5·16 쿠데타와 12·12 쿠데타의 비교분석

학위논문(석사)--서울대학교 대학원 :정치학과,1995.Maste

Acute Bacterial Meningitis in Infancy and Childhood

Ninety one cases of acute bacterial meningitis. diagnosed during the period of 1977~1982, at pediatric ward of Seoul National University Hospital, were studied. The following results were obtained. 1) Among the total 91 cases, 62 cases (68. 1%) were male and 29 cases (31. 9%) were female. The sex ratio was approximately 2.1 : 1. 2) The highest incidence was showed in the 1st year of life. Most of cases (74.7%) were under 5 year of age. 3) SeasonI incidence was highest in spring and autumn (esp, in May and November). 4) On admission, the most frequent symptom was fever (8S.7%), and followed by vomiting (68.1%), convulsion (59.3%), and headache (57.1%). And the most frequent physical sign was neck stiffness (60.4%), and followed by Kcrnig's sign (38.3%), Brudzinski's sign(29.7%), and buldging fontanel (26.4%). 5) On admission, leukocytosis (WIlC counts over 10,000/mm') on peripheral blood smear was showed in 74 cases (80,.3%). 5) CSF findings revealed increased WBC coun t (over SOO/mm"; 67.0%), increased protein level (over 100mg/dl ; 64.89,,), and decreased sugar level (below 40mg/dl ; 61. 5%). 7) Causative organism were isolated from CSF culture of 37 cases(40.7%). The most common organism was N. menigitidis 01 cases), and followed by H. influenza (8 cases), Pneumococcus (7 cases), S. aureus (3 cases), E. coli (:l cases), P. aeruginosa o case), P. mirabilis 0 case), S. typi (1 case), and Streptococcus 0 case). 8) On admission, 77 cases(84.7%) had a history of preexisting illness or associated disease and URI was most frequent. 9) As the results of treatment, S4 cases (59.3%) were improved or recovered, 9 cases (9.996) expired, 23 cases (25.3%) remained with sequelae, and 5 cases (5.5%) were discharged due to aggravation of symptoms or poor economical problem. 10) The most common sequelae was hydrocephalus 02 cases), and followed by subdural effusion (6 cases), brain abscess (4 Cases), and ventriculitis(4 cases). 11) Among 20 cases having performed the cranial C-T, hydrocephalus 02 cases) was most common

An Epidemiological Investigation on the Outbreak of Diarrheal Illness in an Urban Slum Area in Seoul

From April 24 to June 4, 1979, an outbreak of diarrheal illness was observed in an urban slum area in SeouL For the purpose of elucidation of the causal mechanism of the causative agent and the mode of transmission in this outbreak, the authors tried an epidemiological investigation. Following conclusions are drawn: L By questionnaire survey 97 cases with diarrheal illness were detected. In three among seven diarrheal cases whose stool specimen could be collected, Shigella flexneri was confirmed by microbiological examination. 2. This illness was clinically characterized by dlarrhea, tenesmus, abdominal cramp and fever. Median duration of illness in the detected cases was five days. 3. Incidence rate in surveyed population was 6.7 %. Especially, incidence rate of 0~4 year age group was extremely high as 29.3%. Incidence rate by sex was not significantly different. 4. Incidence rate was 9.1% in population using simple piped water supply system. Difference of incidence rate between these two groups was highly significant (p<O.OO. Conclusively, simple piped water supply system played an important role as common vehicle in the outbreak of this diarrheal illness