1.Quality Dimension of Long Term Care Hospital.
Chun Mi KIM ; Ji Yun LEE ; Ryeo Jin KO
Journal of Korean Academy of Community Health Nursing 2009;20(2):243-250
PURPOSE: This is a qualitative study to identify dimensions of long-term care hospital care quality that provide high-level medical services for long-term care patients in Korea. METHODS: Service consumers and providers were interviewed, and collected data were analyzed into thesis, type and dimension. The focus group method was applied to two provider groups and individual interview was applied to two persons who had experienced a long-term care hospital. RESULTS: The results of analyzing the comsumers and providers was integrated into 8 dimensions: physical environment, staff, clinical care and nursing, multiplicity of activity program, atmosphere, interaction with family, nutrition, and quality improvement system. CONCLUSION: The dimensions of long-term care hospital care quality from this study can be used as a basis of quality indicators. Quantitative studies to test these dimensions are required for establishing quality management systems.
Atmosphere
;
Focus Groups
;
Humans
;
Korea
;
Long-Term Care*
;
Nursing
;
Qualitative Research
;
Quality Improvement
;
Quality Indicators, Health Care
2.The effect of pretreating resorbable blast media titanium discs with an ultrasonic scaler or toothbrush on the bacterial removal efficiency of brushing.
Minchul KOH ; Jun Beom PARK ; Yun Ji JANG ; Youngkyung KO
Journal of Periodontal & Implant Science 2013;43(6):301-307
PURPOSE: This in vitro study was performed to assess the adherence of Porphyromonas gingivalis to a resorbable blast media (RBM) titanium surface pretreated with an ultrasonic scaler or toothbrush and to evaluate the effects of the treatment of the RBM titanium discs on the bacterial removal efficiency of brushing by crystal violet assay and scanning electron microscopy. METHODS: RBM titanium discs were pretreated with one of several ultrasonic scaler tips or cleaned with a toothbrush. Then the titanium discs were incubated with P. gingivalis and the quantity of adherent bacteria was compared. The disc surfaces incubated with bacteria were brushed with a toothbrush with dentifrice. Bacteria remaining on the disc surfaces were quantified. RESULTS: A change in morphology of the surface of the RBM titanium discs after different treatments was noted. There were no significant differences in the adherence of bacteria on the pretreated discs according to the treatment modality. Pretreatment with various instruments did not produce significant differences in the bacterial removal efficiency of brushing with dentifrice. CONCLUSIONS: Within the limits of this study, various types of mechanical instrumentation were shown to cause mechanical changes on the RBM titanium surface but did not show a significant influence on the adherence of bacteria and removal efficiency of brushing.
Bacteria
;
Dental Scaling
;
Dentifrices
;
Gentian Violet
;
Microscopy, Electron, Scanning
;
Porphyromonas gingivalis
;
Surface Properties
;
Titanium*
;
Toothbrushing
;
Ultrasonics*
3.The Influence of Restricted Arm Swing on Symmetry, Movement of Trunk and Pelvis Rotation according to Using a Mobile Phone.
Jae Hyeung CHU ; Yun Jin KIM ; Yu Min KO ; Ji Won PARK
Journal of Korean Physical Therapy 2017;29(1):33-38
PURPOSE: This study was conducted to investigate the effects of variations in arm swing during gait on movement of the trunk and pelvis. During the gait task, the angle of the trunk and pelvic rotation were analyzed according to arm swing conditions. METHODS: Seventeen healthy males participated in this study. All subjects were analyzed for gait on a treadmill three times each under three different types of arm swing conditions – natural arm swing, restricted arm swing using a phone, restricted swing in both arms. 3-D motion analysis systems were used to collect and analyze the kinematic data of trunk and pelvic movements, and repeated one-way ANOVA was used to compare the trunk and pelvic kinematic data and symmetry index. The level of significance was α=0.05. RESULTS: The results showed kinematic differences in trunk and pelvic during gait based on the arm swing conditions. Specifically, there were significant differences in trunk rotation, left and right trunk rotation and symmetry index of trunk rotation during gait among the three arm swing conditions. ROM was used to calculate a symmetry index (SI) based on the average left and right trunk rotation in which a value closer to zero indicated better balance. The SI obtained for arm swing restricted with the phone was closer to –1 than the other conditions. CONCLUSION: Restricted arm swing due to use of a phone had the possibility to induce instability of postural control while walking, which could be seen to suggest a risk of falling during gait.
Accidental Falls
;
Arm*
;
Cell Phones*
;
Gait
;
Humans
;
Male
;
Pelvis*
;
Walking
4.Clinical Efficacy of the Individual Tests in 7 Minute Screen Test(7MS).
Hyoung Mo KU ; Ji Hae KIM ; Seon Gyu KO ; Hye Jung KO ; Hyoung Suk LEE ; Sang Yun KIM ; Doh Kwan KIM
Journal of Korean Neuropsychiatric Association 2005;44(2):253-258
OBJECTIVES: We aimed to provide standard data of the individual tests in 7MS that could generalized for Korean elderly according to age and education. We also evaluated diagnostic efficacy of each test in 7MS. METHODS: Data on demographic characteristics of 311 normals were gathered for comparison. We also assessed two differences between normal and dementia group in individual tests of 7MS. RESULTS: All individual tests of 7MS showed significant differences in sex, age, and education, except for ECR. But there were no significant differences in sex controlling age and education. As a result of ROC curve, the ability of the ECR test to discriminate between AD and normal subject appeared superior. The scores of the individual tests of 7MS among CDR 0.5 and 1 group and normal group were compared. It was also found that the ECR test stands out among 7MS tests. CONCLUSION: The 7MS, particularly ECR, had the highest sensitivity and specificity for diagnosis of AD as well as early dementia. It suggests that the individual tests of 7MS are useful to predict early dementia, without using the complex logistic regression equation.
Aged
;
Dementia
;
Diagnosis
;
Education
;
Humans
;
Logistic Models
;
Mass Screening
;
ROC Curve
;
Sensitivity and Specificity
5.A Case of Numb-Chin Syndrome Assoicated with Hodgkin's Disease.
Man Wook SEO ; Ji Sung KIM ; Kwang Seok KO ; Byung Cheol OH ; Yun Jeong YANG ; Chang Yeol IM ; Ho Kyeong WHANG
Journal of the Korean Neurological Association 2000;18(3):372-374
The numb chin syndrome (NCS) is characterized by chin or lower lip numbness restricted to the distribution of the mental nerve (the distal trigeminal nerve). The authors report a patient whose initial symptom of tumor recurrence was unilateral numbness of the chin. A 65-year-old male was admitted because of paresthesia around the left chin and left lower lip. Neurologic examination revealed hypesthesia on the left side of chin, lower lip and buccal mucous mem-brane. Bone scan (Tc-99m MDP) showed focal hot uptakes on the left mandible and left first rib. Brain CT with bone window setting showed a focal osteolytic lesion in the bone marrow of the left mandibular canal without destruction of bone cortex. Both coronal T1 weighted image and axial T2 weighted image showed focal low signal intensities on the left ramus. The pathophysiologic mechanism could be understood by identification of the pathologic focus.
Aged
;
Bone Marrow
;
Brain
;
Chin
;
Hodgkin Disease*
;
Humans
;
Hypesthesia
;
Lip
;
Male
;
Mandible
;
Neurologic Examination
;
Paresthesia
;
Recurrence
;
Ribs
6.A Case of Syringocystadenoma Papilliferum, Sebaceous Epithelioma, and Basal Cell Carcinoma Arising from Nevus Sebaceus.
Gi Bong KO ; Ji Hun MUN ; Seok Kweon YUN ; Hong Yong KIM ; Chull Wan IHM
Korean Journal of Dermatology 2002;40(11):1379-1383
Nevus sebaceus is a congenital cutaneous hamartoma which has a potential to develop both benign and malignant neoplasm in late life. The most common benign tumor developed within the nevus is syringocystadenoma papilliferum and the most common malignant tumor basal cell epithelioma. Although two different tumors often develop simultaneously on the lesion, it is rare to see more than two different tumors developing on the lesion of nevus sebaceus. In Korean literatures only three such cases were reported. We report an additional case of nevus sebaceus developing three different tumors, syringocystadenoma papilliferum, sebaceous epithelioma, and basal cell carcinoma, in a 67-year-old female patient.
Aged
;
Carcinoma*
;
Carcinoma, Basal Cell*
;
Female
;
Hamartoma
;
Humans
;
Nevus*
7.Intussusception in Childhood: The Role of Plain Abdominal Radiographs.
Young Mook KIM ; Se Jong KIM ; Byong Geun KIM ; Byung Ran PARK ; Kang Seok KO ; Joo Yun JI ; Min Joong KIM ; Won Gyu PARK
Journal of the Korean Radiological Society 1995;32(2):325-330
PURPOSE: The purposes of this study were to evaluate the plain radiologic findings of the childhood intussusception and to evaluate the role of plain abdominal films in predicting the success of air or barium reduction. SUBJECTS AND METHODS: We retrospectively reviewed 140 cases with the diagnosis of intussusception in children. The radiological signs that included soft tissue mass, dilatation of small bowel suggesting obstruction, crescent sign, and target sign were evaluated in terms of frequency. The relationship between radiological findings and outcome of reduction was analyzed. The site of soft tissue mass or crescent sign seen on plain radiographs was correlated with the position of the apex of the intussusceptum seen at the beginning of barium enema. The degree of dilated small bowel was evaluated by calculating the proportion of air-filled small bowel occupying peritoneal cavity and measuring the maximal diameter of dilated bowel lumen. The radiological finding for small bowel obstruction is determined by observation of the degree of small bowel dilatation and/or air-fulid levels. RESULTS: Ninety-two cases out of 140 showed one or more radiographic signs. Two most common signs were soft tissue mass and small bowel obstruction. The success rate of air or barium reduction was significantly lower in patients with most severe degree of dilatation of small bowel and/or more than 7 air-fulid levels on erect view. The suspected location of intussusception on plain radiographs correlated well with the true location of intussusception seen in the first few seconds of barium reduction. CONCLUSION: Plain abdominal radiography is useful in the diagnosis of intussusception and provides helpful informations for the reduction procedure as well as for the exclusion of the contraindications such as bowel perforation.
Barium
;
Child
;
Diagnosis
;
Dilatation
;
Enema
;
Humans
;
Intussusception*
;
Peritoneal Cavity
;
Radiography, Abdominal
;
Retrospective Studies
8.Clinical Change of Mycoplasma Pneumonia.
Jae Bum LEE ; Kyong Tae WHANG ; Jeong Hyun KIM ; Kyong Og KO ; Ji Hee CHO ; Yun Duk YOO
Journal of the Korean Pediatric Society 1998;41(3):315-322
PURPOSE: It was noted some changes of clinical manifestations of mycoplasma pneumonia. we reviewed and compared these changes and saught any clues causes for proper dignosis and treatment. METHODS: We divided patients with mycoplasma pneumonia into two groups, Group 1 (from Jan. to Dec. 1996) and Group 2 (from Jan. to Dec. 1994), and analyzed clinical, radiologic, and serologic differences. RESULTS: Mean age of onset lowered markedly from was 8.34 +/- 2.56 years to 6.91 +/- 3.28 years (P<0.05). In clinical symptoms, high fever lasted longer and gastrointestinal symptoms were more frequent noted group 1. Serologically, high titers of mycoplasma-specific antibody (>1 : 1280) were more frequently observed in group 1 and correlated with severity of clinical manifestations. In radiologic findings, alveolar consolidation were significantly prominent findings in Group (P<0.05). The mean period of response to Roxithromycin was not difference between two groups but longer lasting fever (> or = 3 days) in spite of medication were more prevalent in Group 1 (P<0.05), suggesting increased cases of diminished responsiveness to treatment. CONCLUSIONS: Recently, there was some clinical changes of mycoplasma pneumonia, lowering of onset age, severe clinical symptoms, and more decreased responsiveness to antibiotic treatment. We suggest that it is to neccessary to make some efforts to prevent antibiotics abuse and to decrease the occurrence of resistant strains by introducing of new method for early diagnosis, selective identification of micro-organism and minute sensitivity test for antibiotics.
Age of Onset
;
Anti-Bacterial Agents
;
Early Diagnosis
;
Fever
;
Humans
;
Mycoplasma*
;
Pneumonia, Mycoplasma*
;
Roxithromycin
9.Differential Diagnostic Value of Transient Increase of Plasma Ammonia Level in Seizure and Syncope.
Yun Ho CHOI ; Ji Hwa KIM ; Won KO ; Hye Ihn KIM ; Won Joo KIM
Journal of the Korean Neurological Association 2012;30(4):279-283
BACKGROUND: Differential diagnosis between a generalized tonic-clonic seizure and syncope may be difficult due to similar clinical features. The need for a biological marker to distinguish a seizure from syncope has been emphasized from past studies. Transient hyperammonemia could be an indicator of recent convulsive seizure. The purpose of this study is to review the use of plasma ammonia level in the differential diagnosis of seizure and syncope. METHODS: Adult patients who were admitted to the Department of Neurology at Gangnam Severance Hospital with final diagnosis of a generalized tonic-clonic seizure or syncope were eligible for this study. Plasma ammonia levels were checked within 8 hr after an insult. RESULTS: Among the patients with a loss of consciousness who underwent analysis of plasma ammonia level, diagnoses were made with a seizure (n=65) and syncope (n=38). The seizure group had 70.29+/-70.86 micromol/L and the syncope group had 28.37+/-10.27 micromol/L of ammonia level, respectively. The seizure group presented with a significantly increased plasma ammonia (p<0.05) compared to the syncope group. The cut-off value with the reliable diagnostic level was defined as 36 micromol/L (=61.308 microg/dL) with a sensitivity of 0.65 and specificity of 0.80 by receiver operating characteristic (ROC) curve analysis. CONCLUSIONS: Plasma ammonia measurement during acute post-ictal period may be a useful test for the identification and the differential diagnosis of seizures and syncope.
Adult
;
Ammonia
;
Biomarkers
;
Diagnosis, Differential
;
Humans
;
Hyperammonemia
;
Neurology
;
Plasma
;
ROC Curve
;
Seizures
;
Sensitivity and Specificity
;
Syncope
;
Unconsciousness
10.The Management of Three Infants with Critical Valvular Aortic Stenosis by Transcarotid Balloon Aortic Valvuloplasty.
Kie Young PARK ; Young Hwue KIM ; Ji Yeon MIN ; Jae Kon KO ; In Sook PARK ; Chang Yee HONG ; Tae Jin YUN ; Dong Man SEO
Journal of the Korean Pediatric Society 2000;43(6):820-827
Critical valvular aortic stenosis(AS) is a life threatening congenital heart anomaly in neonates or infants. The main cause of death is rapidly progressing left ventricular failure. The treatment goal of critical AS is to save left ventricular function early. Before the 1980s, the preferred treatment was surgical valvotomy, however, that operative method had a high mortality rate and risk of re- procedure. These surgical problems encouraged balloon aortic valvuloplasty technique for initial life saving. There were some vascular approaches for balloon aortic valvuloplasty(e.g. femoral artery and vein, umbilical artery and vein, carotid artery). Each approach has some advantages and disadvantages. Balloon aortic valvuloplasty through the right carotid artery makes access to the aortic valve easy, has less vascular complication, and short procedure time and effect of saving femoral artery for reballooning. We had three cases of transcarotid balloon aortic valvuloplasty in infants with critical AS. In our long-term follow up, we had good results, except carotid artery thrombosis in one case. We report the first three Korean cases of balloon aortic valvuloplasty though carotid artery cutdown procedure for critical AS with a brief review of literatures. (J Korean Pediatr Soc 2000;43:820-827)
Aortic Valve
;
Aortic Valve Stenosis*
;
Arteries
;
Carotid Arteries
;
Carotid Artery Thrombosis
;
Cause of Death
;
Femoral Artery
;
Follow-Up Studies
;
Heart
;
Humans
;
Infant*
;
Infant, Newborn
;
Mortality
;
Umbilical Veins
;
Veins
;
Ventricular Function, Left