1.A clinical study on neonatal exchange transfusion.
Eun Ju PARK ; Eun Eui KIM ; Yang Sook CHOI ; Son Sang SEO
Journal of the Korean Pediatric Society 1993;36(4):469-477
Clinical observation was performed on 81 cases who were received exchange transfusion at Ilsin Christian Hospital from January, 1986 to Decrmber, 1990. The results obtained were as follows: 1) Among 6,388 cases of neonatal jaundice, the exchange transfusion was performed on 81 cases (1.27%). 2) There was no sex predominance (male 40, female 41). The birth weight of 75 cases(92.6%) ranged from 2,500 gm 4,000 gm. 3) The most predominant delivery type was normal vaginal delivery (66 cases, 81.5%). Instrumental delivery was 9 cases (11.1%) that was higher than control group (4.2%). 4) Analysing the exchanged 81 cases, sepsis accounted for 28 cases (34.6%) of the total exchanged group:ABO incompatibility 25 cases (30.9%), complicated causes 13 cases(16.0%), unknown causes 12 cases (14.8%) and Rh incompatibility 1 cases (1.2%). 5) Repeated exchange transfusion was required in 12 cases (16.0%). 6) In 20 cases (24.7%), exchange transfusion was performed on 7 days or more after birth. In 4 cases (4.9%), including 1 cases of Rh incompatibility, exchange transfusion was done within 24 hours after birth. 7) The most common organism of sepsis, which was the most predominant etiology of exchange transfusion was E. coli in 12 cases (31.5%). 8) After exchange transfusion, serum bilirubin, Hb and reticulocyte count were decreased by 24%, 22% and 36%, respectively.
Bilirubin
;
Birth Weight
;
Female
;
Humans
;
Infant, Newborn
;
Jaundice, Neonatal
;
Parturition
;
Reticulocyte Count
;
Sepsis
2.Health Assessment of Handicapped Chaildren in an Asylum.
Eun Ju LEE ; Eun Sil LEE ; Han Ku MOON ; Yong Hoon PARK ; Son Moon SHIN
Journal of the Korean Pediatric Society 2000;43(9):1263-1268
PURPOSE: To evaluate the health status of institutionalized handicapped children, a general health assessment was done in an asylum in Taegu in May 1998. METHODS: Body measurements, including height, weight, head circumference, skin fold thickness and mid-arm circumference, were done with physical examination on 53 children. Blood tests and chest radiography were done, and fat impedance was measured. RESULTS: Of the 53 children, height, weight and head circumference were below the third percentile in 37(69.8%), 35(66%) and 28(52.8%) children, respectively. Body mass index, skin fold thickness and mid-arm circumference were below the third percentiles in 77.3, 50.9% and 56.6% of the children, respectively. Although serum protein levels were within normal range, anemia was detected in 31 children(58.5%). Two children showed interstitial pneumonia on chest radiograms. And HBsAg was detected in three but their liver enzymes were within normal limits. CONCLUSION: Due to the poor nutritional status of handicapped children in the asylum, the prevalence of anemia was high. Evaluation of the nutritional status and hemoglobin measurernent must be included in the routine health assessment of these children.
Anemia
;
Body Mass Index
;
Child
;
Daegu
;
Disabled Children
;
Disabled Persons*
;
Electric Impedance
;
Head
;
Hematologic Tests
;
Hepatitis B Surface Antigens
;
Humans
;
Liver
;
Lung Diseases, Interstitial
;
Nutritional Status
;
Physical Examination
;
Prevalence
;
Radiography
;
Reference Values
;
Skin
;
Thorax
3.The Influencing Factors on Postpartum Fatigue in Parturient Women.
Ju Eun SONG ; Soon Bok CHANG ; Youn Jung SON
Journal of Korean Academy of Adult Nursing 2007;19(4):670-681
PURPOSE: The purpose of this study was to identify the influencing factors on postpartum fatigue in the parturient women. METHODS: The data were collected from July to September, 2006 using self-report questionnaires. The sample was 143 healthy parturient women who visited the outpatient clinic at 2 hospitals for a routine follow up after childbirth. The data were analyzed by using SPSS 12.0 Win program. RESULTS: There were significant differences in the postpartum fatigue by age, religion, sleep hour, and complaint of perceived health problem. The postpartum fatigue were significantly correlated with infant care stress(p<0.001), sleep satisfaction(p<0.001), and feeding difficulty(p=0.016). The multiple regression analysis showed that the postpartum fatigue were significantly predicted by the infant care stress, sleep satisfaction and complaint of perceived health problem. These variables explained 31.8% of the variance of postpartum fatigue. The infant care stress was the main predictor of postpartum fatigue. CONCLUSIONS: It could be concluded that the nursing intervention for reducing the infant care stress should be developed to manage the postpartum fatigue for parturient women. Prospective studies are needed to be conducted to verify the causal relationship between infant care stress and postpartum fatigue.
Ambulatory Care Facilities
;
Fatigue*
;
Female
;
Follow-Up Studies
;
Humans
;
Infant
;
Infant Care
;
Nursing
;
Parturition
;
Postpartum Period*
;
Surveys and Questionnaires
4.A Study on the Health Status and Need of Health Education of the Elderly: Focused on Some Elders Living in Jeju.
Young Ju SON ; Eun Young CHOI ; Young A SONG
Journal of Korean Academy of Community Health Nursing 2008;19(2):143-156
PURPOSE: It is important to identify problems in elders' health through health examination as a part of health service for elders and to execute health education so that elders have appropriate abilities to manage and protect themselves. This study was attempted to assess the need of health education in the elderly and to analyze factors affecting the need of health education. METHOD: The participants in this study were 354 elderly people living independently in the Jeju Special Self-Governing Province of Korea, and a questionnaire survey was conducted through personal interviews from June 25 to July 26, 2007. The methodology was a descriptive study. Data were collected and analyzed using SPSS Win 12.0. RESULTS: As for the contents of education, elders preferred most the area of 'prevention and management of elderly diseases.' Detailed education contents preferred by elders were the prevention of accidents, diet habits, exercise and weight management, mental health and stress management, complementary and alternative therapies, management of drinking and smoking, etc. CONCLUSION: According to elders' concerns and needs, systemic health education for the elderly should provide right health knowledge, health maintenance, health promotion and setting of appropriate health education.
Aged*
;
Complementary Therapies
;
Drinking
;
Education
;
Food Habits
;
Health Education*
;
Health Promotion
;
Health Services
;
Humans
;
Korea
;
Mental Health
;
Smoke
;
Smoking
;
Surveys and Questionnaires
5.Effects of a Problem-Based Learning Program on Health Education for Elders.
Young Ju SON ; Eun Young CHOI ; Young A SONG
Journal of Korean Academy of Nursing 2009;39(2):207-216
PURPOSE: The purposes of this study was to analyze the effects of a health education program using problem-based learning on health related knowledge, behavior, and quality of life in elderly people. METHODS: The participants included 44 elders, of whom 23 took the health education program and 21 did not. All participants were over 60 yr of age and were selected from residents of nursing homes or participants in activities of social welfare facilities in Jeju Province. Elders in both groups completed pre- and post-tests. Elders in the education group participated in 5 weekly sessions, 100-120 min/session of problem-based learning on health education. Data were analyzed using SPSS WIN 12.0. RESULTS: Scores for health knowledge, health behavior, and quality of life for the education group were significantly higher than those of the control group. CONCLUSION: A problem-based learning health education program can be recommended as a method to promote the health of the elders. Indirectly, the results seem to indicate that proper assessment and support should be provided simultaneously in the management of elders' health. Finally, future study is needed to examine whether problem-based learning is more helpful compared to traditional education.
Aged
;
Aged, 80 and over
;
Data Interpretation, Statistical
;
Demography
;
Female
;
*Health Education
;
*Health Knowledge, Attitudes, Practice
;
Humans
;
Male
;
Nursing Homes
;
Program Evaluation
;
Quality of Life
6.Difficult evaluation of thyroid cancer due to cervical paraffin injection.
Yong Sang LEE ; Eun Ju SON ; Bup Woo KIM ; Hang Seok CHANG ; Cheong Soo PARK
Journal of the Korean Surgical Society 2011;81(Suppl 1):S17-S20
Paraffinoma is a well known complication of previous paraffin injection into the subcutaneous layer that presents as various conditions including firm mass formation, edema, induration, ulceration, and skin necrosis. Paraffinoma can mimic neoplasm on physical examination and imaging studies and may complicate ultrasonographic diagnoses due to typical posterior shadowing and high echogenicity. When paraffinomas involve around the thyroid gland, the diagnosis of thyroid tumors is very difficult. We present a case of thyroid cancer, the evaluation of which was complicated by the presence of cervical paraffinoma.
Edema
;
Hydrazines
;
Necrosis
;
Paraffin
;
Physical Examination
;
Shadowing (Histology)
;
Skin
;
Thyroid Gland
;
Thyroid Neoplasms
;
Ulcer
7.Effects of Problem-Based Learning of Nursing Student.
Young Ju SON ; Young A SONG ; Eun Young CHOI
Journal of Korean Academy of Fundamental Nursing 2010;17(1):82-89
PURPOSE: The purpose of this study was to compare nursing students before using problem-based learning and after the experience in: class satisfaction, tendency to critical thinking, learning attitude and motivation. METHOD: The data were collected on March 20 and June 5, 2008. The PBL study was given for 15 weeks from March through June involving 216 junior nursing students. To test effects of PBL, a one group pretest-posttest design was used. Statistical analysis was performed with SPSS 13.0. Paired t-test, chi-square-test, and Pearson correlation coefficient were performed. RESULTS: The results are summarized as follows: Following PBL, the students scored significantly higher on the class satisfaction (t=-3.321, p= .001), tendency to critical thinking (t=-2.218, p= .034), learning attitude (t=-2.910, p= .004) and motivation (t=-4.407, p<.001). The Pearson correlation coefficients among the three variables were significantly positive. CONCLUSION: This study contributes to our understanding of outcomes from the PBL approach. The students undertaking PBL showed that they developed a more positive attitude with their educational experience. Also, students' tendency to think critically improved through the use of the PBL approach.
Humans
;
Learning
;
Mortuary Practice
;
Motivation
;
Problem-Based Learning
;
Students, Nursing
;
Thinking
8.Effectiveness of exercise for improving physical and renal function in older adults with pre-dialysis chronic kidney disease: A systematic review and meta-analysis
Hyeon-Ju LEE ; Youn-Jung SON ; So Eun JANG
Journal of Korean Critical Care Nursing 2023;16(3):34-47
Purpose:
: Exercise may prevent the worsening of chronic kidney disease (CKD) and progression of cardiovascular diseases in patients with CKD. This review aims to identify the best type of exercise modality and summarizes the beneficial effects of exercise on physical and renal function among older adults with pre-dialysis CKD.
Methods:
: A systematic search of PubMed, Embase, CINAHL, Cochrane Library, Web of Science, SCOPUS, and domestic database was performed for randomized controlled trials (RCTs) assessing the effect of exercise intervention on older adults with pre-dialysis CKD published until February 2023. A random-effects metaanalysis was conducted. The risk of bias was assessed using a Cochrane tool for assessing the risk of bias in RCTs (RoB 2.0).
Results:
: The systematic review included 11 RCTs (n = 591, average age 60.2–76), of which 8 could be included for meta-analysis. Exercise was significant in increasing peak oxygen consumption and knee muscle strength among physical functions, and also in improving glomerular filtration rate among kidney functions.
Conclusion
: Exercise has beneficial effects on physical and renal function among older adults with pre-dialysis CKD. In the future, it is necessary to verify the effectiveness of exercise by subdividing it by type, intensity, duration, and delivery.
9.Effects of Repeated Immobilization Stress on the Renal Peripheral Benzodiazepine Receptor in Rats.
Yong Hoon PARK ; Han Ku MOON ; Son Moon SHIN ; Eun Ju LEE ; Eun Sil LEE ; Jeoung Hee HA
Journal of the Korean Society of Pediatric Nephrology 1999;3(1):20-26
Primary small cell carcinoma of the salivary gland is a rare neoplasm that accounts for approximately 1.8% of all primary major salivary gland malignancies. Because of its rarity, it is difficult to diagnose small cell carcinoma of the parotid gland by fine needle aspiration cytology(FNAC). We experienced a case of primary small cell carcinoma of the parotid gland in a 72-year-old woman who presented with two palpable masses of the left infraauricular and ocular regions of two to three month's duration, respectively. Aspirate smears from the left infraauricular area were highly cellular on necrotic and lymphocytic background and showed individually dispersed cells or three-dimensional clusters of small cells. The tumor cells were round to oval with a very high nucleocytoplasmic ratio. Nuclei were about two times the size of lymphocytes and had uniformly dispersed but hyperchromatic to pyknotic chromatin. Nucleoli were occasionally visible but were generally inconspicuous. Numerous mitotic figures were detected. The clusters of these small tumor cells exhibited angular nuclear molding, irregular nuclear outlines, and occasionally rosette like arrangement. The tumor was confirmed by histology and immunohistochemistry.
Aged
;
Animals
;
Benzodiazepines*
;
Biopsy, Fine-Needle
;
Carcinoma, Small Cell
;
Chromatin
;
Female
;
Fungi
;
Humans
;
Immobilization*
;
Immunohistochemistry
;
Lymphocytes
;
Parotid Gland
;
Rats*
;
Receptors, GABA-A*
;
Salivary Glands
;
Thyroid Gland
10.Peculiar Mammographic and Ultrasonographic Findings of a Retained Silastic Drain in the Breast.
Eun Ju SON ; Ki Keun OH ; Eun Kyung KIM
Yonsei Medical Journal 2006;47(5):752-754
Foreign bodies, such as surgical sponges or drains, are sometimes retained after surgical procedures.1 Retention of a drain in the breast tissue postoperatively is an unusual complication. This report describes two cases of characteristic sonographic findings related to retained silastic drains following breast surgery.
*Ultrasonography, Mammary
;
Silicones
;
Postoperative Complications/*diagnosis/radiography/ultrasonography
;
*Mammography
;
Humans
;
Foreign Bodies/*diagnosis/radiography/ultrasonography
;
Female
;
Drainage/*instrumentation
;
Dimethylpolysiloxanes
;
Adult