• Title/Summary/Keyword: death rate

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The Characteristics of Epidemiology Examined through Translated Medical Books in the 16th~17th Century in the Chosun Dynasty (16 ~ 17세기 조선의 벽역의서(闢疫醫書)를 통해 살펴본 온역학(瘟疫學)의 특징)

  • Cho, Won joon
    • The Journal of Korean Medical History
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    • v.19 no.2
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    • pp.29-47
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    • 2006
  • Because the size of population was directly related to the power of the nation in the Chosun Dynasty, various efforts were exerted to maintain the size stable and the keys to the efforts were a high birth rate and a low death rate. However, in addition to wars, epidemic diseases had an enormous effect on the death rate. Particularly during the mid Chosun Dynasty, epidemic diseases were more prevalent than ever due to the abnormal climate called the little ice age. To cope with them, the government executed several medical relief policies and published medical books. In Chinese epidemiology, infectious diseases mean sicknesses caused by hot weather, but in Korean epidemiology, they indicate large-scale infectious sicknesses caused by both hot and cold weather. Therefore, as treatment methods for diseases from the cold were not applicable to the pathology of epidemic diseases, China developed separate epidemiology. In Korea, however, the main concern was how to prevent epidemic diseases, whether from hot or cold weather, that drove many lives into death. The characteristics of Korean epidemiology are as follows. First, whenever epidemic diseases were prevalent, in order to cope with them, translated medical books were promptly published including Ganibyeokonbang, Bunmunonyeokihaebang, Sinchanbyeokonbang, Byeokyeoksinbang and Byeokonsinbang. Second, those books were annotated in Korean so that people could read easily and accurately. Third, as an extension of the Hyangyak movement from the late Koryo Dynasty, Danbang was used a lot to treat and prevent epidemic diseases with less financial burden, and things obtainable easily according to individuals' situation were mentioned for anybody to overcome the emergent situation of epidemic diseases. Fourth, methods for praying to God were suggested for practitioners to work with sincere spirit and to keep themselves from epidemic diseases.

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Cancer incidence and mortality estimations in Busan by using spatial multi-level model (공간 다수준 분석을 이용한 부산지역 암발생 및 암사망 추정)

  • Ko, Younggyu;Han, Junhee;Yoon, Taeho;Kim, Changhoon;Noh, Maengseok
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.5
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    • pp.1169-1182
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    • 2016
  • Cancer is a typical cause of death in Korea that becomes a major issue in health care. According to Cause of Death Statistics (2014) by National Statistical Office, SMRs (standardized mortality rates) in Busan were counted as the highest among all cities. In this paper, we used data of Busan Regional Cancer Center to estimate the extent of the cancer incidence rate and cancer mortality rate. The data are considered in small areas of administrative units such as Gu/Dong from years 2003 to 2009. All cancer including four major cancers (stomach cancer, colorectal cancer, lung cancer, liver cancer) have been analyzed. We carried out model selection and parameter estimation using spatial multi-level model incorporating a spatial correlation. For the spatial effects, CAR (conditional autoregressive model) has been assumed.

Alarm System for Sudden Infant Death using Bio-Signals (생체 신호를 활용한 영아 돌연사 알람 시스템)

  • Yun, Su-Jeong;Lin, Chi-Ho
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.16 no.4
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    • pp.197-202
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    • 2016
  • In this paper, a danger signal to tell caregivers when a dangerous situation occurs, the bio-signal analysis in infants to prevent sudden infant death sudden infant death propose a monitoring system. The Sudden infant death (SID) refers to a healthy baby is unexplained deaths between birth year in the month. Sudden infant death proposed monitoring system is composed of a processor unit and the monitoring and alarm part for processing part and the biological signal sensing biological signals. Using the PPG sensor to sense the bio-signal and the processor unit the signal obtained through the sensor by removing the motion artifact was able to alarm and monitoring the parent.The proposed system will send the alarm to monitoring and alerting caregivers if the risk situation by analyzing the heart rate of the infant. With the actual implementation of the system to evaluate the performance of the monitoring system.

Increased HoxB4 Inhibits Apoptotic Cell Death in Pro-B Cells

  • Park, Sung-Won;Won, Kyung-Jong;Lee, Yong-Soo;Kim, Hye-Sun;Kim, Yu-Kyung;Lee, Hyeon-Woo;Kim, Bo-Kyung;Lee, Byeong-Han;Kim, Jin-Hoi;Kim, Dong-Ku
    • The Korean Journal of Physiology and Pharmacology
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    • v.16 no.4
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    • pp.265-271
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    • 2012
  • HoxB4, a homeodomain-containing transcription factor, is involved in the expansion of hematopoietic stem cells and progenitor cells in vivo and in vitro, and plays a key role in regulating the balance between hematopoietic stem cell renewal and cell differentiation. However, the biological activity of HoxB4 in other cells has not been reported. In this study, we investigated the effect of overexpressed HoxB4 on cell survival under various conditions that induce death, using the Ba/F3 cell line. Analysis of phenotypical characteristics showed that HoxB4 overexpression in Ba/F3 cells reduced cell size, death, and proliferation rate. Moreover, the progression from early to late apoptotic stages was inhibited in Ba/F3 cells subjected to HoxB4 overexpression under removal of interleukin-3-mediated signal, leading to the induction of cell cycle arrest at the G2/M phase and attenuated cell death by Fas protein stimulation in vitro. Furthermore, apoptotic cell death induced by doxorubicin-treated G2/M phase cell-cycle arrest also decreased with HoxB4 overexpression in Ba/F3 cells. From these data, we suggest that HoxB4 may play an important role in the regulation of pro-B cell survival under various apoptotic death environments.

A STUDIES OF CHANGES OF THE TEETH AS THE TIME ELAPSED SINCE DEATH (사후 경과시간에 따른 치아경조직의 변화에 관한 연구)

  • Ock, Sun Nam;Kim, Chong Youl
    • Journal of Oral Medicine and Pain
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    • v.12 no.1
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    • pp.27-40
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    • 1987
  • When the men die, uniform changes progress. Many investigators have studied about the time after death, but it's very difficult to measure the time elapsed since death, particularly in highly decomposed or probably skeletonized bodies. But the teeth are very stable to the changes of physical and chemical properties and their changes are very slow. At this point of view, the author studied this theme as one of the pioneers in our country. In this study, the author observed the degree of the dentinal expansion and the crack of enamel and cementum of the teeth which had been extracted from December, 1983 to September, 1987. The teeth were extracted from the male and female who was 18 to 85 year old. The results are followed; 1. The degree of dentinal expansion increased rapidly until 7 months with high degree and then decreased slowly. 2. The equation of regression for representing x as the degree of the dentinal expansion and y as the time elapsed since death, is y = 29.43-1.13x (p<0.05) 3. The crack of the enamel surface seemed to begin at 1 year from extraction and to increase apparently before or after 20 months. 4. The crack of the cementum began at 3 months from extraction and dendrite crack began at 16 months from extraction. After this, the crack increase continuously and the rate of cracking were more rapid as compared with that of enamel. 5. It seems to be useful to measure the time elapsed since death using the degree of dentinal expansion and the crack of enamel and cementum, particularly in the old bodies after death.

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Reliability of Education and Occupational Class: A Comparison of Health Survey and Death Certificate Data (면접조사자료와 사망등록자료 간 교육수준 및 직업계층의 신뢰도)

  • Kim, Hye-Ryun;Khang, Young-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.4
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    • pp.443-448
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    • 2005
  • Objectives : This study was done to evaluate the reliability of education and occupational class between using the health survey and the death certificate data. Methods : The 1998 National Health and Nutrition Examination Survey (NHANES) was conducted on a cross-sectional probability sample of South Korean households, and it contained unique 13-digit personal identification numbers that were linked to the data on mortality from the Korean National Statistical Office. The data from 263 deaths were used to estimate the agreement rates and the Kappa indices of the education and occupational class between using the NHANES data and the death certificate data. Results : The simple and weighted Kappa indices for education were 0.60 (95% CI=0.53-0.68) and 0.73 (95% CI=0.67-0.79) respectively, if the educational level was grouped into five categories: no-formal-education, elementary-school, middle-school, high-school and college or over. The overall agreement rate was 71.9% for these educational groups. The magnitude of reliability, as measured by the overall agreement rates and Kappa indices, tended to increase with a decrease in the educational class. The number of non-educated people with using the death certificate data was smaller than that with using the NHANES data. For the occupational class (manual workers, non-manual workers and others), the Kappa index was 0.40 (95% CI=0.30-0.51), which was relatively lower than that for the educational class. Compared with the NHANES, the number of non-manual workers for the deceased who were aged 30-64 tended to be increased (8 to 12) when using the death certificate data, whereas the number of manual workers tended to be decreased (59 to 41). Conclusions : The socioeconomic inequalities in the mortality rates that were based on the previous unlinked studies in South Korea were not due to a numerator/denominator bias. The mortality rates for the manual workers and the no-education groups might have been underestimated.

Protective Effect of Luteolin against β-Amyloid-induced Cell Death and Damage in BV-2 Microglial Cells (베타아밀로이드로 유도된 신경소교세포 사멸에 대한 루테올린의 보호효과 연구)

  • Park, Gyu Hwan;Jang, Jung-Hee
    • The Korea Journal of Herbology
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    • v.28 no.6
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    • pp.79-86
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    • 2013
  • Objectives : The purpose of this study is to investigate neuroprotective effects and molecular mechanisms of luteolin against ${\beta}$-amyloid ($A{\beta}_{25-35}$)-induced oxidative cell death in BV-2 cells. Methods : The protective effects of luteolin against $A{\beta}_{25-35}$-induced cytotoxicity and apoptotic cell death were determined by MTT dye reduction assay and TUNEL staining, respectively. The apoptotic cell death was further analyzed by measuring mitochondrial transmembrane potential and expression of pro- and/or anti-apoptotic proteins. To elucidate the molecular mechanisms underlying the protective effects of luteolin, intracellular accumulation of reactive oxygen species, oxidative damages, and expression of antioxidant enzymes were examined. Results : Luteolin pretreatment effectively attenuated $A{\beta}_{25-35}$-induced apoptotic cell death indices such as DNA fragmentation, dissipation of mitochondrial transmembrane potential, increased Bax/Bcl-2 ratio, and activation of c-Jun N-terminal kinase and caspase-3 in BV-2 cells. Furthermore, $A{\beta}_{25-35}$-induced intracellular formation of reactive oxygen species and subsequent oxidative damages such as lipid peroxidation and depletion of endogenous antioxidant glutathione were suppressed by luteolin treatment. The neuroprotective effects of luteolin might be mediated by up-regulation of cellular antioxidant defense system via up-regulation of ${\gamma}$-glutamylcysteine ligase, a rate-limiting enzyme in the glutathione biosynthesis and superoxide dismutase, an enzyme involved in dismutation of superoxide anion into oxygen and hydrogen peroxide. Conclusions : These findings suggest that luteolin has a potential to protect against $A{\beta}_{25-35}$-induced neuronal cell death and damages thereby exhibiting therapeutic utilization for the prevention and/or treatment of Alzheimer's disease.

Optimum Management for Overwintering of Pinus densiflora Container Seedlings (소나무 용기묘의 적정 월동 관리)

  • Kim, Jong Jin;Song, Kook Hyun;Yoon, Taek Seong
    • Journal of Korean Society of Forest Science
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    • v.97 no.1
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    • pp.53-60
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    • 2008
  • This study was carried out to investigate the optimum management system during a overwintering for the production of Pinus densiflora container 2-0 seedlings. The experiment performed between 2005~2006 in a polyethylene film house (PE house) located at Yeoju-Gun in Kyungki-Do. During the winter in the PE house, the difference in maximum day temperature and minimum day temperature was large, and the difference in temperature was detected between the container keeping locations. During the winter season, the maximum day temperatures at the seedling bench in January and February were $32.8^{\circ}C$ and$36.6^{\circ}C$, respectively, whereas those at the ground in January and February were $16.0^{\circ}C$ and $24.4^{\circ}C$, respectively. Water contents of container seedlings was reduced gradually from the beginning the experiment, and reduced rapidly from February to March, and increased rapidly from April. Container seedlings showed different death rate according to the extending of the irrigation cycle. Death rate by one week and two weeks of irrigation cycle was 4.8% and 6.5%, and 38.5% and 49.4% of death rate occurred by three and four weeks of irrigation cycle, respectively. It is suggested that the proper irrigation cycle for P. densiflora 2-0 container seedlings during overwintering is two weeks. When containers placed directly on the ground, the root of container seedlings went out through the drainage of the container, and grew out in the soil. These roots were cut while moving the container to the bench in spring.

Evaluating the Validity of the Pediatric Index of Mortality Ⅱ in the Intensive Care Units (소아중환자를 대상으로 한 PIM Ⅱ의 타당도 평가)

  • Kim, Jung-Soon;Boo, Sun-Joo
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.47-55
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    • 2005
  • Purpose: This study was to evaluate the validity of the Pediatric Index of Mortality Ⅱ(PIM Ⅱ). Method: The first values on PIM Ⅱ variables following ICU admission were collected from the patient's charts of 548 admissions retrospectively in three ICUs(medical, surgical, and neurosurgical) at P University Hospital and a cardiac ICU at D University Hospital in Busan from January 1, 2002 to December 31, 2003. Data was analyzed with the SPSSWIN 10.0 program for the descriptive statistics, correlation coefficient, standardized mortality ratio(SMR), validity index(sensitivity, specificity, positive predictive value, negative predictive value), and AUC of ROC curve. Result: The mortality rate was 10.9% (60 cases) and the predicted death rate was 9.5%. The correlation coefficient(r) between observed and expected death rates was .929(p<.01) and SMR was 1.15. Se, Sp, pPv, nPv, and the correct classification rate were .80, .96, .70, .98, and 94.0% respectively. In addition, areas under the curve (AUC) of the receiver operating characteristic(ROC) was 0.954 (95% CI=0.919~0.989). According to demographic characteristics, mortality was underestimated in the medical group and overestimated in the surgical group. In addition, the AUCs of ROC curve were generally high in all subgroups. Conclusion: The PIM Ⅱ showed a good, so it can be utilized for the subject hospital. better.

Aortic valve replacement in the patient with rheumatic heart disease (류마치스성 심장질환 환자에서 대동맥판막치환)

  • An, Jae-Ho;Lee, Yeong-Gyun
    • Journal of Chest Surgery
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    • v.17 no.3
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    • pp.346-355
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    • 1984
  • 77 cases of Aortic Valve Replacement, which were composed of 64 rheumatic valvular heart disease and 13 combined congenital heart disease, were operated at Seoul National University Hospital for Aortic valvular disease during the period from June 1968 to December 1983. Among these 64 rheumatic aortic valvular heart disease cases, 8 patients were expired during and immediate after operation and overall mortality rate was 12.5%. For more precise remarks, these patients were divided into two periodic groups, 1st period [from 1968 to 1976] and 2nd [from 1977 to 1983] when annual open heart surgery were over 100 cases, and in 1st period three of four patients were died and in 2nd period five of sixty patients were died and its mortality rate was 8.3%. There were 12 cases of postoperative complication, which were 3 cases of remaining other valvular heart disease required MVR, 2 paravalvular leaks [one of them got Redo AVR], 4 thromboembolism or problem of anticoagulant therapy, 2 late death due to SBE with replaced valve failure and one functional AS with small sized valve. Operative death was affected by pump-time and aortic cross-clamping time, heart size, Ejection Fraction, LVEDP and symptom duration, and other many factors may influence the survival rate. Improved operative technique and myocardial protection and meticulous evaluation of the preoperative patient status will make the AVR safer.

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