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Epidemiology of Suicide by Hanging in Fars Province, Iran (2011-2019): A Population-based Cross-sectional Study

  • Leila Moftakhar;Alireza Mirahmadizadeh;Sanaz Amiri;Fariba Rezaei;Habibollah Azarbakhsh
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.3
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    • pp.264-271
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    • 2023
  • Objectives: Hanging is a common method of attempted suicide. This study investigated the epidemiological profile of attempted and completed suicides by hanging in southern Iran. Methods: This cross-sectional study was performed on 1167 suicide attempts by hanging between 2011 and 2019. All data related to suicide attempts by hanging were collected from the Fars Suicide Surveillance System. The trends in suicide cases and the mean age of attempted and completed suicides were plotted. The chi-square test was used to identify suicide-related factors. Crude rates of incidence, mortality, and standardized fatality during the study period were calculated. Finally, logistic regression was used to identify the predictors of death in individuals who attempted suicide. Results: The mean age of those who attempted suicide was 33.21±16.82 years; the majority were male (80.5%). The rate of attempted and completed suicide by hanging were 3.50 and 2.79 per 100 000 people, respectively. The case-fatality rate was calculated as 79.34%. The results of our study indicated an increasing trend in suicide attempts by hanging. The likelihood of death was 2.28 times higher in individuals with a previous history of suicide attempts and 1.85 times higher in those with a psychological disorder. Conclusions: The findings of this study suggest an increasing trend in attempted and completed suicide by hanging, especially among individuals with a history of suicide attempts and psychological disorders. It is necessary to take action to reduce the rate of suicide attempts and identify the underlying causes of suicide attempts by hanging.

Analysis of Needs for Clinical Dental Hygienist's Performances Using Borich Needs Assessment and the Locus for Focus Model

  • Yang-Keum Han;An-Na Yeo
    • Journal of dental hygiene science
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    • v.23 no.1
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    • pp.1-12
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    • 2023
  • Background: This study aimed to identify the present level and needs of clinical dental hygienists and to present the Borich needs assessment and the locus for focus model as integrated priorities. Methods: The participants of this study were dental hygienists working in dental clinics (hospitals). The final data of the 194 participants were analyzed using frequency analysis and a paired sample t-test. To analyze the need for clinical dental hygienists to perform work, the Borich priority determination formula was used. The x-y plane consisting of four quadrants was used to analyze the need using the locus for focus model, which helps to determine the priority while showing visual effects. Results: "Scaling" was the highest required level for clinical dental hygienists, and "panorama taking" was the highest present level. The priorities of educational needs were systematically and visually derived from dental hygienists who were currently working through the Borich needs assessment and the locus for focus model for each task performed in the clinical field. Through the priorities of these two models, a total of 13 items appeared in the common high-level area; "oral health care (disability)," "oral health care (systemic disease)," "applying a rubber dam," "professional mechanical tooth cleaning," "root planing," "taking vital signs," "medication counseling," "wire cutting," "removing cement after removing band/bracket," "delivering bracket," "preparing mini-screw implantation," "dental insurance claim," and "patient reception." Conclusion: Based on the results, the department of dental hygiene should maintain and improve the standardized clinical practice curriculum and clinical dental hygienists' practical skills and contribute to the realization of the legal scope of dental hygienists, reflecting the requirements of clinical fields.

The Extent of Awareness and Knowledge Regarding Temporomandibular Disorder among Korean College Students

  • Park, Hye Sook
    • Journal of Oral Medicine and Pain
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    • v.47 no.1
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    • pp.38-51
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    • 2022
  • Purpose: The purpose of this study was to analyze the extent of awareness and understanding of college students on temporomandibular disorder (TMD) and to search for avenues for raising public awareness and improving knowledge about TMD. Methods: One thousand and one hundred and twenty one college students in Gyeonggi-do completed a questionnaire related to awareness, experience and knowledge of TMD and collected data were analyzed by Pearson's chi-squared test. Results: Women were more significantly aware of the terms, 'TMD' (p<0.001) and 'jaw joint disease' (p<0.001) than men. Third graders were more significantly aware of the terms, 'TMD' (p<0.001) and 'jaw joint disease' (p<0.001) than any other graders. Third graders the most frequently chose to visit department of dentistry for the treatment of TMD among three graders (p<0.001). Women more frequently chose to visit department of dentistry for the treatment of TMD than men (p<0.001). Health field subjects were more significantly aware of the terms, 'TMD' (p<0.001) and 'jaw joint disease' (p<0.001) than non health field subjects. Having more frequently visited department of dentistry for the treatment of TMD than non health field subjects (p<0.001), health field subjects more frequently chose to visit department of dentistry for the treatment of TMD in the future (p<0.001). Conclusions: The level of awareness and knowledge of TMD was higher in women college students, health field subjects and third graders than men college students, non health field subjects and the rest of two graders, respectively. The higher the level of experience and education of the subject, the more aware the subject was of TMD. Therefore publicity activities and education through various routes are required to raise public awareness and knowledge of TMD. In addition, it is necessary to inform general public of the dentistry specialized for the accurate diagnosis and standardized treatment of TMD.

Definition and application of the human-modified hydrological drought : a case study of Han River basin (인위적 용수관리를 고려한 수문학적 가뭄의 정의 및 적용성 검토 : 한강유역을 중심으로)

  • Shin, Ji Yae;Moon, Jang-won;Kim, Min-ji;Kim, Tae-Woong
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.331-331
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    • 2021
  • 수문학적 가뭄의 판단은 유출량과 저수지 수위 등을 비롯한 다양한 수문자료를 활용하여 가능하다. 가뭄판단을 위한 유량 자료로는 수위관측소 관측 유량, 유출모형을 통한 모의 유량 자료가 주로 활용된다. 최근에는 관측 유량 기반의 수문학적 가뭄 판단은 인위적인 용수 배분이 고려된 것이기 때문에 인간이 만든 수문학적 가뭄(Human-modified hydrological drought, 인위적 수문학적 가뭄)으로, 모의 유량 기반의 수문학적 가뭄 판단은 자연적인 수문과정이 반영된 자연유량을 활용한 것이기 때문에 기후영향 수문학적 가뭄(Climate-induced hydrological drought)이란 정의된다. 우리나라의 경우, 홍수기에 저류된 저수량을 비홍수기 동안, 특히 용수사용량이 많은 봄철 농번기에 활용하는 것이 수자원 관리의 기본방향이다. 따라서 우리가 직면하는 수문학적 가뭄은 대부분 댐 및 저류지에서의 용수 사용량 조절에 따라 영향을 받기 때문에, 기상인자가 직접적인 원인으로 작용되는 가뭄과는 다르다. 본 연구에서는 관측 유량과 자연유량 자료를 활용하여 위에서 정의된 두 종류의 수문학적 가뭄에 대하여 비교하고, 실제 발생되었던 가뭄 피해 정보와의 일치정도를 검토하였다. 가뭄의 판단은 각각의 가뭄지수를 표준유출량지수(Standardized Runoff Index, SRI)에 적용하며, 수정 Mann-Kendall 검증으로 두 지수들의 경향성을 비교하였다. 장기간의 관측 자료를 보유하고 있는 한강유역 일부지역에 적용한 결과 두 종류의 가뭄지수 모두 뚜렷한 경향성은 없으며, 댐 상류지역에서의 두 종류의 가뭄특성은 유사하게 나왔다. 하지만, 댐 하류지역에서는 인위적 수문학적 가뭄이 기후영향 수문학적 가뭄보다 발생빈도는 적으나, 지속기간은 약 한달 정도 짧고, 가뭄심도는 약 5~20 % 정도 증가하는 강도가 센가뭄이 발생되는 경향이 있음이 확인되었다. 이는 인위적인 용수 관리로, 약한 규모의 가뭄은 감소되고 있으나 큰 규모의 가뭄은 그 영향이 더 큰 것으로 예상할 수 있다. 해당 결과를 바탕으로 효율적인 용수 관리에 통하여 약한 가뭄 뿐만 아니라 대형 가뭄을 대비하기 위한 지속적인 노력이 필요함을 확인 할 수 있었다. 장기간의 관측 유량의 자료의 한계로 많은 지역에는 적용이 어려우나 해당 연구를 통하여 국내에서도 수문학적 가뭄의 개념을 재정립하고, 용수 공급 개념을 기반으로 하는 수문학적 가뭄 지수의 개발에 활용 가능할 것이다.

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Push-out bond strength and marginal adaptation of apical plugs with bioactive endodontic cements in simulated immature teeth

  • Maria Aparecida Barbosa de Sa;Eduardo Nunes ;Alberto Nogueira da Gama Antunes ;Manoel Brito Junior ;Martinho Campolina Rebello Horta ;Rodrigo Rodrigues Amaral;Stephen Cohen ;Frank Ferreira Silveira
    • Restorative Dentistry and Endodontics
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    • v.46 no.4
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    • pp.53.1-53.11
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    • 2021
  • Objectives: This study evaluates the bond strength and marginal adaptation of mineral trioxide aggregate (MTA) Repair HP and Biodentine used as apical plugs; MTA was used as reference material for comparison. Materials and Methods: A total of 30 single-rooted teeth with standardized, artificially created open apices were randomly divided into 3 groups (n = 10 per group), according to the material used to form 6-mm-thick apical plugs: group 1 (MTA Repair HP); group 2 (Biodentine); and group 3 (white MTA). Subsequently, the specimens were transversely sectioned to obtain 2 (cervical and apical) 2.5-mm-thick slices per root. Epoxy resin replicas were observed under a scanning electron microscope to measure the gap size at the material/dentin interface (the largest and smaller gaps were recorded for each replica). The bond strength of the investigated materials to dentin was determined using the push-out test. The variable bond strengths and gap sizes were evaluated independently at the apical and cervical root dentin slices. Data were analyzed using descriptive and analytic statistics. Results: The comparison between the groups regarding the variables' bond strengths and gap sizes showed no statistical difference (p > 0.05) except for a single difference in the smallest gap at the cervical root dentin slice, which was higher in group 3 than in group 1 (p < 0.05). Conclusions: The bond strength and marginal adaptation to root canal walls of MTA HP and Biodentine cement were comparable to white MTA.

Interface between calcium silicate cement and adhesive systems according to adhesive families and cement maturation

  • Nelly Pradelle-Plasse;Caroline Mocquot;Katherine Semennikova;Pierre Colon;Brigitte Grosgogeat
    • Restorative Dentistry and Endodontics
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    • v.46 no.1
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    • pp.3.1-3.14
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    • 2021
  • Objectives: This study aimed to evaluate the interface between a calcium silicate cement (CSC), Biodentine and dental adhesives in terms of sealing ability. Materials and Methods: Microleakage test: 160 standardized class II cavities were prepared on 80 extracted human molars. The cavities were filled with Biodentine and then divided into 2 experimental groups according to the time of restoration: composite resin obturation 15 minutes after Biodentine handling (D0); restoration after 7 days (D7). Each group was then divided into 8 subgroups (n = 5) according to the adhesive system used: etch-and-rinse adhesive (Prime & Bond); self-etch adhesive 2 steps (Optibond XTR and Clearfil SE Bond); self-etch adhesive 1 step (Xeno III, G-aenial Bond, and Clearfil Tri-S Bond); and universal used as etch-and-rinse or self-etch (ScotchBond Universal ER or SE). After thermocycling, the teeth were immersed in a silver nitrate solution, stained, longitudinally sectioned, and the Biodentine/adhesive percolation was quantified. Scanning electron microscopic observations: Biodentine/adhesive interfaces were observed. Results: A tendency towards less microleakage was observed when Biodentine was etched (2.47%) and when restorations were done without delay (D0: 4.31%, D7: 6.78%), but this was not significant. The adhesives containing 10-methacryloyloxydecyl dihydrogen phosphate monomer showed the most stable results at both times studied. All Biodentine/adhesive interfaces were homogeneous and regular. Conclusions: The good sealing of the CSC/adhesive interface is not a function of the system adhesive family used or the cement maturation before restoration. Biodentine can be used as a dentine substitute.

A Study of the Effects of Learner Characteristics on the Self-Regulated Learning Ability: A Comparison of Korea and China

  • HONG, Zhao;IM, Yeonwook;LI, Chen
    • Educational Technology International
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    • v.17 no.1
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    • pp.59-85
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    • 2016
  • The purpose of the study is to report differences in the effects of learner characteristics on the self-regulated learning (SRL) abilities between Chinese and Korean distance learners by using a structured SRL scale. A standardized 54-item self-regulated learning scale (SRAS) was used. The reliability was tested both in China and Korea which showed the scale had good reliability. The comparative study were conducted by administering the SRAS on 1999 Chinese distance learners from the Open Distance Education Center of Beijing Normal University and 1941 Korean distance learners from H Cyber University. Data on four dimensions of SRL - planning, control, regulating, and evaluation - were analyzed using 't-test' and 'ANOVA' with regards to the learner characteristics such as gender, age, prior education level, semesters, location and major. Results indicated that the average participant had an above medium level of SRL ability in all of the four dimensions. There were significant differences in the self-regulated learning ability between Chinese and Korean distance learners. Chinese distance learners scored higher in SRAS than Korean distance learners. The effects of learner characteristics on the SRL ability showed different patterns in the two countries. As for gender, male learners scored better in SRL than female learners in China, whereas it was just the opposite in Korea. No age differences were found in China, but Korean data exhibited a consistent age effect in all dimensions. In Korea, the age group older than 46 scored the highest, followed by the group between 35 to 45 years old, the group between 26 to 35 years old and the group younger than 25. As for location, Korean distance students from metropolitan were better than those from other regions, whereas it was on the contrary in China, albeit the location effect was not statistically significant. Prior education level had a clear and consistent effect on the SRL ability in both countries: the distance learners from junior colleges had better planning, regulating and evaluating abilities than those who came from senior high schools. These results have been discussed in various contexts of distance/online education as well as in relation to different culture between China and Korea. The results will also have implications for designing distance and online learning generally.

Evaluation of Suitability of Retroreflective Material Locations by Motion Analysis of the Wearer of Safety Clothing (안전의복 착용자의 동작분석에 의한 재귀반사 소재 위치의 적합성 평가)

  • Soon Ja Park;Satoko Tanabe;Mariko Sato
    • Human Ecology Research
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    • v.61 no.3
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    • pp.493-503
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    • 2023
  • Since ISO 20471 regulations(2013) were enacted, high-visibility clothing made of fluorescent fabric and retroreflective materials has been standardized to distinguish the wearers from the surrounding background in a dark place and to protect them. Accordingly, we made high-visibility safety clothing based on the international standards, and examined the positions of the retro-reflective materials on the attached sites to evaluate the suitability of the positions, by 3 types of safety clothing and the body regions when the wearers work or move. Two retro-reflective films of 5cm-horizontal lines were attached to the front/back of the upper-wear, and the lower-wear. Vertical lines were attached from the shoulder to the horizontal waistline. To analyze the motion in 3-dimension, we took pictured infrared-reflective markers on the retro-reflective film covered with yellow-tape on the front-side when 6 subjects wearing experimental garments performed 6 types of motions. According to the metronome tempo, the motions were performed for 30 seconds and repeated 6 motions ①~⑥ by 3 experimental clothing. Among the 6 motions, significant differences in the appearance rate of the markers by body region during the motions were found in 5 types except for motion ③. Significant differences by the post-hoc test were shown in motions ④ and ⑥ as well. Therefore, for high-visibility safety clothing, it is necessary to anticipate the worker's motion and consider the attaching position of the retro-reflective material. It is considered desirable to attach the retro-reflective materials to several places where the clothing is hard to wrinkle.

Antidiabetic Effect of Standardized Chrysanthemum rubellum Hydroethanolic Extract by Targeting α-Glucosidase and the PTP-1B Signaling Pathway for Alleviating Diabetes in Experimental Model

  • Bichitrananda Tripathy;Nityananda Sahoo;Sudhir Kumar Sahoo
    • Journal of Pharmacopuncture
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    • v.26 no.4
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    • pp.319-326
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    • 2023
  • Objectives: The study's goal was to find out whether Chrysanthemum rubellum extract has anti-diabetic properties by concentrating on α-glucosidase and the PTP-1B signaling pathway. C. rubellum flowers were used for extraction using Methanol/water (80/20) as solvent. Methods: LC-MS techniques was used to check the presence of phytoconstituents present in C. rubellum extract. In vitro antidiabetic activity was evaluated using α-glucosidase inhibitory activity and PTP-1B signaling pathway. On Streptozotocin (STZ)-induced rats with diabetes, the in vivo antidiabetic efficacy was assessed using a test for oral glucose tolerance. Results: The phytoconstituents identified in the extract of C. rubellum were apigenin, diosmin, myricetin, luteolin, luteolin-7-glucoside, and Quercitrin as compound 1-6, respectively. Results showed that diosmin exhibited highest α-glucosidase inhibitory activity i.e. 90.39%. The protein level of PTP-1B was lowered and the insulin signalling activity was directly increased by compounds 1-6. The maximum blood glucose levels were seen in all groups' OGTT findings at 30 minutes following glucose delivery, followed by gradual drops. In comparison to the control group, the extract's glucose levels were 141 mg/dL at 30 minutes before falling to 104 mg/dL after 120 minutes. The current study has demonstrated, in summary, that extract with phytoconstituents reduce blood sugar levels in rats. Conclusion: This finding suggests that extract may reduce the chance of insulin resistance and shield against disorders like hyperglycemia.

A Study on the Volatility Transition of Steel Raw Material Transport Market (제철원료 운송시장의 변동성 전이 분석에 대한 연구)

  • Yo-Pyung Hwang;Ye-Eun Oh;Keun-Sik Park
    • Korea Trade Review
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    • v.47 no.4
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    • pp.215-231
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    • 2022
  • Analysis and forecasting of the Baltic Capsize Index (BCI) is important for managing an entity's losses and risks from the uncertainty and volatility of the fast-changing maritime transport market in the future. This study conducted volatility transition analysis through the GARCH model, using BCI which is highly related to steel raw materials. As for the data, 2,385 monthly data were used from March 1999 to March 2021. In this study, after basic statistical analysis, unit root and cointegration test, the GARCH, EGARCH, and DCC-GARCH models were used for volatility transition analysis. As the results of GARCH and EGARCH model, we confirmed that all variables had no autocorrelation between the standardized residuals for error terms and the square of residuals, that the variability of all variables at this time was likely to persist in the future, and that the variability of the time-series error term impact according to Iron ore trade (IoT). In addition, through the EGARCH model, the magnitude convenience of all variables except the Iron ore price (IOP) and Capesize bulk fleet (BCF) variables was greater than the positive value (+). As a result of analyzing the DCC-GARCH (1,1) model, partial linear combinations were confirmed over the entire period. Estimating the effect of variability transition on BCF and C5 with statistically significant linear combinations with BCI confirmed that the impact of BCF on BCI was greater than the impact of BCI itself.