• 제목/요약/키워드: potential years of life loss

검색결과 23건 처리시간 0.029초

Can the Serum Level of Myostatin be Considered as an Informative Factor for Cachexia Prevention in Patients with Medullary Thyroid Cancer?

  • Hedayati, Mehdi;Nozhat, Zahra;Hannani, Masoomeh
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.119-123
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    • 2016
  • Thyroid cancer, the most common endocrine neoplasia, consists of four main types of carcinomas: papillary, follicular, and anaplastic, all with thyroid follicular origin, and medullary thyroid cancer (MTC) related to para-follicular cells. Cronic diseases such as diverse cancers may be associated with cachexia, especially at advanced stage. Cancer-induced cachexia is associated with diminished quality of life, functional performance, reduced response to antitumor therapy, and increased morbidity and mortality. Myostatin (Mst) is one of the outstanding molecules in the skeletal muscle loss process in cancer and it may be released by both skeletal muscle and cachexia-inducing tumors. Recently changes in serum levels of Mst have been identified as an important factor of cancer-induced cachexia. The goal of this study was to assessserum Mst levels in MTC patients. In this descriptive and case-control study, 90 participants were selected, comprising 45 MTC patients (20 males, $29{\pm}13.9years$, 25 females, $29{\pm}14.5years$) and 45 control individuals (25 males, $23.1{\pm}11.6years$, 20 females, $31.5{\pm}14.4years$). Serum Mst was determined using an ELISA kit and body mass index (BMI) was calculated by weight and height measurements. The Kolmogorov Simonov test showed a normal distribution for log transformed Mst serum levels in both case and control groups. Geometric means were 5.9 and 8.2 ng/ml respectively, and a significant difference was found according to the independent t-test results (P<0.01). There was also a significant difference mean of Mst between females in control and MTC groups, but not for the males. Pearson correlation test showed no correlation between age and BMI with Mst serum levels. The findings of this study support the hypothesis that Mst serum levels may have a potential ability for early diagnosis of cachexia in MTC patients, especially in females.

부식 저항성 평가에 따른 균열 콘크리트 보의 부식전위 연구 (A Study on Corrosion Potential of Cracked Concrete Beam According to Corrosion Resistance Assessment)

  • 송하원;이창홍;이근주
    • 한국구조물진단유지관리공학회 논문집
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    • 제13권1호통권53호
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    • pp.97-105
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    • 2009
  • 건설산업에서 혼합콘크리트의 개발 및 사용은 내구성 측면에서의 공극구조개선 및 투수성 감소등의 확장 연구를 통해 나날이 증가하고 있는 실정이다. 한편, 콘크리트내의 균열은 투수성, 염해 침투속도 및 압축강도등을 결정하는 중요한 인자이며, 이는 철근의 부식과도 밀접한 관련을 가지는 것으로 알려져 있다. 더욱이 콘크리트 구조물의 피복두께에 균열이 발생한 경우, 이를 통해 철근 부식이 가속화됨은 주지의 사실이다. 최근에 콘크리트내의 침투를 고려한 균열효과와 관련하여 다수의 연구가 수행되어져 온 것이 사실이며, 그에 따라 내구성을 고려한 균열 혼합콘크리트의 사용수명 평가에 관한 연구도 필요한 것이 사실이다. 본 연구에서는 0.3mm의 균열을 변수로 두고, OPC, 30% PFA, 60% GGBS 및 10% SF의 결합재를 혼입하여 사용한 혼합콘크리트보의 부식평가를 자연 및 인공 환경조건에 맞추어 반전지전위측정시험, 갈바닉전류측정시험, 무게감량법등으로 측정 및 비교분석하였다.

Western dietary pattern is associated with higher risk of lower lean muscle mass in Korean postmenopausal women: data from the Korea National Health and Nutrition Examination Survey 2008-2011

  • Vijayakumar, Aswathy;Kim, Yangha;Kim, Hyesook;Kwon, Oran
    • Nutrition Research and Practice
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    • 제15권4호
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    • pp.528-540
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    • 2021
  • BACKGROUND/OBJECTIVES: In a healthy person, from 35 years of age, there is an annual loss of muscle mass at the rate of 1-2% and is associated with a decline in the quality of life. This study aimed to identify the particular dietary patterns associated with the risk of lower lean muscle mass in Korean postmenopausal women. SUBJECTS/METHODS: The Korea National Health and Nutrition Examination Survey (KNHANES) is a population-based, continuous cross-sectional annual survey. The participants of the KNHANES IV (2008-2009) and V (2010-2011) were considered for this study. The study sample consisted of 1548 postmenopausal women, aged 45-86 years. Lower lean muscle mass was defined as having appendicular skeletal muscle mass corrected for body weight less than 1 standard deviation of the young reference group aged 20 to 39 years in KNHANES IV and V. To identify the dietary pattern using factor analysis, 24-h recall data was used. RESULTS: The prevalence of lower lean muscle mass was 31.3% in this study population. Four dietary patterns were identified by factor analysis; 'Diverse', 'Western', 'Traditional', and 'Snacks and beverages'. The 'Western' pattern, highest factor loadings for flour and bread, potatoes, red meat, processed meat, eggs, and cheese, was significantly associated with a high (60%) risk of lower lean muscle mass (odds ratio [95% confidence interval] = 1.60 [1.07-2.39], P for trend = 0.01) after adjustments for potential covariates. The other 3 dietary patterns were not associated with lower lean muscle mass. CONCLUSIONS: The study findings suggest that the 'Western' dietary pattern that includes flour and bread, potatoes, red meat, processed meat, eggs, and cheese, may be associated with a higher risk of lower lean muscle mass in Korean postmenopausal women.

백화점 화재 발생의 확률적 접근에 의한 심각성의 정량적 예측 (A study with more probability for predicting the quantitative severity of fire occurance in department stores)

  • 구진영;김광열
    • 한국화재소방학회논문지
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    • 제12권1호
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    • pp.15-21
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    • 1998
  • 본 연구에서는 국내의 30년간 발생한 백화점 화재 사고사례를 토대로 그 심각성 예측을 위해 확률적 인 접근을 하였다. 백화점 화재의 년간 발생 건수와 그 피해액 정도를 고려하여 위험 수준을 산정해 보 았다 또한 본 연구에서는 백화점 화재발생 시나리오를 작성해 미국 NIST에서 개발한 FPETOOL 프로그 램을 이용하여 백화점에서의 화재에 대한 심각성을 예측하였다 . FPETOOL 프로그햄 실행 결과로 화재 발생시 인체가 위험해지는 용도, 연기충, 가스 농도의 수준에 도탈하는 시간올 알 수 있었다. 백화점에서 화재가 발생했을 경우 그에 따른 재산피해, 인명피해가 매우 크며, 잠재하는 위험성이 매 우 크므로 미연에 방지해야 한다.

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A 5-year retrospective clinical study of the Dentium implants

  • Lee, Jeong-Yol;Park, Hyo-Jin;Kim, Jong-Eun;Choi, Yong-Geun;Kim, Young-Soo;Huh, Jung-Bo;Shin, Sang-Wan
    • The Journal of Advanced Prosthodontics
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    • 제3권4호
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    • pp.229-235
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    • 2011
  • PURPOSE. The aim of this retrospective study was to evaluate cumulative survival rate (CSR) of Implantium implants followed for 5 years and association between risk factors and the CSR. MATERIALS AND METHODS. A total of two hundred forty-nine Implantium Implants System (Dentium, Seoul, Korea) placed in ninety-five patients from 2004 to 2009 were investigated with several identified risk factors (sex, systemic disease, smoking, alchohol, reason of tooth loss, length, arch (maxilla or mandible), replace tooth type (incisor, canine, premolar or molar) Kennedy classification, prosthodontic type, prosthodontic design, opposite dentition, abutment type, occlusal material, occlusal unit, splint to tooth, cantilever, other surgery). Clinical examination (mobility, percussion, screw loosening, discomfort, etc.) and radiographic examination data were collected from patient records including all problems during follow-up period according to protocols described earlier. Life table analysis was undertaken to examine the CSR. Cox regression method was conducted to assess the association between potential risk factors and overall CSR. RESULTS. Five of 249 implants were failed. Four of these were lost before loading. The 5-year implant cumulative survival rate was 97.37%. Cox regression analysis demonstrated a significant predictive association between overall CSR and systemic disease, smoking, reason of tooth loss, arch, Kennedy classification and prosthodontic design (P<.05). The screw related complication was rare. Two abutment screw fractures were found. Another complications of prosthetic components were porcelain fracture, resin facing fracture and denture fracture (n=19). CONCLUSION. The 5-year CSR of Implantium implants was 97.37 %. Implant survival may be dependent upon systemic disease, smoking reason of tooth loss, arch, Kennedy classification and prosthodontic design (P<.05). The presence of systemic diseases and combination of other surgical procedures may be associated with increased implant failure.

A Safety Evaluation of Moored Ship Motions by Observed Tsunami Profile

  • Cho, Ik-Soon;Kubo, Masayoshi;Kong, Gil-Young;Lee, Yun-Sok;Lee, Choong-Ro
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2006년도 International Symposium on GPS/GNSS Vol.1
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    • pp.47-52
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    • 2006
  • Recent warnings indicate that there is a potential risk of massive earthquake in Japan within 30 years. These earthquakes could produce large-scale tsunamis. Tsunamis are very powerful and can be traveled thousands of miles and caused damage in many countries. Consideration of the effect of tsunami to the moored ship is very important because it brings the loss of life and vast property damage. In this paper, the numerical simulation procedure to analyze the motions of a moored ship due to the observed waves of tsunami, Tokachi-off earthquake tsunami profile in northern Pacific coasts of Japan on September 26 in 2003. And the effects on the motions and mooring loads are investigated by numerical simulation. Numerical simulations consist of hydrodynamic analyses in a frequency domain and ship motion analyses in a time domain as the motions of moored ships are examined. As the process begins, the hydrodynamic and waveexciting forces for moored ships must be calculated. Ship motions and mooring forces can then be calculated by solving the equations of motion. In order to investigate the safety evaluation on the motions of moored ship by tsunami attack, we applied a numerical simulation procedure to a 135,000m3 LNG carrier moored at an offshore sea berth.

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Evaluation of Evacuation Safety in University Libraries Based on Pathfinder

  • Zechen Zhang;Jaewook Lee;Hasung Kong
    • International Journal of Internet, Broadcasting and Communication
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    • 제16권2호
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    • pp.237-246
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    • 2024
  • In recent years, the frequent occurrence of fire accidents in university libraries has posed significant threats to the safety of students' lives and property, alongside negative social impacts. Accurately analyzing the factors affecting evacuation during library fires and proposing optimized measures for safe evacuation is thus crucial. This paper utilizes a specific university library as a case study, simulating fire evacuation scenarios using the Pathfinder software, to assess and validate evacuation strategies and propose relevant optimizations. Pathfinder, developed by Thunderhead Engineering in the United States, is an intuitive and straightforward personnel emergency evacuation assessment system, offering advanced visualization interfaces and 3D animation effects. This study aims to construct evacuation models and perform simulation analysis for the selected university library using Pathfinder. The library's structural layout, people flow characteristics, and the nature of fire and smoke spread are considered in the analysis. Additionally, evacuation scenarios involving different fire outbreak locations and the status of emergency exits are examined. The findings underscore the importance of effective evacuation in fire situations, highlighting how environmental conditions, individual characteristics, and behavioral patterns significantly influence evacuation efficiency. Through these investigations, the study enhances understanding and optimization of evacuation strategies in fire scenarios, thereby improving safety and efficiency. The research not only provides concrete and practical guidelines for building design, management, and emergency response planning in libraries but also offers valuable insights for the design and management of effective evacuation systems in buildings, crucial for ensuring occupant safety and minimizing loss of life in potential hazard situations

Analysis of University Cafeteria Safety Based on Pathfinder Simulation

  • Zechen Zhang;Jaewook Lee;Hasung Kong
    • International Journal of Internet, Broadcasting and Communication
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    • 제16권2호
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    • pp.209-217
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    • 2024
  • Recent years have seen a notable increase in fire incidents in university cafeterias, yet the social attention to these occurrences remains limited. Despite quick responses to these incidents preventing loss of life, the need for large-scale evacuation in such high foot traffic areas can cause significant disruptions, economic losses, and panic among students. The potential for stampedes and unpredictable damage during inadequate evacuations underscores the importance of fire safety and evacuation research in these settings. Previous studies have explored evacuation models in various university environments, emphasizing the influence of environmental conditions, personal characteristics, and behavioral patterns on evacuation efficiency. However, research specifically focusing on university cafeterias is scarce. This paper addresses this gap by employing Pathfinder software to analyze fire spread and evacuation safety in a university cafeteria. Pathfinder, an advanced emergency evacuation assessment system, offers realistic 3D simulations, crucial for intuitive and scientific evacuation analysis. The studied cafeteria, encompassing three floors and various functional areas, often exceeds a capacity of 1500 people, primarily students, during peak times. The study includes constructing a model of the cafeteria in Pathfinder and analyzing evacuation scenarios under different fire outbreak conditions on each floor. The paper sets standard safe evacuation criteria (ASET > RSET) and formulates three distinct evacuation scenarios, considering different fire outbreak locations and initial evacuation times on each floor. The simulation results reveal the impact of the fire's location and the evacuation preparation time on the overall evacuation process, highlighting that fires on higher floors or longer evacuation preparation times tend to reduce overall evacuation time.In conclusion, the study emphasizes a multifaceted approach to improve evacuation safety and efficiency in educational settings. Recommendations include expanding staircase widths, optimizing evacuation routes, conducting regular drills, strengthening command during evacuations, and upgrading emergency facilities. The use of information and communication technology for managing emergencies is also suggested. These measures collectively form a comprehensive framework for ensuring safety in educational institutions during fire emergencies.

토지 및 건축물특성에 따른 정비사업 추진 분석 - 부산광역시 사례를 중심으로 - (Analysis of the Implementation of the Residential Improvement Project Considering Land and Building Characteristics - The Case of Busan Metropolitan City)

  • 장진혁;문재순;최열
    • 대한토목학회논문집
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    • 제38권2호
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    • pp.337-347
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    • 2018
  • 정부는 노후불량주거지에 대한 개선책으로 "도시 및 주거환경정비법"을 통한 주거지정비사업을 시행하고 있다. 하지만, 최근 경제성장 하락을 포함한 다양한 요소가 복합적으로 작용하여 정비사업 추진은 난항을 겪고 있다. 정비사업의 추진실적이 저조함에 따라, 그 원인을 규명하여 사업의 추진성을 향상시키고자 다양한 연구가 진행되어 왔다. 이러한 연구의 동향에서, 본 연구는 부산시를 대상으로 토지 및 건축물특성에 따른 정비사업 추진 분석을 진행하였다. 분석 간 종속변수는 "도시 및 주거환경정비법"에서 명시하는 바와 같이, 추진단계를 종합적 단계적으로 구성하였다. 그리고 정비(예정)구역 지정 시 기준이 되는 토지 및 건축물특성을 독립변수로 설정하였다. 순서형로짓모형을 통해 이를 분석하였으며, 지형적 여건, 조합원 수와 관련된 요인, 분양가에 영향을 미치는 요인, 입지적 여건이 사업 추진에 유의미한 영향을 미치는 것으로 추정되었다. 분석결과를 종합하면, 다수의 요인이 사업의 경제성과 연관되어있음을 알 수 있다. 노후불량주거지에 대한 도시계획사업의 일환으로 진행되는 주거지정비사업은 공공성이 요구되는 사업인 만큼, 단순 사업의 경제성과 연관된 요인에 편중되기보다 해당 정비구역의 주거환경을 고려하여 정비 시급성에 의한 사업추진이 필요해 보인다. 이에 따라, 신속하고 합리적인 사업 추진을 당부하는 바이며, 사업추진 지연에 따른 행정적 경제적 손실 등을 미연에 방지해야 할 것이다.

성인 급성 A형 간염 환자들의 임상 양상 (Clinical Characteristics of Adult Patients with Acute Hepatitis A)

  • 은종렬;이헌주;김태년;장병익;문희정
    • Journal of Yeungnam Medical Science
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    • 제24권2호
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    • pp.170-178
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    • 2007
  • 성인에서 항체 보유율이 급감하는 것에 비례하여 급성 A형 간염 환자는 증가하고 있다. 대구지역에서의 급성 A형 간염의 역학과 임상 양상에 관한 자료를 얻고자 하였다. 1998년 1월부터 2007년 6월까지 영남대학교병원에 급성 간염으로 입원하여 IgM anti-HAV 양성으로 급성 A형 간염이 확진된 55명의 환자들(남/녀 34/21)의 의무기록을 후향적으로 검토하였다. 평균 연령은 $29.7{\pm}10.3$세(범위 17~65세)였고, 20대와 30대에 78.2%가 발생하였다. 만성 B형 간염이 4명 (7.3%)에서 동반되어 있었으나, 모두 비증식상태로 임상경과는 양호하였다. 1998년부터 2002년 사이에 9.1%가 발생한 데 반해 2003년부터 2007년 6월까지 90.1%가 발생하였고, 계절적으로는 3~6월 사이에 31명 (56.1%)으로 가장 많이 발생하였다. 여행력이 있는 7명(12.7%)을 제외하고는 감염원을 추정하기가 힘들었다. 임상증상은 식욕부진과 오심, 구토38예(69.1%), 열/오한 27명(49.1%), 전신근육통 26명(47.3%), 체중감소 26명(47.3%), 피로감 22명(40.0%), 복통이 20예(36.4%), 설사 5명(9.1%), 소양감 3명(5.5%) 등이었다. 54명은 합병증 없이 자연회복되었으나 1명은 전격성 간염이 발생하여 간이식을 받고 회복되었다. 평균 재원일은 $8.6{\pm}3.4$일(범위 3~20일)이었다. 성인에서의 급성 A형 간염은 입원으로 인한 사회, 경제적 비용이 적지 않고 때로는 치명적인 결과를 초래할 수도 있으므로 능동면역을 받지 않은 30대 이전의 젊은 연령에서는 항체의 확인과 함께 능동면역을 고려해야 할 것으로 생각한다.

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