• Title/Summary/Keyword: Inclusion behavior

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Effects of Professional Toothbrushing and Instruction in the Elderly: A Randomized Trial

  • Jo, Eun-Deok;Kim, Eun-Sol;Hong, Hae-Kyung;Han, Gyeong-Soon
    • Journal of dental hygiene science
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    • v.18 no.5
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    • pp.305-311
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    • 2018
  • The purpose of this study was to identify the effect of providing toothbrushing by professionals as part of oral hygiene education for the elderly. We randomly visited 12 centers in the metropolitan city and analyzed the data of 114 participants among 310 early registrants aged >65 years, who participated in the study at all 3 time points. The subjects were categorized into an experimental group (odd-numbered visits) and a control group (even-numbered visits). Oral hygiene practices were provided for both experimental and control groups, but professional toothbrushing was performed in a different manner in the experimental group. Differences in plaque index (PI) according to the subjects' general characteristics and oral health status were assessed using the t-test, and the effect of PI difference between the experimental and control groups was assessed by repeated measure two-way analysis of variance. A stepwise multiple regression analysis was used to analyze factors affecting the PI. At baseline, the mean overall PI was 61.82. In both experimental and control groups, the PI significantly reduced from the baseline (p<0.01). At 5 weeks, the experimental group showed a decrease of 27.16 points from the baseline, and the 10-week PI was similar to the 5-week PI. The control group showed a decrease of 14.87 points from the baseline, and the PI increased by 5.74 points at 10 weeks. PI-related factors were gender and self-xerostomia. The PI was lower in the female group and the group with self- xerostomia (p<0.01). It is important to select an appropriate method to educate elderly subjects on proper removal of dental plaque and to habituate correct behavior, which requires inclusion of a direct toothbrushing intervention by a specialist.

A Characteristic of Freeze and Thaw on Use for Stabilized Soil in Landfill Bottom Liners (매립지 바닥층의 고화토 포설시 동결/융해의 특성)

  • Kim, Heung-Seok;Lee, Song;Lee, Jai-Young
    • Journal of the Korean GEO-environmental Society
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    • v.7 no.1
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    • pp.29-39
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    • 2006
  • Recently, Korea brings to remarkable levels about industrialization, modernization, population and development of technology. Especially, the rapidly growing from this technology has increased the burden on existing industrial waste landfills. The purpose of this research is to existing knowledge base of landfill cover liner behavior during periods freeze/thaw. Although these tests have been invaluable in clarifying the problem of freeze/thaw, extending the results of such experimental studies to prototype landfills are questionable. For this investigation, the author utilized a large scale laboratory simulation allowing inclusion of the field depth of the cover systems, layered soil profiles, rainfall simulation, a cold climate and boundary conditions similar to those encountered in the landfill. And the soil materials used stabilized soils (mixed clays, cements, and minerals) instead of clays. The bottom liners are made up of drainage layer (30cm), stabilized layer (75cm), and leach collection layer (60cm). The stabilized layers are made up of supporting layer (45cm) and impermeable layer (30cm) - consisted of $P_A$ and $P_B$ layer.

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Effects of Psychoeducational Intervention for Cancer Survivors: A Systematic Review and Meta-Analysis (암생존자를 위한 심리교육중재의 효과에 대한 체계적 고찰 및 메타분석)

  • Park, Jin-Hee;Bae, Sun Hyoung
    • Journal of Korean Academy of Nursing
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    • v.47 no.2
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    • pp.143-163
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    • 2017
  • Purpose: This study was a systematic review and meta-analysis designed to investigate effects of psychoeducational intervention for cancer survivors. Methods: Ten databases were searched. Two reviewers independently performed the selection of the studies, data extraction and assessment. The risk of bias was assessed using Cochrane Collaboration's tool. To estimate the effect size, meta-analysis of the studies was performed using Comprehensive Meta-Analysis and RevMan programs. Results: Of 18,781 publications identified, 35 met inclusion criteria, and 25 studies were used to estimate effect size of psychoeducational intervention. Effect sizes (standardized mean difference [SMD]) were heterogeneous and random effects models were used in the analyses. Psychoeducational intervention was effective for quality of life (n=2,410, ES=0.23; 95% CI: 0.09~0.37), coping and self-efficacy (n=179, ES=0.68; 95% CI: 0.26~1.11), anxiety (n=1,786, ES=-0.26; 95% CI: -0.37~-0.15), depression (n=1,910, ES=-0.28; 95% CI: -0.37~-0.18), and psychological distress (n=2,242, ES=-0.31; 95% CI: -0.46~-0.17). Subgroup analysis showed that counseling was the most effective intervention for quality of life, and behavioral therapy was an effective intervention for all positive and negative outcomes. Publication bias was not detected except for psychological distress. Conclusion: Psychoeducational intervention appears to be effective in improving quality of life and coping and self-efficacy, and it is effective in reducing psychological symptoms in cancer survivors. Behavioral therapy, especially, is commonly effective in improving psychosocial outcomes. However, low-quality evidence, variability in the designs of existing studies, and publication bias suggest that additional high-quality trials should be conducted in the future.

Effectiveness of Obesity management programs: systematic review and meta-analysis (메타분석을 이용한 비만관리 프로그램의 효과분석)

  • Lee, Hyo-Young
    • Korean Journal of Health Education and Promotion
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    • v.24 no.4
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    • pp.131-147
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    • 2007
  • As overweight and obese people have increased, obesity management programs have generated much concern in Korea. Many types of obesity management programs were operated, aimed at reducing weight, BMI, body fat percentage and so on. This study was conducted to review the features of studies in obesity management programs and systematically assess the effects which were published from 1995 to 2006 in Korea. Databases were systematically searched for published data in Korea. It were KISS (Korean studies information services system) and KERIS (Korean Education research information system), which were major literature search systems for all academic fields in Korea. Total 114 studies were initially identified, of which 21 satisfied our inclusion data. The effects of obesity management programs were assessed on the results in weight, BMI (body mass index), HDL (high density lipids), body fat percentage, self-efficacy. Effect size estimated on the equation of M1 - M2 / Sp, where M1 was mean of the experimental group, M2 was the mean of control group, and Sp was the pooled standard deviation. Magnitude of effect size was interpreted by using Cohen's definition. Cohen described small, medium, and large effect sizes as 0.2, 0.5, and 0.8 respectively. The studies about obesity management programs were the most published in 2005(26.1%). Obesity management programs were popularly operated as the type of 12 weeks intervention, exercise intervention(52.4%), quasi-experimental study(85.7%). Ten studies reported significant effects on weight, and nine studies reported significant effects on BMI and HDL. Only five and three studies reported significant effects on body fat percentage and self-efficacy respectively. The effects of each outcome were generally significant when the studies included these elements, intervention over 10 weeks, evaluation over 3 times, a comprehensive program (exercise, nutrition education, behavior modification) and reinforcing factors (self-monitoring, group discussion, one's goal setting, and etc.). Effective obesity management programs should contain these essential elements and objectives of obesity management programs must be set out evident at the beginning. The participants should be registered, educated and evaluated by continuous obesity management programs.

Steel Fibers Efficiency as Shear Reinforcement in Concrete Beams (섬유보강콘크리트 보의 전단거동에 미치는 강섬유의 효과)

  • 문제길;홍익표
    • Magazine of the Korea Concrete Institute
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    • v.6 no.2
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    • pp.118-128
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    • 1994
  • There have been conducted a lot of works on shear behavior of steel fiber reinforced concrete beams. Fiber reinforced concrete beams without shear reinforcement were tested to determine their cracking shear strengths and ultimate shear capacities. Results of tests on 14 reinforced concrete beams (including 11 containing steel fibers) are reported. Two parameters were varied in the study, namely, the volume fraction of fibers and shear span-to-depth ratio.The effects of fiber incorporation on failure modes, deflections, cracking shear strength, and ul~imate shear strength have been examined. Resistance to shear stresses have been found to be improved by the inclusion of fibers, The mode of failure changed from shear to flexure when the shear span-to-depth ratio exceeds 3.4. Based on these investigations, a method of computing the shear strength of steel fiber reinforced concrete beam is suggested. The comparisons between computed values and expenmentally observed values are shown to verify the proposed theoretical treatment and steel fibers efficiency.

Stress Corrosion Cracking Initiation Behavior of Weldable Structural Steel in $H_2S$ Gas Saturated HCl Solution ($H_2S$ 가스포화 염산수용액에 의한 용접구조용강의 응력부식균열 발생거동)

  • 오세욱;김재철;김광영
    • Journal of Ocean Engineering and Technology
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    • v.4 no.1
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    • pp.88-100
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    • 1990
  • Among the test methods to evaluate stress-corrosion cracking(SCC) on the basis of fracture mechanics, constant displacement(bolt) loading method using modified-WOL specimen is practically convenient. In this test method, compliance formula is generally required to calculate load(consequently $K_{ISCC}$). There are many problems in using the analytic compliance formula to calculate $K_{ISCC}$, so we had proposed the experimental $K_{ISCC}$ evaluation technique in the previous report. This study has employed the slightly altered configuration of modified-WOL specimen made of weldable structural stee(BS360-50D). With these specimens, stress-corrosion tests have been performed in $H_2S$ gas saturated 20% HCl solution. Through the test, the problems as mentioned earlier have been discussed again, and the proposed evaluation technique has been verified. And the stress-corrosion cracks and hydrogen blisters have been investigated in the initiation step with the aids of metallurgical micrographs, SEM fractographs, and EPMA analysis. The inclusions segregated in the mid-thickness region traps hydrogen to produce the hydrogen blistering. The applied or residual stress does not contribute the occurrence of the blister. Hydrogen absorbed into the mid-thickness region is consumed to produce the blistering so that stress-corrosion crack could hardly be detected at that region. The stress-corrosion cracks initiate from the inclusions and propagate in radial pattern. And the initiation site is remote from the crack tip and is inclined from the crack plane, which is assumed to be caused by the triaxial stress and the amount of the absorbed hydrogen.

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Study on Tribological Characteristics of Machine Component in Boundary Lubrication (경계윤활에서 기계 부품 소재의 트라이볼로지적 특성에 관한 연구)

  • Kim, Myeong-Gu;Seo, Kuk-Jin;Nam, Jahyun;Kim, Dae-Eun
    • Tribology and Lubricants
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    • v.35 no.6
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    • pp.356-361
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    • 2019
  • The friction and wear between machine components directly influence the energy loss and failure in various machines. Therefore, there is always a demand for finding methods to reduce friction and wear. Of the possible methods, lubrication is a widely used method for reducing friction and wear. In the case of lubrication, it is important to analyze the tribological behavior in the boundary lubrication because most of friction and wear occurs in the boundary lubrication regime. Cast iron has been regarded as a good material for industrial applications due to the excellent mechanical properties and high productivity. Especially, nodular cast iron is a material that shows better mechanical properties and wear-resistance compared with cast iron due to inclusion of spheroidal graphite. In this work, we investigated the tribological characteristics of nodular cast iron with respect to different counter parts in boundary lubrication regime. Sliding tests were conducted with SUJ2, ZrO2, Si3N4 balls as counter parts using a pin-on-disk type tribotester. The results showed different friction and wear behaviors with different counter parts. The case of ZrO2 showed the lowest wear rate in specimen and no significant ball wear. In case of SUJ2, it showed similar wear rate with ZrO2 case in specimen and the highest friction coefficient. The case of Si3N4 showed the lowest friction coefficient, 33% lower than the case of SUJ2. It showed 16.9 times larger wear rate in specimen and 43% larger wear rate in ball compared to that of the SUJ2 case.

Alveolar ridge augmentation with the perforated and nonperforated bone grafts

  • de Avila, Erica Dorigatti;Filho, Jose Scarso;de Oliveira Ramalho, Lizete Toledo;Real Gabrielli, Mario Francisco;Pereira Filho, Valfrido Antonio
    • Journal of Periodontal and Implant Science
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    • v.44 no.1
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    • pp.33-38
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    • 2014
  • Purpose: Autogenous bones are frequently used because of their lack of antigenicity, but good osteoconductive and osteoinductive properties. This study evaluated the biological behavior of perforated and nonperforated cortical block bone grafts. Methods: Ten nonsmoking patients who required treatment due to severe resorption of the alveolar process and subsequent implant installation were included in the study. The inclusion criteria was loss of one or more teeth; the presence of atrophy of the alveolar process with the indication of reconstruction procedures to allow rehabilitation with dental implants; and the absence of systemic disease, local infection, or inflammation. The patients were randomly divided into two groups based on whether they received a perforated (inner surface) or nonperforated graft. After a 6-month healing period, a biopsy was performed and osseointegrated implants were installed in the same procedure. Results: Fibrous connective tissue was evident at the interface in patients who received nonperforated grafts. However, full union between the graft and host bed was visible in those who had received a perforated graft. Conclusions: We found that cortical inner side perforations at donor sites increased the surface area and opened the medullary cavity. Our results indicate an increased rate of graft incorporation in patients who received such perforated grafts.

Preparation and Release Behaviors of Chitosan Microcapsules Containing Fragrant Oil (향오일을 함유한 키토산 마이크로캡슐의 제조 및 방출 특성)

  • Park, Soo-Jin;Lee, Yun-Mok
    • Korean Chemical Engineering Research
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    • v.43 no.4
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    • pp.511-516
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    • 2005
  • In this work, the crosslinked-chitosan microcapsules containing fragrant oil were prepared by oil-in-water-in-oil (O/W/O) multi-emulsion method. The effects of concentration of fragrant oil and stirring rates on the preparing of the microcapsules were investigated. The diameter and form of the microcapsules were observed by scanning electron microscope (SEM). As a result, the average particle size of microcapsules was decreased with increasing the stirring rate. The formation of chitosan microcapsules was comfirmed by FT-IR. The inclusion of fragrant oil into chitosan microcapsules was determined in the presence of specific peak of fragrant oil, i.e., $1,460cm^{-1}$, $2,960cm^{-1}$. Also, the release behavior or profile of fragrant oil from chitosan microcapsules was examined with UV/vis spectra. Released amounts of fragrant oil were increased with increasing as the content of fragrant oil and decreasing the pH.

Comparative efficacy of three topical anesthetics on 7-11-year-old children: a randomized clinical study

  • Dasarraju, Rupak Kumar;SVSG, Nirmala
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.1
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    • pp.29-37
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    • 2020
  • Background: This study evaluated the efficacy of three intraoral topical anesthetics in reducing the injection needle prick pain from local anesthetic among children aged 7-11 years old. Methods: It is a prospective, Interventional, parallel design, single-blind, randomized clinical trial in which subjects (n=90) aged 7-11 years were included in the study based on an inclusion criteria. Subjects were divided into three groups based on computer-generated randomization with an allocation ratio of 1:1:1. Groups A, B, and C received benzocaine 20% jelly (Mucopain gel, ICPA health products Ltd, Ankleshwar, India), cetacaine anesthetic liquid (Cetylite Industries, Inc, Pennsauken, NJ), and EMLA cream (2% AstraZeneca UK Ltd, Luton, UK), respectively, according to manufacturer's instructions, for 1 minute prior to local anesthetic injection. After application of topical anesthetic agent, for all the groups, baseline pre-operative (prior to topical anesthetic administration) and post-operative scores (after local anesthetic administration) of pulse rate was recorded using Pulse oximeter (Gibson, Fingertip Pulse Oximeter, MD300C29, Beijing Choice Electronic). Peri-operative (i.e., during the administration of local anesthesia) scores were recorded using Face, Legs, Activity, Cry, Consolability (FLACC) Scale, Modified Children hospital of Eastern Ontario Pain Scale (CPS) behavior rating scale, and Faces Pain Scale (FPS-R) - Revised (For self-reported pain). Direct self-reported and physiological measures were ascertained using FPS-R - Revised and Pulse oximeter, respectively, whereas CPS and FLACC scales assessed behavioral measures. To test the mean difference between the three groups, a one way ANOVA with post hoc tests was used. For statistical significance, a two-tailed probability value of P < 0.05 was considered as significant. Results: The Cetacaine group had significantly lower pain scores for self-report (P < 0.001), behavioral, and physiological measures (P < 0.001) than the other two groups. However, there was no significant difference between the Benzocaine group and EMLA group during palatal injection prick. Conclusion: Cetacaine can be considered as an effective topical anesthetic agent compared to benzocaine 20% jelly (Mucopain gel) and EMLA cream.