http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
慶尙南道 市地域 民間醫院의 母子保健事業 推進實態 및 그 改善에 關한 調査硏究
金柄成,金公鉉,金炳星,朴亨鐘 대한보건협회 1992 대한보건연구 Vol.18 No.2
This study was carried out to review the current status of maternal and child health care (MCH) program implemented by the private clinics located in the cities in Kyungnam Province and to suggest alternative approaches to improve their on-going programs through a self-administered questionnaire. The subjects were 185 private physicians who operated their own clinics since 1990 and were general practitioner. Obstetrician/Gynecologist, or pediatrician. The survey was conducted by mail from 15 January to 25 February 1992. The response rate was 70.8 percent. Major results were as follows: 1. The major manpower for MCH of the studied clinics was physicians and nurse-aids. 32% of those employed one or more lab-technicians. No clinics had an independent building for MCH program. Most of studied clinics did not adequately install medical and laboratory equipments for MCH program except some of Ob/Gyn clinics. 2. 51.9% and 46.6% of the studied clinics did not provide consulting services and curative services to patients in relation to MCH respectively. 74% of them did not also provide any laboratory services. 3. Pre-and post-natal care services were provided in most Ob/Gyn clinics and general practitioners while growth measurement and immunization services were done in pediatric clinics. 4. 33% of the studied clinics had been opening either regular or irregular health education sessions for MCH. Ob/Gyn clinics put emphasis on clinical management and physiology of pregnancy and preparing delivery, but pediatric clinics did on infant rearing and immunization. 45% of the studied clinics had some kinds of health education materials for MCH program. 5. Blood presure, glucosuria and blood type were tested in 65% of the studied clinics:Ultrasonography and tests for hepatitis and fetal heart rate were provided in 40%: and tests for uterine cancer, gonorrhea and sypilis in 30%. Those tests were almost provided by Ob/Gyn clinics. 6. There were less than 10% of clinics which had been supported with drugs, equipments, or culture media for MCH programs from the government. Even though the government supply those materials to them free of charge to encourage their involvement, 40% of Ob/Gyn clinics and each 56% of general practice and pediatric clinics replied not to engage MCH programs linked with the Health Center.
김병성,Hyun Seok Song 대한정형외과학회 2011 Clinics in Orthopedic Surgery Vol.3 No.3
Background: This study compared the results of patients treated for ulnar impaction syndrome using an ulnar shortening osteotomy(USO) alone with those treated with combined arthroscopic debridement and USO. Methods: The results of 27 wrists were reviewed retrospectively. They were divided into three groups: group A (USO alone, 10cases), group B (combined arthroscopic debridement and USO, 9 cases), and group C (arthroscopic triangular fi brocartilage complex[TFCC] debridement alone, 8 cases). The wrist function was evaluated using the modifi ed Mayo wrist score, disabilities of thearm, shoulder and hand (DASH) score and Chun and Palmer grading system. Results: The modifi ed Mayo wrist score in groups A, B, and C was 74.5 ± 8.9, 73.9 ± 11.6, and 61.3 ± 10.2, respectively (p < 0.05). The DASH score in groups A, B, and C was 15.6 ± 11.8, 19.3 ± 11.9, and 33.2 ± 8.5, respectively (p < 0.05). The average Chun andPalmer grading score in groups A and B was 85.7 ± 8.9 and 84.7 ± 6.7, respectively. The difference in the Mayo wrist score, DASHscore and Chun and Palmer grading score between group A and B was not signifi cant (p > 0.05). Conclusions: Both USO alone and combined arthroscopic TFCC debridement with USO improved the wrist function and reducedthe level of pain in the patients treated for ulnar impaction syndrome. USO alone may be the preferred method of treatment in patientsif the torn fl ap of TFCC is not unstable.