ABSTRACT
It has been over 10 years since the health promotion policy is carried out by government and the level of health of Korean people has been dramatically improved. However, persistent increase in chronic diseases and the rapid aging require comprehensive health promotion policies for the establishment of cost effective health care system. Furthermore, the current global economic difficulties necessitate the implementation of appropriate health care system for underprivileged groups of people. In 2009, in an effort to effectively remedy these situations, the Ministry of Health, Welfare and Family Affairs implemented a new health promotion policy with focus on five strategic areas; reinforcement of health care support for the underprivileged groups; strengthening health promotion management including smoking and obesity prevention; preparation for the next generation's health by supporting pregnancy and childbirth; establishing the preventive system for chronic diseases such as cardiovascular disease and asthma; governmental support for suicide and alcohol abuse prevention and improvement of mental health care service. From the socioeconomic perspective, the current health promotion policy in Korea contributes to raising national income level by producing job opportunities, through the revitalization of new service sector. It is expected that the introduction of Health Care Service will contribute more to this trend.
Subject(s)
Humans , Pregnancy , Aging , Alcoholism , Cardiovascular Diseases , Chronic Disease , Delivery of Health Care , Health Promotion , Health Status , Korea , Mental Health , Obesity , Reinforcement, Psychology , Smoke , Smoking , SuicideABSTRACT
It has been over 10 years since the health promotion policy is carried out by government and the level of health of Korean people has been dramatically improved. However, persistent increase in chronic diseases and the rapid aging require comprehensive health promotion policies for the establishment of cost effective health care system. Furthermore, the current global economic difficulties necessitate the implementation of appropriate health care system for underprivileged groups of people. In 2009, in an effort to effectively remedy these situations, the Ministry of Health, Welfare and Family Affairs implemented a new health promotion policy with focus on five strategic areas; reinforcement of health care support for the underprivileged groups; strengthening health promotion management including smoking and obesity prevention; preparation for the next generation's health by supporting pregnancy and childbirth; establishing the preventive system for chronic diseases such as cardiovascular disease and asthma; governmental support for suicide and alcohol abuse prevention and improvement of mental health care service. From the socioeconomic perspective, the current health promotion policy in Korea contributes to raising national income level by producing job opportunities, through the revitalization of new service sector. It is expected that the introduction of Health Care Service will contribute more to this trend.
Subject(s)
Humans , Pregnancy , Aging , Alcoholism , Cardiovascular Diseases , Chronic Disease , Delivery of Health Care , Health Promotion , Health Status , Korea , Mental Health , Obesity , Reinforcement, Psychology , Smoke , Smoking , SuicideABSTRACT
PURPOSE: Human amniotic membrane has been used to variable ocular surface disorder. We report a case of the usefulness of amniotic membrane transplantation (AMT) for vernal keratoconjunctivitis "Shield ulcer". METHODS: A 12-year-old male patient was diagnosed to have vernal keratoconjunctivitis "Shield ulcer" and treated with medical therapy for four weeks. But he showed severe itiching, foreign body sensation, decreased visual acuity and continued to corneoconjunctival lesion and then, Amniotic membrane transplantation with stromal side down was performed after debridement of the ulcer bed and therapeutic contact lens was applied. RESULTS: At tenth day after AMT, ulcer size was decreased and corneal state was generally improved with restoration of visual acuity. One month after, he has been comfortable with improved visual acuity, giant papillae of upper tarsal conjunctiva was nearly complete remission. CONCLUSIONS: AMT is an effective method for managing vernal keratoconjunctivitis "Shield ulcer", that are refractory to conventional medical treatment.
Subject(s)
Child , Humans , Male , Amnion , Conjunctiva , Conjunctivitis, Allergic , Debridement , Foreign Bodies , Sensation , Ulcer , Visual AcuityABSTRACT
PURPOSE: To investigate the efficacy of botulinum toxin type A chemodenervation in various types of esotropia(ET). METHODS: Enrolled eleven esotropic patients treated with botulinum toxin type A and examined the amount of esotropic correction and success rate of less than 10 PD (prism diopter) of postinjection deviation at 5 months after injection. RESULTS: Among the eleven esotropic patients, there were 7 cases of infantile ET, 2 cases of partially accommodative ET and 2 cases of basic ET. The mean preinjection deviation was 30.5 +/- 7.3 PD. The amount of correction was 17.7 +/- 4.3 PD and correction rate of deviation was 57.5%. In 6 of 11 cases, the postinjection deviation was within 10 PD and therefore success rate was 54.5%. In 5 patients (45.5%), their ET was undercorrected. In patients with under 20 PD of preinjection deviation, success rate was 75% (3/4) and those with over 20PD, the rate was 42.9% (3/7). In partially accommodative ET, 2 (100%) of 2 cases were aligned within 10PD. CONCLUSIONS: In comitant ET, botulinum toxin chemodenervation shows high undercorrection rate. The effects of botulinum toxin type A chemodenervation were better for relatively small angle and in partially accommodative ET than nonaccommodative one. But further study with more cases is needed.
Subject(s)
Humans , Botulinum Toxins , Botulinum Toxins, Type A , Esotropia , Nerve BlockABSTRACT
PURPOSE: To describe a patient who developed left subconjunctival air and pneumocephalus without definite finding of skull fracture after facial trauma. METHODS: A 16-year-old man developed headache, upper eyelid swelling and decreased visual acuity after facial trauma. Ophthalmic examinations revealed left subconjunctival hemorrhage, air and corneal abrasion. Computed tomography and simple X-ray showed huge orbital emphsema. It extends into the left posterior sclera, around the optic nerve and optic canal. Diagnosis of pneumocephalus of basal cistern with no bony fracture of face, orbits and skull was made. RESULTS: In clinical practice, physician should be kept in mind that the possibility of pneumocephalus resulted from orbital or subconjunctival emphysema through optic nerve sheath in case of no definite evidence of basal skull fractures.
Subject(s)
Adolescent , Humans , Diagnosis , Emphysema , Eyelids , Headache , Hemorrhage , Optic Nerve , Orbit , Pneumocephalus , Sclera , Skull , Skull Fractures , Visual AcuityABSTRACT
No abstract available.