• Title/Summary/Keyword: Cessation

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Cure rate proportional odds models with spatial frailties for interval-censored data

  • Yiqi, Bao;Cancho, Vicente Garibay;Louzada, Francisco;Suzuki, Adriano Kamimura
    • Communications for Statistical Applications and Methods
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    • v.24 no.6
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    • pp.605-625
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    • 2017
  • This paper presents proportional odds cure models to allow spatial correlations by including spatial frailty in the interval censored data setting. Parametric cure rate models with independent and dependent spatial frailties are proposed and compared. Our approach enables different underlying activation mechanisms that lead to the event of interest; in addition, the number of competing causes which may be responsible for the occurrence of the event of interest follows a Geometric distribution. Markov chain Monte Carlo method is used in a Bayesian framework for inferential purposes. For model comparison some Bayesian criteria were used. An influence diagnostic analysis was conducted to detect possible influential or extreme observations that may cause distortions on the results of the analysis. Finally, the proposed models are applied for the analysis of a real data set on smoking cessation. The results of the application show that the parametric cure model with frailties under the first activation scheme has better findings.

CP-690550 Treatment Ameliorates Established Disease and Provides Long-Term Therapeutic Effects in an SKG Arthritis Model

  • Oh, Keunhee;Seo, Myung Won;Kim, In Gyu;Hwang, Young-Il;Lee, Hee-Yoon;Lee, Dong-Sup
    • IMMUNE NETWORK
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    • v.13 no.6
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    • pp.257-263
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    • 2013
  • Although pathogenesis of human rheumatoid arthritis (RA) remains unclear, arthritogenic T cells and downstream signaling mediators have been shown to play critical roles. An increasing numbers of therapeutic options have been added for the effective control of RA. Nevertheless, there is still a category of patients that fails treatment and suffers from progressive disease. The recently developed immunosuppressant CP-690550, a small molecule JAK kinase inhibitor, has been implicated as an important candidate treatment modality for autoimmune arthritis. In this study, we evaluated the therapeutic effect of CP-690550 on established arthritis using an SKG arthritis model, a pathophysiologically relevant animal model for human RA. CP-690550 treatment revealed remarkable long-term suppressive effects on SKG arthritis when administered to the well-advanced disease (clinical score 3.5~4.0). The treatment effect lasted at least 3 more weeks after cessation of drug infusion, and suppression of disease was correlated with the reduced pro-inflammatory cytokines, including IL-17, IFN-${\gamma}$, and IL-6 and increased level of immunoregulatory IL-10.

Factors affecting Smoking Middle School Students' Intention to Quit Smoking: On the Basis of the ASE Model (흡연 중학생의 금연의도에 영향 미치는 요인: ASE 모델 적용을 중심으로)

  • Seo, Young Sook;Kim, Young Im
    • Research in Community and Public Health Nursing
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    • v.24 no.4
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    • pp.471-479
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    • 2013
  • Purpose: This study was conducted to identify factors for smoking middle school students' intention to quit smoking on the basis of the social influence and self-efficacy [ASE] model. Methods: Data were collected from 2,015 students from five middle schools in Daegu with a structured questionnaire in March, 2013 and analyzed by using $x^2$-test, ANOVA, pearson's correlation and multiple regression analysis. Results: The smoking rate was 6.1% among the total subjects and 85.4% of the smokers had intention to quit smoking. The mean value of attitude toward quitting smoking was $2.15{\pm}0.34$, that of social influence $3.38{\pm}0.65$, and that of self-efficacy $2.84{\pm}0.95$. The multiple regression analysis showed an explanatory power of 24.7%, and experience of trying to quit smoking was the strongest factor affecting the intention to quit smoking (${\beta}$=.34, p<.01), followed by school years and social influence. Conclusion: In order to increase smoking middle school students' intention to quit smoking, intervention strategies are needed to increase positive social influence or to offer public information to younger smoking students in low school years.

Relationship between Health Behavior Factors and Bone Mineral Density among College Students in a Health-Related Department (일 대학 보건의료전공학생의 건강행위특성과 골밀도와의 관련성)

  • Cho, Kwang-Ho;Yim, So-Youn;Baik, Sung-Hee
    • Journal of Korean Public Health Nursing
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    • v.25 no.2
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    • pp.266-275
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    • 2011
  • Purpose: The study investigated the relationship of health behavior with bone mineral density (BMD) for college students. Methods: A descriptive study was done using a convenient sampling of college students (n=116) enrolled in a health-related department. Height, weight, body mass index (BMI), health behaviors recognition of subjective health, smoking, drinking, exercise, food habits, intake of calcium, and family history of fracture were measured. BMD was measured at the right forearm using Hologic lunar duel-energy X-ray absorptiometry. Data were analyzed using descriptive analysis, t-test, ANOVA and multiple linear regression. Results: The prevalence of osteopenia and osteoporosis was 41.4% and 22.4%, respectively. Significant relationships were observed between BMD of right forearm and gender, BMI, subjective health recognition, drinking, and exercise (p<.05). Results of linear regression after adjusted BMD were increased concerning subjective health recognition and regular exercise (p<.05). Conclusions: Subjective health recognition and exercise carries positive effects on BMD. We recommend for college students that healthy behaviors like proper weight, smoking cessation, regular exercise, regular food habits, and health awareness are helpful to BMD.

Nasolabial and extended nasolabial flaps for reconstruction in oral submucous fibrosis

  • Qayyum, Muhammad Umar;Janjua, Omer Sefvan;Haq, Ehtesham Ul;Zahra, Rubbab
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.4
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    • pp.191-197
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    • 2018
  • Objectives: The objective of the study was to evaluate the results of nasolabial/extended nasolabial flaps as a modality for treatment of oral submucous fibrosis. Materials and Methods: Eleven patients of Stage III or IVa maximum interincisal opening were selected to be operated. Nasolabial/extended nasolabial flaps were done for both the sides. All of the flaps were done in a single stage and were inferiorly based. A similar flap harvest/surgical technique was utilized for all the cases. Results: The preoperative mouth opening ranged from 5 to 16 mm, with a mean of 10.09 mm. At 6 months the mouth opening ranged from 29 to 39 mm. Some of the complications encountered were poor scar, wisdom tooth traumatising the flap, decreased mouth opening due to non compliance and too much bulk. All of theses were managed satisfactorily. Conclusion: The nasolabial flap is a very reliable flap to restore the function of oral cavity. Important adjuvant measures are habit cessation, lifestyle changes, and aggressive physiotherapy.

Effects of Smoking Behaviors on Maternal Conditions and Conditions Arising during the Perinatal Period among Women of Reproductive Age

  • Park, Hyun-Jung;Kim, Eun-Jung
    • Child Health Nursing Research
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    • v.24 no.3
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    • pp.329-336
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    • 2018
  • Purpose: This study analyzes the effects of smoking behaviors of women of reproductive ages in terms of maternal conditions and conditions arising during the perinatal period in Korea. Methods: We used the National Health Insurance Corporation's medical panel data. Subjects included 382 individuals suffering from maternal conditions and conditions arising during the perinatal period from 2013 to 2014. A t-test was used to analyze the individual differences between maternal conditions and conditions arising during the perinatal period-A hierarchical regression analysis was performed in two steps to measure the effects of smoking behaviors on diseases. Results: The amount and duration of smoking are significant factors causing maternal conditions and conditions arising during the perinatal period. In the regression analysis, the explanatory power of model was significantly increased by adding smoking behavior to the maternal conditions and conditions arising during the perinatal period. Smoking behavior during pregnancy displayed a significant influence on diseases. Conclusion: Results of this study showed that the effects of smoking behavior on maternal conditions and conditions arising during the perinatal period were significant. Therefore it is necessary to develop a smoking cessation education program for pregnant women in Korea.

FAILURE OF ODONTOGENESIS AFTER CHEMO-RADIATION THERAPY FOR RHABDOMYOSARCOMA (횡문근육종의 항암제-방사선치료 후 치아발육장애)

  • Choi Sun-Young;Hong Sung-Woo;Koh Kwang-Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.28 no.1
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    • pp.285-297
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    • 1998
  • This report details a case of 8-year-old girl showing failure of odontogenesis after chemo-radiation therapy for the rhabdomyosarcoma at the age of 4. The observed results were as follows : 1. Past history revealed that she had received for a total radiation dose of 4430cGy, 29 fractions in 6 weeks and chemotherapy with vincristine, actinomycin D and cytoxan, followed as maintenance phase for 2 years. 2. The patient was symptom -free and appointed for the treatment of multiple dental caries. 3. Oral examination showed hypoplastic enamel on whole erupted permanent teeth and showed retarded eruption. 4. Conventional radiograms showed failure of root development including abrupt cessation of root formation and root agenesis, and microdontia, missing teeth, irregular enamel, dislocation of the impacted teeth. Additional finding showed good healing bone pattern on the left mandibular ramus and angle area. 5. Cephalometric analysis revealed failure of bite raising due to incomplete eruption of all the first molars and made it possible to suspect entrapped mandibular growth and then Class II tendency growth. 6. There was correlation between the time of chemo-radiation therapy and the damage of the teeth.

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Sleep in Menopause (폐경과 수면)

  • Lim, Weon-Jeong
    • Sleep Medicine and Psychophysiology
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    • v.9 no.2
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    • pp.96-99
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    • 2002
  • Menopause, the cessation of menstruation caused by the decline in estrogen production, occurs in 95% of women between 40 and 60 years. Sleep disturbance is a frequent complaint during the perimenopause period. In contrast to premenopausla women, menopausal women experience more reduction in the total sleep hours and report more sleep disturbances, such as insomnia, noctiria and sleep disordered breathing. But the prevalence, etiology and treatment of sleep disturbances in menopause are still controversal. So further investigations are required to elucidate the factors that account for the differences in sleep disturbance between premenopausal and postmenopausal women. There are suggestive data that estrogen and progesterone deficiency may increase the susceptibility for sleep disorder in menopause. Furthermore, there are suggestive evidence from observational studies and a limited number of randomized, controlled trials that hormone replacement therapy after menopause improves sleep. However, the clinical relevance of hormone replacement therapy is unproved. So the overall benefit of hormonal replacement in postmenopausal women with sleep related disorders should be individualized to avoid potential side effects. Several studies evaluated the role of melatonin, because this hormone has effects on core body temperature & insomnia. But the exact dosage and the effects of long-term use of melatonin are unclear. So, caution is indicated in melatonin administration.

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Analysis of Worksit Health Promotion Programs (우리나라 사업장의 건강증진 프로그램 유형 분석 - 사업장 건강증진운동 우수사례집을 중심으로 -)

  • Kim, Young Im;Jung, Hye Sun;Kim, Souk Young;Lee, Jong Eun
    • Korean Journal of Occupational Health Nursing
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    • v.13 no.2
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    • pp.140-147
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    • 2004
  • Purpose: The purpose of this study is to identify the types of worksite health promotion programs. Method: Data were collected from the excellent 35 cases chosen at the contest for worksite health promotion held by Korea Occupational Safety and Health Agency. Result: Out of all the health promotion programs, the exercise program recorded 35.0%, the nutrition program 29.4%, the smoking cessation program 28.0%, and the alcohol reduction program 7.6%. The major element of worksite health promotion programs were awareness raising intervention. Behavior change intervention and supportive environment intervention occupied a small portion of the health promotion programs. Evaluation of health promotion programs was made mainly by indicators of health behavior change and clinical symptom. Yet economical indicator was not used at all. Conclusion: Use of various evaluation indicator and development of various interventions including behavior change and supply of supportive environment are required to encourage worksite health promotion program.

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Effect of DW282 on the Induction of Methemoglobinemia, Hypoglycemia or WBC Count and Hematological Changes

  • Moon, Eun-Yi;Hwang, Hyun-Sook;Choi, Chung-Ha;Jung, Sang-Hun;Yoon, Sung-June
    • Archives of Pharmacal Research
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    • v.22 no.6
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    • pp.565-570
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    • 1999
  • DW2282,(S)-(+)-4-phenyl-1-[1-(4-aminobenzoyl)-indoline-5-sulfonyl]-4,5-dihydro-2-imidazolone hydrochloride, is a new anticancer agent which is thought to exhibit a characteristic mechanism of action in the inhibition of tumor growth. In this study, we estimated the toxicities of DW2282 in mice. When mice were orally dosed for five consecutive days at the dosages of 50, 100 and 150 mg/kg, DW2282 did not induced methemoglobinemia and hypoglycemia at any of these doses. However, increased ALT and AST values were observed in the 150 mg/kg dosing group, and white blood cells (WBC) were significantly decreased at all doses. However, the changes in WBC count, ALT and AST immediately reversed after the cessation of drug administration. In addition, we found that DW2282 did not cause an increase in hemolysis in human blood. Taken together, these data suggested that DW2282 may have a relatively low level of toxicity, and that there may be a quick recovery from any toxicity it dose produce.

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