• The Journal of the Korea Contents Association
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• v.15 no.1
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• pp.300-307
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• 2015

The purpose of this review was to evaluate the effects of diabetes management program using mobile appllication. A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement was conducted. Studies published between 2004 and 2014 were reviewed using the following databases: Ovid, CINAHL and Cochrane library. The keywords used were (app*OR mobile) AND (nurs* OR health* OR medic*) AND (diabet*). Selected studies were assessed for methodological quality using Scottish Intercollegiate Guidelines Network (SIGN)' Checklist. Three hundred seventy five studies were identified, All the 3 studies found mobile application as a valid strategy on clinical usefulness in diabetes management. This review provides updated evidence for app-based management program in diabetes management. Further studies are needed to increase generalizability using randomized controlled trials, enough sample size. In addition, valid measurements are needed to assess the main outcomes.

• Journal of radiological science and technology
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• v.33 no.3
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• pp.173-178
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• 2010

In projection radiography, two types of digital imaging systems are currently available, computed radiography (CR) and digital radiography (DR): a difference between them can be stated in terms of dose and image quality. In the Department of Radiology our hospital, a flat-panel DR equipment (Digital diagnost, Philips) and two CR systems (ADC Compact plus digitizer, AGFA) are employed. Eight standard radiographic examinations (Skull AP, Skull LAT, Chest PA, Chest LAT, Abdomen AP, L-spine AP, L-spine LAT, Pelvis AP) were considered: doses delivered to patients in terms of both entrance skin dose (ESD) were calculated and compared in order to study the dosimetric discrepancies between CR and DR. Assessment of image quality is undertaken by Consultant Radiologists to ensure that the quality criteria for diagnostic radiographic images of the European guidelines were met. Results showed that both ESD in DR are lower than that in CR; all images met the criteria in the European Guidelines for both modalities and were used for reporting by the radiologists. Since the operators are the same and the image quality is comparable in both modalities, this study shows that in the considered examinations, DR can perform better than CR from a dosimetric point of view.

• Journal of the Korea Convergence Society
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• v.12 no.9
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• pp.373-385
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• 2021

The purpose of this paper is to systematically evaluate the relationship between cancer health literacy and cancer screening behaviors using global data. Following the preferred reporting items for systematic reviews and meta-analyses review guidelines, full-text articles published on PubMed, CINAHL, Embase, and Cochrane Library were reviewed until 31 January 2021. The reference lists of all selected studies have been also included. The cancer health literacy and cancer-screening behaviors of the participants aged ≥18 years were assessed. Seventeen studies that met the inclusion criteria were included. The cancer screening behaviors included mammograms, clinical breast cancer examination, Papanicolaou test, colonoscopy, and PSA screening. Eleven studies revealed a statistically meaningful relationship between the cancer health literacy and cancer screening behaviors. Further research should focus on developing effective interventions and guidelines on cancer health knowledge. The research scope of all areas of cancer health literacy and cancer screening behaviors should be extended to improve the cancer screening rates and public health.

• Journal of The Korean Society of Integrative Medicine
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• v.12 no.3
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• pp.237-247
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• 2024

Purpose : This study aimed to systematically review the effectiveness of nursing interventions for patients receiving extracorporeal membrane oxygenation (ECMO). As the use of ECMO increases in critical care settings, it is important to understand how nursing interventions affect patient outcomes, survival, and complication rates. Methods : This systematic review followed the preferred reporting items for systematic reviews and meta-analysis guidelines. A literature search was performed using terms related to ECMO and nursing interventions in several international electronic databases including CINAHL, Embase, MEDLINE, and Web of Science. Studies were screened and selected according to predefined eligibility criteria, focusing on those that evaluated the impact of nursing interventions on adult. Data extraction and risk-of-bias assessment were independently performed by two researchers. Results : A total of 647 studies were identified, and seven met the inclusion criteria for qualitative analysis. The included studies demonstrated that high-quality nursing care significantly improves clinical outcomes and reduces complications in patients receiving ECMO. Effective nursing interventions included prone positioning combined with ECMO for patients with acute respiratory distress syndrome, meticulous infection control, comprehensive and continuous nursing protocols, skilled nursing, and multidisciplinary management. These interventions have been shown to improve oxygenation, reduce complications, such as bleeding, manage blood pressure, and enhance overall clinical outcomes. Conclusion : High-quality nursing interventions are critical to improve survival and reduce complications in patients receiving ECMO. Implementing a multidisciplinary approach and comprehensive nursing protocols, including infection control and psychological support, is essential for the effective management of these patients. The findings of this study provide a foundation for the development of practical guidelines and educational programs to improve the quality of care for patients undergoing ECMO, ultimately enhancing the effectiveness of ECMO treatment and patient outcomes.

• Safety and Health at Work
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• v.11 no.3
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• pp.249-261
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• 2020

Background: Hearing loss is one of the most prevalent worker health conditions worldwide. Although the effect of noise exposure on hearing is well researched, other workplace exposures may account for significant hearing loss. The aim of this review was to determine whether occupational hand-arm vibration exposure through use of power or pneumatic tools, independent of noise exposure, is associated with permanent hearing loss. Do workers suffer from hand-arm vibratione-induced hearing loss? Methods: Peer-reviewed articles published in English between 1981 and 2020 were identified through five online databases with five search keywords. Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, including online database search methodology, study selection, article exclusion, and assessment of potential study design confounders and biases, were followed. Results: Database searches retrieved 697 articles. Fifteen articles that reported 17 studies met the criteria for review. All but two studies revealed statistically significant associations between occupational exposure to hand-arm vibration and hearing loss. The majority of the study results revealed associations between hand-arm vibration and hearing loss, independent of potential age and noise confounders. Conclusion: Few studies have examined the association between occupational exposure to hand-arm vibration and hearing loss. Dose response data were limited as only one study measured vibration intensity and duration. Although the majority of studies identified statistically significant associations, causal relationships could not be determined. Further research using standardized and uniform measurement protocols is needed to confirm whether the association between occupational exposure to hand-arm vibration and permanent hearing loss is causal and the mechanism(s).

• Korean Journal of Occupational Health Nursing
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• v.20 no.2
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• pp.212-220
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• 2011

Purpose: This study was to investigate the prevalence & types of workplace violence toward nurses in hospitals, and to understand nurse's coping response, cause of violence and prevention strategy. Methods: The data were collected from 254 nurses working in 9 hospitals in Jeju Province by the self-report from June to August 2010. Results: The respondents experienced unpleasant or insulting words (89.8%), verbal threat (38.2%), physical threat (67.7%), physical injury (32.7%), severe physical injury (2.8%), and sexual harassment (26.4%) during the last one year. The frequent offenders were patients, patients' family and physicians in order. The causes of violence which nurses perceived were personality of offenders (76.4%), lack of assessment of aggressive patients or care givers (42.1%), and lack of explanation to patients or caregivers (33.5%). They reported that coping strategies for workplace violence were 'established reporting system (63.4%)', 'building a cooperative circumstances within team members (58.3%)', and 'formulation of hospital policies for violence prevention and coping (54.3%)'. Conclusion: These findings showed nurses are at considerable risk for workplace violence, and they experience various types of violence from patients, caregivers, and physicians. We suggest that hospitals formulate appropriate policies, guidelines and programs to prevent and cope with workplace violence in hospitals.

• Neonatal Medicine
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• v.15 no.2
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• pp.119-122
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• 2008

Clinical research is a necessity, not an option, for developing better and new medicines and therapeutic modalities. But in the course of clinical research, there are rules and guidelines that should be followed to ensure the due respect for persons, beneficence, and justice for persons who voluntarily participate in the research as described in the Belmont Report. Good Clinical Practice (GCP) is an "international scientific and ethical quality standard for designing, conducting, recording, and reporting" clinical trials. The main purposes of GCP would be to protect rights, safety, and well-being of trial subjects, in compliance with the principles of Declaration of Helsinki, and to assure that the data obtained from clinical trials are credible. In order to achieve these, investigators must be fully aware of the meanings as well as actual procedures involved in the research and should make the best effort to comply with GCP. For those individuals who belong to vulnerable populations, such as neonates, in addition to the general principles of GCP, further measures to ensure added protection should be implemented. It is our duty to develop and provide better care through clinical research even for neonates. But in doing so, we have to make sure that the importance of protecting the rights, safety, and well-being of the subjects supersede the interests of science and society.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.15 no.2
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• pp.153-160
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• 2008

Purpose: This study was done to examine the level of compliance and the relation of related factors of nosocomial infection control among nurses in emergency rooms. The data will provide fundamental information for developing programs for nosocomial infection control in the emergency room. Method: Study participants were 183 nurses working in emergency rooms in general hospitals that had more than 500 beds and were located in Daegu, Daejeun, and Pusan. The survey was carried out from March 7 to March 26, 2006 and a structured questionnaire was used. Descriptive statistics, t-test, ANOVA and Sheffe test with SPSS 14.0 were used to analyze the data. Results: The average level for practice of infection control was relatively low Levels of compliance were high when the participants had: 1) regular conferences for nosocomial infection control, 2) positive perception of protection devices, 3) knowledge of whom to report and experiences of reporting needle stick injuries, 4) hospital guidelines for infection control and 5) enough equipment supplies from the hospital. Conclusion: Nosocomial infection control among emergency room nurses could be improved via personal, psychosocial, and organizational factors and related education.

• Korean Parent-Child Health Journal
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• v.22 no.1
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• pp.30-42
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• 2019

Purpose: This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding individual visit program. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using four core electronic databases from October 28, 2018 to November 14, 2018. The topics of breastfeeding individual visit program were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.3 software. Results: A total of 13 studies were included in the review and 12 were included for meta-analysis. Breastfeeding individual visit programs were found to be more effective in breastfeeding rates, attitude, skill and self-efficacy compared to group education or non-education. Conclusion: Effective breastfeeding education can help mothers to start and sustain breastfeeding. Breastfeeding individual visits programs that are more effective than group education to maintain breastfeeding for pregnant women should be developed and applied.

• Journal of Korean Academy of Nursing
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• v.51 no.5
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• pp.597-616
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• 2021

Purpose: This study's objective was to investigate the effects of programs that improve adolescents' body image, using a systematic review and meta-analysis. Methods: A literature search was performed in eleven electronic databases, using preferred reporting items for systematic reviews and meta-analysis guidelines. Population characteristics, contents of the programs, and measured outcomes were systematically reviewed from 21 selected studies. To estimate the size of the effects, meta-analysis was conducted using Comprehensive Meta-Analysis software. Results: The contents of the programs that aimed to improve body image included physical, psychological, interpersonal, and sociocultural interventions. Sixteen studies were meta-analyzed to estimate the effect size of body-image improvement programs. Results showed that the program for body-image improvement had significant effects on body satisfaction (effect size [ES] = 0.56, 95% confidence interval [CI] = 0.23 to 0.89), and body dissatisfaction (ES = - 0.15, 95% CI = - 0.23 to - 0.08). Conclusion: The program for body image improvement in adolescents includes a combination of physical, psychological, interpersonal relationship, and socio-cultural dimensions. The program that seeks to improve body image appears to be effective at increasing body satisfaction, and at reducing body dissatisfaction in adolescents. Thus, it is necessary to develop and apply multidimensional programs for adolescents to have a positive body image.