• 제목/요약/키워드: life-and-death problem

검색결과 97건 처리시간 0.024초

Epidemiology, Incidence and Mortality of Bladder Cancer and their Relationship with the Development Index in the World

  • Mahdavifar, Neda;Ghoncheh, Mahshid;Pakzad, Reza;Momenimovahed, Zohre;Salehiniya, Hamid
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제17권1호
    • /
    • pp.381-386
    • /
    • 2016
  • Background: Bladder cancer is an international public health problem. It is the ninth most common cancer and the fourteenth leading cause of death due to cancer worldwide. Given aging populations, the incidence of this cancer is rising. Information on the incidence and mortality of the disease, and their relationship with level of economic development is essential for better planning. The aim of the study was to investigate bladder cancer incidence and mortality rates, and their relationship with the the Human Development Index (HDI) in the world. Materials and Methods: Data were obtained from incidence and mortality rates presented by GLOBOCAN in 2012. Data on HDI and its components were extracted from the global bank site. The number and standardized incidence and mortality rates were reported by regions and the distribution of the disease were drawn in the world. For data analysis, the relationship between incidence and death rates, and HDI and its components was measured using correlation coefficients and SPSS software. The level of significance was set at 0.05. Results: In 2012, 429,793 bladder cancer cases and 165,084 bladder death cases occurred in the world. Five countries that had the highest age-standardized incidence were Belgium 17.5 per 100,000, Lebanon 16.6/100,000, Malta 15.8/100,000, Turkey 15.2/100,000, and Denmark 14.4/100,000. Five countries that had the highest age-standardized death rates were Turkey 6.6 per 100,000, Egypt 6.5/100,000, Iraq 6.3/100,000, Lebanon 6.3/100,000, and Mali 5.2/100,000. There was a positive linear relationship between the standardized incidence rate and HDI (r=0.653, P<0.001), so that there was a positive correlation between the standardized incidence rate with life expectancy at birth, average years of schooling, and the level of income per person of population. A positive linear relationship was also noted between the standardized mortality rate and HDI (r=0.308, P<0.001). There was a positive correlation between the standardized mortality rate with life expectancy at birth, average years of schooling, and the level of income per person of population. Conclusions: The incidence of bladder cancer in developed countries and parts of Africa was higher, while the highest mortality rate was observed in the countries of North Africa and the Middle East. The program for better treatment in developing countries to reduce mortality from the cancer and more detaiuled studies on the etiology of are essential.

컴퓨터 바둑에서 String Graph를 사용한 정적분석 (Static Analysis In Computer Go By Using String Graph)

  • 박현수;김항준
    • 전자공학회논문지CI
    • /
    • 제41권4호
    • /
    • pp.59-66
    • /
    • 2004
  • 본 논문은 정적 분석을 하기 위해서 SG(String Graph)를 정의하고 ASG(Alive String Graph)를 정의한다. String의 사활의 판단을 위해 돌이 포함되지 않은 상태와 돌이 포함된 상태로 나누어 Rule을 적용한다. 돌이 포함되지 않은 상태에서 SR(String Reduction), ER(Empty Reduction), ET(Edge Transform), 그리고 CG(Circular Graph) Rule을 정의한다. 돌이 포함되어진 상태에서 DESR(Dead Enemy Strings Reduction)과 SCSR(Same Color String Reduction) Rule을 정의한다. 이러한 Rule을 사용하여 SG(String Graph)가 ASG(Alive String Graph)인지를 평가한다. 그리고 관절점의 개수에 따라 사활을 판단하기 위해 APC(Articulation Point Check)를 사용하였다. 우리의 방법에 대한 성능은 Computer Go Test Collection의 IGS_31_counted 문제 집합에 대해 실험했다. 이 Test set은 11,191 Points와 1,123 Strings을 가진다. 우리는 실험 결과에서 Points에 대해 92.5% 정확성과 Strings에 대해 95.7%의 정확성을 얻었다.

지능정보사회의 노인교육: 승조(僧肇)의 「반야무지론(般若無知論)」을 중심으로 (The elderly education in the intelligence information society: centered on "Pan-jo wu-chih lun" of Seng-Zhao)

  • 한지윤;강선보
    • 한국교육학연구
    • /
    • 제23권1호
    • /
    • pp.261-285
    • /
    • 2017
  • 본 연구는 승조의 "반야무지론(般若無知論)"에 나타난 지혜를 토대로, 지능정보사회에서 삶의 질을 향상시키기 위한 노인교육의 방향에 대해 고찰한 것이다. 지능정보사회에서 예상되는 노인의 특성을 살펴보면, 지혜의 쇠퇴가 일어나지 않을 수 있고, 시간적 여유가 많을 수 있으며, 급격하게 변화하는 사회에서 적응하지 못할 가능성이 높고, 경제적으로 취약해지기 쉬운 환경에 노출되어 있다. 그러나 지능정보사회에서도 노인은 죽음을 회피할 수 없고, 아집으로 인해 존재를 있는 그대로 통찰하기 어려우며, 기존의 것에만 집착하는 태도를 지니기 쉽다. 이러한 노인의 삶을 근본적으로 해결하기 위한 노인교육의 방향은 다음과 같다. 첫째, '생사고(生死苦)가 일시적인 것임을 알기 위한 학습'을 통해 특정한 대상에 대해 나오는 마음과 사라지는 마음이 일시적이고 공(空)하다는 것을 깨닫는 일이다. 둘째, '아집을 없애면서 존재하기 위한 학습'을 통해 아(我)가 있다고 믿는 왜곡된 독단으로부터 벗어나는 일이다. 셋째, '집착을 끊고자 행동하기 위한 학습'을 통해 기대한 바에 따른 결과가 발생할 것이라는 주관적인 견해를 각성으로 끊으며 행위의 전환을 불러일으키는 일이다.

평균수명을 이용한 사망률 예측모형 비교연구 (A Comparison Study for Mortality Forecasting Models by Average Life Expectancy)

  • 정승환;김기환
    • 응용통계연구
    • /
    • 제24권1호
    • /
    • pp.115-125
    • /
    • 2011
  • 사망률 예측모형과 생명표 작성방법에 기반을 둔 예측평균수명 작성은 미래의 사망수준을 평가하는 효과적인 방법이 된다. 2006년 통계청에서 장래인구추계 작성 시 예측평균수명을 작성하였으나, 2006년 이후 현재까지 실제평균수명과 적지 않은 차이를 보이고 있어 평균수명의 증가속도를 반영하지 못하고 있다. 이의 원인으로는 전망치에 대한판단, 사망률 예측모형의 선택과 사용 등이 이유가 될 수 있다. 본 논문에서는 사망률 예측모형의 선택관점에서 이 문제를 살펴보고자 한다. 2011년 장래인구추계 작성을 앞둔 상황에서 오류의 반복을 피하기 위해서는 사망률 예측모형에 대한 특성 및 적용가능성에 대한 충분한 검토가 이루어진 후 적절한 모형을 선택해야 할 것이다. 사망률 예측모형은 주로 사용되고 있는 LC(Lee와 Carter) 모형과 이의 개선모형들, 사망확률 확장모형인 HP8(Heligman과 Pollard 8 parameters) 모형 등 모두 5개의 모형을 비교 분석하였다. 분석결과를 바탕으로 5개의 모형별로 2030까지의 남녀별 예측평균수명을 작성하여 제시하였고, 이를 통계청에서 제공하는 예측평균수명과 비교하였다. 5개의 모형에 의해 작성된 2030년까지의 새로운 예측평균수명은 통계청의 결과보다 높게 나타나 실제평균수명의 변화를 상대적으로 잘 반영하는 것으로 나타났다.

손상예방, 재난과 보건분야 준비와 대응 (Injury Prevention, Disaster and Public Health Preparedness and Response)

  • 정애숙
    • 보건행정학회지
    • /
    • 제28권3호
    • /
    • pp.308-314
    • /
    • 2018
  • Injury is a serious problem that not only causes death but also significantly degrades the quality of life of the people and causes loss of socioeconomic opportunities and costs. Damage occurs as a result of an accident. Among them, natural disasters and artificial disasters take lives of many people in a short time and threaten their physical and mental health. The United States has responded to the disaster by establishing relevant laws and regulations and a response system with the recognition that health is recognised soon to be as national security in the wake of the 9/11 terrorist attacks and the Katrina disaster. It is necessary to build a knowledge infrastructure to train disaster response experts in public health area and to have health competence to cope with disasters.

구개성형술후 폐렴을 동반한 급성 기도 폐색: 증례보고 (Acute airway obstruction resulting in Pneumonia after palatoplasty: A Case Report)

  • 라주일;구현모;정종선;박철휘;김현민;송민석
    • 대한구순구개열학회지
    • /
    • 제8권2호
    • /
    • pp.81-86
    • /
    • 2005
  • Cleft palate patients with congenital anomalies have an increased risk of airway problems following palatoplasty. Factors that were related included presence of associated congenital anomalies, duration of surgery, age at time of surgery, history of previous airway problem, and excessive pressure exerted on the base of the tongue by Dingman retractor. This report described a complication of post-operative Pneumonia after palatoplasty (Furlow technique), which resulted in a life-threatening acute airway obstruction in an infant with cleft palate. Patient has a history of previous mild airway problems. In addition to this problem, we speculate that Furlow technique involves more extensive surgical dissection than other techniques may increase risk for upper airway obstruction. Awareness of this risk permits identifying those patients prior to surgery so that they can be monitored and managed properly, minimizing the likelihood of major complications or possibility of death.

  • PDF

추락방지 생명줄 고정후크 개발 연구

  • 배달윤;방명석
    • 대한안전경영과학회:학술대회논문집
    • /
    • 대한안전경영과학회 2013년 춘계학술대회
    • /
    • pp.457-462
    • /
    • 2013
  • Most frequently happening accident in construction working sites was fall in high and dangerous position. Most of fall accidents resulted in serious injury or death of workers. In this research was analysed recent safety accidents for three years from 2010' to 2012 and was developed the safety equipment to be able to efficiently prevent and reduce fall accidents. This new safety equipment can be easily fixed to the reinforcing steel or steel girder etc by the fixing hook of life saving line and is comfortablely portable because of its light weight. The questionnaire study of the developed equipment was performed to investigate the problem in the view point of using in real sites. The result shows that the new fixing fook can reduce fall accidents and satisfy construction workers.

  • PDF

도교(道敎) 윤리(倫理)와 손사막(孫思邈)의 의덕(醫德)에 관한 연구(硏究) (A study of relation between Taoism and Sun-Si-Miao's Madical morals)

  • 권경인;이병욱;김은하
    • 대한한의학원전학회지
    • /
    • 제18권1호통권28호
    • /
    • pp.49-56
    • /
    • 2005
  • Mankind has had various medical treatments and theories as the result of steady researches about many diseases. Medical science has something to do with religions closely. That is, he tries to solve the problem connected with his life through medicine, while he tries to overcome the fear of death through the religion. Also I have tried to establish the relations between Oriental medicine. This research shows that the relation between Taoism and medical morals(醫德). The results of this research are following. The moral consciousness in medicine is the one of great traditions in Oriental medicine which comes to the front by Sun-Si-Miao(孫思邈). That is influenced by the ethical view that a moral act influences the long and the short of life. ${\ulcorner}$Tai-Ping-Jing(太平經)${\lrcorner}$ says that man enjoys longevity if he tends his parents with filial piety and then is aware of the principle of heaven and earth. Sun-Si-Miao teaches in Da-Yi-Jing-Cheng(大醫精誠) that 'Treat the patient impartially', 'Don't weigh the merits when treating the patient', 'Avoid the use of animal medicines as you can.', 'As a man sows, so he shall reap.', Don't be jealous and don't be proud.', which are closely related to main principles about act and taboo suggested in ${\ulcorner}$Bao-Piao-Zi(抱朴子)${\lrcorner}$

  • PDF

호스피스 자원봉사자교육의 비교 (Comparison of Education Programs for Hospice Volunteer Workers)

  • 허정식;김현주
    • Journal of Hospice and Palliative Care
    • /
    • 제11권2호
    • /
    • pp.78-81
    • /
    • 2008
  • 목적: 인생의 말기는 삶을 영위하는 가운데 가장 중요한 부분 중의 한가지이다. 그런데 의사, 간호사를 포함한 의료진과 자원봉사자가 말기 환자에 대한 이해와 교육이 충분하게 이루어지지 않고 있다. 이 연구의 목적은 호스피스 완화의료의 꽃으로 알려진 자원봉사자들에 대한 교육내용을 비교하고자 한다. 방법: 다양한 기관에서 자원봉사자들에 대한 교육이 실시하고 있으나 강의 내용과 강의 시수를 알 수 있는 전국 9개 기관의 교육내용을 분석 비교하였다. 결과: 평균 강의 시간은 21.56 ($14{\sim}30$)시간이었으며, 모든 기관에서 공통적으로 포함된 교육 내용은 호스피스 완화의료의 이해, 삶과 죽음에 대한 이해, 호스피스 대상자의 심리 이해 등이며, 온라인을 통한 교육이 1개 기관, 나머지 8개 기관에서는 집체교육을 통한 강의를 위주로 시행되고 있다. 결론: 자원봉사자들의 지역사회 참여의 활성화를 도모하여 말기 환자와 가족에게 제공되는 서비스를 질적으로 강화시키기 위하여 자원봉사자를 위한 교육과정의 목표와 교육내용, 교육시간, 교육기관으로서의 인정평가 등에 대한 전반적인 표준화가 필요할 것으로 생각된다.

  • PDF

호스피스의료와 간호윤리 (Hospice Medicine and Nursing Ethics)

  • 문성제
    • 의료법학
    • /
    • 제9권1호
    • /
    • pp.385-411
    • /
    • 2008
  • The goal of medicine is to contribute to promoting national health by preventing diseases and providing treatment. The scope of modern medicine isn't merely confined to disease testing, treatment and prevention in accordance to that, and making experiments by using the human body is widespread. The advance in modern medicine has made a great contribution to valuing human dignity and actualizing a manly life, but there is a problem that has still nagged modern medicine: treatment and healing for terminal patients including cancer patients. In advanced countries, pain care and hospice medicine are already universal. Offering a helping hand for terminal patients to lead a less painful and more manly life from diverse angles instead of merely focusing on treatment is called the very hospice medicine. That is a comprehensive package of medical services to take care of death-facing terminal patients and their families with affection. That is providing physical, mental and social support for the patients to pass away in peace after living a dignified and decent life, and that is comforting their bereaved families. The National Hospice Organization of the United States provides terminal patients and their families with sustained hospital care and home care in a move to lend assistance to them. In our country, however, tertiary medical institutions simply provide medical care for terminal patients to extend their lives, and there are few institutional efforts to help them. Hospice medicine is offered mostly in our country by non- professionals including doctors, nurses, social workers, pastors or physical therapists. Terminal patients' needs cannot be satisfied in the same manner as those of other patients, and it's needed to take a different approach to their treatment as well. Nevertheless, the focus of medical care is still placed on treatment only, which should be taken seriously. Ministry for Health, Welfare & Family Affairs and Health Insurance Review & Assessment Service held a public hearing on May 21, 2008, on the cost of hospice care, quality control and demonstration project to gather extensive opinions from the academic community, experts and consumer groups to draw up plans about manpower supply, facilities and demonstration project, but the institutions are not going to work on hospice education, securement of facilities and relevant legislation. In 2002, Ministry for Health, Welfare & Family Affairs made an official announcement to introduce a hospice nurse system to nurture nurse specialists in this area. That ministry legislated for the qualifications of advanced nurse practitioner and a hospice nurse system(Article 24 and 2 in Enforcement Regulations for the Medical Law), but few specific plans are under way to carry out the regulations. It's well known that the medical law defines a nurse as a professional health care worker, and there is a move to draw a line between the responsibilities of doctors and those of nurses in association with medical errors. Specifically, the roles of professional hospice are increasingly expected to be accentuated in conjunction with treatment for terminal patients, and it seems that delving into possible problems with the job performance of nurses and coming up with workable countermeasures are what scholars of conscience should do in an effort to contribute to the development of medicine and the realization of a dignified and manly life.

  • PDF