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Quality of Life and Psychological Well-Being of Colorectal Cancer Survivors in Jordan

  • Abu-Helalah, Munir Ahmad;Alshraideh, Hussam Ahmad;Al-Hanaqta, Motasem Mohammad;Arqoub, Kamal Hasan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7653-7664
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    • 2014
  • Background: Colorectal ranked first among cancers reported in males and ranked second amongst females in Jordan, accounting for 12.7% and 10.5% of cancers in males and females, respectively. Colorectal cancer patients can suffer several consequences after treatment that include pain and fatigue, constipation, stoma complications, sexual problems, appearance and body-image concerns as well as psychological dysfunction. There is no published quantitative data on the health-related quality of life and psychological wellbeing of Jordanian colorectal cancer survivors. Method: This project was a cross-sectional study of colorectal cancer survivors diagnosed in 2009 and 2010. Assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the colorectal cancer specific module (EORTC QLQ-CR 29) and the Hospital Anxiety and Depression Scale (HADS). Data on potential predictors of scores were also collected. Results: A total of 241 subjects completed the study with mean age of $56.7{\pm}13.6$. Males represented 52.3% of study participants. A majority of participants reported good to high overall health; the mean Global health score was $79.74{\pm}23.31$ with only 6.64% of study participants scoring less than 33.3%. The striking result in this study was that none of the study participants participated in a psychosocial support group; only 4 of them (1.7%) were even offered such support. The mean scores for HADS, depression score, and anxiety score were $8.25{\pm}9$, $4.35{\pm}4.9$ and $3.9{\pm}4.6$, respectively. However, 77.1% of study participants were within the normal category for the depression score and 81.7% were within this category for anxiety score; 5.4% of participants had severe anxiety and 5.4% of them had severe depression. Discussion: Patients with colorectal cancer in Jordan have a good quality of life and psychological wellbeing scores when compared with patients from western countries. None of the colorectal cancer patients managed at the Ministry of Health received any formal counselling, or participated in psychological or social support programmes. This highlights the urgent need for a psychosocial support programme, psychological screening and consultations for patients diagnosed with colorectal cancer at the Ministry of Health Hospitals.

Distribution Characteristics of Alien Plants by Wetland Types in the Ecologically Outstanding Wetlands of South Korea (국내 생태우수습지의 유형별 외래식물상 현황 및 특성)

  • Chu, Yeounsu;Cho, Kwang-Jin;Kim, Mijeong;Lee, Changsu;Yoon, Jungdo;Lim, Jeoncheol
    • Ecology and Resilient Infrastructure
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    • v.7 no.3
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    • pp.145-159
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    • 2020
  • Wetlands are vulnerable to biological invasion by alien species, because they function as sinks that accumulate excess water, sediments, nutrients, and other contaminants from the surrounding watersheds by disturbance. In this study, to understand the status and characteristics of the alien plants based on the type of wetlands, we classified 24 ecologically outstanding wetlands and analyzed the status of alien flora. A total of 130 alien plants were found in the wetlands, accounting for 11% of the total plant species. Among them, the Asteraceae species was the most diverse, with 40 species. Erigeron annuus and Oenothera ordorata had the highest frequency of occurrence. The species richness of alien plants in the riverine and lacustrine wetlands (average: 30 species) was higher than that in the mountainous palustrine wetlands (average: 10 species). The same results were found in the naturalization index, urbanization index, and ratio of annuals and biennials, which indicate the degree of artificial interference. In the cluster analysis, the riverine and lacustrine wetlands were combined, and only the mountainous palustrine wetlands were separated. The number of alien plants is remarkably low in the mountainous palustrine wetlands, and it is considered to be the influence of Erigeron strigosus, Symphytum officinale, and Bilderdykia convolvulus, not found in the other types of wetlands. In particular, invasive alien plants such as Aster pilosus, Ambrosia trifida, Sicyos angulatus, Ambrosia artemisiifolia var. elatior were found intensively in the riverine wetlands. Therefore, it is considered that a methodical management is urgently required considering the dispersal of alien plants in the riverine and lacustrine wetlands with high artificial interference.

Analysis on Geographical Variations of the Prevalence of Hypertension Using Multi-year Data (다년도 자료를 이용한 고혈압 유병률의 지역간 변이 분석)

  • Kim, Yoomi;Cho, Daegon;Hong, Sungok;Kim, Eunju;Kang, Sunghong
    • Journal of the Korean Geographical Society
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    • v.49 no.6
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    • pp.935-948
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    • 2014
  • As chronic diseases have become more prevalent and problematic, effective cares for major chronic diseases have been a locus of the healthcare policy. In this regard, this study examines how region-specific characteristics affect the prevalence of hypertension in South Korea. To analyze, we combined a unique multi-year data set including key indicators of health conditions and health behaviors at the 237 small administrative districts. The data are collected from the Annual Community Health Survey between 2009 and 2011 by Korea Centers for Disease Control and Prevention and other government organizations. For the purpose of investigating regional variations, we estimated using Geographically Weighted Regression (GWR) and decision tree model. Our finding first suggests that using the multi-year data is more legitimate than using the single-year data for the geographical analysis of chronic diseases, because the significant annual differences are observed in most variables. We also find that the prevalence of hypertension is more likely to be positively associated with the prevalence of diabetes and obesity but to be negatively associated with population density. More importantly, noticeable geographical variations in these factors are observed according to the results from the GWR. In line with this result, additional findings from the decision tree model suggest that primary influential factors that affect the hypertension prevalence are indeed heterogeneous across regional groups. Taken as a whole, accounting for geographical variations of health conditions, health behaviors and other socioeconomic factors is very important when the regionally customized healthcare policy is implemented to mitigate the hypertension prevalence. In short, our study sheds light on possible ways to manage the chronic diseases for policy makers in the local government.

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A Numerical Analysis of Porewater Pressure Predictions on Hillside Slopes (수치해석을 이용한 산사면에서의 간극수압 예측에 관한 연구)

  • 이인모;서정복
    • Geotechnical Engineering
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    • v.10 no.1
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    • pp.47-62
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    • 1994
  • It has been well known that the rainfall-triggered rise of groundwater levels is one of the most important factors resulting the instability of the hillside slopes. Thus, the prediction of porewater pressure is an essential step in the evaluation of landslide hazard. This study involves the development and verification of numerical groundwater flow model for the prediction of groundwater flow fluctuations accounting for both of unsatu나toed flow and saturated flow on steep hillside slopes. The first part of this study is to develop a nomerical groundwater flow model. The numerical technique chosen for this study is the finitro element method in combination with the finite difference method. The finite element method is used to transform the space derivatives and the finite difference method is used to discretize the time domain. The second part of this study is to estimate the unknown model parameters used in the proposed numerical model. There were three parameters to be estimated from input -output record $K_e$, $\psi_e$, b. The Maximum -A-Posteriori(MAP) optimization method is utilized for this purpose, . The developed model is applied to a site in Korea where two debris avalanches of large scale and many landslides of small scale were occurred. The results of example analysis show that the numerical groundwater flow model has a capacity of predicting the fluctuation of groundwater levels due to rainfall reasonably well.

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Water Scarcity Assessment Using Green and Blue Water Concepts (그린워터 및 블루워터를 이용한 물부족 평가)

  • Kim, Sung Eun;Lee, Dong Kun;Yang, Byung Sun;Jin, Yihua
    • Journal of Environmental Impact Assessment
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    • v.27 no.3
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    • pp.267-278
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    • 2018
  • With climate change and population growth, there are significant increases in water scarcity. There have been water security assessments to abate the gap between water demand and availability to support water resource management. However, most of the assessments are focusing on the water that flows through either on or below the land surface, failing to consider water that infiltrates and can be used by vegetation. This study presents water scarcity assessment accounting for Blue and Green water concept, and applied the method to Boryung region. Monthly streamflow, evapotranspiration, and soil moisture were estimated by SWAT modeling, and each of them was used to analyze Blue and Green water scarcity. Blue and Green water scarcity had different aspect, and the result indicated the time when water scarcity is more likely to happen. The water scarcity assessment framework presented in this paper provides novel assessment method integrating hydrologic and ecosystem aspects, thereby improving the understanding of how water resources should be managed.

A Study on the Location Selection of Low-Floor Bus Stop using the Use Information of the Mobility Support Center (교통약자 이동지원센터의 이용정보를 활용한 저상버스 정류장 입지선정에 관한 연구)

  • Park, Jae-Kook
    • Journal of Industrial Convergence
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    • v.18 no.1
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    • pp.25-33
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    • 2020
  • South Korea entered an aged society phase in 2017 with the elderly accounting for 14% or higher of the entire population. It is expected to enter a super-aged society phase in 2026. The mobility handicapped, including the disabled and the elderly, are expected to grow continuously, and the demand for transport service for the mobility handicapped will definitely increase further. Thus, there is thus a need for various research to increase the utilization rate of low-floor buses among the mobility handicapped. This study analyzed the locations of getting on and off transportation means, time of departure and arrival, purpose of use, and frequency of use by the day among the mobility handicapped by making use of the information about their use of special transport service run by the mobility support center for the mobility handicapped. The study then proposed a method of selecting locations for low-floor bus stops to reflect the distribution and need of getting on and off transportation means among the mobility handicapped with such spatial analysis techniques as geocoding, overlapping analysis, buffer analysis, and generate tessellations. Finally, the study selected 228 locations for low-floor bus stops in Cheonan and reported a need to add 35 low-floor bus stops after eliminating the ones where the locations overlapped the old ones.

Status of Development of Pyroprocessing Safeguards at KAERI (한국원자력연구원 파이로 안전조치 기술개발 현황)

  • Park, Se-Hwan;Ahn, Seong-Kyu;Chang, Hong Lae;Han, Bo Young;Kim, Bong Young;Kim, Dongseon;Kim, Ho-Dong;Lee, Chaehun;Oh, Jong-Myeong;Seo, Hee;Shin, Hee-Sung;Won, Byung-Hee;Ku, Jeong-Hoe
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.15 no.3
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    • pp.191-197
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    • 2017
  • The Korea Atomic Energy Research Institute (KAERI) has developed a safeguards technology for pyroprocessing based on the Safeguards-By-Design (SBD) concept. KAERI took part in a Member-State Support Program (MSSP) to establish a pyroprocessing safeguards approach. A Reference Engineering-scale Pyroprocessing Facility (REPF) concept was designed on which KAERI developed its safeguards system. Recently the REPF is being upgraded to the REPF+, a scaled-up facility. For assessment of the nuclear-material accountancy (NMA) system, KAERI has developed a simulation program named Pyroprocessing Material Flow and MUF Uncertainty Simulation (PYMUS). The PYMUS is currently being upgraded to include a Near-Real-Time Accountancy (NRTA) statistical analysis function. The Advanced Spent Fuel Conditioning Process Safeguards Neutron Counter (ASNC) has been updated as Non-Destructive Assay (NDA) equipment for input-material accountancy, and a Hybrid Induced-fission-based Pu-Accounting Instrument (HIPAI) has been developed for the NMA of uranium/transuranic (U/TRU) ingots. Currently, performance testing of Compton-suppressed Gamma-ray measurement, Laser-Induced Breakdown Spectroscopy (LIBS), and homogenization sampling are underway. These efforts will provide an essential basis for the realization of an advanced nuclear-fuel cycle in the ROK.

Security Analysis and Implementation of Fast Inter-LMA domain Handover Scheme in Proxy Mobile IPv6 Networks (프록시 모바일 IPv6 네트워크에서 LMA도메인 간 핸드오버 기법의 보안성 분석 및 구현)

  • Chai, Hyun-Suk;Jeong, Jong-Pil
    • The KIPS Transactions:PartC
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    • v.19C no.2
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    • pp.99-118
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    • 2012
  • In PMIPv6-based network, mobile nodes can be made smaller and lighter because the network nodes perform the mobility management-related functions on behalf of the mobile nodes. The one of the protocols, Fast Handovers for Proxy Mobile IPv6(FPMIPv6)[1] has studied by the Internet Engineering Task Force(IETF). Since FPMIPv6 adopts the entities and the concepts of Fast Handovers for Mobile IPv6(FMIPv6) in Proxy Mobile IPv6(PMIPv6), it reduces the packet loss. Conventional scheme has proposed that it cooperated with an Authentication, Authorization and Accounting(AAA) infrastructure for authentication of a mobile node in PMIPv6, Despite the best efficiency, without begin secured of signaling messages, PMIPv6 is vulnerable to various security threats such as the DoS or redirect attAcks and it can not support global mobility between PMIPv. In this paper, we analyze Kang-Park & ESS-FH scheme, and then propose an Enhanced Security scheme for FPMIPv6(ESS-FP). Based on the CGA method and the pubilc key Cryptography, ESS-FP provides the strong key exchange and the key independence in addition to improving the weaknesses for FPMIPv6. The proposed scheme is formally verified based on Ban-logic, and its handover latency is analyzed and compared with that of Kang-Park scheme[3] & ESS-FH and this paper propose inter-domain fast handover sheme for PMIPv6 using proxy-based FMIPv6(FPMIPv6).

A Study on the Effect of Gamma Background in Low Power Startup Physics Tests (저출력 노물리 시험에서의 감마 Background의 영향에 관한 연구)

  • Bae, Chang-Joon;Lee, Ki-Bog
    • Nuclear Engineering and Technology
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    • v.25 no.3
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    • pp.361-370
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    • 1993
  • Low power physics tests should be peformed for the domestic pressurized light water reactors (PWRs) after refueling. The tests are peformed to ensure that operating characteristics of the core are consistent with predictions and that the core can be operated as designed. But in some low power physics tests, slow but steady reactivity increasing phenomena were noticed after step reactivity insertion by the control rod movement. These reactivity increasing phenomena are due to the low flux level and the gamma background because an uncompensated ion chamber (UIC) is used as the ex-core neutron detector. The gamma background may affect the results or the lour power physics tests. The aims or this paper are to analyze the grounds of such phenomena, to simulate a reference bank worth measurement test and to present a resolution quantitatively. In this study, the gamma background level was estimated by numerically solving the point kinetics equations accounting the gamma background effect. The reactivity computer check test was simulated to verify the model. Also, an appropriate neutron flux level was determined by simulating the reference bank worth measurement test. The determined neutron flux level is approximately 0.3 of the nuclear heating flux. This level is about 3 times as high as the current test upper limit specified in the test procedure. Then, the findings from this work were successfully applied to Kori unit 4 cycle 7 and Yonggwang unit 1 cycle 7 physics tests.

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Mitigation Plan for Expectation-Performance Gap of Information Systems Audit Services (정보시스템 감리서비스의 기대-성과 차이 완화 방안)

  • Ji, Kyoung Sook;Kim, Hee Wan
    • Journal of Service Research and Studies
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    • v.10 no.3
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    • pp.67-80
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    • 2020
  • The information system audit service has been recognized for its effectiveness in improving the management efficiency of informatization projects in the public sector and improving the quality of information systems. However, according to several recent studies, it is not very helpful in securing quality by indicating formal audit performance and incorrect functions or errors in a short audit period. So, if the effectiveness of audit is proved to ensure the quality of the information system from the perspective of the software life cycle and to successfully operate and maintain it, the use of audit for the successful construction of the information system will be an essential factor. Therefore, this study investigated whether the current audit service users are satisfied with the current information system audit and what they expect. If it is different from what was expected, the difference between expectations and performance was analyzed to improve user satisfaction, and a survey was conducted through interviews with experts in the information system field. Based on the empirical results through the questionnaire, in order to reduce the difference in expectations from the user's point of view in the information system audit service, a plan to improve the audit system suitable for the new audit environment was proposed.