• Title/Summary/Keyword: mortality trend

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A comparative study of major of social indicators focusing on the population between Korea and Taiwan (한국과 대만의 주요 사회지표 비교고찰 -인구지표를 중심으로-)

  • 한영자;고갑석
    • Korea journal of population studies
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    • v.9 no.2
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    • pp.30-41
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    • 1986
  • It is worthwhile to compare the major social indicators between Korea the and Taiwan particularly focusing on population because two countries share close similarities in many aspects and gave access to the advanced level among the developing countries in recent years. Similarities or dissimilarities presented in this paper will be helpful to the researchers and the policy makers of the two countries by giving them insight on the situation. The similarities and dissimilarities between the two countries in the field of demography and social indicators are summarized as follows : 1. Similarity indicators can be found in fertility. One of them is Net Reproduction Rate and it was less than one in both countries in 1985. The past trend of fertility, in fact level and pattern of it, of the two countries from 1960 to 1985 has been very similar. 2. Level and pattern of mortality is quite different between two countries. Mortality level of Taiwan is lower than that of Korea. 3. The close similarity between two countries was shown in population structure and aging index. 4. On future population projection, the population structure and the level and pattern of fertility of the two countries are very similar. During fourty years, the period from the current population growth rate which is a little more than 1% to the zero growth rate, the annual population growth rate of the two countries is approximately 0.6% and that is similar to those of the current industrialized countries. According to the medium variant of the projection, Korean population will reach Zero Growth Rate between 2020 and 2025 whereas Taiwan between 2025 and 2020 5. Current level of contraceptive prevalence of both countries is very similar showing above 70% of the eligible women in 1985 and one of the valuable factors of achieving this high rate within short period must be the national program of the family planning. A close cooperation in the field of population policy formulation and its implementation is indispensable because Korea and Taiwan have similarity in many population indicators.

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Interventional Management for Pelvic Trauma (골반 외상 인터벤션)

  • Jung Han Hwang;Jeong Ho Kim;Suyoung Park
    • Journal of the Korean Society of Radiology
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    • v.84 no.4
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    • pp.835-845
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    • 2023
  • Traumatic pelvic injuries usually include high-energy crush injuries and are associated with significant morbidity and mortality. Mortality rates range from 6% to 15% and increase to 36%-54% in cases of fractures that result in increased pelvic volume. Therefore, retroperitoneal hemorrhage can spiral and progress to hemorrhagic shock. Pelvic hemorrhage most commonly occurs secondary to disrupted pelvic veins or fractured bones, and 10%-20% of cases involve arterial injuries. Owing to extensive bleeding and limitations of surgery for pelvic hemorrhage, interventional treatment is at the forefront of pelvic hemorrhage management. CT is an accurate indicator of active hemorrhage in patients with pelvic trauma that affects the diagnosis and management, including interventions. Identification of the site of hemorrhage is necessary for focused interventional treatment. The current trend toward a more conservative approach for treatment of pelvic trauma and advances in interventional radiology in the field of pelvic trauma may favor widespread use of interventional treatment for patients with pelvic injuries. In this review, we discuss therapeutic modalities available to the interventional radiologist and common angiographic treatment strategies and techniques.

Hematological Characteristics of the Cultured Eel, Anguilla japonica by Vibration Stress

  • Kim, Dae-Hee;Nam, Myung-Mo;Lee, Si-Woo;Kang, Kyoung Ho;Kang, Yue Jai;Hur, Jun Wook
    • Journal of Marine Life Science
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    • v.3 no.2
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    • pp.81-86
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    • 2018
  • The purpose of this study is to determine the effects of vibration on primary (e.g. plasma cortisol), secondary (e.g. plasma glucose, aspartate aminotransferase (AST), alanine aminotransferase (ALT), Na+, K+ and Cl- and tertiary (e.g. mortality) stress responses in cultured eel, Anguilla japonica. For this purpose, three groups (including one control group and two stress groups) were set up. The control group was made exposed to vibration corresponding to 48 decibel (dB, V) (produced using electric vibrators) for 15 minutes per hour every day, and the two stress groups was made exposed to vibration corresponding to 58 and 68 dB (V) (produced using the same electric vibrators), equally, for 15 minutes per hour every day. Blood was sampled at day 0 (before starting vibration stress tests, BS), and days 1, 3, 5, 7, 9 and 11 (after starting vibration stress tests). As a result, plasma cortisol showed trend to continuously rise by consecutive stress from 4.1±0.1 ng/ml in BS. In 48 dB group (control), cortisol showed the highest level with 7.6±0.9 ng/ml after 7 days (p<0.05), but at 9 and 11 days was not significantly compared with BS level. In 58 dB group, the cortisol showed the highest level with 43.1±4.8 ng/ml after 1st day. Cortisol of 68 dB group increased significantly during the experimental period (14.4±2.3~32.0±5.7 ng/ml) (p<0.05). In 58, and 68 dB groups during the experimental period differed significantly compared to 48 group (p<0.05). Glucose in 48 dB were increased from 42.0 ±5.7 (BS) to 52.5±2.1 (1 day), the level was not significantly from 1 to 11 days. Glucose in 58 and 68 dB groups was increased significantly than BS during experimental period (p<0.05). K+ in 68 dB increased significantly (p<0.05) from 2.3±0.2 mE/ql (BS) to 3.3±0.5 mE/ql at 5 days. In 48 and 58 dB groups during the experimental period differed significantly (p<0.05). Na+ and Cl- levels were not differed significantly during the experimental period. AST and ALT in 58 and 68 dB groups showed trend to continuously rise by consecutive stress. At 7 and 9 days in AST, between 48, 58 and 68 dB groups differed significantly (p<0.05). In 48, 58 and 68 dB groups at 1 day, blood hematocrit increased significantly higher than BS. The 11 days after vibration stress, the mortality in 48, 58 and 68 dB groups was 1.1, 5.1 and 5.8%, respectively. The present results have shown that A. japonica exhibited ''typical'' physiological responses when exposed to chronic vibration stress. These data suggested that chronic vibration stress caused substantial stress in the fish; especially the persisting elevated plasma AST and ALT levels observed would be expected to adverse effect. In conclusion, chronic vibration stress could greatly affects the hematological characteristics in A. japonica.

Surgical Treatment of Patients with Abdominal Aortic Aneurysm (복부 대동맥류에 대한 수술)

  • Ryu, Kyoung-Min;Seo, Pil-Won;Park, Seong-Sik;Ryu, Jae-Wook;Kim, Seok-Kon;Lee, Wook-Ki
    • Journal of Chest Surgery
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    • v.42 no.3
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    • pp.331-336
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    • 2009
  • Background: Open surgical repair of abdominal aortic aneurysms was initiated by Dubost in 1952. Despite the rapid expansion of percutaneous endovascular repair, open surgical repair is still recognized for curative intent. We retrospectively analyzed surgical outcome, complications, and mortality-related factors for patients with abdominal aortic aneurysms over a 6 year period. Material and Method: We analyzed 18 patients who underwent surgery for abdominal aortic aneurysms between March 2002 and March 2008. The indications for surgery were rupture, a maximal aortic diameter >60 mm, medically intractable hypertension, or pain. Result: The mean age was $66.6{\pm}9.3$ years (range, $49\sim81$ years). Twelve patients (66.7%) were males a 6 patients were females. Extension of the aneurysm superior to the renal artery existed in 6 patients (33.3%), and extension to the iliac artery existed in 13 patients (72.2%). Five patients (27.8%) had ruptured aortic aneurysms. The mean maximal diameter of the aorta was $72.2{\pm}12.9$ mm (range, $58\sim109$ mm). Surgery was performed by a midline laparotomy, and 6 patients underwent emergency surgery. The mean total ischemic time from aorta clamping to revascularization was $82{\pm}42$ minutes (range, $35\sim180$ minutes). The mortality rate was 16.7%; the mortality rate for patients with ruptured aneurysms was 60%, and the mortality rate for patients with unruptured aneurysms was 0%. The postoperative complications included one each of renal failure, femoral artery and vein occlusion, and wound infection. The patients who were discharged had a long-term survival of $34{\pm}26$ months (range, $4\sim90$ months). Rupture and emergency surgery had a statistically significant mortality-related factor (p < 0.05). Conclusion: Emergency surgery for ruptured aortic aneurysms continues to have a high mortality, but unruptured cases are repaired with relative safety. Successfully operated patients had long-term survival. Even though endovascular aortic repair is the trend for abdominal aortic aneurysms, aggressive application should be determined with care. Experience and systemic support of each center is important in the treatment plan.

Increasing Incidence of Colorectal Cancer, Starting at a Younger Age for Rectal Compared to Colon Cancer in Brunei Darussalam

  • Chong, Vui Heng;Telisinghe, Pemasari Upali;Bickle, Ian;Abdullah, Muhamad Syafiq;Lim, Ediwn;Chong, Chee Fui
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.12
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    • pp.5063-5067
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    • 2015
  • Background: Colorectal cancer (CRC) is the most common gastrointestinal malignancy and is a significant cause of mortality. Its incidence is generally increasing in Asia. Reports from the West have indicated that the incidence of rectal cancer is increasing in the younger population. This study assessed the time trend of CRC in Brunei Darussalam specifically assessing the different age groups at which the incidences start to increase. Materials and Methods: The National Cancer registry was reviewed (1991 to 2014). The age standardized rate (ASR) and the age specific incidence rates (ASIRs) for three time periods (1991-1998), (1999-2006) and (2007-2014) were calculated. Results: The mean age of diagnosis was $59.3{\pm}14.6$ years old, incidences being slightly higher amongst men (57.6%) and Malays (67.1%). The most common tumor type was adenocarcinoma (96.4%). Rectal cancers accounted for 35.2% (n=372/1,056) of all cancers of the large bowel; more men were affected than women. The proportion of rectal cancer was also high among the indigenous group. In the three time periods, the ASR for CRC increased from 16 per 100,000 (1991-1998) to 19.6 per 100,000 (1999-2006) and 24.3 per 100,000 (2007-2014). The ASIRs for CRC increased markedly between the time periods 1998-2006 and 2007-2014, beginning in the 40-44 years age group. For rectal cancers, the ASIRs started to increase in the 25-29 age group onward whereas for colon cancers, the increase was observed at a later age, starting from the 45-49 age group. Conclusions: Our study showed an increase in the incidence of CRC including in the younger age groups. The increase was seen earlier in rectal cancer compared to colon cancer. These data mirror the trends reported from the West.

Epidemiology of Oral Cancer in Asia in the Past Decade- An Update (2000-2012)

  • Rao, Sree Vidya Krishna;Mejia, Gloria;Roberts-Thomson, Kaye;Logan, Richard
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.5567-5577
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    • 2013
  • The prevalence of oral cancers (OC) is high in Asian countries, especially in South and Southeast Asia. Asian distinct cultural practices such as betel-quid chewing, and varying patterns of tobacco and alcohol use are important risk factors that predispose to cancer of the oral cavity. The aim of this review is to provide an update on epidemiology of OC between 2000 and 2012. A literature search for this review was conducted on Medline for articles on OC from Asian countries. Some of the articles were also hand searched using Google. High incidence rates were reported from developing nations like India, Pakistan, Bangladesh, Taiwan and Sri Lanka. While an increasing trend has been observed in Pakistan, Taiwan and Thailand, a decreasing trend is seen in Philippines and Sri Lanka. The mean age of occurrence of cancer in different parts of oral cavity is usually between 51-55 years in most countries. The tongue is the leading site among oral cancers in India. The next most common sites in Asian countries include the buccal mucosa and gingiva. The 5 year survival rate has been low for OC, despite improvements in diagnosis and treatment. Tobacco chewing, smoking and alcohol are the main reasons for the increasing incidence rates. Low socioeconomic status and diet low in nutritional value lacking vegetables and fruits contribute towards the risk. In addition, viral infections, such as HPV and poor oral hygiene, are other important risk factors. Hence, it is important to control OC by screening for early diagnosis and controlling tobacco and alcohol use. It is also necessary to have cancer surveillance at the national-level to collect and utilise data for cancer prevention and control programs.

The Relationship Between the Severity of Drinking and Suicidal Ideation in The General Korean Population-Analysis by Gender and Age Groups

  • Lee, SunMin;Shin, Young-Chul;Shin, Dong-Won;Oh, Kang-Seob;Jeon, Sang-Won;Kim, Eun-Jin;Cho, Sung Joon
    • Anxiety and mood
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    • v.16 no.2
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    • pp.91-97
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    • 2020
  • Objective : The suicide mortality rate among Koreans was ranked first among the OECD countries in 2018. Alcohol consumption is a significant risk factor for suicidal behavior. This study examined the relationship between the severity of subjects' drinking habits and the suicidal ideation among Koreans according to gender and age. Methods : The data of 113,602 people who visited the Kangbuk Samsung Hospital Health Screening Center from January 2013 to December 2014 were used. The severity of subjects' harmful drinking habits was assessed using the Korean version of the Alcohol Use Disorders Identification Test (AUDIT-K). The relationship between the severity of harmful drinking and suicidal ideation was compared using logistic regression analyses. We also examined the tendency through p for trend to identify a trend. Results : Of the 113,602 study subjects, 6,586 (5.8%) responded that they had thought of committing suicide. After controlling for gender, marriage, education, body mass index (BMI), depression and anxiety, the results showed that the higher the level of harmful drinking, the higher the suicidal ideation. Conclusion : This study found that, even after controlling depression and anxiety, the severity of drinking could be a significant risk factor for suicidal ideation.

A Study on the Development Prospects of Building Construction Productivity through Construction Status Analysis (건설업 실태분석을 통한 건설업생산성의 발전전망에 관한 연구)

  • Park, Hong Tae;Jeon, Jun Tai;Lee, Yang Kyu
    • Journal of the Society of Disaster Information
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    • v.8 no.3
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    • pp.242-257
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    • 2012
  • Korea's population change trend is the aging and feminization as Reduction in mortality, average life extension. and is further increased Reduction of birth rate and aging population. if Our country concluded FTA(Free Trade Agreement) with the United States, Europe and China etc. labor-intensive industries will be the decline. Then, the construction workers' jobs are continually reduced. This is critical to the nation's economic, social and environmental influences due to Shortage of construction workforce and increasing labor costs. Eventually this is a major factor in reduced construction productivity. Therefore, this study is presented as a construction productivity development prospects on the value-added analysis per Labour productivity employee from Construction market trends, industry-specific productivity index, industry trends Employed, age tiered workforce trends, women's workforce trends, labor time trend, foreign workers, workforce trends, analysis of trends in construction contract, awarded by Company Size trends, construction management analysis index.

Analysis of Structural Characteristics of the old-age Population in Korea (우리나라 노령인구의 구조적 특성에 관한 분석)

  • 김경숙
    • Korea journal of population studies
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    • v.3 no.1
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    • pp.62-77
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    • 1979
  • The purpose of this study is to explain the increasing trend of the aged population and its demographic characteristics. This study is based on the data for the aged population above 65 years old published by the Bureau of Statistics, Economic Planning Board. The increasing trend of the aged population has been analyzed and projected from 1955 to the year 2000. Some demographic charicteristics of the aged population including marital status, educational status and status of economic activities have also been analyzed in order to identify the problems associated with aging of population in Korea. The study offers the following conclusion. 1. The aged population index, the proportion of aged population to total population was 3.6 in 1975 and projected to be 6.6 in 2000. There has been steady increase of the aged population is reflected in changes of population structure. The proportional change of the aged population index was 100.0 in 1955, 109.0 in 1975 and 200.0 in 2000 respectively. 2. As for marital status of the aged population 77.6 per cent of male were married while 24.3 per cent of female were married in 1975. 22 per cent of male were widowed while it spouses died declined remarkable the mortality rate declined. 3. As the educational status of the aged, 77 per cent never attended school and 18 per cent attended from a primary school. This is very low and the number of educated men is higher than that of educated women. The rank ordering of schooling is city, Eub and Myeon in that aged. 4. The dependency ratio of the aged population was 5.9 in 1955, 6.1 in 1975 and will be 9.8 in 2000. It is gradually increasing as indicated above 20 per cent of aged population was economically active of these, they are employed in the following occupations as listed in order of the magnitude of the aged population employed. The employment status of the aged workers shows that a greater number of persons are self-employed than workers for another employer. In particular, temporary employees comprise 56.0 per cent of those employed.

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The relationship between disability and clinical outcomes in maintenance dialysis patients

  • Kang, Seok Hui;Do, Jun Young;Kim, Jun Chul
    • Journal of Yeungnam Medical Science
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    • v.38 no.2
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    • pp.127-135
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    • 2021
  • Background: Dialysis patients are prone to having disabilities. We aimed to evaluate the association between disability and various clinical outcomes in Korean dialysis patients. Methods: This study consisted of 1,615 dialysis patients from 27 centers. We evaluated disability by using four questions on the activities of daily living (ADLs) concerning whether help was needed for feeding, dressing/undressing, getting in/out of bed, or taking a bath/shower. We divided the patients into three groups: no disability (Non-D, none of the four ADL domains required help; n=1,312), mild disability (Mild-D, one ADL domain required some/full help; n=163), or moderate to severe disability (MS-D, two or more ADL domains required some/full help; n=140). We evaluated falls, frailty, health-related quality of life (HRQoL), mortality, and hospitalization. Results: The numbers of participants with a fall during the last 1 year were 199 (15.2%), 42 (25.8%), and 44 (31.4%) in the Non-D, Mild-D, and MS-D groups, respectively (p<0.001). The numbers of participants with frailty in the Non-D, Mild-D, and MS-D groups were 381 (29.0%), 84 (51.5%), and 93 (66.4%), respectively (p<0.001). In both univariate and multivariate analyses, the physical component scale and mental component scale scores decreased as the grade of disability increased (p<0.001 for both scores). Hospitalization-free survival rate at 500 days was 64.2%, 56.7%, and 51.1% in the Non-D, Mild-D, and MS-D, respectively (p=0.001 for trend). Patient survival rate at 500 days was 95.3%, 89.5%, and 92.3% in the Non-D, Mild-D, and MS-D, respectively (p=0.005 for trend). Conclusion: Disability was associated with falls, frailty, HRQoL scales, and survival trends in Korean dialysis patients.