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Volume 8(2); February 1987

서울근교일개 종합병원 소아과 외래환자의 주소에 관한 관찰
J Korean Acad Fam Med 1987;8(2):1-8.   Published online February 1, 1987
It is important to define pediatric content that can be useful in family practice. Chief complaints are not the very things of medical problems or medical problems or diagnosis but they may have the clinical significance in a point that can make a chance for interaction between patient and doctor and can represent a severity of the disease.
This study was performed in community hospital located in Sung Nam city, a satellite city of Seoul, and intended to investigate the frequency of chief complaints in different age groups and seasons. Hospitalization rate was made for each chief complaints to express the clinical significance or severity of disease.
1. Total number of chief complaints was 7.046 and male to female ratio was 1.33:1.
2. Most frequent chief complaints in all age groups were cough(37.8%), fever(13.6%), vaccination(8.3%), diarrhea(6.5%), rhinorrhea(5.7%), vomiting(4.0%), abdominal pain(3.9%), medical examination(3.6%), sputum and grunting sound(2.6%), neck mass or swelling(1.9%).
3. Major ten chief compliants having high hospitalization rate were edema(48.2%), convulsion(48.1%), jaundice(47.5%), abdominal distention(45.4%), hematuria(27.7%), wheezing(25.0%), dyspnea(20.0%), general weakness or fatigue(16.0%).
4. Seasonal difference in chief complaints was not evident.
5. Most frequent chief complaints in each age groups are as follows:
1) Within one week of age; jaundice, eye discharge, prematurity.
2) One week to four weeks of age; vaccination, jaundice, cough.
3) Four weeks to one year of age; cough, vaccination, fever, diarrhea, rhinorrhea.
4) One year to two years of age; cough, fever, diarrhea, rhinorrhea, vaccination.
5) Two years to six years of age; cough, fever, rhinorrhea, vaccination, medical examination.
6) Six years to twelve years of age; cough, fever, abdominal pain, medical examination, headache.
7) Twelve years to fifteen years of age; abdominal pain, cough, medical examination, fever, chest pain.
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일부 지역사회의 가족구조와 가족생활환에 대한 조사
J Korean Acad Fam Med 1987;8(2):9-12.   Published online February 1, 1987
The family medicine has to be the essential part of primary health care in Korea. In order to perform continuous and comprehensive care, it is very important matter to recognize the family structure and life cycle in Korea as a basic data to deliver proper primary health care.
The findings we have collected from the part of certain community (are.)
1. Total samples are 3494 households in a certain community.
2. In sex distribution of householder, male was 87.84% and female was 12.16%.
3. In the family structure, the nuclear type was 90.41% and the largest.
4. In the famity life cycle, the launching years was the largest group, statistically it was not significant compared to other period.
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가정의학과 입원환자의 내용 분석
J Korean Acad Fam Med 1987;8(2):13-17.   Published online February 1, 1987
In order to know the contents of disease of inpatient, the patient's charts were reviewed and analyzed. All of patients who were admitted in the family medicine department from June, 1984 to May, 1986 were selected and analyzed.
The total number of patients was 460.
The results of this study were as follows.
1. Total number of patient was 460 and among them, male was 46.7%, female was 53.3% respectively.
2. The age distribution of patients was 0 through 89 years old. The age group of 50-59 was the largest.
3. The 3 most common problems were abdominal pain, fever, dyspnea
4. The 5 most common diseases were acute viral hepatitis, gastritis, hypertension, diabetes mellitus, and pulmonary tuberculosis.
5. In classifying disease by system, the most frequent one was disease of the digestive system with 83 cases(18%), the 2nd was infections and parasitic with 68 cases(14.8%).
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일부 도시지역 주민의 자궁경부 질환에 대한 세포학적 검사의 의의
J Korean Acad Fam Med 1987;8(2):18-22.   Published online February 1, 1987
Among the Korean, the carcinoma of the cervix is the most common malignant tumor of female. Papanicolaou smear has been proper tool to detect early cervical cancer and it has been evaluated as effective method to reduce the morbidity and mortality from such a cervical cancer. Pap smear has performed for 362 participants as periodic health examination in the part of urban community in Seoul territory from January 1986 to July 1986. All of those objectives voluntarily from participate this study were sexually active or have been sexually active.
1. Age distribution of participants: 58 cases (16%) were 20~29 years, 175 cases (48.3%) were 30~39 years, 95 cases (26.3%) were 40~49 years, 32 cases (8.8%) were 50~59 years, 2 cases (0.6%) were 60~69 years. The largest age group was 30~49 years (74.6%)
2. Abnormal cytologic rates were 4 cases (1.2%), 2 cases (0.6%) were class III, 2 cases (0.6%) were class IV.
3. The cytologic evidence of cervicitis was 26.5%, however the above cytologic evidence has not been compatible with clinical manifestation.
4. The author has found 7 cases (1.9%) of cervical polyps accidentally during pelvic examination, however there was no cytologic abnormality on Pap smear.
5. Among 362 participants, women who were previously taken Pap smear were 41.7%.
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암환자의 치료
J Korean Acad Fam Med 1987;8(2):23-29.   Published online February 1, 1987
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간내담도확장을 동반한 총수담관낭종 1예
J Korean Acad Fam Med 1987;8(2):30-35.   Published online February 1, 1987
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정맥 영양법
J Korean Acad Fam Med 1987;8(2):37-41.   Published online February 1, 1987
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해외문헌초록
J Korean Acad Fam Med 1987;8(2):42-45.   Published online February 1, 1987
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