• 대한기관식도과학회지
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• 제6권2호
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• pp.147-151
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• 2000

Background and Objectives： Metastasis to the submental and submandibular lymph nodes rarely occurs in squamous cell carcinoma of the larynx and hypopharynx. The aim of this study is to evaluate the effectiveness of level I neck dissection in squamous cell carcinoma of larynx and hypopharynx. Materials and Methods : Forty-three patients with pathologically positive cervical nodal involvement in squamous cell carcinoma of larynx and hypopharynx treated between 1989 to 1998 were reviewed. Fifteen patients were treated with neck dissection including level 1,28 patients were treated with neck dissection excluding the level 1. Results : The regional recurrence at the level I in patients treated with neck dissection excluding the level I, was shown in only one case (recurrence rate 3.6%), but this patient was efficiently managed with salvage operation and adjuvant radiotherapy. No recurrence was shown in patients treated with neck dissection including the level I. So, total recurrence rate at the level I was 2.3%. Conclusion : This study suggests that dissection of the level I is not justified in squamous cell carcinoma of larynx and hypopharynx even if metastasis to cervical lymph node was confirmed preoperatively (cN+).

• 보건행정학회지
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• 제26권4호
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• pp.382-389
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• 2016

Background: National cancer screening reduces mortality from stomach, colon, breast, and cervical cancer. However, cancer screening rates remain lower than 50% in Korea. This research was designed to make effective guidelines for cancer screening promotion to increase participation rate in cancer screening. Methods: Data was collected from Incheon regional cancer center's telephone survey 'Recognition of cancer prevention and control' of 861 Incheon citizens over age 40. Logistic regression was used to analyse a relationships between cancer screening rates and promotional methods. PASW SPSS ver. 18.0 program (SPSS Inc., Chicago, IL, USA) was used for statistical analysis. Results: About 27.4% of respondents (236 of 861 respondents) have recognized the promotional program of Incheon regional cancer center for cancer screening participation. Cancer screening rate was associated with age group, educational level for stomach cancer, age group, bus advertisement (odds ratio, 1.19 to 2.75) for colon cancer, educational level, residential area for breast cancer, and age group for cervical cancer. Conclusion: There was relationship between stomach cancer screening rates and promotional methods. Therefore, cancer screening promotion guidelines to increase participation rate should be considered.

• 보건행정학회지
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• 제32권1호
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• pp.45-52
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• 2022

Background: There are regional variations in the incidence of coronavirus disease 2019 (COVID-19), which means that some regions are more exposed to the risk of COVID-19 than others. Therefore, this study aims to investigate regional variations in the incidence of COVID-19 in Korea and identify risk factors associated with the incidence of COVID-19 using community-level data. Methods: This study was conducted at the districts (si·gun·gu) level in Korea. Data of COVID-19 incidence by districts were collected from the official website of each province. Data was also obtained from the Korean Statistical Information Service and the Community Health Survey; socio-demographic factor, transmission pathway, healthcare resource, and factor in response to COVID-19. Community risk factors that drive the incidence of COVID-19 were selected using a least absolute shrinkage and selection operator regression. Results: As of June 2021, the incidence of COVID-19 differed by more than 80 times between districts. Among the candidate factors, sex ratio, population aged 20-29, local financial independence, population density, diabetes prevalence, and failure to comply with the quarantine rules were significantly associated with COVID-19 incidence. Conclusion: This study suggests setting COVID-19 quarantine policy and allocating resources, considering the community risk factors. Protecting vulnerable groups should be a high priority for these policies.

• Safety and Health at Work
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• 제6권4호
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• pp.345-352
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• 2015

Background: Goal-oriented communication of risk of hazards is necessary in order to reduce risk of workers' exposure to chemicals. Adequate training of workers and enterprise priority setting are essential elements. Cleaning enterprises have many challenges and the existing paradigms influence the risk levels of these enterprises. Methods: Information on organization and enterprises' prioritization in training programs was gathered from cleaning enterprises. A measure of enterprises' conceptual level of importance of chemical health hazards and a model for working out the risk index (RI) indicating enterprises' conceptual risk level was established and used to categorize the enterprises. Results: In 72.3% of cases, training takes place concurrently with task performances and in 67.4% experienced workers conduct the trainings. There is disparity between employers' opinion on competence level of the workers and reality. Lower conceptual level of importance was observed for cleaning enterprises of different sizes compared with regional safety delegates and occupational hygienists. Risk index values show no difference in risk level between small and large enterprises. Conclusion: Training of cleaning workers lacks the prerequisite for suitability and effectiveness to counter risks of chemical health hazards. There is dereliction of duty by management in the sector resulting in a lack of competence among the cleaning workers. Instituting acceptable easily attainable safety competence level for cleaners will conduce to risk reduction, and enforcement of attainment of the competence level would be a positive step.

• 한국환경보건학회지
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• 제24권3호
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• pp.114-123
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• 1998

Particulate matters(less than 10 $\mu$m, PM10) at Kanghwa and Yangyang, which are located in the western and the eastern coastal regions in Korea, were measured in using low volume air sampler from December 1995 to November 1996, and their characteristics were investigated from the view point of background level.(and in order to characterize the particulate matters.) The particulate matters were analyzed for major water soluble ionic components(SO$_{4}^{2-}$, NO$_{3}^{-}$, Cl$^{-}$, Na$^{+}$, NH$_{4}^{+}$, K$^{+}$, Mg$^{2+}$ and Ca$^{2+}$) by ion chromatography. Mass concentrations of particulate matters were $48.77 \pm 22.45 \mug/m^{3}$ at Kanghwa and $54.04 \pm 32.98 \mug/m^{3}$ at Yangyang and SO$_{4}^{2-}$, NO$_{3}^{-}$ and NH$_{4}^{+}$ contributed largely to water soluble ionic components. nss(non sea salt)-SO$_{4}^{2-}$, contributed more than 95 percentage to SO$_{4}^{2-}$ and nss-K$^{+}$ and nss-Ca$^{2+}$ also contributed high percentages to K$^{+}$ and Ca$^{2+}$. It was supposed that most SO$_{4}^{2-}$, was originated from anthropogenic sources, and K$^{+}$ and Ca$^{+}$ were mainty originated from soil. The results of factor analysis suggested possibility of interpreting the correlation between air pollutants and regional characteristics.

• 보건행정학회지
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• 제33권1호
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• pp.40-54
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• 2023

Background: Based on the increase in the needs for convalescent rehabilitation medical services in Korea, this study aims to calculate the needs for rehabilitation services and examine its determinants for 229 regions. Methods: Claim data from the Health Insurance Review and Assessment Service were used to estimate patients who need to receive rehabilitation services, and data from various sources were also used for analysis. The number of cases and incidence rates of hospitalization related to convalescent rehabilitation were calculated to estimate the needs for services by region, and the results were visualized via a map. Multivariate regression and fixed effects regression using panel data were performed to identify the determinants of regional variation of the incidence rate. Results: First, the incidence rate of rural areas such as Jeolla-do, Gyeongsang-do, and Chungcheong-do was higher than urban areas (metropolitan cities). Second, the population, proportion of the elder, medical aid recipients, financial independence, traffic deaths, smoking, diabetes rate, and medical infrastructure correlated significantly with the incidence rate. Third, 'rho' values which mean the fraction of variance due to individual terms in panel data regression models were 0.965 and 0.976, respectively. Conclusion: The incidence rate of hospitalizations was correlated with most independent variables in this study and there is a gap between urban and rural areas. These regional disparities are fixed in our society. An improved regional convalescent rehabilitation system is suggested to cover the entire area including rural areas with a high rate of aging.

• 한국컴퓨터정보학회논문지
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• 제29권7호
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• pp.221-229
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• 2024

경제발전 수준이 높아짐에 따라 인적자본에 대한 관심은 더욱 높아지고 있다. 본 연구는 중국의 31개 지역을 대상으로 2002-2019년 기간 지역별 혁신적 인적자본을 추계 비교하고 있다. 본 연구의 혁신적 인적자본은 학력형 인적자본, 논문형 인적자본 그리고 특허형 인적자본으로 구성된다. 특히 본 연구는 기존 연구와 달리 특허형 인적자본과 논문형 인적자본의 가중치를 학력형 인적자본보다 높게 가정하고 있다. 왜냐하면 단순한 학력보다는 특허와 논문이 지역의 혁신역량에 상대적으로 더욱 큰 영향을 초래할 것이기 때문이다. 본 논문의 분석결과는 세 가지로 요약할 수 있다. 첫째, 중국의 지역별 혁신적 인적자본이 지역별 격차를 나타내고 있다. 지역경제발전 수준이 높은 지역일수록 혁신적 인적자본의 수준도 높다. 둘째, 지역별 혁신적 인적자본이 동태적으로 변하고 있다. 셋째, 북경시, 상해시, 광동성, 강소성을 중심으로 지역별 집중 현상이 더욱 가속화되고 있다. 따라서 본 연구결과는 지역경제발전에서 혁신적 인적자본의 역할이 중요함을 강조하고 있다.

• 한국주거학회논문집
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• 제25권6호
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• pp.39-47
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• 2014

The background of this study is to examine the structure of housing price of which characteristics are not equal but hierarchical in the apartment complexes. So, the purpose of this study is to analyze the influences of apartment complex characteristics on the housing price within the same regional boundary by HLM. The data used as dependent variables were the market prices of 938 units from 29 apartment complexes by stratified sampling. The 2nd level independent variables is the Housing complex characteristics which are composed of the housing complex & locational variables and the 1st level independent variables are the unit characteristics. The results are as follows. First, the first model shows that the 2nd level variables explains 68% of the housing prices. Second, the influential variables of the 1st level unit variable are 'dwelling exclusive area', 'floor of dwelling' and 'direction of dwelling'. Third, the influential variables of the housing complex variables in the 2nd level are 'lot area', 'the building-to-land ratio', 'the number of unit', 'the number of parking lots per unit', 'Green space area' and 'open space area per unit'. The last, the influential variables of the housing locational variables in the 2nd level are 'distance to subway and park' and the number of school and park within a radius of 1km.

• 대한지리학회지
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• 제31권3호
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• pp.529-541
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• 1996

본 연구는 첫째 정보화의 진전 초기에는 정보화 현상의 공간적 집중화가 이루어지며, 둘째 경제가 발전함에 따라 복지적 차원의 지역간 격차보다 앞으로 지역의 경제 활성화에 상당히 영향을 줄 것으로 예상되는 정보화 차원의 지역간 격차가 클 것이라는 가설을 세워 연구를 진행하였는데 그 결과는 다음과 같다. 첫째, 정보화 차원의 사회.문화 발전 수준은 서울과 다른 지역간에 격차가 상당히 크게 나타나고 있으며, 서울 및 수도권으로의 집중화가 이루어지고 있음을 알 수 있다. 둘째, 정보화가 진전되면서 나타나는 지역에의 영향을 살펴보기 위해서 지역경제의 자족성을 나타내는 지표인 복지수준과 정보화 수준의 지역간 격차를 비교한 결과 정보화 수준이 복지수준의 격차에 비해 크게 나타나고 있다. 그 동안의 경제발전에 의해 나타난 지역격차를 줄이기 위해서 도입된 정보화는 하부구조가 잘 갖추어진 대도시 중심으로 이루어져 왔기 때문에 지역간 격차를 더욱 증가시키는 결과를 초래했다. 따라서, 이런 지역격차를 줄이기 위해서는 중앙정부뿐만 아니라 자치정부를 중심으로 한 체계적인 지역정보화 정책이 필요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7301-7307
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• 2013

Background: Conspicuous differences in participation rates for breast self-examination (BSE), clinical breast examination (CBE), and referral for further investigations have been observed indicating involvement of a number of different factors. This study analysed determinants for participation in different levels of the breast cancer screening process in Indian females. Materials and Methods: An intervention group of 52,011 women was interviewed in a breast cancer screening trial in Trivandrum district, India. In order to assess demographic, socio-economic, reproductive, and cancer-related determinants of participation in BSE, CBE, and referral, uni- and multi-variate logistic regression was employed. Results: Of the interviewed women, 23.2% reported practicing BSE, 96.8% had attended CBE, and 49.1% of 2,880 screen-positives attended referral. Results showed an influence of various determinants on participation; women who were currently not married or who had no family history of cancer were significantly less likely to attend the screening process at any level. Conclusions: Increasing awareness about breast cancer, early detection methods, and the advantages of early diagnoses among women, and their families, as well as health care workers offering social support, could help to increase participation over the entire screening process in India.