• 제목/요약/키워드: case control

검색결과 10,867건 처리시간 0.046초

Colorectal Cancer and its Association with the Metabolic Syndrome: a Malaysian Multi-Centric Case-Control Study

  • Ulaganathan, V.;Kandiah, M.;Zalilah, M.S.;Faizal, J.A.;Fijeraid, H.;Normayah, K.;Gooi, B.H.;Othman, R.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권8호
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    • pp.3873-3877
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    • 2012
  • Objective: Colorectal cancer (CRC) and the metabolic syndrome (MetS) are both on the rise in Malaysia. A multi-centric case-control study was conducted from December 2009 to January 2011 to determine any relationship between the two. Methods: Patients with confirmed CRC based on colonoscopy findings and cancer free controls from five local hospitals were assessed for MetS according to the International Diabetes Federation (IDF) definition. Each index case was matched for age, gender and ethnicity with two controls (140: 280). Results: MetS among cases was highly prevalent (70.7%), especially among women (68.7%). MetS as an entity increased CRC risk by almost three fold independently (OR=2.61, 95%CI=1.53-4.47). In men MetS increased the risk of CRC by two fold (OR=2.01, 95%CI, 1.43-4.56), demonstrating an increasing trend in risk with the number of Mets components observed. Conclusion: This study provides evidence fora positive association between the metabolic syndrome and colorectal cancer. A prospective study on the Malaysian population is a high priority to confirm these findings.

물의 경도가 흰쥐의 신장, 간에서 중금속 축적에 미치는 영향 (Influence of Water Hardness on Accumulation of Heavy Metals in Kidneys and Livers of Rats)

  • 한돈희
    • 한국환경보건학회지
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    • 제14권2호
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    • pp.51-64
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    • 1988
  • It has been suggested that calcium is only one of many metals that compete with toxic metals in the body. Therefore, this study was carried out to determine the influence of water hardness on accumulation of heavy metals in rats. The seventy-five rats were divided into control and case groups. Case group was subdivided into four subgroups in proportion to the concentration of water hardness respectively, such as, 0, 250, 500, 1000ppm. Control group was fed on only deionized water, but case groups were fed on hard water with ionized heavy metals (Cd 150mg + Pb 300mg + Cu 300mg/l) for 20, 40, 60 days. The concentrations of cadmium, lead and copper were measured by atomic absorption spectrophotometry (Perkin Elmer 2380) in livers and kidneys. The results of the study are summarized as following 1. The concentration of cadmium accumulation showed the tendency of decrease in proportion to water hardness in both livers and kidneys of rats having been fed for only 60 days, respectively. 2. In only livers of rats having been fed for 60 days, essential metal, copper had the tendency of decrease according as hardness in water. 3. It was impossible to compare case with control about the tendency of lead accumulation because there was no difference between the two in livers and kidneys respectively.

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The effects of aqua-exercise on the muscle atrophy of hind limb in rats

  • Cho sun-yeo
    • The Journal of Korean Physical Therapy
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    • 제14권3호
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    • pp.373-406
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    • 2002
  • This study was peformed to investigate the effects on skeletal muscle recovery with aqua-exercise; swimming to take the muscle endurance for 20 days on two group of white rats which were the low extremity atrophy group(control groups) by fixed for two weeks and aqua-exercise group(experimental groups) after it. The effects was observed with light and electron microcope to measure the morphological changes of muscle fibers. The results obtained were as follow. 1. Light microscope: In the case of control groups, quadriceps fibers had been irregular alignment, decreased muscle width and the irregular alignment nuclear appeared, as it is degenerative muscle fibers. In the case of experimental groups, the fibers had been regular alignment cells and fibers. The nucleus of muscle had been normal characterized by oval shape and fiber sarcomere clearly classified. 2. Electron microscope: In the case of control groups, there were the quadriceps which was Z-line streaming phenomenon induced at the sarcomere and cells nuclear separated from basal membrane. It was not only observed the sarcomere alignment irregularly and mitochondria damaged, but also vacuoles found. In the case of experimental groups, A band, I band, H band had been clearly appeared, classified at the myofibrils of quadriceps, and electronic dense M-line found in sarcomere. There were observed satellite cells and basal laminas that usually to be appeared at the time of mitochondrial development, skeletal muscle fiber regeneration or development. This results suggest that the aqua-exercise assisted to inhibit the degenerative morphological changes of skeletal muscle cells and help to recover from abnormal states. Especially, it is considered to effect on a normal structural formation.

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대학교 강의실 EHP 제어를 이용한 에너지 절약 시스템 (Energy Saving System of EHP Control at the College Lecture Room)

  • 정기범
    • 대한안전경영과학회지
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    • 제16권2호
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    • pp.167-174
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    • 2014
  • Heating and air conditioning system is changing rapidly from the traditional HVAC central supply system to the individual supply system with electrical heat pump system (EHP) in Korean school buildings. The individual supply system has advantages to turn on and off individually and to adjust the thermal comfort separately, but energy is wasted in the unoccupied classroom when the last leaving occupant does not turn off the controller. If the controller is to be off automatically while the classroom is not in use, energy consumption would decrease dramatically. This project aims to cease the unnecessary EHP supply in vacant classroom by inputting the class schedule from the central control room to reduce the energy-spending. Experimental measurements were carried out between the controlled classroom that is turned off when not in use and the uncontrolled room that is turned on continually. Occupant's comfort and energy consumption were measured and compared between the controlled case and the uncontrolled case. The energy consumption of controlled classroom case is 30-60% less than that of the uncontrolled classroom case. This result shows that controlling the cooling supply for the unoccupied classroom using the class schedule can decrease the energy consumption remarkably. This supply control system can be used to conserve energy in school structures like universities.

이중관으로 연결된 자연치와 임플랜트의 악골 내응력분포에 관한 3차원 유한요소분석 (A Study on the Stress Distribution of Tooth/Implant Connected with Konus Telescope Denture Using 3-Dimensional Finite Element Method)

  • 이수옥;최대균;권긍록;우이형
    • 대한치과보철학회지
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    • 제46권4호
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    • pp.381-395
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    • 2008
  • 서론: 임플랜트와 자연치가 혼재하는 증례에 있어서 보철물의 연결여부와 그 결과에 대해 논쟁이 많이 있어왔다. 본 연구에서는 임플랜트와 자연치를 이중관으로 연결했을 경우에 치조골 내에서 임플랜트 주변 조직의 하중에 대한 응력의 양상을 분석하여 자연 치와 임플랜트를 연결하는 보철물의 방식으로 이중관의 사용가능성을 비교 분석하고자 하였다. 연구재료 및 방법: 실험군으로서는 한 개의 자연치아와 한 개의 임플랜트를 이중관으로 연결한 모델을 사용하고, 대조군으로 두 개의 임플랜트를 이중관으로 연결한 모델을 사용하여 응력분포의 차이를 비교분석하였다. 임플랜트와 자연치 각각 통상적인 금합금을 사용하여 내,외관을 모델링한 후 각각의 외관을 연결한 구조를 형성한다. 내관과 외관은 $6^{\circ}$의 경사도 (taper)로 형성하고 내외관 사이의 공간을 인정하여, 하중을 가했을 경우 내외관 사이에 합금의 마찰력과 변위를 계산하여, 그 결과가 골내 임플랜트의 응력 분포에 영향을 줄 수 있도록 실험모델을 형성하였다. 하중은 일반적인 저작력의 크기로 임플랜트 부위와 자연치 부위에 각각 부여하여 응력의 차이를 비교하였으며, 최종적으로 대조군과의 차이를 비교하고자 하였다. 하중 조건은 임플랜트와 자연치아 사이, 임플랜트 후방, 전방부 자연치아의 사이에 하중을 가하였으며, Load case 1, 2, 3로 분류하였다. 실험을 위해서 ANSYS Version 8.1을 사용하여 3차원 유한 요소 분석을 시행하였다. 연구성적: 지대주에 가해지는 응력 - 최대 응력은 실험군이 대조군에 비해 각각 2.4 (Load Case1), 1.02 (Load Case2), 0.46 (Load Case3)배 높게 나타났으며,Load Case3의 경우 대조군의 최대응력이 더욱 높게 나타났는데, 이것은 전치부 치아의 경우 하중을 효과적으로 분산하기 때문인 것으로 보인다. 악골내에 가해지는 응력 - 악골내에서 최대 응력은 실험군이 대조군에 비해 각각 1.69 (Load Case1), 1.26 (Load Case2), 1.93 (Load Case3) 배 크게 나타났다 결론: 임플랜트와 자연치아가 혼재된 경우, 이중관으로 상부 보철물을 연결한 경우, 임플랜트만으로 구성된 대조군에 비해, 임플랜트 및 임플랜트 식립 부위의 악골에 가해지는 최대 응력은 1.02 에서 2.4배 가량 높게 나타났다. 자연치아의 움직임이 임플랜트의 경부 및 악골 내에 응력을 집중시킨 것으로 보이며, 자연치아가 있는 악골부위에서는 응력이 거의 발생하지 않았다. 본 실험의 경우 자연치아와 임플랜트에서 모든 하중을 받는 것으로 계산하였고, 실제 가철성 의치에서 나타나는 점막의 영향을 배제하였기 때문에, 실제 임상에서는 후방 임플랜트에 미치는 최대 응력의 크기는 2.4배 이하일 것으로 추정할 수 있다. 앞으로, 실제 임상에 적용하였을 경우, 임플랜트에 미치는 영향 및 자연치아에 미치는 결과에 대한 연구가 필요할 것이다.

Urinary Bladder Cancer Risk Factors: A Lebanese Case-Control Study

  • Kobeissi, Loulou Hassan;Yassine, Ibrahim Adnan;Jabbour, Michel Elias;Moussa, Mohamad Ahmad;Dhaini, Hassan Rida
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.3205-3211
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    • 2013
  • Background: Bladder cancer is the second most incident malignancy among Lebanese men. The purpose of this study was to investigate potential risk factors associated with this observed high incidence. Methods: A case-control study (54 cases and 105 hospital-based controls) was conducted in two major hospitals in Beirut. Cases were randomly selected from patients diagnosed in the period of 2002-2008. Controls were conveniently selected from the same settings. Data were collected using interview questionnaire and blood analysis. Exposure data were collected using a structured face-to-face interview questionnaire. Blood samples were collected to determine N-acetyltransferase1 (NAT1) genotype by PCR-RFLP. Analyses revolved around univariate, bivariate and multivariate logistic regression, along with checks for effect modification. Results: The odds of having bladder cancer among smokers was 1.02 times significantly higher in cases vs. controls. The odds of exposure to occupational diesel or fuel combustion fumes were 4.1 times significantly higher in cases vs controls. The odds of prostate-related morbidity were 5.6 times significantly higher in cases vs controls. Cases and controls showed different clustering patterns of NAT1 alleles. No significant differences between cases and controls were found for consumption of alcohol, coffee, tea, or artificial sweeteners. Conclusions: This is the first case-control study investigating bladder cancer risk factors in the Lebanese context. Results confirmed established risk factors in the literature, particularly smoking and occupational exposure to diesel. The herein observed associations should be used to develop appropriate prevention policies and intervention strategies, in order to control this alarming disease in Lebanon.

An Evaluation of Active Case Detection in Malaria Control Program in Kiyuni Parish of Kyankwanzi District, Uganda

  • Bahk, Young Yil;Cho, Pyo Yun;Ahn, Seong Kyu;Lee, Woo-Joo;Kim, Tong-Soo;Working Groups in ChildFund Korea;Uganda, Uganda
    • Parasites, Hosts and Diseases
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    • 제56권6호
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    • pp.625-632
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    • 2018
  • Malaria remains one of the leading health burdens in the developing world, especially in several sub-Saharan Africa countries; and Uganda has some of the highest recorded measures of malaria transmission intensity in the world. It is evident that the prevalence of malaria infection, the incidence of disease, and mortality from severe malaria remain very high in Uganda. Although the recent stable political and economic situation in the last few decades in Uganda supported for a fairly good appreciation of malaria control, the declines in infection, morbidity, and mortality are not sufficient to interrupt transmission and this country is among the top 4 countries with cases of malaria, especially among children under 5 years of age. In fact, Uganda, which is endemic in over 95% of the country, is a representative of challenges facing malaria control in Africa. In this study, we evaluated an active case detection program in 6 randomly selected villages, Uganda. This program covered a potential target population of 5,017 individuals. Our team screened 12,257 samples of malaria by active case detection, every 4 months, from February 2015 to January 2017 in the 6 villages (a total of 6 times). This study assessed the perceptions and practices on malaria control in Kiyuni Parish of Kyankwanzi district, Uganda. Our study presents that the incidence of malaria is sustained high despite efforts to scale-up and improve the use of LLINs and access to ACDs, based on the average incidence confirmed by RDTs.

고엽제 노출과 병원 밖 심정지 후 생존 퇴원과의 연관성 (Association between defoliant exposure and survival to discharge after out-of-hospital cardiac arrest)

  • 김동욱;계유찬;이정엽;정의기;김동성;최현정;이영
    • 대한임상독성학회지
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    • 제19권1호
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    • pp.38-43
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    • 2021
  • Purpose: We investigated the association between defoliant exposure and survival to discharge after out-of-hospital cardiac arrest. Methods: This is a retrospective case-control study based on the cardiopulmonary resuscitation (CPR) registry. The electronic medical records of out-of-hospital cardiac arrest victims from 6/9/2008 to 12/31/2016 were analyzed statistically. The case patients group had a history of defoliant exposure while the control group did not. Among the 401 victims studied, a total of 110 patients were male out-of-hospital cardiac arrest patients. Baseline characteristics and the parameters involved in cardiac arrest were analyzed and compared between the two groups after propensity score matching. The primary outcome was survival to discharge, and secondary outcomes were sustained return of spontaneous circulation (ROSC) and survival to admission. Results: After propensity score matching a total of 50 patients (case=25, control=25) were analyzed. Primary outcome (survival to discharge) was not significantly different between case and control groups [(OR, 1.759; 95% C.I., 0.491-6.309) and (OR, 1.842; 95% C.I., 0.515-6.593), respectively]. In the subgroup analysis, there were also no significant differences between the control group and subgroups in primary and secondary outcomes according to defoliant exposure severity. Conclusion: There is no statistically significant association between defoliant exposure and survival of out-of-hospital cardiac arrest.

가시설 안정성 검토에 관한 인천국제공항 시공 사례 연구 (Case Study for the Stability of Temporary Shoring Facilities at Inchon International Airport)

  • 최인걸;조현모;류승철
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 1999년도 봄 학술발표회 논문집
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    • pp.97-104
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    • 1999
  • This case study has been prepared to provide the practical data about construction of temporary shoring facilities (i.e. braced sheet pile excavation) and to utilize the case study information effectively for design and construction of future facilities. This case study includes information such as 1) installing measurement devices to monitor the deformation of the sheet pile walls and the subsoil in the vicinity after establishing the criteria for the sheet pile deflection; 2) monitoring the actual movement of the temporary facility after setting up the survey control standard (due to the movement of the temporary facility) : 3) inspecting the suitability of the temporary facility construction: and 4) analyzing and studying the result of the tension test after installing ground anchors.

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철도 Safety Case 작성을 위한 위험도평가 가이드라인 (Guideline on the Risk Assessment for Railway Safety Case)

  • 정원;왕종배;박찬우
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2008년도 춘계학술대회 논문집
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    • pp.1255-1263
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    • 2008
  • A Safety Case is an railway organization's formal arrangement, through the provision of policies, resources and processes, to ensure the safety of its work activity within safety management system. An effective system helps the organization to identify and manage risks effectively. It allows an organization to demonstrate its capability in achieving its safety objectives and in meeting regulatory requirements. The purpose of this research is to give how to the risk assessments are described within Railway Safety Cases can be prepared and maintained to meet the criteria specified by the upcoming railway regulations. Through this research, we propose the elements of safety management system that include arrangements for the ongoing identification of hazards, assessment of risks and the implementation of necessary control measures.

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