• Title/Summary/Keyword: Early discharge

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A Study of Adenovirus Pneumonia: Early Summer Outbreak in 1996 (1996년 초여름에 유행한 Adenovirus폐렴의 검토)

  • Kim, Chang Keun;Chung, Churl Young;Kim, Jung Suk;Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.3 no.2
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    • pp.145-153
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    • 1996
  • The incidence of Adenovirus(AV) pneumonia in children is estimated at 8%. Long-term complications reported with type 7 include hyperleucent lung syndrome, bronchiolitis obliterans and may require several months to recover. We reviewed 8 case of AV pnemonia confirmed by AV culture and sero-diagnosis among selected 19 AV pneumonia suspicious cases who were admitted to the Sanggye Paik Hospital of Inje University due to clinical pneumonia from May to July 1996. From 19 children, nasal aspirates or trachial aspirates were collected: viral agents were detected by virus isolation and virus antigen was detected by indirect immunofluorescent staining. Serologic diagnosis for type-specific AV antibody was done by neutralisation test. The results are as follows: 1) Age of the patients ranged from 6 months to 47 months with a mean of $24{\pm}9$ months. 6 were male and 2 were female(M:F= 3:1). 2) Monthly distribution showed 4 cases on June, 2 cases on May and July, respectively. 3) The mean duration of admission was 20.4 days and mean duration of fever was 11.3 days 4) Peripheral leukocyte counts were elevated in 4 cases(50%) and findings of shift to left were showed in 4 cases(50%) and serum aminotransferase activities were elevated in 6 case(75%). 5) Radiologic findings include linear and streaky infiltration(1/8 cases), patchy and lobar consolidation (7/8 cases), pleural effusion(2/8 cases) and hyperleucency was seen in 3/8 cases at time of admission and increased to 6/8 cases on hospital discharge. 6) The AV serotypes were type 7, type 3, and type 1. 7) Oxygen supply was done in 4 cases(50%) and all 8 patients include 2 cases of type 7 treated with artificial ventilator were survived. In conclusion, the serotypes of AV pneumonia outbreaks in early summer of 1996 were type 7, 3, 1 and, as showed severe clinical course, continued follow up surveillance is necessary to the long term pulmonary complications.

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A Case of Ornithine Transcarbamylase Deficiency in a Boy with Neonatal Seizure and Altered Mentality (신생아기 경련 및 의식저하를 주소로 내원한 Ornithine Transcarbamylase Deficiency 남아 1례)

  • Im, Minji;Song, Ari;Lee, Soo-Youn;Park, Hyung-Doo;Cho, Sung Yoon;Jin, Dong-kyu
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.18 no.2
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    • pp.55-61
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    • 2018
  • Orinithine transcarbamylase (OTC) deficiency is the most common inborn error of the urea cycle with resulting hyperammonemia, which is medical emergency in newborns.We recently had a case of a boy that presented with lethargy, seizure, hyperammonemia and hypocalcemia in neonatal period. He was diagnosed with OTC deficiency by two consequent ways which are initial biochemical phenotype including hyperammonemia and an increased orotic acid in his urine and genetic analysis of the OTC gene. The OTC gene showed a novel hemizygous mutation c.913C>T (p.Pro305Ser). He was treated by low protein intake, sodium benzoate, phenylbutyrate sodium, L-arginine, and continuous renal replacement therapy (CRRT). After discharge, he has a relatively good prognosis without notable developmental delay. For good prognosis, the duration of hyperammonemia should be shorten. And it can be reached by an early diagnosis. For early detection of OTC deficiency, targeted exome sequencing will be a important role as well as biochemical tests.

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A Study on the Needs and Understanding about the Home Physical Therapy System (가정 물리치료제도에 대한 인식 및 필요에 대한 조사연구 -가정간호수습생을 대상으로-)

  • Kwon, Hei-Jeoung;Hong, Wan-Seong;Kim, Myung-Joon;Yang, Yung-Ae;Hwang, Seong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.125-143
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    • 1999
  • The purpose of this study was to investigate the need and understanding about the physical therapy. The subjects of this study were 101 licensee nurses who was taking the home nursing trainers. The results were as follows: 1. The home nursing trainers(97.1%) were required the need for home physical therapy service. The reasons which requires the home physical therapy were 'the increased elderly patients(97.0%)', 'the early leaving of the hospital(96.0.%)', 'the lack of caretakers(96.0%)', and 'the increased chronic patients(96.0%)'. 2. The ratio of affirmation of home physical therapy system was 97% of the home nursing trainers, the reasons which were helped the patients was 'the saved time(97.0%)'. 'the decreased psychological stress(95.0%)' 'the continuing treatment after discharge(93.0%)' and 'the teaching patients and caretakers(93.0%)'. 3. The main center which was organized the home physical therapy service was 'the department of home physical therapy arid the home nurse(42.6%)', 'the department of home nurse(22.8%)', and 'the department of home physical therapy(1l.9%)'. 4. The home nursing trainers wanted to learn the home physical therapy methods for chronic patients(95.0%). The contents of home physical therapy methods was 'the therapeutic exercise for preventing deformity(15.4%)', and 'maintenance of normal posture and howe to change body position(12.4%)'. 5. Statistically significant difference in the teams (the home physical therapy, the home nurse, and the home physical therapy with the home nurse) was found between the age groups, and statistically significant difference in the teams was found between the educational degree groups.

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Cervical Cancer Screening in an Early Diagnosis and Screening Center in Mersin, Turkey

  • Nayir, Tufan;Okyay, Ramazan Azim;Nazlican, Ersin;Yesilyurt, Hakki;Akbaba, Muhsin;Ilhan, Berrin;Kemik, Aytekin
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.6909-6912
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    • 2015
  • Cancer is a major public health problem due to the jeavy disease burden, fatality and tendency for increased incidence. Of all cancer types, cervical cancer is reported to be the fourth most common cancer in women, and the seventh overall, with an estimated 528,000 new cases worldwide in 2012. It features a long preclinical phase with slowly progressing precancerous lesions such as CIN 2 and 3 and adenocarcinoma in situ. Therefore, screening programs such as with Pap smear tests may play an important role in cervical cancer prevention. The purpose of this study was to present results of a Pap smear screening survey for cervical cancer targeting women living in an urban area in the province of Mersin, located in the Mediterranean region of Turkey. This community-based descriptive study included women living at Akdeniz county of Mersin province. A total of 1,032 screened women between 30 and 65 ages within the routine screening programme constituted the study population. The mean age of the participants was $43.8{\pm}8.6$ (min. 30, max. 65) years. The percentage of the participants who had previously undergone smears was 40.6%. Epithelial cell changes were found in 26 (2.5%) participants, with ASC-US in 18 (1.7%), ASC-H in 2 (0.2%), LSIL in 5 (0.5%) and HSIL in 1 (0.1%). The most common clinical presentation together with epithelial changes was abnormal vaginal discharge. Taking into account the presence of women who had never undergone Pap test; it should be offered at primary level of health care in the form of a community-based service to achieve reduced morbidity and mortality rates.

Feasibility of Hydraulic Fracturing for Securing Additional Saline Groundwater in the Land-based Aquaculture Farm (양식장 용수 추가 확보를 위한 수압파쇄 적용성 평가)

  • Lee, Byung Sun;Kim, Young In;Park, Hak Yun;Cho, Jung Hwan;Song, Sung-Ho
    • Journal of Soil and Groundwater Environment
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    • v.20 no.7
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    • pp.34-42
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    • 2015
  • Feasibility tests for the hydraulic fracturing were conducted in order to secure additional saline groundwater for irrigating to the land-based aquaculture farm. Two boreholes were placed to the aquaculture farm A and B, respectively. A hydraulic fracturing using single packer was applied to major fracture zones within two boreholes. To identify effects of hydraulic fracturing on securing additional saline groundwater, some selective methods including well logging methods, pumping tests, and groundwater quality analysis were commonly applied to the boreholes before and after the hydraulic fracturing. Enlarging/creating fracture zones, increasing water contents in bedrock near boreholes, and increasing transmissivity were observed after the hydraulic fracturing. Even though the hydraulic fracturing could be an alternative to secure additional saline groundwater to the land-based aquaculture farm, salinity of the groundwater did not meet optimal thresholds for each fingerling in two farms: Fresh submarine groundwater discharge flowed the more into borehole of the farm A that resulted in decreasing a salinity value. Increased saline groundwater quantity in the borehole of the farm B rarely affect to the salinity. Although salinity problem of groundwater limited its direct use for the farms, the mixing with seawater could be effectively used for the fingerlings during the early stage. A horizontal radial collector well placed in the alluvial layer could be an alternative for the farms as well.

Study on Runoff Characteristics of Non-point Source in Rural Area of Seomjin Watershed (섬진강 유역 농촌지역의 비점오염원 배출특성에 관한 연구)

  • Park Sung-Chun;Oh Chang-Ryol;Jin Young-Hoon;Kim Dong-Soo
    • Journal of Environmental Science International
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    • v.14 no.11
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    • pp.1057-1062
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    • 2005
  • The present study investigated runoff characteristics of non-point pollutants and discharge load amount according to the land utilization in Yeinam river basin. The land utilization of target basin was divided into paddy field, dry field, forest, residential area and composition area. The study on the runoff characteristics of non-point pollutants by rainfall-runoff process showed that COD, SS and T-P had the first-flushing effect with relatively high concentration in early-stage of the rainfall-runoff process, but the T-P revealed similar runoff characteristics. Event Mean Concentration(EMC) of BOD and COD according to the land utilization revealed the range of $3.11\~15.50mg/L$ and $3.37\~33.42mg/L$, and the highest concentration of EMC corresponding to BOD and COD was detected in the paddy field. The EMC of SS showed $1.7\~305.02mg/L$ and it's highest concentration was found in the dry field. The EMC of T-N and T-P represented the highest concentration in the paddy field and dry field with range of $0.91\~8.76mg/L$ and $0.02\~0.44mg/L$.

Effect of Continuous External Ventricular Drainage on Delayed Ischemic Neurologic Deficits after Aneurysmal Clipping in Spontaneous Subarachnoid Hemorrhage

  • Ryu, Hyeon-Chul;Lim, Jun-Seob;Cho, Kyu-Yong;Park, Seung-Kyu;Kang, Nam-Gu;Jang, Hong-Jeon;Ok, Young-Cheol
    • Journal of Korean Neurosurgical Society
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    • v.41 no.2
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    • pp.95-99
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    • 2007
  • Objective : The purpose of this reports is to describe the influence of continuous external ventricular drainage [EVD] on delayed ischemic neurologic deficit [DIND] after early surgery in ruptured aneurysmal patients. Methods : The authors reviewed 229 patients with aneurysmal subarachnoid hemorrhage [SAH] who had been treated with clipping at a single institution between 1998 and 2004. Of these, 121 patients underwent continuous EVD [Group A] postoperatively, whereas 108 patients did not [Group B]. EVD was performed at ipsilateral Kocher's point and maintained 2 to 14 days postoperatively. Results : DIND occurred in 15.7% [19 cases] of patients in Group A, 25% [27 cases] from Group B [P value=0.112]. Compared with Group A, Group B was more likely to suffer acute symptom of DIND and showed poor response to 3- H therapy. Major symptoms of DIND in Group A were mild confusion [36.8%] and mild deterioration of mental state [26.3%], contrary to weakness of extremities [59.2%] in Group B. At discharge, Glasgow Outcome Scales [GOS] of Group A were : good recovery [63.2%], moderately disabled [21%], severely disabled [10.5%], dead [5.3%] and Group B : good recovery [48.1%], moderately disabled [37%], severely disabled [14.8%] and dead [0%]. Of 121 patients from group A, 35 patients [28.9%] suffered ventriculitis. Conclusion : Continuous EVD after aneurysmal clipping in patients with SAH reduced the risk of DIND and its sequelae, relieved its symptoms, and improved the outcome.

Recognizable Investigation on Home Visiting Physical Therapy of Physical Therapist in Gwangju and Jeonnam

  • Yu, Seong-Hun;Kim, Seung-Rae;Cho, Sung-Hyoun;Seo, Tae-Hwa;Moon, Young-Sung;Kim, Myeong-Hui;Kim, Hyun-Jin
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.3
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    • pp.19-34
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    • 2016
  • PURPOSE: This study seeks to examine the awareness and need of home visiting physical therapy among physical therapist in Gwangju and Jeonnam province. METHODS: Survey was conducted during the continuing education on physical therapist held in Gwangju in 2015 with 297 participants. The survey questionnaire consisted of 12 questions on the characteristics of physical therapists, 8 questions regarding the awareness of home visiting physical therapy, and 7 questions on need. RESULTS: Significant differences were found regarding service period, according to categories of the inconvenience associated with commuting to/from hospitals, long-term treatment for patients, high quality treatment with intensive care, treatment at a time of patients' choosing. The category of hospital fees reduced due to early discharge from the hospital also saw significant differences, depending on respondents' marital status, dependent family, and service period. Providing treatment without causing discomfort to patients in front of others also saw significant differences according to physical therapist career period. Home visiting physical therapy is easier for family members to take care of patients also saw significant differences according to education and physical therapist career period. CONCLUSION: Survey indicates that physical therapist province feel the need for home visiting physical therapy in many respects. However, since as many as half of the surveyed physical therapists have only heard of home visiting physical therapy or are have no awareness of the this form of treatment, it appears that there is a need to raise awareness of home visiting physical therapy among physical therapist and introduce appropriate policies.

The Effect of the Flow Paths of the Wastewater to the Performance of the Vegetative Filter Strip for Phosphorus Removal (축산 폐수 이동경로가 초생대의 인제거 기능에 미치는 영향)

  • Kim , Young-Jin;Yu , Chan;Geohring , Larry D;Steenhuis , Tammo S.
    • Journal of The Korean Society of Agricultural Engineers
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    • v.46 no.5
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    • pp.155-163
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    • 2004
  • The objectives of this study were to characterize the wastewater flow through the VFS, and relate this to the P removal in the VFS. A total of 68 subsurface wells (20∼40 cm below the soil surface) and 35 surface wells (0~5 cm), and the application of chloride tracer were used to investigate flow paths and soluble reactive P (SRP) removal from the 21 m wide and 33 m long VFS receiving dairy milkhouse waste. The early chloride breakthroughs in wells in the center of the VFS showed that the milkhouse waste flows preferentially down in the center of the hillslope. The locally saturated area created near the discharge pipe in the center of the VFS accelerates surface flow that contributed to rapid transport of P to the down slope area. Although VFS of 33m long eventually reduced SRP to lower than 0.2 mg/L in most cases, SRP is less effectively removed in the areas where soil saturation occurred. It is suggested that the effort to distribute the wastewater uniformly to avoid soil saturation and reduce the flow velocity need to be considered in new designs.

High Stability and High Efficiency Power Amplifier with Switchable Damper for Plasma Applications (플라즈마 응용을 위한 선택적 감쇠기를 사용한 고안정 고효율 전력증폭기)

  • Kim, Ji-Yeon;Lee, Dong-Heon;Chun, Sang-Hyun;Yoo, Ho-Joon;Kim, Jong-Heon
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.20 no.1
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    • pp.1-11
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    • 2009
  • In this paper, a new 1 kW power amplifier with high efficiency and high stability in a RF generator is designed and fabricated for plasma applications. The efficiency of power amplifier is improved by using class-E amplifier that consists of one push-pull MOSFET and high current drive IC instead of class-C amplifier composed of several single ended MOSFET. Switchable damper that allows selecting three different modes of amplifiers for considering efficiency and stability is added into the amplifier for plasma applications. Stable region of an early electronic discharge section is extended to VSWR of 4.5:1 compared to conventional VSWR of 3.8:1 through using switchable damper. The dimension of the amplifier is also reduced to 30 % of conventional amplifier. The 80 % efficiency of power amplifier with switchable damper is obtained the output power of 1 kW in operating frequency of 13.56 MHz. In comparison of conventional power amplifier for plasma applications, 13 % efficiency is improved.