1.Core domains for pre-registered nurses based on program outcomes and licensing competencies
Soyoung YU ; Hye Young KIM ; Jeung-Im KIM ; JuHee LEE ; Ju-Eun SONG ; Hyang Yuol LEE
Journal of Korean Academy of Nursing 2025;55(2):249-268
		                        		
		                        			 Purpose:
		                        			This study aimed to identify core domains for pre-registered nurses by comparing licensing competencies with program outcomes (POs) in undergraduate nursing education. This was accomplished in preparation for the transition of the Korean Nurse Licensing Examination (KNLE) from a tradition seven-subject format to a newly integrated, competency-based single-subject format that reflects current trends in nursing assessment. 
		                        		
		                        			Methods:
		                        			A literature review and survey were conducted. From 828 studies retrieved via PubMed, CINAHL, and Google Scholar using keywords such as “newly graduated registered nurses” and “competency OR competence,” 18 were selected according to pre-established inclusion and exclusion criteria. Documents from national and international nursing organizations were included to extract relevant licensing competencies. We also reviewed POs from all undergraduate nursing schools in South Korea to align educational outcomes with the identified core domains. 
		                        		
		                        			Results:
		                        			The core domains identified were clinical performance and decision-making, professional attitudes and ethics, communication and interpersonal skills, leadership and teamwork, quality improvement and safety, health promotion and prevention, and information technology and digital health. These domains showed strong alignment with POs under the fourth-cycle accreditation standards. 
		                        		
		                        			Conclusion
		                        			It concludes the seven core domains will be appropriate for evaluating pre-registered nurses in the integrated KNLE. Based on the seven identified core domains, expert consensus should be sought in the next phase to support the development of integrated, competency-based test items grounded in these domains. 
		                        		
		                        		
		                        		
		                        	
2.Dental Treatments under General Anesthesia at the Pediatric Dentistry of Pusan National University Dental Hospital from 2014 to 2023
Yuri JEONG ; Jonghyun SHIN ; Soyoung PARK ; Taesung JEONG ; Eungyung LEE
Journal of Korean Academy of Pediatric Dentistry 2025;52(1):35-45
		                        		
		                        			
		                        			 This study analyzed dental treatments under general anesthesia at the Department of Pediatric Dentistry of Pusan National University Dental Hospital from 2014 to 2023. The study results indicated an increased use of general anesthesia, primarily for younger patients, highlighting the increasing need for specialized healthcare professionals in pediatric dentistry. The study population predominantly consisted of male patients and those residing in Gyeongsangnam-do province. The most common treatment for dental caries was restorative, followed by surgical procedures and orthodontic interventions. The number of surgical procedures abruptly increased after 2020. However, pulp treatments and restorations using stainless steel or zirconia crowns decreased over time, with increased resin restorations. Individuals with disabilities more frequently undergo repeat dental procedures under general anesthesia, indicating potential barriers to access for this population. This study emphasizes the need for comprehensive and equitable dental care for all individuals, particularly those with disabilities. Future research should focus on expanding the scope of the analysis to include multiple institutions and exploring long-term outcomes of patients receiving dental treatment under general anesthesia to inform policy development and best practices in pediatric dentistry. 
		                        		
		                        		
		                        		
		                        	
3.Maxillo-mandibular Transverse Relationship of Primary Second Molar and Permanent First Molar of Children in Mixed Dentition: A Cone-Beam Computed Tomography Analysis
Suhae KIM ; Eungyung LEE ; Soyoung PARK ; Taesung JEONG ; Jonghyun SHIN
Journal of Korean Academy of Pediatric Dentistry 2025;52(1):61-75
		                        		
		                        			
		                        			 This study examined the transverse relationship between the maxilla and mandible in children with mixed dentition. The study focused on the primary second molar and the permanent first molar in relation to the anteroposterior skeletal patterns using cone-beam computed tomography (CBCT). A total of 102 patients from the Pediatric Dentistry Department at Pusan Dental Hospital were classified into three skeletal groups (Class I, Ⅱ, Ⅲ) based on the ANB angle (angle formed by A-point-nasion-B-point). CBCT scans were analyzed to assess the transverse dimensions of basal bone and dento-alveolar measurements. The results showed that Class Ⅲ patients exhibited a significantly narrower maxillary basal bone compared with Class I and Ⅱ patients. The mandibular basal width was not significantly different between the classes. For primary second molars, Class Ⅲ patients showed significantly narrower maxillary alveolar bone width at the root bifurcation level (51.7 ± 2.5 mm, p < 0.05) compared with Class I and II patients. For permanent first molars, the maxillary occlusal fossa distance was smallest in Class II (45.4 ± 2.4 mm, p < 0.05), and was significantly different from Class I and Class Ⅲ. Maxillary first molar inclination was more lingually inclined in Class Ⅱ patients (99.0 ± 4.2°, p < 0.05) compared with Class Ⅲ patients, whereas Class Ⅲ patients exhibited more buccal inclination. This study highlights the correlation between transverse discrepancies and anteroposterior skeletal classifications, with Class Ⅲ showing a narrower maxillary base and Class Ⅱ patients presenting greater lingual compensation. These findings may aid pediatric dentists in diagnosing transverse relationships in mixed dentition. 
		                        		
		                        		
		                        		
		                        	
4.Anatomical and Dentoalveolar Features of Maxillary First Premolar Abnormal Eruption in Mixed Dentition
Bumjoon LEE ; Eungyung LEE ; Jonghyun SHIN ; Taesung JEONG ; Soyoung PARK
Journal of Korean Academy of Pediatric Dentistry 2025;52(2):169-180
		                        		
		                        			
		                        			 This study aims to analyze anatomical and structural changes related to abnormal eruption of the maxillary first premolar in children, focusing on the correlation between maxillary sinus pneumatization volume and positional shifts in the premolar and canine. Twenty-nine children, with Hellman dental age IIIA, exhibiting unilateral abnormal eruption of the maxillary first premolar, were selected. Maxillary sinus morphology and the positions of tooth buds were assessed through CBCT images, and 3D-scanned diagnostic models were used to evaluate the upper arch form. The affected and control sides were compared in terms of sinus pneumatization and the positions of the first premolar and canine tooth buds. Maxillary sinus pneumatization on the affected side was significantly increased (p = 0.0202), while no significant difference was found in the total sinus volume (p = 0.9694). On the affected side, the apex of the first premolar was positioned more anteriorly (p = 0.0029) and more palatally (p = 0.0011) than that on the unaffected side. Additionally, the apex of the canine was positioned more posteriorly on the affected side compared to that on the unaffected side (p = 0.0039). Model analysis revealed that the anteroposterior total arch length on the affected side was longer than that on the control side (p < 0.0001), while the transverse width did not show any statistically significant difference. These findings suggest a potential relationship between maxillary sinus pneumatization and the abnormal eruption path of the first premolar, as well as possible effects on the eruption of canines. 
		                        		
		                        		
		                        		
		                        	
5.Ultrasound Findings Suggestive of Malignancy in Thyroid Nodules Classified as Follicular Lesion of Undetermined Significance or Follicular Neoplasm based on the 2017 Bethesda System for Reporting Thyroid Cytopathology
Heui Jin JUNG ; Na Lae EUN ; Eun Ju SON ; Jeong-Ah KIM ; Ji Hyun YOUK ; Hye Sun LEE ; Soyoung JEON
Journal of the Korean Society of Radiology 2025;86(1):114-126
		                        		
		                        			 Purpose:
		                        			To identify US findings suggestive of malignancy in thyroid nodules with follicular lesions of undetermined significance (FLUS) or follicular neoplasm (FN) on fine-needle aspiration cytology (FNAC) and evaluate the diagnostic performance. 
		                        		
		                        			Materials and Methods:
		                        			Seventy FLUS (n = 57) or FN (n = 13) nodules on FNAC that underwent surgical excision between February 2018 and November 2020 were selected. US findings were retrospectively reviewed. Orientation, margin, echogenicity, calcification, additional findings of the rim, echogenicity, heterogeneity of the solid portion, and the ratio of anterior posterior diameter to lateral diameter (criteria) were assessed. The diagnostic performances of US findings, criteria, and the Korean Society of Thyroid Radiology Thyroid Imaging Reporting and Data System (K-TIRADS) were evaluated using logistic regression analysis. 
		                        		
		                        			Results:
		                        			Microcalcification, homogeneous solid echotexture, and thickened rims were suggestive of malignancy. Our criteria showed a highest area under the ROC curve (AUC) value of 0.771, sensitivity of 97.14%, accuracy of 77.14%, positive predictive value of 93.33%, negative predictive value of 95.24%, and specificity of 97.14%. The criteria showed a significantly higher AUC value than K-TIRADS. 
		                        		
		                        			Conclusion
		                        			US findings of homogenous solid portions, thick rims, and microcalcifications suggested malignancy in nodules with FLUS or FN on FNAC. These additional US findings could improve the diagnostic performance of K-TIRADS. 
		                        		
		                        		
		                        		
		                        	
6.Core domains for pre-registered nurses based on program outcomes and licensing competencies
Soyoung YU ; Hye Young KIM ; Jeung-Im KIM ; JuHee LEE ; Ju-Eun SONG ; Hyang Yuol LEE
Journal of Korean Academy of Nursing 2025;55(2):249-268
		                        		
		                        			 Purpose:
		                        			This study aimed to identify core domains for pre-registered nurses by comparing licensing competencies with program outcomes (POs) in undergraduate nursing education. This was accomplished in preparation for the transition of the Korean Nurse Licensing Examination (KNLE) from a tradition seven-subject format to a newly integrated, competency-based single-subject format that reflects current trends in nursing assessment. 
		                        		
		                        			Methods:
		                        			A literature review and survey were conducted. From 828 studies retrieved via PubMed, CINAHL, and Google Scholar using keywords such as “newly graduated registered nurses” and “competency OR competence,” 18 were selected according to pre-established inclusion and exclusion criteria. Documents from national and international nursing organizations were included to extract relevant licensing competencies. We also reviewed POs from all undergraduate nursing schools in South Korea to align educational outcomes with the identified core domains. 
		                        		
		                        			Results:
		                        			The core domains identified were clinical performance and decision-making, professional attitudes and ethics, communication and interpersonal skills, leadership and teamwork, quality improvement and safety, health promotion and prevention, and information technology and digital health. These domains showed strong alignment with POs under the fourth-cycle accreditation standards. 
		                        		
		                        			Conclusion
		                        			It concludes the seven core domains will be appropriate for evaluating pre-registered nurses in the integrated KNLE. Based on the seven identified core domains, expert consensus should be sought in the next phase to support the development of integrated, competency-based test items grounded in these domains. 
		                        		
		                        		
		                        		
		                        	
7.Core domains for pre-registered nurses based on program outcomes and licensing competencies
Soyoung YU ; Hye Young KIM ; Jeung-Im KIM ; JuHee LEE ; Ju-Eun SONG ; Hyang Yuol LEE
Journal of Korean Academy of Nursing 2025;55(2):249-268
		                        		
		                        			 Purpose:
		                        			This study aimed to identify core domains for pre-registered nurses by comparing licensing competencies with program outcomes (POs) in undergraduate nursing education. This was accomplished in preparation for the transition of the Korean Nurse Licensing Examination (KNLE) from a tradition seven-subject format to a newly integrated, competency-based single-subject format that reflects current trends in nursing assessment. 
		                        		
		                        			Methods:
		                        			A literature review and survey were conducted. From 828 studies retrieved via PubMed, CINAHL, and Google Scholar using keywords such as “newly graduated registered nurses” and “competency OR competence,” 18 were selected according to pre-established inclusion and exclusion criteria. Documents from national and international nursing organizations were included to extract relevant licensing competencies. We also reviewed POs from all undergraduate nursing schools in South Korea to align educational outcomes with the identified core domains. 
		                        		
		                        			Results:
		                        			The core domains identified were clinical performance and decision-making, professional attitudes and ethics, communication and interpersonal skills, leadership and teamwork, quality improvement and safety, health promotion and prevention, and information technology and digital health. These domains showed strong alignment with POs under the fourth-cycle accreditation standards. 
		                        		
		                        			Conclusion
		                        			It concludes the seven core domains will be appropriate for evaluating pre-registered nurses in the integrated KNLE. Based on the seven identified core domains, expert consensus should be sought in the next phase to support the development of integrated, competency-based test items grounded in these domains. 
		                        		
		                        		
		                        		
		                        	
8.Dental Treatments under General Anesthesia at the Pediatric Dentistry of Pusan National University Dental Hospital from 2014 to 2023
Yuri JEONG ; Jonghyun SHIN ; Soyoung PARK ; Taesung JEONG ; Eungyung LEE
Journal of Korean Academy of Pediatric Dentistry 2025;52(1):35-45
		                        		
		                        			
		                        			 This study analyzed dental treatments under general anesthesia at the Department of Pediatric Dentistry of Pusan National University Dental Hospital from 2014 to 2023. The study results indicated an increased use of general anesthesia, primarily for younger patients, highlighting the increasing need for specialized healthcare professionals in pediatric dentistry. The study population predominantly consisted of male patients and those residing in Gyeongsangnam-do province. The most common treatment for dental caries was restorative, followed by surgical procedures and orthodontic interventions. The number of surgical procedures abruptly increased after 2020. However, pulp treatments and restorations using stainless steel or zirconia crowns decreased over time, with increased resin restorations. Individuals with disabilities more frequently undergo repeat dental procedures under general anesthesia, indicating potential barriers to access for this population. This study emphasizes the need for comprehensive and equitable dental care for all individuals, particularly those with disabilities. Future research should focus on expanding the scope of the analysis to include multiple institutions and exploring long-term outcomes of patients receiving dental treatment under general anesthesia to inform policy development and best practices in pediatric dentistry. 
		                        		
		                        		
		                        		
		                        	
9.Maxillo-mandibular Transverse Relationship of Primary Second Molar and Permanent First Molar of Children in Mixed Dentition: A Cone-Beam Computed Tomography Analysis
Suhae KIM ; Eungyung LEE ; Soyoung PARK ; Taesung JEONG ; Jonghyun SHIN
Journal of Korean Academy of Pediatric Dentistry 2025;52(1):61-75
		                        		
		                        			
		                        			 This study examined the transverse relationship between the maxilla and mandible in children with mixed dentition. The study focused on the primary second molar and the permanent first molar in relation to the anteroposterior skeletal patterns using cone-beam computed tomography (CBCT). A total of 102 patients from the Pediatric Dentistry Department at Pusan Dental Hospital were classified into three skeletal groups (Class I, Ⅱ, Ⅲ) based on the ANB angle (angle formed by A-point-nasion-B-point). CBCT scans were analyzed to assess the transverse dimensions of basal bone and dento-alveolar measurements. The results showed that Class Ⅲ patients exhibited a significantly narrower maxillary basal bone compared with Class I and Ⅱ patients. The mandibular basal width was not significantly different between the classes. For primary second molars, Class Ⅲ patients showed significantly narrower maxillary alveolar bone width at the root bifurcation level (51.7 ± 2.5 mm, p < 0.05) compared with Class I and II patients. For permanent first molars, the maxillary occlusal fossa distance was smallest in Class II (45.4 ± 2.4 mm, p < 0.05), and was significantly different from Class I and Class Ⅲ. Maxillary first molar inclination was more lingually inclined in Class Ⅱ patients (99.0 ± 4.2°, p < 0.05) compared with Class Ⅲ patients, whereas Class Ⅲ patients exhibited more buccal inclination. This study highlights the correlation between transverse discrepancies and anteroposterior skeletal classifications, with Class Ⅲ showing a narrower maxillary base and Class Ⅱ patients presenting greater lingual compensation. These findings may aid pediatric dentists in diagnosing transverse relationships in mixed dentition. 
		                        		
		                        		
		                        		
		                        	
10.Anatomical and Dentoalveolar Features of Maxillary First Premolar Abnormal Eruption in Mixed Dentition
Bumjoon LEE ; Eungyung LEE ; Jonghyun SHIN ; Taesung JEONG ; Soyoung PARK
Journal of Korean Academy of Pediatric Dentistry 2025;52(2):169-180
		                        		
		                        			
		                        			 This study aims to analyze anatomical and structural changes related to abnormal eruption of the maxillary first premolar in children, focusing on the correlation between maxillary sinus pneumatization volume and positional shifts in the premolar and canine. Twenty-nine children, with Hellman dental age IIIA, exhibiting unilateral abnormal eruption of the maxillary first premolar, were selected. Maxillary sinus morphology and the positions of tooth buds were assessed through CBCT images, and 3D-scanned diagnostic models were used to evaluate the upper arch form. The affected and control sides were compared in terms of sinus pneumatization and the positions of the first premolar and canine tooth buds. Maxillary sinus pneumatization on the affected side was significantly increased (p = 0.0202), while no significant difference was found in the total sinus volume (p = 0.9694). On the affected side, the apex of the first premolar was positioned more anteriorly (p = 0.0029) and more palatally (p = 0.0011) than that on the unaffected side. Additionally, the apex of the canine was positioned more posteriorly on the affected side compared to that on the unaffected side (p = 0.0039). Model analysis revealed that the anteroposterior total arch length on the affected side was longer than that on the control side (p < 0.0001), while the transverse width did not show any statistically significant difference. These findings suggest a potential relationship between maxillary sinus pneumatization and the abnormal eruption path of the first premolar, as well as possible effects on the eruption of canines. 
		                        		
		                        		
		                        		
		                        	
            
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