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Risk and protective factors for salutogenesis of adolescents with Moyamoya disease
Won-Oak Oh,Kyu Won Shim,Insun Yeom,Il Tae Park,Jihee Han,Yoo-Jin Heo 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): To identify the risk and protective factors affecting salutogenesis in adolescents with Moyamoya disease based on Antonovsky’s salutogenesis theory. Method(s): This study used a qualitative descriptive design. We interviewed adolescents diagnosed with Moyamoya disease who were hospitalized or undergoing treatment at the outpatient clinic of X hospital in Seoul from July 4, 2019 to October 10, 2019. We also interviewed their parents and experts with experience in treating adolescents with Moyamoya disease. Data analysis was performed according to the process of deductive content analysis based on Antonovsky’s salutogenesis theory. Result(s): This study identified risk and protective factors affecting salutogenesis in adolescents with Moyamoya disease. Risk factors were closely related to problems with friends, parent relationships, and academic work. Protective factors were identified as social and emotional support through interpersonal relationships, positive attitudes of adolescents to the disease, ability to understand and predict patterns of symptoms, increasing strength to resolve the state of tension, and developing available resources in emergencies. Particularly, families of adolescents plays an important role in maintaining the health of adolescents with Moyamoya disease. Conclusion(s): The factors affecting salutogenesis in adolescents were identified by reflecting on the characteristics of the developmental stage of adolescents and the symptoms and situations that are unique to adolescents. In order for adolescents with Moyamoya to acquire and maintain health, it is important for them to recognize available resources and use them appropriately to successfully manage the state of tension caused by stress. Based on the results of this study, we suggest the development of interventions to maintain and promote the health of adolescents with Moyamoya disease.
일 상급종합병원 임상전담간호사에 대한 의료인의 역할기대
유미정(Ryu, Mi Jung),박미나(Park, Mina),심정언(Shim, Joungohn),이은성(Lee, Eunsung),염인선(Yeom, Insun),서영미(Seo, Young Mi) 한국간호행정학회 2022 간호행정학회지 Vol.28 No.1
Purpose: The purpose of this study is to clearly classify the roles of Physician assistants and to identify obstacle factors and necessary factors for the operation of the system when they are performing the roles of Physician assistants. Methods: This is a descriptive research study to analyze the roles of Physician assistants and to understand the expected roles of Physician assistants according to each medical personnel (doctor, nurse, Physician assistants). Results: The obstacles to work are the lack of legal protection, and unclear work guidelines, and the matter necessary for the operation of the system is the legal protection. There were statistically significant differences in health collection ability, physical examination, drug response monitoring, and reporting in terms of the differences in role expectations considered by medical professionals regarding the roles of Physician assistants. Conclusion: Physician assistants need to develop various educational programs and materials, cultivate the ability to perform Physician assistants, and develop an advisory role through effective problem-solving between departments and increase the quality and satisfaction of Nursing care.
Occurrence of c-kit+ tumor cells in hepatitis B virus-associated hepatocellular carcinoma.
Lee, Eung Seok,Han, Eun Mee,Kim, Young-Sik,Shin, Bong Kyung,Kim, Chul Hwan,Kim, Han Kyeom,Won, Nam Hee,Yeom, Bom Woo,Kim, Insun,Leong, Anthony S-Y Williams Wilkins Co 2005 American journal of clinical pathology Vol.124 No.1
<P>Progenitor cells, termed oval cells, are involved in the pathogenesis of hepatocellular carcinoma (HCC) in animal models. By immunolabeling for c-kit and CD34 in human hepatitis B virus-associated cirrhosis with HCC (50 cases) and those with cirrhosis alone (10 cases), we found c-kit+ tumor cells in tumor tissue in 40 of 50 HCCs. The proportion was less than 0.1% of total tumor cell volume in most HCCs. Immunostaining for c-kit also was detected in sinusoidal endothelial cells in 43 of 50 HCCs. The incidence of oval cell occurrence in the adjacent nonneoplastic tissue in cases of HCC was high (44/50). The occurrence of oval cells, c-kit+ tumor cells, and c-kit+ sinusoidal cells in cases of human hepatitis B virus-associated HCC suggests that oval cell proliferation might be associated with the development of human hepatitis B virus-associated HCC. Furthermore, the c-kit+ sinusoidal cells might have a role in angiogenesis and progression of human hepatitis B virus-associated HCC.</P>