Infantile fibrosarcoma is a rare malignant soft tissue tumor occurring especially in newborn and young children under 2 years. We experienced three cases of infantile fibrosarcoma presenting in the neonatal period. Case 1 presented with a multiseptated cystic mass on his left thigh at birth that was diagnosed as lymphangioma. After picibanil injection, we noted the size of the mass doubled and a solid lesion was prominent in the magnetic resonance image. Case 2 was found to have a reddish mass on his lower back mimicking hemangioma. Over 2 weeks, the mass grew rapidly with internal hemorrhaging. Case 3 was noted to have an encircling mass around the splenic flexure, which developed into congenital bowel obstruction. All of the tumors were resected completely, but microscopic resection margin was not clear in two patients. The two patients received adjuvant chemotherapy and all patients are well without evidence of recurrence.
Chemotherapy, Adjuvant ; Child ; Colon, Transverse ; Fibrosarcoma ; Hemangioma ; Humans ; Infant, Newborn ; Lymphangioma ; Magnetic Resonance Spectroscopy ; Parturition ; Picibanil ; Recurrence ; Thigh

We report a case of solitary congenital calcified nodule of the ear in a 1-year-old female. The lesion was a 2 X 2mm-sized, elevated, slightly erythematous and whitish-centered nodule located since birth on the superior helical rim of her left ear. Histopathological findings fram the totally excised lesion showed calcium deposits as amorphous, basophilic masses in the upper dermis and focal discharge of calcium by means of transepidermal elimination. Surrounding the calcium deposits, lymphohistiocytic infiltrations were present.
Basophils ; Calcium ; Dermis ; Ear* ; Female ; Humans ; Parturition

A case of clear cell adenocarcinoma arising in the female urinary bladder, which is accompanied by endometriosis of the urinary bladder and the uterus, is reported. The carcinoma protruded into the vesical lumen as a fungating mass, and had a tubulocyotic pattern. The tumor cell had intracytoplasmic glycogen and electron microscopically short microvilli on their surface, resembling clear cell acenocarcinoma of the female genital tract including ovary. This is the fourth case report of clear cell adenocarcinoma complicating vesical endometriosis, and may support the view that clear cell carcinome arises from endometriosis which, in turn, from the Mullerian remnant.
Female ; Humans ; Adenocarcinoma

A case of clear cell adenocarcinoma arising in the female urinary bladder, which is accompanied by endometriosis of the urinary bladder and the uterus, is reported. The carcinoma protruded into the vesical lumen as a fungating mass, and had a tubulocyotic pattern. The tumor cell had intracytoplasmic glycogen and electron microscopically short microvilli on their surface, resembling clear cell acenocarcinoma of the female genital tract including ovary. This is the fourth case report of clear cell adenocarcinoma complicating vesical endometriosis, and may support the view that clear cell carcinome arises from endometriosis which, in turn, from the Mullerian remnant.
Female ; Humans ; Adenocarcinoma

PURPOSE: This study aimed to compare the quality of nursing care as perceived by registered nurses and mothers of hospitalized children in South Korea. METHODS: This was a descriptive study that recruited 70 mothers of hospitalized children and 70 nurses in pediatric units in university hospitals as participants. The quality of pediatric nursing care was measured using importance and performance scores for 19 items describing various elements of nursing care. The collected data were analyzed using descriptive statistics and the independent t-test. RESULTS: The hospitalized children mothers' mean importance scores were significantly higher than those of the nurses (t=2.94, p=.004). However, there were no significant differences in the mean performance scores of nurses and mothers (t=0.91, p=.363) or between nurses' and mothers' perceptions of quality of nursing care, with the exception of a significant difference for the quality of explanations (t=2.78, p=.006). The quality of explanations was assessed more positively by nurses than by mothers. CONCLUSION: This study suggests that when developing strategies to improve the quality of nursing care in pediatric wards, ensuring that pediatric nurses provide detailed explanations should be considered as a way to improve the quality of nursing care in pediatric units.
Child ; Child, Hospitalized* ; Hospitals, University ; Humans ; Korea ; Mothers* ; Nurses ; Nursing Care* ; Nursing* ; Pediatric Nursing ; Quality of Health Care

Purpose: This study aimed to identify the effects of new nurses’ critical thinking disposition and safety climate on medication safety competence. Methods: The subjects of this study were 141 new nurses working in a tertiary general hospital in Seoul, Korea. Data were collected using self-administered questionnaires from May 23 to June 30, 2024 and were analyzed using SPSS Statistics/WIN 28.0, including descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, and multiple linear regression analysis. Results: Medication safety competence was significantly related to critical thinking disposition (r=.53, p<.001) and safety climate (r=.46, p<.001). Critical thinking disposition (β=.38, p<.001), safety climate (β=.29, p<.001), and clinical experience (β=.28, p<.001) were factors influencing medication safety competence among new nurses and the explanatory power of the model was explained 37.0%. Conclusion Critical thinking disposition, safety climate, and clinical experience affected new nurses’ medication safety competence. Therefore, enhancing critical thinking disposition and fostering a safety-oriented organizational culture can be essential for improving the medication safety competence of new nurses.

Purpose: This study aimed to identify the effects of new nurses’ critical thinking disposition and safety climate on medication safety competence. Methods: The subjects of this study were 141 new nurses working in a tertiary general hospital in Seoul, Korea. Data were collected using self-administered questionnaires from May 23 to June 30, 2024 and were analyzed using SPSS Statistics/WIN 28.0, including descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, and multiple linear regression analysis. Results: Medication safety competence was significantly related to critical thinking disposition (r=.53, p<.001) and safety climate (r=.46, p<.001). Critical thinking disposition (β=.38, p<.001), safety climate (β=.29, p<.001), and clinical experience (β=.28, p<.001) were factors influencing medication safety competence among new nurses and the explanatory power of the model was explained 37.0%. Conclusion Critical thinking disposition, safety climate, and clinical experience affected new nurses’ medication safety competence. Therefore, enhancing critical thinking disposition and fostering a safety-oriented organizational culture can be essential for improving the medication safety competence of new nurses.

Purpose: This study aimed to identify the effects of new nurses’ critical thinking disposition and safety climate on medication safety competence. Methods: The subjects of this study were 141 new nurses working in a tertiary general hospital in Seoul, Korea. Data were collected using self-administered questionnaires from May 23 to June 30, 2024 and were analyzed using SPSS Statistics/WIN 28.0, including descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, and multiple linear regression analysis. Results: Medication safety competence was significantly related to critical thinking disposition (r=.53, p<.001) and safety climate (r=.46, p<.001). Critical thinking disposition (β=.38, p<.001), safety climate (β=.29, p<.001), and clinical experience (β=.28, p<.001) were factors influencing medication safety competence among new nurses and the explanatory power of the model was explained 37.0%. Conclusion Critical thinking disposition, safety climate, and clinical experience affected new nurses’ medication safety competence. Therefore, enhancing critical thinking disposition and fostering a safety-oriented organizational culture can be essential for improving the medication safety competence of new nurses.

Purpose: This study aimed to identify the effects of new nurses’ critical thinking disposition and safety climate on medication safety competence. Methods: The subjects of this study were 141 new nurses working in a tertiary general hospital in Seoul, Korea. Data were collected using self-administered questionnaires from May 23 to June 30, 2024 and were analyzed using SPSS Statistics/WIN 28.0, including descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, and multiple linear regression analysis. Results: Medication safety competence was significantly related to critical thinking disposition (r=.53, p<.001) and safety climate (r=.46, p<.001). Critical thinking disposition (β=.38, p<.001), safety climate (β=.29, p<.001), and clinical experience (β=.28, p<.001) were factors influencing medication safety competence among new nurses and the explanatory power of the model was explained 37.0%. Conclusion Critical thinking disposition, safety climate, and clinical experience affected new nurses’ medication safety competence. Therefore, enhancing critical thinking disposition and fostering a safety-oriented organizational culture can be essential for improving the medication safety competence of new nurses.

Objectives: The purpose of this study was to identify the effectiveness of COVID-19 vaccinations on deaths of the COVID-19 cases in some elderly long-term care facilities (LTCF) in Gwangju Metropolitan City. Methods: The study subjects were 659 COVID-19 cases in residents of 7 elderly LTCF, Gwangju, from 21 Dec. 2021 to 28 Jan. 2022. The used variables were confirmed dates for COVID-19, demographic characteristics, co-morbidities, presentation of symptoms, death and vaccination related characteristics including type of vaccine, doses and dates. Vaccination status were classified as not vaccinated, partially and fully vaccinated. The associations of vaccination status and deaths of COVID-19 cases were tested by chi-square test and multiple logistic regression analysis. Results: The rates of not vaccinated, partially vaccinated and fully vaccinated were 19.4%, 10.2% and 70.4%, respectively. The mortality rate of the cases was 6.4%.The death rate by vaccination status was 16.4% in not vaccinated, 15.4% in partially vaccinated and 2.6% in fully vaccinated, showing a statistically significant difference. The adjusted odds ratios (ORs) (95% confidence intervals, CIs) of death compared to fully vaccinated were 7.64 (3.87-16.34) in non-vaccinated, and 6.97 (3.44-14.14) in partially vaccinated. Conclusions COVID-19 vaccination seems to work effectively in preventing deaths of COVID-19 cases of elderly LTCF residents. This finding support that fully vaccinations in high risk group such as elderly LTCF residents is very important for one of strategies of COVID-19 management.