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병원분만아(病院分娩兒)의 미숙아(未熟兒) 및 저출생체중아(低出生體重兒)에 관한 문헌고찰(文獻考察)
류호신 ( Ho Shin Ryu ),홍재웅 ( Jae Woong Hong ) 한국보건사회연구원 1986 保健社會硏究 Vol.6 No.2
The authors attempted to study on incidence, fatality and cause of death of premature and low-birth-weight infants by reviewing the 30 original papers published from 1955 to 1986 in Korea. All the papers were based on the hospital records of the new-born infants. Accordingly, the results would be interpreted in a limited ranges. The findings of this study were summerized as follows : 1. Although the incidence of the premature and low-birth weight infants were fluctuated by year, it was estimated that the incidence of low-birth-weight was 8.0 per cent in Korea recently. The incidence of premature and low-birth-weight infants was the highest during 1965-1970 (Premature 8.4%, low-birth-weight infant 10.9%). Regarding sex and maternal age, in male showed lower than in female and those with their mothers between 26 and 30 years of age revealed the lowest. Incidence was higher at the first born and the third born. 2. However the common causes of incidence were uncertain, it was suspected that the premature was caused by premature rupture of membrane, (pre) aclamsia, toxemia, abnormal placenta and low-birth-weight infants caused by toxemia, twin, premature rupture of membrane, abnormal placenta. 3. Fatality rates in hebdomadal period of premature and low-birth-weight infants tended in general to become lower annually. But, neonatal fatality rates were changeable. Fatality rates were higher in male than in female. The heavier the birth weight, the lower the fatality rate was revealed rapidly. 4. The most common clinical cause of death in low-birth-weight infants was respiratory distress syndrome, and followed by pneumonia & other infections, birth injury & intracraneal hemorrhage, congenital anomaly in that order. While the cause of death by autopsy was shown atelectasis, hyaline membrane disease, pneumonia & other infections, birth injury & intracraneal hemorrhage in that order.
인천시 고잔동에서 제기된 유리섬유에 의한 건강피해 역학 조사
조수헌,주영수,김경렬,이강근,홍국선,은희철,송동빈,홍재웅,권호장,하미나,한상환,성주헌,강종원,Cho, Soo-Hun,Ju, Yeong-Su,Kim, Kyung-Ryul,Lee, Kang-Kun,Hong, Kug-Sun,Eun, Hee-Chul,Song, Dong-Bin,Hong, Jae-Woong,Kwon, Ho-Jang,Ha, Mi-Na,Han, Sang 대한예방의학회 1997 예방의학회지 Vol.30 No.1
In September 1994, residents of Gozan-dong, Incheon City, made a petition to the government about their health problems which might be caused by previous glass fibre landfill nearby 'H' company. In february 1995, at regular academic meeting of occupational and environmental medicine, a research team of 'D' University presented that they had found glass fibres in groundwater of the area through their survey. They were suspicious of probable association between ingestion of groundwater contaminated with glass fibres and skin tumors among residents. A joint research team was formed and carried out the survey of environment concerning groundwater and its glass fibre existence, and health assessment of residents in the area and industrial workers of 'H' company during May to November, 1995. Analysis of groundwater flow system indicates that the flow lines from the glass fibre landfill pass through or terminate at the 6 houses around the landfill. This means that the groundwater of the 6 houses around the glass fibre landfill could be affected by some possible contaminants from the landfill, but the groundwater quality of the other houses was irrelevant to the landfill. The qualitative and qualitative analyses for glass fibres in 54 groundwater samples including those from the nearby 6 houses, were carried out using SEM equipped with EDS, resulting in no evidence for the presence of glass fibres in the waters. Major precipitates, formed in waters while boiling, were identified as calcium carbonates, in particulary, aragonites in needle form. The results of health assessments of 889 residents in Gozan-dong, participated in this study, showed statistically significant differences in past medical histories of skin tumor and respiratory disease between the exposed group (31 persons who inhabited in 6 houses around the landfill) and the control group, but no significant differences in past medical histories of other diseases, such as cancer mortality, current gastroscopic findings, current skin diseases and respiratory diseases, etc. Also, we could not prove any glass fibres in excised specimens of 9 skin tumors in both groups and there were no health problems possibly associated with glass fibres in employees of the 'H' company. After all, we could not authenticate the association, raised by prior investigators, between groundwater streams, assumedly contaminated with glass fibres or not, and specific disease morbidities or common disease/symptom prevalences. That is, we could not find any glass fibres in groundwater as the only exposure factor of this study hypothesis, and there were not enough certain evidences such as increasing disease prevalences, for examples, skin, respiratory and gastrointestinal diseases etc, possibly related to glass fibre exposure, in exposed group. As a matter of course, the conditions for confirming causal association, for example, strength of the association, consistency of the association, specificity of the association, temporality of the association and dose-response relationship etc, have not been satisfied. In conclusion, we were not able to certify the hypothesis that contamination of groundwater with glass fibres might cause any hazardous health effects in residents who used it for drinking.