• Title/Summary/Keyword: islander

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Breast Screening and Breast Cancer Survival in Aboriginal and Torres Strait Islander Women of Australia

  • Roder, David;Webster, Fleur;Zorbas, Helen;Sinclair, Sue
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.1
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    • pp.147-155
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    • 2012
  • Aboriginal and Torres Strait Islander people comprise about 2.5% of the Australian population. Cancer registry data indicate that their breast cancer survivals are lower than for other women but the completeness and accuracy of Indigenous descriptors on registries are uncertain. We followed women receiving mammography screening in BreastScreen to determine differences in screening experiences and survivals from breast cancer by Aboriginal and Torres Strait Islander status, as recorded by BreastScreen. This status is self-reported and used in BreastScreen accreditation, and is considered to be more accurate. The study included breast cancers diagnosed during the period of screening and after leaving the screening program. Design: Least square regression models were used to compare screening experiences and outcomes adjusted for age, geographic remoteness, socio-economic disadvantage, screening period and round during 1996-2005. Survival of breast cancer patients from all causes and from breast cancer specifically was compared for the 1991-2006 diagnostic period using linked cancer-registry data. Cox proportional hazards regression was used to adjust for socio-demographic differences, screening period, and where available, tumour size, nodal status and proximity of diagnosis to time of screen. Results: After adjustment for socio-demographic differences and screening period, Aboriginal and Torres Strait Islander women participated less frequently than other women in screening and re-screening although this difference appeared to be diminishing; were less likely to attend post-screening assessment within the recommended 28 days if recalled for assessment; had an elevated ductal carcinoma in situ but not invasive cancer detection rate; had larger breast cancers; and were more likely than other women to be treated by mastectomy than complete local excision. Linked cancer registry data indicated that five-year year survivals of breast cancer cases from all causes of death were 81% for Aboriginal and Torres Strait Islander women, compared with 90% for other women, and that the former had larger breast cancers that were more likely to have nodal spread at diagnosis. After adjusting for socio-demographic factors, tumour size, nodal spread and time from last screen to diagnosis, Aboriginal and Torres Strait Islander women had approximately twice the risk of death from breast cancer as other women. Conclusions: Aboriginal and Torres Strait Islander women have less favourable screening experiences and those diagnosed with breast cancer (either during the screening period or after leaving the screening program) have lower survivals that persist after adjustment for socio-demographic differences, tumour size and nodal status.

Accessory head of flexor pollicis longus in Jeju islander cadavers

  • Yu, Jae Ma;Yoon, Sang Pil;Kim, Jinu
    • Journal of Medicine and Life Science
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    • v.15 no.1
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    • pp.16-18
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    • 2018
  • Anterior interosseous nerve palsy is known to occur uncommonly because of its compression by the accessory head of flexor pollicis longus(AHFPL) in the forearm. During routine educational dissection, we found 7 AHFPLs in 12 upper limbs of 6 adults Korean Jeju islander cadavers, which inserted onto flexor pollicis longus. Three AHFPLs of them arose from coronoid process of the ulna, and the others arose independently from the flexor digitorum superficialis (FDS). Using the topographical relationship of the anterior interosseous nerve to the AHFPL, all anterior interosseous nerve was crossed the tendinous part of the AHFPL. This study has shown that there are discrepancies in the origin of AHFPL and the location of the anterior interosseous nerve in Koreans, which is supposed to be related to unique genetic pool in Jeju Island.

A Study on Development way of Fire fighting 119 angers of Jeju Islander (제주도민의 119화를 위한 소방의 발전방안)

  • Koh, Jae-Moon;Kim, Tae-Min;Kim, Hyo-Sik
    • The Korean Journal of Emergency Medical Services
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    • v.7 no.1
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    • pp.147-178
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    • 2003
  • In terms of reinforcing the functions and services of rescue 119 and emergency corps, we must review the following considerations : Building up security system along with operational expansion, building up a system for emergency medical treatment, buliding up a comprehensive information management system for rescue and emergency, constructing a provincial safety museum and so forth. For the ways to better the works of rescue 119, we can review the following considerations : Improving the education for fire fighting trainging corps under Jeju Provicial Fire and disaster management department, providing rescue members with more opportunity for clinical practices, enhancing the morale of rescue members, installing a comprehensive briefing room for emergency rescue members, building up medical networks along with reasonable policies for information service, operating the consulting system for rescue 119 and so on. Provide little more superior quality high fire fighting service to jeju islander, and need long-term and elaborate research to correspond in rising fire fighting man-power demand newly and investment. Construction of well-matched disaster administration system is assignment that must hurry in international free city. That jejudo receives time factor about that is received for another thing area's number of persons or equipment when regional special quality large scale or disaster happens is that of course the support receives limitation immediately. Jeju fire fighting services is one story reform, specialization taking into account particular situation of jeju area to grow as sightseeing and center of culture intending international free city, should be upgraded. So, it may do big contribution naturally in jeju international free city phase that coincide jeju islander's social welfare promotion and safety desire.

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해외건축- RESORT HOTEL 건축 편

  • Korea Institute of Registered Architects
    • Korean Architects
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    • no.5 s.55
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    • pp.61-76
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    • 1973
  • 첫째 부지 선택, 둘째 규모 결정, 셋째 특징, 이러한 순서로 resort hotel을 계획하는 것이 건축가의 가장 중요한 결정의 하나이다. 이상3가지를 어떻게 이용을 하고 또 보존을 하나 하는 것이 건축주들의 토지이용과 더불어 커다란 책임이다. 창조적이고 가장 적절한 부지의 선택이나 이용은 resort hotel건축에 빼놓을 수 없는 성공적이 열쇠가 된다. 이러한 중요한 사항들을 가장 이상적으로 활용을 하여 계획된 resort hotel을 근저 Architectural Record지에서 발췌 소개한다

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The Attitude Survey about Disaster of the Southern Coast Islanders (남해안 도서민의 재난에 대한 의식조사)

  • Yang, Ing-Chan;Choi, Deok-In;Hwang, Kwang-Il
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2011.11a
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    • pp.152-153
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    • 2011
  • In the Future, We predict that casualties, property and facility damage are occurred by the occurrence of a large disaster. In order to prepare the disasters, the government should carry out a plan of preventing disasters and preventive discipline about disasters.

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Capability for Change at Community Health Centers Serving Asian Pacific Islanders: An Exploratory Study of a Cancer Screening Evidence-based Intervention

  • Sohng, Hee Yon;Kuniyuki, Alan;Edelson, Jane;Weir, Rosy Chang;Song, Hui;Tu, Shin-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7451-7457
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    • 2013
  • Background: Understanding and enhancing change capabilities, including Practice Adaptive Reserve (PAR), of Community Health Centers (CHCs) may mitigate cancer-related health disparities. Materials and Methods: Using stratified random sampling, we recruited 232 staff from seven CHCs serving Asian Pacific Islander communities to complete a self-administered survey. We performed multilevel regression analyses to examine PAR composite scores by CHC, position type, and number of years worked at their clinic. Results: The mean PAR score was 0.7 (s.d. 0.14). Higher scores were associated with a greater perceived likelihood that clinic staff would participate in an evidence-based intervention (EBI). Constructs such as communication, clinic flow, sensemaking, change valence, and resource availability were positively associated with EBI implementation or trended toward significance. Conclusions: PAR scores are positively associated with perceived likelihood of clinic staff participation in cancer screening EBI. Future research is needed to determine PAR levels most conducive to implementing change and to developing interventions that enhance Adaptive Reserve.

Aboriginal Community Archives in Australia and Current Meaning of "Parallel Provenance" (호주 원주민 공동체 아카이브와 '평행출처주의'의 현재적 의미)

  • Lee, Kyong Rae
    • The Korean Journal of Archival Studies
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    • no.40
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    • pp.29-60
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    • 2014
  • The purpose of this study is to trace the formation process of "parallel provenance" concept in the context of Australia's aboriginal community archives development and draw its implications for contemporary rebuilding of domestic "past affairs-related committee archives". Focused on historical development of aboriginal community archives in Australia, this writing divides its development into three periods: colonial archives, post-colonial archives, and contemporary archives and investigates each period's distinct features in managing and building of aboriginal community archives. First of all, for colonial archives, it pays attention to Australia's archival tradition, which focused on current record-keeping and then development of multiple provenance resulted from this tradition. Second, for post-colonial archives, it examines the appearance of aboriginal people as the subject of documentation category and name indexing on them. Finally, for contemporary archives, it analyzes current activities of Australia's academic world of archival science for overcoming "the otherness" of aboriginal people through conceptualization of "parallel provenance". Conclusively, through current meaning of parallel provenance, this study draws implications for democratic contemporary rebuilding of domestic past affairs-related committee archives, in which historical victims become the subject of archives.