• Title/Summary/Keyword: Nationwide

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Epidemiology of Primary Brain and Central Nervous System Tumors in Korea

  • Lee, Chang-Hyun;Jung, Kyu-Won;Yoo, Heon;Park, So-Hee;Lee, Seung-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.48 no.2
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    • pp.145-152
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    • 2010
  • Objective : The aim of this report is to provide accurate nationwide epidemiologic data on primary central nervous system (CNS) tumors in Korea. Despite its importance, there are no accurate statistics on primary CNS tumors in Korea. We analyzed primary CNS tumors diagnosed in 2005 from the nationwide registry. Methods : Data on primary CNS tumors diagnosed in 2005 were collected from the Korean Central Cancer Registry and the Korean Brain Tumor Society. Crude and age-standardized rates were calculated in terms of gender, age, and histological type. Tumors of uncertain histology were investigated individually at the corresponding hospitals and had their diagnoses confirmed. Results : A total of 5,692 patients diagnosed with primary CNS tumors in 2005 were included in this study. CNS tumors occurred in females more often than in males (female to male, 1.43 : 1). The most common tumor was meningioma (31.2%). Glioblastoma accounted for 30.7% of all gliomas, and 19.3% of all malignant primary CNS tumors. In children under 19 years of age, both germ cell tumor and embryonal/primitive/medulloblastoma were the most common tumors. Conclusion : This article is the first nationwide primary CNS tumor epidemiology report in Korea. Data from this study should provide valuable information regarding the understanding of primary CNS tumors epidemiology in Korea.

Estimation of the Number of Cell Sites for Nationwide Public Protection and Disaster Relief Network Using WiBro and LTE Technical Methods (WiBro 및 LTE를 이용한 재난안전무선통신망용 셀 수량 추정)

  • Song, Ki-Hong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.17 no.6
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    • pp.1266-1272
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    • 2013
  • This paper calculates estimated number of cell sites to build a nationwide PPDR(Public Protection and Disaster Relief) network of WiBro and LTE technical methods through a link budget calculation, presents the efficient technical method through a comparison between the number of cell sites using WiBro and LTE. As a calculation results, the number of cell sites using WiBro method are larger than twice compared to that of LTE method on the same frequency bands, due to the differences of uplink PAPR, uplink transmission technique and SINR. On the basis of the result, LTE mothod is considered as a more effective technology than the WiBro method on the economic, technical and marketing points of views on building a nationwide network.

Nationwide Inundation Analysis method for Flood and Storm Disaster Insurance Rate (풍수해보험요율 산정을 위한 전국단위 내수침수해석 방안)

  • Yoo, Jaehwan;Song, Juil;Jang, Moonyup;Kim, Hantae
    • Journal of the Society of Disaster Information
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    • v.11 no.1
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    • pp.55-62
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    • 2015
  • This study suggested Nationwide Inundation Analysis method for Storm and Flood Damage Insurance Rate. Suggested modified Level-Pool method considers Zoning of urban plan to reflect real inundated area and limit inundation-boundary. Inundated area, as results of modified Level-Pool method, compared with inundation risk area on "storm and flood damage mitigation total plan". Simulated inundated area by modified Level-Pool method was more matched than results of traditional method. Therefore, modified Level-Pool method could be useful to analyze nationwide inundated area.

The current status and future operations of Clinical Performance Evaluation (CPX) in the nationwide colleges (graduate schools) of Traditional Korean Medicine (전국 한의과대학(원)의 진료수행평가(CPX) 현황과 향후 과제)

  • Jo, Hak-jun;Min, Sung-ho
    • The Journal of Korean Medical History
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    • v.33 no.2
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    • pp.9-21
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    • 2020
  • To analyze current status of CPX in colleges of Traditional Korean Medicine nationwide and investigate the operations required for its development and distribution, we investigate current status of CPX in the nationwide colleges of Traditional Korean Medicine and suggest an improvement plan. A total of 7 colleges (graduate schools) performed CPX using the standardized patients as of July 2020 out of 13 colleges (graduate schools). Because there are a significant number of CPX modules developed by the colleges of Traditional Korean Medicine, a wide array of characteristics of Traditional Korean Medicine are covered, based on the literatures of Traditional Korean medicine. The scope of Clinical Presentation should established and a CPX module should be standardized to expand and distribute CPX in the education of Traditional Korean Medicine. If multiple colleges collect, train and manage the standardized patients in cooperation, CPX could be performed more effectively. Furthermore, medical clinical performance guide for Traditional Korean Medicine should be developed in cooperation. Greater support in the form of manpower, finance, and administration are required to distribute CPX to all colleges and develop various CPX modules.

Current Status of Clinical Practice for Gastric Cancer Patients in Korea -A Nationwide Survey- (전국 위암 환자 진료 현황에 관한 설문조사 결과)

  • ;Yang Han-Kwang
    • Journal of Gastric Cancer
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    • v.4 no.2
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    • pp.95-108
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    • 2004
  • This nationwide survey was conducted to evaluate the current status of clinical practice for gastric cancer patients in Korea. The Information Committee of the Korean Gastric Cancer Association (KGCA) sent questionnaires containing 45 items about the preoperative diagnosis, medical and surgical treatment, and postoperative follow-up for gastric cancer patients to all 298 KGCA members in 108 institutes. Response rates were $32.6\%$ (97/298) for individuals and $59.3\%$ (64/108) for institutes. Most university hospitals responded (response rate of university hospitals: $71.6\%$, 48/67). The preoperative staging work up was performed primarily by abdominal CT, followed by bone scans, abdominal ultrasound, endoscopic ultrasound, and so on. Gastric cancer patients with stages II, III, and IV usually received adjuvant chemotherapy after a curative operation. About half of the surgeons regarded 2 cm as a safe resection margin in early gastric cancer and 5 cm in advanced gastric cancer. More than half of surgeons usually performed a D2 lymph node dissection in early gastric cancer and D2+$\alpha$ lymph node dissection in advanced gastric cancer. About $20\%$ of surgeons performed less invasive surgery and/or function-preserving surgery, such as a pylorus-preserving gastrectomy, a laparoscopic wedge resection, or a laparoscopy-assisted distal gastrectomy.

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Korean Gastric Cancer Association-Led Nationwide Survey on Surgically Treated Gastric Cancers in 2019

  • The Information Committee of the Korean Gastric Cancer Association,
    • Journal of Gastric Cancer
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    • v.21 no.3
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    • pp.221-235
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    • 2021
  • Purpose: The Korean Gastric Cancer Association (KGCA) has been conducting nationwide surveys on patients with surgically treated gastric cancer, every 5 years, since 1995. This study details the results of the survey conducted in 2019. Materials and Methods: This survey was conducted from March to December 2020 using a standardized case report form, which was sent to every member of the KGCA via e-mail. We collected data on 54 items, including patient demographics, tumor characteristics, surgical procedures, and surgical outcomes. We compared the results of the 2019 survey with previous surveys. Results: Data of 14,076 cases were collected from 68 institutions. The mean patient age was 62.9 years and the proportion of patients who were aged ≥71 years increased from 9.1% in 1995 to 28.8% in 2019. The proportion of upper-third tumors steadily increased from 11.2% in 1995 to 20.9% in 2019 and that of early gastric cancer increased from 57.7% in 2009 to 63.6% in 2019. Regarding operative procedures, a total laparoscopic approach was used in more than half of the cases (55.1%) in 2019. The most common anastomotic method was the Billroth II procedure (45.0%) after distal gastrectomy and double tract reconstruction (81.2%) after proximal gastrectomy in 2019. The postoperative mortality rate was 1.0%, and the overall postoperative complication rate was 14.5%. Conclusions: The results of the 2019 nationwide survey demonstrate the current status of gastric cancer treatment in Korea. This information will provide a basis for gastric cancer research in the future.

Nationwide Reduction of Primary Energy and Greenhouse Gas Emission by PMV Control Considering Individual Metabolic Rate Variations in Apartments (아파트 건물에서 재실자 활동량이 고려된 PMV제어에 따른 연간 국가 차원의 1차 에너지 및 온실가스 감축량 분석)

  • Hong, Sung-Hyup;Do, Sung-Lok;Lee, Kwang Ho
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.34 no.10
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    • pp.37-44
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    • 2018
  • In this study, the effects of considering hourly metabolic rate variations for predicted mean vote (PMV) control on the heating and cooling energy and greenhouse gas emission were investigated. The case adopting PMV control taking the hourly metabolic rate into account was comparatively analyzed against the conventional dry-bulb air temperature control, using a detailed simulation technique. Under the assumption that all the apartments in Korea adopt the PMV control incorporating real-time metabolic rate measurements, nationwide reductions of primary energy and greenhouse gas emission were analyzed. As a result, PMV control considering hourly metabolic rate variations is expected to reduce national primary energy by 6.2% compared to conventional dry-bulb air temperature control, corresponding to reduction of 10,342 GWh. In addition, it turned out that 6.6% of tCO2 emission can be reduced by adopting PMV control, corresponding to nationwide reduction of greenhouse gas emission by approximately 1,720,000 tCO2.

Optimal Multi-Product Inventory Problem Algorithm with Target In-Stock Ratio Constraints (목표 재고보유매장비율 달성을 위한 다중품목 재고수준 최적화 알고리즘)

  • Hyoungtae Kim
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.46 no.2
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    • pp.109-115
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    • 2023
  • This paper studied the problem of determining the optimal inventory level to meet the customer service target level in a situation where the customer demand for each branch of a nationwide retailer is uncertain. To this end, ISR (In-Stock Ratio) was defined as a key management indicator (KPI) that can be used from the perspective of a nationwide retailer such as Samsung, LG, or Apple that sells goods at branches nationwide. An optimization model was established to allow the retailer to minimize the total amount of inventory held at each branch while meeting the customer service target level defined as the average ISR. This paper proves that there is always an optimal solution in the model and expresses the optimal solution in a generalized form using the Karush-Kuhn-Tucker condition regardless of the shape of the probability distribution of customer demand. In addition, this paper studied the case where customer demand follows a specific probability distribution such as a normal distribution, and an expression representing the optimal inventory level for this case was derived.

Not All Children with Cystic Fibrosis Have Abnormal Esophageal Neutralization during Chemical Clearance of Acid Reflux

  • Woodley, Frederick W.;Moore-Clingenpeel, Melissa;Machado, Rodrigo Strehl;Nemastil, Christopher J.;Jadcherla, Sudarshan R.;Hayes, Don Jr;Kopp, Benjamin T.;Kaul, Ajay;Di Lorenzo, Carlo;Mousa, Hayat
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.3
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    • pp.153-159
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    • 2017
  • Purpose: Acid neutralization during chemical clearance is significantly prolonged in children with cystic fibrosis, compared to symptomatic children without cystic fibrosis. The absence of available reference values impeded identification of abnormal findings within individual patients with and without cystic fibrosis. The present study aimed to test the hypothesis that significantly more children with cystic fibrosis have acid neutralization durations during chemical clearance that fall outside the physiological range. Methods: Published reference value for acid neutralization duration during chemical clearance (determined using combined impedance/pH monitoring) was used to assess esophageal acid neutralization efficiency during chemical clearance in 16 children with cystic fibrosis (3 to < 18 years) and 16 age-matched children without cystic fibrosis. Results: Duration of acid neutralization during chemical clearance exceeded the upper end of the physiological range in 9 of 16 (56.3%) children with and in 3 of 16 (18.8%) children without cystic fibrosis (p=0.0412). The likelihood ratio for duration indicated that children with cystic fibrosis are 2.1-times more likely to have abnormal acid neutralization during chemical clearance, and children with abnormal acid neutralization during chemical clearance are 1.5-times more likely to have cystic fibrosis. Conclusion: Significantly more (but not all) children with cystic fibrosis have abnormally prolonged esophageal clearance of acid. Children with cystic fibrosis are more likely to have abnormal acid neutralization during chemical clearance. Additional studies involving larger sample sizes are needed to address the importance of genotype, esophageal motility, composition and volume of saliva, and gastric acidity on acid neutralization efficiency in cystic fibrosis children.

A Study on the Development Plan for Nationwide Authority Control System based on National Authority Sharing System (국가전거공동활용시스템 기반의 국가 전거제어 체계 발전방안에 관한 연구)

  • Mihwa Lee;Sung Sook Lee
    • Journal of Korean Library and Information Science Society
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    • v.54 no.1
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    • pp.25-44
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    • 2023
  • This study was to prepare a development plan for nationwide authority control system based on national authority sharing system of NLK through the survey targeting on libraries which do not participate in the system. Six plans were suggested to establish a nationwide authority control system based on this survey. First, an authority data construction module and a module linked to the national authority sharing system should be developed. Second, describing external identifiers such as ISNI to the national authority sharing system is to provides reliability of data and to utilizes to build linked data. Third, it is necessary to prepare strategies for promoting the national authority sharing system and diversifying services. Fourth, both authority establishment and non-establishment show difficulties and diversity in the selection and description of authorized access point, so it is necessary to prepare rules related to authorized access points. Fifth, since the data described in authority records is not enough, it is necessary to improve and upgrade authority records by using bibliographic records. Sixth, it is necessary to educate librarians about the necessity and function of authority control. As such, this study is meaningful in that it investigated the current status and requirements of libraries that do not participate in the nationwide authority system and sought ways to establish a nationwide cooperative authority control system.