Topic Modeling-Based Analysis of News Keywords Related to Patients with Diabetes during the COVID-19 Pandemic.

This study analyzed major issues related to diabetes during the coronavirus disease (COVID-19) pandemic by using topic modeling analysis of online news articles provided by BIGKind dating from 20 January 2020, the onset of the COVID-19 outbreak in Korea, to 17 April 2022, the lifting of the social distancing restrictions. We selected 226 articles and conducted topic modeling analysis to identify the main agenda of news related to patients with diabetes in the context of the COVID-19 pandemic; both latent Dirichlet allocation and visualization were conducted by generating keywords extracted from news text as a matrix using Python 3.0. Four main topics were extracted from the news articles related to "COVID-19" and "diabetes" during the COVID-19 pandemic, including "COVID-19 high-risk group," "health management through digital healthcare," "risk of metabolic disease related to quarantine policy," and "child and adolescent obesity and diabetes." This study is significant because it uses big data related to diabetes that was reported in the mass media during the new epidemic to identify problems in the health management of patients with diabetes during a new epidemic and discuss areas that should be considered for future interventions.

The strategic role of firm agility in the relationship between IT capability and firm performance under the COVID-19 outbreak

PurposeLeveraging theory from the dynamic capability literature, this study aims to explore how information technology (IT) capability influences firm agility and subsequently translates into firm performance.Design/methodology/approachThis study examines the proposed relationships by using survey data from a sample of 296 Chinese retail firms. Structural equation modeling is used to test this study's hypotheses.FindingsThe following results are produced: the direct effect of IT capability on firm agility is confirmed;firm agility has a direct impact on firm performance;and the indirect effect of IT capability on firm performance via firm agility is demonstrated (i.e. partial mediation).Originality/valueThe catastrophic outbreak of the COVID-19 pandemic has heightened the importance of firm agility more than ever. Although the traumatic event is painful, however, there is nothing like a crisis to offer a tremendous business opportunity. In response to the pandemic circumstance, firms are required to operate their business by reacting to unpredictable and dynamic market changes quickly and efficiently. This study sheds light on why firms should develop their IT capability and how it affects firm performance via firm agility during the COVID-19 outbreak.

Development and evaluation of a virtual reality mechanical ventilation education program for nursing students.

BACKGROUND: Since COVID-19 limits safe clinical practice settings, virtual reality (VR) emerged as an alternative to practical education. Using VR simulation to learn mechanical ventilation is rare in nursing education. METHODS: This study developed a VR simulation program for mechanical ventilation care and evaluated its effects. We adopted a quasi-experiment design. Participants were fourth-year students across nursing colleges in South Korea. RESULTS: The interaction effect of the intervention time point and control group, to which the VR simulation program was applied, showed a significant difference in self-efficacy (F = 19.54, p < .001) and clinical reasoning capacity (F = 16.97, p < .001). Learning satisfaction of the experimental group was statistically significantly higher than that of the control group(F = 5.22, p = .026). The level of learning immersion (t = - 3.13, p = .003) and learning satisfaction (t = - 3.49, p = .001) were statistically significantly higher in the experimental group than in the control group. CONCLUSION: These findings confirmed that the VR stimulation program for nursing students had a positive effect on their self-efficacy, clinical reasoning capacity, and learning satisfaction. Furthermore, it was effective in improving their nursing competence.

Depression with Chronic Disease Is Associated with Increased Use of Medical Services and Medical Expenses in Hardcore Smokers.

We aimed to investigate the association of chronic disease and depression with medical service use and expenses in hardcore smokers and provide basic data for health management system of hardcore smokers. This was a secondary data study involving 1735 smokers. Propensity score matching (PSM) was conducted to match hardcore smokers with regular smokers, and a two part model (TPM) was used based on the matched groups. In the case of general smokers, subjects with both depression and chronic disease had a significant relation to medical service use. In the case of hardcore smokers, subjects without depression and with chronic disease or with both depression and chronic disease had increased the use of medical services. The depression and chronic disease of general smokers did not affect the use of medical services. In the case of hardcore smokers, subjects who do not have depression and have only chronic disease (ß = 0.20, p = 0.002) or with depression and chronic disease (ß = 0.20, p = 0.014) significantly related the use of medical services. Conclusion: It is necessary to establish a health management system that considers both emotional states and chronic disease for hardcore smokers.

A Study of the Educational Needs of Clinical Nurses Based on the Experiences in Training Programs for Nursing COVID-19 Patients

SummaryPurposeThis study aimed to explore the experience of clinical nurses regarding training programs for critically ill patients with coronavirus disease 2019 (COVID-19) and their educational needs.MethodsQualitative data were analyzed using content analysis, and quantitative data were analyzed according to Borich's formula. Data for the study were collected in March 2021 from 16 nurses who had completed a nursing program for critically ill patients with COVID-19 and were working at three hospitals designated for COVID-19.ResultsParticipants' experiences were classified into three major categories, namely “Participation experiences and perceptions of the training program,” “Recommendations for improving the training program,” and “Perceptions of working in an infectious environment,” and 10 subcategories. According to Borich's formula, the most pressing educational needs in respiratory and non-respiratory nursing, respectively, were for “nursing care for patients on extracorporeal membrane oxygenation” and “application of continuous renal replacement therapy and caring for patients.”ConclusionTo prepare for the periodic emergence of communicable infectious diseases throughout the world and cultivate nursing staff to care for critically ill patients, it is necessary to develop nursing education programs with content corresponding to nurses' needs. This study can be used as base data for cultivating nursing staff for critically ill patients with communicable infectious diseases in keeping with clinical nurses’ educational needs and basic educational materials for nursing students.Trial registrationCRIS, KCT0006359. Registered 20 July 2021 - Retrospectively registered, https://cris.nih.go.kr/cris/

Development and evaluation of virtual reality simulation education based on coronavirus disease 2019 scenario for nursing students: A pilot study.

AIM: This research is designed to establish and evaluate the effectiveness of a virtual reality simulation program using COVID-19 scenario for nursing students. DESIGN: This is a quasi-experimental study using a non-equivalent control group pre-test-posttest design. METHODS: The participants were 65 students in their fourth year in nursing college. The knowledge about communicable infectious diseases in the respiratory system, self-efficacy, clinical reasoning capacity and learning satisfaction was evaluated. RESULTS: The experimental group showed a significantly higher learning satisfaction (t = 3.01, p = .004). Both groups presented statistically significant differences in knowledge on infectious respiratory diseases, self-efficacy and clinical reasoning between pre-test and posttest. However, knowledge (t = 0.47, p = .643), self-efficacy (t = 0.70, p = .944) and clinical reasoning were not different between the groups.

Hyperglycemic Emergencies Associated With COVID-19 Vaccination: A Case Series and Discussion.

CONTEXT: Hyperglycemic emergencies such as diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic syndrome (HHS) and new-onset diabetes mellitus (DM) have been reported in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections. Hyperglycemia is a predictor of poor prognosis in COVID-19 disease. OBJECTIVES: The objective of this work is to describe a case series of HHS and/or DKA likely triggered by the COVID-19 vaccine. The aim is to alert physicians of the potential hyperglycemic complications from the COVID-19 vaccination and to provide further insight into the underlying mechanism of the bidirectional relationship between SARS-CoV-2 and DM. CASE DESCRIPTIONS: All 3 patients developed HHS and/or DKA within 2 to 10 days of the COVID-19 vaccination. PCR testing for SARS-CoV-2 was negative and other clinical precipitating factors were excluded. Two patients had a history of type 2 DM (T2DM) with pre-admission HbA1c levels of 7.0% to 7.5% while 1 patient was newly diagnosed with T2DM during the hospitalization. They were each treated with insulin infusion and were discharged on subcutaneous insulin therapy. Due to the rapid resolution of the hyperglycemia, insulin was discontinued in all patients within 8 weeks and they remain well-controlled on oral DM medications. CONCLUSION: Severe hyperglycemia including HHS and DKA may be triggered by COVID-19 vaccination. Early evaluation and screening of patients with hyperglycemic symptoms after COVID-19 vaccination is recommended. The vaccine-induced hyperglycemia may provide further insight into the underlying pathogenesis caused by the SARS-CoV-2 infection itself. The underlying robust inflammatory response and "cytokine storm" may be the primary precipitant.

Analysis of Parenting Attitude Types and Influencing Factors of Korean Parents by Using Latent Transition Analysis.

This study aimed to classify the latent class of parenting attitude for parents with preschool children and school-age children, identify the pattern of transition in the type of parenting attitude over time, and determine the influencing factors associated with the transition. A total of 1462 households were the subjects of this longitudinal study that used latent profile analysis, latent transition analysis, and logistic regression analysis. The parenting attitude in the preschool year was classified into a model of three latent classes of 'parent uninvolved', 'maternal authoritative and paternal authoritarian', and 'maternal authoritarian and paternal authoritative', and the parenting attitude in the school year was classified into a model of four latent classes of 'parent weak uninvolved', 'parent strong uninvolved', parent authoritative', and 'maternal authoritarian and paternal authoritative.' All latent class subjects with preschool children showed an attitude transition to maternal authoritarian and paternal authoritative when their children were in school years. It was confirmed that a mother's depression and father's parenting stress were the most influential factors in the parenting attitude transition. This study lay in identifying the patterns of parenting attitude and the transition in attitude according to the developmental stage of children.

Validity and Reliability of the Korean Version of the Fear of COVID-19 Scale.

BACKGROUND: The present study aimed to translate the Fear of COVID-19 Scale (FCV-19S) into the Korean language and test the validity and reliability of the translated Korean version. METHODS: An online questionnaire survey was conducted with 300 adults (aged ≥19 years) living in South Korea. The data collection period was 1 June to 15 October 2020. The Korean version of the FCV-19S (KFCV-19S) was tested in terms of content validity, construct validity, criterion validity, item response theory, and reliability. RESULTS: When the content and construct validity of the FCV-19S was tested, the results showed that all items could be retained in the Korean version. When the criterion validity was tested based on correlation analysis between the KFCV-19S and the State-Trait Anxiety Inventory, the results showed a positive correlation (r = 0.53, p < 0.001). Item suitability test results showed that all items were within the reference value of 0.5-1.5. Internal consistency reliability test results showed a Cronbach's alpha of 0.81. CONCLUSION: The applicability of the KFCV-19S for identifying the level of fear Korean people experience regarding COVID-19 was verified. This tool is recommended for use in future assessments of Korean populations regarding levels of fear and anxiety regarding COVID-19.

Effect of exposure to COVID-19 infodemic on infection-preventive intentions among Korean adults.

AIM: This study determined the effect of exposure to coronavirus disease 2019 (COVID-19) infodemic on infection-preventive intentions among Korean adults. DESIGN: This was a cross-sectional study that used structural equation model. METHODS: Data were collected between 14 April-7 July 2020 from 300 adults in their 20s to 60s residing in South Korea. Analysis was performed using SPSS 20.0 and AMOS 20.0. RESULTS: Exposure to COVID-19 infodemic had a direct effect on the reduction of COVID-19-related knowledge and personal preventive health intentions. COVID-19-related knowledge had a direct impact on increased perceived severity, perceived vulnerability, perceived self-efficacy, and personal preventive health intentions. Perceived severity, perceived vulnerability, and perceived self-efficacy had a direct effect on increasing preventive intentions for personal health; and perceived severity had a direct effect on preventive intentions for public health.