Objectives: To identify factors responsible for potentially clinically unnecessary cervical cancer screenings in women with prior hysterectomy. Methods: A retrospective cross-sectional study was conducted using the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS). This study targeted adult women and examined whether they received a both a Papanicolaou (Pap) test and undergone a hysterectomy in the last three years. We conducted multivariate analyses, including weighted proportions and odds ratios (ORs), based on the modified BRFSS weighting method (raking). The inclusion criteria were adult women (>18 years old) who reported having received a Pap test within the last 3 years. Results: Of all women (n=252 391), 72 366 had received a Pap test, and 32 935 of those women (45%, or 12.5 million, weighted) had a prior hysterectomy. We found that age, race/ethnicity, marital status, family income, health status, time since last routine checkup, and health insurance coverage were all significant predictors. Black, non-Hispanic women were 2.23 times more likely to receive Pap testing after a hysterectomy than white women (OR, 2.23; 95% confidence interval [CI], 1.99 to 2.50). Similarly, the odds for Hispanic women were 2.34 times higher (OR, 2.34; 95% CI, 1.97 to 2.80). The odds were also higher for those who were married (OR, 1.17; 95% CI, 1.08 to 1.27), healthier (OR, 1.24; 95% CI, 1.14 to 1.35), and had health insurance (OR, 1.54; 95% CI, 1.28 to 1.84), after controlling for confounders. Conclusions: We conclude that women may potentially receive Pap tests even if they are not at risk for cervical cancer, and may not be adequately informed about the need for screenings. We recommend strategies to disseminate recommendations and information to patients, their families, and care providers.
This study was performed to evaluate the asbestos exposure levels and to calculate excess lifetime cancer risk (ELCR) for the risk assessment of the asbestos fibers released from asbestos-cement slate roofing (ASR) building. Total number of ASR buildings was into 21,267 in Busan, and 82.03 percent of the buildings was residential houses, and 43.61 percent of the buildings was constructed in 1970s. For this study, ten buildings were selected randomly among the ASR buildings. The range of airborne asbestos concentration in the selected ten ASR buildings was from 0.0016 to 0.0067 f/mL, and the concentration around no-admitted ASR buildings was higher than that around admitted buildings. The ELCR based on US EPA IRIS (integrated risk information system) model is within 3.5E-05 ~ 1.5E-04 levels, and the ELCR of no-admitted ASR buildings was higher than 1.0E-04 (one person per million) level that is considered a more aggressive approach to mitigate risk. These results indicate that the cancer risk from ASR buildings is higher than other buildings, and systematic public management is required for control of no-admitted ASR buildings within near future.
The typical reason of the private sector's increasing share in standardization is that the procedures of official standardization organizations are out of step with the rate of technical development. At today's so fast pace that the success of a technology is decided in the market even before it is standardized, several industry leaders jointly make their draft standard at the early stage of development, which becomes 'De fecto Standard.' To respond effectively to current trends of standardization where the market's decision is thought much of than official standardization procedures, it is necessary to shift from our current public sector-driven to private sector-driven standardization. Therefore, to vitalize the private sector-driven standardization in Korea, there is a need to: Run a standard foundation to secure stable resources for standardization Make information exchange between the govertment and private sector active and policy-making on standards consistent by designating a private organization to cover the roles, policies on standards, and support of the national standardization organization Establish a system to make private sector-driven standards approved as international standards Offer a training program to forster standard experts Publicize the importance of standards Promote standardization forums driven by private businesses, like the Integrated Forum. Maximize the benefits of linking standards and patents Now, Korea is on the threshold of developing into a world-class standard leader, and the private sector-driven standardization should be a stepping-stone for crossing over the threshold. This study is designed to suggest a method of promoting private sector-driven standardization to effectively cope with fast-changing international standards, based on the cases in developed countries.
In smart era, concept of User experience has been an important issue both in academic and practical areas in recent years. Interactive space became one of the major design paradigms. For elevating the interactive effect, we need user?centered design methodology which uses the influential factors on the interactivity. As, well developed information technology made a lot of changes to various fields of our society, interactive space with the concept of HCI became a big issue in environmental design field. In this interactive space, various types of informative factors of the given space are sent using sensor and computer networking technology to the main system. So, a user's movement in the space in more than just a movement itself-user's movement now forms a important spatial structure that leads the narrative of the space. in this research, I will come up with the problems that the interactive space has right now, and analyze what the public space must have, and combine them with interactive space by HCI theory. architecture space is not the old space adapting digital technology. In order to take the role as new space paradigm. environment and technology, it has to develop technology continuously and experimental space at the same time. It must have co-evolution of architecture space field and others through organic network. by that, the evolution of space will be in the way that combines space which is responded to human emotion and user centric human friendly.
Kang, Byung-Wook;Kang, Choong-Min;Lee, Hak-Sung;SunWoo, Young
Journal of Korean Society for Atmospheric Environment
/
v.24
no.6
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pp.662-673
/
2008
Two hybrid receptor models, potential source contribution function (PSCF) and concentration weighted tracjectory (CWT), were compared for locating $PM_{2.5}$ sources contributing to the atmospheric $PM_{2.5}$ concentrations in Seoul. The source contribution estimates by chemical receptor model (CMB) receptor model were used to identify better source areas, Among the sources, soil, agricultural burning, marine aerosol, coal-fired power plant and Chinese aerosol were only considered for the study because these sources were more likely to be associated with the long-range transport of air pollutant. Both methods are based on combining chemical data with calculated air parcel backward trajectories. However, the PSCF analyses were performed with trajectories above the $75^{th}$ percentile criterion values, while the CWT analyses used all trajectories. This difference resulted in locating of different sources, which might be helpful to interpret locating of $PM_{2.5}$ sources, High possible source areas in source contribution of soil and agricultural burning contributing to the Seoul $PM_{2.5}$ were inland areas of Heibei and Shandong provinces (highest density areas of agricultural production and population) in China. The "Chinese aerosol" was used as a representative source for the $PM_{2.5}$ originated from urban area in China. High possible source areas for the aerosol were the cities in China where are relatively close to the receptor. This result suggests that Chinese aerosol is likely to be a useful tool in studies on source apportionment and identification in Korea.
There are various schemes to improve the environment of a rir in which we dwell. Among them environment color is one of formative elements that compose a city environment, the recognition about it is coming to be high gradually. A stabilized appropriate color of city environment gives a psychological social cultural effect to the people and also can be a useful method even in public information of city image, To give a citizen sensitive aesthetic and emotional satisfaction, a systematic rational design approach is necessary in an environment color plan. Hereupon, this study suggests one model of a concrete substantial color design through analyzing a present condition, for example, an existing environment, a case study about similar space, and a question investigation for finding out preference image and applying them to the color design. Through a rational systematic environment color design one can expect several effects making identity in a region, increasing a peculiar image or unity reinforcement by total application of color scheme, creating a visual environment with aesthetic characteristic, and efficiency of continuous color management system.
Background: This study was conducted to examine the academic achievements of first year medical students in one medical school based on their characteristics and student selection factors of admission. Methods: The admission scores of student selection factors (Medical Education Eligibility Test [MEET], grade point average [GPA], English test score and interview) and demographic information were obtained from 61 students who had interviewed (multiple mini interview [MMI]) for admission (38 graduate medical school students in 2014, 23 medical college-transfer students in 2015). T-tests and ANOVA were used to examine the differences in academic achievement according to the student characteristics. Correlations between admission criteria scores and academic achievements were examined. Results: MEET score was higher among graduate medical students than medical college transfer students among student selection factors for admission. There were no significant differences in academic achievement of first grade medical school between age, gender, region of high school, years after graduation and school system. The lowest interview score group showed significantly lower achievement in problem-based learning (PBL) (p=0.034). Undergraduate GPA score was positively correlated with first grade total score (r=0.446, p=0.001) among admission scores of student selection factors. Conclusion: Students with higher GPA scores tend to do better academically in their first year of medical school. In case of interview, academic achievement did not lead to differences except for PBL.
Background: Health disparities exist among and within countries, while developing and low income countries suffer more. The aim of this study was to quantify cancer disparities with regard to socioeconomic position (SEP) in 22 districts of Tehran, Iran. Method: According to the national cancer registry, 7599 new cancer cases were recorded within 22 districts of Tehran in 2008. Based on combined data from census and a population-based health equity study (Urban HEART), socioeconomic position (SEP) was calculated for each district. Index of disparity, absolute and relative concentration indices (ACI & RCI) were used for measuring disparities in cancer incidence. Results: The overall cancer age standardised rate (ASR) was 117.2 per 100,000 individuals (120.4 for men and 113.5 for women). Maximum ASR in both genders was seen in districts 6, 3, 1 and 2. Breast, colorectal, stomach, skin and prostate were the most common cancers. Districts with higher SEP had higher ASR (r=0.9, p<0.001). Positive ACI and RCI indicated that cancer cases accumulated in districts with high SEP. Female disparity was greater than for men in all measures. Breast, colorectal, prostate and bladder ASR ascended across SEP groups. Negative ACI and RCI in cervical and skin cancers in women indicate their aggregation in lower SEP groups. Breast cancer had the highest absolute disparities measure. Conclusion: This report provides an appropriate guide and new evidence on disparities across geographical, demographic and particular SEP groups. Higher ASR in specific districts warrants further research to investigate the background predisposing factors.
Journal of Korean Society for Atmospheric Environment
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v.24
no.2
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pp.153-161
/
2008
The guidelines for indoor air quality of public transportations such as subway, train and bus was presented by Korean Ministry of Environment last end of year 2006 based on the great consequence of indoor air quality in daily life. Two main parameters, carbon dioxide($CO_2$) and particulate matters smaller than $10\;{\mu}m(PM_{10})$, were selected as index pollutants for the management of indoor air quality. The former pollutant, $CO_2$, is regarded as index of ventilation status and the major source of $CO_2$ in the train or subway is the exhalation of passengers. It is publically perceived that the high $CO_2$ concentration in a crowded subway will be reduced and ventilated with outdoor air by door-opening taken every 2 or 3 minutes when the train stops each station. However, there has not been any scientific proof and quantitative information on the effect of door-opening on the $CO_2$ reduction by ventilation with outdoor air. In this study, $CO_2$ concentration and number of passengers were measured at each station on the 3 lines of Korail metropolitan subway. In order to evaluate the effect of $CO_2$ reduction by door opening, the theoretical approach using the $CO_2$ balance equation was performed. By comparing the predicted data with monitoring one, the optimum $CO_2$ dilution factor was determined. For the first time, it was quantified that about 35% of $CO_2$ concentration in the subway indoor was removed by the door-opening at each station.
Domestic broadcasting companies are obliged to provide the disaster information quickly to protect the public from the disaster, and people can prepare the disaster. Especially, Korea Broadcasting System (KBS) has a duty to deliver disaster news more quickly and accurately than other broadcasting companies because it is designated as a host broadcaster for disaster broadcasting services in accordance with Article 43 of the Broadcasting Act. This study examined how the KBS deals with social disaster news related to Zika virus, and evaluated whether they used the frames in a timely manner to help people prepare a disaster. Based on the results of this analysis, this study tried to suggest practical implications for measures to improve the efficiency and reliability of disaster news report.
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