• Title/Summary/Keyword: multi-institutional study

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The Influence of the Presence of Balconies on Flame Acceleration in Multi-unit Dwellings (공동주택의 발코니 유·무가 화염분출 특성에 미치는 영향 연구)

  • Kang, Youn-Gyu
    • Fire Science and Engineering
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    • v.30 no.2
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    • pp.1-6
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    • 2016
  • We are living in the 21st century, a new era of high-technology. Due to movements in population towards certain preferred areas, caused by material and technological advancement, growth has occurredn beyond the metropolis, leading to the development of the so-calleda "megalopolis." This development has changed the culture of housing, notably the characteristics of high-rise buildings, and underground facilities (such as subways and shopping centers), and has generally enlarged the scale of the facilities. Due to the increase in the number of single-family households, - notably ones including only the nuclear family, there has been a growing overpopulation problem, with apartments and urban housing developments expanding at rates beyond institutional safety regulations. In this study, we analyze the phenomenon of fire spreading in apartment buildings through actual apartment fire case studies, including that of the MunjonPonpuri apartment building. It was found that the speed at which the fire spreads is lower in apartments without than in those with an extended balcony. Based on the findings from case studies and the test results, we propose a series of safety countermeasures and responses for apartment fires.

Clinicopathologic Characteristics of Male Breast Cancer: A Report of 21 Cases in Radiotherapy Center of Hamedan, Iran

  • Sedighi, Abdolazim;Hamed, Ehsan Akbari;Mohammadian, Kamal;Behnood, Sepideh;Kalaghchi, Bita
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7381-7383
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    • 2013
  • Background: Male breast cancer accounts for less than 1% of all cancer in men and only around 1% of all diagnosed breast cancer. Despite a significant raise in the last 25 years, it still remains a rare disease. Materials and Methods: We conducted a retrospective study from 2004-2011 with 21 male breast cancer patients. We aimed to analyze the epidemiologic data (age, personal and family history), tumor characteristics (size, histological type, location, TNM stage, receptors), surgery, adjuvant chemotherapy and radiation therapy, hormonal therapy and survival (relapse, follow up, death) who reffered to our center with breast cancer. Results: The median age was $49.2{\pm}14.2$ years (range 30-83 years). A family history of breast cancer was noted in four cases. The main clinical complaint was a retroareolar mass in 85.7%of patients (n=18). Histologically, 85.7% (n=18)were invasive ductal carcinoma and 4.7% (n=1) had ductal carcinoma in situ and 9.4% (n=2) had mixed histology including invasive medullary and ductal carcinoma. Hormonal therapy was delivered to 16 cases (76.1%) due to ER or PR positivity. During median follow up of 30 months (3-84 month), distant metastases were evident in 4 cases (19%). During the follow-up period, only one patient died due to metastatic disease. The mean time to recurrence detection was 30 months. Conclusions: The percentage of cases of male breast cancer is very low compared to breast cancer in females, explaining why very few investigations have been conducted in Iran. Limited coverage in the literature make gender-specific findings difficult so future research of this entity involving multi-institutional cooperation and longer follow up is essential to provide new insights about the biological and clinical factors of this rare cancer.

Information Searching Behavior of Health Care Consumers by Types of Medical Institutions (의료소비자들의 의료기관 종별 정보탐색 행태에 관한 연구)

  • Lee, Sun-Hee;Cho, Woo-Hyun;Chae, Yoo-Mi
    • Korea Journal of Hospital Management
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    • v.8 no.1
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    • pp.95-111
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    • 2003
  • The purpose of this study was to evaluate the information searching behavior of consumer by type of medical institution. A questionnaire survey was conducted of 1,507 persons who were selected through a multi-stage stratified area cluster sampling in nationwide level, excluding Jeju-Do. Personal survey was conducted through door-to door survey from 27 July to 10 August 1999. The main results of this research was as following; 1. The proportion of information searching of respondents ranged from 91.5-95.2%. Even though the proportion of user in university hospital was slightly high, there was not significant statistically by type of medical institution. In terms of information source, personal informer was most common information source in all type of medical institution. Public informers were more frequently used in university hospital visitors and professional informer in general and university hospital visitors. 2. Comparing to searching intensity, user informer and professional informer's influences were more powerful, but not statistically significant. In analysis of unit influence for information source, written informer or public informer was more powerful in clinic visitor, professional informer and written informer in university hospital visitor. 3. Information which consumer want to know mostly were about on special potential and career of physician. The clinic visitor wanted to know about institutional location and kindness of medical personnel. The university hospital visitor also wanted to know about facilities and convenience of process. Comparing to institution selection criteria of consumers at 1991, quality related criteria were recognized more importantly in outpatient and dental services. But in case of inpatient services, convenience factor was recognized more importantly. In conclusion, the effort for specific marketing plan by type of medical institution should be needed. And more concern on information searching behavior of consumer will be needed.

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Occupational Health Care Management Model in Small Scale Enterprises (소규모 사업장 보건관리 모델개발에 관한 연구)

  • Yun, Soon-Nyung;Jung, Hye-Sun
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.647-660
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    • 2001
  • Forming health care management model in small-scale enterprises was the purpose of this study. For the purpose, we tried to investigate the characteristics of small-scale enterprises and analyzed the pattern of their health care management. The results are as follow: 1. The strength of health managing agency and technical supporting program lies in team approach by specialized manpower. However, if the liaison between each part of the organization is not smooth, the overall management will be very difficult. 2. Small scale enterprises are characterized by their short life after the establishment, use of rental building, lack of welfare facilities, weakness in sanitary management and aggregation of factories of similar type of industry. Because of these characteristics, it is very difficult to solve problem basically, such as improvement of working environment. Therefore, it is important to focus on health education and community based approach. 3. Many workers in small-scale factories are in middle and old age. They have health problems mainly related to personal habits. Implementation of an appropriate health promotion program is needed. 4. The number of workplaces, which should be managed by health managing agent. is increasing rapidly. But the number of health managing agent is limited. In the aspect of the requirement of manpower and equipment, training personal agent is more urgent than founding institutional agent. 5. The uniform method of health management hampers the choice of employer and workers. The types of provision of health management should be diversified. 6. For an efficient management, a frequent visit of personal agent and the following referral to a specialist should be done. The specialists in charge of secondary management are from the field of occupational medicine, occupational hygiene, ergonomics, etc. 7. The health management of small-scale facilities should have six components. They are community-based approach, multi-disciplinary cooperative system, program based on the need of recipient, forming partnership of employer and worker, change of lifestyle, and evidence-based program.

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Outcome of Limited Resection for Lung Cancer

  • Cho, Jeong-Su;Jheon, Sang-Hoon;Park, Sung-Joon;Sung, Sook-Whan;Lee, Choon-Taek
    • Journal of Chest Surgery
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    • v.44 no.1
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    • pp.51-57
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    • 2011
  • Background: Up to now, lobectomy, bilobectomy and pneumonectomy combined with extensive lymph node dissection have been regarded as the standard procedures for non-small cell lung cancer (NSCLC). In high-risk patients, however, limited resection (LR) has been attempted as a salvage procedure, and, recently, indication for LR has been extended to selected cases with early-stage NSCLC. Material and Methods: Among the 773 patients who underwent surgical procedures for NSCLC in Seoul National University Bundang Hospital from May 2003 to December 2008, 43 patients received LR. Medical records of these patients were retrospectively reviewed. Results: Mean age at operation was $66.0{\pm}12.4$ years, and there were 30 males. Twenty-five patients underwent conservative limited resection (CLR) and 18 underwent intentional limited resection (ILR). Indications for CLR were multiple primary lung cancer in 9 (9/25, 36%) and severe concomitant diseases in 5 (5/25, 20%). Of these, 6 patients underwent segmentectomy and 19 received wedge resection. During the follow-up period of $28.0{\pm}17.8$ months, 15 patient developed recurrent lung cancer. ILR was selectively performed in lesions almost purely composed of ground glass opacity (${\geq}$95%), or in small solid lesions (${\leq}$2 cm). Of these, 11 patients underwent segmentectomy and 7 underwent wedge resection. During the follow-up period of $31.7{\pm}11.6$ months, no patient developed recurrence. Conclusion: Intermediate-term outcome of LR for early-stage lung cancer is comparable to that of standard operation. For the delineation of the indications and appropriate surgical techniques for LR, prospective randomized multi-institutional study may be expedient.

Chest Radiographic and CT Findings of the 2019 Novel Coronavirus Disease (COVID-19): Analysis of Nine Patients Treated in Korea

  • Soon Ho Yoon;Kyung Hee Lee;Jin Yong Kim;Young Kyung Lee;Hongseok Ko;Ki Hwan Kim;Chang Min Park;Yun-Hyeon Kim
    • Korean Journal of Radiology
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    • v.21 no.4
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    • pp.494-500
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    • 2020
  • Objective: This study presents a preliminary report on the chest radiographic and computed tomography (CT) findings of the 2019 novel coronavirus disease (COVID-19) pneumonia in Korea. Materials and Methods: As part of a multi-institutional collaboration coordinated by the Korean Society of Thoracic Radiology, we collected nine patients with COVID-19 infections who had undergone chest radiography and CT scans. We analyzed the radiographic and CT findings of COVID-19 pneumonia at baseline. Fisher's exact test was used to compare CT findings depending on the shape of pulmonary lesions. Results: Three of the nine patients (33.3%) had parenchymal abnormalities detected by chest radiography, and most of the abnormalities were peripheral consolidations. Chest CT images showed bilateral involvement in eight of the nine patients, and a unilobar reversed halo sign in the other patient. In total, 77 pulmonary lesions were found, including patchy lesions (39%), large confluent lesions (13%), and small nodular lesions (48%). The peripheral and posterior lung fields were involved in 78% and 67% of the lesions, respectively. The lesions were typically ill-defined and were composed of mixed ground-glass opacities and consolidation or pure ground-glass opacities. Patchy to confluent lesions were primarily distributed in the lower lobes (p = 0.040) and along the pleura (p < 0.001), whereas nodular lesions were primarily distributed along the bronchovascular bundles (p = 0.006). Conclusion: COVID-19 pneumonia in Korea primarily manifested as pure to mixed ground-glass opacities with a patchy to confluent or nodular shape in the bilateral peripheral posterior lungs. A considerable proportion of patients with COVID-19 pneumonia had normal chest radiographs.

The PHC-Pile Cost Effect on Sale Price for Multi-Family Housing (PHC-pile 공사비가 공동주택 분양가에 미치는 영향)

  • Cha, Yongwoon;Park, Taeil;Park, Wonyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.94-101
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    • 2020
  • This study examined the effect of the sale price by excluding the PHC-pile cost from the construction costs for basic type (CCsBT) as an additional cost. The Ministry of Land, Infrastructure, and Transport excluded the PHC-pile cost in the CCsBT and new method so that only the designed pile quantity was recognized as an additional cost. The effect on the sale price was analyzed by comparing the pile cost of the existing and new methods. For this purpose, seven cases were selected, and the PHC-pile cost was estimated. The existing method was estimated as the ratio of the pile cost to CCsBT. The new method was estimated based on the bill of quantity. As a result, the CCsBT decreased by approximately 2-3% when the PHC-pile cost was calculated in the new method. Furthermore, as a result of comparing the sale price, excluding the PHC-pile cost with the sale price, the CCsBT decreased by approximately 1%. These results are expected to help improve the understanding of the CCsBT. Also, this paper contributes to promoting national housing stability through institutional improvement.

Korean parents' perceptions of the challenges and needs on school re-entry during or after childhood and adolescent cancer: a multi-institutional survey by Korean Society of Pediatric Hematology and Oncology

  • Lee, Jun Ah;Lee, Jae Min;Park, Hyeon Jin;Park, Meerim;Park, Byung Kiu;Ju, Hee Young;Kim, Ji Yoon;Park, Sang Kyu;Lee, Young Ho;Shim, Ye Jee;Kim, Heung Sik;Park, Kyung Duk;Lim, Yeon-Jung;Chueh, Hee Won;Park, Ji Kyoung;Kim, Soon Ki;Choi, Hyoung Soo;Ahn, Hyo Seop;Hah, Jeong Ok;Kang, Hyoung Jin;Shin, Hee Young;Lee, Mee Jeong
    • Clinical and Experimental Pediatrics
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    • v.63 no.4
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    • pp.141-145
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    • 2020
  • Background: For children and adolescents with cancer, going back to school is a key milestone in returning to "normal life." Purpose: To identify the support vital for a successful transition, we evaluated the parents' needs and the challenges they face when their children return to school. Methods: This multi-institutional study was conducted by the Korean Society of Pediatric Hematology and Oncology. The written survey comprised 24 questions and was completed by 210 parents without an interviewer. Results: Most parents (165 of 206) reported that their children experienced difficulties with physical status (n=60), peer relationships (n=30), academic performance (n=27), emotional/behavioral issues (n=11), and relationships with teachers (n=4) on reentering school. Parents wanted to be kept informed about and remain involved in their children's school lives and reported good parent-teacher communication (88 of 209, 42.1%). Parents reported that 83.1% and 44.9% of teachers and peers, respectively, displayed an adequate understanding of their children's condition. Most parents (197 of 208) answered that a special program is necessary to facilitate return to school after cancer therapy that offers emotional support (n=85), facilitates social adaptation (n=61), and provides tutoring to accelerate catch up (n=56), and continued health care by hospital outreach and school personnel (n=50). Conclusion: In addition to scholastic aptitude-oriented programs, emotional and psychosocial support is necessary for a successful return to school. Pediatric oncologists should actively improve oncology practices to better integrate individualized school plans and educate peers and teachers to improve health literacy to aid them in understanding the needs of children with cancer.

Outcome of Extraskeletal Osteosarcoma; Case-control Study with High Grade Soft Tissue Sarcoma (골외성 골육종의 치료결과; 고악성도 연부조직육종과 환자-대조군 분석)

  • Cho, Wan-Hyeong;Lee, Soo-Yong;Song, Won-Seok;Kong, Chang-Bae;Won, Ho-Hyun;Hong, Youn-Seok;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • v.15 no.2
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    • pp.104-110
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    • 2009
  • Purpose: Compared to soft tissue sarcoma, the relative risk of extraskeletal osteosarcoma is still not clear. The purpose of this study is to identify the difference in survival and local recurrence rate between two soft tissue sarcomas. Materials and Methods: Twelve patients with pathologically confirmed extraskeletal osteosarcoma were analysed. For retrospective matched case-control study, we selected 72 patients who were confirmed as high grade soft tissue sarcoma and had similar tumor location, tumor size and age to extraskeletal osteosarcoma. Results: Median age was 50 years old. Five cases were located in upper extremity, four in the buttocks, three in the lower extremity. Overall survival rate of extraskeletal osteosarcoma group and high grade soft tissue sarcoma group at 5 years were 52% and 55%. There is no significant difference (p=0.8). Local recurrence rate and metastasis rate were 58%, 67% in extraskeletal osteosarcoma group and 36%, 51% in soft tissue sarcoma group, which were not stastistically significant(p=0.2, p=0.4). Conclusion: Extraskeletal osteosarcoma have similar local recurrence, metastasis and survival rate compare to high grade soft tissue sarcoma. The number of patients of this study were too small to identify outcome of extraskeletal osteosarcoma. Further multi-institutional study should be attempted.

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The Moderating Effects of Core-Self Evaluation on the Relationship Between Entrepreneurial Self-Efficacy and Entrepreneurial Intention, Job-Seeking Stress (대학생의 창업효능감과 창업의도 및 취업스트레스 관계에서 핵심자기평가의 조절효과 연구)

  • Hyun, Sun Hae;Seo, Moon Kyo;Kwon, In Su
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.11 no.6
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    • pp.39-49
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    • 2016
  • As university students' job seeking stress and entrepreneurial intentions increase, the importance of variable research that can be applied to both concepts. However, recent studies researchers looked at only the influence variables in each concept. So they thought about the difference between entrepreneurship and employment. To solve these problems in this study was to verify the moderating effects of core-self evaluation in the relationship between entrepreneurial self-efficacy and entrepreneurial intention, job-seeking stress of university students. The data of 349 university students in korea were collected for the study. The collected data were analyzed with multi-regression modeling. All data collected from the survey were analyzed using with SPSS 21.0 The findings of the study were as follows. First, results showed that entrepreneurial self-efficacy affect entrepreneurial intention directly. Second, core-self evaluation affect job-seeking stress of university students. Finally, it was also found that there was moderating effect of core-self evaluation in relationship between entrepreneurial self-efficacy and job-seeking stress of university students. On the other hand it was found there was no moderating effect of core-self evaluation in relationship between entrepreneurial self-efficacy and entrepreneurial intention. Based on what has been learned through the analyses, The results of this study suggest that an educational system and institutional are needed to increase entrepreneurial efficacy. And It can be seen that the recognition of core self-evaluation is effective for the job seeking stress. Also, the implications and the limitations of the study were presented including some directions for future studies.

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