Person-Centered Care (PCC) is a key indicator of health care quality. The purpose of this scoping review is to identify the characteristics of nursing literatures on PCC and examine the theoretical and operational definition of PCC. Methods: The scoping review was conducted following the Joanna Briggs Institute's scoping review guidance. The search terms were "patient-centered", "person-centered", "participant-centered", and "nursing"; and only publications on PCC were selected. Literatures published in Korean since 2001 were searched using electronic databases, and the last search date was June 2020. Results: Nineteen publications were included. Approximately 80% of the researches were published since 2018, and the most common methodology was survey (53%). Most researches were conducted in nursing homes (63%), and 74% of the participants were health-care providers or facility staff. The conceptual framework was used in only one study. The conceptual and operational definitions of PCC both comprised multilevels, including intrapersonal, interpersonal, and organizational levels. The conceptual definitions of PCC were mainly characterized by intrapersonal elements, including individualized care, dignity, and autonomy followed by organizational attributes such as comfortable environment. However, there were some inconsistencies in the attributes survey instruments shared. Conclusion: PCC needs to be recognized as a multilevel concept. More studies such as concept analysis and scale development are warranted for conceptualizing PCC systematically.
May-Thurner syndrome (MTS), also known as iliac vein compression syndrome, is a condition, in which compression of the common venous outflow tract of the left lower extremity can cause discomfort, swelling, pain or blood clots in the iliofemoral veins. The problem is due to left common iliac vein compression by the overlying right common iliac artery. This paper describes the case of a 75-year-old female with MTS after performing right total knee replacement arthroplasty. The authors diagnosed MTS through intravenous angiography and angiographic computed tomography on swelling and pain of the left lower extremities after performing right total knee replacement arthroplasty. The thrombus was removed using a thrombolytic agent and mechanical thrombectomy, and an intravenous stent then inserted after angioplasty. No case of MTS after performing total knee replacement arthroplasty has been reported in Korea. Therefore, this case is reported along with review of the relevant literature.
Adiponectin has beneficial effects on metabolic and cardiovascular disease. Adiponectin receptor agonist, AdipoRon was discovered in 2013 and it may play an important role in preventing and ameliorating cardiometabolic disease. However, the physiological function and signal transduction of AdipoRon are still under way, and the potential role of AdipoRon in metabolic and cardiovascular diseases has not been clearly elucidated. The purpose of this review is to provide basic knowledge for the potential role of AdipoRon in cardiometabolic disease. METHODS: In this review, we summarized the previous studies (published between 2013 and 2019) investigating the effect of Adipo-Ron on metabolic and cardiovascular disease. RESULTS: The previous evidences have shown that AdipoRon treatment exerted its pleiotropic actions on metabolism related tissue and organs including adipose tissue, skeletal and cardiac muscles, liver, kidney, and vascular beds. Activation of adiponectin receptors may be effective for the treatment of metabolic and cardiovascular diseases due in part to activation of AMPK and PPARα signaling pathway as adiponectin does. CONCLUSIONS: In conclusion, AdipoRon can be a novel therapeutic agent for the cardiometabolic disease. However, all of previous studies were conducted using experimental animal models and it is needed to investigate the role of AdipoRon in metabolic and cardiovascular disease in human.
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