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검색결과 332건 처리시간 0.02초

한국 8개 지역암등록본부 자료를 활용한 2000-2002년 한국인 국가 암통계 추정 (An Estimation of the National Cancer Incidence in Korea for 2000-2002 Using the Databases of 8 Population-based Regional Cancer Registries)

  • 배종면
    • Journal of Preventive Medicine and Public Health
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    • 제41권6호
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    • pp.380-386
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    • 2008
  • Objectives: Valid data on the national cancer incidence (NCI) is the data should be needed to plan, monitor and evaluate the national cancer control programs. The purpose of this study was to estimate the NCI for 2000-2002 from 8 population-based cancer registries database in Korea (KRCR DB). Methods: We defined the expected number of cancer cases in each registry as the number of observed cases and then adding to the weighted observed cases, according to sex, age groups, and the proportion of the population covered by each registry for the population of the eight regions and the population of all areas with excluding the 8 regions. From the expected number of total cancer incidents, he estimated NCI was calculated by dividing the expected number of cancer cases by he umber of the total population. The standard error (SE) of the estimated incidence was also taken from the expected number of total cancer incidents. Results: The overall estimated crude rates in 2000-2002 ere 267.1 and 219.0 per 100,000 for men and women, respectively. The overall age-standardized rates (ASR) were 290.1 and 180.7 per 100,000, respectively. Compared with the ASRs obtained from Korea National Cancer Incidence database (KNCI DB), the estimated ASRs from the KRCR DB did not show statistically significant differences except for some cancers in women. For the aspect of the SE, index of DCO(death certificate only) and of MV(microscopically verified), the estimated ASRs from the KRCR DB are more accurate and they have higher quality rather than the calculated ASRs from the KNCI DB. Conclusions: We found that this developed method using the KRCR DB is valid and it could be another strategy for estimating the NCI in Korea.

통계청 사망자료를 이용한 우리나라 의사들의 사망률에 관한 연구 1992-2002 (Mortality among Medical Doctors Based on the Registered Cause of Death in Korea 1992-2002)

  • 신유철;강재헌;김철환
    • Journal of Preventive Medicine and Public Health
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    • 제38권1호
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    • pp.38-44
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    • 2005
  • Objective : To compare the mortality rate of Korean medical doctors to that of the general Korean population for the period 1992-2002. Methods : The membership records of the Korean Medical Association were linked to the 1992-2002 death certificate data of Korea s National Statistical Office using 13-digit unique personal identification numbers. The study population consisted of 61,164 medical doctors with a follow-up period of 473,932 person-years. Standardized mortality ratios(SMRs) were calculated to compare cause-specific mortality rates of medical doctors to those of the general population. Results : We confirmed 1,150 deaths at ages from 30 to 75 years from 1 January 1992 to 31 December 2002. The SMR for all-cause of death was 0.47(95% CI : $0.44{\sim}0.50$). The SMRs for smoking-related diseases such as cerebrovascular accidents and chronic obstructive pulmonary disease were smaller than the SMR of all-cause of death. However, the SMRs for colorectal and pancreatic cancers were not significantly lower than those of the general population. Transport accidents and suicides accounted for 72% (94 of 131) of external causes of death. The SMR for suicide was 0.51 (95% CI : $0.38{\sim}0.68$). Conclusions : The mortality rate of South Korean medical doctors was less than 50% that of the general population of South Korea. Cause-specific analysis showed that mortality rates in leading causes of death were lower among medical doctors although differences in mortality rates between medical doctors and the general population varied with the causes of death. These health benefits found among medical doctors may be attributable to the lower level of health damaging behaviors (e.g., lower smoking rates) and better working conditions.

우리 나라 암질환으로 인한 조기사망의 질병부담 (Measuring the Burden of Major Cancers due to Premature Death in Korea)

  • 김용익;김창엽;장혜정;윤석준
    • Journal of Preventive Medicine and Public Health
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    • 제33권2호
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    • pp.231-238
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    • 2000
  • Objective : To estimate the burden of diseases in Korea especially caused by major cancers using the YLL(years of life lost due to premature death) measurement. Methods : First, we determined the parameters: such as age-specific standard life expectancy, age on death, sex, cause of death by analyzing the national death certificate data and life table collected during 1996 provided by the National Statistical Office. Secondly, we estimated the age group-specific YLL by employing standard expected years of life lost(SEYLL). Thirdly, final burden of disease due to premature death was estimated by using YLLs measurement which developed by global burden of disease study group. Results : The burden of premature death by cancer for male was attributed mainly to liver cancer(514.5 person-year), stomach cancer(436.4 person-year), and lung cancer(367.7 person-year). Each of these cancers was responsible for the loss of over 100 person-year based on our YLL measurement. The burden of premature death by cancer for female was attributed mainly to liver cancer(135.1 person-year), stomach cancer(252.1 person-year), and lung cancer(121.8 person-year). Each of these cancers was responsible for the loss of over 100 person year based on our YLL measurement. Conclusion : We found the YLL method employed in this study was appropriate to quantify the burden of premature death. Thereby, it would provide a rational bases to plan a national health policy regarding premature death caused by cancer.

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안드로이드 모바일 단말에서의 이벤트 수집을 통한 악성 앱 탐지 시스템 설계 및 구현 (Design and Implementation of Malicious Application Detection System Using Event Aggregation on Android based Mobile Devices)

  • 함유정;이형우
    • 인터넷정보학회논문지
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    • 제14권3호
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    • pp.35-46
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    • 2013
  • 모바일 단말 환경이 활성화되면서 안드로이드 플랫폼을 탑재한 상용 모바일 단말이 널리 보급되고 있다. 최근 안드로이드 기반 모바일 단말에서 보안 취약성이 발견되면서 악성 어플리케이션을 통한 공격이 급증하고 있다. 대부분의 악성 어플리케이션은 오픈 마켓 또는 인터넷을 통해 배포되며 어플리케이션 내에 악성코드가 삽입되어 있어 단말 사용자의 SMS, 전화번호부, 공인인증서 등 개인정보와 금융정보 등을 외부 서버로 유출시키는 공격을 시도한다. 이에 따라 상용 모바일 단말에 대한 보안 취약점 분석과 그에 따른 능동적인 대응 방안이 필요하다. 이에 본 연구에서는 최근 급증하는 악성 앱에 의한 피해를 최소화하기 위해 다수의 모바일 단말서 발생하는 이벤트 수집을 통해 모바일 단말 내에서 실행되는 악성 어플리케이션에 의한 공격을 탐지하는 시스템을 설계 및 구현하였다.

온라인 기반 원스톱 실손의료보험료 청구에 관한 연구 (A Study on the Online-based one-stop private health insurance claims)

  • 이경학;강민수;이재열
    • 디지털융복합연구
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    • 제14권4호
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    • pp.231-237
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    • 2016
  • 실손의료보험은 국민건강보험이 보장하지 않는 부분을 지원함으로써 보장성을 강화시키는 기능을 수행하고 있다. 그러나 까다로운 운영체계 및 절차로 보험가입자의 의료실손금액 청구가 어려운 실정이다. 이러한 현상을 해소하기 위하여 보험가입자가 진료비를 요양기관에 지급한 후 청구서류를 작성하여 보험금을 청구하는 체계로 운영(상환제)하고 있다. 그러나 상환제 운영도 여전히 보험가입자의 권익보호가 어렵고, 번거로운 청구 절차로 소액보험금의 청구를 포기하는 상황이다. 그래서 보험가입자의 편리와 운영의 간소화를 위하여 개인정보 은닉기술, 본인인증기술, e-page safer 기술 기반 증명서 발급에서 공인전자주소(#-mail)를 활용한 보험료 청구까지 한번에 처리할 수 있는 원스톱 보험 청구 시스템을 적용하였다. 이렇게 개발된 시스템은 번거로운 청구절차를 간소화함으로써 보험 청구율이 높아져 의료비의 부담을 줄일 수 있을 것이다.

종합병원 영양사의 조직문화 인식이 조직몰입에 미치는 영향 (Effect of Dietitian's Perceived Organizational Culture on Organizational Commitment at Hospital Foodservices)

  • 배문정;김춘영;류경
    • 대한영양사협회학술지
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    • 제23권4호
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    • pp.431-452
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    • 2017
  • This study was conducted to investigate the effect dietitians' perceived organizational culture has on organizational commitment at hospital foodservices. A total of 382 dietitians working at general hospitals with 500 beds or more participated in the survey from January 16 to February 8, 2017. The result of perceived organizational culture showed hierarchical culture, rational culture, development culture, and group culture scored to be 5.29, 5.25, 5.15, and 4.97 out of 7, respectively. Differences in the perception of organizational culture and organizational commitment were observed according to the general demographics of subjects, but no significant differences were shown according to the general characteristics of hospitals. For organizational commitment perception, affective commitment (5.14), normative commitment (4.41), and continuance commitment (4.21) were identified. There were differences according to age, work experience at the present job, position, and education level by type of organizational culture. In terms of organizational commitment, there were significant differences in age, work experience at the present job, employment status, and possession of clinical dietitian certificate, position by type of commitment. A positive correlation between dietitians' perceived organizational culture and organizational commitment such as overall organizational commitment, affective commitment, and normative commitment was observed (P<0.01). Group culture, development culture, and hierarchical culture positively affected overall organizational commitment (P<0.001). Development culture, group culture, and hierarchical culture had positive effects on affective commitment, whereas rational culture had a negative influence. Development culture (P<0.05), group culture (P<0.001), and hierarchical culture (P<0.01) positively influenced normative commitment. Results suggest that it is necessary to develop plans for the improvement of rational culture, group culture, and development culture at hospital foodservice organizations.

전자금융 불법이체사고 방지를 위한 실시간 이상거래탐지 및 분석 대응 모델 연구 (Study on a Real Time Based Suspicious Transaction Detection and Analysis Model to Prevent Illegal Money Transfer Through E-Banking Channels)

  • 유시완
    • 정보보호학회논문지
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    • 제26권6호
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    • pp.1513-1526
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    • 2016
  • 금융회사가 전자금융 서비스를 제공하기 시작하면서 전자금융 서비스는 다양화 되었고 전자금융 사용은 지속적으로 증가하고 있다. 이에 금융회사는 안전한 전자금융서비스를 제공하기 위하여 금융 보안정책을 적용하고 있으나 전자금융 사고는 계속해서 지능화되고 증가하고 있는 상황이다. 금융감독기관은 최근 인터넷 전문은행 등장과 핀테크 활성화와 더불어 비대면 실명확인 제도 신설 및 전자금융 거래를 통한 자금이체 시 공인인증서 또는 일회용비밀번호 의무사용 폐지 등의 규정을 개선하여 이용자의 편리함을 추구하는 동시에 금융회사에게는 이상금융거래 탐지 시스템 고도화 및 개선을 통한 불법이체 사고 방지를 권고하고 있다. 본 논문에서는 금융회사 제반 상황에 적합한 블랙리스트기반 자동화 탐지 기법을 제안하고 블랙리스트 정보를 레벨링하여 보안레벨에 따른 블랙리스트기반과 통계모델을 연동한 실시간 이상금융거래 탐지 기법을 제안하며, 기존 전자금융 사고유형 분석을 통한 특징적 패턴에 따른 실시간 이상금융거래 탐지기법의 대응 모델을 제안하고자 한다.

흡연, 음주, 폐결핵과 폐암 발생 위험에 관한 코호트 연구 (Cigarette Smoking, Alcohol Consumption, Tuberculosis and Risk of Lung Cancer: The Korean Multi-center Cancer Cohort Study)

  • 배지숙;곽진;박수경;신해림;장성훈;유근영
    • Journal of Preventive Medicine and Public Health
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    • 제40권4호
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    • pp.321-328
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    • 2007
  • Objectives : The aim of this study was to evaluate the roles of cigarette smoking, alcohol consumption, tuberculosis, and their interactions in the risk of lung cancer in a Korean cohort. Methods : The study subjects comprised 13,150 males and females aged above 20 years old. During the follow up period from 1993 to 2002, 79 lung cancer cases were identified by the central cancer registry and the national death certificate database. Information on cigarette smoking, alcohol consumption and the history of physician-diagnosed tuberculosis was obtained by interview. Indirect chest X-ray findings were also evaluated to ascertain tuberculosis cases. Cox proportional hazard models were used to estimate relative risks (RR) and 95% confidence intervals (CI) after adjusting for age and gender. Results : Cigarette smoking was statistically significantly associated with an increased risk of lung cancer [for current smokers, RR = 2.33 (95% CI = 1.23 - 4.42) compared to non-smokers]. After further adjustment for cigarette smoking, both alcohol consumption and tuberculosis showed no statistically significant association with the risk of lung cancer [for current drinkers, RR = 0.80 (95% CI = 0.48 - 1.33) compared to non-drinkers] [for tuberculosis cases, RR = 1.17 (95% CI = 0.58 - 2.36) compared to non-cases]. There was no statistically significant interaction between cigarette smoking and alcohol consumption (p-interaction = 0.38), or cigarette smoking and tuberculosis (p-interaction = 0.74). Conclusions : Although cigarette smoking was confirmed as a risk factor of lung cancer in this cohort study, this study suggests that alcohol consumption and tuberculosis may not be associated with the risk of lung cancer.

한국 여성사서의 직력유형(職歷類型)에 영향을 미치는 요인에 관한 연구 (A Study on the Factors Affecting Career Patterns of Korean Female Librarians)

  • 최은주
    • 한국문헌정보학회지
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    • 제21권
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    • pp.103-140
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    • 1991
  • Knowledge about career patterns of women In any profession and about factors which influence these career patterns becomes increasingly necessary because of the influx of ever-increasing numbers of women into the labor force, and the need for the development and utilization of the creative productivity of women. This study alms to investigate Korean female librarians' overall career patterns and verify relevant factors which might affect to their career patterns. As an instrument, self-reported questionnaires were sent to 1,251 full-time Korean female librarians throughout the country with regular librarian's certificate, currently engaging in public, college or university, and special libraries. Based on the data gathered, the interrelationship between their career pattern inclination and its influential factors were examined through hypothesis testing. Major findings of the survey are outlined in the following: 1). Female librarians' career patterns were classified into five categories with the group represented as Categories-2 (single; wishes to continue working after marriage; places an emphasis on the sense of occupational accomplishment and social prestige) accounted for the highest proportion$(33.4\%)$. 2). The result of the hypothesis testing revealed that there is no significant relationship statistically between social factors(parents' socio-economic status, etc.) and female librarians' career patterns. So the hypothesis concerning social factors were rejected. 3). In psychological factors(job satisfaction ; self-concept sex role attitude ; role conflict ; and achievement motivation), all except for self-concept were shown to be relevant with female librarians' stable career pattern. So the hypotheses concerning psychological factors were supported. 4). According to the result of multiple discriminant analysis conducted between the above four statistically significant psychological factors and career patterns, the most influential factor for female librarians' career patterns was job satisfaction and sex role. In conclusion, the following recommendations were made: For overall enhancement of Korean female librarianship, earlier career guidance and concrete sex role education for young women is urgent which enable them to establish correct viewpoint for their occupational career female librarians themselves' constant endeavor In maintaining positive attitude toward their job is required.

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건강생활년을 이용한 우리 나라 주요 암 질환의 질병부담 측정 (Measuring the Burden of Major Cancers in Korea Using Healthy Life-Year (HeaLY))

  • 윤석준;김창엽;신영수;최용준
    • Journal of Preventive Medicine and Public Health
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    • 제34권4호
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    • pp.372-378
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    • 2001
  • Objectives : This study introduced the healthy life-year(HeaLY), a composite indicator of disease burden, and used it to estimate the burden of major cancers in Korea. Methods : We collected data from the national death certificate database, the national health insurance claims database and the abridged life table. This data was used to create a spreadsheet and estimate the burden of major cancers by sex in terms of HeaLYs. Results : The burden of 10 major cancers for males was 2,248.97 person-year in terms of HeaLYs. Stomach cancer, liver cancer, and lung cancer were responsible for 75.2% of the burden of 10 major cancers. The disease burden of 10 major cancers for females was estimated to be 1,567.58 person-years. About two thirds of HeaLYs lost were from stomach cancer, liver cancer, lung cancer, colorectal cancer, and breast cancer. The rankings among 10 major cancers were somewhat different in terms of both HeaLYs and deaths as the HeaLY method considers both mortality and morbidity. Conclusions : Despite the limitations of the data sources, we conclude that HeaLY can aid in setting policy priorities concerning major cancers by estimating the disease burden of these cancers. Time-series analysis of the disease burden using HeaLY and DALY will elucidate the strengths and weaknesses of both methods.

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