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Mental Health of Medical Students After Combating the COVID-19 Epidemic: A Cross-sectional Study in Vietnam

  • Duc Minh Cap;Anh Quang Nguyen;Tham Thi Nguyen
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.347-355
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    • 2024
  • Objectives: This study was conducted to investigate the prevalence of mental health (MH) symptoms and associated factors among medical students who were engaged in combating the coronavirus disease 2019 (COVID-19) epidemic in 4 provinces/cities of Vietnam. Methods: A cross-sectional study with 580 participants was conducted at a medical university in Northern Vietnam. MH was assessed using the 21-item Depression, Anxiety, and Stress Scale, which was previously standardized in Vietnam. Data were collected through a structured self-administered questionnaire. Multivariate logistic regression was employed to examine the association between MH symptoms and relevant factors. Results: Out of a total of 2703 medical students, 21.5% responded to the questionnaire. Among the 580 respondents, the prevalence rates of depression, anxiety, and stress were 43.3%, 44.0%, and 24.7%, respectively. Factors significantly associated with self-reported depression included being female and having a COVID-19 infection. Similarly, being female and having a COVID-19 infection were significantly associated with self-reported anxiety. Factors associated with self-reported stress included being female, having a personal or family history of MH symptoms, working more than 8 hr/day, and having a COVID-19 infection. Conclusions: COVID-19 has adversely impacted the MH of medical students. Our findings are valuable in their potential to motivate universities, MH professionals, and authorities to offer mental healthcare services to this group. Furthermore, there is a pressing need for training courses designed to equip future healthcare workers with the skills to manage crises effectively.

Corpus of Eye Movements in L3 Spanish Reading: A Prediction Model

  • Hui-Chuan Lu;Li-Chi Kao;Zong-Han Li;Wen-Hsiang Lu;An-Chung Cheng
    • Asia Pacific Journal of Corpus Research
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    • v.5 no.1
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    • pp.23-36
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    • 2024
  • This research centers on the Taiwan Eye-Movement Corpus of Spanish (TECS), a specially created corpus comprising eye-tracking data from Chinese-speaking learners of Spanish as a third language in Taiwan. Its primary purpose is to explore the broad utility of TECS in understanding language learning processes, particularly the initial stages of language learning. Constructing this corpus involves gathering data on eye-tracking, reading comprehension, and language proficiency to develop a machine-learning model that predicts learner behaviors, and subsequently undergoes a predictability test for validation. The focus is on examining attention in input processing and their relationship to language learning outcomes. The TECS eye-tracking data consists of indicators derived from eye movement recordings while reading Spanish sentences with temporal references. These indicators are obtained from eye movement experiments focusing on tense verbal inflections and temporal adverbs. Chinese expresses tense using aspect markers, lexical references, and contextual cues, differing significantly from inflectional languages like Spanish. Chinese-speaking learners of Spanish face particular challenges in learning verbal morphology and tenses. The data from eye movement experiments were structured into feature vectors, with learner behaviors serving as class labels. After categorizing the collected data, we used two types of machine learning methods for classification and regression: Random Forests and the k-nearest neighbors algorithm (KNN). By leveraging these algorithms, we predicted learner behaviors and conducted performance evaluations to enhance our understanding of the nexus between learner behaviors and language learning process. Future research may further enrich TECS by gathering data from subsequent eye-movement experiments, specifically targeting various Spanish tenses and temporal lexical references during text reading. These endeavors promise to broaden and refine the corpus, advancing our understanding of language processing.

Assessment of Epidemiological Data and Surveillance in Korea Substance Use Research: Insights and Future Directions

  • Meekang Sung;Vaughan W. Rees;Hannah Lee;Mohammad S. Jalali
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.307-318
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    • 2024
  • Objectives: Effective data collection and surveillance of epidemiological trends are essential in confronting the growing challenges associated with substance use (SU), especially in light of emerging trends and underreporting of cases. However, research and data are scarce regarding SU and substance use disorder (SUD) in Korea. Methods: We conducted a scoping review to identify data sources and surveillance methods used in SU research in Korea up to December 2023. This review was complemented by semi-structured consultations with experts in this area in Korea, whose feedback led to revisions of previously identified data sources and assessments. Results: Our review identified 32 publications conducting secondary analyses on existing data to examine the epidemiology of SU and SUD in Korea. Of these, 14 studies utilized clinical databases to explore the prescription patterns of addictive substances, particularly opioids. Eleven data sources showed promise for advancing SU research; however, they face substantial limitations, including a lack of available data, missing data, the absence of key variables, the exclusion of marginalized populations not captured within the clinical system, and complexities in matching individual-level data across time points and datasets. Conclusions: Current surveillance methods for SU in Korea face considerable challenges in accessibility, usability, and standardization. Moreover, existing data repositories may fail to capture information on populations not served by clinical or judicial systems. To systematically improve surveillance approaches, it is necessary to develop a robust and nationally representative survey, refine the use of existing clinical data, and ensure the availability of data on treatment facilities.

Effect of Problem-Based Learning (PBL) on Problem-solving and Communication Skills in Pharmacy Student (문제 중심 학습법 수업이 약학대학 학생의 문제 해결 능력과 의사 소통 능력에 미치는 영향)

  • Sunmin Lee
    • Korean Journal of Clinical Pharmacy
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    • v.34 no.3
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    • pp.175-183
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    • 2024
  • Background: The evolving healthcare environment necessitates changes in pharmacy education to meet these demands, with problem-based learning (PBL) being a promising approach. Methods: This study employed a single-group, repeated-measures design to evaluate the effects of PBL on the communication and problem-solving skills of fifth-year pharmacy students at S University. The course, which focused on pharmacy practice and communication, included 36 students who participated in structured pre- and post-intervention surveys, as well as self-reflection journals. The primary competencies assessed were problem-solving and communication skills. Data collection involved quantitative measures through surveys and qualitative insights from self-reflection notes. Results: Of the 36 students, 35 completed the pre-intervention surveys, and 27 completed the post-intervention assessments. Significant improvements were observed in problem-solving skills, including problem identification, information gathering, and planning. Communication skills showed overall improvement, though the differences were not statistically significant. Qualitative analysis of self-reflection notes revealed enhanced understanding of elderly patient care, increased responsibility, teamwork, and the importance of effective communication in pharmacy practice. Commonly identified themes included a heightened sense of responsibility, the importance of teamwork, and an appreciation for the multifaceted nature of pharmacy practice in elderly care. Conclusion: The PBL approach effectively enhanced students' problem-solving abilities and provided valuable experiential learning in pharmacy practice. The qualitative data indicated that students gained a deeper understanding of their roles and responsibilities, fostering greater motivation and teamwork. Further research should focus on broader applications across different institutions to validate these findings.

Self-care Through Dynamic Appetite Alteration: A Grounded Theory Study of Patient Experience on Maintenance Hemodialysis

  • Wonsun Hwang;Ji-hyun Lee;Juha Nam;Jieun Oh;Inwhee Park;Mi Sook Cho
    • Clinical Nutrition Research
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    • v.11 no.4
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    • pp.264-276
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    • 2022
  • Hemodialysis (HD) patients can experience appetite alterations that affect meals and nutritional status. Few qualitative studies have assessed the chronic impact of HD on the everyday diet. This study aimed to characterise comprehensively the experiences of HD patients adapting to appetite alteration. Semi-structured, face-to-face interviews were conducted in a unit of a tertiary hospital to understand patient experiences with appetite alteration. An interview guide was used to consider adaptive processes developed after reviewing the literature and based on the researchers' clinical experiences. A single researcher conducted all interviews to maintain consistency in data collection. The interview content was analysed using Nvivo 11 based on grounded theory and constant comparison analysis. As a results, the mean age and HD vintage of 14 participants were 60 and 5.8 years, respectively. We developed a self-care model based on HD patient experiences with appetite alteration based on axial and selective coding. Differences in urea sensitivity, taste alteration, and social support could be explained by timing of transitions, life events, and responses to stress. Self-care processes are adapted through the processes of "self-registration" and "self-reconstruction," starting with "disruption." At the stage of adjustment, 4 self-management types were derived based on pattern of self-care: self-initiator, follower, realist, and pessimist. The results of this study provide unique qualitative insight into the lived experiences of HD patients experiencing appetite alteration and their self-care processes. By recognising dietary challenges, health teams can better support HD patients in the transition from dietary education to self-care.

Patient Safety Nursing Experiences of Nurses in Integrated Nursing Service Wards (간호·간병통합서비스 병동 간호사의 환자안전 간호 경험)

  • Eun Hye Kim;Hyunjin Lee;Sookbin Im
    • Journal of Industrial Convergence
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    • v.22 no.9
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    • pp.103-112
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    • 2024
  • The purpose of this study is to understand the experiences of nurses working in integrated nursing service wards regarding patient safety nursing. To achieve the purpose of this study, data were collected through one-on-one in-depth interviews with nine clinical nurses working in the integrated nursing service ward at E University Hospital from October 1, 2019 to December 22, 2019. A pre-prepared semi-structured questionnaire was used for the interview, and the recordings were transcribed after the interview. Data were analyzed by applying the phenomenological method of Colaizzi. The results of this study reflected the patient safety nursing experience of the study participants, and 123 meaning units were discovered, which were derived into 9 themes and 4 theme clusters. : 'ambivalence of patient safety nursing,' 'pressure related to patient safety incidents,' 'advancement in patient safety through practical experience complementing adherence to principles,' and 'achieving safety nursing together with patients'. In conclusion, Integrated Nursing Service ward have a duality of patient safety, and it is necessary to recognize the need for a patient safety system suitable for integrated nursing service ward.

How Do We Approach Quality Care for Patients from Middle Eastern Countries? A Phenomenological Study of Korean Nurses' Experiences

  • Jang, Dael;Choi, Seonhwa;Hwang, Gahui;Kim, Sanghee
    • Journal of Korean Academy of Nursing
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    • v.54 no.3
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    • pp.372-385
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    • 2024
  • Purpose: Although more people from Middle Eastern countries are visiting South Korea for medical treatment, Korean nurses lack experience in treating them. Understanding and describing Korean nurses' experiences can help them provide quality care to these patients by enhancing their competency in culturally appropriate care. This study described the experiences of nurses who provide care to Middle Eastern patients in clinical settings in South Korea. Methods: We conducted a phenomenological study to describe nurses' experience of caring for patients from Middle Eastern countries. Ten nurses with prior experience in caring for these patients were recruited from a university-affiliated tertiary hospital. Semi-structured face-to-face interviews were conducted between May 1 and June 4, 2020. The transcribed data were analyzed using Giorgi's phenomenological method to identify the primary and minor categories representing nurses' experiences. Results: Four major categories (new experiences in caring for culturally diverse patients, challenges in caring for patients in a culturally appropriate manner, nursing journey of mutual agreement with culturally diverse patients, and being and becoming more culturally competent) and 11 subcategories were identified. Conclusion: Nurses experience various challenges when caring for Middle Eastern patients with diverse language and cultural needs. However, nurses strive to provide high-quality care using various approaches and experience positive emotions through this process. To provide quality care to these patients, hospital environments and educational programs must be developed that center on field nurses and students and support them in delivering quality care while utilizing their cultural capabilities.

A Study on the Development of Larchiveum Strategies and an Instructional Model for School Libraries (학교도서관 라키비움 전략 및 교육모형 개발 연구)

  • Soo-Youn Cho
    • Journal of the Korean Society for Library and Information Science
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    • v.58 no.3
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    • pp.35-64
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    • 2024
  • The purpose of this study is to develop educational strategies and models by applying future-oriented elements of libraries, which are transitioning into integrated spaces through collaboration with archives and museums, into school library education. This study focuses on the changes where libraries expand their spaces and roles in response to the trends of a pluralistic society. The term 'Larchiveum' was established to represent a knowledge and culture complex space. The concepts and functions of this term were identified, and the characteristics of materials collected and managed by archives, museums, and art galleries, as well as domestic and international educational information services, were analyzed to explore ways to integrate them into school library education. Based on the ASSURE instructional design model, which emphasizes the effective selection and use of teaching and learning media, this study developed Larchiveum strategies, including 'Inquiry-based Information Utilization,' 'Curriculum Integration and Convergence,' 'Collaboration, Sharing, and Dissemination,' and 'Digital Archive,' and structured the educational content accordingly. The procedures and steps were refined through the evaluation and feedback of field experts, leading to the development of a collaborative educational model that incorporates Larchiveum strategies, resources, and inquiry-based instruction.

Efficacy of Learning Disorder Treatment for Reading or Mathematics Disorders: An Open Study

  • Hyunju Lee;Inhye Song;Woo Young Kim;Hannah Huh;Eun Kyoung Lee;Jaesuk Jung;Cheon Seok Suh;Hanik Yoo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.35 no.2
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    • pp.143-149
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    • 2024
  • Objectives: This study aimed to identify the effectiveness of treatment programs for children with reading (RD) or mathematics disorders (MD). Structured treatment programs were developed to improve phonological awareness and number sense among children and adolescents with RD or MD, respectively, and the effectiveness of the learning disorder treatment programs were evaluated. Methods: We used standardized, objective diagnostic, and evaluation tools not only to recruit participants with RD, MD, or comorbid attention deficit and hyperactivity disorder, but also to assess the effectiveness of the treatments regarding both improved core neurocognitive deficits of RD or MD and academic achievement. Forty children with RD or MD received one-on-one treatments from therapists. Results: In the RD group, treatment effects were observed in all subtests. In the word and paragraph reading tests, the accuracy rates and fluency improved. The results of the phonological working memory test, word-sound correspondence test, and rapid automatic naming tests also improved. In the MD group, the accuracy rate and fluency on the arithmetic test improved. An increase in the accuracy rate in the size and distance comparison tests and a decrease in the error rate in the estimation test were also observed. However, there were no improvements in reaction time in these subtests. Conclusion: Learning disorder treatment programs that focus on improving phonological awareness or number sense in children with RD or MD improved achievement, phonological awareness, and number sense.

The Influence of Emotional Intelligence and Clinical Competency on Organizational Socialization of New Graduate Nurses (신규간호사의 감성지능과 업무수행능력이 조직사회화에 미치는 영향)

  • Jung, Hye Ryun;Park, Jeong Yun
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.2
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    • pp.94-103
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    • 2024
  • Purpose: This study is descriptive research to investigate the influence of emotional intelligence and clinical competency on organizational socialization of new graduate nurses. Methods: The subjects were 202 new graduate nurses in a tertiary general hospital in Seoul. The data were collected from February 18 to April 1, 2021, using a self-reported structured questionnaire. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis. Results: There were significant positive correlations between emotional intelligence and clinical competency (r=.50, p<.001), emotional intelligence and organizational socialization (r=.45, p<.001), and clinical competency and organizational socialization (r=.36, p<.001) in new graduate nurses. The factors affecting the organizational socialization of new graduate nurses were emotional intelligence (β=.35, p<.001), clinical competency (β=.15, p=.034), desired department (β=.13, p=.031), and nursing value and vocational aptitude among motivation for selecting the nursing (β=.17, p=.014), and explained 25.0% of the variance in organizational socialization of new graduate nurses. Conclusion: The results of this study indicated the relationship between emotional intelligence, clinical competency, and organizational socialization, and the factors affecting organizational socialization of new graduate nurses. To improve nurses' clinical competency in the medical field, a systematic education and support system is essential for new graduate nurses entering the profession. Therefore, nursing organizations should help new graduate nurses develop their work capabilities and adapt to the organization.