PURPOSE: The purpose of this study was to explore and describe the meaning and essence of a mother's experience of hospitalization of her newborn in the neonatal intensive care unit (NICU). METHODS: This study employed a qualitative research design. An interview was conducted with a mother whose newborn was hospitalized in the NICU, and the data were analyzed using Giorgi's phenomenological method. RESULTS: Five main themes and 19 formulated meanings were indentified. The 5 themes were ‘drowning in pain’, ‘just look outside the glass door’, ‘being a pillar’, ‘a deepening attachment’, and ‘prepare for nurturing with hope’. CONCLUSION: The results of this study provided an in-depth understanding of the experience of a mother with a newborn in the NICU. These results can be used in the development of a nursing intervention program that provides psychological and emotional support to the mother and family.
Glass ; Hospitalization* ; Humans ; Infant, Newborn* ; Intensive Care Units, Neonatal ; Intensive Care, Neonatal* ; Methods ; Mothers ; Nursing ; Qualitative Research

Most screening instruments for autism spectrum disorder (ASD) have been developed and evaluated in western countries. Therefore, difficulties are often experienced when using these instruments because of the cultural differences in the symptoms of ASD. This paper reviews the screening instruments for ASD used in South Korea and explores a new direction in the screening of ASD in South Korea. Among the many published screening instruments for ASD, the screening instruments with a validated Korean version were chosen and reviewed. A total of nine autism-screening instruments met the criteria for the inclusion criteria. Nine screening instruments were summarized and the direction for the Korean version of screening instruments was discussed.
Autism Spectrum Disorder ; Autistic Disorder ; Korea ; Mass Screening

A 43-year-old female was admitted for a laparoscopic surgical procedure. Her past history included two uneventful general anesthesias, but anaphylactic shock due to an unknown drug occurred during her third surgery. Induction was performed with thiopental sodium, but an immediate anaphylactic reaction developed with cardiovascular collapse. We resuscitated the patient and she recovered without any complication.
Adult ; Anaphylaxis* ; Anesthesia, General ; Female ; Humans ; Laparoscopy ; Thiopental*

PURPOSE: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias. METHODS: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed. RESULTS: We included 5 men and 4 women (mean age, 55 years; range, 23–71 years). In 8 patients, most injuries were caused by motor vehicle collisions, including those wherein a pedestrian was struck (5 cases of car accidents, 2 falls, and 1 involving penetrating materials); in 1 patient, the probable cause was severe cough. Eight patients underwent hernia repair surgery (5 open and 3 laparoscopic), and a prosthetic mesh was used in 7 patients. Hernia repairs were elective in 7 patients; emergency hernia repair was performed with right hemicolectomy in 1 patient. No severe complication or recurrence was observed. Only 2 patients had mild complications, such as postoperative seroma. CONCLUSION: Traumatic lumbar hernia is a relatively rare injury of the posteriolateral abdominal wall. Lumbar hernia should be suspected in patients with high-energy injuries of the torso, and all such patients should undergo abdominopelvic computed tomography. After diagnosis, hernia repair can be electively performed without complications in most cases.
Abdominal Wall ; Accidental Falls ; Cough ; Diagnosis ; Emergencies ; Female ; Hernia* ; Herniorrhaphy ; Humans ; Male ; Medical Records ; Motor Vehicles ; Recurrence ; Retrospective Studies ; Seroma ; Torso

Objective: This study aimed to evaluate the utility of the Korean version of the Quantitative Checklist for Autism in Toddlers (Q-CHAT) in hospital settings and to identify items sensitive for detecting autism spectrum disorder (ASD) trait. Methods: The Q-CHAT was administered to a clinical sample of children presenting with developmental delays with a high probability of ASD in a hospital setting (n=37), as well as to typically developing community children (n=67), aged 12 to 54 months. Results: The mean Q-CHAT total score in the hospital sample (42.0±13.6) was significantly higher than in the community sample (29.9±7.8), with maximized sensitivity and adequate specificity at 32.5 (sensitivity=0.811, specificity=0.687). The internal consistency of Q-CHAT was 0.764 for the overall sample and 0.825 for the hospital sample. Q-CHAT total scores and item scores in the hospital sample remained stable across age groups, indicating age-invariant properties. The hospital sample showed higher endorsement of less favorable development in social interaction and reciprocity items compared to community sample. No difference in the Q-CHAT item scores was present among age groups in the hospital samples. In the community samples, item scores, such as comprehending a child’s speech, using the hand of others as a tool, adapting to a change in routine, repeating the same action, and making unusual finger movements, decreased with the advance of age. Conclusion The Korean version of the Q-CHAT demonstrates good validity and reliability and is effective in discriminating autistic traits even in children older than 24 months. The items endorsed for hospital samples varied from community samples, implying item-specific sensitivity for hospital samples.

Objective: This study aimed to evaluate the utility of the Korean version of the Quantitative Checklist for Autism in Toddlers (Q-CHAT) in hospital settings and to identify items sensitive for detecting autism spectrum disorder (ASD) trait. Methods: The Q-CHAT was administered to a clinical sample of children presenting with developmental delays with a high probability of ASD in a hospital setting (n=37), as well as to typically developing community children (n=67), aged 12 to 54 months. Results: The mean Q-CHAT total score in the hospital sample (42.0±13.6) was significantly higher than in the community sample (29.9±7.8), with maximized sensitivity and adequate specificity at 32.5 (sensitivity=0.811, specificity=0.687). The internal consistency of Q-CHAT was 0.764 for the overall sample and 0.825 for the hospital sample. Q-CHAT total scores and item scores in the hospital sample remained stable across age groups, indicating age-invariant properties. The hospital sample showed higher endorsement of less favorable development in social interaction and reciprocity items compared to community sample. No difference in the Q-CHAT item scores was present among age groups in the hospital samples. In the community samples, item scores, such as comprehending a child’s speech, using the hand of others as a tool, adapting to a change in routine, repeating the same action, and making unusual finger movements, decreased with the advance of age. Conclusion The Korean version of the Q-CHAT demonstrates good validity and reliability and is effective in discriminating autistic traits even in children older than 24 months. The items endorsed for hospital samples varied from community samples, implying item-specific sensitivity for hospital samples.

Objective: This study aimed to evaluate the utility of the Korean version of the Quantitative Checklist for Autism in Toddlers (Q-CHAT) in hospital settings and to identify items sensitive for detecting autism spectrum disorder (ASD) trait. Methods: The Q-CHAT was administered to a clinical sample of children presenting with developmental delays with a high probability of ASD in a hospital setting (n=37), as well as to typically developing community children (n=67), aged 12 to 54 months. Results: The mean Q-CHAT total score in the hospital sample (42.0±13.6) was significantly higher than in the community sample (29.9±7.8), with maximized sensitivity and adequate specificity at 32.5 (sensitivity=0.811, specificity=0.687). The internal consistency of Q-CHAT was 0.764 for the overall sample and 0.825 for the hospital sample. Q-CHAT total scores and item scores in the hospital sample remained stable across age groups, indicating age-invariant properties. The hospital sample showed higher endorsement of less favorable development in social interaction and reciprocity items compared to community sample. No difference in the Q-CHAT item scores was present among age groups in the hospital samples. In the community samples, item scores, such as comprehending a child’s speech, using the hand of others as a tool, adapting to a change in routine, repeating the same action, and making unusual finger movements, decreased with the advance of age. Conclusion The Korean version of the Q-CHAT demonstrates good validity and reliability and is effective in discriminating autistic traits even in children older than 24 months. The items endorsed for hospital samples varied from community samples, implying item-specific sensitivity for hospital samples.

This study compared and evaluated the color change and fracture resistance of reattached tooth fragments stored in different media after trauma. Sixty extracted permanent incisors were examined. Tap water, saline solution, milk, artificial saliva, and casein phosphopeptide-amorphous calcium and phosphate (CPP-ACP) were used as storage media. The control group used no storage media. Color changes were calculated using CIE L*a*b* values measured by a spectrophotometer at seven time points: just before reproducing the tooth fracture (T0); after drying the fractured crown for 24 hours following fracture (T1); immediately after rehydration in the storage medium for 20 minutes (T2); and 12 hours (T3), 24 hours (T4), 1 week (T5), and 3 weeks (T6) after reattaching the fractured crown. Fracture resistance was uniformly measured 3 weeks after reattachment. The results showed that the CPPACP group showed significantly more effective color recovery than the other storage media groups, with the color returning to natural levels by T2. Color recovery was observed in all groups at T6. Fracture resistance did not differ significantly between the six groups. No significant difference was observed between the storage media regarding color recovery and fracture resistance three weeks after reattachment.

This study compared and evaluated the color change and fracture resistance of reattached tooth fragments stored in different media after trauma. Sixty extracted permanent incisors were examined. Tap water, saline solution, milk, artificial saliva, and casein phosphopeptide-amorphous calcium and phosphate (CPP-ACP) were used as storage media. The control group used no storage media. Color changes were calculated using CIE L*a*b* values measured by a spectrophotometer at seven time points: just before reproducing the tooth fracture (T0); after drying the fractured crown for 24 hours following fracture (T1); immediately after rehydration in the storage medium for 20 minutes (T2); and 12 hours (T3), 24 hours (T4), 1 week (T5), and 3 weeks (T6) after reattaching the fractured crown. Fracture resistance was uniformly measured 3 weeks after reattachment. The results showed that the CPPACP group showed significantly more effective color recovery than the other storage media groups, with the color returning to natural levels by T2. Color recovery was observed in all groups at T6. Fracture resistance did not differ significantly between the six groups. No significant difference was observed between the storage media regarding color recovery and fracture resistance three weeks after reattachment.