Ewha Medical Journal最新文献_第5页

Approach patients with warmth and respect: an interview with Dr. Chung Hur, graduate of the Ewha Womans University College of Medicine. 以温暖和尊重的态度对待患者——对梨花女子大学医学院毕业的郑虎医生的采访

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Ewha Medical Journal Pub Date : 2025-10-01 Epub Date: 2025-10-13 DOI: 10.12771/emj.2025.00913

Kyung Min Kim

引用次数: 0

Life as a pediatrician in the United States: an interview with Dr. Jeong-Ok A. Lee. 美国儿科医生的生活：采访李正玉（Jeong-Ok a . Lee）。

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Ewha Medical Journal Pub Date : 2025-10-01 Epub Date: 2025-10-13 DOI: 10.12771/emj.2025.00927

Seohwa Jung

引用次数: 0

Two paths, one goal-uniting regional and general anesthesia for optimal surgical care: a narrative review. 两条路径，一个目标-联合区域和全身麻醉的最佳手术护理：叙述回顾。

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Ewha Medical Journal Pub Date : 2025-10-01 Epub Date: 2025-09-16 DOI: 10.12771/emj.2025.00724

Min Kyoung Kim, Oh Haeng Lee, Hyun Kang

{"title":"Two paths, one goal-uniting regional and general anesthesia for optimal surgical care: a narrative review.","authors":"Min Kyoung Kim, Oh Haeng Lee, Hyun Kang","doi":"10.12771/emj.2025.00724","DOIUrl":"10.12771/emj.2025.00724","url":null,"abstract":"The integration of regional anesthesia (RA) with general anesthesia (GA) has become a central component of multimodal strategies to improve perioperative pain management. This approach not only enhances analgesic efficacy but also reduces opioid requirements and mitigates opioid-related adverse effects. By targeting peripheral or neuraxial nociceptive pathways, RA attenuates the surgical stress response and decreases central sensitization, complementing the systemic actions of GA. The combined application of RA and GA has shown substantial benefits across a wide range of surgical procedures, including abdominal, thoracic, orthopedic, and pediatric operations. Reported advantages include improved hemodynamic stability, enhanced pulmonary function, earlier ambulation, faster gastrointestinal recovery, and greater patient satisfaction. Moreover, recent evidence indicates a positive association between effective postoperative pain control and long-term outcomes, such as reduced incidence of persistent postsurgical pain, better functional independence, and even improved immune function and survival following cancer surgery. The development of sustained-release local anesthetic delivery systems, which provide localized and prolonged analgesia, further extends the benefits of RA-GA integration into the postoperative period. This review summarizes the mechanistic rationale, clinical applications, and future directions of RA-GA combinations in modern surgical care, with special emphasis on their role in enhanced recovery after surgery protocols.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":" ","pages":"e61"},"PeriodicalIF":0.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208069","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

Probability of criminal punishment of physicians in Korea is remarkably higher than in Japan and France. 韩国医生受到刑事处罚的可能性比日本和法国高得多。

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Ewha Medical Journal Pub Date : 2025-10-01 Epub Date: 2025-09-16 DOI: 10.12771/emj.2025.00738

Hyung-Sun Kim, Duck Sun Ahn

引用次数: 0

Personalized perioperative pain management: a narrative review. 个性化围手术期疼痛管理：叙述回顾。

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Ewha Medical Journal Pub Date : 2025-10-01 Epub Date: 2025-09-16 DOI: 10.12771/emj.2025.00773

Min Kyoung Kim, Hyun Kang

{"title":"Personalized perioperative pain management: a narrative review.","authors":"Min Kyoung Kim, Hyun Kang","doi":"10.12771/emj.2025.00773","DOIUrl":"10.12771/emj.2025.00773","url":null,"abstract":"Perioperative pain management has shifted from standardized, procedure-based protocols toward individualized, patient-centered approaches. Inadequate pain control can result in short-term adverse outcomes, including delayed ambulation, prolonged hospitalization, and increased complications, as well as long-term sequelae such as chronic persistent postsurgical pain. Early models of preemptive and preventive analgesia emphasized pain relief primarily through the use of opioids. Growing concern about opioid-related adverse effects established the basis for multimodal and opioid-sparing strategies. Nevertheless, with the onset of the global opioid crisis, heightened awareness of the risks of opioid overuse has fueled interest in opioid-free techniques. However, evidence does not demonstrate that opioid-free methods are superior to opioid-sparing approaches. This underscores the importance of returning to the central goals of enhanced recovery after surgery: early restoration of function and reduction of complications. Within this framework, personalized pain management has emerged as a practical paradigm that tailors interventions to individual characteristics, including comorbidities, psychological status, pain sensitivity, and recovery objectives. This review outlines the rationale, current practices, and future directions of personalized perioperative pain management and proposes a framework for integrating new strategies into clinical care.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":" ","pages":"e62"},"PeriodicalIF":0.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208117","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

Aging with disability in polio survivors: a narrative review. 脊髓灰质炎幸存者衰老伴残疾：叙述性回顾。

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Ewha Medical Journal Pub Date : 2025-10-01 Epub Date: 2025-10-20 DOI: 10.12771/emj.2025.00843

Ju-Hee Hwang, Ga-Yang Shim

{"title":"Aging with disability in polio survivors: a narrative review.","authors":"Ju-Hee Hwang, Ga-Yang Shim","doi":"10.12771/emj.2025.00843","DOIUrl":"10.12771/emj.2025.00843","url":null,"abstract":"This study aimed to provide a comprehensive understanding of aging with disability among polio survivors who continue to live with long-term sequelae. Although poliomyelitis has been eradicated in most regions, survivors entering older age face a dual challenge, as age-related decline overlaps with pre-existing impairments, creating a need for integrated management strategies. This narrative review examined the epidemiology, clinical manifestations, and late effects of polio, with particular attention to post-polio syndrome, secondary musculoskeletal disorders, and other systemic conditions. International and Korean studies were compared to highlight similarities and contextual differences. Polio survivors frequently experience accelerated functional decline due to post-polio syndrome, fatigue, pain, musculoskeletal disorders (e.g., arthritis, osteoporosis, fractures), and cardiopulmonary dysfunction. Approximately 64% report major falls, with 35% sustaining fractures, often at vulnerable sites such as the hip or distal femur. Psychological distress, sleep disturbances, metabolic syndrome, and cardiovascular disease are also prevalent, further compounding frailty. In Korea, where most survivors are now over 60 years of age, epidemiological patterns differ from those of Western cohorts; however, systematic investigations remain limited. Polio survivors exemplify the dual burden of aging and long-term disability, underscoring the need to move beyond fragmented, symptom-focused care toward integrated, life course-oriented approaches. Anticipating and managing late effects, strengthening preventive strategies, and ensuring equitable healthcare access are essential for maintaining function, independence, and quality of life. Lessons drawn from polio survivors offer valuable insights for understanding aging with disability more broadly.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"48 4","pages":"e58"},"PeriodicalIF":0.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507119","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

Core principles and structures of geriatric rehabilitation: a narrative review. 老年康复的核心原则和结构：叙述回顾。

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Ewha Medical Journal Pub Date : 2025-10-01 Epub Date: 2025-10-14 DOI: 10.12771/emj.2025.00829

Jae-Young Lim

{"title":"Core principles and structures of geriatric rehabilitation: a narrative review.","authors":"Jae-Young Lim","doi":"10.12771/emj.2025.00829","DOIUrl":"10.12771/emj.2025.00829","url":null,"abstract":"Globally, rapid population aging-particularly in Korea-has extended life expectancy but not proportionally extended healthy life expectancy, resulting in longer periods of illness or disability and a higher demand for complex medical and social care. Therefore, prolonging healthy life and improving health-related quality of life have become primary objectives in geriatric medicine and rehabilitation. Geriatric rehabilitation is a critical intervention aimed at optimizing the functioning of older adults and pre-morbidly frail individuals who have lost independence due to acute illness or injury. For many older patients, the goal shifts from complete recovery to achieving a new equilibrium, maximizing autonomy despite greater dependency. Geriatric rehabilitation also targets key geriatric syndromes such as frailty, recognizing it as a dynamic and potentially reversible state that provides a crucial \"time window\" for intervention. This review summarizes the core principles and structural elements essential for geriatric rehabilitation, emphasizing the implementation challenges within the Korean healthcare system. Unlike the European consensus, which supports structured inpatient and outpatient services with seamless transitions of care guided by Comprehensive Geriatric Assessment, the Korean healthcare system remains fragmented and heavily centered on acute hospitals. This highlights the urgent need for a systematic model to integrate care facilities and strengthen interprofessional collaboration to support community-based \"aging in place.\" Effective geriatric rehabilitation requires multidisciplinary teams and multifaceted approaches to optimize quality of life, social participation, and independent living. Despite its importance, substantial awareness gaps and policy barriers persist, underscoring an urgent call to action.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"48 4","pages":"e57"},"PeriodicalIF":0.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507217","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

Hip fracture and cognitive impairment in older adults-integrated approaches to rehabilitation: a narrative review. 老年人髋部骨折和认知障碍：综合康复方法：叙述性回顾。

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Ewha Medical Journal Pub Date : 2025-10-01 Epub Date: 2025-10-20 DOI: 10.12771/emj.2025.00801

Seung-Kyu Lim, Jae-Young Lim

{"title":"Hip fracture and cognitive impairment in older adults-integrated approaches to rehabilitation: a narrative review.","authors":"Seung-Kyu Lim, Jae-Young Lim","doi":"10.12771/emj.2025.00801","DOIUrl":"10.12771/emj.2025.00801","url":null,"abstract":"Fragility fractures, particularly hip fractures, represent a major public health concern among older adults and are associated with high morbidity, mortality, functional decline, and socioeconomic burden. Cognitive impairment is common in older adults with hip fractures and contributes to increased fracture risk, poor postoperative outcomes, delayed recovery, and higher rates of institutionalization. This review aimed to examine rehabilitation strategies for older adults with hip fractures, with a specific focus on considerations for those with cognitive impairment. Evidence suggests that individuals with mild-to-moderate cognitive impairment can achieve meaningful functional gains through structured, intensive, multidisciplinary rehabilitation programs incorporating progressive resistance training, balance and mobility exercises, and individualized approaches tailored to cognitive and physical abilities. However, the implementation of such programs is often hindered by insufficient staff training and awareness in dementia-specific rehabilitation, limited resources, and the lack of standardized protocols defining eligibility, intensity, and adaptation. Optimizing outcomes requires structured, tailored rehabilitation protocols, enhanced staff education, interprofessional collaboration, and proactive management of delirium and secondary fracture prevention through fracture liaison services, while concurrently addressing systemic barriers such as resource constraints. Integrated, coordinated care across the continuum is essential to maximize recovery, independence, and quality of life in older adults with hip fractures and cognitive impairment.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"48 4","pages":"e59"},"PeriodicalIF":0.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507363","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

Lifestyle prescriptions for diabetes management in primary care: a narrative review. 初级保健中糖尿病管理的生活方式处方：叙述性回顾。

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Ewha Medical Journal Pub Date : 2025-10-01 Epub Date: 2025-10-14 DOI: 10.12771/emj.2025.00808

Hye Jun Lee, Jung-Ha Kim

{"title":"Lifestyle prescriptions for diabetes management in primary care: a narrative review.","authors":"Hye Jun Lee, Jung-Ha Kim","doi":"10.12771/emj.2025.00808","DOIUrl":"10.12771/emj.2025.00808","url":null,"abstract":"Diabetes mellitus is a complex chronic disease with a rapidly increasing global prevalence. For this condition, non-pharmacological lifestyle modification is as important as pharmacological treatment. This review aims to comprehensively examine lifestyle prescriptions for diabetes across multiple domains to integrate current insights and understanding. In medical nutrition therapy, which is central to diabetes treatment and management, excessive carbohydrate intake should be restricted, while individualized consumption of high-quality carbohydrates, protein, and unsaturated fatty acids is recommended. Intake of added sugars and sodium should also be limited. Physical activity should similarly be tailored to the individual, with a combination of aerobic exercise and resistance training recommended. Careful consideration of hypoglycemia risk and diabetes complications is essential. Additional strategies include limitations on uninterrupted sedentary time to less than 30 minutes, maintenance of a healthy body weight, smoking cessation, alcohol abstinence, sleep health improvements, and attention to psychosocial care. In primary care settings, patient-specific assessment, multidisciplinary lifestyle prescriptions, and education to support behavior modification are expected to play a pivotal role in the treatment and management of diabetes.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":"48 4","pages":"e55"},"PeriodicalIF":0.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507280","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

Technologies, opportunities, challenges, and future directions for integrating generative artificial intelligence into medical education: a narrative review. 将生成式人工智能整合到医学教育中的技术、机遇、挑战和未来方向：叙述性回顾。

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Ewha Medical Journal Pub Date : 2025-10-01 Epub Date: 2025-10-02 DOI: 10.12771/emj.2025.00787

Junseok Kang, Jihyun Ahn

{"title":"Technologies, opportunities, challenges, and future directions for integrating generative artificial intelligence into medical education: a narrative review.","authors":"Junseok Kang, Jihyun Ahn","doi":"10.12771/emj.2025.00787","DOIUrl":"10.12771/emj.2025.00787","url":null,"abstract":"Generative artificial intelligence (GenAI), including large language models such as GPT-4 and image-generation tools like DALL-E, is rapidly transforming the landscape of medical education. These technologies present promising opportunities for advancing personalized learning, clinical simulation, assessment, curriculum development, and academic writing. Medical schools have begun incorporating GenAI tools to support students' self-directed study, design virtual patient encounters, automate formative feedback, and streamline content creation. Preliminary evidence suggests improvements in engagement, efficiency, and scalability. However, GenAI integration also introduces substantial challenges. Key concerns include hallucinated or inaccurate content, bias and inequity in artificial intelligence (AI)-generated materials, ethical issues related to plagiarism and authorship, risks to academic integrity, and the potential erosion of empathy and humanistic values in training. Furthermore, most institutions currently lack formal policies, structured training, and clear guidelines for responsible GenAI use. To realize the full potential of GenAI in medical education, educators must adopt a balanced approach that prioritizes accuracy, equity, transparency, and human oversight. Faculty development, AI literacy among learners, ethical frameworks, and investment in infrastructure are essential for sustainable adoption. As the role of AI in medicine expands, medical education must evolve in parallel to prepare future physicians who are not only skilled users of advanced technologies but also compassionate, reflective practitioners.","PeriodicalId":41392,"journal":{"name":"Ewha Medical Journal","volume":" ","pages":"e53"},"PeriodicalIF":0.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208040","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