• Title/Summary/Keyword: Absolute Risk

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Comparable efficacy of silk fibroin with the collagen membranes for guided bone regeneration in rat calvarial defects

  • Kim, Jwa-Young;Yang, Byoung-Eun;Ahn, Jin-Hee;Park, Sang O;Shim, Hye-Won
    • The Journal of Advanced Prosthodontics
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    • v.6 no.6
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    • pp.539-546
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    • 2014
  • PURPOSE. Silk fibroin (SF) is a new degradable barrier membrane for guided bone regeneration (GBR) that can reduce the risk of pathogen transmission and the high costs associated with the use of collagen membranes. This study compared the efficacy of SF membranes on GBR with collagen membranes (Bio-$Gide^{(R)}$) using a rat calvarial defect model. MATERIALS AND METHODS. Thirty-six male Sprague Dawley rats with two 5 mm-sized circular defects in the calvarial bone were prepared (n=72). The study groups were divided into a control group (no membrane) and two experimental groups (SF membrane and Bio-$Gide^{(R)}$). Each group of 24 samples was subdivided at 2, 4, and 8 weeks after implantation. New bone formation was evaluated using microcomputerized tomography and histological examination. RESULTS. Bone regeneration was observed in the SF and Bio-$Gide^{(R)}$-treated groups to a greater extent than in the control group (mean volume of new bone was $5.49{\pm}1.48mm^3$ at 8 weeks). There were different patterns of bone regeneration between the SF membrane and the Bio-$Gide^{(R)}$ samples. However, the absolute volume of new bone in the SF membrane-treated group was not significantly different from that in the collagen membrane-treated group at 8 weeks ($8.75{\pm}0.80$ vs. $8.47{\pm}0.75mm^3$, respectively, P=.592). CONCLUSION. SF membranes successfully enhanced comparable volumes of bone regeneration in calvarial bone defects compared with collagen membranes. Considering the lower cost and lesser risk of infectious transmission from animal tissue, SF membranes are a viable alternative to collagen membranes for GBR.

The Unequal Burden of Self-Reported Musculoskeletal Pains Among South Korean and European Employees Based on Age, Gender, and Employment Status

  • Bahk, Jinwook;Khang, Young-Ho;Lim, Sinye
    • Safety and Health at Work
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    • v.12 no.1
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    • pp.57-65
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    • 2021
  • Background: The objective of this study was to elucidate the relationships musculoskeletal pains with combined vulnerability in terms of age, gender, and employment status Methods: The fifth European Working Conditions Survey (EWCS) in 2010 (43,816 participants aged 15 years and over) analyzed for European employees and the third Korean Working Conditions Survey (KWCS) in 2011 (50,032 participants aged 15 years and older) analyzed for Korean employees. In this study, three well known vulnerable factors to musculoskeletal pains (older age, female gender, and precarious employment status) were combined and defined as combined vulnerability. Associations of musculoskeletal pains with combined vulnerability were assessed with prevalence ratios (PRs) and 95% confidence intervals (CIs) estimated by Poisson regression models with robust estimates of variance. Results: The prevalences of musculoskeletal pains were lower but the absolute and relative differences between combined vulnerabilities were higher among Korean employees compared with the European employees. Furthermore, the increased risk of having musculoskeletal pains according to combined vulnerability was modestly explained by socioeconomic factors and exposure to ergonomic risk factors, especially in Republic of Korea. Conclusions: The results of this study showed that the labor market may be more unfavorable for female and elderly workers in Republic of Korea. Any prevention strategies to ward off musculoskeletal pains, therefore, should be found and implemented to mitigate or buffer against the most vulnerable work population, older, female, and precarious employment status, in Republic of Korea.

Evaluation of The Hygrothermal Performance by Wall Layer Component of Wooden Houses Using WUFI Simulation Program (WUFI 시뮬레이션 프로그램을 이용한 목조주택 벽체 레이어 구성에 따른 hygrothermal 성능 평가)

  • Kang, Yujin;Kim, Sumin
    • Journal of the Korean Wood Science and Technology
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    • v.44 no.1
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    • pp.75-84
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    • 2016
  • Thermal performance of wooden houses used by building materials effectively contributing to building energy saving has been improved. However, the performance was decreased to the condensation and mould growth from exterior wall because the moisture control was difficult to high insulation and airtightness. Therefore, the hygrothermal performance of exterior wall, that selected 5 types of wooden houses, evaluated using the hygrothermal simulation program: heat and moisture behavior, condensation and mould growth risk. Wooden houses were selected Rural houses standard plans '10 and '14, $2^{{\prime}{\prime}}{\times}6^{{\prime}{\prime}}$ type, EIFS and wood-based passive house. And the wall A, B, C, D and E were determined by layer component of each wall. The U-value of exterior wall are 0.171, 0.172, 0.221, 0.150, $0.079W/m^2K$. The OSB absolute water content of the wall A and C was exceeds the reference value of 20%, and it was confirmed that condensation occur at insulation material inner surface through the condensation evaluation in the winter. The wall D and E showed excellent results with condensation and water content evaluation compared to others. However, mould growth risk assessment in all five types of wall had have risk. We were determined that hygrothermal performance difference of exterior wall occur the difference in the layer structure rather than in thermal performance.

Recurrence of Early Gastric Cancer (조기위암의 재발)

  • Ahn Jung-Sik;Bang Ho-Yoon;Lee Jong-Inn;Noh Woo-Chul;Hwang Dae-Yong;Choi Dong-Wook;Paik Nam-Sun;Moon Nan-Mo;Choi Tae-Inn
    • Journal of Gastric Cancer
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    • v.1 no.3
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    • pp.180-186
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    • 2001
  • Purpose: The prognosis for early gastric cancer (EGC) is favorable, and the 10-year disease-specific survival rate is reported to be around $90\%$. The absolute number of recurred EGC is too small to assess the risk factors, so recruitment of a large number of cases for statistical analysis is very difficult. We carried out this study to analyze the incidence and the patterns of recurrence of EGC and to identify the clinicopathological risk factors for recurrence of EGC. Materials and Methods: The authors retrospectively investigated the follow-up records of 1418 patients who underwent a curative resection for EGC from Jan. 1984 to Dec. 1999 at the Korea Cancer Center Hospital and analyzed them with special reference to cancer recurrence. Results: In this retrospective study of 1418 cases, 43 patients died of a recurrence of gastric cancer, and 105 patients died of unrelated causes. The five-year and the ten-year overall survival rates were $89.6\%$ and $81.7\%$, respectively, while the five-year and the ten-year diseasespecific survival rates were $96.5\%$ and $94.3\%$, respectively. The recurrence patterns of the 45 recurred EGC were hematogenous metastasis (19 cases), lymph node (L/N) metastasis (8 cases), locoregional recurrence (2 cases), peritoneal seeding (3 cases), and combined form (13 cases). The mean time interval to recurrence was 38.6 months, and the number of delayed recurred cases after 5 years was 10 ($22.2\%$). Of the clinicopathologic factors, depth of invasion, L/N metastasis, macroscopic type, lymphatic invasion, and vessel invasion, were significant risk factors in the univariate analysis. However, in the multivariate analysis, only L/N metastasis was an independent prognostic factor. Conclusion: Based on the results of this study, L/N metastasis is an independent prognostic factor. Thus, in patients with node-positive disease, adjuvant therapy might be considered, and long-term close follow-up might facilitate early detection and treatment of recurrent disease due to delayed recurrence.

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Subgrouping of N1a Stage Papillary Thyroid Carcinoma with Positive Node Ratio (갑상선유두상암의 중앙림프절 전이율에 따른 N1a병기의 세분화)

  • Lee, Min-Wan;Cho, Jin-Seong;Cho, Dong-Hoon;Ryu, Young-Jae;Park, Min-Ho;Yoon, Jung-Han
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.1
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    • pp.13-19
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    • 2016
  • Background : The 2015 American thyroid association (ATA) guidelines greatly expanded section on risk stratification of thyroid cancer. Definition of "Low risk of recurrence" has expanded, by inclusion of small volume lymph node involvement, such as less than 5 lymph node metastases each smaller than 2mm in central compartment. Purpose : We evaluated the number of positive nodes, Positive node ratio (PNR), recurrence, and radioablation therapy. Also, evaluated the safety of omitting strategy of radioablation after total thyroidectomy with PTC, especially on low-PNR N1a patients compared with high-PNR N1a patients. Methods : Consecutive 147 N1a and 216 N0 patients who underwent total thyroidectomy with central neck dissection between 2003 and 2004 were enrolled. We divided 147 N1a patients into two groups, such as 96 high-PNR versus 51 low-PNR group according to 50% of PNR, and compared these two groups with N0 group. Results: 7.2% (26/363) recurrences were occurred, and 21/147 (14.3 %) recurrences were on N1a patients, and 5/216 (2.3 %) were on N0 patients. Of these 21 recurrences in N1a stage patients, 20 (95.2 %) recurrences were occurred in high-PNR N1a group and only 1 (4.8 %) recurrence was in low-PNR N1a group. The recurrence of low-PNR N1a group was significantly lower than high-PNR N1a group (Log-rank p value = 0.003), but significantly not different from N0 group (Log-rank p value = 0.889). Although this study was a retrospective non-randomized trial with small number of patients, the 10-year recurrence of omitting RAI in low-PNR N1a patients with less than 50% of PNR were shown to be comparable with 216 N0 low risk patients. Conclusion : Positive node ratio could be a useful predictor of recurrence and useful guidance postoperative management -rather than absolute number of positive node.

A Study on the Transition and Improvement Plan of e-Trade Marketing (전자무역 마케팅의 변화와 발전 방안에 관한 연구)

  • Lee, Sang Jin;Kim, Hyoung Cheol
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.60
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    • pp.213-234
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    • 2013
  • e-Trade 3.0 era which means the expansion of seamless e-Trade process into global business has been come. e-Trade is in the evolution stage with the reflection of time changes and IT development. Furthermore e-Trade marketing method of SMEs has been generalized. However, SMEs have not utilized e-Trade marketing very actively even if it has much benefits in exploring overseas marketing. In this regard this paper has cautiously suggested the strategic using plan of e-Marketplace and SNS along with policy improvement in order to promote extensive diffusion of e-Trade marketing. First of all, a comprehensive evaluation system has to be developed for the assessment of overseas marketing program and provide organized guideline including SMEs support system. Also e-Marketplace operation company is necessary to invent management system for supervising and detecting risk factors of participating firms and business model to share information which each e-Marketplace possesses through mutual connection. Finally, the effective supports such as short-term education and acting operation of initial account to use SNS strategically are needed and continuous contents development to adopt SNS is absolute.

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Biomechanics and Occlusion for Implant-Supported Prosthesis (임플란트 보철의 생역학과 교합)

  • Koo, Cheol-Ihn;Kwak, Jong-Ha;Chung, Chae-Heon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.18 no.2
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    • pp.127-144
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    • 2002
  • There is an increasing appreciation of the vital role that biomechanics play in the performance of oral implant. The aim of this article is to provide some basic principles that will allow a clinician to formulate a biomechanically valid treatment plan. However, at this point in the history of oral implantology, the clinician should realize that we do not know enough to provide absolute biomechanical rules that will guarantee success of all implants in all situations. To examine the biomechanical questions, one must begin with an analysis of the distribution of biting forcess to implants. Related topics, such as stress transfer to surrounding tissues and interrelationships between bone biology and mechanical loading are major subjects, deserving a separate discussion. Once rigid fixation, angulation, crestal bone level, contour, and gingival health are achieved, stress beyond physiologic limits is the primary cause of initial bone loss around implants. The restoring dentist has specific responsibilities to reduce overload to the bone-implant interface. These include proper diagnosis, leading to a treatment plan designed with adequate retention and form, and progressive loading to improve the amount and density of bone and further reduce the risk of stress beyond physiologic limits. The major remaining factor is the development of occlusal concept in harmony with the rest of the stomagnetic system.

What and Where for Publications by Cancer Registries in the Asian Pacific? - Roles for the APJCP in the Future

  • Moore, Malcolm Anthony
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4939-4942
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    • 2013
  • The absolute necessity of cancer registration for cancer control planning is well accepted. The registry at the national or local level can provide not only essential data for cancer incidence, mortality and survival but may also point to risk and protective factors and efficacy of interventions by conducting epidemiological research. Timely publication of research findings in PubMed indexed journals is of the essence, especially in examples that allow free access so that the widest dissemination of information can be achieved. The present commentary covers the scope of research in Asia or using Asian data the period 2008-2013, nearly 40% of a total of over 300 papers being published in the APJCP. In order to reach its full potential the registry should incorporate many skills. Cooperation for this purpose, whether it be national, regional, Asia-wide or international, is a high priority and the International Agency for Research on Cancer, together with the National Cancer Institute in Thailand and the APOCP/APJCP are staging an Asian Cancer Network Forum in Bangkok in February of 2014 to allow discussion of ways forward. It is hoped that representatives from all regions of Asia will decide to attend and a l so contribute country reports for publication in a special supplement of the APJCP.

Outcome of Open Reduction Via Retromandibular Approach for Mandibular Subcondyle Fracture (하악골 과두경부 골절에 있어서 후하악부 절개법을 이용한 관혈적 정복술의 유용성)

  • Lee, Hyung Chul;Kang, Dong Hee;Koo, Sang Hwan;Park, Seung Ha
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.739-743
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    • 2005
  • Subcondylar fractures have generally been treated by intermaxillary fixation except in cases where there is an absolute indication for open reduction. The reason behind a less aggressive surgical approach lies on the inherent difficulties in manipulating fragments in such a small area at the risk of damaging facial nerves or vessels such as the internal maxillary artery. However, long-term follow-up studies showed that conservative treatment of subcondylar fractures results in disturbances of occlusal function, deviation of the mandible, internal derangement of the temporomandibular joint, and ankylosis of the joint. We carried out open reduction of dislocated subcondylar fractures in 14 patients from 2000 to 2004 by a retromandibular approach. After the reduction of fractured bone, two H-shaped miniplates with 6 holes were fixed with screws at the anterior and posterior surfaces of the subcondyle. The retromandibular approach allowed good access and easy manipulation of the subcondyle. Immediate relief from malocclusion and correction of mandibular midline shifting were observed in all patients. Late temporomandibular dysfunction and ankylosis were not observed. Open reduction with plate osteosynthesis made it possible to avoid IMF in 7 of the 14 patients. The present study shows that open reduction through this retromandibular approach can produce good outcome in adult patients with subcondylar fracture.

A Plan to Ensure Safety of Electrical Installation in Empty Houses by Measuring Zero Phase Current (영상전류 측정을 이용한 부재수용가의 전기설비에 대한 안전확보 방안)

  • Lim, Young-Bae;Bae, Seok-Myung;Kim, Young-Seok;Park, Chee-Huyn;Kim, Gi-Hyun;Cho, Sung-Won
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.55 no.4
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    • pp.196-201
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    • 2006
  • A electrical fault that may generate an electrical disaster is defined as any abnormal condition caused by reduction in the insulation strength. To find out the abnormal condition, periodical inspections have being performed every 3 years. Recently, the number of empty houses during normal working hours is rising by dramatic increase in the number of nuclear families and double income families. To define the potential risk of the electric installation, measurement of zero phase current has been being considered. But the measured value could not be adapted to an absolute reference to the installation because the measured zero phase current value also contained capacitive leakage current. Therefore, in this paper, the correlation between the condition of the electrical installation and the zero phase current was analyzed. The result focuses on to detect them in a cost efficient way.