• Child Health Nursing Research
• /
• v.29 no.3
• /
• pp.218-228
• /
• 2023

Purpose: This study aimed to identify clinical characteristics of South Korean pediatric inflammatory bowel disease (IBD) in a children's hospital over the past 5 years, with a specific focus on comparing the features observed between Crohn's disease (CD) and ulcerative colitis (UC). Additionally, it aimed to examine the nursing diagnoses given to patients. Methods: This retrospective study analyzed the medical records of Korean pediatric patients under 18 years of age who were diagnosed with IBD and hospitalized at a children's hospital in Seoul, South Korea, from January 2017 to December 2021. Results: The number of pediatric patients diagnosed with IBD steadily increased. This finding was particularly prominent for CD patients, the majority of whom were male. Pediatric patients with CD had significantly higher rates of abdominal pain and perianal lesions, while pediatric patients with UC had a higher rate of bloody stool. Laboratory findings indicated that CD patients had higher levels of inflammatory markers and lower albumin levels than UC patients. The nursing diagnoses given during hospitalization mostly related to safety and protection, physical comfort, and gastrointestinal function. Conclusion: This study provides insights into Korean pediatric IBD patients, enabling early detection and the development of nursing intervention strategies. From a comprehensive perspective, nursing care should not only address patients' physical needs but also their psychosocial needs.

• Journal of Wellbeing Management and Applied Psychology
• /
• v.6 no.4
• /
• pp.63-68
• /
• 2023

Purpose: This study aims to investigate the national obligation of public health support for residents in medically vulnerable areas in Korea, and to propose a suitable model for public health institutions in this region. Research design, data, and methodology: A survey targeting residents was conducted from August 10 to August 17, 2021, with a sample size of 177 general citizens. The survey utilized a structured questionnaire administered online through Google, employing convenience random sampling. After an editing process to ensure data accuracy, the final dataset of 174 valid samples underwent encoding, coding, and cleaning using the IBM SPSS Statistics 22.0 program for analysis. Results: Health status revealed a moderate level, and 63.8% reported having chronic diseases, particularly prevalent among the elderly. External healthcare institutions were commonly utilized, with proximity and competence of doctors being primary reasons. Respondents expressed a need for improving the public health and medical system, emphasizing the establishment of a County Health Centre and expanding medical departments. Conclusions: In this region, the region's unique challenges, including education, employment, population decline, aging, and transportation, require multidimensional efforts and urgent intervention by public entities. Long-term strategies involve considering the establishment of a health and medical institute, adjusting health centre resources to local realities, and fostering a cooperative system for collaboration among residents and institutions.

• Journal of muscle and joint health
• /
• v.30 no.3
• /
• pp.218-229
• /
• 2023

Purpose: This study aimed to assess and compare the effectiveness of various fall prevention interventions in hospitals through a network meta-analysis. Methods: A network meta-analysis was conducted using the "netmeta" package in R software (v4.1), employing a frequency method. Odds ratios of fall rates and injurious fall rates were utilized to confirm the effects of interventions for fall prevention. Comparative rankings of these interventions were determined using cumulative probability (P-score). Results: Comparative rankings via cumulative probability (P-scores) revealed individualized education as the most effective intervention for fall incidence (P-Score 87.8%). Followed by fall-preventing sensors (60.9%), multicomponent interventions (47.4%), usual care (33.2%), and environmental modification (20.7%). For fall-related injuries, individualized education ranked highest (P-Score 97.1%), followed by multicomponent interventions (76.0%), usual care (47.6%), environmental modification (24.2%), and fall-preventing sensors (5.1%). Conclusion: This study provides valuable insights into the relative effectiveness of diverse interventions in preventing fall incidence through network meta-analysis. The findings aim to support nurses in making informed decisions when implementing fall prevention strategies in clinical practice.

• Journal of muscle and joint health
• /
• v.30 no.3
• /
• pp.189-196
• /
• 2023

Purpose: This study sought to identify factors affecting the health-related quality of life (HINT-8) of female seniors aged 65 years or older living alone after the COVID-19 pandemic. Methods: Raw data from the eighth third year (2021) National Health and Nutrition Examination Survey was used, and the total number of subjects was 379. Data analysis was performed using SPSS 22.0 program, employing complex sample frequency and percentages, t-tests, analyses of variance, and regression analyses, while a post-hoc test (Bonferroni correction) was performed to determine differences in health-related quality of life. Results: The results of the study showed that the study subjects' health-related quality of life differed significantly depending on activity restrictions, number of walking days, age at menopause, perceived stress, depression, generalized anxiety disorder, and subjective health. Most of the influencing factors were emotional factors such as perceived stress level, generalized anxiety disorder, and subjective health status carrying an explanatory power of 46%. Conclusion: The results of this study can be used as basic data to establish intervention strategies based on factors that affect the health-related quality of life for female seniors living alone.

• Journal of East-West Nursing Research
• /
• v.29 no.2
• /
• pp.117-128
• /
• 2023

Purpose: This study aims to develop a structural model for predicting motherhood in women with her first infant child and to contribute to the development of practical and specific nursing interventions to promote successful motherhood. Methods: The subjects of the study were 211 mothers and fathers who had their first child within 12 months and consented to the study. Data collected from June 2, 2022 to January 31, 2023 were analyzed using SPSS 28.0 and AMOS 26.0 programs. Results: The results of this analysis showed that maternal and paternal factors (postpartum depression and paternal attachment) and infantile factor (temperament) influenced the process of becoming a mother for a women with her first child, with postpartum depression being the most influential factor. Conclusion: In order to increase the level of motherhood, it is important to prevent postpartum depression and create a nurturing environment for mothers, and social system support and psychological nursing intervention strategies are necessary.

• Computers and Concrete
• /
• v.33 no.5
• /
• pp.545-557
• /
• 2024

A real-case incident occurred where a 9-meter-high segment of a pre-fabricated concrete separation wall unexpectedly collapsed. This collapse was triggered by improperly depositing excavated soil against the wall's back, a condition for which the wall segments were not designed to withstand lateral earth pressure, leading to a flexural failure. The event's analysis, integrating technical data and observational insights, revealed that internal forces at the time of failure significantly exceeded the wall's capacity per standard design. The Lattice Discrete Particle Model (LDPM) further replicates the collapse mechanism. Our approach involved defining various parameter sets to replicate the concrete's mechanical response, consistent with the tested compressive strength. Subsequent stages included calibrating these parameters across different scales and conducting full-scale simulations. These simulations carried out with various parameter sets, were thoroughly analyzed to identify the most representative failure mechanism. We developed an equation from this analysis that quickly correlates the parameters to the wall's load-carry capacity, aligned with the simulation. Additionally, our study examined the wall's post-peak behavior, extending up to the point of collapse. This aspect of the analysis was essential for preventing failure, providing crucial time for intervention, and potentially averting a disaster. However, the reinforced concrete residual state is far from being fully understood. While it's impractical for engineers to depend on the residual state of structural elements during the design phase, comprehending this state is essential for effective response and mitigation strategies after initial failure occurs.

• Journal of the Korean Society for Library and Information Science
• /
• v.58 no.1
• /
• pp.151-179
• /
• 2024

This study aimed to discuss the utilization of a makerspace regarding 3D printers in a children's library by conducting co-design sessions targeting the end-users, children. To achieve this, a program utilizing a 3D printer was conducted for seven children at the Seoul Children's Library, followed by interviews with both the children and their parents. The results revealed several key findings: First, during the design sessions, participating children showed interest in the physical realization of ideas through the use of a 3D printer. Researchers adjusted their level of intervention based on each child's tendency, playing a supportive role. Second, children became aware of various limitations associated with 3D printers and public library makerspace. Third, the rapport between children and researchers positively influenced the design sessions, driven by the active communication of children. This study suggests a reevaluation of the value and necessity of library makerspace from the perspective of user autonomy and creativity and emphasizes the need to closely understand the end user's requirements in establishing operational strategies for library makerspace.

• Korean Journal of Radiology
• /
• v.24 no.5
• /
• pp.406-423
• /
• 2023

Diagnosing bowel and mesenteric trauma poses a significant challenge to radiologists. Although these injuries are relatively rare, immediate laparotomy may be indicated when they occur. Delayed diagnosis and treatment are associated with increased morbidity and mortality; therefore, timely and accurate management is essential. Additionally, employing strategies to differentiate between major injuries requiring surgical intervention and minor injuries considered manageable via non-operative management is important. Bowel and mesenteric injuries are among the most frequently overlooked injuries on trauma abdominal computed tomography (CT), with up to 40% of confirmed surgical bowel and mesenteric injuries not reported prior to operative treatment. This high percentage of falsely negative preoperative diagnoses may be due to several factors, including the relative rarity of these injuries, subtle and non-specific appearances on CT, and limited awareness of the injuries among radiologists. To improve the awareness and diagnosis of bowel and mesenteric injuries, this article provides an overview of the injuries most often encountered, imaging evaluation, CT appearances, and diagnostic pearls and pitfalls. Enhanced diagnostic imaging awareness will improve the preoperative diagnostic yield, which will save time, money, and lives.

• Korean Journal of Childcare and Education
• /
• v.20 no.3
• /
• pp.67-83
• /
• 2024

Objective: This study aimed to determine whether preschoolers' self-compassion mediates the effects of mothers' emotional expression and self-compassion on preschoolers' emotional regulation abilities in children aged 4 to 6 years. Methods: The study included 305 mothers residing in City J who were raising preschoolers aged 4 to 6. Data collected were analyzed for the significance of the mediating effects among the main variables using the GLM Mediation Model in the JAMM package of the Jamovi 2.3.16 statistical program. Results: Firstly, statistically significant positive and negative correlations were found among the main variables. Secondly, preschoolers' positive self-compassion was found to partially mediate the relationship between mothers' positive emotional expression and preschoolers' emotional regulation abilities. Furthermore, preschoolers' negative self-compassion partially mediated the relationship between mothers' negative emotional expressions and preschoolers' emotional regulation abilities. Conclusion/Implications: This study identified parental and child variables influencing preschoolers' emotional regulation abilities and discussed intervention strategies for education and counseling to enhance these abilities.

• Physical Therapy Korea
• /
• v.31 no.2
• /
• pp.159-166
• /
• 2024

Background: For instance, forward head posture (FHP), characterized by the forward movement of the head relative to the spine, places significant stress on the neck and upper back muscles, disrupting the biomechanical balance of the body. Objects: The objective of this study was to probe the biomechanical effects of FHP on musculoskeletal health through a relative analysis of 26 adults diagnosed with FHP and 26 healthy controls. Methods: In this study, we evaluated the biomechanical impacts of FHP. Participants adjusted their head positions and underwent muscle strength tests, including electromyography assessments and the Biering-Sørensen test for trunk muscle endurance. Data analysis was conducted using Kinovea (Kinovea) and IBM SPSS software ver. 26.0 (IBM Co.) to compare muscle activities between groups with normal and FHPs. Results: The study shows that individuals with FHP have significantly lower muscle activity, endurance, and spinal extension in the erector spinae compared to those without, highlighting the detrimental effects of FHP on these muscles. Conclusion: This study underscores the impact of FHP on erector spinae function and emphasizes the need for posture correction to enhance musculoskeletal health and guide future research on intervention strategies.