• Title/Summary/Keyword: Nationwide study

Search Result 2,017, Processing Time 0.039 seconds

Real-world Nationwide Outcomes of Minimally Invasive Surgery for Advanced Gastric Cancer Based on Korean Gastric Cancer Association-Led Survey

  • Sin Hye Park;Mira Han;Hong Man Yoon;Keun Won Ryu;Young-Woo Kim;Bang Wool Eom;The Information Committee of the Korean Gastric Cancer Association
    • Journal of Gastric Cancer
    • /
    • v.24 no.2
    • /
    • pp.210-219
    • /
    • 2024
  • Purpose: The study aimed to investigate real-world surgical outcomes of minimally invasive surgery (MIS) for advanced gastric cancer using Korean Gastric Cancer Association (KGCA)-led nationwide data. Materials and Methods: A nationwide survey of patients who underwent surgical treatment for gastric cancer in 2019 was conducted by the KGCA. A total of 14,076 patients from 68 institutions underwent surgery, and 4,953 patients diagnosed with pathological stages IB-III gastric cancer were included. Among them, 1,689 patients who underwent MIS (MIS group) and 1,689 who underwent the open approach (open group) were matched using propensity score in a 1:1 ratio. Surgical outcomes were compared, and multivariate analysis was performed to identify the independent factors for overall morbidity. Results: The MIS group had a lower proportion of D2 lymphadenectomy, total omentectomy, and combined resection. However, the number of harvested lymph nodes was higher in the MIS group. Better surgical outcomes, including less blood loss and shorter hospital stay, were observed in the MIS group, and the overall morbidity rate was significantly lower in the MIS group (17.5% vs. 21.9%, P=0.001). The mortality rates did not differ significantly between the 2 groups. In the multivariate analysis, the minimally invasive approach was a significant protective factor against overall morbidity (odds ratio, 0.799; P=0.006). Conclusions: Based on the Korean nationwide data, MIS for stage IB-III gastric cancer had better short-term outcomes than the open approach, including lower rates of wound complications, intra-abdominal abscesses, and cardiac problems.

Division of Small Unit Based on a Nationwide Disaster Vulnerability Map (전국단위 재해위험도에 기초한 급경사지 재해의 단위권역 구분)

  • Kim, Sung-Wook;Choi, Eun-Kyeong;Park, Dug-Keun;Oh, Jeong-Rim
    • Proceedings of the Korean Geotechical Society Conference
    • /
    • 2010.03a
    • /
    • pp.927-932
    • /
    • 2010
  • This study made a nationwide metropolitan region map on the basis of disaster vulnerability and administrative boundary, and based on it, it divided small-sized regions and constructed disaster history of each region. For the disaster vulnerability, the study wrote slope, aspect, curvature, wetness index, and drainage density, compared and analyzed regions with disaster and geomorphic elements to distinct the factor with high correlations, and based on it, it divided small-sized regions for forecasting and warning system of middle regions(Gangwon province, Chungchung province, and Jeolla province). Through the method, Gangwon region were divided into 4 small-sized regions, Chungchung into 5 small-sized regions, and Jeolla into 6 small-sized regions.

  • PDF

A Study on Improvement Methods in Mathematics by Comparing Examinations in Mathematics in the College Scholastic Ability Test at a Nationwide Level in Korea, China, America, and Japan (한, 중, 미, 일의 전국단위 대학입학시험 수학과 출제체제 비교를 통한 수리 영역 개선 방안 연구)

  • Jo, Yun-Done;Nam, Jin-Young;Ko, Ho-Kyoung
    • School Mathematics
    • /
    • v.11 no.4
    • /
    • pp.547-565
    • /
    • 2009
  • This study presents the examination system, contents, and types of items in mathematics in the examination subjects at a nationwide level that are applied to examination materials for college entrance through analyzing such system, contents, and types of problems. Based on the results of this analysis, this study draws certain issues on the contents that are to be included in large-scale national examinations used for materials for college entrance, types of items which are able to appropriately present such content, and specific issues on the examination system in order to effectively perform the examination through proper configurations in all these issues. Thus, this study will provide some basis to determine the examination system in mathematics for the College Scholastic Ability Test according to future educational curriculum.

  • PDF

A Study on Nationwide Survey and Analysis of Operating Small Libraries in Korea (전국 작은도서관 운영 실태조사 및 분석 연구)

  • Cha, Sung-Jong;Ahn, In-Ja;Yoon, So-Young
    • Journal of the Korean BIBLIA Society for library and Information Science
    • /
    • v.23 no.1
    • /
    • pp.153-178
    • /
    • 2012
  • This study covers the basic information of the small libraries nationwide, holding materials, facilities/equipment, human resources, budget, usage/users, and service etc. The survey is divided into 4 steps to produce accurate statistical data and analyze it. As a result, total 3,349 small libraries meet the criteria of the Library Act in 2010. Their holding materials, facilities/equipment, human resources, budget, usage, service program are lack of providing the knowledge information and reading culture service, which is defined in the Library Act. In particular, the majority of small libraries(80%) are in poor condition to operate library facilities/equipment, budget, and their operation. This study proposes some suggestions to overcome the poor condition and to make small libraries prosperous in the near future.

Antidepressant Prescription Patterns in Bipolar Disorder: a Nationwide, Register-based Study in Korea

  • Yoon, Woon;Shon, Seung-Hyun;Hong, Youjin;Joo, Yeon Ho;Lee, Jung Sun
    • Journal of Korean Medical Science
    • /
    • v.33 no.46
    • /
    • pp.290.1-290.11
    • /
    • 2018
  • Background: The role of antidepressants (ADs) in bipolar disorder is long-standing controversial issue in psychiatry. Many clinicians have used ADs as a treatment for bipolar depression, and the selection of therapeutic agents is very diverse and inconsistent. This study aimed to examine recent AD prescription patterns for patients with bipolar disorder in Korea, using the nationwide, population-based data. Methods: This study utilized the Korean nationwide, whole population-based registry data of the year 2010, 2011, and 2013. All prescription data of the ADs, antipsychotics, and mood stabilizers of the sampled patients diagnosed with bipolar disorder (n = 2,022 [in 2010]; 2,038 [in 2011]; 2,626 [in 2013]) were analyzed for each year. Results: Annual prescription rate of ADs was 27.3%-33.6% in bipolar disorder, which was gradually increasing over the 3-year period. The combination pattern of ADs and antipsychotic drugs tended to increase over 3 years. The proportion of females and the prevalence of comorbid anxiety disorder were significantly higher in AD user group in all three years. Among individual ADs, escitalopram was prescribed most frequently, and fluoxetine and bupropion were prescribed to the next many patients. The mean duration of bipolar depressive episodes was 135.90-152.53 days, of which ADs were prescribed for 115.60-121.98 days. Conclusion: Our results show prescription rate of ADs in bipolar disorder was maintained at substantial level and increased in recent 3 years. More empirical data and evidence are needed to establish practical treatment consensuses.

Not All Children with Cystic Fibrosis Have Abnormal Esophageal Neutralization during Chemical Clearance of Acid Reflux

  • Woodley, Frederick W.;Moore-Clingenpeel, Melissa;Machado, Rodrigo Strehl;Nemastil, Christopher J.;Jadcherla, Sudarshan R.;Hayes, Don Jr;Kopp, Benjamin T.;Kaul, Ajay;Di Lorenzo, Carlo;Mousa, Hayat
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.20 no.3
    • /
    • pp.153-159
    • /
    • 2017
  • Purpose: Acid neutralization during chemical clearance is significantly prolonged in children with cystic fibrosis, compared to symptomatic children without cystic fibrosis. The absence of available reference values impeded identification of abnormal findings within individual patients with and without cystic fibrosis. The present study aimed to test the hypothesis that significantly more children with cystic fibrosis have acid neutralization durations during chemical clearance that fall outside the physiological range. Methods: Published reference value for acid neutralization duration during chemical clearance (determined using combined impedance/pH monitoring) was used to assess esophageal acid neutralization efficiency during chemical clearance in 16 children with cystic fibrosis (3 to < 18 years) and 16 age-matched children without cystic fibrosis. Results: Duration of acid neutralization during chemical clearance exceeded the upper end of the physiological range in 9 of 16 (56.3%) children with and in 3 of 16 (18.8%) children without cystic fibrosis (p=0.0412). The likelihood ratio for duration indicated that children with cystic fibrosis are 2.1-times more likely to have abnormal acid neutralization during chemical clearance, and children with abnormal acid neutralization during chemical clearance are 1.5-times more likely to have cystic fibrosis. Conclusion: Significantly more (but not all) children with cystic fibrosis have abnormally prolonged esophageal clearance of acid. Children with cystic fibrosis are more likely to have abnormal acid neutralization during chemical clearance. Additional studies involving larger sample sizes are needed to address the importance of genotype, esophageal motility, composition and volume of saliva, and gastric acidity on acid neutralization efficiency in cystic fibrosis children.

A Study on Reported Status and Management Plan of Marine Facilities in Korea 1. On the Basis of Nationwide Status of Marine Facilities (국내 해양시설의 신고 현황과 관리 방안에 관한 연구 1. 전국의 해양시설 현황을 중심으로)

  • Kim, Kwang-Soo
    • Journal of the Korean Society of Marine Environment & Safety
    • /
    • v.16 no.3
    • /
    • pp.269-274
    • /
    • 2010
  • Present state of nationwide marine facilities reported to Minister of Land, Transport and Maritime Affairs{MLTM} in Korea for two years 2008 and 2009 was analyzed, and management plan was proposed in this study. As of the end of 2009, total number of nationwide marine facilities was reported to be 672 and to be scattered along the coasts all over the nation. 124 marine facilities reported to Masan regional maritime affairs and port office occupied 18.5% of total nationwide number. 69 marine facilities reported to Mokpo regional office and 69 marine facilities reported to Pohang regional office occupied 10.3%, respectively. 181 marine facilities reported to Busan and Masan regional offices occupied 26.9%, meaning that about a quarter of total nationwide marine facilities concentrated in Southeastern Sea of Korea centering around Busan and Masan. 320 oil and noxious liquid substances storage facilities occupied 47.6% of total nationwide number. 11 pollutant storage facilities occupied 1.6%. 178 ship construction, repair and scrap facilities occupied 26.5%. 7 cargo handling facilities occupied 1.0%. 12 waste storage facilities occupied 1.8%. none of marine facilities for tourism, housing and restaurant were reported. 88 water intake and outlet facilities occupied 13.1%. 37 fishing spots at play occupied 5.5%. 13 other marine facilities occupied 1.9%. 6 integrated marine science base facilities occupied 0.9% of total nationwide number. The guidance and the public relation for national report system of marine facilities, the improvement of national report system and management plan, the advancement and complement of national report affairs-handling guides, and the voluntary participation in national report system and the performance of duties by the owners of marine facilities were proposed for better management plan of marine facilities.

A Survey on Nutrition Attitude and Food Habit of Nationwide Middle School Student's Mothers (전국 중학생 어머니의 영양태도와 식습관에 관한 조사)

  • 김혜영
    • Journal of Nutrition and Health
    • /
    • v.28 no.2
    • /
    • pp.152-161
    • /
    • 1995
  • The purpose of this study was to provide a baseline assessment and relationship of nutrition attitude and food habit among mothers of middle school students. Eighteen questions were developed to test nutrition attitude and food habit test was used to reflect dietary behavior. The questionnare was mailed to a representative sample of nationwide middle schools, and was asked to be answered by mothers of one class' students. Usable questionnares were recieved from 4,694 participants of 99 schools. The mean score of nutrition attitude was 65.9 out of minimum possible score 18 and maximum 90. Nutrition attitude was weaker in the areas of control and self-efficacy than in intention and outcome-expectation. The mean score of food habit was 38.6 out of minimum possible score 12 and maximum 60. Food habit was weaker in the areas of protein, vitamins & minerals and dietary fiber than in the other areas. Nutrition attitude and food habit scores were lower among rural, manually working, lower educated and low-income mothers. There was a significant correlation between nutrition attitude and food habit(r=0.37, p<0.001).

  • PDF

A Study on the Development of the Experimental Educational Facility Management Information System based on the Nationwide Development Plan of the Educational Administration Information System (전국단위(全國單位) 교육행정정보체계(敎育行政情報體系) 구축사업(構築事業) 적용(適用)을 위한 실험적(實驗的) 교육시설현황관리(敎育施設現況管理)시스템 개발(開發)에 관한 연구(硏究))

  • Ock, Jong-Ho;Ahn, Byong-Hwan
    • Journal of the Korean Institute of Educational Facilities
    • /
    • v.9 no.2
    • /
    • pp.5-13
    • /
    • 2002
  • The main objective of this research is to develop an experimental educational facility management information system that will be used for maintaining existing educational facilities in the elementary, junior high, and high schools. The development is based on the nationwide development plan of the education administration information system. The system developed is accomplished by use of Map-application Information System(MAPIS), an applied commercial software that combines Geographic Information System(GIS) with existing Information and Communication Technologies(ICT) such as Database system, Multimedia methodology, and Internet system. In order to figure out the features to be improved in the system developed, the research interviewed the educational facilities management in the Ministry of Education and P Local Education Authority. The authors suggest the functional improvement of the system based on the interview results.