• 한국응급구조학회지
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• 제3권1호
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• pp.65-76
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• 1999

Objectives: This study sought to examine the impact of alcohol use and misuse on mortality in korea during the 1991-l997. Methods: Alcohol-Related Disease Impact estimation software and Korea vital statistics data were used to calculate alcohol related-mortality, mortality rates, and YPLL(years of potential life lost). The major findings are as follows : An estimated 23,528 Korean died during 1997 from causes related to alcohol. Such deaths accounted for 17,052(12.60%) of all deaths for men and 6,206(5.88%) for women. Motor vehicle accidents were major contributors to the total estimated number of alcohol related deaths and years of potential life lost before age 65. Alcohol related mortality rates were significantly higher for men. For men, major causes of the deaths were motor vehicle accidents(4,147 deaths, 17.90 per 100,000 population), cancer of the stomach(1,467 deaths, 16.60 per 100,000 population) and chronic liver diseases and cirrhosis(1,233 deaths, 13.10). For women, the largest contributors to alcohol related mortality were motor vehicle accidents(1,509 deaths, 6.61), cerebrovascular diseases(1,114 deaths, 11.3) and cancer of the stomach(810 deaths, 8.24). Kleinman's method was used for obtaining on regional(Dongs, ups and Myons) differential of the alcohol related mortality in 1995. In general, The alcohol-related death rate for men was significantly higher than that for women, and the rate for ups and myons was significantly higher than that for dongs During 1997, approximately 356,667(male: 282, 510, female: 74, 157)YPLL to age 65 and 572,708(male:424,338, female:148,370)YPLL to life expectancy were attributable to alcohol related causes. Men accounted for 79% of the total YPLL to age 65 and 74% of the total YPLL to life expectancy The major contributors to these alcohol related years lost were the diagnostic categories of unintentional injuries. Particullary, In male, Motor vehicle accidents and accidental drowning-YPLL are considerably higher for other causes. Male-female YPLL differentials were greatest for mental disorder. Male-female mean-YPLL to age 65, accidental drowning(male;36.47, female;37.67) is higher for other causes. In both sexes, The YPLL and M-YPLL to life expectancy was significantly higher than the YPLL and M-YPLL to life expectancy.

• 한국사회복지학
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• 제65권2호
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• pp.131-154
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• 2013

학대로 인해 사망하는 아동의 꾸준한 발생에도 불구하고 이에 대한 실태 파악과 대책 마련은 매우 부족한 현실이다. 본 연구는 아동학대 사망사건의 현황과 원인, 특성 등을 확인하기 위해 신문기사에 나타난 아동학대 사망사건을 분석하였다. 연구결과, 2000년도부터 2012년도까지 언론에 보도된 아동학대 사망사건은 총 141건이었으며, 가해자는 미혼모, 친모, 동거녀 및 계모, 친부의 순인 것으로 나타났다. 아동살해 이유는 미혼모나 미혼부모에 의한 신생아살해의 빈도가 가장 높았고, 다음으로 양육능력 부족, 산후우울증, 생활고와 경제능력 부족 순인 것으로 나타났다. 또한, 언론에 중점 보도된 사건에서 발견된 주제는 범죄현실의 구성-아동학대 사망사건의 가해자에 대한 고정관념, 지속적이고 반복적인 심각한 학대, 신고 및 관리체계 부실, 처벌 미약 등으로 나타났다. 이러한 연구결과를 토대로 본 연구는 아동학대 사망사건을 예방하고 해결하기 위한 제언을 제시하였다.

• The Korean Journal of Legal Medicine
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• 제42권4호
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• pp.111-125
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• 2018

Statistical analysis was performed on national forensic autopsy data collected in the Republic of Korea, with the exception of Ulsan, during 2017. A total of 8,777 cases were categorized based on the region; information was provided by the Police Agency and the Coast Guard regarding sex, age, manner of death, and cause of death. Analysis of the manner of death revealed that 3,971 cases (45.2%) were unnatural deaths, 3,679 cases (41.9%) were natural deaths, and 1,127 cases (12.8%) were unknown deaths. Among the unnatural deaths, the majority of the cases (1,740 cases, 43.8%) were accidents, 1,316 cases (33.1%) were suicide, 385 cases (9.7%) were homicide, and 530 cases (13.3%) were undetermined deaths. Among the unnatural deaths, the majority of the cases (1,575 cases, 39.7%) were trauma, followed by 793 cases (20.0%) of poisoning and 689 cases (17.4%) of asphyxia. Falling down was the major cause of death by trauma (737 cases, 46.8%). As a result of the classification of asphyxia based on previous study, strangulation was the major cause, with 538 cases (78.1%). Among the natural deaths, heart disease was the major cause (1,790 cases, 48.7%), followed by vascular disease (697 cases, 18.9%).

• 한국안전학회지
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• 제35권3호
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• pp.16-23
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• 2020

The use of construction machinery has been increasing every year due to the large scale, high-rise and lack of workers in construction work. On the other hand, deaths are on the rise every year due to inadequate risk management for construction machinery work. In addition, the number of deaths caused by the lack of signals or insufficient signals during construction machinery work is increasing rapidly, and it is deemed necessary to analyze the actual conditions and take countermeasures. Therefore this study has developed the Strength Risk Index (SRI) based on the Frequency Risk Index (FRI) and the 5W1H by analyzing in-depth deaths caused by construction machinery over the past five years. The risk index (RI) was assessed using the frequency and strength risk index derived to determine whether it is acceptable (acceptable risk < 0.25 ≦ unacceptable risk) and the risk assessment method for reducing risk was proposed by applying 3E (Engineering, Education, Enforcement) measures for each level of risk for unacceptable risk. It also proposed measures to improve the system, such as requirements for signal numbers, mandatory placement standards, and mandatory installation of side and rear monitoring cameras, as measures for accidents caused by failure to deploy signals or insufficient signals, which account for the highest proportion of deaths among construction machinery operators and workers.

• Asian Pacific Journal of Cancer Prevention
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• 제17권sup1호
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• pp.85-90
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• 2016

Two years after implementation of the graphic health warning intervention in Vietnam, it is very important to evaluate the intervention's potential impact. The objective of this paper was to predict effects of graphic health warnings on cigarette packages, particularly in reducing cigarette demand and smoking-associated deaths in Vietnam. In this study, a discrete choice experiment (DCE) method was used to evaluate the potential impact of graphic tobacco health warnings on smoking demand. To predict the impact of GHWs on reducing premature deaths associated with smoking, we constructed different static models. We adapted the method developed by University of Toronto, Canada and found that GHWs had statistically significant impact on reducing cigarette demand (up to 10.1% through images of lung damage), resulting in an overall decrease of smoking prevalence in Vietnam. We also found that between 428,417- 646,098 premature deaths would be prevented as a result of the GHW intervention. The potential impact of the GHW labels on reducing premature smoking-associated deaths in Vietnam were shown to be stronger among lower socio-economic groups.

• 한국간호교육학회지
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• 제26권1호
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• pp.56-66
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• 2020

Purpose: The purpose of this study was to explore nursing students' experiences with patient deaths during clinical practice. Methods: The participants were ten nursing students who had experienced patient deaths during clinical nursing practice at a university hospital in Korea. Individual in-depth interviews were conducted, and the data were analyzed using the content analysis method suggested by Graneheim and Lundman (2004). Results: The participants' experience was structured into six categories: experiencing various emotions in facing patient deaths, viewing oneself as a nursing student at the scene of a patient's death, thinking about death again, finding a pathway of understanding and support for patient death experiences, impressions and regret felt while actually observing terminal care, and picturing oneself as a future nurse dealing with a patient's death. Conclusion: Based on this study, stress management and self-reflection programs are suggested for nursing students who have experienced patient deaths. Practical nursing education for patient death and end of life care is also needed.

• Journal of Chest Surgery
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• 제39권2호
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• pp.127-133
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• 2006

배경: 외상에 의한 사망의 시간적 분포에 대한 연구에 의하면 외상 후 수 시간 이내의 초기 사망이 높은 비율을 차지하고 있다. 외상체계의 발달로 전체적인 외상 사망은 감소하였으나 아직까지도 외상은 주요한 사망 원인 중 하나이다. 저자들은 외상 사망의 분포에서 과반수 이상을 차지하는 초기사망의 위험 요인을 알아보고자 하였다 대상 및 방법: 1994년 1월부터 2003년 12월까지 3차 의료기관 응급의료센터에 내원한 외상환자 중 사망한 환자 400예를 후향적으로 분석하여 사망의 시간적 분포와 손상의 부위에 따른 사망의 시간적 분포를 분석하였다. 외상 사망에 있어서 초기 6시간 이내에 사망한 환자와 6시간 이후에 사망한 환자를 비교하여 초기 사망의 위험요소를 분석하였다. 결과: 손상의 종류에 따른 외상 사망의 분포는 두부와 복부 손상은 2상 분포를 보였으나 흥부 손상의 경우는 초기 사망이 대부분을 차지하였다. 초기 사망군에서 GCS가 5.86$\pm$4.15로 후기 사망군 8.24$\pm$5.02로 유의한 차이를 보였으며(p<0.05), 흉부 AIS에서도 초기 사망군 2.66$\pm$1.87로 후기 사망군 1.55$\pm$1.76 으로 초기 사망군에서 손상이 더 심한 것을 나타났다(p<0.05). 초기 사망군의 위험요소 분석에서는 119 구급대에 의해 이송되지 않은 경우(교차비 3.474),높은 흉부 AIS (교차비 1.491), 낮은 GCS (교차비 0.859)가 각 주요 위험요소로 나타났다. 걸론. 외상에 의한 사망에서 지금까지 외상체계의 초점이 되었던 초기 사망의 원인 중 뇌신경계 손상과 출혈뿐만 아니라, 흥부 손상 역시 초기 외상사망의 중요한 요인이다. 따라서 외상환자의 초기 처치에서 흥부손상에 대한 적극적인 검사와 외과적 처치가 필요할 것이다.

• Journal of Chest Surgery
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• 제11권4호
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• pp.535-540
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• 1978

Between January 1974 and November 1978, 23 cases of double valve replacement were done in the Department of Thoracic Surgery, Seoul National university Hospital. All had symptoms of rheumatic valvular heart disease and belonged to functional class III or IV according to NYHA classification. Among 23 cases, mitral and aortic valves were replaced in 14, and mitral and tricuspid valves in 9 cases. Six operative deaths [26%] and 4 late deaths [23%] were found. In the former group 5 and in latter one operative death were noted. Main cause of operative death was low cardiac output syndrome due to myocardial failure. Among 4 late deaths, 2 were caused by thromboembolism, one by bacterial endocarditis, and one by arrhythmia.

• Communications for Statistical Applications and Methods
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• 제20권1호
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• pp.53-62
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• 2013

This study focuses on spatial/temporal relationship deaths caused by Human Immunodeficiency Virus (HIV) and Alcohol Use Disorder (AUD). Several studies have found links between these two diseases. By looking for clusters in mortality of Alcohol and HIV related deaths this study contributes to the field through the identification of exact spatial/temporal time of high and low occurrence risks based on the observed over the expected number of deaths. This study does not provide political or social interpretations of the data. It merely wants to show where clusters are found.

• 대한인간공학회지
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• 제16권3호
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• pp.61-70
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• 1997

This study is undertaken to investigate the differences of accident characteristics between occupational deaths and nonfatal injuries in overall industry of Korea. The national statistics of industrial accidents in the years 1991-1994 were extracted from the annual publications of Ministry of Labor. To make the statistical comparisons for the accident characteristics, we derived the destributions of occupational deaths and injuries in terms of injured person's age, work experience, tiem of accident, activity at time of accident, accident type, injury type, injured part of body, and agency of accident. The results show that the distributions of the occupational deaths are significantly different from those of the nonfatal injuries in all characteristics investigated in this study. These findings indicate that the accident prevention programs should be developed and implemented by taking into account the characteristics of working environments based on accident analysis.