1.Comparison of the Characteristics Between Readmitted and Non-Readmitted Elderly Heart Failure Patients: A Study on Outpatients at a University Hospital
Journal of Korean Clinical Nursing Research 2025;31(1):15-23
Purpose:
This study aimed to establish a basis for minimizing readmission of patients with heart failure by comparing their demographic, clinical, psychosocial, and behavioral characteristics based on the presence or absence of readmission.
Methods:
This retrospective descriptive study included 160 elderly patients with heart failure aged 60 years and older, who regularly visited the cardiovascular outpatient clinic in K hospital in Daegu.Data were collected from April to December 2021 using self-report questionnaires including the Lubben Social Network Scale, the Scale of Positive and Negative Experience, and European Heart Failure Self-care Behaviour 9-Item Tools, which were translated in the Korean context. IBM SPSS Statistics 25 was used for analysis, and descriptive statistics, χ2 test, Fisher’s exact test, t-test, and logistic regression analysis were conducted.
Results:
The factors that significantly affected the readmission of elderly patients with heart failure were social network and the type of medications taken. The total explanatory power of the regression model was 22.7%. Social network (OR=0.93, p=.037) and the type of medication taken were 4~5 (OR=4.80, p=.014) and more than 6 medications (OR=7.84, p=.037) had a significant impact on readmission.
Conclusion
Social network was the most influential factor for readmission. Further studies are needed to minimize readmission by analyzing additional factors that show significant differences.
2.Childhood Diarrheal Diseases in North Korea: A Narrative Review on Research Topics and Treatments
Taehoon KIM ; Jieun JEON ; Hyungsoon AHN ; Jin Soo MOON
Journal of Korean Medical Science 2025;40(19):e70-
Background:
Diarrheal disease accounts for a large proportion of childhood deaths in North Korea, however, information regarding its management in North Korean clinical settings is limited. The absence of a reliable diarrheal disease database hinders efforts to determine priorities for support.
Methods:
Articles published in three major North Korean medical journals between 2012 and 2019 were analyzed to determine the clinical aspects of diagnosing and treating diarrhea. A total of 43 articles were identified during the screening process. Original articles and case reports focusing on the clinical features of diarrheal disease in the pediatric population were included.
Results:
The clinical features and markers of several types of diarrheal diseases, including infectious diarrhea (20.9%) and diarrhea due to indigestion or malabsorption (18.6%), were assessed. Healthcare providers used multiple treatment modalities, including rehydration solutions, antibiotics, probiotics, and vitamin supplementation. Therapeutic trials on North Korean Oriental medicine were also conducted in more than half of the studies (55.8%).
Conclusion
This review provides insights into understanding the types of diarrhea and unmet needs in clinical settings in North Korea. Follow-up studies are required to interpret the situation in detail.
3.Comparison of the Characteristics Between Readmitted and Non-Readmitted Elderly Heart Failure Patients: A Study on Outpatients at a University Hospital
Journal of Korean Clinical Nursing Research 2025;31(1):15-23
Purpose:
This study aimed to establish a basis for minimizing readmission of patients with heart failure by comparing their demographic, clinical, psychosocial, and behavioral characteristics based on the presence or absence of readmission.
Methods:
This retrospective descriptive study included 160 elderly patients with heart failure aged 60 years and older, who regularly visited the cardiovascular outpatient clinic in K hospital in Daegu.Data were collected from April to December 2021 using self-report questionnaires including the Lubben Social Network Scale, the Scale of Positive and Negative Experience, and European Heart Failure Self-care Behaviour 9-Item Tools, which were translated in the Korean context. IBM SPSS Statistics 25 was used for analysis, and descriptive statistics, χ2 test, Fisher’s exact test, t-test, and logistic regression analysis were conducted.
Results:
The factors that significantly affected the readmission of elderly patients with heart failure were social network and the type of medications taken. The total explanatory power of the regression model was 22.7%. Social network (OR=0.93, p=.037) and the type of medication taken were 4~5 (OR=4.80, p=.014) and more than 6 medications (OR=7.84, p=.037) had a significant impact on readmission.
Conclusion
Social network was the most influential factor for readmission. Further studies are needed to minimize readmission by analyzing additional factors that show significant differences.
4.Childhood Diarrheal Diseases in North Korea: A Narrative Review on Research Topics and Treatments
Taehoon KIM ; Jieun JEON ; Hyungsoon AHN ; Jin Soo MOON
Journal of Korean Medical Science 2025;40(19):e70-
Background:
Diarrheal disease accounts for a large proportion of childhood deaths in North Korea, however, information regarding its management in North Korean clinical settings is limited. The absence of a reliable diarrheal disease database hinders efforts to determine priorities for support.
Methods:
Articles published in three major North Korean medical journals between 2012 and 2019 were analyzed to determine the clinical aspects of diagnosing and treating diarrhea. A total of 43 articles were identified during the screening process. Original articles and case reports focusing on the clinical features of diarrheal disease in the pediatric population were included.
Results:
The clinical features and markers of several types of diarrheal diseases, including infectious diarrhea (20.9%) and diarrhea due to indigestion or malabsorption (18.6%), were assessed. Healthcare providers used multiple treatment modalities, including rehydration solutions, antibiotics, probiotics, and vitamin supplementation. Therapeutic trials on North Korean Oriental medicine were also conducted in more than half of the studies (55.8%).
Conclusion
This review provides insights into understanding the types of diarrhea and unmet needs in clinical settings in North Korea. Follow-up studies are required to interpret the situation in detail.
5.Comparison of the Characteristics Between Readmitted and Non-Readmitted Elderly Heart Failure Patients: A Study on Outpatients at a University Hospital
Journal of Korean Clinical Nursing Research 2025;31(1):15-23
Purpose:
This study aimed to establish a basis for minimizing readmission of patients with heart failure by comparing their demographic, clinical, psychosocial, and behavioral characteristics based on the presence or absence of readmission.
Methods:
This retrospective descriptive study included 160 elderly patients with heart failure aged 60 years and older, who regularly visited the cardiovascular outpatient clinic in K hospital in Daegu.Data were collected from April to December 2021 using self-report questionnaires including the Lubben Social Network Scale, the Scale of Positive and Negative Experience, and European Heart Failure Self-care Behaviour 9-Item Tools, which were translated in the Korean context. IBM SPSS Statistics 25 was used for analysis, and descriptive statistics, χ2 test, Fisher’s exact test, t-test, and logistic regression analysis were conducted.
Results:
The factors that significantly affected the readmission of elderly patients with heart failure were social network and the type of medications taken. The total explanatory power of the regression model was 22.7%. Social network (OR=0.93, p=.037) and the type of medication taken were 4~5 (OR=4.80, p=.014) and more than 6 medications (OR=7.84, p=.037) had a significant impact on readmission.
Conclusion
Social network was the most influential factor for readmission. Further studies are needed to minimize readmission by analyzing additional factors that show significant differences.
6.Childhood Diarrheal Diseases in North Korea: A Narrative Review on Research Topics and Treatments
Taehoon KIM ; Jieun JEON ; Hyungsoon AHN ; Jin Soo MOON
Journal of Korean Medical Science 2025;40(19):e70-
Background:
Diarrheal disease accounts for a large proportion of childhood deaths in North Korea, however, information regarding its management in North Korean clinical settings is limited. The absence of a reliable diarrheal disease database hinders efforts to determine priorities for support.
Methods:
Articles published in three major North Korean medical journals between 2012 and 2019 were analyzed to determine the clinical aspects of diagnosing and treating diarrhea. A total of 43 articles were identified during the screening process. Original articles and case reports focusing on the clinical features of diarrheal disease in the pediatric population were included.
Results:
The clinical features and markers of several types of diarrheal diseases, including infectious diarrhea (20.9%) and diarrhea due to indigestion or malabsorption (18.6%), were assessed. Healthcare providers used multiple treatment modalities, including rehydration solutions, antibiotics, probiotics, and vitamin supplementation. Therapeutic trials on North Korean Oriental medicine were also conducted in more than half of the studies (55.8%).
Conclusion
This review provides insights into understanding the types of diarrhea and unmet needs in clinical settings in North Korea. Follow-up studies are required to interpret the situation in detail.
7.Comparison of the Characteristics Between Readmitted and Non-Readmitted Elderly Heart Failure Patients: A Study on Outpatients at a University Hospital
Journal of Korean Clinical Nursing Research 2025;31(1):15-23
Purpose:
This study aimed to establish a basis for minimizing readmission of patients with heart failure by comparing their demographic, clinical, psychosocial, and behavioral characteristics based on the presence or absence of readmission.
Methods:
This retrospective descriptive study included 160 elderly patients with heart failure aged 60 years and older, who regularly visited the cardiovascular outpatient clinic in K hospital in Daegu.Data were collected from April to December 2021 using self-report questionnaires including the Lubben Social Network Scale, the Scale of Positive and Negative Experience, and European Heart Failure Self-care Behaviour 9-Item Tools, which were translated in the Korean context. IBM SPSS Statistics 25 was used for analysis, and descriptive statistics, χ2 test, Fisher’s exact test, t-test, and logistic regression analysis were conducted.
Results:
The factors that significantly affected the readmission of elderly patients with heart failure were social network and the type of medications taken. The total explanatory power of the regression model was 22.7%. Social network (OR=0.93, p=.037) and the type of medication taken were 4~5 (OR=4.80, p=.014) and more than 6 medications (OR=7.84, p=.037) had a significant impact on readmission.
Conclusion
Social network was the most influential factor for readmission. Further studies are needed to minimize readmission by analyzing additional factors that show significant differences.
8.Childhood Diarrheal Diseases in North Korea: A Narrative Review on Research Topics and Treatments
Taehoon KIM ; Jieun JEON ; Hyungsoon AHN ; Jin Soo MOON
Journal of Korean Medical Science 2025;40(19):e70-
Background:
Diarrheal disease accounts for a large proportion of childhood deaths in North Korea, however, information regarding its management in North Korean clinical settings is limited. The absence of a reliable diarrheal disease database hinders efforts to determine priorities for support.
Methods:
Articles published in three major North Korean medical journals between 2012 and 2019 were analyzed to determine the clinical aspects of diagnosing and treating diarrhea. A total of 43 articles were identified during the screening process. Original articles and case reports focusing on the clinical features of diarrheal disease in the pediatric population were included.
Results:
The clinical features and markers of several types of diarrheal diseases, including infectious diarrhea (20.9%) and diarrhea due to indigestion or malabsorption (18.6%), were assessed. Healthcare providers used multiple treatment modalities, including rehydration solutions, antibiotics, probiotics, and vitamin supplementation. Therapeutic trials on North Korean Oriental medicine were also conducted in more than half of the studies (55.8%).
Conclusion
This review provides insights into understanding the types of diarrhea and unmet needs in clinical settings in North Korea. Follow-up studies are required to interpret the situation in detail.
9.Cohort profile: Multicenter Networks for Ideal Outcomes of Rare Pediatric Endocrine and Metabolic Diseases in Korea (OUTSPREAD study)
Yun Jeong LEE ; Chong Kun CHEON ; Junghwan SUH ; Jung-Eun MOON ; Moon Bae AHN ; Seong Hwan CHANG ; Jieun LEE ; Jin Ho CHOI ; Minsun KIM ; Han Hyuk LIM ; Jaehyun KIM ; Shin-Hye KIM ; Hae Sang LEE ; Yena LEE ; Eungu KANG ; Se Young KIM ; Yong Hee HONG ; Seung YANG ; Heon-Seok HAN ; Sochung CHUNG ; Won Kyoung CHO ; Eun Young KIM ; Jin Kyung KIM ; Kye Shik SHIM ; Eun-Gyong YOO ; Hae Soon KIM ; Aram YANG ; Sejin KIM ; Hyo-Kyoung NAM ; Sung Yoon CHO ; Young Ah LEE
Annals of Pediatric Endocrinology & Metabolism 2024;29(6):349-355
Rare endocrine diseases are complex conditions that require lifelong specialized care due to their chronic nature and associated long-term complications. In Korea, a lack of nationwide data on clinical practice and outcomes has limited progress in patient care. Therefore, the Multicenter Networks for Ideal Outcomes of Pediatric Rare Endocrine and Metabolic Disease (OUTSPREAD) study was initiated. This study involves 30 centers across Korea. The study aims to improve the long-term prognosis of Korean patients with rare endocrine diseases by collecting comprehensive clinical data, biospecimens, and patient-reported outcomes to identify complications and unmet needs in patient care. Patients with childhood-onset pituitary, adrenal, or gonadal disorders, such as craniopharyngioma, congenital adrenal hyperplasia (CAH), and Turner syndrome were prioritized. The planned enrollment is 1,300 patients during the first study phase (2022–2024). Clinical, biochemical, and imaging data from diagnosis, treatment, and follow-up during 1980–2023 were retrospectively reviewed. For patients who agreed to participate in the prospective cohort, clinical data and biospecimens will be prospectively collected to discover ideal biomarkers that predict the effectiveness of disease control measures and prognosis. Patient-reported outcomes, including quality of life and depression scales, will be evaluated to assess psychosocial outcomes. Additionally, a substudy on CAH patients will develop a steroid hormone profiling method using liquid chromatography-tandem mass spectrometry to improve diagnosis and monitoring of treatment outcomes. This study will address unmet clinical needs by discovering ideal biomarkers, introducing evidence-based treatment guidelines, and ultimately improving long-term outcomes in the areas of rare endocrine and metabolic diseases.
10.Characteristics of High-Risk Groups for Suicide in Korea Before and After the COVID-19 Pandemic: K-COMPASS Cohort Study
Jeong Hun YANG ; Dae Hun KANG ; C. Hyung Keun PARK ; Min Ji KIM ; Sang Jin RHEE ; Min-Hyuk KIM ; Jinhee LEE ; Sang Yeol LEE ; Won Sub KANG ; Seong-Jin CHO ; Shin Gyeom KIM ; Se-Hoon SHIM ; Jung-Joon MOON ; Jieun YOO ; Weon-Young LEE ; Yong Min AHN
Journal of Korean Neuropsychiatric Association 2024;63(4):246-259
Objectives:
This study examined the changes in the characteristics of high-risk suicide groups in South Korea before and after the COVID-19 pandemic using the Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior (K-COMPASS) cohort.
Methods:
The K-COMPASS is a longitudinal cohort study that started in 2015. The participants included suicide attempters and individuals with suicidal ideation from various hospitals and mental health centers in South Korea. This study compared the sociodemographic and psychiatric characteristics of 800 participants from the first cohort (2015–2019) with 511 participants from the second and third cohorts (2019–2024). Data were collected through structured interviews and validated scales.
Results:
The second and third cohort participants were younger, had a higher proportion of females, and exhibited more severe psychiatric symptoms and higher suicidal risk than the first cohort. The prevalence of physical illnesses decreased, while the use of psychiatric medications and the severity of mental health issues increased. In addition, significant sociodemographic changes were observed, such as higher educational levels and urban residency.
Conclusion
Significant shifts in the characteristics of high-risk suicide groups were observed during the COVID-19 pandemic, highlighting the need for targeted mental health interventions focusing on younger individuals and females to prevent suicide in high-risk groups.

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