| Dong Hun Lee | 3 Articles |
Background
The purpose of this paper is to investigate for the epidemiologic and clinical characteristics of patients with diagnosed novel influenza A (H1N1) and to evaluate the usefulness of clinical diagnosis. Methods: Out of 696 patients who visited the community sentinel hospital for novel influenza from 27 Aug 2009 to 10 Sep 2009, 557 patients had performed the conventional RT-PCR test. Of these patients, 540 patients were enrolled to our study excluding 17 patients who had performed the test for their own request without clinical suspicion. Results: The 79 patients (14.6%) were finally diagnosed as novel influenza by conventional RT-PCR, with median age 19. Main clinical symptoms were febrile sense, cough, rhinorrhea, and sore throat. The odd ratios of the symptoms with fever, febrile sense and myalgia, acute febrile respiratory disease, influenza-likely illness, the age with 10 to 19, and students were statistically significantly higher in finally diagnosed patients group. The sensitivity, specificity, and positive and negative predictive values of rapid antigen test for influenza were 29.4%, 99.3%, 90.9%, and 85.7%, respectively. In the acute febrile respiratory disease and influenza-likely illness, the sensitivity, specificity, and positive and negative predictive value were 77.2%, 38.3%, 17.7%, and 90.7%, and 69.6%, 46.6%, 18.3%, and 89.9%, respectively. Conclusion: In the community sentinel hospital, the patients with novel influenza A (H1N1) present the clinical manifestations similar to the common seasonal influenza. Primary health care providers might have a lot of difficulties in differentiation and treatment necessitating consideration of a variety of diagnostic methods. Citations Citations to this article as recorded by
Background
Drinking problem is known to affect not only patients but also their offsprings. This study purposed to examine the drinking behaviors and emotional aspects of university students whose fathers have drinking problems. Methods: Fathers' drinking problems of 208 students were measured by father‐short Michigan Alcoholism Screening Test. The degree of alcohol use, anxiety, and depression were measured by AUDIT (Alcohol Use Disorders Identification Test), Zung's self‐rating anxiety and depression scales. Results: The male students whose fathers have drinking problems showed higher rate of binge drinking (adjusted OR 3.72; 95% CI 1.03∼13.5), heavy drinking (adjusted OR 2.64; 95% CI 1.13∼6.62), and harmful and hazardous drinking (adjusted OR 4.12; 95% CI 1.30∼12.89) than the male students whose fathers do not have drinking problems. The female students whose fathers have drinking problems showed higher rate of depression (adjusted OR 9.29; 95% CI 1.91∼24.31) than the female students whose fathers do not have drinking problems. Conclusion: The results suggest that primary care physicians in a university setting need to evaluate and counsel drinking problems in male students, and emotional aspects in female students whose fathers have drinking problems. (J Korean Acad Fam Med 2007;28:902-908)
One of the most frequent chief complaints at outpatient department is upper gastrointestinal symptom. Endoscopy is a necessary method in the observation of intragastric lesions.
We reviewed 414 cases of upper gastrointestinal endoscopy for diagnosis in primary care. The results were as follows : 1. The ratio of male to female was 1:1.5, and the most frequent age groups were fourth, fifth and third decades which occupied about 75% of all cases. third and fourth decades were more frequent in men, and fourth and fifth decades were more frequent in women. 2. The most frequent chief complaints were epigastric pain, epigastric discomport and hunger pain. There were no significant differences of symptoms between men and women. 3. There were no significant associations between age groups and symptoms. 4. The findings of 205 cases(49.5%) were normal and 209 cases(50.0%) were abnormal. Normal findings were more frequent in women(64.2%) than in men(26.5%). 5. There were no significant associations between symptoms and endoscopic findings. 6. Abnormal findings were more frequent in old age group in both men and women. In conclusion, we obtained the results that there were no significant associations between symptoms and endoscopic findings, and abnormal findings were more frequent in old age group in both men and women.
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