• 제목/요약/키워드: Self-Survival

검색결과 217건 처리시간 0.024초

Breaking Limitations: Constraints and Strategies of Indonesian Migrant Entrepreneurship in Taiwan

  • Rita Pawestri Setyaningsih;Paulus Rudolf Yuniarto;Yuherina Gusman
    • 수완나부미
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    • 제15권2호
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    • pp.187-213
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    • 2023
  • As migrants develop businesses abroad, entrepreneurship needs specific strategies due to some barriers when establishing and doing businesses. This paper examines the kinds of problems that have been faced in Indonesian migrant entrepreneurships in Taiwan and how the entrepreneurs cope with the difficulties. They use structural and cultural strategies for survival, seize the opportunities for self-development, and develop future careers. Research result shows that the limitations of Indonesian entrepreneurships in Taiwan are related to institutional issues, migrant status, business regulations, resource-providing institutions, language barriers, competition among migrants and locals, and capital. Hence, migrant entrepreneurs must conduct strategic actions to continue their businesses by developing innovations to grow and survive. Some measures include changing from offline to online marketing especially when the COVID-19 pandemic hit, product diversification using migrants and local people's assistance and networks, and setting competitive prices. This paper is based on qualitative research. The data were obtained through interviews in East Java-Indonesia and in Taiwan in 2022. The data were analysed using the descriptive analysis with sociological perspectives.

북한 핵의 맥락적 이해 (Contextual Understanding of North Korea Nuclear Problem)

  • 박봉규
    • 한국과 국제사회
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    • 제1권1호
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    • pp.97-114
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    • 2017
  • 본고의 목적은 북한 핵문제 해결의 단서를 모색하기 위하여 북한 핵 문제를 맥락적으로 이해하려는 것이다. 다양한 시도가 무산된 상황에서 북한 핵 문제를 백지 상태에서 가늠해 보자는 것이다. 북한 핵문제는 북한 내부의 전개과정과 밀접하면서 동시에 국제정치적 함의 변화와 관련된다. 북한 핵문제가 체제 생존의 노력으로부터 파생되어 학습 효과에 의해 진화한 프로젝트일 가능성이 크다는 것이다. 소련의 영향으로 발아된 북한 핵문제가 '자위의 원칙'과 결합되면서 중 소 분쟁 등 국제정치적 상황에 의해 진화되었다. 냉전체제 붕괴와 탈냉전기의 도래는 획기적인 변화를 가져왔다. 북한 안보환경의 악화와 더불어 9 11 테러 이후 소위 '악의 축'이 보유하고 있는 대량파괴무기와 테러집단의 연결 가능성은 북한 핵문제를 세계안보 차원으로 확대시켰다. 그러므로 북한 핵문제는 체제생존, 냉전체제의 붕괴, 탈냉전기 안보함의의 변화라는 맥락 속에서 다양한 가능성을 전제하고 지속적인 수렴 과정을 통해 해결의 영역을 확보해야 한다.

이동 중 주들것에서 심폐소생술을 위해 개발된 보조발판(C-step)의 적용 효과 (The Effect of applying Subsidiary step developed for CPR on the main stretcher during movement)

  • 심규식
    • 한국산학기술학회논문지
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    • 제13권12호
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    • pp.5950-5957
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    • 2012
  • 흉부압박의 중단을 최소화하는 심폐소생술은 환자의 생존율 향상을 위한 중요한 요소이다. 본 연구의 목적은 이동 중 주들것에서 보조발판(C-step) 장착 여부에 따른 심폐소생술 정확도 및 오류를 파악하는 데 있다. 연구대상자는 C도 10개 소방서에 근무하고 있는 1급 응급구조사 70명(대조군 35명, 실험군 35명)으로 주들것에서 심폐소생술 정확도가 측정되었다. 연구결과 C-step을 적용한 주들것에서 심폐소생술은 적절한 흉부압박 높이와 안정된 자세를 제공해 흉부압박 정확도를 높이고(t=65.104, p=.000), 인공호흡 시 적절한 환기량을 공급하여 인공호흡 정확도를 높이며(t=5.207, p=.000) 심폐소생술 자신감 또한 향상시키는 것으로 나타났다(t=-10.612, p=.000). 결론적으로 주들것에 C-step 장착은 고품질의 심폐소생술(high quality CPR)을 충실히 수행해 심정지 환자의 생존율을 높이는데 도움이 될 것으로 사료된다.

Pre-Natal Epigenetic Influences on Acute and Chronic Diseases Later in Life, such as Cancer: Global Health Crises Resulting from a Collision of Biological and Cultural Evolution

  • Trosko, James E.
    • Preventive Nutrition and Food Science
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    • 제16권4호
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    • pp.394-407
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    • 2011
  • Better understanding of the complex factors leading to human diseases will be necessary for both long term prevention and for managing short and long-term health problems. The underlying causes, leading to a global health crisis in both acute and chronic diseases, include finite global health care resources for sustained healthy human survival, the population explosion, increased environmental pollution, decreased clean air, water, food distribution, diminishing opportunities for human self-esteem, increased median life span, and the interconnection of infectious and chronic diseases. The transition of our pre-human nutritional requirements for survival to our current culturally-shaped diet has created a biologically-mismatched human dietary experience. While individual genetic, gender, and developmental stage factors contribute to human diseases, various environmental and culturally-determined factors are now contributing to both acute and chronic diseases. The transition from the hunter-gatherer to an agricultural-dependent human being has brought about a global crisis in human health. Initially, early humans ate seasonally-dependent and calorically-restricted foods, during the day, in a "feast or famine" manner. Today, modern humans eat diets of caloric abundance, at all times of the day, with foods of all seasons and from all parts of the world, that have been processed and which have been contaminated by all kinds of factors. No longer can one view, as distinct, infectious agent-related human acute diseases from chronic diseases. Moreover, while dietary and environmental chemicals could, in principle, cause disease pathogenesis by mutagenic and cytotoxic mechanisms, the primary cause is via "epigenetic", or altered gene expression, modifications in the three types of cells (e.g., adult stem; progenitor and terminally-differentiated cells of each organ) during all stages of human development. Even more significantly, alteration in the quantity of adult stem cells during early development by epigenetic chemicals could either increase or decrease the risk to various stem cell-based diseases, such as cancer, later in life. A new concept, the Barker hypothesis, has emerged that indicates pre-natal maternal dietary exposures can now affect diseases later in life. Examples from the studies of the atomic bomb survivors should illustrate this insight.

119 구급대원의 비외상성 심정지 환자의 병원전 처치실태 및 전문 처치율 향상을 위한 개선 방안 (Prehospital Care of 119 EMT for Non-traumatic Cardiac Arrest and Improvement to Increase Advanced Care Rate)

  • 이경열;윤성우
    • 한국화재소방학회논문지
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    • 제25권5호
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    • pp.21-31
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    • 2011
  • 병원 밖에서 발생한 비외상성 심정지 환자에 대한 119 구급대원의 처치 현황과 개선방안을 연구하기 위해 대전충남에 근무하는 119 구급대원 322명에게 설문을 실시하였다. 119 구급대원들은 병원전 비외상성 심정지 환자에 대해 CPR은 96.9%(309명), AED는 53%(169명)에서 거의 매번 또는 매번 실시한다고 하였다. 1급 응급구조사와 간호사의 경우 IV는 94.7%(143명)에서 가끔 실시하거나 실시한 적이 없다고 하였고 약물처치의 경우도 90.7%(136명)에서 실시한 적이 없다고 응답하였다. AED, 기도확보 및 IV 를 실시하지 못했던 이유에 대해서는 구급인원이 부족하고, 시간이 부족하며, 흔들리는 구급차 때문이라는 의견이 많았다. 임상실습이나 병원실습의 경험이 있는 119 구급대원이 IV나 약물처치를 더 자주 실시하는 것으로 나타났다. 결론적으로, 심정지 환자의 소생률을 향상시키기 위해서는 구급차에 탑승하는 구급인원을 보강하고, 일반인들도 할 수 있는 기본심폐소생술 처치에서 더 나아가 전문심장소생술을 실시할 수 있도록 1급 응급구조사에게 에피네프린의 사용을 허가하며, 임상실기 교육을 강화하고 구급대원을 법적으로 보호할 수 있는 방안이 마련되어야 할 것이다.

Cancer Stem Cells in Head and Neck Squamous Cell Carcinoma: A Review

  • Satpute, Pranali Shirish;Hazarey, Vinay;Ahmed, Riyaz;Yadav, Lalita
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권10호
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    • pp.5579-5587
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    • 2013
  • Research indicates that a small population of cancer cells is highly tumorigenic, endowed with the capacity for self-renewal, and has the ability to differentiate into cells that constitute the bulk of tumors. These cells are considered the "drivers" of the tumorigenic process in some tumor types, and have been named cancer stem cells (CSC). Epithelial-mesenchymal transition (EMT) appears to be involved in the process leading to the acquisition of stemness by epithelial tumor cells. Through this process, cells acquire an invasive phenotype that may contribute to tumor recurrence and metastasis. CSC have been identified in human head and neck squamous cell carcinomas (HNSCC) using markers such as CD133 and CD44 expression, and aldehyde dehydrogenase (ALDH) activity. Head and neck cancer stem cells reside primarily in perivascular niches in the invasive fronts where endothelial-cell initiated events contribute to their survival and function. Clinically, CSC enrichment has been shown to be enhanced in recurrent disease, treatment failure and metastasis. CSC represent a novel target of study given their slow growth and innate mechanisms conferring treatment resistance. Further understanding of their unique phenotype may reveal potential molecular targets to improve therapeutic and survival outcomes in patients with HNSCC. Here, we discuss the state-of-the-knowledge on the pathobiology of cancer stem cells, with a focus on the impact of these cells on head and neck tumor progression, metastasis and recurrence due to treatment failure.

Side Population Cell Level in Human Breast Cancer and Factors Related to Disease-free Survival

  • Jin, C.G.;Zou, T.N.;Li, J.;Chen, X.Q.;Liu, X.;Wang, Y.Y.;Wang, X.;Che, Y.H.;Wang, X.C.;Sriplung, Hutcha
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.991-996
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    • 2015
  • Side population (SP) cells have stem cell-like properties with a capacity for self-renewal and are resistant to chemotherapy and radiotherapy. Therefore the presence of SP cells in human breast cancer probably has prognostic value. Objective: To investigate the characteristics of SP cells and identify the relationship between the SP cells levels and clinico-pathological parameters of the breast tumor and disease-free survival (DFS) in breast cancer patients. Materials and Methods: A total of 122 eligible breast cancer patients were consecutively recruited from January 1, 2006 to December 31, 2007 at Yunnan Tumor Hospital. All eligible subjects received conventional treatment and were followed up for seven years. Predictors of recurrence and/or metastasis and DFS were analyzed using Cox regression analysis. Human breast cancer cells were also obtained from fresh human breast cancer tissue and cultured by the nucleic acid dye Hoechst33342 with Verapami. Flow cytometry (FCM) was employed to isolate the cells of SP and non-SP types. Results: In this study, SP cells were identified using flow cytometric analysis with Hoechst 33342 dye efflux. Adjusted for age, tumor size, lymph nodal status, histological grade, the Cox model showed a higher risk of recurrence and/or metastasis positively associated with the SP cell level (1.75, 1.02-2.98), as well as with axillary lymph node metastasis (2.99, 1.76-5.09), pathology invasiveness type (1.7, 1.14-2.55), and tumor volume doubling time (TVDT) (1.54, 1.01-2.36). Conclusions: The SP cell level is independently associated with tumor progression and clinical outcome after controlling for other pathological factors. The axillary lymph node status, TVDT and the status of non-invasive or invasive tumor independently predict the prognosis of breast cancer.

노인 종양의 특성에 대한 연구 (Study on characteristics of cancer in the elderly)

  • 하재원;조정효;손창규;이연월;유화승;조종관
    • 대한한방종양학회지
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    • 제9권1호
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    • pp.99-108
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    • 2003
  • Recently, the proportion of the population older has increased rapidly. As the aged population is increasing, the prevalence of malignancy rises with age, too. We believe that the potential benefits of approach to cancer care in the elderly are self-evident. In order to investigate the characteristics of cancer in the elderly, we reviewed literature related with the biology of the aged with cancer. The elderly undergo age-related changes in their physiology which may result in altered tolerance to disease and to the requirements of the management of illness. The possible reasons for the increased prevalence of cancer in the elderly are a longer potential duration of exposure to carcinogens, a reduced ability of repair DNA and reduced host defences against malignancy. In general, cancer patients in the elderly have a shorter survival. Because it is impossible to offer the active treatment of cancer in the elderly. Also, they have the problems that the psychosocial change and reduce of physiological function such as absorption, metabolism and excretion. We hope that other groups will further research cancer in the elderly in future.

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딥러닝 기반 서울시 행정동별 외식업종 상권 변화 예측 (Predicting Changes in Restaurant Business District by Administrative Districts in Seoul using Deep Learning)

  • 김지연;오수민;박민서
    • 문화기술의 융합
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    • 제10권2호
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    • pp.459-463
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    • 2024
  • 자영업자의 빈번한 폐업은 국가적인 경제 손실을 동반한다. 특히 외식업종이 가장 높은 폐업률을 보이기 때문에 외식업종의 상권 변화를 예측하여 업체의 생존에 도움을 주는 것이 필요하다. 외식업종의 생존율과 폐업률에 영향을 미치는 요인에 대한 연구는 활발하나, 상권의 변화 정도를 예측하는 연구는 부족한 실정이다. 따라서, 본 연구에서는 상권 변화에 초점을 맞추는 연구를 하고자 한다. 이를 위해 서울시 행정동별 상권 변화를 예측하는 딥러닝(Deep Learning) 모델을 설계한다. 첫째, 2023년과 2022년 2분기의 상권 변화와 관련된 변수를 수집한다. 둘째, 1년간의 등락 정도를 백분율로 환산한 후, 증강 단계를 거친다. 셋째, 딥러닝 모델을 활용하여 상권 변화를 예측하는 모델을 제안한다. 향후 본 연구를 고려한 외식업종 지원정책은 상권의 질적 성장 및 경제 성장에 도움이 될 것으로 기대한다.

Percutaneous Enteral Stent Placement Using a Transhepatic Access for Palliation of Malignant Bowel Obstruction after Surgery

  • Won Seok Choi;Chang Jin Yoon;Jae Hwan Lee
    • Korean Journal of Radiology
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    • 제22권5호
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    • pp.742-750
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    • 2021
  • Objective: To assess the safety and clinical efficacy of percutaneous transhepatic enteral stent placement for recurrent malignant obstruction in patients with surgically altered bowel anatomy. Materials and Methods: Between July 2009 and May 2019, 36 patients (27 men and 9 women; mean age, 62.7 ± 12.0 years) underwent percutaneous transhepatic stent placement for recurrent malignant bowel obstruction after surgery. In all patients, conventional endoscopic peroral stent placement failed due to altered bowel anatomy. The stent was placed with a transhepatic approach for an afferent loop obstruction (n = 27) with a combined transhepatic and peroral approach for simultaneous stent placement in afferent and efferent loop obstruction (n = 9). Technical and clinical success, complications, stent patency, and patient survival were retrospectively evaluated. Results: The stent placement was technically successful in all patients. Clinical success was achieved in 30 patients (83.3%). Three patients required re-intervention (balloon dilatation [n = 1] and additional stent placement [n = 2] for insufficient stent expansion). Major complications included transhepatic access-related perihepatic biloma (n = 2), hepatic artery bleeding (n = 2), bowel perforation (n = 1), and sepsis (n = 1). The 3- and 12-months stent patency and patient survival rates were 91.2%, 66.5% and 78.9%, 47.9%, respectively. Conclusion: Percutaneous enteral stent placement using transhepatic access for recurrent malignant obstruction in patients with surgically altered bowel anatomy is safe and clinically efficacious. Transhepatic access is a good alternative route for afferent loop obstruction and can be combined with a peroral approach for simultaneous afferent and efferent loop obstruction.