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한동관(HAN Dong Gwan),류창욱(RYU Chang Ug),고상균(KO Sang Kyun),정재국(JUNG Jae Kook),문종윤(MOON Jong Youn),박윤형(PARK Yoon Hyung) 大韓醫史學會 2011 醫史學 Vol.20 No.2
It was the late Chosun Dynasty and Daehan Empire era that Western Medicine has firstly been introduced to Korea, previously operating on a basis of Korean traditional medicine. Western Medicine has been introduced by American missionary and Japanese Imperialism. An introduction of Western Medicine made it feasible to proceed new type medical care including operation, leading to require a new form of medical facilities. In the beginning, new facilities were constructed by Japanese Imperialism. Other hand many of facilities including Severance Hospital were established by missionaries. First of all, Daehan Empire established and managed a modern type of medical facility named "Jejoongwon" in 1885 as a government institution hospital. The Red Cross Hospital built in 1889. Afterwards, Jejoongwon and the Red Cross Hospital were taken over to missionary hospital and Japanese Imperialism, respectively. Japanese Imperialists firstly have protected their nationals residing in Chosun but have proceeded care a few Chosun people to exploit medical treatment as a mean to advertise superiority of the Empire of Japan. The facility that has firstly been established and managed was Jeseang Hospital in Busan in 1877, leading to establish in Wonju, Wonsan, and Mokpo. Afterwards, Japan has organized "Donginhoi" as a civil invasion organization, leading for "Donginhoi" to established "Dongin Hospital" in Pyeongyang, Daegu, and Seoul. Since 1909, governmental leading medical facility named Jahye Hospital was established according to an imperial order, leading to establish 32 hospitals all over the nation. American missionaries have established and managed 28 hospitals started from Severance Hospital built in 1904. However, Chosun doctors started to having educated and opening up their own hospital since 1920, leading for many of medical facilities to be established, but most of them have taken different roles followed by 6.25 War and economic development period. However, some of them are currently under protection as cultural assets, and some of them are now preserved. Buildings have originally been structured of wood as a single story in the beginning, but bricks started to be steadily used, leading to build two story building. Each of clinic department started to be separated since 1920, establishing operation room and treatment room. Now, a change of perception as to buildings that need to be preserved and an attention from government and doctors are required since modern medical facilities keep disappearing.
박국인 ( Kook In Park ),남궁란 ( Ran Namgung ),이철 ( Chul Lee ),한동관 ( Dong Gwan Han ) 대한주산의학회 1990 Perinatology Vol.1 No.1
We conducted a retrospective study of early prediction of death based on arterial blood gas study and ventilatory indices in newborn infants with severe respiratory failure underwent conventional mechanical ventilation. Of 41 babies with severe respiratory failure admitted to a neonatal intensive care unit of Yonsei University Medical Center from Jan. 1986 to June 1989,7(17%) ultimately died. Thirty two of the 41 infants had hyaline membrane disease, 13 had pneumonia & / or sepsis, 13 had severe asphyxia, 4 had perisitent pulmonary hypertension, and 4 had meconium aspiration syndrome. There was a significant association between adverse outcome and severity of respirea-tory failure; patients with a single a/A PO2 ≤ 0.03 had mortality of 100%(4 of 4), those with a single OI≥ 60 had mortality 80%(4 of 5), those with a single PaO2 ≤ l8mmHg had mortality 100%(4 of 4), and those with a single Aa DO2 > 645mmHg had mortality 100%(6 of 6). An Aa DO2 criterion of greater than or equal to 640mmHg for 4 hours producecd a mortality of l00%(6 of 6) and an PaO2 < 50mmHg for a 28 hours interval was associated with a 83% mortality(5 of 6). Based on this study, we recommend that each NICU study its various patient groups to determine what quantitative indices, if any, allow reliable prediction of outcome and which specific index values allow discrimination between favorable and unfavorable outcomes. A predictive set of indices, once validated for a particular NICU, can then be used to indentify those infants who are likely to have an unfavorable outcome. Treatment options for those infants, whether conventional or experimental, can then be critically appraised.