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Roundtable Discussion at the UICC World Cancer Congress: Looking Toward the Realization of Universal Health Coverage for Cancer in Asia

  • Akaza, Hideyuki;Kawahara, Norie;Nozaki, Shinjiro;Sonoda, Shigeto;Fukuda, Takashi;Cazap, Eduardo;Trimble, Edward L.;Roh, Jae Kyung;Hao, Xishan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.1-8
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    • 2015
  • The Japan National Committee for the Union for International Cancer Control (UICC) and UICC-Asia Regional Office (ARO) organized a Roundtable Discussion as part of the official program of the UICC World Cancer Congress 2014 in Melbourne, Australia. The theme for the Roundtable Discussion was "Looking Toward the Realization of Universal Health Care 'UHC' for Cancer in Asia" and it was held on December 5, 2014. The meeting was held based on the recognition that although each country may take a different path towards the realization of UHC, one point that is common to all is that cancer is projected to be the most difficult disease to address under the goals of UHC and that there is, therefore, an urgent and pressing need to come to a common understanding and awareness with regard to UHC concepts that are a priority component of a post-MDG development agenda. The presenters and participants addressed the issue of UHC for cancer in Asia from their various perspectives in academia and international organizations. Discussions covered the challenges to UHC in Asia, collaborative approaches by international organizations, the need for uniform and relevant data, ways to create an Asia Cancer Barometer that could be applied to all countries in Asia. The session concluded with the recognition that research on UHC in Asia should continue to be used as a tool for cancer cooperation in Asia and that the achievement of UHC would require research and input not only from the medical community, but from a broad sector of society in a multidisciplinary approach. Discussions on this issue will continue towards the Asia-Pacific Cancer Conference in Indonesia in August 2015.

Exploring the roles of Korean public health doctors in the development of Korean medicine health promotion project (한의약건강증진사업 발전을 위한 공중보건한의사 역할 탐색)

  • Jin, Sungmi;Park, Sunju
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.3
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    • pp.11-18
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    • 2017
  • Objectives : In an effort to suggest a developmental plan of Traditional Korean Medicine health promotion project(TKM-HPP), this study was conducted to identify the problems experienced by public health Traditional Korean Medicine(PH-TKM) doctors in duty and to analyze successful cases of the health promotion project. Methods : Two PH-TKM doctors in duty at the Public Health Centre branch and Public Health Centre respectively, and one TKM doctor in charge of Public Health Centre participated in the in-depth interview. The research procedure was as follows; 1) inform study objectives and interview questions to participants, 2) in-depth interview with semi-structured questions, and 3) post-confirmation and verification. The interview was recorded and transcripted. In-depth interview was composed of 6 subsections: 1) Introducing participants and share purpose of interview, 2) Confirmation of the job status and difficulty of public health centre, 3) Reflecting and sharing experiences of public health clinic job performance cases, 4) Current status and improvement needs of TKM-HPP, 5) Discussions on improvement of TKM-HPP in public health center, 6) Sharing and reconfirmation of interview results. Thematic analysis was conducted from the narratives. Results : The study showed that; 1) the support from the local government was critical for the successful TKM-HPP and participation of the PH-TKMs; 2) the major problems experienced by PH-TKMs were lack of training for TKM-HPP in the field and lack of knowledge at local government level; 3) the suggestions to provide PH-TKMs with manual to educate residents effectively and redefine roles of PH-TKMs in the project. It also suggests that TKM-HPP model should be developed by the district in a way of reflecting regional characteristics. Conclusions : Firstly, more efforts should be made on the projects rather than medical treatment in public health centers, except for areas where medical institutions are scarce. Secondly, in order to facilitate participation of PH-TKM doctors, each local office should reduce medical care and increase efforts related with projects. Thirdly, the institution has to develop feasible TKM-HPP plans that can be carried out by PH-TKMs by the manual. Lastly, pre-training should be provided to PH-TKMs to understand contents of TKM-HPP related to public health centre work before the placement.

Experimental infection of Philasterides dicentrarchi in Juvenile Olive Flounder, Paralichthys olivaceus (양식넙치에서 분리된 스쿠티카 섬모충 Philasterides dicentrarchi의 넙치 치어 인위감염)

  • Jin Chang-Nam;Kang Hyun-Sil;Lee Chang-Hoon;Lee Young-Don;Lee Je-Hee;Song Choon-Bok;Heo Moon-Soo
    • Journal of Aquaculture
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    • v.19 no.3
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    • pp.197-204
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    • 2006
  • The pathogenicity and infection route of the Scuticociliate, Philasterdies dicentrarchi, were investigated with the 3 and 5 cm-group of juvenile flounders, Paralichthys olivaceus. The infection rates of 3 cm-group were 40% four days post infection (D.P.I.) and increased to be 90.1% 24 D.P.I., whereas those of 5 cm-group were 20% 8 D.P.I., 42% 16 D.P.I., and 81% 24 D.P.I. The results showed there were several infection routes to internal organs Olive flounder. The first route was started with the infection at the soft part of caudal fin and later reached at fin ray and muscle tissue; the second one was started from lips and mouth tissue of upper jaw and later the pathogen could be observed at either muscle tissue or eyeball and brain; the third one was begun at caudal fin and later the pathogen reached at brain tissu'e through spiral cord; the fourth one was started with the infections at abdominal cavity and anus. P. dicentrarchi infected to brain tissue was first observed 14 D.P.I in 3 cm-group and 20 D.P.I. in 5 cm-group of the juvenile flounder. This indicated that the brain infection of P. dicentrarchi might occur faster in small-sized flounder than large-sized one.

A Study on the Demand of Taxi Transfer Discount Using Ordinal Logistic Model (순서형 로짓 모형을 활용한 택시환승할인수요에 관한 고찰)

  • Kim, Ki Young;Jung, Hun Young
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.38 no.5
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    • pp.685-692
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    • 2018
  • Busan city implemented 'taxi transfer discount system' since October 2017 in order to create for new demand taxis. However, due to the low transfer discount amount and limited payment method to prepaid cards, it is difficult to attain the aim. In this study, we investigated the usage status of taxi transfer discount system and the intention to use taxi transfer discount system according to the discount amount level. We established a model of intention to estimate demand of taxi transfer discount using ordinal logistic model. The results of analysis are as following. The critical reason for low usage was to limit taxi transfer discount payment methods to prepaid cards other than post-paid cards which is used for most transportation payment. It was found that the discount rate for taxi transfers was affected in order of payment method, the purpose of the travel, major transportation, frequency taxi use, age, transportation costs, and the discount of taxi transfers. Also, the taxi transfer discount could be expected to increase to 1,550 won based on the price elasticity of demand due to changes in taxi transfer discount rate.

Development of a Model of a Day Care Center for Rural Elderly People (농촌형 노인 주간보호시설 모형개발)

  • Kang, Kyung-Sook
    • Research in Community and Public Health Nursing
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    • v.15 no.4
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    • pp.551-565
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    • 2004
  • Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.

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Prediction of Ultimate Strength and Strain of Concrete Columns Retrofitted by FRP Using Adaptive Neuro-Fuzzy Inference System (FRP로 보강된 콘크리트 부재의 압축응력-변형률 예측을 위한 뉴로퍼지모델의 적용)

  • Park, Tae-Won;Na, Ung-Jin;Kwon, Sung-Jun
    • Journal of the Korea Concrete Institute
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    • v.22 no.1
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    • pp.19-27
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    • 2010
  • Aging and severe environments are major causes of damage in reinforced concrete (RC) structures such as buildings and bridges. Deterioration such as concrete cracks, corrosion of steel, and deformation of structural members can significantly degrade the structural performance and safety. Therefore, effective and easy-to-use methods are desired for repairing and strengthening such concrete structures. Various methods for strengthening and rehabilitation of RC structures have been developed in the past several decades. Recently, FRP composite materials have emerged as a cost-effective alternative to the conventional materials for repairing, strengthening, and retrofitting deteriorating/deficient concrete structures, by externally bonding FRP laminates to concrete structural members. The main purpose of this study is to investigate the effectiveness of adaptive neuro-fuzzy inference system (ANFIS) in predicting behavior of circular type concrete column retrofitted with FRP. To construct training and testing dataset, experiment results for the specimens which have different retrofit profile are used. Retrofit ratio, strength of existing concrete, thickness, number of layer, stiffness, ultimate strength of fiber and size of specimens are selected as input parameters to predict strength, strain, and stiffness of post-yielding modulus. These proposed ANFIS models show reliable increased accuracy in predicting constitutive properties of concrete retrofitted by FRP, compared to the constitutive models suggested by other researchers.

The Effects of School Forests on Mental Health and Cognition of Elementary Students (초등학교 내 학교숲 조성이 아동의 인지·정신건강에 미치는 효과)

  • Choi, Seon Hye;Lee, Yeonhee;Lee, Yoon Joo
    • Journal of Korean Society of Forest Science
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    • v.108 no.4
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    • pp.655-662
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    • 2019
  • The aim of the present study was to examine the effects of school forests on the cognition and mental health of elementary school students. Data were obtained through the surveys of sixth graders in an elementary school in Seoul that took part in the School Forest Project run by Korea Post, the Korea Forest Welfare Institute, and the Seoul Metropolitan Office of Education. Students were surveyed before and after the creation of green spaces in their schools, and changes in their environmental sensitivity, attitude toward forests, depression, anxiety, and aggression were analyzed. The findings indicated that the creation of green spaces showed significant effects on the students in terms of encouraging them to strengthen their environmental sensitivity, helping them develop more positive attitudes toward forests, and reducing anxiety and physical aggression, which are the subfactors of aggressive behavior. In other words, creating school forests had positive effects on cognition and mental health, reduced bad behavior, and improved attitudes toward nature in children. The findings of this study are significant in that they reinforce the requirement of school forests by indicating the positive effects of school forests on children's cognition and mental health.

Seoul Dynamics - Cheonggyecheon Threshold Plaza Design - (서울 다이나믹스 - 청계천 시점부 광장 설계 -)

  • Kim Jung-Yoon;ParkKim Office
    • Journal of the Korean Institute of Landscape Architecture
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    • v.34 no.1 s.114
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    • pp.92-106
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    • 2006
  • The process of designing Cheonggyecheon Entrance Plaza began with researching four keywords: plaza, restoration. modernity and icon. The outcome of the research was reinterpreted into and informed the design. An urban plaza must not only be a stage for civic life but should also be a portrait of the city to which it belongs. Many Korean plazas, however, are treated as if they are parks. Yeouido Park, which was originally a vast urban void, and Seoul Plaza, recently paved with grass, are good example. The strong 'green myth' can hinder socio-political activities. Cheonggyecheon cannot be said to have been 'restored', since it is still disconnected from its origin and upper streams, and the water is circulated by electricity. So it is better understood as an artificial urban waterfront, rather than an ecologically restored stream. This fact might diminish its ecological value, but not its recreational one. The entrance plaza therefore should reflect that the new stream brings back an 'experience', not only water itself. At the same time, the catch phrase of this restoration project was 'post-modern'. The demolished Cheonggye Expressway represents the 'economy drive' of the 1970s, so the newly opened Cheonggyecheon serves as a perfect counterpart to it. But modernity in Korea is the spirit that made many of the good things, not only its shortcomings, we have now. And from the philosophy of this restoration project, we can see that it is still an ongoing attitude in a way. Remnant of Cheonggye Expressway can evoke our nostalgia for the era. There are plenty of symbols in Seoul, both as architecture and objects. But none of them provide citizens with experience, other than the experience of looking at them. Cheonggyecheon Entrance Plaza is a good place to serve as an icon for a dynamic Seoul. From the research, the designer concluded that this plaza should commemorate the incomparable horizontal experience of Cheonggyecheon and the old expressway, amid the vertical metropolis. The Pedestrian Sculpture, which people can stroll on and look out over Cheonggyecheon, is to be made of steel cladding with a core structure and represents the dynamism of the stream, Seoul and contemporary Korea. The choice of material and the steel structure are also ways of creating the icon. The Water Plaza, the space underneath the ramp, will accommodate people and their urban activities, providing an opportunity to play with water. The Waterblades will be a device for the dramatic beginning of the stream, simultaneously camouflaging ugly openings in the outlets. The Wall of Archaeology is to be made with pre-fab resin blocks, translucent enough so that people can see through any archaeological findings of the site. The strong water-resistant character of resin makes the wall steady throughout the flood season as well. Cheonggyecheon restoration project is an effort to combine contemporary urban demand with the once-existing physicality by evoking our nostalgia for it. The project itself shows many socio-political issues of present-day Korea. The entrance plaza design thus is focused on suggesting an icon for the metropolis, simultaneously celebrating the stream itself. Within this space, people will be exposed to a unique experience that any 'green myth' cannot offer.

Estimation of Smoking Prevalence among Adolescents in a Community by Design-based Analysis (설계기준 분석 방법에 의한 지역사회 청소년 흡연율 추정)

  • Park, Soon-Woo;Lee, Sang-Won;Park, Jung Han;Yun, Yeon-Ok;Lee, Won-Kee;Kim, Jong-Yeon
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.4
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    • pp.317-324
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    • 2006
  • Objectives: This study was conducted to estimate the unbiased smoking prevalence and its standard errors among adolescents in a large city in Korea, by design-based analysis. Methods: All the students in Daegu city were stratified by grade, gender and region, and then schools as primary sampling units (PSU) were selected by probability proportional to size (PPS) sampling. One or two classes were sampled randomly from each grade, from 5th grade in elementary schools to the 3rd grade in high schools. The students anonymously completed a standardized self-administered questionnaire from October to December 2004. The total number of respondents was 8,480 in the final analysis, excluding the third graders in the general high schools because of incomplete sampling. The sampling weight was calculated for each student after post-stratification adjustment, with adjustment being made for the missing cases. The data were analyzed with Stata 8.0 with consideration of PSU, weighting and the strata variables. Results: The smoking prevalence (%) and standard errors for male students from the fifth grade in elementary schools to the second grade in high schools were $0.93{\pm}0.47,\;1.83{\pm}0.74,\;3.16{\pm}1.00,\;5.12{\pm}1.02,\;10.86{\pm}1.13,\;15.63{\pm}2.44\;and\;17.96{\pm}2.67$, and those for the female students were $0.28{\pm}0.28,\;1.17{\pm}0.73,\;3.13{\pm}0.60,\;1.45{\pm}0.58,\;3.94{\pm}0.92,\;8.75{\pm}1.86\;and\;10.04{\pm}1.70$, sequentially. Conclusions: The smoking prevalence from this study was much higher than those from the other conventional studies conducted in Korea. The point estimates and standard errors from the design-based analysis were different from those of the model-based analysis. These findings suggest the importance of design-based analysis to estimate unbiased prevalence and standard errors in complex survey data and this method is recommended to apply to future surveys for determining the smoking prevalence for specific population.

A Study on the Current Situation of Musical Performance in the COVID-19 Era and Its Direction (코로나19에 의한 뮤지컬 공연현황과 방향성에 관한 연구)

  • Bae, Hye-Ryung;Shin, Jong-Chul
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.372-390
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    • 2021
  • The objective of this study is to understand the current status of damage to Korean musical caused by the COVID-19, and also to seek for the coping measures and development direction in the post-Corona era. Thus, to understand the current status of damage, this study mainly researched the contents of NAVER TV musical performance transmitted for three years from March 2018 to February 2021 for analyzing the online performance and performance statistical data of Performing Arts Box Office Information System. As a result, this study could find a hypothesis and grounds to simultaneously verify and draw the positive and negative sides, pessimistic implications, and optimistic possibility. First, the performing arts would be multilaterally expanded after being divided into offline performance and online performance. Second, the utilization of online performance could narrow the gap(polarization) between capital area and non-capital area. Third, it is urgently needed to develop a win-win model for the establishment of a new musical market. Fourth, the performers' copyrights should be fairly protected. Fifth, the visualization requires the Korean-style support foundation and talent equipped with convergent thinking and knowledge. In such temporal changes from offline performance to online performance, there should be more sophisticated qualitative and quantitative growth in musical market.