• 제목/요약/키워드: Total Risk

검색결과 5,703건 처리시간 0.034초

짧은 임플란트의 생존율과 변연골 흡수량에 관한 임상적 연구 (Clinical Study on the Survival Rate and Marginal Bone Resorption of Short Implants)

  • 명태수;정승현;김태영;김유리
    • 구강회복응용과학지
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    • 제28권1호
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    • pp.1-13
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    • 2012
  • 짧은 임플란트는 상악동이나 하치조신경 등의 해부학적 구조물이 있거나 심한 치조골 흡수로 인해 제한적인 치조제 높이를 가지는 부위에서 사용되고 있다. 본 연구는 길이 10 mm 이하의 임플란트에서 임플란트의 길이, 직경, 식립 부위, 골이식술 유무, 보철물의 연결고정 유무가 임플란트의 생존율과 변연골 흡수에 미치는 영향을 알아보고자 하였다. 원광대학교 치과병원 임플란트센터에서 길이 10 mm 이하의 임플란트를 식립한 137명의 환자, 227개 임플란트를 대상으로 진료 기록부를 통해 임플란트의 길이, 직경, 식립 위치, 골이식 유무, 보철물의 연결고정 유무를 조사하였다. 변연골 흡수량은 Emago advanced v5.6(Oral diagnostic systems, Amsterdam, The Netherlands) 프로그램을 이용하여 측정하였다. 총 227개의 임플란트 중 8개가 실패하여, 전체 짧은 임플란트의 생존율은 96.5 %로 나타났다. 골이식 부위와 상악에 식립된 경우 더 높은 실패율을 보이는 경향이 있었으며, 임플란트의 길이와 직경은 변연골 흡수량에 영향을 미치지 않았다. 실패 요인을 조사하였을 때, 상악의 불량한 골질과 골이식 유무가 임플란트의 더 높은 실패율에 영향을 미쳤다. 10 mm 이하 임플란트에서 길이, 직경, 식립 부위, 골이식술과 보철물의 연결 고정은 임플란트 생존율과 변연골 흡수량에 영향을 끼치지 않았다.

Interferon-${\gamma}$ Release Assay among Tuberculin Skin Test Positive Students in Korean High Schools

  • Park, Young-Kil;Lee, Seung-Heon;Kim, Su-Young;Ryoo, Sung-Weon;Kim, Chang-Ki;Kim, Hee-Jin;Cho, Eun-Hee;Yoo, Byung-Hee;Lee, Jong-Koo;Ko, Won-Jung
    • Tuberculosis and Respiratory Diseases
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    • 제68권6호
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    • pp.328-333
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    • 2010
  • Background: There are several active tuberculosis (TB) cases in Korean high schools each school year. The risk of transmission in schools is extremely high due to the considerable time spent in closed classrooms. We evaluated the control of latent tuberculosis infection in Korean high schools. Methods: When a student was identified with active TB, tuberculin skin testing was performed on their classmates and on students in their same school grade. When a student had a positive tuberculin skin tests (TST), they underwent follow-up testing with QuantiFERON-TB Gold In-Tube (QFT). The manufacturer recommended a cut-off of 0.35 IU/mL to determine QFT positivity was applied. Results: A total of 131 pulmonary tuberculosis (TB) patients were included based on the criteria for screening TB contacts in the National Tuberculosis Control Program. Seventy-five (57.2%) students tested smear positive. TST were performed on 7,109 students who were classmates of, or in the same grade as, a TB patient. Of the contacts, 1,231 students (17.3%) were TST positive and they were screened with QFT. Six hundred-sixty-six (55.0%) of the tested students returned a positive QFT result and the rate of positivity was significantly associated with the increasing size of TST indurations (p<0.0001). Conclusion: The use of QFT resulted in approximately 45% of TST positive students not being given chemoprophylaxis.

유류 유출 사고 해역에 서식하는 패류의 다환방향족탄화수소(PAHs) 위해도 평가 (Polycyclic Aromatic Hydrocarbons Hazard Assessment of Shellfish due to Oil Spill Accidents)

  • 김풍호;김민정;조미라;이두석;송기철;변한석;조기채;박광재;전제천;윤호동
    • 한국수산과학회지
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    • 제43권3호
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    • pp.211-216
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    • 2010
  • On 7 December 2007, about 12,547 kL of crude oil spilled from the Hong Kong registered tanker Hebei Spirit along the west coast of the Republic of Korea, including Taean-gun, Chungcheongnamdo Province. This study evaluated the safety of seafood collected from the coastal area polluted by the crude oil. The range of total polycyclic aromatic hydrocarbons (${\sum}PAHs$) at 22 stations was 3.9-37.1 ng/g. The concentration of ${\sum}PAHs$ was higher in oysters, Crassoatrea gias, than that in short-necked clams, Ruditapes philippinarum. Benzo(a)pyrene, a highly toxic PAH, ranged from 0.07-1.47 ng/g, which did not exceed the European Union regulatory limit for benzo(a)pyrene. The toxicity equivalent of benzo(a)pyrene in oysters and short-necked clams was 0.49-1.70 and 0.09-1.01 ng/g, respectively. The estimated life time cancer risk was very low, i.e., $1.31{\times}10^{-8}$ for the oysters and $6.9{\times}10^{-9}$ for the short-necked clams. The body burden of PAHs in bivalves originated mostly from petroleum contamination, but the levels was not sufficiently high to harm human health.

도시유역에서의 강우 공간분포 및 소유역분할이 유출특성에 미치는 영향 (The Effect on the Characteristics of Urban Storm Runoff due to the Space Allocation of Design Rainfall and the Partition of the Subbasin)

  • 이종태;이상태
    • 한국수자원학회논문집
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    • 제30권2호
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    • pp.177-191
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    • 1997
  • 본 논문은 도시유역에서의 강우-유출을 해석하기 위한 설계조건으로서 강우 공간분포와 소유역의 분할이 결과치에 미치는 영향을 9개 도시유역에 대하여 SWMM으로 평가한 것이다. 도시유역을 상류 2개 권역으로 구분하는 각각 Huff의 4개 분포형을 조합하여 적용한 결과는 기존의 Huff2 분포로 균일하게 적용한 경우보다 첨두유량에서 -54.68~18.77% 의 편차를 보여주었다. 따라서 설계홍수량산정에서는 공간분포의 고려는 홍수위험도의 경감에 기여할 것으로 판단된다. 또한 소유역의 분할에 따른 유출특성의 영향은 유역의 경사, 불투수면적비 등에 따라 다르게 나타나나 전반적으로 분할 수가 많을수록 실측치에 접근함을 보여주었다. 그러나, 왜곡도와 면적비를 고려한 소유역 폭의 산정방법을 적용함으로써 유역분할 수가 적어도 정확도의 개선에 상당한 기여를 기대할 수 있었다. 유역면적이 약 10$\textrm{km}^2$이내인 도시유역에서는 소유역 분할 수가 3개 이상이면 약 25% 이내에서 실측치에 근사할 것으로 판단된다.

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Comparison of the clinical outcomes of day 4 and 5 embryo transfer cycles

  • Lee, Sun-Hee;Lee, Hyoung-Song;Lim, Chun Kyu;Park, Yong-Seog;Yang, Kwang Moon;Park, Dong Wook
    • Clinical and Experimental Reproductive Medicine
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    • 제40권3호
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    • pp.122-125
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    • 2013
  • Objective: The majority of embryo transfers (ETs) to date have been performed on day 3 to reduce the potential risk of developmental arrest of in vitro cultured embryos before ET. Development of sequential media has significantly improved culture conditions and allowed blastocyst transfer on day 5. While day 5 ET provides higher clinical pregnancy outcomes with reduced risks of multiple pregnancies, it still has potential risks of developmental arrest of IVF embryos. The aim of this study was to evaluate the clinical outcomes of day 4 ETs and compare the efficacy of day 4 ET with day 5 ET. Methods: From 2006 to 2009, a total of 747 fresh IVF-ET cycles were retrospectively analyzed (day 4, n=440 or and day 5, n=307). The cycles with any genetic factors were excluded. The rates of matured oocytes, fertilization, good embryos, and clinical pregnancy of the two groups were compared. The chi-square test and t-test were used for statistical analysis. Results: There were no significant differences between the two groups with respect to the mean age of the females and rates of matured oocytes. The pregnancy outcomes of day 4 ET (40.7%) were similar to those of day 5 ET (44.6%). The implantation rate of day 5 ET (24.2%) was significantly higher than that of day 4 ET (18.4%) (p=0.003). Conclusion: Day 4 ET can be chosen to avoid ET cancellation in day 5 ET resulting from suboptimal circumstances in the IVF laboratory, but the decremented quality of embryos for transfer and the decreased pregnancy rate must be taken into consideration.

한국 외래형 국소용 피부 외용제의 사용 현황에 대한 기초 평가 (Evaluation of Using Pattern of the Topical Agents in Korean Community)

  • 천영주;김숙현;김옥주;홍세화;양진욱;김정태;임성실
    • 약학회지
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    • 제58권6호
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    • pp.378-386
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    • 2014
  • Topical agents including of steroids are easily exposed to Korean patients in community setting. Those topical agents must be use cautiously because can cause adverse drug reaction unlike other oral medication. We evaluate the using pattern topical agents of Korean in community setting. We performed a questionnaire survey in three different pharmacies (general community pharmacy, dermatology clinic oriented pharmacy, general hospital oriented pharmacy) and in three university town. The survey asked necessity of topical agents, the number of applications per day, application period, site, and exist of steroids ingredient, etc. Total 330 people was participated in the survey from May 1st to July 31st, 2014. We analysed the survey by the frequency of each question and cross-analysis of the compliance between general public and pharmacy groups. In results, Korean people used topical agents for sudden skin diseases (66.9%), was gotten by dermatologist's prescription (89.1%), and did not know their diagnosis (39.2%). The people applied topical agents on face (22.3%), less one half FTU (finger tip unit) per application (61.9%), less than one week (62.9%). Though they was received drug education from pharmacist (52.2%), did not heard about adverse effects (78.4%). And compliance of applied times in pharmacy group was higher than in-non-pharmacy group (56% vs 38%, p=0.002). The highest compliance between 3 pharmacy subgroup was general community pharmacy (76.3% vs 61.6%, 61.2%, p=0.039). Compliance of applied duration was no difference between groups. Majority of respondents did not know diversity of ingredients, potency, application area of topical steroids, and replied to feel some vague reluctance and to think so dangerous about topical steroids. In conclusion, Korean people in community use topical agents well but still some exposed to risk from topical agents.

과학 관련 사회적 쟁점(Socio-Scientific Issues, SSI)을 활용한 국내 프로그램 분석 (Analysis of Socio-Scientific Issues(SSI) Programs in Korea)

  • 박현주;김나형
    • 대한화학회지
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    • 제62권2호
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    • pp.137-147
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    • 2018
  • 본 연구는 과학 관련 사회적 쟁점(Socio-Scientific Issues, SSI)의 국내 프로그램 123개를 SSI 준거틀에 따라 분석하였다. 준거틀은 프로그램의 주제, 학교급, 도입, 과학적 증거, 사회적 내용, 과학적 지식의 사용, 갈등 수준, 평가와 성찰 등으로 구성된다. 분석한 결과에 따른 결론은 다음과 같다. 첫째, 우리나라 SSI 프로그램은 초등학교급 프로그램이 가장 많았고, 중학교급 프로그램이 상대적으로 적게 나타났다. 둘째, SSI 프로그램의 도입은 실제 상황과 픽션과 논픽션 상황이 주된 것으로 나타났고, 논쟁과 갈등이 포함된 상황은 10% 미만으로 나타났다. 셋째, SSI 프로그램은 과학적 증거에 기반하지만 개인의 가치, 인식 등에 따라 영향을 받는 내용이 주로 나타났다. 넷째, SSI 프로그램의 사회적 내용은 윤리/도덕/가치, 정치/사회생활/경제, 환경 내용이 주로 개발되었다. 다섯째, SSI 프로그램에서 과학적 지식의 사용은 과학적 의사결정, 과학적 비판적 사고, 정보 탐색이 주로 나타났다. 그러나 과학 탐구, 위험평가, 비용 효과는 10% 미만으로 나타났다. 과학적 탐구는 과학교육의 핵심이며, 과학과 교육과정의 핵심역량이다. SSI 교육을 통해 학생들의 다양한 이해당사자의 관점을 경험하고, 평가하고, 반성하는 학습 경험을 제공해야 한다.

Treatment of Unruptured Intracranial Aneurysms in South Korea in 2006 : A Nationwide Multicenter Survey from the Korean Society of Cerebrovascular Surgery

  • Kim, Jeong-Eun;Lim, Dong-Jun;Hong, Chang-Ki;Joo, Sung-Pil;Yoon, Seok-Mann;Kim, Bum-Tae
    • Journal of Korean Neurosurgical Society
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    • 제47권2호
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    • pp.112-118
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    • 2010
  • Objective : There have been no clinical studies regarding the epidemiology and treatment outcome for unruptured intracranial aneurysm (UIA) in South Korea yet. Thus, The Korean Society of Cerebrovascular Surgery (KSCVS) decided to evaluate the clinical and epidemiological characteristics, and outcome of the treatment of UIA in 2006, using the nationwide multicenter survey in South Korea. Methods : A total of 1,696 cases were enrolled retrospectively over one year at 48 hospitals. The following data were obtained from all patients : age, sex, presence of symptoms, location and size of the aneurysm, treatment modality, presence of risk factors for stroke, and the postoperative 3D-day morbidity and mortality. Results : The demographic data showed female predominance and peak age of seventh and sixth decades. Supraclinoid internal carotid artery was the most common site of aneurysms with a mean size of 5.6 mm. Eight-hundred-forty-six patients (49.9%) were treated with clipping, 824 (48.6%) with coiling, and 26 with combined method. The choice of the treatment modalities was related to hospital (p=0.000), age (p=0.000), presence of symptom (p=0.003), and location of aneurysm (p=0.000). The overall 30-day morbidity and mortality were 7.4% and 0.3%, respectively. The 30-day mortality was 0.4% for clipping and 0.2% for coiling, and morbidity was 8.4% for clipping and 6.3% for coiling. Age (p=0.010), presence of symptoms (p=0.034), size (p=0.000) of aneurysm, and diabetes mellitus (p=0.000) were significant prognostic factors, while treatment modality was not. Conclusion : This first nation-wide multicenter survey on UIAs demonstrates the epidemiological and clinical characteristics, outcome and the prognostic factors of the treatment of UIAs in South Korea. The 30-day postoperative outcome for UIAs seems to be reasonable morbidity and mortality in South Korea.

Assessment of Respiratory Problems in Workers Associated with Intensive Poultry Facilities in Pakistan

  • Yasmeen, Roheela;Ali, Zulfiqar;Tyrrel, Sean;Nasir, Zaheer Ahmad
    • Safety and Health at Work
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    • 제11권1호
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    • pp.118-124
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    • 2020
  • Background: The poultry industry in Pakistan has flourished since the 1960s; however, there are scarce data regarding the impact of occupational exposure on the pulmonary health of farm workers in terms of years working in the industry. The objective of the present study was to assess the effect of poultry environment on the health of occupationally exposed poultry farmers in countries of warm climatic regions, such as Pakistan. This study will also show the effect of exposure to poultry facilities on the health of poultry farmers in the context of low-income countries with a relatively inadequate occupational exposure risk management. Materials and methods: The lung function capacity of 79 poultry workers was measured using a spirometer. Along with spirometry, a structured questionnaire was also administrated to obtain information about age, height, weight, smokers/nonsmokers, years of working experience, and pulmonary health of farm workers. The workers who were directly involved in the care and handling of birds in these intensive facilities were considered and divided into four groups based on their years of working experience: Group I (3-10 months), Group II (1-5 years), Group III (6-10 years), and Group IV (more than 11 years). The forced vital capacity (FVC), forced expiratory volume in one second (FEV1) and the FEV1/FVC ratio were considered to identify lung function abnormalities. Statistical analysis was carried out using independent sample t test, Chi-square test, Pearson's correlation, and linear regression. Results: Based on the performed spirometry, 68 (86 %) of workers were found normal and healthy, whereas 11 (14 %) had a mild obstruction. Of the 11 workers with mild obstruction, the highest number with respect to the total was in Group IV (more than 11 years of working experience) followed by Group III and Group II. Most of the workers were found healthy, which seems to be because of the healthy survivor effect. For the independent sample t test, a significant difference was noticed between healthy and nonhealthy farmers, whereas Chi-square test showed a significant association with height, drugs, and working experience. Linear regression that was stratified by respiratory symptoms showed for workers with symptoms, regression models for all spirometric parameters (FVC, FEV1, and FEV1/FVC) have better predictive power or R square value than those of workers without symptoms. Conclusion: These findings suggest that lung function capacity was directly related to years of working experience. With increasing number of working years, symptoms of various respiratory problems enhanced in the poultry workers. It should be noted that most of the poultry workers were healthy and young, the rationale being that there is a high turnover rate in this profession. The mobility in this job and our finding of 86% of the healthy workers in the present study also proposed healthy worker survivor effect.

한국 성인에서 성별에 따른 음주량 및 폭음과 치주염의 관련성: 2013~2014 국민건강영양조사 (Gender-Specific Association between Average Volume of Alcohol Consumption, Binge Drinking, and Periodontitis among Korean Adults: The Korea National Health and Nutrition Examination Survey, 2013~2014)

  • 형주희;이영훈
    • 치위생과학회지
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    • 제16권5호
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    • pp.339-348
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    • 2016
  • 본 연구는 2013~2014년 국민건강영양조사 원시자료를 사용하여 만 19세 이상 성인을 대상으로 성별을 구분하여 평균 음주량 및 폭음 빈도와 치주염의 관련성을 살펴보았다. 평균 음주량과 치주염과의 관련성을 살펴본 결과, 남자에서는 평균 음주량과 치주염은 J자 형태의 관련성을 보였으며, 특히 경도 음주군을 기준으로 중등도 음주군(1.25배)과 고도 음주군(1.39배)에서 치주염 위험이 유의하게 증가하였다. 반면, 여자에서는 평균 음주량과 치주염은 유의한 관련성이 없었다. 폭음 빈도와 치주염과의 관련성 연구 결과, 남자에서는 폭음 빈도가 증가할수록 치주염의 위험이 유의하게 높아지는 경향을 보였지만, 여자에서는 폭음 빈도와 치주염은 유의한 관련성이 없었다. 결론적으로 본 연구를 통해 남자에서 과도한 음주량 및 폭음을 하는 경우 치주염이 유의하게 증가함을 확인하였다. 지역사회에서 치주염 예방을 위해서는 올바른 음주습관 형성을 위한 정확한 정보제공과 다양한 홍보교육 전략이 필요할 것이다.