Eun Jun Cho | 4 Articles |
Some clinical data were obtained about 616 cases of Gastrofiberscopy done from Jan, 1989 to Jan, 1990 at the department of Family Medicine and Internal Medicine, in a general hospital near Seoul. The results were as follows.
1. Of the tatal 616 cases, 362 cases(58.8%) were men and 254 cases(41.2%) were women 2. Of the 616 cases, the 677 kinds of disease were found including those patients having two or more diseases at the same time. The final diagnoses were gastritis(54.9%), duodenal ulcer(13.4%), gastric ulcer(9.9%) and gastric cancer(3.1%) in order. 3. Of the 372 patients with gastritis, 210(56.5%) cases were male and 162(43.5%) cases were female. The peak incidence of gastritis was 3rd and 4th decade. The most frequent type of gastritis was superficial gastritis 280(75.2%). 4. Of the 91 cases of duodenal ulcer, 70(76.9%) cases were male and 21(23.1%) cases were female. The peak incidence of duodenal ulcer was 4th decade 35(38.5%) cases and 3rd decade in 28(30.8%) cases. 5. Of the 67 cases of gastric ulcer, 51(76.1%) cases were male and 16(23.9%) cases were female. Single ulcer was 48(71.6%) cases, multiple ulcer was 16(23.9%), and bleeding ulcer was 3(4.5%), and the most prevalent site of the ulcer was antrum in 28(41.8%) cases and body in 13(19.4%) cases. 6. Of the 21 cases of gastric cancer, 14(66.7%) cases were male and 7(33.5%) cases were female. The peak incidence was 7th decade(47.7%) and 6th decade, 5th decade in order. The prevalent site of the gastric cancer was body 10(47.7%) and antrum(42.9%). The most frequent type of gastric cancer was type Ⅱ in Borrmann's classification(33.3%).
Patients visited to emergency room of a general hospital for one year were analyzed to evaluate the role of family physicians in emergency room, ant the content of primary care.
The results were as follows ; 1. Among total 13,367 patients, the male and femele rate was 1.5:1 and the 29-29 year old group was 30.9%, the highest. 2. The seasonal distribution of the patients who visited emergency room highest in summer(29.6%). 3. The highest percentage of patients(21.8%) were seen on sunday. 4. The highest percentage of patients(23.5%) were seen from 8 P.M. to 12 P.M. 5. The problem, classifed by ICHPPC-2, why the patient visited the emergency room were in decreasing order as follows, accidents, poisonings and violence. 6. The percentage of patients was returning home, by department, who were seen at the emergency room, was highest in internal medicine. 7. In the comparison of hospitalizatiln of emergency room patients, by department, the highest(32.7%) was that of orthopedic surgery. 8. In management of patients, 77.0% of patients was returning home immediately after treatment, 22.3% was hospitalized 0.6% was dead on arrival and 0.1% of patients died during treatment procedure.
A clinicostatistical survey and analyzing general characteristics were made on a series of 75 ectopic pregnancies operated and confirmed with histopathological study at the department of obstetrics and gynecology at a general hospital near Seoul in Korea during the period from March 1984 to the end of February 1990.
The results obtained were as follows. 1. The ratio of ectopic pregnancy to normal delivery during the same period at the above hospital was 1 in 40.4 deliveries(2.5%). 2. The most prevalent age group was 25-29 years of age, 27 cases (36.0%). 3. Nulligravida was 16.0%(12 cases), nullipara was 41.3%(31 cases) and women who have experienced artificial abortion were 78.7%(59 cases) 4. A history of artificial abortion was in 59 cases(78.7%) laparascopic tubal ligation in 16 cases(21.3%), PID in 9 cases(12.0%), appendectomy in 9 cases(12.0%) and repeat ectopic pregrancy in 3 cases(4.05), respectively. 5. Symptoms were lower abdominal pain 69 cases(92.0%), amenorrhea in 52 cases(69.4%) and vaginal spotting in 51 cases(68.0%). 6. For the most the interval between LMP and onset of symptom was 4-8 weeks, 46 cases(61.3%). 7. 44 cases(58.7%) of all cases admitted within 1 week after symptom appearing, 69 cases(92.0%) admitted within 2 weeks. (92.0%) admitted within 2 weeks. 8. On physical examination, abdominal tenderness was noted in 56 cases(74.7%), pain on the motion of cervix in 49 cases(65.3%), abdominal rebound tenderness in 39 cases (52%) and paleness in 22 cases(29.3%). 9. On hematological finding, WBC was between 5,000 and 10,000/mm³ in 27 cases(36%) and over 15,000/mm³ in 21 cases(28%). Hemoglobin was below 11gm% in 37 cases(50.6%). Hematocrit was 26-39% in 65 cases(86.7%). 10. The pregnancy test was positive in 69.1%(47 cases/68 cases) and the culdocentesis was positive in 93.1%(54/58 cases). The sonogram was not helpful. 11. Implantation site was on tube in 73 cases(97.3%)(Ampullary 66 cases 88.0%). 12. Surgical procedure performed in 49 cases(61.1%) was ipsilateral salpingectomy alone. Salpingectomy and opposite tubal ligation was performed in 10cases(13.3%). 13. The mean transfusion volume was 2.4 pints. The amount of transfusion with largest number was 24 cases(32.0%)[2 pints-17 cases(22.7%)]. 14. Of 75 total cases, there was no death.
This study was planned to investigate the positive rate of HBsAg and anti-HBs. In medical personnel by analyzing health screening examination.
We analyzed 202 cases of medical personnel and 247 cases of teachers as control group. HBsAg and anti-HBs were detected with RPHA method. The results were as follows: 1. The positive rate of HBsAg was 2.5% in medical personnel and 7.7% in control group(P<0.01). The occurrence rate of anti HBs was 43.5% in medical personnel and 25.1% in control group(P<0.01). 2. The positive rate of anti-HBs was related with type of medial professionals and highest in doctors as 53.0%(P<0.05). But that of HBsAg was not related with the type of medical professionals. 3. The positive rate of anti-HBs was not related with working place, but highest in clinical laboratory workers as 53.6% and that of HBsAg was not significant. 4. The positive rate of anti-HBs was related with advancing duration of working(P<0.05).
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