1.Prevalence of Diseases of Circulatory System Among Rural Korean Adults.
Joung Soon KIM ; Young Woo LEE
Korean Circulation Journal 1975;5(2):45-52
This report is a part of the health survey, which was carried out in the summer of 1973 on all adults older than 15 years of age, inhabiting in the sampled area. Thirteen villages out of 31 natural villages in Shindong Myon, Chunseong Gun, Kangwon Province, a typical rural area of Korea were randomly sampled. A little over 70 percent of the population sampled, or 1198 persons were examined. The health survey included laboratory screening tests, history taking, physical examination and consultation to specialists for selected cases. Diseases of circulatory system were classified by WHO ICD A-List (150). Hypertensive heart disease was defined by the criteria that was used in U.S. Health Survey, and hypertension by WHO criteria for the purpose of comparison. Results obtained were as followings: 1. The overall prevalence of the diseases of circulatory system per 100 adults examined was 8.6 for male and 9.9 for female. 2. Age specific prevalence of the diseases showed gradually increasing pattern as age advanced for both sexes. For example, the prevalence for 15~19 years old age group was 2.4/100 adults which increased to 24.8 when age reached over 60 years. 3. The most prevalent disease category, 3.6/100 adults, was A-88: other diseases of circulatory system that was consisted mainly of varicose vein and hemorrhoids; the second one was hypetensive heart disease, 2.4. 4. Female had higher prevalence than male in A-84: other form of heart diseases (4 times, arrhythmia, beriberi heart disease, and heart disease secondary to anemia), in chronic rheumatic heart disease (4.5 times), and in hypertensive heart disease (1.4 times); in other hand, cerebrovascular diseases (4.5 times) and diseases of arterioles and capillaries (1.5 times) occurred more frequently among males than females. 5. The proportion of hypertensive heart disease among persons with definite hypertension was 22.0% for male, 25.8% for female, and it increased gradually as age increased. Hypertensive heart disease among persons with borderline hypertension was 2.2%. Only 27% of hypertensive heart disease patients had previous treatment for hypertension. 6. The prevalence of definite hypertension per 100 adults examined (double blood pressure check with interval of 30~40 minutes) was 9.5 for male, 9.4 for female, with increasing pattern by advancing ages; marked increase occurred after age of 45 years for male and 35 years for female. The prevalence of hypertension in this study was much lower than that of the study on employees of Korea Electricity Comparny when compared with the same age groups. 7. Electrocardiographic findings on 105 heart disease suspects revealed left ventricular hyperspecific change in 4 persons. This study was supported by China Medical Board of New York Inc.
Adult*
;
Arrhythmias, Cardiac
;
Arterioles
;
Beriberi
;
Blood Pressure
;
Capillaries
;
China
;
Electricity
;
Electrocardiography
;
Female
;
Gangwon-do
;
Hand
;
Health Surveys
;
Heart Diseases
;
Hemorrhoids
;
Humans
;
Hypertension
;
Korea
;
Male
;
Mass Screening
;
Physical Examination
;
Prevalence*
;
Rheumatic Heart Disease
;
Specialization
;
Varicose Veins
2.Prevalence of Diseases of Circulatory System Among Rural Korean Adults.
Joung Soon KIM ; Young Woo LEE
Korean Circulation Journal 1975;5(2):45-52
This report is a part of the health survey, which was carried out in the summer of 1973 on all adults older than 15 years of age, inhabiting in the sampled area. Thirteen villages out of 31 natural villages in Shindong Myon, Chunseong Gun, Kangwon Province, a typical rural area of Korea were randomly sampled. A little over 70 percent of the population sampled, or 1198 persons were examined. The health survey included laboratory screening tests, history taking, physical examination and consultation to specialists for selected cases. Diseases of circulatory system were classified by WHO ICD A-List (150). Hypertensive heart disease was defined by the criteria that was used in U.S. Health Survey, and hypertension by WHO criteria for the purpose of comparison. Results obtained were as followings: 1. The overall prevalence of the diseases of circulatory system per 100 adults examined was 8.6 for male and 9.9 for female. 2. Age specific prevalence of the diseases showed gradually increasing pattern as age advanced for both sexes. For example, the prevalence for 15~19 years old age group was 2.4/100 adults which increased to 24.8 when age reached over 60 years. 3. The most prevalent disease category, 3.6/100 adults, was A-88: other diseases of circulatory system that was consisted mainly of varicose vein and hemorrhoids; the second one was hypetensive heart disease, 2.4. 4. Female had higher prevalence than male in A-84: other form of heart diseases (4 times, arrhythmia, beriberi heart disease, and heart disease secondary to anemia), in chronic rheumatic heart disease (4.5 times), and in hypertensive heart disease (1.4 times); in other hand, cerebrovascular diseases (4.5 times) and diseases of arterioles and capillaries (1.5 times) occurred more frequently among males than females. 5. The proportion of hypertensive heart disease among persons with definite hypertension was 22.0% for male, 25.8% for female, and it increased gradually as age increased. Hypertensive heart disease among persons with borderline hypertension was 2.2%. Only 27% of hypertensive heart disease patients had previous treatment for hypertension. 6. The prevalence of definite hypertension per 100 adults examined (double blood pressure check with interval of 30~40 minutes) was 9.5 for male, 9.4 for female, with increasing pattern by advancing ages; marked increase occurred after age of 45 years for male and 35 years for female. The prevalence of hypertension in this study was much lower than that of the study on employees of Korea Electricity Comparny when compared with the same age groups. 7. Electrocardiographic findings on 105 heart disease suspects revealed left ventricular hyperspecific change in 4 persons. This study was supported by China Medical Board of New York Inc.
Adult*
;
Arrhythmias, Cardiac
;
Arterioles
;
Beriberi
;
Blood Pressure
;
Capillaries
;
China
;
Electricity
;
Electrocardiography
;
Female
;
Gangwon-do
;
Hand
;
Health Surveys
;
Heart Diseases
;
Hemorrhoids
;
Humans
;
Hypertension
;
Korea
;
Male
;
Mass Screening
;
Physical Examination
;
Prevalence*
;
Rheumatic Heart Disease
;
Specialization
;
Varicose Veins
3.Congenital Hypoplastic Kidney associated with Tuberculosis.
Joung Tae KIM ; Dong Young WOO ; Hyo Joong MOON
Korean Journal of Urology 1970;11(1):11-14
One case of congenital hypoplastic kidney associated with tuberculosis in 28 year old man is presented and related literatures reviewed.
Adult
;
Humans
;
Kidney*
;
Tuberculosis*
;
Tuberculosis, Renal
4.Traumatic Avulsion of Penis: A Case Report.
Doo Ryong KIM ; Joung Boo WON ; Dong Young WOO
Korean Journal of Urology 1970;11(2):75-78
A case of the traumatic avulsion of the penis in a 18 year-old male, which was resulted by accident while working in a flour mill, is presented.
Adolescent
;
Flour
;
Humans
;
Male
;
Penis*
5.Radiologic Intervention of Esophagobronchial Fistula in Adults: Effeativeness of Oirect Fistula Occlusion and Pre-surgical Wire Insertion.
Yong Hoon KIM ; Gham HUR ; Jung Wook SEO ; Joung Sook KIM ; Young Tae KWAK ; Joung Joo WOO
Journal of the Korean Radiological Society 1995;33(2):223-227
PURPOSE: To assess the role and efficacy of radiologic intervention in the adult patients with esophagobronchial fistula. MATERIALS AND METHODS: Radiologic intervertion was performed in 4 patients with esophagobronchial fistula. We tried direct occlusion of fistula tract by glue(histoacylate 0.4cc + lipiodol 0.3cc) and coil in 2 patients and performed presurgical wire insertion by using 8F curved catheter via esophageal opening of fistula tract. The latter procedure was carled out to detect the fistula tract easily at operation. RESULTS: Direct occlusions of fistula tract by glue and coil were performed only to fail in 2 patients. Pre-surgical wire incertion by using 8F curred catheter under guidance of fluroscopy in 3 patients were helpful in detecting fistula tract at operation. CONCLUSION: Direct occlusion of the fistulous tract in esophagobronchial fistulas was ineffective. However, presur- gical wire insertion by using cured catheter under fluroscopy guidance is helpful to detect the fistula tract easily at operation.
Adhesives
;
Adult*
;
Catheters
;
Ethiodized Oil
;
Fistula*
;
Humans
6.Disease Awareness and Treatment Experience of Patients with Chronic Obstructive Pulmonary Disease
Hyun Jung NOH ; Su Hyun KIM ; Woo Joung JOUNG
Journal of Korean Academy of Fundamental Nursing 2020;27(2):188-197
Purpose:
The purpose of this study was to explore patients’ awareness and treatment experiences with Chronic Obstructive Pulmonary Disease (COPD) through in-depth interviews. The objective was to develop data to support patients in the successful management of their illness.
Methods:
Purposeful sampling was used to collect information- rich cases and participants were recruited at a university hospital in Daegu, South Korea. Data collection was done through face to face in-depth individual interviews with 10 patients with COPD from November 2016 to December 2018. Interview began with open-ended questions and each interview lasted on average one hour. All interviews were audio-taped and transcribed verbatim and transcripts were analyzed using qualitative thematic analysis. The findings were verified by the participants.
Results:
Four themes emerged from data analysis: ‘Feeling like the disease is not my disease,’ ‘Terminology spills like a flood,’ ‘Negligent daily disease-management with relief,’ and ‘Relying on health professionals and family members hoping for healing’.
Conclusion
Participants do not have a clear understanding of their illness nor feel that they are principal agents of their health and illness for treatment and disease management; instead, they depend mainly on their family members and doctors. The findings elucidated the need for increasing patients’ awareness of the illness. Nurses should develop educational support programs to help COPD patients improve their awareness of their illness and successfully manage their treatment.
7.Three Cases of Bee-sting Granuloma.
Hee Joon YU ; Chang Woo LEE ; Hong Yun YANG ; Joung Soo KIM ; Yun Suck KIM
Korean Journal of Dermatology 1998;36(5):914-917
Most insects including the honeybee cause erythema and edema at the site of a sting in non-allergic individuals. This reaction usually resolves within a few days. However, in certain cases, the persistence of inciting materials in the cutaneous tissue may promote a local inflammatory foreign body reaction. Localized nodular lesions were seen in our two patients and erythemstous patches were present in one patient due to rarely encountered complications induced by retained sting materials. In these cases histopathology showed multiple foci of foreign body granuloma containing yellow refraetile material in the center surrounded by histiocytes and foreign body giant cells. The granulomatous skin lesions in these patients were treated with intralesional injections of triamcinolone acetonide and partial excisions of the nodular masses were performed.
Bites and Stings
;
Edema
;
Erythema
;
Foreign-Body Reaction
;
Giant Cells, Foreign-Body
;
Granuloma*
;
Granuloma, Foreign-Body
;
Histiocytes
;
Humans
;
Injections, Intralesional
;
Insects
;
Skin
;
Triamcinolone Acetonide
8.MRI of Vertebral Compression Fractures: Differentiation between Benign and Malignant Causes.
Won Hong KIM ; Gham HUR ; Joung Joo WOO ; Wu Ho CHO ; Myeong Ja JUNG
Journal of the Korean Radiological Society 1995;33(5):673-679
PURPOSE: To evaluate the MR image in the differentiation of benign and malignant lesion in compression of the vertebral body. MATERIALS AND METHODS: MR images of 47 benign(acute traumatic within one month:19, chronic traumatic longer than one month or nontraumatic:28) and 21 metastatic compression fractures were respectively reviewed in terms of margin of lesions, signal intensity, paraspinal mass formation, soft tissue change, and involvement of posterior element of vertebra. MR images of TI-(T1WI) and T2*-weighted gradient echo (GE T2WI) sequences were obtained on 0.5T unit in sagittal and axial orientation with 5mm section thickness. RESULTS: The margin of benign compression fracture was usually indistinct (acute fracture:90% (17/19), chronic fracture:68% (19/28)), whereas it was sharply delineated in metastatic compression fracture (92%, (12/13) (p<0.001). Paraspinal mass was seen in both acute traumatic and metastatic compression fractures (acute fracture :26% (5/19), metastatic fracture: 52% (11/21). Soft tissue change was seen only in acute cornpression fractures (58%, 11/19). Involvement of posterior element of vertebra was noted in metastatic fracture (71%, 15/21), acute fracture (32%, 6/19) and chronic fracture (7%, 2/28) CONCLUSION: On MR imaging, involvement of entire portion of a given vertebral body, sharp margin between normal and abnormal areas in partially involved cases, paraspinal mass formation, and posterior element involvement are more frequently seen in metastatic compression fractures, which are considered to be useful in differentiation between benign and malignant causes of compression fracture.
Fractures, Compression*
;
Magnetic Resonance Imaging*
;
Spine
9.A Case of Obstructive Renal Cndidiasis Treated with Percutaneous Nephrostomy in Prematurity.
Seung Mook LIM ; Eun Ryoung KIM ; Joung Joo WOO ; Byung Kook KWAK
Journal of the Korean Pediatric Society 2000;43(11):1495-1500
The improved survival rate of premature infants requiring intensive care, shows an increased risk for nosocomial infections such as disseminated fungal infection. Renal candidasis usually occurs secondary to systemic disease, and can Iead to obstructive uropathy by fungus ball. A male neonate was born in week 28 of the gestational period. His birth weight was 1200gm. He required mechanical ventilation and surfactant for respiratory distress syndrome, umbilical artery and vein catheterization, percutaneous central veneous catheterization(PCVC) for parenteral nutrition, steroid, aminophylline and broad spectrum anibiotics. Hypertension developed on the 29th hospital day, but was not controlled by diuretics and antihypertensive drugs. on the 40th hospital day, he had abdominal distension, anuria, and azotemia. A Renal ultrasonogram showed that the ureteropelvic junction of the left kidney was completely obstructed with fungus balls. A percutaneous nephrostorny tube, made in a pigtail shape by hand, was inserted under fluoroscopy guidance, and the obstruction of the pelvis was resolved by wire manipulation. Parenteral amphotericin B and oral flucytocine were started, and the left renal pelvis was directly drained and irrigated by percutaneous nephrostomy tube. Candida albicans(C. albicuns) was cultured from urine and a percutaneous central venous catheter tip. His general condition improved, and follow up urine culture revealed no fungus. On follow-up renal ultrasonogram, renal cortex echogenicity and fungus ball had disappeared except for mild left renal calyectasis and pelvic thickening. This report describes a case of obstructive uropathy by fungus ball in systemic candidiasis of prematurity, and reviews the related literature.
Aminophylline
;
Amphotericin B
;
Antihypertensive Agents
;
Anuria
;
Azotemia
;
Birth Weight
;
Candida
;
Candidiasis
;
Catheterization
;
Catheters
;
Central Venous Catheters
;
Cross Infection
;
Diuretics
;
Fluoroscopy
;
Follow-Up Studies
;
Fungi
;
Hand
;
Humans
;
Hypertension
;
Infant, Newborn
;
Infant, Premature
;
Critical Care
;
Kidney
;
Kidney Pelvis
;
Male
;
Nephrostomy, Percutaneous*
;
Parenteral Nutrition
;
Pelvis
;
Respiration, Artificial
;
Survival Rate
;
Ultrasonography
;
Umbilical Arteries
;
Veins
10.Six cases of complete urethral rupture treated by primary endoscopic urethral realignment.
Korean Journal of Urology 1992;33(4):698-705
Between March 1990 and April 1991. 6 patients presented with complete urethral rupture were treated by primary endoscopic urethral realignment The results were obtained as follows : 1. The ruptured sites were bulbous urethra in 3 cases. 2. The urethral Foley catheter was left indwelling for 25 to 132 days. (average : 66.3 days) 3. After removal of urethral Foley catheter, maximal flow rate was 32.6mI,sec. 4. The complications were impotence in l case and urethral stricture in 4 cases. The first attack of postoperative urethral stricture developed at average 9.9 days. The average length of urethral stricture was 4.5mm and average maximal flow rate was 11.2mI,sec. Urethral stricture was well managed by visual urethrotomy. After visual urethrotomy, maximal flow rate was 25.lml,sec. Therefore, we conclude that primary endoscopic urethral realignment was considered to be safe, simple and effective operative procedure for the treatment of complete urethral rupture.
Catheters
;
Erectile Dysfunction
;
Humans
;
Male
;
Rupture*
;
Surgical Procedures, Operative
;
Urethra
;
Urethral Stricture