• Title/Summary/Keyword: Death Rates

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Trends of Cancer Mortality in Gyeongsangbuk - do from 1991 to 1998 (경상북도 주민의 암사망 추이)

  • Kim, Byung-Guk;Lee, Sung-Kook;Kim, Tea-Woong;Lee, Do-Young;Lee, Kyeong-Soo
    • Journal of agricultural medicine and community health
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    • v.26 no.2
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    • pp.59-78
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    • 2001
  • Data on reported cancer mortality in the Gyeongsangbuk- do province from 1991 to 1998 were collected and analyzed using the existing mortality reporting system as well as the public health network to furnish accurate data on reported cancer death and to collect data to establish a high quality district health plan. The overall crude death rate in Gyeongsangbuk province in 1991 was 74.56 deaths per 100,000-person but this rate increased to 79.22 in 1998. Among the deaths, the overall death rate of cancer was 16.7% in 1991, which increased to 19.3% in 1998; specifically the death rate of men increased from 19.4% in 1991 to 22.3% in 1998 while that of women increased from 12.4% in 1991 to 15.5% in 1998, showing a more increase among women. The types of cancer and associated death rates in 1991 were gastric cancer(41.5%), followed by liver cancer (28.8%), and lung and bronchogenic carcinoma(8.7%) and in 1998, gastric cancer (24.7%), followed by liver cancer(22.7%), lung and bronchogenic carcinoma(19.3%), showing the same order. For men and women, gastric cancer(40.2% and 44.7%, respectively) was the most common cancer death, followed by liver cancer(33.7% and 16.7%, respectively), and lung and bronchogenic carcinoma(10.2% and 5.0%, respectively) in 1991. However, in 1998, gastric cancer(27.8%) was still the most common type among both men and women, followed by liver cancer (18.5%) and lung and bronchogenic carcinoma(12.7%), showing the most decrease in gastric cancer but most increase in lung and bronchogenic carcinoma. The age- adjusted mortality rates by gastric cancer, hepatoma, laryngeal carcinoma were decreased in both male and female, and also uterine cancer was decreased in female. The age- adjusted mortality rates by lung and bronchogenic carcinoma, pancreatic cancer, rectal cancer were increased in both male and female, and also breast cancer was increased in female. The calculated overall age-adjusted death rate based on the 1995 population was 84.25 in 1991, which decreased to 77.67 in 1998. Male death rate decreased significantly from 119.81 in 1991 to 101.82 in 1998 while the female death rate increased from 48.64 in 1991 to 53.80 in 1998. A census of cancer death rate using accurate death records is important for the establishment of proper and high-quality district health and medical plan and policy. The effort to improve the accuracy of death reports using the health facility network, as had been attempted by this study, can be continued. Furthermore, there must be a way for the Health and Welfare Department to use the death reports to improve the present reporting system. Lastly, additional studies need to be conducted to investigate how much the accuracy was improved by the supplemented death reports in this study.

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Trends of Alcohol Attributable Mortality in Korea: 1995-2000 (한국의 음주기인 사망수준의 변화 : 1995-2000)

  • 김광기;조나나
    • Health Policy and Management
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    • v.14 no.1
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    • pp.24-43
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    • 2004
  • Although alcohol misuse contributes substantially to mortality from diseases, injuries and adverse effects, a few attempts have been made to figure out size of adverse consequences attributable to alcohol in Korea. This study was conducted to describe trends of estimated deaths attributable to alcohol in Korea. Estimations were made by employing Korean alcohol aetiological fraction(AEF) into deaths from alcohol-related diseases, injuries, and adverse effects from year of 1995 through 2000. Korean AEF was derived from previous studies on AEF applied to USA and Canada (Schultz et al.,1991; English et al., 1995) with reflecting peculiar drinking patterns in Korea. An average number of deaths attributable to alcohol was 21,123, accounting for 8.76% of all deaths reported to National Statistical Office during the period. Death rates attributable to alcohol tended to decrease from year of 1995 to 1997 and then increased with peak at year of 1999. Sex-age standardized alcohol attributable death rates varied among areas, with those of metropolitan areas being lower than those of non metropolitan areas. Years of potential life lost (YPLL) were estimated to reflect qualitative aspect of deaths attributable to alcohol. Similar change patterns during the year were observed between number of deaths and YPLL. Average YPLL of men was longer than that of women by about 4 years. Some implications for future study have been discussed.

Current use of safety restraint systems and front seats in Korean children based on the 2008-2015 Korea National Health and Nutrition Examination Survey

  • Kong, Seom Gim
    • Clinical and Experimental Pediatrics
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    • v.61 no.12
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    • pp.381-386
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    • 2018
  • Purpose: The use of proper safety restraint systems by children is vital for the reduction of traffic accident-related injury and death. This study evaluated the rates of use of safety restraint systems and front seats by Korean children. Methods: Based on data from the National Health and Nutrition Examination Survey from 2008 to 2015, I investigated the frequencies of safety restraint systems and front seat use by children under six and 12 years of age, respectively. Results: The percentage of respondents who said they always use safety restraint systems increased from 17.7% in 2008 to 45.0% in 2015. The rate of children who did not use the front seats at all was 47.3 % in 2008 compared to 33.4% in 2015. Multivariate logistic regression analysis showed a decrease in safety-restraint-system use as age increased (odds ratio, 0.63; 95% confidence interval [CI], 0.51-0.77). The use rate of front-passenger seat belts by the mother is significantly correlated with the safety-restraint-system use rate by children (odds ratio, 2.14; 95% CI, 1.12-4.06). Conclusion: Although the rate of safety-restraint-system use for children is increasing annually, it remains low. Additionally, the use rate of front passenger seats for children is high. To reduce the rates of injury and death of children from traffic accidents, it is necessary to educate on the appropriate use of safety restraint systems according to age and body size and to develop stronger regulations.

The Prediction of Industrial Accident Rate in Korea: A Time Series Analysis (시계열분석을 통한 산업재해율 예측)

  • Choi, Eunsuk;Jeon, Gyeong-Suk;Lee, Won Kee;Kim, Young Sun
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.1
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    • pp.65-74
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    • 2016
  • Purpose: The purpose of this study is to predict industrial accident rate using time series analysis. Methods: The rates of industrial accident and occupational injury death were analyzed using industrial accident statistics analysis system of the Korea Occupational Safety and Health Agency from 2001 to 2014. Time series analysis was done using the most recent data, such as raw materials of Economically Active Population Survey, Economic Statistics System of the Bank of Korea, and e-National indicators. The best-fit model with time series analysis to predict occupational injury was developed by identifying predictors when the value of Akaike Information Criteria was the lowest point. Variables into the model were selected through a series of expertises' consultations and literature review, which consisted of socioeconomic structure, labor force structure, working conditions, and occupational accidents. Results: Indexes at the meso- and macro-levels predicting well occurrence of occupational accidents and occupational injury death were labor force participation rate for ages 45-49 and budget for small scaled workplace support. The rates of industrial accident and occupational injury death are expected to decline. Conclusion: For reducing industrial accident continuously, we call for safe employment policy of economically active middle aged adults and support for improving safety work environment of small sized workplace.

Blackbox-Based a Vehicle Emergency Situation Detection and Notification System (블랙박스 기반의 차량용 응급상황 감지 및 통보시스템)

  • Kwon, Doo-Wy;Lee, Hoon-Jae;Park, Su-Hyun;Do, Kyeong-Hoon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.11
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    • pp.2423-2428
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    • 2010
  • The number of motor vehicle registrations in Korea is increasing steadily each year, driven by industry development and economic growth. The number of traffic accidents is also rapidly increasing. Korea has a relatively high number of traffic accidents among OECD member countries, and it ranks among the highest in traffic accident death rates. This death rate is higher compared to death rates as a proportion of the number of traffic accidents in each country. It is very common for drivers to lose consciousness in traffic collisions, which leads to a failure to carry out early emergency measures. In order to prevent such situations as well as hit-and-runs and people left uncared for after traffic accidents, there is a need for motor vehicle black boxes and accident report systems. This study addressed the need for an emergency evacuation system for people injured in traffic accidents and a secondary traffic accident prevention system by developing a motor vehicle emergency situation detection and report system combined with a black box, and materializing it as an actual system.

The Comparative Study on the Occupational Injury Rate and Mortality Rate of the Total Workers and Foreign Workers (우리나라 전체근로자와 외국인근로자의 산업재해율과 사망만인율 비교 연구)

  • Yi, Kwan-Hyung;Cho, Hm-Hak;You, Ki-Ho
    • Journal of the Korean Society of Safety
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    • v.27 no.1
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    • pp.96-104
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    • 2012
  • The objective of this study is to compare on the occupational injury rate and mortality rate of all workers and foreign workers. By doing so, this study seeks to find out the improvements necessary to secure the basic safety net for foreign workers, as well as to find out the legal and institutional measures in place to make timely political intervention and protect the health of foreign workers. The status of foreign workers in Korea, their employment trends by industries, and occupational accident types and scales of Korean and foreign workers were analyzed from 2005 to 2009. Each year, foreign workers' occupational injury rate was much lower than Korea's overall occupational injury rate. But when analyzed by industry, occupational injury rate (death rate per 10,000 workers) of manufacturing industry was about 2 to 5 times higher than the overall occupational injury rate in Korea. Also, construction industry showed 3 to 16 times higher rate than the rate of overall industries. Although the death rate per 10,000 workers showed a declining yearly trend, foreign workers' occupational injury rate has the tendency to increase gradually. In particular, occupational injury rates and death rates per 10,000 workers were considerably high in the manufacturing and construction industries.

Design and Implementation of a Motor Vehicle Emergency Situation Detection System Using Accelerometer (가속도센서를 이용한 차량용 사고감지시스템 설계 및 구현)

  • Kwon, Doo-Wy;Lee, Hoon-Jae;Park, Su-Hyun;Do, Kyeong-Hoon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2010.10a
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    • pp.200-202
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    • 2010
  • The number of motor vehicle registrations in Korea is increasing steadily each year, driven by industry development and economic growth. The number of traffic accidents is also rapidly increasing. Korea has a relatively high number of traffic accidents among OECD member countries, and it ranks among the highest in traffic accident death rates. This death rate is higher compared to death rates as a proportion of the number of traffic accidents in each country. It is very common for drivers to lose consciousness in traffic collisions, which leads to a failure to carry out early emergency measures. In order to prevent such situations as well as hit-and-runs and people left uncared for after traffic accidents, there is a need for motor vehicle black boxes and accident report systems. This study addressed the need for an emergency evacuation system for people injured in traffic accidents and a secondary traffic accident prevention system by developing a motor vehicle emergency situation detection and report system combined with a black box, and materializing it as an actual system.

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Effects of Citri Reticulatae Viride Pericarpium on the Apoptotic Cell Death in Breast Cancer Cells (청피(靑皮)가 유방암세포의 Apoptosis에 미치는 영향)

  • Kim, Ji-Eun;Park, Soo-Yeon;Choi, Chang-Won;Kim, Kyeong-Soo;Kim, Kyeong-Ok;Wei, Tung-Shuen;Yang, Seung-Joung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.2
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    • pp.40-54
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    • 2015
  • Objectives : In the theory of Korean medicine, Citri Reticulatae Viride Pericarpium (CRVP) can soothe the liver to break qi stagnation, eliminate mass and relieve dyspepsia. This study was carried out to investigate the effects of CRVP on the apoptotic cell death in breast cancer cells. Methods : In the present experiment, the effects of CRVP on proliferation rates, type of cell death, cell cycle distribution, and intracellular oxidative stress were investigated using MDA-MB-231 cells in vitro. In addition, the effects on expression levels of caspase 3, caspase 9, Bax and Bcl-2 were also investigated. Results : Treatment with CRVP decreased proliferation rates in a dose dependent manner. ID50 (50% inhibitory dosage) was 175.4 μg/ml. In the CRVP treated group, cell volumes showed smaller than non-treated normal. In addition, CRVP increased percentage of apoptotic and sub G1 arrested cells respectively. 200 μg/ml of CRVP treatment increased intracellular ROS level significantly. Finaly the expression level of caspase 3 and Bax/Bcl-2 ratio were elevated by treatment with CRVP respectively. Conclusions : These results suggest that CRVP can trigger intrinsic apoptotic pathway in MDA-MB-231 cells.

Outcomes after Mechanical Aortic Valve Replacement in Children with Congenital Heart Disease

  • Joon Young Kim;Won Chul Cho;Dong-Hee Kim;Eun Seok Choi;Bo Sang Kwon;Tae-Jin Yun;Chun Soo Park
    • Journal of Chest Surgery
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    • v.56 no.6
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    • pp.394-402
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    • 2023
  • Background: The optimal choice of valve substitute for aortic valve replacement (AVR) in pediatric patients remains a matter of debate. This study investigated the outcomes following AVR using mechanical prostheses in children. Methods: Forty-four patients younger than 15 years who underwent mechanical AVR from March 1990 through March 2023 were included. The outcomes of interest were death or transplantation, hemorrhagic or thromboembolic events, and reoperation after mechanical AVR. Adverse events included any death, transplant, aortic valve reoperation, and major thromboembolic or hemorrhagic event. Results: The median age and weight at AVR were 139 months and 32 kg, respectively. The median follow-up duration was 56 months. The most commonly used valve size was 21 mm (14 [31.8%]). There were 2 in-hospital deaths, 1 in-hospital transplant, and 1 late death. The overall survival rates at 1 and 10 years post-AVR were 92.9% and 90.0%, respectively. Aortic valve reoperation was required in 4 patients at a median of 70 months post-AVR. No major hemorrhagic or thromboembolic events occurred. The 5- and 10-year adverse event-free survival rates were 81.8% and 72.2%, respectively. In univariable analysis, younger age, longer cardiopulmonary bypass time, and smaller valve size were associated with adverse events. The cut-off values for age and prosthetic valve size to minimize the risk of adverse events were 71 months and 20 mm, respectively. Conclusion: Mechanical AVR could be performed safely in children. Younger age, longer cardiopulmonary bypass time and smaller valve size were associated with adverse events. Thromboembolic or hemorrhagic complications might rarely occur.

Early Traumatic Deaths (외상 후 초기사망에 대한 고찰)

  • Paik, Seung-Won;Han, Chul;Hong, Yun-Sik;Choi, Sung-Hyuk;Lee, Sung-Woo;Moon, Sung-Woo;Yoon, Young-Hoon;Yu, Woo-Sung;Kim, Duk-Hwan
    • Journal of Trauma and Injury
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    • v.23 no.2
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    • pp.75-82
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    • 2010
  • Purpose: In Korea, trauma is the $3^{rd}$ most common cause of death. The trauma treatment system is divided into pre-hospital and hospital stages. Deaths occurring in the pre-hospital stage are 50% of the total death, and 20% of those are deaths that are preventable. Therefore, the purpose of our study is to calculate the preventable death rates caused by trauma in our current pre-hospital system, to analyze the appropriateness of the treatment of traumatized patients and to draw a conclusions about the problems we have. Methods: The study was done on traumatized patients who expired at the emergency department from January 1, 2005, to December 31, 2009, at the Korea University Medical Centers in Anam, Guro and Ansan. The data on the patients were reviewed retrospectively based on characteristics, conditions on admission and trauma severity. The patient's RTS (revised trauma score) and ISS (injury severity score) was calculated. Preventable death rate was calculated by TRISS (the trauma score-injury severity score). Results: A total of 168 patients were enrolled. All patients were intubated and underwent CPR. Of the total, 72% patients were male, and traffic accidents were the most common form of trauma (52.4%), falls being second (28.6%). Head injury, solitary or multiple, was the most common cause of death (55.4%). Thirty-eight (38, 22.6%) deaths were preventable. The 22.6% preventable death rate consisted of 15.5% potentially preventable and 7.1% definitely preventable deaths. Based on a logistic regression analysis, the relationship between the time intervals until transfusion and imaging and death was statistically significant in the hospital stage. In the pre-hospital stage, transit time from the site of the injury to the hospital showed a significant relationship with the mortality rate. Conclusion: One hundred sixty-eight (168) patients died of trauma at the 3 hospitals of Korea University Medical Center. The TRISS method was used to calculate the preventable death rate, with a result of 22.6%. The only factor that was significant related to the preventable death rate in the pre-hospital stage was the time from injury to hospital arrival, and the time intervals until transfusion and imaging were the two factors that showed significance in the hospital stage. Shortening the time of treatment in the field and transferring the patient to the hospital as quickly as possible is the most important life-saving step in the pre-hospital stage. In the hospital stage, the primary survey, resuscitation and diagnosis should proceed simultaneously.