1.Activatable PROTAC nanoassembly for photodynamic PTP1B proteolysis enhances glioblastoma immunotherapy.
Yeongji JANG ; Jiwoong CHOI ; Byeongmin PARK ; Jung Yeon PARK ; Jae-Hyeon LEE ; Jagyeong GOO ; Dongwon SHIN ; Sun Hwa KIM ; Yongju KIM ; Hyun Kyu SONG ; Jooho PARK ; Kwangmeyung KIM ; Yoosoo YANG ; Man Kyu SHIM
Acta Pharmaceutica Sinica B 2025;15(9):4886-4899
In light of the burgeoning successes of cancer immunotherapy, glioblastoma (GBM) remains refractory due to an immunosuppressive microenvironment originating from its molecular heterogeneity. Thus, identifying promising therapeutic targets for treating GBM and discovering methodologies to effectively regulate them is still a tremendous challenge. Here we describe photodynamic protein tyrosine phosphatase 1B (PTP1B) proteolysis mediated by a proteolysis-targeting chimera (PROTAC) nanoassembly. The PTP1B-targeting PROTAC is conjugated with a photosensitizer via a cathepsin B (Cat B)-cleavable peptide, which spontaneously forms nanoassemblies due to intermolecular π-π stacking interactions. In GBM models, PROTAC nanoassemblies significantly accumulate in the tumor region across the disrupted blood-brain barrier (BBB), triggering a burst release of the photosensitizer and active PROTAC by Cat B-mediated enzymatic cleavage. Upon laser irradiation, photodynamic therapy (PDT) synergizes with PROTAC-mediated PTP1B proteolysis to induce potent immunogenic cell death (ICD) in tumor cells. Subsequently, persistent PTP1B degradation by nanoassemblies in Cat B-overexpressed intratumoral T cells downregulates exhaustion markers, reinvigorating their functionality. These sequential processes of photodynamic PTP1B proteolysis ultimately augment T cell-mediated antitumor immunity as well as protective immunity, completely eradicating the primary GBM and preventing its recurrence. Overall, our findings underscore the therapeutic potential of combining PDT with PROTAC activity for GBM immunotherapy.
2.Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
Journal of Korean Academy of Fundamental Nursing 2024;31(4):494-505
Purpose:
This study investigated the impacts of disease perception, stigma, distress, and physical symptom experience on the quality of life of colorectal cancer patients receiving chemotherapy.
Methods:
A descriptive study was conducted on 127 colorectal cancer patients receiving chemotherapy from June 2023 to November 2023. The collected data were analyzed using the t-test, analysis of variance, Pearson correlation coefficients, and hierarchical regression analysis in SPSS 26.
Results:
The participants' occupation (β=.14, p=.002), religion (β=.11, p=.018), disease perception (β=-.24, p<.001), stigma (β=-.12, p=.028), distress (β=-.44, p<.001), and physical symptom experience (β=-.16, p=.004) were significant factors influencing the quality of life of colorectal cancer patients receiving chemotherapy, and the explanatory power of the model was found to be 78%.
Conclusion
The results of this study suggest the need to prepare various intervention strategies to comprehensively manage disease perception, stigma, distress, and physical symptom experiences in colorectal cancer patients receiving chemotherapy, thereby improving their quality of life.
3.Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
Journal of Korean Academy of Fundamental Nursing 2024;31(4):494-505
Purpose:
This study investigated the impacts of disease perception, stigma, distress, and physical symptom experience on the quality of life of colorectal cancer patients receiving chemotherapy.
Methods:
A descriptive study was conducted on 127 colorectal cancer patients receiving chemotherapy from June 2023 to November 2023. The collected data were analyzed using the t-test, analysis of variance, Pearson correlation coefficients, and hierarchical regression analysis in SPSS 26.
Results:
The participants' occupation (β=.14, p=.002), religion (β=.11, p=.018), disease perception (β=-.24, p<.001), stigma (β=-.12, p=.028), distress (β=-.44, p<.001), and physical symptom experience (β=-.16, p=.004) were significant factors influencing the quality of life of colorectal cancer patients receiving chemotherapy, and the explanatory power of the model was found to be 78%.
Conclusion
The results of this study suggest the need to prepare various intervention strategies to comprehensively manage disease perception, stigma, distress, and physical symptom experiences in colorectal cancer patients receiving chemotherapy, thereby improving their quality of life.
4.Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
Journal of Korean Academy of Fundamental Nursing 2024;31(4):494-505
Purpose:
This study investigated the impacts of disease perception, stigma, distress, and physical symptom experience on the quality of life of colorectal cancer patients receiving chemotherapy.
Methods:
A descriptive study was conducted on 127 colorectal cancer patients receiving chemotherapy from June 2023 to November 2023. The collected data were analyzed using the t-test, analysis of variance, Pearson correlation coefficients, and hierarchical regression analysis in SPSS 26.
Results:
The participants' occupation (β=.14, p=.002), religion (β=.11, p=.018), disease perception (β=-.24, p<.001), stigma (β=-.12, p=.028), distress (β=-.44, p<.001), and physical symptom experience (β=-.16, p=.004) were significant factors influencing the quality of life of colorectal cancer patients receiving chemotherapy, and the explanatory power of the model was found to be 78%.
Conclusion
The results of this study suggest the need to prepare various intervention strategies to comprehensively manage disease perception, stigma, distress, and physical symptom experiences in colorectal cancer patients receiving chemotherapy, thereby improving their quality of life.
5.Effects of an EMR Education Program on Nursing Information Literacy, Self-Directed Learning, Problem-Solving Ability, and Practice Satisfaction of Undergraduate Nursing Students
Journal of Korean Academy of Fundamental Nursing 2024;31(1):123-134
Purpose:
This study implemented an electronic medical record (EMR) training program for nursing students and aimed to confirm its effectiveness.
Methods:
A non-equivalent control group pretest-posttest design was used. The participants were 42 sophomore nursing students enrolled in a fundamental nursing course (experimental group: n=21, control group n=21). The EMR training program consisted of 6 sessions, taught over 5 weeks. Data were collected between April 23 and July 14, 2023, and were analyzed using the x2 test, Fisher exact test, t-test, paired t-test, Wilcoxon signed-rank test, and Mann-Whitney U test with SPSS for Windows version 24.0.
Results:
Significant differences were shown between the experimental and control groups regarding self-directed learning ability (t=2.22, p=.032), problem-solving ability (t=2.34, p=.026), practice satisfaction (U=136.00, p=.016) and EMR competency (U=101.50, p=.001).
Conclusion
The EMR training program effectively improved nursing students’ self-directed learning ability, problem-solving ability, practice satisfaction, and EMR competency. Therefore, developing and applying EMR-related content can enhance nursing student’s awareness of EMR systems is recommended.
6.The Operational Status and Suggestion of Fundamentals of Nursing Practice in the Early Stage of COVID-19
YunHee SHIN ; Youngshin SONG ; Soohyun PARK ; Jin-Hee PARK ; Sehyun LIM ; Hyojung PARK ; Jiyeon HONG ; Ji-Su KIM ; Sun-Ae KIM ; Jongsoon WON ; Seung-Kyo CHAUNG ; Dongwon CHOI
Journal of Korean Academy of Fundamental Nursing 2022;29(4):495-505
Purpose:
The purpose of this study is to understand the actual status of fundamentals of nursing practice (FNP) education at nursing colleges, and the difficulties of FNP operation in the early stages of the COVID-19.
Methods:
This study used a descriptive design. Data collection was conducted from December 9, 2020 to January 31, 2021 using the self-report questionnaire method for a total of 95 nursing colleges. The questionnaire consisted of characteristics related to FNP, changes in FNP education, difficulties in operating FNP, and countermeasures in the COVID-19 situation.
Results:
Changes in FNP due to COVID-19 were distribution of practice places, reduction of the number of students, short-term intensive classes, and reduction of face-to-face practice. Most colleges conducted FNP face-to-face, but some schools showed that FNP was conducted non-face-to-face. The difficulties of operating FNP that instructors experienced induced concerns about a decrease in student competency due to lack of face-to-face practice and an unofficial increase in the number of teaching hours and physical demands on instructors due to the expansion of the division.
Conclusion
In order to develop the capabilities of nursing students in other pandemic situations in the future, it is necessary to find systematic coping strategy to reduce the burden of FNP instructors, and to develop non-face-to-face online practice contents and consumables for online practice.
7.Influence of the Risk for Post-Traumatic Stress Disorder, Social Stigma and Social Support on Quality of Life of COVID-19 Survivors
Journal of Korean Academy of Fundamental Nursing 2022;29(4):484-494
Purpose:
The purpose of this study was to analyze the influence of risk for post-traumatic stress disorder (PTSD risk), social stigma, and social support on the quality of life of COVID-19 survivors.
Methods:
Data were collected from 180 survivors who were discharged from hospital for COVID-19 from September 1 to December 31, 2021. Structured questionnaires were used to assess variables. Collected data were analyzed using SPSS/WIN 27.0, with independent t-test, one way analysis of variance, Pearson’s correlation, and hierarchial multiple regression.
Results:
Subjects' quality of life was correlated with PTSD risk (r=-.52, p<.001), social stigma (r=-.16, p=.029), and social support (r=.26, p=.001). The Factors influencing the quality of life were gender (β=.26, p=.001), occupation (β=-.24, p=.001), PTSD risk (β=-.48, p<.001), social support (β=.19, p=.004), and explanatory power were approximately 37% (F=14.03, p<.001).
Conclusion
This study found that PTSD risk in COVID-19 survivors lowered their quality of life, and social support increased their quality of life. Therefore, it is necessary to develop various intervention programs to improve the quality of life of COVID-19 survivors by reducing PTSD risk and provide a social support system.
8.A Survey on Undergraduate Nursing Students Safety during Fundamentals of Nursing Practicum
Seung-Kyo CHAUNG ; Yun Hee SHIN ; Youngmi KANG ; Dongwon CHOI ; Hye Sun JEONG ; Youngshin SONG ; Hyun-Ju KIM ; Ji-Su KIM ; Kyeong-Yae SOHNG ; Hyoung Sook PARK ; Soohyun PARK
Journal of Korean Academy of Fundamental Nursing 2021;28(3):320-330
Purpose:
This study was done to investigate the experience of physical and emotional safety in nursing students during fundamentals of nursing practicum.
Methods:
A descriptive cross-sectional study was conducted from March to September 2019. A total of 553 nursing students, who had completed fundamental nursing laboratories, participated in this study. Data were collected using self-report questionnaires which included questions about general characteristics, physical and emotional safety during fundamental nursing laboratories along with an informed consent given prior to the practicum.
Results:
Of the students, 26 experienced physical safety accidents, and 18 reported emotional safety accidents. Students' mean stress score for physical safety was 1.95, and the mean score for emotional safety was 1.92. Of the students, more than 59.1% agreed to volunteer as practice models in certain nursing procedures’ training. Of the students, 55.8% were satisfied with using their bodies to train fundamental nursing skills. 61.8% of students reported that informed consent was obtained during the nursing laboratory, and 88.6% of students thought that informed consent needs to be obtained.
Conclusion
To prevent safety accidents during the fundamentals of nursing practicum and systematically manage accidents, standardized safety guidelines for nursing practicum should be developed. Establishing various training strategies using advanced models or simulators to increase education efficiency and satisfaction is necessary.
9.Critical Review III to Standardize the Textbooks of Fundamentals of Nursing: Nutrition, Urinary and Bowel Elimination Needs
Sun-Mi YU ; Dongwon CHOI ; Hye Sun JEONG ; Kyeong-Yae SOHNG
Journal of Korean Academy of Fundamental Nursing 2021;28(1):105-120
Purpose:
To identify the discrepancies in the textbook of fundamentals of nursing in nutrition and elimination needs in terms of number, range, definition and etc.
Methods:
The 10 textbooks which are the most frequently used were selected and reviewed. After then compared it with the protocols of essential nursing skills of Korean Accreditation Board of Nursing Education and evidence-based clinical nursing practice guidelines of Korean Hospital Nurses’ Association.
Results:
The most significant discrepancies in nutrition domain were criteria of obesity, confirmation of nasogastric tube placement. In elimination domain, there were several mixed or miss uses of French and number unit in catheter size. And appropriate catheter size for urinary catheterization and enema is different to books and guidelines.
Conclusion
In order to conduct an effective resource in education of nursing, textbooks need to be revised constantly and contain the recent researches and guidelines.
10.A Case Report for Myopericarditis after BNT162b2 COVID-19 mRNA Vaccination in a Korean Young Male
Dongwon KIM ; Jun Hyung CHOI ; Jun Young JANG ; Ouiyeon SO ; EunJeong CHO ; Hyunhee CHOI ; Kyung Soon HONG ; Kyu Tae PARK
Journal of Korean Medical Science 2021;36(39):e277-
Mass vaccination with the Pfizer-BioNTech coronavirus disease 2019 (COVID-19) vaccine (BNT162b2) in Korea has resulted in many reported adverse effects. These side effects are the object of much scrutiny in the medical community. We report the case of a 29-year-old male who was diagnosed with myopericarditis after his second dose of Pfizer-BioNTech COVID-19 vaccine. This patient is the second recognized case of Pfizer-BioNTech COVID-19 vaccine induced myopericarditis in Korea and the first to have recovered from it. He originally presented with chest discomfort and exertional chest pain. Lab tests revealed elevated cardiac marker levels and echocardiographic findings displayed minimal pericardial effusion, prompting diagnosis as myopericarditis. We decided on two weeks of outpatient treatment with non-steroidal anti-inflammatory drugs (NSAIDs) due to the patient's mild symptoms and his occupation in the military. When this proved insufficient, we shifted to combination therapy with low dose corticosteroids and NSAIDs. After two weeks of treatment, the patient's symptoms and pericardial effusion had improved, and he was recovered completely 37 days after the onset.

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