• Title/Summary/Keyword: Health behaviour

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Exophytic Verrucous Hyperplasia of the Oral Cavity - Application of Standardized Criteria for Diagnosis from a Consensus Report

  • Zain, Rosnah Binti;Kallarakkal, Thomas George;Ramanathan, Anand;Kim, Jin;Tilakaratne, WM;Takata, Takashi;Warnakulasuriya, Saman;Hazarey, Vinay Kumar;Rich, Alison;Hussaini, Haizal Mohd;Jalil, Ajura
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.9
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    • pp.4491-4501
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    • 2016
  • Verruco-papillary lesions (VPLs) of the oral cavity described in the literature involve a spectrum of conditions including squamous papilloma, verruca vulgaris, focal epithelial hyperplasia, condyloma, proliferative verrucous leukoplakia and verrucous carcinoma. A majority of the VPLs are slow growing, benign in nature and have a viral aetiology. Virus associated benign mucosal outgrowths are not too difficult to diagnose either clinically or by microscopy. Apart from virus-associated lesions, VPLs harboring malignant potential or behaviour such as verrucous carcinoma, proliferative verrucous leukoplakia, oral verrucous hyperplasia (OVH), oral papillary squamous cell carcinoma (PSCC) and oral conventional squamous cell carcinoma with papillary features (CSCC) need to be further clarified for better understanding of their predictable biologic behavior and appropriate treatment. Current understanding of potentially malignant VPLs is perplexing and is primarily attributed to the use of confusing and unsatisfactory terminology. In particular, the condition referred to as oral verrucous hyperplasia (OVH) poses a major diagnostic challenge. OVH represents a histopathological entity whose clinical features are not well recognised and is usually clinically indistinguishable from a verrucous carcinoma and a PSCC or a CSCC. A consensus report published by an expert working group from South Asia as an outcome of the 'First Asian Regional Meeting on the Terminology and Criteria for Verruco-papillary Lesions of the Oral Cavity' held in Kuala Lumpur, Malaysia, recognised the clinical description of these OVH as a new entity named 'Exophytic Verrucous Hyperplasia'. Previously described clinical features of OVH such as the 'blunt' or 'sharp' variants; and the 'mass' or 'plaque' variants can now collectively fall under this newly described entity. This paper discusses in detail the application of the standardized criteria guidelines of 'Exophytic Verrucous Hyperplasia' as published by the expert group which will enable clinicians and pathologists to uniformly interpret their pool of OVH cases and facilitate a better understanding of OVH malignant potential.

Studies on the Morphology of Smoke Particles for Each Type of Fire by Using Steady State Tube Furnace (등속공급 튜브연소로를 이용한 각 연소조건에서의 연기입자 형상 분석)

  • Goo, Jaehark
    • Fire Science and Engineering
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    • v.28 no.1
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    • pp.44-51
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    • 2014
  • Smoke from fire is a mixture of combustion gases and particles which include micro-droplets formed from condensed organic vapors and carbonaceous agglomerates. The inhalation of smoke particles causes adverse health effects, and it is prerequisite for the hazard and risk analysis of the smoke particles to know how they behaviour in the respiratory tract. The characteristics of the absorption and adsorption of toxic gases and the amount and location of the particle deposition within the respiratory tract that determine the adverse health effects are related to the morphology and the size distribution of smoke particles. In the present work, as a preliminary study for the adverse health effects of smoke particles, the morphologies of the smoke particles from combustible materials were investigated for each fire stage: smouldering, well-ventilated flaming, small under-ventilated flaming, fully-developed under-ventilated fire. The steady-state tube furnace method given in ISO/TS 19700 was used for the generation of smoke particles. The fire stages were controlled by changing furnace temperature and equivalent ratio. The morphologies were analyzed by using Transmission Electron Microscope (Bio-TEM) by collecting the particles on TEM grids put on each stage of a cascade impactor.

A survey on sex life behavior and factors of low back pain (요통환자들의 성생활 행태와 영향 요인 조사)

  • Nam, Chul-Hyun;Woo, Kwang-Seog
    • Journal of Korean Physical Therapy Science
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    • v.9 no.3
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    • pp.31-49
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    • 2002
  • The purpose of this study was to investigate discomforts and sexual life and to identify the relation between the discomforts and sexual life with low back pain. The data were collected from March 2 through July 31, 2001. Four hundred forty-two questionnaires were returned (response rate=88.0%). Analysis of the data was done with SPSS PC+ and use descriptive statistics, $x^2$-test, t-test, ANOVA. regression. The statistics shows that over than 80% of the adults experienced lumbago at least one time in their life, and Back pain is known as one of the most common complaints made by the patients of all ages in the general hospital or local medical clinics throughout. However, in certain case it leads to a chronic condition which can cause a great deal of problems in management and in financial burden to individuals and society. The result of this study was summarized as follows: 1) It appeared that regarding the distribution of gender, male was the higher(63.6%) then that of female, the portion of forties was 28.5%. Sitting for long time was 23.1% in men and 21.7% in women. Unknown reason including sexual behaviour was 12.9% in men and 15.5% in women. Patients treated medicine and physical therapy were 36.4%. In level of educational background, the rate of high school was 31.0%, technical college was 28.5%. The highest proportion by occupation was 18.3% of office workers, occupation posture was 41.9% of sitting. 2) Men(26.0%) and most of women(34.8%) were not satisfied in the explanation satisfaction rate of sex life concerned disease. 23.8% in men and 23.6% in women considered flexibility of waist good. Man(33.3%) and most of woman(35.0%) considered that Health education is necessary. 32.7% in men and 27.3% in women did't mind educator is whoever. Preventing of lower back pain(LBP) and proper Health education of sex life are demanded in daily life. 3) 58.0% of man and 64.0% of woman mostly had a posture which is man over woman. 28.5% in men and 27.8% in women considered that proper information finding of LBP and sex life was very few and few. 37.7% in men and 42.7% in women have acquired information about sex life flung their friends. 4) The number of sex life was decreased from 2.96 0.98 to 2.61 1.63 and also the time of sex life was decreased from 3.65 1.89 to 226 1.64. The satisfaction rate of sex life changed from 3.60 0.86 to 2.77 1.10. In the number of sex life, The non correct group was 2.62 1.91 and the correct group was higher in 2.68 1.65. In the time of sex life, The non correct group was 2.02 1.47 and the correct group was higher in 229 1.65. The satisfaction rate of sex life was 2.76 0.86 in non correct group and 2.88 1.10 in correct group. So there was a difference. 5) In the satisfaction rate of sex life, Men who have a lower back pain were higher than women and no attack group was higher than attack group. As they had many sex life, the satisfaction rate was higher significantly in statistics. As the time of sex life was short, the satisfaction rate was lower significantly in statistics. As the age was low, the demand rate of Health education was high and as means of patient who had a lower back pain was high, the demand rate of Health education was high. As the patient who had a lower back pain had a long married life, the demand rate of Health education was high and as education level was high, the demand rate of Health education was high. It is necessary to provide patients with conservative treatment, educational teaching, and training to prevent further injuries in the future. In general, it is important to educate the public how to prevent back injuries and how to treat themselves in an onset period to prevent further injuries sliding into a chronic state. Sexuality is an integral part of normal and healthy relationships, but patients are unable to enjoy sex because they are riot able to get into a comfortable position due to back pain. Many conditions of the spine can make certain positions uncomfortable. Health educator should make the education program of the discomforts and the sexual pattern for low back pain in workplace and/or hospital. Further study Is needed on how to integrate the educational program on sexuality into the total rehabilitation program.

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Seismic and vibration tests for assessing the effectiveness of GFRP for retrofitting masonry structures

  • Michelis, Paul;Papadimitriou, Costas;Karaiskos, Grigoris K.;Papadioti, Dimitra-Christina;Fuggini, Clemente
    • Smart Structures and Systems
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    • v.9 no.3
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    • pp.207-230
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    • 2012
  • Full-scale shake table seismic experiments and low-amplitude vibration tests on a masonry building are carried out to assess its seismic performance as well as study the effectiveness of a new multifunctional textile material for retrofitting masonry structures against earthquakes. The un-reinforced and the retrofitted with glass fiber reinforced polymer (GFRP) strips masonry building was subjected to a series of earthquake excitations of increasing magnitude in order to progressively induce various small, moderate and severe levels of damage to the masonry walls. The performance of the original and retrofitted building states is evaluated. Changes in the dynamic characteristics (lowest four modal frequencies and damping ratios) of the building are used to assess and quantify the damage states of the masonry walls. For this, the dynamic modal characteristics of the structure states after each earthquake event were estimated by performing low-amplitude impulse hammer and sine-sweep forced vibration tests. Comparisons between the modal results calculated using traditional accelerometers and those using Fiber Bragg Grating (FBG) sensors embedded in the reinforcing textile were carried on to investigate the reliability and accuracy of FBG sensors in tracking the dynamic behaviour of the building. The retrofitting actions restored the stiffness characteristics of the reinforced masonry structure to the levels of the original undamaged un-reinforced structure. The results show that despite a similar dynamic behavior identified, corresponding to reduction of the modal frequencies, the un-reinforced masonry building was severely damaged, while the reinforced masonry building was able to withstand, without visual damage, the induced strong seismic excitations. The applied GFRP reinforcement architecture for one storey buildings was experimentally proven reliable for the most severe earthquake accelerations. It was easily placed in a short time and it is a cost effective solution (covering only 20% of the external wall surfaces) when compared to the cost for full wall coverage by GFRPs.

Correlates of Digit Bias in Self-reporting of Cigarette per Day (CPD) Frequency: Results from Global Adult Tobacco Survey (GATS), India and its Implications

  • Jena, Pratap Kumar;Kishore, Jugal;Jahnavi, G.
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3865-3869
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    • 2013
  • Background: Cigarette per day (CPD) use is a key smoking behaviour indicator. It reflects smoking intensity which is directly proportional to the occurrence of tobacco induced cancers. Self reported CPD assessment in surveys may suffer from digit bias and under reporting. Estimates from such surveys could influence the policy decision for tobacco control efforts. In this context, this study aimed at identifying underlying factors of digit bias and its implications for Global Adult Tobacco Surveillance. Materials or Methods: Daily manufactured cigarette users CPD frequencies from Global Adult Tobacco Survey (GATS) - India data were analyzed. Adapted Whipple Index was estimated to assess digit bias and data quality of reported CPD frequency. Digit bias was quantified by considering reporting of '0' or '5' as the terminal digits in the CPD frequency. The factors influencing it were identified by bivariate and logistic regression analysis. Results: The mean and mode of CPD frequency was 6.7 and 10 respectively. Around 14.5%, 15.1% and 15.2% of daily smokers had reported their CPD frequency as 2, 5 and 10 respectively. Modified Whipple index was estimated to be 226.3 indicating poor data quality. Digit bias was observed in 38% of the daily smokers. Heavy smoking, urban residence, North, South, North- East region of India, less than primary, secondary or higher educated and fourth asset index quintile group were significantly associated with digit bias. Discussion: The present study highlighted poor quality of CPD frequency data in the GATS-India survey and need for its improvement. Modeling of digit preference and smoothing of the CPD frequency data is required to improve quality of data. Marketing of 10 cigarette sticks per pack may influence CPD frequency reporting, but this needs further examination. Exploring alternative methods to reduce digit bias in cross sectional surveys should be given priority.

Simulation of vibrations of Ting Kau Bridge due to vehicular loading from measurements

  • Au, F.T.K.;Lou, P.;Li, J.;Jiang, R.J.;Zhang, J.;Leung, C.C.Y.;Lee, P.K.K.;Lee, J.H.;Wong, K.Y.;Chan, H.Y.
    • Structural Engineering and Mechanics
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    • v.40 no.4
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    • pp.471-488
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    • 2011
  • The Ting Kau Bridge in Hong Kong is a cable-stayed bridge comprising two main spans and two side spans. The bridge deck is supported by three towers, an end pier and an abutment. Each of the three towers consists of a single reinforced concrete mast strengthened by transverse cables and struts. The bridge deck is supported by four inclined planes of cables emanating from anchorages at the tower tops. In view of the heavy traffic on the bridge, and threats from typhoons and earthquakes originated in areas nearby, the dynamic behaviour of long-span cable-supported bridges in the region is always an important consideration in their design. Baseline finite element models of various levels of sophistication have been built not only to match the bridge geometry and cable forces specified on the as-constructed drawings but also to be calibrated using the vibration measurement data captured by the Wind and Structural Health Monitoring System. This paper further describes the analysis of axle loading data, as well as the generation of random axle loads and simulation of vibrations of the bridge using the finite element models. Various factors affecting the vehicular loading on the bridge will also be examined.

Breast Cancer Awareness of Rural Women in Malaysia: is it the Same as in the Cities?

  • Norlaili, Abdul Aziz;Fatihah, Mohd Amin;Daliana, Nik Farid Nik;Maznah, Dahlui
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7161-7164
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    • 2013
  • Breast cancer is the most common cancer among women globally. This study was conducted to compare the awareness of breast cancer and the practice of breast self-examination (BSE), clinical breast examination (CBE) and mammography screening among rural females in Pahang and Perak. A cross-sectional study was carried out in five selected rural districts of Pahang and Perak. Two hundred and fifty households were randomly selected and interviewed face to face using a semi-structured questionnaire. The majority of residents from both states were Malay, aged between 50 and 60 years and had a secondary level of education. Malay women aged 40-49 years and women with a higher level of education were significantly more aware of breast cancer (p<0.05). About half of these women practiced BSE (60.7%) and CBE (56.1%), and 7% had underwent mammography screening. The results of this study suggest that women in Pahang and Perak have good awareness of breast cancer and that more than half practice BSE and CBE. The women's level of education appears to contribute to their level of knowledge and health behaviour. However, more effort is needed to encourage all women in rural areas to acquire further knowledge on breast cancer.

Environmental contamination and geochemical behaviour of heavy metals around the abandoned Songcheon Au-Ag mine, Korea

  • Lim Hye-sook;Lee Jin-Soo;Chon Hyo-Teak;Sager Manfred
    • 한국지구물리탐사학회:학술대회논문집
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    • 2003.11a
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    • pp.544-547
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    • 2003
  • The objective of this study is to investigate the contamination levels and dispersion patterns of arsenic and heavy metals and to estimate the bioaccessible fraction of the metals in soil and plant samples in the vicinity of the abandoned Songcheon Au-Ag mine. Tailings, soils, plants (Chinese cabbage, red pepper, soybean, radish, sesame leaves, green onion, lettuce, potato leaves, angelica and groundsel) and waters were collected around the mine site. After appropriate preparation, all samples were analyzed for As, Cd, Cu, Pb and Zn by ICP-AES and ICP-MS. Elevated levels of As and heavy metals were found in tailings. Mean concentrations of As in agricultural soils were higher than the permissible level. Especially, maximum level of As in farmland soil was 513 mg/kg. The highest concentrations of As and Zn were found in Chinese cabbage (6.7 mg/kg and 359 mg/kg, respectively). Concentrations of As, Cd, and Zn in most stream waters which are used for drinking water around this mine area were higher than the permissible levels regulated in Korea. Maximum levels of As, Cd and Zn in stream waters were 0.78 mg/L, 0.19 mg/L and 5.4 mg/L, respectively. These results indicate that mine tailings can be the main contamination sources of As and heavy metals in the soil-water system in the mine area. The average of estimated bioaccessible fraction of As in farmland soils were $3.7\%$ (in simulated stomach) and $10.8\%$ (in simulated small intestine). The highest value of bioaccessible fraction of metal in farmland soils was $46.5\%$ for Cd.

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Confinement models for high strength short square and rectangular concrete-filled steel tubular columns

  • Aslani, Farhad;Uy, Brian;Wang, Ziwen;Patel, Vipul
    • Steel and Composite Structures
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    • v.22 no.5
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    • pp.937-974
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    • 2016
  • While extensive efforts have been made in the past to develop finite element models (FEMs) for concrete-filled steel tubular columns (CFSTCs), these models may not be suitable to be used in some cases, especially in view of the utilisation of high strength steel and high strength concrete. A method is presented herein to predict the complete stress-strain curve of concrete subjected to tri-axial compressive stresses caused by axial load coupled with lateral pressure due to the confinement action in square and rectangular CFSTCs with normal and high strength materials. To evaluate the lateral pressure exerted on the concrete in square and rectangular shaped columns, an accurately developed FEM which incorporates the effects of initial local imperfections and residual stresses using the commercial program ABAQUS is adopted. Subsequently, an extensive parametric study is conducted herein to propose an empirical equation for the maximum average lateral pressure, which depends on the material and geometric properties of the columns. The analysis parameters include the concrete compressive strength ($f^{\prime}_c=20-110N/mm^2$), steel yield strength ($f_y=220-850N/mm^2$), width-to-thickness (B/t) ratios in the range of 15-52, as well as the length-to-width (L/B) ratios in the range of 2-4. The predictions of the behaviour, ultimate axial strengths, and failure modes are compared with the available experimental results to verify the accuracy of the models developed. Furthermore, a design model is proposed for short square and rectangular CFSTCs. Additionally, comparisons with the prediction of axial load capacity by using the proposed design model, Australian Standard and Eurocode 4 code provisions for box composite columns are carried out.

Analysis and design of demountable steel column-baseplate connections

  • Li, Dongxu;Uy, Brian;Aslani, Farhad;Patel, Vipul
    • Steel and Composite Structures
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    • v.22 no.4
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    • pp.753-775
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    • 2016
  • This paper aims to investigate the demountability of steel column-baseplate connections subjected to monotonic and cyclic loading. This paper presents the finite element analysis of steel column-baseplate connections under monotonic and cyclic loading. The finite element model takes into account the effects of material and geometric nonlinearities. Bauschinger and pinching effects were also included in the developed model, through which degradation of steel yield strength in cyclic loading can be well simulated. The results obtained from the finite element model are compared with the existing experimental results. It is demonstrated that the finite element model accurately predicts the initial stiffness, ultimate bending moment strength of steel column-baseplate connections. The finite element model is utilised to examine the effects of axial load, baseplate thickness, anchor bolt diameter and position on the behaviour of steel column-baseplate connections. The effects of various parameters on the demountability of steel column-baseplate connections are investigated. To achieve a demountable and reusable structure, various design parameters need to be considered. Initial stiffness and moment capacity of steel columnbaseplate connections are compared with design strengths from Eurocode 3. The comparison between finite element analysis and Eurocode 3 indicates that predictions of initial stiffness for semi-rigid connections should be developed and improved design of the connections needs to be used in engineering practice.