• Title/Summary/Keyword: Impact Study

Search Result 26,083, Processing Time 0.053 seconds

Effect of Artificial Menopause on Diagnosis of Common Cancers in Women: Focusing on Thyroid Cancer, Breast Cancer, and Cervical Cancer (인공폐경이 여성의 다빈도암 진단에 미치는 영향: 갑상선암, 유방암, 자궁경부암을 중심으로)

  • Hyun-Jung Jung;Ji-Kyeong Park
    • The Journal of Korean Society for School & Community Health Education
    • /
    • v.25 no.2
    • /
    • pp.45-57
    • /
    • 2024
  • Objectives: The purpose of this study is to determine the impact of artificial menopause on the diagnosis of thyroid cancer, breast cancer, and cervical cancer, and to provide basic data for cancer prevention and early diagnosis in women. Methods: Analysis was conducted using raw data from the 2011-2020 National Health and Nutrition Examination Survey. Among the 79,262 people surveyed in the 2011-2020 National Health and Nutrition Examination Survey, 10,207 people were selected as the final research subjects, excluding men, those under 18 years old, those over 80 years old, those who did not participate in the health survey, those with missing data, and those who were not in menopause. Among them, 248 people were diagnosed with thyroid cancer (2.7%), 225 people were diagnosed with breast cancer (2.5%), and 143 people were diagnosed with cervical cancer (21.5%). Results: First, there appeared to be differences between the thyroid cancer diagnosed group and the non-diagnosed group depending on educational level, childbirth experience, and menopause type. Second, there appeared to be differences between the breast cancer diagnosis group and the non-diagnosis group depending on educational level, menopause age, pregnancy experience, childbirth experience, subjective health status, and menopause type. Third, there appeared to be differences between the cervical cancer diagnosis group and the non-diagnosis group depending on menopause age, subjective health status, and menopause type. Fourth, compared to natural menopause, in the case of artificial menopause, the diagnosis probability of women increased by 2.010 times for thyroid cancer, 3.872 times for breast cancer, and 14.902 times for cervical cancer. Conclusion: For thyroid cancer, breast cancer, and cervical cancer, the probability of cancer diagnosis increases in the case of artificial menopause compared to natural menopause, so it is considered important to avoid experiencing artificial menopause to prevent cancer.

Impact of Deep-Learning Based Reconstruction on Single-Breath-Hold, Single-Shot Fast Spin-Echo in MR Enterography for Crohn's Disease (크론병에서 자기공명영상 장운동기록의 단일호흡 단발 고속 스핀 에코기법: 딥러닝 기반 재구성의 영향)

  • Eun Joo Park;Yedaun Lee;Joonsung Lee
    • Journal of the Korean Society of Radiology
    • /
    • v.84 no.6
    • /
    • pp.1309-1323
    • /
    • 2023
  • Purpose To assess the quality of four images obtained using single-breath-hold (SBH), single-shot fast spin-echo (SSFSE) and multiple-breath-hold (MBH) SSFSE with and without deep-learning based reconstruction (DLR) in patients with Crohn's disease. Materials and Methods This study included 61 patients who underwent MR enterography (MRE) for Crohn's disease. The following images were compared: SBH-SSFSE with (SBH-DLR) and without (SBH-conventional reconstruction [CR]) DLR and MBH-SSFSE with (MBH-DLR) and without (MBH-CR) DLR. Two radiologists independently reviewed the overall image quality, artifacts, sharpness, and motion-related signal loss using a 5-point scale. Three inflammatory parameters were evaluated in the ileum, the terminal ileum, and the colon. Moreover, the presence of a spatial misalignment was evaluated. Signal-to-noise ratio (SNR) was calculated at two locations for each sequence. Results DLR significantly improved the image quality, artifacts, and sharpness of the SBH images. No significant differences in scores between MBH-CR and SBH-DLR were detected. SBH-DLR had the highest SNR (p < 0.001). The inter-reader agreement for inflammatory parameters was good to excellent (κ = 0.76-0.95) and the inter-sequence agreement was nearly perfect (κ = 0.92-0.94). Misalignment artifacts were observed more frequently in the MBH images than in the SBH images (p < 0.001). Conclusion SBH-DLR demonstrated equivalent quality and performance compared to MBH-CR. Furthermore, it can be acquired in less than half the time, without multiple BHs and reduce slice misalignments.

Impact of Respiratory Phase during Pleural Puncture on Complications in CT-Guided Percutaneous Lung Biopsy (CT 유도 경피 폐생검에서 흉막 천자 시 호흡 시기가 합병증에 미치는 영향)

  • Ji Young Park;Ji-Yeon Han;Seok Jin Choi;Jin Wook Baek;Su Young Yun;Sung Kwang Lee;Ho Young Lee;SungMin Hong
    • Journal of the Korean Society of Radiology
    • /
    • v.85 no.3
    • /
    • pp.566-578
    • /
    • 2024
  • Purpose This study investigated whether the respiratory phase during pleural puncture in CT-guided percutaneous transthoracic needle biopsy (PTNB) affects complications. Materials and Methods We conducted a retrospective review of 477 lung biopsy CT scans performed during free breathing. The respiratory phases during pleural puncture were determined based on the table position of the targeted nodule using CT scans obtained during free breathing. We compared the rates of complications among the inspiratory, mid-, and expiratory respiratory phases. Logistic regression analysis was performed to control confounding factors associated with pneumothorax. Results Among the 477 procedures, pleural puncture was performed during the expiratory phase in 227 (47.6%), during the mid-phase in 108 (22.6%), and during the inspiratory phase in 142 (29.8%). The incidence of pneumothorax was significantly lower in the expiratory puncture group (40/227, 17.6%; p = 0.035) and significantly higher in the mid-phase puncture group (31/108, 28.7%; p = 0.048). After controlling for confounding factors, expiratory-phase puncture was found to be an independent protective factor against pneumothorax (odds ratio = 0.571; 95% confidence interval = 0.360-0.906; p = 0.017). Conclusion Our findings suggest that pleural puncture during the expiratory phase may reduce the risk of pneumothorax during image guided PTNB.

Change in the Fish Fauna and Fish Community Characteristics in the Upper Reaches of the Seomgang (River), Korea (섬강 상류의 어류상 변화 및 어류군집 특성)

  • Hyeong-Su Kim;Mee-Sook Han;Myeong-Hun Ko
    • Korean Journal of Environment and Ecology
    • /
    • v.38 no.3
    • /
    • pp.246-262
    • /
    • 2024
  • The survey conducted from 2018 to 2020 aimed to investigate the changes in fish fauna and community characteristics in the upper reaches of the Seomgang River, Korea. During the survey period, 35 sites were selected, resulting in the collection of 7,817 fish belonging to 12 families and 40 species. The dominant species was Zacco koreanus, with a relative abundance of 34.5%, followed by Z. platypus at 28.7%. Other significant species included Rhynchocypris oxycephalus (10.2%), Pungtungia herzi (5.3%), and Squalidus gracilis majimae (4.3%). Notably, four protected species - Acheilognathus signifer, Gobiobotia brevibarba, and Cottus koreanus, designated as class II endangered wildlife by the Ministry of Environment- were identified. These species predominantly inhabit the middle and lower reaches, except for Gobiobotia brevibarba, which is found in the upper reaches. Nineteen species, accounting for a 47.5% endemism rate, were endemic to Korea. The study also noted the presence of one climate-sensitive species, Cottus koreanus, and two exotic species, Carassius cuvieri and Micropterus salmoides. Community analysis indicated a trend of decreasing dominance and increasing diversity and richness from upstream to downstream, with a distinct division into uppermost reaches, upper reaches, middle and lower reaches, and lakes. The construction of the Hwaseong Dam has had a significant direct and indirect impact on the fish community. The habitat and abundance of endangered species such as R. pseudosericeus, A. signifer, and G. brevibarba decreased dramatically immediately after the dam's construction, transforming the submerged area from lotic to lentic environments. Approximately 20 years later, the habitats have stabilized, leading to an increase in the fish population and a recovery of the previously diminished endangered species. The river health (FAI) was also evaluated, with 27 sites rated as very good (A), seven as good (B), and one as fair (C). However, endangered species such as A. signifer continue to face threats from dam and river construction, while C. Koreanus has experienced a severe population decline due to river works. Additionally, the presence of the ecosystem-disrupting species M. salmoides in Hwaseong Lake raises concerns. To ensure a stable habitat for fish in the upper reaches of the Seomgang River, it is crucial to avoid indiscriminate river construction, urgently implement restoration policies for endangered species such as A. signifer, and develop management strategies to control the spread of invasive species such as bass.

Review on the impact of Arctic Amplification on winter cold surges over east Asia (북극 온난화 증폭이 겨울철 동아시아 한파 발생에 미치는 영향 고찰)

  • Seong-Joong Kim;Jeong-Hun Kim;Sang-Yoon Jun;Maeng-Ki Kim;Solji Lee
    • The Korean Journal of Quaternary Research
    • /
    • v.33 no.1_2
    • /
    • pp.1-23
    • /
    • 2021
  • In response to the increase in atmospheric carbon dioxide and greenhouse gases, the global mean temperature is rising rapidly. In particular, the warming of the Arctic is two to three times faster than the rest. Associated with the rapid Arctic warming, the sea ice shows decreasing trends in all seasons. The faster Arctic warming is due to ice-albedo feedback by the presence of snow and ice in polar regions, which have higher reflectivity than the ocean, the bare land, or vegetation, higher long-wave heat loss to space than lower latitudes by lower surface temperature in the Arctic than lower latitudes, different stability of atmosphere between the Arctic and lower latitudes, where low stability leads to larger heat losses to atmosphere from surface by larger latent heat fluxes than the Arctic, where high stability, especially in winter, prohibits losing heat to atmosphere, increase in clouds and water vapor in the Arctic atmosphere that subsequently act as green house gases, and finally due to the increase in sensible heat fluxes from low latitudes to the Arctic via lower troposphere. In contrast to the rapid Arctic warming, in midlatitudes, especially in eastern Asia and eastern North America, cold air outbreaks occur more frequently and last longer in recent decades. Two pathways have been suggested to link the Arctic warming to cold air outbreaks over midlatitudes. The first is through troposphere in synoptic-scales by enhancing the Siberian high via a development of Rossby wave trains initiated from the Arctic, especially the Barents-Kara Seas. The second is via stratosphere by activating planetary waves to stratosphere and beyond, that leads to warming in the Arctic stratosphere and increase in geopotential height that subsequently weakens the polar vortex and results in cold air outbreaks in midlatitudes for several months. There exists lags between the Arctic warming and cold events in midlatitudes. Thus, understanding chain reactions from the Arctic warming to midlatitude cooling could help improve a predictability of seasonal winter weather in midlatitudes. This study reviews the results on the Arctic warming and its connection to midlatitudes and examines the trends in surface temperature and the Arctic sea ice.

Annual Energy Demand Analysis of a Lettuce Growing Plant Factory according to the Environmental Changes (상추 재배 식물공장의 환경변화에 따른 연중 에너지 요구량 분석)

  • Eun Jung Choi;Jaehyun Kim;Sang Min Lee
    • Journal of Bio-Environment Control
    • /
    • v.32 no.4
    • /
    • pp.278-284
    • /
    • 2023
  • Recently, a closed-type plant factory has been receiving attention as a advanced agricultural method. It has diverse advantages such as climate-independence, high productivity and stable year-round production. However, high energy cost caused by environmental control system is considered as a challenges of a closed-type plant factory. In order to reduce the energy cost, investigation about energy load which is directly connected to energy consumption needs to be conducted. In this study, energy load changes of a plant factory have been analytically analyzed according to the environmental changes. The target plant factory was a lettuce growing container farm. Firstly, the impact of photoperiod, set temperature and relative humidity change were examined. Under the climate condition of Daejeon in South Korea, increase of photoperiod and set temperature rose a yearly energy demand of a container farm. However, increase of set relative humidity decreased a yearly energy demand. Secondly, the climate environment effect was compared by investigating the energy demand under 9 different climate conditions. As a result, the difference between maximum and minimum value of the yearly energy demand showed 21.7%. Lastly, sensitivity analysis of each parameter (photoperiod, set temperature and relative humidity) has been suggested under 3 different climate conditions. The ratio of heating and cooling demand was varied depending on the climate, so the effect of each parameter became different.

Evaluation of Fruit Yield and Quality of Netted Melon, Water and Nutrient Use Efficiency in a Closed Hydroponic System (순환식 수경재배 멜론의 수량과 품질, 관개수 및 양분 이용 효율성 평가)

  • Minju Shin;Seungri Yoon;Jin Hyun Kim;Ho Jeong Jeong;Sung Kyeom Kim
    • Journal of Bio-Environment Control
    • /
    • v.32 no.4
    • /
    • pp.492-500
    • /
    • 2023
  • The spectrum of this study was research on the closed hydroponic cultivation of netted melons (Cucumis melo L.) using coir substrate, analyzing the impact of this cultivation method on melon yield, fruit quality, and the efficiency of water and nutrient usage. The experimental results showed that the average fruit weight of the melons grown in a closed system was 71.4 g higher than that of the open system, and the fruit width was on average 0.2 cm larger, showing a statistically significant difference. However, there was no difference in the average sugar content of the fruit flesh and height. Although there is no substantial commercial difference, it is conjectured that the change in the macronutrients ratio in the irrigation has played a role in the statistically significant increase in fruit weight, which is attributed to changes in the crops' nutrient uptake concentrations. This necessitates further research for a more comprehensive understanding. In terms of the productivity of irrigation required to produce the fruit, applying the closed system resulted in an increase of 7.6 kg/ton compared to the open system, saving 31.6% of water resources. Additionally, in terms of nutrients, cultivating in a closed system allowed for savings of approximately 59, 25, 55, 83, 76, and 87% of N, P, K, Ca, Mg, and S, respectively, throughout the entire cultivation period. As the drainage was reused, the ratios of NO3- and Ca2+ increased up to a maximum of 9.6 and 9.1%, respectively, while the ratios of other ions gradually decreased. In summary, these results suggest that closed hydroponic cultivation can effectively optimize the use of water and fertilizer while maintaining excellent fruit quality in melon cultivation.

Ionospheric Responses to the May 2024 G5 Geomagnetic Storm Over Korea, Captured by the Korea Astronomy and Space Science Institute (KASI) Near Real-Time Ionospheric Monitoring System (2024년 5월 G5 지자기 폭풍 때 한반도 상공 전리권 변화: 한국천문연구원 준 실시간 전리권 감시 시스템 관측 결과를 중심으로)

  • Woo Kyoung Lee;Hyosub Kil;Byung-Kyu Choi;Junseok Hong;Se-Heon Jeong;Sujin Kim;Jeong-Heon Kim;Dong-Hyo Sohn;Kyoung-Min Roh;Sung-Moon Yoo;Tae-Yong Yang;Jaeheung Park;Jong-Kyun Chung;Young-Sil Kwak
    • Journal of Space Technology and Applications
    • /
    • v.4 no.3
    • /
    • pp.210-219
    • /
    • 2024
  • This study investigates various ionospheric and thermospheric disturbances around the Korean Peninsula during the G5 geomagnetic storm occurred on May 10, 2024. This level of storm was the first of its magnitude in 21 years, resulting in auroras visible even in South Korea and severe space weather worldwide. The Korea Astronomy and Space Science Institute has been providing ionospheric information over Korea through total electron content (TEC) measurements from the Global Navigation Satellite System (GNSS) and monitoring the impact of ionospheric disturbances on GNSS signals by operating five GNSS scintillation stations in Korea and other countries. During this storm period, large amplitudes of TEC variations were observed over South Korea, along with anomalous TEC enhancements accompanied by strong scintillations at night and persistent TEC depletion on the dayside during the storm's recovery phase. Such daytime TEC depletion disturbances are quite rare, typically occurring only a few times throughout the 11-year solar cycle. While the association of persistent TEC depletion during the daytime with neutral composition disturbances was identified through observations, the causes of TEC enhancement and strong scintillation at night remain unclear. We speculate that the uplift of the ionosphere by storm-induced electric fields is responsible for the TEC enhancement and scintillation, but this hypothesis requires validation based on additional observational data.

Effect of Service Convenience on the Relationship Performance in B2B Markets: Mediating Effect of Relationship Factors (B2B 시장에서의 서비스 편의성이 관계성과에 미치는 영향 : 관계적 요인의 매개효과 분석)

  • Han, Sang-Lin;Lee, Seong-Ho
    • Journal of Distribution Research
    • /
    • v.16 no.4
    • /
    • pp.65-93
    • /
    • 2011
  • As relationship between buyer and seller has been brought closer and long-term relationship has been more important in B2B markets, the importance of service and service convenience increases as well as product. In homogeneous markets, where service offerings are similar and therefore not key competitive differentiator, providing greater convenience may enable a competitive advantage. Service convenience, as conceptualized by Berry et al. (2002), is defined as the consumers' time and effort perceptions related to buying or using a service. For this reason, B2B customers are interested in how fast the service is provided and how much save non-monetary cost like time or effort by the service convenience along with service quality. Therefore, this study attempts to investigate the impact of service convenience on relationship factors such as relationship satisfaction, relationship commitment, and relationship performance. The purpose of this study is to find out whether service convenience can be a new antecedent of relationship quality and relationship performance. In addition, this study tries to examine how five-dimensional service convenience constructs (decision convenience, access convenience, transaction convenience, benefit convenience, post-benefit convenience) affect customers' relationship satisfaction, relationship commitment, and relationship performance. The service convenience comprises five fundamental components - decision convenience (the perceived time and effort costs associated with service purchase or use decisions), access convenience(the perceived time and effort costs associated with initiating service delivery), transaction convenience(the perceived time and effort costs associated with finalizing the transaction), benefit convenience(the perceived time and effort costs associated with experiencing the core benefits of the offering) and post-benefit convenience (the perceived time and effort costs associated with reestablishing subsequent contact with the firm). Earlier studies of perceived service convenience in the industrial market are none. The conventional studies that have dealt with service convenience have usually been made in the consumer market, or they have dealt with convenience aspects in the service process. This service convenience measure for consumer market can be useful tool to estimate service quality in B2B market. The conceptualization developed by Berry et al. (2002) reflects a multistage, experiential consumption process in which evaluations of convenience vary at each stage. For this reason, the service convenience measure is good for B2B service environment which has complex processes and various types. Especially when categorizing B2B service as sequential stage of service delivery like Kumar and Kumar (2004), the Berry's service convenience measure which reflect sequential flow of service deliveries suitable to establish B2B service convenience. For this study, data were gathered from respondents who often buy business service and analyzed by structural equation modeling. The sample size in the present study is 119. Composite reliability values and average variance extracted values were examined for each variable to have reliability. We determine whether the measurement model supports the convergent validity by CFA, and discriminant validity was assessed by examining the correlation matrix of the constructs. For each pair of constructs, the square root of the average variance extracted exceeded their correlations, thus supporting the discriminant validity of the constructs. Hypotheses were tested using the Smart PLS 2.0 and we calculated the PLS path values and followed with a bootstrap re-sampling method to test the hypotheses. Among the five dimensional service convenience constructs, four constructs (decision convenience, transaction convenience, benefit convenience, post-benefit convenience) affected customers' positive relationship satisfaction, relationship commitment, and relationship performance. This result means that service convenience is important cue to improve relationship between buyer and seller. One of the five service convenience dimensions, access convenience, does not affect relationship quality and performance, which implies that the dimension of service convenience is not important factor of cumulative satisfaction. The Cumulative satisfaction can be distinguished from transaction-specific customer satisfaction, which is an immediate post-purchase evaluative judgment or an affective reaction to the most recent transactional experience with the firm. Because access convenience minimizes the physical effort associated with initiating an exchange, the effect on relationship satisfaction similar to cumulative satisfaction may be relatively low in terms of importance than transaction-specific customer satisfaction. Also, B2B firms focus on service quality, price, benefit, follow-up service and so on than convenience of time or place in service because it is relatively difficult to change existing transaction partners in B2B market compared to consumer market. In addition, this study using partial least squares methods reveals that customers' satisfaction and commitment toward relationship has mediating role between the service convenience and relationship performance. The result shows that management and investment to improve service convenience make customers' positive relationship satisfaction, and then the positive relationship satisfaction can enhance the relationship commitment and relationship performance. And to conclude, service convenience management is an important part of successful relationship performance management, and the service convenience is an important antecedent of relationship between buyer and seller such as the relationship commitment and relationship performance. Therefore, it has more important to improve relationship performance that service providers enhance service convenience although competitive service development or service quality improvement is important. Given the pressure to provide increased convenience, it is not surprising that organizations have made significant investments in enhancing the convenience aspect of their product and service offering.

  • PDF

The Effects of Product Line Rivalry: Focusing on the Issue of Fighting Brands (경쟁산품선적영향(竞争产品线的影响): 관주전두품패(关注战斗品牌))

  • Koh, Dong-Hee
    • Journal of Global Scholars of Marketing Science
    • /
    • v.19 no.4
    • /
    • pp.24-31
    • /
    • 2009
  • Firms produce various products that differ by function, design, color, etc. Product proliferation occurs for three different reasons. When there exist economies of scope, the unit cost for a product is lower when it is produced in conjunction with another product than when it is produced separately. Second, consumers are heterogeneous in the sense that they have different tastes, preferences, or price elasticities. A firm can earn more profit by segmenting consumers into different groups with similar characteristics. For example, product proliferation helps a firm increase profits by satisfying various consumer needs more precisely. The third reason for product proliferation is based on strategy. Producing a number of products can not only deter entry by providing few niches, but can also cause a firm to react efficiently to a low-price entry. By producing various products, a firm can reduce niches so that potential entrants have less incentive to enter. Moreover, a firm can produce new products in response to entry, which is called fighting brands. That is, when an entrant tries to attract consumers with a low price, an incumbent introduces a new lower-quality product while maintaining the price of the existing product. The drawback of product proliferation, however, is cannibalization. Some consumers who would have bought a high-price product switch to a low-price product. Moreover, it is possible that proliferation can decrease profits when a new product is less differentiated from a rival’s than is the existing product because of more severe competition. Many studies have analyzed the effect of product line rivalry in the areas of economics and marketing. They show how a monopolist can solve the problem of cannibalization by adjusting quality in a market where consumers differ in their preferences for quality. They find that a consumer who prefers high-quality products will obtain his or her most preferred quality, but a consumer who has not such preference will obtain less than his or her preferred quality to reduce cannibalization. This study analyzed the effects of product line rivalry in a duopoly market with two types of consumers differentiated by quality preference. I assume that the two firms are asymmetric in the sense that an incumbent can produce both high- and low-quality products, while an entrant can produce only a low-quality product. The effects of product proliferation can be explained by comparing the market outcomes when an incumbent produces both products to those when it produces only one product. Compared to the case in which an incumbent produces only a high-quality product, the price of a low-quality product tends to decrease in a consumer segment that prefers low-quality products because of more severe competition. Prices, however, tend to increase in a segment with high preferences because of less severe competition. It is known that when firms compete over prices, it is optimal for a firm to increase its price when its rival increases its price, which is called a strategic complement. Since prices are strategic complements, we have two opposing effects. It turns out that the price of a high-quality product increases because the positive effect of reduced competition outweighs the negative effect of strategic complements. This implies that an incumbent needs to increase the price of a high-quality product when it is also introducing a low-quality product. However, the change in price of the entrant’s low-quality product is ambiguous. Second, compared to the case in which an incumbent produces only a low-quality product, prices tend to increase in a consumer segment with low preferences but decrease in a segment with high preferences. The prices of low-quality products decrease because the negative effect outweighs the positive effect. Moreover, when an incumbent produces both kinds of product, the price of an incumbent‘s low-quality product is higher, even though the quality of both firms’ low-quality products is the same. The reason for this is that the incumbent has less incentive to reduce the price of a low-quality product because of the negative impact on the price of its high-quality product. In fact, the effects of product line rivalry on profits depend not only on changes in price, but also on sales and cannibalization. If the difference in marginal cost is moderate compared to the difference in product quality, the positive effect of product proliferation outweighs the negative effect, thereby increasing the profit. Furthermore, if the cost difference is very large (small), an incumbent is better off producing only a low (high) quality product. Moreover, this study also analyzed the effect of product line rivalry when a firm can determine product characteristics by focusing on the issue of fighting brands. Recently, Korean air and Asiana airlines have established budget airlines called Jin air and Air Busan, respectively, to confront the launching of budget airlines such as Hansung airline and Jeju air, among others. In addition, as more online bookstores have entered the market, a leading off-line bookstore Kyobo began its own online bookstore. Through fighting brands, an incumbent with a high-quality product can increase profits by producing an additional low-quality product when its low-quality product is more differentiated from that of the entrant than is its high-quality product.

  • PDF