Amniotic fluid embolism (AFE) is a rare but potentially fatal complication that occurs acutely during pregnancy or within 12 h of delivery. The management of AFE focuses initially on supportive measures for cardiopulmonary stabilization. Extracorporeal membrane oxygenation should be considered in patients who are unresponsive to medical treatment in order to prevent additional hypoxia and subsequent organ failure. We present a 41-year-old woman with clinical AFE who developed acute respiratory distress syndrome and was treated successfully with extracorporeal membrane oxygenation.
Adult ; Amniotic Fluid* ; Anoxia ; Embolism ; Embolism, Amniotic Fluid* ; Extracorporeal Membrane Oxygenation* ; Female ; Humans ; Pregnancy ; Respiratory Distress Syndrome, Adult

Cardiac arrest associated with hyperkalemia during red blood cell transfusion is a rare but fatal complication. Herein, we report a case of transfusion-associated cardiac arrest following the initiation of extracorporeal membrane oxygenation support in a 9-month old infant. Her serum potassium level was increased to 9.0 mEq/L, soon after the newly primed circuit with pre-stored red blood cell (RBC) was started and followed by sudden cardiac arrest. Eventually, circulation was restored and the potassium level decreased to 5.1 mEq/L after 5 min. Extracorporeal membrane oxygenation (ECMO) priming is a relatively massive transfusion into a pediatric patient. Thus, to prevent cardiac arrest during blood-primed ECMO in neonates and infants, freshly irradiated and washed RBCs should be used when priming the ECMO circuit, to minimize the potassium concentration. Also, physicians should be aware of all possible complications associated with transfusions during ECMO.
Blood Transfusion ; Death, Sudden, Cardiac ; Erythrocyte Transfusion ; Erythrocytes ; Extracorporeal Membrane Oxygenation* ; Heart Arrest* ; Humans ; Hyperkalemia* ; Infant* ; Infant, Newborn ; Potassium

Purpose: To compare sociodemographic and health-related characteristics of individuals at risk of suicidal behavior and those of non-risk individuals through propensity score matching (PSM) and to identify predictive factors influencing suicidal behavior. Methods: A secondary analysis was performed using data from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2013 to 2021. Among young adults aged 19 to 34 years, individuals at risk of suicidal behavior and non-risk individuals were matched at a 1:4 ratio using the R program for PSM. x2 analysis and logistic regression analysis were performed using SPSS. Results: Significant differences were found in current smoking, two-week physical illness, depression diagnosis, subjective health status, two-week depressive mood, and perceived stress. Factors influencing suicidal behavior included two-week depressive mood, depression diagnosis, subjective health status, and perceived stress. Conclusion This study emphasizes the need to manage depressive mood to prevent suicidal behavior. Additionally, it suggests that preventive education programs should be provided according to subjective health status and opportunities to participate in stress management programs.

Purpose: To compare sociodemographic and health-related characteristics of individuals at risk of suicidal behavior and those of non-risk individuals through propensity score matching (PSM) and to identify predictive factors influencing suicidal behavior. Methods: A secondary analysis was performed using data from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2013 to 2021. Among young adults aged 19 to 34 years, individuals at risk of suicidal behavior and non-risk individuals were matched at a 1:4 ratio using the R program for PSM. x2 analysis and logistic regression analysis were performed using SPSS. Results: Significant differences were found in current smoking, two-week physical illness, depression diagnosis, subjective health status, two-week depressive mood, and perceived stress. Factors influencing suicidal behavior included two-week depressive mood, depression diagnosis, subjective health status, and perceived stress. Conclusion This study emphasizes the need to manage depressive mood to prevent suicidal behavior. Additionally, it suggests that preventive education programs should be provided according to subjective health status and opportunities to participate in stress management programs.

Purpose: To compare sociodemographic and health-related characteristics of individuals at risk of suicidal behavior and those of non-risk individuals through propensity score matching (PSM) and to identify predictive factors influencing suicidal behavior. Methods: A secondary analysis was performed using data from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2013 to 2021. Among young adults aged 19 to 34 years, individuals at risk of suicidal behavior and non-risk individuals were matched at a 1:4 ratio using the R program for PSM. x2 analysis and logistic regression analysis were performed using SPSS. Results: Significant differences were found in current smoking, two-week physical illness, depression diagnosis, subjective health status, two-week depressive mood, and perceived stress. Factors influencing suicidal behavior included two-week depressive mood, depression diagnosis, subjective health status, and perceived stress. Conclusion This study emphasizes the need to manage depressive mood to prevent suicidal behavior. Additionally, it suggests that preventive education programs should be provided according to subjective health status and opportunities to participate in stress management programs.

Purpose: To compare sociodemographic and health-related characteristics of individuals at risk of suicidal behavior and those of non-risk individuals through propensity score matching (PSM) and to identify predictive factors influencing suicidal behavior. Methods: A secondary analysis was performed using data from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2013 to 2021. Among young adults aged 19 to 34 years, individuals at risk of suicidal behavior and non-risk individuals were matched at a 1:4 ratio using the R program for PSM. x2 analysis and logistic regression analysis were performed using SPSS. Results: Significant differences were found in current smoking, two-week physical illness, depression diagnosis, subjective health status, two-week depressive mood, and perceived stress. Factors influencing suicidal behavior included two-week depressive mood, depression diagnosis, subjective health status, and perceived stress. Conclusion This study emphasizes the need to manage depressive mood to prevent suicidal behavior. Additionally, it suggests that preventive education programs should be provided according to subjective health status and opportunities to participate in stress management programs.

PURPOSE: The purpose of this study was to analyze the types of attitudes of nursing students in Korea toward bucket lists. METHODS: The Q-methodology, which provides a method for analyzing the subjectivity of each item was used. From each of the 37 subjects, 34 selected Q-statements were classified into the shape of a normal distribution, using a 9-point scale. The collected data were analyzed using a QUANL PC program. RESULTS: Four types of attitudes toward the bucket list of subjects were identified in Korean nursing students. Typeis a pursuit of money type, Type II is a pursuit of relationship type, Type III is a pursuit of self-centered type, and Type is a pursuit of others-centered type. CONCLUSION: The results of this study indicate that different approaches toward educational programs for students in the human service area are recommended based on the four types of nursing students' attitudes toward the bucket list.
Humans ; Korea ; Nursing ; Students, Nursing*

Purpose: The purpose of this study was to analyze anxiety and depression among infertile women at different time points during the firstIn Vitro Fertilization (IVF) or Intracytoplasmic Sperm Injection (ICSI) treatment through a systematic review and meta-analysis. Methods: Seven out of 3,011 studies were included for meta-analysis. To estimate the effect size, a meta-analysis of the studies was performedusing the RevMan 5.3 program. We compared the measurement outcomes at three time points: before the start of treatment (T0), cancellationof treatment after pregnancy detection (T2), one to six months after treatment (T3). The effect size used was the standardizedmean difference (SMD). Results: In comparing the different time points of the pregnant women from their cycle, significantly lower levelsof depression were found at T2 than at T0. In non-pregnant women, anxiety at T2 and depression at T2 and T3 were significantly higherthan those at T0. At T2 and T3, the non-pregnant women reported higher levels of anxiety and depression compared with the pregnantwomen. Conclusion Anxiety and depression in infertile women undergoing the first IVF or ICSI are associated with the time points andpregnancy status after treatment. These findings suggest that attention should be paid to helping infertile women prepare for and copewith treatment and treatment failure.

BACKGROUND/AIMS: The hepat it is C virus (HCV) genotypes have been shown to be differently distributed among distinct geographic areas and as sociated with different clinical present at ions. The aut hors investigated the distribution of HCV genotypes in Korean patients with chronic HCV infection and the as sociation of HCV genotypes with age, sex, severity of the liver disease, and the possible mode of transmission. METHODS: The study population consisted of 143 patients with chronic HCV infect ion: 13 with normal ALT , 78 with chronic hepatitis , 35 with cirrhosis , 17 with hepat ocellular car cinoma (HCC). HCV genotypes were determined by line probe assay. RESULTS: The principal HCV genotype was 1b ( 56%) and followed by 2a/ c ( 32%), mixed (8%), 2b ( 3%), and 1a (1%). Patients infected with type 1b and 2a/ c were older than those with ot her genotypes (p< 0.05). Genotype 1b tended to be more prevalent among patients with HCC ( 76% compared with 53% for patients with other liver diseases ; p=0.07). There was no significant relations hip bet ween genotypes and sex or mode of transmission. CONCLUSION: The most common HCV genotype in Korea was type 1b and followed by 2a/ 2c. Although patients infected with type 1b and 2a/c were older than those with other genotypes, there was no correlation between genotypes and sex, severity of liver disease, or mode of transmission.
Fibrosis ; Genotype ; Hepacivirus* ; Hepatitis C* ; Hepatitis* ; Hepatitis, Chronic ; Hip ; Humans ; Ions ; Korea ; Liver Diseases

Human colon epithelial cells secrete an array of proinflammatory cytokines that includes IL-8, MCP-1, GM-CSF, TNF alpha and IL-6. This response may serve to attract neutrophils and macrophags to the site of infection. In addition to IL-8 and MCP-1, the chemokine family contains other members, which, alone or in combination, can recruit and/or activate inflammatory and lymphoid cells. In this study, we asked whether colon epithelial cells express a broader array of chemokines than previously described. The colon epithelial cell line, Caco-2, was stimulated for 3h with IL-1 alpha, or was infected with Salmonella dublin. RNA was extracted and chemokine mRNA levels were determined by quantitative reverse transcription-PCR using internal RNA standards. Ex pression of GRO alpha, GRO beta, GRO gamma and IP-10 increased by bacterial infection or IL-l alpha stimulation. These data strongly support the notion that epithelal cells are an important and integral component of the host's natural immune system.
Bacterial Infections ; Chemokines ; Colon* ; Cytokines ; Epithelial Cells* ; Granulocyte-Macrophage Colony-Stimulating Factor ; Humans* ; Immune System ; Interleukin-1alpha ; Interleukin-6 ; Interleukin-8 ; Lymphocytes ; Neutrophils ; RNA ; RNA, Messenger ; Salmonella