1.Risk Factors in Early Life for Preschool Children in Korea that are Associated with Being Overweight or Obese
Osong Public Health and Research Perspectives 2020;11(1):15-26
The present study addressed the risk factors in early life for Korean preschool children that are associated with being overweight or obese. A descriptive cross-sectional design was used to conduct this study, which included 507 mothers with preschool children aged 3–5 years, who attended daycare centers. Data were acquired via a self-administered questionnaire completed by the mothers. Of the 650 questionnaires that were distributed, 507 (78%) were completed and sent back. Multivariate logistic regression analyses were used to identify risk factors in early life, which may contribute to being overweight or obese in preschool children. Fifty-eight (11.4%) preschool children were overweight and 41 (8.1%) were obese. Multivariate logistic regression analysis with adjustment for covariates, revealed a significant association with the introduction of solid foods before 4 months of age [adjusted odds ratio (aOR) = 9.49, The findings of this study highlighted the need for parenting education programs on feeding practices to increase their understanding of hunger and satiety cues in infants, and appropriate timing for the introduction of solid foods.
2.A Clinical Analysis of Laparoscopically Confirmed Tuberculous Peritonitis.
Yun Suk LEE ; Ho Sang RYU ; Jin Hai HYUN
Korean Journal of Gastrointestinal Endoscopy 1988;8(2):187-194
This is a clinical analysis of 48 patients who had tuberculous peritonitis laparoscopically confirmed at the Gastroenterologic Department of the Korea University Hae Wha Hospital from March 1980 to February 1988, and the results are as fallows: 1) The ratio of male to female was 1:1.7, and the age of the peak incidence was the third decade. 2) The freqeent symptoms were abdominal distension (77.1%), abdominal pain (60.4%), and fever (60.4%); others were indigestion (27.1%), diarrhea (18.8%), weight loss (6.3%), abdominal mass (6.3%), vomiting (6.3%), and dysmenorrhea (2.1%). The freguent physical signs were ascites (93.8%) and abdominal tenderness (45.8%); others were palpable mass (8.3%), hepatomegaly (8.3%), and mild jaundice (4,2%). 3) Hematologic findings in mean value revealed 11.8 g/m% in hemoglobin, 6088/mm in WBC, and 36 mm/hour in ESR, 4) Ascitic analysis revealed 1,031 in specific gravity, 5.2% in protein, and 1700/mm in WBC count with lymphocytic predominance (83%). AFB stain and culture were all negative in the specimens less than 20 ml. 5) On chest X-ray, pulmonary Tuberculosis or associated lesions were noted in 19 patients (39.6%). 6) Studded whitish miliary tubercle, omental change, ad adhesions were noted in a mixed nature. 7) Classifications according to laparoscopic finding revealed wet type in 28 patients (58.3%), mixed type in 13 patients (27.1%), and dry type in 7 patients (14.6%); and laparoscopic type was not related with the duration of symptom up to admission. 8) Microscopic finding of biopsy specimens revealed caseous necrosis or granuloma in 43 patient (89.6%) and nonspecific inflammation in 5 patients. In these 5 patients, characteristic gross findings of tuberculous peritionitis were noted. 9) Intestinal perforation was developed in 2 patients.
Abdominal Pain
;
Ascites
;
Biopsy
;
Classification
;
Diarrhea
;
Dysmenorrhea
;
Dyspepsia
;
Female
;
Fever
;
Granuloma
;
Hepatomegaly
;
Humans
;
Incidence
;
Inflammation
;
Intestinal Perforation
;
Jaundice
;
Korea
;
Male
;
Necrosis
;
Peritonitis, Tuberculous*
;
Specific Gravity
;
Thorax
;
Tuberculosis, Pulmonary
;
Vomiting
;
Weight Loss
3.The Effect of Education in Reducing Catheter-related Urinary Tract Infections in Intensive Care Units at a University Hospital.
Yun Jung CHANG ; Kyung A CHOI ; Hyun Kyung LEE ; Yeong Suk JIN ; Park Gun MIN ; Jin Young OH ; Eu Suk KIM
Korean Journal of Nosocomial Infection Control 2008;13(2):90-96
BACKGROUND: Urinary tract infections (UTIs) are the most frequent nosocomial infections and are frequently associated with indwelling urinary catheters. It is known that adherence to standard infection control measures for urinary catheters can reduce UTIs in hospitals. This study was performed to evaluate the effect of education in reducing catheter-related UTIs (CR-UTIs) in intensive care units (ICUs) of a university hospital. METHODS: CR-UTIs were prospectively monitored for all patients with indwelling urinary catheters in ICUs from July 2006 through December 2007. Recommendations based on previously known guidelines for catheter insertion, catheter management, and specimen collection to prevent CR-UTIs were formulated and educated in March 2007. Knowledge and adherence level were evaluated before and after educating healthcare workers about the recommendations using questionnaire. Changes in knowledge and adherence level before and after education were compared by Chi-square test. Changes in the rate of CR-UTIs and urinary catheter utilization ratios were also analyzed by Fisher's exact test. RESULTS: After education, knowledge level of and adherence level to most of the recommendations were improved significantly. The rate of CR-UTIs significantly decreased by 48% from 7.43/1,000 catheter-days before intervention to 3.87/1,000 catheter-days after intervention (P=0.02). CONCLUSION: Surveillance for nosocomial infections and education for standard infection control measures are very important in preventing CR-UTIs in ICUs.
Catheters
;
Cross Infection
;
Delivery of Health Care
;
Humans
;
Infection Control
;
Critical Care
;
Intensive Care Units
;
Prospective Studies
;
Specimen Handling
;
Urinary Catheterization
;
Urinary Catheters
;
Urinary Tract
;
Urinary Tract Infections
;
Surveys and Questionnaires
4.A Case of Congenital Arteriovenous Fistula at Left Subclavian Artery Accompanied by Notching on Superior Aspect of Rib.
Ick Mo CHUNG ; Seung Yun CHO ; Seung Jung PARK ; Woong Ku LEE ; Jin Suk SEO
Korean Circulation Journal 1989;19(1):139-145
High output heart failure due to congenital arteriovenous fistula is a rare disease and is difficult to treat. A 27 year old man, suffering from dyspnea, palpitation, lower extremity edema, and abdominal distension admitted May, 1987. At admission there were continuous thrill and bruit at left supraclavicular and infraclavicular area. The heart sound was irregular and rapid, and grade IV/VI pansystolic murmur was audible at the apex. Chest PA showed marked cardiomegaly with pleural effusion and notching at superior aspect of left 2nd rib. Selective left subclavian artery angiogram showed extensive congenital arteriovenous fistula at the area of left subclavian artery and its branches. After setrial feeding artery embolization and palliative operation, the fistula size decreased much with clinical improvement.
Adult
;
Arteries
;
Arteriovenous Fistula*
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Cardiomegaly
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Dyspnea
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Edema
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Fistula
;
Heart Failure
;
Heart Sounds
;
Humans
;
Lower Extremity
;
Pleural Effusion
;
Rare Diseases
;
Ribs*
;
Subclavian Artery*
;
Thorax
5.Surgical treatment of stage III carcinoma of the lung afterpreoperative chemotherapy and radiation therapy: 8 cases report.
Doo Yun LEE ; Suk Joong JOO ; Hae Kyun KIM ; Sang Jin KIM ; Hyung Joong KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(9):962-967
No abstract available.
Drug Therapy*
;
Lung*
6.Maternal Perception of Children's Weight, Maternal Body Shape Satisfaction, and Maternal Feeding Styles in Preschool-Aged Children.
Hyun Jung YUN ; Jin Suk RA ; Mina JANG
Journal of Korean Biological Nursing Science 2015;17(3):262-270
PURPOSE: The purpose of this study was to explore the correlates of maternal perception (identification and satisfaction) of children's weight, maternal body shape satisfaction, and maternal feeding styles in Korean preschool-aged children. METHODS: A cross-sectional survey design was utilized. Participants consisted of 287 pairs of preschool-aged children (3-6 years) and their mothers. Data were analyzed by chi2-test, Fisher's exact test, ANOVA, and the Pearson correlation coefficient. RESULTS: Among the 287 mothers, 47.7% underestimated their children's weight, while 15.7% overestimated it. 46.7% of the mothers wished their children weighed more, while 11.1% of them wished their children weighed less. The mean score of maternal body shape satisfaction was 83.75+/-28.77. The mean score of parent-centered feeding styles was 2.95+/-0.54, and the mean score of child-centered feeding styles was 3.33+/-0.42. There were statistically significant correlations between maternal identification of children's weight and children's body mass index (BMI) (r=-.366, p<.001). In addition, there were statistically significant correlations between maternal satisfaction of children's weight and children's BMI (r=-.484, p<.001), maternal BMI (r=-.126, p=.033), and maternal body shape satisfaction (r=-.127, p=.031). CONCLUSION: The results of the study suggest that intervention programs for mothers to develop more accurate perception of their child's weight should be established.
Body Mass Index
;
Body Weight
;
Child*
;
Cross-Sectional Studies
;
Humans
;
Mothers
7.Percutaneous Closure of the Acquired Gerbode Shunt Using the Amplatzer Duct Occluder in a 3-Month Old Patient.
Sang Yun LEE ; Jin Young SONG ; Jae Suk BAEK
Korean Circulation Journal 2013;43(6):429-431
The Gerbode shunt, known as the left ventricle to the right atrial communication, is a rather rare finding, following surgical closure of septal defects. Even though the surgical closure is accepted as a treatment of choice, we report a successful percutaneous transcatheter closure of the Gerbode shunt in a 3-months old baby who weighed 3 kilograms.
Heart Septal Defects
;
Heart Ventricles
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Humans
;
Septal Occluder Device
8.A case of myopathy associated with hyperthyroidism.
Seong Jin PARK ; Do Hun KIM ; Sung Jin KIM ; Dong Sun HAN ; Sung Chul YUN ; Sung Suk KIM
Journal of Korean Society of Endocrinology 1993;8(2):221-224
No abstract available.
Hyperthyroidism*
;
Muscular Diseases*
9.The Evaluation of an Education Program for Using an Inhaler Devices in Childhood Asthma.
Eun Jeong CHOI ; Hyun Jin YUN ; Hye Sung AN ; Ju Suk LEE ; Jin A JUNG
Pediatric Allergy and Respiratory Disease 2011;21(2):108-114
PURPOSE: Asthma inhalation therapy is important for the treatment of childhood asthma. Therefore, it is necessary to educate patients on the correct inhalation techniques. The purpose of this study was to determine the effectiveness and necessity of educating patients on the correct inhalation techniques. METHODS: A total of 86 patients with bronchial asthma and who were over 7 years old were enrolled and educated on handling inhaler devices for 2 years. The inhaler devices used were the diskus (n=27), turbuhaler (n=12) and metered dose inhaler with a spacer (n=47). Trained pharmacists provided the education. Four steps (breathing out prior to inhalation, inhalation, holding the breath, exhaling slowly) that were critical for handling each device were evaluated and each step was scored as good, fair or poor. We evaluated the symptom score (daytime cough, nighttime cough, sleep disturbance and limitation of activity) and lung function before treatment and 4 weeks later. RESULTS: Over 90.0% of the diskus users performed fair to good in each step. The symptom score and lung function at 4 weeks later after education were significantly improved (P=0.000). The turbuhaler users all performed fair to good on each step. The symptom score was significantly improved (P<0.005), but the lung function was not difference. Over 95% of the users of a metered dose inhaler with a spacer performed moderate to good on each step. The symptom score and lung function were significantly improved (P<0.05). CONCLUSION: The structured, detailed education on inhaler devices by trained specialists was very important for performing correct inhalation therapy to control asthma, and repeated education might be also necessary.
Asthma
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Cough
;
Exhalation
;
Handling (Psychology)
;
Humans
;
Inhalation
;
Lung
;
Metered Dose Inhalers
;
Nebulizers and Vaporizers
;
Pharmacists
;
Respiratory Therapy
;
Specialization
10.CT Findings and Clinical Characteristics of Colorectal Mucinous Adenocarcinoma.
Hye Won KIM ; Kwon Ha YOON ; Chang Guhn KIM ; Suk Chae CHOI ; Ki Jung YUN ; Byung Suk ROH ; Jong Jin WON
Journal of the Korean Radiological Society 1999;41(4):719-724
PURPOSE: To establish the CT findings and clinical characteristics of colorectal mucinous adenocarcinoma. MATERIALS AND METHODS: The CT features of 26 surgically proven cases of colorectal mucinous adenocarcinoma were reviewed. The subjects were selected from among 262 patients with colorectal cancer, of whom 40 with non-mucinous adenocarcinoma were included as a control group. Contrast-enhaneed CT images were analyzed for tumor location, the presence or absence of tumoral calcification, tumor shape (circumferential or eccentric, polypoid or infiltrative), tumor thickness-to-length ratio, and attenuation and homogeneity. In each group, the TNM stage of pathologic specimens was compared. During follow-up, the incidence of recurrence, and outcome, were also compared. RESULTS: CT images of mucinous adenocarcinoma revealed intratumoral calcification in three patients (12%, p < 0.01). Tumors were eccentric and polypoid-shaped, with a high tumoral thickness/length ratio (p < 0.01). On contrast-enhanced images, most were seen as a heterogenous hypoattenvuted mass. No differences in T-NM stage were found in surgical specimens. In patients with mucinous adenocarcinoma, recurrence during the early follow-up period is more common than in patients with non-mucinous cancer. CONCLUSION: Contrast-enhanced CT reveals mucinous adenocarcinoma as an eccentric polypoid mass with heterogeneous hypoattenuation. In patients with mucinous colorectal cancer, careful follow-up is required because tumors tend to recur early in the follow-up period.
Adenocarcinoma
;
Adenocarcinoma, Mucinous*
;
Colorectal Neoplasms
;
Follow-Up Studies
;
Humans
;
Incidence
;
Mucins*
;
Recurrence
;
Tomography, X-Ray Computed