• Title/Summary/Keyword: 사망의 원인

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최근에 발생한 외국의 식중독 사례 분석

  • 김종규
    • Proceedings of the Korean Journal of Food and Nutrition Conference
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    • 1998.06a
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    • pp.23-36
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    • 1998
  • 문명이 고도로 발달하고 환경위생상태가 양호한 최근에도 세계 도처에서 끊임없이 식중독이 발생되고 있다. 세계보전기구에 의하면 현재 전세계적으로 가장 많이 발생하는 인간의 건강상의 위해 요인은 식중독을 포함하여 오염된 식품으로 인한 질병이라고 생각되고 있다. 이들 중 일부는 출처에서부터 오염된 식품에 의한 것이며, 그 나머지는 식품을 부주의하게 취급함에 의한 것이다. 실제로 지구상 인구의 일부는 생존을 위해서 먹는 음식물에 의하여 식중독이 야기되어 불필요하게 사망하고 있는 것이다. 우리의 일상의 식생활에 있어서 음식물의 취급과 섭취에 주의를 기울이고 올바른 위생 행태를 실천한다면 식중독 발생과 사망, 그리고 경제적 손실을 상당히 줄일 수 있을 것이다. 한편 식중독으로 보고되는 공식적인 추계는 선진국에서조차도 빙산의 일각에 불과하다는 것이 세계적 전문가들의 지론으로서 대개 실제 발생사례의 10% 정도만이 보고되는 것으로 알려지고 있다. 우리 나라의 경우 보고된 통계자료에 의하면 1965년부터 1986년까지의 식중독 경향은 사망자수는 상당히 감소 (연간 40여명에서 10여명 수준으로) 하였으나 이는 아직 급성전염병으로 인한 사망자수를 상회하는 수준이었다. 최근 10년간 (1987-1996)에는 발생수가 연간 31-104건으로 집계되고 있으며 사망자수는 아직도 연간 5-12명으로 나타나고 있다 (감염병 발생정보 등). 1977년에 발생하였던 학교급식 식중독 사례 (1977년 9월, 초등학교 점심급식, 발병자 5,500명 이상, 사망자 1명, 원인식품=크림빵, 병인물질-포도상구균)는 아직도 커다란 교훈으로 남아있다. 우리 나라의 경우 이와 같이 공식적인 식중독 통계자료의 결과가 제시되고는 있으나 식중독 사례에 대한 면밀한 사안이 밝혀지는 경우가 많지 않다. 또한 그 발생 경위나 원인요소에 대해서는 일반에게 공개되지 않고 있어, 우리가 실천하여 식중독을 예방할 수 있는 정보가 함께 제시되지 못하는 형편이다. 따라서 본 고에서는 최근 수년간 외국에서 학교급식을 비롯한 집단급식 등에서 발생한 식중독 사례를 중심으로 고찰, 분석하였다. 이로부터 식중독 발생에 기여한 주요 원인을 찾아내고 여기서 얻어지는 교훈을 토대로 식중독 발생을 예방 및 최소화할 수 있는 실천적 대처 방안을 모색해 보고자 한다.

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Accuracy of Death Certificates Completed by Medical Students (일부 의과대학생들의 사망진단서 작성의 정확성 평가 - 사망진단서 작성법 교육 유형에 따른 비교 -)

  • Kim, Hyun-Ae;Kim, Keon-Yeop;Kam, Sin;Oh, Gyung-Jae;Shin, Min-Ho;Sohn, Seok-Joon;Kim, Soon-Young;Nam, Hae-Sung
    • Journal of agricultural medicine and community health
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    • v.35 no.1
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    • pp.89-98
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    • 2010
  • Objectives: The purpose of this research was to evaluate the ability of completing death certificates among medical students. Methods: The self-administered questionnaires were completed, during May to August 2007, by 380 medical students in senior. The questionnaire was composed of 10 cases to write the death certificate. The cause-of-deaths written by students were compared with the gold standards and their errors in the certificates also evaluated. Results: Mean agreement score for 10 underlying cause-of-deaths completed on the lowest line of part I in the death certificate (UC1) was $4.8{\pm}1.7$, and for underlying cause-of-death selected by a coder of the death certificates (UC2) was $5.6{\pm}1.5$. The UC1 and UC2 were significantly higher among the students having the case-oriented education for death certificate than others. For the major errors in the certificates completed by students, the students having the error with no antecedent cause were highest, the error with two or more conditions secondly highest. Mean number of errors was significantly lower in the case-oriented education group than others. Conclusions: Errors are common in the death certificates completed by medical students in senior. The accuracy of death certification may be more improved with the case-oriented education than the traditional method.

An Empirical Review of the Relationship between Schooling and Demand for Children on the Basis of Quantity-Quality Interaction Model (자녀교육과 수요간의 상관관계에 관한 실증적 고찰)

  • Chang-Jin Moon
    • Korea journal of population studies
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    • v.11 no.1
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    • pp.197-203
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    • 1988
  • In order to examine cause-specific mortality in Korea by comparing mortality of Japan, various mortality indicators are calculated using 1995 of ficial statistics of twonations. The mortality measures are cause-specific mortality rate by sex, age, andmarital status, cause-specific age-standardized death rate and potential years of lifelost, and their ratios by sex and nation. Items of major causes of death include allcauses (total deaths),tuberculosis, malignant neoplasm, diabetes mellitushypertensive diseases, heart diseases, cerebrovascular diseases, liver diseasestransport accidents, and suicide. Major characteristics of mortality in Korea are asfollows . (1) Death rates from most causes except suicide are higher in Korea thanJapan and especially death rates from tuberculosis, hypertensive diseases, liverdiseases, and transport accidents are higher for economically active Koreans : (2)Death rates from tuberculosis, liver diseases, transport accidents, and malignantneoplasm are salient for Korean children (3) Sex-differentials in mortality fromliver diseases, tuberculosis , and transport accidents are large for economically activeKoreans, because male mortality is higher than female mortality : (4) Suicide ratesare lower for economically active males, and higher for females aged 10s and 20s inKorea than Japan : (5) Death rates are highest f3r divorced or widowed under 45years of age depending on causes, but death rates from all causes are highest fornever-married of the age 45 and over in Korea : and (6) Sex-differentials inmortality are greatest for widowed in Korea and for divorced in Japan.

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Detection of the Liver and Liver Cancer for CT Images using Shape-based Interpolation and Quantization Method (형태기반 보간법 및 양자화 기법을 이용한 CT 영상에서의 간 영역 및 간 종양 추출)

  • Jun, Tae-Ryong;Kim, Gwang-Baek
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2006.11a
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    • pp.257-267
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    • 2006
  • 암은 한국에서 전체 사망률의 가장 많은 원인 중의 하나이며 이 중 간세포 암은 암에 의한 사망원인 중 성별에 관계없이 위암 다음으로 사망률이 높다. 특히 $40{\sim}60$세까지 중장년 기에서의 간암 발생률은 세계에서 가장 높은 발병률을 보이고 있으며 OECD 국가 중에서 간암 사망률로 최고 수치를 기록하고 있다. 본 논문에서는 조영증강 CT 영상에서 간암을 자동으로 추축하는 방법을 제안하여 전문의를 보조할 수 있는 보조 전문가 시스템으로서의 유용성을 확인하고자 한다. 흉부로부터 5mm 간격으로 약 $40{\sim}50$장 정도 촬영한 조영 증강 CT 영상으로부터 늑골의 정보를 이용하여 장기들의 정보만으로 구성된 내부 영역과 늑골 및 피하지방층, 그리고 배경으로 구성된 외부 영역을 구분한다. 간 영역의 정보가 포함된 내부 영역에서 명암도와 명암의 분포도, 간의 형태 및 위치 정보, 그리고 각 슬라이드를 기준으로 이전 CT 영상과 다음 CT 영상의 정보를 이용하여 간 영역을 추출한다. 간암은 추출된 간 영역에 형태기반 보간법을 적용하여 CT 촬영시 생기는 슬라이드 사이의 5mm 공간정보를 복원한 후, 각 슬라이드를 기준으로 이전 CT 영상과 다음 CT 영상의 정보와 간암이 가지는 명암도 및 형태학적 특정 정보를 이용하여 추출한다. 제안된 간 영역 및 간암 추출 방법을 전문의가 판별한 것과 비교 분석한 결과, 전문의를 보조 할 수 있는 보조 전문가 시스템으로서 효율적임을 확인할 수 있었다.

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Health Effects and Social Benefit of Residential Radon Reduction (주택 라돈 저감의 건강 효과와 사회적 편익)

  • Yongjoo Kim
    • Environmental and Resource Economics Review
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    • v.31 no.4
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    • pp.505-529
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    • 2022
  • Radon is a radioactive gas that causes lung cancer deaths. The contingent valuation method (CVM) is used to estimate the value of a statistical life(VSL) of 2.054 billion won for the death due to residential radon in Korea. Residential radon is assumed to have caused 2,330 deaths in 2020, of which the estimated social cost is 4.78 trillion won. When a national compulsory standard of 200Bq/m3 is set for residential radon concentration, the number of lives saved is estimated to be 691, leading to a social benefit of 1.42 billion won. This study reports the origin, characteristics and health risk of residential radon, and emphasizes the importance of a dramatic increase in the budget for residential radon reduction policies.

Analysis of Newspaper Articles on Child Abuse Deaths (아동학대 사망사건에 대한 신문기사 분석)

  • Kim, Jihae;Chung, Ickjoong;Lee, Heeyoun;Kim, Kyunghee
    • Korean Journal of Social Welfare
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    • v.65 no.2
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    • pp.131-154
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    • 2013
  • Although fatalities due to child abuse are frequently happened, there has been a dearth of research on the topic. The present research analyzes deaths due to child abuse in representative newspapers in order to examine incidences, causes, and characteristics of child abuse. The results showed that from 2000 to 2012 child abuse deaths occurred 141 cases. Most deaths due to child abuse were committed by single mothers, biological mothers, cohabiting women and stepmothers, and biological fathers. As regards the reasons of deaths due to child abuse, the frequency of newborn infant deaths as the result of abuse by single mother or single parent was the highest, and lack of parenting skills, postpartum depression, hardships of living and lack of financial abilities were followed. Also, subjects received extensive media coverage were crime compositions-stereotypes of child abusers, habitual and continual child abuse, lack of child abuse reporting and prevention system, and mild penalties. Finally, based on the results of the study, the implications to prevent and resolve deaths due to child abuse were discussed.

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A comparative study of stochastic mortality models considering cohort effects (코호트 효과를 고려한 확률적 사망률 예측 모형의 비교 연구)

  • Kim, Soon-Young
    • The Korean Journal of Applied Statistics
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    • v.34 no.3
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    • pp.347-373
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    • 2021
  • Over the past 50 years, explorative research on the nation's mortality decline patterns has showed a decrease in age-specific mortality rates in all age groups, but there were different improvement patterns in specific mortality rates depending on ages and periods. Greater distinct improvement was observed in mortality rates among women than men, and there was a noticeable improvement in mortality rates in certain groups especially in the more recent decades, revealing a structural change in the overall trends regarding death periods. In this paper, we compare various stochastic mortality models considering cohort effects for mortality projection using Korean female mortality data and further explore the uncertainty related to projection. It also created age-specific mortality rates and life expectancy for women until 2067 based on the results of the analysis, and compared them with future age-specific mortality rates and life expectancy provided by the national statistical office (KOISIS). The best optimal model could vary depending on data usage periods. however, considering the overall fit and predictability, the PLAT model would be regarded to have appropriate predictability in terms of the mortality rates of women in South Korea.

Analysis of Etiology and Prognosis of Pulmonary Complications in Children with Hematological or Oncological Disorders in Pediatric Intensive Care Unit (소아 중환자실에 입원한 혈액-종양 환아에서 발생한 폐 합병증의 원인과 예후에 대한 분석)

  • Jung, Jin Young;Hong, Soo-Jong;An, Young Jun;Kim, Ja Hyung;Seo, Jong Jin;Moon, Hyung Nam;Ghim, Thad
    • Clinical and Experimental Pediatrics
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    • v.45 no.8
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    • pp.1000-1006
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    • 2002
  • Purpose : In the course of treatment, patients with hematological or oncological disorders often develop pulmonary complication. The patients who develop a severe pulmonary complication have a poor outlook. The causes of pulmonary complication are either infectious or non-infectious in origin. We have analyzed the etiology and outcome of these patients admitted to the pediatric intensive care unit of Asan Medical Center. Methods : Medical records of 95 patients on Pediatric oncology service who were admitted to pediatric intensive care unit(PICU) of Asan Medical Center from Jan 1997 to May 2000 were retrospectively reviewed. Results : The mean age of the patients was 8.5 years(2 months-18 years). The underlying malignancies of these 95 patients were as following; acute lymphoblastic leukemia(31 cases), lymphoma (11 cases), acute myeloid leukemia(nine cases), brain tumor(eight cases) and other solid tumors(25 cases). Pulmonary complications included pneumonia, acute respiratory failure, pneumothorax and pleural effusion. The most common cause of pulmonary complication was infection(88%) in etiology. The overall mortality rate was 56.8%. Pulmonary complications in these patients carried high rates of mortality regardless of whether they were immune compromised(76%) or not(69%). Even without pulmonary complications, the hematological or oncological patients admitted to PICU had high mortality rates of 43%. Conclusion : Pulmonary complications are frequent finding in the hematological or oncological patients admitted to Intensive Care Unit. The main etiology of these pulmonary complications was infection, which carried a high mortality rate regardless of their immune status at the time when they were admitted to PICU.

Mortality and Potential Years of Life Lost comparison of lung cancer between Korea and OECD countries (우리나라와 OECD 국가 간의 폐암 사망률과 잠재수명손실연수(PYLL)에 관한 비교)

  • Kim, Dong-Seok;Kang, Soo-Won;Park, Ji-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.7
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    • pp.2515-2521
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    • 2010
  • The aim of this study is to analyze the mortality and potential years of life lost (PYLL) by malignant neoplasm of lung between OECD countries and Korea. Based on the result, we tried to point out a problem on mortality caused malignant neoplasm of lung to make the best strategy for policy and education on public health. Using the ANOVA analysis between Korean and OECD countries, the lung cancer-induced mortality and PYLL in total and gender-specific Korean population were greater after 21th century than before. In particular, the PYLL was sharply elevated than the mortality. Taken together, the present study indicated that the lung cancer-induced PYLL between Korean and OECD countries can be more important parameter.