ABSTRACT
This thesis is a research how the medical history described and organized in the Korean history textbook to compare the 7th educational program from 2002 to the 6th educational program from 1994-2001 in Korea. The medical history is divided into two parts as social system, science and technology but so small amount. In addition, it is impossible to study medical history in its own program. And we can't find any significant difference between the 6th edition and the 7th edition in the state Korean History textbook. In the Korean Modern and Contemporary History textbook, we can find more abundant and systematical approach from some textbooks published by Joongang and Geumsung company than 6th edition Korean History. The change of textbook system to authorized textbook system makes some advance. However four other books don't show much improvement. On the other hand, the contents are so much devoted into the introduction of medical system and books even in the advanced textbooks. Therefore we have to make the students to understand the life of the past and the present with the concrete contents and intimating of the living history. Besides medical historians have to participate in the process to publish the textbook.
Subject(s)
Academic Dissertations as Topic/history , Historiography , History, 20th Century , History, 21st Century , Korea , Textbook/historyABSTRACT
The infantile polycystic kidney disease is rare fetal urinary tract anomaly. It is inherited with an autosomal recessive pattern and recurrence rate is 25%. The gene locus is on chromosome 6p. The pathogenesis of infantile polycystic kidney is the primary defect of the collecting ducts. The ultrasonographic finding of infantile polycystic kidney is oligohydramnios, bilaterally symmetrical enlarged kidneys with maintenance of their reinform shape. The differential diagnosis with adult polycystic kidney disease is important. The massive enlargement of the kidneys is rarely seen in adult polycystic kidney disease and the examination of the parents and other members of the family is helpful to confirm the adult polycystic kidney disease. If there is severe renal involvements, stillbirth or neonatal death secondary to pulmonary hypoplasia would be developed. If it were diagnosed before viability, termination of pregnancy is recommended. In a fetus at risk, diagnosed after viability, pregnancy termination is also recommended since this condition is uniformly fatal. We present a case of infantile polycystic kidney.
Subject(s)
Female , Humans , Pregnancy , Diagnosis, Differential , Fetus , Kidney , Oligohydramnios , Parents , Polycystic Kidney Diseases , Polycystic Kidney, Autosomal Dominant , Recurrence , Stillbirth , Urinary TractABSTRACT
OBJECTIVES: To determine if hysterectomy with or without ovarian preservation is asso-ciated with obesity in premenopausal women. METHODS: 581 women for routine check up from Jan. 1985 to Dec. 1995 in the depart-m ent of Gynecology at Korea Veterans Hospital were included. The obesity was evaluated by BMI(body mass index) scores. 80% of hysterectomy were confirmed from the hospital records. The age, weight, height, blood pressure, menstr- ual history, history of DM and hypertension, social history of alcohol and smoking and other cardiovascular risk factors such as cholesterol, HDL-cholesterol, triglycerides were checked. The 248 women with natural postmenopausal status before hysterectomy, taking hormonal replacement therapy after hysterectomy and having performed hysterectomy due to malign- ancy were excluded. RESULTS: All women performed hysterectomy were in premenopausal status in this study. Therefore, the final numbers of subjects included in the analysis was 333. Hysterectomy wit- hout ovarian preservation were performed in 58 cases and hysterectomy with ovarian pres- ervation were in 57 cases. The 218 premenopausal cases which did not performed hystere- ctomy were considered control group. BMI scores were higher in cases without ovarian pres- ervation than with ovarian preservation. And BMI score was associated with the postoper- ative duration in hysterectomy with ovarian preservation. CONCLUSIONS: We suggest that hysterectomy without ovarian preservation in premeno- paussal women were associated with increased obesity, especially BMI scores.
Subject(s)
Female , Humans , Blood Pressure , Cholesterol , Gynecology , Hospital Records , Hospitals, Veterans , Hypertension , Hysterectomy , Korea , Obesity , Risk Factors , Smoke , Smoking , TriglyceridesABSTRACT
We experienced a case of malignant mucinous tumor of ovary developed in 17-year-oldnulliparous women and brief review of the case and its literature are presented.