• 제목/요약/키워드: National level

검색결과 32,895건 처리시간 0.052초

델파이법을 적용한 암연구수준의 평가 (An Application of Delphi Method to the Assessment of Current Status of Cancer Research)

  • 강영호;윤석준;강길원;김창엽;유근영;신영수
    • Journal of Preventive Medicine and Public Health
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    • 제31권4호
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    • pp.844-856
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    • 1998
  • Globally, cancer research has been considered one of the most important field of biomedical researches. Recently, in Korea, there are increasing concerns about cancer research and the development of national cancer control programme. For the efficient investment in cancer research at the national level, strategic approach is needed based on the nationwide information about current status of research. However even the basic data on cancer research have not been systematically collected, and are not available when necessary. The aim of this study is to assess current status of cancer research. For this purpose, this study applied two round Delphi method in which fifteen experts in cancer research fields participated. They rated each items on the initial list at the first round, and modified their responses at the second round. Panels responded that pathogenesis of cancer, research & development of cancer drug, and oncogene, etc. are the most urgent and important research Holds. They assessed national level of cancer research as being 49.6% of the world highest level. Coefficient of variation tended to be lowered with the iteration. Predictive stability was evaluated to be lower in items of urgency than in items of importance and research level. Although this study shares the same limitations in the selection of the experts with many other Delphi studies, it provides a primary data that would be required to plan the national strategy of the cancer research.

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Cultivation and Characteristics of Licorice F1 (Glycyrrhiza glabra × G. uralensis) Lines

  • Lee, Sang-Hoon;Kim, Yeon Bok;Lee, Jeong-Min;Lee, Jeong-Hoon;Park, Chung-Berm;Bang, Jae-Wook;Choi, Hae-Woon;Hur, Yoonkang;Park, Chun-Geon
    • 원예과학기술지
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    • 제35권2호
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    • pp.276-286
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    • 2017
  • Licorice, a traditional Korean medicinal plant, is recognized for its main active ingredient, glycyrrhizin. The level of glycyrrhizin in Chinese licorice (Glycyrrhiza uralensis) is lower than the reference level (2.5%) set by the Korean Pharmacopoeia, reducing its value as a medicinal herb. In this study, we aimed to overcome this problem by generating an interspecific licorice hybrid by crossing European licorice (G. glabra) with Chinese licorice, resulting in the production of 32 $F_1$ lines. A comparison of genetic traits revealed variations in glycyrrhizin content among lines, ranging from 1.5 to 5.6%, with a mean value of 3.2%; these values are higher than that of the parental plants. Additionally, 25 lines (78.1%) had a glycyrrhizin content greater than 2.5%, which is higher than the reference level set by the Korean Pharmacopoeia. Four of these lines had glycyrrhizin levels higher than the WHO recommended level of 4.0%. A comparison of phenotypic characteristics showed that the leaves of the hybrids possessed all of the characteristics of European and Chinese licorice; however, the stems of most hybrids had characteristics of European licorice. Finally, we determined the genetic distances of 34 samples of Glycyrrhiza plants (parents, 32 $F_1$ lines) by random amplified polymorphic DNA (RAPD); the $F_1$ lines showed a close genetic distance. We plan to develop to a cultivar using five of these lines (glycyrrhizin content < 4.0%).

Association between serum anti-M$\ddot{u}$llerian hormone level and ovarian response to mild stimulation in normoovulatory women and anovulatory women with polycystic ovary syndrome

  • Kim, Ju Yeong;Yi, Gwang;Kim, Yeo Rang;Chung, Jae Yeon;Ahn, Ji Hyun;Uhm, You Kyoung;Jee, Byung Chul;Suh, Chang Suk;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • 제40권2호
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    • pp.95-99
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    • 2013
  • Objective: To evaluate the correlation between serum levels of anti-M$\ddot{u}$llerian hormone (AMH) and ovarian response to mild stimulation in normoovulatory women and anovulatory women with polycystic ovary syndrome (PCOS). Methods: Seventy-four cycles of mild stimulation (clomiphene citrate+gonadotropin followed by timed intercourse or intrauterine insemination) performed in normoovulatory women (57 cycles) and anovulatory women with PCOS (17 cycles). Ovarian sensitivity was defined by the number of mature follicles (${\geq}14mm$) on triggering day per 100 IU of gonadotropin. A correlation between ovarian sensitivity and the baseline serum AMH level (absolute or multiples of the median [MoM] value for each corresponding age) was calculated. Correlation between ovarian response and serum AMH level was evaluated. Results: Ovarian sensitivity to mild stimulation was positively correlated with absolute serum AMH (r=0.535, p<0.001) or AMH-MoM value (r=0.390, p=0.003) in normoovulatory women, but this correlation was not observed in anovulatory women with PCOS (r=0.105, p>0.05, r=-0.265, p>0.05, respectively). Conclusion: Ovarian response to mild stimulation is possibly predicted by the serum AMH level in normoovulatory women, but not in anovulatory women with PCOS.

Using Quality of Life Scales with Nutritional Relevance after Gastrectomy: a Challenge for Providing Personalized Treatment

  • Lee, Seung Soo;Yu, Wansik;Chung, Ho Young;Kwon, Oh Kyoung;Lee, Won Kee
    • Journal of Gastric Cancer
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    • 제17권4호
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    • pp.342-353
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    • 2017
  • Purpose: This study evaluated the changes in nutritional status based on quality of life (QoL) item-level analysis to determine whether individual QoL responses might facilitate personal clinical impact. Materials and Methods: This study retrospectively evaluated QoL data obtained by the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) and Quality of Life Questionnaire-Stomach (QLQ-STO22) as well as metabolic-nutritional data obtained by bioelectrical impedance analysis and blood tests. Patients were assessed preoperatively and at the 5-year follow-up. QoL was analyzed at the level of the constituent items. The patients were categorized into vulnerable and non-vulnerable QoL groups for each scale based on their responses to the QoL items and changes in the metabolic-nutritional indices were compared. Results: Multiple shortcomings in the metabolic-nutritional indices were observed in the vulnerable groups for nausea/vomiting (waist-hip ratio, degree of obesity), dyspnea (hemoglobin, iron), constipation (body fat mass, percent body fat), dysphagia (body fat mass, percent body fat), reflux (body weight, hemoglobin), dry mouth (percent body fat, waist-hip ratio), and taste (body weight, total body water, soft lean mass, body fat mass). The shortcomings in a single index were observed in the vulnerable groups for emotional functioning and pain (EORTC QLQ-C30) and for eating restrictions (EORTC QLQ-STO22). Conclusions: Long-term postoperative QoL deterioration in emotional functioning, nausea/vomiting, pain, dyspnea, constipation, dysphagia, reflux, eating restrictions, dry mouth, and taste were associated with nutritional shortcomings. QoL item-level analysis, instead of scale-level analysis, may help to facilitate personalized treatment for individual QoL respondents.

낙동강 강정고령보 상류 퇴적물 측정망 지점의 중금속 오염도 및 대표성 평가 (Evaluating Sediment Heavy Metal Pollution Level and Monitoring Network Representativeness at the Upstream Points of the Gangjeong-Goryeong Weir in the Nakdong River)

  • 안정민;임태효;김성민;이상수;김신;이권철;김용석;양득석
    • 한국환경과학회지
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    • 제27권7호
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    • pp.477-488
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    • 2018
  • In this study, heavy metal levels at the sediment monitoring network site upstream of the Gangjeong-Goryeong weir in the Nakdong River were surveyed from 2012 to 2016. We assessed the sediment pollution level using various pollution indexes based on ICP-MS analysis. The stream sediment pollution assessment standard, established through Regulation No. 687 of the National Institute of Environmental Research (2015), pollution load index (PLI), potential ecological risk index (RI), and mean PEL Quotient (mPELQ) were used to evaluate the sediment pollution level. We verified the representativeness of the monitoring point through the distribution of sedimentation and scour behavior by river bed surveying using anacousticDopplercurrentprofiler.

급성 폐사 바지락 (Ruditapes philippinarum) 으로부터 Perkinsus olseni의 확산 기작 (Dissemination of Perkinsus olseni is affected by the viability of Ruditapes philippinarum)

  • 남기웅;정희도;송재희;최광식;박경일
    • 한국패류학회지
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    • 제31권4호
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    • pp.267-272
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    • 2015
  • This study was conducted in order to elucidate the dissemination mechanism of P. olseni using field and laboratory experiments. For this purpose, we quantified the level of P. olseni infection in buried (healthy) and surfaced (gapped) R. philippinarum from a clam bed on Wi-do Island on the west coast of Korea. In addition, the levels of internal and released P. olseni cells from artificially infected (and later dead) R. philippinarum were monitored for 8 days using the RFTM-2 M NaOH lysis method. Our results indicate that P. olseni cells in buried R. philippinarum was $2,655,625{\pm}1,536,936cells/clam$; the level in gapped R. philippinarum was considerably lower, $28,203{\pm}24,889cells/clam$ (p < 0.05). In the laboratory experiment, the P. olseni cells remained in the host tissue 2 days after death was approximately 50% lower than the level of infection measured in living clams. The level dropped to 20% 4 days after death and to 1.5% 6 days after death; eight days after death, P. olseni cells were undetectable since the R. philippinarum flesh had completely decomposed. The level of released cells on the day of death was only 0.05% of the internal level in live R. philippinarum; however, the level increased to 2.3% 5 days after death then gradually decreased and no released cells were detected 8 days after death. Therefore, our laboratory experiment suggest that the low level of P. olseni infection observed in gapped R. philippinarum at Wi-do Island could be caused by lysis of the most of P. olseni cells during the decomposition of dead R. philippinarum tissues. Until the end of decomposition of R. philippinarum, 6.68% of the total amount of P. olseni was released within 8 days. Our study showed that the amount of P. olseni cells from dead host is a considerably higher level than naturally released from healthy R. philippinarum, suggesting that death of the host plays an important role in the dissemination of P. olseni.

Changes of soil water content and soybean (Glycine max L.) response to groundwater levels using lysimeter

  • Lee, Sanghun;Jung, Ki-Yuol;Chun, Hyen-Chung;Choi, Young-Dae;Kang, Hang-Won
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
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    • pp.299-299
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    • 2017
  • Due to the climate changes in Korea, the numbers of both torrential rain events and drought periods have increased in frequency. Water management practice against water shortage and flooding is one of the key interesting for field crop cultivation, and groundwater often serves as an important and safe source of water to crops. Therefore, the objective of this study is to evaluate the effect of groundwater table levels on soil water content and soybean development under two different textured soils. The experiment was conducted using lysimeter located in Miryang, Korea. Two types of soils (sandy-loam and silty-loam) were used with three groundwater table levels (0.2, 0.4, 0.6m). Mean soil water content during the soybean growth period was significantly influenced by groundwater table levels. With the continuous groundwater level at 0.2m from the soil surface, soil water content was not statistically changed between vegetative and reproductive stage, but the 0.4 and 0.6m groundwater table level was significantly decreased. Lower chlorophyll content in soybean leaves was found in shallow water table treatment in earlier part of the growing season, but the chlorophyll contents were non-significant among water table treatments. Groundwater table level treatments were significantly influenced on plant available nitrogen content in surface soil. The highest N contents were observed in 0.6m groundwater table level. It is probably due to the nitrogen loss by denitrification as the result of high soil water content. The length and dry weight of primary root was influenced by groundwater level and thus the highest length and dry weight of root were observed in 0.6m water table level. This result showed that soybean root growth did not extend below the groundwater level and increased with the depth of groundwater table level. The results of this study show that the management of groundwater level can influence on soil characteristics, especially on soil water content, and it is an important practice of to reduce yield loss caused by the water stress during the crop growing season.

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위장종양(胃腸腫瘍)에 있어서 혈청(血淸) Carcinoembryonic Antigen의 진단적(診斷的) 의의(意義)에 관(關)한 연구(硏究) (The Diagnostic Significances of Serum Carcinoembryonic Antigen in Gastrointestinal Tract Cancers)

  • 김종태;원경희;김열자;이종석;이학중
    • 대한핵의학회지
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    • 제17권1호
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    • pp.1-10
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    • 1983
  • Carcinoembryonic antigen (CEA) levels were measured in the serum of 35 normal control subjects and 179 cases of various benign and malignant gastrointestinal diseases. Malignant gastrointestinal tumors include 69 cases of stomach cancer, 24 cases of hepatoma and 33 cases of colorectal cancer. Benign gastrointestinal diseases include 29 cases of peptic ulcer and 24 cases of liver cirrhosis. The results were as followings: 1) Mean serum CEA level in normal control subjects was $6.9{\pm}3.3ng/ml$ and there was; no difference in mean serum CEA level between age and sex difference. 2) In malignant gastrointestinal tumors, mean serum CEA level in colorectal cancer, hepatoma and stomach cancer, were $54.3{\pm}88.9ng/ml,\;62.1{\pm}99.7ng/ml$ respectively. Serum CEA level showed positive rate of 67% in colorectal cancer, 63% in hepatoma and 62% in stomach cancer. There was no difference in mean levels and positivity of serum CEA between these 3 malignant tumor groups. 3) Positivity of serum CEA was 61% in malignant gastrointestinal tumor group in spite of 37% in benign gastrointestinal disease group. In both mean level and positivity of serum CEA, stomach cancer was much higher than peptic ulcer. But there was no difference in mean level and positivity of serum CEA level between hepatoma and liver cirrhosis. 4) In hepatoma serum CEA level showed positive rate of 62.5% and alpha-feto protein showed a rate of 58.3%. 5) Mean serum CEA levels in patients with cancer in rectal, cecal, sigmoid colon, ascending: colon and descending colon were $73.7{\pm}106.7ng/ml,\;69{\pm}84.8ng/ml$, $15.7{\pm}9.1ng/ml,\;7.5{\pm}10.6ng/ml$ and 4.0ng/ml respectively. Positive rate of serum CEA showed 86% in sigmoid. colon cancer, 68% in rectal cancer and 66% in cecal cancer. 6) In considering of histological background, there was no correlation between the degree of differentiation of tumor cell and the serum CEA level in colorectal cancer. According to Duke's classification, the mean serum levels of CEA were $8.8{\pm}11.4ng/ml$ in group A, $15.3{\pm}16.0ng/ml$ in group B and $68.5{\pm}101.5ng/ml$ in group C respectively. Positivity-of serum CEA in group A, Band C were 40%, 50% & 69% respectively. So there was significant correlation between the degree of elevation of serum CEA and tumor extension.

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간호인력 구성 및 확보수준 결정 요인 (Determinants of Registered Nurse Skill Mix & Staffing Level in Korea)

  • 조수진;김진현
    • 간호행정학회지
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    • 제20권1호
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    • pp.10-21
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    • 2014
  • Purpose: This study was done to identify determinants of registered nurse (RN) skill mix and staffing level focused on hospital characteristics. Methods: Data were obtained from health insurance claims data and hospital reporting system in the Health Insurance Review and Assessment Service (HIRA) for the year 2010. Data from 2,998 hospitals were analysed using t-test, ANOVA, Pearson correlation, and regression analysis. Results: The RN skill mix and staffing level were positively related to hospital size and the percentage of inpatients to total patients. RN skill mix and staffing level were statistically different across regions. Including nursing aides (NA), however, there was no difference in staffing levels across regions. Medically vulnerable regions, bed operation rate, and the number of patients per doctor were also related to RN skill mix and staffing level. Conclusion: The statically significant determinants of RN skill mix and staffing level included hospital size, region, bed operation rate, percentage of inpatients, doctor-patient ratio. Further study needs to be done to investigate factors including RN supply and wages.

작업자세와 작업시간을 고려한 농작업의 인간공학적위험성 평가 방법의 제안 (Suggestion of a Method to Assess the Risk Level of Agricultural Works Considering Work Posture and Working Time)

  • 박희석;이윤근;김효철;이경숙
    • 대한인간공학회지
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    • 제36권5호
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    • pp.601-607
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    • 2017
  • Objective: A method to assess the risk level of agricultural works considering work posture and working time was suggested, and the method was applied to the major fruit crops. Background: It is not complete to analyze only work postures when assessing risk level of agricultural works. Method: $3{\times}3$ matrix was employed, in which the severity level was taken from the REBA method and exposure level was taken from the working time, using the criteria of caution zone/hazard zone. Results: Among the 5 major fruit crops(apple, pear, grape, peach, persimmon), the highest level of ergonomic risk was found in the apple and pear, while medium level was found in other 3 crops, mainly because the working time was less in the 3 crops. Conclusion: It was found that when assessing the overall ergonomic risk of agricultural works, work posture and working time should be considered at the same time. Application: The suggested method could be applied to other non-cyclic tasks.