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Factors Predictive of Treatment by Australian Breast Surgeons of Invasive Female Breast Cancer by Mastectomy rather than Breast Conserving Surgery

  • Roder, David;Zorbas, Helen;Kollias, James;Pyke, Chris;Walters, David;Campbell, Ian;Taylor, Corey;Webster, Fleur
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.539-545
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    • 2013
  • Background: The National Breast Cancer Audit Database of the Society of Breast Surgeons of Australia and New Zealand is used by surgeons to monitor treatment quality and for research. About 60% of early invasive female breast cancers in Australia are recorded. The objectives of this study are: (1) to investigate associations of socio-demographic, health-system and clinical characteristics with treatment of invasive female breast cancer by mastectomy compared with breast conserving surgery; and (2) to consider service delivery implications. Materials and Methods: Bi-variable and multivariable analyses of associations of characteristics with surgery type for cancers diagnosed in 1998-2010. Results: Of 30,299 invasive cases analysed, 11,729 (39%) were treated by mastectomy as opposed to breast conserving surgery. This proportion did not vary by diagnostic year (p>0.200). With major city residence as the reference category, the relative rate (95% confidence limits) of mastectomy was 1.03 (0.99, 1.07) for women from inner regional areas and 1.05 (1.01, 1.10) for those from more remote areas. Low annual surgeon case load (${\leq}10$) was predictive of mastectomy, with a relative rate of 1.08 (1.03, 1.14) when compared with higher case loads. Tumour size was also predictive, with a relative rate of 1.05 (1.01, 1.10) for large cancers (40+ mm) compared with smaller cancers (<30 mm). These associations were confirmed in multiple logistic regression analysis. Conclusions: Results confirm previous studies showing higher mastectomy rates for residents of more remote areas, those treated by surgeons with low case loads, and those with large cancers. Reasons require further study, including possible effects of surgeon and woman's choice and access to radiotherapy services.

Enhancement of nuclear radiation shielding and mechanical properties of YBiBO3 glasses using La2O3

  • Issa, Shams A.M.;Ali, Atif Mossad;Tekin, H.O.;Saddeek, Y.B.;Al-Hajry, Ali;Algarni, Hamed;Susoy, G.
    • Nuclear Engineering and Technology
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    • v.52 no.6
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    • pp.1297-1303
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    • 2020
  • In this study, nuclear radiation shielding and rigidity parameters of Y (0.1-x)B0.6Bi1.8O3La2x glassy system were investigated in order to determine it's suitability for use as nuclear radiation shielding materials. Therefore, a group of bismuth borate glass samples with La2O3 additive were synthesized using the technique of melt quenching. According to the results, the increase of the La2O3 additive increases the density of the glass samples and the mass attenuation coefficient (μm) values, whereas the half-value layer (HVL) and mean free path (MFP) values decrease. The effective atomic number (Zeff) is also enhanced with an increment of both mass removal cross section for neutron (ΣR) and absorption neutron scattering cross section (σabs). In addition to the other parameters, rigidity parameter values were theoretically examined. The increase of La2O3 causes some other important magnitudes to increase. These are the average crosslink density, the number of bonds per unit volume, as well as the stretching force constant values of these glass samples. These results are in concordance with the increase of elastic moduli in terms of the Makishima-Mackenzie model. This model showed an increase in the rigidity of the glass samples as a function of La2O3.

Factors Related to Family Caregivers' Burden with the Community-Dwelling Disabled Elderly under the Long-Term Care Insurance System (장기요양 재가서비스 이용자를 돌보는 가족주부양자의 부양부담감에 영향을 미치는 요인)

  • Han, Eun-Jeong;Lee, Jung-Myun;Kwon, Jin-Hee;Shin, Seul-Bi;Lee, Jung-Suk
    • Health Policy and Management
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    • v.24 no.1
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    • pp.71-84
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    • 2014
  • Background: Informal care is increasingly recognized as placing a significant burden on the lives of family caregivers. The purpose of this study is to investigate factors related to family caregivers' burden with the community-dwelling disabled elderly under the long-term care insurance system, using the Stress Process Model developed by Pearlin (1990). Methods: Total 1,233 family caregivers with the disabled elderly, using the long-term care services in their home from May to June 2009, completed questionnaires finally. The questionnaire of this study consists of a total of 32 questions, including 11 questions related to background and context, 17 questions related to objective stressors, and 4 questions related to coping resourses. Family caregivers' burden is measured by the Korean Revised Caregiving Appraisal Scale (K-RCAS, Cronbach's alpha=0.86). To investigate factors related to family caregivers' burden, multiple regression analysis was conducted. Results: The average score of caregivers' burden was 22.0 (${\pm}6.12$). In multiple regression analysis, there were statistically significant factors affecting on the family caregivers' burden, that are related to background and context (region, living status, education level, relationship with beneficiary), objective stressors (duration of caregiving), coping resourses (caregiver's health status). Conclusion: This study found that family caregivers experience a considerable burden. The findings suggest that policies must be taken to relieve family caregivers of their duties temporarily, and to support them with counselling and education.

An Efficient Scheme of Encapsulation Method to Avoid Fragmentation Degradation During TVA Metadata Delivery (TVA 메타데이터 전송과정에서 단편화에 의한 성능 감소를 회피하기 위한 효율적인 캡슐화 방식)

  • Oh, Bong-Jin;Park, Jong-Youl;Kim, Sang-Hyung;Yoo, Kwan-Jong
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.37 no.7C
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    • pp.627-636
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    • 2012
  • Recently, XML is used to describe details of service and contents for various fields such as IPTV and digital broadcast services because of it's high readability and extensibility. TV-Anytime's schema and delivery protocol have been especially adopted as basic standards for them, and extended to include their own private functions. However, XML describes documents using text-based method, and this causes to create big documents rather than traditional methods. Therefore, many encoding algorithms have been proposed to reduce XML documents like EXI, BiM, GZIP and fast-info set etc. Although these algorithms shows efficient compression effects for XML documents, but they can't avoid fragmentation degradation during encapsulation steep. This paper proposes an efficient encapsulation scheme of TV-Anytime to avoid fragmentation degradation of encoding effect using common string tables.

Comparison of Yield and Growth Characteristics of Platycodon grandiflorum According to the Ploidy Levels and Growing Conditions

  • Lee, Hee-Doo;Seo, Dong-Yeon;Kwon, Soo-Jeong;Kim, Hyun-Jeong;Cho, Gab-Yeon;Boo, Hee-Ock;Roy, Swapan Kumar;Kim, Hag-Hyun
    • Korean Journal of Plant Resources
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    • v.29 no.3
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    • pp.331-338
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    • 2016
  • The present study aimed to compare and investigate the morphological characteristics and yield components according to ploidy level of diploid and tetraploid Platycodon grandiflorum under vinyl-greenhouse and open field conditions. Plant height of diploid and tetraploid P. grandiflorum was 51.3 ㎝, 54.0 ㎝, respectively. The results revealed that the plants grown in the vinyl-greenhouse showed significantly higher growth compared to those grown in the open field. Regardless of the growing place, diploid and tetraploid of P. grandiflorum showed the rapid elongation of internodes after 4 and 3 internodes respectively and elongation tends to be decreased as entering the flower-bud differentiation period. The starting day of flowering in vinyl-greenhouse cultivation was found to be faster than that of the open field cultivation by 2∼3 days and tended to be delayed by about 5∼6 days in tetraploid P. grandiflorum compared to diploid. Fresh weight of roots from the vinyl-greenhouse cultivation showed a high quantity as 34.2g and 49.4g in diploid and tetraploid P. grandiflorum, respectively and especially tetraploid P. grandiflorum was found to be increased by approximately 44.4% compared to other plots.

Study on Development Method of MDMS for AMI Operation based on Common Information Model (CIM 기반 AMI용 미터데이터관리시스템(MDMS) 개발 방안 연구)

  • Jung, Nam-Joon;Jin, Young-Taek;Chae, Chang-Hun;Choi, Min-Hee
    • KIPS Transactions on Computer and Communication Systems
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    • v.1 no.3
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    • pp.171-180
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    • 2012
  • In the development of MDMS(Meter Data Management System) based on CIM(Common Information Model), which is international standard in information model and data exchange on power system, the two focused issues are the effective management of data collected in a shorter time period and the way to integrate services supporting legacy system to use the AMI(AMI, Advanced Metering Infrastructure) data. In this paper, we propose MDMS implementation methods and functions in AMI environment which are differ from existing AMR system environments in that the methods support bi-directional service infrastructure. The proposed MDMS in this paper has two unique features, one is the secure of interoperability by utilizing the CIM and ESB, the other is the improvement of field application by implementing system module based on components. On an implementation of smart grid, the result of proposed methods is expected to contribute to the efficient development and operation of CIM-based power system.

Comparison of Morpho-physiological Characteristics in Diploid and Tetraploid Platycodon grandiflorum

  • Kwon, Soo-Jeong;Lee, Hee-Doo;Seo, Dong-Yeon;Moon, Young-Ja;Cho, Gab-Yeon;Boo, Hee-Ock;Woo, Sun-Hee;Kim, Hag-Hyun
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.61 no.2
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    • pp.138-144
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    • 2016
  • The present study was performed to compare the morpho-physiological characteristics of the tetraploid and diploid varieties of Platycodon grandiflorum and to obtain basic data for cultivating a tetraploid variety with high yield and content of functional substances. The plant height of the tetraploid variety (54.0 cm) was slightly higher than that of the diploid variety. The leaf length and width of the tetraploid variety were 10.2 cm and 7.3 cm, respectively. The results obtained from the present study revealed that the form of the leaf changed from lanceolate to ovate, and the chlorophyll content in the tetraploid variety (16.7) was slightly higher than that in the diploid variety. The photosynthetic rate significantly increased (24%) to $13.4{\mu}mol\;CO_2{\cdot}m^{-2}{\cdot}s^{-1}$ in the tetraploid variety from that of the diploid variety. The pollen viability of the tetraploid variety was decreased by approximately 33% with respect to that of the diploid variety, but this did not have a significant adverse effect on seed production. The fresh weight of tetraploid P. grandiflorum was 49.4 g, which was approximately 44% higher than that of the diploid variety.

Analytic Approach to e-Transformation of Intermediary (중개유통기업의 e-트랜스포메이션: 분석적 접근)

  • Han, Hyun-Soo
    • Information Systems Review
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    • v.5 no.2
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    • pp.1-21
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    • 2003
  • In this paper, we investigate industrial product intermediary's transformation strategy by exploiting advantages afforded by web based information technologies. Our motivation for this research stems from exploring intermediary's responding strategy to cope with supplier's threatening to disintermediation. From transaction cost perspective, internet can induce both the vertical quasi-integration (electronic hierarchy) and outsourcing (electronic market). Our rationale on directing one of these bi-directional movements is specified on intermediary's value adding on the supply chain. As such, we investigated supply chain performance, IT effects on customer's requirement of channel functions, and channel power structure. Propositions to suggest contingent e-transforming strategic alternatives are logically derived from dyadic nature of supply chain characteristics such as efficiency versus customer services, and supplier dominant versus easy replaceability of suppliers. The contingent e-transformation framework developed from intermediary's perspective is reviewed through longitudinal industry case analysis. Implications from the industry case analysis give us insights for the effectiveness of the framework to combine supply chain characteristics with intermediary's e-transformation.

Adaptive Packet Scheduling Scheme to Support Real-time Traffic in WLAN Mesh Networks

  • Zhu, Rongb;Qin, Yingying;Lai, Chin-Feng
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.5 no.9
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    • pp.1492-1512
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    • 2011
  • Due to multiple hops, mobility and time-varying channel, supporting delay sensitive real-time traffic in wireless local area network-based (WLAN) mesh networks is a challenging task. In particular for real-time traffic subject to medium access control (MAC) layer control overhead, such as preamble, carrier sense waiting time and the random backoff period, the performance of real-time flows will be degraded greatly. In order to support real-time traffic, an efficient adaptive packet scheduling (APS) scheme is proposed, which aims to improve the system performance by guaranteeing inter-class, intra-class service differentiation and adaptively adjusting the packet length. APS classifies incoming packets by the IEEE 802.11e access class and then queued into a suitable buffer queue. APS employs strict priority service discipline for resource allocation among different service classes to achieve inter-class fairness. By estimating the received signal to interference plus noise ratio (SINR) per bit and current link condition, APS is able to calculate the optimized packet length with bi-dimensional markov MAC model to improve system performance. To achieve the fairness of intra-class, APS also takes maximum tolerable packet delay, transmission requests, and average allocation transmission into consideration to allocate transmission opportunity to the corresponding traffic. Detailed simulation results and comparison with IEEE 802.11e enhanced distributed channel access (EDCA) scheme show that the proposed APS scheme is able to effectively provide inter-class and intra-class differentiate services and improve QoS for real-time traffic in terms of throughput, end-to-end delay, packet loss rate and fairness.

A New Spray Chrysanthemum Cultivar, 'Noble Wine' with Good Color, Single Type and Bi-color Petals for Cut Flower (화색이 우수한 복색 홑꽃 스프레이국화 'Noble Wine' 육성)

  • Hwang, Ju Chean;Chin, Young Don;Chung, Yong Mo;Kim, Su Gyeong;Jeong, Byoung Ryong
    • FLOWER RESEARCH JOURNAL
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    • v.17 no.2
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    • pp.137-140
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    • 2009
  • A new spary chrysanthemum(Dendranthema grandiflorum) cultivar 'Noble Wine' was developed from a cross between 'SL03-01' and 'Artist Pink' by selection of seedlings and lines at the Flower Research Institute, Gyeongnam Agricultural Research and Extention Services(ARES) from 2003 to 2007. Its characteristics were investigated three times from 2005 to 2007 under condition of forcing culture in spring and retarding culture in autumn. The natural flowering time of 'Noble Wine' was October 26th, and yearround production was possible by day length treatment. Its capitulum was 5.4 cm in diameter, and had 21.6 ray florets and 28.5 head per stem in autumn. Its ray floret was red-purple with green central zone. 'Noble Wine' was about 45 days in spring, and 'Noble Wine' showed the vase life of 21.3 days in autumn. This cultivar was registered for a commercialization in 2007.