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      • 倫落女性에 對한 現況 및 性病에 關한 硏究

        文九 慶北大學校 1964 論文集 Vol.8 No.-

        Five hundred and ten prostitutes living in Taegu, Kyung Joo, and Pou Hang areas were investigated for their present conditions and morbidities of the venereal diseases. Bacteriological studies of 28 strains of gonococci, 33 of coagulase positive and 75 of coagulase negative staphylococci isolated from the cervix were also made, and the following results were obtained. Ⅰ. Present conditions of prostitutes. 1. Ages of 66.6% of prostitutes were from 21 to 25 years. 2. Ages of menarche ranged from 16 to 19 years in most cases (80%). 3. First sexual intercourse was made under the ages of 20 years in 77.0%. 4. 89.0 per cent of prostitutes had not received an education higher than the level of primary school. 5. In 62.4% of prostitutes, it was found that they had no jobs in the past. 6. Important motives of the first sexual intercourse were love affaris (48.0%) and prostitution (22.0%). First intercourse of most of prostitutes (82.0%) was extra-marital. 7. Causes of fall into the misery were the difficulty in economic condition (57.1%0, seduction (27.6%) and abandonment (15.3%). 8. Prostitutes from urban areas showed a little higher percentage than those from rural areas. Ⅱ. Venereal diseases. 1. Lesions and/or pus discharges in the cervix were found in 51% of prostitutes and cervical erosions in 33.2%. 2. Gram negative diplococci in discharges were observed intracellularly or extracellualry in 31% of persons examined, and a high incidence of Gram negatice diplococci was noted among prostitutes for Koreans than in those for U.N. Forces. The appearance of leucocytes and Gram positive diplococci in discharges were almost the same in the both groups of prostitutes. 3. Thirtytwo strains of gonococci were isolated from specimens showing Gram negative diplococci upon staining, and three strains from those showing no Gram negative diplococci. 4. Thirtyfive strains out of 95 Gram negative diplococci showing positive oxidase reaction were identified as gonococci and the remaining as N. catarrhalis, N. sicca, N. flava or mimea group. 5. Gonococci were sensitive to penicillin, less sensitive to terramycin and erythromycin, moderately resistant to chloramphenicol, kanamycin and albamycin, and highly resistant to streptomycin and sulfadimethoxine. 6. One hundred and sixtytwo strains of staphylococci were/isolated from cervical discharges, and 33 strains of them were coagulase positive. 7. Among 33 strains of coagulase positive strains, 20 strains were identifed belonging to phage groupⅠ, one mixed group and 12 non-typable. Strains belonging to groupⅠ were identified as phage type 29 and one belonging mixed group as 29/6. 8. The sensitivity of staphylococci to various antibiotics showed no marked difference between coagulase positive and negative ones. Most of the strains were sensitive to antibiotics, and very few of them were resistant. 9. Serological test for syphilis was positive by VDRL test in 10.5% of prostitutes, while Syphilis recenta was not found. The incidence of positive VDRL test was higher among prostitutes in areas of poor sanitation and higher among those for Koreans. 10. Chancroid was found in 11 cases (1.9%) but Lymphogranuloma venereum and Granuloma inguinale were nor found.

      • SCOPUSKCI등재

        정제된 우형 해면골을 이용한 비익 기저부의 증강

        문구,김진환 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.1

        It is generally accepted that autografts of bone are superior to any other types of bone graft. But this technique may be hampered by the size of the bone defect and requires additional surgical procedure, therefore results in increased risk of infection and morbidity. Recently, there is increasing interest in autogenous bone substitute and biomaterials which being extensively investigated: coral, ceramic implants and xenograft can be used as bone substitutes. Some authors have reported successful results using bovine cancellous bone graft in experimental and clinical studies. Authors experienced 15 cases augmentation of cleft lip nose deformity of hypoplastic pyriform rim and maxillary alveolus by using Lubboc(R) (purified bovine cancellous bone matrix) including 3 failure cases of autogenous bone graft. The patient's followup period ranged from 4 months to 30 months. In our series, we found no adverse immune reaction and experienced favorable aesthetic results in augmentaion of alar base with maintenance of considerable volume and stability. Through long term follow-up, this new purified bovine cancellous bone can be a reliable bone substitute in the treatment of minor bone defect.

      • SCOPUSKCI등재

        Crouzon씨병 교정치료를 위한 개선된 Frontofacial monobloc advancement와 Cranial vault remodeling 병행수술 방법

        문구,이윤호 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.6

        Crouzon's disease characterized by exorbitism, retromaxillism, inframaxillism, and paradoxic retrogenia, was first described by Crouzon in 1912. Premature fusion of cranial sutures results in a variety of calvarial deformities, but oxycephaly and brachycephaly are most often observed.¹ According to the severity of deformity and patient's age, the method of surgical correction should be selected. In adults, for reasons of safety, staged operation, first, limited frontocranial remodeling if necessary and facial advancement later, is generally favored. Combined orbitofacial monobloc advancement and frontal repositioning was popularized by Oritz-Monasterio(1978) but this technique has been reserved only for child. Persistent intracranial dead space, increased risk of ascending infection via nasofrontal communication, possibility of frontal bone flap resorption, and some technical difficulties rendered monobloc advancement to be not indicated in adults. We thought that modification and improvement of original monobloc procedure combined with cranial vault remodeling could overcome above mentioned disadvantages. Authors' combined procedure can correct deformities of midface, forehead and cranial vault simultaneously in one stage. We performed our combined surgical procedures of modified frontofacial monobloc advancement and cranial vault remodeling in 22 year-old female patient and obtained successful without complication. Through our limited experience, this new methods probably can be safely applied to the adult patients of Crouzon's disease with calvarial deformities and correct not only front-orbito-facial region but also whole cranial vault deformity in one stage.

      • 柴胡疏肝散이 胃腸管運動과 Stress에 미치는 影響

        韓宗鉉,文錫哉,文九 圓光大學校大學院 1989 論文集 Vol.3 No.-

        Effects of Shihosogansan extract on the gastrointestinal tract were studied in isolated organ segments in vitro. Treatment of Shihosogansan extract caused an increase of the contractile response of the isolated rat stomach, ileum, and duodenum. Higher response was observed in stomach and ileum segments than in duodenum. Generally the magnitude of increase was related to the dose of Shihosogansan extract. The contractile response of isolated rat ileum induced by Shihosogansan extract was inhibited if atropine was pretreated to the ileum segment. Meanwhile, pretreatment of pheniramine maleate of cyproheptadine did not altered the effects of Shihosogansan extract. The contractile response induced by Shihosogansan extract was appeared to be closely related to the concentration of calcium since the response was decreased significantly if the concentration of calcium in the medium was reduced or verapamil, an inhibitor of Ca (???)ion, was pretreated. Effects of Shihosogansan extract on the stress induced by various stimuli were also investigated in rat and mouse in vivo. Administration of Shihosogansan extract (10 and 100 mg/kg,po) to rat and mouse caused an increase of the total waiting time as measured by the automatic reflex conditioner. Shihosogansan extract treated group also showed a significant lower level of plasma cortisol compare to the controls after the swimming stress at 4℃ and the electrical stress. No significant difference was observed in plasma cortisol concentration, however in the swimming stress at 20℃ and the mix stress (sound, electric and light) experiments. The results presented in this study suggests that the therapeutic effects of Shihosogansan on the gastrointestinal tract function might due to its action on the parasympathetic nerve system of the gastrointestinal tract. Shihosogansan also appeared to have strong antistress effects especially to the powerful stress such as swimming stress at 4℃ and electrical stress.

      • SCOPUSKCI등재

        역행성 동맥 혈류를 이용한 원위 유리피판술의 실험적 연구

        문구,민경원,이민구 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.3

        Microsurgical free-tissue transfer has allowed surgeons to salvage injured limbs but choosing appropriate healthy recipient vessels has proved to be a difficult problem. Retrograde flow flaps are established in island flaps. Retrograde flow anastomosis could prevent the possible kinking and twisting of the arterial anastomosis. By not interrupting the proximal blood flow to the fracture or soft tissue defect site, the compromise of fracture or wound healing might be prevented. We wished to establish an animal model in rat for a retrograde arterial flow based free flap. Nembutal-anesthetized male rats, weighing 250 to 300 gm, were used. The femoral artery and common carotid artery exposed and divided. The systemic and retrograde arterial pressure were quantified by utilizing a paralle tubing system connected with peripheral arterial line. In this study, the retrograde flow was not pulsatile and the retrograde arterial pressure was 64-65 mmHg, with a mean arterial pressure of 106-109 mmHg. An epigastric skin flap, measuring 3x3 cm, was raised with its vascular pedicle. The epigastric free flap was transferred in the same rat from femoral vessels to carotid vessels in end to end fashion. We anastomosed the donor ateries to the distal parts of the divided recipient arteries and the donor veins to the proximal parts of the recipient veins. Twelve experiments were performed and the transplantations succeeded in 75 percent of them. In the remaining 25 percent, the experiments failed due to thrombosis at the site of anastomosis, or other causes. This animal model represents an excellent example of retrograde arterial flow free flap transfer that is reliable.

      • KCI등재

        각종(各種) 소화기(消化器) 증상(症狀)에 대(對)한 HPS-A의 임상(臨床) 치험(治驗)

        문구,김세길,Mun Gu,Kim Se-Gil 대한한방신경정신과학회 1992 동의신경정신과학회지 Vol.3 No.1

        The effectiveness, the safety and the usefulness of HPS-A(An Jung San with Chyag Yag Kam Cho Tang), herbal digestive, was examined on 32 patients complained digestive symptoms. This medicine was administered 1 package per 1 time 3 times per 1 day, during 2 weeks. From the examination of the improvemnt and the safety mainly by subjective symptoms, the usefulness was gained. The results were as follows ; 1. In the improvement rate of susbjective symptoms, high rate symptoms was gastric distension, anorexia, heart burn, gastric discomport, dyspepsia, acrid eructation, indigestion, nausea. 2. The improvment over moderate effective was 85.7% after 1 week 96.4% after 2 weeks. The 4 cases breaked medicine during experimental period were all over moderate offectiveness. 3. There weren't any cases complaind particular problem about safety except for 1 case complained mild pushing up of heat. There weren't also any side effect of medicine on common blood count, blood chemistry and urinalysis. 4. In the dicision of usefulness, 19cases(59.4%) were usefulnesss, 12cases(37.5%) were moderate usefulness, 1 case was uselessness(3.1%). So the cases over moderate usefulness were 31 and rate was 96.9%. 5. The usefulness rates according to physical features were all over 95.5% in sturdiness, middle feature and infirmity. So the rates were no relations with the features. 6. The usefulness rates over moderate usefulness according to total seriousness were all over 90% in high, middle, and mild cases. So the rates were no relations with the seriousness. Totally HPS-A was a medicine that was highly effective, safe and useful to patients complained various digestive symptomes.

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