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1.
Rev. colomb. psiquiatr ; 48(4): 198-207, oct.-dic. 2019. tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1098944

ABSTRACT

RESUMEN Objetivo: Estimar la asociación entre la adicción a internet (AI) y el rendimiento académico de los estudiantes de Odontología de la Universidad de Cartagena. Material y métodos: Estudio de corte transversal en 402 estudiantes, seleccionados de modo no probabilístico, que respondieron a un cuestionario anónimo autoaplicado que incluía variables sociodemográficas, rendimiento académico (promedio acumulado del último semestre), presencia de AI (test de Young) y variables relacionadas con la AI en función del rendimiento académico. Los datos se analizaron a partir de proporciones, relaciones entre variables con test de la X 2, y la asociación se obtuvo por razones de disparidad (OR) a través de regresión logística nominal. Resultados: El 75,3% de los estudiantes mostraban AI; el 24,63% utilizaba internet mucho menos que la población promedio; el 73,13% mostraba una AI leve; el 2,24%, una AI moderada y no hubo casos de AI grave; el 5,2% tenía bajo rendimiento académico. En el análisis multivariable, el modelo que mejor explica la AI en relación con el rendimiento académico fue: estudiar en semestres inferiores (OR = 0,54; IC95%, 0,32-0,91), estudiar en lugar distinto de la casa (OR = 3,38; IC95%, 1,71-6,68), usar elemento no portátil para estudiar (OR = 0,41; IC95%, 0,19-0,89), chatear por celular (OR = 2,43; IC95%, 1,45-3,06) y demorar más de 18 min (OR = 3,20; IC95%, 1,71-5,99) mientras se estudia. Conclusiones: El rendimiento académico no se asocia con la AI. Sin embargo, estudiar en semestres inferiores, en un lugar distinto de la casa, emplear elementos no portátiles para estudiar e invertir más de 18 min en contestar el celular y chatear mientras se estudia son covariables estadísticamente asociadas con la AI.


ABSTRACT Objective: To determine the association between Internet addiction (IA) and academic performance in dental students at the University of Cartagena. Material and methods: A cross-sectional study was conducted in 402 students included through non-probabilistic sampling who answered an anonymous and self-reporting questionnaire that included socio-demographic variables, academic performance (last semester overall grade), presence of IA (Young's Test) and covariates related to IA based on academic performance. Data were analysed by means of proportions, relationships between variables with the X 2 test and strength of association was estimated with odds ratios (OR) using nominal logistic regression. Results: Approximately 24.63% of the students used the Internet much less than the average population, but 75.3% had IA; 73.13% of cases were considered mild and 2.24% moderate. There were no severe cases. Around 5.2% had poor academic performance. In multivariate analysis, the model that best explained IA in relation to academic performance was: studying in lower-level courses (OR=0.54; 95% CI, 0.32-0.91); studying in a different places of the house (OR=3.38; 95% CI, 1.71-6.68); not using laptop for studying (OR=0.41; 95% CI, 0.19-0.89), chatting on mobile phone (OR=2.43; 95% CI, 1.45-3.06); and spending more than 18 minutes on mobile phone while studying (OR=3.20; 95% CI, 1.71-5.99). Conclusions: Academic performance was not associated with AI. However, studying in lower-level courses, in a different place of the house, not using laptop to study, and spending more than 18 minutes answering their mobile phone and chatting on mobile phone while studying were covariates statistically associated with IA.


Subject(s)
Humans , Male , Female , Adult , Students, Dental , Internet , Academic Performance , Universities , Odds Ratio , Cross-Sectional Studies , Multivariate Analysis , Cell Phone , Ego , Anonyms and Pseudonyms
2.
Intestinal Research ; : 427-433, 2019.
Article in English | WPRIM | ID: wpr-764147

ABSTRACT

BACKGROUND/AIMS: Food intolerance/malabsorption, particularly histamine intolerance (HIT), may cause nonspecific functional gastrointestinal and extraintestinal symptoms. We evaluated gastrointestinal and extraintestinal symptoms in patients with HIT. METHODS: In an analysis of outpatients' charts we identified 133 patients, who presented with recurring nonspecific functional gastrointestinal, extraintestinal symptoms, and a diamine oxidase value <10 U/mL, indicative of HIT. A standardized anonymous questionnaire with symptoms of HIT based on known symptoms and the 4 histamine receptors including gastrointestinal, cardiovascular, respiratory and skin complaints was developed, and sent by mail to the patients. RESULTS: In the 62 patients that completed the questionnaire, bloating was the most common and most serious symptom. Other commonly reported gastrointestinal symptoms were postprandial fullness, diarrhea, abdominal pain, and constipation. The presence of 2 from a list of 24 symptoms resulted in 276 various symptom combinations. From calculated 2.024 possible combinations of 3 symptoms the patients with HIT presented 1.975 combinations. CONCLUSIONS: The knowledge of this wide variability of symptoms and complex symptom combinations in patients with HIT may help to clinically recognize and diagnose HIT.


Subject(s)
Abdominal Pain , Amine Oxidase (Copper-Containing) , Anonyms and Pseudonyms , Constipation , Diarrhea , Gastrointestinal Diseases , Glutens , Histamine , Humans , Irritable Bowel Syndrome , Postal Service , Receptors, Histamine , Skin
3.
Article in Korean | WPRIM | ID: wpr-758521

ABSTRACT

BACKGROUND AND OBJECTIVES: Pediatric vocal health problems are relatively common. However, it is not yet well studied whether uniform diagnosis and treatment is done properly in South Korea. The purpose of this study was to investigate the methods that the Korean speech therapists use to diagnose and treat pediatric voice problem. MATERIALS AND METHOD: An anonymous online questionnaire was administered to 32 speech language therapists registered at the Korean laryngeal speech linguistics society detailing demographics, employment institution, general management of pediatric patients with vocal problem including assessment and treatment procedures. RESULTS: Current practice patterns were analyzed on 32 speech language therapists providing services in South Korea mostly working at tertiary university hospital. One third of pediatric patients were assessed without proceeding to treatment. One fifth of patients were treated without assessment. Perceptual assessment was the main pre-treatment assessment methods used. Treatment was done in the following order : Voice rest, SOVT, yawn-sigh and resonant voice. Post-treatment evaluation was used in the following order : Instrumental assessment, clinical judgment, and recording comparison. CONCLUSION: Speech language therapists practice in South Korea mostly follows the ASHA practice guidelines. However, there are still great amount of cases in which only the evaluation was done without appropriate treatment. Further research is needed to make SPLs more systematic and efficient for evaluating and treating pediatric vocal patients.


Subject(s)
Anonyms and Pseudonyms , Clothing , Demography , Diagnosis , Employment , Humans , Judgment , Korea , Linguistics , Methods , Voice
4.
Article in Korean | WPRIM | ID: wpr-758462

ABSTRACT

OBJECTIVE: This study examined the incidence of workplace violence (WPV) in an emergency department (ED), and its influence on ED workers' mental health. METHODS: A cross-sectional, anonymous survey was conducted on ED workers employed in a local emergency medical center during August 2018. The survey respondents' data on the demographic characteristics, WPV episode, Korean-translated Brief Encounter Psychosocial Instrument (BEPSI-K), stress questionnaire for Korean National Health and Nutrition Examination Survey (KNHANES), and Patient Health Questionnaire-9 (PHQ-9) were obtained. The results of the stress (BEPSI-K, KNHANES) and depression (PHQ-9) score were compared with the WPV experience of ED workers. RESULTS: A total of 104 of 120 ED workers (86.7%) were exposed to WPV. ED workers that experienced physical violence within the past year had higher KNHANES, BEPSI-K, and PHQ-9 than the workers, who did not experience such violence (P≤0.001). In addition, this survey demonstrated that a physical violence episode within the past year was associated with above moderate depression (P≤0.001; odds ratio, 19.597). CONCLUSION: Recent physical violence can cause psychiatric disorders in ED workers, such as depression or stress disorder. Therefore, policies are needed to prevent WPV in ED and support ED workers who have experienced WPV.


Subject(s)
Anonyms and Pseudonyms , Depression , Emergencies , Emergency Service, Hospital , Humans , Incidence , Mental Health , Nutrition Surveys , Odds Ratio , Physical Abuse , Violence , Workplace Violence
5.
Psychiatry Investigation ; : 777-788, 2019.
Article in English | WPRIM | ID: wpr-760901

ABSTRACT

OBJECTIVE: The suicide rate in South Korea was the second highest among the Organization for Economic Cooperation and Development countries in 2017. The purpose of this study is to understand the characteristics of people who died by suicide in Korea from 2013–2017 and to better prevent suicide. METHODS: This study was performed by the Korea Psychological Autopsy Center (KPAC), an affiliate of the Korea Ministry of Health and Welfare. According to the Korea National Statistical Office, the number of suicide victims nationwide was estimated to reach about 70,000 from 2013 to 2017. Comprehensive suicide records from all 254 police stations in South Korea were evaluated by 32 investigators who completed a 14-day didactic training program. Then, we evaluated the characteristics of suicide victims in association with disease data from the National Health Insurance Database (NHID), which is anonymously linked to personal information of suicide victims. RESULTS: Thirty-one of 254 police stations in the Seoul metropolitan area were analyzed by August 10, 2018. Findings showed that the characteristics of suicide victims differed according to the nature of the region. CONCLUSION: Our results suggest that different strategies and methods are needed to prevent suicide by regional groups.


Subject(s)
Anonyms and Pseudonyms , Autopsy , Education , Humans , Korea , Methods , National Health Programs , Organisation for Economic Co-Operation and Development , Police , Research Personnel , Seoul , Suicide
6.
Article in English | WPRIM | ID: wpr-719306

ABSTRACT

OBJECTIVE: To explore current practice and influencing factors on adoption of the opportunistic salpingectomy (OS), particularly regarding the decision making, to eventually enhance the development and implementation of clear guidelines. METHODS: This nationwide cross-sectional survey study was conducted in all hospitals in the Netherlands. An anonymous online survey was sent to gynecologists with special interest in gynecological oncology, gynecological endoscopy or urogynecology and all Dutch gynecology trainees. The survey mainly focused on current practice regarding OS and identification of influencing factors on the level of innovation, organization, healthcare professional and individual patient. RESULTS: The response rate was 348 out of 597 gynecologists (58.3%) and 142 out of 340 trainees (41.8%). Current practice of discussing and performing the OS varied widely, with ovarian cancer (OC) risk reduction as most important supportive factor on innovation level. Supportive factors on the level of organization and healthcare provider were; working in a non-training hospital, knowledge of current literature and extensive work experience (in years and annual number of hysterectomies). On individual patient level, a vaginal approach of hysterectomy, negative family history for OC and the presence of firm adhesions were suppressive factors for the OS. CONCLUSION: In this study we evaluated the current practice regarding the opportunistic salpingectomy in the Netherlands and identified influencing factors on different levels to raise awareness and attribute to development of a targeted implementation strategy, on both national and international level.


Subject(s)
Anonyms and Pseudonyms , Cross-Sectional Studies , Decision Making , Delivery of Health Care , Endoscopy , Gynecology , Health Personnel , Humans , Hysterectomy , Netherlands , Ovarian Neoplasms , Primary Prevention , Risk Reduction Behavior , Salpingectomy
7.
Article in English | WPRIM | ID: wpr-741332

ABSTRACT

BACKGROUND/AIMS: The aim of this study is to describe the outcome of the national survey and to determine the endoscopic retrograde cholangiopancreatography (ERCP) quality in Korea by comparing with the quality indicators. METHODS: We used the database of Health Insurance Review & Assessment Service and then performed anonymous national survey. RESULTS: Completed questionnaires were returned by 129 of 157 ERCP endoscopists. In Korea, annual ERCP rates have been consistently increased over years. Individual ERCP volume was high (>200 per year) in about half of ERCP endoscopists. Most ERCP endoscopists performed all of level I procedures. However, manometry, cholangiopancreatoscopy, and pancreatic procedures were performed mostly in institutions with high hospital volume. The rate of overall success was more than 90% in most ERCP endoscopists. However, the rate of precut sphincterotomy was high in more than a fourth of ERCP endoscopists. Twelve ERCP endoscopists experienced post-ERCP mortality within recent 1 year. ERCP training and radiation protection during ERCP did not meet the standard of quality indicators especially in institutions with low or moderate hospital volume. CONCLUSIONS: Technical issues during ERCP procedures in Korea fulfill the standard of quality indicators. However, a great effort is needed to improve issues about ERCP training and radiation protection.


Subject(s)
Anonyms and Pseudonyms , Cholangiopancreatography, Endoscopic Retrograde , Insurance, Health , Korea , Manometry , Mortality , Radiation Protection , Republic of Korea , Surveys and Questionnaires
8.
Article in English | WPRIM | ID: wpr-787224

ABSTRACT

BACKGROUND/AIMS: Current knowledge and viewpoints regarding biosimilars among physicians in Asia are unknown, even though these were investigated by European Crohn's and Colitis Organization (ECCO) members in 2013 and 2015. Thus, this study conducted a multinational survey to assess the awareness of biosimilar monoclonal antibodies among Asian physicians.METHODS: A 17-question multiple-choice anonymous web survey was conducted with the logistic support of the Asian Organization of Crohn's and Colitis (AOCC). Randomly selected AOCC members were invited by e-mail to participate between February 24, 2017 and March 26, 2017.RESULTS: In total, 151 physicians from eight Asian countries responded to the survey. Most of the participants were gastroenterologists (96.6%), and 77.5% had cared for inflammatory bowel diseases (IBD) patients for more than 5 years. The majority of the respondents (66.2%) were aware that a biosimilar is similar but not equivalent to the originator. The majority of respondents (77.5%) considered cost saving to be the main advantage of biosimilars, but a high percentage of respondents (38.4%) were concerned about a different immunogenicity from that of the originator (92.4% and 27.1% respectively in ECCO 2015). Only 19.2% considered that the originator and biosimilars were interchangeable, and only 6.0% felt very confident in the use of biosimilars (44.4% and 28.8% respectively in ECCO 2015).CONCLUSIONS: Asian gastroenterologists in 2017 are generally well informed about biosimilars. On the other hand, compared to the ECCO members surveyed in 2015, Asian gastroenterologists had more concerns and less confidence about the use of biosimilars in clinical practice. Thus, IBD-specific data on the comparison of the efficacy, safety, and immunogenicity in Asian patients are needed.


Subject(s)
Anonyms and Pseudonyms , Antibodies, Monoclonal , Asia , Asian Continental Ancestry Group , Biosimilar Pharmaceuticals , Colitis , Cost Savings , Electronic Mail , Hand , Humans , Inflammatory Bowel Diseases , Infliximab , Surveys and Questionnaires
9.
Article in English | WPRIM | ID: wpr-739569

ABSTRACT

PURPOSE: Residents' duty-hour regulations and the evolution of minimally invasive surgical techniques require more effective and efficient surgical skill teaching models. We used frozen-thawed human tissue remnants harvested during abdominoplasty or abdominal tissue-based breast reconstruction to allow for a medium-sized group workshop program, simulating a realistic surgical environment and visual/haptic feedback. METHODS: Full-thickness abdominal tissue (skin and subcutaneous fat) were donated from patients who underwent autologous breast reconstruction and gave consent to use their tissue for comprehensive research and medical educational purposes. Anonymized tissue was frozen-preserved and then thawed the day of the surgical skills workshop. A total of 53 residents completed 50-minute hands-on training in 3-to-5 person modules in four sessions of the workshop program. RESULTS: Thawed tissue regained almost normal texture and consistency. Structural integrity was also histologically confirmed. All participants were generally satisfied with the program, especially regarding the suture material provided. CONCLUSION: Frozen-thawed tissue remnants from abdominoplasty or autologous breast reconstruction could be preserved and used as a suture education material in medium-group workshops for surgery residents or medical students given anonymity and with proper consent guaranteed. This approach provided an excellent model maintaining relatively real anatomic structure and consistency with minimal cost.


Subject(s)
Abdominoplasty , Anonyms and Pseudonyms , Education , Female , Humans , Internship and Residency , Mammaplasty , Social Control, Formal , Students, Medical , Sutures , Training Support
10.
Blood Research ; : 125-130, 2019.
Article in English | WPRIM | ID: wpr-763060

ABSTRACT

BACKGROUND: Transfusion medicine (TM) knowledge varies widely among physician trainees. In addition, there have been few instances in which curricular changes have been meaningfully assessed for TM education in medical school. METHODS: We created and presented a novel lecture to improve TM knowledge for graduating medical students using eight objectives designed to reinforce critical information about blood management. Each objective was coded according to unique color schemes, fonts, and graphics to create visual associations while quickly and clearly presenting complex concepts. The validated BEST Collaborative exam was used to measure changes in student TM knowledge, while a survey was conducted to gauge changes in confidence for each objective. Students were asked to submit anonymous feedback about their experiences. RESULTS: The mean student post-course exam score was 50.0%, while the pre-course baseline score was 27.5% (P<0.0001). Mean confidence levels increased significantly for all objectives. Student feedback was universally positive. CONCLUSION: This study improved knowledge and confidence for graduating medical students by utilizing engaging and visually stimulating presentations to display high-impact TM material. However, further efforts are needed to optimize learning.


Subject(s)
Anonyms and Pseudonyms , Education , Humans , Internship and Residency , Learning , Schools, Medical , Students, Medical , Transfusion Medicine
11.
Article in English | WPRIM | ID: wpr-765966

ABSTRACT

BACKGROUND/AIMS: Fecal incontinence (FI) is a common complaint that increases in prevalence with age. Our aim was to determine the prevalence of FI and assess its severity by self-report in a male-predominant Veteran outpatient clinic setting. METHODS: An anonymous 28 item questionnaire was administered to a convenience sample of veterans awaiting appointments. FI was defined as a loss of liquid or solid stool at least monthly. Multivariable logistic and linear models were used to identify predictors of FI prevalence and severity. RESULTS: One hundred thirty-three gastroenterology (GI) participants and 126 primary care (PC) participants completed the survey. Ninety-four of 259 participants (36.3%, 95% confidence interval [CI]: 30.4–42.5) reported an episode of FI (41.4% GI participants vs 31.0% PC participants; P = 0.078) with 33.6% having FI within the last 30 days (36.8% GI participants vs 30.2% PC participants; P = 0.122). Participants with more bowel movements per week (P = 0.005) and per day (P < 0.001) and with a higher Bristol Stool Scale form (P = 0.010) were more likely to have FI. Of participants with FI, mean Fecal Incontinence Severity Index score was 23.0 ± 9.5 with a significantly higher symptom score in GI participants compared to PC participants (25.2 ± 10.0 vs 20.1 ± 8.2; P = 0.011). Few participants had ever been asked by (35.0%) or evaluated by (18.0%) a doctor for FI symptoms. CONCLUSIONS: FI is a common complaint and under-recognized problem in the male-dominant Veteran population. Despite its prevalence, relatively few participants were asked about FI, with even less being treated. Due to the possible effects and implications on quality of life, more should be done to recognize this condition and arrange treatment.


Subject(s)
Ambulatory Care Facilities , Anonyms and Pseudonyms , Appointments and Schedules , Fecal Incontinence , Gastroenterology , Humans , Linear Models , Prevalence , Primary Health Care , Quality of Life , Veterans
12.
Article in English | WPRIM | ID: wpr-764472

ABSTRACT

PURPOSE: The objective of this study was to evaluate the authenticity, acceptability, and feasibility of a hybrid station that combined a standardized patient encounter and a simulated Papanicolaou test. METHODS: We introduced a hybrid station in the routine clinical skills examination (CSE) for 335 third-year medical students at 4 universities in Korea from December 1 to December 3, 2014. After the tests, we conducted an anonymous survey on the authenticity, acceptability, and feasibility of the hybrid station. RESULTS: A total of 334 medical students and 17 professors completed the survey. A majority of the students (71.6%) and professors (82.4%) agreed that the hybrid station was more authentic than the standard CSE. Over 60 percent of the students and professors responded that the station was acceptable for assessing the students' competence. Most of the students (75.2%) and professors (82.4%) assessed the required tasks as being feasible after reading the instructions. CONCLUSION: Our results showed that the hybrid CSE station was a highly authentic, acceptable, and feasible way to assess medical students' performance.


Subject(s)
Anonyms and Pseudonyms , Clinical Competence , Gynecology , Humans , Korea , Mental Competency , Papanicolaou Test , Patient Simulation , Students, Medical
13.
Article in Korean | WPRIM | ID: wpr-766522

ABSTRACT

Artificial insemination by donor is an important means of improving the likelihood of pregnancy in couples affected by male factor infertility, but it poses medical, legal, and ethical issues due to the involvement of third parties, such as the sperm donor. In Korea, the Bioethics and Safety Act was enacted for the purpose of preventing and eliminating unethical research on germ cells, and such research was limited to matters related to the use of assisted reproductive technologies, centering on embryos, oocytes, and protecting the health of oocyte donors. However, this law is incomplete in terms of specific standards or regulations relating to the donation and receipt of sperm. In Korea, artificial insemination by donor has been carried out without a standard operating protocol for donation and receipt of sperm, which would include testing sperm donors for diseases, limiting the number of donor offspring, compensation for donations, and the role of anonymity and non-anonymity. The diversity of policies worldwide shows that each country has its unique set of guidelines tailored for its own specific needs and practical considerations. Herein, I present a standard operating protocol of medical, legal, and ethical principles for artificial insemination by donor that is suitable for domestic circumstances, along with a comparison of recommendations and guidelines of other countries concerning sperm donation issues.


Subject(s)
Anonyms and Pseudonyms , Bioethics , Compensation and Redress , Embryonic Structures , Ethics , Family Characteristics , Germ Cells , Humans , Infertility , Infertility, Male , Insemination, Artificial , Jurisprudence , Korea , Male , Oocytes , Pregnancy , Reproductive Techniques, Assisted , Social Control, Formal , Spermatozoa , Tissue Donors
15.
Safety and Health at Work ; : 296-307, 2018.
Article in English | WPRIM | ID: wpr-716723

ABSTRACT

BACKGROUND: Safety culture, acting as the oil necessary in an efficient safety management system, has its own weaknesses in the current conceptualization and utilization in practice. As a new approach, resilience safety culture (RSC) has been proposed to reduce these weaknesses and improve safety culture; however, it requires a valid and reliable instrument to be measured. This study aimed at evaluating the reliability and validity of such an instrument in measuring the RSC in sociotechnical systems. METHODS: The researchers designed an instrument based on resilience engineering principles and safety culture as the first instrument to measure the RSC. The RSC instrument was distributed among 354 staff members from 12 units of an anonymous petrochemical plant through hand delivery. Content validity, confirmatory, and exploratory factor analysis were used to examine the construct validity, and Cronbach alpha and test-retest were employed to examine the reliability of the instrument. RESULTS: The results of the content validity index and content validity ratio were calculated as 0.97 and 0.83, respectively. The explanatory factor analysis showed 14 factors with 68.29% total variance and 0.88 Kaiser-Meyer-Olkin index. The results were also confirmed with confirmatory factor analysis (relative Chi-square=2453.49, Root Mean Square Error of Approximation=0.04). The reliability of the RSC instrument, as measured by internal consistency, was found to be satisfactory (Cronbach α=0.94). The results of test-retest reliability was r=0.85, p < 0.001. CONCLUSION: The results of the study suggest that the measure shows acceptable validity and reliability.


Subject(s)
Anonyms and Pseudonyms , Hand , Plants , Reproducibility of Results , Safety Management
16.
Article in English | WPRIM | ID: wpr-716336

ABSTRACT

OBJECTIVE: This study's purposes were to determine the yield of repeat direct in-bore magnetic resonance-guided prostate biopsy (MRGB) (MRGB-2) after the first one was found to be negative (MRGB-1), to correlate with clinical parameters, and to present the subgroup analyses of patients with positive repeat biopsies, despite having a negative initial biopsies. MATERIALS AND METHODS: We retrospectively included patients with MRGB-2 after a negative MRGB-1 both between January 2006 and August 2016. This study included 62 patients (median age, 63 years; interquartile range [IQR], 58–66 years) with 75 sampled lesions during MRGB-2 left for analysis, and 63 lesions were resampled and 12 new lesions were sampled. Included patients had a prostate specific antigen (PSA) at MRGB-1 of 13 ng/mL (IQR, 5.8–20.0) and a PSA at MRGB-2 of 15 ng/mL (IQR, 9.0–22.5). All anonymized magnetic resonance imaging (MRI) data were retrospectively reassessed according to Prostate Imaging-Reporting and Data System version 2 by two radiologists. Images of MRGB were compared to determine whether the same prostate lesion was biopsied during MRGB-1 and MRGB-2. Descriptive statistics were utilized to determine the yield of clinically significant prostate cancer (csPCa) at MRGB-2. Gleason score of ≥ 3 + 4 was considered csPCa. RESULTS: In 16/75 (21%) lesions csPCa was detected during MRGB-2. Of 63 resampled lesions, 13 (21%) harbored csPCa at MRGB-2. In two patients, csPCa was detected on repeat biopsy, while the volume of the lesion decreased between MRGB-1 and MRGB-2. CONCLUSION: Patients could benefit from repeat biopsy after negative initial MRGB, especially in the case of increasing PSA values and persisting PCa suspicion in MRI. Further research is needed to establish predictors for positive repeat targeted biopsies.


Subject(s)
Anonyms and Pseudonyms , Biopsy , Humans , Information Systems , Magnetic Resonance Imaging , Male , Neoplasm Grading , Passive Cutaneous Anaphylaxis , Prostate , Prostate-Specific Antigen , Prostatic Neoplasms , Retrospective Studies
17.
Article in Korean | WPRIM | ID: wpr-716137

ABSTRACT

OBJECTIVES: The aim of this study was to develop a Korean version of a mood chart application on an Android platform. METHODS: This application is based on the traditional mood chart. Eighteen adults with DSM-5 bipolar disorder were enrolled from November 2016 to March 2017. They were asked to rate their daily mood scores and severity of irritability and impulsivity for six months. Their clinicians rated their symptom severity monthly using the Clinical Global Impression-7 (CGI-7) scale. After six months, the participants completed an anonymous questionnaire regarding their satisfaction with the application. RESULTS: Of the 18 patients, one withdrew their consent from this study and six were males (35.3%) ; their mean age was 31.71±8.56 years. The mean follow-up duration was 159.12±49.45 days and the period of application use was 143.65±52.11 days. The mean total response rate was 59.45% and the mean response rate on the same day was 43.06%. The adherence to using the application decreased significantly declined over the duration since enrollment [odds ratio (OR)=1.008, p=0.008] but tended to increase according to age (OR=0.958, p=0.002). The application mood scores were correlated significantly with the manic (β=0.307, p=0.004) and depressive (β=−0.701, p < 0.001) subscale, and the total (β=1.026, p=0.002) of the CGI-7 (linear mixed models). The majority of subjects agreed that the application helped them manage their symptoms (92.86%), stating that the application was easy to use (78.57%). CONCLUSION: This application could be a valid and useful tool to monitor the mood symptoms of patients with bipolar disorder in Korea.


Subject(s)
Adult , Anonyms and Pseudonyms , Bipolar Disorder , Follow-Up Studies , Humans , Impulsive Behavior , Korea , Male , Methyltestosterone , Mood Disorders , Self Care , Smartphone , Telemedicine
18.
Article in English | WPRIM | ID: wpr-716048

ABSTRACT

BACKGROUND: To analyze the results of court rulings about medical litigations related to cataract surgery in Korea. METHODS: We collected 50 anonymized judgements regarding cataract surgery between 2000 and 2016 and analyzed the reasons for the medical litigations, the court rulings, the reasons for compensation, and the amount claimed and finally awarded. RESULTS: Forty-eight litigations (96%) resulted from errors in treatment, and the reasons were as follows: endophthalmitis, dissatisfaction of visual outcome or ocular discomfort, bullous keratopathy or corneal opacity, retinal detachment, glaucoma or vitreous hemorrhage due to the progression of an underlying diabetic retinopathy, and others in order. Two litigations (4%) arose due to errors in diagnosis. Among the 50 final cases, 21 litigations (42%) were decided in favor of the plaintiff, and 29 litigations (58%) were decided against the plaintiff and dismissed. Ten cases awarded damages to the plaintiffs because of a violation of duty of care, and 11 cases awarded damages due to a violation of informed consent. When comparing cases with errors in diagnosis to cases with errors in treatment, there was no significant difference in the relative risk of a defendant's verdict (P = 0.503). The total amount of awarded damages was KRW 439,124,496 (USD 399,204), and the average amount was KRW 20,910,690 (USD 19,010). CONCLUSION: Nearly half of the cases were decided in favor of the plaintiff due to the violation of informed consent. This study's results will be helpful in understanding the results of medical litigations regarding cataract surgery and reducing future lawsuits.


Subject(s)
Anonyms and Pseudonyms , Awards and Prizes , Cataract , Compensation and Redress , Corneal Opacity , Diabetic Retinopathy , Diagnosis , Endophthalmitis , Glaucoma , Informed Consent , Jurisprudence , Korea , Ophthalmology , Retinal Detachment , Vitreous Hemorrhage
19.
Article in English | WPRIM | ID: wpr-715719

ABSTRACT

PURPOSE: Lactose intolerance (LI) is perceived to be frequent in Asia and has been reported to have considerable impact on dietary intake, nutritional status and the quality of life. We aimed to gather information from healthcare professionals on the perceived incidence, diagnosis and management of LI in 1 to 5 year old children in Southeast Asia. METHODS: An anonymous electronic survey was sent randomly among healthcare professionals registered in the database of the pediatric societies in Thailand, Indonesia, and Singapore between June and October 2016. RESULTS: In total, 259 health care professionals responded of which 45.5% (n=118) were from Thailand, 37.4% (n=97) from Indonesia and 16.9% (n=44) from Singapore. Of the participants who responded (n=248), primary LI prevalence among children 1 to 3 years of age was estimated to be less than 5% by 56.8%. However, about 18.9% (n=47) answered they did not know/unsure. Regarding secondary LI, 61.6% of respondents (n=153) estimated the prevalence to be less than 15%. But again, 10.8% (n=27) answered they did not know or unsure. Rotavirus gastroenteritis was ranked as the top cause for secondary LI. There was considerable heterogeneity in the diagnostic methods used. The majority of respondents (75%) recommended lactose-free milk to manage primary and secondary LI. CONCLUSION: More education/training of pediatricians on this topic and further epidemiological studies using a more systematic approach are required.


Subject(s)
Anonyms and Pseudonyms , Asia , Asia, Southeastern , Child , Delivery of Health Care , Diagnosis , Epidemiologic Studies , Far East , Gastroenteritis , Health Personnel , Humans , Incidence , Indonesia , Lactose Intolerance , Lactose , Milk , Nutritional Status , Population Characteristics , Prevalence , Quality of Life , Rotavirus , Singapore , Surveys and Questionnaires , Thailand
20.
Article in Korean | WPRIM | ID: wpr-740836

ABSTRACT

PURPOSE: This purpose of study was to describe the adaptation process in the workplace in Korean adults with alcohol use disorder. METHODS: Twelve participants were recruited at hospital outpatients, Alcoholic Anonymous, and addiction treatment centers from October 2016 to January 2017. Inclusion criteria were Korean adults aged 18 and older who were diagnosed with alcohol use disorder and had a job for at least one year. Data were analyzed using Strauss and Corbin's grounded theory method. RESULTS: From open coding, 74 final concepts, 18 sub-categories, and 10 categories were identified. Results showed that the central phenomenon was ‘struggling to stand confidently’. The core categories were ‘withstanding life by embracing reality as an addict’, and the adaptation process appeared ‘selection stage’, ‘determination stage’, and ‘management stage’. The adaptation process of Korean adults with alcohol use disorder in the workplace was compared to ‘pearl in oyster’, which can be a process of breaking through pain. CONCLUSION: Our study findings provide an in-depth understanding of the experiences of an alcoholic's job life. Mental health nurses need to be actively involved in developing vocational rehabilitation programs for addicts.


Subject(s)
Adult , Alcoholics , Anonyms and Pseudonyms , Clinical Coding , Grounded Theory , Humans , Mental Health , Methods , Occupations , Outpatients , Rehabilitation, Vocational , Social Adjustment
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