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The quality of subgroup analyses in chronic pain randomized controlled trials: a methodological review

  • AminiLari, Mahmood;Ashoorian, Vahid;Caldwell, Alexa;Rahman, Yasir;Nieuwlaat, Robby;Busse, Jason W.;Mbuagbaw, Lawrence
    • The Korean Journal of Pain
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    • 제34권2호
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    • pp.139-155
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    • 2021
  • The quality of subgroup analyses (SGAs) in chronic non-cancer pain trials is uncertain. The purpose of this study was to address this issue. We conducted a comprehensive search in MEDLINE and EMBASE from January 2012 to September 2018 to identify eligible trials. Two pairs of reviewers assessed the quality of the SGAs and the credibility of subgroup claims using the 10 criteria developed by Sun et al. in 2012. The associations between the quality of the SGAs and the studies' characteristics including risk of bias, funding sources, sample size, and the latest impact factor, were assessed using multivariable logistic regression. Our search retrieved 3,401 articles of which 66 were eligible. The total number of SGAs was 177 of which 52 (29.4%) made a subgroup claim. Of these, only 15 (8.5%) were evaluated as being of high quality. Among the 30 SGAs that claimed subgroup effects using an appropriate method of performing interaction tests, the credibility of only 5 were assessed as high. None of the subgroup claims met all the credibility criteria. No significant association was found between the quality of SGAs and the studies' characteristics. The quality of the SGAs performed in chronic pain trials was poor. To enhance the quality of SGAs, scholars should consider the developed criteria when designing and conducting trials, particularly those which need to be specified a priori.

Designing a Micro-Learning-Based Learning Environment and Its Impact on Website Designing Skills and Achievement Motivation Among Secondary School Students

  • Almalki, Mohammad Eidah Messfer
    • International Journal of Computer Science & Network Security
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    • 제21권12호
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    • pp.335-343
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    • 2021
  • The study aimed to elucidate how to design a learning environment on the premise of micro-learning (ML) and investigate its impact on website designing skills and achievement motivation among secondary school students. Adopting the experimental approach, data were collected through an achievement test, a product evaluation form, and a test to gauge motivation for achievement. The sample was divided into two experimental groups. Results revealed statistically significant differences at 0.05≥α between the mean scores of the two groups that experienced ML, irrespective of the two modes of presenting the video in the pre-test and post-test, as for the test of websites design skills, product evaluation form, and achievement motivation test. Besides, there have been statistically significant differences at 0.05≥α between the mean scores of the first experimental group that had exposure to ML using the split-video presentation style and the scores of the second experimental group that underwent ML using continuous video presentation style in the post cognitive test of website design and management skills in favor of the group that had segmented-video-presentation ML. Another salient finding is the nonexistence of significant differences at 0.05≥α between the mean scores of the first experimental group that underwent segmented-video-presentation ML and the grades of the second experimental group that received ML with continuous video presentation style in the post-application of the product scorecard of websites designing skills and the motivation test. In light of these salient findings, the study recommended using ML in teaching computer courses at different educational stages in Saudi Arabia, training computer and information technology teachers to harness ML in their teaching and using ML in designing courses at all levels of education.

Assessment of radionuclides from coal-fired brick kilns on the outskirts of Dhaka city and the consequent hazards on human health and the environment

  • M.M. Mahfuz Siraz;M.D.A. Rakib;M.S. Alam;Jubair Al Mahmud;Md Bazlar Rashid;Mayeen Uddin Khandaker;Md. Shafiqul Islam;S. Yeasmin
    • Nuclear Engineering and Technology
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    • 제55권8호
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    • pp.2802-2811
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    • 2023
  • In a first-of-its-kind study, terrestrial radionuclide concentrations were measured in 35 topsoil samples from the outskirts of Dhaka using HPGe gamma-ray spectrometry to assess the radiological consequences of such a vast number of brick kilns on the plant workers, general as well as dwelling environment. The range of activity concentrations of 226Ra, 232Th, and 40K is found at 19 ± 3.04 to 38 ± 4.94, 39 ± 5.85 to 57 ± 7.41, and (430 ± 51.60 to 570 ± 68.40) Bq/kg, respectively. 232Th and 40K concentrations were higher than the global averages. Bottom ash deposition in lowlands, fly ash buildup in soils, and the fallout of micro-particles are all probable causes of the elevated radioactivity levels. 137Cs was found in the sample, which indicates the migration of 137Cs from nuclear accidents or nuclear fallout, or the contamination of feed coal. Although the effective dose received by the general public was below the recommended dose limit but, most estimates of hazard parameters surpass their respective population weighted global averages, indicating that brick kiln workers and nearby residents are not safe due to prolonged exposures to terrestrial radiation. In addition, the soil around sampling sites is found to be unsuitable for agricultural purposes.

In Search of Corporate Growth and Scaleup: What Strategies Drive Unicorns and Hyper-Growing Companies?

  • Lee, Young-Dall;Oh, Soyoung
    • 한국벤처창업학회:학술대회논문집
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    • 한국벤처창업학회 2021년도 춘계학술대회
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    • pp.33-42
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    • 2021
  • Based on the findings of Lee et al.(2020) and Lee & Oh(2021), this paper aims to fill the gap in our knowledge regarding the relationship between strategic choices and corporate growth by utilizing a novel dataset of 'Unicorn' and 'Hyper-growing' companies. Two previous studies provide coherent findings that the relationship between firms' strategies and their performance should be explored under a more comprehensive framework with consideration of both internal and external factors. Therefore, in this study, we apply a single conceptual framework to two different datasets, which considers the strategy factors as independent variables, and the industry(market) and the firm age as moderating variables. For our dependent variables, valuations for unicorn companies and revenue CAGR for hyper-growing companies are used after categorizing them into three uniform groups. The strategy variables include 'Generic (Cost-leadership, Differentiation, focus) strategies', 'Growth(Organic, M&A) strategies', 'Leading(Pioneer, Fast-follower) strategies', 'Target market(B2B, B2C, B2G, C2C) strategies', 'Global(Global, Local) strategies', 'Digital(Online, Offline) strategies.' For industry(market) factors, it consists of historical growth rate for industries and economic, demographic, and regulatory aspects of states and countries. To overcome the differences in their units, they are also uniformly categorized into multiple groups. Before we conduct a regression analysis, we analyze the industry distribution of the 'Unicorn' and the 'Hyper-growing' companies with descriptive statistics at the integrated and individual levels. Next, we employ hierarchical regression models on Study A('Unicorn' companies in 2019) and Study B('Hyper-growing' companies in 2019) under the same comprehensive framework. We then analyze the relationship between the 'strategy' and the 'performance' factors with two different approaches: 1) an integrated regression model with both the sample of Study A and B and 2) respective regression models on Study A and B. This empirical study aims to provide a complete understanding and a reference to which strategy factors should be considered to promote firms' scale-up and growth.

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Effect of hydrogel-based antibiotic intracanal medicaments on crown discoloration

  • Rayan B. Yaghmoor;Jeffrey A. Platt;Kenneth J. Spolnik;Tien Min Gabriel Chu;Ghaeth H. Yassen
    • Restorative Dentistry and Endodontics
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    • 제46권4호
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    • pp.52.1-52.11
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    • 2021
  • Objectives: This study evaluated the effects of low and moderate concentrations of triple antibiotic paste (TAP) and double antibiotic paste (DAP) loaded into a hydrogel system on crown discoloration and explored whether application of an adhesive bonding agent prevented crown discoloration. Materials and Methods: Intact human molars (n = 160) were horizontally sectioned 1 mm apical to the cementoenamel junction. The crowns were randomized into 8 experimental groups (calcium hydroxide, Ca[OH]2; 1, 10, and 1,000 mg/mL TAP and DAP; and no medicament. The pulp chambers in half of the samples were coated with an adhesive bonding agent before receiving the intracanal medicament. Color changes (ΔE) were detected by spectrophotometry after 1 day, 1 week, and 4 weeks, and after 5,000 thermal cycles, with ΔE = 3.7 as a perceptible threshold. The 1-sample t-test was used to determine the significance of color changes relative to 3.7. Analysis of variance was used to evaluate the effects of treatment, adhesive, and time on color change, and the level of significance was p < 0.05. Results: Ca(OH)2 and 1 and 10 mg/mL DAP did not cause clinically perceivable tooth discoloration. Adhesive agent use significantly decreased tooth discoloration in the 1,000 mg/mL TAP group up to 4 weeks. However, adhesive use did not significantly improve coronal discoloration after thermocycling when 1,000 mg/mL TAP was used. Conclusions: Ca(OH)2 and 1 and 10 mg/mL DAP showed no clinical discoloration. Using an adhesive significantly improved coronal discoloration up to 4 weeks with 1,000 mg/mL TAP.

펨토초 레이저 유도 나노 및 마이크로 구조물을 활용한 금속 표면 기능성 제어 (Controlled Surface Functionalities of metals using Femtosecond Laser-induced Nano- and Micro-scale Surface Structures)

  • 박태훈;이효수;이해중;황택용
    • Design & Manufacturing
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    • 제17권2호
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    • pp.55-61
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    • 2023
  • With femtosecond (fs) laser pulse irradiation on metals, various types of nano- and micro-scale structures can be naturally induced at the surface through laser-matter interaction. Two notable structures are laser-induced periodic surface structures (LIPSSs) and cone/spike structures, which are known to significantly modify the optical and physical properties of metal surfaces. In this work, we irradiate fs laser pulses onto various types of metals, cold-rolled steel, pickled & oiled steel, Fe-18Cr-8Ni alloy, Zn-Mg-Al alloy coated steel, and pure Cu which can be useful for precise molding and imprinting processes, and adjust the morphological profiles of LIPSSs and cone/spike structures for clear structural coloration and a larger range of surface wettability control, respectively, by changing the fluence of laser and the speed of raster scan. The periods of LIPSSs on metals used in our experiments are nearly independent of laser fluence. Accordingly, the structural coloration of the surface with LIPSSs can be optimized with the morphological profile of LIPSSs, controlled only by the speed of the raster scan once the laser fluence is determined for each metal sample. However, different from LIPSSs, we demonstrate that the morphological profiles of the cone/spike structures, including their size, shape, and density, can be manipulated with both the laser fluence and the raster scan speed to increase a change in the contact angle. By injection molding and imprinting processes, it is expected that fs laser-induced surface structures on metals can be replicated to the plastic surfaces and potentially beneficial to control the optical and wetting properties of the surface of injection molded and imprinted products.

물류 4.0 시대에서 물류효율성 증대를 위한 인코텀즈 상 정형거래조건의 탄력적 운용방안 연구 (Flexible Operation of International Commercial Terms to Increase Logistics Efficiency in Logistics 4.0)

  • 김창봉;정경욱
    • 무역학회지
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    • 제47권4호
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    • pp.69-88
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    • 2022
  • Recently, International commerce has continuously expanded with the development of logistics technology. However, the cost of international logistics is rising rapidly. The Korea International Trade Association (2021) proposes that the use of international commercial terms in Incoterms® could be an effective way against logistics costs. The purpose of this study is to verify the effect on the flexible operation of international commercial terms. For the detection of variables and data collection for empirical analysis based on previous studies and in-depth interviews. The questionnaires were distributed after pilot-study to a random sample of companies based on the list of members such as the Korea International Trade Association, the Korea Trade-Investment Promotion Agency, and the Global Small and Medium Business Association. A total of 800 questionnaires were distributed, and 166 were used for empirical analysis. The results of this study are as follows. First, mutual cooperation and Flexibly using of international commercial terms has a positive (+) effect on logistics efficiency. This is in line with the study of Yang (2021) and Stojanović et al. (2021) that logistics by using international commercial terms will increase the efficiency of logistics. Second, use of international commercial terms based on mutual understanding mediates the relationship between the logistics environment of the other country and the logistics efficiency. As in the study of Vidrova (2020), it is important to operate on international commercial terms mutually.

Endoscopic versus surgical management for colonic volvulus hospitalizations in the United States

  • Dushyant Singh Dahiya;Abhilash Perisetti;Hemant Goyal;Sumant Inamdar;Amandeep Singh;Rajat Garg;Chin-I Cheng;Mohammad Al-Haddad;Madhusudhan R. Sanaka;Neil Sharma
    • Clinical Endoscopy
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    • 제56권3호
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    • pp.340-352
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    • 2023
  • Background/Aims: Colonic volvulus (CV), a common cause of bowel obstruction, often requires intervention. We aimed to identify hospitalization trends and CV outcomes in the United States. Methods: We used the National Inpatient Sample to identify all adult CV hospitalizations in the United States from 2007 to 2017. Patient demographics, comorbidities, and inpatient outcomes were highlighted. Outcomes of endoscopic and surgical management were compared. Results: From 2007 to 2017, there were 220,666 CV hospitalizations. CV-related hospitalizations increased from 17,888 in 2007 to 21,715 in 2017 (p<0.001). However, inpatient mortality decreased from 7.6% in 2007 to 6.2% in 2017 (p<0.001). Of all CV-related hospitalizations, 13,745 underwent endoscopic intervention, and 77,157 underwent surgery. Although the endoscopic cohort had patients with a higher Charlson comorbidity index, we noted lower inpatient mortality (6.1% vs. 7.0%, p<0.001), mean length of stay (8.3 vs. 11.8 days, p<0.001), and mean total healthcare charge ($68,126 vs. $106,703, p<0.001) compared to the surgical cohort. Male sex, increased Charlson comorbidity index scores, acute kidney injury, and malnutrition were associated with higher odds of inpatient mortality in patients with CV who underwent endoscopic management. Conclusions: Endoscopic intervention has lower inpatient mortality and is an excellent alternative to surgery for appropriately selected CV hospitalizations.

Clinical and molecular detection of fowl pox in domestic pigeons in Basrah Southern of Iraq

  • Isam Azeez Khaleefah;Hassan M. Al-Tameemi;Qayssar Ali Kraidi;Harith Abdulla Najem;Jihad Abdulameer Ahmed;Haider Rasheed Alrafas
    • 대한수의학회지
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    • 제64권1호
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    • pp.7.1-7.6
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    • 2024
  • Bird species, particularly poultry and other bird types, including domestic pigeons, are susceptible to fowl pox, a contagious viral disease. The main goal of this study was to validate clinical avipoxvirus diagnoses using molecular analytical methods. The essential components of the investigation were the clinical signs, visible abnormalities, histological changes, and polymerase chain reaction analysis. Twenty out of 120 pigeons had clinical symptoms, which included yellowish crust or nodules near the feet, eyes, and beak. An erosive epidermal lesion and an epidermal acanthotic papular lesion with basal vacuolation were maculopapular evidence associated with significant epidermal hyperkeratosis, as confirmed by histological analysis. In addition, the results showed keratinocyte necrosis beneath the hyperkeratotic epidermal layer, together with superficial and deep dermal perivascular lymphocytic infiltration. In addition, the P4b core protein gene underwent phylogenetic analysis. The sequence analysis results indicated a high degree of similarity across the local strains, with just minor variations observed. Five sample sequences were selected and submitted to the NCBI database. These sequences were identified as OR187728, OR187729, OR187730, OR187731, and OR187732. All the various strains in this research may be classified under clade A of the chicken pox virus phylogenetic classification. This study presents the first description and characterization of pox virus infections in domestic pigeons inside the Basrah governorate.

Microplastic pollution in two industrial locations of the Karnaphuli River, Bangladesh: insights on abundance, types, and characteristics

  • Shahida Arfine Shimul;Zannatul Bakeya;Jannatun Naeem Ananna;Antar Sarker;Saifuddin Rana;Sk. Ahmad Al Nahid
    • Fisheries and Aquatic Sciences
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    • 제26권12호
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    • pp.715-725
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    • 2023
  • Microplastic (MP) pollution in aquatic environments is a growing concern worldwide. This study investigated the abundance, types, and attributes of MPs in the surface water at two industrial sites (Avoimitro Ghat and Kalurghat) along the Karnaphuli River in Chattogram, Bangladesh. Sampling was conducted over eight months across three transects encompassing a total area of 500 m at each site. A manta net of 200 ㎛ mesh size was used to sample MPs. The obtained samples were subsequently filtered, enumerated, and characterized using a stereo microscope and imaging software. The mean abundance of MP particles (per km2 ) was found higher in Avoimitro Ghat (94,861 ± 57,126) than in Kalurghat (31,343 ± 23,183). A significant statistical difference (p < 0.05) was observed in the mean abundance of MP particles between the wet and dry seasons. The fragment group of MP exhibited the most abundant category, whereas the pellet category displayed the lowest. MPs with an elongated shape prevailed at both locations throughout all seasons. At Avoimitro Ghat, blue-colored MPs demonstrated the highest mean count, while in Kalurghat, the highest mean count belonged to brown-colored MPs. The size distribution of MPs differed between the two sites, with 1-2 mm MPs being plentiful in both seasons and Avoimitro Ghat, whereas MPs ranging from 500 ㎛ to less than 1 mm were abundant in Kalurghat. Ten (10) polymer types were found from Fourier-transform infrared spectroscopy (FTIR) analysis with high levels of polypropylene atactic in both Avoimitro Ghat (32%) and Kalurghat (17%). The findings provide important insights into MP pollution in the Karnaphuli River, which may aid in developing effective strategies to mitigate the impacts of MP pollution on the aquatic ecosystem and human health.