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Surgery Alone and Surgery Plus Postoperative Radiation Therapy for Patients with pT3N0 Non-small Cell Lung Cancer Invading the Chest Wall (흉벽을 침범한 pT3N0 비소세포폐암 환자에서 수술 단독과 수술 후 방사선치료)

  • 박영제;임도훈;김관민;김진국;심영목;안용찬
    • Journal of Chest Surgery
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    • v.37 no.10
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    • pp.845-855
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    • 2004
  • Background: No general consensus has been available regarding the necessity of postoperative radiation therapy (PORT) and its optimal techniques in the patients with chest wall invasion (pT3cw) and node negative (N0) non-small cell lung cancer (NSCLC). We did retrospective analyses on the pT3cwN0 NSCLC patients who received PORT because of presumed inadequate resection margin on surgical findings. And we compared them with the pT3cwN0 NSCLC patients who did not received PORT during the same period. Material and Method: From Aug. of 1994 till June of 2002, 22 pT3cwN0 NSCLC patients received PORT-PORT (+) group- and 16 pT3cwN0 NSCLC patients had no PORT-PORT (-) group. The radiation target volume for PORT (+) group was confined to the tumor bed plus the immediate adjacent tissue only, and no regional lymphatics were included. The prognostic factors for all patients were analyzed and survival rates, failure patterns were compared with two groups. Result: Age, tumor size, depth of chest wall invasion, postoperative mobidities were greater in PORT (-) group than PORT (+) group. In PORT (-) group, four patients who were consulted for PORT did not receive the PORT because of self refusal (3 patients) and delay in the wound repair (1 patient). For all patients, overall survival (OS), disease-free survival (DFS), loco-regional recurrence-free survival (LRFS), and distant metastases-free survival (DMFS) rates at 5 years were 35.3%, 30.3%, 80.9%, 36.3%. In univariate and multivariate analysis, only PORT significantly affect the survival. The 5 year as rates were 43.3% in the PORT (+) group and 25.0% in PORT (-) group (p=0.03). DFS, LRFS, DMFS rates were 36.9%, 84.9%, 43.1 % in PORT (+) group and 18.8%, 79.4%, 21.9% in PORT(-) group respectively. Three patients in PORT (-) group died of intercurrent disease without the evidence of recurrence. Few suffered from acute and late radiation side effects, all of which were RTOG grade 2 or lower. Conclusion: The strategy of adding PORT to surgery to improve the probability not only of local control but also of survival could be justified, considering that local control was the most important component in the successful treatment of pT3cw NSCLC patients, especially when the resection margin was not adequate. Authors were successful in the marked reduction of the incidence as well as the severity of the acute and late side effects of PORT, without taking too high risk of the regional failures by eliminating the regional lymphatics from the radiation target volume.

The Analysis on the Determinations Factors of Container Port Competitiveness (컨테이너 항만경쟁력 결정요인 분석)

  • Lee, Ki-Tae;Baek, In-Hum
    • Journal of Fisheries and Marine Sciences Education
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    • v.27 no.1
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    • pp.262-272
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    • 2015
  • The aim of this study is to analysis factors that determine the competitiveness of container ports using the KJ and AHP methods. For this, 54 detailed attributing factors were identified both by previous studies and port users. 24 attributing factors were identified by a group of port experts. also, These were grouped 18 detailed attributing factors into 6 attributing factors by a group of port experts using the KJ method. These were made into a model of hierarchical structure with 3 levels, taking 1 goal factor, 6 evaluation factors and 18 detailed evaluation factors. The collected date of questionnaires were analyzed by a group of port experts using the AHP method. The analysis result of the evaluation factors in container port shows that port cargo volume is the most important factor, followed by port location, port cost, port service, port facility and port management. The analysis results of detailed evaluation factors in container port shows that import and export cargo volume is the most important factor, followed by transshipment cargo volume, distance from main trunk, cargo handling cost, distance from the point of importing and exporting, speediness of cargo handling, stability of cargo handling, vessel/cargo cost in port entry and leaving, punctuality in port entry and leaving, number and length of berth, collateral service cost, terminal area, hinterland accessibility, ability of terminal operation company, front depth of berth, etc.

Analysis on Status about Container Terminal of ShangHai Port (상하이항의 컨테이너 터미널 현황 분석)

  • Xuan Hui-Ying;Noh Chang-Kyun
    • Proceedings of KOSOMES biannual meeting
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    • 2004.11a
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    • pp.77-81
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    • 2004
  • As developing for dozens of years, East Asia has been a central area of world economic and trade growth. The containerization of East Asia also goes up rapidly. With the development of this area, countries all try hard to dispute the status of international shipping centre. The competitors of Shanghai Port are Busan Port, Kobe Port and GaoXiong Port. This thesis analyses these three Ports and Shanghai Port‘s information. The main point is Shanghai Port’s merits and faults, and also compares these four ports‘ competition of soft and hardware. At last, this thesis expatiates some concrete measures of Shanghai Port's constructing.

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Study on Ways to Vitalize Gwangyang Port through the e-Business Environment - Centering on Gwangyang Port Websites - (e-비즈니스 환경에 따른 광양항 활성화 방안에 관한 연구 - 광양항 관련 웹사이트를 중심으로 -)

  • Choe, Seong-Hui
    • Journal of Korea Port Economic Association
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    • v.24 no.3
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    • pp.125-146
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    • 2008
  • Port marketing using websites in the e-business environment is essential in response to the competition to become hub ports, especially since shipping companies, ports' major customers, are being pressed by shippers to reduce logistics costs and introduce large ships to realize economies of scale, thereby reducing the number of ports of call. In this sense, this study intends to approach the port industry from the perspective of e-business and suggest vitalization methods using Gwangyang Port websites(6C; contents, community, communication, connection, commerce, customization) as one of the ways to turn it into Northeast Asia's hub port of logistics.

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A Study on the Comparison of the Capacity of Waiting Anchorage Design according to the Port Operation Method - Focusing on Busan New Port -

  • Park, Jun-mo;Yang, Hyoung-Seon
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.3
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    • pp.251-258
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    • 2019
  • This study was conducted to propose an effective port operation method in terms of the design capacity of waiting anchorage by comparing the ratio and the number of waiting anchorage according to the port operation method of Busan New Port. For this, the Arena simulation program compared the rates of waiting vessels according to the application of the multi-user terminal, liner terminal and hybrid liner terminal operation methods. As a result, analysis suggested the necessary anchorage space can be reduced to about 18 % when using the multi-user terminal operation method and about 15.6 % when using the hybrid liner terminal operation method, as compared with the liner terminal operation method. Specifically, it was effective to apply the multi-user terminal operation method in terms of the anchorage capacity to be designated to Busan New Port. This study can apply to the designation of the new anchorage in the Busan New Port by reflecting the contents of the design of the anchorage in accordance with the port operation method.

Consideration of the Possibility of Excursion Ship Passage in Busan North Port using Marine Traffic Assessment Index

  • Park, Young-Soo;Lee, Myoung-ki;Kim, Jin-kwon;Lee, Yun-Sok;Park, Min-Jeong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.3
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    • pp.298-305
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    • 2019
  • The demand for the revitalization of marine tourism in Busan North Port is increasing due to changes in functions such as an increase in harbor traffic volume and the expansion of marine leisure space in Busan. As a result, Busan City plans to set a phased alleviation target for prohibition of cruise ship operations, and to lift the prohibition of excursion ship operations in North Port following the cancellation of the prohibition of excursion ship operations in South Port in 2017. The purpose of this study is to evaluate the risk of excursion ship operations in Busan North Port by applying the marine traffic assessment index and to examine the possibility of excursion ship operations. For this purpose, port status, marine accidents, and traffic flow of Busan North Port were investigated. In addition, marine traffic assessment indexes, such as traffic congestion, risk based on an ES Model, and IWRAP MkII, a maritime risk assessment tool, were used to assess the risk and possibility of excursion ship operations in Busan North Port. This study can be used as basic data for analyzing the risk factors that may occur when excursion ships are operated in Busan North Port and to define how excursion ships should operate, with related safety measures.

A Study on e-Port Strategies in Korea (우리나라 항만(港灣)의 e-Port 구현전략(具現戰略)에 관한 연구(硏究))

  • Song, Chae-Hun;Oh, Han-Mo;Bae, Sang-Mok
    • International Commerce and Information Review
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    • v.4 no.2
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    • pp.279-301
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    • 2002
  • Lately, one of the most representative phases on business world is the diffusion of internet business. This change has been making new port business model called 'e-Port' in maritime transport. The focus of this article is to suggest some strategies on the implementation of e-Port in Korea. To research and analyze the e-Port realities, we first reviewed the previous study on Internet Marketing and e-Business. Six strategies that are critical on e-Port model were classified: (1) contents, (2) community, (3) commerce, (4) connection, (5) communication, (6) customization. Secondly, we chose and evaluated website of eight ports: Hongkong, Singapore, Antwerp, Hamburg, as successful e-port models. And then, we investigated actual conditions of e-Port in Pusan, Inchon, K wangwang, and Gusan. And then we try to find effective plan on the operation of e-Port.

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Introduction of Port Authority and Activation Schemes in the Age of Localization (지방화시대의 항만공사 도입과 활성화 방안)

  • 김홍섭
    • Journal of Korea Port Economic Association
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    • v.19 no.2
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    • pp.87-109
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    • 2003
  • Localization is one of the typical phenomena of this age in Korea. Localization of Port is on the beginning in this Country as the introduction of Port Authority in the Port of Busan and Incheon. As the condition of world trade has been changed, the level of Competition among Ports is severer than before, especially in the East Asia Area. Since many experts of Port say that centralized control system of Port has many Problems, some other Port Control system has been studied and suggested for long time. One of the Countermeasures of these Port Problems is Port Authority System which aims the balance of central and local development. Port Authority System does not want to achieve only Public Duty or Utility but also Commerciality which is fundamentally very important for the survival of Port. In this Paper, the necessities of Port Authority Introduction in Korea was explained. And Port Authority System will be introduced 2004 year in Busan Port firstly and Incheon Port, secondly. The Main Contents of Port Authority System was suggested , in this Paper and some Problems which shall be considered for better operation of Port Authority System was investigated. I suggested some countermeasures, endeavoring the competitive advantage of Port and higher Port Performance, in terms of 3 Dimensions. One is in the side of basic Policy Directions, the other is the activation schemes of functional department which composed of many activities of Port Authority System and the third is in the side of operation body. As this paper, however, has some limitations and Port Authority System is just beginning stage, future research shall be continued in real and concrete level.

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A study on Improvement of Amenity in the Coastal Landscapes - centered to the ports of Busan - (해양경관의 어메니티 제고에 관한 연구 - 부산 항만을 중심으로 -)

  • Yhang, Wii-Joo;Gu, Bon-A
    • The Journal of Fisheries Business Administration
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    • v.38 no.3
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    • pp.53-65
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    • 2007
  • This study was to analyze amenity of the port landscapes for North port, South port, and Gamcheon port in Busan. Amenity related variables came from Semantic Differential(SD) method and then were conducted by the factor analysis. Multiple regression was done for the relationship between the amenity and factors. The result found 3 factors, including dynamics, stability, and familarity. Much importance was placed on dynamics among them. Therefore, building port landscapes and their image attracting tourists should consider dynamics in terms of port landscape plan and tourist attraction development for amenity quality management.

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Positioning Analysis of Busan port in Inter-Port competition of Northeast Asia Region (동북아지역 항만간 경쟁에서 부산항의 포지셔닝 분석)

  • Kim, Geun-Sub;Kwak, Kyu-Seok
    • Journal of Navigation and Port Research
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    • v.32 no.3
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    • pp.173-178
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    • 2008
  • Asian container market, expecially in the NEA(Northeast Asia) region, has been growing continuously according to international specialization of manufacturers. The circumstances surrounding port industry has also been changing rapidly. Global liner and GTO( Global Terminal Operators} have strengthen there market share with M&A and increased entry to Asia market. The competition in NEA have deepen with change of circumstance and the growth of Chinese ports while Busan port decreasing its growth rate and market share. Therefore, this study analysed the change of the port concentration in NEA and the positioning of Busan port by year. In the result, the competitive position of Busan port weakening continuously and loss much volume to competition port, and it suggests that a globalization strategy is essential for making sure of competitiveness based on the result of this paper.