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- 저자 : 鄭祥立 (검색결과 5 건)
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徐舜鳳,鄭祥立 中央醫學社 1976 中央醫學 Vol.30 No.6
It is well known that leprosy patients can recover completely if they are dete?cted and treated early. Since leprosy is only slightly contagious it can be treated as any other infectious diseases in General Hospital. In the past, however, leprosy treatment at General Hospitals has proven problematic due to the stigma attached to leprosy. This has hindered effective treatment of leprosy patients and other 1 patients in the same, hospital. As a result of this leprosy treatment has been confined to Special Skin. Clinics Leprosy Mobile Clinics or General Hospital De?rmatology Departments. From 1967-1975 the Chilgok Catholic Skin Clinic has served to detect and treat leprosy patients in conjunction with common skin diseases. The clinic was built for the sole purpose of such work. The authors have researched and analyzed the result of patients data, at this clinic, the advantages of this clinic are as follows: The sum total of leprosy and skin disease patients seen at Chilgok Skin Clinic far outnumbers those seen in the out-patient dermatology departmentat Kyungpook National University Hospital, Dongsan Presbyterian Hospital, and Fatima Hospital all of which are located in Daegu. Although the clinic attracts patient's from all over Korea the greatest proportion of patients live within a relatively close radius to Chilgok. Both the number of lepromatous patients and the number- of female leprosy patients using the clinic's facilities is comparatively high. The clinic serves as a supplementary aid to the mobile Clinic's main function of leprosy case finding while also having a significant role in the treatment leprosy :patients in Daegu. Therefore, the authors conclude that similar clinics located on the boundaries of large cities could greatly aid effective leprosy control in Korea.
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徐治均,金在福,鄭祥立 中央醫學社 1976 中央醫學 Vol.30 No.6
The purpose of this study is to discuss .various aspects of bacterial relapse in leprosy patients receiving treatment. Between 1957-1975 a total of 2910 leprosy patients were registered at The Leprosy Mission Hospital in Daegu. The authors, have analyzed the treatment of these patients and the results are as follows: 1. Of the total number of patients registered 26.9%(783 cases) were positive le lepromatous patients. Among these promatous patients ls6 case consorted to bacteriologically negative after therapy. 2. Of the 186 converted cases, 66% had converted after five years while an. 83 %o conversion rate was reported after 6 years. 3. Among, the total number of patients analyzed, bacterial relapse was reported in 31 cases, 23 of these being promatous patients. 4. After converting from positive to negative, 17. of.~-the above' mentioned 23 promatous cases reconverted back to positive(9.1%). Most re conversions of this nature were found to occur within the first three years after becoming negative. 5. The most common symptoms of the relapse cases were neuritis and neural gia, while cutaneous manifestations were also reported. 6. T he most of bacterial relapse. cases the bacterial indeces ranged from 1. 0 to 2.9 while the morphologic indeces usually remained below 10. 7. The two most frequent causes of bacterial relapse were irregular treatment or too low a drug-regiment (16 cases). Release from control and resistance to DDS were also significant. 8. The majority of patients with bacterial relapse after release from control who had received regular treatment for 5 additional years after apparent cessation of disease activity, was of lepromatous type and relapse occurred most frequently within the first 3 years. 9 Fourteen out of the original 31 relapse patients returned to negative while 17 remained positive during receiving treatment for 5 months to 5 years.
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定着村의 癩菌陽性患者 : 새로 擡頭된 癩管理上의 問題點으로서 As A Problem Raised on Leprosy Control
金重明,金在植,鄭祥立 中央醫學社 1976 中央醫學 Vol.30 No.6
The authors examined 2 183 patients among 4 083 settlers of 22 leper villages in a province and obtained 62 positive cases which are summarized as follows The bacterial positivity was 2.8 percent and the age group of 30-34 years showed the most high positivity as 29.0% The bacillary index was most high as, 15.0% in1.K-2.00, and the type of leprosy was all lepromatous leprosy which were mostly mild cases in the grade of disease. The sex distribution revealed male, 37 cases and female, 25 cases but no signi?ficance between both sexes was noted.
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大邱市內의 癩患者實態 : 一都市癩患者의 한 標本으로서 As a Sample of One City
金重明,金在植,鄭祥立 中央醫學社 1976 中央醫學 Vol.30 No.6
The types of, leprosy, thestatus of ,leprosy control, birth places, the ages of onset, the present, ages, the occupations, the levels of education and living condition were; investigated on the 859; patients registered. The total number of the registered from Jan. 1957 to July 1974'was 1,038 pati?ents composed of male 633, and female 405. It came out that the real number of the patients, registered was 859 patients at the present time with some reasons as below. The types of leprosy were composing of the lepromatous, tuberculoid, indeter?minate and borderline types in 41.3, 38.4, 15.4 and 4.8 percent respectively. In an aspect of leprosy control it is closed only 8.6 percent has had the treatment while 79.7 percent has had no treatment beside 11.7 percent which were to be unknown. Among the patients received the treatment, 48.5 percent was under the regular treatment while 51.5 percent was under the irregular treatment.? The bacterial positivity was found to: be 24 percent while 57.2 percent wag. negative, From the status of registration of the all patients, ,it disclosed- the most high" , numbers in 1968 as 9.5 percent by year, and 11. 9 per-cent in June by month The number of the patients who changed their actresses was 2. 8 percent of the, total registered patients and the number of missing and double registration cases was considerable as 5.8and 8.8 percent respectively from the total number of the patients 1, 038' registered. In distribution of the patients by the birth-place the only 17.7 percent of 859 patients authorized by the registration was born in Taegu city while the remainder was born in other place. In the age distribution more than 72. 6 percent were above 31 years old and the most high incidence in the age group of the 16.20 years in the age of onset as 16. 5 percent. The edu?cational and living levels were appeared to become more high, and the commerce seemed to be the major occupations of the patients.
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