• Asian Pacific Journal of Cancer Prevention
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• 제17권2호
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• pp.609-614
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• 2016

Background: Although breast cancer is the most common cancer in women, economic evaluation of breast cancer screening is not fully addressed in developing countries. The main objective of the present study was to analyze the cost-effectiveness of breast cancer screening using mammography in 35-69 year old women in an Iranian setting. Materials and Methods: This was an economic evaluation study assessing the cost-effectiveness of a population-based screening program in 35-69 year old women residing in rural areas of South east Iran. The study was conducted from the perspective of policy-makers of insurance. The study population consisted of 35- to 69-year old women in rural areas of Kerman with a population of about 19,651 in 2013. The decision tree modeling and economic evaluation software were used for cost-effectiveness and sensitivity analyses of the interventions. Results: The total cost of the screening program was 7,067.69 US$ and the total effectiveness for screening and no-screening interventions was 0.06171 and 0.00864 disability adjusted life years averted, respectively. The average cost-effectiveness ratio DALY averted US$ for screening intervention was 7,7082.5 US$ per DALY averted and 589,027 US $ for no-screening intervention. The incremental cost-effectiveness ratio DALY averted was 6,264 US$ per DALY averted for screening intervention compared with no-screening intervention. Conclusions: Although the screening intervention is more cost-effective than the alternative (noscreening) strategy, it seems that including breast cancer screening program in health insurance package may not be recommended as long as the target group has a low participation rate.

• Asian Pacific Journal of Cancer Prevention
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• 제15권3호
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• pp.1459-1463
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• 2014

Background: Urological cancers represent a major public problem associated with high mortality and morbidity. The pattern of these cancers varies markedly according to era, region and ethnic groups, but increasing incidence trends overall makes focused epidemiological studies important. The aim of the present study was to assess the incidence of most prevalent urological cancers in Iran from 2003 to 2009. Materials and Methods: The data for this study were obtained from the population-based Cancer Registry Center of the Iran Ministry of Health and Medical Education. Differences of mean age and age distributions of each cancer were compared between 2003 and 2009 in men and women. Results: Bladder cancer was the most common urologic cancer in both genders. The rate difference of age standardized ratio (ASR) of bladder and renal cell carcinoma in women were 1.54 and 2.01 percent per 100,000 population from 2003 to the 2009, respectively. In men, the rate difference of age standardized ratio of prostate, testis, kidney and bladder cancer was also 2.23, 1.2, 1.8 and 1.5 percent per 100,000 population from 2003 to 2009, respectively. The mean ages of patients in all cancers in both genders did not differ significantly through time (p value>0.05) but the distribution of ages of patients with bladder and prostate cancer changed significantly from 2003 to 2009 (p value<0.001). Conclusions: The results of present study suggest the general pattern and incidence of urological cancers in Iran are changing, the observed increase pointing to a need for urological cancer screening programs.

• Journal of Preventive Medicine and Public Health
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• 제50권1호
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• pp.18-28
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• 2017

Objectives: Low birth weight (LBW) is a major public health concern, especially in developing countries, and is frequently related to child morbidity and mortality. This study aimed to identify key determinants that influence the prevalence of LBW in selected developing countries. Methods: Secondary data analysis was conducted using 10 recent Demography and Health Surveys from developing countries based on the availability of the required information for the years 2010 to 2013. Associations of demographic, socioeconomic, community-based, and individual factors of the mother with LBW in infants were evaluated using multivariate logistic regression analysis. Results: The overall prevalence of LBW in the study countries was 15.9% (range, 9.0 to 35.1%). The following factors were shown to have a significant association with the risk of having an LBW infant in developing countries: maternal age of 35 to 49 years (adjusted odds ratio [aOR], 1.7; 95% confidence interval [CI], 1.2 to 3.1; p<0.01), inadequate antenatal care (ANC) (aOR, 1.7; 95% CI, 1.1 to 2.8; p<0.01), illiteracy (aOR, 1.5; 95% CI, 1.1 to 2.7; p<0.001), delayed conception (aOR, 1.8; 95% CI, 1.4 to 2.5; p<0.001), low body mass index (aOR, 1.6; 95% CI, 1.2 to 2.1; p<0.001) and being in the poorest socioeconomic stratum (aOR, 1.4; 95% CI, 1.1 to 1.8; p<0.001). Conclusions: This study demonstrated that delayed conception, advanced maternal age, and inadequate ANC visits had independent effects on the prevalence of LBW. Strategies should be implemented based on these findings with the goal of developing policy options for improving the overall maternal health status in developing countries.

• The Korean Journal of Ecology
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• 제21권1호
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• pp.27-33
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• 1998

Arisaema robustum, which has the ability to change sex, was studied in a temperate broadleaf forest of Sanseong-ri, Joongbu-myeon, Gwangju-gun, Kyonggi Province, Korea. \ulcornerThe study, carried out from 1993 to 1997, focused on population dynamics energy budget among organs, size distribution, mortality, the relationships between sex and size, seed production and germination rate. In terms of energy budget among the organs, the ratio of aboveground to belowground biomass was 36.6 : 63.4 in non-female plants, and 81.4 : 18.6 in female plants. Also, in female plants, the ration of leaf to sexual organ biomass was 39.5 : 41.9. Therefore, the belowground ratio of female plants was lower than that of non-female plants. Plants were classified into 8 levels relative to the amount of leaf area by $100cm^2$. The rates of the smallest and the largest classes were 49% and 1%, respectively, and population distribution by size was relatively stable. The mortality averaged 13.1% per year and decreased in inverse proportion to leaf size (6.6% in the smallest and 0.0% in the largest size classes). Leaf areas were $64.1{\pm}48.5cm^2$ in non-flowering plants, $232.1{\pm}123.9cm^2$ in males and $444.8{\pm}153.9cm^2$ in females. The increase rates of leaf area per year varied from 1.9% in plants changing from female tomale, to 152.4% in plants changing from non-flowering to female. But plants which remained female for 2 years showed a decrease of 34.7%. >From this result, it is thought that the female plants invest more energy to reproduction than to vegetative organs. The correlation coefficient (CC) value between plant size and the number of seeds produced (0.55) was larger than the CC value between plant size and total seed weight (0.73). That is, the larger the plant size, the heavier the seed produced. The germination rate increased along with seed weight, and it was 95% in plants which were over 60mg fresh weight/seed.

• Biomolecules & Therapeutics
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• 제28권1호
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• pp.110-118
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• 2020

Migration presents a substantial social and public health issue. However, it is unclear whether diabetes is worse among Asian migrants than natives of South Korea over time. This longitudinal study investigated the nationwide population, including 2,680,495 adults aged 20 years and older (987,214 Asian migrants and 1,693,281 natives), who received health check-ups, using the Korean National Health Insurance Service data (2009-2015). Joinpoint regression was used to estimate the annual percentage change of diabetes, and multivariable logistic regression was used to examine differences in incident type 2 diabetes between Asian migrants and natives adjusting for age, sex, economic status, body mass index, smoking status, any alcohol use, and physical activity. The age-adjusted prevalence of diabetes increased among native men (from 8.8% in 2009 to 9.7% in 2015, APC=1.64, p<0.05) compared to Asian migrant men, and the age-adjusted prevalence of diabetes increased among native women (from 6.0% in 2009 to 6.7% in 2015, APC=1.88, p<0.05) compared to Asian migrant women. In the multivariate analyses, Asian migrants were less likely to get type 2 diabetes than natives (odds ratio, 0.82; 95% CI, 0.78 to 0.86) between the first and last health check-ups. However, the odds ratio for developing type 2 diabetes was 1.15 (95% CI, 1.10 to 1.20) among low-income levels compared to high-income levels, regardless of whether they were Asian migrants or natives. The results could help to establish a new strategy for prevention, treatment, and management of diabetes among the Asian population.

• 생태와환경
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• 제37권3호통권108호
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• pp.304-312
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• 2004

수 생태계 내에서 흔히 볼 수 있는 3영양단계 먹이사슬 구조를 이루는 종들이 밀도비 의존 모델로써 구현 될 때 외부 환경에 대해서 어떻게 반응하는지를 연구하였다. 환경 요인은 주기적 요인과 일반적 노이즈 두 부분으로 나누었다. 주기적 요인이 온도로써 대표되었을 때 온도변이를 바이어스와 주기로 나누었고, 기타 복합적인 노이즈는 가우스 분포로 나타내었다. 온도변이 바이어스 ${\varepsilon}$, 온도주기 ${\Omega}$, 및 가우스 노이즈 크기 ${\'{O}}$가 서로 결합하여 3영양단계 먹이사슬에서 개체군 멸절을 포함한 다양한 개체군 동태를 보여 주었다. 변수의 적절한 값에 따라 '안정된 제한 사이클'이나 '이상한 끌개'를 보여 주었으며, 전체적으로 개체군 동태는 환경 변수에 따라 민감하게 반응하였고, 포식자 및 최상위포식자 개체군의 멸절시간이 조절되었다.

• 대한두경부종양학회지
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• 제37권1호
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• pp.11-16
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• 2021

Background/Objectives: To analyze changes in the incidence of thyroid cancer for Korean population using big data from the National Health Insurance Service. Materials & Methods: Sample cohort database between January 2004 and December 2013 with 1,000,000 cases for each year was enrolled in this study. Thyroid cancer incidence was analyzed by sex, age and by region. Public health insurance payment was used to reflect socioeconomic status. Results: The incidence of thyroid cancer in Korea increased for 10 years annually. There are 3 times increasing in the incidence rate of thyroid cancer from 2004, 0.03% to 2013, 0.09%. The sex ratio in the incidence rate of thyroid cancer was male : female = 1:7.2 in 2004 and male : female = 1:3.6 in 2013 that suggest decreased gap between the sex ratio. Between 2004 and 2010, the incidence rates of those in their 40s were found to be the highest, whereas the incidence rates for those in their 50s were found to be highest from 2011 and thereafter. Every year the high socioeconomic status group showed a higher incidence of thyroid cancer than low socioeconomic status group. Some specific region showed continuous high incidence of thyroid cancer, not all city and state. Conclusion: The incidence rate of thyroid cancer for 10 years had special feature by sex, age, socioeconomic status and especially by region. This results will be a barometer for further epidemiologic study about the incidence of thyroid cancer for Korean population

• Fisheries and Aquatic Sciences
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• 제25권2호
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• pp.101-116
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• 2022

The harvesting season of lompa fish, Thryssa baelama, through sasi, indigenous knowledge in resources management, in Haruku Village has become a socio-cultural event that attracts many people. The sasi of lompa fish has been conducted for hundreds of years. Information on the bioecology aspect of lompa fish is limited, while this information is crucial for lompa fish sustainability through the sasi approach. This study aimed to investigate some population parameters of lompa fish, its sustainability status, and proposed a sustainable management strategy for the lompa fishery of Haruku Village. Fish population parameter covers length-weight relationship, growth pattern, size distribution, sex ratio, and the body condition index. The sustainability status was assessed following the Rapfish approach. Fisheries management strategy was performed using a conceptual model framework based on Driver Pressure State Impact Response. The research shows that the total length varies between 9.2-14.3 cm. A high relationship was found between total length and weight, and the growth pattern was an allometric negative. There was a difference in sex ratio between males and females, with females dominant. The body condition index varies over time, probably due to reproductive status. The overall sustainability status was at fair condition (61.60%), with the ecological domain having the highest sustainable status (71.07%) and considered sustain. In comparison, the technological domain had the lowest sustainability status (52.58%) and was considered fair sustain. There were seven management strategies proposed for sustainable management for the lompa fishery.

• 한국환경생태학회지
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• 제27권4호
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• pp.417-428
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• 2013

여우는 한국에서 1980년대 이후로 절멸된 것으로 취급하고 있으며, 현재는 환경부에서 멸종위기 1급 동물로 지정되어 소백산국립공원에서 복원사업이 이루어지고 있다. 본 연구에서는 여우복원사업에 필요한 적정 모델링과 방사 전략을 수립하기 위하여, VORTEX 프로그램을 이용한 개체군 생존력 분석(Population viability analysis: PVA)을 수행하였다. 초기 개체군 0에서 매년 10개체(암5, 수5)를 향후 10년간 지속적으로 방사할 경우, 개체군의 이입으로 50년간 개체군 성장률은 $0.018{\pm}0.204$였으며, 절멸확률은 0.354로 나타났다. 최초 방사 후 16년차에 116.34로 최대 개체군 크기를 보였으나, 17년차부터 매년 1.22의 감소율을 나타내었다. 방사된 여우의 지속적인 성장과 절멸을 방지하기 위해서는 최초 방사 17년 이후 추가적인 방사가 필요하며, 장기적인 여우 존속을 위해서는 매년 12개체 이상을 방사하는 것이 필요한 것으로 분석되었다. 반면 연간 6개체 이하일 경우 50년 후의 절멸 확률은 80% 이상으로 나타났으며, 최소한의 개체군 성장을 위해서는 8개체 이상의 추가 방사가 필요한 것으로 나타났다. 설정된 조건값에서 매년 10개체씩 암수의 성비를 변화하여 6:4 로 10년간 방사할 경우 1:1 비율보다 안정적인 개체군 성장률을 보였으나, 암컷의 비율이 7:3이상으로 높아질 경우 부정적인 결과를 보였다. 재난요인으로 설정된 road-kill과 밀렵은 여우복원사업의 성패에 중요한 요인으로 확인되었다. 초기 적용값을 기준으로 각각의 요인이 3% 감소할 경우에는 절멸 확률은 30%로 낮아졌으며, 3% 이상 증가할 경우 50년 후의 절멸 확률은 약 90%에 이르는 것으로 분석되었다.

• 지적과 국토정보
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• 제46권2호
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• pp.283-296
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• 2016

본 연구의 목적은 최근 증가하고 있는 우리나라 아파트의 거래원인 가운데 하나인 분양권 전매비율을 중심으로 지역 간 특성을 파악하는데 있다. 이를 위해 162개 시 군 지역을 중심으로 인구특성, 아파트거래 및 분양특성, 주거특성, 경제적 특성을 살펴보았으며 분양권전매비율을 종속변수로 하는 다중회귀분석을 실시하였다. 그 결과 통계적으로 유의한 변수는 아파트 비율, 인구 증가율, 분양물량 평균 아파트 매매가격 대비 전세가격 비율, 1인 가구 증가율, 청약 경쟁률, 지역 내 매입자 거래호수 등 7개의 변수가 분양권 전매비율에 영향을 미치는 것으로 나타났다. 각 지역특성으로는 주거특성, 인구특성, 아파트거래 및 분양특성 순으로 영향을 미치는 것으로 나타났다. 본 결과로 아파트 시장에서 실수요자 중심의 거래를 활성화 하기위한 정부의 정책과 제도의 개선에 바탕이 되는 기초자료가 될 것으로 판단된다.