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Estimating the Economic Burden of Lung Cancer in Iran

  • Rezaei, Satar;Sari, Ali Akbari;Woldemichael, Abraha;Soofi, Moslem;Kazemi, Ali;Matin, Behzad Karami
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.10
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    • pp.4729-4733
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    • 2016
  • Objectives: Lung cancer is a major public health problem and one of the most costly illnesses. The study aimed to estimate the economic burden of lung cancer in Iran in 2014. Methods: A cross-sectional study was conducted to estimate the direct and indirect costs for patients with lung cancer using a prevalence-based approach. A human capital approach was employed to estimate the indirect costs. Data were obtained from several sources such as through patient interview using structured questionnaire, medical records, the GLOBOCAN databases, the Iranian Statistical Center, the Iranian Ministry of Cooperation, Labor and Social Welfare, and the Institute for Health Metrics and Evaluation (IHME). Results: The economic burden of lung cancer in Iran in the year 2014 was 3,225,998,555,090 IR. The main components of the cost were associated with mortality (81.9 %) and hospitalization (7.6 %). The costs of direct medical care, non-medical aspects, patient time, and mortality accounted for 10.8%, 2.7%, 4.5%, and 81.5% of the total cost, respectively. Conclusion: Findings from this study indicated that the economic burden of lung cancer is substantial both to Iran's health system and to society as a whole. Early diagnosis, strengthening cancer prevention, implementing new cancer therapy and medical technology, and effective smoking-cessation interventions could offset some of the costs associated with lung cancer in Iran.

Practical seismic assessment of unreinforced masonry historical buildings

  • Pardalopoulos, Stylianos I.;Pantazopoulou, Stavroula J.;Ignatakis, Christos E.
    • Earthquakes and Structures
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    • v.11 no.2
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    • pp.195-215
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    • 2016
  • Rehabilitation of historical unreinforced masonry (URM) buildings is a priority in many parts of the world, since those buildings are a living part of history and a testament of human achievement of the era of their construction. Many of these buildings are still operational; comprising brittle materials with no reinforcements, with spatially distributed mass and stiffness, they are not encompassed by current seismic assessment procedures that have been developed for other structural types. To facilitate the difficult task of selecting a proper rehabilitation strategy - often restricted by international treaties for non-invasiveness and reversibility of the intervention - and given the practical requirements for the buildings' intended reuse, this paper presents a practical procedure for assessment of seismic demands of URM buildings - mainly historical constructions that lack a well-defined diaphragm action. A key ingredient of the method is approximation of the spatial shape of lateral translation, ${\Phi}$, that the building assumes when subjected to a uniform field of lateral acceleration. Using ${\Phi}$ as a 3-D shape function, the dynamic response of the system is evaluated, using the concepts of SDOF approximation of continuous systems. This enables determination of the envelope of the developed deformations and the tendency for deformation and damage localization throughout the examined building for a given design earthquake scenario. Deformation demands are specified in terms of relative drift ratios referring to the in-plane and the out-of-plane seismic response of the building's structural elements. Drift ratio demands are compared with drift capacities associated with predefined performance limits. The accuracy of the introduced procedure is evaluated through (a) comparison of the response profiles with those obtained from detailed time-history dynamic analysis using a suite of ten strong ground motion records, five of which with near-field characteristics, and (b) evaluation of the performance assessment results with observations reported in reconnaissance reports of the field performance of two neoclassical torsionally-sensitive historical buildings, located in Thessaloniki, Greece, which survived a major earthquake in the past.

Association of chairside salivary aMMP-8 findings with periodontal risk assessment parameters in patients receiving supportive periodontal therapy

  • Schmalz, Gerhard;Kummer, Max Kristian;Kottmann, Tanja;Rinke, Sven;Haak, Rainer;Krause, Felix;Schmidt, Jana;Ziebolz, Dirk
    • Journal of Periodontal and Implant Science
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    • v.48 no.4
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    • pp.251-260
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    • 2018
  • Purpose: The aim of this retrospective cross-sectional study was to evaluate whether salivary findings of active matrix-metalloproteinase 8 (aMMP-8) chairside (point of care; POC) tests were associated with periodontal risk assessment parameters in patients receiving supportive periodontal therapy (SPT). Methods: A total of 125 patients receiving regular SPT were included, and their records were examined. The following inclusion criteria were used: a diagnosis of chronic periodontitis, at least 1 non-surgical periodontal treatment (scaling and root planning) with following regular SPT (minimum once a year), at least 6 remaining teeth, and clinical and aMMP-8 findings that were obtained at the same appointment. In addition to anamnestic factors (e.g., smoking and diabetes), oral hygiene indices (modified sulcus bleeding index [mSBI] and approximal plaque index), periodontal probing depth simultaneously with bleeding on probing, and dental findings (number of decayed, missing, and filled teeth) were recorded. Salivary aMMP-8 levels were tested using a commercial POC test system (Periomarker, Hager & Werken, Duisburg, Germany). Statistical analysis was performed using the t-test, Mann-Whitney U test, Fisher's exact test, and ${\chi}^2$ test, as appropriate (P<0.05). Results: Only the mSBI was significantly associated with positive salivary aMMP-8 findings (aMMP-8 positive: $27.8%{\pm}20.9%$ vs. aMMP-8 negative: $18.0%{\pm}14.5%$; P=0.017). No significant associations were found between aMMP-8 and smoking, diabetes, periodontal parameters, or parameters related to the maintenance interval (P>0.05). Conclusions: Salivary aMMP-8 chairside findings were not associated with common parameters used for periodontal risk assessment in patients receiving SPT. The diagnostic benefit of POC salivary aMMP-8 testing in risk assessment and maintenance interval adjustment during SPT remains unclear.

A Study on Verifying the Effect of Thermal Environment Control of Street Canyons based on Application of Green Wall System (거리협곡 벽면녹화 조성유형에 따른 미기상 변화 및 열환경 평가)

  • Kim, Jeong-Ho;Choi, Won-Jun;Yoon, Yong-Han
    • Journal of Environmental Science International
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    • v.25 no.2
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    • pp.311-322
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    • 2016
  • This study reduced and built Street Canyons created by skyscrapers in order to verify effect of Street Canyons by green wall within the city centre and analysed influence factors on temperature reduction according to applicative types of green wall in the lab. Applicative types were divided into three types such as non- greening type(Case A), one-side greening type(Case B), both side greening type(Case C). The result of analysis of each types showed that average temperature of Case B and Case C is respectively $1.0^{\circ}C$ and $1.7^{\circ}C$ lower than Case A. The result of analysis of WBGT was that the highest temperature was given by Case A($40.2^{\circ}C$) and second one was from Case B($39.8^{\circ}C$) and third one was from ($39.1^{\circ}C$) and in UTCI Case A records the highest temperature of $34.7^{\circ}C$ and Case B provided the second highest temperature of $33.9^{\circ}C$ and Case B gave the lowest temperature of $32.7^{\circ}C$. In PMV the highest temperature of 2.65 was from Case B and second one of 2.61 was from Case A and third one of 2.54 was from Case C. Duncan analysis of each types based on solar radiation and thermal comfort generated that there was analytical significance between Case A and Case B and Case B in terms of each types of average temperature reduction. The significance of thermal comfort in WBGT, MRT, PMV showed non-significance but, In UTCI it was analysed that there was significance between Case C and Case A.

Clinical Characteristics of Patients with Acute Organophosphate Poisoning Requiring Prolonged Mechanical Ventilation (장기간 인공환기가 필요한 유기인계 중독환자의 연관인자 분석)

  • Shin, Hwang-Jin;Lee, Mi-Jin;Park, Kyu-Nam;Park, Joon-Seok;Park, Seong-Soo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.6 no.1
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    • pp.32-36
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    • 2008
  • Purpose: The major complication of acute organophosphate (OP) poisoning is respiratory failure as a result of cholinergic toxicity. Many clinicians find it difficult to predict the optimal time to initiate mechanical ventilation (MV) weaning, and as a result have tended to provide a prolonged ventilator support period. The purpose of this study is to determine any clinical predictors based on patients characteristics and laboratory findings to assist in the optimal timing of mechanical ventilator weaning. Methods: We reviewed medical and intensive care records of 44 patients with acute OP poisoning who required mechanical ventilation admitted to medical intensive care unit between July 1998 and June 2007. Patient information regarding the poisoning, clinical data and demographic features, APACHE II score, laboratory data, and serial cholinesterase (chE) levels were collected. Base on the time period of MV, the patients were divided into two groups: early group (wean time < 7 days, n = 28) and delayed group (${\geq}$ 7 days, n = 16). Patients were assessed for any clinical characteristics and predictors associated with the MV weaning period. Results: During the study period, 44 patients were enrolled in this study. We obtained the sensitivity and specificity values of predictors in the late weaning group. APACHE II score and a reciprocal convert of hypoxic index but specificity (83.8%) is only APACHE II score. Also, the chE concentration (rho = -0.517, p = 0.026) and APACHE II score (rho = 0.827, p < 0.001) correlated with a longer mechanical ventilation duration. Conclusion: In patients with acute OP poisoning who required mechanical ventilation, the APACHE II scoring system on a point scale of less than 17 and decrements in cholinesterase levels on 1-3 days were good predictors of delayed MV weaning.

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Preparation of Alkyl and Aryl-thionocarbamate and their Anthelmintic action (Alkyl 급 Aryl thionocarbamate 류의 합성과 그 구충작용에 관한 연구)

  • 국채호
    • YAKHAK HOEJI
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    • v.7 no.2_3
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    • pp.58-66
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    • 1963
  • Alkyl-phenylthionocarbamates already have been investigated as anthelmintics. Especially ethyl-phenylthionocarbamate is noted for its anthelmintic action. Author studied methods for synthesizing Alkyl-phenylthionocarbamates, Alkyl-p-phenetyl thionocarbamates, Alkyl-cyclohexylthionocarbamates, 5 kinds for each. For alkyl radical $-CH_{3}$, $-C_{2}H_{5}$, -n-propyl, -isobuthyl, -n-buthyl, being chosen. Compounds VIII, X, XIII, XIV, and XV are new compounds. At the sametime author prepared 4 kinds of Arylthionocarbamates, among which XVII, and XIX being new compounds. (Table I) The anthelmintic action of these thionocarbamates has been examined through kymographic records indicating the action of neuromuscular preparation of Eisenia foetida Savigny in the various concentration fo above compounds: -Trendelenburg method. Santonine as the criterion of the estimation. (Table. II) 1. Compounds I-X could be prepared by method A or method B. method A in sealed tube brought on better yield and purity. 2. Compounds XI-XV couldn't be prepared by method A but by method B. 3. Arylthionocarbamates XVI, XVII, XVIII, and XIX couldn't be prepared by method A or method B but by method C. 4. Analyzed N. contained in all compounds. Analyzed C.H. and N. contained in unknown compounds, VIII, X, XIII, XIV, XV, XVII, and XIX. 5. Examination of anthelmintic action has been done under the advice of Prof. J.S.Oh medical college, Seoul Nat. University. 6. Compounds VI-X showed little action. 7. Compounds XVI-XIX showed almost no action. 8. Compounds XI-XV showed stronger action than compounds I-V, which was reported already as a usable anthelmintics. 9. Compounds XI, XII, XIII and XIV showed strongest actions, stronger than santonine as recorded on kymographion of the Trendelenburg method. Provided that, the toxity of these compounds found mild enough for human system, these compounds will serve as anthelmintics of greater powers than compounds I-V. 10. In Alkylthionocarbamates, R'NH-radical more influence on the anthelmintic action than ester radical(-OR).

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A Study on Analysis of Component and the States of Measurement of Airborne Organic Solvents in Korea (우리나라의 공기중 유기용제 측정실태 및 성분분석에 관한 연구)

  • 원정일;신창섭
    • Journal of environmental and Sanitary engineering
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    • v.14 no.3
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    • pp.139-149
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    • 1999
  • This study was performed to investigate components of organic solvents and present statues of environmental measurements with official records of working environmental measurements of 4,181 workplaces in 3,280 workshops used airborne organic solvents. 1. The mean working hour of 4,181 workplace producing airborne organic solvents in 3,280 workshops was 437±28.7min, but the mean sampling time for measurement of airborne organic solvents was identified to be 254±28.8min. In 73.0% of 4,181 samples the sampling frequencys were Full-period, single sample measurement. 2. The total 54 components of organic solvents were measured in total airborne samples of 4,181 workplace in 3,280 workshops in both of first and second half-year. These were divided into 38 components, Group 1 substances (5 components), Group 2 substances (31 components) and Group 3 substances (2 components), regulated by the Industrial Safety and Health Law, and other 16 components without legal duty of working environment measurement. The most common component in each half-year was Toluene (84.8%, 88.2%), which was followed by Xylene (464.4%, 51.7%), Methyl ethyl ketone (31.1%, 34.4%), n-Hexane (22.7%, 27.8%) and Benzene (20.4%, 21.5%) in frequency. Of legal duty free components, Ethyl benzen, Trimethyl benzene and Pentane were frequently detected. In conclusion, these results show that the present legal classification system of organic solvents needs to revise. Also these results suggest that it must be necessary to analyze the component of airborne organic solvents mixture and to evaluate their effects on workers' health for the effective management of working environment in workshops treating with organic solvents.

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Estimation of Structural Dynamic Properties Using Signal Processing Techniques (신호처리기법을 이용한 구조물의 동특성치 추정)

  • Tae-Young,Chung;Yang-Han,Kim
    • Bulletin of the Society of Naval Architects of Korea
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    • v.27 no.2
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    • pp.87-95
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    • 1990
  • Conventional methods to estimate natural frequencies and damping ratios of structures from measured response time series obtained during impact tests are reviewed. Maximum Entropy Method and Least Square Prony Method are introduced to alleviate the inherent limitation of the conventional methods. The performance of the methods are explored through computer simulation. As an example of application, they are applied to the time series obtained from an anchor drop-and-snup test of a container ship and the result is compared to that of conventional FFT method. As a result of the computer simulation, it is found that Maximum Entropy Method is very efficient to estimate natural frequencies of structures when two neighboring natural frequencies are close enough and short data records are only available, but it is not a reliable estimator for damping ratios. And it is also found that Least Square Prony Method is efficient to estimate the natural frequencies and damping ratios of highly damped structural system, but the estimation efficiency of damping ratios is significantly deteriorated in the presence of significant additive noise.

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Case Study of Opinion Coordination between Residents and Coordinators on the Planning Process of Community Housing in Sungmisan Village (성미산마을 공동체주거 계획과정의 거주자와 코디네이터의 의견조정 사례연구)

  • Park, Kyoung-Ok;Ryu, Hyun-Soo
    • Journal of the Korean housing association
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    • v.23 no.3
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    • pp.1-11
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    • 2012
  • The purpose of this study was to make clear considerations in the planning of community housing and the roles of coordinators. Seongmisan village, a representative urban community village in Seoul, was selected for this study on problem solving between residents and opinion coordination between residents and coordinators. For this qualitative research, 2 residents and 2 coordinators answered 'open questionnaires' on prior basic planning, land purchase, financing, architectural planning, construction and inspection, and actual living conditions thereafter. They were each interviewed for 2 hours at a time that was 14-16 months after the residents started living in the new houses, and the records were transcribed. The following was the result. 1) The residents, who ruled the steps of prior basic planning and land purchase, did not have sufficient information or knowledge of the construction of community housing, so that they faced difficulties especially in the legal and financial aspects. 2) The coordinators participated in the project at the steps of architectural planning and construction. The residents accepted the coordinators' opinions on the choice of floor and position, and the coordinators listened to the residents' opinions on individual plans and finishing materials. In the construction step, however, there was conflict between them, and dissatisfaction occurred on the completion time and construction cost. For the successful construction of community housing, a professional coordination company needs to join the project to establish a system of opinion coordinating from the step of prior basic planning to the step of afterconstruction management.

Mechanical and biological complication rates of the modified lateral-screw-retained implant prosthesis in the posterior region: an alternative to the conventional Implant prosthetic system

  • Lee, Jae-Hong;Lee, Jong-Bin;Kim, Man-Yong;Yoon, Joon-Ho;Choi, Seong-Ho;Kim, Young-Taek
    • The Journal of Advanced Prosthodontics
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    • v.8 no.2
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    • pp.150-157
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    • 2016
  • PURPOSE. The modified lateral-screw-retained implant prosthesis (LSP) is designed to combine the advantages of screw- and cement-retained implant prostheses. This retrospective study evaluated the mechanical and biological complication rates of implant-supported single crowns (ISSCs) inserted with the modified LSP in the posterior region, and determined how these complication rates are affected by clinical factors. MATERIALS AND METHODS. Mechanical complications (i.e., lateral screw loosening [LSL], abutment screw loosening, lateral screw fracture, and ceramic fracture) and biological complications (i.e., peri-implant mucositis [PM] and peri-implantitis) were identified from the patients' treatment records, clinical photographs, periapical radiographs, panoramic radiographs, and clinical indices. The correlations between complication rates and the following clinical factors were determined: gender, age, position in the jaw, placement location, functional duration, clinical crown-to-implant length ratio, crown height space, and the use of a submerged or nonsubmerged placement procedure. RESULTS. Mechanical and biological complications were present in 25 of 73 ISSCs with the modified LSP. LSL (n=11) and PM (n=11) were the most common complications. The incidence of mechanical complications was significantly related to gender (P=.018). The other clinical factors were not significantly associated with mechanical and biological complication rates. CONCLUSION. Within the limitations of this study, the incidence of mechanical and biological complications in the posterior region was similar for both modified LSP and conventional implant prosthetic systems. In addition, the modified LSP is amenable to maintenance care, which facilitates the prevention and treatment of mechanical and biological complications.