• Title/Summary/Keyword: treatment utilization

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Dental Utilization Associated Factors among Elderly (노인의 치과의료서비스 이용에 영향을 미치는 요인)

  • Ahn, Eunsuk;Hwang, Ji-Min;Shin, Myong-Suk
    • Journal of dental hygiene science
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    • v.15 no.1
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    • pp.60-66
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    • 2015
  • The purpose of this study was to examine the relationship of predisposing, enabling, need factors and oral health care factors to the dental utilization in 4,521 senior citizens based on the 5th National Health and Nutrition Examination Survey data. As for the relationship of predisposing, enabling and need factors to the necessity of denture, higher academic credential and higher income level that were respectively one of predisposing and need factors led to a higher necessity of denture, and the relationship of these factors was statistically significant. As to influential factors for their dental utilization in Model 1, there were significant differences according to gender, marital status and whether to subscribe to private health insurance or not. In Model 2, the need factors of Model 1 were adjusted. As a result, the respondents who didn't receive any unsatisfactory dental treatment made 1.35-fold more dental utilization, and the respondents who complained about mastication difficulty made 1.34-fold more dental utilization. There were significant differences according to gender, age, marital status, academic credential, whether to subscribe to private health insurance, unsatisfactory dental treatment experience and mastication difficulty. Age, unsatisfactory dental treatment experience and whether to complain about mastication difficulty or not made statistically significant differences to the dental utilization in Model 3 that involved oral health status. The above-mentioned findings illustrated that the predisposing factors, the enabling factors and the need factors exerted an influence on the elderly dental utilization. As there are a variety of factors to affect elderly dental utilization, its required to make an effort to boost the accessibility of the elderly to dental service in order to improve their oral health of the elderly.

Ganoderma Lucidum Polysaccharides Target a Fas/Caspase Dependent Pathway to Induce Apoptosis in Human Colon Cancer Cells

  • Liang, Zengenni;Guo, Yu-Tong;Yi, You-Jin;Wang, Ren-Cai;Hu, Qiu-Long;Xiong, Xing-Yao
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.9
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    • pp.3981-3986
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    • 2014
  • Ganoderma lucidum polysaccharides (GLP) extracted from Ganoderma lucidum have been shown to induce cell death in some kinds of cancer cells. This study investigated the cytotoxic and apoptotic effect of GLP on HCT-116 human colon cancer cells and the molecular mechanisms involved. Cell proliferation, cell migration, lactate dehydrogenase (LDH) levels and intracellular free calcium levels ($[Ca^{2+}]i$) were determined by MTT, wound-healing, LDH release and fluorescence assays, respectively. Cell apoptosis was observed by scanning and transmission electron microscopy. For the mechanism studies, caspase-8 activation, and Fas and caspase-3 expression were evaluated. Treatment of HCT-116 cells with various concentrations of GLP (0.625-5 mg/mL) resulted in a significant decrease in cell viability (P< 0.01). This study showed that the antitumor activity of GLP was related to cell migration inhibition, cell morphology changes, intracellular $Ca^{2+}$ elevation and LDH release. Also, increase in the levels of caspase-8 activity was involved in GLP-induced apoptosis. Western blotting indicated that Fas and caspase-3 protein expression was up-regulated after exposure to GLP. This investigation demonstrated for the first time that GLP shows prominent anticancer activities against the HCT-116 human colon cancer cell line through triggering intracellular calcium release and the death receptor pathway.

Factors Influencing Utilization of Medical Care Among Osteoarthritis Patients in Korea: Using 2005 Korean National Health and Nutrition Survey Data (우리나라 골관절염 환자의 의료이용과 관련된 요인: 2005년 국민건강영양조사 자료를 이용하여)

  • Kim, Min-Young;Park, Jong-Ku;Koh, Sang-Baek;Kim, Chun-Bae
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.6
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    • pp.513-522
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    • 2010
  • Objectives: The purpose of this study was to define the association between the medical utilization of osteoarthritis patient and its related factors. Methods: We used the 2005 Korean National Health and Nutrition Survey data and we enrolled 2833 participants who were forty or older and who were diagnosed as having osteoarthritis by a doctor within 1 year and who had suffered from osteoarthritis for more than 3 months. The Andersen behavioral model was used as the analytic framework, and the variables were categorized into predisposing, enabling, and need factors. To determine the influence of each variable on the medical utilization of osteoarthritis patient, we applied hierarchical logistic regression analysis with two stages: the first stage included the predisposing and enabling factors and the second stage included the need factors. Results: On the hierarchical logistic analysis, the variables of personal income, the type of medical security, the duration of arthritis related symptoms within 1 month, the subjective health status and the duration of osteoarthritis showed a statistically significant association with medical utilization in men. And the variables of age, limitation activity due to osteoarthritis, arthritis related symptoms within 1 month, and the subjective health status had a statistically significant association with medical utilization in women. Conclusions: The patients who tend to receive less care are those who suffer less from symptoms of osteoarthritis, those who are within the initial phase, or those with a low-level severity of osteoarthritis. It is necessary to encourage patients to receive the treatment in the initial phase.

An Analysis on the Situation of Collection and Utilization of the Trees Damaged by Pine Wilt Disease (소나무재선충 피해목의 수집 및 활용에 대한 현황 분석)

  • Kim, Jae-Hwan;Seo, In-Gyo;Park, Sang-Jun
    • Journal of Environmental Science International
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    • v.25 no.1
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    • pp.127-134
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    • 2016
  • This study is conducted to get current state of data collection and utilization of the trees damaged by pine wilt disease, and to efficiently collect and utilize of the trees damaged by the pine wilt disease and abandoned fumigation-treated trees at forecasts. The method to control pine wilt disease damaged area is mostly fumigation treatment system, and there is no collection and utilization of damaged trees because of absence of efficient collection system, lack of collection cost, and absence of policy, etc. A survey is conducted that asked about the satisfaction degree for the trees damaged by pine wilt disease collection and use divided into 6 topics. It was positively recognized that the need and problem of the trees damaged by pine wilt disease, and results and satisfaction of forestry mechanization while it was mostly negatively recognized that the policy satisfaction for prevention and collection, satisfaction of collection and use, collection and forestry mechanization, and satisfaction of foundation equipment for forestry mechanization, etc. As a result of path analysis, it is necessary to promote a high-tech forestry mechanization to improve satisfaction level of results and satisfaction of forestry mechanization for the trees damaged by pine wilt disease collection and utilization, it is also need to make an effort in various ways for improve satisfaction level of satisfaction of collection and utilization.

Medical Equipment Purchasing Plan and Analysis of Actual Utilization (의료장비 도입계획과 실제이용에 대한 실태분석)

  • Lee, Hag-Sun;Yu, Seung-Hum;Lee, Hae-Jong;Kim, Sung-Kyu
    • Korea Journal of Hospital Management
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    • v.5 no.2
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    • pp.22-39
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    • 2000
  • The purpose of this study was to determine the difference between estimated profit and utilization of medical equipment upon purchasing and actual results at one teaching hospital in Seoul, Korea Medical equipments over $100,000 from 1992 to 1997 were selected and results were as follows: 1. Twenty equipments out of thirty exceeded estimated profits and the difference was 3.98 billion won and ten equipments did not reach the estimated profits and 5.5 billion won was the difference. Diagnostic equipment exceeded the estimated profit which surgical equipment didn't. 2. Eleven equipments exceeded estimated utilization, which showed 100%. In the mean time, eighteen equipments didn't reach the estimated utilization, which was 71%. Diagnostic equipment showed the less estimated utilization than surgical equipment 3. Twenty-one equipments showed the 6.83 billion won profits and nine equipments showed the 1.6 billion won deficits. Diagnostic equipment was more profitable than surgical equipment. Finally. diagnostic equipment helped improving hospital management than surgical equipment. 4. Main factors which showed the big difference from the initial plan were lacking reasonable estimated method, no evaluation system for purchase, emphasis in medical treatment, excessive expenditure in maintenance, duplicated investment for medical equipment and leadership commitment. As a result. Substantial planning is required from the requesting department in consideration of estimated profit and utilization and systematic quality control is needed to confirm. Also, One-sided decision making should be avoided to purchase a high cost medical equipment and efforts should be made in examining carefully and developing a reasonable analytic method.

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Change of Medical Utilization Claims in Self-employees before and aster the Economic Crisis in Korea (IMF 경제위기 전.후 지역의료보험가입자들의 진료비 청구내용의 변화)

  • Lee, Sin-Jae;Jhang, Won-Ki;Choi, Soon-Ae;Lee, Sang-Yi;Kim, Nam-Soon;Jeong, Baek-Geun;Moon, Ok-Ryun
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.1
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    • pp.28-34
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    • 2001
  • Objectives : To investigate the changing pattern of medical utilization claims following the economic crisis in Korea. Methods : The original data consisted of the claims of the 'Medical insurance program of self-employees' between 1997 and 1998. The data was selected by medical treatment day ranging between 8 January and 30 June. Medical utilizations were calculated each year by the frequency of claims, visit days for outpatients, length of stay for inpatients, total days of medication, and the sum of expenses. Results : The length of stay as an inpatient in 1998 was decreased 4.7 percent in comparison to 1997. However, inpatient expenses in 1998 increased 10.8 percent as compared to 1997. Inpatient hospital claims in 1998 increased 6.2 percent over 1997, although general hospital inpatient claims in 1998 decreased 3.3 percent in comparison to 1997. The outpatient claim frequency decreased 7.3 in 1998 percent as compared to 1997 Outpatient visit days of in 1998 were decreased 8.5 percent in comparison to that recorded in 1997. Outpatient claim frequencies of 'gu region' in 1998 decreased 10.5 percent comparison to that in 1997, but 'city and gun region' decreased less than 'gu region'. Conclusions : Medical utilization in 1998 deceased in relation to 1997 Medical utilization by outpatients decreased more than that of inpatients. Medical utilization by 'gu region' decreased mere than the other regions.

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Anti-Inflammatory Activity of Oligomeric Proanthocyanidins Via Inhibition of NF-κB and MAPK in LPS-Stimulated MAC-T Cells

  • Ma, Xiao;Wang, Ruihong;Yu, Shitian;Lu, Guicong;Yu, Yongxiong;Jiang, Caode
    • Journal of Microbiology and Biotechnology
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    • v.30 no.10
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    • pp.1458-1466
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    • 2020
  • Oligomeric proanthocyanidins (OPCs), classified as condensed tannins, have significant antioxidation, anti-inflammation and anti-cancer effects. This study was performed to investigate the anti-inflammatory effects of OPCs and the mechanism underlying these effects in lipopolysaccharide (LPS)-stimulated bovine mammary epithelial cells (MAC-T). Real-time PCR and ELISA assays indicated that OPC treatment at 1, 3 and 5 ㎍/ml significantly reduced the mRNA and protein, respectively, of oxidant indicators cyclooxygenase-2 (COX-2) (p < 0.05) and inducible nitric oxide synthase (iNOS) (p < 0.01) as well as inflammation cytokines interleukin (IL)-6 (p < 0.01), IL-1β (p < 0.01) and tumor necrosis factor-α (TNF-α) (p < 0.05) in LPS-induced MAC-T cells. Moreover, OPCs downregulated LPS-induced phosphorylation of p65 and inhibitor of nuclear factor kappa B (NF-κB) (IκB) in the NF-κB signaling pathway (p < 0.01), and they inhibited p65 translocation from the cytoplasm to the nucleus as revealed by immunofluorescence test and western blot. Additionally, OPCs decreased phosphorylation of p38, extracellular signal regulated kinase and c-jun NH2-terminal kinase in the MAPK signaling pathway (p < 0.01). In conclusion, the anti-inflammatory and antioxidant activities of OPCs involve NF-κB and MAPK signaling pathways, thus inhibiting expression of pro-inflammatory factors and oxidation indicators. These findings provide novel experimental evidence for the further practical application of OPCs in prevention and treatment of bovine mastitis.

Disposal of Animal Waste-The Magnitude of the Problem in Asia and Australasia - Review -

  • Sheen, S.Y.;Hong, C.M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.12 no.4
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    • pp.597-603
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    • 1999
  • Even though the development of livestock industry in Asia and Australasia has brought the economic growth and thus elevated the living standard in these areas, it has also brought the pollution caused by the increasing amount of animal wastes. Among them, Japan probably is the first country that suffered from the animal waste pollution as early as in 1970s. Nowadays, the animal waste pollution has been a common problem for almost every countries in this region. To solve it, different measures and regulations have been implemented in many countries. In this paper, different methods for animal waste disposal are discussed, including: manure-bed animal housing, composting, anaerobic treatment, odor control, utilization of biogas, aerobic treatment, three-step process, N and P removal, land application, cultivation of algae, anaerobic treatment of dead animals. It is hoped that an animal industry without pollution can be achieved in the future.

Role of hyperforin in diabetes and its associated hyperlipidemia in rats

  • Ineedi, Srikanth;Shakya, Anshul;Singh, Gireesh Kumar;Kumar, Vikas
    • CELLMED
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    • v.2 no.3
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    • pp.25.1-25.6
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    • 2012
  • The aim of the present study was to evaluate the possible roles of hyperforin against hyperglycemia, hyperlipidemia and oxidative stress in streptozotocin-induced diabetic rats. Diabetes was induced by a single intraperitoneal injection of streptozotocin (65 mg/kg). Biochemical parameters were measured following hyperforin treatment (10 mg/kg, i.p.) for 7 days. Hyperforin treatment significantly reversed the elevations in plasma glucose, triglycerides, total cholesterol and LDL-cholesterol. Hyperforin also reversed the declines in plasma HDL-cholesterol and liver glycogen, but did not reverse the change in plasma insulin levels when compared to the diabetic control rats. Hyperforin treatment also reversed the oxidative stress induced by streptozotocin. Moreover, the effect of the hyperforin on peripheral glucose utilization in normal rats was evaluated by an oral glucose tolerance test (OGTT). Hyperforin treatment significantly increased (p < 0.05) the glucose tolerance compared to the vehicle in OGTT. The antihyperglycemic, antihyperlipidemic and antioxidant activities of hyperforin (10 mg/kg, i.p.) were comparable qualitatively to glibenclamide (1 mg/kg, p.o.). In conclusion, we report for the first time through an in vivo study that hyperforin is potentially valuable for the treatment of diabetes and its associated hyperlipidemia and oxidative stress by enhancing the glucose utilization by peripheral tissues such as muscle and adipose tissues.

Effect of NPK-Application and utilization on the Productivity of Dry Matter and Nutrient of Forages in Hilly Pasture (산지초지에서 3요소 시비수준 및 초지이용방법이 건물 및 양분생산성에 미치는 영향)

  • 박근제;최기준;이필상
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.18 no.3
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    • pp.251-258
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    • 1998
  • To find out the effect of NPK-fertilization level and utilization method of pasture plants on the productivity of dry matter and nutrient of forages in hilly pasture, this experiment was arranged as a split block design with six treatments of 2 mainplots(N-$P_2O_5$-$K_2O$=210-150-180(wntrol), 280-200-240Kg/ha) and 3 subplots (cutting, grazing cutting+grazing alternative), and conducted at hilly land in Yeoju, Kyonggi Province 6om February, 1992 to October, 1993. In the treatment of grazing the early growth and cover degree of pasture plants wintered were more favorable. With increased NPK-application for two years, the average dry matter(DM) yield of 9,862kglha was incerased by 18% than that of the control, and the average DM yield of the cutting treatment of 10,434kaa was higher than that of others. In all treatments for two years, the average DM yield was composed of 94.0~95.1% grasses, 1.8~2.0% legumes and 2.8~4.2% weeds. The crude protein and energy productivity of forages in the treatment with increased NPK-fertilizer application increased by 20~23% than those of control, and those of cutting treatment were greatly increased than those of the grazing treatment. The average mineral content of forages in all treatments tended to be similar, Ca and Mg content and Ca/P ratio were slightly lower, and K content and K/(Ca+Mg) equivalent ratio of forages tended to be higher than the most desirable value of forages.

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