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      • Income, Development, and Forms of Corruption

        ( Kentaro Maeda ),( Adam Ziegfeld ) 한국행정학회 2013 한국행정학회 학술발표논문집 Vol.2013 No.-

        While previous research shows that economic development reduces the level of corruption, the field has paid little attention to the variation in the form of corruption that prevails in rich and poor societies. In this paper, we distinguish petty corruption involving low-level bureaucrats and ordinary citizens from grand corruption involving high-level officials and businessmen. Using both aggregate and individual-level data, we show that petty corruption is pervasive in poor countries, whereas grand corruption is more salient in rich countries. Overall, we conclude that grand corruption is more resistant to the forces of economic development compared to petty corruption.

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        Impact of sarcopenia on biliary drainage during neoadjuvant therapy for pancreatic cancer

        Kunio Kataoka,Eizaburo Ohno,Takuya Ishikawa,Kentaro Yamao,Yasuyuki Mizutani,Tadashi Iida,Hideki Takami,Osamu Maeda,Junpei Yamaguchi,Yukihiro Yokoyama,Tomoki Ebata,Yasuhiro Kodera,Hiroki Kawashima 대한소화기내시경학회 2024 Clinical Endoscopy Vol.57 No.1

        Background/Aims: Since the usefulness of neoadjuvant chemo(radiation) therapy (NAT) for pancreatic cancer has been demonstrated, recurrent biliary obstruction (RBO) in patients with pancreatic cancer with a fully covered self-expandable metal stent (FCSEMS) during NAT is expected to increase. This study investigated the impact of sarcopenia on RBO in this setting. Methods: Patients were divided into normal and low skeletal muscle index (SMI) groups and retrospectively analyzed. Patient characteristics, overall survival, time to RBO (TRBO), stent-related adverse events, and postoperative complications were compared between the two groups. A Cox proportional hazard model was used to identify the risk factors for short TRBO. Results: A few significant differences were observed in patient characteristics, overall survival, stent-related adverse events, and postoperative complications between 38 patients in the normal SMI group and 17 in the low SMI group. The median TRBO was not reached in the normal SMI group and was 112 days in the low SMI group (p=0.004). In multivariate analysis, low SMI was the only risk factor for short TRBO, with a hazard ratio of 5.707 (95% confidence interval, 1.148–28.381; p=0.033). Conclusions: Sarcopenia was identified as an independent risk factor for RBO in patients with pancreatic cancer with FCSEMS during NAT.

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