1.Hospitalization Experience of Patients Admitted to Nursing Care Integrated Service Wards in Small and Medium-size General Hospitals
Hyun Ju CHOI ; A Leum HAN ; Young Mi PARK ; JI Hyeon LEE ; Young Sook TAE
Journal of Korean Academy of Nursing Administration 2018;24(5):396-409
PURPOSE: This study was conducted to identify meaning and essential structure of the hospitalization of patients in nursing care integrated service wards of small and medium-size general hospitals. METHODS: Experiential data were collected through in-depth interviews with 10 patients who had been hospitalized in nursing care integrated service wards of medium general hospitals. The main question was ‘Could you describe your hospitalization experience in nursing care integrated service wards of medium general hospitals?’, and collected data were analyzed using Colaizzi's Phenomenological Research Method. RESULTS: Four categories obtained were ‘Realize the system that is not established yet’, ‘Secure care services which are less of a psychological and financial burden’, ‘Thanks for care providers’, and ‘Confident of the hopeful system to desire to reuse in the future.’ CONCLUSION: Patients in nursing care integrated service wards of small and medium-size general hospitals were satisfied with the reduction of mental and financial burden caused by nursing and were thankful to nursing staff, who put a lot of efforts into nursing. But, at the same time, they were confused and inconvenienced by the services that were not yet completely established. To improve this situation, it is thought that institutional complements including development of a service standardization manual would be helpful.
Complement System Proteins
;
Hope
;
Hospitalization
;
Hospitals, General
;
Humans
;
Methods
;
Nursing Care
;
Nursing Staff
;
Nursing
;
Primary Nursing
;
Qualitative Research
2.The lived experience of health-management in patients with Parkinson’s disease
Hye Gyeong SON ; Hyun-Joo PARK ; Sang Jin KIM ; A-Leum HAN
Journal of Korean Academic Society of Nursing Education 2020;26(4):423-433
Purpose:
The purpose of this study was to describe the health care experiences among patients with Parkinson’s disease.
Methods:
Of the qualitative research methods, Colaizzi’s phenomenological method was used in this study. A total of nine patients, who were diagnosed with Parkinson’s disease and receiving outpatient treatment, were selected as the subjects of this study. Subsequently, data were collected through individual in-depth interview.
Results:
The four categories obtained as a result were ‘strenuous efforts to control my own body,’ ‘subject of health that no one can replace,’ ‘focus on the current while expecting a breakthrough in health management,’ and ‘human dignity that cannot be lost to the end.’
Conclusion
The study results are expected to help health care providers deeply understand the experiences in health care among patients with Parkinson’s disease and to provide source data for nursing intervention development that can be helpful in managing the health status of patients with Parkinson’s disease.
3.Acute Sialadenitis in Children and Adolescents: CT Findings and Clinical Manifestations according to Glandular Involvement.
A Leum LEE ; Young Tong KIM ; Jong Kyu HAN ; Sung Shick JOU ; Du Shin JUNG
Journal of the Korean Radiological Society 2008;59(3):155-161
PURPOSE: This study was designed to compare the CT findings and clinical manifestations in children and adolescents with acute sialadenitis according to the involved salivary glands. MATERIALS AND METHODS: The study included fifty children and adolescents (34 boys, 16 girls) with acute sialadenitis that was diagnosed during the past five years. All of the subjects were divided into three groups: group I (parotid gland involvement, n = 16), group II (submandibular gland involvement, n = 20) and group III (involvement of both glands, n = 14). We analyzed the presence of an abscess, sialolith, bilaterality, cellulitis and lymphadenopathy on CT scans. The analyzed clinical data were age, sex, lymphadenopathy, pain, swelling, presence of a mass, tonsillitis, treatment period and surgical treatment if it was performed. RESULTS: The presence of an abscess, sialolith, cellulitis, swelling, age, presence of a palpable mass and treatment period were statistically significant factors for the patients in the three groups. An abscess was combined only in group I patients. There was a high rate of sialolith in group II patients and cellulitis in group III patients as seen on CT scans. Swelling in group II patients and group III patients and the presence of a palpable mass in group I patients were identified as clinical manifestations. Age was younger in group I patients (mean age, 5.3 years) than in group II patients (mean age, 12.9 years) and group III patients (mean age, 15.2 years). The treatment period was longer for group I patients. CONCLUSION: For acute sialadenitis in children and adolescents, age, presence of an abscess, sialolith, cellulitis, swelling, presence of a palpable mass and treatment period were different according to the involved salivary glands.
Abscess
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Adolescent
;
Cellulitis
;
Child
;
Humans
;
Lymphatic Diseases
;
Palatine Tonsil
;
Salivary Gland Calculi
;
Salivary Glands
;
Sialadenitis
;
Tonsillitis
4.Familial Mediterranean Fever: The First Adult Case in Korea.
Ah Leum LIM ; Hyun Joo JANG ; Jung Wan HAN ; Yong Keun SONG ; Won Jun SONG ; Heung Jung WOO ; Young Ok JUNG ; Sea Hyub KAE ; Jin LEE
Journal of Korean Medical Science 2012;27(11):1424-1427
Familial Mediterranean fever (FMF) is known to be a genetic disorder that prevalent among populations surrounding the Mediterranean Sea. Since Mediterranean fever gene (MEFV) was discovered at 1997, some cases have been reported in countries not related or close to this area like Japan. In addition it has been generally accepted that the clinical onset of FMF begins before 20 yr of age in most patients. Onset of the disease at an older age may occur but is rare. Adult-onset FMF may be a form of disease with distinct clinical, demographic and molecular characteristics. We describe a case of adult-onset FMF confirmed by DNA analysis of the MEFV gene in a Korean patient. A 32-yr-old man, who has no family history of FMF, presented with periodic fever, abdominal pain and vomiting. Though several various tests were thoroughly performed to evaluate the cause of his symptoms, there was no evidence of infectious, autoimmune or neoplastic diseases. Several gene analysis of periodic fever syndrome was finally performed and two point mutations (p.Leu110Pro, p.Glu148Gln) were identified. We confirmed the first adult case of FMF through detection of MEFV gene mutations in Korea and describe his clinical characteristics.
Abdominal Pain/etiology
;
Adult
;
Cytoskeletal Proteins/*genetics/metabolism
;
DNA Mutational Analysis
;
Familial Mediterranean Fever/*diagnosis/genetics
;
Fever/etiology
;
Humans
;
Male
;
Polymorphism, Single Nucleotide
;
Republic of Korea
;
Tomography, X-Ray Computed
;
Vomiting/etiology
5.Familial Mediterranean Fever: The First Adult Case in Korea.
Ah Leum LIM ; Hyun Joo JANG ; Jung Wan HAN ; Yong Keun SONG ; Won Jun SONG ; Heung Jung WOO ; Young Ok JUNG ; Sea Hyub KAE ; Jin LEE
Journal of Korean Medical Science 2012;27(11):1424-1427
Familial Mediterranean fever (FMF) is known to be a genetic disorder that prevalent among populations surrounding the Mediterranean Sea. Since Mediterranean fever gene (MEFV) was discovered at 1997, some cases have been reported in countries not related or close to this area like Japan. In addition it has been generally accepted that the clinical onset of FMF begins before 20 yr of age in most patients. Onset of the disease at an older age may occur but is rare. Adult-onset FMF may be a form of disease with distinct clinical, demographic and molecular characteristics. We describe a case of adult-onset FMF confirmed by DNA analysis of the MEFV gene in a Korean patient. A 32-yr-old man, who has no family history of FMF, presented with periodic fever, abdominal pain and vomiting. Though several various tests were thoroughly performed to evaluate the cause of his symptoms, there was no evidence of infectious, autoimmune or neoplastic diseases. Several gene analysis of periodic fever syndrome was finally performed and two point mutations (p.Leu110Pro, p.Glu148Gln) were identified. We confirmed the first adult case of FMF through detection of MEFV gene mutations in Korea and describe his clinical characteristics.
Abdominal Pain/etiology
;
Adult
;
Cytoskeletal Proteins/*genetics/metabolism
;
DNA Mutational Analysis
;
Familial Mediterranean Fever/*diagnosis/genetics
;
Fever/etiology
;
Humans
;
Male
;
Polymorphism, Single Nucleotide
;
Republic of Korea
;
Tomography, X-Ray Computed
;
Vomiting/etiology
6.Growth without growth hormone in combined pituitary hormone deficiency caused by pituitary stalk interruption syndrome.
Sang Soo LEE ; A Leum HAN ; Moon Bae AHN ; Shin Hee KIM ; Won Kyoung CHO ; Kyoung Soon CHO ; So Hyun PARK ; Min Ho JUNG ; Byung Kyu SUH
Annals of Pediatric Endocrinology & Metabolism 2017;22(1):55-59
Growth hormone (GH) is an essential element for normal growth. However, reports of normal growth without GH have been made in patients who have undergone brain surgery for craniopharyngioma. Normal growth without GH can be explained by hyperinsulinemia, hyperprolactinemia, elevated leptin levels, and GH variants; however, its exact mechanism has not been elucidated yet. We diagnosed a female patient aged 13 with combined pituitary hormone deficiency (CPHD) caused by pituitary stalk interruption syndrome (PSIS). The patient has experienced recurrent hypoglycemic seizures since birth, but reached the height of 160 cm at the age of 13, showing normal growth. She grew another 8 cm for 3 years after the diagnosis, and she reached her final adult height of 168 cm which was greater than the midparental height, at the age of 16. The patient's blood GH and insulin-like growth factor-I levels were consistently subnormal, although her insulin levels were normal. Her physical examination conducted at the age of 15 showed truncal obesity, dyslipidemia, and osteoporosis, which are metabolic features of GH deficiency (GHD). Herein, we report a case in which a PSIS-induced CPHD patient attained her final height above mid parental height despite a severe GHD.
Adult
;
Brain
;
Craniopharyngioma
;
Diagnosis
;
Dyslipidemias
;
Female
;
Growth Hormone*
;
Humans
;
Hyperinsulinism
;
Hyperprolactinemia
;
Insulin
;
Leptin
;
Obesity
;
Osteoporosis
;
Parents
;
Parturition
;
Physical Examination
;
Pituitary Gland*
;
Seizures
7.Benefit of Using Early ContrastEnhanced 2D T2-Weighted Fluid-Attenuated Inversion Recovery Image to Detect Leptomeningeal Metastasis in Lung-Cancer Staging
Han Joon KIM ; Jungbin LEE ; A Leum LEE ; Jae-Wook LEE ; Chan-Kyu KIM ; Jung Youn KIM ; Sung-Tae PARK ; Kee-Hyun CHANG
Investigative Magnetic Resonance Imaging 2022;26(1):32-42
Purpose:
To evaluate the clinical benefit of 2D contrast-enhanced T2 fluidattenuated inversion recovery (CE-T2 FLAIR) image for detecting leptomeningeal metastasis (LM) in the brain metastasis work-up for lung cancer.
Materials and Methods:
From June 2017 to July 2019, we collected all consecutive patients with lung cancer who underwent brain magnetic resonance image (MRI), including contrast-enhanced 3D fast spin echo T1 black-blood image (CE-T1WI) and CE-T2 FLAIR; we recruited clinico-radiologically suspected LM cases. Two independent readers analyzed the images for LM in three sessions: CE-T1WI, CE-T2 FLAIR, and their combination.
Results:
We recruited 526 patients with suspected lung cancer who underwent brain MRI; of these, we excluded 77 (insufficient image protocol, unclear pathology, different contrast media, poor image quality). Of the 449 patients, 34 were clinicoradiologically suspected to have LM; among them, 23 were diagnosed with true LM. The calculated detection performance of CE-T1WI, CE-T2 FLAIR, and combined analysis obtained from the 34 suspected LM were highest in the combined analysis (AUC: 0.80, 0.82, and 0.89, respectively). The inter-observer agreement was also the highest in the combined analysis (0.68, 0.72, and 0.86, respectively). In quantitative analyses, CNR of CE-T2 FLAIR was significantly higher than that of CE-T1WI (Wilcoxon signed rank test, P < 0.05).
Conclusion
Adding CE-T2 FLAIR might provide better detection for LM in the brainmetastasis screening for lung cancer.
8.A Case of Synchronous Presentation of Primary Non-Small Cell Lung Carcinoma and Pheochromocytoma.
Jung Wan HAN ; Cheol Hong KIM ; Juah JANG ; Hun Gu LEE ; Doo Cheol CHUNG ; Jung Eun CHOI ; kwangtaek KIM ; Ah Leum LIM ; Won Jun SONG ; Yong Keun SONG ; Heungjeong WOO ; In Gyu HYUN ; Mi Kyung SHIN ; Yong Seong LEE ; Ho Seung SHIN
Tuberculosis and Respiratory Diseases 2013;74(4):181-186
We report a rare synchronous presentation of primary lung cancer and adrenal pheochromocytoma. A 59-year-old woman was diagnosed with right upper lobe non-small cell lung carcinoma measuring 2.8 cm and a right adrenal gland mass measuring 3.5 cm, which displayed increased metabolic activity on 18F-fluorodeoxyglucose positron emission tomography-computed tomography. The adrenal lesion was revealed to be asymptomatic. The patient underwent right adrenalectomy and histological examination revealed a pheochromocytoma. Ten days later, right upper lobectomy was performed for lung cancer. This case indicates that incidental adrenal lesions found in cases of resectable primary lung cancer should be investigated.
Adrenal Glands
;
Adrenalectomy
;
Electrons
;
Female
;
Humans
;
Lung
;
Lung Neoplasms
;
Pheochromocytoma
9.An Elderly Man with Fatal Respiratory Failure after Eating a Poisonous Mushroom Podostroma cornu-damae.
Juah JANG ; Cheol Hong KIM ; Jun Jae YOO ; Mi Kang KIM ; Jae Eun LEE ; Ah Leum LIM ; Jeong Hee CHOI ; In Gyu HYUN ; Jung Weon SHIM ; Ho Seung SHIN ; Joungho HAN ; Soon Ja SEOK
Tuberculosis and Respiratory Diseases 2013;75(6):264-268
A 73-year-old, previously healthy man presented with nausea, vomiting, diarrhea, dry mouth and febrile sensation 3 hours after eating boiled wild mushrooms. After admission, he showed progressive severe respiratory distress, pancytopenia, azotemia, hypotension, hypoxemia and consolidation of the entire left lung on chest radiography. With a preliminary diagnosis of necrotizing pneumonia, he underwent left pneumonectomy in order to remove all necrotic lung tissue. Lung histology showed extensive hemorrhagic necrosis, massive inflammatory cell infiltration, prominent proliferation of young fibroblasts and the formation of an early-stage hyaline membrane along the alveolar wall. Despite aggressive treatment, including mechanical ventilation, continuous renal replacement therapy and administration of granulocyte colony stimulating factor and broad spectrum antibiotics, he died on hospitalization day 13. Subsequently, the mushroom was identified as Podostroma cornu-damae. This is the first case of a histological evidence of lung involvement by Podostroma cornu-damae poisoning in Korea.
Agaricales*
;
Aged*
;
Anoxia
;
Anti-Bacterial Agents
;
Azotemia
;
Colony-Stimulating Factors
;
Diagnosis
;
Diarrhea
;
Eating*
;
Fibroblasts
;
Granulocytes
;
Hospitalization
;
Humans
;
Hyalin
;
Hypotension
;
Korea
;
Lung
;
Membranes
;
Mouth
;
Mushroom Poisoning
;
Nausea
;
Necrosis
;
Pancytopenia
;
Pneumonectomy
;
Pneumonia
;
Poisoning
;
Radiography
;
Renal Replacement Therapy
;
Respiration, Artificial
;
Respiratory Insufficiency*
;
Sensation
;
Thorax
;
Vomiting