• Title/Summary/Keyword: Service registry

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Breast Screening and Breast Cancer Survival in Aboriginal and Torres Strait Islander Women of Australia

  • Roder, David;Webster, Fleur;Zorbas, Helen;Sinclair, Sue
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.1
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    • pp.147-155
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    • 2012
  • Aboriginal and Torres Strait Islander people comprise about 2.5% of the Australian population. Cancer registry data indicate that their breast cancer survivals are lower than for other women but the completeness and accuracy of Indigenous descriptors on registries are uncertain. We followed women receiving mammography screening in BreastScreen to determine differences in screening experiences and survivals from breast cancer by Aboriginal and Torres Strait Islander status, as recorded by BreastScreen. This status is self-reported and used in BreastScreen accreditation, and is considered to be more accurate. The study included breast cancers diagnosed during the period of screening and after leaving the screening program. Design: Least square regression models were used to compare screening experiences and outcomes adjusted for age, geographic remoteness, socio-economic disadvantage, screening period and round during 1996-2005. Survival of breast cancer patients from all causes and from breast cancer specifically was compared for the 1991-2006 diagnostic period using linked cancer-registry data. Cox proportional hazards regression was used to adjust for socio-demographic differences, screening period, and where available, tumour size, nodal status and proximity of diagnosis to time of screen. Results: After adjustment for socio-demographic differences and screening period, Aboriginal and Torres Strait Islander women participated less frequently than other women in screening and re-screening although this difference appeared to be diminishing; were less likely to attend post-screening assessment within the recommended 28 days if recalled for assessment; had an elevated ductal carcinoma in situ but not invasive cancer detection rate; had larger breast cancers; and were more likely than other women to be treated by mastectomy than complete local excision. Linked cancer registry data indicated that five-year year survivals of breast cancer cases from all causes of death were 81% for Aboriginal and Torres Strait Islander women, compared with 90% for other women, and that the former had larger breast cancers that were more likely to have nodal spread at diagnosis. After adjusting for socio-demographic factors, tumour size, nodal spread and time from last screen to diagnosis, Aboriginal and Torres Strait Islander women had approximately twice the risk of death from breast cancer as other women. Conclusions: Aboriginal and Torres Strait Islander women have less favourable screening experiences and those diagnosed with breast cancer (either during the screening period or after leaving the screening program) have lower survivals that persist after adjustment for socio-demographic differences, tumour size and nodal status.

Research on Immune Enhancing Effect and Safety of Wasong (Orostachys japonicus) Extract: Study Protocol for a Single Center, Randomized, Double-blind, Placebo-controlled, Clinical Trial (와송 추출물의 면역기능 개선 효과 및 안전성 연구: 단일기관, 무작위배정, 이중눈가림, 위약대조 비교, 임상연구 프로토콜)

  • Choi, Jin Yong;Choi, Jun Yong;Lim, Hyun Woo;Kim, Jeong;Kim, So Yeon;Han, Chang Woo
    • Herbal Formula Science
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    • v.25 no.2
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    • pp.135-143
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    • 2017
  • Objectives : This trial aimed to determine if Wasong (Orostachys japonicus) extract can enhance immune system and is safe enough to be approved as a health functional food. Methods : Total 62 people, aged 45 and older, will be recruited to participate in a randomized, double-blind, placebo-controlled clinical trial. This study will compare Wasong extract and placebo. Wasong group will take 1g of Wasong extract, once a day, for 8 weeks. Placebo group will take 1g of crystalline cellulose as placebo, once a day, for 8 weeks. Outcomes will be measured at the baseline, the end of 4th week, and 8th week. Primary outcomes are the ratio of NK cells/total lymphocytes and the ratio of T-helper cells/T-suppressor cells. Secondary outcomes are total white blood cell count, the ratio of neutrophils, lymphocytes, and monocytes in total leukocytes, the ratio of total T cells, T-helper cells, T-suppressor cells, and B cells to lymphocytes, the amount of blood IgM, IgG, IgA, and cytomegalovirus (CMV) IgG, and blood metabolite target &global analysis. Results : This trial was approved by institutional review board of Pusan National University Korean Medicine Hospital (registry number: 2016006), and registered in Clinical Research information Service, one of WHO International Clinical Trials Registry Platform (registry number: PRE20161006-002). Recruitment opened in February 2017 and is supposed to be completed by August 2017. The result is expected to be published by June 2018. Conclusion : This trial will provide clinical information to determine the efficacy and safety of Wasong in enhancing immune system of middle-aged and older people.

Breast Cancer Characteristics and Survival Differences between Maori, Pacific and other New Zealand Women Included in the Quality Audit Program of Breast Surgeons of Australia and New Zealand

  • Campbell, Ian;Scott, Nina;Seneviratne, Sanjeewa;Kollias, James;Walters, David;Taylor, Corey;Roder, David
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.6
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    • pp.2465-2472
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    • 2015
  • Background: The Quality Audit (BQA) program of the Breast Surgeons of Australia and New Zealand (NZ) collects data on early female breast cancer and its treatment. BQA data covered approximately half all early breast cancers diagnosed in NZ during roll-out of the BQA program in 1998-2010. Coverage increased progressively to about 80% by 2008. This is the biggest NZ breast cancer database outside the NZ Cancer Registry and it includes cancer and clinical management data not collected by the Registry. We used these BQA data to compare socio-demographic and cancer characteristics and survivals by ethnicity. Materials and Methods: BQA data for 1998-2010 diagnoses were linked to NZ death records using the National Health Index (NHI) for linking. Live cases were followed up to December $31^{st}$ 2010. Socio-demographic and invasive cancer characteristics and disease-specific survivals were compared by ethnicity. Results: Five-year survivals were 87% for Maori, 84% for Pacific, 91% for other NZ cases and 90% overall. This compared with the 86% survival reported for all female breast cases covered by the NZ Cancer Registry which also included more advanced stages. Patterns of survival by clinical risk factors accorded with patterns expected from the scientific literature. Compared with Other cases, Maori and Pacific women were younger, came from more deprived areas, and had larger cancers with more ductal and fewer lobular histology types. Their cancers were also less likely to have a triple negative phenotype. More of the Pacific women had vascular invasion. Maori women were more likely to reside in areas more remote from regional cancer centres, whereas Pacific women generally lived closer to these centres than Other NZ cases. Conclusions: NZ BQA data indicate previously unreported differences in breast cancer biology by ethnicity. Maori and Pacific women had reduced breast cancer survival compared with Other NZ women, after adjusting for socio-demographic and cancer characteristics. The potential contributions to survival differences of variations in service access, timeliness and quality of care, need to be examined, along with effects of comorbidity and biological factors.

Development and Management of an Ontology and Registries for Sharing Metadata about Business Process Specifications under SOA (서비스 지향 아키텍쳐 하에서 비즈니스 프로세스 명세에 관한 메타 데이터를 공유하기 위한 온톨로지와 등록저장소의 개발 및 관리 방안)

  • Kim, Hyoung-Do;Kim, Jong-Woo
    • The Journal of the Korea Contents Association
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    • v.7 no.11
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    • pp.9-22
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    • 2007
  • While standardization and its applications for registering and sharing information resources about B2B transactions such as business documents are relatively well developed, it is not easy to register and share business process resources because there are many ways to define complex business processes using different specification(definition) languages. In practice, there are several competing business process specification languages applicable under service-oriented architecture (SOA) such as ebXML BPSS, WS-BPEL, BPMN and so on. A systematic way has to be prepared to register/share diverse and heterogeneous specifications represented using those languages. This paper demonstrates the usefulness of sharing B2B business processes by prototyping a business process registry called ebRR4BP. First of all, we designed a metadata ontology to support the registration of diverse B2B business processes. To implement the proposed metadata ontology using ebXML registries, a mapping scheme to ebXML Registry Information Model is also suggested. The ontology and mapping scheme will be a foundation for supporting common interchange of business process metadata among B2B resistries.

Analysis of Maternal Child Health Services in Korea - Perspective of the Premature Infant - (우리나라 모자보건 정책사업 분석 - 미숙아와 저체중출생아를 중심으로 -)

  • Lee, Hye-Jung;Lee, Kwang-Ok;Shin, Mi-Kyung
    • Child Health Nursing Research
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    • v.15 no.1
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    • pp.81-87
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    • 2009
  • In recent years, reductions in infant mortality have mainly been accomplished by improving the survival of premature and low birth weight infants, however premature infants still remain at great risk. The purpose of this study was to review the maternal child health service related to premature infants and to provide a future direction for improving maternal child health (MCH) in Korea. We reviewed two MCH services which are directly related to premature infants: 1) a registry and financial support program for families with a premature infant, and 2) financial support to build neonatal intensive care units in rural public hospitals. Suggestions are made for the development of a national vital signs record system to identify high risk infants and to monitor the trends in infant mortality due to prematurity. Prevention efforts and preconception care for childbearing women is also an important strategy to reduce the rate of preterm births. Finally, we need consider long-term follow-up plans for premature infants for a successful transit to the special education system. Developing MCH policy related to premature infants that decreases the occurrence of premature may decrease infant mortality, and also improve maternal and child health services.

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A Study on the Nature of the Electronic Letter of Credit Transaction and the Presentation of the Documents (전자신용장의 본질과 서류의 전자제시에 관한 연구)

  • Choi, Seok-Beom
    • International Commerce and Information Review
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    • v.2 no.1
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    • pp.67-95
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    • 2000
  • Owing to the Boero Service, Global Trading will be materialized as international Business to Business E-Commerce. There are three principles in the letter of credit transaction, that is to say, independence and abstraction, document dealing, strict compliance. In the electronic letter of credit, these principles are called as independence and abstraction, electronic document dealing, strict compliance. As a joint venture between SWIFT and TT Club, bolero.net is changing the way the world trades by providing a web-based, paperless mode of commerce that is designed to become a global standard. As bolero.net supplies the service of the title registry resolves the problem of Electronic Bill of Lading, the electronic letter of credit will be easily introduced. Thus, this study deals with the Nature of the Electronic Letter of Credit Transaction and the Presentation of the Documents, in particular, the Bolero Bill of Lading.

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Implications in Case Study on the Electronic Bills of Lading (전자선화증권의 기능에 대한 사례분석과 시사점)

  • Choi, Seok-Beom;Kim, Tae-Hwan
    • International Commerce and Information Review
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    • v.7 no.1
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    • pp.171-194
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    • 2005
  • The CMI Rules for Electronic Bills of Lading were drafted by the Comite Maritime International(CMI) and related specifically to EDI transfers of negotiable bills of lading. The CMI Rules are contractual in nature and the application of the CMI Rules is strictly voluntary. The method adopted in the CMI Rules to enable negotiation of the rights to cargo in a controlled method is based on the introduction of the ‘Private Key’. The Bolero service will be governed by a multilateral contract called the Bolero Rule Book which specifies the rights and responsibilities of Bolero and its users. The Title Registry and Bolero Bill of Lading provide a fully functional equivalent to the paper bill of lading. The Bolero Bill of Lading can be created, transferred, amended, and surrendered by way of designating to order party, blank endorsement, refusal by the transferee etc. In Japan, through TEDI Project, the RSP Model is introduced as e-trade solution like Bolero's Solution. The RSP Model Solution will be furnished through TC(Trade Chain) Server and RSP(Repository Service Provider) Server. The purpose of this paper is to analyze comparatively the CMI Rules and Bolero Bill of Lading and RSP Model of TEDI and to find the implications in this case study for quick introduction of electronic Bill of Lading.

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Design of DPWS Adaptor for Interoperability between Web Services and DPWS in Web Services on Universal Networks (유비쿼터스 웹서비스 환경의 DPWS와 웹서비스의 상호운용성을 위한 DPWS 어댑터 설계)

  • Yim, Hyung-Jun;Oh, Il-Jin;Hwang, Yun-Young;Lee, Kang-Chan;Lee, Seung-Yun;Lee, Kyu-Chul
    • Proceedings of the Korean Information Science Society Conference
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    • 2007.10c
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    • pp.90-95
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    • 2007
  • 유비쿼터스 환경에서는 서비스 사용자가 언제, 어디서나 모든 서비스를 사용할 수 있어야 한다. 즉, 디바이스나 서비스의 상태, 위치 정보 등 특성에 관계 없이 동질의 서비스를 제공해야 한다. 이를 위해 산재한 이질적인 서브네트워크의 상호운용성을 위한 다양한 분산 시스템의 네트워크 프로토콜과 디바이스간의 통신을 통합하기 위한 연구가 필요하다. 서브네트워크의 상호운용성을 위해서는 메시지 전송 및 변환 기능이 요구되며, 서브네트워크의 변화를 동적으로 감지하여 서비스 사용자에게 알려주어야 한다. 따라서 본 연구에서는 유비쿼터스 웹서비스를 지원하기 위한 Web Services on Universal Networks를 제안하였다. 제안하는 WSUN은 Universal Service Broker의 프레임워크를 통해 SOA 기반으로 접근하고 있으며 요구 사항을 정의하여 필요한 구성 요소에 대한 설계하였다. 또한, 동적인 서비스 검색을 위한 Universal Service Registry를 사용한다. 본 논문에서는 DPWS의 동작 시나리오를 통해 이질적인 서브네트워크의 상호운용성을 지원하기 위한 DPWS 어댑터를 설계한다.

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A Study of the Impact of Organizational Cultures on the Organizational Effectiveness (조직문화가 조직유효성에 미치는 영향에 관한 연구 : 의료사회복지사의 인식을 중심으로)

  • Kang, Heung-Gu
    • Korean Journal of Social Welfare
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    • v.47
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    • pp.7-33
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    • 2001
  • The purpose of this study was to the impact of organizational culture on the organizational effectiveness in hospitals were empirically analysed. Data were collected by 151 social workers including general hospitals with one social worker at least and single-department hospital with two social workers or more, were identified nationwide through the registry of Korean Association of Medical Social Workers and Korean Association of Hospitals. The results of this study were summarized as follows; First, most social workers report that characteristic of culture in their hospitals are group culture the first, hierarchial culture the second, rational culture the third, and developmental culture finally in order of social worker's recognition. Second, according to the types of organizational culture, there were significantly different levels of organizational effectiveness. Social worker's perceived group cultures in hospital showed higher job satisfaction, organizational commitment than other culture patterns. And also, social worker's perceived developmental cultures in hospital showed higher organizational commitment quality of social service than other culture patterns. Third, multiple regression analysis was conducted to find the relationship of organizational culture and organizational effectiveness. As a result, developmental culture showed a strong relationship with job satisfaction, organizational commitment and quality of social services Finally, as for the cultural affects on the organizational effectiveness depended on intensive attention to developmental culture in hospital Consolidating the attribute of developmental culture in hospital is also proposed to improve the organizational cultures.

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UDDI Broker System Supporting Web Services QoS Monitoring (웹 서비스 품질 모니터링을 제공하는 UDDI 중개자 시스템)

  • Yeom, Gwy-Duk;Min, Dug-Ki
    • Journal of the Korea Society of Computer and Information
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    • v.10 no.4 s.36
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    • pp.337-344
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    • 2005
  • UDDI server is the web services registry enabling users to register and search for web services. However, the existing UDDI servers do not provide any information about web services qualify. We designed and developed a UDDI broker system which actively monitors and analyses the qualify of web services. The analysis results are presented to users in statistical figures and graphs. With this information a user can select a web service that meets his/her needs. Availability, performance, and stability were the metrics used for the service qualify measurement and analysis.

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