteristics of the KNHANES data, complex sample analysis was performed considering the primary extraction unit (region), stratification variables, and weights. The Rao-Scott χ 2 test was stratified by age group to confirm the distribution of suicidal ideation according to general characteristics. Univariate and multiple logistic regression analyses were performed to understand the effect on suicidal ideation. Results: Among all subjects, the rate of suicidal ideation was 4.75%, and among the age groups, the rate of suicidal thoughts was the highest among those over 80 years old (10.39%). Compared to those who were 50s, those in their 30s had the lowest suicidal ideation (odds ratio [OR], 0.52; 95% confidence interval [CI], 0.39–0.70), and those in their 80s had the highest rate of suicidal ideation (OR, 1.97; 95% CI, 1.38–2.82). Except for those in their 20s, the rate of suicidal ideation tends to increase with age. Overall, the lower 25% of the Euro Quality of Life–5 Dimensions (EQ-5D) index, depression lasting more than two weeks, and subjects with poor subjective health or high stress were more likely to have suicidal ideation.In particular, EQ-5D Index (OR, 5.86; 95% CI, 3.73–9.20), depressive symptoms (OR, 19.65; 95% CI, 9.94–38.83) in 20s, and stress in 80s (OR, 10.87; 95% CI, 5.63–20.96) was the highest, and those had the good subjective health perception in 30s (OR, 0.10; 95% CI, 0.05–0.20) was lowest. Participants in their 30s, 40s, and 60s who were divorced or widowed and those in their 50s and 60s who had never married or lived together were more likely toconsider suicide ideation. Except for those in their 20s and 80s, the rate of suicidal ideation tends to increase with lower household income levels. Conclusions In the results of this study, it can be seen that a combination of factors such as a person’s personality traits, stress or coping ability to various events, social support, and mental or physical limitations influence suicidal behavior. Suicidal ideation is not simply affected by a single factor but may be influenced by multiple factors.