A Study on the Jejungwon Hospital Building in Jaedong and Gurigae, and Uses of the Hospital after its Relocation / 의사학

Jejungwon hospital, the first modern healthcare facility to be built in Korea, was built at Jaedong in 1885 and moved to Gurigae in 1887. Finally, it was moved to Dodong, outside the Namdaemun Gate, and its name was changed to Severance Hospital. The Jaedong Jejungwon hospital was located at a former house of HONG Youngsik, and it was expanded by renovating existing buildings and constructing new buildings in 2 years. The Gurigae Jejungwon hospital, which was located near Myeongdong Cathedral, was bigger than the Jaedong Jejungwon one and even provided residence to doctors. Jejungwon hospital was a good example of the healthcare facilities that were available in early modern Korea; however, due to a lack of historical materials, it is not easy to analyze the buildings of Jejungwon hospital. Recently, several architectural drawings made by Japanese and photographs taken by foreigners in the early 20th century were discovered, which help us to understand the buildings of the Jejungwon hospitals in Jaedong and Gurigae. This study analyzes the locations and layouts of the buildings of Jejungwon hospital and, furthermore, traces the history of Jejungwon hospital following its relocation. The Jaedong Jejungwon hospital was located at 35 Jaedong, as already known. By analyzing the architectural drawing of Kyeongseong Women's High-School Dormitory, the exact size of the existing building of Jaedong Jejungwon was calculated as 12m × 3.9m. Since the relocation of Jejungwon hospital to Gurigae in 1887, the remnants of Jejungwon buildings were used as Gwangjewon (1900-1907); a vaccine-manufacturing plant (1907-1910); and, finally, the dormitory of Kyeongseong Women's High School(1910s-1950s). The Gurigae Jejungwon hospital was assumed to be located at 193, 2nd street of Koganecho (黄金町) and 4, 1st street of Meijicho (明治町). In particular, the residence of Avison, which was built after 1894, was located at 4, 1st Street of Meijicho, the place with the highest elevation compared to surrounding areas. After 1905, Stevens, a foreign affairs adviser, lived there for one year, following which the Korean government office for agriculture and industry took over the place. The buildings that were used as the hospital at 193, 2nd street of Koganecho were transformed into the Daedong Japanese Club. By analyzing the newly found research materials, it is possible to examine and revise the previous research on the Jaedong Jejungwon and Gurigae Jejungwon hospital buildings. Furthermore, it is noteworthy that the buildings of Jejungwon hospital in Jaedong and Gurigae have been reused as healthcare facilities over the years.

Rupture of a Superior Mesenteric Artery Pseudoaneurysm Presenting with Asymptomatic Anemia / 대한내과학회지

Anemia is a common cause of referrals to gastroenterologists. Only a small number of anemia cases result from vascular abnormalities. Visceral artery aneurysms and pseudoaneurysms are rare forms of vascular disease that have significant potential for rupture, resulting in potentially life-threatening hemorrhaging. We present the case of a 70-year-old female patient with a pseudoaneurysm of the superior mesenteric artery complicated with rupture, who had no abdominal pain and only anemia.

A Case of Tuberculous Cerebellitis Detected by MRI Presenting Typical Meningitis

No abstract available.

Palinopsia Preceding a Seizure in a Patient with Arteriovenous Malformation in the Occipito-Temporal Lobe / 대한간질학회지

Palinopsia means a visual image persisting for minutes to hours or reappearing episodically after the exciting stimulus has been removed. The anatomic correlation of palinopsia is not clear, whereas occipito-parietal and occipito-temporal lesions have been implicated. We describe a patient presenting palinopsia prior to motor seizures which was related to left posterior temporal lesion. A 36-year-old man had a generalized tonic clonic seizure after palinoptic positive visual afterimages. Brain MRI and Transfemoral cerebral angiography (TFCA) revealed an arteriovenous malformation of 1x1.5x2 cm3. We used oxcarbazepine for preventing recurrent seizures and planned gamma knife radiosurgery. Palinopsia is a very rare clinical manifestation as an aura of seizures. Palinopsia preceding clinical seizure as a localizing value, so that neuroimaging is mandatory in this clinical situation. This is the first reported case of palinopsia in Korea.

Palinopsia Preceding a Seizure in a Patient with Arteriovenous Malformation in the Occipito-Temporal Lobe

Palinopsia means a visual image persisting for minutes to hours or reappearing episodically after the exciting stimulus has been removed. The anatomic correlation of palinopsia is not clear, whereas occipito-parietal and occipito-temporal lesions have been implicated. We describe a patient presenting palinopsia prior to motor seizures which was related to left posterior temporal lesion. A 36-year-old man had a generalized tonic clonic seizure after palinoptic positive visual afterimages. Brain MRI and Transfemoral cerebral angiography (TFCA) revealed an arteriovenous malformation of 1x1.5x2 cm3. We used oxcarbazepine for preventing recurrent seizures and planned gamma knife radiosurgery. Palinopsia is a very rare clinical manifestation as an aura of seizures. Palinopsia preceding clinical seizure as a localizing value, so that neuroimaging is mandatory in this clinical situation. This is the first reported case of palinopsia in Korea.

Plan and Operation of the 4th Korea National Health and Nutrition Examination Survey (KNHANES IV) / 한국역학회지

The general aim of Korea National Health and Nutrition Examination Survey (KNHANES) was to assess the health and nutritional status in the Korean population. The KNHANES began in 1998 and has been conducting as a series of surveys : 1998(1st), 2001(2nd), 2005(3rd) and 2007-2009(4th). Specific aims were, in a cross-sectional study of nationally representative samples of the noninstitutionalized civilian Korean population aged > or = 1 year (4,600 households each year), to monitor trends the prevalence, awareness, treatment and control of selected chronic diseases, monitor trends in nutritional status and risk behaviors, and analyze risk factors for chronic diseases. For these purposes, with standardized high-quality methods, extensive data on health and nutrition are collected by health interview, health examination (physical examination, clinical measurements and tests) and dietary interview. In 2007, the 4th KNHANES became a continuous annual survey by highly trained field staff. In addition, the 4th KNHANES expanded examination components (addition of oral examination, pulmonary function test and laboratory test items such as ferritin, vitamin D, insulin, manganese, and arsenic), simplified survey procedure, and strengthened quality control. Further works will be focused on the selection of new examination and interview components, planning of KNHANES follow-up survey, continuous training of field staff and quality control, and improvement of dietary survey method.