• 보건행정학회지
• /
• 제31권1호
• /
• pp.1-4
• /
• 2021

With this as a momentum of approval Pfizer vaccine against coronavirus disease 2019 (COVID-2019), it is changed to the era of vaccine rapidly. Most countries are trying to reserve effective vaccines and inoculate vaccines into high-risk populations for achieving community immunity. I reviewed several vaccine-related issues to be confronted for moving up to the end of COVID-2019: the efficacy and effectiveness of the approved vaccines, the priorities for vaccination into target groups, side effects, and distrust towards COVID-2019 vaccines. Evidence-based decision-making in the policy process and collaboration with professional groups are the most effective strategies for driving successful vaccination policy.

• Asian Pacific Journal of Cancer Prevention
• /
• 제17권8호
• /
• pp.3663-3673
• /
• 2016

Cervical cancer (CaCx) is the second most fatal cancer contributing to 14% of cancers in Indian females, which account for 25.4% and 26.5% of the global burden of CaCx prevalence and mortality, respectively. Persistent infection with high-risk human papilloma virus (HPV- strains 16 and 18) is the most important risk factor for precursors of invasive CaCx. Comprehensive prevention strategies for CaCx should include screening and HPV vaccination. Three screening modalities for CaCx are cytology, visual inspection with acetic acid, and HPV testing. There is no Indian national policy on CaCx prevention, and screening of asymptomatic females against CaCx is practically non-existent. HPV vaccines can make a major breakthrough in the control of CaCx in India which has high disease load and no organized screening program. Despite the Indian Government's effort to introduce HPV vaccination in the National Immunization Program and bring down vaccine cost, challenges to implementing vaccination in India are strong such as: inadequate epidemiological evidence for disease prioritization, duration of vaccine use, parental attitudes, and vaccine acceptance. This paper reviews the current epidemiology of CaCx and HPV in India, and the current status of HPV vaccination in the country. This article stresses the need for more research in the Indian context, to evaluate interventions for CaCx and assess their applicability, success, scalability and sustainability within the constraints of the Indian health care system.

• 한국경제지리학회지
• /
• 제21권2호
• /
• pp.119-138
• /
• 2018

베트남의 소수민족 중 하나인 흐몽족은 전통적으로 험준한 고산지역에 거주하며, 이동식 화전농업으로 생계를 유지하면서 강력한 혈연집단을 형성하여 왔다. 또한 혈연적 유대감에 기초한 흐몽족의 관습적 거버넌스는 그들의 문화와 생활양식을 유지하기 위한 중요한 요소로 기능하였으나, 국립공원 설치를 위한 법적 조치와 국가에 의한 정당화는 이들의 자원에 대한 이용과 권리를 크게 침해하는 것이었다. 이 논문에서는 자연보호를 위한 국립공원의 설치에 따라 지역자원에 대한 관습적 이용이 제한된 흐몽족을 사례로, 이러한 국가의 간섭을 어떻게 비켜가며 Scott (1976)가 언급한 '도덕적 경제공동체(Moral Economy)'을 어떻게 현실화하며, 자신들의 생활에 미치는 영향을 최소화하는지를 고찰한다. 분석 결과, 타인호와성(省) 푸후(Pu Hu)국립공원의 설치에 따라 마을 이전을 강요당한 흐몽족은 '생존을 위한 윤리의식 (subsistence ethic)'을 공유하는 다른 소수민족과의 관계 및 흐몽족 내부의 관습적 거버넌스를 일종의 '위기회피(risk-averter)' 기제로 구사하면서 국가의 간섭을 교묘하게 비켜가면서 강제적인 마을 이전과 자원이용에 대한 제약이라는 위기를 극복하였다는 것을 알 수 있었다. 이러한 본 연구의 성과는 소수민족의 내재적 다양성과 관습을 무시한 국가의 간섭을 재고할 것을 촉구하는 동시에, 주로 소수민족의 마을 내부관계에 국한하여 분석한 기존의 도덕적 경제공동체론의 한계를 극복하여 동남아시아 소수민족연구의 지평을 소수민족간의 공조관계까지 확대하였다고 볼 수 있다.

• 한국콘텐츠학회논문지
• /
• 제20권10호
• /
• pp.458-469
• /
• 2020

노년기 우울증은 뇌의 병리적 변화와 관련이 있으며 장기적으로 인지기능 손상 및 치매 발병 위험을 높이는 것으로 알려져 있다. 그러나, 인지 예비능 이론에 따르면 고학력 등 높은 인지 예비능은 뇌의 병리가 임상적인 증상으로 발현되는 것을 늦추거나 완화시키기 때문에 교육 수준에 따라 노년기 우울증이 장기적인 인지기능에 미치는 영향이 달라질 수 있다. 본 연구에서는 노년기 우울이 장기적인 인지기능에 미치는 영향이 교육 수준에 따라 다르게 나타나는지를 확인하기 위해 고령화연구패널의 자료를 분석하였다. 고령화연구패널에 등록되어 있는 10,254명 중 연구 선정 기준에 부합되는 4,905명을 대상으로 위계적 회귀분석을 실시하였다. 본 연구의 결과, 우울 점수가 높을수록 12년 후 인지기능 점수가 낮았으며(β=-.20, p<.001), 우울 점수가 인지기능 점수에 미치는 부적인 영향은 성인 집단에 비해 노인 집단에서 더 높았다(β=-.12, p<.001). 그러나 우울 점수가 인지기능에 미치는 영향에 대한 연령 집단 간 차이는 저교육 집단에서만 유의하였다(β=-.12, p<.001). 이는 저교육 노인에게서 나타나는 우울증이 장기적으로 치매 발병 위험을 높일 수 있음을 시사한다.

• 한국농촌건축학회논문집
• /
• 제14권1호
• /
• pp.83-90
• /
• 2012

The purpose of this study was to set and analyze the standard model for prioritizing and deciding to take part in housing environment improvement project in the perspective of the public sector. The results of this study were as follows. The location competitiveness, potential demand, marketability and competitive price, etc were selected by assessment indicators. And Various indicators, including of the size of the area, public transportation, accessibility, convenience of living and the influx of the population, were used by weights indexes. The profit of local residents and the public promoter, variability of earnings, sensitivity analysis and the ratio of money in reserve, etc were also established as detailed indexes for the profitability and business risk analysis. To analyze the cash flow of the project process and review the necessary capital in advance, the payback, total working expenses, gearing ratio and sensitivity of a risk, etc were also set as additional detailed indexes. Lastly, considering it is quasi-public projects, the measure to protect tenants, necessity need of redevelopment and local government's will were additionally used by indexes. And Points were distributed on the importance of each index and scored out of 100. It will allow for the public project promoter to decide rationally whether to come in on the project. The public project promoter like the Korea Land and Housing Corporation will be able to make use of various indexes are based on this study to make decision whether joining the housing environment improvement project in depressed region.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 2000년도 하계학술대회 논문집 A
• /
• pp.406-408
• /
• 2000

Recently, Korea's electric industry is in the midst of a period of profound changes in the structure and function, including the introduction of market competition in the generation sector. Therefore, it is difficult to promote long-term capacity planning and new generating capacity construction which have been driven by KEPCO so far, after the introduction of market competition, so new generating capacity construction and security of reserve margin is needed through self·regulation plan of private generation producers by market mechanism. According to the competition in the generation sector, a new paradigm is necessary to the long-term capacity planning driven by the Government. This paper analyzes the plan and the incentive level able to guide the new generation capacity construction considering the uncertainty risk in a period of introduction of competition. In addition, this paper analyzes the plan able to guide the new capacity construction by market function at the stage which market become established and Government's role to solve the anxiety about the capacity supply and demand.

• 대한기관식도과학회지
• /
• 제1권1호
• /
• pp.142-145
• /
• 1995

The tracheocutaneous fistula(TCF) may develop infrequently as a complication after tracheostomy. Prolonged tracheostomy tube dependence increases the risk of TCF developing, and in growth of stratified squamous epithelium lines the furrow connecting the tracheal mucosa and the skin, accounting for persistence of the fistulous tract. Such fistulas are a nuisance and create nursing and social problems including poor hygiene, aspiration, difficulty with speech, and depletion of pulmonary reserve. Surgical closure has generally been successful by primary closure, fistulectomy with primary closure, and closure by secondary intention following excision of the tracheocutaneous fistula. No large series compares the efficacy of these techniques and each has its own merits. Recent literature has purposed to minimizing complications. For ten years, from January 1985 to December 1994, the authors experienced 25 cases of TCF which were analyzed in respect to incidence and interval of cannulation, duration between decanulation and fistular closure, precedent disease, closure methods, and complications of TCF repair.

• The Journal of Asian Finance, Economics and Business
• /
• 제7권10호
• /
• pp.1-8
• /
• 2020

The objective of the study is to investigate the effect of growth opportunities on capital structure and dividend policy in Indonesia. The study employs panel data of companies listed on Indonesia Stock Exchange that distribute dividends from 2007 to 2017. Fixed and random effect regression models are used. Findings based on growth opportunities on capital structure and dividend policy in Indonesia are in line with the existing theory (i.e., contracting theory). Growth opportunities have a significant negative correlation with debt ratio and dividend yield, which suggests that firms with high growth opportunities are discouraged to generate debt to resolve underinvestment and asset-substitution problem. Firms with more investment opportunities tend to adopt a low dividend payout policy because the cash flows will be used up for investment. The positive impact of firm size on leverage is due to the low bankruptcy risk and cost of a large company. Profitability has a positive impact on the dividend policy because profitable companies can reserve larger free cash flows and, thus, pay higher dividends. The positive influence of ownership on leverage is interpreted by the unwillingness of majority stockholders to commit to equity financing in order to avoid reducing the ownership and preserve control of the company.

• 대한전기학회논문지:전력기술부문A
• /
• 제48권3호
• /
• pp.234-240
• /
• 1999

This paper presents a new approach for large-scale generator maintenance scheduling optimizations. The generator preventive maintenance scheduling problems are typical discrete dynamic n-dimensional vector optimization ones with several inequality constraints. The considered objective function to be minimized a subset of{{{{ { R}^{n } }}}} space is the variance (i.g., second-order momentum) of operating reserve margin to levelize risk or reliability during a year. By its nature of the objective function, the optimal solution can only be obtained by enumerating all combinatorial states of each variable, a task which leads to computational explosion in real-world maintenance scheduling problems. This paper proposes a new priority search mechanism based on each generator's discrete sensitivity value which was analytically developed in this study. Unlike the conventional capacity-based priority search, it can prevent the local optimal trap to some extents since it changes dynamically the search tree in each iteration. The proposed method have been applied to two test systems (i.g., one is a sample system with 10 generators and the other is a real-world lage scale power system with 280 generators), and the results anre compared with those of the conventional capacith-based search method and combinatorial optimization method to show the efficiency and effectiveness of the algorithm.

• Clinical and Experimental Reproductive Medicine
• /
• 제48권1호
• /
• pp.1-10
• /
• 2021

In Korean women, a westernized lifestyle is associated with an increased risk of breast cancer. Fertility preservation has become an increasingly important issue for women with breast cancer, in accordance with substantial improvements in survival rate after cancer treatment. The methods of controlled ovarian hyperstimulation (COH) for fertility preservation in breast cancer patients have been modified to include aromatase inhibitors to reduce the potential harm associated with increased estradiol levels. Random-start COH and dual ovarian stimulation are feasible options to reduce the total duration of fertility preservation treatment and to efficiently collect oocytes or embryos. Using a gonadotropin-releasing hormone agonist as a trigger may improve cycle outcomes in breast cancer patients undergoing COH for fertility preservation. In young breast cancer patients with BRCA mutations, especially BRCA1 mutations, the possibility of diminished ovarian reserve may be considered, although further studies are necessary. Herein, we review the current literature on the practical issues surrounding COH for fertility preservation in women with breast cancer.