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Impact of Treatment Type on Overall Survival in Elderly Brazilian Women with Breast Cancer

  • Bello, Marcelo Adeodato;de Menezes, Raquel Ferreira;de Sousa Silva, Brunna;da Silva, Rafael de Carvalho;Cavalcanti, Rousiane Silva;da Costa Moraes, Thayane de Fatima;Tonellotto, Fabiana;de Aguiar, Suzana Sales;Martucci, Renata Brum;Bergmann, Anke;Thuler, Luiz Claudio Santos
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.10
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    • pp.4769-4774
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    • 2016
  • Objective: To analyze the survival of elderly patients with breast cancer according to the type of treatment used. Methods: A cohort study of women aged 80 or over with breast cancer registered with the Brazilian National Cancer Institute (Instituto Nacional do $C{\hat{a}}ncer$ - INCA) between 2008 and 2009 was conducted. Prognosis was analyzed according to the cancer treatment performed: surgery, radiotherapy, or hormone therapy. Analysis of the overall 5-year survival rate was performed using the Kaplan - Meier method, and comparisons of curves were undertaken using the log-rank test. For multiple regression analysis, Cox regression was used, adjusting for age and clinical stage, considering values of p < 0.05 as significant. Data were all analyzed using the statistical package SPSS version 20. Results: 70 women with a mean age of $84.0{\pm}3.7years$ at diagnosis participated in the study. The median follow-up time was 37.1 months (range 0.5-75.5), and 31 deaths (44.3%) occurred during this time. The median survival time was 51.2 months (95% CI, 44.9-57.4), higher in those who underwent surgery (p = 0.012) and those who had hormone therapy (p=0.001). Treatment with surgery reduced the risk of death by 61.7% (HR 0.3; 95% CI, 0.1-0.6; p = 0.001) when adjusted for clinical stage and age at diagnosis. However, there was no significant benefit from radiotherapy (HR 1.2; 95% CI, 0.5-2.5; p = 0.694). Conclusion: Treatment with surgery and hormone therapy increased the survival of our Brazilian patients with breast cancer aged 80 or over.

The ginseng magnate BongSang Son; His life and achivements (인삼왕 손봉상의 업적을 통해 본 개성인삼 개척사)

  • Kim, Johyung;Ock, Soonjong
    • Journal of Ginseng Culture
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    • v.2
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    • pp.27-38
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    • 2020
  • Gaesung was the Mecca of Korean ginseng. Factors that Gaesung has been a leading brand of Korean ginseng were multiplicative. Those were natural conditions and huge commercial capital, red ginseng factory, creative business systems and etc. We can quote BongSang Son, SungHak Kong and JeongHo Kim as a famous Gaesung' ginseng merchants. They, as leaders modern ginseng industry had supplied the method of cultivation, prevention of phyto-diseases, excellent ginseng seed, and prepayment system of farming capital. The Gaesung merchants also adopted modern marketing techniques : commercial advertisement, made-order sales, changing package of the ginseng products. The book 'The Dictionary of Korean Companies and Stores' which was published in 1927 introduces BongSang Son as a great businessman in Gaesung. He was not only merchants but also educator and social worker. He practiced the spirit of entrepreneurship. BongSang Son's role of pioneer contributed to the development of Korean ginseng and Gaesung. Due to such efforts of Gaesung merchants, Korean ginseng industry were took a great step forward. This article considered the development of Korean ginseng industry through the life and achievement of the ginseng magnate BongSang Son who was a representative one of Gaesung merchants.

A Study on Long-tail Shape of e-journal Usage - focused on a case of K academic library - (전자학술지 이용의 롱테일현상에 관한 연구 - K 대학도서관의 이용 사례를 중심으로 -)

  • Kim, Sun-Ae
    • Journal of Korean Library and Information Science Society
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    • v.50 no.4
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    • pp.203-221
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    • 2019
  • How has the use of academic journals changed since the academic library purchase policy changed from selective journals based on core journals to package purchases by big deal? The purpose of this study is to analyze the effect of supply and size of academic journals in university libraries on the use of journals. For this purpose, this study used the actual usage statistics of e-journals of K Academic Libraries during 2013-2015. The analysis shows that there is a so-called long-tail shape in which demand shifts to niche products that are effective in online platforms. Analysis of the use of academic journals by year for three years showed that the use of electronic journals in K Academic Libraries appeared to be a perfect Pareto shape, which is concentrated in the top 20% of journals. In particular, in 2015, the top 5% of journals accounted for nearly 80% of the total usage. Despite the changes in the supply method and size of academic journals, users' use of journals was still concentrated in core journals.

Characteristics of Patients' Self-Perceived Health in Traditional Korean Medical Facilities - Based on the Ministry of Health and Welfares Report on Usage and Consumption of Korean Medicine in 2011 - (주관적 건강인식수준에 따른 한방의료기관 이용환자의 특성 비교 - 2011년 한방의료이용 및 한약소비실태조사(보건복지부)를 중심으로 -)

  • Sung, Angela Dongmin;Choi, Sungyong;Park, Haemo;Kim, Hyundo;Lee, Sungdong
    • Journal of Society of Preventive Korean Medicine
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    • v.19 no.3
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    • pp.29-43
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    • 2015
  • Objective : The purpose of this study was to identify characteristics of patients' self-perceived health in traditional Korean medical facilities. Method : This research was conducted based on the survey on patients whom have visited traditional Korean medical facilities in 2011 by the Ministry of Health and Welfares and Korean Institute for Health and Social Affairs. Using a sample of 3,931 (1,180 male and 2,751 female) outpatients' self-perceived health based on the data from usage and consumption of Korean Medicine. 'Healthy', 'Fair', and 'Poor Health' were used to measure patients' self-perceived health status. The data was analyzed by frequency, t-test, cross correlation analysis and multiple logistics regression analysis using the SPSS program package. Results : Sex(P<0.001), age(P<0.001), marital status(P<0.001), education(P<0.001), employment status(P<0.001), occupation(P<0.001), health insurance(P<0.001) and income level(P<0.0001) showed statistical significance. Main Treatment Facilities(P<0.001), experience of taking Korean medicine(P=0.032), experience of receiving acupuncture treatment(P<0.001), number of visits(P<0.001), medical expense (P=0.005), and subjective health status after the treatments showed statistical significance for Korean herbal medicine(P=0.038), acupuncture (P=0.001), cupping therapy(P=0.006), oriental physiotherapy(P=0.003), and treatment satisfaction(P<0.001). For subjective health status based on suffering disorders in the past three months, the response of poor health was higher in the group suffering recent illnesses. Statistical significance was seen in hypertension (P=0.002), arthritis(P<0.001), lumbar pain(P<0.001), diabetes mellitus(P=0.001), stroke(P<0.001), hwa-byung (P=0.001), gastric disorders(P=0.021), common cold(P<0.001), ankle sprain(P<0.001), muscular injury(P<0.001), lumbar sprain(p=0.009) and fracture(P=0.03). Also the number of diseases during the past three months showed statistical significance(P<0.001). Statistical significance was also seen in Level of knowledge(P<0.001), route of information(P<0.001), reliability of Korean medicine(P=0.003), insurance coverage(P=0.005), medical costs(P<0.001), and future willingness to use Korean medicine(P<0.001). As a result of the multiple logistics regression analysis, risks of subjective poor health statistically increased in female population, elderlies, medicaid beneficiaries, less educated, higher medical expense, and more disorders during the past three months. Conclusion : Patients' self-perceived health status has significant differences with each variables such as sex, age, marital status, education, health insurance, medical expense, number of diseases.

Effects of Sex Education on Sex-Related Knowledge and Attitudes of Middle School Girls (성교육이 여자 중학생의 성지식과 성태도에 미치는 효과)

  • Ha, Sook-Young;Kim, Chung-Nam
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.227-238
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    • 1999
  • The goal of this study is to discover the effect of sex education on sex-related knowledge and attitudes of middle school girls. Non-equivalent control group pretest-posttest design was used. The number of experimental group students was 134 and the number of control group students was 134. A total of 268 second grade middle school girls were selected for a convenience sampling method. This study was carried out in a middle school located in Taegu City, Korea, from February 5 to February 18, 1998. To des cover the needs of sex education, the researcher sent a predesigned questionnaire to 1464 girls in 19 different middle schools. The sex education curriculum was designed on the basis of this survey's results. 'The Sex Education Teaching Plan' (published by the Research Institution of Korean School Health Education) and 'Sex and Happiness' (published by the Seoul City Education Ministry) were used to redesign the sex education curriculum and content. Fifty minute long sex education classes were taught to the experimental group every other day and the total number of classes was five. The contents of the teaching -learning plan for sex education were: 'The Characteristics of Adolescence', 'Pregnancy and Contraception', 'Friendship with the Opposite Sex and Prevention of Sexual Violence', 'Prevention of Venereal Disease', and 'Sex and Society'. To measure the degree of sex knowledge of the subjects, the researcher used the modified sex knowledge tools of Kim(l995) and Han(1997). The reliability values of these sex knowledge tools range from 0.71 to 0.74, using Cronbach's alpha. To measure the degree of sex attitude in the subjects, the researcher used the modified sex attitudes tools of Han(l997). The reliability values of these sex attitude tools range from 0.73 to 0.78 using Cronbach's alpha. The PC-SAS package program was used to analyse the data along with Frequency, Percentage, XLtest, t -test, and a paired t -test The results of this study were as follows; 1. The first hypothesis was accepted. The experimental group showed more change in sex - related knowledge than the control group(t =22. 76, p=0.0001). 2. The second hypothesis was accepted. The experimental group showed more change in sex-related attitudes than the control group (t=11.91, p=0.0001). In conclusion, the level of sex-related knowledge and sex-related attitudes of middle school girls who received sex education was higher than that of the girls who did not receive sex education. According to this research, planned sex education was effective in forming accurate knowlege and appropriate attitudes related to sex. Clearly, we must carry out a well-designed step by step sex education program that is well-suited to the sex education needs and the developmental level of the students.

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A Study on Sexual Knowledge, Attitude, and Experience in College Students (일부대학생들의 성에 대한 지식, 태도 및 성경험에 관한 조사연구)

  • Nam, Myung-Hee
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.239-251
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    • 1999
  • The purpose of this survey is to measure the sexual knowledge, attitude, and experience in college students in order to provide better sex education programs and direction. For this study, questionnaires were given to 259 students in K college of Kyongnam and collected during the period of June 1 to June 20, 1998. Data was analyzed using a statistical computer package: SPSS to manipulate the data along with frequency, mean, t-test, F-test and Pearson correlation coeffiency. The results from this study were summarized as follows: 1. Sex related knowledge marked 12.01 at a maximum level of 25. In the areas of Sex physiology(51.8%), genital physiology(49.9%), venereal diseases(44.3%) and contraceptive methods (38.1%), students were shown to have certain levels of knowledge. 2. Sex related attitudes marked 15.35 at a maximum level of 35. The most frank attitudes concerned 'premartial coitus in males' and the most conservative attitudes concerned 'extramarital coitus in females'. 3. Concerning sexual behavior 80.7% of the respondents had associated with the opposite sex. The most frequent behaviors were walking arm in arm (male : 28.6%, female: 36.2%). Their main problems were relationships with the opposite sex(male : 39.2%, female: 24.5%), frustrated sexual desire(male : 26.0%, female: 9.8%) and unwanted pregnacy(male: 15.2%, female: 7.8%) To solve sex problems, respondents intended to consult their friends(male : 35.7%, female: 46. 7%) and become active in sports or recreation (male: 23.4%, female: 11.4%). About 81.2% of male students had a masturbation experience, but only 11.4% of female did, 40.0% of male students had a sexual intercourse experience, but only 13.3% of females did, 7.8% of male students used contraceptive methods, but only 2.9% of females did. 12.3% of male students had a rape experience, but only 10.5% of females did. The proportion of male students who made someone pregnant was 12.3%,however pregnant female were only 6.8% and the proportion of male students who forced someone to have an abortion was 12.3%, females who experienced an abortion were only 5.7%. 4. Regarding genital physiology, there was a statistically significant differences in gender ( t = -7.342, p=0.000). Regarding contraceptive methods, there was a statistically significant difference in the father's education level(F= 2.421, p=0.036) 5. In sexual attitudes, there were statistically significant differences in gender( t = 4.456, p = 0.000), religion(F=4.315, p=0.000), high school(F=3.150, p=0.045), habitation form(F= 3.164, p=0.0025 and methods of acquiring sexual knowledge(F=2.990, p=0.012). 6. The variables regarding sexual experience were gender, high school, economic status, habitation form, method of acquiring sexual knowledge, and parental attitudes toward sex. From the result of the study, sex education is required and must be taught as a regular course in the curriculum of all Korean schools at all levels.

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Constructing Area Cartogram Using a GIS Based Circular Cartogram Technique (GIS 기반 원형 카토그램 기법을 이용한 카토그램 제작 방법 연구)

  • Kim, Young-Hoon
    • Journal of the Korean Geographical Society
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    • v.43 no.2
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    • pp.235-252
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    • 2008
  • Many cartographers have for many years searched for a way to construct cartograms in which the sizes of geographic areas such as states, counties or census tracts are reseated in proportion to their population or some other socio-economic properties. While many techniques and algorithms for creating cartograms have been proposed, some of them are still extremely complex to generate in a proper manner, and many of them suffer either from this lack of readability or from seamless integration with GIS software. This paper, therefore, presents a simple population cartogam technique based on the Circular Cartogram Algorithm(CCA) by Dorling(1996) to tackle these drawbacks by drawing the areas as simple circles for use as a base map and linking the construction with GIS mapping processes. For an automated approach in the cartogram generation, this paper proposes a close coupling method of ArcView GIS 3.3. package in order for users to access to the cartopam algorithm. Then, they will be available through an interface that the ArcView GIS system allows user-written routines to be accessed easily. The CCA and its coupling architecture ensure to improve the potential applicability of the use of cartograms to census mapping at practical levels. As the cartogram examples, cartograms of population and property types in 2005 Korea census data sets are illustrated in the end, by which viewers can easily identify the residential concentration and their relative ratio in Seoul metropolitan area.

The Effect of Brand Equity on Satisfaction and Behavioral Intention - Focused on Specialty Coffee Shops in Busan - (브랜드 에쿼티에 의한 만족도가 행동의도에 미치는 영향 - 부산 지역 커피전문점을 중심으로 -)

  • Baek, Jong-On;Park, Kyong-Tae
    • Culinary science and hospitality research
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    • v.18 no.2
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    • pp.91-105
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    • 2012
  • This study aims to analyze the effects of satisfaction on behavioral intentions depending on brand equity based on the consumers who visited specialty coffee shops in Busan. The self-administered method was used for empirical analysis and 295 copies (89%) out of 300 copies of questionnaires were used for analysis. For data processing, the SPSS WIN Version 15.0 statistical package program was used and the frequency analysis, reliability analysis, factor analysis were conducted so the hypothesis was verified through the regression analysis. As a result, for the hypothesis that "Brand equity(perceived quality, brand awareness, brand image) will have a significant impact on satisfaction," perceived quality, brand awareness, and brand image had a significant impact on satisfaction. Satisfaction was shown to have a significant impact on behavioral intentions for the hypothesis that "Satisfaction will have a significant impact on behavioral intentions" For the hypothesis that "Brand equity(perceived quality, brand awareness, brand image) will have a significant impact on behavior intentions," perceived quality and brand awareness had a significant impact on behavioral intentions while brand image didn't. Based on the results of this study, companies should be systematically managed to prepare strategies to remind consumers of their brands and focus on to strengthen brand equity effectively in order to build a competitive brand.

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Motive on Social Networking Service Usage of Restaurant Customers (외식소비자의 소셜네트워킹서비스(SNS) 활용 동기에 관한 연구)

  • Shin, Seo-Young;Cha, Sung-Mi
    • Culinary science and hospitality research
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    • v.19 no.1
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    • pp.121-138
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    • 2013
  • The purpose of this study was to examine the structural relationships among the motives on Social Networking Service(SNS) of restaurants customers, attitude toward SNS, and intention to use. Using a quota sampling method, data were collected from 273 residents of the whole country who were in their 10~50s. The PASW Statistics 18.0 and AMOS 17.0 statistical package were used for the analysis. The hypothesized relationships of the model were tested simultaneously using a structural equation model(SEM). The proposed model provided an adequate fit to the data, ${\chi}^2$=287.558(df=155) p<.000, CMIN/df=1.855 GFI=0.905 NFI=0.887, IFI=0.944, TLI=0.931, CFI=0.943, RMSEA=0.056, RMR=0.025. The results showed that recreational motive(${\beta}$=0.238) and functional motive(${\beta}$=0.467) had a positive effect on the attitude toward SNS. Attitude had a positive effect on the intention of using SNS. The results enable the marketers of restaurants to develop SNS marketing strategies that motivate customers.

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A Study on Residual Amounts of Vinyl Chloride/Vinylidene Chloride in Poly(vinyl chloride)/Poly(vinylidene chloride) Food Packaging using Headspace GC/MS (헤드스페이스 GC/MS를 이용한 폴리염화비닐/폴리염화비닐리덴 식품 포장 중 염화비닐/염화비닐리덴 잔류량 연구)

  • Sung, Jun-Hyun;Kwak, In-Shin;Park, Sung-Kwan;Kim, Hyung-Il;Lim, Ho-Soo;Lee, Ju-Young;Byun, Mi-Yun;Kim, So-Hee
    • Korean Journal of Food Science and Technology
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    • v.43 no.1
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    • pp.6-11
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    • 2011
  • Vinyl chloride (VC) and vinylidene chloride (VDC), which may be present in poly(vinyl chloride) (PVC) and poly(vinylidene chloride) (PVDC) food packaging, were analyzed by using a headspace-gas chromatograph (GC)/mass spectrometer (MS) equipped with a PLOT Q column. 1-Chloropropane (1-CP) was used as an internal standard. The determinations of VC and VDC were carried out by monitoring the characteristic ions for each compound: m/z=61, 62, 64 and m/z=61, 96, 98, respectively. The method validated in this study can be suitable for the compliance test of EU regulation. Among 103 food packaging samples, VC and VDC were not detected, except in one PVDC food package. However, the detected level of VDC in the sample was below the EU regulatory specific limitation.