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Volume 11(4); April 1990

This study was performed in order to measure the psychiatric effects of childhood leukemia on patient's parents by the use of GHQ and it's effects on the family function by the use of family APGAR.
Responses to self-administered questionnaire, which were given to 105 childhood leukemia patients and 123 parents of control group, were analysed.
The results were as follows ;
1) The study group had average GHQ score of 11.3±5.7, which was significantly higher than that of control group(6.9±5.0)(p<0.01). The difference was significant in all 4 subscales of somatic symptoms, anxiety & insomnia, social dysfunction and severe depression(p<0.01).
2) The study group had average family APGAR score of 7.0±2.4, which was not statistically different from that of control group(7.5±2.0). The difference was only significant in 2 subscales, adaptation and growth(p<0.05).
3) By age in case group, GHQ score was highest in fifth decade(14.1±3.8), followed by fourth decade(11.0±6.1) and third decade(8.3±4.0). The difference was significant in 2 subscales, somatic symptoms and anxiety & insomnia(p<0.05).
4) In case group, female had higher GHQ score(11.5±5.5) than male(8.7±6.8), though it was statistically not significant. Only in subscale of somatic symptoms, score of female was higher than that of male(p<0.05).
5) In case group, variables that influence on the GHQ scores were patient's age, economic burden with treatment payment, expectation of the outcome of treatment, method of treament(admission vs. out-patient follow-up), relationship between patients and parents(p<0.05).
6) In case group, family APGAR scores were higher in highly educated group and in higher income group(p<0.01).
In conclusion, the GHQ score of patient's parents were higher than that of control group, which suggest that. There would be relatively high psychiatric morbidity in patient's parents.
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Although chronic fatigue is one of the most common complaints in primary care, research has been little. Chronic fatigue is a frustrating problem to assess because it so vague, nonspecific indicator of underlying physiological, medical, psychological pathology.
In order to better understand the chronic fatigue, this study was performed. Among the 510 patients completing the survey in periodic health examination visitor, 243(47.6%) patients has been fatigue for more than 30days and 158(30.9%) patients were not fatigue.
Data were gathered by questionnaires which is consisted of dermographic characteristics, Beck Depression Inventory(BDI), Zung's self-rating anxiety scale, subjective complaints of fatigue and some laboratory tests.
The results obtained were as follows ;
1. Chronic fatigue patients were not different from nonfatigue patients by age, sex, employed time except sleeping time.
2. There was no significant difference between chronic fatigue patients and nonfatigue patients in abnormality of hemoglobin, liver function test, Hepatitis B Antigen, urine suger, chest X-ray.
3. There was significant difference between two groups in depression and anxiety scale. When a BDI cutoff score of 21 was used, 63(25.9%) chronic fatigue patients had scores suggestive of depression and this is more than nonfatigue patients(3.8%). When a Zung's self-rating anxiety scale cutoff score of 50 was used. 30(12.3%) chronic fatigue patients had scores suggestive of anxiety disorder and this is more than nonfatigue patients(3.8%).
4. There was no significant difference according to the degree of fatigue in laboratory tests.
5. There was significant difference according to the degree of fatigue in depression and anxiety scale.
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The status of measles was investigated in the children(under the age of fifteen and born after the date of Aug. 1, 1974) living in a suburban area in terms of the incidence and the course of measles and the rate of immunization for measles.
Also the investigators cornpared the incidence rates and the course of measles between the immunized and nonimmunized group and among three subgroups by the time of vaccination in the immunized, and then recommended schedule for measles vaccination.
The result were as follows :
1. The incidence rate of measles was 6.4%.
Peak time of occurence was June. The age specific incidence rate was in order of 23.1% at 7 year old, 10.3% at 2 year old, 10.0% at the first year of lifen.
There was no difference between the male and female children.
2. The immunization rate of measles was 89.8%.
9.6% of them were immunized before the first year of life, 44.2% of them were immunized after the first year of life and the remained 47.0% were immunized twice(before and after the first year of life).
3. The difference between the incidence rates in the immunized group (4.2%) and the nonimmunized group (20.0%) was statistically significant (p<0.05).
Among the immunized group, the incidence rate of measles was 8.3% in the children immunized before the first year, 3.2% in the immunized after the first year, 3.6% in immunized twice(before and after the first year).
The difference among the immunized was mot statistically significant.
4. There were no difference between immunized and nonimmunized group in the time of appearance of measles rash.
The duration of illness was as a mean 8 days in children immunized before the first year, 13.5 days in immunized after the first year, 10.2 days in immunized twice(before and after the first year).
There was no significant difference in duration of illness between above four groups.
5. None of them who had measles infection was registered to public health center.
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상부위장관 출혈의 임상적 고찰 (A Clinical Observation of Upper Gastrointestinal Bleeding)
J Korean Acad Fam Med 1990;11(4):30-35.   Published online April 1, 1990
This study is a review of 75 cases of upper gastrointestinal bleeding admitted in Bucheon Daesung Hospital during the 5years period from May 1, 1984 to April 30, 1989.
The following results were obtained ;
1) The male-female ratio was 8.4 : 1 and peak incidence was in the 5th decade(26%)
2) The causes of bleeding were ; peptic ulcer in 48%, hemorrhagic gastritis in 17%, esophageal varices in 13%.
3) The seasonal distribution was as follows ; summer(29%), winter(26%), spring(24%), autumn(21%).
4) The modes of upper gastrointestinal bleedeng consist of hematemesis in 39%, melena in 20% and the combination of hematemesis and melena in 41% of the cases.
5) The hemoglobin value on admission showed above the 10gm% in 48%, 7-10gm% in 36% and below the 7gm% in 16% of the cases.
6) The amount of transfusion was as follows ; below 4 pints in 52%, above 9 pints in 24%, and 5-8pints in 8%.
7) In the management of bleeding, 89% of cases were treated conservatively, 11% surgically.
8) The overall mortality rate was 12%, The mortarlity rate with conservative treatment was 12% and that of surgical treatment was 12.5%.
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감염증 ( I ) (Infectious Disease ( I ))
J Korean Acad Fam Med 1990;11(4):36-40.   Published online April 1, 1990
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해외문헌초록 : 기관지천식 사망율과 Fenoterol (Mortality of Bronchial asthma and Fenoterol)
J Korean Acad Fam Med 1990;11(4):41-41.   Published online April 1, 1990
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해외문헌초록 : Croup 에서의 스테로이드 요법 (Steroia Therapy for Croup)
J Korean Acad Fam Med 1990;11(4):41-42.   Published online April 1, 1990
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해외문헌초록 : 비정형적 천식의 진단 (Diagnosis of Atypical Astbma)
J Korean Acad Fam Med 1990;11(4):42-43.   Published online April 1, 1990
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해외문헌초록 : 유아에서의 구토 (Vomiting in Infants)
J Korean Acad Fam Med 1990;11(4):43-43.   Published online April 1, 1990
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해외문헌초록 : 유아에서의 구토 (Vomiting in Infants)
J Korean Acad Fam Med 1990;11(4):43-43.   Published online April 1, 1990
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해외문헌초록 : 골반부 골절의 빈도증가 (Imcreasing Incidence of Hip Fractares)
J Korean Acad Fam Med 1990;11(4):44-44.   Published online April 1, 1990
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해외문헌초록 : 골반부 골절의 빈도증가 (Imcreasing Incidence of Hip Fractares)
J Korean Acad Fam Med 1990;11(4):44-44.   Published online April 1, 1990
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