BACKGROUND: Serratia marcescens proliferates well in a humid environment or soil and is recently considered as an important pathogen for the severe nosocomial infections. this organism is spreads easily by hand-to-hand transmission, and contaminates medical equipment used for invasive procedures, working environment, medications, and soap. METHODS: We investigated the source of an outbreak of bloodstream infections by S. marcescens isolated that occurred during the period from July to December, 2004, at a university hospital in Gyeonggi Province and attempted to intervene in the outbreak and control it. RESULTS: From July to December, 2004, S. marcescens grew from 296 blood culture from 283 patients. The medical charts of the patients were reviewed, and surveillance cultures were taken to identify the outbreak of nosocomial infections and risk factors. Only four cases of infection were identified and all remaining positive blood cultures were due to contamination. Nine isolates randomly selected from the 296 S. marcescens showed an identical pulsed-field gel electrophoresis pattern. To identify the source of infection, environmental culture and hand cultures of the related medical workers were carried out, but S. marcescens was not isolated. CONCLUSION: As the result of aggressive infection control activities, such as re-education on environmental management methods, hand washing techniques, and blood culture sampling techniques, no more S. marcescens had been grown in blood culture since January, 2005.
Cross Infection ; Electrophoresis, Gel, Pulsed-Field ; Gyeonggi-do ; Hand ; Hand Disinfection ; Humans ; Infection Control ; Risk Factors ; Serratia marcescens ; Serratia* ; Soaps ; Soil

No abstract available.
Zygapophyseal Joint*

Purpose: The purpose of this study was to identify the effects of organizational justice, organizational culture and emotional intelligence on intention to stay in reemployed nurses. Methods: Data were collected from 154 reemployed nurses working in the two university hospitals located in G Province. Data were analyzed using t-test, ANOVA, Pearson’s Correlation Coefficient and Multiple Regression Analysis with SPSS/WIN 25.0. Results: Factors influencing intention to stay in the participants were period willing to stay (β=.36, p<.001), emotional intelligence (β=.35, p<.001), career break (β=.16, p=.015), organizational justice (β=.14, p=.046). The total explanatory power was 31%. Conclusion In this study, organizational justice, emotional intelligence, career interruption, period willing to stay were found to be influential factors affecting intention to stay in reemployed nurses. A systematic intervention program for emotional intelligence is needed to increase the intention of retention in reemployed nurses. Further, human resource managers and specialists should consider organizational justice when designing the talent retention strategies.

Purpose: This study was conducted to deeply explore the work experiences of nurses in COVID-19 isolation wards. Methods: Data were collected through one-on-one in-depth interviews with 11 nurses working in COVID-19 isolation wards from November 3 to November 23, 2023. The data were analyzed using Braun and Clarke's inductive thematic analysis. Results: The study identified three categories, seven themes, and 16 sub-themes. The categories were: ‘the reality of unprepared COVID-19 isolation wards’, ‘the ongoing process of change and coordination’, and ‘experiencing confusion in the process of returning to normal’. A common experience among nurses was ‘confusion due to changes’. Initially, there was confusion caused by the unfamiliar environment and lack of a work manual. Subsequently, confusion arose due to changes in the direction of the COVID-19 response. Finally, they experienced confusion in the process of returning to normal life, continually facing uncertainty. Conclusion Strategies are needed to improve the work environment of nurses in isolation wards for future infectious diseases and pandemics. Allocating nursing staff considering infection control tasks and patient care demands, and addressing communication problems in isolation wards is necessary. Routine education on infection control and preparation for emerging infectious diseases should be implemented, and an operational manual for duties in isolation ward should be prepared. Additionally, promoting psychological support systems for disaster response personnel and developing policies to alleviate physical difficulties are needed.

Purpose: This study was conducted to deeply explore the work experiences of nurses in COVID-19 isolation wards. Methods: Data were collected through one-on-one in-depth interviews with 11 nurses working in COVID-19 isolation wards from November 3 to November 23, 2023. The data were analyzed using Braun and Clarke's inductive thematic analysis. Results: The study identified three categories, seven themes, and 16 sub-themes. The categories were: ‘the reality of unprepared COVID-19 isolation wards’, ‘the ongoing process of change and coordination’, and ‘experiencing confusion in the process of returning to normal’. A common experience among nurses was ‘confusion due to changes’. Initially, there was confusion caused by the unfamiliar environment and lack of a work manual. Subsequently, confusion arose due to changes in the direction of the COVID-19 response. Finally, they experienced confusion in the process of returning to normal life, continually facing uncertainty. Conclusion Strategies are needed to improve the work environment of nurses in isolation wards for future infectious diseases and pandemics. Allocating nursing staff considering infection control tasks and patient care demands, and addressing communication problems in isolation wards is necessary. Routine education on infection control and preparation for emerging infectious diseases should be implemented, and an operational manual for duties in isolation ward should be prepared. Additionally, promoting psychological support systems for disaster response personnel and developing policies to alleviate physical difficulties are needed.

Purpose: This study was conducted to deeply explore the work experiences of nurses in COVID-19 isolation wards. Methods: Data were collected through one-on-one in-depth interviews with 11 nurses working in COVID-19 isolation wards from November 3 to November 23, 2023. The data were analyzed using Braun and Clarke's inductive thematic analysis. Results: The study identified three categories, seven themes, and 16 sub-themes. The categories were: ‘the reality of unprepared COVID-19 isolation wards’, ‘the ongoing process of change and coordination’, and ‘experiencing confusion in the process of returning to normal’. A common experience among nurses was ‘confusion due to changes’. Initially, there was confusion caused by the unfamiliar environment and lack of a work manual. Subsequently, confusion arose due to changes in the direction of the COVID-19 response. Finally, they experienced confusion in the process of returning to normal life, continually facing uncertainty. Conclusion Strategies are needed to improve the work environment of nurses in isolation wards for future infectious diseases and pandemics. Allocating nursing staff considering infection control tasks and patient care demands, and addressing communication problems in isolation wards is necessary. Routine education on infection control and preparation for emerging infectious diseases should be implemented, and an operational manual for duties in isolation ward should be prepared. Additionally, promoting psychological support systems for disaster response personnel and developing policies to alleviate physical difficulties are needed.

Purpose: This study was conducted to deeply explore the work experiences of nurses in COVID-19 isolation wards. Methods: Data were collected through one-on-one in-depth interviews with 11 nurses working in COVID-19 isolation wards from November 3 to November 23, 2023. The data were analyzed using Braun and Clarke's inductive thematic analysis. Results: The study identified three categories, seven themes, and 16 sub-themes. The categories were: ‘the reality of unprepared COVID-19 isolation wards’, ‘the ongoing process of change and coordination’, and ‘experiencing confusion in the process of returning to normal’. A common experience among nurses was ‘confusion due to changes’. Initially, there was confusion caused by the unfamiliar environment and lack of a work manual. Subsequently, confusion arose due to changes in the direction of the COVID-19 response. Finally, they experienced confusion in the process of returning to normal life, continually facing uncertainty. Conclusion Strategies are needed to improve the work environment of nurses in isolation wards for future infectious diseases and pandemics. Allocating nursing staff considering infection control tasks and patient care demands, and addressing communication problems in isolation wards is necessary. Routine education on infection control and preparation for emerging infectious diseases should be implemented, and an operational manual for duties in isolation ward should be prepared. Additionally, promoting psychological support systems for disaster response personnel and developing policies to alleviate physical difficulties are needed.

No abstract available.
Sarcoma*

PURPOSE: We performed this study to compare the TSH and free T4 levels according to gestational age and birth weight, and to reevaluate the cut-off values in the neonatal screening test for congenital hypothyroidism. METHODS: Total 2,133 neonates(1,749 healthy newborns and 384 sick neonates) were screened in Dankook University Hospital from May 2000 to January 2003. Neonates with abnormal TSH values (higher than 20 microliterU/mL) or abnormal free T4 levels(lower than 1 ng/dL) were recalled to recheck the thyroid function test. At that time, physical examinations and history-taking regarding perinatal problem, medication history, and mother's illness were undertaken. RESULTS: Serum TSH and free T4 values revealed no significant difference according to sex, delivery type, and Apgar score. The free T4 levels showed statistically significant differences, with gestational age or birth weight(P<0.01). The recall rate of neonates due to abnormal screening test was 7.48 percent. Compared with original cut-off values, the recall rate of the new cut-off values setted to TSH higher than 20 microliterU/mL or free T4 lower than 0.64 ng/dL decreased from 7.48 percent to 4.8 percent in the healthy group. But, it compromised sensitivity when applied to the sick group. CONCLUSION: In this study, neonatal free T4 levels were significantly different according to birth weight, gestational age, and the presence of compromised condition. Although the recall rate by TSH >20 microliterU/mL or free T4<1 ng/dL was relatively high, it was impossible to set up new cut-off values without compromising sensitivity. We think studies including a larger study population will be required to change the cut-off values.
Apgar Score ; Birth Weight ; Congenital Hypothyroidism* ; Gestational Age ; Humans ; Infant, Newborn ; Mass Screening ; Neonatal Screening* ; Parturition ; Physical Examination ; Thyroid Function Tests

The clinical signs of acquired hypothyroidism are usually manifested insidiously over several months to years. The incidence increases after 6 years of age and peaks at 11 to 18 years of age. The clinical symptoms and signs are fatigue, constipation, decreased growth velocity and delayed bone age, compromised intellectual performance, obesity, myxedema, hyperlipidemia, peripheral neuropathy and delayed or precocious puberty. Two children were referred to our hospital for the evaluation of severe obesity and short stature. During the evaluation we found they also had hyperlipidemia, cardiomegaly with or without pericardial effusion. Thyroid function test revealed decreased serum thyroid hormone levels with positive anti- microsome and anti-thyroglobulin antibodies consistent with long-standing acquired hypothyroidism. After the supplement of L-thyroxine, both of them showed rapid improvement of above symptoms, except for the incomplete catch-up growth. We herein report two cases of acquired hypothyroidism with severe obesity, short stature, hyperlipidemia and cardiomegaly with review of literatures.
Antibodies ; Cardiomegaly* ; Child ; Constipation ; Fatigue ; Humans ; Hyperlipidemias ; Hypothyroidism* ; Incidence ; Microsomes ; Myxedema ; Obesity ; Obesity, Morbid* ; Pericardial Effusion ; Peripheral Nervous System Diseases ; Puberty, Precocious ; Thyroid Function Tests ; Thyroid Gland ; Thyroxine