Background: Primary cutaneous CD30+ lymphoproliferative disorders (pcCD30-LPDs) are a diseases with various clinical and prognostic characteristics. Objective: Increasing our knowledge of the clinical characteristics of pcCD30-LPDs and identifying potential prognostic variables in an Asian population. Methods: Clinicopathological features and survival data of pcCD30-LPD cases obtained from 22 hospitals in South Korea were examined. Results: A total of 413 cases of pcCD30-LPDs (lymphomatoid papulosis [LYP], n=237; primary cutaneous anaplastic large cell lymphoma [C-ALCL], n=176) were included. Ninety percent of LYP patients and roughly 50% of C-ALCL patients presented with multiple skin lesions. Both LYP and C-ALCL affected the lower limbs most frequently. Multiplicity and advanced T stage of LYP lesions were associated with a chronic course longer than 6 months. Clinical morphology with patch lesions and elevated serum lactate dehydrogenase were significantly associated with LPDs during follow-up in LYP patients. Extracutaneous involvement of C-ALCL occurred in 13.2% of patients. Lesions larger than 5 cm and increased serum lactate dehydrogenase were associated with a poor prognosis in C-ALCL. The survival of patients with C-ALCL was unaffected by the anatomical locations of skin lesions or other pathological factors. Conclusion The multiplicity or size of skin lesions was associated with a chronic course of LYP and survival among patients with C-ALCL.

Background: Atopic dermatitis (AD) is a common skin disease with a wide range of symptoms. Due to the rapidly changing treatment landscape, regular updates to clinical guidelines are needed. Objective: This study aimed to update the guidelines for the treatment of AD to reflect recent therapeutic advances and evidence-based recommendations. Methods: The Patient characteristics, type of Intervention, Control, and Outcome framework was used to determine 48 questions related to AD management. Evidence was graded, recommendations were determined, and, after 2 voting rounds among the Korean Atopic Dermatitis Association (KADA) council members, consensus was achieved. Results: This guideline provides treatment guidance on advanced systemic treatment modalities for AD. In particular, the guideline offers up-to-date treatment recommendations for biologics and Janus-kinase inhibitors used in the treatment of patients with moderate to severe AD.It also provides guidance on other therapies for AD, along with tailored recommendations for children, adolescents, the elderly, and pregnant or breastfeeding women. Conclusion KADA’s updated AD treatment guidelines incorporate the latest evidence and expert opinion to provide a comprehensive approach to AD treatment. The guidelines will help clinicians optimize patient-specific therapies.

Background: Atopic dermatitis (AD) is a common skin disease with a wide range of symptoms. Due to the rapidly changing treatment landscape, regular updates to clinical guidelines are needed. Objective: This study aimed to update the guidelines for the treatment of AD to reflect recent therapeutic advances and evidence-based practices. Methods: The Patient characteristics, type of Intervention, Control, and Outcome framework was used to determine 48 questions related to AD management. Evidence was graded, recommendations were determined, and, after 2 voting rounds among the Korean Atopic Dermatitis Association (KADA) council members, consensus was achieved. Results: The guidelines provide detailed recommendations on foundational therapies, including the use of moisturizers, cleansing and bathing practices, allergen avoidance, and patient education. Guidance on topical therapies, such as topical corticosteroids and calcineurin inhibitors, is also provided to help manage inflammation and maintain skin barrier function in patients with AD. Additionally, recommendations on conventional systemic therapies, including corticosteroids, cyclosporine, and methotrexate, are provided for managing moderate to severe AD. Conclusion KADA’s updated AD guidelines offer clinicians evidence-based strategies focused on basic therapies, topical therapies, and conventional systemic therapies, equipping them to enhance quality of care and improve patient outcomes in AD management.

Background: In 2006, the Korean Atopic Dermatitis Association (KADA) working group released the diagnostic criteria for Korean atopic dermatitis (AD). Recently, more simplified, and practical AD diagnostic criteria have been proposed. Objective: Based on updated criteria and experience, we studied to develop and share a consensus on diagnostic criteria for AD in Koreans. Materials and Methods: For the diagnostic criteria, a questionnaire was constructed by searching the English-language literature in MEDLINE and the Cochrane Database of Systematic Reviews. A modified Delphi method composed of 3 rounds of email questionnaires was adopted for the consensus process. Fifty-four KADA council members participated in the 3 rounds of votes and expert consensus recommendations were established. Results: Diagnostic criteria for AD include pruritus, eczema with age-specific pattern, and chronic or relapsing history. Diagnostic aids for AD encompass xerosis, immunoglobulin E reactivity, hand–foot eczema, periorbital changes, periauricular changes, perioral changes, nipple eczema, perifollicular accentuation, and personal or family history of atopy. Conclusion This study streamlined and updated the diagnostic criteria for AD in Korea, making them more practicable for use in real-world clinical field.

Purpose: This study aimed to explore customer perspectives of nursing services in tertiary hospitals. Methods: The data comprised mobile Voice Of Customer (VOC) data related to “nursing” or “nurses” generated from June 25, 2019, to December 31, 2022, in a tertiary hospital. A total of 44,727 VOC data points were collected, of which 4,040 were selected for the final analysis. Text network analysis and topic modeling were conducted using NetMiner 4.5.1. Results: Topic modeling identified five topics for positive aspects and four topics for areas requiring improvement.The positive aspects were: 1) sincere nursing care; 2) rapid response from professional medical staff; 3) teamwork for delivering customer-centric services; 4) provision and coordination of system-based healthcare services; and 5) customer-focused responsiveness. The areas requiring improvement were: 1) demand for skilled nursing care tailored to customer expectations; 2) demand for enhanced communication and reduced mechanical responses; 3) demand for appropriate handling of diverse situations; and 4) demand for overall improvements to the healthcare system, including reservation systems. Conclusion These results may be used to enhance customer and patient experiences in tertiary hospitals and are necessary for utilization from a hospital management perspective.

Purpose: This study aimed to explore customer perspectives of nursing services in tertiary hospitals. Methods: The data comprised mobile Voice Of Customer (VOC) data related to “nursing” or “nurses” generated from June 25, 2019, to December 31, 2022, in a tertiary hospital. A total of 44,727 VOC data points were collected, of which 4,040 were selected for the final analysis. Text network analysis and topic modeling were conducted using NetMiner 4.5.1. Results: Topic modeling identified five topics for positive aspects and four topics for areas requiring improvement.The positive aspects were: 1) sincere nursing care; 2) rapid response from professional medical staff; 3) teamwork for delivering customer-centric services; 4) provision and coordination of system-based healthcare services; and 5) customer-focused responsiveness. The areas requiring improvement were: 1) demand for skilled nursing care tailored to customer expectations; 2) demand for enhanced communication and reduced mechanical responses; 3) demand for appropriate handling of diverse situations; and 4) demand for overall improvements to the healthcare system, including reservation systems. Conclusion These results may be used to enhance customer and patient experiences in tertiary hospitals and are necessary for utilization from a hospital management perspective.

Purpose: As women in middle age undergo the menopausal transition, they may encounter alterations in sexual function concomitantly with physical and emotional manifestations. The present research investigated the relationships between menopausal symptoms, depression, marital intimacy, and sexual function. Additionally, it aimed to identify the mediating influences of depression and marital intimacy in the relationship between menopausal symptoms and sexual function in naturally post-menopausal women with hypertension. Methods: The study included post-menopausal women aged between 45 and 60 years with hypertension who were not undergoing hormone replacement therapy. A total of 308 post-menopausal women were recruited from three provinces in Korea. Path analysis was conducted by AMOS employing maximum likelihood estimation and bootstrapping with 2000 samples. Results: The theoretical pathway model demonstrated strong alignment with empirical findings obtained from a cohort of postmenopausal women. The association between menopausal symptoms and sexual function was mediated by depression and marital intimacy. Ultimately, menopausal symptoms, depression, and marital intimacy collectively explained 64% of the overall variance in sexual function. Conclusion This study highlights the importance of individualized interventions targeting sexual health in middle-aged women with hypertension undergoing menopause. Counseling and intervention programs focused on alleviating menopausal symptoms and improving sexual function should be integrated into clinical practice. Furthermore, a multidimensional approach is needed to address the various factors influencing sexual function in postmenopausal women.

Purpose: As women in middle age undergo the menopausal transition, they may encounter alterations in sexual function concomitantly with physical and emotional manifestations. The present research investigated the relationships between menopausal symptoms, depression, marital intimacy, and sexual function. Additionally, it aimed to identify the mediating influences of depression and marital intimacy in the relationship between menopausal symptoms and sexual function in naturally post-menopausal women with hypertension. Methods: The study included post-menopausal women aged between 45 and 60 years with hypertension who were not undergoing hormone replacement therapy. A total of 308 post-menopausal women were recruited from three provinces in Korea. Path analysis was conducted by AMOS employing maximum likelihood estimation and bootstrapping with 2000 samples. Results: The theoretical pathway model demonstrated strong alignment with empirical findings obtained from a cohort of postmenopausal women. The association between menopausal symptoms and sexual function was mediated by depression and marital intimacy. Ultimately, menopausal symptoms, depression, and marital intimacy collectively explained 64% of the overall variance in sexual function. Conclusion This study highlights the importance of individualized interventions targeting sexual health in middle-aged women with hypertension undergoing menopause. Counseling and intervention programs focused on alleviating menopausal symptoms and improving sexual function should be integrated into clinical practice. Furthermore, a multidimensional approach is needed to address the various factors influencing sexual function in postmenopausal women.

Purpose: This study aimed to explore customer perspectives of nursing services in tertiary hospitals. Methods: The data comprised mobile Voice Of Customer (VOC) data related to “nursing” or “nurses” generated from June 25, 2019, to December 31, 2022, in a tertiary hospital. A total of 44,727 VOC data points were collected, of which 4,040 were selected for the final analysis. Text network analysis and topic modeling were conducted using NetMiner 4.5.1. Results: Topic modeling identified five topics for positive aspects and four topics for areas requiring improvement.The positive aspects were: 1) sincere nursing care; 2) rapid response from professional medical staff; 3) teamwork for delivering customer-centric services; 4) provision and coordination of system-based healthcare services; and 5) customer-focused responsiveness. The areas requiring improvement were: 1) demand for skilled nursing care tailored to customer expectations; 2) demand for enhanced communication and reduced mechanical responses; 3) demand for appropriate handling of diverse situations; and 4) demand for overall improvements to the healthcare system, including reservation systems. Conclusion These results may be used to enhance customer and patient experiences in tertiary hospitals and are necessary for utilization from a hospital management perspective.

Purpose: As women in middle age undergo the menopausal transition, they may encounter alterations in sexual function concomitantly with physical and emotional manifestations. The present research investigated the relationships between menopausal symptoms, depression, marital intimacy, and sexual function. Additionally, it aimed to identify the mediating influences of depression and marital intimacy in the relationship between menopausal symptoms and sexual function in naturally post-menopausal women with hypertension. Methods: The study included post-menopausal women aged between 45 and 60 years with hypertension who were not undergoing hormone replacement therapy. A total of 308 post-menopausal women were recruited from three provinces in Korea. Path analysis was conducted by AMOS employing maximum likelihood estimation and bootstrapping with 2000 samples. Results: The theoretical pathway model demonstrated strong alignment with empirical findings obtained from a cohort of postmenopausal women. The association between menopausal symptoms and sexual function was mediated by depression and marital intimacy. Ultimately, menopausal symptoms, depression, and marital intimacy collectively explained 64% of the overall variance in sexual function. Conclusion This study highlights the importance of individualized interventions targeting sexual health in middle-aged women with hypertension undergoing menopause. Counseling and intervention programs focused on alleviating menopausal symptoms and improving sexual function should be integrated into clinical practice. Furthermore, a multidimensional approach is needed to address the various factors influencing sexual function in postmenopausal women.