• Title/Summary/Keyword: Health response

Search Result 3,410, Processing Time 0.026 seconds

Predictive factors associated with successful response to utrasound guided genicular radiofrequency ablation

  • Kose, Selin Guven;Kose, Halil Cihan;Celikel, Feyza;Akkaya, Omer Taylan
    • The Korean Journal of Pain
    • /
    • v.35 no.4
    • /
    • pp.447-457
    • /
    • 2022
  • Background: Ultrasound-guided genicular nerve radiofrequency (RF) procedures are of interest in the management of chronic knee pain. A wide variety of demographic, clinical, and procedural characteristics can affect treatment success. This study aimed to determine predictive factors to provide superior treatment outcomes. Methods: The demographic, clinical, and technical data of patients who received genicular nerve RF for knee pain between September 2016 and September 2021 were evaluated. A positive outcome was defined as at least 50% pain relief on a pain score for at least 6 months. Logistic regression analysis was performed to determine the factors associated with a successful response to genicular RF. Results: Among 206 patients who underwent genicular RF, 62% of the patients reported successful outcomes at 6 months. In the multivariate model, targeting 5 nerves (odds ratio [OR], 6.184; 95% confidence interval [CI], 2.291-16.690; P < 0.001) was the most significant predictor of successful outcomes. Multivariable logistic regression analysis showed that prognostic genicular nerve block with a 50% cut-off value (OR, 2.109; 95% CI, 1.038-4.287; P = 0.039), no opioid use (OR, 2.753; 95% CI, 1.405-5.393; P = 0.003), and depression (OR, 0.297; 95% CI, 0.124-0.713; P = 0.007) were the predictive factors significantly associated with response to genicular RF. Conclusions: Clinical and technical factors associated with better treatment outcomes were ultimately targeting more nerves, performing prognostic block, no opioid use, and no depression. These results are expected to be considered when selecting patients for genicular RF.

Influence of Stimulus Polarity on the Auditory Brainstem Response From Level-Specific Chirp

  • Dzulkarnain, Ahmad Aidil Arafat;Salamat, Sabrina;Shahrudin, Fatin Amira;Jamal, Fatin Nabilah;Zakaria, Mohd Normani
    • Korean Journal of Audiology
    • /
    • v.25 no.4
    • /
    • pp.199-208
    • /
    • 2021
  • Background and Objectives: No known studies have investigated the influence of stimulus polarity on the Auditory Brainstem Response (ABR) elicited from level-specific (LS) chirp. This study is important as it provides a better understanding of the stimulus polarity selection for ABR elicited from LS chirp stimulus. We explored the influence of stimulus polarity on the ABR from LS chirp compared to the ABR from click at 80 dBnHL in normal-hearing adults. Subjects and Methods: Nineteen adults with normal hearing participated. The ABRs were acquired using click and LS chirp stimuli using three stimulus polarities (rarefaction, condensation, and alternating) at 80 dBnHL. The ABRs were tested only on the right ear at a stimulus rate of 33.33 Hz. The ABR test was stopped when the recording reached the residual noise level of 0.04 μV. The ABRs amplitudes, absolute latencies, inter-peak latencies (IPLs), and the recorded number of averages were statistically compared among ABRs at different stimulus polarities and stimuli combinations. Results: Rarefaction polarity had the largest ABR amplitudes and SNRs compared with other stimulus polarities in both stimuli. There were marginal differences in the absolute latencies and IPLs among stimulus polarities. No significant difference in the number of averages required to reach the stopping criteria was found. Conclusions: Stimulus polarities have a significant influence on the ABR to LS chirp. Rarefaction polarity is recommended for clinical use because of its larger ABR peak I, III, and V amplitudes than those of the other stimulus polarities.

The Health Hazard Evaluation Program by NIOSH (NIOSH의 건강유해도 평가 프로그램)

  • Jeong, Jee Yeon
    • Journal of Korean Society of Occupational and Environmental Hygiene
    • /
    • v.10 no.1
    • /
    • pp.147-159
    • /
    • 2000
  • The NIOSH health hazard evaluation program (HHE program) was created in response to the mandate to determine the toxic effect and potential health hazard of workplace exposure, which is found in Occupational Safety and Health Act of 1970 and the Federal Mine Safety and Health Act of 1977, A primary benefit of HHE program is its ability to provide current health hazard data to employers and employees, which assists them in identifying solutions to occupational health and safety problems in their workplaces, The HHE program also stimulates research in the development and review of sampling methods and diagnostic tests and may prompt additional exposure assesment efforts and toxicological and epidemiological studies. HHE projects also provide human exposure-toxicity data that are used to asses the validity of existing occupational health standards and to support criteria for new standards of recommendation, The HHE request is classified into four categories: 1) category 1: As a administratively invalid, 2) category 2: These are valid requests for which a site visit is not essential to an appropriate response, 3) Category 3 : These are valid requests for which a site visit is necessary for an adequate evaluation, 4) These are valid request which present a complex problem or an opportunity for research, To carry out HHE program one or methods of investigation might be used: 1) direct observation and evaluation of production processes and employee work practices 2) employees exposure level and air contamination level 3) medical test or physical examinations of employees 4) private, confidential interviews with employees 5) review of employer's record of injuries and illness, employee exposure data, medical tests and job histories. After investigation and analysing the data, NIOSH issues a final report, giving finding and recommendation.

  • PDF

Development of an Instrument based on the Protection Motivation Theory to Measure Factors Influencing Women's Intention to First Pap Test Practice

  • Hassani, Laleh;Dehdari, Tahereh;Hajizadeh, Ebrahim;Shojaeizadeh, Davoud;Abedini, Mehrandokht;Nedjat, Saharnaz
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.3
    • /
    • pp.1227-1232
    • /
    • 2014
  • Background: Given that there are many Iranian women who have never had a Pap smear, this study was designed to develop and validate a measurement tool based on the Protection Motivation Theory to assess factors influencing the Iranian women's intention to perform first Pap testing. Materials and Methods: In this psychometric research, to determine the Content Validity Index (CVI) and the Content Validity Ratio (CVR), a panel of experts (n=10) reviewed scale items. Reliability was estimated through the Intraclass Correlation Coefficient (n=30) and internal consistency (n=240). Also, factor analysis (exploratory and conformity) was performed on the data of the sample women who had never had a Pap smear test (n=240). Results: A 26-item questionnaire was developed. The CVI and CVR scores of the scale were 0.89 and 0.90, respectively. Exploratory factor analysis loaded a 26-item with seven factors questionnaire (perceived vulnerability and severity, fear, response costs, response efficacy, self-efficacy, and protection motivation (or intention)) that jointly accounted for 72.76% of the observed variance. Confirmatory factor analysis indicated a good fit for the data. Internal consistency (range 0.70-0.93) and test-retest reliability (range 0.72-0.96) of sub-scales were acceptable. Conclusions: This study showed that the designed instrument was a valid and reliable tool for measuring the factors influencing the women's intention to perform their first Pap testing.

Gut Health of Pigs: Challenge Models and Response Criteria with a Critical Analysis of the Effectiveness of Selected Feed Additives - A Review

  • Adewole, D.I.;Kim, I.H.;Nyachoti, C.M.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • v.29 no.7
    • /
    • pp.909-924
    • /
    • 2016
  • The gut is the largest organ that helps with the immune function. Gut health, especially in young pigs has a significant benefit to health and performance. In an attempt to maintain and enhance intestinal health in pigs and improve productivity in the absence of in-feed antibiotics, researchers have evaluated a wide range of feed additives. Some of these additives such as zinc oxide, copper sulphate, egg yolk antibodies, mannan-oligosaccharides and spray dried porcine plasma and their effectiveness are discussed in this review. One approach to evaluate the effectiveness of these additives in vivo is to use an appropriate disease challenge model. Over the years, researchers have used a number of challenge models which include the use of specific strains of enterotoxigenic Escherichia coli, bacteria lipopolysaccharide challenge, oral challenge with Salmonella enteric serotype Typhimurium, sanitation challenge, and Lawsonia intercellularis challenge. These challenge models together with the criteria used to evaluate the responses of the animals to them are also discussed in this review.

Possible Health Risk Over Talc (탈크노출과 건강상의 위험)

  • Park, Dong-Uk
    • Journal of Environmental Health Sciences
    • /
    • v.35 no.3
    • /
    • pp.235-238
    • /
    • 2009
  • In Korea, talc that has been widely used for a lot of consumer products as well as industrial usage until recently was found to be contaminated with asbestos. It becomes a major social issue. Critical health risk about both talc and talc contaminated with asbestos was summarized through literature review. It has been confirmed that talc can pose ovarian cancer when talc powder is used in the genital area. International Agency for Research on Cancer (IARC) already concluded that the perineal use of cosmetic talc can cause possibly carcinogenic to humane(Group 2B), although there was study reporting the lack of a consistent an established correlation between perineal dusting frequency and ovarian tissue talc concentrations and the lack of a consistent dose-response relationship with ovarian cancer risk. The association between talc exposure and ovarian cancer is as strong as in recent studies. The epidemiological studies to date provided inadequate evidence for the carcinogenicity of either inhaled or ingested talc that does not contain asbestos or asbestosiform fibers. Future studies should focus on seeking evidence in talc-exposed populations, collecting reliable information on age at initial used of body powder, exposure assessments related to talc use and dose response relationship in order to identify possible risk of talc ingested or inhaled.

Infectious Disease Control for International Students: Focusing on COVID-19 Response by University in Busan (외국인 유학생 감염병 관리방안: 부산시 소재 대학의 코로나19 대응을 중심으로)

  • Cho, Kyoung Won;Lee, Sang Dae;Kim, Soojeong;Kim, Min Kyung
    • The Journal of Korean Society for School & Community Health Education
    • /
    • v.22 no.2
    • /
    • pp.41-52
    • /
    • 2021
  • Background & Objectives: The purpose of this study is to present infectious diseases control and crisis response plans for International students by investigating the management of International students and prevention of infectious diseases targeting International students infectious disease control managers at universities in Busan in a situation where the risk of infectious diseases increases due to the spread of COVID-19. Methods: The data were collected from 14 International students infectious disease control managers at universities in Busan. Statistical analysis was done by using SPSS 22.0. Results: There were differences in the importance and performance of COVID-19 infectious disease control and support work by university. Conclusions: It is necessary to integrate management of support and roles of infectious diseases control for foreign students. Furthermore, strengthening the competence of experts and communication tools with international students are needed.

Effects of Infant Massage on Physical Growth and Stress Response in Preterm Babies (아기마사지가 미숙아의 신체성장과 스트레스 반응에 미치는 영향)

  • Cheung, Nam-Youn;Song, Young-Shin
    • Child Health Nursing Research
    • /
    • v.15 no.1
    • /
    • pp.71-80
    • /
    • 2009
  • Purpose: This study was done to investigate the effects of an infant massage on physical growth and stress response in preterm babies. Method: A nonequivalent control group with pre-posttest design was used with 56 preterm babies in the NICU of E medical center at Daejeon. Data were collected from July 2004 to May 2005. The intervention was given for 15 minutes, once a day for 7 days. Physical growth was measured by weight, length, head circumference, and stress response was measured by serum cortisol level. Mean, %, paired-test, t-test with the SPSS/W in 16.0 program were used to analyze the data. Results: After the intervention, physical growth variables (weight, length, head circumference) in experimental group were higher than that of the control group. Also, the serum cortisol level in the experimental group was lower than that of the control group. But none of these results were not statistically significant. Conclusion: The results of this study suggest that a 7-day intervention period may not be long enough to confirm the effects of infant massage on physical growth and stress reaction. Therefore it is suggested that a longer period of infant massage should be tested to determine if it is effective in improving the physical growth and stress reduction in preterm babies.

  • PDF

Research on Dental Hygienics Students' Perception of Personal Protection and Instrument Disinfection of by Practical Training Type in Some Areas (일부지역 치위생 전공 학생들의 실습행태에 따른 개인방호 및 기구멸균에 관한 인식조사)

  • Ka, Kyung-Hwan;Ku, In-Young;Lee, Myeong-Seon;Moon, Seon-Jeong
    • The Korean Journal of Health Service Management
    • /
    • v.7 no.3
    • /
    • pp.193-202
    • /
    • 2013
  • This study aimed to investigate and compare the perception of personal protective equipments and instrument sterilization of students who are in attendance at colleges and universities and which have bedside training as a regular subject in their curriculum for third-year students. 'Completely True' is the highest response to the question about the importance of wearing gloves, mask and medical gown from all groups. 'Completely True' is the highest response to the question about the necessity for replacement of gloves from all groups. 'Moderate True' is the highest response to the question about the necessity for replacement of mask from the group without practical training and 'Completely True' is the highest response to the question about the importance of hair cleanliness from all groups regardless of practical training experience. For the question about the perception of instrument disinfection and sterilization, the group with inside and outside practical training showed the highest perception level. Consequently, the right education for prevention of infection by setting inclusive guidelines to enhance the level of perception and practice seems continuously necessary.

Dynamic torsional response measurement model using motion capture system

  • Park, Hyo Seon;Kim, Doyoung;Lim, Su Ah;Oh, Byung Kwan
    • Smart Structures and Systems
    • /
    • v.19 no.6
    • /
    • pp.679-694
    • /
    • 2017
  • The complexity, enlargement and irregularity of structures and multi-directional dynamic loads acting on the structures can lead to unexpected structural behavior, such as torsion. Continuous torsion of the structure causes unexpected changes in the structure's stress distribution, reduces the performance of the structural members, and shortens the structure's lifespan. Therefore, a method of monitoring the torsional behavior is required to ensure structural safety. Structural torsion typically occurs accompanied by displacement, but no model has yet been developed to measure this type of structural response. This research proposes a model for measuring dynamic torsional response of structure accompanied by displacement and for identifying the torsional modal parameter using vision-based displacement measurement equipment, a motion capture system (MCS). In the present model, dynamic torsional responses including pure rotation and translation displacements are measured and used to calculate the torsional angle and displacements. To apply the proposed model, vibration tests for a shear-type structure were performed. The torsional responses were obtained from measured dynamic displacements. The torsional angle and displacements obtained by the proposed model using MCS were compared with the torsional response measured using laser displacement sensors (LDSs), which have been widely used for displacement measurement. In addition, torsional modal parameters were obtained using the dynamic torsional angle and displacements obtained from the tests.