• Title/Summary/Keyword: Gender Influence

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Risk Factor for Recurrence in Completely Resected Stage IB Non-small Cell Lung Cancer (완전 절제된 IB기 비소세포폐암에서 수술 후 재발의 위험 인자)

  • Seok, Yang-Ki;Lee, Eung-Bae
    • Journal of Chest Surgery
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    • v.40 no.10
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    • pp.680-684
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    • 2007
  • Background: Complete surgical resection is the most effective treatment for stage IB non-small cell lung cancer (NSCLC). Recurrence accounts for the disappointing survival rates after resection. There has been renewed interest in adjuvant therapy after complete resection. Appropriate selection of effective adjuvant therapy will depend on the prognostic factors for recurrence. Material and Method: The study included 114 patients with completely resected stage IB NSCLC. The variables selected for the study were gender, age, the type of resection, cell type, the degree of differentiation, the tumor size and the presence of visceral pleura invasion. The Kaplan-Meier method was used to estimate the survival and disease-free survival rate. The results were compared using the log rank test. Multivariate analysis was performed by Cox's proportional hazard model. Two-sided p-valves < 0.05 were considered to be statistically significant. Result: The 3-year overall survival and the disease-free survival rates were 87.0% and 79.4%, respectively. The degree of differentiation showed a significant influence on disease-free survival according to the univariate analysis. According to the multivariate analysis, a poor grade of differentiation was a significant poor prognostic factor. Conclusion: These results demonstrate that poor differentiation may be a poor prognostic factor for patients with completely resected IB NSCLC. Therefore, the patients with a poor grade of differentiation may require adjuvant therapies.

Treatment Outcome and Prognostic Factors in Management Malignant Parotid Gland Tumor (이하선 악성 종양에 대한 치료 결과와 예후인자)

  • Chang Han-Jeong;Yoon Jong-Ho;Chang Hang-Seok;Ahn Soo-Min;Chung Woung-Youn;Choi Eun-Chang;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.19 no.2
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    • pp.127-132
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    • 2003
  • Objectives: The best treatment for the malignant parotid tumor still remains to be defined, and a better knowledge about the tumor features that predict the treatment result is needed. The aim of this study is to evaluate the treatment outcomes and to suggest the optimal treatment modality for the parotid cancer. Materials and Methods: The clinicopathologic characteristics of 113 patients who were treated for parotid cancer from January 1990 to December 2002 were retrospectively analysed. Univalate analyses were performed to establish the prognostic influence of pateint age, gender, tumor size, histologic grade and lymph node metastasis. Results: The mean age was 46.4 years old (15-81 years) and. The male to female ratio was 1 : 1.1. The chief complaint was a palpable mass in 85%, pain was in 12.4% and facial nerve palsy was accompanied with 2.7%. The mean tumor size was 3.5cm in diameter. The most common malignant tumor was mucoepidermoid carcinoma (33.6%), followed by acinic cell carcinoma (15%), adenoid cystic carcinoma (11%), carcinoma expleomorhpic adenoma (11%), basal cell carcinoma (7%). The most common operative procedure was total parotidectomy (47.8%) and various types of cervical lymph node dissection were added in 69.9%. Postoperative radiotherapy was done in 61.1 %. Postoperative complications developed in 54 cases (47.8%), including 46 cases (40.7%) of facial nerve palsy and 9 cases (8%) of Frey's syndrome. Recurrences developed in 21 cases (18.6%) and deaths in 15 (13.3%). Cumulative survival at 5 year was 75.4%. Univariate analysis of clinical factors showed that histologic grade and positive cervical lymph node significantly influenced survival (p<0.05). Conclusion: These results suggests that the radical resection with lymph node dissection and postopertaive XRT would be necessary to improve the survival of the patients with high grade cancer or positive lymphnode metastasis.

A Study on the Effects of Lifelong Educator's Empowerment on Job Satisfaction and Organizational Commitment (평생교육사의 임파워먼트가 직무만족과 조직몰입에 미치는 영향에 관한 실증적 연구)

  • Bang, Hee-Bong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.231-242
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    • 2016
  • The purpose of this study is to analyze the effects empowerment has on a lifelong educator's job satisfaction and organizational commitment. This study was implemented to amass and analyze the data from 160 Daejeon district's lifelong educators using SPSS 20.0. The statistical analysis was conducted with the following measures: frequency analysis for demographic characteristics, descriptive analysis, factor analysis with Varimax rotation for the validity of the measured variables, Cronbach's alpha coefficient for the reliability of the internal consistency between the variables, and Pearson's correlation coefficient to confirm the relevance between the variables. Our hypothesis was then verified through regression analysis. Our research results showed that, first, the level of empowerment differed depending on such factors as gender, age, education level, employee type, work hours, and monthly income. Second, empowerment was shown to have a significant influence on job satisfaction, where higher empowerment levels led to higher job satisfaction. Third, empowerment was a significant factor in increasing organizational commitment, as higher empowerment levels led to higher commitment. Therefore, this study reflected on the concept that empowerment was needed by lifelong educators, thus showing that enhancing job satisfaction and organizational commitment by developing the personal abilities of a lifelong institution educator is favorable to the institution's development and success.

Study of the effect of career preparation and career maturity on employment among Specialized high school graduates (특성화고 고졸청년층의 진로준비 및 진로성숙이 취업에 미치는 영향 연구)

  • Lee, Man Ki
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.8
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    • pp.4961-4971
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    • 2014
  • With regard to gaining employment for specialized high school graduates, what are the significant factors? Along with specialized high school's employment support, facility and subject support, vocational ability support, career guidance, and employment support are implemented at school. At the same time, individuals are learning career preparation behavior and job search behavior. Those factors influence the career maturity. Therefore, a question is, "Do they finally affect employment?" The independent variables were composed of satisfaction on school support, such as facility and subject support, career preparation behavior at home, pre-job search behavior, and career maturity. A structural equation was created and an analysis was conducted. As a result of the analysis, the satisfaction on school support has significant impacts on career maturity and career preparation behavior at home and influences on employment directly or indirectly. The career preparation behavior at home not only has a direct impact on employment, but also increases the pre- job search behavior and career maturity. In particular, it was confirmed that the career preparation behavior at home is the main factor to increase employment via the pre-job search behavior. Considering the effects among the factors in gender, the satisfaction on school support directly increases employment, particularly for women. Therefore, high-quality school support programs should be enhanced, focusing on employment support programs for women. In addition, as satisfaction on school support increases, women are more likely to undergo career preparation behavior at home. This suggests that the career preparation behavior for females, such as conversation about career, is a critical factor to increasing employment unlike males. Therefore, support programs for women that is aimed at parents should be developed.

Study of Adolescents' Academic Personality Types, Learning Behavioral Types and Self-determinative Learning Motivations (청소년의 학습성격유형과 학습행동유형 및 자기결정성 학습동기에 관한 연구)

  • Kang, Hun;Han, Sang-Hun;Ku, Ju-Hyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.8
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    • pp.4919-4929
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    • 2014
  • This study was conducted to understand the relationships among adolescents' academic personality types (APT), learning behavioral types (LBT) and self-determinative learning motivations (SDLM). Regarding the measuring tools, the U&I APT test developed by Man-kwon KIM and Jong-cheol HAN (2002) and the learning motivation test translated by Kyeong-jin MIN (2006) were used. The study collected data from a total of 237 adolescents. First, gender did not influence the APT and LBT, and in terms of the introjected regulation as in the SDLM, female students were observed to have greater than the male students. Second, the normative type as in the APT was understood to have an identified regulation, an integrated regulation and an internal motivation as in the SDLM higher than those of the behavioral type or ideal type. Third, the normative type would be less rebellious and work harder to achieve a goal compared to the other types. Fourth, when adolescents have this motivation more voluntary and internal, they pursue greater goals for themselves, trying harder to fulfill their goals. The SDLM appeared to be related to most of the LBT.

Impact of Depression and Family Relationship on Problem Drinking among Older Adults (노인의 우울과 가족관계가 문제음주에 미치는 영향연구)

  • Yoon, Suk-Ja
    • Journal of Digital Convergence
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    • v.14 no.4
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    • pp.11-17
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    • 2016
  • This study is to examine the effect that the degree of alcohol use and the factor of family relationship have on alcohol related problem with elderly people over 65 years old. The study utilized the data from Korea Welfare Panel Study in 2014 published in 2015, which is annually conducted nationwide study. AUDIT (Alcohol Use Disorder Identification Test) of the World Health Organization scale to assess the drinking problem in the study was used. The collected data were analyzed using SPSS 21.0. Presenting some discussions on the basis of the results of this study is as follows. First, looking at a cross-analysis of gender differences in drinking problems, elderly men and elderly women showed different degrees of alcohol problems. Second, looking at demographic characteristics that influence whether a drinking problem, younger age showed a serious drinking problem. Third, looking at the effect that depression and family relationship have on alcohol problem, depression appeared to have relatively more serious effect than the family relationship. According to the above finding, physical and mental health for healthy aging are important factors of the quality of life so a preventive approach to maintain healthy habits is considered to be essential.

A Study on the Effectiveness of Learning Organization Managed by Medical Center (의료기관 학습조직 운영효과에 관한 연구)

  • Nam, Jong-Hae;Cho, Woo-Hyun;Lee, Sun-Hee;Kweon, Soon-Chang;Moon, Ki-Tae;Kang, Myung-Geun
    • Korea Journal of Hospital Management
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    • v.9 no.2
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    • pp.1-22
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    • 2004
  • This study was designed to suggest a learning organization in a medical center by examining the factors to influence effectiveness of the learning organization. We collected the data of 586 persons who participated once or more times in the learning organization managed from 2000 to 2002 by Y Medical Center located in Seoul, and included the data of 285 persons in the final analysis. The results of the study are summarized as follows. First, as the results of examining the regression coefficients to predict the effectiveness of and satisfaction with the learning organization through the learning level, learning method and learning organization constructing level as the general variables, the important influential factors were shown as follows: 1)knowledge creation, knowledge storing, private learning, organizational learning, and learning organization construction of occupational and human levels as the factors to predict the working competency; 2) learning organization construction of the human level as the factors to assume the duty satisfaction; 3) gender, working years, private learning, team learning and organizational construction level for the prediction of the organizational commitment; and 4) medical technical service, knowledge creation, organization learning, and constructing level of the environmental and human levels for the assumption of the satisfaction with experience in the learning organization. Based on the study results of the effects in managing the learning organization, we can conclude the followings. First, the members who are in various working positions and occupations need to continuously participate in the learning organization. Second, to raise the organizational outcome from the management of the learning organization, it is necessary to establish systematic concepts in the constituents of the organizational effectiveness such as working competency improvement, duty satisfaction and organizational commitment, and the experience satisfaction of the learning organization. Finally, the future of the organization depends on the learning competencies of the organization members. To continuously exist and develop the organization, the private learning of the organizational members should be constantly spread and shared over the organizational level, and the usual innovations such as repetitive and habitual organizational learning should be generally tried out throughout the whole field of the management.

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Villagers' Participation in Conservation of Village Woodlands -Two cases of Namwon City, Korea (마을숲 보전 사업에 대한 마을 주민의 참여가능성 -남원시 2개 마을의 경우)

  • Park, So-Hee;Koo, Ja-Choon;Youn, Yeo-Chang
    • Journal of Korean Society of Forest Science
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    • v.102 no.1
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    • pp.15-23
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    • 2013
  • This study aims to analyze factors affecting villagers' participation in conservation of village woodlands. We postulated that socio-economic characteristics such as gender, age, place of birth, wealth level, frequency of use and leader experience could contribute to decision-making of participation in the village woodland conservation. Data were collected by interviewing 52 villagers in village A and 41 villagers in village B and were used to estimate the probability function of villager's participation in village woodland conservation using ordered logit model. The results indicate that frequent use of village woodlands increases the probability of villagers' participation in conservation of village woodlands in the case of village A. In the case of village B, people who were born in the village and have experiences of serving the village as a village leader are more likely to participate in the village woodland conservation activities. Considering the fact that the village woodland of village A is owned by the community as a village common, and that cultural activities remain in the village woodland of village A, the utility of village woodlands to the residents and their common understanding of village woodlands seem to influence the likelihood of villagers' participation in conservation of village woodlands. In order to induce villagers' participation in the village woodland conservation, it is necessary to recognize the right of villager's access and provide villagers with common understanding of village woodlands through cultural activities and education programs.

Assessment of the autogenous bone graft for sinus elevation

  • Peng, Wang;Kim, Il-Kyu;Cho, Hyun-Young;Pae, Sang-Pill;Jung, Bum-Sang;Cho, Hyun-Woo;Seo, Ji-Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.39 no.6
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    • pp.274-282
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    • 2013
  • Objectives: The posterior maxillary region often provides a limited bone volume for dental implants. Maxillary sinus elevation via inserting a bone graft through a window opened in the lateral sinus wall has become the most common surgical procedure for increasing the alveolar bone height in place of dental implants in the posterior maxillary region. The purpose of this article is to assess the change of bone volume and the clinical effects of dental implant placement in sites with maxillary sinus floor elevation and autogenous bone graft through the lateral window approach. Materials and Methods: In this article, the analysis data were collected from 64 dental implants that were placed in 24 patients with 29 lacks of the bone volume posterior maxillary region from June 2004 to April 2011, at the Department of Oral and Maxillofacial Surgery, Inha University Hospital. Panoramic views were taken before the surgery, after the surgery, 6 months after the surgery, and at the time of the final follow-up. The influence of the factors on the grafted bone material resorption rate was evaluated according to the patient characteristics (age and gender), graft material, implant installation stage, implant size, implant placement region, local infection, surgical complication, and residual alveolar bone height. Results: The bone graft resorption rate of male patients at the final follow-up was significantly higher than the rate of female patients. The single autogenous bone-grafted site was significantly more resorbed than the autogenous bone combined with the Bio-Oss grafted site. The implant installation stage and residual alveolar height showed a significant correlation with the resorption rate of maxillary sinus bone graft material. The success rate and survival rate of the implant were 92.2% and 100%, respectively. Conclusion: Maxillary sinus elevation procedure with autogenous bone graft or autogenous bone in combination with Bio-Oss is a predictable treatment method for implant rehabilitation.

A study of the psychosomatic self-reported symptoms of the dental technology students (치기공과 재학생의 건강관련 심신 자각증상에 관한 연구)

  • Kwon, Soon-Suk
    • Journal of Technologic Dentistry
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    • v.35 no.2
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    • pp.157-171
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    • 2013
  • Purpose: This study aims to present a database for the development of a healthcare management program based on the survey and analysis of self reported psychosomatic symptoms among the current dental technology students. Methods: Subjects of our study are 480 dental technology major students enrolled in a third year college located Gyeonggi, Chungcheong, and Gangwon province. Using a random sampling, we conducted a self-report survey from August 30, 2011 to October 28, 2011 and 418 reports were collected as feedback and we put an analysis on them. Results: 1. The average physical self symptom was 20.49, which is higher than the average mental self symptom(18.54). Of the subcategories of psychosomatic self symptom, we observed multiple subjective symptoms as the highest one(37.77), and aggression as the lowest(13.77). 2. As to gender, both physical and mental self symptom were statistically significant with the scale score of(p<.001). The scale score of subcategories is as follows; multiple subjective symptoms(I, p<.001), eye and skin(B, p<.001), digestive(C, p<.001), impulsiveness(H, p<.001), lie scale(L, p<.001), mental instability(J, p<.001), depression(K, p<.001), aggression(F, p<.001), irregularity of life(G, p<.001), mouth and anal(D, p<.05), nervousness(E, p<.05). 3. As for obesity, statistical significance was shown with the scale scores of physical self symptom(p<.001), multiple subjective symptoms(I, p<.001), digestive(C, p<.001), aggression(F, p<.001), depression(K, p<.01), irregularity of life(G, p<.01), respiratory(A, p<.05), eye and skin(B, p<.05), impulsiveness(H, p<.05), mental instability(J, p<.05). The scale scores in the environmental quality and life satisfaction were shown as follows; depression(K, p<.001), lie scale(L, p<.01), and irregularity of life(G, p<.05). 4. We employed multiple regression analysis to take account of general factors affecting psychosomatic self symptoms, and drew that the explanatory power of the model was proved with the scales of physical self symptom(4.1%) and mental self-symptom(3.6%). Obesity was a factor that affects physical self symptom with the scale score of(p<.01), and environmental quality and life satisfaction(p<.01) and obesity(p<.05) affect mental self symptom. Conclusion: In this analysis we observed obesity of dental technology students can influence their psychosomatic self symptoms. In this sense, it would be reasonable to develop a healthcare management and education programs that help the students maintain a healthy weight and promote their health.