This study aimed to identify the educational needs of people with type 2 diabetes according to risk perceptions and the level of severity of complications.

Purpose: The aim of this study was to identify core keywords and topic groups in the ‘Gestational diabetes mellitus (GDM) and Breastfeeding’ field of research for better understanding research trends in the past 20 years. Methods: This was a text-mining and topic modeling study composed of four steps: 1) collecting abstracts, 2) extracting and cleaning semantic morphemes, 3) building a co-occurrence matrix, and 4) analyzing network features and clustering topic groups. Results: A total of 635 papers published between 2001 and 2020 were found in databases (Web of Science, CINAHL, RISS, DBPIA, RISS, KISS). Among them, 3,639 words extracted from 366 articles selected according to the conditions were analyzed by text network analysis and topic modeling. The most important keywords were 'exposure', ‘fetus’, ‘hypoglycemia’, 'prevention' and 'program'. Six topic groups were identified through topic modeling. The main topics of the study were ‘cardiovascular disease' and 'obesity'. Through the topic modeling analysis, six themes were derived: ‘cardiovascular disease’, ‘obesity’, ‘complication prevention strategy’, ‘support of breastfeeding’, ‘educational program’ and ‘management of GDM’. Conclusion This study showed that over the past 20 years many studies have been conducted on complications such as cardiovascular diseases and obesity related to gestational diabetes and breastfeeding. In order to prevent complications of gestational diabetes and promote breastfeeding, various nursing interventions, including gestational diabetes management and educational programs for GDM pregnancies, should be developed in nursing fields.

Purpose: The aim of this study was to identify core keywords and topic groups in the ‘Gestational diabetes mellitus (GDM) and Breastfeeding’ field of research for better understanding research trends in the past 20 years. Methods: This was a text-mining and topic modeling study composed of four steps: 1) collecting abstracts, 2) extracting and cleaning semantic morphemes, 3) building a co-occurrence matrix, and 4) analyzing network features and clustering topic groups. Results: A total of 635 papers published between 2001 and 2020 were found in databases (Web of Science, CINAHL, RISS, DBPIA, RISS, KISS). Among them, 3,639 words extracted from 366 articles selected according to the conditions were analyzed by text network analysis and topic modeling. The most important keywords were 'exposure', ‘fetus’, ‘hypoglycemia’, 'prevention' and 'program'. Six topic groups were identified through topic modeling. The main topics of the study were ‘cardiovascular disease' and 'obesity'. Through the topic modeling analysis, six themes were derived: ‘cardiovascular disease’, ‘obesity’, ‘complication prevention strategy’, ‘support of breastfeeding’, ‘educational program’ and ‘management of GDM’. Conclusion This study showed that over the past 20 years many studies have been conducted on complications such as cardiovascular diseases and obesity related to gestational diabetes and breastfeeding. In order to prevent complications of gestational diabetes and promote breastfeeding, various nursing interventions, including gestational diabetes management and educational programs for GDM pregnancies, should be developed in nursing fields.

PURPOSE: This study aimed to identify the influence of nurses' resilience and anger expression styles on their nursing work performance in emergency departments. METHODS: The study included 107 nurses from 5 hospitals in Seoul and Gyeonggi-do who consented to participate. Data ware collected from March to April 2016. Multiple regression analysis was used to identify factors influencing nurses' performance. RESULTS: Nurses' performance was higher when resilience was high and anger expression was low. The result of the multiple regression indicated that present working years in the emergency room, work satisfaction, anger expression, anger control, and resilience predicted 39.4%(F=7.27, p < .001) of the nursing performance of hospital nurses in emergency departments. The most powerful predictor was resilience (β=.45, p < .001), followed by anger-out (β=−.25, p=.006). CONCLUSION: This study showed that the most influential variables of work performance in emergency nurses ware resilience and anger expression. To enhance the nursing performance of hospital nurses in emergency departments, it is necessary to develop and implement mentorship programs that enhance resilience and educational programs that help them manage their anger.
Anger ; Emergencies ; Emergency Service, Hospital ; Gyeonggi-do ; Humans ; Job Satisfaction ; Mentors ; Nursing ; Seoul ; Work Performance

Purpose: This study aimed to investigate the knowledge of gestational diabetes mellitus (GDM) and thehealth beliefs about GDM management, as well as to investigate the effects of these factors on breastfeedingintention in Bangladesh. Methods: This study involved a cross-sectional survey of 358 healthy pregnant women who visitedantenatal clinics in Bangladesh. Results: Perceived susceptibility, perceived benefit, and self-efficacy were identified as significant factorsfor breastfeeding intention (p < .05). Participants had a poor understanding and a lack of knowledge ofGDM, which can lead to inadequate health behavior. Health beliefs were significantly associated withparticipants’ breastfeeding intention related to GDM. Conclusion Antenatal education for breastfeeding in GDM mothers should focus on providing accurateinformation on GDM and strengthening their health beliefs such as self-efficacy within the context of themothers’ culture.

PURPOSE: This study aimed to identify the influence of nurses' resilience and anger expression styles on their nursing work performance in emergency departments. METHODS: The study included 107 nurses from 5 hospitals in Seoul and Gyeonggi-do who consented to participate. Data ware collected from March to April 2016. Multiple regression analysis was used to identify factors influencing nurses' performance. RESULTS: Nurses' performance was higher when resilience was high and anger expression was low. The result of the multiple regression indicated that present working years in the emergency room, work satisfaction, anger expression, anger control, and resilience predicted 39.4%(F=7.27, p < .001) of the nursing performance of hospital nurses in emergency departments. The most powerful predictor was resilience (β=.45, p < .001), followed by anger-out (β=−.25, p=.006). CONCLUSION This study showed that the most influential variables of work performance in emergency nurses ware resilience and anger expression. To enhance the nursing performance of hospital nurses in emergency departments, it is necessary to develop and implement mentorship programs that enhance resilience and educational programs that help them manage their anger.

PURPOSE: This study was aimed to identify research trends related to complementary and alternative therapy (CAT) in Korea. METHODS: Data were collected from 2000 to 2018 articles in Korean database (KISS, RISS and DBPIA). 295 semantic morphemes were extracted from 123 articles by network analysis program. Co-occurrence matrixes of the morphemes were generated by weighting Jaccard-coefficient and then we did network analysis and visualization. RESULTS: Common morphemes with high centralities were ‘Complementary and alternative medicine (CAM)’, ‘CAT’, ‘Aged’, ‘Diet therapy’, ‘Herbal medicine’, ‘Acupuncture’, and ‘Oriental medicine’. Since 2000, studies on complementary and alternative therapies have been actively involved in biological and manipulative therapies, and it has been found that the main target of CAT is the elderly. CONCLUSION: Despite much attention of complementary alternative therapies, the scientific basis is insufficient. Through this study, we could find research trends in complementary alternative therapies and set the direction of future research. It is necessary to expand research on complementary replacement therapy for various diseases and age groups.
Aged ; Animals ; Cats ; Complementary Therapies ; Humans ; Integrative Medicine ; Korea* ; Musculoskeletal Manipulations ; Semantics

Purpose: This study aimed to investigate the knowledge of gestational diabetes mellitus (GDM) and thehealth beliefs about GDM management, as well as to investigate the effects of these factors on breastfeedingintention in Bangladesh. Methods: This study involved a cross-sectional survey of 358 healthy pregnant women who visitedantenatal clinics in Bangladesh. Results: Perceived susceptibility, perceived benefit, and self-efficacy were identified as significant factorsfor breastfeeding intention (p < .05). Participants had a poor understanding and a lack of knowledge ofGDM, which can lead to inadequate health behavior. Health beliefs were significantly associated withparticipants’ breastfeeding intention related to GDM. Conclusion Antenatal education for breastfeeding in GDM mothers should focus on providing accurateinformation on GDM and strengthening their health beliefs such as self-efficacy within the context of themothers’ culture.

OBJECTIVES: The aim of this study was to develop and validate Detailed Clinical Models (DCMs) for nursing assessments and interventions. METHODS: First, we identified the nursing assessment and nursing intervention entities. Second, we identified the attributes and the attribute values in order to describe the entities in more detail. The data type and optionality of the attributes were then defined. Third, the entities, attributes and value sets in the DCMs were mapped to the International Classification for Nursing Practice Version 2 concepts. Finally, the DCMs were validated by domain experts and applied to case reports. RESULTS: In total 481 DCMs, 429 DCMs for nursing assessments and 52 DCMs for nursing interventions, were developed and validated. The DCMs developed in this study were found to be sufficiently comprehensive in representing the clinical concepts of nursing assessments and interventions. CONCLUSIONS: The DCMs developed in this study can be used in electronic nursing records. These DCMs can be used to ensure the semantic interoperability of the nursing information documented in electronic nursing records.
Concept Formation ; Dietary Sucrose ; Electronics ; Electrons ; Nursing Assessment ; Nursing Process ; Nursing Records ; Semantics

BACKGROUND: JL1 is a novel antigen that has been reported to be expressed exclusively in immature CD4 CD8 double positive T-cells in the thymic cortex. Thymomas are often infiltrated with lymphocytes that are mostly immature T-cells. METHODS: We evaluated 67 cases of surgically resected thymomas and reviewed their histological, surgical, and clinical findings. Representative sections were immunostained using anti-JL1 monoclonal antibody and the immunostaining score was evaluated in each case. RESULTS: JL1 was strongly positive in immature T cells infiltrated in various subtypes of thymomas. The mean value of the immunostaining score was 0 for type A, 0.24 for the A areas of type AB, 2.71 for the B areas of type AB, 3 for type B1, 1.87 for type B2, 0.67 for type B3, and 0.13 for type C. The immunostaining score correlated with the histological subtypes according to the WHO classification, and stages according to the modified Masaoka system. CONCLUSION: JL1 was specifically detected in immature thymocytes in thymomas. Therefore, JL1 immunostaining can be useful for subtyping thymomas. JL1 can also serve as an adjunctive marker to diagnose thymomas in small biopsy specimens.
Biopsy