1.A Case of Methylmalonic Acidemia.
Hyung Ro MOON ; Hae Rim JUNG ; Mi Ryung UM
Journal of the Korean Pediatric Society 1987;30(7):791-796
No abstract available.
2.Anesthetic Management of A Neonate with Congenital Cystic Adenomatoid Malformation(C.C.A.M).
In Sun JUNG ; Mi Hwa JUNG ; Rim Soo WOO
Korean Journal of Anesthesiology 1994;27(6):630-635
Congenital cystic adenomatoid malformation (CCAM) of the lung is a rare pulmonary malformation, associated with local aberrations of parenchymal tissue development, which have been classified lung bud anomalies. Lung bud anomalies include infantile lobar emphysema, congenital cyst of the lung, congenital cystic adenomatoid malformation, pulmonary sequestration and bronchogenic cyst. CCAM can enlarge rapidly by ball-valve air entrapment by cysts, lead to mediastinal shift and compression of the heart. compression of opposite lung may result in pulmonary hypoplasia and CCAM causes acute respiratory distress in newborn. We report a neonate with CCAM who were successfuly managed during perioperative period.
Bronchogenic Cyst
;
Bronchopulmonary Sequestration
;
Cystic Adenomatoid Malformation of Lung, Congenital
;
Emphysema
;
Heart
;
Humans
;
Infant, Newborn*
;
Lung
;
Perioperative Period
3.Factors Influencing Health Literacy in Community-Dwelling Adults.
Youn Jung SON ; So Dam KIM ; Hee Jung JANG ; Ye Rim YUN ; Hye Mi KIM ; Ji In PARK ; Sun Hee KIM
Korean Journal of Health Promotion 2012;12(2):100-108
BACKGROUND: Health illiteracy is a problem often unrecognized by health care providers. It influences medical costs and the health status of adults. The purposes of this study were to determine the level of health literacy in community-dwelling adults and to identify the factors influencing it. METHODS: A cross-sectional survey was conducted in Seoul, Gyeonggi and Chungcheong province. A total of 420 adults aged 18 or older were interviewed by trained nursing students between November 1 to December 30, 2011. Health literacy was measured using the Short Test of Functional Health Literacy in Adults. Data were analyzed using the PASW 18.0 program. RESULTS: The mean score of health literacy was 50.64+/-19.18. In the multiple linear regression analysis, health literacy was significantly associated with education (beta=0.17, P=0.001), alcohol use (beta=-0.12, P=0.010), and perceived health status (beta=0.11, P=0.029). These factors accounted for about 7% of health literacy. CONCLUSIONS: Health literacy is a very important public health issue. Our findings showed that educational level, alcohol use and perceived health status should be considered when assessing this issue in patients. Furthermore, the development of a standardized Korean assessment tool for health literacy and specified interventions for enhancing health literacy are needed to improve health outcomes.
Adult*
;
Cross-Sectional Studies
;
Education
;
Gyeonggi-do
;
Health Literacy*
;
Health Personnel
;
Health Status
;
Humans
;
Linear Models
;
Literacy
;
Primary Prevention
;
Public Health
;
Seoul
;
Students, Nursing
4.Clinical characteristics of vitamin D deficiency rickets in infants and preschool children.
Kyoung HUH ; Mi Kyeong WOO ; Jung Rim YOON ; Gyu Hong SHIM ; Myoung Jae CHEY ; Mi Jung PARK
Korean Journal of Pediatrics 2010;53(2):152-157
PURPOSE: Vitamin D deficiency rickets is a significant public health problem that results from insufficient exposure to sunlight and inadequate vitamin D supplementation. The purpose of this study is to identify the clinical characteristics of vitamin D deficiency rickets in infants. METHODS: Data of 35 infants diagnosed as vitamin D deficiency rickets at Sanggye-Paik Hospital, Seoul, Korea, from March 2007 to May 2009 were reviewed. Children with plasma 25-hydroxyvitamin D levels <15 ng/mL and 15-30 ng/mL were considered to have vitamin D deficiency and vitamin D insufficiency, respectively. RESULTS: Thirty-five infants (22 boys, 13 girls) were diagnosed with rickets. Mean age at diagnosis was 7.4+/-7.1 months (range: 0.1-29.8 months). Eighteen infants (51%) were vitamin D deficient and seventeen infants (49%) were insufficient. Twenty-eight of all (80%) diagnosed as subclinical rickets. Twenty-nine infants (83%) were below the age of 12months. Twenty infants (57%) had breastfed and ten infants (29%) had iron deficiency anemia. Nine of breastfed infants (45%) were vitamin D deficient and ten of their mothers were vitamin D insufficient. Overall, radiographic evidence of rickets was present in 93% of the cases. Radiographic sign of rickets was evident even in vitamin D insufficient state. CONCLUSION: It is important for the clinician to screen for subclinical vitamin D deficiency rickets in inadequately supplemented infants by pairing 25-hydroxyvitamin D levels with wrist radiographs. A nationwide epidemiological study of vitamin D deficiency rickets must be conducted and evidence-based national guidelines must be defined to prevent rickets.
Anemia, Iron-Deficiency
;
Child
;
Child, Preschool
;
Epidemiologic Studies
;
Humans
;
Infant
;
Korea
;
Mothers
;
Plasma
;
Public Health
;
Rickets
;
Sunlight
;
Vitamin D
;
Vitamin D Deficiency
;
Vitamins
;
Wrist
5.Effects of Endotracheal Intubation on the Temporomandibular Joint.
In Sun JUNG ; Sung Suk NOH ; Du Sik SON ; Bae Hee JUNG ; Mi Hwa JUNG ; Rim Soo WON
Korean Journal of Anesthesiology 1995;28(1):73-82
Tracheal intubation for general anesthesia is usually performed using a rigid laryngoscope and reguires the mandible to be opened with forward and upward traction of the patient's jaw which may at times result in the inadvertant injury to temporomandibular joint(TMJ). The injury may include internal derangement, dislocation and hematoma of TMJ; subsequent intraarticular adhesion formation ; dislocation of the meniscus, and rarely auriculotemporal nerve damage from traumatic TMJ dislocation. We studied in 200 patients the size of mouth opening during intubation, the change of mouth opening by tracheal intubation evaluated after operation, and any TMJ disorder arising after tracheal intubation. The results were as follows; 1) The mean size of mouth opening before operation was 42.7+/-7.0 and 40.6+/-6.2mm in male and female patients, respectively. 2) The mean size of mouth opening during intubation was 24.7+/-2.6 and 23.4+/-2.7mm in male and female patients, respectively. When vecuronium was used to prevent fasciculation, the mean was 24.3+/-3.1 and 25.2+/-2.0mm in male and female patients, respectively. 3) One week following operation The mean size of mouth opening one week postoperation was 48.3+/-8.9 and 42.2+/-6.3mm in male and female patients, respectively. When vecuronium was used to prevent fasciculation, the mean size of mouth opening was 55.5+/-5.3 and 43.2+/-6.2mm in male and female patients, respectively. 4) Five patients complained of discomfort around TMJ after tracheal intubation. It seems that upward 45 mandibule lifting by laryngoscope caused trauma to TMJs.
Anesthesia, General
;
Dislocations
;
Fasciculation
;
Female
;
Hematoma
;
Humans
;
Intubation
;
Intubation, Intratracheal*
;
Jaw
;
Laryngoscopes
;
Lifting
;
Male
;
Mandible
;
Mouth
;
Temporomandibular Joint Disorders
;
Temporomandibular Joint*
;
Traction
;
Vecuronium Bromide
6.Retrospective Cohort Study on the Administration of Sedative for Delirium in Terminally Ill Cancer Patients and Survival Time.
Hyoung Sook PARK ; Dae Sook KIM ; Eun Hee BAE ; Jung Rim KIM ; Jung Hwa SEO ; Jung Mi YUN
Korean Journal of Hospice and Palliative Care 2016;19(2):119-126
PURPOSE: This study analyzed the difference in survival time of patients with delirium according to sedative medication. METHODS: From January 2012 through December 2013, a retrospective cohort study was performed using the electronic medical records (EMR) of Pusan National University Hospital. Among 900 patients who died from cancer, we selected 240 who suffered delirium based on the EMR. The Nu-DESC delirium screening test was used to diagnose delirium. RESULTS: The median length of delirium period was five days. Delirium characteristics were dominated by inappropriate behaviors (35.0%). Sedatives were administered in 72.1% of the cases. The most frequently used sedative was haloperidol which was used in 59.6% of cases. The delirium period significantly differed by patients' age (F=3.96, P=0.021), cancer type (F=3.31, P=0.010), chemotherapy (t=−3.44 P=0.001). The average survival time was 16.85 days for the sedative medication group and 9.37 days for the non-medication group, which, however, was not significant (t=1.766, P=0.079). CONCLUSION: In this study, the use of sedatives did not affect patients' survival time. Thus, appropriate sedative medication can be positively recommended to comfort terminal cancer patients and their families.
Busan
;
Cohort Studies*
;
Delirium*
;
Drug Therapy
;
Electronic Health Records
;
Haloperidol
;
Humans
;
Hypnotics and Sedatives
;
Mass Screening
;
Retrospective Studies*
;
Survival Rate
;
Terminally Ill*
7.A Case of Henoch-Schonlein Purpura with Hemorrhagic Bullae in a Child.
Yeon Mi OH ; Mi Rim JUNG ; Hye Jeong CHOI ; Hee Jeong CHA ; Jin Young JEONG
Journal of the Korean Society of Pediatric Nephrology 2006;10(1):40-44
Henoch-Schonlein purpura(HSP) is a systemic small vessel vasculitis characterized by cutaneous purpura, arthritis, abdominal pain and nephritis. The characteristic rash of HSP consists of palpable purpura on the buttocks and lower extremities. Bullous lesions often appear in adults with HSP, whereas they are very rare in children with HSP. In this case report, the patient presented with arthralgia and abdominal pain and had hemorrhagic bullae as a prominent manifestation of the disease. The skin biopsy of the patient revealed typical leukocytoclastic vasculitis of dermal vessels and prominent IgA and fibrinogen deposits on capillary walls by direct immunofluorescence. We confirmed the diagnosis of HSP and observed improvement of clinical symptoms and signs within a few days after corticosteroid treatment. We therefore report a case with a review of the literature.
Abdominal Pain
;
Adult
;
Arthralgia
;
Arthritis
;
Biopsy
;
Blister
;
Buttocks
;
Capillaries
;
Child*
;
Diagnosis
;
Exanthema
;
Fibrinogen
;
Fluorescent Antibody Technique, Direct
;
Humans
;
Immunoglobulin A
;
Lower Extremity
;
Nephritis
;
Purpura
;
Purpura, Schoenlein-Henoch*
;
Skin
;
Vasculitis
8.A Case of Congenital Lymphatic Dysplasia Complicated by Hydrops Fetalis.
Young Mi YOON ; Seon Nyo KIM ; Hye Rim KIM ; Young Hwa JUNG ; Chang Won CHOI ; Beyong Il KIM
Neonatal Medicine 2017;24(1):40-44
Congenital lymphatic dysplasia is a rare congenital maldevelopment of the lymphatic system, in which dysfunction of the lymphatic system may cause leakage of lymph fluid into the limbs and the pleural, pericardial, or peritoneal cavity. We experienced a case of hydrops fetalis with subcutaneous lymphedema, chylothorax, chylous ascites and pericardial effusion. Lymphangiography revealed a critical defect of lymphatic system. Here, we report the first case of premature infant with congenital lymphatic dysplasia confirmed by lymphangiography, which is the first reported in Korea.
Chylothorax
;
Chylous Ascites
;
Edema*
;
Extremities
;
Humans
;
Hydrops Fetalis*
;
Infant, Newborn
;
Infant, Premature
;
Korea
;
Lymphatic System
;
Lymphedema
;
Lymphography
;
Pericardial Effusion
;
Peritoneal Cavity
9.A Case of Hyponatremin Encephalopathy Developed after Transsphenoidal Pituitary Sergery in Menstruant Woman.
Yeo Joo KIM ; Mi Rim KIM ; Moon Seok NAM ; Yong Sung KIM ; Jung Bae JIN ; Sang Hyun PARK ; Jun Hong KANG ; Sung Bin HONG ; Byoung Yun JUN
Journal of Korean Society of Endocrinology 1998;13(3):439-445
A 41-year-old female complaining of easy fatigue, headache, thickened extremities and deepened facial folds was admitted to the hospital. As early as 6 years ago, she had been told by family members that her voice was changed and both hands was thickened. Cranial plain radiography indicated ballooning of sella turcica. Sella MRI disclosed 2.2cm sized pituitary tumor with suprasellar extension. The pituitary tumor with hypothalamic extension was removed via a transsphenoidal approach. The postoperative course was uneventful until hyponatremia with sudden headache and respiratory arrest was developed. The case was due to hyponatremic encephalopathy on the basis of the clinical course and symptoms, and 3% hypertonic saline was infused for 12 hours until the hyponatremia was corrected. We have experienced a mortality case of hyponatremic encephalopathy in which surgieal removal of a pituitary tumor from a female acromegalic patient in menstruant period was followed by the sudden occurrence of hyponatremia, which in turn was later associated with marked brain edema.
Adult
;
Brain Edema
;
Extremities
;
Fatigue
;
Female
;
Hand
;
Headache
;
Humans
;
Hyponatremia
;
Magnetic Resonance Imaging
;
Mortality
;
Pituitary Neoplasms
;
Radiography
;
Sella Turcica
;
Voice
10.Perception survey on the introduction of clinical performance examination as part of the national nursing licensing examination in Korea.
Su Jin SHIN ; Yeong Kyeong KIM ; Soon Rim SUH ; Duk Yoo JUNG ; Yunju KIM ; Mi Kyoung YIM
Journal of Educational Evaluation for Health Professions 2017;14(1):26-
PURPOSE: The purpose of this study was to analyze opinions about the action plan for implementation of clinical performance exam as part of the national nursing licensing examination and presents the expected effects of the performance exam and aspects to consider regarding its implementation. METHODS: This study used a mixed-methods design. Quantitative data were collected by a questionnaire survey, while qualitative data were collected by focus group interviews with experts. The survey targeted 200 nursing professors and clinical nurses with more than 5 years of work experience, and the focus group interviews were conducted with 28 of professors, clinical instructors, and nurses at hospitals. RESULTS: First, nursing professors and clinical specialists agreed that the current written tests have limitations in evaluating examinees' ability, and that the introduction of a clinical performance exam will yield positive results. Clinical performance exam is necessary to evaluate and improve nurses' work ability, which means that the implementation of a performance exam is advisable if its credibility and validity can be verified. Second, most respondents chose direct performance exams using simulators or standardized patients as the most suitable format of the test. CONCLUSION: In conclusion, the current national nursing licensing exam is somewhat limited in its ability to identify competent nurses. Thus, the time has come for us to seriously consider the introduction of a performance exam. The prerequisites for successfully implementing clinical performance exam as part of the national nursing licensing exam are a professional training process and forming a consortium to standardize practical training.
Focus Groups
;
Humans
;
Korea*
;
Licensure*
;
Licensure, Nursing
;
Nursing*
;
Specialization
;
Surveys and Questionnaires