The purpose of this research is to describe how Hansen's disease patients experienced the modern system of control of Hansen's disease introduced by Japan, and the inimical attitude of society against them in colonial Korea. The study also seeks to reveal the development of the system to eliminate Hansen's disease patients from their home and community to larger society and leprosarium in this era. Sorokdo Charity hospital (SCH), a hospital for Hansen's disease patients, was built in 1916, and vagrant Hansen's disease patients began to be isolated in this hospital beginning in 1917 by the Japanese Government-General of Korea (JGGK). Once the police detained and sent vagrant Hansen's disease patients to SCH, stigma and discrimination against them strengthened in Korean society. Because of strong stigma and discrimination in Korean society, Hansen's disease patients suffered from daily threats of death. First, their family members were not only afraid of the contagiousness of Hansen's disease but also the stigma and discrimination against themselves by community members. If a family had a Hansen's disease patient, the rest of community members would discriminate against the entire family. Furthermore, because Hansen's disease patients were excluded from any economic livelihood such as getting a job, the existence of the patients was a big burden for their families. Therefore, many patients left their homes and began their vagrancy. The patients who could not leave their homes committed suicide or were killed by their family members. The victims of such deaths were usually women, who were at the lower position in the family hierarchy. In the strong Confucian society in Korea, more female patients were killed by themselves than male patients. Moreover, all of patients victims in the murder were women. This shows that the stigma and discrimination against Hansen's disease patients within their families were stronger against women than men. Strong stigma and discrimination made the patients rely on superstition such as cannibalism. Patients believed that there were not any effective medicine. There were a few reports of patients who were cured, and many were treated with chaulmoogra oil in the modern Hansen's disease hospitals. Eating human flesh was known as a folk remedy for Hansen's disease. As such, patients began to kill healthy people, usually children, to eat their flesh. Increased stigma led to increased victims. Hansen's disease patients who left their homes faced many threats during their vagrancy. For survival, they established their own organizations in the late 1920's. The patients who were rejected to be hospitalized in the Western Hansen's disease hospital at Busan, Daegu, and Yeosu organized self-help organizations. The purpose of these organizations was first to secure the medicine supply of chaulmoogra oil. However, as stigma and discrimination strengthened, these organizations formed by Hansen's disease patients demanded the Japanese Government-General of Korea to send and segregate them on Sorok island. They did not know the situation of the inside of this island because news media described it as a haven for patients, and very few patients were discharged from this island to tell the truth. On this island, several hundreds of patients were killed by compulsory heavy labor, starvation, and violence. They were not treated as patients, but as something to be eliminated. Under strong suppression on this island, the patients resisted first by escaping this island. However, in 1937, some patients tried to kill a Korean staff but failed. Attempted murderers were all put in the jail, also located on this island. In 1941, a patient murdered another patient who had harassed other patients, and in 1942, Chunsang Lee, a patient, killed the director of Sorok island. These instances show that there was a system to eliminate Hansen's disease patients in colonial Korea.
Asian Continental Ancestry Group ; Busan ; Cannibalism ; Charities ; Child ; Daegu ; Discrimination (Psychology) ; Eating ; Female ; Homicide ; Humans ; Japan ; Jeollanam-do ; Korea ; Leprosy ; Male ; Medicine, Traditional ; Police ; Starvation ; Suicide ; Superstitions ; United Nations ; Violence

SCOPE: A formative evaluation of a one-day Community-Based Health Program (CBHP) workshop in an urban poor setting in Silang,Cavite was done.
OBJECTIVE: To determine if the workshop was feasible and useful from the perspective of important stakeholders.
RESEARCH DESIGN: A descriptive research design was used with triangulation of data sources: participant observation, short-form questionnaire and monitoring checklist.
RESULTS: The responses from the short-form, self-administered feedback questionnaire showed that out of the 42 participants: 1) 38% liked that they gained knowledge from the workshop; 2) 72.3% expressed that there was nothing that they disliked during the sessions; 3) about 13% expressed their desire to have more workshops like this one in the future; and 4) only 6.4% learned the importance of CBHP. It was observed frequently during discussions that participants said that the San Beda College of Medicine, played an important and crucial role in the CBHP. The College was visible and active together with the staff of the Canossa Health and Social Center run by the Canossian Daughters of Charity as well as with its community leader, Sr. Maria Elena Adre. With the presence of the clinical clerks and doctors of San Beda College of Medicine, the program continuously provided health services. Furthermore, other strengths that were mentioned were the volunteer health workers, the laboratory (microscopy), numerous training activities and seminars, feeding program and scholarship program.
CONCLUSION: A one-day CBHP workshop was feasible and useful in an urban poor community setting from the perspective of important stakeholders.

Human ; Male ; Female ; Charities ; Checklist ; Feedback ; Health Promotion ; Information Storage And Retrieval ; Microscopy ; Nuclear Family ; Physicians ; Surveys And Questionnaires ; Volunteers

On July 3, 1928, the Wonsan Labor Union established the Wonsan Laborers' Hospital in Seoku-dong, Wonsan for the purpose of reducing medical consultation fees for its members. The union's efforts to improve the welfare of its members include the establishment of an educational institute, a consumers union, a barbershop, and a relief department. The Laborers' Hospital, which began with ten wards, was led by a team of two doctors, one midwife, two pharmacists, and four nurses. The two doctors were Cheol-sun Cha and Jeong-kwon Lee, and the midwife/nurse was Sun-jeong Kim. Union members received a 40% discount on medicine, and this was utilized by a daily average of 60 to 70 workers, or 21,000 workers annually. The Laborers' Hospital was clearly distinct from medical facilities founded as charity institutions in that funds were raised by the recipients themselves, and that the recipients formed a community based on their common status as laborers. However, the Wonsan Laborers' Hospital was shut down in roughly April 1929 due to the breaking of the general strike, and the heightened suppression of union activities prevented any additional opening of laborers' hospitals until Korea's liberation from Japan. Nevertheless, the history of the Wonsan Laborers' Hospital represents a key development in Korea's health coverage. It is not adequate to declare, as was the case in past research, Korea's health coverage to be simply an imitation of the Western system and lacking its own history. Despite some differences in scale and operation, the development of health coverage in the Korean peninsula is in line with the history of health coverage development in the West. The Wonsan Laborers' Hospital, founded and operated by the laborers themselves, thus holds great significance in the history of Korea's health coverage, The findings of this study are expected to stimulate new and more diverse discussions on the history of health coverage in Korea.
Asian Continental Ancestry Group* ; Charities ; Fees and Charges ; Financial Management ; Humans ; Japan ; Korea ; Labor Unions ; Midwifery ; Occupations* ; Pharmacists ; Strikes, Employee

This study is about the Sisters of Charity of St. Joseph in New Orleans' Charity Hospital during the years between 1834 and 1860. The Sisters of Charity of St. Joseph was founded in 1809 by Saint Elizabeth Ann Bailey Seton (first native-born North American canonized in 1975) in Emmitsburg, Maryland. Seton's Sisters of Charity was the first community for religious women to be established in the United States and was later incorporated with the French Daughters of Charity of St. Vincent de Paul in 1850. A call to work in New Orleans' Charity Hospital in the 1830s meant a significant achievement for the Sisters of Charity, since it was the second oldest continuously operating public hospitals in the United States until 2005, bearing the same name over the decades. In 1834, Sister Regina Smith and other sisters were officially called to Charity Hospital, in order to supersede the existing "nurses, attendants, and servants," and take a complete charge of the internal management of the Charity Hospital. The existing scholarship on the history of hospitals and Catholic nursing has not integrated the concrete stories of the Sisters of Charity into the broader histories of institutionalized medicine, gender, and religion. Along with a variety of primary sources, this study primarily relies on the Charity Hospital History Folder stored at the Daughters of Charity West Center Province Archives. Located in the "Queen city of the South," Charity Hospital was the center of the southern medical profession and the world's fair of people and diseases. Charity Hospital provided the sisters with a unique situation that religion and medicine became intertwined. The Sisters, as nurses, constructed a new atmosphere of caring for patients and even their families inside and outside the hospital, and built their own separate space within the hospital walls. As hospital managers, the Sisters of Charity were put in complete charge of the hospital, which was never seen in other hospitals. By wearing a distinctive religious garment, they eschewed female dependence and sexuality. As medical and religious attendants at the sick wards, the sisters played a vital role in preparing the patients for a "good death" as well as spiritual wellness. By waging their own war on the Protestant influences, the sisters did their best to build their own sacred place in caring for sick bodies and saving souls. Through the research on the Sisters of Charity at Charity Hospital, this study ultimately sheds light on the ways in which a nineteenth-century southern hospital functioned as a unique environment for the recovery of wellness of the body and soul, shaped and envisioned by the Catholic sister-nurses' gender and religious identities.
*Catholicism ; Charities/*history ; History, 19th Century ; Hospitals, Religious/*history ; Hospitals, Urban/*history ; New Orleans

This study aims to examine the beginning and the development of Christian Charities during the 4th-6th centuries which would eventually result in the birth of the hospital in modern sense in the first half of the 7th century. For this purpose, I looked carefully into various primary sources concerning the early Christian institutions for the poor and the sick. Above all, it's proper to note that the first xenodocheion where hospitality was combined with a systematic caring, is concerned with the Trinitarian debate of the 4th century. In 356, Eustathios, one of the leaders of homoiousios group, established xenodocheion to care for the sick and the lepers in Sebaste of Armenia, whereas his opponent Aetios, doctor and leader of the heteroousios party, was reckoned to have combined the medical treatment with his clerical activities. Then, Basil of Caesarea, disciple of Eustathios of Sebaste, also founded in 372 a magnificent benevolent complex named 'Basileias' after its founder. I scrupulously analysed several contemporary materials mentioning the charitable institution of Caesarea which was called alternatively katagogia, ptochotropheion, xenodocheion. John Chrysostome also founded several nosokomeia in Constantinople at the end of the 4th century and the beginning of the 5th century. Apparently, the contemporary sources mention that doctors existed for these Charities, but there is no sufficient proof that these 'Christian Hospitals,' Basileias or nosokomeia of Constantinople were hospitals in modern sense. Imperial constitutions began to mention ptochotropheion, xenodocheion and orphanotropheion since the second half of the 5th century and then some Justinian laws evoked nosokomium, brephotrophia, gerontocomia. These laws reveal that 'Christian Hospitals' were well clarified and deeply rooted in Byzantine society already in these periods. And then, new benevolent institutions emerged in the 6th century: nosokomeia for a specific class and lochokomeia for maternity. In addition, one of the important functions of Sampson Xenon was, according to Novel 59, to hold a funeral service for the people of Constantinople. Nevertheless, there is no sufficient literary material that could demonstrate the existence of a hospital in modern sense. The first hospital where outpatient service, hospitalization and surgery were confirmed was Sampson Xenon in the first half of the 7th century, figured in the tale of Stephanos of the The Miracles of St. Artemios. Why was the early Byzantine literary so reticent as to write the medical activities in the Christian Charities? It's because Christian innovation didn't rest on the medical treatment but caring for the poor and the sick, depending on the word of Mt. 25.35-36. In this meaning, I'd like to say that the Early Byzantine history of Christian Charities or 'Christian Hospitals' consists of only a footnote of the verse.
Byzantium ; Charities/history ; *Christianity ; History, Ancient ; History, Medieval ; Hospitals, Religious/*history

Charities ; Cleft Lip ; Cleft Palate ; Humans ; Program Development

Cambodia ; Charities ; China ; Cleft Lip ; Developing Countries ; Humans ; Korea ; Palate ; Vietnam

OBJECTIVE: To describe the long-term outcomes of admission hyperglycemia among adult stroke patients admitted at a tertiary hospital.

METHODOLOGY: All patients admitted into the Charity Neurology Service were scored using modified Rankin score, NIHSS and Barthel Index on admission, three days, discharge, six weeks, three months and six months follow-up. Patients with admission hyperglycemia were further classified into those with diabetes, prediabetes and stress hyperglycemia.

RESULTS: Of the 443 patients admitted, 178 had admission hyperglycemia; 221 patients were discharged; 21 patients with admission hyperglycemia and 23 patients who were normoglycemic on admission returned for regular follow-up. Modified Rankin Scores and NIHSS were lower and Barthel Indices were higher among the normoglycemic patients as compared to those who were hyperglycemic on admission.

CONCLUSION: The cohort of patients with admission hyperglycemia had poorer functional outcomes in the long-term as compared to those with normoglycemia on admission.

 

Human ; Adult (a Person 19-44 Years Of Age) ; Prediabetic State ; Tertiary Care Centers ; Charities ; Follow-up Studies ; Hyperglycemia ; Diabetes Mellitus ; Patient Admission ; Patient Discharge ; Stroke ; Neurology

INTRODUCTIONColorectal cancer is now the cancer with the highest incidence in Singapore. However, the overall mortality rate is still about 50% because the majority of the patients present at a late stage of disease. A charity event of screening colonoscopy was offered to the public in conjunction with the 185th anniversary of Singapore General Hospital. The aim of this event was to raise awareness about early detection of colorectal cancer and the safety of colonoscopy.

MATERIALS AND METHODSWe conducted a one-off free screening event for colorectal cancer using colonoscopy. Four hundred and ninety individuals responded to a multimedia advertisement for the event. Of these, 220 individuals were selected for the screening based on National Guidelines for colorectal cancer screening and financial status.

RESULTSOne hundred and fifty-two individuals turned up for the colonoscopy. The median age was 55 years (range, 22 to 82), with 84 males. Significant pathology was found in 33% of the individuals (n = 51). Colorectal polyps were detected in 34 individuals (22%). A total of 45 polyps were removed, with 20 hyperplastic polyps and 25 adenomas. Eight out of 25 adenomas were located proximal to the splenic flexure. Rectal cancer was diagnosed in 1 individual (0.6%). One individual had a large dysplastic rectosigmoid ulcer and refused further intervention. There were no significant complications from any of the colonoscopies.

CONCLUSIONSColonoscopy is an invaluable screening modality as it has a high pick-up rate for colorectal polyp and cancer in an asymptomatic population. It is also proven to be safe in our study. It has the added advantage over flexible sigmoidoscopy of detecting a significant number of proximal lesions. Also, therapeutic polypectomy can be performed in the same setting.

Charities ; Colonoscopy ; Colorectal Neoplasms ; diagnosis ; prevention & control ; Community-Institutional Relations ; Hospitals, General ; Humans ; Mass Screening ; Singapore

OBJECTIVE: To evaluate the effectiveness of electro-acupuncture for the relief of pain during the active phase of labor and prove that it could reduce use of oxytocin.

STUDY DESIGN: Randomized controlled trial.

POPULATION: 50 patients who were admitted in the hospital charity ward from February 2007 to March 2008.

METHODS: This study compared patients in the initial phase of active labor (cervical dilatation 4-5 cms) who were given electro-acupuncture (group A) and those who did not receive any the Universal Assessment Tool was done by the patient herself and another independent observer. At 7 cms dilatation, patients in both groups who had Pain Scale of 7 and above were given 50 mg Meperidine. Oxytocin augmentation was given if there was protracted labor.

RESULTS: There was lower Mean Pain Scale (5.48 ± 0.82) in the acupuncture group  compared to the control group (7.6 ± 0.76). Meperidine was given compared to 4% of the acupuncture group and 72% of the control group. Oxytocin was given to 36% of the acupuncture group and 64% of the control group.

CONCLUSIONS: Electro-acupuncture during labor reduced  the requirement for systemic analgesia and oxytocin augmentation. During the observation period, Group A patients were noted to be more relaxed compared to group B. The procedure was safe as there were no observed undesirable maternal and feral complications.

Human ; Female ; Meperidine ; Oxytocin ; Labor Stage, First ; Charities ; Dilatation ; Pain Management ; Pain ; Analgesia ; Pain Measurement