1.Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19
Journal of Korean Clinical Nursing Research 2021;27(1):1-11
Purpose:
The purpose of this study was to identify the factors that affect the posttraumatic growth (PTG) among nurses caring for patients with COVID-19.
Methods:
The subjects of this study were 194 nurses working at COVID-19 designated hospital who had experience in providing direct care for patients with COVID-19. Data were collected in November 2020 using self-administered questionnaires.
Results:
Deliberate rumination(β =.51, p<.001), calling (β=.20, p=.001), and religion (β=.11, p=.023) were found to affect the PTG of the subjects.
Conclusion
The findings of this study demonstrate that it is necessary to develop intervention programs and policies to enhance deliberate rumination and calling in order to promote PTG among nurses providing care for patients with emerging infectious diseases.
2.Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19
Journal of Korean Clinical Nursing Research 2021;27(1):1-11
Purpose:
The purpose of this study was to identify the factors that affect the posttraumatic growth (PTG) among nurses caring for patients with COVID-19.
Methods:
The subjects of this study were 194 nurses working at COVID-19 designated hospital who had experience in providing direct care for patients with COVID-19. Data were collected in November 2020 using self-administered questionnaires.
Results:
Deliberate rumination(β =.51, p<.001), calling (β=.20, p=.001), and religion (β=.11, p=.023) were found to affect the PTG of the subjects.
Conclusion
The findings of this study demonstrate that it is necessary to develop intervention programs and policies to enhance deliberate rumination and calling in order to promote PTG among nurses providing care for patients with emerging infectious diseases.
3.Identifying Research Direction for Mental Health of North Korean Refugees Using Delphi Technique.
Jin Won NOH ; Hyun Ah KIM ; Yoojung KIM ; Hyunchun PARK ; Jong Min WOO
Journal of Korean Neuropsychiatric Association 2016;55(3):185-193
OBJECTIVES: Refugees from North Korea are at risk of a range of mental health problems, posing urgent problems to their care. A review of research on mental health prevalence and services can indicate directions for further study. METHODS: The authors administered a Delphi survey to 16 professionals who are working for North Korean refugees, including professors and field workers. The collected data was analyzed by descriptive statistics including mean and standard deviation and verified with content validity ratio. RESULTS: The results are as follows: 1) The most serious problem in the research area is the importance of quantitative research rather than qualitative for North Korean refugees, who are often very negative and uncooperative with questionnaires. 2) There is a great need to develop competence of mental health professionals who are working for North Korean refugees. 3) Most participants agreed to the necessity of longitudinal study to define the factors facilitating successful adaptation among North Korean refugees. CONCLUSION: The following are our recommendations: 1) Appropriate measurements for North Korean refugees need to be developed reflecting their uniqueness. 2) Research of North Koreans has inherent selection bias. 3) It is essential to provide primary education on mental health to North Korean refugees.
Delphi Technique*
;
Democratic People's Republic of Korea
;
Education
;
Health Personnel
;
Humans
;
Longitudinal Studies
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Mental Competency
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Mental Health*
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Prevalence
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Refugees*
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Selection Bias
4.Yeungnam University type drive-through (YU-Thru) coronavirus disease 2019 (COVID-19) screening system: a rapid and safe screening system
Wan Seok SEO ; Seong Ho KIM ; Si Youn SONG ; Jian HUR ; Jun LEE ; Sunho CHOI ; Yoojung LEE ; Dai Seg BAI
Yeungnam University Journal of Medicine 2020;37(4):349-355
Active and prompt scale-up screening tests are essential to efficiently control the coronavirus disease 2019 (COVID-19) outbreak. The goal of this work was to identify shortcomings in the conventional screening system (CSS) implemented in the beginning of the outbreak. To overcome these shortcomings, we then introduced a novel, independently developed system called the Yeungnam University type drive-through (YU-Thru), and distributed it nationwide in Korea. This system is similar to the drive-throughs utilized by fast food restaurants. YU-Thru system has shortened the time taken to test a single person to 2–4 minutes, by completely eliminating the time required to clean and ventilate the specimen collection room. This time requirement was a major drawback of the CSS. YU-Thru system also reduced the risk of subjects and medical staff infecting one another by using a separate and closed examination system. On average, 50 to 60 tests were conducted per day when using the CSS, while now up to 350 tests per day are conducted with the YU-Thru system. We believe that the YU-Thru system has made an important contribution to the rapid detection of COVID-19 in Daegu, South Korea. Here, we will describe the YU-Thru system in detail so that other countries experiencing COVID-19 outbreaks can take advantage of this system.
5.Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective study
Saecheol OH ; Yoojung PARK ; Hana KWOUN ; Eunjin EOM ; Dal-ah KIM
Korean Journal of Anesthesiology 2023;76(1):12-16
Background:
Needle insertion for spinal anesthesia using the Taylor approach is challenging as the L5-S1 space is difficult to locate from the surface anatomy. In this study, we suggest the use of three-dimensional (3D) pelvis computed tomography (CT) to assist anesthesiologists in locating the needle insertion point. By comparing the success rate of 3D pelvis CT-assisted Taylor approach to that of other approaches in the existing literatures, we suggest this technique as an alternative method for subarachnoid block in the L5-S1 space.
Methods:
In this retrospective observational study, we reviewed the records of hip arthroplasty using the 3D pelvis CT-assisted Taylor approach. An imaginary guidance line was created from the intersection point of the midline and intercristal line on the posterior view of the 3D pelvis CT to the ideal skin insertion point for Taylor approach. The primary outcome was the success rate. The secondary outcomes included the angle between the intercristal line and the guidance line, and the length of the guidance line and the distance between the ideal needle insertion point and the L5-S1 space.
Results:
We reviewed the records of the 276 patients who underwent hip arthroplasty using 3D CT-assisted Taylor approach. In this cohort, the 3D CT-assisted Taylor approach in L5-S1 subarachnoid block failed in only 25/276 patients. The success rate of 3D CT-assisted Taylor approach was 90.9%.
Conclusions
A 3D pelvis CT-assisted Taylor approach of spinal anesthesia can be an alternative method for subarachnoid block in the L5-S1 space with an acceptable success rate.
7.Characteristics of Klebsiella pneumoniae Isolates from Stool Samples of Patients with Liver Abscess Caused by Hypervirulent K. pneumoniae
Jong Hun KIM ; Yoojung JEONG ; Chang Kyu LEE ; Sun Bean KIM ; Young Kyung YOON ; Jang Wook SOHN ; Min Ja KIM
Journal of Korean Medical Science 2020;35(2):e18-
BACKGROUND:
Hypervirulent Klebsiella pneumoniae (hvKP) has been the most significant pathogen for liver abscesses in East Asia including the Republic of Korea (ROK). Although gastrointestinal colonization of K. pneumoniae may cross the intestinal barrier to invade the liver, characteristics of gastrointestinal carriage K. pneumoniae of hvKP liver abscess patients in the ROK are not well known.
METHODS:
Characteristics of K. pneumoniae isolated from stool samples and liver aspirate samples of patients with hvKP liver abscess at a tertiary care hospital in the ROK between 2017 and 2018 were evaluated.
RESULTS:
Out of 37 patients with hvKP liver abscess, 11 patients were noted to have K. pneumoniae isolated from stool samples and were enrolled for analysis. The median age was 71 years. For hvKP isolates from the liver aspirate samples, the most common serotype was K1 (72.7%) followed by K2 (27.3%). For K. pneumoniae isolates from the stool sample, the majority was non-K1/K2 serotype (72.7%). Among non-K1/K2 serotype isolates, high variability of sequence type (ST; ST15, ST307, ST37, ST273, ST2622, and ST42) with high rate of presence of extended-spectrum beta-lactamase (100.0%) was noted. The concordance rate of the K. pneumoniae isolates between the liver aspirate samples and the stool samples from the primary hvKP liver abscess was low (27.3%).
CONCLUSION
This study suggests that significant heterogeneity of K. pneumoniae colonizing intestinal tract of the hvKP liver abscess patients. Further studies involving a larger number of hvKP liver abscess patients with continuing surveillance are needed to define the changing epidemiology and the role of gastrointestinal K. pneumoniae in the hvKP liver abscess patients in the ROK.
8.Effect of Lifestyle Modification Using a Smartphone Application on Obesity With Obstructive Sleep Apnea: A Short-term, Randomized Controlled Study.
Sung Woo CHO ; Jee Hye WEE ; Sooyoung YOO ; Eunyoung HEO ; Borim RYU ; Yoojung KIM ; Joong Seek LEE ; Jeong Whun KIM
Clinical and Experimental Otorhinolaryngology 2018;11(3):192-198
OBJECTIVES: To investigate the short-term effects of a lifestyle modification intervention based on a mobile application (app) linked to a hospital electronic medical record (EMR) system on weight reduction and obstructive sleep apnea (OSA). METHODS: We prospectively enrolled adults (aged >20 years) with witnessed snoring or sleep apnea from a sleep clinic. The patients were randomized into the app user (n=24) and control (n=23) groups. The mobile app was designed to collect daily lifestyle data by wearing a wrist activity tracker and reporting dietary intake. A summary of the lifestyle data was displayed on the hospital EMR and was reviewed. In the control group, the lifestyle modification was performed as per usual practice. All participants underwent peripheral arterial tonometry (WatchPAT) and body mass index (BMI) measurements at baseline and after 4 weeks of follow-up. RESULTS: Age and BMI did not differ significantly between the two groups. While we observed a significant decrease in the BMI of both groups, the decrease was greater in the app user group (P < 0.001). Apnea-hypopnea index, respiratory distress index, and oxygenation distress index did not change significantly in both groups. However, the proportion of sleep spent snoring at >45 dB was significantly improved in the app user group alone (P =0.014). In either group, among the participants with successful weight reduction, the apnea-hypopnea index was significantly reduced after 4 weeks (P =0.015). Multiple regression analyses showed that a reduction in the apnea-hypopnea index was significantly associated with BMI. CONCLUSION: Although a short-term lifestyle modification approach using a mobile app was more effective in achieving weight reduction, improvement in OSA was not so significant. Long-term efficacy of this mobile app should be evaluated in the future studies.
Adult
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Body Mass Index
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Electronic Health Records
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Follow-Up Studies
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Humans
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Life Style*
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Manometry
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Mobile Applications
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Obesity*
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Oxygen
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Prospective Studies
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Sleep Apnea Syndromes
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Sleep Apnea, Obstructive*
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Smartphone*
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Snoring
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Weight Loss
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Wrist
9.E-cigarette-associated Severe Pneumonia in Korea Using Data Linkage between the Korea National Health and Nutrition Examination Survey (KNHANES, 2013–2019) and the National Health Insurance Service (NHIS) Claims Database
Hye Seon KANG ; Jae Yeol KIM ; Hye Jung PARK ; Jae-Woo JUNG ; Hye Sook CHOI ; Jong Sook PARK ; Joo Hun PARK ; Sang Haak LEE ; Eun Mi CHUN ; Yoojung CHO ; Eunhee RHEE ; Beom Seuk HWANG ; On behalf of the Korean Smoking Cessation Study Group
Journal of Korean Medical Science 2021;36(48):e331-
Background:
This study aimed to investigate the association between e-cigarette (EC) use and development of acute severe pneumonia in the Korean population using a national database.
Methods:
We conducted a retrospective analysis using linkage of data between the Korean National Health and Nutrition Examination Survey (KNHANES) and the National Health Insurance Service (NHIS) administrative claims database. The primary endpoint of this study was development of severe pneumonia requiring hospital admission according to EC use during the study period. The secondary endpoints were in-hospital mortality, intensive care unit (ICU) admission, ventilator care, and days of hospital stay.
Results:
The final analysis included 28,950 individuals, of which 578 (2.0%) were EC users.EC users were younger and more often male than non-EC users. The EC users showed higher level of education and household income and had fewer comorbidities. Severe pneumonia was noted in 37 of 28,372 non-EC users (0.13%), but there were no occurrences of severe pneumonia in EC users. The incidence of pneumonia occurrence was not different between the two groups (P = 1.000).
Conclusions
Since e-cigarette or vaping use-associated lung injury (EVALI) is most likely included in acute severe pneumonia occurring within 3 months of EC use, it is considered that there might be no EVALI patients in Korea during the investigation period. A large-scale, prospective study is necessary to evaluate the association between EC use and acute lung injury.