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노인의 사망 전 6개월간 의료이용수준과 간병가족의 가족부담과의 관련성
이지전,이희나,오희철,정혜영,이상욱,Yi, Jee-Jeon,Lee, Hee-Na,Ohrr, Hee-Choul,Jung, Hye-Young,Yi, Sang-Wook 대한예방의학회 2003 예방의학회지 Vol.36 No.4
Objective : To investigate the relationship between medical expenses and the burden of families caring for the elderly in the last 6 months of life, and to evaluate the factors relating to the burden of family caregivers. Methods : The families of 301 persons older than 65 years, who died between 1 July and 31 December 2001, and were registered in Resident-based- Health Insurance Programs in Seoul, were interviewed. The medical expenses and length of stay among the elderly were collected from Korean Health Insurance Corporations. Results : 31 percents of the elderly had no medical expenses in the last 6 months of life. On average, the objective burden (4.92) was higher than the subjective burden (3.35). Families caring for male elderly had a higher burden. With increasing age af death, the objective burden was significantly increased. The burden on a family seemed to be influenced more by the family income than the property of the elderly. With increasing total health care costs, the objective burden on the family caregivers was significantly increased, but with increasing medical expenses, the subjective burden was significantly decreased. Conclusion : An association between healthcare utilization and burden on families was observed. The reason for the decreasing subjective burden when medical expenses were decreased was unclear. Further research will be needed.
김지현,이경현,정지열,이희,손준형,소병재,최은진,Kim, Ji-Hyeon,Lee, Kyunghyun,Jung, Ji-Youl,Yi, Hee,Sohn, Jun Hyung,So, ByungJae,Choi, Eun-Jin 대한수의학회 2018 大韓獸醫學會誌 Vol.58 No.3
Two 12-month-old cattle with anthelmintics containing trichlorfon the day before death presented to the Animal and Plant Quarantine Agency for diagnosis. In necropsy, they revealed enlargement of the spleens, redness of mucosa and serosa in stomachs and intestines, and friable kidneys. Histopathologically, hemorrhages in the spleens, omasums, abomasums, and intestines as well as renal tubular necrosis were observed. Trichlorfon was detected at above the lethal dose in the ruminal contents. Based on these findings, we diagnosed this case as death caused by trichlorfon poisoning.