• 제목/요약/키워드: Incidence distribution

검색결과 632건 처리시간 0.028초

한국인 코인두암종의 조직병리학적 유형 및 EBV 출현율 (Histopathologic Types and EBV Prevalence in Nasopharyngeal Carcinomas of Koreans)

  • 황정은;정민정;노종렬;최승호;남순열;김상윤;조경자
    • 대한두경부종양학회지
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    • 제28권1호
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    • pp.3-7
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    • 2012
  • Background and Objectives : Nasopharyngeal carcinoma(NPC) shows a distinct geographic and demographic distribution with high incidences in Chinese and Southeast Asians. Current WHO classification divides NPC into nonkeratinizing carcinoma(NKC)(differentiated and undifferentiated subtypes), keratinizing squamous cell carcinoma(KSCC), and basaloid squamous cell carcinoma(BSCC). Relative frequency of histologic subtypes of NPC is known to vary according to the incidence of NPC. Korea is one of the low-incidence countries according to the GLOBOCAN 2008 database by IARC. The aim of this study is to assess the histopathologic types and EBV status of NPC of Koreans. Materials and Methods : We reviewed and reclassified 168 cases of NPC(132 males and 36 females) diagnosed from January 1996 through July 2006. In situ hybridization for EBV-encoded early RNA(EBER) was performed on 146 cases and the results were compared among different histologic types, genders, and age and stage groups. Results : NKC, undifferentiated subtype(NKC-U) was identified in 106 cases(63.1%) and differentiated subtype(NKC-D) in 49 cases(29.2%). Remaining 13 cases(7.7%) were classified as KSCC. NKC and NKC-U were more common in females than in males. EBV prevalence was higher in NKC than in KSCC(NKC-U, 90% ;, NKC-D, 84.1% ; KSCC, 7.7%) and more common in younger age(${\leq}40$) than older age(>40) group. Conclusion : Histologic type distribution and EBV prevalence of NPC in Korean patients corresponded to that of intermediate incidence area. Pathogenesis of nasopharyngeal KSCC is assumed to be different from that of NKC.

A Study on the Mixture Formation Process of Evaporating Diesel Spray by Offset Incidence Laser Beam

  • Yeom, Jeong-Kuk;Kang, Byung-Mu;Lee, Myung-Jun;Chung, Sung-Sik;Ha, Jong-Yul;Hajime Fujimoto
    • Journal of Mechanical Science and Technology
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    • 제16권12호
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    • pp.1702-1709
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    • 2002
  • This paper analyzes heterogeneous distribution of branch-like structure at the downstream region of the spray. The liquid and vapor phase of the spray are obtained using a 35㎜ still camera and CCD camera in order to investigate spray structure of evaporating diesel spray. There have been many studies conducted on diesel spray structure but have yet only focused on the analyses of 2-D structure. There are a few information which is concerned with 3-D structure analysis of evaporating spray. The heterogeneous distribution of droplets in inner spray affects the mixture formation of diesel spray and the combustion characteristics of the diesel engines. In this study, the laser beam of 2-D plane was used in order to investigate 3-D structure of evaporating spray The incident laser beam was offset on the central axis of the spray. From the analysis of images taken by offset laser beam, we will examine the formation mechanism of heterogeneous distribution of the diesel spray by vortex flow at the downstream of the spray. The images of liquid and vapor phase of free spray are simultaneously taken through an exciplex fluorescence method. Through this, the branch-like structure consisting of heterogeneous distribution of the droplets forms high concentrated vapor phase at the periphery of droplets and at the spray tip.

Distribution Characteristics of 3,369 Chinese Colorectal Cancer Patients for Gender, Age, Location and Tumor Size During Colonoscopy

  • Cai, Bin;Wang, Mu-Yong;Liao, Kai;Xu, Yan-Song;Wei, Wei-Yuan;Zhuang, Yuan;Zhang, Sen
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.8951-8955
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    • 2014
  • Background: Studies have shown the existence of gender- and age-related differences in the incidence and anatomic distribution of colorectal cancers. The purposes of this study were to analyze the distribution characteristics of colorectal cancer patients regarding gender, age, location and tumor size in the course of colonoscopy. Materials and Methods: All colorectal cancer patients who underwent colonoscopy in the First Affiliated Hospital of Guangxi Medical University from 2003 to 2012 were included in our retrospective study. Demographic information (age and gender) and colonoscopy report information (tumor size and location) were collected and analyzed. To compare the gender differences in tumor location and tumor size, as well as the size differences in tumor location, the chi-square test was used. Results: A total of 3, 369 colorectal cancer patients (2, 007 men vs 1, 362 women) were included in our study. Statistical analysis showed there was no gender difference in the anatomic distribution of the tumors (p>0.05). However, there was a gender difference in tumor size (p<0.05). In addition, our study found there was a significant difference in tumor size between rectal and colon tumors (p<0.001). Conclusions: There was no gender difference in the anatomic distribution of colorectal tumors. In addition, tumors observed in men were larger than in women.

Feline Demographics and Disease Distribution in the Republic of Korea

  • Lee, Jongseok;Pak, Son-il;Lee, Kija;Choi, Hojung;Lee, Youngwon;Park, Inchul;Choi, Sooyoung
    • 한국임상수의학회지
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    • 제39권5호
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    • pp.217-225
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    • 2022
  • The population of pet cats has increased significantly, from 0.3% in 2002 to 5.6% in 2017. Large-scale feline demographic and disease data from Korea are lacking. The aim of this study was to investigate the demographic data (breed, sex, and age) and disease distribution of cats who visited private veterinary practices in Korea. Data including breed, sex, age, and disease, were compiled from 32,728 electronic medical records from 30 selected private veterinary practices, between January 1, 2016, and December 31, 2017. Diseases were classified based on the International Classification of Diseases 11 by the World Health Organization, and then compared and cross-analyzed according to breed, sex, and age. Korean shorthair was the most common breed. There was a high distribution of young cats, with 77.6% of the cats under 4 years of age, and an average age of 2.5 years. Diagnoses related to preventative medicine were the most frequent and diagnoses common to young cats had higher incidence. This demographic data and information about disease distribution can be used as a basis for future research and may be helpful for determining priorities in the diagnosis of diseases and establishing strategies for health management in cats.

일산화탄소중독(一酸化炭素中毒)의 진료대책(診療對策) 수립(樹立)을 위한 추계학적(推計學的) 연구(硏究) (A Stochastic Study for the Emergency Treatment of Carbon Monoxide Poisoning in Korea)

  • 김용익;윤덕로;신영수
    • Journal of Preventive Medicine and Public Health
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    • 제16권1호
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    • pp.135-152
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    • 1983
  • Emergency medical service is an important part of the health care delivery system, and the optimal allocation of resources and their efficient utilization are essentially demanded. Since these conditions are the prerequisite to prompt treatment which, in turn, will be crucial for life saving and in reducing the undesirable sequelae of the event. This study, taking the hyperbaric chamber for carbon monoxide poisoning as an example, is to develop a stochastic approach for solving the problems of optimal allocation of such emergency medical facility in Korea. The hyperbaric chamber, in Korea, is used almost exclusively for the treatment of acute carbon monoxide poisoning, most of which occur at home, since the coal briquette is used as domestic fuel by 69.6 per cent of the Korean population. The annual incidence rate of the comatous and fatal carbon monoxide poisoning is estimated at 45.5 per 10,000 of coal briquette-using population. It offers a serious public health problem and occupies a large portion of the emergency outpatients, especially in the winter season. The requirement of hyperbaric chambers can be calculated by setting the level of the annual queueing rate, which is here defined as the proportion of the annual number of the queued patients among the annual number of the total patients. The rate is determined by the size of the coal briquette-using population which generate a certain number of carbon monoxide poisoning patients in terms of the annual incidence rate, and the number of hyperbaric chambers per hospital to which the patients are sent, assuming that there is no referral of the patients among hospitals. The queueing occurs due to the conflicting events of the 'arrival' of the patients and the 'service' of the hyperbaric chambers. Here, we can assume that the length of the service time of hyperbaric chambers is fixed at sixty minutes, and the service discipline is based on 'first come, first served'. The arrival pattern of the carbon monoxide poisoning is relatively unique, because it usually occurs while the people are in bed. Diurnal variation of the carbon monoxide poisoning can hardly be formulated mathematically, so empirical cumulative distribution of the probability of the hourly arrival of the patients was used for Monte Carlo simulation to calculate the probability of queueing by the number of the patients per day, for the cases of one, two or three hyperbaric chambers assumed to be available per hospital. Incidence of the carbon monoxide poisoning also has strong seasonal variation, because of the four distinctive seasons in Korea. So the number of the patients per day could not be assumed to be distributed according to the Poisson distribution. Testing the fitness of various distributions of rare event, it turned out to be that the daily distribution of the carbon monoxide poisoning fits well to the Polya-Eggenberger distribution. With this model, we could forecast the number of the poisonings per day by the size of the coal-briquette using population. By combining the probability of queueing by the number of patients per day, and the probability of the number of patients per day in a year, we can estimate the number of the queued patients and the number of the patients in a year by the number of hyperbaric chamber per hospital and by the size of coal briquette-using population. Setting 5 per cent as the annual queueing rate, the required number of hyperbaric chambers was calculated for each province and for the whole country, in the cases of 25, 50, 75 and 100 per cent of the treatment rate which stand for the rate of the patients treated by hyperbaric chamber among the patients who are to be treated. Findings of the study were as follows. 1. Probability of the number of patients per day follows Polya-Eggenberger distribution. $$P(X=\gamma)=\frac{\Pi\limits_{k=1}^\gamma[m+(K-1)\times10.86]}{\gamma!}\times11.86^{-{(\frac{m}{10.86}+\gamma)}}$$ when$${\gamma}=1,2,...,n$$$$P(X=0)=11.86^{-(m/10.86)}$$ when $${\gamma}=0$$ Hourly arrival pattern of the patients turned out to be bimodal, the large peak was observed in $7 : 00{\sim}8 : 00$ a.m., and the small peak in $11 : 00{\sim}12 : 00$ p.m. 2. In the cases of only one or two hyperbaric chambers installed per hospital, the annual queueing rate will be at the level of more than 5 per cent. Only in case of three chambers, however, the rate will reach 5 per cent when the average number of the patients per day is 0.481. 3. According to the results above, a hospital equipped with three hyperbaric chambers will be able to serve 166,485, 83,242, 55,495 and 41,620 of population, when the treatmet rate are 25, 50, 75 and 100 per cent. 4. The required number of hyperbaric chambers are estimated at 483, 963, 1,441 and 1,923 when the treatment rate are taken as 25, 50, 75 and 100 per cent. Therefore, the shortage are respectively turned out to be 312, 791. 1,270 and 1,752. The author believes that the methodology developed in this study will also be applicable to the problems of resource allocation for the other kinds of the emergency medical facilities.

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국내 가금티푸스의 발생특징 (Prevalent Characteristics of Fowl typhoid in Korea)

  • Lee, Young-Ju;Kim, Ki-Seuk;Kwon, Yong-Kuk;Kang, Min-Su;Mo, In-Pil;Kim, Jae-Hong;Tak, Ryun-Bin
    • 한국임상수의학회지
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    • 제20권2호
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    • pp.155-158
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    • 2003
  • 가금티푸스는 Salmonella gallinarum의 감염에 의해 발생되는 조류의 세균성 전염병으로 간장과 비장의 종대, 황갈색의 설사 및 높은 폐사 등을 특징으로 한다. 본 연구에서는 국내 가금티푸스의 발생특징을 조사하기 위하여 1995년부터 2001년까지 7년동안 국립수의과학검역원에 병성감정의뢰된 닭가검물을 대상으로 발생역학을 분석하였다. 1995년부터 2001년까지 국립수의과학검역원에 병성감정 의뢰된 가금전염성 질병중 가금티푸스의 검색율은 10.3%이었으며, 품종별로는 실용산란계, 실용육계, 육용종계 및 산란종계에서 각각 71.4%, 25.0%, 0.2% 및 3.4%가 검색되어 산란계에서의 발생이 가장 많음을 알 수 있었다. 또한 계절별로는 여름 (35.8%)과 가을(33.9%)에 높은 발생율을 나타났으며, 일령별로는 실용산란계는 10-30주령 사이 (45.6%)에서, 실용육계는 2주 이하 (61.6%)에서 빈번하게 발생되었다.

대학병원 응급실로 내원한 치과 응급환자에 관한 임상적 연구 (A clinical study on the dental emergency patients visiting an University Hospital emergency room)

  • 장창수;이창연;김주원;임진혁;김좌영;김영희;양병은
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권6호
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    • pp.439-447
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    • 2011
  • Introduction: In today's society, the rapid and appropriate care of the dental emergency patients is much more important. So, a retrospective study on the characteristics of emergency dental injuries and diseases will be very meaningful. Materials and Methods: This retrospective clinical study was carried by reviewing the radiographic films and emergency chart of 11,493 patients who had visited the emergency room of Hallym Sacred heart Hospital and were treated in the Department of Oral and Maxillofacial Surgery from January 2006 to December 2010. Results: The male to female ratio was 1.9:1. The highest monthly incidence was observed in May (10.4%) and June (8.9%) and the peak age distribution was the first decade (56.0%), followed by the second decade (16.0%). Trauma was the most common cause in dental emergency patients, followed in order by toothache, odontogenic infection, temporomandibular joint (TMJ) disorder and oral hemorrhage. Soft tissue injury was most prevalent in the trauma group, followed by tooth injury and facial bone fractures. In the tooth injury group, tooth fracture (56.7%) showed the highest incidence followed in order by tooth subluxation (18.2%), tooth concussion (16.9%), tooth avulsion (11.5%) and alveolar bone fractures (3.7%). In the facial bone fracture group, mandibular fractures (81.8%) showed the highest incidence followed in order by maxilla fractures (15.7%), nasal bone fractures (9.0%), zygomaticomaxillary complex fractures (5.4%), orbital bone fractures (2.5%). In mandibular bone fractures, the most common location was the symphysis (70.1%), followed in order by the mandibular angle (33.0%), mandibular condyle (22.8%) and mandibular body (13.6%). In the infection group, a submandibular space abscess (46.2%) was most common followed in order by a buccal space abscess (17.4%), canine space abscess (16.9%) and submental space abscess (12.3%). TMJ dislocation (89.3%) showed the highest incidence in the TMJ disorder group, followed by TMJ derangement (10.7%). In the other group, a range of specific symptoms due to post operation complications, trigeminal neuralgia, chemical burns and foreign body aspiration were reported. Conclusion: For the rapid and appropriate care of the dental emergency patients, well-organized system should be presented in oral and maxillofacial surgery. And it is possible under analysis of pattern and the variation of the dental emergency patients.

우리나라의 교통사고사상률(交通事故死傷率)(WHO $E_{800{\sim}866}$)에 관(關)하여 (An Observation on the Mortality Rates of Transport Accidents in Korea)

  • 주인호;박정자;오숙환;한재희
    • Journal of Preventive Medicine and Public Health
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    • 제1권1호
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    • pp.1-8
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    • 1968
  • This paper describes the incidence of transport accident for the period, 1955-1965. Transport accidents were classified into three categories, viz. railway(WHO Classification of Diseases, E-802), watercraft (E 550-E 858) and motor vehicle accidents(E810-E835, E840-E841, E844-E845). Crude data on the subject were collected from the various souces of Government Statistical Books including Statistical Year Books edited by the Central Office of Economic Planning Board, Annual Police Reports by the Ministry of Home Affairs, and the national and local associations for road traffic safety. From the data incidence and mortality rates by year, month and local province were computed and other variables relevant to the epidemiology of accidents were observed. The following summary could be drawn: 1. Death rates due to transport accidents per 100,000 population were 12.3 for 1955 and 9.7 for 1965. The incidence of injury due to the same cause were 34.0 for 1955 and 35.9 for 1965. 2. Death rates by transportation vehicle showed 9.0 due to motor vehicle accidents, 1.7 due to water-crafts, and 1.6 due to railway trains for 1955. In 1965 death rates were 6.0 due to motor vehicles, 1.2 to water-crafts and 2.4 to railway. 3. Seasonal distribution of transport accidents revealed that car accidents occur more frequently in spring and fall fall seasons while ship accidents do in winter and train accidents more in summer. 4. Both car and ship accidents slightly decreased during the past decade, 1955-1965, whereas the accidents of railway trains showed a tendency of increase. 5. Although the survey on railway accidents excluded the injuries of passengers or railway employees corresponding to WHO classification of diseases, E 801, due to inaccuracy of data, it is roughly estimated that the same number of casualities as the incidence among pedestrians or any other than passengers or employees assumed to be at work(E 802).

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Statistical Analysis of Count Rate Data for On-line Seawater Radioactivity Monitoring

  • Lee, Dong-Myung;Cong, Binh Do;Lee, Jun-Ho;Yeo, In-Young;Kim, Cheol-Su
    • Journal of Radiation Protection and Research
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    • 제44권2호
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    • pp.64-71
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    • 2019
  • Background: It is very difficult to distinguish between a radioactive contamination source and background radiation from natural radionuclides in the marine environment by means of online monitoring system. The objective of this study was to investigate a statistical process for triggering abnormal level of count rate data measured from our on-line seawater radioactivity monitoring. Materials and Methods: Count rate data sets in time series were collected from 9 monitoring posts. All of the count rate data were measured every 15 minutes from the region of interest (ROI) for $^{137}Cs$ ($E_{\gamma}=661.6keV$) on the gamma-ray energy spectrum. The Shewhart ($3{\sigma}$), CUSUM, and Bayesian S-R control chart methods were evaluated and the comparative analysis of determination methods for count rate data was carried out in terms of the false positive incidence rate. All statistical algorithms were developed using R Programming by the authors. Results and Discussion: The $3{\sigma}$, CUSUM, and S-R analyses resulted in the average false positive incidence rate of $0.164{\pm}0.047%$, $0.064{\pm}0.0367%$, and $0.030{\pm}0.018%$, respectively. The S-R method has a lower value than that of the $3{\sigma}$ and CUSUM method, because the Bayesian S-R method use the information to evaluate a posterior distribution, even though the CUSUM control chart accumulate information from recent data points. As the result of comparison between net count rate and gross count rate measured in time series all the year at a monitoring post using the $3{\sigma}$ control charts, the two methods resulted in the false positive incidence rate of 0.142% and 0.219%, respectively. Conclusion: Bayesian S-R and CUSUM control charts are better suited for on-line seawater radioactivity monitoring with an count rate data in time series than $3{\sigma}$ control chart. However, it requires a continuous increasing trend to differentiate between a false positive and actual radioactive contamination. For the determination of count rate, the net count method is better than the gross count method because of relatively a small variation in the data points.

연령에 따른 Mycoplasma pneumoniae 폐렴 발병의 최근 경향 (Recent Trends in the Prevalence of Mycoplasma pneumoniae Pneumonia According to Age)

  • 이효상;최경민
    • Pediatric Infection and Vaccine
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    • 제15권2호
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    • pp.162-166
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    • 2008
  • 목 적 : 마이코플라즈마 폐렴은 5세 이전의 소아에서는 드물며, 학동전기 및 학동기 소아에서 높은 발생빈도를 보인다고 알려져 왔다. 그러나 최근에는 5세 미만의 영유아에서 마이코플라즈마 폐렴이 증가하고 있어 저자들은 연구병원에 마이코플라즈마 폐렴으로 입원한 환자들을 대상으로 최근 발생 빈도에 대해 파악하고자 한다. 방 법 : 최근 3년간 관동대학교 명지병원 소아과에 입원하여 마이코플라즈마 폐렴으로 진단된 414명을 대상으로 하였다. 마이코플라즈마 폐렴의 진단기준은 임상적으로 폐렴이 의심되는 환자에서 간접응집법으로 측정한 Mycoplasma 항체가가 1:320 이상이거나, 회복기 혈청에서 항체가가 4배 이상 증가한 경우로 하였다. 결 과 : 대상 환아 414명 중 성별 분포는 남아가 204명, 여아가 210명이었다. 연령별로는 2세 미만에서 58명(14%), 2-4세까지는 157명(37.9%), 5-15세에서 199명(48.1%)를 보였다. 2세 미만의 소아에서 연도별 발생빈도는 2004년에 9명(7.6%), 2005년에 12명(11%), 그리고 2006년에 37명(19.9%)으로 증가하였다(P<0.05). 항체 가별 환아의 분포는 1:320에서 130명, 1:640에서 63명, ${\geq}1:1,280$에서 221명이였다. 5세 미만에서의 항체가별 분포는 1:320에서 78명, 1:640에서 49명, ${\geq}1:1,280$에서 97명이었다. 각 군별 입원기간은 7.5일, 6.95일, 7.2일이었다. 항체가별 환아의 입원기간은 1:320에서 6.76일, 1:640에서 7.08일, ${\geq}1:1,280$에서 7.2일이었다. 결 론 : 본 연구 결과 마이코플라즈마 폐렴으로 입원한 5세 미만의 영유아가 증가하는 추세임을 확인하였고, 특히 마이코플라즈마 폐렴의 유행기였던 2006년에는 5세 미만의 영유아에서 전체의 61.3%를 차지하였다. 영유아에서 지역사회 획득 폐렴의 원인인 마이코플라즈마 폐렴의 발생빈도가 증가한 것으로 보여5세 미만의 연령에서도 폐렴의 원인균으로 고려하여 다른 폐렴과 및 적절한 치료를 해야 한다.

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