1.Effectiveness of Bradycardia as a Single Parameter in the Pediatric Acute Response System.
Yu Hyeon CHOI ; Hyeon Seung LEE ; Bong Jin LEE ; Dong In SUH ; June Dong PARK
Korean Journal of Critical Care Medicine 2014;29(4):297-303
BACKGROUND: Various tools for the acute response system (ARS) predict and prevent acute deterioration in pediatric patients. However, detailed criteria have not been clarified. Thus we evaluated the effectiveness of bradycardia as a single parameter in pediatric ARS. METHODS: This retrospective study included patients who had visited a tertiary care children's hospital from January 2012 to June 2013, in whom ARS was activated because of bradycardia. Patient's medical records were reviewed for clinical characteristics, cardiologic evaluations, and reversible causes that affect heart rate. RESULTS: Of 271 cases, 261 (96%) had ARS activation by bradycardia alone with favorable outcomes. Evaluations and interventions were performed in 165 (64.5%) and 13 cases (6.6%) respectively. All patients in whom ARS was activated owing to bradycardia and another criteria underwent evaluation, unlike those with bradycardia alone (100.0% vs. 63.2%, p = 0.016). Electrocardiograms were evaluated in 233 (86%) cases: arrhythmias were due to borderline QT prolongation and atrioventricular block (1st and 2nd-degree) in 25 cases (9.2%). Bradycardia-related causes were reversible in 202 patients (74.5%). Specific causes were different in departments at admission. Patients admitted to the hemato-oncology department required ARS activation during the night (69.3%, p = 0.03), those to the endocrinology department required ARS activation because of medication (72.4%, p < 0.001), and those to the gastroenterology department had low body mass indexes (32%, p = 0.01). CONCLUSIONS: Using bradycardia alone in pediatric ARS is not useful, because of its low specificity and poor predictive ability for deterioration. However, bradycardia can be applied to ARS concurrently with other parameters.
Arrhythmias, Cardiac
;
Atrioventricular Block
;
Body Mass Index
;
Bradycardia*
;
Electrocardiography
;
Endocrinology
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Gastroenterology
;
Heart Arrest
;
Heart Rate
;
Hospital Rapid Response Team
;
Humans
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Medical Records
;
Pediatrics
;
Retrospective Studies
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Sensitivity and Specificity
;
Tertiary Healthcare
2.A Case of Retroperitoneal Lymphangioma.
Gyu Jin OH ; Jin Hyeon PARK ; Hee Jung KWON ; In Sil LEE ; Kui Won PARK ; Je Geun CHI
Journal of the Korean Pediatric Society 1990;33(3):422-428
No abstract available.
Lymphangioma*
3.Reconstruction of median sternotomy dehiscence.
Jong Pil PARK ; Ji Won JEONG ; Young Jin SHIN ; Jae Hyeon YOO ; Myeong Hoon NA
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(4):666-672
Complications after a median sternotomy incision, which is used currently in most open heart surgery, are serious, although it is infrequent. Reconstruction of the sternal defect resulting from dehiscence of median sternotomy is still big challenge to the most plastic surgeons. Since vascularized greater omentum was transposed to eliminate mediastinal wound problems, many vascularized regional muscle flaps became mainstay in reconstruction of median sternotomy wound. We treated 13 patients with median sternotomy dehiscence between October of 1993 and March of 1998. In two patients, the wound problems were so confined to superficial tissue that debrided and closed primarily. Eleven patients with deep wound infection were managed with vigorous debridement of all necrotic tissues and resultant defects were covered with regional muscle flaps: rectus myocutaneous flap(3) and bilateral pectoralis advancement flap(8). We used the pectoralis major advancement flaps without counter incision at humeral insertion site and the dissections were limited only medial to the anterior axillary line to preserve the axillary fold. In five patients with larger defects, we elevated muscle and cutaneous flaps separately to make these flaps more mobile. Large portion of two rectus abdominis flaps could not survive, whereas pectoralis advancement flaps had mo special wound problems. Only one patient developed fistula due to remained wire, regardless to flap surgery.
Debridement
;
Fistula
;
Humans
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Omentum
;
Rectus Abdominis
;
Sternotomy*
;
Thoracic Surgery
;
Wound Infection
;
Wounds and Injuries
4.Laparoscopic Nephrectomy for Tuberculous Kidney.
Hyeon Hoe KIM ; Kyu Sung LEE ; Kwan Jin PARK ; Han Jong AHN
Korean Journal of Urology 2000;41(4):554-559
No abstract available.
Kidney*
;
Nephrectomy*
5.The size comparison of the diameter of anterior segmental bronchus and that of anterior segmental artery.
Sang Jin KIM ; Yeon Hyeon CHOE ; Kil Sun PARK ; Dae Young KIM
Journal of the Korean Radiological Society 1992;28(4):541-544
It is thought to be reliable roentgenologic sign of pulmonary plethora that the diameter of anterior segmental artery(d-ASA) is larger than that of anterior segmental bronchus(d-ASB). To evaluate the reliability of this sign, we compared d-ASA with d-ASB on chest rentgenograms of 100 normal adults. Of the total 105 cases. d-ASA was larger than d-ASB in 40 cases (38.1%), smaller than d-ASB in 34 cases(32.4%) and equal to (d-ASA and) d-ASB in 31 cases(29.5%). The ratio(ABR) and difference between d-ASA and d-ASB ranged from 0.70 to 1.58(mean, 1.05±0.30) and from -1.85mm to +2.45mm(mean of absolute value, 0.75mm±0.57). These results showed that the relationships between d-ASA and d-ASB were variable. Conclusively, d-ASA may be larger than d-ASB in even normal adults and mild degree of pulmonary plethora cannot exectly evaluated with this findings only.
Adult
;
Arteries*
;
Bronchi*
;
Humans
;
Thorax
6.A Novel Method to Measure Superior Migration of the Humeral Head: Step-off of the C-line.
Kyoung Jin PARK ; Hyeon Jun EUN ; Yong Min KIM ; Jun Il YOO ; Chae Ouk LIM
Clinics in Shoulder and Elbow 2016;19(3):125-129
BACKGROUND: Superior migration of humeral head has been conventionally determined by measuring the acromiohumeral distance (AHD), We sought to devise a novel measurement system more reliably and accurately than AHD. We described a structural landmark called 'C-line'. In this study, we investigated the clinical usefulness of 'step-off of the C-line (SOC)' compared to that of AHD. METHODS: The C-line formed from the medial margin of the proximal humeral head continuing up to the inferior margin of the articular glenoid and then to the lateral border of the scapula. The superior migration of the humeral head triggered by a rotator cuff tear introduces a discontinuity in this C-line. We measured the distance of this discontinuity. We enrolled 144 patients who underwent a rotator cuff repair. We selected 58 controls who didn't have any cuff lesions apparent on magnetic resonance imaging. Using radiographs derived from standardized true anteroposterior views of the shoulder, we measured the SOC and the AHD. We used t-tests for statistical analyses. RESULTS: A rotator cuff tear was associated with an increase in SOC and a decrease in AHD. In control group, the mean SOC was 1.29 ± 1.71 mm and AHD was 9.71 ± 2.65 mm. In cuff tear group, the mean SOC was 3.15 ± 3.41 mm and AHD was 8.28 ± 1.76 mm. The mean SOCs of the patient group in relation to the mean SOC of the control group according to tear size, the SOCs of medium tear and lager groups showed statistically significant increase (p<0.05). CONCLUSIONS: The SOC may be a similarly effective to diagnose cuff tears of medium size and larger compared with AHD.
Humans
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Humeral Head*
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Magnetic Resonance Imaging
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Methods*
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Rotator Cuff
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Scapula
;
Shoulder
;
Tears
7.A clinical review of intussusception.
Pyeong Rang CHOO ; Sun Jin KIM ; Hyeon Suk KIM ; Ho Cheol SHIN ; Eun Sook PARK
Journal of the Korean Academy of Family Medicine 1991;12(6):10-20
No abstract available.
Intussusception*
8.Modified anatomic repair of corrected transposition of the great arteries with ventricular septal defect and pulmonary outflow obstruction.
Kyeh Hyeon PARK ; Jeong Ryul LEE ; Yong Jin KIM ; Joon Ryang RHO ; Kyung Phill SUH
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(11):1149-1153
No abstract available.
Arteries*
;
Heart Septal Defects, Ventricular*
9.Dendritic Cell-Based Cancer Immunotherapy.
Journal of the Korean Pediatric Society 2003;46(10):947-951
No abstract available.
Immunotherapy*
10.A Case of Infantile Tinea Capitis Treated with Oral Fluconazole.
Soo Hyeon NOH ; Ga Hye NA ; Jin Kyung CHAE ; Kun PARK ; Eun Jung KIM
Korean Journal of Dermatology 2017;55(8):539-540
No abstract available.
Fluconazole*
;
Tinea Capitis*
;
Tinea*