1.Evaluation of Pharmacists’ Intervention Activities in Community Pharmacy
Hyunji KOO ; Jong-Mi SEONG ; Sun-Young JUNG ; Kyeong Hye JEONG
Korean Journal of Clinical Pharmacy 2024;34(1):62-70
Drug-related problems have the potential to threaten patient health, and pharmacists are in a position to prevent such problems through prescription reviews and patient counseling, actively engaging in pharmaceutical care activities. This study aims to categorize and analyze the intervention activities of pharmacists in community pharmacies concerning drug-related problems, following international criteria. Methods: Over a six-month period, prescription interventions completed in a com-munity pharmacy in Seoul were selected as the research subjects. The causes of interventions were classified according to the Pharmaceutical Care Network Europe (PCNE) drug-related problems (DRPs) classification system and the types and frequencies of DRPs were identified. Results: Among a total of 49,334 prescriptions, 527 interventions were completed, constituting approximately 1.07% of the daily average filled prescriptions. Individuals over 60 years of age represented more than 50%. The primary cause of DRPs was prescribing and drug selection issues, comprising 256 cases (48.58%), with specific subcategories including109 cases of drug selection, 79 cases of treatment duration errors, 47 cases of dose selection, and 21 cases of inappropriate dosage form selection. Patient-related issues accounted for 204 cases (38.71%). Conclusion: The study demonstrated that the pharmacists’ intervention in community pharmacies contributes to the safe use of medication by patients.
2.Evaluation of Pharmacists’ Intervention Activities in Community Pharmacy
Hyunji KOO ; Jong-Mi SEONG ; Sun-Young JUNG ; Kyeong Hye JEONG
Korean Journal of Clinical Pharmacy 2024;34(1):62-70
Drug-related problems have the potential to threaten patient health, and pharmacists are in a position to prevent such problems through prescription reviews and patient counseling, actively engaging in pharmaceutical care activities. This study aims to categorize and analyze the intervention activities of pharmacists in community pharmacies concerning drug-related problems, following international criteria. Methods: Over a six-month period, prescription interventions completed in a com-munity pharmacy in Seoul were selected as the research subjects. The causes of interventions were classified according to the Pharmaceutical Care Network Europe (PCNE) drug-related problems (DRPs) classification system and the types and frequencies of DRPs were identified. Results: Among a total of 49,334 prescriptions, 527 interventions were completed, constituting approximately 1.07% of the daily average filled prescriptions. Individuals over 60 years of age represented more than 50%. The primary cause of DRPs was prescribing and drug selection issues, comprising 256 cases (48.58%), with specific subcategories including109 cases of drug selection, 79 cases of treatment duration errors, 47 cases of dose selection, and 21 cases of inappropriate dosage form selection. Patient-related issues accounted for 204 cases (38.71%). Conclusion: The study demonstrated that the pharmacists’ intervention in community pharmacies contributes to the safe use of medication by patients.
3.Gastric Metastasis from Gastric-Type Mucinous Adenocarcinoma of Uterine Cervix: A Case Report
Min Hye KIM ; Kyeong Ah KIM ; Yi Kyeong CHUN ; Jeong Woo KIM ; Jongmee LEE ; Chang Hee LEE
Journal of the Korean Society of Radiology 2024;85(2):445-450
Gastric metastasis (GM) from cervical cancer is extremely rare, and only a few cases have been reported in the English literature. Gastric-type mucinous adenocarcinomas (GAS) of the uterine cervix are rare. GAS is an aggressive cancer commonly found in advanced stages; however, GM has not been reported. This study presents a rare case of GM from GAS of the uterine cervix in a 61-year-old female and describes the radiological findings of both the GM and cervical mucinous adenocarcinoma. GM appeared as a poor enhancing submucosal mass. The cervical mucinous adenocarcinoma appeared as an infiltrating mass with poor contrast enhancement. It exhibited mildly high and low signal intensities on the diffusion-weighted image and apparent diffusion coefficient map, respectively. This case is extremely rare and challenging to diagnose; however, if cervical cancer is an human papillomavirus-independent GAS type and a submucosal lesion is found in the stomach, the possibility of metastasis with a pattern similar to our case could be considered.
4.Papillary Renal Cell Carcinoma in Transplanted Kidney and Xp11.2 Translocation/ Transcription Factor E3-Rearranged Renal Cell Carcinoma in the Native Kidney: A Case Report
Min Hye KIM ; Kyeong Ah KIM ; Jeong Woo KIM ; Seok Young LEE ; Jae Woong CHOI
Journal of the Korean Society of Radiology 2024;85(2):437-444
Concomitant renal cell carcinomas (RCC) of both native and allograft kidneys are extremely rare, and only a few cases have been reported in the available English literature. A particularly rare variant within the adult population is the Xp11.2 translocation/transcription factor E3 (TFE3)-rearranged RCC. Although few case reports of TFE3-rearranged RCC have been reported in children who underwent kidney transplantation (KT), no case of adults with TFE3-rearranged RCC following KT has been reported. Herein, we presented the radiological and pathological findings of a rare metachronous papillary RCC in the allograft kidney and TFE3-rearranged RCC in the native kidney. The TFE3-rearranged RCC in the native kidney exhibited slow expansion in size over five years. Radiologically, it appeared as a slightly enhanced, lobulated mass on contrast-enhanced CT. MRI revealed high signal intensity on T1-weighted images and low signal intensity on T2-weighted images.
5.Experiences of Patients and Their Families Receiving Medical Services Provided by Advanced Practice Nurses at Tertiary General Hospitals
Mi-Kyeong JEON ; Su Jung CHOI ; Ji Eun HAN ; Eun Kyung KWON ; Jeong Hee PARK ; Jeong Hye KIM
Journal of Korean Academy of Nursing 2024;54(4):594-606
Purpose:
This study aimed to understand and describe the experiences of patients and their families who have received medical services from advanced practice nurses in tertiary general hospitals in Korea.
Methods:
Data were collected through four focus group interviews with 20 patients and their families who had received medical services from advanced practice nurses for more than six months at four tertiary hospitals from November 29 to December 28, 2023. Verbatim transcripts were analyzed using qualitative content analysis.
Results:
The four themes extracted from the experiences of patients and their families were as follows: unfamiliar medical personnel encountered during the treatment process, healthcare professionals who exhibited excellence, companions to light my way through the tunnel of illness, and an advanced practice nurse system that must be activated urgently.
Conclusion
The study’s findings indicate that patients and their families view the care provided by advanced practice nurses as excellent, reliable, and holistic. Research suggests that advanced practice nurses are valuable healthcare professionals in team-based care. The findings suggest that hospitals should utilize an advanced practice nurse system to improve patient outcomes and ensure the quality of care.
6.Experiences of Patients and Their Families Receiving Medical Services Provided by Advanced Practice Nurses at Tertiary General Hospitals
Mi-Kyeong JEON ; Su Jung CHOI ; Ji Eun HAN ; Eun Kyung KWON ; Jeong Hee PARK ; Jeong Hye KIM
Journal of Korean Academy of Nursing 2024;54(4):594-606
Purpose:
This study aimed to understand and describe the experiences of patients and their families who have received medical services from advanced practice nurses in tertiary general hospitals in Korea.
Methods:
Data were collected through four focus group interviews with 20 patients and their families who had received medical services from advanced practice nurses for more than six months at four tertiary hospitals from November 29 to December 28, 2023. Verbatim transcripts were analyzed using qualitative content analysis.
Results:
The four themes extracted from the experiences of patients and their families were as follows: unfamiliar medical personnel encountered during the treatment process, healthcare professionals who exhibited excellence, companions to light my way through the tunnel of illness, and an advanced practice nurse system that must be activated urgently.
Conclusion
The study’s findings indicate that patients and their families view the care provided by advanced practice nurses as excellent, reliable, and holistic. Research suggests that advanced practice nurses are valuable healthcare professionals in team-based care. The findings suggest that hospitals should utilize an advanced practice nurse system to improve patient outcomes and ensure the quality of care.
7.Symptom Clusters and Quality of Life in People with Long COVID: A Cross-Sectional Online Survey
Yu Kyeong JEONG ; Hye Young KIM
Journal of Korean Academy of Fundamental Nursing 2024;31(3):326-337
Purpose:
This study examined the prevalence and severity of symptoms and symptom clusters and the relationship between symptom clusters and quality of life (QoL) in people with long COVID.
Methods:
This descriptive study analyzed data from 220 adults with at least one symptom of long COVID for at least 4 weeks through an online survey from August 18 to September 5, 2022.
Results:
The most frequent symptoms of long COVID were fatigue (94.5%), sore throat (89.1%), post-exertional malaise (88.2%), cough (88.2%), and fever (85.5%), and the most severe symptoms were fatigue (6.21±2.31), sore throat (5.78±2.78), cough (5.64±2.84), post-exertional malaise (5.46±2.64), and fever (5.21±2.90). Exploratory factor analysis revealed five distinct symptom clusters: digestivecognitive, respiratory-fatigue, pain-dermatological, sensory, and emotional clusters. The QoL of the highersymptom group was lower than that of the lower-symptom group (t=2.34; p=.020). Furthermore, the symptom clusters experienced by people with long COVID were associated with QoL.
Conclusion
Healthcare providers must recognize symptom clusters and intervene accordingly, and nursing interventions should be developed to effectively care for individuals in these symptom clusters.
8.Symptom Clusters and Quality of Life in People with Long COVID: A Cross-Sectional Online Survey
Yu Kyeong JEONG ; Hye Young KIM
Journal of Korean Academy of Fundamental Nursing 2024;31(3):326-337
Purpose:
This study examined the prevalence and severity of symptoms and symptom clusters and the relationship between symptom clusters and quality of life (QoL) in people with long COVID.
Methods:
This descriptive study analyzed data from 220 adults with at least one symptom of long COVID for at least 4 weeks through an online survey from August 18 to September 5, 2022.
Results:
The most frequent symptoms of long COVID were fatigue (94.5%), sore throat (89.1%), post-exertional malaise (88.2%), cough (88.2%), and fever (85.5%), and the most severe symptoms were fatigue (6.21±2.31), sore throat (5.78±2.78), cough (5.64±2.84), post-exertional malaise (5.46±2.64), and fever (5.21±2.90). Exploratory factor analysis revealed five distinct symptom clusters: digestivecognitive, respiratory-fatigue, pain-dermatological, sensory, and emotional clusters. The QoL of the highersymptom group was lower than that of the lower-symptom group (t=2.34; p=.020). Furthermore, the symptom clusters experienced by people with long COVID were associated with QoL.
Conclusion
Healthcare providers must recognize symptom clusters and intervene accordingly, and nursing interventions should be developed to effectively care for individuals in these symptom clusters.
9.Experiences of Patients and Their Families Receiving Medical Services Provided by Advanced Practice Nurses at Tertiary General Hospitals
Mi-Kyeong JEON ; Su Jung CHOI ; Ji Eun HAN ; Eun Kyung KWON ; Jeong Hee PARK ; Jeong Hye KIM
Journal of Korean Academy of Nursing 2024;54(4):594-606
Purpose:
This study aimed to understand and describe the experiences of patients and their families who have received medical services from advanced practice nurses in tertiary general hospitals in Korea.
Methods:
Data were collected through four focus group interviews with 20 patients and their families who had received medical services from advanced practice nurses for more than six months at four tertiary hospitals from November 29 to December 28, 2023. Verbatim transcripts were analyzed using qualitative content analysis.
Results:
The four themes extracted from the experiences of patients and their families were as follows: unfamiliar medical personnel encountered during the treatment process, healthcare professionals who exhibited excellence, companions to light my way through the tunnel of illness, and an advanced practice nurse system that must be activated urgently.
Conclusion
The study’s findings indicate that patients and their families view the care provided by advanced practice nurses as excellent, reliable, and holistic. Research suggests that advanced practice nurses are valuable healthcare professionals in team-based care. The findings suggest that hospitals should utilize an advanced practice nurse system to improve patient outcomes and ensure the quality of care.
10.Gastric Metastasis from Gastric-Type Mucinous Adenocarcinoma of Uterine Cervix: A Case Report
Min Hye KIM ; Kyeong Ah KIM ; Yi Kyeong CHUN ; Jeong Woo KIM ; Jongmee LEE ; Chang Hee LEE
Journal of the Korean Society of Radiology 2024;85(2):445-450
Gastric metastasis (GM) from cervical cancer is extremely rare, and only a few cases have been reported in the English literature. Gastric-type mucinous adenocarcinomas (GAS) of the uterine cervix are rare. GAS is an aggressive cancer commonly found in advanced stages; however, GM has not been reported. This study presents a rare case of GM from GAS of the uterine cervix in a 61-year-old female and describes the radiological findings of both the GM and cervical mucinous adenocarcinoma. GM appeared as a poor enhancing submucosal mass. The cervical mucinous adenocarcinoma appeared as an infiltrating mass with poor contrast enhancement. It exhibited mildly high and low signal intensities on the diffusion-weighted image and apparent diffusion coefficient map, respectively. This case is extremely rare and challenging to diagnose; however, if cervical cancer is an human papillomavirus-independent GAS type and a submucosal lesion is found in the stomach, the possibility of metastasis with a pattern similar to our case could be considered.

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