• Tuberculosis and Respiratory Diseases
• /
• v.55 no.6
• /
• pp.631-635
• /
• 2003

Idiopathic interstitial pneumonia is a group of lung disease classified by clinical, radiological and pathologic findings. Steroid is described in many reports as an effective treatment for the idiopathic interstitial pneumonitis. For the treatment of steroid non-responders, immuno-suppressive or cytotoxic agents are used as second line drug of choice. We experienced a case of nonspecific interstitial pneumonitis who was treated initially with glucocorticoid and antibiotics without effects, but later did respond to cyclosporin treatment. This 63 year-old patient was admitted due to dyspnea, cough, and sputum production. He was started on glucocorticoid and antibiotics after he was diagnosed as having nonspecific interstitial pneumonitis by open lung biopsy. The initial steroid treatment was not effective, however, after cyclosprin treatment, the patient showed clinical and radiologic improvements.

• Korean Journal of Human Ecology
• /
• v.13 no.5
• /
• pp.711-721
• /
• 2004

This study is about the influences of the type of after school care and the degree of mothers' affection and monitoring toward their children on the psychological well being of children with working mother. For this research 437 children attending an elementary school with working parent were chosen. The major finding were as follows: First, the results of the findings on whether there were differences in the psychological well being of these children depending on the form of after school care showed that there were significant differences between loneliness and self-perceives competence felt by children. Second, the results of the findings on whether there were differences in the psychological well being of these children depending on the mother's affection and monitoring showed that there were significant differences between loneliness and self-perceives competence felt by children. Third, Multiple regression analysis shows, no matter what type of care a child gets, a mother's affection is the most effective variable which influence toward a child's psychological well being.

• Tuberculosis and Respiratory Diseases
• /
• v.74 no.4
• /
• pp.177-180
• /
• 2013

We report a 54-year-old woman who presented with a well-defined, homogeneous, and non-enhancing mass in the retrobronchial region of the bronchus intermedius. The patient underwent endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for histological confirmation. Serous fluid was aspirated by EBUS-TBNA. Cytological examination identified an acellular smear with negative microbiological cultures. The patient was finally diagnosed with bronchogenic cysts by chest computed tomography (CT) and EBUS-TBNA findings. However, 1 week after EBUS-TBNA, the patient developed bronchogenic cyst rupture and pneumonia. Empirical antibiotics were administered, and pneumonia from the bronchogenic cyst rupture had resolved on follow-up chest CT. To our knowledge, this is the first reported case of pneumonia from bronchogenic cyst rupture after EBUS-TBNA.

• The Journal of the Korea Contents Association
• /
• v.21 no.3
• /
• pp.761-770
• /
• 2021

The purpose of this study is to examine improvements of after-school care policy for elementary school-age children based on children's rights in the community. After-school care is important to support children right of survive and protect, as well as the right to development and participation. To support integrated child rights through the policy, local government's duty is growing in the Covid-19 world. Therefore, the main policy of out-of-school care is analyzed from the perspective of children's rights. Current after-care policy focuses on the right of protection privileges. Providing a safe facility is important, but there is a lack of policy design to expand children's options to learn by various activity which can be utilized with community resources as care contents. The role of government to this is requested to supplement accountability, fairness, democracy and public interest more than over quantitative expansion of services. This study presented an alternative based on the universal elementary care providing happy after-school hours.

• Journal of the Korean Home Economics Association
• /
• v.39 no.10
• /
• pp.141-152
• /
• 2001

The purpose of this study was to investigate the after school program in the rural community and the demands of children, parents and teachers for the after school program. Elementary school teachers, parents and children in the farming areas an over the 9 providences responded to the questionnaires developed by the researchers. Conclusions were that almost teachers, parents and children wanted and needed after school program. The after school care's current status was low with lack of teachers for the after school program and financial support. The teachers and parent wanted learning enrichment and talent education-oriented after school program rather than child care-oriented. The most wanted program contents by teachers, parents and children were computer education, English, arts, social development.

• Journal of Korean Home Economics Education Association
• /
• v.16 no.2
• /
• pp.85-97
• /
• 2004

This study attempted to understand the living conditions of children after school, focusing on 437 children attending an elementary school with working parent. This investigation also analyzed socio-demographic variables, the forms of after school child-care and differences in psychological well-being of children. The major findings were as follows First, self-care children took up 42.3% as the result of the survey on living conditions after school of lower-grade children. It showed that children under the condition of self-caring for more than four hours a day on the average took up 2/3 of the child group. Second, the results of examining the differences of psychological well being of children secondary to socio-demographic variables, it showed significant differences in the area of anxiety with respect to children’s genders, Parental occupations in the area maternal educational levels. Third, the results of the findings on whether there were differences in the psychological well-eing of these children depending on the form of after school hour child care showed that there were significant differences between loneliness and self-perceives competence felt by children.

• Tuberculosis and Respiratory Diseases
• /
• v.58 no.4
• /
• pp.404-409
• /
• 2005

An 86 year old woman was admitted complaining of dyspnea and right pleuritic pain with a 5 week durations. A physical examination, chest X-ray, and diagnostic thoracentesis upon admission revealed findings consistent with severe pneumonia and empyema on the right lung. Despite the insertion of a chest tube and negative suction via Emersion pump, the continuous air leakage was sustained, and a bronchopleural fistula (BPF) was found on the chest-CT. A flexible bronchoscopic occlusion with an Endobronchial Watanabe Spigot (EWS) was performed after 56 days of admission. An 5 mm diameter EWS was successfully inserted into the anterior segmental bronchus of the right upper lobe by flexible bronchoscope. There was no aAir leakage detected after this procedure. The patient was discharged 30 days after the EWS occlusion.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.4
• /
• pp.1731-1738
• /
• 2014

The life of a mother undergoes a dramatic change after a child is diagnosed with cancer. The present study aimed to determine effects on the everyday life process and health status of mothers with children suffering from leukemia. This qualitative study was based on a grounded theory approach with sixteen mothers. The results indicate that after onset of disease in their children, they marginalized their own health and tied their identities to taking care of the child and keeping the child healthy by ignoring themselves, becoming imprisoned in a taking-care-of-the-child position, and trying very hard for seek balance and stability Enduring physical pressures on the one hand, and constantly attempting to achieve balance and stability in family processes on the other hand, gradually cause exhaustion. It seems that health care providers and nurses should pay much more attention to the health status of this group of mothers.

• Health Policy and Management
• /
• v.18 no.3
• /
• pp.90-109
• /
• 2008

Government has extended the benefit coverage and reduced out-of-pocket (OOP) payment for cancer patients in 2005. This paper intends to examine the impact of the above policy on the equity in health care utilization. This paper analyzed the national health insurance data and compared the health care utilization of cancer patients before and after the policy change for people with 10 different income levels. For the equity in health care utilization, we examined the change in concentration index (CI) for visit days, inpatient days, and health expenditure. In the case of outpatient care, CI of visit days and health expenditure were positive(favoring the rich) in both regional and employee health insurance members and both 'before' and 'after' the policy change. CI values rarely changed after the policy change, and the policy change seems to have little impact on the equity of outpatient care utilization except expenditure of regional subscriber. In the case of inpatient care, CI of inpatient days was negative and CI of health expenditure was positive in both regional and work subscriber and both 'before' and 'after' the policy change. After the policy change, CI of inpatient expenditure in both groups of members decreased. CI of inpatient days changed in the direction favoring the poor in regional insurance members, but it rarely changed in employee insurance members. These results suggest that the policy of reducing OOP payment has a positive impact and reduced the inequity particularly in the utilization of inpatient care of cancer patients.

• Tuberculosis and Respiratory Diseases
• /
• v.75 no.1
• /
• pp.25-27
• /
• 2013

Carbohydrate antigen 19-9 (CA 19-9) is a widely-used tumor marker in patients with pancreatic cancer. However, some patients with respiratory disease also exhibit elevated serum CA 19-9 levels. We report a case of normalization of elevated serum CA 19-9 levels after treatment of the nodular bronchiectatic form of Mycobacterium abscessus lung disease. A 40-year-old man visited our hospital because of chronic cough and sputum. A computed tomography scan revealed severe bronchiectasis in the right upper and right middle lobes. Nontuberculous mycobacteria were repeatedly isolated and identified as M. abscessus. The serum CA 19-9 level was elevated to 142.35 U/mL (normal range, <37 U/mL). Surgical resection was performed because of failure of sputum conversion after antibiotic treatment. The serum CA 19-9 level returned to the normal range after surgery. This case suggested that serum CA 19-9 levels could be elevated in patients with the nodular bronchiectatic form of M. abscessus lung disease.