• Title/Summary/Keyword: Deprivation Index

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Bisphosphonates for Osteoporosis in Nonmetastatic Prostate Cancer Patients Receiving Androgen-deprivation Therapy: A Systematic Review and Meta-analysis

  • Ding, Hui;Yang, Li;Du, Wan;Teng, Yang;Fu, Sheng-Jun;Tao, Yan;Lu, Jian-Zhong;Wang, Zhi-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3337-3343
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    • 2013
  • This systematic review was conducted to assess the efficacy and safety of bisphosphonates for prevention and treatment of osteopenia or osteoporosis in men with non-metastatic prostate cancer receiving androgendeprivation therapy. We searched for randomised controlled trials (RCTs) of bisphosphonates compared with placebo from Pubmed, Embase, the Cochrane Library, and ISI - Science Citation Index. Meta-analyses of prespecified outcomes (bone mineral density, fractures, and adverse events) were performed using Review Manager. Ten RCTs with a total patient population of 1,017 were identified. There was generally more improvement in bone mineral density of the lumbar spine for patients who received bisphosphonate treatment than placebo or other medical treatment at 12 months (WMD 6.02,95%CI 5.39 to 6.65). Similar effects were also observed for total hip, trochanter or femoral neck bone mineral density. However, there was no significant reduction in fractures. Fever and gastrointestinal symptoms were the most common adverse events (10.4% vs. 1.2%; 0.10% vs. 0.03%). Currently, our meta-analysis suggested that oral and intravenous bisphosphonates caused a rapid increase in spine and hip or femoral BMD in non-metastatic prostate cancer patients receiving androgen-deprivation therapy. Fever and gastrointestinal symptoms were common with the use of bisphosphonates. These short-term trials (maximum of 12 months) did not show fracture reduction. In future, more efficient performance of higher quality, more rigorous, large sample, long-term randomised controlled trials (>12 months) are needed where outcomes are detailed.

Hemodynamic, Autonomic, and Vascular Function Changes after Sleep Deprivation for 24, 28, and 32 Hours in Healthy Men

  • Slomko, Joanna;Zawadka-Kunikowska, Monika;Kozakiewicz, Mariusz;Klawe, Jacek J.;Tafil-Klawe, Malgorzata;Newton, Julia L.;Zalewski, Pawel
    • Yonsei Medical Journal
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    • v.59 no.9
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    • pp.1138-1142
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    • 2018
  • This study aimed to analyze the impact of sleep deprivation (SD) on cardiac, hemodynamic, and endothelial parameters and to determine whether these are sustained with increased periods of SD. The study included 60 healthy men (mean: age $31.2{\pm}6.3years$; body mass index $24.6{\pm}2.6kg/m^2$). Hemodynamic parameters, parameters of myocardial contractility, spectral analysis of heart rate (HR) and blood pressure (BP) variability, and the sensitivity of arterial baroreflex function were evaluated. Biochemical tests were performed to assess L-arginine (L-Arg) and asymmetric dimethylarginine (ADMA) levels in reflection of endothelial nitric oxide synthase ability. Measurements of cardiovascular system parameters were obtained at 9 a.m. (baseline) on the first day of the study and 9 a.m. (24-h SD), 1 p.m. (28-h SD), and 5 p.m. (32-h SD) on the second day. Blood samples for evaluating biochemical parameters were obtained at baseline and after 24-h SD. ANOVA Friedman's test revealed a significant effect for time in relation to HR (${\chi}^2=26.04$, df=5, p=0.000), systolic BP (${\chi}^2=35.98$, df=5, p=0.000), diastolic BP (${\chi}^2=18.01$, df=5, p=0.003), and mean BP (${\chi}^2=28.32$, df=5, p=0.000). L-Arg and ADMA levels changed from $78.2{\pm}12.9$ and $0.3{\pm}0.1$ at baseline to $68.8{\pm}10.2$ and $0.4{\pm}0.1$ after 24-hr SD, respectively (p=0.001, p=0.004). SD in healthy men is associated with increases in BP, which appear to occur after 24 hours of SD and are maintained over increasing periods of SD. The observed hemodynamic changes may have resulted due to disordered vascular endothelial function, as reflected in alterations in L-Arg and ADMA levels.

Changes of Stress Response and Physiological Metabolic Activity of Flounder, Paralichthys olivaceus Following to Food Deprivation and Slow Temperature Descending (먹이제한과 단기 수온하강 조건에서 넙치의 스트레스 반응과 생리학적 대사활성 변화)

  • Myeong, Jeong-In;Kang, Duk-Young;Kim, Hyo-Chan;Lee, Jeong-Ho;Noh, Jae-Koo;Kim, Hyun-Chul
    • Korean Journal of Ichthyology
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    • v.23 no.2
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    • pp.87-94
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    • 2011
  • To find the preliminary environmental conditions for a short-time transport of living olive flounder, Paralichthys olivaceus, the stress response and physiological metabolic activity of the cultured fish to feed deprivation and slow temperature descending ($15.8^{\circ}C{\rightarrow}13.3^{\circ}C$) were monitored for 8 days. The monitored variables were the plasma alanine aminotransferase (ALT), aspartate aminotransferase (AST), glucose (GLU), total protein (TP), electrolytes ($Na^+$, $K^+$, $Cl^-$) and thyroid hormones ($TT_4$, $TT_3$, $FT_4$ and $FT_3$). In food deprivation experiment for 8 days, we did not find any statistical change of level in AST, ALT and electrolytes ($Na^+$, $K^+$, $Cl^-$), but found a significant decrease in TP and GLU. In thyroid hormones, the levels of four hormones in plasma were all showing a tendency to decrease. Especially, $FT_4$ and $TT_3$ were significantly decreased, indicating a withering of physiologic activity. In the temperature test, although no any significant change in AST, TP and electrolytes ($Na^+$, $K^+$, $Cl^-$), we observed a significant decrease of ALT and GLU following to temperature descending from $15.8^{\circ}C$ to $13.3^{\circ}C$ (P<0.05). In the levels of thyroid hormones, any significant change was not observed for experimental period. We conclude that the stress response and physiological activity of olive flounder were more influenced by feed deprivation than slow temperature descending at a transport of living fish, and plasma GLU appears to be sensitive factor to physiological metabolic activity, indicating that it could be used as a monitering mark or index for a health inspection of the fish.

Correlation between Total Sleep Time and Weekend Catch-up Sleep and Obesity based on Body Mass Index : A nationwide cohort study in Korea

  • Choi, Yoon-Hee
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.1-11
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    • 2022
  • Purpose : Obesity is a major public health burden in developed countries and a well-known risk factor for cardiovascular disease. Short sleep duration is associated with obesity, as well as diabetes, heart disease and death. In modern society, habitual sleep restrictions seem unavoidable due to social obligations and work schedules along with a tendency toward decreased sleep time. Therefore, the purpose of this study is to examine the effect of differences in sleep time between weekdays and weekends on body mass index (BMI). Methods : This study involved 4,234 Korean adults aged 20 to 64 years based on data obtained from the 7th national health and nutrition examination survey (2016). All subjects were classified into the weekend catch-up sleep group (weekend CUS group). and the non catch-up sleep group (non-CUS group). Results : The longer the average sleep time, the lower was the BMI, and the larger the difference in sleep time between weekdays and weekends, the lower was the BMI. Compared with those with an average sleep time of 8 hours or more, obesity was 1.6-fold higher when the average sleep time was less than 6 hours, and 1.2-fold higher in the case of sleep time of 7 hours or more and less than 8 hours. When the difference in sleep time between weekdays and weekends was 0 or less, more than 0 hours but less than 1 hour, and more than 1 hour and less than 2 hours, the risk of obesity was 1.2-fold, 1.1-fold and 1.1-fold higher, respectively, compared with the risk associated with a sleep time difference of 2 hours or greater between weekdays and weekends. However, the difference was not statistically significant. Conclusion : Short sleep duration is positively associated with obesity. In addition, weekend catch-up sleep affects BMI.

Studies on Determination of Larval Critical Weight in Silkworm, Bombyx mori L. - An Index of Quality

  • Saha, Atul Kumar;Chaudhuri, Anath Bandhu;Moorthy, S Monthira;Roy, Subrata
    • International Journal of Industrial Entomology and Biomaterials
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    • v.19 no.2
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    • pp.243-248
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    • 2009
  • The Larval critical weight is the minimal mass at which further growth in not necessary for a normal time course to pupation. Larval critical weight (Lcw), pupal critical weight (Pcw) and adult critical weight (Acw) of different breeds of Bombyx mori L. were determined through starvation (food deprivation). The Lcw was found to be about 938.46, 2397.26, 2283.57 and 2220.97 mg in males and 1118.15, 2681.04, 2604.9 and 2455.88 mg in females of the multivoltine breed (Nistari), Bivoltine breeds (P5 & NB18) and their hybrid (P5$\times$NB18) respectively. Bivoltine breed P5 took more time (3.35 days) followed by NB18 (3.13 days) & P5$\times$NB18 (3.02 days) to attain larval critical weight (In $5^{th}$ Instar) than the multivoltine breed Nistari (2.42 days). Decrease in weight from larval maximal weight to pupal weight and to adult weight was also observed more in multivoltine than bivoltines, which may be due to more latent feeding period in bivoltines. Since Lcw is a stable character and independent of environment, it could be utilized for characterization of silkworm breeds to assess the quality of an insect.

Related Factors of Sleep Quality among Some Middle and High School Students (일부 중·고등학생 수면의 질 및 관련요인)

  • Ahn, Chi-Young;Kim, Eun-Young;Hong, Jee-Young;Kim, Hyun-Soo;Lee, Moo-Sik
    • The Journal of Korean Society for School & Community Health Education
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    • v.18 no.1
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    • pp.43-56
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    • 2017
  • Objectives: This study was aimed to investigate the status of sleep quality and related factors among some middle and high school students in one metropolitan city, Korea. Methods: The subjects were 480 high school students and 350 middle school students. Survey questions are based on Pittsburgh Sleep Quality Index(PSQI) to measure the quality of sleep and also include factors affecting the quality of sleep. PASW Statistics 20.0(Korean version) was used to carry out analysis. Results: Noise and stress showed the statistical significance as factors affecting the quality of sleep by multiple regression analysis. Individual characteristics was related to quality of sleep in only high school student. Conclusions: This study showed that noise and stress had a great correlation with the quality of sleep. Social consciousness and policies were needed to improve the quality of sleep for middle and high school student.

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Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea

  • Ahn, Yang Heui;Ham, Ok Kyung;Kim, Soo Hyun;Park, Chang Gi
    • Journal of Korean Academy of Nursing
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    • v.42 no.7
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    • pp.928-935
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    • 2012
  • Purpose: The current study was done to identify individual- and group-level factors associated with health care service utilization among Korean medical aid beneficiaries by applying multilevel modeling. Methods: Secondary data analysis was performed using data on health care service reimbursement and medical aid case management progress from 15,948 beneficiaries, and data from 229 regions were included in the analysis. Results: Results of multilevel analysis showed an estimated intraclass correlation coefficient (ICC) of 18.1%, indicating that the group level accounted for 18.1% of the total variance in health care service utilization, and that beneficiaries within the region are more likely to share common features with regard to health care service utilization. At the individual level, existence of disability and types of medical aid beneficiaries showed a significant association, while, at the group level, social deprivation index, and the number of beneficiaries and case managers within the region showed a significant association with health care service utilization. Conclusion: The significant influence of group level variables in health care service utilization found in this study indicate a need for group level approaches, such as policy change and/or promotion of community awareness.

Effect of Starvation on Some Nutritional Parameters in Rhynchocypris oxycephalus 1. Characteristics of the histological and biochemical changes (기아시 버들치 Rhynchocypris oxycephalus의 일부 영양 조건에서의 효과 1. 생화학적, 조직학적 변화)

  • Lee, Keun-Kwang;Kim, Yong-Ho;Park, In-Seok
    • Korean Journal of Ichthyology
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    • v.11 no.1
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    • pp.33-41
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    • 1999
  • The influence of nutritional conditions on the histological changes of hepatocyte and intestinal epithelium as well as hepatosmatic index (HSI), protein, RNA and DNA concentrations of liver of Rhynchocypris oxycephalus was tested. Although, the starved group showed higher concentrations of protein, DNA and RNA than the fed group, food deprivation resulted in a decrease in the HSI, hepatocyte nucleus size and nuclear height of the intestinal epithelium. The RNA-DNA ratio appears to be a useful index of nutritional status in R. oxycephalus and may be useful for determining if R. oxycephalus is in a period of rapid or slow growth at the time of sampling. Additionally, the data have been interpreted in detail and some biologically important relationships discussed.

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Quality of Life of Poor Women - Focused on the Discretionary Time (재량시간(discretionary time)을 중심으로 본 빈곤여성의 삶의 질)

  • Noh, Hye-jin
    • Korean Journal of Social Welfare Studies
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    • v.44 no.1
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    • pp.61-87
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    • 2013
  • The main purpose of this paper is to analyze the quality of life of poor women. This study utilized data combined KLIPS with Time Use Survey for an analysis and analyzed time at the intersection of the class and gender. With discretionary time as center, this study investigated poverty status from the quality of life. And in order to make comparison more clearly, object was classified into 4 groups; non-poor male, poor male, non-poor female and poor female. Study results are as follows; First of all, poor women had the shortest discretionary time among all the groups and also had highest poverty rate of living quality. And this study found that deprivation of non-poor female headed householder is serious. Second, analysis of inequality level between and within groups through Theil index indicated that gender influence in poor strata was 3 times higher than that of non-poor strata. This study found that poor women experienced mixed exclusion at the point where gender and class crossed. And this study also has a meaning that an empirical analysis was conducted through above matters on secondary poverty and hidden poverty of poor women which existing researches were unable to discover.

Development of a Climate Change Vulnerability Index on the Health Care Sector (기후변화 건강 취약성 평가지표 개발)

  • Shin, Hosung;Lee, Suehyung
    • Journal of Environmental Policy
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    • v.13 no.1
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    • pp.69-93
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    • 2014
  • The aim of this research was to develop a climate change vulnerability index at the district level (Si, Gun, Gu) with respect to the health care sector in Korea. The climate change vulnerability index was esimated based on the four major causes of climate-related illnesses : vector, flood, heat waves, and air pollution/allergies. The vulnerability assessment framework consists of six layers, all of which are based on the IPCC vulnerability concepts (exposure, sensitivity, and adaptive capacity) and the pathway of direct and indirect impacts of climate change modulators on health. We collected proxy variables based on the conceptual framework of climate change vulnerability. Data were standardized using the min-max normalization method. We applied the analytic hierarchy process (AHP) weight and aggregated the variables using the non-compensatory multi-criteria approach. To verify the index, sensitivity analysis was conducted by using another aggregation method (geometric transformation method, which was applied to the index of multiple deprivation in the UK) and weight, calculated by the Budget Allocation method. The results showed that it would be possible to identify the vulnerable areas by applying the developed climate change vulnerability assessment index. The climate change vulnerability index could then be used as a valuable tool in setting climate change adaptation policies in the health care sector.

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