• Asian Pacific Journal of Cancer Prevention
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• v.17 no.9
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• pp.4491-4501
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• 2016

Verruco-papillary lesions (VPLs) of the oral cavity described in the literature involve a spectrum of conditions including squamous papilloma, verruca vulgaris, focal epithelial hyperplasia, condyloma, proliferative verrucous leukoplakia and verrucous carcinoma. A majority of the VPLs are slow growing, benign in nature and have a viral aetiology. Virus associated benign mucosal outgrowths are not too difficult to diagnose either clinically or by microscopy. Apart from virus-associated lesions, VPLs harboring malignant potential or behaviour such as verrucous carcinoma, proliferative verrucous leukoplakia, oral verrucous hyperplasia (OVH), oral papillary squamous cell carcinoma (PSCC) and oral conventional squamous cell carcinoma with papillary features (CSCC) need to be further clarified for better understanding of their predictable biologic behavior and appropriate treatment. Current understanding of potentially malignant VPLs is perplexing and is primarily attributed to the use of confusing and unsatisfactory terminology. In particular, the condition referred to as oral verrucous hyperplasia (OVH) poses a major diagnostic challenge. OVH represents a histopathological entity whose clinical features are not well recognised and is usually clinically indistinguishable from a verrucous carcinoma and a PSCC or a CSCC. A consensus report published by an expert working group from South Asia as an outcome of the 'First Asian Regional Meeting on the Terminology and Criteria for Verruco-papillary Lesions of the Oral Cavity' held in Kuala Lumpur, Malaysia, recognised the clinical description of these OVH as a new entity named 'Exophytic Verrucous Hyperplasia'. Previously described clinical features of OVH such as the 'blunt' or 'sharp' variants; and the 'mass' or 'plaque' variants can now collectively fall under this newly described entity. This paper discusses in detail the application of the standardized criteria guidelines of 'Exophytic Verrucous Hyperplasia' as published by the expert group which will enable clinicians and pathologists to uniformly interpret their pool of OVH cases and facilitate a better understanding of OVH malignant potential.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.22 no.3
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• pp.200-208
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• 2012

Objectives: This study investigated the performance of three separate units of a portable photoionization detector (PID, ppb-RAE 3000) for measuring volatile organic compounds (VOCs) in a laboratory. Methods: A laboratory evaluation of the accuracy, precision, and inter-instrumental variance of three separate units of a portable PID (ppb-RAE 3000) was performed. The evaluation was based on the preparation of a test air sample of known toluene or ethylacetate concentration in a Tedlar$^{(R)}$ bag. The test air sample was monitored and data were logged consecutively by the three PIDs. A certified gas of 50 ppm toluene was also monitored during the test to ensure the reliability of the generated test air sample. Four different concentrations ranging from 0.1 to 2 TLV were used and a series of five measurements for each concentration level was performed. The accuracy was evaluated using National Institute for Occupational Safety and Health (NIOSH) criteria. Results: The results from the oldest ppb-RAE3000 unit among the three test units generally fell outside the NIOSH recommended accuracy criteria of ${\pm}25%$, whereas the other two units produced results which were acceptable at, or greater than, 25 ppm of toluene, or 0.5 TLV. These units also met the NIOSH criteria for some ethylacetate measurements but the results were not consistent. Conclusions: Considering the inconsistent performance of these ppb-RAE 3000 units, this device may not be appropriate for use as an alternative to the standard measurement methods. However, it can serve good survey instruments to identify exposure sources or concentration profiles. For all applications, the ppb-RAE 3000 should be used with frequent calibration checks, additional validation using a reference material, and careful maintenance.

• Journal of dental hygiene science
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• v.17 no.4
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• pp.306-314
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• 2017

The purpose of this study was to examine the validity of the content of an educational curriculum by understanding the opinions of experts in the development of weekly educational content for dental communication or communication-related subjects. It was composed of educational content on how to communicate with patients by cultivating a professional attitude through basic contents and a self-understanding of communication. Three experts were asked to evaluate the feasibility of educational contents and their appropriateness in order to evaluate the criteria for certification as a dental hygienist. The validity of the weekly educational contents and the period of education were awarded 4 points out of a maximum of 5 points; overall, the curriculum was evaluated to be valid and to be acceptable for use as criteria for certification evaluation. On the other hand, it was confirmed that not only should the contents be made appropriate for the grade level, but it should be complemented so that theoretical and practical learning can be achieved in a gradual and interrelated manner rather than as a one-time curriculum. Therefore, the result of this study can be considered for use as background data for curriculum development, and for standardization of the communication course in the dental hygiene department.

• Proceedings of the Korea Water Resources Association Conference
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• 2015.05a
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• pp.227-227
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• 2015

The Wairarapa Valley occupies a predominantly rural area in the lower North Island of New Zealand. It supports a mix of intensive farming (dairy), dry stock farming (sheep and beef cattle) and horticulture (including wine grapes). The valley floor is traversed by the Ruamahanga River, the largest river in the Wellington region with a total catchment area of 3,430 km2. Environmental, cultural and recreational values associated with this Ruamahanga River are very high. The alluvial gravel and sand aquifers of the Wairarapa Valley, support productive groundwater aquifers at depths of up to 100 metres below ground while the Ruamahanga River and its tributaries present a further source of water for users. Water is allocated to users via resource consents by Greater Wellington Regional Council (GWRC). With intensifying land use, demand from the surface and groundwater resources of the Wairarapa Valley has increased substantially in recent times and careful management is needed to ensure values are maintained. This paper describes the approach being taken to manage water resources in the Wairarapa Valley and redefine appropriate limits of sustainable water use. There are three key parts: Quantifying the groundwater resource. A FEFLOW numerical groundwater flow model was developed by GWRC. This modelling phase provided a much improved understanding of aquifer recharge and abstraction processes. It also began to reveal the extent of hydraulic connection between aquifer and river systems and the importance of moving towards an integrated (conjunctive) approach to allocating water. Development of a conjunctive management framework. The FEFLOW model was used to quantify the stream flow depletion impacts of a range of groundwater abstraction scenarios. From this, three abstraction categories (A, B and C) that describe diminishing degrees of hydraulic connection between ground and surface water resources were mapped in 3 dimensions across the Valley. Interim allocation limits have been defined for each of 17 discrete management units within the valley based on both local scale aquifer recharge and stream flow depletion criteria but also cumulative impacts at the valley-wide scale. These allocation limits are to be further refined into agreed final limits through a community-led decision making process. Community involvement in the limit setting process. Historically in New Zealand, limits for sustainable resource use have been established primarily on the basis of 'hard science' and the decision making process has been driven by regional councils. Community involvement in limit setting processes has been through consultation rather than active participation. Recent legislation in the form of a National Policy Statement on Freshwater Management (2011) is reforming this approach. In particular, collaborative consensus-based decision making with active engagement from stakeholders is now expected. With this in mind, a committee of Wairarapa local people with a wide range of backgrounds was established in 2014. The role of this committee is to make final recommendations about resource use limits (including allocation of water) that reflect the aspirations of the communities they represent. To assist the committee in taking a holistic view it is intended that the existing numerical groundwater flow models will be coupled with with surface flow, contaminant transport, biological and economic models. This will provide the basis for assessing the likely outcomes of a range of future land use and resource limit scenarios.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.41 no.5
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• pp.551-557
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• 2021

Attached parking lots installation criteria is determined by use, total floor area, etc. according to the Parking Lot Act and local government ordinances. However, with traffic demand increase inconvenience about use of culture and assembly facilities have been raised. When planning number of parking lots for cultural and assembly facilities, legal parking lots and unit parking lots are used, but this causes inconvenience and traffic problems on the surrounding roads, because reality and convenience are not considered. Therefore, this study intend to present an realistic number of parking lots calculating equation for movie theater in Gwangju Metropolitan City. After investigating number of parking lots, number of screens, number of seats, total floor area, bus route and illegal parking for a cultural facility in Gwangju Metropolitan City, prediction model for calculating number of parking lots was presented using SPSS regression analysis. As a result of comparing prediction model and unit method, the prediction model was be closer actual cumulative parking space, so prediction model verification was completed. Based on the model verified in this study, Realistic number of parking lots will be installed. However, due to limitations of research on specific areas, research on various facilities should continue in consideration of regional, population, and urban characteristics

• KSCE Journal of Civil and Environmental Engineering Research
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• v.1 no.1
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• pp.21-32
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• 1981

Recent trends in design standards development in some European countries and U.S.A. have encouraged the use of probabilistic limit sate design concepts. Reliability based design criteria such as LSD, LRFD, PBLSD, adopted in those advanced countries have the potentials that they afford for symplifying the design process and placing it on a consistent reliability bases for various construction materials. A reliability based design criteria for RC flexural members are proposed in this study. Lind-Hasofer's invariant second-moment reliability theory is used in the derivation of an algorithmic reliability analysis method as well as an iterative determination of load and resistance factors. In addition, Cornell's Mean First-Order Second Moment Method is employed as a practical tool for the approximate reliability analysis and the derivation of design criteria. Uncertainty measures for flexural resistance and load effects are based on the Ellingwood's approach for the evaluation of uncertainties of loads and resistances. The implied relative safety levels of RC flexural members designed by the strength design provisions of the current standard code were evaluated using the second moment reliability analysis method proposed in this study. And then, resistance and load factors corresponding to the target reliability index(${\beta}=4$) which is considered to be appropriate level of reliability considering our practices are calculated by using the proposed methods. These reliability based factors were compared to those specified by our current ultimate strength design provisions. It was found that the reliability levels of flexural members designed by current code are not appropriate, and the code specified resistance and load factors were considerably different from the reliability based resistance and load factors proposed in this study.

• Journal of the Korea Institute of Building Construction
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• v.17 no.2
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• pp.191-197
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• 2017

The safety nature of construction industry differs from that of manufacturing sector. For instance, accident risk level dramatically varies at each phase of construction process. Korean Occupational and Health Safety Act has been regulated OHS expense and it contributed reducing accident risk and enhancing safety culture for many years. However, although current regulation guides to use OHS expense proportionate to construction progress, it still allows late use of the expense. This study was conducted for the purpose of presenting methods of estimating a step-by-step OHS expense rate required at each construction phase. In order to do provide proper OHS expense schedule, it analysed accident risk of each construction phase by sorting out 1439 cases of construction site fatality reports, and proposed a method of generating appropriate OHS expense scheme according to its construction work progress characteristics. Both linear and sigmoidal S-curve model were used for the analysis, and the latter generally requires earlier use of OHS expense. By comparing the estimated OHS expense use schedule with current criteria, more than 27%p early use of OHS expense is required for the prevention of accident.

• Journal of the Korean Society of Radiology
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• v.13 no.5
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• pp.757-763
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• 2019

Recently, Following the recent development of flat panel detector with wide dynamic ranges, increasing numbers of healthcare providers have begun to use digital radiography. As a result, filter thickness standards should be reestablished, as current clinical practice requires the use of thicknesses recommended by the National Council on Radiation Protection and Measurements, which are based on information, acquired using conventional analog systems. Here we investigated the possibility of minimizing dose creep and optimizing patient dose using Al filters in digital radiography. The use of thicker Al filters resulted in a maximum 19.3% reduction in the entrance skin exposure dose when medical images with similar sharpness values were compared. However, resolution, which is a critical factor in imaging, had a significant change of 1.01 lp/mm. This change in resolution is thought to be due to the increased amount of scattered rays generated from the object due to the X-ray beam hardening effect. The increase in the number of scattered rays was verified using the scattering degradation factor. However, the FPD, which has recently been developed and is widely used in various areas, has greater response to radiation than analog devices and has a wide dynamic range. Therefore, the FPD is expected to maintain an appropriate level of resolution corresponding to the increase in the scattered-ray content ratio, which depends on filter thickness. Use of the FPD is also expected to minimize dose creep by reducing the exposure dose.

• The Journal of Advanced Prosthodontics
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• v.10 no.1
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• pp.18-24
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• 2018

PURPOSE. In literature, many studies compare survival rates of different types of FPDs. Most of them compared restorations, which originated from one university, but from different clinicians. Data about restoration survival rates by only one experienced dentist are very rare. The aim of this study was to evaluate the survival rate of all-ceramic FPDs without the blurring effects of different clinicians. MATERIALS AND METHODS. 153 veneered-zirconia FPDs were observed for follow-up. 22 patients received 131 single crowns and 22 bridges. Because of the different bridge lengths, one unit was defined as a restored or replaced tooth. In total, 201 units were included. Only the restorations performed by the same clinician and produced in the same dental laboratory from 2011 to 2016 were included. Considered factors were defined as "type of unit", "type of abutment", "intraoral region", and "vitality". Modified UHPHS criteria were used for evaluation. Statistical analysis was performed using cox-regression. RESULTS. 189 units (94.0%) showed no kind of failure. 5 chippings (2.4%) could be corrected by intraoral polishing. 4 units (1.9%) exhibited spontaneous decementation. These polishable and recementable restorations are still in clinical use. Chippings or decementations, which lead to total failure, did not occur. One unit was completely fractured (0.5 %). Biological failures (caries, periodontitis or periimplantitis) did not occur. The statistical analysis of the factors did not reveal any significant differences. CONCLUSION. Modern all-ceramic FPDs seem to be an appropriate therapy not only for single restorations but for complex occlusal rehabilitations.

• Journal of Korean Academy of Nursing
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• v.45 no.6
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• pp.783-801
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• 2015

Purpose: The purpose of this study is to provide a comprehensive overview of the various measures available for assessment of oxaliplatin-induced peripheral neuropathy (OXLIPN) and to evaluate the measurement properties of each assessment tool. Methods: A systematic review was conducted to identify existing measures for OXLIPN found in the databases of PubMed, Cochrane Library, Embase, RISS and KoreaMed. The quality of the 24 identified tools was evaluated based on their properties of measurement including content validity, internal consistency, criterion validity, construct validity, reproducibility, responsiveness, floor-ceiling effects and interpretability. Results: Ten (41.7%) of the 24 tools were identified as specific measures for assessing OXLIPN and the most popular type of measures were clinical grading systems by clinicians (58.3%) and only 29.2% of measures were identified as patient reported outcomes. The most frequently used tool was National Cancer Institute-Common Toxicity Criteria (NCI-CTC), but the validity of NCI-CTC has not been reported appropriately. Overall, the Neuropathic Pain Symptom Inventory (NPSI) received the best psychometric scores, and the Chemotherapy-induced Peripheral Neuropathy Assessment Tool (CIPNAT) and Functional Assessment of Cancer Therapy/Gynaecologic Oncology Group-neurotoxicity-12 (FACT/GOG-Ntx-12) followed NPSI. Conclusion: To select appropriate measure, evidences should be accumulated through the clinical use of tools. Therefore, practitioner and researchers are urged to report relevant statistics required for the validation of the currently used measures for assessment of OXLIPN.