1.Transurethral Prostatectomy for the Patients Over 80 Years Old : Is It Safe?.
Tae Kyoon NA ; Dae Kyung KIM ; Tag Keun YOO
Korean Journal of Urology 2000;41(9):1086-1090
No abstract available.
Aged, 80 and over*
;
Humans
;
Transurethral Resection of Prostate*
2.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
3.A Case of Neonatal Spontaneous Pneumomediastinum.
Kee Hwan YOO ; Ho Chan NA ; Min Shik KIM ; Hyun Kum LEE
Journal of the Korean Pediatric Society 1987;30(4):427-430
No abstract available.
Mediastinal Emphysema*
4.Effects of Mental Illness Education Using Movies on Perceptions and Attitudes of Middle and High School Teachers toward Mental Illness.
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2010;19(4):382-390
PURPOSE: The purpose of this study was to identify effects of 'mental illness education using movies' on the perceptions and attitudes toward mental illness held by middle and high school teachers. METHODS: The participants were 66 middle and high school teachers, 33 in the experimental group and 33 in the control group. The 'mental illness education using movies' was given to the experimental group twice a week for two weeks. The perceptions and attitudes toward mental illness were measured using the Knowledge and Attitude toward Mental Illness Questionnaire developed by Park, Paik, and Kwack (1995). RESULTS: After the mental illness education, there was a significant difference between the experiment and control group for psychological and environmental concepts toward mental illness (t=7.10, p<.001). CONCLUSION: 'Mental illness education using movies' has limited effects on the perceptions and attitudes of middle and high school teachers toward mental illness. The results of this study indicate that further research is needed with a revised contents of 'the mental illness education using movies' if perceptions and attitudes are to be changed.
Education*
;
Humans
;
Mental Health
;
Surveys and Questionnaires
5.A Case of Cornelia de Lange Syndrome.
Hwa Kyoung OH ; Soo Jung YOO ; Myung Jin KIM ; Mi Na LEE
Journal of the Korean Pediatric Society 1990;33(1):94-99
No abstract available.
De Lange Syndrome*
6.The Effect of Oral Vitamin E on Hemolytic Anemia of the Premature Infants.
Hwa Kyoung OH ; Kwang Sik YOO ; Yong Sil CHI ; Myung Jin KIM ; Mi Na LEE
Journal of the Korean Pediatric Society 1989;32(11):1469-1473
No abstract available.
Anemia, Hemolytic*
;
Humans
;
Infant, Newborn
;
Infant, Premature*
;
Vitamin E*
;
Vitamins*
7.Factors associated with various clinical manifestations of Mycoplasma pneumonia in children.
Yoo Na KIM ; Chul Hyue PARK ; Su Hee KIM ; Soo Jin YOO ; Hyo Bin KIM
Allergy, Asthma & Respiratory Disease 2013;1(4):357-361
PURPOSE: Mycoplasma pneumonia (MP) is a major cause of community-acquired pneumonia in children and young adults. We aimed to investigate the factors that may influence on the clinical manifestations of MP in children. METHODS: A total of 109 admitted children from October 2011 to February 2012 were prospectively enrolled with physical examination and laboratory tests (complete blood count, C-reactive protein [CRP], and particle agglutinin assay). The diagnosis of MP was made when there was an infiltration on the chest X-ray and the particle agglutination test was once over 1:640 or showed 4-fold increase in serial tests. They were grouped by age, fever duration after treatment, presence of pleural effusion and wheezing. RESULTS: Preschool children showed shorter duration of fever (P=0.001), more wheezing (P<0.001), lower segmented neutrophil (P<0.001), and lower CRP levels (P=0.004) compared to schoolchildren. Prolonged fever (>3 days) and pleural effusion were developed in children with higher CRP (P=0.018 and P=0.007). Wheezing has been developed in children with younger age (P=0.007). CONCLUSION: Younger age was a risk factor to develop wheezing in MP and prolonged fever and pleural effusion were more likely to develop in children with higher CRP.
Age Factors
;
Agglutination Tests
;
C-Reactive Protein
;
Child*
;
Child, Preschool
;
Diagnosis
;
Fever
;
Humans
;
Mycoplasma*
;
Neutrophils
;
Physical Examination
;
Pleural Effusion
;
Pneumonia
;
Pneumonia, Mycoplasma*
;
Prospective Studies
;
Respiratory Sounds
;
Risk Factors
;
Thorax
;
Young Adult
8.Multimodality Imaging of Pediatric Parotid Gland Lesions.
Yoo Na KIM ; So Young YOO ; Ji Hye KIM ; Eo HONG
Journal of the Korean Radiological Society 2008;59(2):115-129
Although diseases of the parotid gland are relatively uncommon in children, a variety of benign and malignant lesions may occur and the use of imaging is essential for accurate diagnosis and treatment. Ultrasonography (US) is the initial imaging modality utilized for suspected parotid lesions, and its use may suggest a correct diagnosis in an adequate clinical setting. The use of computed tomography (CT) and magnetic resonance imaging (MRI) are useful for the assessment of large and atypical lesions. These modalities also allow the ability to image the deep parotid lobe and to better define the nature of a lesion. CT is the preferred imaging modality for inflammatory processes, including suspected sialolithiasis, abscesses and salivary duct obstructions, whereas MRI is usually used to evaluate tumors due to excellent anatomic resolution and a lack of ionizing radiation exposure, especially in children. This report describes the imaging findings of various parotid gland lesions in children. Familiarity with these findings will aid in lesion characterization and should facilitate optimal clinical management.
Abscess
;
Child
;
Humans
;
Magnetic Resonance Imaging
;
Parotid Gland
;
Radiation, Ionizing
;
Recognition (Psychology)
;
Salivary Ducts
;
Salivary Gland Calculi
;
Tomography, X-Ray
9.A case of acute necrotizing encephalopathy associated with parainfluenza virus infection.
Korean Journal of Pediatrics 2012;55(4):147-150
Acute necrotizing encephalopathy (ANE) may be suspected when a young child presents with abrupt onset of altered mental status, seizures, or both. Definitive clinical diagnosis is based on magnetic resonance imaging (MRI) results. ANE is associated with influenza virus infections. Preliminary data suggests that up to 25% of ANE patients die, and up to 25% of ANE survivors develop substantial neurologic sequelae. Here, we describe a case of a comatose 22-month-old girl who was admitted to our hospital because of febrile illness and seizures. On day 13 of her illness, she died from ANE associated with infection from parainfluenza virus. Brain MRI results indicated diffuse bilateral symmetric signal changes in both basal ganglia, thalami, periventricular white matter, pons, and cerebral white matter, as well as generalized swelling of the brain.
Basal Ganglia
;
Brain
;
Child
;
Coma
;
Humans
;
Infant
;
Magnetic Resonance Imaging
;
Orthomyxoviridae
;
Paramyxoviridae Infections
;
Pons
;
Seizures
;
Survivors
;
Viruses
10.Infective Endocarditis: An Autopsy Case Report with Literature Review.
Joo Young NA ; Whee Yeol CHO ; Jeong Woo PARK ; Yoo Duk CHOI ; Hyung Seok KIM ; Jong Tae PARK
Korean Journal of Legal Medicine 2014;38(2):78-82
A 69-year-old man was admitted to the hospital because of flu-like symptoms and fatigue for 2 weeks. Computed tomography revealed ground glass opacity and consolidation in both the lungs as well as pleural effusion. The patient was diagnosed with pneumonia and was hospitalized. At the time of hospitalization, he complained of shortness of breath and coughed-up blood-tinged sputum. Two days after admission, he died suddenly. An autopsy was performed; cardiomegaly was noted, and further examination revealed that the aortic valve had been destroyed by multiple, irregular vegetations. Herein, we report an autopsy case of infective endocarditis with a review of the relevant literatures.
Aged
;
Aortic Valve
;
Autopsy*
;
Cardiomegaly
;
Dyspnea
;
Endocarditis*
;
Fatigue
;
Glass
;
Hospitalization
;
Humans
;
Lung
;
Pleural Effusion
;
Pneumonia
;
Sputum