To use basic data for health planning and evaluation of Kangwha community health project of Yonsei University, a study on death rates and causes of death were investigated in two townships (Naega and Sunwon Myuns) in Kangwha County from April 1, 1975 to March 31, 1977). All death was identified and reported by family health workers who are living in each village and 2 trained public health nurses confirmed the death. The causes of death were investigated by 2 public physicians. Total number of deaths for 2 years was 230 and the followings are brief summary of the study. 1. Age-adjusted crude death rates of study area were 8.69 per 1,000 population in 1975 and 7.18 per 1,000 population in 1976. Age-adjusted crude death rates for male were 9.18 in 1975 and 6.38 in 1976 and for female were 8.33 and 7.80 per 1,000 population. 2. Age specific death rate curves by year and sex showed "U" shapes. 3. Infant and neonatal death rates were 30.08 and 22.56 per 1,000 live births in 1975, and the rates in 1976 were 18.18 and 13.64. 4. The most common cause of death was cerebrovascular disease and average cause specific death rate for the disease was 215.5 per 100,000 population. 5. Four leading causes of death were non-infectious origin ; cerevrovascular disease, malignant neoplasms, senility and suicide. Pulmonaty tubeculosis and pneumonia occupied 5th and 9th causes of death. 6. Stomach cancer and hepatoma occupied 61.3% of total death due to malignant neoplasms. 7. Most frequent cause of neonatal death was birth injury. Two deaths due to tetanus were found in 1975, but no death due to this disease was found in 1976. 8. About half of deceased received care from physician before death.
Birth Injuries ; Carcinoma, Hepatocellular ; Cause of Death* ; Family Health ; Female ; Health Planning ; Humans ; Infant ; Live Birth ; Male ; Mortality* ; Nurses, Public Health ; Pneumonia ; Stomach Neoplasms ; Suicide ; Tetanus

No abstract available.
Diagnosis* ; Ultrasonography*

No abstract available.
Diagnosis* ; Ultrasonography*

No abstract available.
Adenoma, Pleomorphic ; Mouth Mucosa

A 49-year-old man was admitted to Baptist Hospital on September 1, 1990. For mitral valve replacement due to mitral regurgitation. He has been treated by implantation of artificial pacemaker due to complete heart block for 1 year ago. We have experienced anesthetic management above patient who was scheduled of MVR. The patient with a cardiac pacemaker (VVI type) could give anesthesiologist many associated problems during the operation and anesthesia. During anesthesia an anesthesiologist should be able to manage the problems which might occur because of a cardiac pacemaker by various origins. Authors report this case with evaluation of references.
Anesthesia ; Heart Block ; Heart* ; Humans ; Middle Aged ; Mitral Valve ; Mitral Valve Insufficiency ; Pacemaker, Artificial ; Protestantism ; Thoracic Surgery*

The laser provides the surgeons with several advantages and are capable of providing very high intensity output that can be collimated, resulting in spots sized on the order of the wave length of light, having extremely high energy density, therefore pathological tissues can be removed without blood loss or surrounding tissue edema. There are some problems related to anesthetic management for otolaryngeal laser sugery. One such problem is flamibility of endotracheal tube by the laser light and the difficulties of keeping airway open during the surgery. The anesthesiologist should understasnd the character and the hasards of laser light for both the patients and the others in the operating room. We have clinically analyzed 282 cases of otolaryngeal laser surgery to study their hasards and the anesthetic problems, from January 4th 1988 to December 31,1990. in Wallace Memorial Hospital, Pusan, Korea. The results were as follows 1) Endotracheal tube cuff perforation has occured during otolaryngeal laser sugery in 10.6 percent by the biginner surgeons, and 1.8 percent by expert surgeons. 2) Endotracheal tube firing did not occured by using the endotracheal tube, that was wrapped with aluminum foil tape. 3) Kinking of the endotracheal tube occured frequently by using these tubes during otolaryngeal laser surgery in 5.7 percent by biginner surgeons and 1.4 percent by expert surgeons.
Aluminum ; Busan ; Edema ; Fires ; Humans ; Korea ; Laser Therapy* ; Operating Rooms

Adult ; Connective Tissue ; Extremities ; Head ; Histiocytoma, Malignant Fibrous ; Humans ; Maxilla ; Neck ; Radiotherapy ; Sarcoma

Intravenous anesthesia of propofol was compared with ketamine on 20 gynecological patients undergoing dilatation and currettage. The patients were randomly assigned to study in two treatment groups so that l0 patients was administered ketamine anesthesia and 10 patients was administered propofol anesthesia. The hemodynamic responses and recovery characteristics of the two group were compared with control group. Arterial blood pressure(systolie, .mean, diastolic) and heart rate after induction were significantly increased in ketamine group, but showed significantly decrease in propofol group(table 5). Time to full recovery(mean+/-SD) was significantly less in the propofol group(14.3+/-2.9 min vs 40.2+/-4.l min, p<0.01)(table 4). The authors conclude that intravenos anesthesia of propofol is a pratical alternative technique for gynecological patients undergoing dilatation and currettage and may be preferable to ketamine because of the significantly shorter recovery time.
Anesthesia ; Anesthesia, Intravenous* ; Dilatation* ; Heart Rate ; Hemodynamics ; Humans ; Ketamine* ; Propofol*

Ankylosis ; Arthroplasty ; Burns ; Classification ; Congenital Abnormalities ; Facial Asymmetry ; Jaw ; Malocclusion ; Mandible ; Mouth ; Temporomandibular Joint

BACKGROUND/AIMS: Idiopathic pulmonary arterial hypertension (IPAH) is an incurable disease with high mortality. Although most studies recommend anticoagulation treatment for IPAH, the benefits are uncertain, particularly in Korea, where it has not been studied. The purpose of this study was to evaluate survival outcomes of Korean patients with IPAH treated with warfarin. METHODS: We performed a retrospective cohort study of patients diagnosed previously with pulmonary arterial hypertension (PAH) at the Asan Medical Center in Korea, between January 1994 and February 2013. We excluded patients with associated PAH, patients who did not undergo right heart catheterization (RHC), and patients with a positive vasoreactivity test. Patients in the study cohort were classified into a "warfarin group" and a "non-warfarin group," according to the treatment they received during the first year after diagnosis. RESULTS: We identified 31 patients with IPAH and a negative vasoreactivity test on RHC. Median patient age was 36.0 years, and 23 patients (74.2%) were female. The median time from the onset of symptoms to diagnosis was 19.0 months, and the most common presenting symptom was dyspnea. Survival rates of the patients at 1, 3, 5, and 10 years were 90.2%, 79.5%, 62.7%, and 34.8%, respectively. The mean survival period was 12.0 years in the warfarin group and 6.1 years in the non-warfarin group. Warfarin treatment had significant survival benefits in patients with IPAH (p = 0.023). CONCLUSIONS: Warfarin treatment substantially improved survival outcomes in Korean cases of IPAH.
Adult ; Anticoagulants/*therapeutic use ; Asian Continental Ancestry Group ; Familial Primary Pulmonary Hypertension/diagnosis/*drug therapy/ethnology/mortality ; Female ; Humans ; Kaplan-Meier Estimate ; Male ; Proportional Hazards Models ; Protective Factors ; Republic of Korea ; Retrospective Studies ; Risk Factors ; Time Factors ; Treatment Outcome ; Warfarin/*therapeutic use