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      • 韓國人의 肝炎 B抗原 發現頻度

        姜得龍 順天鄕病院 1976 順天鄕醫報 Vol.1 No.1

        Occurence of hepatitis B surface antigen (HBsAg), a known marker for hepatitis B virus, is expected to be high among Korean population as compared to the in-habitants of other countries where the viral hepatitis is pin-point endemic. The results of investigations for the occurence of HBsAg in several groups of Korean were as follows: 1) 213 sera (7.4%) out of 2,880 samples taken from professional donors and 108 sera (7.3%) out of 1,427 samples taken from healthy Korean infant and children who live in Seoul were HBsAg positive by counterimmunoelectrophoresis(CIEP) in 1972 and 1973. 2 sera(1.5) out of 135 voluntary donors were HBsAg positive by CIEP method in same period. 2) 21 sera(4.4%) out of 478 samples taken from healthy Korean infant and children who live in Seoul city were HBsAg positive by CIEP method in 1973 and 1974. The overall HBsAg positive in male and female were 6.2% and 2.3% and the higher value in male occured in the age group of 13~24 months(9.5%) and 9.1~12.0 years(10.3%) and the same in female occured in the age group of 12.1~16.1 years(7.7%). 3) 2 sera (4.6%) out of 43 samples from candidate for the final contest of well baby for 1975 in Seoul city were HBsAg posistive by CIEP. Two of them were belong to the agte group of 13~24 months after birth. 4) sera(2.4%) out of 209 samples from healthy employees of Soon Chun Hyang General Hospital include 50 males and 159 female staffs, were HBsAg positive and highest value was obtained from 2 sera (11.7%) out of 17 laboratory workers in job specification. 5) 14 sera(7.1%) out of 195 samples from healthy employees of N.C. Leather Co. were HBsAg positive. Higher value were obtained at the age groups of 10~15,16-20,and 21-25 years old with the reange of 12.5~15.7% in the male and 3.2%~6.2% in female. The over all HBsAg positive in male employees was 11.7% and the same in female was 4.5%. 6) 5 (7.7%) sera out of 65 office girls of Medium Industrial Bank in Seoul with the average age of 18 years old and 5(3.4%) sera out of 148 sales-girls of Pacific Chemical Industrial Company with the average age of 20 were HBsAg positive. In other series, 3(5.5%)sera out of 55 male engineers of Dong Ah Construction Company with the average of 36 years old and no sera out of 53 male maintenance technicians of Keum Gang Automobile Service Company with the average age of 37 years old were HBsAg positive. 7) In two series of study for study for the presence of HBsAg in routine blood specimens of Soon Chun Hyang General Hospigal, 5(7.5%) out of 65 specimens for chemistry, 2 sera (3.4%) out of 58 specimens for hematology and a serum (3.7%) out of 27 specimens for serology were HBsAg positive in first series, collected at the date of Nov. 7,1975. 5(9.8%) out of 51 specimens for chemistry, 2(11.7%) out of 17 specimens for hematology and 3(6.9%) out of 43 specimens for serology were HBsAg positive in second series, collected at the date of Feb. 11, 1976. The overall HBsAg positive in first and second series were 5.3% and 9.0%. A birief review of literature was presented.

      • 부각자궁 임신의 2예

        서병화,정하영 順天鄕病院 1977 順天鄕醫報 Vol.2 No.1

        Cornual pregnancy is very rare ans its diagnosis is very difficult due to the distensibility of the uterus at the conus. However, tender cystic enlargement at one horn of the uterus is suggestive of this type of ectopic gestation. This report included two cases of cornual pregnancy which were treated at Soon chun Hyang Gen. Hospital. We present two cases with review of the literature.

      • 피부염증시 관여인자

        鄭哲秀,金容煥 順天鄕病院 1976 順天鄕醫報 Vol.1 No.1

        Knowledge of the inflammatory process has increased immeasurably in recent years. The broad bases of information now being developed will be of significant help in many fields of medicine, not the least being that of dermatology where inflammatory conditions comprise a significant portion of the total disease spectrum. This chapter attempts to review some of the more recent developments occurring in various areas of the inflammatory process.

      • 뇌정맥의 문합상태와 측부행로 순환

        이인수 順天鄕病院 1976 順天鄕醫報 Vol.1 No.1

        Extensive anastomotic channels and collaterals within and between the cerebral surface vens, the deep veins of the brain, the veins of the cerebellum and brain stem, the cavernous sinuses and the emissary veins are explained in turn. And the connections between the intracranial and extracranial veins are also presented. Then some clinical correlations with the venous collateral circulation of the brain are added.

      • 吸入麻醉時 濕度의 槪念과 管理

        金晟烈 順天鄕病院 1976 順天鄕醫報 Vol.1 No.1

        흡입마취후에 발생할 수 있는 폐합병증은 생명과 직결되는 문제이기 때문에 매우 조심스럽게 다루어지고 있는 것은 주지의 사실이다. 그러므로 여러가지 원인적인 요소를 추구하여 이에 대한 예방 및 치료에 힘쓰고 있으나 흡입마취시 폐합병증과 밀접한 관계가 있는 습도조절 문제만은 소인한 것 같다. 다라서 습도조절의 의의와 폐합병증에 대한 예방 및 치료에 관하여 좀 더 자세하게 문헌적 고찰과 함께 생각하여 보기로 한다.

      • Krukenberg 종양 1예

        서병화,이권해,조태호 順川鄕病院 1976 順天鄕醫報 Vol.1 No.2

        This is a case of metastatic Krukenberg tumor of the ovary. We present this case with review of literature.

      • 大腿骨幹骨折의 經皮 骨髓腔內 金屬釘 固定術

        金學賢,崔昌郁,尹致淳 順川鄕病院 1976 順天鄕醫報 Vol.1 No.2

        In spite of some criticism, in 1940, Kuntscher described the technique of closed I-M nailing in human, this method is widely accepted since it contains more adva-ntages in many respects. It prevents loss of hematoma which is important source of callus formation, prevents damage to the periosteum and soft tissues around the fracture and risk of infection is markedly reduced and stable union of the fragments without additional superfluous external fixation which can lead to early functional use of extremity. Closed I-M nailing for femoral shaft fracture were first tried in Soon Chun Hyang Gen. Hospital from June, 1974 34 cases had been performed to Sept., 1976. Our method is adopted from Kuntscher's method mostly and the principle of proceeding the pre-determined nail without reaming of medullary canal, even in proximal fragment in favorab1e circumstance was adopted from Bohler's suggestion, We by experiences with this series, may summarize as follows : 1. 34 adult femoral shaft fractures were treated with Kuntscher's closed I-M aniline between June,'74-Sept.,'76. 2. Approximate males to females ratio are 4 : 1. The youngest age is 17 years and oldest 58 years. 3. Pre-operative distraction of the fracture site was not necessary in most of our cases and the selection of the entrancing point of nail is probably important. 4. There was not a case of non-union or infection. 5. The advantages are the operation is simple, infection rate nil, early rehabili tation and short hospitalization. 6. In conclusion, closed I-M nailing is the method of choice when internal fixation is indicated and most recent fractures of the femoral shaft are best treated by this method.

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