Background: Cervical cancer continues to be a major problem in Bangladesh with approximately 18,000 new cases annually of which over 10,000 women die from it. Visual inspection of the cervix after 3-5% acetic acid (VIA) application is a simple and easy to learn method for cervical cancer screening, although cytology-based screening is more often applied in developed countries where it has successfully reduced the prevalence of cervical cancer. Objective: To compare the efficacy of VIA and cytology-based primary methods for cervical cancer screening in Bangladesh. Materials and Methods: This hospital based comparative study was conducted at the VIA centre and Colposcopy Clinic of Bangabandhu Sheikh Mujib Medical University (BSMMU) from October 2008 to October 2010. Results: Among 650 women, 74 (11.4%) were VIA+ve and 8 (1.2%) had abnormalities in their Pap smear reports. During colposcopy, 38 (7.7%) women had different grades of CIN and 4 (0.6%) had cervical cancer. The gold standard histology findings proved 20 women had CIN I, 14 had CIN II/II and 4 had cervical cancer. Among the 38 histology diagnosed abnormalities, VIA test could identify 30 abnormalities including two cervical cancers. However, Pap smear could detect only 8 cases of histological abnormalities (2 low grade and 6 had high grade lesion) and it missed all the cervical cancer cases. The sensitivity and specificity of VIA were 88.9% and 52.1%. The positive predictive value (PPV) and negative predictive value (NPV) were 41.0%, and 92.6% respectively. Moreover, the sensitivity, specificity, PPV and NPV of Pap smear were 33.3%, 95.8%, 75.0% and 79.3%, respectively. Conclusions: VIA test should be used as the primary screening tool even with its low sensitivity and specificity in low resource countries like Bangladesh. False positive results may be greater, but overtreatment can be minimized by colposcopy evaluation of the VIA positive women.
Losartan potassium, 2-butyl-4-chloro-1-[p-(o-1H-tetrazol-5-ylphenyl)benzyl]imidazole-5-methanol mono-potassium salt, is a new class of antihypertensive agents, and is an antagonist in angiotensin receptor. The purpose of the present study was to evaluate the bioequivalence of two Losartan potassium tablets, Cozaar tablet (MSD Pharmaceutical Co., Ltd.) and Losata tablet (Kyung Dong Pharmaceutical Co., Ltd.), according to the guidelines of the Korea Food and Drug Administration (KFDA). The release of losartan from the two losartan potassium formulations in vitro was tested using KP VIII Apparatus II method with various dissolution media. Twenty eight healthy male subjects, $23.86{\pm}1.80$ years in age and $67.27{\pm}6.60\;kg$ in body weight, were divided into two groups and a randomized $2{\times}2$ cross-over study was employed. After a single tablet containing 50 mg as losartan potassium was orally administered, blood samples were taken at predetermined time intervals, and the concentrations of losartan in serum were determined using HPLC with fluorescence detector. The dissolution profiles of two formulations were similar in all tested dissolution media. The pharmacokinetic parameters such as $AUC_t$, $C_{max}$ and $T_{max}$ were calculated, and Equiv Test/K-BE Test 2002 was utilized for the statistical analysis of the parameters using logarithmically transformed $AUC_t$, $C_{max}$ and untransformed $T_{max}$. The results showed that the differences between two formulations based on the reference drug, Cozaar, were -2.70%, 1.45% and 2.31% for $AUC_t$, $C_{max}$ and $T_{max}$, respectively. There were no sequence effects between two formulations in these parameters. The 90% confidence intervals using logarithmically transformed data were within the acceptance range of log 0.8 to log 1.25 (e.g., log 0.8852~log 1.0655 and log 0.8319~log 1.2342 for $AUC_t$ and $C_{max}$, respectively). Thus, the criteria of the KFDA bioequivalence guideline were satisfied, indicating Losata tablet was bioequivalent to Cozaar tablet.
Design-talent donation is a new form of social contribution activities using designers' professional skill and experience. The purpose of this study is to demonstrate which causes affect the inclination to participate in design-talent donation, taking into account that the research compared prospective designers and professional designers. When it comes to research method, this study classified the capabilities of designers with professional designers and prospective designer as potential talent donation provider. The research executed questionnaires of each factors and collected data were verified by using t-test analysis. Through the survey analysis to determine the factors affecting each group validated statistical difference between the two groups. The results showed that there is a significant difference in the impact factors between professional designers and prospective designers who involve in design-talent donation. The type of compensation could be expected to know that there is no significant correlation between the two groups. The meanings of this study are value addition criteria for the design output that provided from design talent donation should be clarified and ultimately is expected to specify the design talents donations range to meet the needs of designers as potential talent donation provider.
Ideas do not become exhausted, and there are no diminishing returns in the creation of knowledge. Nonetheless, growth ultimately ceases in this simplest model of endogeneous innovation. The reasons are similar to those that are discussed in the context of the neoclassical model of capital accumulation. Even if the resource cost of creating new goods does not rise, the economic return to invention may decline as the number of available products increases. When the rate of return to R&D falls to the level of the discount rate, private agents cease to be willing to defer consumption in order to invest in product development. But, if we treat knowledge capital as a public capital considering of its non-appropriable benefits, economic growth can be sustained in the economy. Romer(1986) has pointed out that growth might be sustainable if the accumulation of knowledge is not subject to long-run diminishing returns. Actually Romer assumed diminishing returns in the production of private knowledge from available resources, but increasing returns in the production of output from labor and total (public and private) knowledge. His condition for the sustainability of long-run growth amounts to an assumption that the diminishing returns in the former activity do not outweigh the increasing returns in the latter. The Johansen(1988) cointegration test method is used for finding long-run equilibrium relationship between R&D input and the product innovation. Test results indicate the existence of cointegrating equation between each pair of regression variables including dependent variable in the knowledge production function. And, the signs of cointegrating vectors are well accord to the prediction of sustainable growth. In the empirical analysis, from all cases of the form for the knowledge production function, we could not reject the null hypothesis that R&D spillover effect is significant($H_{0}:\;{\gamma}=1$). In summary, we showed that considering goodness of fit of regression model, we can see that the empirical evidence is strongly in favor of the character of knowledge as the public knowledge capital. So, we can expect that by product innovation, economic growth can be sustained in the Korean economy.
Purpose: Maximizing human comfort in design of medical environments depends immensely on specialized architects particularly critical care design; the study proposes Evidence-Based Design as an apparent analog to Evidence-Based Medicine. Healthcare facility designs are substantially based on the findings of study in an effort to design environments that augment care by improving patient safety and being therapeutic. On SPSS (Statistical Package for Social Science) t-test is applied to simulate two independent variables of PDR (Pre Design-Research) and POE (Post- Occupancy Evaluation). PDR is conducted on relatively new hospital Hallym University Dongtan Sacred Heart Hospital to analyse visibility from researchers' point of view, here the ICU is arranged in I-Shape. POE is applied on Dongguk University Ilsan Hospital to simulate walking on LogWare where two NS are designed based on L- Shape and Seoul St. Mary's Hospital, The Catholic University of Korea where five NS are functional for ICU Intensive Care Unit, Surgical Intensive Care Unit (SICU), Medical Intensive Care Unit (MICU), Critical Care Unit (CCU), Korean Oriental Medical Care Unit which are mostly arranged in U-Shape, and walking pattern is recognized to be in a zigzag path. Method: T-Test is applied on two dependent communication variables: walkability and visibility, with confidence interval of 95%. This study systematically analyses the Nurse Station (NS) typo-morphology, and simulates nurse horizontal circulation, by computing round route visits to patient's bed, then estimating minimum round route on LogWare stop sequence software. The visual connectivity is measured on depth map graphs. Hence the aim is to reduce staff stress and fatigue for better patients care by minimizing staff horizontal travel time and to facilitate nurse walk path and support space distribution by increasing effectiveness in delivering care. Result: Applying visibility graph and isovist field on space syntax on I- Shape, L- Shape and U- Shape ICU (SICU, MICU and CCU) configuration, I-shape facilitated 20% more patients in linear view as they stir to rise from their beds from nurse station compared to U-shape. In conclusion, it was proved that U-Shape supply minimum walking and maximum visibility; and L shape provides just visibility as the nurse is at pivot. I shape provides panoramic view from the Nurse Station but very rigorous walking.
Memory access errors are frequently occurred in C programs. A number of tools and research works have been trying to detect the errors automatically. However, they have one or more of the following problems: inability to detect all memory errors, changing the memory allocation mechanism, incompatibility with libraries, and excessive performance overhead. In this paper, we suggest a new method to solve these problems, and then present a result of comparison to the previous research works through the experiments. Our approach consists of two phases. First is to transform source code at compile time through inserting instrumentation into the source code. And second is to detect memory errors at run time with a bitmap that maintains information about memory allocation. Our approach has improved the error detection abilities against the binary code analysis based ones by using the source code analysis technique, and enhanced performance in terms of both space and time, too. In addition, our approach has no problem with respect to compatibility with shared libraries as well as does not need to modify memory allocation mechanism.
STATEMENT OF PROBLEM: It is known that an anodic oxidation technique, one of the methods for the implant surface treatment, remarkably increased surface area, enhanced wettability and accelerated the initial bone healing. Purpose: This study was performed to evaluate the wettability of anodized titanium surface which has a nanotubular structure, to assess osseointegration after the placement of implant with nano-size tubes on tibia of rats and to analyze quantitatively transferable rhBMP-2 on each surface. MATERIAL AND METHOD: Four different kinds of surface-treated titanium discs (polished (machined surface) group, micro (blasting surface) group, nano (anodizedmachined surface) group, and nano-micro (anodized-blasting surface) group) were fabricated (n=10). Three different media were chosen to measure the surface contact angles; distilled water, plasma and rhBMP-2 solution. After a single drop (0.025 $m{\ell}$) of solution, the picture was taken with the image camera, and contact angle was measured by using image analysis system. For the test of osseointegration, 2 kinds of anodized surface (anodized-machined surface, anodized-blasting surface) implants having 2.0 mm in diameter and 5.0 mm in length inserted into the tibia of Wistar rats. After 3 weeks, tibia were harvested and the specimens were stained with hematoxylin and eosin for histological analysis. To test the possibility of drug delivery, after soaking sample groups in the concentration of 250 ng/$m{\ell}$l of rhBMP-2 for 48 hours, the excess solution of rhBMP-2 were removed. After that, they were lyophilized for 24 hours, and then the rhBMP-2 on the surface of titanium was resolved for 72 hours in PBS. All the extracted solution was analyzed by ELISA. One-way analysis of variance (ANOVA) was performed on the data. RESULTS: The wettability is improved by anodic oxidation. The best wettability was shown on the nano-micro group, and it was followed by nano group, micro group, and polished group. In the histological findings, all implants showed good healing and the new bone formation were observed along the implant surface. After 3 days, nano-micro group delivered the most amount of rhBMP-2, followed by nano group, micro group, and polished group. CONCLUSION: It indicated that anodic oxidation on blasting surface produce functionally graded nano-micro porous structure and enhance hydrophilicity of the surface and osseointegration. The findings suggest that the nano-micro porous structure could be a useful carrier of osteogenic molecules like rhBMP-2.
Structural instability and damage are caused by frost heave during the winter when atmospheric temperature maintains below $0^{\circ}C$. Frost heave is the most representative engineering characteristics of frozen ground and there are various frost susceptibility criteria. Frost susceptibility criteria can be roughly divided into three categories. First, frost susceptibility is determined from particle size distribution, which is practically useful and many countries are adopting. In this paper, several particle size distributions (PSDs) are applied to the frost susceptibility criteria but PSD seems to be not enough to determine whether soils are frost susceptible. Second, it is judged from laboratory frost heave testing results. Laboratory frost heave tests were performed with newly developed thermal controlled triaxial cell and the reliability of frost susceptibility criteria is evaluated. New testing apparatus and method are suitable to meet the existing frost susceptibility criteria. Third, it is compositive frost susceptibility criteria envelope including the particle size distribution, soil classification, and frost heave test. The compositive frost susceptibility criteria envelope should be supplemented based on additional data on various soil types.
In the conventional load transfer analysis for a steel pipe drilled shaft, it was assumed that the concrete's strain is the same as the measured steel's strain and the elastic modulus of the steel and the concrete calculated by the formular as prescribed by specification is used in the calculation of pile axial load. But, the pile axial load calculation by conventional method differed to some extent from the actual pile load. So, the behavior of a steel pipe drilled shaft could not be analyzed exactly. Thus, the necessity to measure the strain for each pile component was proposed. In this study, a new approach for load transfer measurement of large diameter drilled shafts was suggested ; the strain of each pile component(i. e., steel and concrete) was measured by DRS(Deformable Rod Sensor), the elastic modulus was determined by the uniaxial compression test for concrete specimens made at test site and a value of elastic modulus was evaluated as average tangential modulus corresponding to the stress level of the (0.2-0.6)$f_{ck}$. Field application was confirmed by the results of load transfer measurement tests for 3 drilled shafts. The errors for calculated pile head load were -11 ∼16% and 3.4% separately.
Proceedings of the Korea Concrete Institute Conference
/
2010.05a
/
pp.39-40
/
2010
The demands for longer span and reduction of story height have greatly increased as building structures become much larger and higher in recent years. Although the development of flexural members for reducing story height or making long span has been studied by many researchers and engineers, there is still a lack of efficient systems that meet these two demands simultaneously. This study aimed at developing a new composite beam system suitable for long span and reduction of story height, and proposed a prestressed composite beam with corrugated web. It has great resistance against non-symmetric construction load due to its strong out-of-plane shear strength with relatively small member height as well as good constructability and economic efficiency by removing/minimizing form work. The corrugated webs also make accordion effect introducing larger effective prestressing force to top and bottom flanges, which causes larger upward camber reducing the member deflection. Five full-scale specimens with key test parameters, which are web sectional shapes and number of drape points, were tested to understand their flexural behavior and to verify the performance of the proposed method. The experimental test results showed that the proposed prestressed composite beam had greater flexural strength and stiffness than the ordinary non-prestressed composite beam.
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