Publications by authors named "Kyoung-Eun Kim"
Background: Nurses are crucial for enhancing patient safety due to their continuous presence at patients' bedsides and close interactions with families and other healthcare providers. This study aims to examine the relationships among safety education, perception of patient safety culture, safety control, and patient safety competence in clinical nurses, while also exploring the mediating effect of perceptions on patient safety culture and safety control.
Methods: The study involved 165 nurses, including 10 males (6.
Purpose: Traumatic peripheral nerve injury (PNI), which occurs in up to 3% of trauma patients, is a devastating condition that often leads to permanent disability. However, knowledge of traumatic PNI is limited. We describe epidemiology and clinical characteristics of traumatic PNI in Korea and identify the predictors of traumatic complete PNI.
View Article and Find Full Text PDFArticle Synopsis
- The Armed Forces Trauma Center of Korea was established in April 2022 and conducted a study on 51 soldiers with lower extremity open fractures over one year.
- The research involved analyzing patient data on injury types, transport times, and treatments, finding that injuries were mainly due to gunshot wounds and explosions, with various types of surgical interventions performed.
- Outcomes showed that while some patients faced significant rehabilitation challenges and psychiatric issues, most achieved varying levels of mobility after treatment, highlighting areas for improving military trauma care.
Objective: Given the long-term and severe distress experienced during breast cancer treatment, detecting depression among breast cancer patients is clinically crucial. This study aimed to explore a machine-learning model using self-report questionnaires to screen for depression in patients with breast cancer.
Methods: A total of 327 patients who visited the breast cancer clinic were included in this study.
Acrylic resins are widely used as the main components in removable orthodontic appliances. However, poor oral hygiene and maintenance of orthodontic appliances provide a suitable environment for the growth of pathogenic microorganisms. In this study, strontium-modified phosphate-based glass (Sr-PBG) was added to orthodontic acrylic resin at 0% (control), 3.
View Article and Find Full Text PDFArticle Synopsis
- Gestational gigantomastia involves rapid breast growth during pregnancy, and treatment options are not well established, often leading to surgical intervention if other methods fail.
- In this case, a young patient preferred not to undergo a modified radical mastectomy due to aesthetic concerns, and she faced potential complications and costs with reconstruction options.
- The Goldilocks technique was chosen for total mastectomy and reconstruction, resulting in no complications and satisfactory outcomes for the patient's breast shape and comfort.
Background And Purpose: The purpose of this study was to describe the clinical presentation and features in electrodiagnostic and imaging investigations of young South Korean males diagnosed with Hirayama disease (HD).
Methods: We reviewed the electronic medical records of South Korean enlisted soldiers who were diagnosed with HD and discharged from military service during 2011-2021. We investigated the clinical characteristics and results of electrodiagnostic and magnetic resonance imaging (MRI) investigations.
Background: Various clinical applications have been attempted using artificial intelligence (AI) clinical decision support system (CDSS), and it has become a starting point for personalized cancer treatment. We aimed to identify the degree of agreement between the AI-CDSS, Watson for Oncology (WFO), and the clinician in treatment recommendations for Korean breast cancer patients and to provide guidelines for future improvement.
Methods: One hundred and eighty-three breast cancer patients who underwent treatment at the Pusan National University Hospital between January 1, 2016 and May 31, 2017 were enrolled in this study.
Article Synopsis
- The study focused on determining the prevalence of neuromuscular diseases among young South Korean males who undergo mandatory military physical exams from 2011 to 2020.
- Researchers analyzed data from the Military Manpower Administration and the Armed Forces Medical Command, which included exempted patients and discharged soldiers due to these diseases.
- Results showed specific prevalence rates for various neuromuscular disorders, with hereditary neuropathy and myotonic dystrophy being notable among the young male population, providing important insights for healthcare understanding.
Article Synopsis
- * Out of 2,040 articles searched, only 21 met the criteria, with five studies actually assessing the performance of various tools, including the Hospital Anxiety and Depression Scale and Distress Thermometer.
- * The findings suggest that some tools are reliable and valid, but further comparative studies are necessary to choose the best assessments tailored to the clinical needs of breast cancer patients.
Plastic surgery around the eyes is usually performed under local anesthesia, using a mixture of lidocaine and epinephrine. Blindness is a rare but devastating complication after the injection of local anesthesia in this region. Most cases reported to date have been caused by occlusion of the ophthalmic artery or central retinal artery.
View Article and Find Full Text PDFBased on the American College of Surgeons Oncology Group (ACOSOG)-Z0011, a useful nomogram has been constructed to identify patients who do not require intraoperative frozen sections to evaluate sentinel lymph nodes in the previous study. This study investigated the developed nomogram by ultrasonography (US) and positron emission tomography (PET)/computed tomography (CT) as a modality. In the training set, 89/1030 (8.
View Article and Find Full Text PDFBackground: In breast cancer surgery, electrocautery (EC) is commonly used with the basic method of knot tying, and there are few reports of using other devices such as ultrasonic dissection device (UDD). This study was designed to compare the case of using EC with the basic method of knot tying and the case of using UDD in breast cancer surgery.
Methods: From April 2019 to March 2020, 376 patients who underwent breast cancer surgery at Pusan National University Hospital were enrolled.
Article Synopsis
- The COVID-19 pandemic, starting in December 2019, led to a noticeable decline in medical visits for non-COVID-related health issues among South Korean soldiers, a group with similar age and health profiles.
- This study analyzed outpatient and admission data from military hospitals between 2016 and 2020, focusing on specific diseases and comparing 2020 statistics to the averages from 2016-2019.
- Findings revealed a significant decrease in outpatient visits and hospital admissions for conditions like pneumonia and acute respiratory infections during the pandemic in 2020 compared to previous years (p < 0.001).
Purpose: We examined the incidence of emotional distress in women with newly diagnosed breast cancer to determine whether the degree of emotional distress affected their choice of breast-conserving surgery (BCS) or mastectomy and evaluated how the patient's preferred role in decision-making influenced her choice of surgical method.
Methods: This prospective study included 85 patients newly diagnosed with in situ or invasive breast cancer eligible for BCS. Their degree of depression/anxiety and attitude toward the decision-making process were measured using the Hospital Anxiety and Depression Scale (HADS) and Control Preference Scale (CPS), respectively.
Article Synopsis
- Sentinel lymph node biopsy (SLNB) is now a common procedure for early breast cancer, reducing the need for more invasive surgeries like axillary lymph node dissection (ALND).
- A study reviewed data from 910 patients, finding that only 6.1% developed lymphedema after SLNB compared to 27% after ALND, with various other factors like body mass index and type of surgery also influencing lymphedema risk.
- Importantly, the number of sentinel lymph nodes removed during SLNB did not correlate with the occurrence or severity of lymphedema, suggesting other factors play a larger role in the development of this condition.
Chemotherapy is commonly used as a major therapeutic option for breast cancer treatment, but its efficacy is often diminished by disruption of patient's anti-tumor immunity. Chemotherapy-generated tumor cell debris could hijack accumulated tumor-associated macrophages (TAMs), provoking tumor recurrence. Therefore, reprogramming TAMs to acquire an immunocompetent phenotype is a promising strategy to potentiate therapeutic efficacy.
View Article and Find Full Text PDFArticle Synopsis
- Aromatase inhibitors (AIs) are commonly used for treating postmenopausal women with hormone-receptor-positive breast cancer, but their long-term cardiovascular safety is debated compared to tamoxifen.
- A study analyzed data from over 281,000 women diagnosed with breast cancer to compare the incidence of cardiovascular events (CVEs) between those using AIs and those using tamoxifen.
- Results showed that tamoxifen users had a significantly lower risk for CVEs, particularly acute coronary syndrome, compared to those receiving no treatment, highlighting the potential protective benefits of tamoxifen for older Korean women with breast cancer.
Article Synopsis
- The study aimed to improve the prediction of pathologic complete response (pCR) in breast cancer using MRI and ultrasound-guided biopsies after neoadjuvant chemotherapy (NAC).
- A total of 40 patients with nearly pCR underwent ultrasound-guided biopsies followed by surgery, revealing that pCR was confirmed in 67.5% of cases, with notable predictive values for the biopsy methods.
- The research suggests that using MRI criteria with ultrasound-guided biopsies can reliably identify patients who might safely avoid surgery after NAC, paving the way for future larger clinical trials.
Article Synopsis
- Humeral shaft fractures, common among young Korean soldiers, often occur due to activities like arm wrestling; demographic factors and radial nerve injury were analyzed.
- In a study of 123 cases over 7.5 years, arm wrestling was the primary cause (52.8%), followed by high-energy incidents like falls and sports injuries; patterns of fractures varied based on the cause.
- Despite 27.6% of patients developing radial nerve palsy, the incidence was similar across different causes, suggesting that while arm wrestling is a high-risk activity, it does not significantly increase the risk of nerve injury compared to other causes.
Sparganosis is a parasitic infestation caused by sparganum, a plerocercoid tapeworm larva of the genus Spirometra. Since the first case of human sparganosis reported in 1908, sparganosis has been a global disease, and is common in China, Japan, and Southeast Asian countries. Consumption of raw snakes, frogs, fish, or drinking contaminated beverages are sources of human infections.
View Article and Find Full Text PDFThe purpose of this study was to critically evaluate the effects of robot-assisted gait training (RAGT) on gait-related function in patients with acute/subacute stroke. We conducted a systematic review of randomized controlled trials published between May 2012 and April 2016. This search included 334 articles (Cochrane, 51 articles; Embase, 175 articles; PubMed, 108 articles).
View Article and Find Full Text PDFBackground: This study evaluated functional outcomes using newly established clinical pathways after hip fracture surgery in older adults and analyzed the major determinants of successful functional outcomes in rehabilitation programs using standardized clinical pathways.
Methods: This was a retrospective cohort study performed in a tertiary rehabilitation facility. A total of 220 patients who had received unilateral hip fracture surgery were followed up from immediately after surgery to 6 months postoperatively.
Objectives: Because patients with hereditary neuropathy with liability to pressure palsy (HNPP) are diagnosed mostly in their 20s, they are likely to experience their first major neurological symptoms during military training. We aimed to analyse the clinical characteristics and electrodiagnostic study findings of patients diagnosed with HNPP during their military service.
Methods: We identified patients diagnosed as having HNPP in 2011-2014 and investigated their initial symptom presentation, the location and severity of their weakness, the causative event, the results of electrodiagnostic studies and the results of the genetic analysis of the PMP-22 gene.