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- 저자 : 權彛赫 (검색결과 130 건)
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權彛赫,朴淳永,洪在雄 최신의학사 1970 最新醫學 Vol.13 No.6
An epidemiological survey was. conducted towards 187 cholera patients in total during the period from September 7 to 28, 1969. Geographically 34 cases were in Suchun Gun, Choongchung Nam Do; 2 in Gunsan City, 36 in Okku Gun, 55 in Kochang Gun and 60 in Buan Gun, Cholla Puk Do, respectively. Total number of patients' households were 171 with 1,060 family members. For control group 870 households with 4,625 in population were examined; 114 households with 680 in population were in Suchun Gun, 119 with 617 in Gunsan City and 637 with 3,328 in Okku Gun. As the results of this study, following conclusions were obtained. 1. Route of entry Basing on the fact that the causative agent was identified bacteriologically as non-hemolytic Elf Tor cholera vibrio as well as the existences of cholera epidemics caused by the vibrio of same strain in certain south-east Asian countries, it was conjectured that the recent cholera outbreaks were introduced to Korea through Gunsan where vessels from contaminated areas frequently had put into port prior to the outbreaks. In addition to this conjecture, the possibility of artificial invasion might be considered. 2. Characteristics of cholera patients Age: Out of the total cases, 88.2% occurred among the age groups of more than 30 years and the mean age was 45. 5 years. Sex: Proportion by sex was observed 2 in male to 1 in female. Educational level: Among total cases, 90. 4% were of primary school level and no schooling. Number of family member: Average number of family member of cholera patients was 6. 2, while that was 5. 3 in control group. Newspaper and radio: Among patients 7. 1% read newpapers and 25. 0% possessed radios. 3. Status of patients at interview It was observed that 39. 0% of total patients were under treatment, 49. 2% were recovered and 11. 8% were dead at the time of interview. 4. Status of treatment Out of the total patients 55. 1% were treated at health centers, 23. 5% at private clinics and 21.4% at home, respectively. Mean days of treatment from onset to recovery was 4. 1 among recovered ratat cases. Case fatality rate was 11.8% and 66.6% died within 24 hours after onset. Out of total fatal cases 56.6% were among the group not treated at all. 6. Food taken prior to onset. Regarding the food taken within 3 days prior to onset, it was found that fish and shellfish occupied 40.1 % and pork (mainly at houses of mourning) 33.2%. Since the proportions of these food among control group were significantly lower, these food might be considered as main common vehicle. 7. Subjective symptom Among the subjective symptoms complained by patients, severe diarrhea ranked first with 94.4% and vomiting next with 64.5%. 8. Secondary attack rate In 6.8% of total households, 2 or more patients were observed in each household and the secondary attack rate was 1.8%. 9. Vaccination Regarding cholera vaccination, 26.3% of total patients answered that vaccinated before onset. 10. Carrier rate Carrier rate was 1.6% among fisherman and 3.3% among patients' family members.
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權彛赫 서울대학교 1963 서울대학교 論文集 Vol.13 No.-
To promote the public welfare and establish a welfare state, various aspects of various specific communities are to be assured. It is worthwhile, therefore, to secure the community diagnosis. Some socio-medical surveys were done on vagrants, indigent people, the aged and physically handicapped persons.
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權彛赫,南浩昌 서울대학교 1964 서울대학교 論文集 Vol.15 No.-
An epidemiological investigation conducted by the authors during the period from 24 September to 14 October 1963 towards 90 cholera patients (87 households) against the control group consisting of 11,482 persons or 2,239 hooseholds in the vicinity with particular attention paid to the status of environmental sanitation, points to the following conclusion: 1. The route of invasion is believed to be through the inapparent cases or carriers among the inmates of vessels from contaminated areas. 2. No significant difference was observed with the incidence rates by different age groups, the average age being 31.13 years. 3. No significant difference could be noticed with incidence rates by sexes. 4. Primary school graduates or those under this educational level constitute majority of the cholera cases. 5. Those who believe in Taeguk-do Religion and Buddhism constitute 12.7% respectively of the total cholera cases, followed in order by Christianity 8.0% and others 1.1%. It seems characteristic that those who believe in Taeguk-do supersede any others in number. 6. Occupational composition: Those without jobs make up 31.2%(those under school age are excluded), or the top, followed by laborers and those engaged in other occupations. 7. Houses of wooden and oil paper structure top (46.1%) all the other types of construction. Average floor space is estimated at 5.3 pyung, indicative of an extremely low income stratum. Number of rooms occupied by households average 1.7, while the occupants per household average 6.7 and number of the inmates per room 3.8. 8.Wells are shared by 57.5% of the cholera victims, which can be converted to an average of 59.0 households per well. Toilets are shared by 50.6% Average distance between wells and toilets is 11.8m. Many (32.5%) of the cases do not possess kitchens, which 62.1% possess no sewage system. Many(32.3%) do not take any measures against files, in sharp contrast with the "control" group. 9.Newspapers have been subscribes to by 80.5% of the patients households while 74.7% are without radios. 10.Secondary attack rate is 0.6%. 11.The rate of carriers among the patient's families and neighbors seems to be decreasing with the lapse of the time(27 September though 3 October 1963). This rate is highest among the fish peddlers. 12.Contamination of vectors has turned out to be positive only with files. The rate: 23.0% within the asylum for patients and 4.7% within the patients houses.
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