• Journal of Preventive Medicine and Public Health
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• 제34권3호
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• pp.191-199
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• 2001

Objective : In this study, we focused on estimating the burden of premature death in Korea caused by smoking using the YLL(years of life lost due to premature death) measurement. Methods : First, we determined parameters: such as age-specific standard life expectancy, age on death, sex, and cause of death by analyzing the national death certificate data and life table collected during 1997. These were provided by the National Statistical Office. Secondly, we estimated the age group- specific years of life lost due to premature death by employing the standard expected years of life lost(SEYLL) measurement. Thirdly, the burden of premature death caused by smoking was estimated using the YLLs measurement which was developed by the global burden of disease study group. Fourthly, We calculated the risk related to smoking using the population attributable risk. Results : The following results were obtained in this study: 1) Premature death that is attributable to smoking in males could be prevented in 60.9%(513,582 person-year) by non-smoking. 2) The burden of premature death by smoking for female was prevented to 17.7%(513,582 person-year) by non-smoking. Conclusion : We found that the YLL method employed in this study was appropriate in quantifying the burden of premature death. This provides a rational basis for planning a national health policy regarding premature deaths caused by smoking and other related risk factors.

• 대한한의학원전학회지
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• 제22권2호
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• pp.101-105
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• 2009

Wanghogo(王好古), a famous physician of the Geum-Won(金元) period, inherited the theories of Jangwonso(張元素) and Igo(李古), and made great contribution to the spread of the medical theory of the Yeoksu school(易水學派). In Korea, studies on Wanghogo(王好古) is growing, but that on his life is still undeveloped. The year of his birth and death, as proposed by Wangwaljeong of the Cheong(淸) dynasty, was around 1200 and 1264. However, through thorough examination of the records and context along with the relation between Wanghogo(王好古) and his teacher Igo(李古)'s works, the author finds that Wanghogo(王好古) was born around the year of 1230, and died around 1308.

• 아동학회지
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• 제20권3호
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• pp.217-230
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• 1999

This study examined children's death anxiety by religion, previous death experience and the effectiveness of a death education program. Half of the subjects 60 nine-year-old elementary school subjects were assigned to the experimental group and half were assigned to the control group. The 6-week death education program for the experimental group included literature, role play, and discussion. A questionnaire and death anxiety scale for children were administered to all subjects. After the educational program, there was a significant difference in death anxiety scores, between the experimental and control groups. However, children's religion and previous experience with death had no significant relationship to their death anxiety or effectiveness of the death education program.

• 의학교육논단
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• 제22권3호
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• pp.153-162
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• 2020

The aim of modern medicine is to prolong life by fighting death. Doctors have traditionally believed that this was an ethical good deed. The negative connotation surrounding death has led to the avoidance of terminally ill patients. But in a modern society where death is medicalized, doctors have to see dying patients every day and are in a state of guilt from implementing meaningless life-sustaining treatments. Therefore, medical schools should allow medical students to embrace a new perspective through death education. Yonsei University Medical College has implemented death education since 2017 as an optional class for first and second year medical students. Students watch videos related to death once a week for 6 weeks and submit their reflections by e-mail. The professor reads the students' reflections and gives them weekly feedback. Through this coursework, students realize that death is not a medical event, but rather a part of life and completion. The ultimate purpose of death education is to transform blind life-absolutist identity into narrative identity.

• 보건교육건강증진학회지
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• 제16권2호
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• pp.81-92
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• 1999

This study attempt to analyze the influence of the preliminary education on the Elderly's attitude for death and to present basic data for the death-preliminary education. The data were collected by administerial the Questionnaire interview with 169 the elderly who was 200 the elderly over 60 year old in silver colleges. The Questions was consists the awareness recognition of death, character, attitudes toward for death. The statistical methods used for the analysis were t-test, factor analysis. The results were the follows. There was no statistically significant relations between the fear of death and the general characteristics the elderly, but the old women felt more anxiety than old men. Especially, more aged, unhealthy the elderly felt it more and the lower educated or the single felt it more severely. The change in the attitude for death: They attitude for death was considerably changed after the preliminary education. Fears and anxiety about death were more reduced and the inevitability of death was accepted positively. This result showed the influence of the preliminary death education had positive affliction of the elderly's attitude for death. Accordingly, with the practice of the preliminary education we can release the elderly from the fear for death and guide them to live meaningly.

• Journal of Preventive Medicine and Public Health
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• 제57권2호
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• pp.120-127
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• 2024

Objectives: The coronavirus disease 2019 (COVID-19) pandemic led to increased mortality rates. To assess this impact, this ecological study aimed to estimate the excess death counts in southern Iran. Methods: The study obtained weekly death counts by linking the National Death Registry and Medical Care Monitoring Center repositories. The P-score was initially estimated using a simple method that involved calculating the difference between the observed and expected death counts. The interrupted time series analysis was then used to calculate the mean relative risk (RR) of death during the first year of the pandemic. Results: Our study found that there were 5571 excess deaths from all causes (P-score=33.29%) during the first year of the COVID-19 pandemic, with 48.03% of these deaths directly related to COVID-19. The pandemic was found to increase the risk of death from all causes (RR, 1.26; 95% confidence interval [CI], 1.19 to 1.33), as well as in specific age groups such as those aged 35-49 (RR, 1.21; 95% CI, 1.12 to 1.32), 50-64 (RR, 1.38; 95% CI, 1.28 to 1.49), and ≥65 (RR, 1.29; 95% CI, 1.12 to 1.32) years old. Furthermore, there was an increased risk of death from cardiovascular diseases (RR, 1.17; 95% CI, 1.11 to 1.22). Conclusions: There was a 26% increase in the death count in southern Iran during the COVID-19 pandemic. More than half of these excess deaths were not directly related to COVID-19, but rather other causes, with cardiovascular diseases being a major contributor.

• 한국콘텐츠학회논문지
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• 제9권9호
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• pp.199-209
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• 2009

도로교통공단의 자료에 의하면 2007년 1월 1일부터 2007년 12월 31일까지 1년 동안 우리나라에서 발생한 교통사고는 211,662건이었다. 이로 인하여 6,166명이 사망을 하고 335,906명이 부상을 당한 것으로 집계되었다. 광주광역시에서는 2007년 7,881건의 교통사고가 발생하여 152명이 사망을 하고 12,728명이 부상을 당하였으며 2008년에는 8,231건이 발생하여 138명이 사망하고 13, 533명이 부상을 당한 것으로 나타났다. 사망자는 줄었으나 발생 건수 면에서는 4.4%의 증가를 보였다. 그동안 정부에서는 교통사고를 줄이기 위한 여러 가지 교통정책을 시행하였고 나름대로 진전이 있었으나 아직도 교통후진국이라는 오명을 벗지 못하는 실정이다 게다가 일반 국민들이 느끼는 교통안전에 대한 무관심도 턱없이 부족하다. 본 연구는 광주지방경찰청의 자료를 바탕으로 2008년 광주광역시에서 발생한 교통사고현황 가운데 시민생활과 직접 관련이 있는 부분과 사망사고를 중심으로 분석하여 교통사고 예방을 위한 교통경찰활동을 제시하였다.

• Journal of Preventive Medicine and Public Health
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• 제2권1호
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• pp.61-76
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• 1969

A review has been made of mortality trends in Korea from 1958 to 1967 analyzing the data by sex, age and cause of death. The crude death rates and age specific death rates were estimated by the model of N. Keyfitz life table which had been developed by the data of the 1960's national census. The cause specific death rates shown in this article are based on the following: all deaths occurring in the death-registration are expressed as a numberator, while the denominator was estimated from the regular national census data by interpolation method. It is estimated that only an average of about 40% of deaths which occurred during a year were registered during 1958 to 1967. The validity and the reliability of the diagnosis of causes of death seem to be extremely poor in this country. Therefore the cause specific death rates in this article are aimed to reveal trends of causes of registered death ana not for the actual level of death rates. For 10 years very interesing mortality trends were observed : 1. The trend in the crude death rates was downward slowly. 2. The estimated death rate for the infant in 1960 was still high up to 100 per 1,000. 3. The rates for mortality attributed to such infectious diseases as pneumonia, bronchitis, gastroenteritis and measles decreased an average 40-60%. 4. The death rates for over-all tuberculosis decreased only 9.8%. 90% of the decrease was contributed by those in the less-than-15 year age group. 5. The death rates for chronic diseases, such as vascular diseases affecting the central nervous system, malignant neoplasm, major heart diseases and all accidents rose about 40-60%. 6. The rank order of the 10 leading causes of death showed large changes over the years, except for pneumonia and tuberculosis which occupyed 1st and 2nd places respectively. Vascular diseases affecting the central nervous system moved from 5th to 3rd place and malignant neoplasm from 6th to 4th place, The major heart diseases moved from 10th to 6th place and all accidents from 10th to 7th place. On tile other hand, gastroenteritis moved from 3rd to 5th place and influenja from 4th to 8th place.

• 농촌의학ㆍ지역보건
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• 제18권1호
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• pp.43-54
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• 1993

In order to find the factors associated with the death of hypertensives, 12 year follow-up study for 267 hypertensives whose average blood pressure were 140/90 mmHg or above during their first health screening in 1979-1980 at YongJin Township, Wanju Country, North Cholla Province by the Community Health Team of Chonju Presbyterian Medical Center. The study results are as follows : 1. Initial general characteristics of hypertensives were studied. The age distribution of studied hypertensives showed 27.3% in 40-49 years, 25.8% in 50-59 years, 29.6% in 60-69 years and 17.2% In 70 + years old group. Marital status showed that 82.8% of hypertensives had their wife or husband. 74. 5% were employed on agriculture. 56.5% of hypertensives were illiterate. 2. Among the hypertensives, 91.6% of male and 22.8% of female reported that they were smokers. 82.6% of hypertensives had body mass index lower than 25 Kg/$m^2$. 46.8% of average systolic blood pressure were 160mmHg or above and 54.3% of average diastolic blood pressure were 95mmHg or above. 3. Twenty percent of hypertensives reported that they were treating hypertension at the beginning of follow up, while 68.5% reported that they were not treated. 28.1% reported that they were treating hypertension within 6 months before last follow-up. but 69.3% reported that they were not treated for hypertension within Ii months before last follow up. So 50.6% were classified as never treated group and 41.2% as treated group. 4. Average blood pressure for initial 3 years were calculated. The change of average systolic blood pressure was observed as $161.3{\pm}19.4mmHg$ at the first year, $145.6{\pm}28.0mmHg$ at the second year and $141.4{\pm}37.2mmHg$ at the third year. Average diastolic blood pressure were changed from $96.2{\pm}14.4mmHg$ at the first year to $90.6{\pm}18.6mmHg$ at the second year and $86.4{\pm}22.9mmHg$ at the third year. 5. By the follow-up of hypertensives, 54 hypertensives (46.2%) among 117 male hypertensives and 50 hypertensives (33.3%) among 150 female hypertensives died for 12 years. 42.6% of male death and 52.0% of female death were caused by cerebrovascular diseases. 6. Through univariate statistical test about the association between general characteristics or cardiovascular risk factors of hypertensives and mortality for 12 years, age variable among male and among female age, marital status, occupation. educational level. systolic blood pressure and treatment status were shown as significant variable to influence upon the mortality. 7. By multiple logistic regression analysis, among male age and systolic blood pressure were selected as significant variable to be associated with the total mortality for 12 years. Among female age, systolic blood pressure and treatment status were selected as statistically significant variable to be associated with the total mortality for 12 years.

• Journal of Preventive Medicine and Public Health
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• 제10권1호
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• pp.142-149
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• 1977

To use basic data for health planning and evaluation of Kangwha community health project of Yonsei University, a study on death rates and causes of death were investigated in two townships (Naega and Sunwon Myuns) in Kangwha County from April 1, 1975 to March 31, 1977 All death was identified and reported by family health workers who are living in each village and 2 trained public health nurses confirmed the death. The causes of death were investigated by 2 public physicians. Total number of deaths for 2 years was 230 and the followings are brief summary of the study. 1. Age-adjusted crude death rates of study area were 8.69 per 1,000 population in 1975 and 7.18 per 1,000 population in 1976. Age-adjusted crude death rates for male were 9.18 in 1975 and 6.38 in 1976 and for female were 8.33 and 7.80 per 1,000 population 2. Age specific death rate curves by year and sex showed 'U' shapes. 3. Infant and neonatal death rates were 30.08 and 22.56 per 1,000 live births in 1975, and the rates in 1976 were 18.18 and 13.64. 4. The most common cause of death was cerebrovascular disease and average cause specific death rate for the disease was 215.5 per 100,000 population. 5. Four leading causes of death were non-infectious origin; cerebrovascular disease, malignant neoplasms, senility and suicide. Pulmonary tubeculosis and pneumonia occupied 5th and 9th causes of death. 6. Stomach cancer and hepatoma occupied 61.3% of total death due to malignant neoplasms. 7. Most frequent cause of neonatal death was birth injury. Two deaths due to tetanus were found in 1975, but no death due to this disease was found in 1976. 8. About half of deceased received care from physician before death.