癩患者로 부터 癩菌檢出 方法의 改善(Ⅱ)

崔大卿,張明雄,朴鼎圭 충남대학교 의과대학 지역사회의학연구소 1982 충남의대잡지 Vol.9 No.1

For the improvement of detection of leprosy bacilli from patient, author's attention of the bacterial detection ratio have been devoted to compared the skin smear method with the nuclepore filter method from 200 patients who were registrated in Chungnam Skin Clinic of Korean Leprosy Association. One hundred patients out of 200 registered were positive in bacterial detection, the others were negative. For the dispersion of bacterial globi in nuclepore filter method, the skin scrapped materials were treated with 0.025% trypsin and 0. 002 % tween 80 for 30 minutes at 37℃ incubator. The efficiency of bacterial detection between the nuclepore 13 mm diameter of the filter and the 25 mm filter were investigated in the broth cultured M. fortuitum. The cultured M. fortuitum was transferedl ml into each 10 tubes, and then was carried out ten-fold dilution, respectively. The specimen for comparative counting of acid fast bacilli were made on 10^-4 dilution in using 25 mm diameter of filter and 10^-5 dilution in using 13 mm diameter of filter and cultural method. The results were summarized as follows: 1. The ratio of bacterial detection by the skin smear and nuclepore filter methods from 100 patients who were registrated with bacterial detection positive cases were not observed any difference, in all cases were detected leprosy bacilli with both methods. 2. In 100 patients who were registrated with bacterial detection negative, 19 patients were detected leprosy bacilli by the skin smear method and 33 patients were detected leprosy bacilli by the nuclepore filter method. The ratio of bacterial detection by two methods were observed statistically significant difference. (0.01<p<O. 05). 3. Between bacterial indices by skin smear and bacterial numbers of nuclepore filter methods were observed perfect positive corelation. 4. There was close corelation between 25 mm filter and the culture method, however, 13 mm filter was more higher than other two methods. From the above results, it was suggested that the nuclepore filter method with well digesting specimens with 0.025% trypsin and 0.002% tween 80 would be more accurate and higher detection ratio of M. leprae than skin smear method. The nuclepore 13mm filter was more efficient to detection of acid fast bacilli than 25 mm filter.

지역사회(충남일부지역)의 의료실태, 가족계획 및 모자보건에 관한 조사보고

윤능수,노흥태 충남대학교 의과대학 지역사회의학연구소 1976 충남의대잡지 Vol.3 No.2

The survey on medical care, birth control and MCH in rural area was investigated for 294 households and 212 women from the same households at Sungjuri, Misanmyun, Boryunggun, Chungnam during the period from July 26 to July 30, 1976. The results are summerized as follow: 1) Annual prevalence rate observed as 60.2% by household and 146.7 by 1,000 population. The most frequent problem were disease of digestive and respiratory system as 23.4%, 21.8% respectively. 2) Utilization of medical facilities were drugstore(14.3%), hospital or clinic(13.3%), health center (6.1%), in order of frequency. And 59.5% of household took medical care at home by means of folk medicine. 3) The chief reason of not use of medical facilities were economic poverty as 77.8%. 4) In birth control 58.2% of household agreed to reform and 29.5% of them adopted actually by means of contraceptic oral pills in 47.1%. Their chief source of knowledge about birth control was taken from counseler of health center in 62.2%. 5) Ideal number of child was 3 in 40.1%, 2 in 39.5%. 6) 72.1% of women had no consultation with a physician during the prenatal period, only 3.7% of women could take to rest during the puerperal period. 7) 86.4% of women delivered their babies at home and delivery attendance by a professional person occurred only 7.7% of the time. 8) Artificial abortion was experienced by 30.3% of women, surveyed. 9) Most of women gave breast feeding in 90.1%, continued till the period of 6 months to 1 year in 43.9%.

악성 골종양 및 병적골절에서 보조적 Bone Cement를 이용한 치험례

윤승호,김옥년 충남대학교 의과대학 지역사회의학연구소 1984 충남의대잡지 Vol.11 No.2

Methylmethacrylate has been used in the treatment of bone tumor and pathologic fracture Which was difficult or impossible by conventional methods such as currettage, en bloc resection, bone graft, and prosthetic replacement or amputation of extremity. We had been treated the 11 cases of bone tumor and pathologic fraeture by the use of ploymethacrylate bone cement and review the results during a period of 3 years from January, 1979 to Jaunary, 1982 and reported it with the review the literature. The results were as follow: 1. Among the 11 cases, giant cell tumor was 5 cases, metastatic tumor was 3 cases, osteogenic sarcoma was 2 cases, and fibrous dysplasia was one cases. 2. The complication and undesirable effect were fracture, deep infection and tissue necrosis in early and joint stiffness near the lesion and death which was disease associated. 3. This procedure were adjunctivel performed upon the metalic internal or intramedullary fixation and compositively by filling on the dead space after currettage with or without bone graft, and this procedure was not difficult and obtained an effective fixation and stabillity. 4. The use of methylmethaerylate bone cement has long been accepted by many orthopedic surgeons and the benefits afforded to the patient are good in our clinical study.

오리 선위 점액분비세포의 점액질에 대한 조직화학적 연구

류시윤,김홍선,김무강,신태균,이영호 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.2

Histochemical sequential staining techniques, PAS, alcian blue pH 2.5 and pH 0.4, were applied to sections from the proventriculus of ducks to observe the histochemical properties of epithelial mucosubstances in the proventriculus of mallard and white Pekin ducks. The whole proventriculus obtained were divided systemically cross strips and processed routinely for histologic and histochemical study. Base on the histologic characteristics, we designated as upper portion which is the distal region of the esophageal-proventriculus junction, as middle portion, and as lower portion which is the proximal region of the proventricular-isthmus junction. The results obtained are as follows 1. Generally in the surface and foveolar epithelia showed the presence of the mixture of neutral and acid mucosubstances. 2. In the tubular gland showed the acidic nonsulfated and sulfated mucosubstance in addition to neutral mucosubstances with occasional neutral and acidic nonsulfated mucosubstances. 3. In the compound gland neutral mucosubstance with scant amounts of acidic mucosubstances or with lack of it were demonstrated. 4. There were recognized differences between speies in the staining intensity of all three types of mucosubstances. 5. There were recognized topographic difference in the acidity of epithelial mucosubstances according to portion.

충남지역 나환자에 대한 사회의학적 조사연구

박연우,오장균,이태용,심운택 충남대학교 의과대학 지역사회의학연구소 1990 충남의대잡지 Vol.17 No.2

We studied through February 1989 to August 1989 to investigate the demographic characteristics, disease status and deformity of leprosy patients registered at Chungnam provincial area on December 31, 1988. The results were as follows: 1. Older than 40 years of age occupied 83.3%, and most patients lived at his or her own home as farmer or stock breeder. 2. The infection source was more the extrafamilial than the intrafamilial source and the most common initial symptoms and signs by body site were sensory paralysis on extremities and infiltration on face and macule on trunk. 3. The deformity was higher in male than female, older the age and much more the deformity. 4. The deformity was higher in T type than L type, and more recent onset of disease and shorter the duration between the onset and the register of disease, more lighter the deformity. The settlement villiger than domiciliary and the group of patientnts being treated at health center than leprosy association, the deformity was heavier.

地域社會 小兒 豫防接種實態에 關한 調査

鄭鏞憲,洪春實 충남대학교 의과대학 지역사회의학연구소 1978 충남의대잡지 Vol.5 No.1

The present work was performed to clarify the current status of immunization among infant and children in Urban area. In autumn, 1977, a survey was conducted towards 323 women residing in 35 Dongs in Dae-Joen City. 323 housholds were selected randomly in each Dong and home visiting interviews were carried out by medical students with questionairs designed to measure various immunization status of children under 3 year of age. The results were summarized as follows; 1. The majority of respondents was mostly familiar to measles, poliomyelitis, D.P.T. and small pox vaccines but unfamiliar to mumps at all. 2. Maternal familiarity to immunizations was related to the age of their children. 3. The performance of immunizations by age of children was variable to types of vaccines. 4. 91.6% of children surveyed was vaccinated againest D.P.T., 87.0% against poliomyelitis and 58.8% againest B.C.G. 5. The immunization rates among children aged 13 to 36 months were shown in measles, small pox, encephalitis, mumps, typhoid, with 75.6, 62.6, 34.6, 29.0, 25.8% respectively and mean of 45.5%. 6. As for places of immunizations, 68.6 % of group surrveyed, took immunization at hospital, 23.8% at health center, 1% at pharmacy and 6.6% in others. 7. The major reasons for failure of immunizations were ignorance and idleness. 8. Of the 3rd immunization rate, D.P.T. and polio marked 51.7 and 45.9% respectively and those booster were 3. 7 and 4. 3% only. 9. D.P.T. and polio immunization rates by frequency of injection were shown higher in high school graduates, and those rates by age similar in all age groups except 3∼7 month group. 10. The higher were the mother's educational level and living standard, revealed the higher the immunization rates at hospital. 11. Of the place for immunization by frequency of injection, 3rd immunization rate was very low at health center. 12. As for adequate time to be vaccinated, the immunization rate of B.C.G. within 1 month of age showed 37.8%, that of small pox during l to 2 year of age 53.8%, and that of measles in 12 month of age 37.8%.

家族機能度指數(Family APGAR Scores)에 關한 基礎調査 硏究

姜星圭,沈雲澤 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.1

This study was investigated the Family APGAR. Scores which was introduced in 1978 as a utilitarian screening instrument for family function by Dr. Smilkstein. The Family APGAR Index Questionnaire consisted of five items : adaptation, partnership, growth, affection and resolve. The Index Score is ranged from 0 to 10 and is divided into three groups; severly dysfunctional 0-3, moderately dysfunctional 4-6, and highly functional 7-10, for evaluating the family function. For this study, 466 high school students were chosen and divided into two groups; Three-choice response format group (Group I) and five-choice response format group (Group Ⅱ ). For comparison, 200 reformatory students whose age were similar to the Group I were selected. The retest was carried out after an interval of two weeks to Group I . The results of this study are as follows. 1. In Group I, the mean Family APGAR Score is 5.45±2.17. The range of inter-item correlations are 0.18-0.34 and item to total correlations are 0.55-0.63. 2. In Group I , 31.4;% belongs to highly functional families, 48.3% moderately dysfunctional families and 20.3% severely dysfunctional families by Smilksteins' classification. 3. The three-choice response format results in good scale qualities and is simpler although fivechoice response format yields some improvement in psychometric qualities of the instrument. 4. The difference in Family APGAR Scores between high school students group and reformatory students group is statistically significant (P<0.01). 5. The coefficiency of test-retest reliability after and interval of two weeks is 0. 3225, which is statistically significant (P<0.001). As a result, this study suggested the possibility that the Family APGAR Scores could be applied to the Korean for evaluating family function.

Differences of Maternal Role Attainment in Breastfeeding and Bottlefeeding Mothers

Lee, Hae-Kyung 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

모유는 완전한 자연식이며, 모유의 성분 및 조성이 훌륭하여 유아에게 알맞은 단백질을 함유하고 있고, 위에서의 소화 흡수도 잘 된다도 한다. 또한 모유에는 인공유와는 비교할 수 없는 면역체가 있어 소화기 감염, 호흡기 감염 및 알레르기 질병 등의 유병률이 적으며, 수유를 통한 사랑과 안정으로써 아기에게 안정을 주어 영아와 어머니는 모아애착이 증진된다고 한다. 특히 어머니와 자녀간의 애착은 생후 자연적으로 형성되는데 모유수유는 영아의 정서발달, 사회발달 및 성격형성에 큰 영향을 미친다고 보고하였다. 모유수유 유무에 영향을 주는 요소, 아기에게 주는 영향 등에 관한 연구는 많이 이루어 졌으나, 모유수유 유무가 어머니의 정서에 미치는 영향에 관한 조사는 거의 이루어지지 않은 실정이다. 그래서 생후 6주된 첫아기를 갖고 있는 어머니를 대상으로 모유수유 유무가 어머니의 모성역할 긴장과 모성역할 획득정도에 영향을 주는지를 연구하였다. 연구결과 모유수유 유무에 따라 모성역할 획득정도에 차이가 없었으며, 모성역할 긴장에도 차이가 없었다. 또한 아기 양육 준비도와 사회적 지지를 공변량으로 처리하여 모유수유 유무에 따라 모성역할 획득정도에 차이가 있나 본 결과 모유수유 유무에 따라 모성역할 획득정도에 차이가 없었고, 모성역할 긴장 역시 차이가 없었다.

韓國人의 正常 脊椎體와 椎間板指數에 關한 硏究

李秉喆 충남대학교 의과대학 지역사회의학연구소 1981 충남의대잡지 Vol.8 No.2

Vertebral body and intervertebral disk index were measured on the films of latereal view of thoracolumbar spine in 136 normal population which were visited at Chungnam National University Hospital for 3 years. The results obtained were as follow; 1. The values of vertebral body index were greater in female than male. 2. The values of vertebral body index were greatest in 3rd decade and tender to decreased with age. 3. The values of intervertebral disk index were greater in male than female in age group below 19, and greater in female than male in age groups over 20. They were greatest in the level of L. 2-L.3, but no significant changes in different age groups.

Differences of Maternal Role Strain and Maternal Role Attainment Between Working and Nonworking Mothers

Lee, Haekyung 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

아기의 탄생은 가족전체에게 기쁨을 가져다 주는 동시에 아기양육의 책임, 가족구성원의 관계변화등 복잡한 적응문제를 야기하고 있다. 이 아기양육을 비롯한 적응문제는 아기 아버지 보다는 양육을 전적으로 책임지고 있는 어머니에게 더 부과된다. 또한 우리나라에서도 사회가 발전하면서 여성의 사회참여는 더욱 증가하고 있고, 앞으로도 더욱 증가할 추세이다. 직업을 갖고 있는 어머니들의 모성역할 긴장 및 모성역할 획득정도를 조사 한 연구 결과에 의하면 집에서의 양육책임과 직장에서의 책임으로 인해 직업을 갖고 있지 않은 어머니보다 더욱 역할 긴장을 느낀다고 보고한 연구결과도 있지만, 직업을 가지므로써 자기의 생활에 더 만족하여 직업을 갖고 있지 않은 어머니보다 역할 긴장정도가 더 적다고 보고한 연구도 있다. 이에 본 연구에서는 생후 4개월된 아기 어머니를 대상으로 어머니의 직업유무에 따라 어머니의 모성역할 긴장과 모성역할 획득정도를 비교하였다. 연구결과 모성역할 획득 중 모성역할 수행정도는 직업을 갖고 있지 않은 어머니가 직업을 갖고 있는 어머니보다 더 자신이 있다고 대답하였으나, 모성정체감과 아기와의 상호작용정도는 유의한 차이를 보이지 않았다. 모성역할 긴장정도도 직업유무에 따라 차이가 없는 것으로 나타났다. Even though the number of working mothers with infants under 12 months of age increased dramatically in Korea, little is kwown about role strain and role attainment of working mothers. So this study examined the differences of role strain and role attainment between working and nonworking mothers. The analysis of data from 35 working mothers and 36 nonworking mothers in Taejon was done with using the t-test and covariate analysis. The significant difference was only shown between working and nonworking mothers in relation to the extent of maternal role performance. There were no significant differences between working and nonworking mothers in relation to the extent of maternal identity, maternal interaction and maternal role strain.