Objectives: The aim of this study was to evaluate socioeconomic inequalities in the prevalence of dental caries among an urban population. Methods: This study was conducted among 2000 people 15-40 years of age living in Kurdistan, Iran in 2015. Using a questionnaire, data were collected by 4 trained dental students. The dependent variable was the decayed, missing, and filled teeth (DMF) index. Using principal component analysis, the socioeconomic status (SES) of families was determined based on their household assets. Inequality was measured using the concentration index; in addition, the Oaxaca analytical method was used to determine the contribution of various determinants to the observed inequality. Results: The concentration index for poor scores on the DMF index was -0.32 (95% confidence interval [CI], -0.40 to -0.36); thus, poor DMF indices had a greater concentration in groups with a low SES (p<0.001). Decomposition analysis showed that the mean prevalence of a poor DMF index was 43.7% (95% CI, 40.4 to 46.9%) in the least privileged group and 14.4% (95% CI, 9.5 to 9.2%) in the most privileged group. It was found that 85.8% of the gap observed between these groups was due to differences in sex, parents' education, and the district of residence. A poor DMF index was less prevalent among people with higher SES than among those with lower SES (odds ratio, 0.31; 95% CI, 0.19 to 0.52). Conclusions: An alarming degree of SES inequality in oral health status was found in the studied community. Hence, it is suggested that inequalities in oral health status be reduced via adopting appropriate policies such as the delivery of oral health services to poorer groups and covering such services in insurance programs.
Objectives : The purpose of this study was to investigate the connection between Symptom Checklist-90-R (SCL-90-R), Self-Efficacy Scale(SES) and Qi-gong. Methods : We investigated 141 oriental medical students in Daegu consisted of 36 subjects training Qi and 105 subjects not training. We had all subjects to reply to demographic questimnaire, SCL-90-R questimnaire and SES questimnaire. We made the Qi-training group write the kinds and periods of Qi seperately. Results & Conclusions : 1. The lower SCL-90-R score, the subjects had higher SES score. Total Self-Efficacy score was connected Somatization, Interpersonal Sensitivity, Depression, Paranoid Ideation, Paranoid Ideation score significantly. General Self-Efficacy score was connected Somatization, Obsessive- Compulsive, Interpersonal Sensitivity, Paranoid Ideation, Paranoid Ideation score significantly. Social Self-Efficacy score was connected Interpersonal Sensitivity, Depression, Anxiety score significantly. 2. The Qi-training group's mean all the details of SCL-90-R lower than the non-training's significantly in Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Hostility, Paranoid Ideation, Psychoticism. And the Qi-training group's mean all the details of SES higher than the non-training's, significantly in General Self-Efficacy. 3. In Qi-training group, as training longer, mean Somatization, Interpersonal Sensitivity, Depression, Anxiety, Hostility scores get lower and mean Total Self-Efficacy score get higher significantly.
This study was conducted to establish the optimal suspension culture system for both the propagation of embryogenic cells (ECs) and the induction of somatic embryos (SEs) of Kalopanax septemlobus. The proliferation rate of ECs was reduced as the inoculum density was increased; the highest rate was obtained when 0.1 g/100 ml of cells was initially inoculated. According to the analysis of cell growth pattern and cell growth cycle (G1, Sand G2/M), the cell growth started in 5 days culture initiation, grew rapidly until 15 days and then decreased gradually. Distinctive changes of the cell growth cycle by the culture periods was also observed; the growth cycle was doubled from initial 5.6% to 11.7% of S stage in 5 days culture and then reached in stable stages again. Therefore, the results indicated that a 15-day-cycle was the optimal culture period for the propagation of the ECs through the suspension culture. Furthermore, the cell inoculum density was also important for the induction of SE; more than 65% of SEs at the torpedo stage was induced by using the low level of cell inoculum (0.5 g/L), while the higher inoculum densities were rapidly reduced the proportion of SEs at that stage. Although the higher inoculum density delayed the development of SE, it did not affect the proportion of SEs at the globular and heart stage. In conclusion, this study showed that the suspension culture of the Kalopanax septemlobus ECs through the control of inoculum density was an efficient way for both the propagation of ECs and the induction of SEs, suggesting that the development of this system might help to reduce the culture period for the somatic embryo production.
Braaksma, Christel;Otte, Jill;Wessel, Ronald N.;Wolterbeek, Nienke
Clinics in Shoulder and Elbow
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v.25
no.1
/
pp.57-64
/
2022
Background: There are various conservative treatment options for lateral epicondylitis (LE). The aim is to evaluate pain, daily functioning, and complications after ultrasound-standardized autologous blood injections in patients with LE. Methods: For this prospective cohort study, consecutive patients (>18 years) diagnosed with LE were included. Autologous blood was injected using a medical device containing an injection disposable with 12 small needles (Instant Tennis Elbow Cure [ITEC]) device. Patient-Rated Tennis Elbow Evaluation (PRTEE), subjective elbow score (SES), palpation and provocation pain, satisfaction, and complications of treatment were measured at baseline and two months after treatment. Paired t-tests and Fisher's exact tests were used for calculating the difference between pre- and post-treatment outcomes. Results: Fifty-five elbows were analyzed. Mean time between pre- and post-treatment was 11.1 weeks (standard deviation [SD], 8.9 weeks). The mean PRTEE score decreased from 68.2 (SD, 15.7) before surgery to 53.2 (SD, 25.9; p<0.001) after. The mean SES improved from 36.9 (SD, 20.8) to 51.7 (SD, 27.4; p<0.001). Despite this improvement, only 44.7% of patients showed relevant clinical improvement in PRTEE, and 37.3% showed significant clinical improvement based on SES. Four patients reported a complication and the injection disposable failed three times. Conclusions: Ultrasound-standardized autologous blood injection using the ITEC device is not an effective tool in reducing symptoms related to LE. This study showed that only half of all patients experienced a positive effect. In this heterogeneous cohort of patients, we showed no added value of ultrasound standardization.
We examined the association of particulate matter with an aerodynamic diameter < $10\;{\mu}m$ ($PM_{10}$) with asthma-related hospitalization, stratified by socioeconomic status (SES), among children less than 15 years of age in Seoul, Korea, between 2003 and 2005. In addition, we estimated the reduction in the number of asthma-related hospitalizations that would result from implementing the World Health Organization (WHO) guideline. SES was defined based on data concerning health insurance premium grades, and grouped into two levels: lower-income group and control group. The lower-income group was classified as having an accumulated income which did not exceed the 50th percentile of the median income. Time-series analysis was performed to evaluate the association between $PM_{10}$ and asthma-related hospitalization. The Environmental Benefits Mapping and Analysis Program was used to analyze the impact on children's health. Based upon an increase of $10\;{\mu}g/m^3$ of $PM_{10}$, the asthma-related hospitalization risk for the lower-income group was increased by 1.78% (95% confidence intervals (CI) = 0.79-2.78%), while the risk for the control group was increased by 0.83% (95% CI = 0.34-1.32%). Attaining the WHO guideline, relative to the concentration in 2007, would result in a reduction in asthma-related hospitalizations of 18 cases per 100,000 of the children population in the lower-income group, and 7 cases in the control group. The health benefits of improved air quality for children in the lower-income group were thus 2.5 times greater than for children in the control group. Our results show that the lower-income group is disproportionately burdened with asthma-related hospitalization arising from air pollution. Therefore, biologically- and socioeconomically-disadvantaged populations should be considered in public health interventions in order to protect the children's health.
Gi Yong Lee;Soo In Lee;Ji Heon Park;Sun Do Kim;Geun-Bae Kim;Soo-Jin Yang
Journal of Veterinary Science
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v.24
no.6
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pp.85.1-85.13
/
2023
Background: A recent increase in the occurrence of canine skin and soft tissue infections, including otitis externa and pyoderma, caused by antimicrobial-resistant Staphylococcus pseudintermedius and S. schleiferi has become a significant public and veterinary health issues. Objective: We investigated the virulence potentials associated with the occurrence of canine otitis externa in S. pseudintermedius and S. schleiferi. Methods: In this study, the prevalence of genes encoding leukocidins, exfoliative toxins, and staphylococcal enterotoxins (SEs) was investigated using previously characterized S. pseudintermedius (n = 26) and S. schleiferi (n = 19) isolates derived from canine otitis externa. Susceptibility to cathelicidins (K9CATH and PMAP-36) and hydrogen peroxide (H2O2) was also examined in both staphylococcal species. Results: A high prevalence of genes encoding leukocidins (lukS/F-I, lukS1/F1-S, and lukS2/F2-S), exfoliative toxins (siet, expB, and sset), and SEs was identified in both S. pseudintermedius and S. schleiferi isolates. Notably, S. pseudintermedius isolates possessed higher number of SE genes, especially newer SE genes, than S. schleiferi isolates harboring egc clusters. Although no significant differences in susceptibility to K9CATH and H2O2 were observed between the two isolate groups, S. pseudintermedius isolates exhibited enhanced resistance to PMAP-36 compared to S. schleiferi isolates. Conclusions: These findings suggest that high a prevalence of various toxin genes together with enhanced resistance to cathelicidins may contribute to the pathogenicity of S. pseudintermedius and S. schleiferi in canine cutaneous infections.
Background: We sought to determine the association between chronic pain and participating in routine health screening in a low socioeconomic-status (SES) rental-flat community in Singapore. In Singapore, ${\geq}85%$ own homes; public rental flats are reserved for those with low-income. Methods: Chronic pain was defined as pain ${\geq}3$ months. From 2009-2014, residents aged 40-60 years in five public rental-flat enclaves were surveyed for chronic pain; participation in health screening was also measured. We compared them to residents staying in adjacent owner-occupied public housing. We also conducted a qualitative study to better understand the relationship between chronic pain and health screening participation amongst residents in these low-SES enclaves. Results: In the rental-flat population, chronic pain was associated with higher participation in screening for diabetes (aOR = 2.11, CI = 1.36-3.27, P < 0.001), dyslipidemia (aOR = 2.06, CI = 1.25-3.39, P = 0.005), colorectal cancer (aOR = 2.28, CI = 1.18-4.40, P = 0.014), cervical cancer (aOR = 2.65, CI = 1.34-5.23, P = 0.005) and breast cancer (aOR = 3.52, CI = 1.94-6.41, P < 0.001); this association was not present in the owner-occupied population. Three main themes emerged from our qualitative analysis of the link between chronic pain and screening participation: pain as an association of "major illness"; screening as a search for answers to pain; and labelling pain as an end in itself. Conclusions: Chronic pain was associated with higher cardiovascular and cancer screening participation in the low-SES population. In low-SES populations with limited access to pain management services, chronic pain issues may surface during routine health screening.
Journal of Advanced Marine Engineering and Technology
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v.36
no.5
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pp.595-602
/
2012
In this study, for the purpose of reduction of $CO_2$ gas emission and to increase recovery of waste heat from ships, the ORC (Organic Rankine Cycle) is investigated and offered for the conversion of temperature heat to electricity from waste heat energy from ships. Simulation was performed with waste heat from the exhaust gasse which is relatively high temperature and cooling sea water which is relatively low temperature from ships. Various fluid is used for simulation of the ORC system with variable temperature and flow condition and efficiency of system and output power is compared. Finally, 2,400kW output power is obtained by system optimization of the preheater and reheater utilizing waste heat form sea water cooling system.
Kim, Chong-Myeong;Kim, Ji-Hwan;Kim, Hea-Young;Kim, Woong-Chul
Journal of Technologic Dentistry
/
v.36
no.1
/
pp.1-7
/
2014
Purpose: The aim of this study was analyzed by comparing the effect of glass fiber reinforcement addition on the strength of resin denture base. It was intended to provide a reference data useful for clinical application. Methods: The test specimens (length $64.0{\pm}0.1mm$, width $10.0{\pm}0.1mm$, thickness $1.0{\pm}0.1mm$, $1.5{\pm}0.1mm$, and $2.0{\pm}0.1mm$ respectively) were made. In the experimental groups resin denture base reinforced with glass fiber were fabricated. In the control groups resin denture base were fabricated by conventional method. After specimen fabrication was completed, transverse test was performed using a universal testing machine. Results: The transverse strength value in CON group was $83.08{\pm}9.07MPa$ for 1.0 mm, which ranked the highest in value. On the other hand, the value was $56.07{\pm}5.15MPa$ for 2.0mm, which ranked the lowest in value. And CON+SES group was $119.80{\pm}30.70MPa$ for 1.0mm, which ranked the highest in value. On the other hand, the value was $84.00{\pm}7.97MPa$ for 2.0mm, which ranked the lowest in value. Also, the flexural modulus value in CON group was $2,983.10{\pm}506.92MPa$ for 1.0mm, which ranked the highest in value. On the other hand, the value was $1,257.64{\pm}230.48MPa$ for 2.0mm, which ranked the lowest in value. And CON+SES group was $4,679.41{\pm}1578.29MPa$ for 1.0mm, which ranked the highest in value. On the other hand, the value was $2,512.36{\pm}527.09MPa$ for 2.0mm, which ranked the lowest in value. Conclusion: The reinforced glass fiber increased the strength of resin denture base, effected to reduce the thickness of resin denture base.
This study explores the life quality(LQ) of Korean married women compared to Korean married men's LQ, examines personal factors' and home environmental factors' influences to Korean married women's LQ via psychological factors such as social belongingness, positive emotion, self-esteem, and sense of intemal control in causal model, and explores Korean married women's perceived important factors and perceived enhancement required factors in life. The questionnaire was administered to 941 Korean married women and their husbands who have one or more children in Pusan. The results indicated that: 1. The overal and most sub dimensional LQ of Korean married women mark medium level and were lower than that of Korean married men's. Korean married women who is highly educated, keeps efficient communication with their husband, self-esteem, sense of internal control, social belongingness, and positive emotion, and possess high SES and much available resources shows higher LQ than those who doesn't. 2. The efficient communication with husband and available resources have direct and indirect influences on Korean married women's LQ. The psychological mediatory factors of these two variables' influences on women's LQ are such as social belongingness, positive emotion, self-esteem and sense of intemal control. SES has direct influence only and the educational level has indirect influence via social belongingness only on Korean married women's LQ. All these factors explain 58% of Korean married women's LQ variance. 3. Korean married women rank family health, family reconciliation, husband's success, and children's achievement as the very important factors in life. They also rank husbands success, economic abundant, family reconciliation, family health, and their self-actualization as the very required factors for enhancing the given LQ.
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