After-hours care models in leading countries

After-hours care (AHC) provides medical care after the regular weekday work hours of clinics. In Korea, data from the National Emergency Department Information System showed that approximately 40% of the pediatric patients need AHC. To meet this need, many countries have different models of AHC. In this article, the authors tried to summarize and emphasize the advantages and disadvantages of AHC models in several leading countries. This article can be useful in designing AHC models in Korea because the proportions of potential patients requiring AHC are substantial, and the adoption of AHC models should be seriously considered

Review of the Screening Tool for Child Abuse by Health Care Provider

The recent report regarding the death of children due to child abuse brought on an implementation of an Act on special cases concerning the punishment, etc. of crimes of child abuse in September 2014. According to the report in 2013 by the National Child Protectin Agency, there were 10,000 suspected child abuse cases, with about 6,000 confirmed cases. While health care providers are obligated to report suspected child abuse, the rate of report was only less than 1%. Several studies suggest that the ease of screening process for child abuse in hospitals could increase the insight and reporting rate. With regard to the improvement in the perception for child abuse by health care providers in Korea, the authors reviewed the health care provider's roles for the protection of child abuse victims, various kinds of screening tools for child abuse in hospitals, and clinical processes for the evaluation of child abuse by a child protection team

Speech intelligibility of the diastratic varieties of Philippine English

The rise of English globalization has prompted speech production variations that reveal the cultural and social backgrounds of the different speakers. However, intelligibility issues of the different varieties have also become a concern. Thus, the present study attempted to assess the intelligibility of Philippine English (PE) diastratic varieties’ speech recordings produced by local Cebuano speakers. Further, it aimed to specifically evaluate the speakers’ production differences, rate the intelligibility of the language varieties, and determine the effect of language variety on the listener-evaluators in terms of intelligibility and distraction ratings. Using an exploratory sequential mixed method design, the speech participants in this study were carefully chosen through multistage sampling first by social class and then by phonological variations. The three final sample speakers out of the initial eighteen were finally categorized as acrolect, mesolect, and basilect. The evaluating groups included English language users from the USA, the Philippines, Korea, and Thailand, and each group represented a region in Kachru’s concentric circle of the World Englishes model. The results identified acrolect as the most intelligible variety followed by mesolect. Basilect, on the other hand, was considered very distracting to the evaluator groups, resulting in a significantly low intelligibility score. Thai evaluators gave the lowest intelligibility ratings, which may be attributed to two factors, L1 interference and unfamiliarity of L2 variation. Finally, future directions and implications in the classroom and industry are stated to create a sense of cultural awareness and to promote a deeper intercultural understanding that comes with international intelligibility

Strengthening the role of pediatric emergency centers in Korea

Since 2016, the pediatric emergency centers (PECs) have been selected by the Korean Ministry of Health and Welfare, but there are still many problems in their designation and operation. The authors, affiliated with the policy research team in the Korean Society of Pediatric Emergency Medicine, sought to identify the current status and plans for improvement of PECs in Korea. The problems in the designation and operation are the disproportionate regional distribution of the PECs, financial difficulties in meeting the designation criteria, and recruitment of dedicated pediatric emergency specialists. To improve this, it is necessary to designate additional PECs and analyze the appropriateness of insurance cost, to strengthen the role other than the community practice, and to reinforce back-up treatment by pediatric sub-specialists in PECs

Angiopoietin-1 is an apoptosis survival factor for endothelial cells

AbstractWe examined the effect of angiopoietin-1 (Ang1) on apoptosis in human umbilical vein endothelial cells (HUVECs). Ang1 (5–1000 ng/ml) dose-dependently inhibited apoptosis under a serum-deprived state. A significant apoptotic inhibition occurred with as low as 50 ng/ml. Two hundred ng/ml of Ang1 inhibited to approximately 50% of the control apoptotic rates for 96 h. Furthermore, an augmented antiapoptotic effect of Ang1 by the addition of 20 ng/ml vascular endothelial growth factor was observed. This Ang1-induced strong antiapoptotic effect in endothelial cells is a novel and intriguing finding and could be an additional description of Ang1-induced direct biological function

Benign Aspirates on Follow-Up FNA May Be Enough in Patients with Initial Atypia of Undetermined Significance/Follicular Lesion of Undetermined Significance

Background. Management of thyroid nodules with benign aspirates following atypia of undetermined significance/follicular lesion of undetermined significance (AUS/FLUS) is not well established. We reviewed the risk of malignancy and the role of ultrasound (US) features among thyroid nodules with benign results following initial AUS/FLUS diagnoses. Methods. From December 2009 to February 2011, a total of 114 nodules in 114 patients diagnosed as benign on follow-up fine-needle aspiration (FNA) after AUS/FLUS results were included in our study. Eight among 114 nodules were confirmed pathologically and 106 were clinically observed by a follow-up FNA or US. Suspicious US features were defined as markedly hypoechogenicity, irregular or microlobulated margin, presence of microcalcifications, and taller than wide shape. Results. There were 110 (96.5%) benign nodules and 4 (3.5%) malignant nodules. Two (4.8%) among 42 nodules without suspicious US features and 2 (2.8%) out of 72 nodules with suspicious US features were confirmed as malignancy, but there were no significant associations between the malignancy rate and US features (P=0.625). Conclusion. Clinical follow-up instead of surgical excision or continuous repeat FNA may be enough for benign thyroid nodules after AUS/FLUS. The role of US features might be insignificant in the management of these nodules