1.Evaluation of Nutritional Status of Inpatients with Medical Health Problems.
Eun Sook HWANG ; Ju Sung KIM ; Jae Shin SHIN
Korean Journal of Rehabilitation Nursing 2003;6(1):14-25
PURPOSE: To investigate nutritional status of inpatients by using subjective. and objective evaluation methods and to find the relationship between them. METHOD: The subjects were 101 inpatients with medical health problems at a university hospital. Nutritional status was evaluated by the Subjective Global Assessment (SGA) and physical assessment including percentage of weight loss, serum albumin, hemogloin, and hematocrit. Data were analyzed using frequency, percentage, mean, Kendall's tau. RESULTS: Grouping by the SGA, 61.4% were classified as severe malnutrition group. When applying the objective methods{physical assessment). 1.9~42.6% were diagnosed as malnutrition each item. The percentage of weight loss during previous 1-6month(r=.43~.54. P=.0001), serum albumin(r=-.26, P=.0003), hemoglobin of male(r=-.38, P=.0001), and hematocrit of male(r=-.34, P=.0001) were significantly correlated with SGA score. The coincidence rate of nutrition evaluation between the objective methods and SGA were 27.7 35.6%, 20.8%, 47.5%, 58.4% in percentage of weight loss, albumin, hemoglobin, and hematocrit. CONCLUSION: These findings showed a majority of inpatients were exposed to the risk of malnutrition. We recommend to evaluate inpatients' nutritional status periodically and to develop nursing intervention to solve their nutritional problems.
Hematocrit
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Humans
;
Inpatients*
;
Malnutrition
;
Nursing
;
Nutritional Status*
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Serum Albumin
;
Weight Loss
2.Dystrophic Calcification Following Anterior Tibial Compartment Syndrome
Jae Ik SHIM ; Dong Eun KIM ; Young Jong CHOI ; Taik Seon KIM ; Ho Hyung HWANG
The Journal of the Korean Orthopaedic Association 1985;20(5):897-903
Usually the histologic response of muscle to the ischemia range from mild, reversible change to extensive necrosis and fibrosis in the case of anterior tibial compartment syndrome. But dystmphic calcification in the late stages is very rare condition.Only three cases were previously reported by Gallie and Broder et al in the literature. We are reporting six cases of dystrophic calcification following anterior tibial compartment syndrome in late stages. Onsets of dystrophic calcifications after original injuries ranged from twelve years to thirty-two years. Two out of six cases revealed painless maas in the anterior tibial compartment and remaining four cases revealed painful aases. At surgery, tooth-paste like, calcified material was evacuated in one of five operated cases and yellowish grey, brittle materials were evacuated in the remaining four cases.
Compartment Syndromes
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Fibrosis
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Ischemia
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Leg
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Necrosis
3.Unusual Imaging Findings of Epithelioid Hemangioma:Case Report of Single Intramedullary Sclerotic Bone Lesion
Yun Chul HWANG ; Tae Eun KIM ; Jae Hyuck YI
Journal of the Korean Society of Radiology 2024;85(5):986-991
Epithelioid hemangioma (EH) is an uncommon, benign vascular tumor of mesenchymal origin. It mainly presents as a tumor with a lytic appearance and septations. However, no case reports have documented the predominantly sclerotic appearance of EH. Here, we present the imaging findings, including X-ray, CT, MRI, and histopathological findings of a 24-year-old female with EH.
4.Unusual Imaging Findings of Epithelioid Hemangioma:Case Report of Single Intramedullary Sclerotic Bone Lesion
Yun Chul HWANG ; Tae Eun KIM ; Jae Hyuck YI
Journal of the Korean Society of Radiology 2024;85(5):986-991
Epithelioid hemangioma (EH) is an uncommon, benign vascular tumor of mesenchymal origin. It mainly presents as a tumor with a lytic appearance and septations. However, no case reports have documented the predominantly sclerotic appearance of EH. Here, we present the imaging findings, including X-ray, CT, MRI, and histopathological findings of a 24-year-old female with EH.
5.Unusual Imaging Findings of Epithelioid Hemangioma:Case Report of Single Intramedullary Sclerotic Bone Lesion
Yun Chul HWANG ; Tae Eun KIM ; Jae Hyuck YI
Journal of the Korean Society of Radiology 2024;85(5):986-991
Epithelioid hemangioma (EH) is an uncommon, benign vascular tumor of mesenchymal origin. It mainly presents as a tumor with a lytic appearance and septations. However, no case reports have documented the predominantly sclerotic appearance of EH. Here, we present the imaging findings, including X-ray, CT, MRI, and histopathological findings of a 24-year-old female with EH.
6.A Case of Diencephalic Syndrome.
Eun Kyoung JI ; Hye Kyoung YU ; Eun Young HWANG ; Jae Won HUH ; Jae Shin PARK ; Jae Gon MOON
Journal of Korean Society of Pediatric Endocrinology 2000;5(1):137-142
Diencephalic syndrome is a rare cause of failure to thrive in infancy and early childhood. The syndrome is characterized by profound emaciation with normal appetite, loss of cutaneous adipose tissue, hyperactivity, euphoria, and nystagmus. It commonly occurs in association with chiasmatic and hypothalamic gliomas. It has also been described in association with other histologic types. There is the marked increase of serum growth hormone, which may exhibit an inappropriate, even paradoxical response in stimulation test. A male infant of 12 months of age, showed markedly elevated growth hormone but he had failure to thrive findings. Evenly enhanced round mass was seen at suprasella area in brain CT. Its histological findings was "Desmoplastic infantile ganglioglioma", very rare histologic type. Here we report a case of diencephalic syndrome presented by failure to thrive in association with hypothalamic tumors.
Adipose Tissue
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Appetite
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Brain
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Emaciation
;
Euphoria
;
Failure to Thrive
;
Glioma
;
Growth Hormone
;
Humans
;
Hypothalamic Neoplasms
;
Infant
;
Male
7.Development and Evaluation of an 'Activity and Rest' Integrated Course.
Eui Gum OH ; Seon Young HWANG ; Jae Eun LEE ; Eun Kyeung SONG ; Min Jeong KIM
Journal of Korean Academy of Adult Nursing 2007;19(4):624-633
PURPOSE: This study was conducted to develop an integrated undergraduate course including a PBL based on a blended learning strategy, and evaluate learners' responses. METHODS: The learning contents of cardiovascular, respiratory, and musculoskeletal medical systems, and nursing diagnoses of 'activity and rest' domain (NANADA's classification II, 2005) were analyzed. Six clinical scenarios with the clients in different life cycles were developed for PBL. Classical lecture and group presentation with on-line self learning were implemented in addition to PBL. The developed course was implemented on 84 junior nursing students in a university for 7 weeks with 5 hours per day, two days per week. Students were asked to complete structured questionnaires including problem solving, critical thinking, and nursing diagnosis differentiation abilities. RESULTS: Learner's evaluation was positive in problem solving skills and in the differentiation ability of nursing diagnoses relevant to an 'activity and rest' functional health pattern. CONCLUSION: Development and implementation of integrated courses based on a blended learning method need to be continued to enhance students' thinking and self-directed learning abilities. Supporting strategies for individual learners should be added for successful blended learning such as individual on-line feedback and consideration of individual learning outcomes.
Classification
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Humans
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Learning
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Life Cycle Stages
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Nursing Diagnosis
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Problem Solving
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Problem-Based Learning
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Students, Nursing
;
Thinking
;
Surveys and Questionnaires
8.A Case of Hypertension Secondary to Paraganglioma of the Posterior Mediastinum..
Eui Kyeong HWANG ; Jae Woong CHOI ; In Hu HWANG ; Chan Hee MUN ; Hyun Jo MIN ; Chang Sup SONG ; Choong Hun SUH ; Eun Ju KO ; Eun Kyeong KIM
Korean Circulation Journal 1997;27(8):895-899
Functional paraganglioma of the mediastinum is an uncommon tumor of the paraganglion system that causes symptoms and signs of episodic catecholamine release. It has not been reported in Korea. We experienced a case of a 17 years old man with a history of diaphoresis and paroxysmal hypertension refractory to therapy since 14 years old. Urinary execretion of catecholamine and its metabolites were elevated. Computed tomography(CT) scan revealed high density mass located on the posterior mediastinum in the area of the right fifth intercostal space. At thoracotomy, a 3X3X4cm sized lesion was resected and confirmed as a paraganglioma.
Adolescent
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Humans
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Hypertension*
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Korea
;
Mediastinum*
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Paraganglioma*
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Pheochromocytoma
;
Thoracotomy
9.Program Evaluation using the RE-AIM Framework: A Systematic Review and Application to a Pilot Health Promotion Program for Children
Ji-Eun LEE ; Jae Eun SHIM ; Kirang KIM ; Jae-Heon KANG ; Ji-Yun HWANG
Korean Journal of Community Nutrition 2022;27(4):296-308
Objectives:
This study aimed to develop evaluation criteria for the elementary-school-based health promotion program using the RE-AIM framework and to examine their feasibility.
Methods:
Previous evaluation studies on health interventions for elementary-school students using the RE-AIM framework were reviewed systematically to identify appropriate evaluation criteria. A diet and physical activity intervention based on the transtheoretical model was implemented in a pilot study using the “Happy Me” application. The feasibility of using the RE-AIM framework to evaluate it was examined.
Results:
The review yielded the following evaluation criteria: “reach,” the ratio of participants out of the total target population; “efficacy/effectiveness,” the difference in outcomes between the intervention and control groups, or between a pre- and post-test; “adoption,” the rate of use of the program and participation in the next stage of the program; “implementation,” the progress on the program components; “maintenance,” the participants’ and teachers’ intention to continue using the program. The pilot study reached 76.6% of the targeted population. The intake of sugar-sweetened beverages decreased (P < 0.0001), and the duration of walking increased (P < 0.0001). Other indicators could not be evaluated; therefore, potential indicators were suggested.
Conclusions
This study produced feasible evaluation criteria for elementary-school-based health promotion using the RE-AIM framework. Nevertheless, the feasibility needs to be validated with a broader range of studies and long-term interventions.
10.Cydonia oblonga Miller fruit extract exerts an anti-obesity effect in 3T3-L1adipocytes by activating the AMPK signaling pathway
Hyun Sook LEE ; Jae In JUNG ; Jung Soon HWANG ; Myeong Oh HWANG ; Eun Ji KIM
Nutrition Research and Practice 2023;17(6):1043-1055
BACKGROUND/OBJECTIVES:
The fruit of Cydonia oblonga Miller (COM) is used traditionally in Mediterranean region medicine to prevent or treat obesity, but its mechanism of action is still unclear. Beyond a demonstrated anti-obesity effect, the fruit was tested for the mechanism of adipogenesis in 3T3-L1 preadipocytes.MATERIALS/METHODS: 3T3-L1 preadipocytes were cultured for 8 days with COM fruit extract (COME) at different concentrations (0–600 µg/mL) with adipocyte differentiation medium. The cell viability was measured using an MTT assay; triglyceride (TG) was stained with Oil Red O. The expression levels of the adipogenesis-related genes and protein expression were analyzed by reverse transcription polymerase chain reaction and Western blotting, respectively.
RESULTS:
COME inhibited intracellular TG accumulation during adipogenesis. A COME treatment in 3T3-L1 cells induced upregulation of the adenosine monophosphateactivated protein kinase (AMPK)α phosphorylation and downregulation of the adipogenic transcription factors, such as sterol regulatory element-binding protein 1c, peroxisome proliferator-activated receptor γ, and CCAAT/enhancer binding protein α. The COME treatment reduced the mRNA expression of fatty acyl synthetase, adenosine triphosphatecitrate lyase, adipocyte protein 2, and lipoprotein lipase. It increased the mRNA expression of hormone-sensitive lipase and carnitine palmitoyltransferase I in 3T3-L1 cells.
CONCLUSIONS
COME inhibits adipogenesis via the AMPK signaling pathways. COME may be used to prevent and treat obesity.