• Title/Summary/Keyword: Surveillance program

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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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    • v.17 no.4
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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.

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

  • Kim, Tae-Hyeong;Cho, Nam-Zin
    • Nuclear Engineering and Technology
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    • v.27 no.1
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    • pp.74-83
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    • 1995
  • The accurate determination of the fast neutron flux/fluence onto the pressure vessel is an essential part of the reactor pressure vessel surveillance program. It has been reported recently that the iron cross section data in ENDF/B versions III through V might underestimate the flux/fluence of fast neutrons in steel structures such as reactor pressure vessel. In this study, for the comparison of iron data of ENDF/B-IV and VI we produced two 47-group cross section sets, CXFe-IV and CXFe-Ⅵ, which are based on Yonggwang nuclear unit-3/4 model and the iron data of ENDF/B-IV and VI, respectively. A comparison was made of the results obtained from DOT4.3 calculation using CXFe-IV and CXFe-VI. From the results, it was found that the fast flux(E 〉 1.0 MeV), which is important for the pressure vessel embrittlement analysis, increases by about 7.6% at the inner wall and 20% at the outer wall of the vessel, if the iron data are used from ENDF/B-VI instead of ENDF/B-IV.

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

  • Choi, Kyung-Sook;Anderson, Gwen;Jun, Myung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.1
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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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    • v.12 no.4
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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

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

  • Chang, Weon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.566-573
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    • 2016
  • The age-adjusted incidence rate (AAR) of colorectal cancer in Korea peaked in 2011 and then began to decline. However, the AAR of colorectal cancer in Jeju increased continually from 1999 to 2013. Compared with the 16 major cities in Korea, the inhabitants of Jeju-do have a low cancer screening program participation rate, high alcohol consumption rate and high BMI. The present study aimed to provide a statistical basis for the lowering of the incidence of colorectal cancer in Jeju-do. The Jeju regional cancer institute data from 1999 to 2013 was used to analyze the between Jeju-do and Korea using the Joinpoint Regression program (Statistical Methodology and Applications Branch, Surveillance Research Program, National Cancer Institute) Version 4.2.0 - April 2015. The AAR of colorectal cancer in Jeju-do has being increasing because of the increase in the rates of male colon cancer (average annual percent change 8.422%, p-value<0.000), female colon cancer (AAPC 6.136%, p-value<0.000), male rectal cancer (AAPC 4.221%, p-value 0.003) and colon cancer in people aged over 50 years (AAPC 7.986% p-value<0.000). The results of this study suggest that the treatment of precancerous lesions of the male rectum and lowering of the incidence of colon cancer in people aged over 50 years are necessary to reduce the colorectal cancer incidence rate in Jeju-do.

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

  • Choi, Seok-Cheol;Bae, Yun-Ho;Kim, Dong-Eok
    • Journal of the Korea Institute of Military Science and Technology
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    • v.8 no.4 s.23
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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.

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

  • 이상고;김도훈
    • The Journal of Fisheries Business Administration
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    • v.33 no.1
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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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Analysis of Advanced School Health Promotion Policies and Programs for Developing Effective School Health Strategies (학교건강증진사업의 주요 영역과 전략 개발을 위한 선진사례 분석)

  • Kim, Myung;Kim, Hye-Kyung
    • The Journal of Korean Society for School & Community Health Education
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    • v.8 no.1
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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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    • v.17 no.3
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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.

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

  • Park, Sunghyun;Kim, In-Gul;Lee, Seokje;Jun, Oo-Chul
    • Composites Research
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    • v.25 no.6
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    • pp.224-229
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    • 2012
  • The structural performance is degraded in case of embedding the array antenna for reconnaissance and surveillance into the wing skin structures. In this paper, the optimal design for the thickness of composite hat-shaped stiffener which is reinforced embedded array antenna on the simplified composite wing box was conducted. To select the basic shape of hat-shaped stiffener, structural analysis was carry out using the commercial finite element analysis program while changing the web slope and flange length of hat-shaped stiffener. The optimal thickness of the composite hat-shaped stiffeners was determined by using commercial optimization program such as VisualDOC and commercial FEA program with considering stresses and buckling constraints.