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      • 보건의료원 설립전후의 의료이용실태

        서재붕,이태용,심운택 충남대학교 의과대학 지역사회의학연구소 1990 충남의대잡지 Vol.17 No.1

        As the health insurance program was expanded to the rural area Chung-Yang Health Center was transformed to the hospitalized health center in January 1988, in medical facilities. The changes of the medical utilization were expected after the establishment of hospitalized health center. Therefore this study was performed to find the changes of medical utilization. The results were as follows : 1. The utilization rate of male was increased among ages over 50 but that of female among the same age groups was decreased after establishment. All outpatients were increased to 37% after establishment. 2. The highest utilization rate was shown in community health insurance. When adjusted by the enrolled populations, Family planning members had the highest utilization rate. 3. The utilization rate of the people who lived near the health center was higher than that of nay other people, but the rate of those who lived far from the health center was increased after establishment. 4. The most common disease by the Korean Standard Causes of Death Classification was respiratory disease, 37% before the establishment and 29% after the establishment. The next in the disease were digestive disease, musculoskeletal disease and skin disease, much the same as before. 5. The thre major diseases were common cold, arthropathy, gastritis and functional disorder, and those disease are 53% of all disease before the establishment and 47% of all after the establishment. 6. Most frequent disease to visit the health center were diabetes mellitus, hypertension, and chronic liver disease, which need continuously follow up care, and the frequencies of those diseases were the dame as before. 7. The referral rate to other medical facilities was increased from 4.0% to 7.1% after the establishment.

      • 비발효성 그람음성 간균의 임상적의의

        서재붕,강경호,박승철,백승룡,김준석,김대원,김영기,이갑노 대한감염학회 1985 감염 Vol.17 No.2

        Nonfermentative gram negative bacilli isolated, from the various clinical specimens were studied from the period Septetmber, 1983 to August, 1985 at the Korea University-Guro Hospital. 1) Among the total 5052 bacteria isolated Enterobacteriaceae, gram-positive cocci and nonfermentative gram negative bacilli were 2,811(55.6%), 1,290(25.5%), 913(18.1%) respectively. 2) Distribution of nonfermentative gram negative bacterial genus were Pseudomonas(8.1%), Acinetobacter(20.0%), Alcaligenes(17.7%), Achromobacter(2.2%), Flavobacterium(1.6%) etc in decreasing order of frequency. Distribution of nonfermentative gram negative bacterial species were Pseudomonas aeruginosa(50.9%), Alcaligenes species(17.7%), Acinetobacter calcoaceticus var antitratus(15.2%) etc in decreasing order of frequency. 3) The most frequently isolated nonfermentative gram negative bailli in sputum, urine, pus, bile, throat, ear discharge and chest tube were Pseudomonas aeruginosa. However, Alcaligenes species were most frequently isolated nonfermentative gram negative bacilli in blood and vaginal swabs. 4) Generally, nonfermentative gram negative bacilli revealed resistant patterns against gram-negative antimicrobial agents.

      • 서울 바이러스에 의한 출혈성 신증후군의 임상상에 관한 연구

        변관수,서재붕,이명석,김영훈,강경호,김준석,박승철,이호왕 대한감염학회 1986 감염 Vol.18 No.1

        Seoul virus was identified in 1983. by Department of microbiology College of medicine, Korea University, and registered in American Arbovirus Catalogue in 1985. Feb. There were previousy reports of urban type Korean hemorrhagic fever, but there were no reports of clinical features of Seoul viral infection which is serologically diagnosed. So we evaluated the clinical findings in 29 patients with Seoul viral infection with hemorrhagic fever with renal syndrome who were diagnosed by hemagglutination inhibition test. We compared clinical findings of Seoul viral infection with previously reported iclinical fiedings of Korean hemorrgagic fever. The results were as followings: 1) Objects were 29 cases of Hemorrhagic fever with renal syndrome which were diagnosed serologically as Seoul virus, and observation period was from 84, Jan to 84, Dec. 2) Disease was dominant in Seoul area and in fall season. 3) Major symptoms were fever, abdominal or flank pain, vomiting, and myalgia, 4) Major physical findings were petechia, CVA tenderness, pharyngeal injection, but findings of bleeding tendency were less common than Korean hemorrhagic fever. 5) In laboratory findings, platelet count and WBC count abnormalities were milder than Korean hemorrhagic fever and treatments were mainly conservative and mortality was zero in observed cases.

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