PURPOSE: This study aimed to evaluate the workplace response system (WRS) against infectious disasters (IDs) based on the response attitudes and capacity of occupational health nurses (OHNs) who worked during the 2015 Middle East Respiratory Syndrome (MERS) outbreak in South Korea. METHODS: Fifty-one participants who had worked as OHNs at the time of the 2015 MERS outbreak were surveyed from November 20 to December 10, 2016. Data were collected using a self-report questionnaire and analyzed using descriptive statistics and McNemaer's test. RESULTS: According to the survey results, the following were lacking in the WRS: a dedicated ID-response team, manuals, related education programs for OHNs, and health education programs for workers. Results also confirmed that workers were vulnerable to new infectious diseases because of the lack of health checkups and support for workers before and after business trips abroad. Among the respondents, 98.0% answered affirmatively that an ID was important for health management in the workplace, but 64.7% answered that it was difficult to manage an ID. The perceived capacity items to respond to IDs ranged from 3.0 points to 3.3 points. This scores weregenerally high. CONCLUSION: As the WRS is currently insufficient, it is necessary to develop an adequate WRS to IDs by addressing the identified problems.
Commerce ; Communicable Diseases ; Coronavirus Infections ; Disasters* ; Education ; Health Education ; Infection Control ; Korea* ; Middle East Respiratory Syndrome Coronavirus ; Occupational Health ; Occupational Health Nursing ; Surveys and Questionnaires

This study aimed to identify influencing factors on health-related quality of life by examining relationships among sleep quality, physical activity, and health-related quality of life in older adults living in the community using a Fitbit and self-rated questionnaire. Methods: The participants were adults aged 65 years and above who were recruited from one senior university and three senior citizen centers. A total of 106 participants were included in the analysis. The data were analyzed with t-test, ANOVA, Pearson’s correlations, and multiple regression analysis. Results: According to multiple regression analysis regarding objectively measured sleep quality and physical activity using a Fitbit, the factors affecting the health-related quality of life were age (β=-.30, p=.006), subjective health status as ‘moderate’ (β=.33, p=.001), and subjective health status as ‘good’ (β=.41, p=.001). In terms of using a self-rated questionnaire, the factors affecting health-related quality of life were age (β=-.27, p=.010), subjective health status as ‘moderate’ (β=.32, p=.001), subjective health status as ‘good’ (β=.37, p=.001), and physical activity (β=.18, p=.030). Conclusion: Although the findings may not be generalizable to community-dwelling older adults due to our convenience samples, this study suggests that customized physical activity programs are required to improve health-related quality of life in community-dwelling older adults of different age groups.

Purpose: The purpose of this study was to construct the education applying the Havruta method for nursing students and to investigate the effects on self-directed learning ability, critical thinking, and learning commitment. Methods: A nonequivalent control group pre-posttest design was used. The participants were 63 nursing students (experimental group, n=31; control group, n=32) at two universities. The experimental group received education applying the Havruta method for five weeks. The study was conducted from September 1 to November 30, 2022. The data were analyzed using IBM SPSS 27.0 for an χ2 test, Fisher’s exact test, independent t-test, and Mann–Whitney U-test. Results: The experimental group had a significant increase in self-directed learning ability (z=-2.13, p=.033). However, there was no significant difference in critical thinking competency (t=0.64, p=.524) and learning commitment (t=0.04, p=.969) between the two groups. Conclusion The Havruta method is an effective nursing education tool for self-directed learning ability. The result of this study could be a guide for nursing professors in designing and implementing educational programs that apply the Havruta method. In the future, research that applies the Havruta method and evaluates its effectiveness in nursing education programs should be continued.

This study aimed to identify influencing factors on health-related quality of life by examining relationships among sleep quality, physical activity, and health-related quality of life in older adults living in the community using a Fitbit and self-rated questionnaire. Methods: The participants were adults aged 65 years and above who were recruited from one senior university and three senior citizen centers. A total of 106 participants were included in the analysis. The data were analyzed with t-test, ANOVA, Pearson’s correlations, and multiple regression analysis. Results: According to multiple regression analysis regarding objectively measured sleep quality and physical activity using a Fitbit, the factors affecting the health-related quality of life were age (β=-.30, p=.006), subjective health status as ‘moderate’ (β=.33, p=.001), and subjective health status as ‘good’ (β=.41, p=.001). In terms of using a self-rated questionnaire, the factors affecting health-related quality of life were age (β=-.27, p=.010), subjective health status as ‘moderate’ (β=.32, p=.001), subjective health status as ‘good’ (β=.37, p=.001), and physical activity (β=.18, p=.030). Conclusion: Although the findings may not be generalizable to community-dwelling older adults due to our convenience samples, this study suggests that customized physical activity programs are required to improve health-related quality of life in community-dwelling older adults of different age groups.

This study aimed to identify influencing factors on health-related quality of life by examining relationships among sleep quality, physical activity, and health-related quality of life in older adults living in the community using a Fitbit and self-rated questionnaire. Methods: The participants were adults aged 65 years and above who were recruited from one senior university and three senior citizen centers. A total of 106 participants were included in the analysis. The data were analyzed with t-test, ANOVA, Pearson’s correlations, and multiple regression analysis. Results: According to multiple regression analysis regarding objectively measured sleep quality and physical activity using a Fitbit, the factors affecting the health-related quality of life were age (β=-.30, p=.006), subjective health status as ‘moderate’ (β=.33, p=.001), and subjective health status as ‘good’ (β=.41, p=.001). In terms of using a self-rated questionnaire, the factors affecting health-related quality of life were age (β=-.27, p=.010), subjective health status as ‘moderate’ (β=.32, p=.001), subjective health status as ‘good’ (β=.37, p=.001), and physical activity (β=.18, p=.030). Conclusion: Although the findings may not be generalizable to community-dwelling older adults due to our convenience samples, this study suggests that customized physical activity programs are required to improve health-related quality of life in community-dwelling older adults of different age groups.

This study aimed to identify influencing factors on health-related quality of life by examining relationships among sleep quality, physical activity, and health-related quality of life in older adults living in the community using a Fitbit and self-rated questionnaire. Methods: The participants were adults aged 65 years and above who were recruited from one senior university and three senior citizen centers. A total of 106 participants were included in the analysis. The data were analyzed with t-test, ANOVA, Pearson’s correlations, and multiple regression analysis. Results: According to multiple regression analysis regarding objectively measured sleep quality and physical activity using a Fitbit, the factors affecting the health-related quality of life were age (β=-.30, p=.006), subjective health status as ‘moderate’ (β=.33, p=.001), and subjective health status as ‘good’ (β=.41, p=.001). In terms of using a self-rated questionnaire, the factors affecting health-related quality of life were age (β=-.27, p=.010), subjective health status as ‘moderate’ (β=.32, p=.001), subjective health status as ‘good’ (β=.37, p=.001), and physical activity (β=.18, p=.030). Conclusion: Although the findings may not be generalizable to community-dwelling older adults due to our convenience samples, this study suggests that customized physical activity programs are required to improve health-related quality of life in community-dwelling older adults of different age groups.

BACKGROUND AND OBJECTIVES: It has been reported that various inflammatory and immune reactions are involved in the development and progression of atherosclerosis. We tried to investigate whether the TNF receptor superfamilies are involved in the development and progression of atherosclerosis. MATERIALS AND METHOD: Thirteen carotid atheroma specimens(frozen sections : 10 cases, paraffin section : 5 cases) were obtained from the patients who underwent carotid endarterectomy at Samsung Medical Center and one normal aortic tissue was obtained from a transplantation donor in brain death. In the carotid endarterectomy specimens and a normal aortic tissue , the expressions of R110(TR1), 139(TR2) and DR3(TR3), members of the TNF receptor superfamilies were evaluated by immunohistochemical staining with monoclonal antibodies. Simultaneously, we evaluated the expressions of foam cells, smooth muscle cells, T-lymphocytes and B-lymphocytes. RESULTS: Immunohistochemical analysis identified a strong expressions of foam cells and smooth muscle cells in all atheroma. But, the expression of T-lymphocytes was minimal and that of B-lymphocytes was rare. The expression of DR3(TR3) was seen in all atheroma as strongly positive. The expression of 139(TR2) was observed well in frozen sections, but not in paraffin sections. Whereas, that of R110(TR1) was observed in paraffin sections as weakly positive, but not in frozen section. The areas where the TNF receptor superfamilies were expressed correlated to the area of foam cell presence. The expression of DR3 also correlated with expression of smooth muscle cells. In normal aortic tissue, the expression of inflammatory cells or TNF receptor superfamilies was not observed except smooth muscle cells which were observed in normal artery. CONCLUSION: Foam cells and smooth muscle cells were abundantly present in atheroma. The TNF receptor superfamilies are expressed in the atheroma and the region of expression was coincident with the presence of foam cells.
Antibodies, Monoclonal ; Arteries ; Atherosclerosis ; B-Lymphocytes ; Brain Death ; Endarterectomy, Carotid ; Foam Cells ; Frozen Sections ; Humans ; Myocytes, Smooth Muscle ; Paraffin ; Plaque, Atherosclerotic* ; Receptors, Tumor Necrosis Factor* ; T-Lymphocytes ; Tissue Donors ; Tumor Necrosis Factor-alpha*

No abstract available.
Female ; Humans ; Marriage*

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Marjolin’s ulcer is a malignant skin tumor that arises at the site of scars, chronic ulcerations, inflammations, and fistulas after a long latent period. These tumors are mostly squamous cell carcinomas; however, other types of malignancies, such as basal cell carcinoma, malignant melanoma, and sarcoma rarely occur. Marjolin’s ulcer have aggressive characteristics, and local recurrence and lymph node metastasis rates are higher than those of cutaneous primary tumors. Herein, we report an unusual case of squamous cell carcinoma at the site of an arteriovenous fistula ulcer treated with repeated radical operation and skin graft.