Background: Awareness about prostate cancer has increased in the community, and prostate cancer screening examinations, including prostate specific antigen (PSA) assays, are now widely available. Prior to the PSA era, up to 27% of prostate cancers were detected incidentally at the time of transurethral resection of prostate (TURP). After PSA testing became widely available, the incidence of incidentally detected carcinoma prostate in TURP specimens without prior diagnosis reduced to 5-13%. However, the incidence of incidentally detected carcinoma prostate has been reported to vary across the globe since various factors can influence the identification of this malignancy in TURP specimens. In this paper, we focus on rates of incidentally detected prostate cancer in TURP specimens in our hospital and correlate it with various parameters. Materials and Methods: This retrospective study of histopathological findings of biopsy specimens was conducted for patients undergoing TURP during a period of 5 years from April 2010. The inclusion criteria were patients diagnosed with benign prostatic hyperplasia (BPH) (digital rectal examination (DRE) not showing any abnormally hard areas and normal age adjusted PSA values). Patients with elevated PSA, abnormal DRE, documented urinary tract infection and proved adenocarcinoma prostate (CaP) were excluded from the study. The total weight of prostatectomy specimen, occurrence of carcinoma prostate in the chips, percentage of total tissue resected showing malignancy and Gleason's scores were recorded. Results: A total of 597 patients belonging to the inclusion criteria were studied. The incidence of occult CaP in the study group was 5.2 % (31/597). Out of these, 8 belonged to T1a and 23 belonged to T1b stages. The age group 70 - 79 years had the maximum incidence of occult CaP. It was observed that the clinical grading of prostate did not have a bearing on the incidence of occult CaP whereas the weight of resected specimen correlated with the incidence of CaP. The incidence of occult CaP was greater with low volume prostates (<20 g). (P=0.15). Conclusions: The rate of incidentally detected adenocarcinoma prostate in patients undergoing TURP for clinically diagnosed BPH was found to be only 5.2 % in our study which is low when compared with similar studies done elsewhere. The age of the patient and weight of the resected specimen correlated with incidence of occult prostate cancer. The clinical grading of prostate by DRE however, demonstrated no correlation.
The aim of this study is to predict use behavior for social welfare service of the elderly mentally ill through means-end chain theory. Means-end chain theory explains cognitive structure related to the consumer's preference to various products and services. Although the elderly mentally ill begin to emerge as new client population, social welfare services for them do not seem to be enough in the community. Based on this awareness, this study tried to analyse service use behavior of the elderly mentally ill through means-end chain theory to develop new social welfare services. The data were collected from 15 elderly mentally ill and found 5 attributes, 10 consequences, and 11 values. Hierarchical Value Map was composed of 'disease management, rehabilitation preparation, hobby leisure ${\rightarrow}$ health maintenance, energy of life ${\rightarrow}$ social reintegration, life satisfaction, harmonious family life'. To activate the social service for the elderly mentally ill, it should be developed various programs such as disease management, rehabilitation preparation, hobby leisure for the elderly mentally ill. The ultimate value of these programs will be improve life satisfaction and integrated into society.
Journal of the Korean Institute of Landscape Architecture
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v.36
no.6
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pp.102-114
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2009
Urban discourse can be used to create a better living environment through open thinking, understanding and discussion. It raises both physical and social issues surrounding the urban environment. It can encourage the participation of citizen groups and lead the way to develop a community-oriented urban environment through inter-discourse agreement. The urban space of Cheonggye Stream has produced a wide range of urban discourse from 2003 to the present. Discourse regarding the Cheonggye Stream restoration project has been approached by fields including landscape architecture, ecology, urbanism, architecture, politics, and economics, among others. This discourse has reduced a variety of issues and ranges of debate. This study has classified these discussions into related fields and ideological attitudes, analysed their content, and interpreted their meaning. In order to examine the mutual relationships existing among these discourses by different ideological groups, an analytical framework was established byputting classified versions of discourses into a coordinate diagram. The overall topography showing the present status of Korea public awareness regarding the urban environment could therefore be determined. As a result, it was found that the disciplines of landscape architecture took a middle ground between groups with practical and radical ideologies regarding the Cheonggye Stream project and was a mediator for both poles to find a point of contact. However, participatory discourse requires the disciplines of landscape architecture to participate more actively in the discourses on urban environment and take a more active stand corresponding to the zeitgeist and people's sense of public justice.
In this study, with the awareness of the limitations set in the currently operated calculations of holding power and the holding power coefficient of anchors of naval ships due to its simple application of a specific value, various factors that impact the holding power and its coefficient were verified based on existing data analysis of literature research and numerous experiment results from anchor manufacturers, research institutes and academic community in order to overcome the aforementioned limitations. In addition, holding power and holding power coefficient were compared and analyzed by the shape of anchors. As a result, we came to know that the holding power of AC-14 type anchor is stronger than that of ASS type anchor or U.S. Navy Standard type anchor which makes it possible to reduce the weight of the anchor and therefore ease the process of naval shipbuilding. Furthermore, we confirmed the fact that U.S. Navy Standard type anchor does not react sensitively to the weight change of the anchor. Lastly, we found out that Danforth type anchor's holding power coefficient is in inverse proportion to the weight. Moreover, instructions for managing anchor are arranged easily for your information. The results of this study is expected to provide anchor - operating naval crew with a reliable theoretical basis pertaining to an anchor's holding power and its coefficient and contribute much for the safety of their act of anchoring.
Seo, Jong Seok;Ko, Deuk Young;Lee, Geun Choon;Ock, Young Seok
Asia-Pacific Journal of Business Venturing and Entrepreneurship
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v.10
no.5
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pp.83-92
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2015
Recently, Co-working that is a new trend of working and Co-working Space that create Co-working are increasing rapidly around the centers to support start-up such as one-person creative companies. However, the business centers located outside Seoul are not enough to recognize knowledge and skill for operating Co-working Space. Therefore, this study selects the big research issue which is "The recognition and case of co-working & application to co-working space" and the small research issue that is "Co-working Space operation activities" for qualitative research by using in-depth interview to managers of one-person creative company business centers. As a result, on the perspective of the big research issues, they understood Co-working concept, but the Co-working case was made by manager's effort without voluntary participation of the users. Co-working Space is important to recognize as a space for interaction and exchange information but was used only as a sharing space. And on the perspective of the small research issues, 'Space & Interior', 'Alliance and Partnership' and 'Community and Communication' show low awareness and activities. So, we suggest improvement plans through the case of best practices. This study is valuable, it could be a help to adapt and improve to Co-working Space in one-person creative company business center for creation of performance by Co-working.
Gurung, Sher Bahadur;Geronimo, Franz Kevin F.;Lee, Soyoung;Kim, Lee-Hyung
Journal of Wetlands Research
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v.19
no.1
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pp.45-51
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2017
Nepal is a landlocked mountainous country in South Asia, located between China to the north and India to the south, east, and west. As such, wastewater management has become one of the most significant problems in urban area of Nepal. In Nepal, the centralized wastewater treatment systems were dysfunctional due to high cost of operation, discontinuous power supply, lack of proper maintenance and proper technical workforce to address the issues. As such, constructed wetlands (CW) were applied to treat various secondary wastewater as alternative to wastewater treatment facilities. Generally, efficiency and sustainability of CW technology depends on proper operation and maintenance and active community involvement. This study summarizes information about 26 CW in Nepal. Specifically, factors including data banking, removal efficiency, quality of discharged water, compliance to water quality standard of Nepal and operation and maintenance were investigated. Considering removal efficiency per pollutant, Ka-1 achieved the greatest reduction for most pollutant followed by B-1, L-3, Ka-5 and K-1. Nepal has practiced CW technology for more than 2 decades but currently, development of technology was interrupted by the inefficient performance of existing facilities. Public awareness about the technology, natural disaster, unavailability of specified substrate materials, lack of fund for further research and experiments has hindered the expansion of technology. In spite of these concerns, CW was still proven as an alternative solution to the present wastewater problems in urban areas of Nepal.
Hong, Sunwook;Lee, Jongmyoung;Jang, Yong-Chang;Kang, Daeseok;Shim, Won Joon;Lee, Jongsu
Journal of the Korean Society for Marine Environment & Energy
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v.16
no.2
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pp.143-150
/
2013
The Honolulu Strategy is a framework document to address marine debris issue globally. The Fifth International Marine Debris Conference held in March 2011 and organized by NOAA and UNEP catalyzed the development of the Holonulu Strategy. Goals of the Strategy are to reduce the amount and impact of land-based, sea-based, and accumulated marine debris. A set of strategies for each goal were provided for education and awareness, legislation, and alternative technologies. The Strategy also lists indicators that could be used to evaluate outcomes of strategies. The adoption of the Honolulu Strategy by the international community has led the international organizations such as GPA, IMO, and CBD to strengthen their responses to the marine debris issue. UN has also set up specific actions that will be implemented until 2025 through its resolutions on marine debris. Recent global developments related to the marine debris issue might lead to a change in the character of the international marine debris management from the current soft law regime to a mandatory one. The Honolulu Strategy could provide a guideline when the Korean government formulates the Second Basic Plan for Marine Debris Management, especially with its prevention-oriented approaches, utilization of scientific policy development tools, and adoption of evaluation system using performance indicators.
Objectives : The purpose of this study was to examine the oral health knowledge and actual oral health care of the selected subjects, their decision making about prosthetic treatment, the state and characteristics of their prosthetic treatment and their satisfaction with prosthetic treatment in an attempt to provide some information on the improvement of the quality of life related to oral health and the promotion of oral health. Methods : The subjects in this study were 250 people who received education in two different lifelong education institutions in the city of Busan. After a survey was conducted from May 23 to June 15, 2011, the answer sheets from 217 respondents were analyzed. Results : 1. As for the general characteristics of the respondents, the men(52.1%) outnumbered the women. Those who were in their 60 and up(47.5%) made up the largest age group, and the married people(65.4%) outnumbered the unmarried ones. By occupation, the company employees(20.3%) made up the biggest group. By education, the greatest group was high-school graduates(36.1%). By monthly mean income, the biggest group gained an income of 2.01 million won or more(36.9%). As to medical security, community-based insurance was most prevailing (36.9%). In terms of health promotion, the largest group worked out to stay fit(52.4%). 2. Regarding oral health knowledge, they had a good knowledge about the cause of dental caries(56.7%), but they weren't well aware of the right time for regular dental checkup(47.9%). In relation to oral health care, regular scaling wasn't prevailing(16.9%). 3. Regarding connections between the general characteristics and satisfaction with prosthesis, the less-educated respondents expressed significantly more dissatisfaction(p=0.015). By monthly mean income, those who had a smaller income were dissatisfied in general(p=0.028). Conclusions : The findings of the study illustrated that it's required to spread awareness of the importance of oral health among people in general, and that differentiated incremental oral health care should be provided for different age groups. In order to raise the satisfaction of patients with prosthesis, how to relieve their pain and anxiety and how to adjust prosthetic treatment cost properly should carefully be considered. In addition, the government should take measures to offer assistance for the low-income classes in preparation for an increase in the elderly population.
We reviewed and compared nationwide surveys conducted in advanced countries (i.e., Japan, Germany, USA, and UK) with those in Korea, including the third Nationwide Survey of Natural Environments, which began in 2006 and will proceed until 2010. Based on this comparative analysis, we suggest alternatives to the nationwide survey of natural environments that are suited to Korea. Given the focus on species abundances and distributions in previous nationwide surveys in Korea, surveys of habitats, ecosystems, and ecoregions are required to more effectively protect biological resources in Korea. Furthermore, their spatial distributions should be mapped using periodical satellite images and aerial photographs. In particular, satellite images can be used to survey species, habitats, and ecosystems. Natural resources monitoring and management specialists are needed to collect various data and improve survey results. The participation of community volunteers is also important to develop an awareness in local residents of natural environment conservation. Independent survey institute (i.e., a 'National Ecosystem Institute') should be established to develop a database and survey scheme for species, habitats, and ecosystems throughout Korea. Moreover, the survey institute could develop natural environmental policy through the data analysis to meet the objectives of the Convention on Biological Diversity. The establishment of a survey institute will allow the completion of a natural environment survey that considers various factors, including physical habitat conditions. This will allow us to detect subtle changes in species abundance and spatial distributions and provide accurate and timely information on natural environments.
This study aimed to evaluate conditions and performance of quality improvement (QI) activity in Korean dental hospitals. Twenty one representative dental hospitals in Korea were selected by the selection criteria. A questionnaire was implemented to measure awareness, perceived needs, educations, conferences, works, activating/obstructive factors and satisfaction related to QI activities. Satisfaction score range from 0 (lowest) to 5 (highest) among 329 dental hygienists who worked in the selected 21 dental hospitals. Implementation rate of programs on external customer satisfaction was the highest 59.9% in QI activities, and reduction of expenses (59.4%), Improvement in health care quality (58.7), risk management (52.8) were followed, while improvement in work efficiency (46.5) showed the lowest implementation rate. The most influencing factor accelerating QI activities was 'active participation of hospital workers' (54.7%), and 'effort to improve customer satisfaction' (44.7%) followed. The most influencing QI related obstructive factor was 'lack of QI-related manpower and support' (47.1%). A balanced development including QI programs with lower implementation rates is necessary. Encouraging participation of workers may be the most important in developing dental QI activities further.
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