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Michael S. Bomba and Robert Harrison
East Asia's emergence as the forthcoming center of global manufacturing is leading nations in the region to reconsider their current and future role in the world economy. For its…
Abstract
East Asia's emergence as the forthcoming center of global manufacturing is leading nations in the region to reconsider their current and future role in the world economy. For its part, the Republic of Korea is pursuing a strategy to transform the country into the business hub of Northeast Asia. A central aspect in this strategy is the development of a regional “Pentaport” in the city of lncheon, which will consist of five components: an airport, a seaport, a business port, a technoport, and a leisure port. Hopefully, the Port of lncheon will be able to specialize in moving both coastal cargoes and transshipment cargoes to and from China and Japan using Short Sea Shipping (SSS). The first section of this paper provides an analysis of recent trade patterns between the Asian countries of the Asian-Pacific Economic Cooperation (APEC) agreement and the United States, with an emphasis on the Republic of Korea. The second part of the paper discusses current intermodal coastal shipping practices in the United States along the Gulf of Mexico and offers suggestions to the developers of Korea s Pentaport initiative; based upon observations in the United States, to maximize the likelihood of their success.
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Helge H.O. Müller, Caroline Lücke, Matthias Englbrecht, Michael S. Wiesener, Teresa Siller, Kai Uwe Eckardt, Johannes Kornhuber and J. Manuel Maler
Kidney transplantation (KT) is the treatment of choice for end-stage chronic kidney disease (CKD) and is well known to improve the clinical outcome of patients. However, the…
Abstract
Purpose
Kidney transplantation (KT) is the treatment of choice for end-stage chronic kidney disease (CKD) and is well known to improve the clinical outcome of patients. However, the impact of KT on comorbid psychological symptoms, particularly depression and anxiety, is less clear, and recipients of living-donor (LD) organs may have a different psychological outcome from recipients of dead-donor (DD) organs.
Design/methodology/approach
In total, 152 patients were included and analyzed using a cross-sectional design. Of these patients, 25 were pre-KT, 13 were post-KT with a LD transplant and 114 were post-KT with a DD transplant. The patients were tested for a variety of psychometric outcomes using the Hospital Anxiety and Depression Scale, the 12-Item Short Form Health Survey (assessing physical and mental health-related quality of life), the Resilience Scale, the Coping Self-Questionnaire and the Social Support Questionnaire.
Findings
The mean age of the patients was 51.25 years and 40 per cent of the patients were female. As expected, the post-KT patients had significantly better scores on the physical component of the Short Form Health Survey than the pre-KT patients, and there were no significant differences between the two post-KT groups. There were no significant differences among the groups in any of the other psychometric outcome parameters tested, including anxiety, depression and the mental component of health-related quality of life.
Research limitations/implications
KT and the origin of the donor organ do not appear to have a significant impact on the psychological well-being of transplant patients with CKD. Although the diagnosis and early treatment of psychological symptoms, such as depression and anxiety, remain important for these patients, decisions regarding KT, including the mode of transplantation, should not be fundamentally influenced by concerns about psychological impairments at the population level.
Originality/value
CKD is a serious condition involving profound impairment of the physical and psychological well-being of patients. KT is considered the treatment of choice for most of these patients. KT has notable advantages over dialysis with regard to the long-term physical functioning of the renal and cardiovascular system and increases the life expectancy of patients. However, the data on the improvement of psychological impairments after KT are less conclusive.
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