1.Implementing a Sepsis Resuscitation Bundle Improved Clinical Outcome: A Before-and-After Study.
Jeongmin KIM ; Sungwon NA ; Young Chul YOO ; Shin Ok KOH
Korean Journal of Critical Care Medicine 2014;29(4):250-256
BACKGROUND: Unlike other diseases, the management of sepsis has not been fully integrated in our daily practice. The aim of this study was to determine whether repeated training could improve compliance with a 6-h resuscitation bundle in patients with severe sepsis and septic shock. METHODS: Repeated education regarding a sepsis bundle was provided to the intensive care unit and emergency department residents, nurses, and faculties in a single university hospital. The educational program was led by a multidisciplinary team. A total of 175 adult patients with severe sepsis or septic shock were identified (88 before and 87 after the educational program). Hemodynamic resuscitation bundle and timely antibiotics administration were measured for all cases and mortality at 28 days after sepsis diagnosis was evaluated. RESULTS: The compliance rate for the sepsis resuscitation bundle before the educational program was poor (0%), and repeated training improved it to 80% (p < 0.001). The 28-day mortality was significantly lower in the intervention group (16% vs. 32%, p = 0.040). Within the intervention group, patients for whom the resuscitation bundle was successfully completed had a significantly lower 28-day mortality than other patients (11% vs. 41%, p = 0.004). CONCLUSIONS: Repeated education led by a multidisciplinary team and interdisciplinary communication improved the compliance rate of the 6-h resuscitation bundle in severe sepsis and septic shock patients. Compliance with the sepsis resuscitation bundle was associated with improved 28-day mortality in the study population.
Adult
;
Anti-Bacterial Agents
;
Compliance
;
Critical Pathways
;
Diagnosis
;
Education
;
Emergency Service, Hospital
;
Hemodynamics
;
Humans
;
Intensive Care Units
;
Interdisciplinary Communication
;
Mortality
;
Resuscitation*
;
Sepsis*
;
Shock, Septic
2.Clinical Review of Ten Years' Pediatric Surgical Diseases.
Soo Jin Na CHOI ; Sang Young CHUNG ; Shin Kon KIM
Journal of the Korean Association of Pediatric Surgeons 1998;4(2):110-116
A clinical review was made on 2,191 cases of general pediatric surgery under the age of 15 years which were operated upon at the Divisionof Pediatric Surgery, Department of Surgery, Chonnam University Hospital from January 1988 to December 1997. The number of operations in pediatric age were 13,144 (13.2%) out of total 99,555 operations at Chonnam University Hospital and the most prevalent age group was under 1 year of age (14.3%). The number of operations in Divisionof General Pediatric Surgery were 2,191 (16.7%) out of total 13,144 operations in pediatric age and the incidence of patients under 1 year of age in general pediatric surgery was 42.9% (941/2,191). The prevalent diseases under 1 month of age were anorectal malformations (20.6%) and hypertrophic pyloric stenosis (20.3%) and between 1 month to 1 year of age were inguinal hernia (32.4%) and intussusception (19.6%). The total motality rate in neonatal intensive care unit was 31.3%. Gastroschisis presented highest mortality.
Gastroschisis
;
Hernia, Inguinal
;
Humans
;
Incidence
;
Infant, Newborn
;
Intensive Care, Neonatal
;
Intussusception
;
Jeollanam-do
;
Mortality
;
Pyloric Stenosis, Hypertrophic
3.A Case of Terra Firma-forme Dermatosis.
Minsung KIM ; Inho BAE ; Bongseok SHIN ; Chanho NA
Korean Journal of Dermatology 2018;56(3):210-231
No abstract available.
Skin Diseases*
4.Iron Deficiency Anemia in Infants.
Woon Ja CHUNG ; Kue Sook KIM ; Mi Kyung KIM ; Shin Na KIM
Journal of the Korean Pediatric Society 1995;38(9):1253-1261
No abstract available.
Anemia, Iron-Deficiency*
;
Humans
;
Infant*
;
Iron*
5.Tuberculin skin test and measles vaccination.
Mi Sung CHUNG ; Young Mi KIM ; Hyung Ja PARK ; Shin Na KIM
Journal of the Korean Pediatric Society 1993;36(4):537-542
Although the incidence of tuberculosis in Korea in general has declined in recent years, it remains an importat health problem, especially in children. Inspite of the recent controversy over the necessity of tuberculin skin test prior to measles vaccination, this brief report shows 13.8% of positive skin test at 9 and 15 months of age at the time of measles vaccination. We feel, in Korea, practicing tuberculin skin test prior to measles vaccination is good way of detecting asymptomatic infection in young age who needs preventive therapy.
Asymptomatic Infections
;
Child
;
Humans
;
Incidence
;
Korea
;
Measles*
;
Skin Tests*
;
Skin*
;
Tuberculin*
;
Tuberculosis
;
Vaccination*
6.A Case of Palmar Hyperhidrosis Treated with Oxybutynin in Child.
Min Sung KIM ; Dong Jin KIM ; Chan Ho NA ; Bong Seok SHIN
Korean Journal of Dermatology 2015;53(6):494-495
No abstract available.
Child*
;
Humans
;
Hyperhidrosis*
7.Bullous Pilomatricoma Misdiagnosed as Neurofibroma.
Min Sung KIM ; Dong Jin KIM ; Chan Ho NA ; Bong Seok SHIN
Korean Journal of Dermatology 2016;54(9):753-754
No abstract available.
Neurofibroma*
;
Pilomatrixoma*
8.Diver Death due to Underwater Explosion.
Joo Young NA ; Jeong Woo PARK ; Seok Hyun YOON ; Jong Shin PARK ; Byung Ha CHOI ; Youn Shin KIM
Korean Journal of Legal Medicine 2014;38(4):171-174
A 44-year-old man was cutting an outer plate of a ship, at a depth of 25 m below sea level. Following a sudden explosion, he was discovered unconscious and was carried to the surface by other divers. There was no evidence of vital signs upon arrival at the hospital. Postmortem computed tomography, which was performed prior to autopsy, revealed massive pneumocephalus in the brain, pneumohemothorax, diffuse lung contusions with multiple traumatic lung cysts, air-fluid level in the cardiac chamber of the chest, and pneumoperitoneum in the abdomen. Postmortem external examination showed a circular abrasion on the jaw, diffuse subcutaneous emphysema, and contusion in the right upper arm. An internal examination revealed intravascular air bubbles in all four chambers of the heart, and diffuse pulmonary trauma including contusion, laceration, and multiple traumatic cysts. Blast injury to the chest, and air embolism due to the underwater explosion were established as the underlying cause of death.
Abdomen
;
Adult
;
Arm
;
Autopsy
;
Blast Injuries
;
Brain
;
Cause of Death
;
Contusions
;
Diving
;
Embolism, Air
;
Explosions*
;
Heart
;
Humans
;
Jaw
;
Lacerations
;
Lung
;
Pneumocephalus
;
Pneumoperitoneum
;
Ships
;
Subcutaneous Emphysema
;
Thorax
;
Vital Signs
9.Clinical and Statistical Studies on Pediatric Emergency Room Patients.
Myoung Soo CHANG ; Mi Ja YOON ; Kang Oh LEE ; Shin Na KIM
Journal of the Korean Pediatric Society 1988;31(1):86-92
No abstract available.
Emergencies*
;
Emergency Service, Hospital*
;
Humans
;
Statistics as Topic*
10.Identification and cDNA Cloning of the Leptin Receptor Long from ( OB-Rb ) from Rat Splenocytes.
Jung Hyun PARK ; Sung Kyu JU ; Shin Young NA ; Kwan Hee YOU ; Kil Lyong KIM
Korean Journal of Immunology 2000;22(1):31-38
No abstract available.
Animals
;
Clone Cells*
;
Cloning, Organism*
;
DNA, Complementary*
;
Leptin*
;
Rats*
;
Receptors, Leptin*