Park, Chan Hyuk;Yang, Dong-Hoon;Kim, Jong Wook;Kim, Jie-Hyun;Kim, Ji Hyun;Min, Yang Won;Lee, Si Hyung;Bae, Jung Ho;Chung, Hyunsoo;Choi, Kee Don;Park, Jun Chul;Lee, Hyuk;Kwak, Min-Seob;Kim, Bun;Lee, Hyun Jung;Lee, Hye Seung;Choi, Miyoung;Park, Dong-Ah;Lee, Jong Yeul;Byeon, Jeong-Sik;Park, Chan Guk;Cho, Joo Young;Lee, Soo Teik;Chun, Hoon Jai
Journal of Digestive Cancer Research
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v.8
no.1
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pp.1-50
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2020
Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.
Kim, Dong-Sik;Choi, Kwan-Sun;Lee, Sun-Heum;Chung, Hye-Kyung
Journal of Internet Computing and Services
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v.16
no.4
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pp.61-70
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2015
This paper presents a web-based Java applet for understanding the concepts in digital logic circuits and student satisfaction survey was carried out in order to show its educational validity. Through our educational Java applet, the learners will be capable of learning the concepts and principles related to digital logic circuit experiments and how to operate virtual experimental equipments and virtual bread board. The proposed educational Java applet is composed of five important components: Principle Classroom to explain the concepts and principles for digital logic circuit operations, Simulation Classroom to provide a web-based simulator to the learners, Virtual Experiment Classroom to provide interactive Java applet about the syllabus of off-line laboratory class, Assessment Classroom, and Management System. With the aid of the Management System every classroom is organically tied together collaborating to achieve maximum learning efficiency. Finally, we have obtained several affirmative effects such as high learning standard, reducing the total experimental hours and the damage rate for experimental equipments.
There are little program and services that have been developed to address the health and health care needs of vulnerable women. The access for their timely and appropriate health care and health promotion services have been a increasing concern. The purpose of this study was to suggest health promotion program for vulnerable women with collaboration of women's NGOs. At the first part of this study, we reviewed a conceptual framework for identifying vulnerable population, and issues regarding health problems, unmet needs, policies and programs that have been developed to address their need. In second part, we focused on investigating the role, subjects and activities of women's NGOs and their capacity for health promotion program. The last part of this study proposed health promotion programme with integrating above two parts of study. In describing what type of health promotion program available in women's NCOs, eight major programs and services were summarized. 1. Direct health promotion program and collaborating program with other services. 2. Education and training for empowerment of vulnerable women 3. Organizing mutual support system such as self-help group 4. Community supports. Vulnerable women living at home may benefit from linkage to community services as much as women living in facility 5. Organizing collaboration system with program for economic support and job training, social rehabilitation 6. Trainer's training for practitioners in NGOs 7. Technical, informational support from professional groups 8. A national coordinating policies for vulnerable population should be established at the central level. National support for NGOs' health promotion program are needed hi solving unmet needs of vulnerable women.
KIPS Transactions on Computer and Communication Systems
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v.6
no.8
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pp.343-352
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2017
IEC62541, known as OPC-UA, is a standard communication protocol for Smart Grid (SG) and Smart Factory application platform. It was accepted as an IEC standard (IEC62541) in 2011 by IEC TC57, and is extending range of application as collaborating with other standrads. The government's policies to popularize EVs ("Workplace Charging Challenge"), the number of Electric vehicle which try to be charging in the factory is expected to increase. In this situation, indiscreet and uncontrolled EV charging can lead to some problems, such as excess of the peak demand capacity. Therefore, EVs, which is charging in SFs, must be monitoring and controlling to avoid and reduce peak demand. However, the standards for EVs charging differ from the standards for SFs. In other words, to increase the ease of use for drivers, and reduce risk for enterprise, we have needs of study to develop the protocols or to provide interoperability, for EVs charging in SFs. This paper deals with a EV charging management platform installing in a smart factory. And this platform can be easily integrated as part of SF management software. The main goal of this paper is to implement EV management system based on IEC61851 and IEC62541.
Tae-Han Kim ;In-Ho Kim ;Seung Joo Kang;Miyoung Choi;Baek-Hui Kim ;Bang Wool Eom;Bum Jun Kim;Byung-Hoon Min;Chang In Choi ;Cheol Min Shin;Chung Hyun Tae;Chung sik Gong;Dong Jin Kim;Arthur Eung-Hyuck Cho;Eun Jeong Gong;Geum Jong Song;Hyeon-Su Im;Hye Seong Ahn;Hyun Lim;Hyung-Don Kim;Jae-Joon Kim;Jeong Il Yu;Jeong Won Lee;Ji Yeon Park;Jwa Hoon Kim;Kyoung Doo Song;Minkyu Jung;Mi Ran Jung;Sang-Yong Son;Shin-Hoo Park;Soo Jin Kim;Sung Hak Lee;Tae-Yong Kim;Woo Kyun Bae;Woong Sub Koom;Yeseob Jee;Yoo Min Kim;Yoonjin Kwak;Young Suk Park;Hye Sook Han;Su Youn Nam;Seong-Ho Kong
Cancer registries help to establish and maintain cancer incidence reporting system, serve as a resource for investigation of cancer and its causes, and provide information for planning and evaluation of preventive and control programs. However, their wider role in directly enhancing oncology drug access has not been fully explored. We examined the value of cancer registries in oncology drug access in the Asia-Pacific region on three levels: (1) specific registry variable types; (2) macroscopic strategies on the national level; and (3) a regional cancer registry network. Using literature search and proceedings from an expert forum, this paper covers recent cancer registry developments in eight economies in the Asia-Pacific region - Australia, China, Hong Kong, Malaysia, Singapore, South Korea, Taiwan, and Thailand - and the ways they can contribute to oncology drug access. Specific registry variables relating to demographics, tumor characteristics, initial treatment plans, prognostic markers, risk factors, and mortality help to anticipate drug needs, identify high-priority research area and design access programs. On a national level, linking registry data with clinical, drug safety, financial, or drug utilization databases allows analyses of associations between utilization and outcomes. Concurrent efforts should also be channeled into developing and implementing data integrity and stewardship policies, and providing clear avenues to make data available. Less mature registry systems can employ modeling techniques and ad-hoc surveys while increasing coverage. Beyond local settings, a cancer registry network for the Asia-Pacific region would offer cross-learning and research opportunities that can exert leverage through the experiences and capabilities of a highly diverse region.
Ubiquitous health care system, which is one of the developing solution technologies of IT, BT and NT, could give us new medical environments in future. Implementing health information systems can be complex, expensive and frustrating. Healthcare professionals seeking to acquire or upgrade systems do not have a convenient, reliable way of specifying a level of adherence to communication standards sufficient to achieve truly efficient interoperability. Great progress has been made in establishing such standards-DICOM, IHE and HL7, notably, are now highly advanced. IHE has defined a common framework to deliver the basic interoperability needed for local and regional health information networks. It has developed a foundational set of standards-based integration profiles for information exchange with three interrelated efforts. HL7 is one of several ANSI-accredited Standards Developing Organizations operating in the healthcare arena. Most SDOs produce standards (protocols) for a particular healthcare domain such as pharmacy, medical devices, imaging or insurance transactions. HL7's domain is clinical and administrative data. HL7 is an international community of healthcare subject matter experts and information scientists collaborating to create standards for the exchange, management and integration of electronic healthcare information. The ASTM specification for Continuity of Care Record was developed by subcommittee E31.28 on electronic health records, which includes clinicians, provider institutions, administrators, patient advocates, vendors, and health industry. In this paper, there are suggestions that provide a test bed, demonstration and specification of how standards such a IHE, HL7, ASTM can be used to provide an integrated environment.
Due to the advent of the 4th Industrial Revolution, it is imperative that we aggressively continue to develop state-of-the-art, cutting edge ICT technology relative to autonomous vehicles, intelligent robots, and so forth. Especially, systems based on convergence IT are being developed in the form of CPSs (Cyber Physical Systems) that interwork with sensors and actuators. Since conventional CPS specification only expresses behavior of one system, specification for collaboration and diversity of CPS systems with characteristics of hyper-connectivity and hyper-convergence in the 4th Industrial Revolution has been insufficiently presented. Additionally, behavioral modeling of CPSs that considers more collaborative characteristics has been unachieved in real-time application domains. This study defines the non-functional requirements that should be identified in developing embedded software for real-time constrained collaborating CPSs. These requirements are derived from ISO 25010 standard and formally specified based on state-based timed process. Defined non-functional requirements may be reused to develop the requirements for new embedded software for CPS, that may lead to quality improvement of CPS.
Purpose - In urban regeneration projects, considerations for rejuvenating traditional public markets are becoming increasingly important. That is because the traditional market is not just a commercial space but also a living center for local people's existence. Cultural contents like these are invaluable assets in the contemporary economy. However, traditional markets are gradually declining because of changes in distribution systems and consumer lifestyles. New distribution systems such as modern distribution markets, home shopping, and online shopping malls made traditional markets less competitive. Further, traditional markets have not been able to adapt to the changing consumption styles of younger generations. Some say that it is a natural phenomenon that cannot be stopped. However, traditional markets are not just another distribution system but also a valuable resource that encapsulates the local people's tradition and history. Thus, a revitalization strategy for traditional public markets has become an urgent task in contemporary urban regeneration projects. This study aimed to find ways to activate traditional public markets by making it a community landmark based on visual merchandising perspectives. Research design and methodology - This study focused on analyzing Granville Island (Vancouver, Canada) as a role-model project for rejuvenating the traditional market. It investigated Granville Island both with walk-through evaluation and literature reviews. Results - We found that it has been developed not only to improve visual aspects, but also to promote cultural contents with high value added. For example, the developers maintained the visual elements that tell the original history of the site as an industrial factory. The renewal project had a balance between improving the outer look and creating attractive contents. The following are the merits of Granville Island that Korean traditional markets should note. First, they kept the whole area clean and hygienic. Second, merchants are well educated, business-savvy, and consumer-oriented. Third, the area's total environmental designs were done by professionals of a high caliber. Fourth, the city government and the merchants'association were collaborating well in their efforts to accommodate the changing needs of consumers. Conclusions - This study made the following suggestions as a conclusion. First, it will be a very powerful tool to rejuvenate the traditional market if we can discover unique cultural resources and develop them as cultural products, experiences, and events. Consumers of the 21st century have a strong tendency to consume not only material products, but also the experiences and memories attached to them. Second, in order to maintain the unique characteristics of traditional markets, fostering the viability of the merchants' association and local residents' society would be essential. Third, it is necessary to make the traditional market into a cultural place not only for the shopping patronage of local residents, but also for attracting tourists to increase sales. Finally, professional management and design approaches are needed in order to make the traditional market a pleasant space from a visual merchandising standpoint.
Background: The purpose of this research was to examine the fall incidence rate and its related factors of fall in inpatients. Methods: The data were collected from the 138 fall incident reports in one tertiary hospital in Seoul from April 1st 1999 to September 30th 2001. The Fall Incident Report Form was originally developed based on that of Massachusetts General Hospital revised in 1995. And this was modified for this survey by the collaborating work of QI team including researcher and department of nursing service of this particular hospital. The contents of Fall Incident Form were general characteristics of patient. factors related to fall. types and places of fall. circumstances, nursing interventions. and outcome. Results: 1) The incidence rate of fall was 0.08% of total discharged patients and 0.081 per 1000 patient-day. This incidence rate is much lower than that of several hospitals in USA. This finding might result from the different incidence report system of each hospital. 2) The characteristics of fall-prone patient were found as follows. They were mostly over 60 years old, in alert mental status, ambulatory with some assistance, and dependent on ambulatory device. The types of diseases related high incidence rate were cerebrovascular disease(3.2), hypertension(1.6), cardiovascular disease(1.4), diabetes(1.3) and liver disease(0.6). 3) The majority of fall events usually occurred m bed. bedside(walking or standing) and bathroom in patient room. Usually they were up on their own when they fell. And there were more falls of elderly occurred during night time than day or evening. 4) 63.8% of fall events resulted in physical injuries such as fracture and usually the patients had diagnostic procedures and some treatment(ex. suture) which caused additional cost to the patients and their families. 5) The found risk factors of fall were drugs(antihypertensive drug, diuretics) and environmental factors like too high bed height, long distance of bedside table and lamp switch, and slippery tile of bathroom floor. Conclusion: Considering these results, every medical and nursing staff should be aware of the risk factors of patients in hospital, and should intervene more actively the preventive managements, specially for the elderly patients during night. Therefore, it is recommended that the development of Fall Prevention Programs based on these results.
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