• Title/Summary/Keyword: Local control rate

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Analysis on Factors Influencing Welfare Spending of Local Authority : Implementing the Detailed Data Extracted from the Social Security Information System (지방자치단체 자체 복지사업 지출 영향요인 분석 : 사회보장정보시스템을 통한 접근)

  • Kim, Kyoung-June;Ham, Young-Jin;Lee, Ki-Dong
    • Journal of Intelligence and Information Systems
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    • v.19 no.2
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    • pp.141-156
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    • 2013
  • Researchers in welfare services of local government in Korea have rather been on isolated issues as disables, childcare, aging phenomenon, etc. (Kang, 2004; Jung et al., 2009). Lately, local officials, yet, realize that they need more comprehensive welfare services for all residents, not just for above-mentioned focused groups. Still cases dealt with focused group approach have been a main research stream due to various reason(Jung et al., 2009; Lee, 2009; Jang, 2011). Social Security Information System is an information system that comprehensively manages 292 welfare benefits provided by 17 ministries and 40 thousand welfare services provided by 230 local authorities in Korea. The purpose of the system is to improve efficiency of social welfare delivery process. The study of local government expenditure has been on the rise over the last few decades after the restarting the local autonomy, but these studies have limitations on data collection. Measurement of a local government's welfare efforts(spending) has been primarily on expenditures or budget for an individual, set aside for welfare. This practice of using monetary value for an individual as a "proxy value" for welfare effort(spending) is based on the assumption that expenditure is directly linked to welfare efforts(Lee et al., 2007). This expenditure/budget approach commonly uses total welfare amount or percentage figure as dependent variables (Wildavsky, 1985; Lee et al., 2007; Kang, 2000). However, current practice of using actual amount being used or percentage figure as a dependent variable may have some limitation; since budget or expenditure is greatly influenced by the total budget of a local government, relying on such monetary value may create inflate or deflate the true "welfare effort" (Jang, 2012). In addition, government budget usually contain a large amount of administrative cost, i.e., salary, for local officials, which is highly unrelated to the actual welfare expenditure (Jang, 2011). This paper used local government welfare service data from the detailed data sets linked to the Social Security Information System. The purpose of this paper is to analyze the factors that affect social welfare spending of 230 local authorities in 2012. The paper applied multiple regression based model to analyze the pooled financial data from the system. Based on the regression analysis, the following factors affecting self-funded welfare spending were identified. In our research model, we use the welfare budget/total budget(%) of a local government as a true measurement for a local government's welfare effort(spending). Doing so, we exclude central government subsidies or support being used for local welfare service. It is because central government welfare support does not truly reflect the welfare efforts(spending) of a local. The dependent variable of this paper is the volume of the welfare spending and the independent variables of the model are comprised of three categories, in terms of socio-demographic perspectives, the local economy and the financial capacity of local government. This paper categorized local authorities into 3 groups, districts, and cities and suburb areas. The model used a dummy variable as the control variable (local political factor). This paper demonstrated that the volume of the welfare spending for the welfare services is commonly influenced by the ratio of welfare budget to total local budget, the population of infants, self-reliance ratio and the level of unemployment factor. Interestingly, the influential factors are different by the size of local government. Analysis of determinants of local government self-welfare spending, we found a significant effect of local Gov. Finance characteristic in degree of the local government's financial independence, financial independence rate, rate of social welfare budget, and regional economic in opening-to-application ratio, and sociology of population in rate of infants. The result means that local authorities should have differentiated welfare strategies according to their conditions and circumstances. There is a meaning that this paper has successfully proven the significant factors influencing welfare spending of local government in Korea.

Asymmetric RTS/CTS for Exposed Node Reduction in IEEE 802.11 Ad Hoc Networks

  • Matoba, Akihisa;Hanada, Masaki;Kanemitsu, Hidehiro;Kim, Moo Wan
    • Journal of Computing Science and Engineering
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    • v.8 no.2
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    • pp.107-118
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    • 2014
  • One interesting problem regarding wireless local area network (WLAN) ad-hoc networks is the effective mitigation of hidden nodes. The WLAN standard IEEE 802.11 provides request to send/clear to send (RTS/CTS) as mitigation for the hidden node problem; however, this causes the exposed node problem. The first 802.11 standard provided only two transmission rates, 1 and 2 Mbps, and control frames, such as RTS/CTS assumed to be sent at 1 Mbps. The 802.11 standard has been enhanced several times since then and now it supports multi-rate transmission up to 65 Mbps in the currently popular 802.11n (20 MHz channel, single stream with long guard interval). As a result, the difference in transmission rates and coverages between the data frame and control frame can be very large. However adjusting the RTS/CTS transmission rate to optimize network throughput has not been well investigated. In this paper, we propose a method to decrease the number of exposed nodes by increasing the RTS transmission rate to decrease RTS coverage. Our proposed method, Asymmetric Range by Multi-Rate Control (ARMRC), can decrease or even completely eliminate exposed nodes and improve the entire network throughput. Experimental results by simulation show that the network throughput in the proposed method is higher by 20% to 50% under certain conditions, and the proposed method is found to be effective in equalizing dispersion of throughput among nodes.

Does intrauterine injection of low-molecular-weight heparin improve the clinical pregnancy rate in intracytoplasmic sperm injection?

  • Kamel, Ahmed Mohamed;El-Faissal, Yahia;Aboulghar, Mona;Mansour, Ragaa;Serour, Gamal I;Aboulghar, Mohamed
    • Clinical and Experimental Reproductive Medicine
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    • v.43 no.4
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    • pp.247-252
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    • 2016
  • Objective: Heparin can modulate proteins, and influence processes involved in implantation and trophoblastic development. This study aimed to assess the improvement of clinical pregnancy and implantation rates after local intrauterine injection of low-molecular-weight heparin (LMWH) in patients undergoing intracytoplasmic sperm injection (ICSI). Methods: A randomised case/control design was followed in women scheduled for ICSI. The study arm was injected with intrauterine LMWH during mock embryo transfer immediately following the ovum pickup procedure, while the control arm was given an intrauterine injection with a similar volume of tissue culture media. Side effects, the clinical pregnancy rate, and the implantation rate were recorded. Results: The pregnancy rate was acceptable (33.9%) in the LMWH arm with no significant reported side effects, confirming the safety of the intervention. No statistically significant differences were found in the clinical pregnancy and implantation rates between both groups (p= 0.182 and p= 0.096, respectively). The odds ratio of being pregnant after intrauterine injection with LMWH compared to the control group was 0.572 (95% confidence interval [CI], 0.27-1.22), while the risk ratio was 0.717 (95% CI, 0.46-1.13; p= 0.146). No statistical significance was found between the two groups in other factors affecting implantation, such as day of transfer (p= 0.726), number of embryos transferred (p= 0.362), or embryo quality. Conclusion: Intrauterine injection of LMWH is a safe intervention, but the dose used in this study failed to improve the outcome of ICSI. Based on its safety, further research involving modification of the dosage and/or the timing of administration could result in improved ICSI success rates.

The Role of High Dose Rate (HDR) Intracavitary Radiation Therapy for the Management of Nasopharyngeal Carcinoma (비인강암 환자의 고선량 강내 방사선 치료의 효과)

  • Cho, Jeong-Gill;Chang, Hye-Sook;Choi, Eun-Kyung
    • Radiation Oncology Journal
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    • v.11 no.1
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    • pp.91-96
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    • 1993
  • From September 1989 to June 1992,22 patients with nasopharyngeal carcinoma were treated in Asan Medical Center with an external beam of 60 Gy followed by a boost dose of 15 Gy HDR brachytherapy. There were 5 females and 17 males with median age of 44 years (range: 20-69 years). All patients were histologically confirmed and staged by physical examination, CT scan and/or MRI. By the AJCC TNM staging system, there were 2 patients with stge II (T2NO), 4 with stage III (T3NO, T1-3N1), and 16 with stage IV (T4 or N2-3). Four patients received chemotherapy with 5-FU and cisplatin prior to radiotherapy. All patients were followed up periodically by a telescopic examination and radiologic imaging study of CT scan or MRI with a median follow-up time of 13 months (range: 3-34 months). Twenty one patients showed a complete response ore month after completing therapy and one patient showed a complete response after three months. At the time of this analysis, seventeen patients remain alive without evidence of disease, but four patients developed distant metastasis and one patient died a month after treatment. The local control rate was $100{\%}$ in a median follow-up time of 13 months. The two year overall and disease free survival rates by the Kaplan-Meier method were $94{\%}$ and $67{\%}$, respectively. Serious radiation sequelae have not been observed yet. Although longer follow-up is needed, this retrospective analysis suggests that HDR brachytherap. given as a boost therapy for nasoharyngeal carcinoma may improve the local control. To reduce the incidence of distant metastasis, we need to develop a more effective systemic chemotherapy.

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PM2.5 Source Apportionment Analysis to Investigate Contributions of the Major Source Areas in the Southeastern Region of South Korea (동남지역 주요 배출지역의 PM2.5 기여도 분석)

  • Ju, Hyeji;Bae, Changhan;Kim, Byeong-Uk;Kim, Hyun Cheol;Yoo, Chul;Kim, Soontae
    • Journal of Korean Society for Atmospheric Environment
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    • v.34 no.4
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    • pp.517-533
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    • 2018
  • We utilize the CAMx (Comprehensive Air Quality Model with eXtensions) system and the PSAT (Particulate Source Apportionment Technology) diagnostic tool to determine the $PM_{2.5}$ concentration and to perform its source apportionment in the southeastern region of South Korea. For a year-long simulation, eight local authorities in the region such as Pohang, Daegu, Gyeongju, Ulsan, Busan-Gimhae, Gosung-Changwon, Hadong, and all remaining areas in Gyeongsangnam-do, are selected as source areas based on the emission rates of $NO_x$, $SO_x$, VOC, and primary PM in CAPSS (Clean Air Policy Support System) 2013 emissions inventory. The CAMx-PSAT simulation shows that Pohang has the highest $PM_{2.5}$ self-contribution rate (25%), followed by Hadong (15%) and Busan-Gimhae (14%). With the exception of Pohang, which has intense fugitive dust emissions, other authorities are strongly affected by emissions from their neighboring areas. This may be measured as much as 1 to 2 times higher than that of the self-contribution rate. Based on these estimations, we conclude that the efficiency of emission reduction measures to mitigate $PM_{2.5}$ concentrations in the southeastern region of South Korea can be maximized when the efforts of local or regional emission controls are combined with those from neighboring regions. A comprehensive control policy planning based on the collaboration between neighboring jurisdictional boundaries is required.

Effectsd of posture on physiological thermal responses with Ondol heating system (온돌난방에서의 자세에 따른 온열생리적 반응의 성차)

  • 신정화;최정화
    • Journal of the Korean Society of Clothing and Textiles
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    • v.22 no.8
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    • pp.1020-1031
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    • 1998
  • This study was done to investigate thermal reponses and to obtain the basic information of thermal comfort by sex and posture under the Ondol heating system. Six healthy males and females were exposed to Ondol(Room Temp.: 25$\pm$1$^{\circ}C$, 50$\pm$10%R.H, Floor Temp.:30$\pm$1$^{\circ}C$) on the of posture such as sitting, lying aside and supine on the floor for 30 minutes after 30 minutes' control phase. During the experiment, rectal temperature, skin temperature of 10 areas, local sweating rate, clothing microclimate, subjective sensation were measured. Rectal temperature gradually decreased and mean skin temperature grad-ually increased both male and female in any posture. There was not significant difference between male and female in rectal temperature and mean skin temperature. There were significant difference among the postures in rectal temperature(p<0.001) and mean skin temperature(p<0.001). In lying aside and supine on the floor, appearances of change and changes in rectal temperature and mean skin temperature were large, changes of weight were small. In sitting on the floor, appearances of change and changes in rectal temperature and mean skin temperature were small, changes of weight were large. The trunk skin tem-perature was higher in female than in male, but the extremity skin temperature was higher in male than in female. In sitting on the floor, foot skin temperature(p<0.001) was higher than any other local skin temperature. In supine on the floor, back skin temperature(p<0.001) was higher than any other local skin temperature.

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The Role of Conservative Surgery and Radiation Therapy for the Extremity Soft Tissue Sarcomas (사지 악성 육종에서 보존적 수술후 방사선 치료의 역할)

  • Kim Woo Cheol;Suh Chang Ok;Kim Gwi Eon;Park Kwang Hwa;Shin Dong-Hwan;Lee Kyung Hee
    • Radiation Oncology Journal
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    • v.11 no.2
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    • pp.411-419
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    • 1993
  • A total of 44 patients with extremity soft tissue sarcomas had received conservative surgery and radiation therapy in the Department of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine between Jan. 1980 and Dec. 1990. Initial surgical treatment consisted of intracapsular excision in 33 patients $(75\%),$ marginal excision in 9 patients, and wide excision in two patients. Total radiation doses were between 40Gy and 65Gy (median 60 Gy). Median follow-up period was 47 months. Overall actuarial 5-year survival rate was $76.9\%$ and 5-year recurrence free survival rate was $39.3\%.$ There was no statistically significant prognostic factors but the 5-year survival rates tended to be decreased in the patients with high grade tumors and treated with narrow surgical extent. Sixteen patients recurred during fellow-up (16/31, $51.6\%).$ The incidence of initial local recurrence was $22.6\%$ (7/31) and distant metastasis was $29\%(9/31).$ Of the 7 who did not have metastasis at diagnosis of local recurrence, 5 were submitted to a salvage treatment. All of them achieved local control and distant metastasis appeared in three of them. In conclusion, conservative surgery and radiation therapy in the patients with extremity soft tissue sarcomas was the effective treatment modality.

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Effective Delivering Method of Umbilical Cord Blood Stem Cells in Cutaneous Wound Healing (제대혈 유래 중간엽 줄기 세포를 이용한 피부 창상 치료시 세포 투여 방법에 따른 창상치유 효과의 비교)

  • Park, Sang Eun;Han, Seung Bum;Rah, Dong Kyun;Lew, Dae Hyun
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.519-524
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    • 2009
  • Purpose: This study was conducted to establish the most effective method of cell therapy by comparing and analyzing the level of wound healing after various cell delivery methods. Methods: Human mesenchymal stem cells were administered using 5 different methods on full thickness skin defects which were deliberately created on the back of 4 - week old mice using a 8 mm punch. Different modes of administration, cell suspension, local injection, collagen GAG matrix seeding, fibrin, and hydrogel mix methods were used. In each experiment group, $4{\times}105$ mesenchymal stem cells were administered according to 5 deferent methods, and were not for the corresponding control group. Results: The wound healing rate was fastest in the local injection group. The wound healing rate was relatively slow in the collagen matrix group, however, the number of blood vessels or VEGF increased most in this group. Conclusion: For rapid wound healing through wound contraction, it is advantageous to administer MSC by the local injection method. For the healing process of a wide area, such as a burn, the seeding of cells to collagen matrix is thought to be effective.

Carcinoma of the Tonsillar Region -Results of External Irradiation- (편도선 암의 방사선 치료)

  • Seong J. S.;Kim S. G.;Suh C. O.;Kim G. E.;Loh J. K.
    • Radiation Oncology Journal
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    • v.4 no.1
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    • pp.29-34
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    • 1986
  • Thirty-six patients with carcinoma of the tonsillar region treated with radical radiotherapy at Yonsei Cancer Center between Jan. 1971 and Dec. 1980 were retrospectively reviewed. The purpose of this study is to evaluate the clinical characteristics and the treatment results. Seventy-five per cent of patients were in advanced stage when they were first seen. Incidence of nodal involvement at the time of initial presentation was $64\%$. Bilateral nodal involvement was found in $19\%$ of cases. Three-year local control rates for T1, T2, T3, and T4 were $88\%,\;46\%,\;25\%,\;and\;11\%$, respectively. Advanced neck nodes were poorly controlled $(N1\;70\%,\;N2\;20\%,\;N3\;12\%)$. The prognosis is mainly affected by the status of the primary and neck nodes Overall three-year local control rate was $42\%$.

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The effects according to the timing of thoracic radiotherapy in limited stage small cell lung cancer (제한병기 소세포폐암에서 흉부 방사선 치료의 도입 시기에 따른 치료 효과의 비교 분석)

  • Park, Sang Ki;Kim, Geun Hwa;Jeong, Seong Su;Shin, Kyoung Sang;Kim, Ae Kyoung;Cho, Hai Jeong;Suhr, Jee Won;Kim, Jae Sung;Cho, Moon June;Kim, Ju Ock;Kim, Sun Young
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.6
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    • pp.903-915
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    • 1996
  • Background: Combination chemotherapy is now considered to be the cornerstone of small cell lung cancer (SCLC). management but the optimal management of limited SCLC is not well defined. The role of thoracic radiotherapy (TRT) is less well established. Recent meta-analyses reports revealed that TRT combined with chemotherapy produce "good" local control and prolonged survival. But other reports that survival was not changed. The liming, dose, volume and fractionation for TRT with the combined chemotherapy of SCLC remains unsettled. In this study, we analyzed the effects according to the timing of thoracic radiotherapy in limited SCLC. Method: All fifty one patients received cytoxan, adriamycin and vincristine(CAV) alternating with etoposide and cisplatin(VPP) every 3 weeks for 6 cycles were randomized prospectively into two groups: concurrent and sequential. 27 patients received 4500cGy in 30 fractions(twice daily 150cGy fractional dose) over 3 weeks 10 the primary site concurrent with the first cycle of VPP(concurrent gorup). 24 patients received 4000 to 5000cGy over 5 or 6 weeks after completion of sixth cycles of chemotherapy(sequential group). Results: 1. Response rates and response duration : Response rates were not significantly different between two groups(p=0.13). But response duration was superior in the concurrent group(p=0.03). 2. Survival duration was nor different between two groups(p=0.33). 3. Local control rate was superior in the concurrent group(p=0.00). 4. Side effects and toxicities: Hematologic toxicities, especially leukopenia, infection and frequency of radiation esophagitis were higher in the concurrent group (p=0.00, 0.03, 0.03). Conclusion: The concurrent use of TRT with chemotherapy failed to improve the survival of limited stage SCLC patients compared with the sequential use of TRT but response duration and local control rate were superior in the concurrent group. Frequency of radiation esophagitis, life threatening hematologic toxicities and infection were more frequent in the concurrent group than sequential group. So, the selection of an optimal schedule of chemotherapy combined with TRT that would lead to a major increase in survival with minimal toxicity is remained to be validated in large scale study in the future.

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