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Analysis of the Trend of Employee's Health Status -Case Control Study for Hypertensive, Liver Diseased Employees- (근로자의 건강상태 추이 분석 -고혈압, 간장질환 환자대조군 연구-)

  • Han, Mi Kyung
    • Korean Journal of Occupational Health Nursing
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    • v.4
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    • pp.84-101
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    • 1995
  • The periodic health examination have been shown the important role on early detection, early treatment and prevention of disease. Until now, there have been many studies that showed the effectiveness of the periodic health examination on the early detection and early treatment of disease to some extent. But there are few studies about primary prevention before health problem arise. In this case-control study, 29 newly detected hypertensive cases, 31 liver disease cases and 65 controls which are all available for 6-year data in the periodic health examination of a occupational field were compared to investigate the significant increase trend of health status between the groups. The results will be used for the occupational health nurses to provide appropriate primary prevention to the employees. The hypertensive and liver disease cases were divided observation-needed group and treatment-needed group. The data on systolic blood pressure, diastolic blood pressure, Body Mass Index and Broca Index in hypertensive cases and SGOT, SGPT, Body Mass Index and Broca Index in liver disease cases were analyzed by t-test and ANOVA. The specific findings are summarized as follows. 1. In the comparison between the hypertensive cases and controls, SBP and DBP of the observation-needed group and the treatment-needed group were significantly higher than the data of the controls for past 6 years. It was 2-3 years ago showing increase over 140/90mmHg of blood pressure in the hypertensive cases before they are categorized as hypertensive cases. In the observation-needed group and the treatment-needed group, the trend of the blood pressure for 6 years were significantly higher than the one of the controls. 2. In the comparison between the liver disease cases and controls, SGOT and SGPT of the observation-needed group and the treatment-needed group were significantly higher than the data of the controls for past 6 years. It was 2 years ago showing increase within upper normal limit of SGOT and 5 years ago of SGPT in the liver disease cases before they are categorized as liver disease cases. In the observation-needed group and the treatment-needed group, the trend of the liver enzyme for 6 years were significantly higher than the one of the controls. With these results, the author proposed that intervention for the primary prevention such as continuous follow-up, health education and weight control to the population who has over 140/90mmHg of blood pressure and upper normal limit of AST and ALT.

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Analysis of Process Capability Index for Multiple Measurements (다측정 공정능력지수의 특성분석)

  • Lee, Do-Kyung
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.39 no.1
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    • pp.91-97
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    • 2016
  • This study is concerned about the process capability index in single process. Previous process capability indices have been developed for the consistency with the nonconforming rate due to the process target value and skewness. These indices calculate the process capability by measuring one spot in an item. But the only one datum in an item reduces the representativeness of the item. In addition to the lack of representativeness, there are many cases that the uniformity of the item such as flatness of panel is absolutely important. In these cases, we have to measure several spots in an item. Also the nonconforming judgment to an item is mainly due to the range not due to the standard variation or the shift from the specifications. To imply the uniformity concept to the process capability index, we should consider only the variation in an item. It is the within subgroup variation. When the universe is composed of several subgroups, the sample standard deviation is the sum of the within subgroup variation and the between subgroup variation. So the range R which represents only the within subgroup variation is the much better measure than that of the sample standard deviation. In general, a subgroup contains a couple of individual items. But in our cases, a subgroup is an item and R is the difference between the maximum and the minimum among the measured data in an item. Even though our object is a single process index, causing by the subgroups, its analytic structure looks like a system process capability index. In this paper we propose a new process capability index considering the representativeness and uniformity.

A Study of Influences of p53 Mutation, Cyclin D1 Over Expression, Ki67 Index, Mitotic Index on the Prognosis of Esophageal Squamous Cell Carcinoma (p53 변이, Cyclin D1의 과발현, Ki67 지수, 세포분열지수가 식도의 편평상피암의 예후에 미치는 영향)

  • Lee Hae Won;Cho Suk Ki;Sung Sook Whan;Lee Hyun Joo;Kim Young Tae;Kang Moon Chul;Kim Joo Hyun
    • Journal of Chest Surgery
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    • v.38 no.12 s.257
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    • pp.835-843
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    • 2005
  • Background: Cancer of the esophagus is one of the most malignant tumors with poor prognosis. The p53 gene alteration, over expression of Cyclin D1, and Ki67 index were thought to be the prognostic factors. However, their clinical significances in esophageal squamous cell carcinoma are controversial and p53 accumulation may not correlate with genetic mutation. The current study investigates their prognostic significance in squamous cell carcinoma of the esophagus. Material and Method: The Subjects studied were 124 esophageal squamous cell carcinoma patients who underwent esophagectomy. The mutation of p53, over expression of Cyclin D1, Ki67 labelling index, mitotic index were examined by using an immunohistochemical staining. We compared the results and investigated the correlation with the mutation of p53, overexpression of Cyclin D1, Ki67 labelling index, mitotic index and tumor size, and duration of survival. Result: There was no correlation between the results in immunohistochemical staining according to age, sex, tumor size, Iymph node status, and clinical stage of the disease. Mutant p53 protein was found in 69 cases (55.6$\%$). Median survival time was 21 months in cases with negative for mutant p53 protein and 22 months in positive cases. There was no significant difference in survival (p=0.46). Median survival time was 22 months in cases with negative for Cyclin D1 and 16 months in positive cases (p=0.18). Median and mean survival time was 22 months and 36 months when Ki67 labeling index was 40 or less (102 cases). Median and mean survival was 16 months and 23 months, when Ki67 labeling index was more than 40 (22 cases). There was significant difference in survival rate (p=0.011). Conciusion: Positivity of p53 and cyclin D1 was not useful in predicting the prognosis in our study. There was no significant correlation among mutant p53 protein accumulation, Cyclin D1 over expression, and Ki67 labeling index. However, in several studies, PCR single strand conformational polymorphism analysis of p53 showed a correlation to the prognosis. We thought that there was a significant discordance between p53 gene mutation and mutant p53 protein accumulation. When Ki67 labeling index was more than 40, prognosis was poorer, Ki67 seems to be a prognostic factor in our study. Therefore, we confirmed the possibility of using molecular markers as prognostic factors.

Design and Implementation of an Urban Safety Service System Using Realtime Weather and Atmosphere Data (실시간 기상 및 대기 데이터를 활용한 도시안전서비스 시스템 설계 및 구현)

  • Hwang, Hyunsuk;Seo, Youngwon;Jeon, Taegun;Kim, Changsoo
    • Journal of Korea Multimedia Society
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    • v.21 no.5
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    • pp.599-608
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    • 2018
  • As natural disasters are increasing due to the unusual weather and the modern society is getting complicated, the rapid change of the urban environment has increased human disasters. Thus, citizens are becoming more anxious about social safety. The importance of preparation for safety has been suggested by providing the disaster safety services such as regional safety index, life safety map, and disaster safety portal application. In this paper, we propose an application framework to predict the urban safety index based on user's location with realtime weather/atmosphere data after creating a predication model based on the machine learning using number of occurrence cases and weather/atmosphere history data. Also, we implement an application to provide traffic safety index with executing preprocessing occurrence cases of traffic and weather/atmosphere data. The existing regional safety index, which is displayed on the Si-gun-gu area, has been mainly utilized to establish safety plans for districts vulnerable to national policies on safety. The proposed system has an advantage to service useful information to citizens by providing urban safety index based on location of interests and current position with realtime related data.

Comparisons of Index Numbers: An Application to Sawmills and Planing Mills Industry of U.S.

  • Ahn, SoEun
    • Journal of Korean Society of Forest Science
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    • v.94 no.2 s.159
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    • pp.82-89
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    • 2005
  • The purpose of this paper is to investigate index numbers by conducting various comparisons among the widely used index formulas. The comparison is considered in three ways; 1) divergences in the magnitudes of index numbers due to the use of different formulas (Laspeyres, Paasche, Fisher, and Tornqvist); 2) the effect of selection of base year (fixed-year base vs. chain-type); 3) the degree of approximation of indirect to direct quantity index. The empirical application is to sawmills and planing mills industry of U.S. using a national time series data covering years of 1948-2000. The results show that the differences between Laspeyres and Paasche index can be substantial in some cases while the difference between Fisher and Tornqvist index is minimal. We also confirm that the selection of base year can cause significant divergences, especially when the variables undergo rapid price or quantity changes over time. We find that indirect quantity index approximates direct quantity index reasonably well in U.S. sawmill industry.

Diagnostic Significance of the Serum Thyroid Hormone Indicies in Various Thyroid Diseases (각종 갑상선질환에서 혈청 갑상선홀몬치의 진단적 의의)

  • Han, Bong-Heon;Ko, Suk-Man;Yoon, Sang-Ryong;Ro, Heung-Kyu
    • The Korean Journal of Nuclear Medicine
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    • v.14 no.2
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    • pp.45-51
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    • 1980
  • In an attempt to evaluate the diagnostic significance of the serum thyroid hormones in various thyroid function states, the author measured serum $T_3$ uptake, serum $T_3$, serum $T_4$, serum free $T_4$ and free $T_3$ index in 27 cases of normal subjects, 11 cases of hypothyroidism, 152 cases of euthyroidism and 81 cases of hyperthyroidism by the radioimmunoassay method. The results were as follows: 1. The ranges of serum thyroid hormones in normal subjects were, serum $T_3$ uptake; $27.4{\sim}42.1%$, serum $T_3;\;93{\sim}245ng/dl$, serum $T_4;\;4.08{\sim}12.9ug/dl$ and serum free $T_4;\;0.57{\sim}1.53ng/dl(M{\pm}2S.D.)$. 2. Free $T_4$ index and serum $T_4$ show relatively high diagnostic value in euthyroidism group, and serum $T_3\;and\;T_4$ in hypothyroidism group, while serum $T_3$, free $T_4\;and\;T_4$ show relatively high diagnostic value in hyperthyroidism group. 3. There were significant correlation between free $T_4$ index and serum $T_4$(r=0.68), and between free $T_4$ index and serum free $T_4$(r=0.67) in hyperthyroidism group.

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Ki-67 Labeling Indices in 'Classic' versus 'Blastoid' Mantle Cell Lymphomas - Proposed Cutoff Values for Routine Diagnostic Workup

  • Pervez, Shahid;Haroon, Saroona;Awan, Dreema
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6591-6594
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    • 2015
  • Background: Mantle-cell lymphoma (MCL) is a unique entity of peripheral B-cell lymphoma that has a discrete morphologic, immunologic, and genetic phenotype, with more common 'classic' and less frequent 'blastoid' and 'pleomorphic' variants, associated with an aggressive clinical course. The aim of this study was to analyze proliferation (Ki-67) indices of 'classic' (c-MCL) and 'blastoid' (b-MCL) variants of a cohort of MCL and to suggest cut off values for the Ki-67 proliferation index in these two subsets. Materials and Methods: MCL cases diagnosed over $4{\frac{1}{2}}$ years at Section of Histopathology, Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi were retrieved and reviewed. Ki-67 labelling was scored and analysed. Results: A total of 90 of cases of MCL were scrutinized. Mean age ${\pm}SD$ was $60.2{\pm}12.5$ years and the male to female ratio was 4:1, with 67 (75%) cases of c-MCL and 23 (25%) cases of b-MCL. Most samples were lymph node biopsies (n=68), whereas the remainder were from various extranodal sites The mean Ki-67 proliferation index was $29.5%{\pm}14.4%$ in classic variants and $64.4{\pm}15.2%$ for the blastoid variant, the difference being statistically significant (p = 0.029). Conclusions: It was concluded that differential cut-off values of Ki-67 labeling may be used in more objective way to reliably classify MCL into classic or blastoid variants by diagnostic pathologists. We propose a < 40 proliferative index to be suggestive of c-MCL and one of > 50 for the blastoid variant.

Recommendation for conducting process of an epidemiological survey in respiratory syncytial virus infection (호흡기세포융합바이러스감염증 역학조사 수행절차 제안)

  • Kim, Dae Soon;Bae, Jong-Myon
    • Journal of Medicine and Life Science
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    • v.17 no.1
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    • pp.29-32
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    • 2020
  • As respiratory syncytial virus(RSV) is transmitted either via directly contact with an infected case or via indirectly contaminated fomites or skin, the major preventive measures are strict hand hygiene, early detection of transmitted sources, and rapid isolation of RSV patients. Especially early detection of hidden cases is the most critical control measure when an index case was notified in a postpartum center. The Guideline of Korea Centers for Diseases Control and Prevention defines potential contacts in an epidemiologic survey as admitted newborns, parents of index cases, center's workers, and visitors for 10 days before the first diagnosis day of index case. However, it needs to classify potential contacts in more detail in order to conduct a successful survey. Authors conducted to search related literatures and appraise the evidences. Firstly, potential contacts would be classified into RSV-related symptomatic contacts(SxC) and asymptomatic contacts. And then, mother, caring workers, and visitors of the index cases among asymptomatic contacts would be defined as the asymptomatic close contacts(ASCC). Finally, the rest would be defined as the asymptomatic regular contacts(ASRC). The defined test using reverse transcription-PCR is applied to SxC and ASCC, and decision of isolation or regular activities are made according to the results. The rapid antigen detection test kits are applied to ASRC. These suggestions might be helpful to detect hidden cases earlier and prevent a further infection.

On a New Index for Research Assessment

  • Farid, Farid O.
    • Journal of Information Science Theory and Practice
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    • v.9 no.3
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    • pp.56-75
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    • 2021
  • We introduce a new research assessment measure, called the research excellence index. The measure, which we denote by RE-index, accurately assesses the research performance of a researcher. The methodology used in deriving the RE-index tackles many of the flaws of popular research performance indicators such as publication counts, citation counts, and the h and g indices. A dataset is introduced, which takes advantage of the wide coverage of Scopus and the Library of Congress, and, at the same time, deals with the Scopus database depth problem. For an academic publication x, a prestige-type and length scores are assigned, and if x is published in an academic periodical publication J, the stature of J is identified through a quartile score. The three scores are used to assign a value score to every academic publication, and cited academic publications are given citation scores that encompass both cases of including and excluding self-citations. The foregoing scores are used to derive another set of scores measuring the combined qualitative and quantitative aspects of the creative work, citations of creative work, informative work and citations of informative work of a researcher. The scores take into consideration co-authorship. From these scores, two versions of the RE-index for a researcher are derived, covering the cases of including and excluding self-citations. The new measure is calculated for two mathematicians.

Ki67 Index in Breast Cancer: Correlation with Other Prognostic Markers and Potential in Pakistani Patients

  • Haroon, Saroona;Hashmi, Atif Ali;Khurshid, Amna;Kanpurwala, Muhammad Adnan;Mujtuba, Shafaq;Malik, Babar;Faridi, Naveen
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4353-4358
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    • 2013
  • Introduction: Breast cancer aggressiveness can be correlated with proliferation status of tumor cells, which can be ascertained with tumor grade and Ki67 indexing. However due to lack of reproducibility, the ASCO do not recommend routine use of Ki67 in determining prognosis in newly diagnosed breast cancers. We therefore aimed to determine associations of the Ki67 index with other prognostic markers like tumor size, grade, lymph node metastasis, ER, PR and HER2neu status. Methods: A total of 194 cases of newly diagnosed breast cancer were included in the study. Immunohistochemical staining for ER, PR, HER2neu and Ki67 was performed by the DAKO envision method. Associations of the Ki67 index with other prognostic factors were evaluated both as continuous and categorical variables. Results: Mean age of the patients was 51.7 years (24-90). Mean Ki67 index was 26.9% (1-90). ER, PR, HER2neu positivity was noted in 90/194 cases (46.4%), 74/194 cases (38.1%) and 110/194 cases (56.70%) respectively. Significant association was found between Ki67 and tumor grade, PR, HER2neu positivity and lymph node status, but no link was apparent with ER positivity and tumor size. There wasan inverse relation between Ki67 index and PR positivity, whereas a direct correlation was seen with HER2neu positivity. However, high Ki67 (>30%) was associated with decreased HER2neu positivity as compared to intermediate Ki67 (16-30%). The same trend was established with lymph node metastasis. Conclusion: Our study indicates that with high grade tumors, clinical utility of ki67 is greater in combination with other prognostic markers because we found that tumors with Ki67 higher than 30% have better prognostic profile compared to tumors with intermediate Ki67 level, as reflected by slightly lower frequency of lymph node metastasis and HER2neu expression. Therefore we suggest that Ki67 index should be categorized into high, intermediate and low groups when considering adjuvant chemotherapy and prognostic stratification.