1.Left-Sided Appendicitis: A Case Report.
Ho Suk DOH ; Eun Seuk HONG ; Chang Woo NAM
Journal of the Korean Society of Emergency Medicine 2000;11(3):385-389
Frequent anomalies causing a left-sided appendix are situs inversus and malrotation. The ectopic position of the appendix frequently causes a delay or error in diagnosis because of atypical symptoms. A physical examination is of limited value unless dextrocardia is present. A left-sided appendix is a rare anomaly, but when other diseases are ruled out, it must be considered especially at the emergency department.
Appendicitis*
;
Appendix
;
Dextrocardia
;
Diagnosis
;
Emergency Service, Hospital
;
Physical Examination
;
Situs Inversus
2.Tetracycline as an aid to the excision of nidus in osteoid osteoma.
Eun Woo LEE ; Eui Chan JANG ; Nam Chul PAIK
The Journal of the Korean Orthopaedic Association 1992;27(6):1488-1492
No abstract available.
Osteoma, Osteoid*
;
Tetracycline*
3.A Comparative Study on the Factors Affecting the Successful Aging between Users and Non-users of Kyung-ro-dang for Community Care Policy Activation
Gue Rum SONG ; Eun Woo NAM ; Ki Nam JIN
Health Policy and Management 2019;29(4):412-421
BACKGROUND:
The purpose of this study was to identify the status of Successful Aging among the elderly aged 65 and over in rural areas and to compare factors related with Successful Aging between “kyung-ro-dang†users and non-users.
METHODS:
A total of 181 elderly aged 65 or older were selected from four districts (Heung-upri, Mejiri, Sajerri, and Daeanri) of Wonju city. A survey method using face to face interviews was applied to collect information. Successful aging was measured on a 5-point Likert-type scale using the successful aging scale developed for the Korean elderly, which indicates the higher the score, the higher the level of successful aging. Descriptive statistics, bivariate, and multivariate analyses were computed; the level of significance was set at 5%. Hierarchical polynomial regression was applied to find out the factors associated with successful aging.
RESULTS:
Of the total, 112 elders used kyung-ro-dang and 69 elders who did not use kyung-ro-dang. The level of successful aging of the elderly was higher among kyung-ro-dang users than non-users. The factors related to successful aging among kyung-ro-dang users were walking and social participation. Users who walk more than 4 times per week and social participation activities have a higher level of satisfaction. In the case of non-users, a higher level of monthly income, having a spouse, social support, and social participation associated with a higher level of successful aging.
CONCLUSION
Monthly income, social participation, and social factors were found to be related to successful aging along with physical and mental health conditions among the elderly in rural areas. Therefore, it can be concluded that income, social as well as mental and physical factors, are more critical for successful aging in the rural community care in Korea.
4.Clear Cell Adenocarcinoma of the Urinary Bladder Accompanied by Vesical Endometriosis.
Eun Kyung HAN ; So Yeon PARK ; Nam Hoon CHO ; Woo Ik YANG ; Chanil PARK
Korean Journal of Pathology 1990;24(4):489-496
A case of clear cell adenocarcinoma arising in the female urinary bladder, which is accompanied by endometriosis of the urinary bladder and the uterus, is reported. The carcinoma protruded into the vesical lumen as a fungating mass, and had a tubulocyotic pattern. The tumor cell had intracytoplasmic glycogen and electron microscopically short microvilli on their surface, resembling clear cell acenocarcinoma of the female genital tract including ovary. This is the fourth case report of clear cell adenocarcinoma complicating vesical endometriosis, and may support the view that clear cell carcinome arises from endometriosis which, in turn, from the Mullerian remnant.
Female
;
Humans
;
Adenocarcinoma
5.Clear Cell Adenocarcinoma of the Urinary Bladder Accompanied by Vesical Endometriosis.
Eun Kyung HAN ; So Yeon PARK ; Nam Hoon CHO ; Woo Ik YANG ; Chanil PARK
Korean Journal of Pathology 1990;24(4):489-496
A case of clear cell adenocarcinoma arising in the female urinary bladder, which is accompanied by endometriosis of the urinary bladder and the uterus, is reported. The carcinoma protruded into the vesical lumen as a fungating mass, and had a tubulocyotic pattern. The tumor cell had intracytoplasmic glycogen and electron microscopically short microvilli on their surface, resembling clear cell acenocarcinoma of the female genital tract including ovary. This is the fourth case report of clear cell adenocarcinoma complicating vesical endometriosis, and may support the view that clear cell carcinome arises from endometriosis which, in turn, from the Mullerian remnant.
Female
;
Humans
;
Adenocarcinoma
6.Pulmonary Thromboembolism Developed in Recovery Period of upper Abdominal Surgery: Case report.
Jong Hwa LEE ; Eun Chi BANG ; Soon Ho NAM ; Shin Ok KOH ; Woo Jung LEE
Korean Journal of Anesthesiology 1997;33(3):567-571
Pulmonary thromboembolism (PTE) is a serious postoperative complication. Prompt diagnosis of PTE is important but it is difficult because clinical manifestations of PTE are not obvious in most cases. A 59 year-old woman received cholecystectomy and choledocholithotomy under general anesthesia. At the 9th postoperative day, syncope, hypoxemia and hypotension were developed suddenly and the patient was transfered to intensive care unit. PTE was suspected with hemodynamic monitoring from pulmonary arterial catheter and echocardiography and diagnosed with lung perfusion scan and venogram of lower extremities. Proper cardiopulmonary support was done and the patient was recovered and discharged in improved condition. In conclusion, if a patient have syncopal attack with shock in postoperative period, PTE must be thought to be an one of possible causes of syncope and thoroughly investigated.
Anesthesia, General
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Anoxia
;
Catheters
;
Cholecystectomy
;
Diagnosis
;
Echocardiography
;
Female
;
Hemodynamics
;
Humans
;
Hypotension
;
Intensive Care Units
;
Lower Extremity
;
Lung
;
Middle Aged
;
Perfusion
;
Postoperative Complications
;
Postoperative Period
;
Pulmonary Embolism*
;
Shock
;
Syncope
7.congenital small bowel obstruction.
Sung Eun JUNG ; Seok Jin NAM ; Kwi Won PARK ; Seong Cheol LEE ; Woo Ki KIM
Journal of the Korean Surgical Society 1992;42(1):81-86
No abstract available.
8.International Health Cooperation and Challenges for Official Development Assistance
Health Policy and Management 2018;28(3):320-326
As the United Nations announced Sustainable Development Goals (SDGs) in 2015, the world changed its development goals from focusing on efficiency to equity. As a result, in the health sector, universal health coverage (UHC) has become one of the main issues. This paper reviews and discusses on future direction and issue of official development assistance program for developing countries. Korea International Cooperation Agency under the Ministry of Foreign Affairs published on Korea International Cooperation Agency's mid-term health strategy 2016–2020 developed on participation program with stakeholder including governments, civil society partner organizations, and educational institutions. The SDGs expands non-communicable diseases, UHC, and global health security from the existing Millenium Development Goals health sector. Progress toward UHC underpins the achievement of all other targets under SDG Goal 3. Progress in reducing health inequality across the life course is drawing on overall data and from specific target. In order to achieve SDG 3, a multi-disciplinary approach, convergence between IT and u-health of this development, is desirable.
Conservation of Natural Resources
;
Developing Countries
;
Global Health
;
International Cooperation
;
Korea
;
Socioeconomic Factors
;
United Nations
9.Evaluation of Hypertension Prevention and Control Programs in Lima, Peru
Bonhee CHUNG ; Dohyeong KIM ; Eun Woo NAM
Osong Public Health and Research Perspectives 2018;9(1):36-41
OBJECTIVES: The Korea International Cooperation Agency (KOICA) established 4 health centers to provide hypertension screening and a health support program in a deprived urban area of Lima, Peru. This case report provides a mid-term evaluation of the KOICA’s hypertension prevention and control programs. METHODS: A follow up study was performed on 663 residents who were diagnosed with prehypertension or hypertension (Stage 1 and 2) in the 4 KOICA health centers. Patients participated in programs designed to prevent and control hypertension through education sessions over the course of 6 months. Using simple descriptive statistics and computer simulations, we evaluated the effect of hypertension prevention and control programs on the participants. RESULTS: The KOICA health programs appeared to significantly contribute to lowering the blood pressure (BP) of the participants. The total number of participants with normal BP increased from none to 109. Overall, the female and younger patients responded better to the KOICA programs than the male and older participants. In addition, the average systolic BP, diastolic BP, and body mass index of all participants was significantly reduced. CONCLUSION: The KOICA programs were effective at lowering blood pressure, particularly amongst the prehypertension group than the Stage 1 and 2 hypertension groups. This suggests that providing an extensive screening service for adults with prehypertension will help control hypertension in the early stages.
Adult
;
Blood Pressure
;
Body Mass Index
;
Computer Simulation
;
Education
;
Female
;
Follow-Up Studies
;
Humans
;
Hypertension
;
International Cooperation
;
Korea
;
Male
;
Mass Screening
;
Peru
;
Prehypertension
10.Comparative Study of Health Care System in Three Central Asian Countries: Kazakhstan, Kyrgyzstan, Uzbekistan
Health Policy and Management 2019;29(3):342-356
BACKGROUND: The objectives of the study are to find out the effect of the implementing reform in three Central Asian countries, identify its impact on health status and health care delivery systems. This study address to identify strong and weak points of the health systems and provide a recommendation for further health care organization. METHODS: A comparative analysis was conducted to evaluate the effects of implemented policy on health care system efficiency and equity. Secondary data were collected on selected health indicators using information from the World Health Organization Global Health Expenditure Database, European Health Information Platform, and World Bank Open Data. RESULTS: In terms of population status, countries achieved relatively good results. Infant mortality and under-5 mortality rate decreased in all countries; also, life expectancy increased, and it was more than 70 years. Regulations of the health systems are still highly centralized, and the Ministry of Health is the main organ responsible for national health policy developing and implementation. Among the three countries, only Kyrgyzstan was successful in introducing a national health system. Distribution of health expenditure between public expenditure and out-of-pocket payments was decreased, and out-of-pocket payments were less the 50% of total health expenditure in all countries, in 2014. CONCLUSION: After independent, all three countries implemented a certain number of the policy reform, mostly it was directed to move away from the old the Soviet system. Subsequent reform should be focused on evidence-based decision making and strengthening of primary health care in terms of new public health concepts.
Asian Continental Ancestry Group
;
Decision Making
;
Delivery of Health Care
;
Global Health
;
Health Expenditures
;
Health Policy
;
Humans
;
Infant
;
Infant Mortality
;
Kazakhstan
;
Kyrgyzstan
;
Life Expectancy
;
Mortality
;
Primary Health Care
;
Public Health
;
Social Control, Formal
;
United Nations
;
Uzbekistan
;
World Health Organization