• 제목/요약/키워드: remoteness

검색결과 28건 처리시간 0.024초

Proximity of Health Care Center and Cervical Cancer Screening Uptake in Thailand

  • Polrit, Kornnika;Kamsa-ard, Siriporn;Jirapornkul, Chananya;Promthet, Supannee
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권7호
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    • pp.2899-2902
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    • 2015
  • Background: Cervical cancer is one of the most common cancers among women worldwide, and in Thailand is the second most common cancer among women. In 2008, a national cervical cancer screening programme was implemented in Thailand, but coverage remains relatively low. Objectives: The purpose of the study was to investigate whether cervical cancer screening uptake is associated with the area of residency in Thailand. Materials and Methods: A case-control study was carried out in women aged 30 to 60 year-old, who live in Sikhiu district, Nakhon Ratchasima province, Thailand. Structured-questionnaires were used to interview 226 women (cases) who had attended cervical cancer screening in the last five years and 226 women (controls) who had not. Multiple logistic regression was used to investigate the association between the area of residency and cervical cancer screening uptake. Results: After controlling for parity, marital status and duration of hormonal contraceptive use, an association between the area of residence and cervical cancer screening uptake could not demonstrated ($OR_{adj}$ 1.27, 95%CI: 0.79, 2.04). Conclusions: We found no evidence to suggest remoteness to health care center led to lower cervical cancer screening uptake.

국제물품매매에서 손해배상청구권에 관한 비교법적 고찰 (A Comparative Legal Study on the Damages in the International Sale Laws)

  • 오현석
    • 무역상무연구
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    • 제77권
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    • pp.23-42
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    • 2018
  • This study compares the SGA and CISG to find out the difference of the criteria for calculating damages. and it intends to give some important points in trade practice. The damages is intended to compensate the victim for the breach of contract but there are differences between SGA and CISG as follow. First, the SGA and CISG have the same purpose of claiming damages. Both laws and regulations are subject to a full indemnification to compensate for the breach of the contract by the amount equivalent to the loss suffered by the victim. Second, in the general principle related to the calculation of damages, both law enforcement officials are required to be able to predict damages caused by breach of contract. In the case of SGA, however, a foreseeability test or remoteness of damages is required for the relationship between the contract violation and the loss. In other words, it can be said that the causal relation between the contract violation and the damage is strictly applied rather than the CISG. Finally, both laws and regulations of SGA and CISG have a big difference in criteria for calculating damages. In the CISG, after the contract is canceled, it is classified according to the existence of the alternative transaction and the damage amount is calculated based on the contract price. On the other hand, the SGA estimates the loss based on the market price at the delivery of the goods, reflecting the change in the market price instead of the contract price of the goods.

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A New Approach of BK products of Fuzzy Relations for Obstacle Avoidance of Autonomous Underwater Vehicles

  • Bui, Le-Diem;Kim, Yong-Gi
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • 제4권2호
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    • pp.135-141
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    • 2004
  • This paper proposes a new heuristic search technique for obstacle avoidance of autonomous underwater vehicles equipped with a looking ahead obstacle avoidance sonar. We suggest the fuzzy relation between the sonar sections and the properties of real world environment. Bandler and Kohout's fuzzy relational method are used as the mathematical implementation for the analysis and synthesis of relations between the partitioned sections of sonar over the real-world environmental properties. The direction of the section with optimal characteristics would be selected as the successive heading of AUVs for obstacle avoidance. For the technique using in this paper, sonar range must be partitioned into multi equal sections; membership functions of the properties and the corresponding fuzzy rule bases are estimated heuristically. With the two properties Safety, Remoteness and sonar range partitioned in seven sections, this study gives the good result that enables AUVs to navigate through obstacles in the optimal way to goal.

Risk Factors for Poorer Breast Cancer Outcomes in Residents of Remote Areas of Australia

  • Roder, David;Zorbas, Helen;Kollias, James;Pyke, Chris;Walters, David;Campbell, Ian;Taylor, Corey;Webster, Fleur
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권1호
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    • pp.547-552
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    • 2013
  • To investigate patient, cancer and treatment characteristics in females with breast cancer from more remote areas of Australia, to better understand reasons for their poorer outcomes, bi-variable and multivariable analyses were undertaken using the National Breast Cancer Audit database of the Society of Breast Surgeons of Australia and New Zealand. Results indicated that patients from more remote areas were more likely to be of lower socio-economic status and be treated in earlier diagnostic epochs and at inner regional and remote rather than major city centres. They were also more likely to be treated by low case load surgeons, although this finding was only of marginal statistical significance in multivariable analysis (p=0.074). Patients from more remote areas were less likely than those from major cities to be treated by breast conserving surgery, as opposed to mastectomy, and less likely to have adjuvant radiotherapy when having breast conserving surgery. They had a higher rate of adjuvant chemotherapy. Further monitoring will be important to determine whether breast conserving surgery and adjuvant radiotherapy utilization increase in rural patients following the introduction of regional cancer centres recently funded to improve service access in these areas.

Geographic Disparities in Prostate Cancer Outcomes - Review of International Patterns

  • Baade, Peter D.;Yu, Xue Qin;Smith, David P.;Dunn, Jeff;Chambers, Suzanne K.
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.1259-1275
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    • 2015
  • Background: This study reviewed the published evidence as to how prostate cancer outcomes vary across geographical remoteness and area level disadvantage. Materials and Methods: A review of the literature published from January 1998 to January 2014 was undertaken: Medline and CINAHL databases were searched in February to May 2014. The search terms included terms of 'Prostate cancer' and 'prostatic neoplasms' coupled with 'rural health', 'urban health', 'geographic inequalities', 'spatial', 'socioeconomic', 'disadvantage', 'health literacy' or 'health service accessibility'. Outcome specific terms were 'incidence', 'mortality', 'prevalence', 'survival', 'disease progression', 'PSA testing' or 'PSA screening', 'treatment', 'treatment complications' and 'recurrence'. A further search through internet search engines was conducted to identify any additional relevant published reports. Results: 91 papers were included in the review. While patterns were sometimes contrasting, the predominate patterns were for PSA testing to be more common in urban (5 studies out of 6) and affluent areas (2 of 2), higher prostate cancer incidence in urban (12 of 22) and affluent (18 of 20), greater risk of advanced stage prostate cancer in rural (7 of 11) and disadvantaged (8 of 9), higher survival in urban (8 of 13) and affluent (16 of 18), greater access or use of definitive treatment services in urban (6 of 9) and affluent (7 of 7), and higher prostate mortality in rural (10 of 20) and disadvantaged (8 of 16) areas. Conclusions: Future studies may need to utilise a mixed methods approach, in which the quantifiable attributes of the individuals living within areas are measured along with the characteristics of the areas themselves, but importantly include a qualitative examination of the lived experience of people within those areas. These studies should be conducted across a range of international countries using consistent measures and incorporate dialogue between clinicians, epidemiologists, policy advocates and disease control specialists.

대형 건물 객실 관리를 위한 무선 프로토콜 설계 및 구현 (Design and Implementation of Wireless Protocol for Managing Rooms in a Large Building)

  • 정우정;최성철;정규석;김종헌;류관희
    • 한국콘텐츠학회논문지
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    • 제10권1호
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    • pp.27-36
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    • 2010
  • 무선 네트워크 환경에서 지그비(Zigbee) 프로토콜을 이용하여, 대형 건물에서 사용되는 다양한 전자기기를 원격에서 제어하고 모니터링 하기 위한 시스템 구축이 시도되고 있다. 하지만 지그비의 DAA의 어드레스 할당 방식이 깊이(Depth)에 제한이 있어 규모가 큰 건물에서는 네트워크를 구성할 수 없는 문제점을 갖고 있을 뿐만 아니라 지그비가 사용하는 AODV 라우팅 방식이 노드의 수가 많으면 방송(Broadcast)이 빈번하게 발생해서 방송폭주(Broadcast storm)의 문제를 일으켜 통신 장애가 발생할 수 있다. 본 논문에서는 이러한 문제점을 해결하는 새로운 무선 프로토콜을 제안한다. 제안한 프로토콜은 고정 주소 할당방식을 사용하여 깊이의 제한을 개선하였으며 층간의 패킷 이동에 정적 라우팅 방식을 고안하여 Broadcast시에 발행하는 문제점을 개선하였다. 또한 객실마다 독립된 PAN 망 구성을 통하여 전체 네트워크와 관계없이 내부 통신이 안정적으로 동작할 수 있도록 하였다. 특히, 본 논문에서는 제안한 무선 프로토콜을 구현하여 대형 건물에 설치된 기기 제어의 실제 적용을 통해 안정성과 실용성을 입증하였다.

Assessment of genetic diversity of Prangos fedtschenkoi (Apiaceae) and its conservation status based on ISSR markers

  • Mustafina, Feruza U.;Kim, Eun Hye;Son, Sung-Won;Turginov, Orzimat T.;Chang, Kae Sun;Choi, Kyung
    • 식물분류학회지
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    • 제47권1호
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    • pp.11-22
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    • 2017
  • Prangos fedtschenkoi (Regel et Schmalh.) Korovin (Apiaceae) is an endemic species for mountainous Middle Asia, which is both a rare and useful plant. Organic extractions from this species are being used in pharmaceutics and cosmetology. In recent years, P. fedtschenkoi distribution area has considerably decreased, presumably, resulting from human activities such as agriculture, construction works, overgrazing and collection from wild for pharmaceutic purposes. Six populations were found in Uzbekistan and their genetic divergence and differentiation were studied with 10 inter-simple sequence repeat (ISSR) markers, selected out of 101. Totally 166 amplified ISSR fragments (loci) were revealed, of which 164 were polymorphic. Relatively moderate level of polymorphism was found at population level with polymorphic bands ranging from 27.71% to 47.59%. Mean P = 39.05%, $N_a=1.40$, $N_e=1.25$, S.I. = 0.21, and $H_e=0.14$ were revealed for all loci across six populations. AMOVA showed higher variation among populations (62%) than within them (38%). The Bayesian model determined 5 clusters, or genetic groups. The posteriori distribution of the Theta II estimator detected full model identifying high inbreeding, intensified by low gene flow (Nm = 0.3954). Mantel test confined population 6 as distinct cluster corresponding to geographic remoteness (R = 0.5137, $p{\leq}0.005$). Results were used as the bases for developing conserve measures to restore populations.

전라남도 남해안 도서식물상의 도서생물 지리학적 특성 (Island-Biogeographical Characteristics of Insular Flora in Southern Sea of Jeollanamdo, Korea)

  • 김현희;김다빈;원현규;김찬수;공우석
    • 한국기후변화학회지
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    • 제7권2호
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    • pp.143-155
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    • 2016
  • Present work aims to establish the countermeasure for the better maintenance and preservation of insular floristic diversity at the South Sea of Jeollanamdo Province, ROK, where unique ecosystems are under threat due to climate change, anthropogenic disturbance and habitat destruction. Numerous flora reports from 15 inhabited islands and 60 uninhabited islands as well as field survey data are collated for the compilation of floristic data base and island biogeographical analysis. Out of the 1,940 vascular plant species from 180 families occurring in studies areas, 30.1 percentage or 584 plant species are physiognomically belonging to arboreal plants. Average number of species at individual island is numbered about 222 species, but it varies from about 591 species at the inhabited islands to 129 species at the uninhabited islands. Only 0.15 percentage of species with high proportion above 0.9 in its relative occurrence rate occurs at 68 islands and it includes three species, such as Pinus thunbergii, Eurya japonica and Pteridium aquilinum var. latiusculum. However, about 68 percentage of plant species occurring in study area is confined their distribution to less than seven islands. Presence of high proportion of notable plants in small islands, i.e., 10 critically endangered species compared with 5.5 species in average, 9 endangered species (average 4.2 spp.) at Sonjookdo, and 7 critically endangered species, 8 endangered species at Sokomundo may due to existence of diverse geological and topographical environmental diversity as well as lower human population density and remoteness from the mainland. Since island is small in size and geographically isolated, minor environmental and ecological burdens can cause the critical damages to the diversity of flora and vegetation, urgent island biogeographical research is needed for the scientific conservation and management of island biodiversity.

대빙 등급 선박 추진 시스템의 기진 응답 평가 (Excitation Response Estimation of Polar Class Vessel Propulsion Shafting System)

  • 로날드 디 바로;이돈출
    • 한국소음진동공학회논문집
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    • 제21권12호
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    • pp.1166-1176
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    • 2011
  • 연중 운항할 수 있는 북극 항로 개설에 따른 전망으로 미개발 천연자원의 탐사와 짧아진 항로로 많은 기회를 부여하고 있다. 이는 환경과 거리가 먼 그리고 기술적인 경험 부족으로 해사 분야에서 커다란 도전으로 남아 있다. 엔진 설계자와 제작자는 이 지역에서 환경적 그리고 기술적으로 적합한 최적화된 추진시스템을 위하여 계속적인 조사를 하고 있고, 국제선급연합과 선급에서 인정하고 있는 대빙 등급 선박의 추진축계 설계를 위하여 통일된 규격의 여러 가지 특성에 대하여 개선할 필요가 있다. 대빙 등급 선박의 추진축계 시스템에서 주 기진력은 프로펠러와 빙 하중의 상호작용으로 인식하고 있고 국제선급연합에서는 빙의 파쇄와 충격하중으로만 간주하고 있지만, 추진축계 설계에 있어 시스템에 대한 여러 가지 인자의 특징을 고려하여야 한다. 이 논문은 종류가 다른 추진 시스템의 동적 응답에 영향을 주는 인자들에 평가하고 있고, 추후 추진 시스템의 설계단계에서 이러한 인자들이 충분한 역할을 갖는 것을 감안 고려해줄 것을 기대하고 있다.

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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    • 제13권1호
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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.