1.A case of Bronchogenic Cyst in Diaphragm.
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(10):847-850
Isolated bronchogenic cysts of the diaphragm are rare abnormalities. They are usually asymptomatic unless secondarily infected or large enough to cause compression of vital structures. The patient was a 31-year-old man and had no symptoms except mild postprandial epigastric discomfort. The chest X-ray and chest C-T examination revealed a mediastinal mass at the left cardio-vertebro-phrenic angle. We performed the operation under the impression of solid mass at mediastinum. We revealed that the mass was bronchogenic cyst in diaphragm. Therefore we report this case with review of literatures.
Adult
;
Bronchogenic Cyst*
;
Diaphragm*
;
Humans
;
Mediastinum
;
Thorax
2.Clinical study on epileptiform discharge in children.
Wonil PARK ; Hong Jin LEE ; Kung Ja LEE
Journal of the Korean Pediatric Society 1991;34(11):1559-1564
3.Balanced Scorecard for Performance Measurement of a Nursing Organization in a Korean Hospital.
Yoonmi HONG ; Kyung Ja HWANG ; Mi Ja KIM ; Chang Gi PARK
Journal of Korean Academy of Nursing 2008;38(1):45-54
PURPOSE: The purpose of this study was to develop a balanced scorecard (BSC) for performance measurement of a Korean hospital nursing organization and to evaluate the validity and reliability of performance measurement indicators. METHOD: Two hundred fifty-nine nurses in a Korean hospital participated in a survey questionnaire that included 29-item performance evaluation indicators developed by investigators of this study based on the Kaplan and Norton's BSC (1992). Cronbach's alpha was used to test the reliability of the BSC. Exploratory and confirmatory factor analysis with a structure equation model (SEM) was applied to assess the construct validity of the BSC. RESULT: Cronbach's alpha of 29 items was .948. Factor analysis of the BSC showed 5 principal components (eigen value >1.0) which explained 62.7% of the total variance, and it included a new one, community service. The SEM analysis results showed that 5 components were significant for the hospital BSC tool. CONCLUSION: High degree of reliability and validity of this BSC suggests that it may be used for performance measurements of a Korean hospital nursing organization. Future studies may consider including a balanced number of nurse managers and staff nurses in the study. Further data analysis on the relationships among factors is recommended.
Adult
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Female
;
Health Knowledge, Attitudes, Practice
;
Hospitals
;
Humans
;
Korea
;
Male
;
Nursing Evaluation Research
;
Nursing Staff, Hospital/organization & administration/*standards
;
Questionnaires
;
Task Performance and Analysis
;
Young Adult
4.A Clinical Study of Benign Epilepsy of Childhood with Centrotemporal Spikes.
Byung Il LEE ; Sang Ju HAN ; Hong Jin LEE ; Won Il PARK ; Kyung Ja LEE
Journal of the Korean Pediatric Society 1994;37(9):1251-1256
Benign epiepsy of childhood with centrotemporal spikes (BECCT) is an electroclinical syndrome characterized by noctural seizure that remit spontaneoully before adulthood, and belong to idiopathic age and location related epilepsies. We reviewed the medical records to analyse the seizure the seizure pattern, and also inspect the EEG recording to identify topography of the epileptiform discharge of 24 patient who met the following criteria: 1) presence of nocturnal seizure or partial seizure confined to the face, 2) normal intecual and development, 3) normal background EEG feature, 4) monomormhic spikes or sharp wave that increase in the frequency during sleep if those state were achieved. The result as follow: 1) The age of seizure onset were 3 to 11 years old (7.08 1.89) and male to female ratio was 1, 4:1. 2) Past history of birth trauma, CNS infection and other diseases involving CNS, were not found. There was past history of febrile convulsoin 33.3% of patient and epilepsy in 8.3%. One of paient's sister had childhood abscence epilepsy and never a nocturnal partial seizure, also and had centrotemporal spikes in EEG. 3) In 91.7% of Seizures occurred during sleep, especially short after sleep onset and the symptomatology of seizure was shown 66.7% of oropharyngeal sign, such as hypersalivation and gargle sound, and 54.2% of hemifacial involvement, 33.3% of speech arrest, 25.5% of upper limb involement, 18.3% of lower limb involvement, and 45.8% of general seizure. 4) In 91.5% of patients had on location of epileptiform discharge that located central (37.5%) midtemporal (33.3%), parietal and frontal. We could observe tangental dipole in 16.7% of patients.
Child
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Electroencephalography
;
Epilepsy
;
Epilepsy, Rolandic*
;
Female
;
Humans
;
Lower Extremity
;
Male
;
Medical Records
;
Parturition
;
Rabeprazole
;
Seizures
;
Sialorrhea
;
Siblings
;
Upper Extremity
5.A Case of Dermatomyositis Manifestated by the Paroxysmal Supraventricular Tachycardia.
Young Sun KIM ; Sun Hee MAENG ; Hong Keun CHO ; Si Hoon PARK ; Gil Ja SHIN
Korean Circulation Journal 1997;27(11):1211-1217
Dermatomyositis is a disease of unknown etiology characterized by inflammation and degeneration of skeletal muscles and cutaneous abnormalities. Cardiac involvement in dermatomyositis-polymyositis is thought to be rare. In recent year, however, there has been an increasing number of reports on cardiac abnormalities in adult dermatomyositis and polymyositis due to development of noninvasive diagnostic techniques. Categorically, these abnormalities have included electrocardiographic changes, cardiac arrhythmias, congestive heart failure, coronary artery disease, and pericarditis. A 56-year-old woman was admittied to the Ewha womans University Hospital with dyspnea and palpitation. She was diagnosed as having dermatomyositis and followed up our department of Dermatology. Electrocardiogram showed a paroxysmal supraventricular tachycardia at as rate of 195/min. The patient was treated with 240mg/day verapamil p.o, 60mg/day prednisone p.o, there was marked improvement of symptoms. Systematic study of cardiac function utilizing echocardiography, Holter monitoring, thallium-201-scan, and gated blood pool studies were conducted in five newly diagnosed patients with dematomyositis-polymyositis. A significant elevation of serum CPK-MB is indicative of cardiac involvement. Cardiac involvement is a serious prognostic sign. We report a case with the review of the literature.
Adult
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Arrhythmias, Cardiac
;
Coronary Artery Disease
;
Dermatology
;
Dermatomyositis*
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Dyspnea
;
Echocardiography
;
Electrocardiography
;
Electrocardiography, Ambulatory
;
Female
;
Heart Failure
;
Humans
;
Inflammation
;
Middle Aged
;
Muscle, Skeletal
;
Pericarditis
;
Polymyositis
;
Prednisone
;
Prognosis
;
Tachycardia, Supraventricular*
;
Verapamil
6.A Case of A3B.
Young Ae LIM ; Ae Ja PARK ; Seung Hwan CHIN ; Hyae Rim HONG ; Yeung Tak KANG
Korean Journal of Blood Transfusion 1994;5(1):53-56
The results of ABO blood typing in 64-year-old patient with chronic renal and heart failure were positive with anti-B, delayed and weak positive with anti-A in the slide method for the cell typing, mixed-field agglutiniation by light microscopy in the tube method for the cell typing, and also was negative in anti-A, lectin and positive in anti-H, therefore blood typing of this patient was confirmed to A3B.
Blood Grouping and Crossmatching
;
Heart Failure
;
Humans
;
Microscopy
;
Middle Aged
7.Benign epilepsy of chilhood with centrotemporal spikes : Short term prognosis and prognostic factor.
Won Il PARK ; Sang Ju HAN ; Hong Jin LEE ; Kyung Ja LEE
Journal of the Korean Child Neurology Society 1993;1(2):74-81
No abstract available.
Epilepsy*
;
Prognosis*
8.Clinical Observation of Urinary Tract Anomalies.
In Hee JUNG ; Hong Jin LEE ; Sang Joo HAN ; Won Il PARK ; Kyung Ja LEE
Journal of the Korean Pediatric Society 1994;37(8):1092-1096
Urinary tract anomaly is the most common anomaly in childhood. We reviewed medical records of 45 patients who were confirmed urinary tract anomalies on radiologic studies as Chuncheon Sacred Hospital, from Dec. 1984 to Sep. 1992. We analyzed incidence and clinical characteristics of urinary tract anomalies. The results obtained were as follows: 1) The age distribution were: 1)7 cases (37.8%) under 3 years, 6 cases (13.3%) from 4 to 6 years, 10 cases (22.2%) from 7 to 9 years, 9 cases (20.0%) from 10 to 12 years and 3 cases (6.7%) from 13 to 15 years. 2) Main symptoms were fever, dysuria and hematuria. 3) 26 cases (59.8%) were combined with urinary tract infection, and main causative organism were E. coli and Staphylococcus. 4) The most common anomalies were hydronephrosis, duplication of urinary tract and renal agenesis in order of sequence. 5) 34 cases (75.6%) were simple anomaly and 11 cases (24.4%) were complex anomalies. 6) Operative correction was needed on 20 cases.
Age Distribution
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Dysuria
;
Fever
;
Gangwon-do
;
Hematuria
;
Humans
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Hydronephrosis
;
Incidence
;
Medical Records
;
Staphylococcus
;
Urinary Tract Infections
;
Urinary Tract*
9.Infection Control Activities in Seoul National University Bundang Hospital.
Ja Hyun KANG ; Hong Bin KIM ; Kyoung Un PARK ; Eun Hwa CHOI
Korean Journal of Nosocomial Infection Control 2004;9(2):151-158
No abstract available.
Infection Control*
;
Seoul*
10.Development of Computerized Surveillance Programs based on a Hospital Electronic Medical Records System.
Ja Hyun KANG ; Hong Bin KIM ; Ho Jun CHIN ; Kyoung Un PARK ; Eun Hwa CHOI
Korean Journal of Nosocomial Infection Control 2004;9(2):107-116
BACKGROUND: As information technology evolves rapidly computer-based surveillance systems for nosocomial infection have been developed. Well designed computerized system could provide an opportunity for improving, enlarging, and conducting hospital-wide surveillance more efficiently in the situation with limited resources. Recently, we launched a new computerized monitoring system in a hospital where digital medical information system has been operated without paper chart. METHODS: We developed a new surveillance program based on the total Electronic Medical Record (EMR) system. Numerous critical medical information can be easily accessible through this system without further work. This includes major demographic data, essential information from the inpatient medical record, the laboratory information system, and the pharmacy information, Comprehensive Clinical Data Repository (CDR) system was also developed. CDR is potentially very useful to conduct a hospital-wide surveillance by integrating all the available information. RESULTS: This system consists of several programs in the EMR and the CDR environment. In the EMR system, inquiry for patients with fever, case ascertainment and registration of nosocomial infections, inquiry for patients with indwelling devices, microbiological reports, and data on antibiotic prescriptions were included. The CDR has integrated comprehensive inquiries for frequency of major pathogens in clinical isolates and their trends of antibiotic resistance, nosocomial infection rates based on the duration of the devices or hospitalization, and the history of antimicrobial usage based on defined daily dosage. Data obtained from the EMR and the CDR systems could be easily accessed by infectious diseases specialists and healthcare workers of infection control services at any place within the hospital. A new reporting system has been built up to facilitate identification of notifiable diseases among the list of diagnoses on the EMR. In addition, the "Alert" notice was designed to highlight isolation precautions for indicated cases. CONCLUSION: This new computerized surveillance program might be a valuable model to which other hospitals can refer to develop newer version of programs in the future.
Clinical Laboratory Information Systems
;
Communicable Diseases
;
Cross Infection
;
Delivery of Health Care
;
Diagnosis
;
Drug Resistance, Microbial
;
Electronic Health Records*
;
Fever
;
Hospitalization
;
Humans
;
Infection Control
;
Information Systems
;
Inpatients
;
Medical Records
;
Pharmacy
;
Prescriptions
;
Specialization