• 제목/요약/키워드: Surveillance program

검색결과 221건 처리시간 0.023초

Hepatocellular Carcinoma in a Tertiary Referral Hospital in Indonesia: Lack of Improvement of One-Year Survival Rates between 1998-1999 and 2013-2014

  • Loho, Imelda M;Hasan, Irsan;Lesmana, C Rinaldi A;Dewiasty, Esthika;Gani, Rino A
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.2165-2170
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    • 2016
  • Background: The survival of hepatocellular carcinoma (HCC) patients is usually low due to late diagnosis. Cipto Mangunkusumo Hospital as the largest tertiary referral hospital in Indonesia, has recently improved its modalities for advanced HCC management, but there has not been any evaluation on any improvement in HCC patient survival. Materials and Methods: A retrospective analysis on 114 HCC patients in 2013-2014 were conducted and compared with the database for 77 HCC patients in 1998-1999. Clinical characteristics and treatment received were recorded and the survival of both groups was analyzed using the Kaplan-Meier method and compared using the log-rank test. Results: The percentage of HBV positive patients had increased after fifteen years from 32.5% to 67.5%. Only two patients (1.8%) in 2013-2014 were diagnosed with HCC during surveillance program. Proportions of Barcelona Clinic Liver Cancer A, B, C, and D in 2013-2014 were 1.8%, 42%, 28.1%, and 28.1%, respectively. There was an increase in the use of potentially curative treatment, such as surgical resection or combination of loco-regional therapies. The one-year survival rate increased from 24.1% in 1998-1999 to 29.4% in 2013-2014, while the median survival decreased from 146 days to 138 days, but the difference was not statistically significant (p=0.913). Conclusions: There was no improvement in the median survival of HCC patients after fifteen years because most continued to present at late stages. There is an urgent need for a nationwide implementation of a hepatitis screening program and HCC surveillance education.

영광 3/4호기 압력용기의 중성자 조사량계산을 통한 ENDF / B-IV와 VI 철(Fe) 자료의 비교 (Comparison of Iron(Fe) Data of ENDF/B-IV and VI in Yonggwang Nuclear Unit-3/4 Vessel Fluence Calculation)

  • Kim, Tae-Hyeong;Cho, Nam-Zin
    • Nuclear Engineering and Technology
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    • 제27권1호
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    • pp.74-83
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    • 1995
  • 원자로 압력용기에서의 정화한 속중성자 조사량의 계산은 발전소 압력용기 surveillance program의 핵심적인 부문이다. 최근 기존의 ENDF /B-III~V에 있는 철의 핵단면적 자료가 압력용기와 같은 철이 포함된 구조물에서 속중성자속을 낮게 평가하는 것으로 알려지고 있다. 본 논문에서는 ENDF /B-IV와 VI의 철(Fe) 자료의 비교를 위해 영광3/4호기 모델과 2개의 ENDF/B 파일에 있는 각각의 철자료를 이용하여 47-에너지그룹 핵단면적집 (CXFe-IV와 CXFe-VI )을 만들었다. CXFe-IV와 CXFe-VI를 사용하여 수행한 DOT4.3 계산결과에 의하면 압력용기 취화해석에 중요한 속중성자속(E 〉 1.0 MeV) 계산에서 ENDF /B-VI의 철자료를 사용한 경우가 ENDF /B-IV의 철자료를 사용한 경우보다 압력용기 내부표면에서 7.6%, 외부표면에서 20% 높게 나타났다.

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국내 종양유전상담 간호사를 위한 단기 교육프로그램 개발 (The First Korean Cancer Genetic Counseling Program for Nurses)

  • 최경숙;구웬앤더슨;전명희
    • 한국간호교육학회지
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    • 제12권1호
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    • pp.104-114
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    • 2006
  • Genetic knowledge for oncology nurses is important in Korea because oncologists are incorporating genetic counseling and genetic testing into their practice. The purpose of this paper is to describe our method of developing the first academic cancer genetic risk assessment and counseling course for Korean nurses. A one-week (non-credit) cancer genetics counseling program was constructed for master's level Korean oncology nurses. The course emphasized basic genetic concepts and principles the genetics of cancer; hereditary cancer syndromes; family history assessments; pedigree construction; risk calculation; surveillance recommendations and treatment options ethical, legal, social, and psychological issues inherent in genetic testing. The goals of this program are to: 1) provide a comprehensive knowledge base for nurses who are currently expanding their scope of practice into the genetic counseling role 2) introduce this knowledge to nurses who want to use it in their practice; and 3) provide cancer genetic knowledge and resources to Korean nursing faculty who plan to incorporate this knowledge into existing master's courses. This academically-based course is recognized as valuable by nurses, nursing faculty, and physicians. With this new knowledge nurses can begin toexpand their role in delivering comprehensive cancer care services.

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Car detection area segmentation using deep learning system

  • Dong-Jin Kwon;Sang-hoon Lee
    • International journal of advanced smart convergence
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    • 제12권4호
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    • pp.182-189
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    • 2023
  • A recently research, object detection and segmentation have emerged as crucial technologies widely utilized in various fields such as autonomous driving systems, surveillance and image editing. This paper proposes a program that utilizes the QT framework to perform real-time object detection and precise instance segmentation by integrating YOLO(You Only Look Once) and Mask R CNN. This system provides users with a diverse image editing environment, offering features such as selecting specific modes, drawing masks, inspecting detailed image information and employing various image processing techniques, including those based on deep learning. The program advantage the efficiency of YOLO to enable fast and accurate object detection, providing information about bounding boxes. Additionally, it performs precise segmentation using the functionalities of Mask R CNN, allowing users to accurately distinguish and edit objects within images. The QT interface ensures an intuitive and user-friendly environment for program control and enhancing accessibility. Through experiments and evaluations, our proposed system has been demonstrated to be effective in various scenarios. This program provides convenience and powerful image processing and editing capabilities to both beginners and experts, smoothly integrating computer vision technology. This paper contributes to the growth of the computer vision application field and showing the potential to integrate various image processing algorithms on a user-friendly platform

제주도 대장암 발생률 추세에 대한 연구 (The Study for Incidence Trends of Colorectal Cancer in Jeju-do)

  • 장원영
    • 한국산학기술학회논문지
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    • 제17권5호
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    • pp.566-573
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    • 2016
  • 대한민국은 2011년을 정점으로 대장암의 연령표준화 발생률이 감소 추세이다. 그러나 제주도 대장암의 연령표준화 발생률은 1999년부터 2013년까지 계속 증가하고 있다. 제주도는 전국 16개 주요 시도와 비교할 때 암검진율이 낮고, 음주율과 비만율이 높은 지역이다. 본 연구는 제주도 대장암 발생률을 낮추는 데 필요한 통계적 기초 자료를 파악하기 위하여 제주 지역 암센터의 암등록 사업을 통해서 조사한 1999년부터 2013년까지의 자료를 Joinpoint Regression program(Statistical Methodology and Applications Branch, Surveillance Research Program, National Cancer Institute) Version 4.2.0 - April 2015를 이용 국가 발생률과 이원비교 일치도 분석을 했다. 제주도는 남자 결장암 연평균 변화율이 8.422%(p-value<0.000), 여자 결장암의 연평균 변화율 6.136%(p-value<0.000), 남자 직장암의 연평균 변화율 4.221%(p-value 0.003)의 영향으로 대장암 발생률이 지속해서 증가하고 있다. 연령대는 50세 이상의 결장암이 연평균 변화율 7.986%(p-value<0.000)로 중요한 변수이다. 따라서 제주도 대장암 발생률을 낮추기 위해서는 남자 직장암에 대한 전암 단계의 치료와, 50세 이상 남녀 결장암 발생률을 낮추는 것이 중요하다.

어업관리 옵서버 제도의 효과에 대한 생물경제학적 분석 (Bioeconomic Analysis of Effectiveness of the Observe Program in Fisheries Management)

  • 이상고;김도훈
    • 수산경영론집
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    • 제33권1호
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    • pp.1-18
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    • 2002
  • The observer program is being utilized In various fishing areas and fisheries internationally and nationally due to the its expected effectiveness in fisheries management and the collection of bioeconomic data necessary in fisheries management policy. The timely gathered data by observers play substantially a major role in decision-making fisheries policy such as the change in management measures, the application of season closure and area closure and etc. The expected effectiveness of the observer program In fisheries management, generally mentioned, is that it would lead to the increase in stock size from which the level of harvest would consequently increases. This study is aimed to analyze this tentatively expected effectiveness of the observer program in fisheries management. The changes in stock size and the level of harvest over time are analyzed under the observer program assuming the fishermen bear the cost of the observer program by investigating the change in fisherman's fishing activity under the observer program and by combining this changed activity with the biological model. The level of fishing efforts of fishermen was decreased from the results of the increase in fishing cost caused by the observer cost and the decrease in catchable stock size restricted by observers. This reduced level of fishing efforts enables stock size to increase over time and therefore, the expected level of harvest increases as time goes on. Another benefit under the observer program is to reduce management costs from the fact that fishermen are responsible for the cost of the observer program and the avoidance cost of fisherman responding to the fisheries regulation could be eliminated from the surveillance of observer. Therefore, it may possible to accomplish the cost-efficient fisheries management policy.

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저장탄약 신뢰성 향상을 위한 ASRP 발전방안 연구 (A Study on the Development of ASRP for Improvement of the Stockpile Ammunition Reliability)

  • 최석철;배윤호;김동억
    • 한국군사과학기술학회지
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    • 제8권4호
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    • pp.32-40
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    • 2005
  • The ASRP(Ammunition Stockpile Reliability Program) is a overall evaluation system of ammunitions to improve the combat strength, having a short history. The storage lifetime of ammunitions, more than 20 years since being produced, differs according to storage circumstance and period. And it shows the different reliability for munitions. Because most ammunitions in military have been stored for a long time, these ammunitions need to be evaluated to maintain Serviceability, Reliability, Safety and Performance for the use of military. In this paper, it suggested the need to develop the techniques for ourselves, to make more laboratories for surveillance and testing and to extend research funds & concerns.

학교건강증진사업의 주요 영역과 전략 개발을 위한 선진사례 분석 (Analysis of Advanced School Health Promotion Policies and Programs for Developing Effective School Health Strategies)

  • 김명;김혜경
    • 한국학교ㆍ지역보건교육학회지
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    • 제8권1호
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    • pp.13-27
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    • 2007
  • The role of school as a key setting for health promotion practices should be empathized. However, there were limitations for the effectiveness of school health promotion practices in Korea because of the lack of recognition about its importance, social support, guiding principles of the school health promotion services by the school health related law, and cooperation between school and community. The purpose of this study was to analyse the advanced cases from The United States, Japan, Europe and Australia, and to evaluate the applicability to school health promotion services in Korea for establishing the strategy for effective implementation of school health promotion program in Korea. Four cases of school health program were selected for analysis, including Coordinated School Health Program and National School Health Strategies in the USA, Healthy Japan21, National School Health Initiative in Australia and the European Network of Health Promoting Schools. Major conclusions were as follows: 1. Advanced cases of school health programs were comprehensive in nature. 2. Integrated school and community health promotion efforts was emphasized. mostly. 3. Governmental agencies played an active role in conducting surveillance activities to monitor priority health risk behaviors, developing school health program and training manual, providing periodic program evaluation. 4. Life skill focused health education was the key component for the comprehensive school health program. For the improvement of efficiency in school health promotion practices, above advanced strategies for school health promotion program would be necessary.

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GIS Database and Google Map of the Population at Risk of Cholangiocarcinoma in Mueang Yang District, Nakhon Ratchasima Province of Thailand

  • Kaewpitoon, Soraya J;Rujirakul, Ratana;Joosiri, Apinya;Jantakate, Sirinun;Sangkudloa, Amnat;Kaewthani, Sarochinee;Chimplee, Kanokporn;Khemplila, Kritsakorn;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1293-1297
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    • 2016
  • Cholangiocarcinoma (CCA) is a serious problem in Thailand, particularly in the northeastern and northern regions. Database of population at risk are need required for monitoring, surveillance, home health care, and home visit. Therefore, this study aimed to develop a geographic information system (GIS) database and Google map of the population at risk of CCA in Mueang Yang district, Nakhon Ratchasima province, northeastern Thailand during June to October 2015. Populations at risk were screened using the Korat CCA verbal screening test (KCVST). Software included Microsoft Excel, ArcGIS, and Google Maps. The secondary data included the point of villages, sub-district boundaries, district boundaries, point of hospital in Mueang Yang district, used for created the spatial databese. The populations at risk for CCA and opisthorchiasis were used to create an arttribute database. Data were tranfered to WGS84 UTM ZONE 48. After the conversion, all of the data were imported into Google Earth using online web pages www.earthpoint.us. Some 222 from a 4,800 population at risk for CCA constituted a high risk group. Geo-visual display available at following www.google.com/maps/d/u/0/edit?mid=zPxtcHv_iDLo.kvPpxl5mAs90&hl=th. Geo-visual display 5 layers including: layer 1, village location and number of the population at risk for CCA; layer 2, sub-district health promotion hospital in Mueang Yang district and number of opisthorchiasis; layer 3, sub-district district and the number of population at risk for CCA; layer 4, district hospital and the number of population at risk for CCA and number of opisthorchiasis; and layer 5, district and the number of population at risk for CCA and number of opisthorchiasis. This GIS database and Google map production process is suitable for further monitoring, surveillance, and home health care for CCA sufferers.

어레이 안테나 장착을 위한 단순화된 주익 구조의 복합재 모자형 보강재 최적설계 (Optimal Design of the Composite Hat-shaped Stiffeners for Simplified Wing Box with Embedded Array Antenna)

  • 박승현;김인걸;이석제;전우철
    • Composites Research
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    • 제25권6호
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    • pp.224-229
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    • 2012
  • 정찰 및 감시를 위한 어레이 안테나가 내장된 날개는 컷아웃이 수반되기 때문에 구조성능이 저하된다. 본 논문에서는 단순화된 복합재 날개에 어레이 안테나 탑재시 안테나성능 저하와 날개구조 성능 저하를 최소화할 수 있는 복합재 모자형 보강재의 두께에 대해 최적설계를 수행하였다. 최적의 모자형 보강재 형상 선정을 위하여 모자형 보강재의 웹 경사도와 플랜지의 길이에 변화를 주어 상용 유한요소해석 프로그램을 이용하여 구조 해석을 수행하였다. 복합재 모자형 보강재형상에 대하여 응력과 좌굴에 대한 구속조건으로 상용 최적화 프로그램인 VisualDOC와 상용 유한요소해석 프로그램을 이용하여 최적화를 수행하여 보강재의 두께를 결정하였다.