• Journal of Korean Public Health Nursing
• /
• v.34 no.2
• /
• pp.165-181
• /
• 2020

Purpose: This study is an integrative review of previous research conducted on family-school nurse partnership in school health care, as perceived by school nurses, children, and families. Method: The study was conducted according to the five stages of integrative review suggested by Whittemore and Knafl (2005), which involved problem identification, literature search, data evaluation, data analysis, and presentation of results. Suitable literature was found using portals such as PubMed, CINAHL, Embase, and Web of Science. Key words such as school nurses, family, parents, children, and partnership were used to narrow the search results. Studies published in peer-review journals between 2006-2018 were selected. The quality of studies was appraised using critical appraisal tools provided by the Joanna Briggs Institute (2020). Result: Thirteen studies (5 quantitative and 8 qualitative) were finalized for the final review process. After an extensive review, four key themes of school nurse-family partnership in school health care were identified: partnership components, partnership barriers, partnership facilitators, and strategies to promote partnership. Conclusion: Partnership and its components, barriers, and facilitators, along with strategies for its promotion should be considered in school health care. Further studies are needed on the perceptions held by parents and children regarding school health care partnership.

• Journal of Preventive Medicine and Public Health
• /
• v.44 no.1
• /
• pp.48-55
• /
• 2011

Objectives: The purpose of this study was to examine the impact of Diagnosis-Related Group (DRG)-based payment on the length of stay and the number of outpatient visits after discharge in for patients who had undergone caesarean section. Methods: This study used the health insurance data of the patients in health care facilities that were paid by the Fee-For-Service (FFS) in 2001-2004, but they participated in the DRG payment system in 2005-2007. In order to examine the net effects of DRG payment, the Difference-In-Differences (DID) method was adopted to observe the difference in health care utilization before and after the participation in the DRG payment system. The dependent variables of the regression model were the length of stay and number of outpatient visits after discharge, and the explanatory variables included the characteristics of the patients and the health care facilities. Results: The length of stay in DRG-paid health care facilities was greater than that in the FFS-paid ones. Yet, DRG payment has no statistically significant effect on the number of outpatient visits after discharge. Conclusions: The results of this study that DRG payment was not effective in reducing the length of stay can be related to the nature of voluntary participation in the DRG system. Only those health care facilities that are already efficient in terms of the length of stay or that can benefit from the DRG payment may decide to participate in the program.

• Journal of Trauma and Injury
• /
• v.36 no.3
• /
• pp.196-205
• /
• 2023

Purpose: Surgical stabilization of rib fractures (SSRF) is widely used in patients with flail chests, and several studies have reported the efficacy of SSRF even in multiple rib fractures. However, few reports have discussed the hardware failure (HF) of implanted plates. We aimed to evaluate the clinical characteristics of patients with HF after SSRF and further investigate the related factors. Methods: We retrospectively reviewed the electronic medical records of patients who underwent SSRF for multiple rib fractures at a level I trauma center in Korea between January 2014 and January 2021. We defined HF as the unintentional loosening of screws, dislocation, or breakage of the implanted plates. The baseline characteristics, surgical outcomes, and types of HF were assessed. Results: During the study period, 728 patients underwent SSRF, of whom 80 (10.9%) were diagnosed with HF. The mean age of HF patients was 56.5±13.6 years, and 66 (82.5%) were men. There were 59 cases (73.8%) of screw loosening, 21 (26.3%) of plate breakage, 17 (21.3%) of screw migration, and seven (8.8%) of plate dislocation. Nine patients (11.3%) experienced wound infection, and 35 patients (43.8%) experienced chronic pain. A total of 21 patients (26.3%) underwent reoperation for plate removal. The patients in the reoperation group were significantly younger, had fewer fractures and plates, underwent costal fixation, and had a longer follow-up. There were no significant differences in subjective chest symptoms or lung capacity. Conclusions: HF after SSRF occurred in 10.9% of the cases, and screw loosening was the most common. Further longitudinal studies are needed to identify risk factors for SSRF failure.

• Tuberculosis and Respiratory Diseases
• /
• v.55 no.6
• /
• pp.623-630
• /
• 2003

Microscopic polyangiitis is a systemic small-vessel vasculitis that is primarily associated with necrotizing glomerulonephritis and pulmonary capillaritis. Lung involvement is characterized by a diffuse alveolar hemorrhage. However, rarely central nervous system involvement has been reported to be occurred with the microscopic polyangiitis. Relapse of microscopic polyangiitis are reported to be more frequent than those of polyarteritis nodosa, often after a reduction or discontinuation of the therapy. We would like to report two patients with microscopic polyangiitis. One presented with clinical manifestations of both lung and central nervous system involvements and the other was a case of recurrence during steroid tapering following the steroid pulse therapy.

• Journal of Family Resource Management and Policy Review
• /
• v.25 no.3
• /
• pp.31-45
• /
• 2021

Despite efforts to expand public care services as social demands increase, the problem of the after-school self-care of elementary school students who were in the situation of care cliff remains. Thus, this study focused on community-based childcare to solve the issue of school-age childcare in Korea. The purpose of this study was to explore the experience of community-based childcare of participants who had school-aged children who lived in Seoul and GyeongGi province (Korea). Focus group interviews were conducted with ten married working mothers among clients of a community-based childcare provider that has been operating for more than five years. Based on the findings of this study, it is clear that community-based childcare is a useful welfare resource. In addition, the results of this study can be used as data for developing policies and programs for school-age childcare or the after-school self-care of elementary school students. Furthermore, it may broaden the horizons of research related to community-based childcare.

• Tuberculosis and Respiratory Diseases
• /
• v.64 no.4
• /
• pp.293-297
• /
• 2008

Mycobacterium fortuitum usually causes colonization or transient infection in patients with underlying lung disease, such as prior tuberculosis or bronchiectasis. The majority of these patients may not need to receive antibiotic therapy for M. fortuitum isolates. We report here on a patient with M. fortuitum lung disease and who was successfully treated with combination oral antibiotic therapy. A 53-year-old woman was referred to our institution because of purulent sputum and dyspnea. A chest radiograph and computed tomography scan revealed cavitary consolidation in the left upper lobe and multiple small cavities in the left lower lobe. Numerous acid-fast bacilli (AFB) were seen in multiple sputum specimens and M. fortuitum was identified by culture from the sputum specimens. The patient received antibiotic treatment including clarithromycin, ciprofloxacin and sulfamethoxazole, because her symptoms were worsening despite conservative treatment. Sputum conversion was achieved after one month of antibiotic therapy. Both the patient's symptoms and radiographic findings improved after 10 months of antibiotic therapy.

• Tuberculosis and Respiratory Diseases
• /
• v.72 no.1
• /
• pp.93-97
• /
• 2012

Propylthiouracil (PTU) is one of the most common drugs used in the treatment of Graves' disease. There are a number of side effects found with PTU use including fever, rash, arthralgia, and flu-like symptoms. Recently antineutrophil cytoplasmic antibodies (ANCA) positive vasculitis after PTU treatment was reported as a rare side effect, which can cause diffuse alveolar hemorrhage and glomerulonephritis. A 45-year-old woman with Graves' disease had been treated with PTU for five months, complained of hemoptysis due to pulmonary alveolar hemorrhage causing anemia, and also had hematuria. Simple chest X-ray and HRCT showed bilateral consolidation and bronchoalveolar lavage fluid revealed alveolar hemorrhage. A serologic test was positive for ANCA against myeloperoxidase and proteinase-3. Such findings suggested that the presence of PTU induced ANCA positive vasculitis. Cessation of PTU and the administration of high dose steroids improved the clinical manifestation, radiologic and serologic findings. We observed ANCA titer serially for 6 years. During the follow up period, ANCA titer decreased slowly and stayed within the acceptable upper normal limit.

• The Journal of Korean Society for School & Community Health Education
• /
• v.19 no.1
• /
• pp.71-83
• /
• 2018

Background & objectives: This study was aimed to identify the hand hygiene (HH) compliance and related factors among teachers working at child day care centers. Method: This study was done with 44 teachers working at home child day care center in Changwon. Data on hand hygiene compliance was measured using direct observation method from July to December, 2016 with structured observation sheet. Collected data was analyzed by descriptive statistics, and t-test or ANOVA using SPSS Statistics version 23.0. Result: Complete HH compliance rate was 54.0%, the highest in 'before having meals' (81.6%) and the lowest in 'after having meals' (25.8%). However, incomplete HH compliance rate was 34.5%, the highest in 'after contact with secretions' (47.8%) and the lowest in 'before having meals' (18.4%). The HH rate was related with working experience. Conclusion: The HH compliance rate among child care teachers was not satisfactory. About one quarter of child care teachers have taken hand hygiene related training. Therefore, child care teachers should be encouraged to participate in hand hygiene related education program regularly.

• Tuberculosis and Respiratory Diseases
• /
• v.69 no.6
• /
• pp.465-468
• /
• 2010

Spontaneous pneumothorax (SPTx) associated with primary lung cancer is quite rare, but has been reported as the initial presentation or a complication of disease progression. Moreover, chemotherapy-related SPTx in primary lung cancer occurs at a very low frequency, accounting for less than 0.05% of all cases. Here, we report the first case of erlotinib-related SPTx in a patient with advanced lung adenocarcinoma in Korea. After 3 cycles of cisplatin-based chemotherapy as first-line therapy, erlotinib was administered as second-line treatment. Asymptomatic SPTx accompanied by a significant decrease in tumor size was observed in the left lung 7 weeks later. The patient received continuous administration of erlotinib, without additional treatment. This case showed that SPTx can occur in patients with primary lung cancer receiving erlotinib, and asymptomatic chemotherapy-related SPTx in primary lung cancer may not require therapeutic intervention.

• Tuberculosis and Respiratory Diseases
• /
• v.58 no.6
• /
• pp.600-606
• /
• 2005

Background : The development of bronchoscopic equipment along with the precision of radiographic techniques had reduced the mortality rate of patients with tracheobronchial foreign bodies but has been no change in the incidence of tracheobronchial foreign bodies since their introduction. The aim of this study was to assess the clinical characteristics of a tracheobronchial foreign body aspiration and to evaluate the efficacy of the treatment modality in children and adults. Methods : This is a retrospective review of 64 patients who underwent bronchoscopic procedures for the treatment of aspirated foreign bodies from December 1994 through March 2004 at the Chonnam national university hospital. Results : There were 47 males and 17 females, aged from 1 month to 78 years. Most of the patients had no underlying illness except for one patient with a cerebrovascular accident that contributed to the foreign body aspiration. The most common symptom was cough, which was noted in 54 patients (84.3%). The other presenting symptoms were dyspnea (48.8%), fever (20.3%), sputum (14%), vomiting (7.8%), and chest pain (4.6%). Those whose tracheobronchial foreign bodies were diagnosed more than 2 days after the aspiration (21 patients) were more likely to have pneumonia than those whose foreign bodies were diagnosed within 2 days (p = 0.009). Foreign bodies were visualized in the plain chest radiographs in 12 cases (18.8%), while others showed air trapping (21, 32.8%), pneumonia (15, 23.4%), atelectasis (7, 10.9%), and normal findings (9, 14.1%). The foreign bodies were more frequently found in the right bronchial tree (36) compared with the left bronchial tree (22, p = 0.04). In order to remove the foreign bodies, twenty (31.2%) cases were removed using flexible bronchoscopy, while 42 (65.6%) and 2 (3.2%) cases required rigid bronchoscopy and surgery, respectively. Conclusions : Tracheobronchial Foreign body aspiration had a bimodal age distribution in the infancy and old age around 60 years. They were found more frequently in the right bronchial tree. In addition, patients whose foreign bodies were diagnosed more than 2 days after the aspiration were more likely have a infection. Rigid bronchoscopy is the procedure of choice for uncooperative children and for those with foreign bodies lodged deeply in the small bronchial tree.