1.A Study on the Educational Effects on Child-Raising Knowledge and Satisfaction with Out-Patient Care of Mothers with Ill-Child.
So Yeon LEE ; Mi Hye CHOI ; Hye Jin KWON
Korean Journal of Child Health Nursing 1997;3(1):83-98
The purpose of this study were to find out the practical way to enlarged child-raising knowledge and to enhance their satisfaction with out-patient care by evaluating how effectively the education is done by nurses for mothers with ill-child and how their satisfaction with out-patient care changed. This study was designed as a Nonequivalent Control Group study. The subjects studied were consisted of the experimental and control group. Each consisted of 50 mothers with ill-child in pediatric department at one university hospital in Seoul. The period of this study is from May 20, 1996 to June 28, 1996. The first data were collected fro both of experimental and control groups in which mothers with ill-child come to the hospital for the first time. After this being done, the experimental group had been educated by the planned program and then the second data were collected from them. On the contrary, as for the control group, there had been no education and the second data were collected on the same method. The data analysis was done by SPSS program. The results of this study are as follow, 1. The child-raising knowledge level of mothers with education was higher than that of with no education.(t=18.84, df=49, p=0.000) 2. The satisfaction with out-patient care level of mothers with education was higher than that of no education.(t=10.51, df=49, p=0.000) Based on these results, I suggest as follow, 1. The research on the patients and their family should be made not only in pediatric department, but in every out-patient department. 2. For more effective education, it is required for all out-patient nurses to research the education demand of patients and their family. 3. To increase the effect of education, there must be the consultation room in out-patient department. 4. The meetings with the mothers with ill-child of the same illness have to be established and periodical education must be executed. 5. Audio-visual education programs like video tapes are needed to make use of waiting time for the medical treatment. 6. On-line consulting program are needed.
Education
;
Humans
;
Mothers*
;
Outpatients*
;
Seoul
;
Statistics as Topic
;
Child Health
2.A study of serum and spinal fluid enzyme such as CPK and LDH as predictors of neurologic disability following perinatal asphyxia.
Min Hye KIM ; Hye Jin LEE ; Gyoung Hee KIM
Journal of the Korean Pediatric Society 1993;36(5):664-670
Perinatal asphyxia is an insult to fetus or newborn due to lack of oxygen or perfusion to various organs, especially to brain, resulting in the important complication known as hypoxic ischemic encephalopathy. A clinical study was conducted on 30 newborns with perinatal asphyxia, who were admitted to Pediatric department of Ewha Women's University Hospital during 18 months period from Sep. 1990 to Feb. 1992. CPK, LDH and isoenzymes were measured in 30 asphyxated neonates and compared with control group. The results were as follows: 1) The serum CPK values at 1st and 7th day were not different in the asphyxia group and control group. 2) The serum CPK-BB and MB fraction at 1st day were highly significant in the asphyxia group. 3) The CSF CPK value at 1st day was highly significant in the asphyxia group. 4) The serum LDH values and the serum LDH isoenzyme 3 were highly significant in asphyxia group at 1st day. 5) The CSF LDH values and the CSF LDH isoenzyme 2 and 3 were highly significant in asphyxia group at 1st day. So, we concluded the serum CPK-BB fraction, the CSF CPK values, the serum LDH values, the serum LDH 2 fraction, the CSF LDH values and the CSF LDH 2,3 fraction as predictors of neurologic disability following perinatal asphyxia.
Asphyxia*
;
Brain
;
Fetus
;
Humans
;
Hypoxia-Ischemia, Brain
;
Infant, Newborn
;
Isoenzymes
;
Oxygen
;
Perfusion
3.Retraction: Roxithromycin Treatment of Tsutsugamushi Disease (Scrub Typhus) in Children.
Korean Journal of Pediatrics 2005;48(10):1149-1149
No abstract available.
Child*
;
Humans
;
Roxithromycin*
;
Scrub Typhus*
4.Two Cases of Kallmann Syndrome.
Hye Jung HAN ; Hee Jin CHO ; Hye Sun LEE ; In Sil LEE ; Il Tae HWANG
Journal of Korean Society of Pediatric Endocrinology 2003;8(2):179-183
Kallmann syndrome is characterized by hypogonadotropic hypogonadism resulting from insufficient release of GnRH and associated with anosmia or hyposmia. We experienced two cases of Kallmann syndrome with abnormal brain MRI findings(olfactory bulb aplasia) & secondary sexual dysfunction.
Brain
;
Gonadotropin-Releasing Hormone
;
Hypogonadism
;
Kallmann Syndrome*
;
Magnetic Resonance Imaging
;
Olfaction Disorders
5.Two Cases of Kallmann Syndrome.
Hye Jung HAN ; Hee Jin CHO ; Hye Sun LEE ; In Sil LEE ; Il Tae HWANG
Journal of Korean Society of Pediatric Endocrinology 2003;8(2):179-183
Kallmann syndrome is characterized by hypogonadotropic hypogonadism resulting from insufficient release of GnRH and associated with anosmia or hyposmia. We experienced two cases of Kallmann syndrome with abnormal brain MRI findings(olfactory bulb aplasia) & secondary sexual dysfunction.
Brain
;
Gonadotropin-Releasing Hormone
;
Hypogonadism
;
Kallmann Syndrome*
;
Magnetic Resonance Imaging
;
Olfaction Disorders
6.A Case of Werniche's Encephalopathy in Hyperemesis Grevidarum.
Hye Sung WON ; Pyl Ryang LEE ; In Sik LEE ; Ahm KIM ; Jung Eun MOK ; Hye Jin SHIN ; Hye Kyung YOO
Korean Journal of Perinatology 1998;9(1):31-34
Werniche's encephalopathy is clinically characterized by the acute onset of global confusion, ataxia, gaze paresis, and nystagmus. It result from a deficiency in thiamine, an essential coenzyme in intermediate carbohydrate metabolism. The prompt use of thiamine prevents progression of the disease and reverses those lesions that have not yet progressed to the point of fixed structural change. We experienced a case of Wemiches encephalopathy associated with hyperemesis gravidarum, which happens to the patient who are injected only dextrose without thiamine. Therefore, we emphasize the need of thiamine replacement in hyperemesis gravidarum.
Ataxia
;
Carbohydrate Metabolism
;
Female
;
Glucose
;
Humans
;
Hyperemesis Gravidarum
;
Paresis
;
Pregnancy
;
Thiamine
7.MR Findings of Meniscal Cysts.
Hye Won LEE ; Jin Whan AHN ; Kyung Narn RYU
Journal of the Korean Radiological Society 1995;32(4):633-637
PURPOSE: To characterize MR findings of meniscal cysts of the knee. MATERIALS AND METHODS: We retrospectively reviewed knee MR images of surgically confirmed eighteen meniscal cysts. The location and shape of meniscal cysts were evaluated. RESULTS: Six of 18 cases were medial meniscal cysts and 12 of 18 cases were lateral meniscal cysts. Horizontal tears were present in all cases(100%). Four of 18 cases had rounded cysts and 14 of 18 cases had elongated cysts. In 3 of 6 medial meniscal cysts, cysts had dissected into the soft tissues distant from the meniscus, and connecting stalks were visualized. Three of 6 medial meniscal cysts were located adjacent to a meniscal tear. All of the lateral meniscal cysts occurred immediately adjacent to the meniscal tear. CONCLUSION: Meniscal cysts are associated with horizontal meniscal tear. The shapes of meniscal cysts tend to be elongated rather than rounded. Medial meniscal cysts occurred distant from or adjacent to the meniscal tear according to location of the tear. Lateral meniscal cysts occurred adjacent to the meniscal tear.
Knee
;
Retrospective Studies
8.MR Findings of Meniscal Cysts.
Hye Won LEE ; Jin Whan AHN ; Kyung Narn RYU
Journal of the Korean Radiological Society 1995;32(4):633-637
PURPOSE: To characterize MR findings of meniscal cysts of the knee. MATERIALS AND METHODS: We retrospectively reviewed knee MR images of surgically confirmed eighteen meniscal cysts. The location and shape of meniscal cysts were evaluated. RESULTS: Six of 18 cases were medial meniscal cysts and 12 of 18 cases were lateral meniscal cysts. Horizontal tears were present in all cases(100%). Four of 18 cases had rounded cysts and 14 of 18 cases had elongated cysts. In 3 of 6 medial meniscal cysts, cysts had dissected into the soft tissues distant from the meniscus, and connecting stalks were visualized. Three of 6 medial meniscal cysts were located adjacent to a meniscal tear. All of the lateral meniscal cysts occurred immediately adjacent to the meniscal tear. CONCLUSION: Meniscal cysts are associated with horizontal meniscal tear. The shapes of meniscal cysts tend to be elongated rather than rounded. Medial meniscal cysts occurred distant from or adjacent to the meniscal tear according to location of the tear. Lateral meniscal cysts occurred adjacent to the meniscal tear.
Knee
;
Retrospective Studies
9.A Case of Meckel-Gruber Syndrome.
Hye Jin LEE ; Eun Ae PARK ; Gyoung Hee KIM
Journal of the Korean Pediatric Society 1995;38(9):1299-1303
No abstract available.
10.Effective Control of MRSA Nosocomial Infection in Intensive Care Unit.
Hye Young JIN ; Yun Sik KWAK ; Wee Gyo LEE
Korean Journal of Nosocomial Infection Control 1999;4(1):7-16
BACKGROUND: It is well known that Methicillin-resistant Staphylococcus aureus (MRSA) is hardly controllable organism among pathogens of nosocomial infection. The MRSA infection control measures have been initiated at a brand new tertiary care teaching hospital which was opened in June, 1994. However, the control measures did bring out little effect. In 1997, reenforcement of all control measures were practiced in intensive care units. The measures brought out a significant improvement in reducing the incidence of MRSA infection, subsequently the same control measures were implemented through-out the entire inpatient area. METHODS: The following control measures have been reenforced since March 1997: first, application of thorough surveillance of confirmed MRSA infected patients: second, providing cohort care: third, enforcing handwashing practices after patient contact; fourth, establishing infected patients isolation zone: fifth, tagging infected patient's bed and medical record, providing disinfectant spray for washing hands, identifying and treating carriers among patient contact staffs, separate disposal of contaminated wastes, and finally repeating education of nursing staff and family members of the patients. Each month the number of incidence in MRSA nosocomial infection were followed and the leu supervisors were notified the outcome. RESULTS: The incidence of MRSA infection started to decline soon after the initiation of the control measures, from 132% in March 1997 to 5.8% in July 1997. In 1998, the infection rate maintained close to 2-3%. There had been 467 MRSA infected cases (5.7%) out of 8,253 discharges during the study period; among them 319 cases were infected once; 40 cases twice; 15 cases three times: four cases four times and 1 case seven times. The order of preference of organs infected are lungs (56.3%), wounds(11.8%), blood (7.9%), and urinary tract (1.9%). The highest incidence of this infection was found in Medicine (34.8%) and Neurosurgery (22.8%) CONCLUSION: The implementation and reenforcement of infection control measures are key to successful control of nosocomial infection, in particular, hand washing of patient contact staffs and eradication of carriers could be the most effective measures.
Cohort Studies
;
Cross Infection*
;
Education
;
Hand
;
Hand Disinfection
;
Hospitals, Teaching
;
Humans
;
Incidence
;
Infection Control
;
Inpatients
;
Intensive Care Units*
;
Critical Care*
;
Lung
;
Medical Records
;
Methicillin-Resistant Staphylococcus aureus*
;
Neurosurgery
;
Nursing Staff
;
Tertiary Healthcare
;
Urinary Tract