1.Effect of Antenatal Magnesium Sulfate Administration on Neonatal Mortality and Morbidity in Very Low Birth Weight Infants.
Seung Hee CHOI ; Young Youn CHOI ; Jae Sook MA ; Tai Ju HWANG
Journal of the Korean Society of Neonatology 1998;5(1):1-7
PURPOSE: We investigated whether in utero exposure to magnesium sulfate is associated with lower incidence of neonatal mortality, morbidity, and neurodevelopmental abnormalities in very low birth weight infants. METHODS: We evaluated 172 infants with birth weight less than 1,500g. According to the maternal receipt of magnesium sulfate, we divided into two groups. We reviewed the medical records of mothers and their babies to evaluate clinical outcome. RESULTS: Of 172 infants, 58(GA 30.0+/-2.3weeks, BW 1,20+/-2221g) received magnesium sulfate prior to delivery for tocolysis or preeclampsia(study group). The remaining 114(GA 29.6+/-2.3weeks, BW 1,220 +/-198g) served as the control group. Neonatal mortality was not significantly different between the two groups(12.5% vs 26.0%). There was no significant difference between the two groups in neonatal complications' RDS(52.4% vs 67.6%), BPD(16.7% vs 29.6%), apnea(52.4% vs 67.6%), IVH(23.8% vs 31.0%), PVL(4.8% vs 11.3%), NEC(7.1% vs 7.0%), ROP(26.8% vs 41.2%), and neal infection(33.3% vs 54.9%). The duration of ventilator therapy(10.9+/-7.3 vs 14.2+/-10.6 days), oxygen administration(20.2+/-20.0 vs 24.3+/-19.9 days) and admission(51.5+/-16.9 vs 54.6+/-16.7 days) were not different. Among 64 patients in whom follow up evaluation was possible more than 1 year, the incidence of cerebral palsy or developmental delay was not different(12.0% vs 12.8%). CONCLUSION: Maternal receipt of magnesium sulfate does not seem to be associated with an appreciably reduced risk of neonatal mortality, morbidity, and neurodevelopmental abnormalities in very low birth weight infants. (Abbreviations. GA, gestational age, BW, birth weight; RDS, respiratory distress syndrome; BPD, bronchopulmonary dysplasia, IVH, intraventricular hemorrhage; PVL, periventricular leukomalacia; NEC, necrotizing enterocolitis; ROP, retinopathy of prematurity)
Birth Weight
;
Bronchopulmonary Dysplasia
;
Cerebral Palsy
;
Enterocolitis, Necrotizing
;
Follow-Up Studies
;
Gestational Age
;
Hemorrhage
;
Humans
;
Incidence
;
Infant
;
Infant Mortality*
;
Infant*
;
Infant, Newborn
;
Infant, Very Low Birth Weight*
;
Leukomalacia, Periventricular
;
Magnesium Sulfate*
;
Magnesium*
;
Medical Records
;
Mothers
;
Oxygen
;
Tocolysis
;
Ventilators, Mechanical
2.A Concept Mapping Study on Clinical Stress for Nursing Students during Clinical Practice.
Hee Kyoung HYOUNG ; Youn Sook JU ; Shin Il IM
Journal of Korean Academy of Nursing Administration 2014;20(4):394-404
PURPOSE: The purpose of this study was to identify the conceptual structure of stressors experienced by nursing students during clinical practice. METHODS: Ten men and 10 women nursing college students were interviewed. The results were 208 ideas. By synthesizing and editing these ideas, the final statement was trimmed down to 39 questions. The next step was to have the participants classify these 39 final questions. They were asked to rate stress scores using a five-point scale. Through multidimensional scaling analysis and hierarchical cluster analysis yielded dimensions and clusters. RESULTS: Results of the study showed 2 dimensions which were classified as 'interpersonal relationship-practice system' and 'identity-practice environment'. It also yielded 8 clusters which were classified as 'role confusion', 'gender discrimination', 'attitudes of medical personnel and patients', 'comparison between fellow students', 'difference between theory and practice', 'disestablishing the role of practice guide', 'interference with training', and 'problems of the practice environment'. Further, stress factors and stress levels were differentiated depending on the gender of the student. CONCLUSION: The results of the study indicate that educators who are developing clinical practice programs and clinical practitioners should consider stressors during clinical practice and the educational implications to nursing students.
Female
;
Humans
;
Male
;
Nursing
;
Students, Nursing*
3.Preventive Effect of Single Dose Vitamin K for the Late Hemorrhagic Disease of Infancy.
Young Youn CHOI ; Hwa Il KWAG ; Byung Hee KIM ; Tai Ju HWANG
Journal of the Korean Pediatric Society 1990;33(5):606-614
No abstract available.
Vitamin K*
;
Vitamins*
4.Clinical observation of small for gestational age.
Young Zong OH ; Cheol Hee HWANG ; Young Youn CHOI ; Young Joung WOO ; Tai Ju HWANG
Journal of the Korean Pediatric Society 1991;34(1):41-48
No abstract available.
Gestational Age*
;
Mortality
5.Three cases of Lyphodystophia Centrifugalis Abdominalis Juvenilis.
Young Soo CHUN ; Byung Hee KIM ; Young Youn CHOI ; Tai Ju HWANG
Journal of the Korean Pediatric Society 1990;33(8):1146-1152
No abstract available.
6.Four Cases of Steroid-Induced Lipodystrophy.
Youn Hee KIM ; Geun Mo KIM ; Young yun CHOI ; Tai Ju HWANG
Journal of the Korean Pediatric Society 1995;38(6):843-847
No abstract available.
Lipodystrophy*
7.Needs for Hepatitis A Virus Immunization in Healthcare Personnel.
Youn Hee PARK ; Tae Hyong KIM ; Eun Jung LEE ; Tae Youn CHOI ; Hee Bong SHIN ; Eun Ju CHOO ; Min Hyeok JEON ; Hye Kyung JUNG ; Ji Yeon KWON
Korean Journal of Nosocomial Infection Control 2009;14(2):66-71
BACKGROUND: Currently, the incidence of hepatitis A is on the increase in Korea. Although there is emphasis on contact precautions, the nosocomial outbreak of hepatitis A virus (HAV) in healthcare personnel has increased within endemic areas because these workers inevitably come in close contact with patients and work under suboptimal hygiene conditions. In this study, we evaluated the necessity of immunization against HAV for healthcare personnel. METHODS: We investigated the seropositivity of serum immunoglobulin G (IgG) anti-HAV antibody (Ab) in 672 healthcare personnel on the basis of their age-group, sex, and occupation in Soon Chun Hyang University Hospital and Soon Chun Hyang University Bucheon Hospital. RESULTS: The subjects were divided into 6 groups on the basis of their ages to identify differences among the various age groups in the number of cases with HAV Ab seropositivity. Significant intergroup differences were noted in this respect: 21-25 years, 2/152 (1.3%); 26-30 years, 33/245 (13.5%); 31-35 years, 70/148 (47.3%); 36-40 years, 52/79 (65.8%); >40 years, 44/48 (91.7%). CONCLUSION: The number of seropositive cases was low among young healthy personnel: low seropositivity is an emerging risk for vulnerable population. With the increase in the incidence of hepatitis A, healthcare personnel have become a risk population for hepatitis A, as are community residents. Therefore, for healthcare personnel working in hospitals, immunization against HAV should be recommended for personnel younger than 30 years, and serological testing for older personnel.
Delivery of Health Care
;
Hepatitis
;
Hepatitis A
;
Hepatitis A Antibodies
;
Hepatitis A Vaccines
;
Hepatitis A virus
;
Humans
;
Hygiene
;
Immunization
;
Immunoglobulin G
;
Incidence
;
Korea
;
Occupations
;
Serologic Tests
;
Vulnerable Populations
8.Acinetobacter Infection in Neonatal Intensive Care Units(NICU).
Won Gyn BUM ; In Suk KIM ; Young Hee KIM ; Young Youn CHOI ; Jae Sook MA ; Tai Ju HWANG
Journal of the Korean Pediatric Society 1994;37(12):1669-1675
No abstract available.
Acinetobacter Infections*
;
Acinetobacter*
;
Infant, Newborn
;
Intensive Care, Neonatal*
9.Inflammatory Pseudotumor of the Liver: A case report.
Young Hee MAENG ; Jae Hoon PARK ; Youn Wha KIM ; Yong Koo PARK ; Ju Hie LEE ; Moon Ho YANG
Korean Journal of Pathology 1994;28(1):90-92
Inflammatory pseudotumor of the Aver is a rare benign lesion that usually has been discovered at laparotomy. This lesion is inflamrhatory and reactive, but the etiology remains unknown. In-flammatory pseudotumor of the liver is of the interest not only because of its rarity also because it needs to be clinically differentiated from hepatocellular carcinoma and other malignant tu-mors. In this report, we describe a case of inflammatory pseudotumor of the liver with fever and weight loss in a 46-year-old male. Grossly, the lesion showed a rather well demarcated, gray white to pale yellowish nodular mass mesuring 7 x 5.5 x 5 cm in dimensions. M icroscqpically, the tumor was composed of diffuse infiltration of predominantly plasma cells, lymphocytes and histocytes associated with fibroblastic proliferation.
Carcinoma, Hepatocellular
10.Papillary and Solid Epithelial Neoplasm of the Pancreas with Multiple Metastases.
Duck Hwan KIM ; Youn Ju KIM ; Seung Eun YANG ; Sung Suk PAENG ; Hee Jin CHANG ; Jung Il SUH
Korean Journal of Pathology 1996;30(3):272-275
Papillary and solid epithelial neoplasm is a rare pancreatic tumor of low-grade malignancy. We report a case of a 23 year old female having solid and papillary neoplasm of the pancreatic tail with mutiple omental and peritoneal metastases. Microscopically, the main tumor showed typical histologic findings including solid and papillary areas with cystic change. But the metastasizing nodules were largely solid and the tumor cells demonstrated increased nuclear pleomorphism, hyperchromasia and an increased mitotic rate. The tumor cells contained considerable amount of intracellular and extracellular eosinophilic inclusions which were ultrastructually zymogen-like granules. These inclusions were more frequently found in the metastatic nodules. By flow cytometric study, the tumor was hyperdiploid. The DNA index was not significant.
Female
;
Humans
;
Neoplasm Metastasis