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Objective@#Doctors or public health doctors at the nearest institution to a disaster scene often have to treat the casualties at the scene. Therefore, disaster medical education is necessary for medical students and doctors, but such education is not properly implemented. This study investigated the status of disaster medical education in Korean medical schools and the professors' thoughts on the appropriateness and necessity of disaster medical education. @*Methods@#A survey was conducted on working-level professors in charge of student education in emergency medicine in 40 medical schools. The survey asked the professors the current status of disaster medical education at each school and the professors' thoughts on the appropriateness and necessity of disaster medical education. @*Results@#Thirty-seven professors (92.5%) responded to the survey. Twenty-seven schools (73.0%) had a regular curriculum of disaster medicine. Disaster drills were conducted at 34 training hospitals (91.9%), while students of 10 schools (29.4%) were officially participating in the drill. Of the responders, 31 (83.8%) responded that disaster medicine is necessary for clinicians. Thirty-seven professors (100%) thought disaster medical education was necessary for medical students, and 20 (54.1%) of them responded that their schools did not provide adequate disaster medical education. @*Conclusion@#Many schools did not have a proper course on disaster medical education. Disaster medical education is necessary for medical students, but such education is not properly implemented.
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Objective@#Doctors or public health doctors at the nearest institution to a disaster scene often have to treat the casualties at the scene. Therefore, disaster medical education is necessary for medical students and doctors, but such education is not properly implemented. This study investigated the status of disaster medical education in Korean medical schools and the professors' thoughts on the appropriateness and necessity of disaster medical education. @*Methods@#A survey was conducted on working-level professors in charge of student education in emergency medicine in 40 medical schools. The survey asked the professors the current status of disaster medical education at each school and the professors' thoughts on the appropriateness and necessity of disaster medical education. @*Results@#Thirty-seven professors (92.5%) responded to the survey. Twenty-seven schools (73.0%) had a regular curriculum of disaster medicine. Disaster drills were conducted at 34 training hospitals (91.9%), while students of 10 schools (29.4%) were officially participating in the drill. Of the responders, 31 (83.8%) responded that disaster medicine is necessary for clinicians. Thirty-seven professors (100%) thought disaster medical education was necessary for medical students, and 20 (54.1%) of them responded that their schools did not provide adequate disaster medical education. @*Conclusion@#Many schools did not have a proper course on disaster medical education. Disaster medical education is necessary for medical students, but such education is not properly implemented.
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OBJECTIVES: The Mood Disorder Questionnaire (MDQ) has been validated as a diagnostic screening instrument for the detection of patients with bipolar disorder, but some patients with bipolar disorder obtain false negative screens. So we investigated demographic and clinical characteristics in false-negative MDQ in bipolar patients. METHODS: The participants were 60 DSM-IV bipolar outpatients in remission. All completed the Korean version of the Mood Disorder Questionnaire (K-MDQ) and the Korean version of the Beck Cognitive Insight Scale (K-BCIS) and were assessed by a trained clinician on the Young Mania Rating Scale, the Hamilton Depression Rating Scale and the Global Assessment of Functioning scale. The patients were categorized into two groups according to their K-MDQ score excluding further two questions (MDQ > or =7 : K-MDQ-positives and MDQ <7 : K-MDQ-negatives). Differences in demographic and clinical characteristics between these two groups were analyzed. RESULTS: There were no statistically significant differences between K-MDQ-positives and K-MDQ-negatives on the demographic and clinical variables, except on the K-BCIS where K-MDQ-negatives reported significantly lower scores on the K-BCIS composite index and self-reflectiveness subscale. CONCLUSION: These results suggest that lack of insight is a confounding factor in screening for bipolar disorder using the K-MDQ.
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Humanos , Trastorno Bipolar , Depresión , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Tamizaje Masivo , Trastornos del Humor , Pacientes Ambulatorios , Encuestas y CuestionariosRESUMEN
PURPOSE: Acute lymphoblastic leukemia (ALL) accounts for approximately 75% of all cases of childhood leukemia. We investigated epidemiology, clinical and laboratory features and treatment outcome of the children with ALL in Korea during recent 5 years. METHODS: One thousand forty nine patients were enrolled between January 1994 and December 1998 from 37 major hospitals in Korea. The data regarding the clinical and laboratory features including age, WBC counts at diagnosis, immunophenotype, morphology, cytogenetics and treatment outcome of patients were analyzed retrospectively by review of patient's medical records. Kaplan-Meier survival curves were constructed. The differences between groups analyzed by log-rank test. RESULTS: There were 597 males and 452 females. The distribution between the age 2 and 5 years is most common in 46.1%. The annual incidence rate per 100,000 population varied from 1.6 to 2.2. The 5 year event free survival (EFS) rates according to good prognostic factors were as follows: 67% bet ween 1-9 year of age at diagnosis, 69% in under 10,000/mm3of initial WBC count, 74% in early pre-B cell CALLA ( ) immunophenotype, 65% in L3 morphology, 68% in no CNS invasion. Most of patients were treated by CCG treatment protocol. The 5 year EFS was 63%. Main complications were sepsis (21.8%) and hemorrhage (12.5%). The relapse rate was 15.6%. The common causes of death were sepsis, DIC, pneumonia, relapse. CONCLUSION: Our results could provide the most recent and important information about acute lymphoblastic leukemia of children in Korea.
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Niño , Femenino , Humanos , Masculino , Causas de Muerte , Protocolos Clínicos , Citogenética , Dacarbazina , Diagnóstico , Supervivencia sin Enfermedad , Epidemiología , Hemorragia , Incidencia , Estimación de Kaplan-Meier , Corea (Geográfico) , Leucemia , Registros Médicos , Neumonía , Leucemia-Linfoma Linfoblástico de Células Precursoras , Células Precursoras de Linfocitos B , Recurrencia , Estudios Retrospectivos , Sepsis , Resultado del TratamientoRESUMEN
PURPOSE: We conducted this study to find factors related to clinical aspects of patients with histiocytosis syndrome. METHODS: We performed a retrospective clinical study with chart review in twenty patients with histiocytosis syndrome from January 1987 to June 1997. RESULTS: The sex incidence revealed female predominance with a ratio of 1.2 : 1. Of twenty cases, fifteen were classified as class l, three cases as class ll, and two cases as class lll. The mean age of symptom onset was 7 and 9/12 years. Common clinical symptoms and signs at diagnosis were fever, mass, headache, pain on lower extremities, skin rashes and weight loss. The most common involved organ was the skeleton. Abnormal hematologic findings (hemoglobin;<10g/dL and/or white blood cell<4,000/mm3 and/or platelet<150,000/mm3) were found in four cases. Common findings on tissue biopsies were histiocytic proliferation and infiltration. Two patients with malignant histiocytosis (MH) and one patient of eosinophilic granuloma (EG) received chemotherapy. Among three patients who started chemotherapy, one patient was discharged freely, one patient died because of recurrence, and one patient had been treated with a maintenance regimen until now. CONCLUSION: The survival rate depends mainly on onset age, severity, Lahey's organ dysfunction score, histologic findings and sites of involved organs. But most patients had nonspecific symptoms before diagnosis. Therefore, early recognition and aggressive medical treatment before development of serious symptoms improved the prognosis.