• 제목/요약/키워드: mortality function

검색결과 379건 처리시간 0.031초

질병예방행위 분석을 통한 확률적 인간생명가치 추정: 암 검진 행위 분석을 중심으로 (Estimating the Value of Statistical Life by Analysing Disease Protective Behavior: Focusing on Medical Examination of Cancer)

  • 신영철
    • 자원ㆍ환경경제연구
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    • 제17권4호
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    • pp.845-873
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    • 2008
  • 이 연구에서는 회피행위의 다목적성(결합생산) 문제를 최소화할 수 있는 암 검진 행위라는 회피행위 자료에 대해 표본선택편의를 극복할 수 있는 모형을 적용하여, 사망위험 감소에 대한 지불의사금액의 도출과 더불어 확률적 인간생명가치(value of statistical life : VSL)를 추정하였다. 간암 사망위험을 감소시키기 위한 비용 및 시간 등과 관련된 자료를 이용하여 건강 및 안전에 대한 가계생산함수모형의 틀에서 사망위험 감소를 위한 한계편익을 추정하였다. 간암 검사를 받을 확률을 높아지도록 하는 변수는 남성인 경우, 연령이 많을수록, 교육받은 기간이 길수록, 유배우자인 경우, 현재 흡연자인 경우, 가구소득이 높을수록, 건강염려 정도가 높을 때인 것으로 나타났다. 간암 검진과 관련된 비용은 조기 검진으로 인하여 감소하는 사망위험의 크기 및 성별, 교육받은 기간, 유배우자 여부, 가구 소득에 의해서도 예상한 대로 유의한 영향을 받았다. 암 검진에 의한 사망위험 감소 크기(risk)의 한계효과는 321,097원이다. 교육년수(edu)의 경우 1년 증가하면 간암 검진비용이 905원, 가구 소득(hinc)이 100만 원 증가하면 간암 검진비용이 1,743원 증가한다. 한편 남성인 경우가 여성에 비해 간암 검진비용으로 12,310원을, 유배우자가 무배우자에 비해 7,969원을 더 부담하고 있다. 암 검진으로 인한 조기사망위험 감소로부터 도출된 확률적 인간생명가치는 평균 사망위험 감소 수준 및 평균 암 검진 비용 수준에서 3억 2,110만 원이다. 또한 암 검진 소요비용과 암 검진 효과에 대한 불확실성을 위해 민감도 분석의 결과에서는 확률적 인간생명가치가 1억 6,055만 원~6억 4,219만 원으로 추정되었다.

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Mid-term (2009-2019) demographic dynamics of young beech forest in Albongbunji Basin, Ulleungdo, South Korea

  • Cho, Yong-Chan;Sim, Hyung Seok;Jung, Songhie;Kim, Han-Gyeoul;Kim, Jun-Soo;Bae, Kwan-Ho
    • Journal of Ecology and Environment
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    • 제44권4호
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    • pp.241-255
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    • 2020
  • Background: The stem exclusion stage is a stage of forest development that is important for understanding the subsequent understory reinitiation stage and maturation stage during which horizontal heterogeneity is formed. Over the past 11 years (2009-2019), we observed a deciduous broad-leaved forest in the Albongbunji Basin in Ulleungdo, South Korea in its stem exclusion stage, where Fagus engleriana (Engler's beech) is the dominant species, thereby analyzing the changes in the structure (density and size distributions), function (biomass and species richness), and demographics. Results: The mean stem density data presented a bell-shaped curve with initially increasing, peaking, and subsequently decreasing trends in stem density over time, and the mean biomass data showed a sigmoidal pattern indicating that the rate of biomass accumulation slowed over time. Changes in the density and biomass of Fagus engleriana showed a similar trend to the changes in density and biomass at the community level, which is indicative of the strong influence of this species on the changing patterns of forest structure and function. Around 2015, a shift between recruitment and mortality rates was observed. Deterministic processes were the predominant cause of tree mortality in our study; however, soil deposition that began in 2017 in some of the quadrats resulted in an increase in the contribution of stochastic processes (15% in 2019) to tree mortality. The development of horizontal heterogeneity was observed in forest gaps. Conclusions: Our observations showed a dramatic shift between the recruitment and mortality rates in the stem exclusion stage, and that disturbance increases the uncertainty in forest development increases. The minor changes in species composition are likely linked to regional species pool and the limited role of the life-history strategy of species such as shade tolerance and habitat affinity. Our midterm records of ecological succession exhibited detailed demographic dynamics and contributed to the improvement of an ecological perspective in the stem exclusion stage.

St. Jude Medical valve의 임상적 고찰 (Clinical Experiences of St. Jude Medical Cardiac Valve Replacement)

  • 김종원
    • Journal of Chest Surgery
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    • 제25권5호
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    • pp.518-525
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    • 1992
  • 50 months experience with St-Jude Medical Cardiac Valve Prosthesis The St. Jude Medical valve has become our mechanical valvular prosthesis of choice because of favorable hemodynamic results that associated with marked clinical improvement and low incidence of thromboembolism. The data for this study was collected from April 1986 to May 1990, four years period. There were total of 110 patients[female 53, male 58] in this series with 22 isolated aortic valve, 66 isolated mitral valve, 20 double valve, 2 tricuspid valve replacement. The mean follow up time was 23 months. Postoperatively, 77% of cases were in New York Heart Association[NYHA] functional class I, and mild and moderate symptoms[NYHA II ] were present in 20% and there were very few patients remaining in higher functional classifications. In postoperative echocardiographic study showed marked improved cardiac function. The overall early mortality was 5.4% and was higher after double[13.3%] and mitral valve replacement[5.6%] and the late mortality was one case after mitral valve replacement due to endocarditis. The cause of death in early mortality was attributed to heart failure, acute renal failure, sepsis, etc.

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전국 결핵 신환자 의료빅데이터를 이용한 경쟁위험모형 적합 (Fitting competing risks models using medical big data from tuberculosis patients)

  • 김경대;노맹석;김창훈;하일도
    • 응용통계연구
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    • 제31권4호
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    • pp.529-538
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    • 2018
  • 결핵은 높은 이환과 사망을 일으키는 질병으로 현대의학의 발달에 따라 발생률과 사망률은 감소하고 있다. 그러나 한국은 아직까지 OECD 국가 중 결핵 발생률과 사망률이 가장 높다. 이에 따라 한국은 결핵의 예방 및 통제를 위해 여러 정책 사업을 실시하고 있다. 본 연구에서는 공공민간협력(public-private mix) 결핵관리사업이 치료결과에 미치는 영향을 분석하고 결핵환자의 치료 성공에 영향을 미치는 요인을 확인하고자 한다. 질병관리본부에서 관리하는 결핵환자 신고 자료를 이용하여 2012-2015년 전국 결핵 신환자 코호트 약 13만명을 대상으로 분석하였다. 누적 발생 함수(cumulative incidence function)를 이용하여 요인별로 누적 치료 성공률을 비교하였으며. 주 관심사건(치료성공) 및 경쟁사건(사망)을 고려한 두 가지 경쟁위험모형(cause-specific Cox's proportional hazards model and subdistribution hazard model)을 사용하여 분석 결과를 비교하였다.

결핵에 대한 폐절제술의 임상적 고찰 (Clinical study of pulmonary resection for tuberculosis [III])

  • 김병열
    • Journal of Chest Surgery
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    • 제16권3호
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    • pp.356-361
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    • 1983
  • Pulmonary tuberculosis is still one of unsolved problems in Korea due to increased number of far-advanced and drug-resistant patients, who have poor pulmonary function. We have analyzed 1332 operated Gases during the period of 1958-1981. Annual incidence of the disease decreased from 110 [1960] to 21 [1980]. The ratio between male and female was 7:3 and the age of peak incidence was in the 3rd and 4th decades. Recently, patients below the age of 20 years were slightly decreased, but above 50 years were slightly increased. The patients consisted of far-advanced case in 60% and moderately-advanced in 39% in 1980, as compared with 40% and 59% correspondingly in 1965. Preoperative sputum positively decreased from 91% [1958-1963] to 43.8% [ 1974-1981 ]. Medically treated patients for more than 3 years increased from 16% [1958-1963] to 51% [1974-1981]. From the view of surgical indication, totally destroyed hung increased from 27% [1958-1963] to 4396 [1974-1981 ]. Therefore, pneumonectomy occupied 53.8% of total surgical management recently. Mode of surgical treatment showed that thoracoplasty [33%], resection [57%] in 1958-1963 and thoracoplasty [2%], resection [98%] in 1974-1981. As Semb`s thoracoplasty was the first choice of treatment until 1960, thereafter resection became the choice. Postoperative mortality increased from 1.6-2.096 to 396 recently as well as morbidity. It was mainly due to increased number of poor pulmonary function and postoperative spread of disease. On the basis of our experience, far-advanced and drug-resistant patients increased in number recently, whose pulmonary function was poor. So postoperative mortality and morbidity increased. Proper surgical intervention should be considered before the appearance of resistance for all chemotherapeutic drugs.

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언론 건강 위험 보도의 환경 감시 기능과 게이트키핑 (News Media's Surveillance and Gatekeeping in Representing Health Risk)

  • 유명순;주영기
    • Journal of Preventive Medicine and Public Health
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    • 제43권3호
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    • pp.279-282
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    • 2010
  • Objectives: This study investigates whether Korean news media pay more attention to emerging diseases than chronic ones, and whether they closely follow the changes in the magnitude of health risks of chronic or well-known diseases. These two features are expected to appear as the result of surveillance function served by health journalism that should be the main source of the public's risk perception. Methods: The number of stories published in 10 newspapers containing the words, 'SARS,' 'Bovine Spongiform Encephalopathy,' 'Avian Influenza,' and 'Influenza A virus' was compared with the number of stories on chronic or wellknown diseases. We also counted the annual number of stories, published in a 12-year period, containing following terms: 'cancer,' 'diabetes,' 'hypertension,' 'pneumonia,' and 'tuberculosis.' The number was compared with the actual mortality of each disease. Results: Although cancer represented the primary cause of mortality, the newspapers covered key emerging diseases more than cancer or other well-known diseases. Also, media coverage of 'pneumonia' and 'tuberculosis' did not vary in accordance with changes in the mortality of each disease. However, the news media coverage did vary in accordance with the mortality of 'cancer,' 'diabetes,' and 'hypertension.' Conclusions: Korean health journalism was found to have both strong and weak points. The news media reduced the relative level of attention given to pneumonia and tuberculosis. Bearing in mind the major influence of news coverage on risk perception, health professionals need to be more proactive about helping to improve Korean health journalism.

거제도 연안에 서식하는 마루자주새우, Crangon hakodatei의 개체군 역학 (Population Dynamics of Crangon hakodatei from Coastal Area of Geoje Island, Korea)

  • 최정화;김정년;김성태;차형기
    • 한국수산과학회지
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    • 제35권4호
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    • pp.380-385
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    • 2002
  • 본 연구에 사용되어진 마루자주새우 (Crangon hakodatei)는 거제도 주변 해역에서 2000년 10월부터 2001년 10월까지 새우조망을 이용하여 매월 채집하였다. 이들 개체군의 구조, 성장, 사망 및 성 성숙에 관한 분석은 갑각장을 이용한 체장빈도 데이터를 이용 ELEFAN 프로그램에 의해 분석하였다. 성장계수의 추정은 변형된 von Bertalanffy 성장식을 이용하였다. 암컷이 수컷보다 성장이 빨라 성숙개체에 빨리 도달하는 것으로 나타났다. 체장변환 어획 곡선에 의해 구해진 전 사망계수는 $3.10yr^{-1}$로 나타났고, Pauly 식에 의해 산출된 자연사망계수는 $2.48yr^{-1}$로 나타났다. 또한 어획사망계수는 $0.62yr^{-1}$인 것으로 나타났다. 암컷의 성 성숙 개체의 크기는 갑각장 $11.00\~11.50$ mm 사이인 것으로 나타났다.

최근의 영아사망율 수준의 추정 (A Study on Infant Mortality in Korea : 1981-86)

  • 김일현;최봉호
    • 한국인구학
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    • 제11권1호
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    • pp.76-86
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    • 1988
  • The primary objective of this study was to estimate the level of infant mortality rate and to find the cause of infant deaths prevailed in 1981~86 from vital registration data. In the course of that undertaking we have considered the non-registered portion of infant deaths especially for the non-registered portion of neonatal deaths. The main reason is that deaths occurring in the neonatal period and prior to the registration of the birth leave little incentive for the registration of either the birth or the death. From several ad-hoc survey's results and other countries' experiences it was, however, found that the proportion of neonatal deaths was 69.3%, the proportion of deaths in the period of first month in infanty was 7%, and the proportion of deaths in the period of 2 months and over in infancy was 23.7% respectivily. Thus, adoption the hypothesis that post-neonatal mortality is completly registered, we obtained the extimated number of infant deaths. Attempt to test the hypothesis was also made using the Brougeois- Pichats's function. The result was that the registered number of deaths in the post-neonatal period is almost compatible with the expected number. The major finding in this study was that the level of infant mortality rate in Korea was 19 per thousand live births in 1981 and 13 in 1986. This level of 1986 was almost identical with the level of Japan in 1970. It was also found that there was a difference in the level of infant mortality rate between sexes during 1981-83 but the difference was disappeared in 1985-86. Looking into the cause of infant deaths, it was found from registration that 21.2% of all infant deaths was due to congenital snomalies, 11.5% was due to pneumonia and 5.1% was due to the conditions originating in the perinatal period in that order. This pattern seems to be different with that of U.S.A., Japan and France. However, if we consider the non-registered neo-natal deaths, the order of the cause of infant deaths in Korea will be the same as compared countries. Finally, every efforts should should be made to obtain a good quality of data on infant mortality, making the non-registered events reported completely through hospitals.

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정기평균생장을 이용한 잣나무 임분의 흉고직경 생장예측모델 및 고사예측모델의 개발 (Development of Diameter Growth and Mortality Prediction Models of Pinus Koraiensis Based on Periodic Annual Increment)

  • 김선영;설아라;정주상
    • 한국산림과학회지
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    • 제100권1호
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    • pp.1-7
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    • 2011
  • 본 연구는 기존의 잣나무임분 거리독립 개체목 생장모델을 개선하기 위해 수행되었다. 직경생장함수 및 고사율함수의 매개변수들을 고정표본점의 정기평균생장량을 토대로 추정하고, 이 함수들의 특성을 기존의 총평균생장량을 토대로 추정한 모델과 비교하였다. 여기서 생장함수는 수관율함수, 잠재직경생장함수 및 임분을 구성하는 임목간 경쟁효과를 고려하기 위한 수정율함수를 의미한다. 고사율예측함수의 경우에는 고정표본점 자료의 한계로 인해 정기평균생장량 측정값을 구할 수 없어 대신 총평균생장량과의 관계식을 추정하여 대체하여 적용하였다. 연구결과 정기평균생장량을 토대로 하는 직경생장함수가 총평균생장량을 토대로 추정한 함수에 비해 개체목의 생장특성을 보다 현실적으로 반영하는 것을 보여주었다. 고사율함수의 경우, 총평균생장량을 적용하여 개발한 경우 고사율이 과대한 것으로 나타나는 문제가 있었으나 새로운 모델에서는 이 문제가 개선된 것으로 나타났다.

북서태평양 살오징어(Todarodes pacificus) 겨울계군의 크기에 따른 사망률 추정 (Estimation of Size-Specific Mortality of Common Squid Todarodes pacificus Winter Cohort in the Western North Pacific)

  • 이다민;고성길;정석근
    • 한국수산과학회지
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    • 제57권1호
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    • pp.69-78
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    • 2024
  • We have proposed a method for estimating the size-dependent mortality (M) of short-lived semelparous cephalopod species. To estimate the size-dependent mortality of a winter cohort of the common squid Todarodes pacificus, a commercially important cephalopod species in the North Pacific, we used the data and results of previous studies. On the basis of the bigger-is-better the steady-state hypothesis, we derived a theoretical mortality curve by assuming M as an inverse function of mantle length (ML). The derived constant for size-specific instantaneous mortality (q), assuming an embryonic survival rate of 86.6%, was 0.413 day-1 mm in ML. Estimates of life-stage-specific M ranged from 0.0280 to 0.435 day-1 for paralarvae, 0.00278 to 0.0269 day-1 for juveniles, 0.00197 to 0.00275 day-1 for pre-spawning adults, and 0.0913 to 0.0920 day-1 for post-spawning adults. Sensitivity analyses showed that the derived size-dependent M did not significantly change with varying embryonic survival rates, from 48%, the lowest reported value, to 100%. Additionally, comparison of the length frequencies derived from our simulations with those derived from catch data did not show a significant difference, suggesting that our approach and procedures are reliable for stock assessment and management of the common squid.