Pulmonary Thromboembolism in Patients with Acute Deep Vein Thrombosis / 대한혈관외과학회지

PURPOSE: Pulmonary thromboembolism (PTE) is one of the most critical complications of deep vein thrombosis (DVT). Studies on the incidence and the treatment of PTE are rare in Korea compared to western countries. This study analyzed the occurrence, risk factors and treatment of PTE in the patients diagnosed as acute DVT in a single center in Korea. METHODS: The study population was 84 patients diagnosed as acute DVT in Eulji University Hospital from August 2006 to March 2012. Of these patients, 51 patients who underwent chest computed tomography were finally included in this study. We performed a retrospective study and analyzed clinical characteristics, risk factors, and treatment of PTE. RESULTS: Among the 51 patients diagnosed as acute DVT, 22 patients (43.1%) had findings of PTE on chest computed tomography. PTE was more prevalent in male patients, when acute DVT occurred in the right lower extremity and proximal vein. All PTE patients were successfully treated with low molecular weight heparin. There was no mortality. CONCLUSION: Patients with acute DVT had similar incidence of PTE to western countries. However, PTE was successfully treated with conservative treatment. Therefore, expanding the indications of aggressive and invasive treatments, such as filter insertions, should be cautiously considered in Korean PTE patients.

Analysis of Research Trends in Papers Published in the Journal of Korean Academy of Child Health Nursing (2005-2009)

PURPOSE: The purpose of this study was to analyze papers published in the Journal of Korean Academy of Child Health Nursing (JKACHN) to identify the current state of child health nursing research and recommend directions for future research. METHODS: Using analysis criteria developed by the researchers, 233 papers published in JKACHN between 2005 and 2009 were reviewed. RESULTS: Both quantity and quality of these papers showed significant improvement compared to before 2005. The number of published papers, the proportion of intervention studies, and studies that involved children directly as participants had increased. However, published papers still leave much to be desired. Quantitative studies were dominant (91.4%) and many of these studies were survey designs (65.7%). Children, especially young children were still less likely to be direct participants. All experimental studies were quasi or pre-experimental studies. There were few qualitative research studies. CONCLUSION: Findings of this study indicate that strengthening peer review according to review guidelines will improve the quality of published papers and promote JKACHN as an international journal. Instead of proxy accounts from parents or nurses, research involving direct accounts by children is needed. Child-friendly data collection methods need to be developed and used by child health nurse researchers.

The Comparison of Sleep Characteristics According to the Sleep Positions in Healthy Newborns / 아동간호학회지

The purpose of this study was to compare the sleep characteristics between the prone and the supine position in healthy newborns. The 48 newborns were observed in the prone position and the supine position respectively on the 2nd day after birth. The data were collected from January to May, 1999. The state of a newborn was classified and categorized to 6 states (deep sleep, light sleep, drowsy, quiet alert, active alert, crying) by Barnard. The movements of eyes, face and extremities, pulse and arterial oxygen were observed and recorded continuously from the start of sleep after feeding until the time of being woken for the next feeding by a trained nurse. The data was analyzed by using paired t-test. The results of this study were as follows; 1. There was no significant difference in the length of sleeping time between the prone and the supine position. 2. There was no significant difference in the length and frequencies of each states(deep sleep, light sleep, drowsy, quiet alert, active alert, crying) between the prone and the supine position. But the frequency of light sleep in the supine position was significantly higher than that of the prone position. 3. There was no significant difference in the numbers of eyes movements between the prone and the supine sleep position. But the amount of facial and extremity movement in the supine position was significantly higher than those in the prone position 4. There was no significant difference in the arterial oxygen content between the prone and the supine sleep position. 5. There was no significant difference in the heart rates between the prone and the supine sleep position. The above results indicated that the newborns in the prone position moved less and slept deeper than those in the supine position, though there was no difference in the length of sleep or arterial oxygen content between the prone and the supine sleep position. But, Nurses and mothers should consider the relationship between the sleep position and SIDS suggested by previous researches. The infant's 'awakening' during sleep is a normal process and rather valuable because it can provide an opportunity to promote a stronger relationship between mother and baby. So, It is suggested that the supine sleep position is better than the prone sleep position for infants.