Etiological & Clinical Study for Neonatal Hepatitis & Biliary Atresia

No abstract available.

Fetomaternal Transfusion

From Feb, 1977, through Aug. 1977, 100 venous blood samples obtained from women within 48 hr after delivery were examnied for fetomaternal transfusion by the Nierhaus acid elution technique. Blood smears were scanned at 100 high power field for enumeration of fetal erythrocytes. 1. The incidence of fetomaternal transfusion was 26% 2. The incidence of fetomaternal transfusion was the highest (39.1%) in mothers of blood type O, the lowerst(12%) in mothers of blood type B. 3. The incidence of fetomaternal transfusion was no correlation with gravidity, parity, numbers of abortion and induction of labor by pitocin. 4. The incidence of fetomaternal transfusion was higher in caesarean section and manual delivery of placenta than normal veginal delivery and sponeaneous delivery of placenta. 5. The incidence of fetomaternal transfusion was increased in case of low cord hemoglobin level.

Perinatal Mortality rates: IV. A Practical Classification of Infants by Birth weight and Gestational Age

There were 544 perinatal deaths out of 11,336 single births who were delivered at Severance, Chonju Presbyterian and Wonju Christian Hospitals. The Perinatal mortality rates were calculated at fetal deaths of 20 or more weeks?gestation plus neonatal deaths under 28 days after birth. We made a comparative studies of classification about the perinatal and neonatal mortality reports on the literatures. The results were summarized as follows; 1. Concerning the mortality rate related with birth weight and gestational age, we have observed that the mortality rate decreased by increasing birth weight in a certain gestational age group and by increasing gestational age in certain birth weight, as reported on several literatures. 2. Among the 436 cases weighing 1,001gm or more and with 28 week or more of gestational age, the incidence of deaths weighng 2,501gm or more was 44.8% and with 38 week or more of gestational age was 50.9%. We have been observed, not only able to take care effectively, but also better prognosis, by introducing intensive care to full-sized and term births than low-birth weights as pre-trm.

A Study of Hospital Utilization by and the Cost of Care to Patients in a Private University Hospital in Seoul, Republic of Korea, 1955-1974

In an attempt to understand the changing pattern of hospital care utilization and costs, a study was made of the medical and administrative records of 7,798 patients, who were discharged from a private, university teaching hospital in the years 1955, 1960, 1965, 1970 and 1974. An analysis of the ages of the patients who utilized the hospital, revealed little change over the study in the age distribution of female patients, but did show increases in the percentages of male patients who were under 5 and over 60 years of age. The overall average length of stay in hospital decreased continuously, from 17.1 days in 1955 to 10.4 days in 1974, and the average length of stay of those who were discharged within 90 days of admission decreased from 14.4 days in 1955 to 8.9 days in 1974. Patients who received surgical treatment remained in hospital for three to four days longer than did those who received non-surgical treatment. Obstetrical cases remained in hospital for 6.9 days in 1955, and 4.8 days in 1974. A large majority of the patients (87 - 96%) were discharged within one month of admission, and virtually all (97.5 - 99.4%) within three months. In respect to the place of residence of the patients, the data revealed that 80% were from Seoul Two-thirds of the patients from Seoul resided in districts immediately surrounding the hospital, showing that despite increasingly effective transportation facilities, hospital utilization continued to be localized to people living in areas near the institution. The study revealed little change in disease patterns over the years: the percentage of obstetrical admissions remained highest with infectious and parasitic diseases, gastrointestinal diseases, injuries, neoplasms and respiratory diseases ranking in descending order. The status of patients at time of discharge showed improvement: the recovery rate increased, and the proportion of patients who died decreased. Total hospital expenses increase 4.4 times and expenses per patient day increased 6.2 times, both results having been determined through the use of constant market prices. It is considered that the latter increase resulted primarily from intensification of medical care and shortening of the hospitalization period. Among the various components of hospital care costs, room (hotel-type) and treatment expenses remained at approximately 40%of the total, while expenses for drugs and injections were approximately 20% in each of the five years of the study. Study of the relative increase of hospital costs by component of care revealed that the highest. increases over the twenty-year period was in the cost of laboratory services, followed by drugs and injections. It would seem that these high increases resulted from rapid technological developments in diagnostic and therapeutic procedures.