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F-140 A survey of nurses and residents about the rapid response team in a teaching hospital
임성윤,( Lee Dong Seon ),( Youlim Kim ),( Sang Hoon Lee ),( Jong Sun Park ),( Young-jae Cho ),( Ho Il Yoon ),( Jae Ho Lee ),( Choon-taek Lee ),( Yeon Joo Lee ) 대한결핵 및 호흡기학회 2017 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.124 No.-
Introduction: Residents and nurses are the main group of clinicians who activate the rapid response team (RRT), placing them in an excellent position to provide valuable insights regarding the effectiveness of this system. Purpose of our descriptive study is to assess whether residents and nurses value the RRT service and to determine barriers to calling the RRT exist in a teaching hospital. Methods: We conducted a modified personal interview, using a 17-item Likert agreement scale questionnaire from January to May 2017. Results: A total of 322 ward nurses and 30 residents returned their completed surveys. The majority of nurses and residents were satisfied with the RRT, with suggestions for simplifying and educating the RRT activation criteria. Most responders suggested that they would make a call to RRT team even if the patient’s vital signs were normal or the patients did not fulfill RRT criteria. However, both nurses and residents feared criticism of activating RRT from colleagues that the patient was not sufficiently unwell to transfer to ICU. Despite hospital RRT protocol, 95% of nurses would call the covering doctor and 67% of residents would discuss with other residents about patients’ management, before activating the RRT for a sick ward patient Conclusion: Nurses and residents value the RRT service and appreciate its potential benefits. The major barrier to calling the RRT appears to be awareness of honor in Asian culture, and allegiance to the traditional approach of initially calling covering doctors, rather than fear of criticism for calling to the RRT team.
Jun Yeun Cho,Jinwoo Lee,Sang-Min Lee,Ju-Hee Park,Junghyun Kim,Youlim Kim,Sang Hoon Lee,Jong Sun Park,Young-Jae Cho,Ho Il Yoon,Jae Ho Lee,Choon-Taek Lee,Yeon Joo Lee 대한중환자의학회 2018 Acute and Critical Care Vol.33 No.2
Background: Providing palliative care to dying patients in the intensive care unit (ICU) has recently received much attention. Evaluating the quality of dying and death (QODD) is important for appropriate comfort care in the ICU. This study aimed to validate the Korean version of the QODD questionnaire. Methods: This study included decedents in the ICUs of three tertiary teaching hospitals and one secondary hospital from June 2016 to May 2017. ICU staff members were asked to complete the translated QODD questionnaire and the visual analogue scale (VAS) questionnaire within 48 hours of patient death. The validation process consisted of evaluating construct validity, internal consistency, and interrater reliability. Results: We obtained 416 completed questionnaires describing 255 decedents. The QODD score was positively correlated with the 100-VAS score (Pearson correlation coefficient, 0.348; P
P-52 Current status and prospect of pneumoconiosis in Korea
( Youlim Lee ),( Byung-soon Choi ) 대한결핵 및 호흡기학회 2016 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.121 No.-
This study evaluated the status of pneumoconiosis that are alive and estimated the scale of pneumoconiosis in the future. It organized diagnosis according to the types of workers and compared it with the dead, gained the yearly number of living pneumoconiosis on January 1st of each year, and found the fluctuation rate of pneumoconiosis for the past 7 years. The result showed that 15,244 pneumoconiosis on January 1st, 2005 changed each year through 15,449, 15,397, 15,352, 15,151, 14,920, 14,689, 14,576, 14,910 until 2013 and as of January 1st, 2014, the number marked 15,149. The estimate of pneumoconiosis was gained by applying the yearly average fluctuation rate for the 7 years and was estimated to be 15,205 in 2015, 15,297, 15,428, 15,601, and 15,821 in 2019. The number of pneumoconiosis that continuously decreased from 2007 to 2012 bounced and was in the increasing trend in 2012 and 2013. The number of newly diagnosed pneumoconiosis was in the decreasing trend overall from 2005 to 2013. However, showed the increasing trend for the recent 2 years and every year, more than 500 people are newly diagnosed as pneumoconiosis. When the yearly average fluctuation rate of the past 7 years was applied, the number of pneumoconiosis 5 years from now, in the 2019, was estimated to be 15,821, an increase by 672 compared to 2014. However, this status was the basis for the people who has been compensation by industrial Accident Compensation insurance Act. So the number of pneumoconiosis estimated through this study can be smaller than the actual number.
( Youlim Kim ),( Myung Goo Lee ),( Yun Su Sim ),( Ji Ye Jung ),( Jeong-woong Park ),( Kyung Hoon Min ),( Jae Ha Lee ),( Byung-keun Kim ),( Deog Kyeom Kim ),( Yeon Mok Oh ),( Seung Won Ra ),( Tae-hyung 대한결핵 및 호흡기학회 2021 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.129 No.0
Background Respiratory infection is the most common reason for acute exacerbation of chronic obstructive pulmonary disease (AE-COPD). We aimed to investigate the etiology of the respiratory infection and the pathogen distribution in the acute exacerbation state of COPD according to GOLD classification. Methods From a multicenter cross-sectional study, we identified 467 AE-COPD patients and the pathogen profiles of the respiratory infection were collected from them. The pathogen was confirmed by conventional sputum, paired serology tests for atypical bacteria, and viral diagnostic techniques and classified by GOLD grade. Results All 467 COPD patients were classified into GOLD grade: group A (n=63, 13.5%), group B (n=140, 30.0%), group C (n=40, 8.6%), and group D (n=224, 48.0%). In most patients, no clear causative pathogen was identified for acute exacerbation, and 133 cases with confirmed pathogen were caused by a single pathogen of virus or bacteria. The distribution of the causative pathogen was identified to be different. In the cases of viruses, rhinovirus and coronavirus were found in group B, and rhinovirus and influenza A in group D patients. For bacteria, P. aeruginosa and K. pneumoniae were identified as major pathogen in group B, and P. aeruginosa, K. pneumoniae, S. pneumoniae, E. coli and H. influenzae in group D patients. Conclusions This study suggests that the causative pathogen was shown the various distribution when classified according to the GOLD ABCD classification in COPD patients with acute exacerbation.
창신동 봉제산업 활성화를 위한 지속가능한 개선방안 - 봉제 유형별 계획분석을 중심으로 -
이유림(Lee, Youlim),김수미(Kim, Soomi) 대한건축학회 2022 대한건축학회 학술발표대회 논문집 Vol.42 No.1
The purpose of this study is to present a sustainable improvement plan by utilizing the industrial identity of the Changsin-dong area. Changsin-dong has undergone urban regeneration several times since the 1990s; however, complaints from residents and sewing workers are constantly growing. There is a need to regenerate a new area as a place for the sewing industry, which is the basis for the daily life and socioeconomic activities of Changsin-dong residents. This study classifies and analyzes the construction method according to each plan based on the construction type of the sewing factory, and it concludes that a differentiated detailed planning approach for each type is necessary.
Mikyung Lee,Hyeonkyeong Lee,Youlim Kim,Ki Jun Song 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): Empirical evidence about the association between physical activity (PA) and health-related quality of life (HRQOL) among older adults has been accumulated. However, few studies have addressed the prospective association between mid-life PA and HRQOL among older adults. This study aimed to identify the influence of PA change from midlife to early old age on the HRQOL of early old age. Method(s): This study is a secondary data analysis from Korean Health Panel Survey. A total of 1022 with responses of major variables were finally selected. HRQOL was measured using EQ-5D-3L and the amount of physical activity was calculated as the score of the Metabolic Equivalent Task minutes per week(METmin/week) using the conversion method of the International Physical Activity Assessment. The PA level was classified into three groups(‘Active’, ‘Minimally active’, and ‘Inactive’). Logistic regression analysis was conducted to examine the association of the 8-year PA changes with older adults’ HRQOL. Result(s): The total amount of PA had declined from 1266.05(SD = 1253. 91) in 2009 to 1,852.68(SD = 1750.08) in 2017(p <.001). In 2017, the percentage of the sample with inactive PA levels was increased from 30.0% to 41.8%, while the percentage of those with active PA levels was decreased from 22.3% to 11.5%. HRQOL was also significantly decreased from 0.96(SD = 0.07) in 2009 to 0.94 (SD = 0.08) in 2017(p <.001). Compared to the increased PA level, when PA level at early old age was decreased, HRQOL was more likely to be at the bottom 10% HRQOL of the sample(OR = 1.91, 95% CI = 1.01–3.63). Conclusion(s): The findings indicate that physically active lifestyles through middle- and older age are essential for health benefit in early old age. PA is influential in promoting HRQOL, particularly for those relatively inactive during middle age.
임성윤,( Youlim Kim ),( Sang Hoon Lee ),( Yeon Joo Lee ),( Jong Sun Park ),( Ho Il Yoon ),( Jae Ho Lee ),( Choon-taek Lee ),( Young-jae Cho ) 대한결핵 및 호흡기학회 2017 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.124 No.-
Introduction: Percutaneous dilatational tracheostomy (PDT) is a common procedure in the critical care medicine. In PDT operations, vertical skin incision has been traditionally used as it can be easily convert to open tracheostomy in emergent cases and is less likely to injure adjacent vascular structures. However, for surgical tracheostomy, surgeons typically use a transverse skin incision, which allows for more favorable wound healing and aesthetic outcome than vertical incisions. The objective of this study was to compare the outcomes between vertical and transverse skin incision in patients undergoing PDT. Methods: Patients who underwent PDT between March 2011 and December 2015 in the intensive care unit of a tertiary hospital were retrospectively included. Primary outcome was the early complications developed within 7 days after PDT. Results: Of the 553 patients who underwent PDT, vertical incision was performed in 33.5% and transverse incision in 66.5%. There were no tracheostomy related mortalities, and no statistical difference in the incidence of the perioperative complications including bleeding, tracheal ring fracture, and subcutaneous emphysema. Forty-six patients (8.3%) had early complications, in which pressure related stoma ulcers were the most frequent. Transverse incision compared with vertical incision, showed significantly lower incidence of early complications. (14.1% vs. 5.4%, P<0.05). Conclusion: In PDT operation, transverse skin incision clearly result in a significant decrease in early complications, particularly stoma site ulcers.