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A Study on the Status of Morbidity and Medicare in a Korean Rural Area - Area under Sam-Wha Medicare Insurance Union - (일부(一部) 농촌지역(農村地域) 주민(住民)의 이병(罹病) 및 진료실태(診療實態)에 관한 조사(調査) - 충남(忠南) 서산군(瑞山郡) 삼화의료보험조합(三和醫療保險組合) 대상지역(對象地域)-)

  • Kim, Joo-Ja;Lee, Jung-Ja;Park, Hee-Sook;Nam, Taik-Sung
    • Journal of agricultural medicine and community health
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    • v.4 no.1
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    • pp.20-30
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    • 1979
  • To investigate the status of morbidity and medicare utilization during last 8 months from 1 st Oct. 1977 to 31th May, 1978 in the area under Sam-Wha Medicare Insurance Union, a study was carried out through analyzing the medicare records of patients who are enrolled. For the study, 3 doctors and one nurse were mobilized and the results are as follows: 1) The total number of the Medicare insurance Union members in the study area were 5,735 composed of 3,000 males(52.3%) and 2,735 females(47.7%). 2) The total number of patients were 1,405 composed of 783 males (55. 0%) and 622 females(45. 0%) and the incidence rate per 1,000 population was 245.0 of total(261.0 in males and 227.4 in females). 3) Five major diseases with 52, 7% of total patients were acute upper respiratory infection(20.7%), peptic ulcer(12.2%), bronchitis(5.5%), injuries(5.2%) and dental problems(5.1%). 4) The order of the incidence rate of age group per 1,000 population was the year group on 0-4(342.6), 25-44(312.7), 45-64(307.0), 65 and over(240.3), 15-24(178.8) and 5-14(164.8). 5) Of the 1,405 total patients, the out-patients were 1,661(96.9%) and the in-patients were 44(3.1%) and the ratio wae 30.9 : 1.0. 6) Among the out-patients 96.7% of them were cared in primary medicare facilities, 1.0,% in secondary care, and 2.3% in tertiary care. And among the in-patients 50. 5% of them were cared in primary medicare facilities, 4. 5% in secondary care, 45. 5% in tertiary care. 7) Duration of medicare was concentrated within a week in 84. 3% of total patients.

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A Cytogenetic Study on Induction of Diploid Spermatozoa in Poultry (가금류 정자 세포의 배수성 유기를 위한 세포 유전학적 연구)

  • 김철욱;손시환;전익수
    • Korean Journal of Poultry Science
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    • v.23 no.1
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    • pp.1-7
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    • 1996
  • In order to produce polyploid quail, the patterns of spermatogenesis and induction of diploid spermatozoa were analyzed by administration of spindle fiber inhibitor agent. Colcemid at the dose level of 37 $\mu\textrm{g}$ /100 g BW was Injected intraperitoneally to 50 Japanese quail males for 3 consecutive days. Five to 20 days after the first colcemid injection, the metaphase spreads from mitotic spermatogonia, primary spermatocyte and secondary spermatocyte were observed. By cytogenetic analysis, 9.4% of spermatogonia and spermatocyte cells in germ cells from the treated males was found to be polyploid cells. As compared with colcemld treated, the males with non-treated colcemid had only 2.3% polyploid cells in germ cells. The induction of diploid germ cells was highest in 10 days after the first colcemid injection and was lowest in 5 days after the first colcemid injection. These results suggested that between 10 to 15 days before maturation of the spermatozoa, the male germ cells were most sensitive to colcemid treatment. Spindle fiber inhibitor agent was also more sensitive to mitotic division of spermatogonia than meiotic division of primary and secondary spermatocyte.

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A Study on Intake/excretion of Sodium and Calcium in Korean Children (일부 한국인 아동의 나트륨과 칼슘 섭취 및 배설에 관한 연구)

  • 이경화
    • Journal of Nutrition and Health
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    • v.28 no.8
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    • pp.749-758
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    • 1995
  • In this study, the food intake, feces and urine of 16 primary school age boys and girls were collected and intake and excretion of sodium and calcium were measured. The boys and girls were 8-12 years old and measurement continued for four weeks during which they maintained their normal living pattern and body weight. Each boy's and girl's daily intake and excretion of sodium and calcium were measured and apparent digestibility and balance were also studied. The results were as follows. 1) Mean daily intake of sodium was 8.52$\pm$0.38g for the boys and 7.31$\pm$0.44g for the girls. The mean value in males was significantly higher than that in females(p<0.05). Mean daily in take of calcium was 411.0$\pm$16.0mg for the boys and 356.5$\pm$15.4mg for the girls. The mean value in males was significantly higher than that in females(p<0.01). 2) Mean daily fecal loss and apparent digestibility of sodium was 0.32$\pm$0.04g and 96% for the boys and 0.52$\pm$0.07g and 93% for the girls. The fecal loss mean value in males was significantly lower than that in females(p<0.05). Mean daily fecal loss and apparent digestibility of calcium was 299.8$\pm$8.3mg and 29% for the boys and 194.1$\pm$14.3mg and 46% for the girls. The fecal loss mean value in males was significantly higer than that in females(p<0.01). 3) Mean daily urinary loss of sodium was 6.55$\pm$0.50g and showed the positive balance of 1.65g for the boys and 5.67$\pm$0.20g and showed the positive balance of 1.12g for the girls. The urinary loss mean values of the two groups were not significantly different. Mean daily urinary loss of calcium was 42.8$\pm$5.1mg and showed the positive balance of 79.4mg for the boys and 25.0$\pm$1.64mg and showed the positive balance of 137.4mg for the girls. The urinary loss mean value in males was significantly higer than that in females(p<0.01).

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Health Status of Institutional Elderly in a Rural Area (일부 농촌지역 시설노인의 건강상태)

  • Nam, Hae-Sung;Park, Kyeong-Soo;Rhee, Jung-Ae
    • Journal of agricultural medicine and community health
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    • v.24 no.2
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    • pp.291-299
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    • 1999
  • This study was conducted to evaluate the health status including mainly cognitive function and activities of daily living of institutional elderly in a rural area. We studied 466 subjects dwelling in ten institutions at Chonnam province, Korea. The participants consist of 148 males(31.8%) and 318 females(68.2%). We collected the information of socioeconomic state, mini-mental state examination(MMSE), activities of daily living(ADL), instrumental activities of daily living(IADL), and Dartmouth Primary Care Cooperative Information Project(COOP) chart. The results were followed: 1. Severe cognitive function impairment was appeared in 45 males(30.4%) and 115 females(36.2%). 2. The percentage of fully independent in the six ADL items was 50.0% of males and 42.8% of females, but 31.1% of males and 26.1% of females were fully dependent. 3. Males had more impairment in mode of transportation among IADL, but females had most impairment in laundry. 4. Observing health status by COOP chart, both had more grade in feeling and social activity than physical fitness.

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Clinical characteristics of lung abscess in children: 15-year experience at two university hospitals

  • Choi, Mi Suk;Chun, Ji Hye;Lee, Kyung Suk;Rha, Yeong Ho;Choi, Sun Hee
    • Clinical and Experimental Pediatrics
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    • v.58 no.12
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    • pp.478-483
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    • 2015
  • Purpose: Information on the clinical features of lung abscess, which is uncommon in children, at hospitalization is helpful to anticipate the disease course and management. There is no report concerning lung abscess in Korean children. We aimed to identify the clinical characteristics of pediatric lung abscess and compare the difference between primary and secondary abscess groups. Methods: The medical records of 11 lung abscess patients (7 males and 4 females) from March 1998 to August 2011 at two university hospitals were retrospectively reviewed. The clinical characteristics, symptoms, underlying disease, laboratory and radiologic findings, microbiological results, and treatments were examined. Results: Six patients had underlying structural-related problems (e.g., skeletal anomalies). No immunologic or hematologic problem was recorded. The mean ages of the primary and secondary groups were 2.4 and 5.3 years, respectively, but the difference was not statistically significant. The mean length of hospital stay was similar in both groups (22.8 days vs. 21.4 days). Immunologic studies were performed in 3 patients; the results were within the normal range. Most patients had prominent leukocytosis. Seven and 4 patients had right and left lung abscess, respectively. Staphylococcus aureus, Streptococcus pneumoniae, and antimycoplasma antibodies were detected in both groups. Two patients with primary lung abscess were administered antibiotics in the absence of other procedures, while 8 underwent interventional procedures, including 5 with secondary abscess. Conclusion: The most common symptoms were fever and cough. All patients in the primary group were younger than 3 years. Structural problems were dominant. Most patients required interventional procedures and antibiotics.

The prevalence of Childhood and Adolescent Obesity Over the Last 18 Years in Seoul Area (서울시내 초.중.고 학생들의 최근 18년간 (1979-1996년) 비만도 변화추이 및 비만아 증가 양상)

  • 강윤주
    • Journal of Nutrition and Health
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    • v.30 no.7
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    • pp.832-839
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    • 1997
  • The purpose of this study is to survey the prevalence of obesity assessed on the basis of height and weight among students in primary and secondary schools in the metropolitan area of Seoul, Korea during the period of 1979 to 1996. The major findings are as follows ; 1) The fiftieth percentile values of BMI have increased more in mid-ranged age group than upper(16-17 years old) and lower(6-7 years old) ranged age groups. 2) The prevalence of obesity by standard weight of height was higher among male students than female students and students in the primary schools showed higher weight increase than adolescent age(12-17 years old) group. As a whole, the prevalence of obesity over last 18 years has increased 4.6 times in males and 3.2 times in females. 3) Judged on the basis of the BMI 90th, 95th percentile values of 1979 , the prevalence of obesity among male students showed higher increases than among female students. Higher increase was also observed among primary school students than among middle and high school students. Increase of weight was higher for the $\geq$95th percentile group than the 90-95th percentile group. 4) Judged on the basis of the BMI, 90th, 95 th percentile values of NHANES-I, the $\geq$95th percentile group showed higher increase in the prevalence of obesity than the 90-95th percentile group. According to the 1996 data, severe obesity group ($\geq$95th percentile) was about two times of NHANES-I in male primary school students, while the number for female middle and high school students was about 1/5 of NHANES-I.

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Periprosthetic Occult Femoral Fracture: An Unknown Side Effect of Press-Fit Fixation in Primary Cementless Total Hip Arthroplasty

  • Ho Hyun Yun;Woo Seung Lee;Young Bin Shin;Tae Hyuck Yoon
    • Hip & pelvis
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    • v.35 no.2
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    • pp.88-98
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    • 2023
  • Purpose: The objectives of this study were to examine the prevalence and risk factors for development of periprosthetic occult femoral fractures during primary cementless total hip arthroplasty (THA) and to assess the clinical consequences of these fractures. Materials and Methods: A total of 199 hips were examined. Periprosthetic occult femoral fractures were defined as fractures not detected intraoperatively and on postoperative radiographs, but only observed on postoperative computed tomography (CT). Clinical, surgical, and radiographic analysis of variables was performed for identification of risk factors for periprosthetic occult femoral fractures. A comparison of stem subsidence, stem alignment, and thigh pain between the occult fracture group and the non-fracture group was also performed. Results: Periprosthetic occult femoral fractures were detected during the operation in 21 (10.6%) of 199 hips. Of eight hips with periprosthetic occult femoral fractures that were detected around the lesser trochanter, concurrent periprosthetic occult femoral fractures located at different levels were detected in six hips (75.0%). Only the female sex showed significant association with an increased risk of periprosthetic occult femoral fractures (odds ratio for males, 0.38; 95% confidence interval, 0.15-1.01; P=0.04). A significant difference in the incidence of thigh pain was observed between the occult fracture group and the non-fracture group (P<0.05). Conclusion: Occurrence of periprosthetic occult femoral fractures is relatively common during primary THA using tapered wedge stems. We recommend CT referral for female patients who report unexplained early postoperative thigh pain or developed periprosthetic intraoperative femoral fractures around the lesser trochanter during primary THA using tapered wedge stems.

Long-term Results of Surgical Treatment for Primary Lung Cancer (원발성 폐암 수술의 장기성적)

  • Ham, Si-Yeong;Seong, Suk-Hwan;Kim, Ju-Hyeon
    • Journal of Chest Surgery
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    • v.20 no.4
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    • pp.730-744
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    • 1987
  • From Nov. 1980 to Jun. 1987, 270 primary lung cancer patients were operated on at the department of Thoracic & Cardiovascular Surgery, Seoul National University Hospital. There Were 223 males & 47 females with 55.5 years of mean age. There were 151 [55.9%] squamous cell ca., 43 [18.8%] adenoca., 8 [3.5%] undiff. large cell, 9 [3.9%] undiff. small cell ca. & 18 [7.9%] mixed type, and also composed of 65 [28.3%] stage I, 31 [13.5%] stage II and 133 [58.1%] of stage III cases. They received 78 [34.1%] lobectomies, 62 [27.1%] pneumonectomies and 60 [26.2%] exploratory thoracotomies with 70% resectability rate. The five year actuarial survival rate of all patients was 37%. According to TNM stage, five year survival rate of the patients in stage I was 71%, those of stage II was 29% and of stage III 21%. According to histological cell type, five year actuarial survival rate of the squamous cell ca. was 35%, of adenoca. 49%, of undiff. large cell. 22%, 2 year survival rate of undiff. small cell was 31% and 3 year survival rate of mixed type was 47%. Hospital death was 2 case with a 1.3% early postop. mortality rate.

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Expression of Matrix Metalloproteinase-2 and -13 and Tissue Inhibitor of Metalloproteinase-4 in Varicose Veins

  • Chang, Jee-Won;Maeng, Young-Hee;Kim, Su-Wan
    • Journal of Chest Surgery
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    • v.44 no.6
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    • pp.387-391
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    • 2011
  • Background: The relationship between the degree of expression of matrix metalloproteinases or tissue inhibitor of metalloproteinases and venous reflux remains to be investigated. Materials and Methods: Primary varicose vein tissues were obtained from 23 patients, 18 females and 5 males, aged from 19 to 73. Cephalic or basilic veins were obtained for the control group from 10 patients who underwent vascular access for maintenance hemodialysis. Two operative techniques (high ligation with stripping or endovenous laser coagulation) were used. The expression of matrix metalloproteinase-2 and 13 and tissue inhibitor of metalloproteinase-4 in the varicose vein group and control group was assessed semi-quantitatively by immunohistochemical slides stained with primary antibodies. Results: Twenty (87%) of the varicose vein group patients had greater or lesser saphenous vein diseases with reflux. The focal weak (+) stain for matrix metalloproteinases-2, and 13, and tissue inhibitor of matrix metalloproteinase-4 was dominant in the varicose vein group; the focal or diffuse strong stain (++ or +++) was prevalent in the control group. The differences were statistically significant (p<0.01). The degree of reflux and the duration of symptoms were not significantly related to the expression of MMP-13 (p=0.317 and p=0.654, respectively). Conclusion: Further study should be performed to investigate the relationship between the clinical characteristics related to venous hypertension or reflux and expression of MMPs and TIMP in varicose veins.

Determination of Wool Follicle Characteristics of Iranian Sheep Breeds

  • Ansari-Renani, H.R.;Moradi, S.;Baghershah, H.R.;Ebadi, Z.;Salehi, M.;Momen, S.M. Seyed;Ansari-Renani, M.Y.
    • Asian-Australasian Journal of Animal Sciences
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    • v.24 no.8
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    • pp.1173-1177
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    • 2011
  • In this study wool follicle characteristics of Iranian sheep breeds were investigated. A total of 242 male and female sheep of different age from 5 breeds were studied. Samples of skin were taken from the right midside to determine follicle characteristics. Overall averages for males and females were $3.7{\pm}0.1$ and $3.5{\pm}0.1$ for S/P ratio; $3.2{\pm}0.1$ and $3.6{\pm}0.1$ for primary follicle density; $12.1{\pm}0.7$ and $13.8{\pm}0.4$ for secondary follicle density; $15.3{\pm}0.7$ and $17.4{\pm}0.4$ for total primary plus secondary follicle density; $2.3{\pm}0.2$ and $3.5{\pm}0.3$ for percentage of inactive secondary follicles. Significant differences were found in some follicle characteristics between sheep breeds. Results of this study showed that sheep breeds raised in different parts of Iran characterized by a low S/P ratio and follicle density could be classed as carpet wool breeds.