• Title/Summary/Keyword: NCD

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The National Clinical Database as an Initiative for Quality Improvement in Japan

  • Murakami, Arata;Hirata, Yasutaka;Motomura, Noboru;Miyata, Hiroaki;Iwanaka, Tadashi;Takamoto, Shinichi
    • Journal of Chest Surgery
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    • v.47 no.5
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    • pp.437-443
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    • 2014
  • The JCVSD (Japan Cardiovascular Surgery Database) was organized in 2000 to improve the quality of cardiovascular surgery in Japan. Web-based data harvesting on adult cardiac surgery was started (Japan Adult Cardiovascular Surgery Database, JACVSD) in 2001, and on congenital heart surgery (Japan Congenital Cardiovascular Surgery Database, JCCVSD) in 2008. Both databases grew to become national databases by the end of 2013. This was influenced by the success of the Society for Thoracic Surgeons' National Database, which contains comparable input items. In 2011, the Japanese Board of Cardiovascular Surgery announced that the JACVSD and JCCVSD data are to be used for board certification, which improved the quality of the first paperless and web-based board certification review undertaken in 2013. These changes led to a further step. In 2011, the National Clinical Database (NCD) was organized to investigate the feasibility of clinical databases in other medical fields, especially surgery. In the NCD, the board certification system of the Japan Surgical Society, the basic association of surgery was set as the first level in the hierarchy of specialties, and nine associations and six board certification systems were set at the second level as subspecialties. The NCD grew rapidly, and now covers 95% of total surgical procedures. The participating associations will release or have released risk models, and studies that use 'big data' from these databases have been published. The national databases have contributed to evidence-based medicine, to the accountability of medical professionals, and to quality assessment and quality improvement of surgery in Japan.

Retrospective analysis of the effects of non-communicable diseases on periodontitis treatment outcomes

  • Kim, Eun-Kyung;Kim, Hyun-Joo;Lee, Ju-Youn;Park, Hae-Ryoun;Cho, Youngseuk;Noh, Yunhwan;Joo, Ji-Young
    • Journal of Periodontal and Implant Science
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    • v.52 no.3
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    • pp.183-193
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    • 2022
  • Purpose: We retrospectively analysed patients' dental and periodontal status according to the presence of non-communicable diseases (NCDs) and the effects of NCDs on periodontal treatment outcomes. Factors influencing disease recurrence were investigated using decision tree analysis. Methods: We analysed the records of patients who visited the Department of Periodontology, Pusan National University Dental Hospital from June 2014 to October 2019. As baseline subjects, 1,362 patients with periodontitis and who underwent full-mouth periodontal examinations before periodontal treatment were selected. Among them, 321 patients who underwent periodontal examinations after the completion of periodontal treatment and 143 who continued to participate in regular maintenance were followed-up. Results: Forty-three percent of patients had a NCD. Patients without NCDs had more residual teeth and lower sum of the number of total decayed, missing, filled teeths (DMFT) scores. There was no difference in periodontal status according to NCD status. Patients with a NCD showed significant changes in the plaque index after periodontal treatment. The decision tree model analysis demonstrated that osteoporosis affected the recurrence of periodontitis. Conclusions: The number of residual teeth and DMFT index differed according to the presence of NCDs. Patients with osteoporosis require particular attention to prevent periodontitis recurrence.

The Riparian Vegetation Characteristics in habitats of Cottus koreanus (Cottidae: Osteichthyes) (둑중개 서식지의 하천식생 특성)

  • Lee, Youl-Kyong;Kwon, Sun-Gyo;Baek, Hyun-Min
    • Korean Journal of Environment and Ecology
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    • v.21 no.5
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    • pp.390-399
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    • 2007
  • We analyzed the vegetation environment at the stream section of habitat in which Cottus koreanus lives. The plant communities were classified into Fraxinus rhynchophylla community, Acer ginnala-Salix koreensis community, Phragmites japonica-Salix gracilistyla community, Salix gracilistyla community, Phragmites japonica community, Robinia pseudo-acacia community, and Oenanthe javanica-Persicaria thunbergii community. The frequency of Phragmites japonica-Salix gracilistyla community was the most. And also the frequencies of Fraxinus rhynchophylla community and Salix gracilistyla community were high. In stream bank zone and terrace zone, the typically represented vegetation was the Fraxinus rhynchophylla community and Acer ginnala-Salix koreensis community and Phragmites japonica-Salix gracilistyla community, respectively. The rNCD of the top-priority plants applied to restoration of the vegetation in stream bank zone came out by the order of Ulmus davidiana var. japonica, Salix koreensis, Acer ginnala, Salix gracilistyla, and Fraxinus rhynchophylla. The rNCD in terrace zone was arranged by the order of Salix gracilistyla, Phragmites japonica, and Artemisia princeps. The spatial distribution of vegetation was the most greatly influenced by cross-sectional position of the surveyed stream, and this aspect is believed to be due to the habitat's physical stability. Species diversity also obviously makes a great difference depending on their surrounding physical stability.

Luminescent Properties of Organic Light Emitting Diode Using $Alq_3$ Complex ($Alq_3$ 유도체를 사용한 유기전기발광소자의 발광 특성)

  • Yang, Ki-Sung;Kim, Doo-Seok;Kim, Byoung-Snag;Shin, Hoon-Kyu;Kim, Chung-Kyun;Kwon, Young-Soo
    • Proceedings of the KIEE Conference
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    • 2004.07c
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    • pp.1703-1705
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    • 2004
  • New luminescent material, 6.11-dihydoxy-5.12-naphtacene-dione $Alq_3$ complex($Alq_2$-Ncd), 1.4-dihydoxy-5.8-naphtaquinone $Alq_3$ complex ($Al_2Nq_4$) was synthesized. The $Alq_2-$ Ncd and $Al_2Nq_4$ has big molecular weight and many ${\pi}$-electrons more than widely known $Alq_3$. And extended efforts have been made to obtain high-performance electro luminescent(EL) devices. We used hole transfer layer of powdered TPD to improve hole transfer and characteristics of interface in OLED. This study indicates not only the sterical effect but also some other effects that would be responsible for the change of the emission wavelength. improvement of luminance and etc.

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Global Networking of Cancer and NCD Professionals Using Internet Technologies: The Supercourse and mHealth Applications

  • Linkov, Faina;Padilla, Nicolas;Shubnikov, Eugene;LaPorte, Ronald
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.6
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    • pp.472-478
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    • 2010
  • Cancer is a leading cause of death around the world. Education is at the core of cancer prevention activities, especially programs targeting empowering existing public health workforce. In the past 10 years, researchers at the University of Pittsburgh have been building the Global Health Network Supercourse project, a library of over 4500 online lectures and a network of nearly 50000 public health professionals in 174 countries. As of November 2010, the overall number of Supercourse participants from Asia exceeds 7000 participants. The Supercourse network has been investigating methods for Internet based recruitment of cancer prevention professionals in order to network cancer experts locally and globally, including the use of mHealth technologies for cancer research education and for NCD registries. Supercourse is a tool that can offer a solution to the challenges of information sharing, especially in the field of NCDs and cancer. In this paper, we highlight the need for the development of Cancer Supercourse with Satellite in Asia and encourage faculty members from Asia to join the network.

Cutting Characteristics of Oxygen-Free Using the Ultra Precision Machining (초정밀가공기를 이용한 무산소동 절삭특성)

  • 고준빈;김건희;원종호
    • Journal of the Korean Society for Precision Engineering
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    • v.19 no.12
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    • pp.120-126
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    • 2002
  • The needs of ultra-precisely machined parts are increasing more and more. But the experimental data required to ultra precision machining of nonferrous metal is insufficient. The behavior of cutting in micro cutting area is different from that of traditional cutting because of the size effect. Copper is widely used as optical parts such as LASER reflector's mirror and multimedia instrument. In experimental, after oxygen-free copper is machined by ultra precision machine with natural mono crystal diamond tool (NCD) and synthetic poly crystal diamond tool (PCD), we compared chip formation and tool's wear according to used tool. Also, we researched optimized cutting condition with the results measured according to cutting condition such as spindle speed, feed rate and depth of cut. As a result, the optimal working condition that makes good surface roughness is obtained. The surface roughness is good when spindle speed is above 80 m/min, and feed rate is small and depth of cut is above 0.5 ${\mu}{\textrm}{m}$. In cutting of klystron anode and cavity 3.2 nmRa of surface roughness is obtained.

Minimal Areas and Community Structures of Pinus densiflora Forests and Quercus mongolica Forests (소나무림 및 신갈나무림의 최소면적과 군락구조)

  • Kim, Jong-Woon;Deuk-Im Lee;Woen Kim
    • The Korean Journal of Ecology
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    • v.18 no.4
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    • pp.451-462
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    • 1995
  • A comparative study on the minimal areas and the community structures in pine IPinus densiflora) and oak (Quercus mongolica) frests was carried out. Basic tools used in the present study were species diversity and classical ayntaxonomy (Z.-M. School) of the phytocoenosis. Total 120 nest-quadrats in 40 stands situated at the syngeographical region of the Lindero-Quercion mongolicae were investigated. Each stand was classified on the basis of species combination, and species abundance was computed with net contribution degree (NCD). Composition ratio of plant-from and rate of actual species diversity (ASD) to syntaxa were computed for better interpretation of the minimal areas. Four syntaxa were structured: Saso-Quercetum mongolicae, Viola albida-Quercus mongolica community, Carex hummilis-Pinus densiflora community and Juniperus rigida-Pinus densiflora community. Their minimal areas were determined as 305, 196, 169, and 81 ㎡, respectively. Aconsistent regularity between species composition ratio and community structure in the multi-layered plant community was hardly found. The minimal areas increased linearly with increasing rate of ASD, and a phytocoenosis developed by diverse arboreta in the understory and shrub-layer should be investigated with larger sampling sizes.

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