• Title/Summary/Keyword: Nation-wide survey

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Comparison of Clinical Outcomes of Incidental and Non-Incidental Gallbladder Cancers: A Single-Center Cross-Sectional Study

  • Cha, Byung Hyo;Bae, Jong-Myun
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.3
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    • pp.1281-1283
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    • 2014
  • Background: Gallbladder cancer (GBC) is a rare malignancy characterized by high invasiveness and poor survival. In a nation-wide cancer survey, the age-standardized incidence rate of GBC was the highest in Jeju Island compared to 15 other provinces in Korea. The purpose of this study was to compare the clinical outcomes of GBC according to the nature of diagnosis, that is, incidental versus non-incidental. Materials and Methods: Consecutive patients who were newly diagnosed with GBC at the Digestive Disease Center and Department of Internal Medicine, Cheju Halla General Hospital, between November 2008 and November 2011, were enrolled and divided into 2 groups: incidental gallbladder cancer (IGBC) and non-incidental gallbladder cancer (NIGBC). Clinical outcomes were retrospectively compared between the two groups. Results: Seventy-nine patients were enrolled and analyzed in our study. Thirty-three (41.8%) and 46 (58.2%) were identified as IGBC and NIGBC, respectively. The proportions of patients with gallstone disease, gallbladder polyp, and cholecystectomy were significantly different between the two groups. Additionally, the median survival rate was significantly higher for patients with IGBC than for those with NIGBC (11.4, 95% confidence interval, 5.6-13.7 vs 4.0, 95% confidence interval 3.03-5.96 months; p=0.01) during a median follow-up period of 5.7 months. Conclusions: Patients with IGBC showed better clinical prognosis than those with NIGBC. Therefore, patients with gallstone disease or gallbladder polyps, major predictive risk factors for IGBC, should undergo advanced work-up for chelecystectomy.

Voters' Third-Person Perceptions -based on the Media Effect on the Presidential Candidates Images and Choice- (유권자의 제3자 효과 지각 연구 -후보자 이미지와 후보 선택에 미치는 미디어 효과를 중심으로-)

  • Seol, Ji-Nah;Kim, Hwal-Bin
    • Korean journal of communication and information
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    • v.42
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    • pp.79-106
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    • 2008
  • Based on the third-person effect hypothesis, this study conducted a nation-wide online survey to assess how Korean voters perceived the mass media's effect on the candidates' image and voting behavior during the 17th presidential election. The research results showed that the voters tended to perceive that the mass media such as newspaper, television and the Internet had a greater effect on others than on themselves with regards to the formation of the three candidates' images. The third-person effect on the voting behavior was also revealed differently in terms of the medium according to age and political tendency of the voters. For instance, the younger and liberal voters were likely to see newspaper as having a greater influence on other voters' choice of candidate, while the older voters saw TV as having a greater effect on other voters. The conservative tendency did not affect the perception of the voters at all. Another noteworthy result was that personal characteristics of the candidates' images such as appearances and communication skills did not affect the voters' behaviors in the election process.

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Nationwide Gastric Cancer Report in Korea (전국 위암 등록사업 결과 보고)

  • Yang, Han-Gwang
    • Journal of Gastric Cancer
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    • v.2 no.2
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    • pp.105-114
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    • 2002
  • In this study, the Korean Gastric Cancer Association collected 12,152 gastric cancer patients (5,380 in 1995, 6,772 in 1999) from 29 hospitals. Twelve clinicopathological factorssex, age, operation date, tumor location, size, operation method, gross type of early gastric cancer, Borrmann type, depth of invasion, lymph node metastasis, distant metastasis, stage-were summarized in a database file and analyzed. Chronological change has been evaluated between the patients in 1995 and those in 1999. Proportion of early gastric cancer has been increased from $28.6\%$ in 1995 to $32.8\%$ in 1999. The UICC staging was $25.3\%$ (1995), $29.3\%$ (1999) for stage Ia, $12.7\%,\;13.9\%$, for stage Ib, $15.7\%,\;14.8\%$, for stage II, $15.2\%,\;13.2\%$, for stage IIIa, $8.2\%,\;6.3\%$, for stage IIIb, and $20.1\%,\;18.1\%$, for stage IV. The operation of each year was subtotal gastrectomy ($67.6\%,\;67.3\%$), total gastrectomy ($26.6\%,\;24.1\%$), proximalgastrectomy ($0.3\%,\;3.6\%$), wedge resection ($0.1\%,\;0.5\%$), bypass surgery ($2.3\%,\;1.8\%$), and open biopsy ($3.1\%,\;2.7\%$). In early gastric cancer, type IIc was the most common ($44.5\%$ in 1995, $42.8\%$ in 1999). The incidence of upper one-third cancer was slightly increased in 1999 ($12.5\%$) than 1995 ($11.2\%$), which is reflected in the increased prox-imal gastrectomy in 1999 (207 cases, $3.6\%$). There was no significant difference between either groups regarding the regional differences.

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Gender Differentials of Economic Resources in Old Age (노후생활에서의 성별 차이 - 경제적 차원을 중심으로)

  • 김정석
    • Korea journal of population studies
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    • v.26 no.1
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    • pp.59-77
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    • 2003
  • This study conducts empirical research on gender differentials of economic resources in old age. The economic resources are assessed by the presence of independent income source and the amount of total income. The study, based on nation-wide survey of the elderly, examines the effects of individual level variables and household level ones. Also, it compares such effects between male and female elderly. The analysis shows that several variables have gender specific effects. Among them, particularly interesting and important are marital status and coresidence with children. The positive effect of having spouse is greater among female elderly than among male elderly. Also, while coresidence with children among male elderly has insignificant or slightly positive relation to their own economic resources, it has a negative relation among female elderly. These results indicate that female elderly are dependent on their husbands and children. The study suggests that future research on the elderly incorporate gender differentials into models attempting to capture diversity within the elderly population.

The Local Council Members' Attitudes to the Health Policy (지방의회의원들의 보건정책에 대한 인식)

  • 김병익;배상수;조형원
    • Health Policy and Management
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    • v.9 no.2
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    • pp.55-76
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    • 1999
  • In order to understand the local council members' attitudes to the health policy, we conducted mail surveys using self-administered questionaire for 2 months(February and March. 1995). The study subjects were 2.312 local council members in Korea, but only about 11% among whom. 257 persons, responded to 2 times mail survey. This response rate revealed that the local council members was not interested in health care fields. The main results were as follows; The respondents thought that the economic and income development was most important among 15 regional policy agendas and the health care was the 5th or 7th important agenda. They. who had more health needs of and poor access to health care, tended to think that the health care was more important. They considered lobbying to and persuading the civil servants as the best method to tackle the local health care policy agenda. The respondents, who had poor access to health care facilities. tended to set the highest priority for the expansion of public and private health care resources. They expected that the election of local governor would activate the public health program more than thought that the program was implemented more actively than other region. The main opinion of respondents was that the central government had to take over planning and financing for the public health program, and the basic local government had to implment the program and budgeting. The majority of respondents agreed the private dominant medical care delivery system and nation-wide uniformed financing mechanism. Over 60% of them suggested that they were ready to suffer environmental pollution inducing health hazards for the purpose of regional economic and income development. About 75% of them favour the campaign for antismoking regardless of reducing local government's revenue from sale tax.

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Industrial Development of Medicinal Plants in China (중국에 있어서 약용식물의 산업적 발달)

  • Gao, Wen-Yuan;Paek, Kee-Yoeup;Peng, Yong;Xiao, Pei-Gen
    • Korean Journal of Medicinal Crop Science
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    • v.7 no.4
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    • pp.316-324
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    • 1999
  • In China, medicinal plants play almost the same important role in the general health service as the western medicine. In this paper, we present a brief review about the industrial development of medicinal plants in China. A nation-wide survey shows that there are 11, 118 species of medicinal plants in China. The total annual output value of natural products is about $6, 000. The output value of preparations is 3 billion US dollars. Over 100 new drugs have been developed from the medicinal plants. As the trend worldwide today that human-being favors the way of life back to nature, medicinal plants will play a very important role, and their industrial exploitation will certainly be keeping a key position for human health.

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Influence of Parental Socioeconomic Status on Stress, Depression and Suicidal Ideation among Korean Adolescents (부모의 사회 경제적 지위가 청소년의 스트레스, 우울, 자살생각에 미치는 영향)

  • Park, Dahye;Jang, Soong-Nang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2667-2676
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    • 2013
  • This study was to examine the relationship between suicidal ideation, depression, stress and their parent's socioeconomic status. Nation-wide representative data from the Korean National Health and Nutrition Examination Survey 2009 were used in this study. 904 adolescents with parent were analysed. Parent's socioeconomic status, especially mother's low educational level and the beneficiaries for national basic livelihood security were significant risk factor for adolescents' suicidal ideation. These associations remained significant in multiple logistic regression controlling for all covariates. The findings in the current study support the global literature on the importance of socioeconomic status in promoting adolescent's mental health. Future prevention intervention efforts to improve adolescent's suicide risk will need to take into consideration parent's and household's socioeconomic conditions. Future study is needed to explore the possible proximal risk factors and mediators between parent's socioeconomic status and mental health among adolescents.

Analysis on the Actual Conditions of Wastewater Treatment Facilities in Chungcheongnam-do Province Industrial Complexes (충청남도 산업단지의 오·폐수처리실태 분석)

  • Lim, Bong-Su;Kim, Do-Young;Yi, Sang-Jin;Oh, Hye-Jung
    • Journal of Korean Society on Water Environment
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    • v.23 no.6
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    • pp.850-862
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    • 2007
  • This study was carried out to survey the actual conditions of wastewater treatment facilities to obtain basic data for the management of wastewater from industrial complexes in Chungcheongnam-do province. Wastewater production flow per site area by watersheds was $49.2m^3/km^2/d$ for Sapgyoho, $8.1m^3/km^2/d$ for Anseongcheon, $5.7m^3/km^2/d$ for Seohae, and $2.9m^3/km^2/d$ for Geumgang. Sapgyoho showed 75% of the total production flow, which was the highest value, Geumgang showed 4% of total flow, which was the lowest value. Average total extra rate as production flow/capacity flow in the wastewater treatment facilities for industrial complex is 49%. Considering by watersheds, the extra rates of Seohae, Geumgang, Anseongcheon, and Sapgyoho, are 73%, 65%, 62%, and 33% respectively. This means that the design of capacity flow in wastewater treatment facilities was too large. Effluent concentration of wastewater treatment facilities did not exceed discharge limit mostly. The removal efficiency rate for water quality item was 90% in BOD, 70% in COD, 80% in SS, 30 to 80% in TN, and 20 to 90% in TP, so the organic removal was good, but the nutrient removal was low and interval of variation was high. The removal efficiency rate of the agricultural was industrial complexes is lower than the national and local complexes. The construction cost of the wastewater treatment facilities in Chungcheongnam-do was $1,756Won\;per\;m^3$, treatment cost was $189Won\;per\;m^3$, and they were about two times and 1.2 times higher than the nation-wide cost, respectively. The treatment cost consists of 39% for man power, 21% for chemical, 16% for power, 11% for sludge treatment, and 13% for others.

Medullary Sponge Kidney Detected in the Pediatric Age (소아 연령에서 발견된 medullary sponge kidney)

  • Chung, Woo Yeong;Cho, Min Hyun;Gu, Young-Ran;Leem, Sun-Hee;Cheong, Hae Il
    • Childhood Kidney Diseases
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    • v.16 no.2
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    • pp.109-114
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    • 2012
  • Purpose: Medullary sponge kidney (MSK) is a rare congenital disease characterized by diffuse ectasia or dilatation of precalyceal collecting tubules. MSK incidence and prevalence in the general population is uncertain and only a few patients are reported especially in the pediatric age. There has been increasing reports of patients with MSK who have other malformative disorders. Also several case reports concerning about etiological association of some genes. Methods: Collaborative study through nation-wide survey was done to investigate the incidence and etiological association of some genes such as GDNF gene, ATP6V1B1, ATP6V0A4 gene in developing MSK in Korean children. Results: Four cases of MSK who have various other malformative disorders were collected. There are no mutations of GDNF gene, ATP6V1B1, ATP6V0A4 gene in all patients. Conclusion: MSK is one of the very rare diseases in pediatric age. The etiological association of GDNF gene, ATP6V1B1, ATP6V0A4 gene in developing MSK in Korean children is not proved.

A Study on a Quality Management System onto which Informationized Management is Grafted: - With Centering on the Direction for Development of a Standard Model of the Informationized Management System - (정보화경영을 접목한 품질관리방안 연구 - 정보화경영체제 표준모델 발전방향 중심으로 -)

  • Park, Seon-Guk
    • 한국디지털정책학회:학술대회논문집
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    • 2007.06a
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    • pp.127-143
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    • 2007
  • As the informationized society develops, for companies to be industrially competitive in global competition, innovation of business administration through informationization is a nation-wide task that must be driven. Small-to-mid size companies also tend to recognize the need for informationization and build the information systems, improving their informationization levels. To reduce errors in bringing in and running the information systems and increase efficiency In using them, the need for the standard and guide for informationization in small-to-mid size companies has increased. Accordingly, the national office of small and medium business administration has developed the informationized management system (IMS) certification standard in order to provide a national motive to secure the means for management innovation of small-to-mid size companies and have them recognize informationization as a business strategy. Now, there arises the need for the IMS certification standard, which was developed in early 2000, due to changes in environments of small-and-medium businesses and problems that have been revealed in field applications. In this research, we have examined the current situations of informationization in small-and-medium businesses that were revealed by the 2005 survey on the levels of informationization in small and medium business, have drawn the problems that have occurred in the process of applying the IMS in many small-to-mid size companies, have devised the measures against those problems, and have proposed a new IMS certification standard that reflects those measures. This research has proposed only the direction for development of the IMS certification standard. Future researches should deal with detailed items and criteria for evaluation and continuous improvement of them.

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