Background: The present study aimed to provide basic data to establish a foundation for efficient operation of the organization by identifying the effects of factors related to moral sensitivity and psychological well-being on job engagement of clinical dental hygienists. Methods: This cross-sectional survey consisted of self-administration questionnaires. After the approval by the Institutional Review Board, a survey was conducted from September 2019 to November 2019, targeting dental hygienists with clinical experience of 1 year or more. A total of 189 questionnaires were analyzed using SPSS 18.0 for Windows. The data were analyzed using average standard deviation, t-test, one-way analysis of variance, Scheffe test, Pearson's correlation analysis, and multiple regression analysis. Results: According to job-related characteristics, higher job engagement was associated with more amount of clinical experience, less turnover intention, higher positions, and occasional job fatigue. Job engagement was improved by increasing moral sensitivity and psychological well-being of clinical dental hygienists. The factors affecting job engagement revealed that along with clinical career, the sub-areas of job engagement, namely turnover intention, moral sensitivity, and psychological well-being had statistically significant influence on job engagement and the explanatory power of the model was approximately 44.8%. Conclusion Joy of working as a clinical dental hygienist, clinical career, turnover intention, moral sensitivity, and psychological well-being were confirmed as influencing factors that affected job engagement of clinical dental hygienists. It is necessary to establish an effective plan to improve job engagement by increasing moral sensitivity and psychological well-being of clinical dental hygienists.

Purpose: This study conducted a concept analysis to clarify the meaning of anxiety in hospitalized patients with infectious diseases who have been placed in isolation. Methods: This study used Walker and Avant’s process of concept analysis. Results: Anxiety in hospitalized patients with infectious diseases who have been placed in isolation can be defined by the following attributes: 1) fear, 2) guilt, 3) isolation, 4) discrimination, 5) frustration, 6) shame, and 7) uncertainty. The antecedents of anxiety were as follows: 1) a lack of information about infectious diseases, 2) restrictions of movement, 3) blockage of the social support system, 4) helplessness, and 5) negative biases. The consequences of anxiety were 1) internalized stigma, 2) loss of confidence, 3) lack of social activities and avoidance, 4) insomnia, 5) poor quality of life. Conclusion The definition and attributes of anxiety identified in this study can be applied to enhance the understanding of anxiety in hospitalized patients with infectious diseases who have been placed in isolation. Systematic suppose should also be provided to reduce anxiety in these patients.

Purpose: This study investigated the factors influencing posttraumatic growth (PTG) among nurses who worked in COVID-19 isolation wards in tertiary hospitals in South Korea. Method: A cross-sectional descriptive correlation research design was used. In total, 190 nurses who had worked with COVID-19-infected patients participated in the study. Their demographic characteristics, self-disclosure, resilience, social support, and PTG were examined using a structured online questionnaire administered from March 16 to 25, 2022. Data were analyzed using SPSS/WIN 27.0. Results: The mean scores for self-disclosure, resilience, social support, and PTG were 42.79 (range: 12~60), 60.92 (range: 0~100), 46.98 (range: 12~60), and 45.66 (range: 0~80), respectively. Self-disclosure (β=.18, p=.003) and resilience (β=.65, p<.001) significantly influenced PTG, explaining 55% of the total variance in this variable. Conclusion This study highlights the need to systematically develop and implement effective intervention programs to strengthen nurses' self-disclosure and resilience.

Purpose: This study investigated the factors influencing posttraumatic growth (PTG) among nurses who worked in COVID-19 isolation wards in tertiary hospitals in South Korea. Method: A cross-sectional descriptive correlation research design was used. In total, 190 nurses who had worked with COVID-19-infected patients participated in the study. Their demographic characteristics, self-disclosure, resilience, social support, and PTG were examined using a structured online questionnaire administered from March 16 to 25, 2022. Data were analyzed using SPSS/WIN 27.0. Results: The mean scores for self-disclosure, resilience, social support, and PTG were 42.79 (range: 12~60), 60.92 (range: 0~100), 46.98 (range: 12~60), and 45.66 (range: 0~80), respectively. Self-disclosure (β=.18, p=.003) and resilience (β=.65, p<.001) significantly influenced PTG, explaining 55% of the total variance in this variable. Conclusion This study highlights the need to systematically develop and implement effective intervention programs to strengthen nurses' self-disclosure and resilience.

Purpose: This study investigated the factors influencing posttraumatic growth (PTG) among nurses who worked in COVID-19 isolation wards in tertiary hospitals in South Korea. Method: A cross-sectional descriptive correlation research design was used. In total, 190 nurses who had worked with COVID-19-infected patients participated in the study. Their demographic characteristics, self-disclosure, resilience, social support, and PTG were examined using a structured online questionnaire administered from March 16 to 25, 2022. Data were analyzed using SPSS/WIN 27.0. Results: The mean scores for self-disclosure, resilience, social support, and PTG were 42.79 (range: 12~60), 60.92 (range: 0~100), 46.98 (range: 12~60), and 45.66 (range: 0~80), respectively. Self-disclosure (β=.18, p=.003) and resilience (β=.65, p<.001) significantly influenced PTG, explaining 55% of the total variance in this variable. Conclusion This study highlights the need to systematically develop and implement effective intervention programs to strengthen nurses' self-disclosure and resilience.

OBJECTIVES: Opioids are prescribed to treat moderate to severe pain. We investigated recent trends in opioid (morphine, oxycodone, fentanyl, and hydromorphone) prescriptions using data from the Korean National Health Insurance Service-National Sample Cohort between 2002 and 2015. METHODS: The morphine milligram equivalent (MME) was calculated to standardize the relative potency of opioids. The number (cases) or amount (MME) of annual opioid prescriptions per 10,000 registrants was computed to analyze trends in opioid prescriptions after age standardization. Joinpoint regression analysis was conducted to calculate the annual percentage change and average annual percentage change (AAPC). RESULTS: The number (cases) of prescriptions per 10,000 registrants increased from 0.07 in 2002 to 41.23 in 2015 (AAPC, 76.0%; 95% confidence interval [CI], 61.6 to 91.7). The MME per 10,000 registrants increased from 15.06 in 2002 to 40,727.80 in 2015 (AAPC, 103.0%; 95% CI, 78.2 to 131.3). The highest AAPC of prescriptions and MME per 10,000 registrants were observed in the elderly (60-69 years) and in patients treated at general hospitals. Fentanyl prescriptions increased most rapidly among the 4 opioids. CONCLUSIONS Consumption of opioids greatly increased in Korea over the 14-year study period.

Osteoporosis is a medical condition of global concern, with increasing incidence in both sexes. Bone mineral density (BMD), a highly heritable trait, has been proven a useful diagnostic factor in predicting fracture. Because medical information is lacking about male osteoporotic genetics, we conducted a genome-wide association study of BMD in Korean men. With 1,176 participants, we analyzed 4,414,664 single nucleotide polymorphisms (SNPs) after genomic imputation, and identified five SNPs and three loci correlated with bone density and strength. Multivariate linear regression models were applied to adjust for age and body mass index interference. Rs17124500 (p = 6.42 × 10⁻⁷), rs34594869 (p = 6.53 × 10⁻⁷) and rs17124504 (p = 6.53 × 10⁻⁷) in 14q31.3 and rs140155614 (p = 8.64 × 10⁻⁷) in 15q25.1 were significantly associated with lumbar spine BMD (LS-BMD), while rs111822233 (p = 6.35 × 10⁻⁷) was linked with the femur total BMD (FT-BMD). Additionally, we analyzed the relationship between BMD and five genes previously identified in Korean men. Rs61382873 (p = 0.0009) in LRP5, rs9567003 (p = 0.0033) in TNFSF11 and rs9935828 (p = 0.0248) in FOXL1 were observed for LS-BMD. Furthermore, rs33997547 (p = 0.0057) in ZBTB and rs1664496 (p = 0.0012) in MEF2C were found to influence FT-BMD and rs61769193 (p = 0.0114) in ZBTB to influence femur neck BMD. We identified five SNPs and three genomic regions, associated with BMD. The significance of our results lies in the discovery of new loci, while also affirming a previously significant locus, as potential osteoporotic factors in the Korean male population.
Asian Continental Ancestry Group ; Body Mass Index ; Bone Density* ; Femur ; Femur Neck ; Genetics ; Genome-Wide Association Study* ; Humans ; Incidence ; Linear Models ; Male ; Osteoporosis ; Polymorphism, Single Nucleotide ; Spine