1. Instruction. Community medicine with the concept of comprehensive medical care and an ideal medical care delivery system not only for an individual or family but for the whole community has emerged. In April 1970, the Presbyterian Medical Center started a hospital based community health service project on order to improve the health of the people in rural areas. Prior to commencing a comprehensive medical care system, a family survey was meeded. The major objective of this survey was to obtain information concerning the people and their environment so as to be able to plan and implement a comprehensive medical care program in Soyang-Myum. 2. Survey Method. An interview using a family record form was carried out for each household. This family record form was designed to get information about demography, family planning, environmental sanitation and vital statistics. Prior to beginning, the members of the survey team were trained in interviewing technique for three days. The team consisted of a public health nurse, four nurse-aides, a asnitarian and four health extension workers who are working in our project. The survey was carried out during the period November 1971 to March 1972. 3. Project area. 1) Population of Soyang-Myum was 11,668 ; male, 5,962 and female, 5,706. Sex ratio : 104.5. 2) Households : 1,858. 3) Family size : The average household consisted of 6.3 persons. 4) Education level of householder. a. Illiterate 13%. b. No schooling but able to read 10%. c. Preschool Children 19%. d. Primary School 47%. e. Middle School 7%. f. High School 3%. g. College or University 1%. 5) Occupational distribution of householders. a. Farmer 67%. b. Laborer 13%. c. Office worker 4%. d. Merchant 4%. e. Industrial worker 2%, f. Unemployed 8%, g. Miscellaneous 2%, 6) Religious affiliation. a. No religion 74%, b. Buddhist 12%, c. Protestant 10%, d. Catholic 4%. 4. Survey results. Living Environment : a. Home ownership 95%, b. Kinds of roofing. Straw-thatched house 84%, Tile-roofed house 10%, Slate-roofed house 5%, Other 1%. c. Floor space, Less than 6 pyong 10%, 6-10 pyong 53%, 1-15 pyong 24%, 16-20 pyong 9%, More than 20 pyong 4%, d. Radio ownership 80%. Environment : a. the source of drinking water. public well 49%, private well 30%, drainage water 9%, steam water 8%, well pump 3%, water distribution system 1%, b. Distance between well and toilet. more than 16 meter 38%, 6-10 meter 31%, 11-15 meter 14%, Less than 6 meter 17%. c. The status of well management. Bad 72%, Fair 26%, Good 12%. d. General sanitary of well management. Bad 37%, Fair 51%, Good 12%. e. House drainage system. had no house drainage 77%. Family Planning : a. 24% of the people have used contraceptives, but 12% ceased to use them. 76% have never used contraceptives. b. used methods. loop 68%, oral pill 16%, vasectomy 4%, condom 1%, tubal ligation 1%, two or more methods 10%. Maternal Health : a. The number of conceptions of housewives under 50 years of age. 11 times 26%, 6 times 11%, 5 times 11%, 4 times 9%. b. The place of delivery. own house 88%, hospital 1%, others 11%, Treatment of general sickness. a. The place of treatment, Soyang Health Center 31%, Hospital(Private or otherwise) 26%, Pharmacy 14%, Herb medicine 5%, Private care 5%, No treatment 12%, Miscellancous 7%. b. Usual causes of disease. Unknown 46%, Tuberculosis 29%, Neuralgia 8%, CVA 3%, Bronchitis 3%, Others 11%.
Bronchitis ; Child, Preschool ; Community Health Services ; Community Medicine ; Condoms ; Contraceptive Agents ; Surveys and Questionnaires ; Drainage ; Drinking Water ; Education ; Family Characteristics ; Family Planning Services ; Female ; Fertilization ; Health Surveys* ; Humans ; Male ; Maternal Health ; Neuralgia ; Nurses, Public Health ; Ownership ; Pharmacy ; Protestantism ; Sanitation ; Sex Ratio ; Steam ; Sterilization, Tubal ; Tuberculosis ; Vasectomy ; Vital Statistics ; Water

Systemic lupus erythematosus(SLE) is a multisystem disorder with a peak age of onset in the second and fourth decades of life predominantly occuring in females who will usually have the potential to become pregnant. This female to male predominance is greatest during childbearing years approaching a ratio of 13:1, after the menopause it declines to a ratio of 3:1, the ratio also seen in prepubertal years. In practice, despite the higher prevalence of rheumatiod arthritis, pregnancy in SLE is the most common management problem confronting physician and obstetrician amongst the connective tissue disorders and it is particularly important as the outcome of pregnancy is more unpredictable in this disease. As well as having clinical consequences for the health of both mother and fetus, pregnancy in lupus provides a model for studying the importance of other biological phenomena characterizing the disease. For example, the transplacental passage of maternal antibodies to Ro(SSA) and La(SSB) and their strong association with the neonatal lupus syndrome suggests a pathogenetic role for these autoantibodies. Other relevant issues are feto-meternal immunological tolerance and hormonal interaction with the immune system. We have experienced a case of recurrent pregnancy loss associated with systemic lupus erythematosus. So we report this case with a brief review of literatures.
Age of Onset ; Antibodies ; Arthritis ; Autoantibodies ; Biological Phenomena ; Connective Tissue ; Female ; Fetus ; Humans ; Immune System ; Lupus Erythematosus, Systemic* ; Male ; Menopause ; Mothers ; Pregnancy* ; Prevalence

Toxoplasma gondii, an intracellular coccidian protozoan, is the causative agent of toxoplasmosis, a widespread infection affecting various birds and mammals including humans. In immunocompetent hosts, the infection is usually asymptomatic and benign. Toxoplasmosis is either congenital or acquired. In general prenatal therapy of congenital toxoplasmosis is beneficial in reducing the ncy of infant infection. Therapies are based primarily on spiramycin because of the relative lack of toxicity and high concentration achieved in the placenta. Clindamycin is the standard drug for chemoprophylaxis in newborn infants, and is directed at preventing the occurrence of retinochoroiditis as a late sequel to congenital infection. The standard treatment for acquired toxoplasmosis in both immunocompetent and immunodeficient patients is the synergistic combination of pyrimethamine and sulphonamides. Toxoplasmic encephalitis is tbe most common manifestation of acquired toxoplasmosis in immunocompromised patients and if not treated is fatal. However, because of toxicity, the therapeutic efficacy of pyrimethamine sulphonamide combinations may be seriously limited in immunodeficient patients. We have experienced a case of toxoplasmosis during the workup of habitual aborter. So we report this case with a brief review of literatures.
Birds ; Chemoprevention ; Clindamycin ; Encephalitis ; Humans ; Immunocompromised Host ; Infant ; Infant, Newborn ; Mammals ; Placenta ; Pyrimethamine ; Spiramycin ; Toxoplasma ; Toxoplasmosis* ; Toxoplasmosis, Congenital

No abstract available.
Coronary Aneurysm* ; Mucocutaneous Lymph Node Syndrome*

No abstract available.
Aspirin* ; Mucocutaneous Lymph Node Syndrome*

Dislocation involving tarsal navicular is a extremely rare injury compare to dislocation of other tarsal bone. One case of the tarsal navicular dislocation associated with subluxation of the midtarsal joint treated by open reduction and arthrodesis was reported.
Arthrodesis ; Dislocations ; Joints ; Tarsal Bones

PURPOSE: To evaluate the radiologic characteristics of axillary lymph nodes which are found on mediolateral oblique(MLO) view of mammography and to assess their clinical significance. MATERIALS AND METHODS: We retrospectively evaluated 119 cases axillary lymph nodes on MLO view of 410 cases of mammography in 205 patients regarding the size, bilaterality, number, grade of density, presence of central lucency, calcification of lymph nodes and presence of associated parenchymal pathologic lesions in breast. RESULTS: Axillary lymph nodes on MLO view were demonstrated in 119 (29%) among 410 cases. Axillary lymph nodes(112 cases) in cases without breast parenchymal lesions or with benign breast lesions showed; unilaterality in 68 cases(61%), smaller than 1.5cm in 100 cases(89%), lower density than breast parenchyma in 99 cases(88%), presence of central lucency in 99 cases(88%) and calcification in 3 cases(2.7%). Axillary lymph nodes(7 cases)in cases with breast cancer showed small size of less than 1.5cm in 4 cases(57%), absence of central lucency in 7 cases(100%) and iso-to higher density than breast parenchyma in 7 c&ses(100%). CONCLUSION: Axillary lymph nodes noted on MLO view of mammography, more than 1.5cm in diameter, absence of central lucency and iso to higher density than breast parenchyma could be suggested as clinically significant.
Breast ; Breast Neoplasms ; Humans ; Lymph Nodes* ; Mammography ; Retrospective Studies

PURPOSE: To evaluate the radiologic characteristics of axillary lymph nodes which are found on mediolateral oblique(MLO) view of mammography and to assess their clinical significance. MATERIALS AND METHODS: We retrospectively evaluated 119 cases axillary lymph nodes on MLO view of 410 cases of mammography in 205 patients regarding the size, bilaterality, number, grade of density, presence of central lucency, calcification of lymph nodes and presence of associated parenchymal pathologic lesions in breast. RESULTS: Axillary lymph nodes on MLO view were demonstrated in 119 (29%) among 410 cases. Axillary lymph nodes(112 cases) in cases without breast parenchymal lesions or with benign breast lesions showed; unilaterality in 68 cases(61%), smaller than 1.5cm in 100 cases(89%), lower density than breast parenchyma in 99 cases(88%), presence of central lucency in 99 cases(88%) and calcification in 3 cases(2.7%). Axillary lymph nodes(7 cases)in cases with breast cancer showed small size of less than 1.5cm in 4 cases(57%), absence of central lucency in 7 cases(100%) and iso-to higher density than breast parenchyma in 7 c&ses(100%). CONCLUSION: Axillary lymph nodes noted on MLO view of mammography, more than 1.5cm in diameter, absence of central lucency and iso to higher density than breast parenchyma could be suggested as clinically significant.
Breast ; Breast Neoplasms ; Humans ; Lymph Nodes* ; Mammography ; Retrospective Studies

Two cases of acute digitalis poisoning were presented. The first patient was 20-year-old male with asymptomatic ventricular septal defect (maladie de Roger) who attempted suicide by ingestion of degitalis leaf about 6.0 g (60 tablets). He developed severe epigastric pain and vomiting one hour after ingestion. Syncopal attack was developed once for a few minutes and recovered. Electrocardiogram revealed 2:1 A-V block. By conservative management he was recovered. The second patient was 2-year-old, healthy baby who ingested digoxin about 2.5 mg(10 tablets) by accident. He developed severe vomiting and electrocardiogram revealed 1degrees, 2degreesand 3degrees A-V block in series. He was recovered by conservative management without sequele.
Child, Preschool ; Digitalis* ; Digoxin ; Eating ; Electrocardiography ; Heart Septal Defects, Ventricular ; Humans ; Male ; Poisoning* ; Suicide, Attempted ; Vomiting ; Young Adult

Neurilemmomas are benign tumors of the nerve sheaths. They are usually painless and are most common in the upper extremities. Pathologically, neurilemmoma is encapsulated and made up of organized element: the Antoni A cells, the Antoni B cells and the Verocay bodies. According to Stout, neurilemmomas never become malignant. Two cases of neurilemmoma of tibial nerve and One case of neurilemmoma of lateral antebrachial cutaneous nerve are presented with a review of the literature. Tumors were enucleated and confirmed by pathological examination.
B-Lymphocytes ; Nerve Sheath Neoplasms ; Neurilemmoma ; Tibial Nerve ; Upper Extremity