腸티푸스 및 類以腸티푸스의 疫學的 樣相의 變化

羅瑨薰 충남대학교 대학원 1975 論文集 Vol.4 No.-

It seems that control of typhoid fever is one of difficult problems persisting in year by year in Korea. The symptoms and signs of typhoid fever were begun to weaken since 1952, when chloramphenicol was introduces into Korea. And also serological and becteriological results were not defined for diagnosis. The positive rate has been gradually decreased. Consequently, the number of registrating cases were gradually increasing tendency; -The most of clinicians are saying so now a day. This paper presents that the incidence rates of the registrated cases were gradually decreased in year by from 1969 to 1973 and the rates of suspected and registrated cases were gradually increased. Otherwise, the incidence rates of fomer were 5.05, 7.70, 8.24, 2.23 and 1.42 per 100,000 persons respectively in each year, and those of the later were 51.5, 72.3, 80.7, 106.7, and 82.5. The most highly infected age-group was 15∼19 years old. There was not significant in both sexes. The most prevalent month was July. June and August were followed.

腸티푸스 및 類似腸티푸스의 疫學的 樣相의 變化

羅晋薰,沈雲澤 충남대학교 의과대학 지역사회의학연구소 1975 충남의대잡지 Vol.2 No.1

It seems that control of typhoid fever is one of difficult problems persisting in year by year in Korea. The symptoms and signs of typhoid fever were begun to weaken since 1952, when chloramphenicol was introduced into Korea. And also serological and bacteriological results were not defined for diagnosis. The positive rate has been gradually decreased consequently the number of registrating cases were gradually increasing tendency;-The most of clinicians are saying so now a day. This paper presents that the incidence rates of the registrated cases were gradually decreased in year by from 1969 to 1973 and the rates of suspected and registrated cases were gradually increased. Otherwise, the incidence rates of former were 5.05, 7.70. 8.24, 2.23 and 1.42 per 100,000 persons respectively in each year, and those of the later were 51.5, 72.3, 80.7, 106.7, and 82.5. The most highly infected age group was 15∼19 years old. There was not significant in both sexes. The most prevalent month was July. June and August were followed.

經口避妊藥의 非臨床的 投藥에 關한 硏究

羅瑨薰,沈雲澤 충남대학교 의과대학 지역사회의학연구소 1979 충남의대잡지 Vol.6 No.2

The advent of oral contraceptives was a major advance in the field of contraception and together with the intrauterine device represents the most efficious methods of modern contraception. As experience with and acceptance of oral contraceptives in family planning programs have increased, a number of recommendations for paramedical prescription of oral contraceptives and more recently, non-clinical (commercial) distribution have appeared. This study is to examine the differences in the rate of continuation, side effects and drop-out by channel of pill distribution. In analyzing the results we noted the occurrence of side effects, the period of contraception and the rate of termination among women by the type of examination or explanation before acceptance of oral contraceptives and by the facilities. The groups were divided into 8 categories by the type of examination, group with detailed physical examination, routine physical examination by physician, questioned by physician, questioned and explained by physician, questioned and explained by clinic nurse, questioned and explained by public nurse at health center, questioned and explained by pharmacist and group without instruction. Among the groups, the group with a detailed physical examination had the lowest rate of severe side effect, the lowest rate of drop-out and fairly longer period using oral pills. They were followed by group given an explanation by a clinic nurse. Next were women who received an explanation from public health nurse followed those who obtained a routine physical examination. The highest rate of severe side effects, the highest rate of drop-out and the shortest peroid using oral pills except the group without instruction are the group received explanation from drugist. The facilities composed clinic, drug-store and health center. The rate of severe side effects was the same in women using clinic and health centers, while the rate of severe side effects was highest among drug-store users. The period of use was longest in women using clinices or health centers, whereas drug-store users had the shortest period of use. The drop-out rate was the lowest among health center users followed by those using clinics and finally by drug-store users. We can concluded that if the clinic nurse or public health nurse at health center give a datail instruction and explanation, the effectiveness of oral pill contraceptives would have obtained the same result of those women given physical examination by physicians.

一部綜合病院 入院患者의 特性 및 醫院利用樣相에 關한 調査硏究

羅瑨薰 충남대학교 의과대학 지역사회의학연구소 1979 충남의대잡지 Vol.6 No.2

A study was conducted to provide comprehensive information on general characteristics and medical care utilization of in-patients of a university hospital. Out of 5,627 in-patients admitted to Chungnam University Hospital from January 1 to Decembre 31, 1978, 2,525 were randomly sampled for the study. Medical records the those selected were carefully reviewed and analyzed. The results obtained are as follows ; 1. Among the total admitted, the most predominant age group were those of 20 and over years of age. Male was more dominant under 20 and over 60, however female aged 20-59 outnumbered male. 2. Department of internal medicine were followed by general surgery and pediatrics with about one thirds of the total admitted being taken care under it. 3. About fifty-eight percent of patients stayed in the hospital shorter than 1 week, while 33.4 percent stayed 2-4 weeks, and those stayed longer than 4 weeks were mostly come from the department of orthopedics, neuropsychiatrics, and neurosurgery. 4. Number of admission was highest in spring followed by summer, autumn, and winter. There was no significant difference in seasonal variations of the admission, among various departments of medical specialty. 5. The most prevalent cause of admission was accident and poisoning (XVII) with highest frequency at age 20-29 both in male and female. and for female only the most prevalent cause was deliveries and complication of pregnancy, childbirth and puerperium(XI) 6. Among the admitted, nearly half of them were from Dae Jeon City where the hospital was located. 7. Among the admitted to the department of internal medicine, those from A area constituted major part and those from area G were dominant in number in the department of general surgery and those from area C were dominant in number in the department of pediatrics and neuropsychiatrics. 8. About forty-four percent of the admitted had no previous treatment before admission, while 33.2 percent visited private clinic, 8.5 percent had their previous treatment at general hospital, and only 4.9 percent sought for treatment from auxilliary personnel at, such as, pharmacy. 9. In-patients from C and D area utilized private clinic and hospital for the treatment of their condition before admission to the hospital, and those from A area less utlized herb drug store and health center compared to the others. Patients of the department of pediatrics visited private clinic most, those of neuropsychiatrics department visited general hospital and those of dermatology department mainly depended on pharmacy. 10. About thirty-three percent of the patients had their condition improved, 27.8 percent recovered, 19.1 percent discharged at his or her own will, 5.2 percent worsened, and 4.8 percent deceased as an outcome of treatment since their admission.

農村住民 醫療機關選擇에 관한 硏究

羅瑨薰,李棟培,沈雲澤 충남대학교 의과대학 지역사회의학연구소 1978 충남의대잡지 Vol.5 No.1

Because of a desire to know the selection of medical services by rural residents, we conducted a survey from July 16th, 1976 to August 20th, 1976, among counties and communities outside of cities. We analyzed the actual utilization of medical services, selection of medical facility and reason for change, reasons for discontinuance of treatment, and duration of treatment with respect to the various parameters such as area, education and occupation of householders, and monthly income of each household. Followings are the results drawn therefrom. 1. The largest number of respondents used drug stores as the 1st choice for receiving medical treatment regardless of the various parameters. Utilization rates of private clinic were increased for the 2nd and 3rd choiced medical services. 2. The location of medical facilities selected by most rural residents was county facilities. Sub-county facilities and medical facilities being placed a little way off were next in order. 3. For the result of educational influences on selection of medical facilities, the lower the educational standard, the utilization rate of hospital and private clinic, where doctors were supplying medical services, was markedly decreased. 4. "Distance" influenced the greater number of respondents when choosing the type of medical facility for the 1st visit. The 2nd most common response was economic factor. The 2nd and 3rd choice of medical facility reason for change, "No response to treatment" was main reason, 5. For the reasons net receiving medical care and discontinued treatment, most respondents gave "economic" as a reason. 6. The most rural residents wanted the form of medical services, being placed a little way off, which will be operated by government.

一部綜合病院入院患者의 特性에 關한 調査硏究

羅瑨薰,權章遠,安僑燦,沈雲澤 충남대학교 의과대학 지역사회의학연구소 1980 충남의대잡지 Vol.7 No.1

A study was conducted to provide comprehensive information on general characteristics and medical care utilization of in-patients of a hospital. Out of 5,627 in-patients admitted to Chungnam University Hospital from January 1 to December 31, 1978, 2,525 were randomly sampled for the study. Medical records the those selected were carefully reviewed and analyzed. The results obtained are as follows; 1. Among the total admitted, the most predominant age group were those of 20 and over years of age. Male was more dominant under 20 and over 60, however female aged 20-59 outnumbered male. 2. Deparment of internal medicine were followed by general surgery and pediatrics with about one thirds of the total admitted being taken care under it. 3. About fifty-eight percent of patients stayed in the hospital shorter than 1 week, while 33. 4 percent stayed 2-4 weeks, and those stayed longer than 4 weeks were mostly come from the department of orthopedics, neuropsychiatrics, and neurosurgery. 4. The most prevalent cause of admission was accident and poisoning (XVII) with highest frequency at age 20-29 both in male and female. and for female only the most prevalent cause was deliveries and complication of pregnancy, childbirth and puerperium(XI). 5. Among the admitted, nearly half of then were from Dae Jeon City where the hospital was located. 6. About forty-four percent of the admitted had no previous treatment before admission, while 33.2 percent visited private clinic, 8.5 percent had their previous treatment at general, and only 4.9 percent sought for treatment from auxilliary personnel at, such as, pharmacy. 7. In-patients from C and D area utilized private clinic and hospital for the treatment of their condition before admission to the hospital, and those from A area less utilized herb drug store and health center compared to the other. Patients of the department of pediatrics visited private clinic most, those of neuropsychiatrics department visited general hospital and those of dermatology department mainly depended on pharmacy. 8. About thirty-three percent of the patients had their condition improved, 27.8 percent recovered at his or her own will, 5.2 percent worsened, and 4.8 percent deceased as an outcome of treatment since their admission.

농촌(農村) 주민(住民)들의 의료필요도(醫療必要度)에 관(關)한 연구(硏究)

이성관,김두희,정종학,정극수,박상빈,최정헌,홍순호,라진훈,Lee, Sung-Kwan,Kim, Doo-Hie,Jung, Jong-Hak,Chunge, Keuk-Soo,Park, Sang-Bin,Choy, Chung-Hun,Heng, Sun-Ho,Rah, Jin-Hoon 대한예방의학회 1974 Journal of Preventive Medicine and Public Health Vol.7 No.1

Today most developed countries provide modern medical care for most of the population. The rural area is the more neglected area in the medical and health field. In public health, the philosophy is that medical care for in maintenance of health is a basic right of man; it should not be discriminated against racial, environmental or financial situations. The deficiency of the medical care system, cultural bias, economic development, and ignorance of the residents about health care brought about the shortage of medical personnel and facilities on the rural areas. Moreover, medical students and physicians have been taught less about rural health care than about urban health care. Medical care, therefore, is insufficient in terms of health care personnel/and facilities in rural areas. Under such a situation, there is growing concern about the health problems among the rural population. The findings presented in this report are useful measures of the major health problems and even more important, as a guide to planning for improved medical care systems. It is hoped that findings from this study will be useful to those responsible for improving the delivery of health service for the rural population. Objectives: -to determine the health status of the residents in the rural areas. -to assess the rural population's needs in terms of health and medical care. -to make recommendations concerning improvement in the delivery of health and medical care for the rural population. Procedures: For the sampling design, the ideal would be to sample according to the proportion of the composition age-groups. As the health problems would be different by group, the sample was divided into 10 different age-groups. If the sample were allocated by proportion of composition of each age group, some age groups would be too small to estimate the health problem. The sample size of each age-group population was 100 people/age-groups. Personal interviews were conducted by specially trained medical students. The interviews dealt at length with current health status, medical care problems, utilization of medical services, medical cost paid for medical care and attitudes toward health. In addition, more information was gained from the public health field, including environmental sanitation, maternal and child health, family planning, tuberculosis control, and dental health. The sample Sample size was one fourth of total population: 1,438 The aged 10-14 years showed the largest number of 254 and the aged under one year was the smallest number of 81. Participation in examination Examination sessions usually were held in the morning every Tuesday, Wenesday, and Thursday for 3 hours at each session at the Namchun Health station. In general, the rate of participation in medical examination was low especially in ages between 10-19 years old. The highest rate of participation among are groups was the under one year age-group by 100 percent. The lowest use rate as low as 3% of those in the age-groups 10-19 years who are attending junior and senior high school in Taegu city so the time was not convenient for them to recieve examinations. Among the over 20 years old group, the rate of participation of female was higher than that of males. The results are as follows: A. Publie health problems Population: The number of pre-school age group who required child health was 724, among them infants numbered 96. Number of eligible women aged 15-44 years was 1,279, and women with husband who need maternal health numbered 700. The age-group of 65 years or older was 201 needed more health care and 65 of them had disabilities. (Table 2). Environmental sanitation: Seventy-nine percent of the residents relied upon well water as a primary source of dringking water. Ninety-three percent of the drinking water supply was rated as unfited quality for drinking. More than 90% of latrines were unhygienic, in structure design and sanitation (Table 15). Maternal and child health: Maternal health A