• Title/Summary/Keyword: accessibility index

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Diagnosis and Treatment of Gastric Neuroendocrine Tumors (위 신경내분비종양의 진단과 치료)

  • Soo In Choi
    • Journal of Digestive Cancer Research
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    • v.10 no.1
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    • pp.1-8
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    • 2022
  • The incidence of gastric neuroendocrine tumors (NET) has been increased with the improvement of endoscopy accessibility. The World Health Organization classified NET of low (G1), intermediate (G2), high (G3) grade and neuroendocrine carcinoma with poor differentiation by mitotic count and Ki-67 labeling index. Gastric NET are divided into three subtypes based on the pathophysiology, and treatment is determined according to the subtype and prognostic factors of tumor. For diagnosis, endoscopy with biopsy, endoscopic ultrasonography, abdominal pelvis computed tomography, and serum gastrin level measure are required. In general, type 3, size > 2 cm, deep submucosal infiltration, high histological grade, lymphovascular invasion and metastasis are poor prognostic factors. Type 1 or 2 without these factors are treated by endoscopic resection, and other tumors needs surgery. Endoscopic resection of early type 3 or type 1 and 2 tumors with poor prognostic factors still remains a challenge.

Critical Analysis of Unmet Healthcare Needs Index for Addressing Regional Healthcare Inequality (지역 의료불평등 해소를 위한 미충족 의료지표 활용의 비판적 분석)

  • Park, Yukyung;Kim, Jin-Hwan;Kim, Sun;Kim, Chang-yup;Han, Joo-sung;Kim, Saerom
    • Health Policy and Management
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    • v.30 no.1
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    • pp.37-49
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    • 2020
  • Background: Unmet healthcare needs have many advantages for measuring inequalities in healthcare use. However, the existing indicator is difficult to capture the reality of unmet healthcare needs sufficiently and is not quite appropriate in comparing regional inequality. The purpose of this study is to critically analyze the utilization of the unmet healthcare need indicator for regional healthcare inequalities research. Methods: We used the level of healthcare accessibility and healthcare need to categorize the regions that are known to cause differences in healthcare utilization between regions and verified how existing unmet healthcare need indicator is distributed at the regional level. Results: Four types of regions were classified according to the high and low levels of healthcare needs and accessibility. The hypothesis about the regional type expected to have the highest unmet healthcare need was not proved. The hypothesis about the lowest expected regional type was proved, but the difference in the average rate of unmet healthcare needs among regional types was not significant. The standard deviation of the rate of unmet healthcare needs among regions within the same type was also higher than the overall regional variation, which also disproved the whole frame of hypothesis. Conclusion: Failure to prove the hypothesis means the gap between the supposed meaning of the indicator and the reality. In order to understand the current state of healthcare utilization of people in various regions of Korea and to resolve inequality, fundamental research on the in-depth structure and mechanisms of healthcare utilization is needed.

Factors Affecting Spatial Distance to Outpatient Health Services (공간분석을 이용한 외래의료서비스 접근성 요인분석)

  • Shin, Ho-Sung;Lee, Sue-Hyung
    • Health Policy and Management
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    • v.21 no.1
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    • pp.23-43
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    • 2011
  • Access to health care is complicated to define. It is a multidimensional process. In addition to the matters of quality of care, geographical accessibility and availability of the right type of care, finance, and acceptability are all involved. The purposes of this paper are to measure the geographic distances between patient residency locations and health service organizations in which the patients hadvisited, and to investigate the association between geographical distance measures and variables involved in health service utilization. The study used the first and the second wave of the 2008 Korea Health Panel Survey. The samples of analyses were patients who had visited outpatient or used ambulatory health services, and the total observations (visit numbers) analyzed were 229,128. We divided the samples into a frequent-visit illness group (Group 1) and a non-frequent visit illness group (Group 2) based on over 5,000 total visit numbers. We exploited three level analyses using xtmixed of STATA${\Box}$ 11.1 command with/without interaction terms among age, sex, and occupation. Geographical distances were measured using the Haversine method. Group 1 was tended to older and lower equivalent income than those of Group 2, but the geographic difference were not observed in terms of area deprivation index and standard mortality ratios. Amongst group 1, diabetes mellitus patients travelled far to visit health care organizations, and arthritis patients were more deprived in terms of the personal and areal characteristics. The study revealed that residents in rural areas traveled about 10 times more long distances than those whom lived in larger cities after adjusting for various variables, which we used for analyses. This study contributed to the practical understanding of health service utilizations using empirical analyses, and found that the types of diseases and socioeconomic characteristics of patients tended to define the amount of travel distance to healthcare organizations.

Effect of chemical input during wet air oxidation pretreatment of rice straw in reducing biomass recalcitrance and enhancing cellulose accessibility

  • Morone, Amruta;Chakrabarti, Tapan;Pandey, R.A.
    • Korean Journal of Chemical Engineering
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    • v.35 no.12
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    • pp.2403-2412
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    • 2018
  • The present study was aimed at evaluating the effect of variable sodium carbonate ($Na_2CO_3$) loading during wet air oxidation (WAO) pretreatment of rice straw in reducing biomass recalcitrance. The research study was intended to increase the cellulose recovery, hemicellulose solubilization, lignin removal in the solid fraction and limiting the generation of inhibitors in the liquid fraction while reducing the chemical input. The operating condition of $169^{\circ}C$, 4 bar, 18 min and 6.5 g/L $Na_2CO_3$ loading resulted in maximum cellulose recovery of 82.07% and hemicellulose solubilization and lignin removal of 85.43% and 65.42%, respectively, with a total phenolic content of 0.36 g/L in the liquid fraction. The crystallinity index increased from 47.69 to 51.25 along with enzymatic digestibility with an increase in $Na_2CO_3$ loading from 0 to 6.5 g/L as a result of removal of barriers for saccharification via effective cleavage of ether and ester bonds cross-linking the carbohydrates and lignin as indicated by FT-IR spectroscopy. A further increase in the $Na_2CO_3$ loading to 9.5 g/L did not significantly increase the sugar release. Thus, it was concluded that 6.5 g/L $Na_2CO_3$ during WAO is sufficient to increase the delignification and deacetylation, leading to significant changes in apparent cellulose crystallinity inter alia improvement in cellulose accessibility and digestibility of rice straw.

Assessment of Universal Design for Seoullo 7017 in Seoul, Korea - Using a New Seven Universal Design Principles -

  • Yoo, Jieun;Kim, Jin-Oh
    • Journal of recreation and landscape
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    • v.12 no.4
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    • pp.35-44
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    • 2018
  • The purpose of this research is to evaluate Seoullo 7017 based on Universal Design (UD) principles and guidelines. To derive UD principles applicable to the site context, we used the 2017 Seoul Universal Design Guideline and assessment index provided by the Universal Design Research Center and established 11 evaluation criteria. With respect to research methods, a literature review and on-site field survey were applied, through which we derived UD principles and evaluation criteria to identify UD problems. The 11 evaluation criteria consist of pedestrian space, facilities, access, main entrance, parking lots, trails, restrooms, convenience facilities, information facilities, rest areas, and playgrounds, and these were associated with UD principles for evaluation. As a result, the main entrance had the highest UD score, while parking lots had the lowest in terms of equity, safety, simplicity, and accessibility. Restrooms received a lower UD score because of poor conditions of security and alert systems. Rest areas were found to be uncomfortable for disabled people. With respect to the internal trails, we found the lack of braille block and irregular placement of planting pots made blind people uncomfortable when walking. In terms of UD principles, flexibility received the highest score, followed by amenity, equity, simplicity, tolerance, accessibility, and safety. Flexibility received the highest score, owing to the provision of proper information about convenience facilities and trails, while safety received the lowest, based on poor access to parking lots, inadequate paving materials and colors, and a lack of 24-hour security systems. We hope this research contributes to improving the universal design, so that people are not discriminated against in the use of the park in terms of age, sex, or physical disability. We expect the study to help facilitate empirical studies to verify UD principles and provide improved quality of UD for Seoullo 7017.

A Study on Improvement of Gravity model Decay Function of Transporting Demand Forecasting Considering Space Syntax (Space Syntax를 이용한 교통수요예측의 중력모형 저항함수의 개선방안)

  • Jang, Jin-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.617-631
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    • 2019
  • In the four-step demand model, a gravity mode is used most commonly at the trip distribution stage. The purpose of this study was to develop a new friction factor that can express the accessibility property as a single friction factor to compensate for the variable limits of the gravity model parameters (travel time, travel cost). To derive a new friction factor, a new friction factor was derived using the space syntax that can quantify the characteristics of the urban space structure, deriving the link-unit integration degree and then using the travel time and travel distance relationship. Calibration of the derived friction factor resulted in a similar level to that of the existing friction factor. As a result of verifying the various indicators, the explanatory power was found to be excellent in the short - and long - distance range. Therefore, it is possible to derive and apply the new friction factor using the integration index, which can complement the accessibility beyond the limit of the existing shortest distance, and it is believed to be more advantageous in future utilization.

Measurement Scale Development of Waterpark Service Quality (워터파크의 서비스품질 척도개발)

  • Kwak, Han-Pyong;Kim, Kyong-Sik;Lee, Chang-Soo
    • The Journal of the Korea Contents Association
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    • v.10 no.1
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    • pp.426-435
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    • 2010
  • The object of this study was to develop an index of service quality of waterparks and verify the validity and reliability of the index. This study represents the waterparks user population in 2009, and 250 people were extracted by using the purposive sampling method. In other words, five locations have major waterparks were chosen and 50 people per each location were collected. Conference, panel survey, exploratory factor analysis and confirmatory factor analysis were performed to verify the validity of the questionnaire while item analysis, interrater reliability and internal consistency reliability were conducted to probate the reliability. Through these methods and procedures, the results of this study like these; (i) Validity of this index was significantly high and the index include amenity/cleanness, safety, price, programs, facilities, accessibility and promotion. Among them, amenity/cleanness was the major factor for the validity value; (ii) Reliability of this index was also high. There are high correlations between questions and fields and questions and total score. And the Cronbach's $\alpha$ values of the internal consistency reliability was over 0.603 except in the case of promotion which was below 0.6. After all the analysis, the index of service quality proved to be very proper and reliable index. Therefore, the major factors of service quality have to be figured out and reflected to the management innovation to improve service quality of waterparks.

A Study on Factors Influencing Turnover of Public Parking Lots in Incheon Metropolitan City (인천광역시 공영주차장 이용실태 분석 기반 주차 회전율 영향요인 연구)

  • CHOI, Younghoon;KIM, Eungcheol
    • Journal of Urban Science
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    • v.6 no.2
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    • pp.29-34
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    • 2017
  • Although the supply of public parking lots in major cities is steadily increasing, there is still a shortage of parking spaces that take into account the characteristics of actual available parking spaces. These parking problems are caused by conflicts between users, illegal occupation and privatization of roads, interference with traffic roads, and business stagnation in commercial areas and illegal parking problems. In addition, despite various parking demand management policies and continuous supply of public parking facilities, the solution to the parking problem is uneasy due to increased construction costs and changes in social conditions. In order to solve this problem, it was judged that it would be necessary to utilize the existing public parking lots efficiently. Therefore, we collect the variables expected to affect the turnover, and use multiple regression models. The results are summarized as follows. Firstly, public parking lots can be classified into four types using utilization rate and turnover rate. Secondly, influencing factors are found including index of public transportation usage convenience, index of illegal parking, and land use characteristics in central commercial district. Thirdly, it was shown that there was little impact by the size of public parking lots, separation distance to subway distance, separation distance to bus stops, transfer zone, residential zone, and second-rated lots by parking costs. Finally, it is found that public parking lots can be improved by proving accessibility of public transit, enforcement of illegal parking, active approaches supporting public parking lots. It is also recommended that public parking cost rating system based mainly on land use characteristics should be remedied and rearranged.

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The Variables Affecting the Fluctuation of Visitors and the Construction of Models of Demand Projection in National Park (국립공원 이용객의 변동요인과 수요예측 모형설정)

  • 정하광
    • Journal of the Korean Institute of Landscape Architecture
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    • v.19 no.2
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    • pp.12-22
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    • 1991
  • The purpose of this study is to identify demand and methods of projection, including to prove the variables affecting the fluctuation of visitors and to analyze the relationship between these variables in National Park. Statistical analysis method (Multiple Linear Regression Analysis, ANOVA, and Model diagnostics) was carried out by computer program SAS/pc. 13 variables (1. Total Population, 2. Per Capita PDI, 3. Employment Ratio of S.O.C. & others, 4. NO. of Passenger Car, 5. Length of Roads, 6. Leisure Expenditure of Farm Household, 7. Leisure Expenditure of Urban Household, 8. Price Index, 9. NO. of Bus, 10. Exchange on Dollars, 11. Export, 12. Import, and 13. Visitors in National Park) had been used to this study. The scope of time period is during the last 17 years (1970-1986). The results were as follows; 1) Participation depends only on the specific characteristics of the economic factors (Price Index and Leisure Expenditure of Urban Household). These factors are the importance factors directly affecting the participation of visitors. The statistical Model for projecting the visitors in National Parks is the function of "Visitors in National Parks (thousand)=14915+0.210311*Leisure Expenditure of Urband Household (won)-157.835619*Price Index(1985=100)" 2) The external factors affecting the participation depends upon the interelated features of availability and accessibility (NO. of Passenger Car, Length of Roads, and NO. of Bus) of recreation resources or sites, and the economic factors (Per Capita PDI, Export, and Import). These factors are the factors indirectly affecting the participation of visitors. 3) The participation depends on the specific characteristics of demographic factors (Total Population and Employment Ratio of S.O.C. & others). These factors are the factors indirectly affecting the participation of visitors. 4) The unexpected fluctuation of yearly visitors depends on oil shock or inflation (1971, 1973-1974, 1979-1980), promulgation of national emergency decrees (1971-1972, 1974-1975, 1979-1980), and national events (assassination of president Park's wife, Madame Yuk in 1974 and president Park I 1979).

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Convergence evaluation method using multisensory and matching painting and music using deep learning based on imaginary soundscape (Imaginary Soundscape 기반의 딥러닝을 활용한 회화와 음악의 매칭 및 다중 감각을 이용한 융합적 평가 방법)

  • Jeong, Hayoung;Kim, Youngjun;Cho, Jundong
    • Journal of the Korea Convergence Society
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    • v.11 no.11
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    • pp.175-182
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    • 2020
  • In this study, we introduced the technique of matching classical music using deep learning to design soundscape that can help the viewer appreciate painting and proposed an evaluation index to evaluate how well matching painting and music. The evaluation index was conducted with suitability evaluation through the Likeard 5-point scale and evaluation in a multimodal aspect. The suitability evaluation score of the 13 test participants for the deep learning based best match between painting and music was 3.74/5.0 and band the average cosine similarity of the multimodal evaluation of 13 participants was 0.79. We expect multimodal evaluation to be an evaluation index that can measure a new user experience. In addition, this study aims to improve the experience of multisensory artworks by proposing the interaction between visual and auditory. The proposed matching of painting and music method can be used in multisensory artwork exhibition and furthermore it will increase the accessibility of visually impaired people to appreciate artworks.