https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/292 Sat, 04 Apr 2026 10:22:52 GMT 2026-04-04T10:22:52Z https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/63832 Title: School Nurses' Experiences and Needs in COVID-19 Pandemic Response: A Qualitative Study Authors: Seo, Kyoungsan; Kim, Se-an; Choe, Young June; Moon, Jihyun Abstract: The coronavirus disease 2019 pandemic drastically shifted the public health burden onto the school health system. We, therefore, explored the school nurses' experiences and needs for confronting the pandemic in school settings across Korea. This qualitative investigation enrolled 30 participants after their written consent. A written interview conducted through email and focus group interviews using an online meeting application verified participants' opinions and experiences. Collected data were subjected to text-mining and content analysis. The school nurse was found to be responsible for many tasks, including education on preventive measures with unclear quarantine guidelines. Content analysis identified three key themes: "aggravated difficulties owing to lack of support resulted in burnout," "reflection on supportive resources; direct provisions were helpful," and "needs and suggestions to safeguard students' health in the event of another pandemic." Recommendations should all be considered to keep schools and students safe from future pandemics. Tue, 01 Apr 2025 00:00:00 GMT https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/63832 2025-04-01T00:00:00Z https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/63751 Title: This is a case of lupus anticoagulant hypoprothrombinemia syndrome associated with a hemorrhagic ovarian cyst in a 17-year-old girl with systemic lupus erythematosus Authors: Son, Minhwa; Ki, So Hyun; Yim, Hyung Eun; Yoo, Kee Hwan Abstract: A 17-year-old girl with SLE presented with squeezing colicky abdominal pain for a day (2018.12). She had been diagnosed with SLE, based on ecchymosis and prolonged bleeding after tooth extraction at 9 years of age (2011.9). About one year later she developed proteinuria (10.7 mg/m2/hr) and renal biopsy showed focal segmental proliferative lupus glomerulonephritis Class IIIA. At that time, the patient had positive results for the lupus anticoagulant (LA) and immunoglobulin G (IgG)/IgM anti-phospholipid antibodies with prolonged activated partial thromboplastin time (aPTT) and normal international normalized ratio (INR) (2012.10). She had taken a combination of mycophenolate mofetil (MMF), prednisolone, azathioprine, enalapril or hydroxychloroquine. On physical examination, her vital signs were within normal limits, and epigastric and generalized abdominal tenderness was found without hepatosplenomegaly. Coagulation studies revealed INR and aPTT prolongation and LA positivity. Levels of C3 and C4 were decreased. She had positive fndings for anti-cardiolipin antibodies (aCL) IgG and anti-beta-2-glycoprotein I (β2GP1) IgG/IgM. Due to abdominal discomfort and suspected SLE faring, MMF dose was reduced and steroid dose was increased. Three months later (2019.3), she complained of dizziness and menorrhagia. Red blood cell transfusion was performed at a hemoglobin level of 7.4 g/dL. Laboratory tests showed prolonged aPTT and INR, LA positivity, and positive fndings for aCL IgG and anti-β2GP1 IgG/IgM again. Proteinuria was aggravated from 519 mg/day to 1,204 mg/day. Pelvic sonography showed decreasing sized ovarian cystic lesion (< 2 cm). For the control of menorrhagia, combined oral contraceptive pill was given for 3 months. Repeated coagulation studies showed persistently prolonged aPTT (the longest 106.8 sec) and low factor II level (the lowest 14%). A diagnosis of LAHPS associated with SLE was made. She received six courses of cyclophosphamide pulse therapy (monthly 6 times). After that, she is currently taking cyclosporine, prednisolone, hydroxychloroquine, and enalapril. Tue, 01 Jan 20230707 00:00:00 GMT https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/63751 20230707-01-01T00:00:00Z https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/64169 Title: The Incidence and Risk Factors of Extrapulmonary Manifestations in mycoplasma Pneumoniae Pneumonia Authors: Shin, M. Y.; Kim, H. B.; Yang, H. J.; Park, Y. N.; Kim, C. K.; Shim, J. Y.; Lee, E.; Lee, J. S.; Lee, Y. J.; Kim, B. S.; Seo, J. H.; Sol, I. S.; Song, D. J.; Yoo, J. H.; Lee, K. S.; Jang, G. C.; Chung, H. L.; Chung, E. H.; Choi, S. M.; Choi, Y. J.; Han, M. Y.; Sung, M. S. Abstract: Background:Mycoplasma pneumoniaepneumonia (MP) is a majorcause of community‐acquired pneumonia (CAP) in children and isknown to be associated with extrapulmonary manifestations (EPM).However, the incidence and risk factors associated with EPM is notknown in children. Methods:A retrospective study in 65,243 children with CAPbetween 2010 and 2015 at 23 nationwide hospitals was conductedin South Korea. Medical records were reviewed to collect informationregarding the clinical characteristics and radiological and laboratoryfindings. Therefore, 9,190 children with MP were enrolled for theanalysis. Logistic regression with multivariable analysis was per-formed to evaluate the risk factors associated with EPM of MP. Results:The mean age of the enrolled children with MP was64.3 ± 39.8 months, and boys were 49.5%. The incidence of EPM was23.9% and elevation of liver enzyme was shown in 18.1%,mucocutaneous manifestation in 4.4%, proteinuria in 4.1%, cardio-vascular and neurological manifestations in 0.4%, respectively, andarthritis and hematological manifestations in 0.2%, respectively.Logistic regression with multivariate analysis showed that muco-cutaneous manifestations were significantly increased with elevatedalanine aminotransferase (aOR 3.623, 93% CI 1.933‐6.790) andatopic sensitization (aOR 2.973, 93% CI 1.615‐5.475) and decreasedwith respiratory virus co‐infection (aOR 0.273, 93% CI 0.084‐0.887).Elevated liver enzymes were significantly associated with elevatedlactate dehydrogenase (aOR 3.055, 93% CI 2.257‐4.137) andpresence of pleural effusion (aOR 2.635, 93% CI 1.767‐3.930) andproteinuria with respiratory virus co‐infection (aOR 2.245, 93% CI1.113‐4.527). Conclusions:About 24% of children with MP accompaniedvarious EPM in Korean children. Since risk factors associated witheach EPM was different, it is necessary to evaluate the various clinicalaspects and findings of MP to predict and prepare for the occurrenceof EPM. Mon, 01 Jan 202306 00:00:00 GMT https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/64169 202306-01-01T00:00:00Z https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/64170 Title: Metabolic Syndrome and Pulmonary Dysfunction in Socioeconomically Disadvantaged Asthmatic Children During the Covid-19 Pandemic Authors: Lee, J. S.; Park, S. H.; Lee, Y.; Kim, S. H.; Yoon, W.; Yoo, Y. Mon, 01 Jan 202306 00:00:00 GMT https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/64170 202306-01-01T00:00:00Z