1.Effect of Sodium Fluoride Varnish and Potassium Iodide on Remineralization Efficacy of Silver Diamine Fluoride
Kunho LEE ; Junyong AHN ; Jong Soo KIM ; Miran HAN ; Joonhaeng LEE ; Jisun SHIN
Journal of Korean Academy of Pediatric Dentistry 2021;48(4):467-475
The purpose of this study was to compare the effect of sodium fluoride(NaF) varnish and potassium iodide(KI) on remineralization efficacy of silver diamine fluoride(SDF) by measuring microhardness and evaluating surface morphology by scanning electron microscope(SEM).
Artificial caries lesions were induced on extracted primary molars and vickers microhardness was measured. Specimens were randomly separated into 4 groups for treatment. The specimens in group I were treated with SDF, group II with NaF varnish after SDF, group III with KI after SDF and group IV with distilled water. After 8 days of pH cycling, vickers microhardness was measured and difference before and after treatment was calculated. For SEM, 2 samples were evaluated respectively after enamel polishing, lesion formation and after pH cycling.
Group III showed highest increase in microhardness. Group I showed higher increase in microhardness than Group II but without statistical difference. Group IV showed lowest increase in microhardness value among 4 groups.
On SEM image, group I, II and III showed smoother and less irregular surface compared to group IV. Amorphous crystal pellicles were observed in group III.
In conclusion, SDF, SDF and NaF, SDF and KI groups showed smoother surface and increase in microhardness suggesting the possibility that remineralization effect might take place in oral conditions. In addition, in limited conditions of this study, applying NaF varnish after SDF did not increase the remineralization efficacy of SDF while KI significantly increased the remineralization efficacy of SDF. However, additional study considering various conditions that might affect demineralization and remineralization in clinical situations need to be conducted.
2.The principles of presenting statistical results using figures
Jae Hong PARK ; Dong Kyu LEE ; Hyun KANG ; Jong Hae KIM ; Francis Sahngun NAHM ; EunJin AHN ; Junyong IN ; Sang Gyu KWAK ; Chi-Yeon LIM
Korean Journal of Anesthesiology 2022;75(2):139-150
Tables and figures are commonly adopted methods for presenting specific data or statistical analysis results. Figures can be used to display characteristics and distributions of data, allowing for intuitive understanding through visualization and thus making it easier to interpret the statistical results. To maximize the positive aspects of figure presentation and increase the accuracy of the content, in this article, the authors will describe how to choose an appropriate figure type and the necessary components to include. Additionally, this article includes examples of figures that are commonly used in research and their essential components using virtual data.
3.Tips for troublesome sample-size calculation
Junyong IN ; Hyun KANG ; Jong Hae KIM ; Tae Kyun KIM ; Eun Jin AHN ; Dong Kyu LEE ; Sangseok LEE ; Jae Hong PARK
Korean Journal of Anesthesiology 2020;73(2):114-120
Properly set sample size is one of the important factors for scientific and persuasive research. The sample size that can guarantee both clinically significant differences and adequate power in the phenomena of interest to the investigator, without causing excessive financial or medical considerations, will always be the object of concern. In this paper, we reviewed the essential factors for sample size calculation. We described the primary endpoints that are the main concern of the study and the basis for calculating sample size, the statistics used to analyze the primary endpoints, type I error and power, the effect size and the rationale. It also included a method of calculating the adjusted sample size considering the dropout rate inevitably occurring during the research. Finally, examples regarding sample size calculation that are appropriately and incorrectly described in the published papers are presented with explanations.
4.Tips for troublesome sample-size calculation
Junyong IN ; Hyun KANG ; Jong Hae KIM ; Tae Kyun KIM ; Eun Jin AHN ; Dong Kyu LEE ; Sangseok LEE ; Jae Hong PARK
Korean Journal of Anesthesiology 2020;73(3):268-268
5.Assessment of P values for demographic data in randomized controlled trials
Eun Jin AHN ; Jong Hae KIM ; Tae Kyun KIM ; Jae Hong PARK ; Dong Kyu LEE ; Sangseok LEE ; Junyong IN ; Hyun KANG
Korean Journal of Anesthesiology 2019;72(2):130-134
In a large number of randomized controlled trials, researchers provide P values for demographic data, which are commonly reported in table 1 of the article for the purpose of emphasizing the lack of differences between or among groups. As such, the authors intend to demonstrate that statistically insignificant P values in the demographic data confirm that group randomization was adequately performed. However, statistically insignificant P values do not necessarily reflect successful randomization. It is more important to rigorously establish a plan for statistical analysis during the design and planning stage of the study, and to consider whether any of the variables included in the demographic data could potentially affect the research results. If a researcher rigorously designed and planned a study, and performed it accordingly, the conclusions drawn from the results would not be influenced by P values, regardless of whether they were significant. In contrasts, imbalanced variables could affect the results after variance controlling, even though whole study process are well planned and executed. In this situation, the researcher can provide results with both the initial method and a second stage of analysis including such variables. Otherwise, for brief conclusions, it would be pointless to report P values in a table simply listing baseline data of the participants.
Bias (Epidemiology)
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Methods
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Random Allocation
6.The principles of presenting statistical results: Table
Sang Gyu KWAK ; Hyun KANG ; Jong Hae KIM ; Tae Kyun KIM ; EunJin AHN ; Dong Kyu LEE ; Sangseok LEE ; Jae Hong PARK ; Francis Sahngun NAHM ; Junyong IN
Korean Journal of Anesthesiology 2021;74(2):115-119
General medical journals such as the Korean Journal of Anesthesiology (KJA) receive numerous manuscripts every year. However, reviewers have noticed that the tables presented in various manuscripts have great diversity in their appearance, resulting in difficulties in the review and publication process. It might be due to the lack of clear written instructions regarding reporting of statistical results for authors. Therefore, the present article aims to briefly outline reporting methods for several table types, which are commonly used to present statistical results. We hope this article will serve as a guideline for reviewers as well as for authors, who wish to submit a manuscript to the KJA.
7.Assessment of P values for demographic data in randomized controlled trials
Eun Jin AHN ; Jong Hae KIM ; Tae Kyun KIM ; Jae Hong PARK ; Dong Kyu LEE ; Sangseok LEE ; Junyong IN ; Hyun KANG
Korean Journal of Anesthesiology 2019;72(2):130-134
In a large number of randomized controlled trials, researchers provide P values for demographic data, which are commonly reported in table 1 of the article for the purpose of emphasizing the lack of differences between or among groups. As such, the authors intend to demonstrate that statistically insignificant P values in the demographic data confirm that group randomization was adequately performed. However, statistically insignificant P values do not necessarily reflect successful randomization. It is more important to rigorously establish a plan for statistical analysis during the design and planning stage of the study, and to consider whether any of the variables included in the demographic data could potentially affect the research results. If a researcher rigorously designed and planned a study, and performed it accordingly, the conclusions drawn from the results would not be influenced by P values, regardless of whether they were significant. In contrasts, imbalanced variables could affect the results after variance controlling, even though whole study process are well planned and executed. In this situation, the researcher can provide results with both the initial method and a second stage of analysis including such variables. Otherwise, for brief conclusions, it would be pointless to report P values in a table simply listing baseline data of the participants.
8.The principles of presenting statistical results: Table
Sang Gyu KWAK ; Hyun KANG ; Jong Hae KIM ; Tae Kyun KIM ; EunJin AHN ; Dong Kyu LEE ; Sangseok LEE ; Jae Hong PARK ; Francis Sahngun NAHM ; Junyong IN
Korean Journal of Anesthesiology 2021;74(2):115-119
General medical journals such as the Korean Journal of Anesthesiology (KJA) receive numerous manuscripts every year. However, reviewers have noticed that the tables presented in various manuscripts have great diversity in their appearance, resulting in difficulties in the review and publication process. It might be due to the lack of clear written instructions regarding reporting of statistical results for authors. Therefore, the present article aims to briefly outline reporting methods for several table types, which are commonly used to present statistical results. We hope this article will serve as a guideline for reviewers as well as for authors, who wish to submit a manuscript to the KJA.
9.Effectiveness of Convalescent Plasma Therapy in Severe or Critically Ill COVID-19 Patients:A Retrospective Cohort Study
YunSuk CHO ; YuJin SOHN ; JongHoon HYUN ; YaeJee BAEK ; MooHyun KIM ; JungHo KIM ; JinYoung AHN ; SuJin JEONG ; NamSu KU ; Joon-Sup YEOM ; MiYoung AHN ; DongHyun OH ; JaePhil CHOI ; SinYoung KIM ; KyoungHwa LEE ; YoungGoo SONG ; JunYong CHOI
Yonsei Medical Journal 2021;62(9):799-805
Purpose:
Coronavirus disease-2019 (COVID-19) is a novel respiratory infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); there are few specific treatments. Convalescent plasma (CP), donated by people who have recovered from COVID-19, is an investigational therapy for severe or critically ill patients with COVID-19.
Materials and Methods:
This retrospective cohort study evaluated the effectiveness of CP therapy in patients with severe or lifethreatening cases of COVID-19 at two hospitals in Seoul, Korea, between May and September 2020. Clinical outcomes were evaluated in 20 patients with CP therapy in a descriptive manner. Additionally, the changes in cycle threshold (Ct) values of 10 patients with CP therapy were compared to those of 10 controls who had the same (±0.8) initial Ct values but did not receive CP.
Results:
Of the 20 patients (mean age 66.6 years), 18 received high-dose oxygen therapy using mechanical ventilators or high-flow nasal cannulas. Systemic steroids were administered to 19 patients who received CP. The neutralizing antibody titers of the administered CP were between 1:80 and 1:10240. There were two ABO-mismatched transfusions. The World Health Organization ordinal scale score and National Institutes of Health severity score improved in half of the patients within 14 days. Those who received CP showed a higher increase in Ct values at 24 h and 72 h after CP therapy compared to controls with similar initial Ct values (p=0.002).No transfusion-related side effects were observed.
Conclusion
CP therapy may be a potential therapeutic option in severe or critically ill patients with COVID-19.
10.Effectiveness of Convalescent Plasma Therapy in Severe or Critically Ill COVID-19 Patients:A Retrospective Cohort Study
YunSuk CHO ; YuJin SOHN ; JongHoon HYUN ; YaeJee BAEK ; MooHyun KIM ; JungHo KIM ; JinYoung AHN ; SuJin JEONG ; NamSu KU ; Joon-Sup YEOM ; MiYoung AHN ; DongHyun OH ; JaePhil CHOI ; SinYoung KIM ; KyoungHwa LEE ; YoungGoo SONG ; JunYong CHOI
Yonsei Medical Journal 2021;62(9):799-805
Purpose:
Coronavirus disease-2019 (COVID-19) is a novel respiratory infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); there are few specific treatments. Convalescent plasma (CP), donated by people who have recovered from COVID-19, is an investigational therapy for severe or critically ill patients with COVID-19.
Materials and Methods:
This retrospective cohort study evaluated the effectiveness of CP therapy in patients with severe or lifethreatening cases of COVID-19 at two hospitals in Seoul, Korea, between May and September 2020. Clinical outcomes were evaluated in 20 patients with CP therapy in a descriptive manner. Additionally, the changes in cycle threshold (Ct) values of 10 patients with CP therapy were compared to those of 10 controls who had the same (±0.8) initial Ct values but did not receive CP.
Results:
Of the 20 patients (mean age 66.6 years), 18 received high-dose oxygen therapy using mechanical ventilators or high-flow nasal cannulas. Systemic steroids were administered to 19 patients who received CP. The neutralizing antibody titers of the administered CP were between 1:80 and 1:10240. There were two ABO-mismatched transfusions. The World Health Organization ordinal scale score and National Institutes of Health severity score improved in half of the patients within 14 days. Those who received CP showed a higher increase in Ct values at 24 h and 72 h after CP therapy compared to controls with similar initial Ct values (p=0.002).No transfusion-related side effects were observed.
Conclusion
CP therapy may be a potential therapeutic option in severe or critically ill patients with COVID-19.