• 건강소식
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• v.38 no.2
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• pp.8-9
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• 2014

우리나라가 '전국 단위 암 발생 통계'를 산출하기 시작한 것은 지난 1999년부터다. 그 이후부터 매년 암 발생률은 꾸준히 증가를 거듭해 현재 우리나라 국민의 주요 사망 원인 1위 자리를 지키고 있다.

• Journal of forensic and investigative science
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• v.3 no.1
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• pp.43-49
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• 2008

This study was conducted to analyze the current problems in completing death certificates and to identify the correct method for completing death certificates. Total 298 death certificates in A hospital from January to December in 2005 were reviewed. There was only 88 death certificates (29.5%) without an error. The frequency of the major errors were 8.7% in 'mechanism of death listed instead of cause of death', 9.4% in 'competing causes', and 11.4% in 'improper sequencing'. The frequency of minor errors were 99.3% in 'absence of time intervals', 19.5% in 'repetition of same cause', 18.8% in "more than 2 causes listed in same space". Errors were common in the completion of death certificates in the middle sized hospital setting. It is very important to complete death certificate accurately in practice. Education in undergraduate course and persistent training in internship and residency program will be needed.

• 건강소식
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• v.32 no.3 s.352
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• pp.6-13
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• 2008

뇌졸중은 우리나라에서 발생하는 사망원인 중 두 번째를 차지하는 질병이다. 2003년 통계청 자료에 의하면 연간 10만명 당 뇌졸중으로 인한 사망자는 75.5명에 이르는 것으로 알려져 있다. 하지만 가장 높은 사망원인인 암이 위암, 폐암,간암 등 모든 암 질환을 포함한 것임을 감안할 때 단일 질환으로는 뇌졸중이 사망원인 1위라 하겠다. 성인의 경우 여러 가지 신체적 장애를 일으키는 주범이기도 한 뇌졸중은 주로 노인질환으로 인식되어 왔지만 최근에는 30∼40대에도 흔히 발병하고 있다. 이는 식생활 변화 및 운동부족으로 인해 뇌졸중의 주요 원인인 고혈압, 고지혈증, 당뇨, 비만 등의 발생률이 높아졌기 때문이라 할 수 있다. <건강소식>이 마련한 연간 특별기획 '한국인의 10대 질병부담, 그 예방과 극복'. 이번 달은 그 두 번째 연재로 뇌졸중에 대해 알아보도록 하겠다.

• Korea journal of population studies
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• v.24 no.2
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• pp.207-234
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• 2001

Even though the number of Korean Americans has dramatically increased over the last 20 years, there have been very few studies that have examined the health of this population. This paper investigates the contemporary health status of Korean Americans in comparison to Koreans, employing mortality related health measures: life expectance, age-specific death rates, and leading cause of death. Overall, we find that Korean American adults enjoy longer life expectancy and lower age-specific death rates than do their Korean counterparts, suggesting superior health status of the former as compared to the latter. Comparison of leading causes of death indicates that Korean American adults (age of 25-64) are more likely to die from neoplasms than are their Korean counterparts, while Koreans show a dramatically higher probability of death from liver-related diseases than Korean Americans. When these two cause of death are regressed on various demographic and socioeconomic factors, the difference in prevalence of neoplasms between the two populations disappeared, while that of liver-related diseases remains unaffected. Based on the outcomes from this research, we suggest that Korean Americans are a self-selected group in terms of health and socioeconomic status, and they adopt healthy behaviors after immigration. This has resulted in the relatively superior health of Korean Americans as compared to Koreans.

• Journal of Preventive Medicine and Public Health
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• v.35 no.2
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• pp.153-159
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• 2002

Objectives : To evaluate the accuracy of the registered cause of death in a county and its related factors. Methods : The data used in this study was based on 504 cases, in a county of Chonnam province, registered between January and December 1998. Study subjects consisted of 388 of the 504 cases, and their causes of death were established by an interview survey of the next of kin or neighbor and medical record surveys. We compared the registered cause of death with the confirmed cause of death, determined by surveys and medical records, and evaluated the factors associated with the accuracy of the registered cause of death. Results : 62.6% of the deaths were concordant with 19 Chapters classification of cause of death. external causes of mortality, endocrine, nutritional and metabolic diseases, neoplasms and diseases of the circulatory system showed the good agreement between the registered cause of death and the confirmed cause of death. The factors relating to the accuracy of the registered cause of death were the doctors' diagnosis for the cause of death (adjusted Odds Ratio: 2.67, 95% Confidence Interval: 1.21-5.89) and the grade of the public officials in charge of the death registry (adjusted Odds Ratio: 0.30, 95% CI=0.12-0.78). Conclusions : The accuracy of the registered cause of death was not high. It could be improved by using the doctors' diagnosis for death and improving the job specification for public officials who deal with death registration.

• Journal of Chest Surgery
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• v.39 no.2 s.259
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• pp.127-133
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• 2006

Background: In the studies of the distribution of time to death in trauma patients, the early deaths within several hours after injury were a large component of total trauma deaths. Due to the development of trauma system, overall mortality of trauma was decreased, but trauma is still the major cause of deaths. Material and Method: From January 1994 to December 2003, trauma patients who had been admitted and had expired at tertiary hospital were enrolled. There was a total of 400 cases, a retrospective study was done to determine the distribution of trauma mortality according to the part of the body that were severely injured part and compared the difference between early deaths within 6 hours and late deaths after 6 hours. We also analysed the risk factors of early deaths due to trauma. Result: In severe injury to the head and abdomen, the distribution of mortality was bimodal. But, in severe chest injuries, the distribution was log-shape and most early deaths were almost of trauma related. The average of GCS were 5.86$\pm$4.15 for the early deaths and 8.24$\pm$5.02 for the late deaths (p < 0.05). The AIS of thorax were 2.66$\pm$1.87 for the early deaths and 1.55$\pm$1.76 for late deaths. The risk factors for early mortality were non-EMS transportation (odds ratio 3.474), high AIS (odds ratio 1.491) and GCS (odds ratio 0.859). Conclusion: In trauma patients, the causes of early mortality were severe brain injury and massive hemorrhage. Also severe chest injuries were the major cause of the early deaths in truama. Early diagnosis of chest injury can frequently be missed in the acute trauma setting. Therefore, high index of suspicion, a careful examination, and aggressive surgical treatment are important in multiple trauma patients.

• Environmental and Resource Economics Review
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• v.17 no.4
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• pp.845-873
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• 2008

This study estimates the VSL(value of a statistical life) as well as the WTP(willingness to pay) for mortality risk reduction using sample selection model with data on liver cancer examination which is associated with little possibility of multi-purpose(i.e. joint production) in averting behavior. The marginal benefits of mortality risk reduction are estimated by applying for household production function model with medical expense and the time required for medical examination of liver cancer. Individuals are more likely to take liver cancer test if they are male, older, higher educated, those with spouse, smoker, more income of household, and more anxious about their health. The costs of liver cancer examination are statistically significantly affected with expected signs by size of mortality risk reduction, sex, period of eduction, those with spouse, and household income. The marginal effect of mortality risk reduction owing to taking liver cancer examination is estimated at 321,097 won. The costs of liver cancer examination are increased by 905 won with more one year of education period and by 1,743 won with more one million won in household income. On liver cancer examination, male spends more 12,310 won than female and those with spouse pay more 7,969 won than those without spouse. Therefore the VSL from mortality risk reduction due to liver cancer examination is 321.10 million won at mean size of mortality risk reduction and mean cost of liver cancer examination. The results of sensitivity tests on costs and effects of liver cancer test shows that the VSLs are estimated in a range from 160.55 million won to 642.19 million won.

• Proceedings of the Korean Society of Disaster Information Conference
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• 2017.11a
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• pp.207-208
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• 2017

본 연구는 전국 고속도로별 첨두 비첨두 시간에 발생되는 교통사고 중 사망사고의 주요 요인들을 발견하고 분석하여 각 노선별 사고 특성을 제시하고자 한다. 이에 로지스틱 회귀분석을 통해 분석한 결과 남해선의 경우 첨두 시간에 발생되는 사망사고의 요인 중 주시태만이 첨두가 비첨두의 경우보다 높게 나타났고, 논산천안선, 호남선과 중부내륙선의 경우 모두 졸음의 사망사고 위험도가 첨두일 경우 비첨두의 경우보다 높게 나왔으며 논산천안선, 호남선의 경우 비첨두일 때 과속에도 영향을 받는 경향을 나타냈다. 특이하게 경부선의 경우 졸음의 사망사고 위험도가 오히려 비첨두일 경우가 첨두의 경우보다 높게 나타났다. 비첨두일 경우 경인선, 서해안선, 영동선 등의 노선에서도 졸음, 주시태만과 과속의 위험도가 나타났다.

• 방재와보험
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• s.110
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• pp.69-71
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• 2005

암, 심장병과 더불어 우리나라 3대 사망 원인질환의 하나인 뇌졸중. 단일 질환으로서는 가장 중요한 사망원인 암에도 불구하고 올바른 인식부족으로 돌이킬 수 없는 결과를 초래하기도 하다. 뇌에 혈액을 공급하는 혈관이 막히거나 터져서 뇌의 일부가 망가지는 뇌졸중은 정기적인 운동과 신선한 음식을 섭취하고, 갑작스런 추위에 노출되거나, 심한 스트레스 및 과로를 피하는 것이 최상의 예방책이다.

• 건강소식
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• v.36 no.2
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• pp.26-27
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• 2012

매스컴을 통해 유명인의 갑작스러운 죽음에 대한 소식을 접하곤 한다. 교통사고, 자살 등 여러 원인 가운데 급성 심근경색이 원인이 되는 경우도 있다. 최근 인기그룹 2PM의 준수 아버지가 심근경색으로 사망했고 몇해 전 그룹 거북이의 리더 터틀맨 임성훈 씨도 급성 심근경색으로 사망해 팬들을 안타깝게 했다. 급성 심근경색은 현대인 급사의 가장 많은 질환의 하나이다.