• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제34권6호
• /
• pp.611-615
• /
• 2008

The prognosis of oral malignant melanoma is poor compared with cutaneous melanoma. It may be related to the difficulty of wide enough resection, the early hematogenous matastases, higher stage at initial diagnosis, and tendency to growth vertically. In the view of histological differences between oral mucosa and skin, it is impossible use Clark's and Breslow's classifications for prognosis. The great problem is that there is still no consensus on the treatment due to rarity. Because data collection from case reports is considered to be the best source of information and should be pooled to analyze key determinants of outcome, We analysed 6 cases of primary malignant melanoma of the oral cavity which were diagnosed and treated in Pusan National University Hospital on recent 7 years and reviewed the literatures. Immunohistochemical study on S 100 Protein, GP 100 (HMB-45) with biopsy was usable to confirm the melanoma. Three patients who were treated by surgery, chemotherapy are alive, but a patients who couldn't received benefit care surgically due to poor condition was died of distant metastasis, and two patients who refused to surgery are still alive. Neck dissection including wide excision is recommended if lymph node involvement is suspected. Additionally, adjuvant chemotherapy could be considered as supporting therapy for malignant melanoma.

• 한국병원경영학회지
• /
• 제21권4호
• /
• pp.55-62
• /
• 2016

Purposes: The industry has specialized and fragmented than in the past. As a factor of economic growth and industrialization, the number of people employed in primary industry decreased and the number of people employed in secondary and third industry continuously increased. In modern times, incidence of chronic disease is increasing according to industrial development. So, the purpose of this study was to analyze the chronic disease according to Clark's industrial classification. Methodology: Data were derived from the 2012 Korea Health Panel. The sample was made up of 7,132 adult participants aged 20 or over selected Korea Health Panel by probability sampling from Korea. Binary logistic regression analysis was conducted to examine the main factors associated with chronic disease. Findings: The significant factors associated with chronic disease were gender, age, marital status, household member, education level, insurance type, disability, BMI, and industrial classification. Female, elderly, divorced(including bereavement, missing and separation), one-person households, less than high school graduation, medical aid, disability, obese and primary industry were confirmed chronic disease increases. Practical Implications: The study finds that primary industry's prevalence of chronic disease was higher than secondary and third industry. Therefore, this study aims to management and effort of the worker who engaged in the primary industry. Policy development is required to address inequality or popularization of the differences in these factors by conducting a study to define the working conditions and socio-economic factors between industry.

• 서비스연구
• /
• 제8권1호
• /
• pp.89-102
• /
• 2018

산업분류(Industrial Classification)는 산업활동의 종류를 체계적으로 구분한 것으로서, 모든 국가는 국가별 일정한 분류 방법에 의해 체계화된 표준산업분류(Standard Industrial Classification)를 운용하고 있다. 이를 바탕으로 자국의 산업활동과 관련한 통계조사를 통해 산업현황을 분석하거나, 관련 정책 수립에 활용하며, 또 국가 간 비교에도 이용하고 있다. 국제적으로는 2차 산업혁명 이후, 국가 간 경제 산업교류가 활발해지면서 국제적인 표준산업분류 기준의 필요성이 대두됨에 따라 유엔통계처(UNSD)는 영국의 경제학자 콜린 클라크가 1940년 산업을 1차(원시산업) 2차(가공산업) 3차(서비스산업)로 구분한 산업 3분류를 기초로 하여 1948년에 국제표준산업분류(ISIC)를 제정하였고, 대부분의 국가가 이를 원용하고 있다. 이러한 국제표준산업 분류(ISIC)와 각국의 표준산업분류는 제정 이후, 수차례 개정을 거쳐 현재에 이르고 있는데, 이들 표준산업분류가 거의 예외 없이 2000년대에 들어 대폭적인 개정이 이루어지고 있고, 그 개정 사유가 신생산업의 출현으로 인한 산업구조 변화를 반영하기 위한 것이라는 것과 그 개정 내용이 주로 3차산업 영역의 대분류 항목을 신설 세분하거나, 1 2차산업 영역 소속의 산업들이 3차산업 영역으로 소속 이동하는 형태라는 공통적 현상을 보이고 있다. 이에 본 연구는 이러한 공통적 현상의 발생 원인을 체계적으로 규명하고, 현 분류체계들의 문제점을 분석한 후, 서비스경제 관점에서의 새로운 산업분류체계의 방향을 고찰하고, 새로운 분류체계의 개념적 모델을 제안하였다. 향후 연구를 통해 본 제안 모델을 검증하고 신 분류체계 연구를 활성화할 필요가 있다.

• 대한족부족관절학회지
• /
• 제10권1호
• /
• pp.18-23
• /
• 2006

Purpose: We reviewed the clinical finding of malignant melanoma of the foot in korean because it's advanced stage and extended lesion at diagnosis. Materials and Methods: Retrospective study was enforced about the 11 cases who has diagnosed to malignant melanoma of the foot from February 1995 to March 2004. The mean follow up period was 61 months. In this study we used age, sex, site, depth, histology, clinical stage, precursor lesion, misdiagnosis, interval to diagnosis, survival time, survival. Results: Average age was 58 years and number of female was six. Common site of involvement were heel of plantar surface (6 cases) and subungual area (2 cases). Depths of involvement were 0.3 to 10 mm, most common histological type was acral lentiginous melanoma (7 cases), stage 5 according to classification of Clark were 5 cases and stage 2 or more according to clinical staging were 8 cases. precursor lesion were benign melanocytic nevi (2 cases) and ill defined (9 cases). Chief complaint were increasing of size, color change, pain and ulceration. Conclusion: Malignant melanoma of the foot usually arise at nonvisible area and is easy to be misdiagnosed or delayed treatment. So it is hard to early diagnosis and have poor prognosis. So we need education and effort to early detection and diagnosis.

• 대한간호학회지
• /
• 제49권6호
• /
• pp.760-770
• /
• 2019

Purpose: The role of registered nurses is expanding in scope as the healthcare paradigm shifts from acute, hospital-based care to community and population-based care. Given this paradigm shift, this study explores the legal aspects of the role of a registered nurse. Methods: We used document analysis for extracting laws and legal orders related to nursing from the entirety of Korean law. Using textualism approach, we examined the contents utilizing a framework that was developed based on the role classification of community nurses by Clark in this study. Results: A total of 119 items related to nursing were derived from 64 laws. Of these, 71.4 % can be performed by people in multiple types of occupations including nurses. As a result of analyzing required qualifications, 45.4% of 119 items required additional qualifications besides registered nurse license. Analysis of workplace and activity type demonstrated that 26.1% of the 119 items were related to medical institutions, with nurses performing mostly "Client-oriented role." More than half (68.9%) were non-medical institutions, with nurses performing mostly "Delivery-oriented role." Some, however, did not stipulate the nurse's roles clearly. Conclusion: Therefore, to match the enhanced scope and responsibilities of registered nurses and to appropriately recognize, guide, and hold these nurses accountable, laws and policy must reflect these changes. In doing so, these updated laws and policies will ultimately serve as a basis for improving the quality and safety of nursing services.