• 제목/요약/키워드: Primary males

검색결과 423건 처리시간 0.032초

일부(一部) 농어촌주민(農漁村住民)의 상병(傷病) 및 의료이용도(醫療利用度)에 관(關)한 조사연구(調査硏究) (A Study on Sickness and Utilization of Medical Care in a Rural Area of Kyunggido)

  • 장용태
    • Journal of Preventive Medicine and Public Health
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    • 제9권1호
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    • pp.139-146
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    • 1976
  • This survey attempted to determine the overall health situation in Kyunggido in terms of sickness prevalence, sickness distribution, demand for medical care by type, and utilization of medical care. The survey was conducted on 766 households, or 4,065 people, from July 1-31, 1975. The findings from the survey are as follows: 1) In terms of age distribution, 28.7% of the sample was from 10-19, the 40-49 age group was the next largest group, and those over 60 made up 7% of the sample. 2. The education distribution is as follows, 30.4% completed primary school, 22.4% had no formal education, 20.6% attended but did not onplete primary school, and 1.8% attended unversities or higher. 3) In terms of occupation, 55.9% were unemployed or family employees, which represents a large dependent population, 30.4% of the workers were employed in farming or fisheries. 4. The marital status is as follows, 58.8% of the women were married, 32.3% unmarried, and 7.5% divorced. 5) The prevalence rate of mouthy illness was 19.7% of 100 infant, 42.8% became fatally ill within the first year of life. This is a very high percentage compared with more developed nations. 6) Of those reportion on illness, 54.6% sought treatment. The rate of treatment was highest in infants at 77.7%. Us age increased, demand for treatment decreased to 43.1% for those in the aldest age group. The oldest age group also had the highest rate of non treatment at 56.8%. 7) The demand for medical care showed that 65.6% utilized drug stores, 20.2% utilized hospitals and clinics, 5.4% used herbdrug-stores and herb clinices, and 3.9% relied upon folk medicine and withch craft. 8) The utilization of medical facilties by sex is as follows, 65.1% of the men and 66.0% of the women used drug stores, and 19.2% of the men and 20.2% of the women used hospitals and clinics. However, more men (3.5%) were hospitalized than women (1.8%) 9) In terms of out-patient care, the largest age group of males was 10-19 (28.2%), and the largest age group of females was 0-9 (30.8%). There was no sex difference in the use of western pharmacies. Menaged 30-39 and women aged 50-59 were the most frequent users of herb clinics. 10) The rate of receiving treatment at drugstore hospitals went towards declining level in the second case of what While increaing much more at herb clinics and folk medicines in the second case than the first one. 11) After primary utilization of hospitals, 32.7%. of the adults aged 20-59 used drug-stores as a secondary source of care, and 12.8% of children and youth under age 20 continued receiving care at hospitals. 12) After primary utilization of drug-stores, 32.5 % of the adults continued to seek care at drug stores and 1.8% used hospitals. 4.2% of those over age 60 utilized folk medcine and witch craft.

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학령기 아동의 행복감에 영향을 미치는 요인에 대한 종단 연구 (A Longitudinal Study of Factors Associated with Happiness in Primary School Children)

  • 이재경;조혜정
    • 한국아동복지학
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    • 제40호
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    • pp.41-71
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    • 2012
  • 본 연구의 목적은 학령기 아동의 생태체계요인이 행복감에 미치는 영향을 종단적으로 확인하고자 하는 것이다. 특히 애착이론과 생태체계이론에 근거하여 그 영향력을 살펴보고자 하였다. 이를 위해 한국청소년패널조사(KYPS)의 초4패널자료를 활용하여 잠재성장모형으로 분석하였다. 또한 성별에 따른 차이를 살펴보기 위해 다집단분석을 실시하였다. 분석 결과, 첫째 학업성취, 자아존중감, 부모애착, 또래애착, 교사애착, 지역사회애착, 행복감은 5년 동안 감소추세로 나타났으며 초기값과 변화율의 분산값이 유의하여 개인 간의 차이가 있는 것으로 나타났다. 둘째, 생태체계요인 중 학업 성취를 제외하고 모든 변인이 행복감에 영향을 미치는 것으로 나타났다. 초등학교 4학년 시점에 자아존중감, 부모애착, 또래애착이 높을수록 당해년도 행복감이 높은 것으로 나타났다. 지역사회애착 초기값이 높을수록 행복감은 느리게 감소하는 반면에 5년 동안의 자아존중감, 부모애착, 교사애착, 지역사회애착이 빠르게 감소할수록 행복감이 빠르게 감소하는 것으로 나타났다. 셋째, 다집단분석을 한 결과 성별에 따른 차이가 없는 것으로 나타났다. 이러한 연구결과들을 바탕으로 학령기 아동의 행복감에 대한 이론적 및 실천적 함의를 제시하였다.

수술 전 혈소판 기능 검사를 위한 PFA®-100의 임상적 이용 (Clinical Use of PFA®-100 in Pre-surgical Screening for Platelet Function Test)

  • 김성만;양승배;이제훈
    • 대한임상검사과학회지
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    • 제41권1호
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    • pp.1-5
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    • 2009
  • The Platelet Function Analyzer (PFA)$^{(R)}$-100 measures the ability of platelets activated in a high-shear environment to occlude an aperture in a membrane treated with collagen and epinephrine (CEPI) or collagen and ADP (CADP). The time taken for the flow across the membrane to stop (closure time, CT) is recorded. The aim of this study was to assess the potential of the PFA$^{(R)}$-100 as a primary clinical screening tool using the wide spectrum of clinical samples assessed for platelet function as well as to perform the optimal algorithm for the use of PFA$^{(R)}$-100. We established the reference interval in 460 hospital inpatients defined as having normal platelet function based on classical laboratory tests. The reference interval by using the range $5^{th}$ and $95^{th}$ percentile was 84~251 seconds for males CEPI-CT and 85~249 seconds for females CEPI-CT. A total of 1,200 inpatients were enrolled to identify impaired hemostasis before surgical interventions. The abnormal group showing prolonged CEPI-CT was 303 cases (18.9%). Only 3 cases had both abnormal CEPI-CT and CADP-CT. Several factors including sample errors, drugs, hematologic abnoralities were contributed to unexpected prolonged CEPI-CT for screening test. The von Willebrand factor (vWF:Ag) assay was performed only in one patient to verify the algorithm for the use of PFA$^{(R)}$-100. The PFA$^{(R)}$-100 was sensitive and rapid method for primary screening test of platelet dysfunction, so we can substitute it for the bleeding time in routine clinical practice.

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Status of intestinal parasites infection among primary school children in Kampongcham, Cambodia

  • Lee, Kyu-Jae;Bae, Yong-Tae;Kim, Dong-Heui;Deung, Young-Kun;Ryang, Yong-Suk;Kim, Hun-Joo;Im, Kyung-Il;Yong, Tai-Soon
    • Parasites, Hosts and Diseases
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    • 제40권3호
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    • pp.153-155
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    • 2002
  • A survey was made to find the extent of intestinal parasite infection in Kampongcham, Cambodia in February 2002. A total of 251 fecal specimens were collected from Tonlebat primary school children and examined by formalin-ether sedimentation technique. The overall infection rate of intestinal parasite was 54.2% (males, 57.3%; females, 50.8%). The infection rate of intestinal helminths by the species were as follows: Ascaris lumbricoides 26.3%, Echinostoma sp. 15.6%, hookworm 6.4%, Opisthorchis sp. 4.0%, Rhabditis sp. 2.4%, and Trichuris trichiura 0.4%. The infection rate of intestinal protozoa were as follows: E. coli 7.6%, G. lamblia 3.2%, I. butschlii 3.2%, and E. histolytica 0.8%. More than two different kinds of parasites were found in 16.7% of the stool samples. All the children infected were treated with albendazole, praziquantel and metronidazole according to parasite species. The results showed that intestinal parasites are highly endemic in this area.

Prevalence of Intestinal Protozoans among Schoolchildren in Suburban Areas near Yangon, Myanmar

  • Kim, Min-Jae;Jung, Bong-Kwang;Cho, Jaeeun;Kim, Deok-Gyu;Song, Hyemi;Lee, Keon-Hoon;Cho, Seon;Htoon, Thi Thi;Tin, Htay Htay;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • 제54권3호
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    • pp.345-348
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    • 2016
  • Although intestinal protozoans are common etiologies of diarrhea, few studies have been conducted in Myanmar. This study planned to investigate the prevalence of Giardia lamblia, Entamoeba coli, Entamoeba histolytica, and Endolimax nana among schoolchildren and their guardians in suburban areas near Yangon, Myanmar. We performed a cross-sectional survey among schoolchildren and their guardians from 7 primary schools in South Dagon and Hlaing Thar Yar districts, Yangon, Myanmar. Stool samples were observed with a microscope after concentration technique and iodine staining. Total 821 stool samples, including 556 from schoolchildren and 265 from guardians, were examined. The median age was 6 years old for schoolchildren and 36 years old for guardians. A 53.1% of the school children and 14.6 % of the guardians were males. The overall prevalence of each intestinal protozoan species was as follows: 3.4% (28/821) for G. lamblia; 3.5% (29/821) for E. coli; 1.2% (10/821) for E. histoytica, and 3.0% for E. nana. This study showed that intestinal protozoans are common in primary schoolchildren and their guardians in suburban areas near Yangon, Myanmar. Health interventions, such as hand washing education, improvement of sanitation, and establishment of water purification systems are urgently needed in this area.

소아에서의 합병성 위십이지장 궤양 (A Clinical Analysis of Complicated Gastroduodenal Ulcer in Children)

  • 정광용;정연준;김찬영;양두현;김재천
    • Advances in pediatric surgery
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    • 제10권1호
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    • pp.22-30
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    • 2004
  • A total of 30 cases of the peptic ulcer in children, who underwent operations from January 1981 to December 1995 because of complications at Department of the Surgery, Chonbuk National University Medical School, is reviewed. Twenty-three were males (76.7%), 7 females (23.3%) and male was preponderant at 3.3:1. There were 25 cases (83.3%) age 10 to 15 years, 3(10.0%) between 2 and 9 years, and 2 (6.7%) below 2. The ulcer was located at duodenum in 27(90.0%), and at stomach in 3 cases (10.0%). Complications were perforation in 19 cases (63.3%), pyloric obstruction in 9 (30.0%) and bleeding in 2 (6.7%). For perforation, truncal vagotomy with pyloroplasty was done in 11 cases, truncal vagotomy with hemigastrectomy and gastrojejunostomy in 6, and simple closure in 2 cases. For obstruction, truncal vagotomy with hemigastrectomy and gastrojejunostomy was done in 5, and truncal vagotomy and pyloroplasty in 3 cases. For bleeding lesions, truncal vagotomy and pyloroplasty was performed in 2 cases. Ten postoperative complications developed in 9 patients: adhesive ileus in 5, recurrence in 2, pneumonia 2, and wound seroma 1 case. One patient developed a primary duodenal perforation and another a recurrent obstruction. Both of patients had symptoms for more than 3 years and were treated with truncal vagotomy and pyloroplasty for the primary operations. Hospital stay was 11.5 days for the patient with perforated ulcer, 11.0 days for the patient with pyloric obstruction, and 14.5 days for the child with bleeding. Average hospital period was 11.6 days. To reduce recurrences after operation, extensive procedure such as distal gastrectomy with vagotomy at the first operation should be considered in case with severe complication or with patients who have been symptomatic for long periods.

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원발성 폐암의 외과적 치료 및 장기 성적 (Surgical Treatment of Primary Lung Cancer and its Long-term Results)

  • 서동만;김용진;김주현
    • Journal of Chest Surgery
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    • 제18권3호
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    • pp.506-512
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    • 1985
  • We have experienced 120 non-small cell primary carcinomas of the lung between June, 1974 and December, 1984, at Seoul National University Hospital. They were 107 males and 13 females. 95% of all were ranged from 40 years to 69 years of age with 56 years of mean age. They were composed of 70 [66.7%] squamous cell ca., 20 [19%] adenoca., 6 [5.7%] undifferentiated large cell ca., 4 [3.8%] undifferentiated small cell ca., and 5 [4.8%] mixed adenosquamous cell ca. 41 [36%] and 35 [30.7%] patients have received pneumonectomies and lobectomies with a 66.7% resectability rate. Of the 36 stage I and 21 stage II patients, 56 were resectable but only 20 [31.7%] of the 63 stage III patients were resectable. This informed us the significance of the stage of the disease at the time of operation. The actuarial survival rate in 70 patients was as follow: 1, 3, 5 year survival rate of the patients in stage I were 80%, 80%, and 60% respectively. Both 1, 3 year survival rate of patients in stage II were 84%. But 1, 2, 3 year survival rate of patients in stage III were 40%, 11%, and 5% respectively. By dividing the patients in stage III into resectable group and nonresectable one, both 1, 2 year survival rate of the former were 37% and those of the latter were 42% and 7%. According to the cell type of the cancer, 1, 3, 5 year survival rate of the squamous cell ca. were 63%, 40%, and 26% respectively. 1, 3 year survival rate of the adenoca. were 43% and 34%. Hospital death were only 2 cases with a 1.7% operative mortality rate. We had acceptable long-term survival rate and have convinced the necessity and hope of the early detection and resection of the lung carcinoma.

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원발성 비소세포성 폐암의 외과적 치료 (Surgical Treatment For Primary Non-Small Cell Lung Cancer)

  • 최준영;김병균
    • Journal of Chest Surgery
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    • 제30권9호
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    • pp.908-913
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    • 1997
  • 경상대학교 병원 흉부외과학 교실에서는 1988년 5월부터 1995년 12월까지 원발성 비소세포성 폐암으로 수 술 받은 77명을 대상으로 임상적으로 관찰하였다. 성별은 남자가 65례, 여자가 12례이었고, 호발연령군은 50-59세(44.5%)이었다. 주요 증상은 종양 차체가 해 부학적인 영향을 미쳐 기참, 객혈, 흉통 등의 순서로 나타났다. 병리조직학적 분류로 편평상피암이 81.8%, 선 암이 14.3%, 선편평상피세포암이 3.9%였으며,각 조직학적 군간의 수술 후 생존율은 통계학적인 유의성이 없었다. 수술방법은 전폐엽절제술이 26례(33.8%), 단엽절제술이 30례(38.9%), 이엽절제술이 9례(11.7%), 절제가 불가능한 경우가 12례(15.7%)로 전체 종양 절제율은 84.4%였다. 병기별 분류는 병기 I기가 26례(34%), II기가 14례(18%), IIIa기가 22례 (29%), 11%기가 14례(18%) 그리고 IV기가 1례(1%)였곤 I기, II기와 IIIa기에서는 100% 절제가 가능하였으며, IIIb기에서는 21.4%에서 절제가 가능하였고, IV기에서는 절제할 수 없었다. 환자의 3년 생존율은 I기 83%, II기 26%, IIIa기 17%, IIIb기 0%이었다.

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학동기 농촌 아동의 폐기능 정상 예측치와 호흡기 증상에 민감한 폐기능 지표 (Normal Predicted Values of Pulmonary Function of the Primary School Children in Rural Area and Sensitive Index of Respiratory Symptoms)

  • 최병선;박정덕;홍연표;장임원
    • Journal of Preventive Medicine and Public Health
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    • 제28권3호
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    • pp.690-705
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    • 1995
  • Pulmonary function tests were conducted on 815 healthy primary school children (390 males and 425 female) in rural area using Collins Survey Spirometer (Warren E. Collins, Inc., U.S.A.) with X-Y Recorder. Respiratory symptoms(cough, sputum, sore throat, chest pain, chest tightness, dyspnea, coryza) were surveyed by the interviews. Multiple regression analysis and regression diagnostics were done for prediction equations of FVC, $FEV_1,\;PEFR\;and\;FEF_{25-75%}$. FVC, $FEV_1,\;PEFR\;and\;FEF_{25-75%}$ values in 3 groups of children classified by the number of symptom were compared each other through standard variable value. FVC, $FEV_1,\;PEFR\;and\;FEF_{25-75%}$ showed highly significant correlation with age, height and weight. Prediction equations for FVC, $FEV_1,\;PEER,\;FEF_{25-75%}$ are functions of height only in both male and female children aged between 6 and 12 years old. PEFR showed a significant difference related with the number of symptom in female. These results suggest that the PEFR is sensitive PFT parameter in this study.

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원발성 종격동 종양 및 낭종의 임상적 고찰 (Clinical Evaluation of the Primary Mediastinal Tumors and Cysts)

  • 이재덕;이계선
    • Journal of Chest Surgery
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    • 제29권7호
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    • pp.763-768
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    • 1996
  • 대전 을지병원 흉부외과에서는 1986년 1훨부터 1995년 4월까지 원발성 종격동종양 및 낭종으로진 단된 43명의 환자에 대해서 수술적 치료를 시행하였다. 남자환자가 19례, 여자환자가 24례였다 연령분포는 4세 부터 68세까지이고 평균연령은 31.3세였다. 가장 흔한 증상은 호흡곤란(48.8 %)이고, 그외 흉부불쾌감(39.5 %), 기침 (34.9 %), 흥통(23.3 %) 순이 었다. 가장 빈발한 종양의 위치는 전종격동이고, 후종격동, 중종격동 순이 었다. 병 리 학적으로 기형종이 가장 흔하고, 신경종, 낭종, 흉선종, 임파종 순이 었다. 가장 유용한 진단방법은 단순흉부X-선이고 최종진단은 단지 수술로써 내려졌다. 양성종양은 전례에서 완전절제 되 었고 악성종 양은 수술후 화학요법 및 방사선요법을 병용하였다. 수술후 합병증은 7례 (16.3 %)에서 있었고 술후 사망은 1 례도 없었다.

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