• Title/Summary/Keyword: cumulative effect

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Improved Survival of Cervical Cancer Patients in a Screened Population in Rural India

  • Jayant, Kasturi;Sankaranarayanan, Rengaswamy;Thorat, Ranjit V;Muwonge, Richard;Hingmire, Sanjay J;Panse, Nandkumar S;Shastri, Surendra S;Malvi, Sylla G;Nene, Bhagwan
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4837-4844
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    • 2016
  • Objectives: To describe the survival experience of cervix cancer patients in a screened rural population in India. Methods: Included 558 cervical cancer patients diagnosed in 2000-2013 in a cohort of 100,258 women invited for screening during 2000-2003. The primary end point was death from cervical cancer. We used the Kaplan-Meier method to estimate cumulative observed survival and Cox proportional hazards regression to assess the effect of patient characteristics on survival after diagnosis. Results: Of the 558 cases included, 143 (26%) and 114 (20%) were diagnosed in stages IA and IB respectively; 252 (45.2%) were dead, and 306 (54.8%) were alive at the last follow-up. The overall 5-year observed survival was 60.5%. The 5-year survival of stage IA patients was 95.1% and 5.3% for stage IV patients. All surgically treated stage IA patients, 94.1% of stage IB patients receiving intracavitary radiotherapy, 62% of stage IIB, 49% of stage III and 25% of stage IV patients receiving radiotherapy survived for 5 years. Conclusion: Higher 5-year survival in our study than elsewhere in India is due to the high proportion of early stage cancers detected by screening combined with adequate treatment, resulting into a favourable prognosis.

Electrotransport of Levodopa through Skin: Permeation at Low pH (전류를 이용한 Levodopa의 경피전달: 낮은 pH에서의 투과)

  • Jo, Jung-Eun;Oh, Seaung-Youl
    • Journal of Pharmaceutical Investigation
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    • v.40 no.1
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    • pp.23-31
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    • 2010
  • In our previous work on levodopa delivery at pH 2.5 using iontophoresis, we found that cathodal delivery showed higher permeation than anodal delivery and electroosmosis plays more dominant role than electrorepulsion. In this work, we studied the transdermal transport of levodopa at very low pH (pH=1.0) where all levodopa molecules are cations, and evaluated some factors which affect the transdermal transport. The transport study at pH 2.5 was also conducted for comparison. The contribution of electrorepulsion and electroosmosis on flux was also evaluated. Using stable aqueous solution, the effect of electrode polarity, current density, current type and drug concentration on transport through skin were studied and the results were compared. We also investigated the iontophoretic flux from hydroxypropyl cellulose (HPC) hydrogel containing levodopa. In vitro flux study was performed at $33^{\circ}C$, using side-by-side diffusion cell. Full thickness hairless mouse skin were used. Current densities applied were 0.2, 0.4 or $0.6\;mA/cm^2$. Contrary to the pH 2.5 result, anodal delivery showed higher flux, indicating that electrorepulsion is the dominant force for the transport, overcoming the electroosmotic flow which is acting against the direction of electrorepulsion. Cumulative amount of levodopa transported was increased as the current density or drug concentration was increased. When amount of current dose was constant, continuous current was more beneficial than pulsed current in promoting levodopa permeation. Similar transport results were obtained when hydrogel was used as the donor phase. These results indicate that iontophoretic delivery of zwitterion such as levodopa is much complicated than that can be expected from small ionic molecules. The results also indicate that, only at very low pH like pH 1.0, electrorepulsion can be the dominant force over the electroosmosis in the levodopa transport.

Evaluation of Extraction Mode for SVE Process by On-Line Monitoring System (온라인 모니터링에 의한 디젤오염토양의 토양증기추출 공정시 추출모드 평가)

  • Park, Joon-Seok;Kim, Seung-Ho;Park, Young-Goo
    • Journal of the Korea Organic Resources Recycling Association
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    • v.11 no.4
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    • pp.90-96
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    • 2003
  • This study was performed to evaluate effect of extraction mode on SVE efficiency for fuel-contaminated soil. A gas station was selected for this study. As a result of pressure test in well head, soil texture of contaminated site under the gas station was very different from site to site. SVE system was operated in intermittent mode (1hr extraction / 3hr rest) or continuous mode. Capacity of air blower was $1m^3/min$. Extration mode test was conducted in two severe contaminated sites. In both two sites, cumulative TPHgas mass of intermittent extraction mode was higher than that of continuous mode. Considering long term operation of SVE in a field, in general, it was thought that intermittent extraction mode was effective in view of vaporized TPHgas mass and electrical cost.

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Effect of Operating Conditions on the Fouling of UF Membrane in Treatment of Dissolved Organic Matter (UF를 이용한 용존성 유기물질 제거시 운전조건이 파울링에 미치는 영향)

  • Kwon, Eun-Mi;Yu, Myong-Jin
    • Journal of Korean Society of Environmental Engineers
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    • v.22 no.7
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    • pp.1183-1191
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    • 2000
  • Operating conditions for reduction of membrane fouling in treatment of dissolved organic matter by UF membrane process were investigated by pilot-scale plant using various operating conditions. As inlet pressure increased, increament of transmembrane pressure and flux decline were faster. The reason was due to the increase in adsorption of dissolved organic matter and the development of cake layer compression on the membrane surface. When efficient pressure (the difference of pressure between backwash and transmembrane pressures) was high, small amount of pollutant was retained on the membrane surface. When backwash was frequently conducted, low concentration of pollutant was maintained in recycling water. Therefore, backwash could be efficiently conducted with high efficient pressure and high frequency. Fouling rate was correlated with backwash and inlet pressures, recovery rate and cumulative permeated volume. Among the operating parameters backwash pressure was most closely related to fouling rate and inlet pressure was next to backwash pressure. It seems that the fouling was strongly related to pressure which leads to the cake layer compression and adsorption of dissolved organic matter.

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Smoking Cessation Intention according to the Level of Cigarette Price Increase among Adolescent Smokers (담배가격 인상 수준에 따른 흡연 청소년의 금연의도)

  • Hwang, Jun Hyun;Park, Soon-Woo
    • Journal of the Korean Society of School Health
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    • v.27 no.2
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    • pp.59-68
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    • 2014
  • Purpose: The purpose of this study was to investigate the intention of smoking cessation according to the level of cigarette price increase among adolescent smokers and to suggest a reasonable cigarette price to effectively reduce smoking prevalence. Methods: In 2007, subjects were selected from middle and high school students except twelfth graders using a complex sampling design which employs a two-stage cluster sampling method. In total, 1,001 current smokers were included in the study. To investigate the intention of smoking cessation according to the level of cigarette price increase, cumulative percentages of smoking cessation of every smoking-related subgroup were presented under the assumption that cigarette prices increased to 3,000, 4,000, 5,000, 6,000 or 10,000 won. Non-parametric statistical methods were used to compare the prices at which the subjects intended to quit smoking among the subgroups. Results: More than 50 percent of current smokers intended to quit smoking under the assumption that cigarette prices were doubled to 5,000 won. However, the effect of cigarette prices on smoking cessation was less sensitive when the prices exceeded 5,000 won. In addition, the median of cigarette prices at which the subjects intended to quit smoking was 5,000 won, excluding the subjects who smoked less than a cigarette a day. Conclusion: This study suggests that 5,000 won for one pack of cigarettes is a reasonable price to effectively encourage smoking cessation, considering the price elasticity. Therefore, this finding may be helpful in establishing a new cigarette price policy for anti-smoking.

Seismic Energy Demand of Structures Depending on Ground Motion Characteristics and Structural Properties (지반 운동과 구조물 특성에 따른 구조물의 에너지 요구량)

  • Choi, Hyun-Hoon;Kim, Jin-Koo
    • Journal of the Earthquake Engineering Society of Korea
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    • v.9 no.3 s.43
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    • pp.59-68
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    • 2005
  • The energy-based seismic design method Is more rational in comparison with current seismic design code in that it can directly account for the effects of cumulative damage by earthquake and hysteretic behavior of the structure. However there are research results that don't reach a consensus depending on the ground motion characteristic and structural properties. For that reason in this study the influences of ground motion characteristics and structural properties on energy demands were evaluated using 100 earthquake ground motions recorded in different soil conditions, and the results obtained were compared with those of previous works. Results show that ductility ratios and sue conditions have significant influence on input energy. The results show that the ratio of hysteretic to input energy is considerably influenced by the ductility ratio, damping ratio, and strong motion duration, while the effect of site condition is insignificant.

Block-based Contrast Enhancement Algorithm for X-ray Images (X-ray 영상을 위한 블록 기반 대비 개선 기법)

  • Choi, Kwang Yeon;Song, Byung Cheol
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.10
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    • pp.108-117
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    • 2015
  • If typical contrast enhancement algorithms for natural images are applied to X-ray images, they may cause artifacts such as overshooting or produce unnatural visual quality because they do not consider inherent characteristics of X-ray images. In order to overcome such problems, we propose a locally adaptive block-based contrast enhancement algorithm for X-ray images. After we derive a weighted cumulative distribution function for each block, we apply it to each block for contrast enhancement. Then, we obtain images that are removed from block effect by adopting block-based overlapping. In post-processing, we obtain the final image by emphasizing high frequency components. Experimental results show that the proposed block-based contrast enhancement algorithm provides at maximum 5-times higher visual quality than the exiting algorithm in terms of quantitative contrast metric.

The Effect of Unleached Agents on the Stabilization/Solidification of Hazardous Sludge Containing Heavy Metals (有害슬러지 固形化에 따른 重金屬 溶出防止剖의 影饗)

  • 이성호
    • Journal of Environmental Health Sciences
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    • v.19 no.2
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    • pp.46-54
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    • 1993
  • This study was carried out on the stabilized/solidified treatment for the reducing leachability of hazardous heavy metals copper, lead, chromium and cadmium in the hazardous sludge which treated to be unleached heavy metals by sodium diethyl dithiocarbamate. Cement matrix was analyzed for the leachability of 24 hrs and dynamic leaching test, structure and the optimum condition for the stabilization and solidification of the hazardous sludge. In 28 days of curing time the unconfined compressive strength was 21.5 kg/cm$^2$ at the ratio of portland cement (0.5)+fly ash (0.25) and 23.5 kg/cmz at the ratio of portland cement (0.5)+fly ash (0.25) + cake (0.25). High concentration of Pb, Cr and Cd in the sea water and Cu in the distilled water were leached at the dynamic leaching test. The concentration of leaching heavy metals for specimens which were tested 24 hrs were found low leachability with decreasing pH of leachant. According to dynamic leaching test, the low level of copper, lead, cadmium and chromium were leached in the cement matrix with sodium diethyl dithiocarbamate. But the effective diffusion coefficient of unleached cement matrix which was treated sodium diethyl dithiocarbamate was decreased above 2 times than that of cement matrix. The relation of leachant renewal period (Y) and cumulative fraction ion leached (X) was the following regression equations. Solidification with unleached agent. Y$_{Cu}$ = 1413752X + 247, Y$_{Pb}$ = 223501IX + 214, Y$_{Cr}$ = 8310601X - 472, Y$_{Cd}$ = 168787X + 1061 The structure of' solidified matrix with X-ray diffraction analysis was composed more Ca(OH)$_2$, Si, Mg(OH)$_2$ and Al in the unleached cement matrix than those in cement matrix.

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A retrospective study on related factors affecting the survival rate of dental implants

  • Jang, Hee-Won;Kang, Jeong-Kyung;Lee, Ki;Lee, Yong-Sang;Park, Pil-Kyoo
    • The Journal of Advanced Prosthodontics
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    • v.3 no.4
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    • pp.204-215
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    • 2011
  • PURPOSE. The aim of this retrospective study is to analyze the relationship between local factors and survival rate of dental implant which had been installed and restored in Seoul Veterans Hospital dental center for past 10 years. And when the relationship is found out, it could be helpful to predict the prognosis of dental implants. MATERIALS AND METHODS. A retrospective study of patients receiving root-shaped screw-type dental implants placed from January 2000 to December 2009 was conducted. 6385 implants were placed in 3755 patients. The following data were collected from the dental records and radiographs: patient's age, gender, implant type and surface, length, diameter, location of implant placement, bone quality, prosthesis type. The correlations between these data and survival rate were analyzed. Statistical analysis was performed with the use of Kaplan-Meier analysis, Chi-square test and odds ratio. RESULTS. In all, 6385 implants were placed in 3755 patients (3120 male, 635 female; mean age $65{\pm}10.58$ years). 108 implants failed and the cumulative survival rate was 96.33%. There were significant differences in age, implant type and surface, length, location and prosthesis type (P<.05). No significant differences were found in relation to the following factors: gender, diameter and bone quality (P>.05). CONCLUSION. Related factors such as age, implant type, length, location and prosthesis type had a significant effect on the implant survival.

Anxiolytic effect of chronic ginseng treatment using elevated T-maze in mice

  • Mohan, M;Kasture, SB;Balaraman, R
    • Advances in Traditional Medicine
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    • v.7 no.1
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    • pp.41-45
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    • 2007
  • The roots of the plant Korean ginseng have been extensively used in the traditional Chinese herbal medicine. The effects of chronic administration of Korean ginseng extract (KGE) were investigated on two different anxiety models: the elevated T-maze (for inhibitory avoidance and escape measurements) and the open field test (OFT). Diazepam (1 mg/kg), KGE (10, 30 and 100 mg/kg) were administered orally for 15 days. On the 14th day, mice were previously exposed for 30 min to one of the open arms of the T-maze, 24 h before the test. On 15th day, mice had two exposures to the enclosed and open arm of the elevated T-maze followed by exposure to the open field apparatus. The number of line crossings in the apparatus was used to assess locomotor changes. Cumulative Concentration Response Curve of 5-HT was plotted using rat fundus which were pre-treated in a similar way. Treatment with Diazepam (1 mg/kg) and KGE (10, 30 and 100 mg/kg) significantly (P < 0.05) impaired inhibitory avoidance performance but did not impair escape latency. In OFT, diazepam facilitated locomotion as compared to vehicle and other treatment groups. KGE at any of the selected doses did not impair locomotion. Concentration response curve of 5-HT was shifted towards the right with suppression of maxima in rats treated with KGE. The results suggest that KGE exerts anxiolytic like behaviour in a specific subset of defensive behaviour, particularly those related to generalized anxiety disorder.