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Hypoalbuminemia as a Predictor of 30-day Mortality in Patients with Acute Organophosphate Insecticide Poisoning (유기인계 살충제 중독환자에서 30일 사망률에 대한 예후 예측인자로서의 저알부민혈증의 유용성)

  • Kim, So Yeon;Lee, Ryun Kyung;Kim, Tae hu;Kim, Dong Hoon;Kim, Taeyun;Lee, Soo Hoon;Jeong, Jin Hee;Lee, Sang Bong;Kang, Changwoo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.15 no.1
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    • pp.11-16
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    • 2017
  • Purpose: The association of hypoalbuminemia with 30-day in-hospital mortality in patients with organophosphate insecticide poisoning (OPI) was studied. Methods: This retrospective cohort study was conducted between January 2006 and November 2013 in the emergency department (ED) after OPI poisoning. A Kaplan-Meier 30-day survival curve and the log-rank test were used to analyze patients stratified according to serum albumin levels on ED admission (hypoalbuminemia or normo-albuminemia). Independent risk factors including hypoalbuminemia for 30-day mortality were determined by multivariate Cox regression analysis. Results: A total of 135 patients were included. Eighty-eight (65%) patients were male and the mean age was $57.3{\pm}17.0$ years. Serum albumin, mean arterial pressure, and Glasgow coma scale score were significantly higher in the survival group than the non-survival group. APACHE II score was significantly lower in the non-survival group than the survival group. The mortality of the hypoalbuminemia group (serum albumin <3.5 g/dl) was 68.8%, while that of the normo-albuminemia group (serum albumin ${\geq}3.5g/dl$) was 15.1%. The area under the ROC curve of the serum albumin level was 0.786 (95% CI, 0.690-0.881) and the APACHE II score was 0.840 (95% CI, 0.770-0.910). Conclusion: Hypoalbuminemia is associated with 30-day mortality in patients with OPI poisoning.

The Investigation of Risk Factors Impacting Breast Cancer in Guilan Province

  • Joukar, Farahnaz;Ahmadnia, Zahra;Atrkar-Roushan, Zahra;Hasavari, Farideh;Rahimi, Abbas
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.10
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    • pp.4623-4629
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    • 2016
  • Introduction: Breast cancer is multifactorial therefore more recognition of risk factors is important in its prevention. Objective: This study was conducted in order to determine the factors influencing breast cancer in women referred to health centers in Guilan province in 2015-2016. Method: In a case- control study, 225 women with breast cancer were investigated. The control group consisted of 225 healthy women of the relatives (third-rank) whose phone numbers were obtained from the patients. Data were collected through telephone interviews. Results: The risk of breast cancer raised in women who have a family history of other cancers (OR= 3.5; 95% CI= 1.96-6.6), exposure to X-Ray (OR= 2.5; 95% CI=1.1-5.5), having more than 4 children (OR= 2.695% CI=1.2-4.8), age more than 36 years at first pregnancy(OR=2.3; 95% CI=0.7-5.1),primary levelof education (OR= 5.4;95% CI=2.8-11.2) and inadequate intake of fruit (OR=1.5; 95% CI=1-2.2). Also, presence of the following factors reduced breast cancer risk: regular menstruation (OR= 0.66; CI=0.4-0.9), duration of breastfeeding more than 12 months, less than 6 months and 7-12 months (OR=0.23; 95% CI=0.09-0.59, OR=0.29; 95% CI=0.17-0.49 and OR=0.03; 95% CI=0.01-0.08) and parity (OR=0.4; 95% CI=0.27-0.83) In multiple linear regression analysis of higher education (OR=0.16; 95% CI=0.03-0.77), using contraceptives for more than 16 years (OR=2.3; 95% CI=1.4-3.9), family history of other cancers (OR=6.1; 95% CI=1.9-19.3) and a history of X-Ray exposure (OR=4.4; 95% CI=1.07-18.1) were considered as predictive factors. Conclusion: The results of this study emphasize the importance of informing women about breast cancer risk factors. So, identification of these risk factors is required as important means of prevention and treatment of breast cancer.

Reliability of static balance abilities measure using a smartphone's acceleration sensor (스마트폰의 가속도 센서를 이용한 정적균형능력 측정의 신뢰도 연구)

  • Han, Seul-Ki;Lee, In-Hak;Park, Nu-Ri
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.233-238
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    • 2016
  • The purpose of this study is to investigate the reliability of static balance measurements using a smartphone. Thirty subjects were selected among university students who had no fractures, history of operation, or inflammatory arthritis, and they had not started regular exercise during the past three months. The smartphone used in this study was a Galaxy S5LTE (SM-G900F, Samsung, Korea, 2014), and the application was a Sensor Kinetics Pro (Ver. 2.1.2, INNOVENTIONS Inc., US, 2015). Static balance ability was measured three times at one-day intervals between tests and retests. The first and second measurements used the same process. Analysis was done using the Wilcoxon signed rank test and intraclass correlation coefficient (ICC (2,1)). The results were as follows. With eyes opened, there was no significant difference (p>0.05), a high volume of correlation (r>0.75, p<0.05), and very high reliability (ICC>0.80) between the first measurement and second measurement. With eyes closed, there was also no significant difference (p>0.05), a high volume of correlation (r>0.75, p<0.05), and very high reliability (ICC>0.80) between the measurements. The results show that the smartphone is likely accurate for measuring static balance. This study will look forward to being the only basis for measuring future application development and the ability to balance.

Analysis of the Effects of Behavioral Factors on the Seafarers' Career Path (해기직업 경로상의 행동요인 영향 분석)

  • Kim, Young-Mo;Jun, Sang-Yup;Hwang, Byeong-Ho;Kang, In-Chul;Jeong, Hae-Jong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.15 no.4
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    • pp.369-374
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    • 2009
  • It is difficult to improve maritime safety in the aspect of human elements without seafarers' job satisfaction. Therefore, through the career development for seafarers from their entries into the job to their retirements, longer and more stable seafarers' life on board ship could be achieved together with maritime safety. This study aims at the establishment of seafarers' career path model and the verification of six hypotheses by using the questionnaire data of 2,830 respondents of students, slip officers and shore-based ex-seafarers. The results of analyses of behavior factors on the career path are as follows; first, it is important to improve educational environment and to provide seafarers with detailed information on seafarer's life; second, economic factors such as income-level and etc. do not play a role in promoting motivation of going to sea; third, the guidance to shore jobs at proper time increases seafarers' job satisfaction and induces longer stay at sea; last, it is necessary to simplify the licence system for seafarers, to allow seafarers to acquire higher class certificates, and to work at higher rank on board ships as early as possible.

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The Comparative Study on Effect of Body Acupuncture and 8 Constitution Acupuncture in Acute Stage Lumbago - For Patients Checked up the Pancreotonia - (급성기 요통에 대한 체침(體鍼) 팔체질침(八體質鍼)의 치료 효과에 관한 비교 연구 - 토양체질(土陽體質)로 판정된 환자를 대상으로 -)

  • Lee, Yun-Kyu;Park, Seo-Young;Jeon, Hyeon-Jeong;Kim, Sung-Hwan;Kim, Jee-Hyun;Lee, Se-Min;Kim, Jae-Su;Lee, Kyung-Min;Lee, Bong-Hyo;Jung, Tae-Young;Lim, Seong-Chul
    • Journal of Acupuncture Research
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    • v.26 no.2
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    • pp.181-188
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    • 2009
  • Objectives : This study was designed to evaluate comparative effects of body acupuncture and 8 constitution acupuncture on acute stage lumbago. Methods : 50 patients checked up the Pancreotonia with acute stage lumbago were randomly divided into 2 groups. One group(Control group) took body acupuncture therapy, and the other group(Test group) took 8 constitution acupuncture therapy. Visual analogue scale(VAS), lumbar flexion and extension were checked before and after acupuncture therapy for evaluating the improvement of lumbago. Wilcoxon signed rank test and Mann-Whitney U test of SPSS 15.0 for windows program were used for a statistical analysis. Results : Both body acupuncture therapy and 8 constitution acupuncture therapy showed good effect on acute stage lumbago. And test group showed better effect on decreasing of VAS and improving of lumbar flexion and extension than control group. There was only statistically significant difference between two groups in improving of lumbar flexion, while, decreasing of VAS and improving of lumbar extension were not significant statistically. Conclusions : 8 constitution acupuncture therapy can be recommended as a useful therapy to treat patients checked up the Pancreotonia with acute stage lumbago. Futher study is needed to confirm the effectiveness of 8 constitution acupuncture.

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A Study of the Health Interests of Women's College Students in Inchun and Ansan (여성 건강교육을 위한 건강흥미 조사연구 - 일부 여자 대학생을 중심으로 -)

  • Yang Soon Ok;Kim Jin Hyang
    • Journal of Korean Public Health Nursing
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    • v.11 no.1
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    • pp.51-65
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    • 1997
  • The purpose of this study was to make a comparative analysis of nursing students interest in health matters concerning themselves and compare it to non-nursing students. The results were to be categorized and used as health content recommendation when organizing health curriculum and planning health education programmes. The instruments used this study were 'The Health Inventory and The Health Need Inventory introduced to 80 items from 125 items by Lee in Korea(1980). There was a very high correlation between the 125 items and condensed 80 items (r=0.9508, t=11.0643. p<.001). The convenience sample was chosen from 226 nursing students and 204 non-nursing students in the departments of humanities of college in Inchun and Ansan from March 4 to April 5. 1996. Data were analyzed by the SAS computer Program. The results are as follow: When comparing health interest of nursing student group with non-nursing student group, total group mean of nursing students was significantly higher than that of non-nursing students (t=2.977 p<.01). But the rank order of the nursing student group was similar to that of the non-nursing group. and what nursing student felt interested was coincident with what non-nursing students felt as being necessary. The most interested health area between nursing student and non-nursing students were ${\ulcorner$personal hygiene & grooming${\lrcorner}$ ${\ulcorner$weight control${\lrcorner}$, ${\ulcorner$sex education${\lrcorner}$ ${\ulcorner$mental health${\lrcorner}$. On the other hand the least interested health areas were. ${\ulcorner$smoking and health${\lrcorner}$ ${\ulcorner$alcohol and health${\lrcorner}$, ${\ulcorner$drug and narcotics${\lrcorner}$ In non -nursing students but in nursing students ${\ulcorner$structure and function of body${\lrcorner}$, ${\ulcorner$dental health${\lrcorner}$ ${\ulcorner$safety${\lrcorner}$. Comparing students health interest by major In college, total group mean of nursing students is significantly higher than that of non-nursing students in 14 health areas including ${\ulcorner$community health${\lrcorner}$, ${\ulcorner$control and prevention disease${\lrcorner}$ ${\ulcorner$consumer health${\lrcorner}$ ${\ulcorner$family health${\lrcorner}$ ${\ulcorner$mental health${\lrcorner}$ ${\ulcorner$personal hygiene and grooming${\lrcorner}$ ${\ulcorner$safety${\lrcorner}$ ${\ulcorner$structure and function of body${\lrcorner}$, ${\ulcorner$sex education${\lrcorner}$ ${\ulcorner$alcohol and health ${\lrcorner}$ ${\ulcorner$ drug and narcotics${\lrcorner}$ and ${\ulcorner$smoking and health${\lrcorner}$ The following recommendations could be made considering the above mentioned factors: 1. The priority of health content should reflect the items to the highest interest area of students and highest need area of adults. 2. The health items which were significantly different in the area of health interest, by major, should be used in planning health education programmes and organizing health curricula.

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Comparison of healing pattern with or without bone graft after odontogenic cyst enucleation (악골에서 발생한 치성 낭종제거 후 골이식 여부에 따른 치유속도와 양상 비교)

  • Baek, Chae-Hwan;Park, Joon-Hyung;Kim, Gun-Jong;Hong, Jong-Rak;Kim, Chang-Soo;Paeng, Jun-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.6
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    • pp.515-519
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    • 2010
  • Introduction: Bone defects in the jaw are frequently observed after odontogenic cyst enucleation. The success of bone healing appears to be related to the size of the bone defect, the anatomical location, the patient's age and other parameters. The use of bone grafting material is dependent on the operator's preference. No evidence-based definite treatment protocol has been established. This study evaluated the effect of a bone graft into the defect after odontogenic cyst enucleation. Materials and Methods: A total of 55 patients, who had been treated for an odontogenic cyst with cyst enucleation from 2000 to 2009 at the department of Oral and Maxillofacial Surgery, Samsung Medical Center, were included in this study. Patients who were followed-up for more than 1 year were included. Two groups were defined according to the bone graft (with or without a bone graft) after cyst enucleation. The differences in the healing periods and patterns of bone healing were compared clinically and radiologically. The postoperative 1 year radiographs were analyzed for bone healing and density. Statistical analysis was performed using a Pearson chi square test and Wilcoxon rank-sum test. Results: More infection signs were observed in the bone graft group than in the other group, but there was no statistically significant difference. Radiographically, there was also no significant difference in the size of the radiolucent lesions between the two groups. Conclusion: There was no significant difference in healing between the groups with a bone graft and without bone graft after cyst enucleation.

The correlation of bone probing, radiographic and histometric measurements (골탐침과 방사선학적 및 조직학적 계측의 상관관계)

  • Hwang, Sung-Joon;Kim, Chang-Sung;Lee, Doug-Youn;Lee, Yong-Keun;Cho, Kyoo-Sung;Chai, Jung-Kiu;Kim, Chong-Kwan;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.33 no.4
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    • pp.615-624
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    • 2003
  • The most accurate method to assess bone level is the histometric measurement. However it causes discomfort in patients and damage to the regenerated tissues. in the present study, we used 4 type regenerative therapies, The present study evaluated the clinical reliability and accuracy of bone probing measurements and radiographic bone level in the assessment of bone level by comparing those results with histometric confirmed bone level. Twentyfour(24) intrabony defects(4${\times}$4mm 1-wall intrabony defects) were surgically created in the mandibular second and fourth premolars of 6 beagle dogs. The control group underwent a conventional flap operation. Experimental group I was treated with calcium phosphate glass only, and while experimental group 2 was treated with GTR and experimental group 3 was treated with calcium phosphate glass and GTR. The subjects were sacrificed 8 weeks after the operation and a bone probing measurements, radiographic measurement and histometric measurement was performed. The correlation between bone probing measurements(BP) and histometric measurement(HL), and radiographic measurement(RL) and histometric measurement(HL) were analyzed with Spearman's rank correlation analysis and the statistical significance with respect to the type of regenerative therapies was analyzed with the Kruskal Wallis test. The coefficient of correlation to HL was 0.73 for RL and 0.90 for BP. The type of regenerative therapies had no significant effect on the difference between HL and other measurements. The results of this study suggests that bone probing measurements most closely represents actual bone level. So bone probing measurements may be a good clinical method for assessing the hone level following any type of periodontal regenerative therapies.

Retrospective long-term analysis of bone level changes after horizontal alveolar crest reconstruction with autologous bone grafts harvested from the posterior region of the mandible

  • Voss, Jan Oliver;Dieke, Tobias;Doll, Christian;Sachse, Claudia;Nelson, Katja;Raguse, Jan-Dirk;Nahles, Susanne
    • Journal of Periodontal and Implant Science
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    • v.46 no.2
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    • pp.72-83
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    • 2016
  • Purpose: The goal of this study was to evaluate the long-term success of horizontal alveolar crest augmentation of the retromolar region of the mandible with particulated bone, as well as factors affecting subsequent peri-implant bone loss. Methods: A total of 109 patients (68 female, 41 male) suffering from alveolar ridge deficiencies of the maxilla and mandible were included in this study. All patients were treated with particulated retromolar bone grafts from the mandible prior to the insertion of endosseous dental implants. Mesial and distal peri-implant crestal bone changes were assessed at six time points. Several parameters, including implant survival and the influence of age, gender, localisation of the implant, diameter, covering procedures, and time points of implant placement, were analysed to identify associations with bone level changes using the Mann-Whitney U-test, the Kruskal-Wallis test, and Spearman's rank-order correlation coefficient. Results: A total of 164 dental implants were placed in the maxilla (n=97) and in the mandible (n=67). The mean observation period was $105.26{\pm}21.58$ months after implantation. The overall survival rate was 97.6% after 10 years. Overall, peri-implant bone loss was highest during the first year, but decreased over time. The mean amount of bone loss after 10 years was 2.47 mm mesially and 2.50 mm distally. Bone loss was significantly influenced by implant type and primary stability. Conclusions: The use of particulated autologous retromolar bone grafts is a reliable technique for the horizontal reconstruction of local alveolar ridge deficiencies. Our results demonstrate that implants placed in augmented bone demonstrated similar bone level changes compared to implants inserted in non-augmented regions.

Analysis on the Area by Forest Function and the Reflection of Ecosystem Service Concepts in Korea's National Forest Management Plans (최근 국유림경영계획에서 산림기능별 면적구분과 생태계서비스 개념의 반영에 관한 분석)

  • Ko, Kiyeon;Choi, Jaeyong
    • Journal of Korean Society of Forest Science
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    • v.109 no.2
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    • pp.211-222
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    • 2020
  • This study tried to find out whether there is a change over time in the functional classification of forests in relation to human demand for forests. The level in which the concept of ecosystem services has been considered in national forest management plans was also examined. A total of 98 current and previous national forest management plans were available for this study. The composition ratios of the six functions of forests in both the current and previous national forest management plans were surveyed. We used a parametric t-test when the mean values of two (current and previous) groups were normally distributed and used nonparametric Wilcoxon code rank test when the assumption of normality was not met. Timber production forests were shown to follow a normal distribution, while five others, including water regeneration forests, disaster prevention forests, natural environment conservation forests, recreation forests, and living environment conservation forests were not shown to follow a normal distribution. Timber production forests and natural environment forests showed significant changes in the proportion of forest area between previous and current forest management plans. The concept of 'ecosystem services' began to actively appear in the 6th Basic Forest Plan, which started in 2018. However, the level of frequency of the ecosystem services mentioned varied by Regional Forest Services.