19 research outputs found
Comparative study of oncologic outcomes for laparoscopic vs. open surgery in transverse colon cancer
PURPOSE:
Laparoscopic resection for transverse colon cancer is a technically challenging procedure that has been excluded from various large randomized controlled trials of which the long-term outcomes still need to be verified. The purpose of this study was to evaluate long-term oncologic outcomes for transverse colon cancer patients undergoing laparoscopic colectomy (LAC) or open colectomy (OC).
METHODS:
This retrospective review included patients with transverse colon cancer who received a colectomy between January 2006 and December 2010. Short-term and five-year oncologic outcomes were compared between these groups.
RESULTS:
A total of 131 patients were analyzed in the final study (LAC, 84 patients; OC, 47 patients). There were no significant differences in age, gender, body mass index, tumor location, operative procedure, or blood loss between groups, but the mean operative time in LAC was significantly longer (LAC, 246.8 minutes vs. OC, 213.8 minutes; P = 0.03). Hospital stay was much shorter for LAC than OC (9.1 days vs. 14.5 days, P < 0.01). Postoperative complication rates were not statistically different between the two groups. In terms of long-term oncologic data, the 5-year disease-free survival and overall survival were not statistically different between both groups, and subgroup analysis according to cancer stage also revealed no differences.
CONCLUSION:
LAC for transverse colon cancer is feasible and safe with comparable short- and long-term outcomes.ope
๋ฆฌํํผ์ ๊ณผ ํ๋ก๋กํด๋๋ก ๊ณ ํญ์์ ์ ์ด์ค๋ด์ฑ์ธ ์ ์ฅ์ฉ ์ธ๊ท
ํ์๋
ผ๋ฌธ(์์ฌ)--์์ธ๋ํ๊ต ๋ํ์ :์ฝํ๊ณผ ๋ฏธ์๋ฌผ์ฝํํํ์ ๊ณต,1999.Maste
A Qualitative Study on Health-related Factors and Contexts among Young Children of Unwed Fathers in Urban Areas
ํ์๋
ผ๋ฌธ (์์ฌ) -- ์์ธ๋ํ๊ต ๋ํ์ : ๋ณด๊ฑด๋ํ์ ๋ณด๊ฑดํ๊ณผ(๋ณด๊ฑด์ ์ฑ
๊ด๋ฆฌํ์ ๊ณต), 2021. 2. ์ ์นํ.Abstract
A Qualitative Study on Health-related Factors and Contexts among Young Children of Unwed Fathers in Urban Areas
Hyuna Jang
Department of Public Health Science
The Graduate School of Public Health
Seoul National University
The health of young children is very important in that it ensures lifelong health for individuals, and affects the health potential of a population and is directly related to the public health of next generation. According to the current situation of the health of young children, Domestic studies have looked at factors that affect the health of early life mainly in the field of children study and health science, most of which were socioeconomic status of parents. Overseas studies have continued to report that family structure affects the health of children in their early years of life. In this situation, there is a family structure that we should pay attention to. Its a unwed single father family. The reasons are as follows. There are problems with birth registration of children of unwed fathers and social vulnerability of single father family. Also there is a problem that children of unwed fathers are unlikely to be affected by their biological mother from the time they are born, which is a point that distinguishes them from other single father families. In the absence of study on the health of young children of unwed fathers, it is necessary to seek the direction of policymaking to improve their health.
The purpose of this study is to explore in depth the health-related factors and contexts among young children of unwed fathers. Accordingly, the data were collected through 1:1 in-depth interviews with 10 unwed fathers and were analyzed according to the inclusive analytic procedures. The codes derived under the inclusive anlaytic procedures are classified based on similarities and differences and are named subcategories and categories. The researcher derived a total of 98 codes, 38 subcategories, and 12 categories from the analysis. Because the categories were scattered, the researcher described them in three main areas. The three areas are the health concept of young children recognized by fathers, the health-related factors of young children, and the fathers response strategy for the health of young children. Area is not a term used in the inclusive anlaytic procedures and is a term used arbitrarily by this researcher.
The health concepts of young children recognized by fathers were the fulfillment of a childs basic needs, the good growth and development of a child, the balance of physical, mental and social health, and the healthy environment around a child. Based on the health concepts of young children recognized by fathers, factors such as the difficulty of workfamily reconciliation, the world of only a child and me, fathers mental health and absence of care means, the lack of resources and opportunities for unwed single father family and the unfulfilled basic human rights were negatively affecting the health of young children of unwed fathers. The fathers were responding in their own way. They were responding to the preparation for childrens meal in their own way, were trying to establish material stability for their children, and were doing their best for relationship with children and their childrens social relationship.
Based on the results of the analysis, this study suggested the following policies for the health of young children of unwed fathers. We need to find ways to manage mental health of unwed fathers. In addition, initial response-related support from field offices such as community service centers, hospitals, and single-father facilities is required. This could also be considered for online forms such as sites for unwed single father family or emergency and counseling calls. Ultimately, the issue of birth registration of young children of unwed fathers should be resolved. Finally, support for workfamily reconciliation of unwed fathers is required.
Keywords : Young children of unwed fathers, Health of young children, Health inequality, Qualitative study
Student Number : 2019-20183์์ฝ(๊ตญ๋ฌธ์ด๋ก)
๋์ ๊ฑฐ์ฃผ ๋ฏธํผ๋ถ ์์ ์ ์๋
์ ๊ฑด๊ฐ ๊ด๋ จ ์ํฅ์์ธ ๋ฐ ๋งฅ๋ฝ์ ๊ดํ ์ง์ ์ฐ๊ตฌ
์ฅํ์
๋ณด๊ฑดํ๊ณผ ๋ณด๊ฑด์ ์ฑ
๊ด๋ฆฌํ์ ๊ณต
์์ธ๋ํ๊ต ๋ณด๊ฑด๋ํ์
์์ ์๊ธฐ์ ๊ฑด๊ฐ์ ์ผ ๊ฐ์ธ์๊ฒ ํ์ ๊ฑด๊ฐ์ ํ๋ณดํ๊ฒ ํ๋ฉฐ, ํ ์ฌํ ์ธ๊ตฌ์ง๋จ์ ๊ฑด๊ฐ์ ์ฌ๋ ฅ์ ์ํฅ์ ๋ฏธ์ณ ์ฐจ์ธ๋ ๊ตญ๋ฏผ๊ฑด๊ฐ๊ณผ ์ง๊ฒฐ๋๋ค๋ ์ ์์ ๋งค์ฐ ์ค์ํ๋ค. ์์ ์ ๊ฑด๊ฐ์ ๋ํ ํํฉ์ ์ดํด๋ณธ ๊ฒฐ๊ณผ ๊ตญ๋ด์์๋ ์ฃผ๋ก ์๋ยท๋ณด๊ฑดํ ๋ถ์ผ์์ ์์ ์ด๊ธฐ์ ๊ฑด๊ฐ์ ์ํฅ์ ๋ฏธ์น๋ ์์ธ๋ค์ ์ดํด๋ณด์๋๋ฐ, ๊ทธ ์์ธ๋ค์ ๋๋ถ๋ถ ๋ถ๋ชจ์ ์ฌํ๊ฒฝ์ ์ ์ง์์๋ค. ๊ฐ์กฑ๊ตฌ์กฐ๊ฐ ์์ ์ด๊ธฐ ์ด๋ฆฐ์ด์ ๊ฑด๊ฐ์ ์ํฅ์ ๋ฏธ์น๋ค๋ ์ฐ๊ตฌ ๊ฒฐ๊ณผ๋ค์ด ํด์ธ์์ ๊ณ์ ๋ณด๊ณ ๋๊ณ ์๋ ๊ฐ์ด๋ฐ, ์ฐ๋ฆฌ๊ฐ ์ฃผ๋ชฉํด์ผ ํ ๊ฐ์กฑ๊ตฌ์กฐ๊ฐ ์๋ค. ๋ฐ๋ก ๋ฏธํผ๋ถ ๊ฐ์กฑ์ด๋ค. ๊ทธ ์ด์ ๋ ์ฒซ์งธ, ๋ฏธํผ๋ถ ์๋
์ ์ถ์์ ๊ณ ๋ฌธ์ , ๋์งธ, ๋ถ์๊ฐ์กฑ์ ์ฌํ์ ์ทจ์ฝ์ฑ ๋ฌธ์ , ์
์งธ, ๋ค๋ฅธ ๋ถ์๊ฐ์กฑ๊ณผ ๊ตฌ๋ถ์ด ๋๋ ์ง์ ์ด๊ธฐ๋ ํ๋ฐ ํ์ด๋ ์์ ๋ถํฐ ์น๋ชจ์ ์ํฅ์ ๋ฐ์ ๊ฐ๋ฅ์ฑ์ด ๋ฎ๋ค๋ ๋ฌธ์ ๊ฐ ์๋ค. ๋ฏธํผ๋ถ ์์ ์ ์๋
์ ๊ฑด๊ฐ์ ๋ํ ์ฐ๊ตฌ๊ฐ ์ ๋ฌดํ ์ํฉ์์, ์ด๋ค์ ๊ฑด๊ฐ์ฆ์ง์ ์ํ ์ ์ฑ
์๋ฆฝ์ ๋ฐฉํฅ์ ๋ชจ์ํ๋ ๊ฒ์ด ์๊ตฌ๋๋ ๋ฐ์ด๋ค.
๋ณธ ์ฐ๊ตฌ์ ๋ชฉ์ ์ ๋ฏธํผ๋ถ ์์ ์ ์๋
์ ๊ฑด๊ฐ ๊ด๋ จ ์ํฅ์์ธ ๋ฐ ๋งฅ๋ฝ์ ์ฌ์ธต์ ์ผ๋ก ํ์ํ๋ ๊ฒ์ด๋ค. ์ด์ ์์ ์ ์๋
์ ์ฃผ์ ์์ก์์ธ ๋ฏธํผ๋ถ 10๋ช
์ ๋์์ผ๋ก ํ์ฌ 1:1 ์ฌ์ธต๋ฉด์ ์กฐ์ฌ๋ฅผ ํตํด ์๋ฃ๋ฅผ ์์งํ์๊ณ , ์์งํ ์๋ฃ๋ฅผ ํฌ๊ด์ ๋ถ์์ ์ฐจ์ ๋ฐ๋ผ ๋ถ์ํ์๋ค. ํฌ๊ด์ ๋ถ์์ ์ฐจ์ ๋ฐ๋ผ ๋์ถ๋ ์ฝ๋๋ฅผ ์ ์ฌ์ ๊ณผ ์ฐจ์ด์ ์ ๊ธฐ์ค์ผ๋ก ๋ถ๋ฅํ์ฌ ํ์๋ฒ์ฃผ ๋ฐ ๋ฒ์ฃผ์ ์ด๋ฆ์ ๋ถ์๋ค. ๋ถ์ ๊ฒฐ๊ณผ ์ด 98๊ฐ์ ์ฝ๋์ 38๊ฐ์ ํ์๋ฒ์ฃผ, ๊ทธ๋ฆฌ๊ณ 12๊ฐ์ ๋ฒ์ฃผ๊ฐ ๋์ถ๋์๋ค. ๋ฒ์ฃผ๋ค์ด ํฉ์ด์ ธ ์์ด ์ฐ๊ตฌ์๊ฐ ์ด๋ฅผ ํฌ๊ฒ 3๊ฐ์ง ์์ญ์ผ๋ก ๋๋์ด ์์ ํ์๋ค. 3๊ฐ์ง ์์ญ์ ๊ฐ๊ฐ ์๋น ๊ฐ ์ธ์งํ ์์ ์ ์๋
์ ๊ฑด๊ฐ ๊ฐ๋
, ์์ ์ ์๋
์ ๊ฑด๊ฐ ๊ด๋ จ ์ํฅ์์ธ, ์์ ์ ์๋
์ ๊ฑด๊ฐ์ ์ํ ์๋น ์ ๋์ ์ ๋ต์ด๋ค. ์์ญ์ ๊ฒฝ์ฐ ํฌ๊ด์ ๋ถ์์ ์ฐจ์์ ์ฌ์ฉ๋ ์ฉ์ด๋ ์๋๋ฉฐ ๋ณธ ์ฐ๊ตฌ์๊ฐ ์์๋ก ์ฌ์ฉํ ์ฉ์ด์ด๋ค.
์๋น ๊ฐ ์ธ์งํ ์์ ์ ์๋
์ ๊ฑด๊ฐ ๊ฐ๋
์ ์์ด์ ๊ธฐ๋ณธ์ ์ธ ์๊ตฌ๊ฐ ์ถฉ์กฑ๋๋ ๊ฒ, ์์ด์ ์ฑ์ฅ๊ณผ ๋ฐ์ก ์ํ๊ฐ ์ํธํ ๊ฒ, ์ ์ฒด์ , ์ ์ ์ , ์ฌํ์ ๊ฑด๊ฐ์ด ๊ท ํ์ ์ด๋ฃจ๋ ๊ฒ, ์์ด๋ฅผ ๋๋ฌ์ผ ํ๊ฒฝ์ด ๊ฑด๊ฐํ ๊ฒ์ผ๋ก ๋ํ๋ฌ๋ค. ์๋น ๊ฐ ์ธ์งํ ์์ ์ ์๋
์ ๊ฑด๊ฐ ๊ฐ๋
์ ๊ธฐ๋ฐํ ๋, ์ผ-๊ฐ์กฑ ์๋ฆฝ์ ์ด๋ ค์, ์์ด์ ๋๋ฟ์ธ ์ธ์, ์๋น ์ ์ ์ ๊ฑด๊ฐ ์ํ์ ๊ด๋ฆฌ ์๋จ์ ๋ถ์ฌ, ๋ฏธํผ๋ถ ๊ฐ์กฑ์ ์ํ ์์๊ณผ ๊ธฐํ์ ๋ถ์กฑ, ์ถฉ์กฑ๋์ง ๋ชปํ๋ ๊ธฐ๋ณธ๊ถ์ ์์ธ๋ค์ด ๋ฏธํผ๋ถ ์์ ์ ์๋
์ ๊ฑด๊ฐ์ ๋ถ์ ์ ์ธ ์ํฅ์ ๋ฏธ์น๊ณ ์์๋ค. ์๋น ๋ค์ ์ด์ ๋๋ฆ์ ๋์์ ํ๊ณ ์์๋๋ฐ ์์ด์ ์์ฌ ์ค๋น์ ๋๋ฆ๋๋ก ๋์ํ๊ณ ์์๊ณ , ์์ด๋ฅผ ์ํด ๋ฌผ์ง์ ์์ ์ ๋ง๋ จํ๊ณ ์ ํ์์ผ๋ฉฐ, ์์ด์์ ๊ด๊ณ ๋ ๋์๊ฐ ์์ด์ ์ฌํ์ ๊ด๊ณ๋ฅผ ์ํด ๋
ธ๋ ฅํ๊ณ ์์๋ค.
๋ณธ ์ฐ๊ตฌ๋ ๋ฏธํผ๋ถ ์์ ์ ์๋
์ ๊ฑด๊ฐ์ ์ํด ์ฐ๊ตฌ ๊ฒฐ๊ณผ๋ฅผ ํ ๋๋ก ๋ค์๊ณผ ๊ฐ์ ์ ์ฑ
์ ์ ์ธํ์๋ค. ์ฐ์ ์๋น ์ ์ ์ ๊ฑด๊ฐ์ ๊ด๋ฆฌํ ์ ์๋ ๋ฐฉ์์ ๋ชจ์์ด ํ์ํ๋ค. ๋ํ ์ฃผ๋ฏผ์ผํฐ, ๋ณ์, ๋ฏธํผ๋ถ ์์ค ๋ฑ ์ผ์ ๊ธฐ๊ด์์์ ์ด๊ธฐ ๋์ ๊ด๋ จ ์ง์์ฑ
์ด ์๊ตฌ๋๋ฉฐ, ์ด๋ ๋ฏธํผ๋ถ ๊ฐ์กฑ์ ์ํ ์ฌ์ดํธ ํน์ ๊ธด๊ธยท์๋ด ์ ํ ๋ฑ์ ์จ๋ผ์ธ ํํ๋ ๊ณ ๋ ค๋ ์ ์์ ๊ฒ์ด๋ค. ๊ถ๊ทน์ ์ผ๋ก๋ ๋ฏธํผ๋ถ ์์ ์ ์๋
์ ์ถ์์ ๊ณ ๋ฌธ์ ๊ฐ ํด๊ฒฐ๋์ด์ผ ํ ๊ฒ์ด๋ค. ๋ง์ง๋ง์ผ๋ก ๋ฏธํผ๋ถ์ ์ผ-๊ฐ์กฑ ์๋ฆฝ์ ์ํ ์ง์์ด ์๊ตฌ๋๋ค.
์ฃผ์์ด : ๋ฏธํผ๋ถ ์์ ์ ์๋
, ์์ ์ ๊ฑด๊ฐ, ๊ฑด๊ฐ๋ถํ๋ฑ, ์ง์ ์ฐ๊ตฌ
ํ ๋ฒ : 2019-20183I. ์๋ก 1
1. ์ฐ๊ตฌ ๋ฐฐ๊ฒฝ ๋ฐ ํ์์ฑ 1
2. ์ฐ๊ตฌ ๋ชฉ์ 11
3. ์ฉ์ด์ ์ ์ 11
II. ์ด๋ก ์ ๋ฐฐ๊ฒฝ 13
1. ์์ ์์ ๊ฑด๊ฐยท๊ฑด๊ฐ์ฆ์ง์ ๋ํ ๊ฐ๋
๋ฐ ์์ญ 13
2. ๋ฏธํผ๋ถ ์๋
์ ์ฌํ์ ๋ฐฐ์ ์ ๋ฌธ์ ์ 16
3. ํ๋ถ๋ชจ๊ฐ์กฑ ์๋
์ ๊ฑด๊ฐ์ ๊ดํ ์ฐ๊ตฌ ๋ํฅ 20
4. ๊ฐ์กฑ ์ด๋ฐ์ฌ๋ก๊ธฐ์ ํ๋ถ๋ชจ๊ฐ์กฑ ์ง์์ ์ฑ
ํํฉ 23
III. ์ฐ๊ตฌ ๋ฐฉ๋ฒ 29
1. ์ฐ๊ตฌ ์ค๊ณ 29
2. ์๋ฃ ์์ง 29
๊ฐ. ์ฐ๊ตฌ ์ฐธ์ฌ์์ ์ ์ ๊ธฐ์ค ๋ฐ ๋ชจ์ง 30
๋. ์๋ฃ ์์ง ์ ์ฐจ 30
3. ์๋ฃ ๋ถ์ 35
4. ์ฐ๊ตฌ์ ์ ๋ขฐ์ฑ ๋ฐ ํ๋น์ฑ 36
5. ์ฐ๊ตฌ ์ค๋ฆฌ 36
IV. ์ฐ๊ตฌ ๊ฒฐ๊ณผ 37
1. ๊ฐ์ธ ์ฌ์ธต๋ฉด์ ์กฐ์ฌ ์ฐธ์ฌ์์ ์ผ๋ฐ์ ํน์ฑ 37
2. ๊ฐ์ธ ์ฌ์ธต๋ฉด์ ์กฐ์ฌ ๊ฒฐ๊ณผ 41
๊ฐ. ์๋น ๊ฐ ์ธ์งํ ์์ ์ ์๋
์ ๊ฑด๊ฐ ๊ฐ๋
41
๋. ์์ ์ ์๋
์ ๊ฑด๊ฐ ๊ด๋ จ ์ํฅ์์ธ 51
๋ค. ์์ ์ ์๋
์ ๊ฑด๊ฐ์ ์ํ ์๋น ์ ๋์ ์ ๋ต 70
โ
ค. ๋
ผ์ 79
1. ์ฐ๊ตฌ ๊ฒฐ๊ณผ์ ๋ํ ๊ณ ์ฐฐ 79
2. ์ฐ๊ตฌ์ ํ๊ณ์ ๋ฐ ์์ 87
์ฐธ๊ณ ๋ฌธํ 89Maste
Text orientation estimation by using distributed label
MasterThis paper proposed a method to increase the accuracy of the predicted orientation
of text. We modified cross-entropy loss by distributing the label weight. After predicting
the initial angle by using the deep-learning method, the rotation angle was more
accurately predicted with a post-processing algorithm. Among the various distribution,
when the label was distributed by using triangular distribution, the accuracy was
the highest. The proposed model increased the accuracy of text orientation prediction,
and reduced the error by using triangular distribution, and consequently increased the
accuracy of final character recognition
Short- and long-term outcomes of laparoscopic surgery for intestinal Behcet's disease: a comparative study with open surgery
INTRODUCTION: Surgical treatment of intestinal Behcet's disease (BD) is not well established. Specifically, it is still difficult to assess the clinical value of laparoscopic surgery to address this condition. We aimed to evaluate the clinical course and the characteristics of laparoscopic surgery for intestinal BD compared with open surgery.
METHODS: We reviewed charts of 91 patients who underwent surgical treatment for intestinal BD between January 1995 and December 2012. We retrospectively compared the laparoscopic group (LG, n = 30) and the open group (OG, n = 61) in terms of patient demographics, clinical features, operative data, postoperative course, complications within 30 days after operation, and long-term follow-up data.
RESULTS: There were more females in the LG than in the OG (63.3 vs. 36.1%, p = 0.014), and oral/genital ulcers were more frequent in the LG (76.7 vs. 54.1%, p = 0.038; 60 vs. 36.1%, p = 0.031). Intractability with medical treatment was dominant in the LG (76.7 vs. 45.9%, p = 0.02), while intestinal perforation or fistula were more prevalent in the OG (10 vs. 44.3%, p = 0.001). Most patients received an ileocecectomy or a right hemicolectomy as their first surgery. In the LG, the patients had a shorter operation time (162.0 vs. 228.5 min, p < 0.001) and had less blood loss (61.7 vs. 232.3 ml, p = 0.003). There were no significant differences in postoperative complications, reoperation, mortality, and hospital stay between the groups. During the follow-up period, the mean number of operations was less in the LG than in the OG (1.3 vs. 2.1, p = 0.011). Analysis indicated that 20% of patients in the LG and 50.8% in the OG underwent more than two operations (p = 0.005).
CONCLUSION: Laparoscopic surgery is feasible and safe for selected intestinal BD patients. However, there were no better short-term outcomes in LG compared with OG.restrictio