Ewha Medical Journal最新文献_第10页

Unresolved policy on the new placement of 2,000 entrants at Korean medical schools and this issue of Ewha Medical Journal. 韩国医学院2000名新入学生的安置政策和这一期的《梨花花医学杂志》尚未解决。

IF 0.3

Ewha Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI: 10.12771/emj.2024.e32

Sun Huh

引用次数: 0

Air pollution, including PM₁₀, as a potential risk factor for the development of appendicitis in Korea: a case-crossover study. 空气污染，包括PM10，是韩国阑尾炎发展的潜在危险因素：一项病例交叉研究。

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Ewha Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI: 10.12771/emj.2024.e38

Yongho Jee, Jin Hoon Nam, Jongmin Oh, Gyoung Tae Noh, Eunhee Ha, Ryung Ah Lee

{"title":"Air pollution, including PM10, as a potential risk factor for the development of appendicitis in Korea: a case-crossover study.","authors":"Yongho Jee, Jin Hoon Nam, Jongmin Oh, Gyoung Tae Noh, Eunhee Ha, Ryung Ah Lee","doi":"10.12771/emj.2024.e38","DOIUrl":"10.12771/emj.2024.e38","url":null,"abstract":"Objectives: Interest in the association between particulate air pollution and appendicitis risk has been increasing in recent years, and previous studies have suggested a link between particulate matter ≤10 μm in diameter (PM10) and appendicitis. However, robust evidence is currently lacking. This study explored the association between short-term PM10 exposure and appendicitis using data from Ewha Womans University Mokdong Hospital, Seoul, Korea, between January 1, 2001 and December 31, 2018. Methods: We employed a time-stratified case-crossover design using data from 6,526 appendicitis patients taken from the hospital's electronic medical records system. We analyzed the data using a conditional logistic regression model adjusted for daily mean temperature and relative humidity. The effect size of PM10 was estimated in terms of each 10 μm/m3 increase in PM10 concentration. Sex, season, and age group were analyzed as subgroups. Results: Appendicitis patients had been exposed to higher levels of PM10 concentrations 3 days (OR 1.045, 95% CI : 1.007-1.084) and 7 days (OR, 1.053; 95% CI, 1.005-1.103) before hospital admission. The case-crossover analysis stratified by sex, age, and season showed that the male sex, being aged under 10, and the cold season were associated with a significantly stronger association between appendicitis and PM10 concentrations. Conclusion: Our study found that PM10 concentrations were associated with appendicitis in boys aged under 10. The cold season was also a risk factor. Further research with a larger sample size and with other pollutants is required to clarify the association between PM10 and appendicitis.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"47 3","pages":"e38"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology and management of infectious spondylitis in Korea: a narrative review. 韩国传染性脊柱炎的流行病学和管理：叙述回顾。

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Ewha Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI: 10.12771/emj.2024.e37

Kyung-Hwa Park

{"title":"Epidemiology and management of infectious spondylitis in Korea: a narrative review.","authors":"Kyung-Hwa Park","doi":"10.12771/emj.2024.e37","DOIUrl":"10.12771/emj.2024.e37","url":null,"abstract":"Infectious spondylitis, an infection of the vertebral body, intervertebral disc, or paraspinal tissues, poses diagnostic and therapeutic challenges. This review examines the clinical approach and management of infectious spondylitis in Korea. The incidence of pyogenic spondylitis has increased, primarily due to the aging population, more frequent use of invasive procedures, and higher prevalence of immunocompromising conditions. Conversely, tuberculous spondylitis has declined, reflecting shifts in population demographics and medical practices. Staphylococcus aureus remains the predominant causative agent in pyogenic cases, while Mycobacterium tuberculosis is the primary pathogen in tuberculous spondylitis. The diagnosis is contingent upon clinical suspicion, inflammatory markers, imaging studies, and microbiological identification. MRI is the preferred imaging modality, offering high sensitivity and specificity. Blood cultures and tissue biopsy are instrumental in isolating the causative organism and determining its antibiotic susceptibility. Treatment involves antimicrobial therapy, spinal immobilization, and vigilant monitoring for complications. Surgical intervention may be necessary in cases involving neurological deficits, abscesses, or spinal instability. The prognosis for infectious spondylitis varies. Long-term complications, including chronic pain, neurological deficits, and spinal deformities, may arise and can meaningfully impact quality of life. Mortality is considerable and is influenced by comorbidities and disease severity. The risk of recurrence, particularly within the first year after treatment, is a concern. This review underscores the importance of ongoing research and education in refining diagnostic and treatment strategies for infectious spondylitis. As this condition becomes more common, these efforts offer hope for improving patient care and reducing the burden of this severe spinal infection.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"47 3","pages":"e37"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A proposal for digital informed consent to standardize the physician's duty to inform, a missionimpossible job. 一项关于数字知情同意的提议，将医生的告知义务标准化，这是一项不可能完成的任务。

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Ewha Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI: 10.12771/emj.2024.e33

Dong Wook Shin

引用次数: 0

Establishing the Guidelines for Recommendation Reporting (G-RECO): a study protocol for developing reporting guidelines for disease prevention recommendations. 制定建议报告准则（G-RECO）：制定疾病预防建议报告准则的研究方案。

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Ewha Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI: 10.12771/emj.2024.e43

Wonyoung Jung, Sukhyun Ryu, So Yeon Ryu, Mina Ha, Bo Youl Choi, Soo Young Kim

{"title":"Establishing the Guidelines for Recommendation Reporting (G-RECO): a study protocol for developing reporting guidelines for disease prevention recommendations.","authors":"Wonyoung Jung, Sukhyun Ryu, So Yeon Ryu, Mina Ha, Bo Youl Choi, Soo Young Kim","doi":"10.12771/emj.2024.e43","DOIUrl":"10.12771/emj.2024.e43","url":null,"abstract":"Objectives: The objective of this study was to develop the Guidelines for Recommendation Reporting (G-RECO) for use in the Public Health Weekly Report (PHWR) in Korea, aiming to improve the standardization, scientific accuracy, and practical applicability of recommendation reports in clinical practice guidelines. Methods: The methodology of this study aligned with the EQUATOR Network standards. A multidisciplinary research committee was formed, comprising experts in various relevant fields. The development process included a comprehensive literature review, analysis of existing guidelines, and formulation of a structured G-RECO framework with 21 key items. This was supplemented with Explanation & Elaboration documents for each item. The draft underwent rigorous revisions and evaluations by both internal and external experts. Results: By November 2023, significant progress had been made in developing a detailed G-RECO checklist and accompanying E&E documents. These tools are designed to guide authors in clear and consistent reporting of recommendation reports. The team is poised to finalize and publish the checklist and E&E documents by December 2024. Conclusion: The G-RECO guidelines represent a significant advancement in the formalization and standardization of recommendation reports for the PHWR. They are expected to improve the quality of research and publications in clinical practice guidelines, contributing to the evolution of the field and enriching public health discourse. The guidelines, with their comprehensive nature and user-friendly design, will become an invaluable resource for researchers, editors, and peer reviewers in public health and epidemiology.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"47 3","pages":"e43"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Status of and comprehensive preventive strategies for multidrug-resistant organisms in Korea: a focus on carbapenem-resistant Enterobacterales. 韩国多重耐药生物的现状和综合预防策略：以碳青霉烯耐药肠杆菌为重点。

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Ewha Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI: 10.12771/emj.2024.e34

Do Hyeon Park, Pyoeng Gyun Choe

{"title":"Status of and comprehensive preventive strategies for multidrug-resistant organisms in Korea: a focus on carbapenem-resistant Enterobacterales.","authors":"Do Hyeon Park, Pyoeng Gyun Choe","doi":"10.12771/emj.2024.e34","DOIUrl":"10.12771/emj.2024.e34","url":null,"abstract":"The rise of multidrug-resistant organisms represents a serious global public health concern. In Korea, the increasing prevalence of carbapenem-resistant Enterobacterales (CRE) is particularly concerning due to the difficulties associated with treatment. Data from the Korea Global Antimicrobial Resistance Surveillance System indicate a yearly increase in CRE cases, with carbapenemase-producing Enterobacterales being the predominant type. The capacity of CRE to resist multiple broad-spectrum antibiotics leads to higher medical costs and mortality rates, underscoring the need for urgent action. Effective prevention is crucial to curbing CRE outbreaks and transmission. Antimicrobial stewardship programs (ASPs) play a key role and require commitment from healthcare professionals to minimize unnecessary antibiotic use, as well as from policymakers to ensure adherence to ASP guidelines. Given the complexity of CRE transmission, ASP efforts must be integrated with infection control strategies for maximum effectiveness. These strategies include adherence to standard and contact precautions, environmental disinfection, preemptive isolation, and comprehensive education and training for healthcare personnel. Additionally, surveillance testing for patients at high risk for CRE and the use of real-time diagnostic kits can facilitate early detection and reduce further transmission. Strategies for the prevention of CRE infection should be tailored to specific healthcare settings. Ongoing research is essential to update and refine infection control guidelines and effectively prevent CRE outbreaks.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"47 3","pages":"e34"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

My career path at a medical artificial intelligence company, working as a physician outside of clinical practice. 我的职业道路是在一家医疗人工智能公司，在临床实践之外担任医生。

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Ewha Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI: 10.12771/emj.2024.e45

Chang Ho Ahn

引用次数: 0

Reporting Guidelines for Survey Reporting (G-SURE): protocol for guideline development. 调查报告报告指南（G-SURE）：指南制定的协议。

IF 0.3

Ewha Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI: 10.12771/emj.2024.e44

Wonyoung Jung, Soo Young Kim, Sukhyun Ryu, So Yeon Ryu, Mina Ha, Bo Youl Choi

{"title":"Reporting Guidelines for Survey Reporting (G-SURE): protocol for guideline development.","authors":"Wonyoung Jung, Soo Young Kim, Sukhyun Ryu, So Yeon Ryu, Mina Ha, Bo Youl Choi","doi":"10.12771/emj.2024.e44","DOIUrl":"10.12771/emj.2024.e44","url":null,"abstract":"Objectives: The objective of this study was to develop a reporting guideline for epidemiological survey reports, referred to as \"Guidelines for Survey Reporting (G-SURE).\" Methods: To develop G-SURE, we adopted a systematic approach, starting with a detailed review of recent survey reports in Public Health Weekly Report, Eurosurveillance, and Morbidity and Mortality Weekly Report and an analysis of current reporting standards. After drafting the guidelines, our team conducted an in-depth internal evaluation to assess their effectiveness and applicability. We then refined the guidelines based on insights from external experts and potential users, particularly those with significant experience in survey reporting. The plan also includes ongoing efforts to widely share the guidelines and update them periodically, incorporating new findings and user feedback. Results: G-SURE will provide a structured framework for reporting outbreak investigations, comprising a detailed checklist and Explanation & Elaboration documents. These will improve the transparency, consistency, and quality of public health documentation. Conclusion: In this protocol article, we introduce G-SURE, a guideline developed to improve epidemiological survey research. G-SURE addresses the critical need for uniform reporting standards in epidemiological surveys, aiming to improve the quality and relevance of research outcomes in this area. This guideline is also designed to be a key resource for peer reviewers and editors, aiding them in efficiently assessing the thoroughness and accuracy of survey reports. By providing consistent reporting criteria, G-SURE seeks to minimize confusion and irregularities, which are often encountered in the process of scientific publication.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"47 3","pages":"e44"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Straightforward, safe, and efficient interlocking screw insertion during intramedullary nailing using a Steinmann pin and hammer: a comparative study. 使用Steinmann销和锤子髓内钉时直接、安全、有效的联锁螺钉插入：比较研究。

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Ewha Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI: 10.12771/emj.2024.e39

Maria Florencia Deslivia, Hee-June Kim, Sung Hun Kim, Suk-Joong Lee

{"title":"Straightforward, safe, and efficient interlocking screw insertion during intramedullary nailing using a Steinmann pin and hammer: a comparative study.","authors":"Maria Florencia Deslivia, Hee-June Kim, Sung Hun Kim, Suk-Joong Lee","doi":"10.12771/emj.2024.e39","DOIUrl":"10.12771/emj.2024.e39","url":null,"abstract":"Objectives: Accurately targeting distal nail holes and placing distal interlocking screws pose challenges during intramedullary nailing. This study proposes a straightforward technique for distal locking screw insertion using a Steinmann pin, eliminating the need to reposition the pin or drill bit. Methods: We utilized 18 Sawbones femur models and intramedullary femur nails. A first-year resident created two distal locking holes on each model, employing both the conventional freehand technique and a novel method involving a Steinmann pin and hammer under image intensification. These techniques were evaluated based on three parameters: (1) the time required to create distal locking holes, measured from the moment the pin was positioned at the center of the hole until the far cortex was drilled through the interlocking hole; (2) the radiation dose (in mrem/h), as estimated with a personal gamma radiation dosimeter; and (3) the number of failures, defined as the creation of more than one hole in the near and far cortex. Results: The new technique was associated with a lower radiation dose (P=0.0268) and fewer failures (P=0.0367) than the conventional approach. Additionally, the time required to establish distal holes was shorter using the new technique compared to the conventional method (P=0.0217). Conclusion: The creation of distal interlocking holes with a Steinmann pin and hammer is accurate, efficient, and cost-effective.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"47 3","pages":"e39"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reporting Guidelines for Community Outbreak Investigation Reporting (G-CORE): protocol for guideline development. 社区疫情调查报告报告指南（G-CORE）：指南制定方案。

IF 0.3

Ewha Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI: 10.12771/emj.2024.e41

Wonyoung Jung, Sukhyun Ryu, So Yeon Ryu, Mina Ha, Bo Youl Choi, Soo Young Kim

{"title":"Reporting Guidelines for Community Outbreak Investigation Reporting (G-CORE): protocol for guideline development.","authors":"Wonyoung Jung, Sukhyun Ryu, So Yeon Ryu, Mina Ha, Bo Youl Choi, Soo Young Kim","doi":"10.12771/emj.2024.e41","DOIUrl":"10.12771/emj.2024.e41","url":null,"abstract":"Objectives: Outbreak reports are essential for documenting the spread of and responses to disease outbreaks. However, there is a lack of standardized reporting guidelines that encompass broader perspectives on outbreaks. We aimed to develop a universal reporting guideline applicable to diverse outbreak reports and community epidemic interventions, the \"Guidelines for Community Outbreak Investigation Reporting (G-CORE).\" Methods: G-CORE is designed to address the challenges in documenting various outbreak scenarios, including infectious diseases and non-infectious environmental hazards. The development of G-CORE involved a structured process, including a comprehensive literature review of recent outbreak reports from leading journals and an analysis of existing reporting guidelines. The process also involved project registration with the EQUATOR Network and collaboration with experts in various fields. Following the initial drafting, an internal (team) review was conducted to evaluate the guidelines' robustness and relevance. Subsequently, the guidelines underwent revision based on feedback from external experts and potential users, including authors with experience in outbreak reporting. The project also includes plans for widespread dissemination and periodic revisions to adapt to developments and user feedback. Results: G-CORE will provide a structured framework for reporting outbreak investigations, comprising a detailed checklist and Explanation & Elaboration documents. Conclusion: G-CORE establishes a new standard in outbreak reporting, facilitating comprehensive, clear, and actionable public health communications. Its development marks a significant advance in the documentation and management of public health outbreaks.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"47 3","pages":"e41"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0