• Title/Summary/Keyword: NRI

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Comparison of Computed Tomography-based Abdominal Adiposity Indexes as Predictors of Non-alcoholic Fatty Liver Disease Among Middle-aged Korean Men and Women

  • Baek, Jongmin;Jung, Sun Jae;Shim, Jee-Seon;Jeon, Yong Woo;Seo, Eunsun;Kim, Hyeon Chang
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.4
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    • pp.256-265
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    • 2020
  • Objectives: We compared the associations of 3 computed tomography (CT)-based abdominal adiposity indexes with non-alcoholic fatty liver disease (NAFLD) among middle-aged Korean men and women. Methods: The participants were 1366 men and 2480 women community-dwellers aged 30-64 years. Three abdominal adiposity indexes-visceral fat area (VFA), subcutaneous fat area (SFA), and visceral-to-subcutaneous fat ratio (VSR)-were calculated from abdominal CT scans. NAFLD was determined by calculating the Liver Fat Score from comorbidities and blood tests. An NAFLD prediction model that included waist circumference (WC) as a measure of abdominal adiposity was designated as the base model, to which VFA, SFA, and VSR were added in turn. The area under the receiver operating characteristic curve (AUC), integrated discrimination improvement (IDI), and net reclassification improvement (NRI) were calculated to quantify the additional predictive value of VFA, SFA, and VSR relative to WC. Results: VFA and VSR were positively associated with NAFLD in both genders. SFA was not significantly associated with NAFLD in men, but it was negatively associated in women. When VFA, SFA, and VSR were added to the WC-based NAFLD prediction model, the AUC improved by 0.013 (p<0.001), 0.001 (p=0.434), and 0.009 (p=0.007) in men and by 0.044 (p<0.001), 0.017 (p<0.001), and 0.046 (p<0.001) in women, respectively. The IDI and NRI were increased the most by VFA in men and VSR in women. Conclusions: Using CT-based abdominal adiposity indexes in addition to WC may improve the detection of NAFLD. The best predictive indicators were VFA in men and VSR in women.

The Experimental study on the Immuno-regultory effect of Notopterygii Rhizoma Extract on OVA-induced asthma in mice (강활추출물이 OVA-induced Asthma Mouse Model의 면역조절에 미치는 영향)

  • Yoo, Ji-Hyun;Bae, Jin-Hyun;Doh, Eun-Soo;Chang, Jun-Pok;Seong, Nak-Sul;Kil, Ki-Jung
    • The Korea Journal of Herbology
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    • v.26 no.4
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    • pp.83-88
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    • 2011
  • Objectives : The aim of this study was to investigate the asthma-suppressive and immuno-regulatory effect of Notopterygii Rhizoma(NR) extract on OVA(ovalbumin)-induced asthma in mice. Methods : C57BL/6 mice out of all the experimental groups, except the Normal group and the NRI group, were sensitized and challenged with OVA. C57BL/6 mice were exposed to OVA three times a week for 12 weeks and analyzed by flow cytometer, ELISA, H&E stain. Results : The concentrations of IL-4, IL-5, IL-13, IgE in serum of the OVA-NRII group decreased significantly compared with those of the OVA-Control group. The number of $Gr-1^+/CD11b^+$, $CCR3^+$, $CD3^+/CD19^+$, $CD3e^+/CD69^+$cells in the OVA-NRI group decreased significantly compared with those of the OVA-Control group. The collagen accumulation in the lung sections of the OVA-NRII group decredased signi- ficantly compared with that of the OVA-Control group. Conclusions : These results suggest that Notopterygii Rhizoma(NR) would be a effective candidate for herbal-originated anti-asthmatic drug. However, this drug should be further studied for characterization of the accurate action and underlying mechanism using variant disease model in the future.

THE RETROSPECTIVE STUDY OF INTRAFASCIAL INFECTION FROM ODONTOGENIC INFECTION IN ORAL AND MAXILLOFACIAL REGION (구강악안면영역의 치성감염으로 인한 근막간극 감염에 대한 회귀적 연구)

  • Kim, Sung-Hyuck;Lee, Jae-Hoon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.1
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    • pp.42-49
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    • 2007
  • Infections in oral and maxillofacial region are relativley common and self-limiting, but in some cases, infections spread to adjacent hard and soft tissue and to cause any complication, even threaten life. So we made retrospective study of patients with interfascial infection who had been hospitalized and been treated by surgical treatment in Dankook university about 10 years. We reviewed the charts of patient with interfascial infection from 1995 to 2005. The result were as follows: 1. In gender & age distribution, male(54.2%) & fouth decade were most frequently. 2. The most common cause of infection was dental caries(55.2%) and the most of involving teeth was lower posterior teeth(44.1%). 3. Submandibular space is most frequently involving space and most infection involved mainly one space. 4. The patients with systemic disease were 38.2%. Diabetic mellitus was 87.2% of systemic diease. The admission period was 19.5 days in systemic disease. 5. The most microorganism in culture was Streptococcus Viridans(36.2%) in all patient. Klebsiella Pneumoniae was found most in Diabetic Mellitus. 6. The patient were mainly treated I&D on admission day. Of them 5(1.1%) patients were received tracheostomy. 7. Serum albumin, CRP and body weight are associated with Nutritional Risk Index(NRI). High risk patient group according to NRI classification showed higher rate of complications & mortality. 8. The patients with complication were 28(6.7%) persons. 4(0.9%) patients were expired. Nutritional Risk Index was helpful to predict the prognosis. When interfascial infection starts to spread, we must pay attention to airway management. Fluid therapy with nutritional may support to healing of wound.

Strategies to Improve Nutrition for the Elderly in Suwon : Analysis of Dietary Behavior and Food Preferences (수원지역 노인 영양개선 전략 연구 : 식습관 및 식품기호도 분석)

  • 임경숙;민영희;이태영;김영주
    • Korean Journal of Community Nutrition
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    • v.3 no.3
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    • pp.410-422
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    • 1998
  • To promote health status, strategies and interventions to improve nutrition should be based on the proper diagnosis of the subject's eating patterns. The elderly usually have traditional food habits and preferences, and it is very difficult to change them. This study was designed to identify dietary behavior and food preference of the elderly, in order to provide baseline data for the Elderly Nutrition Intervention Program for the Public Health Center. A survey questionnaire was made for use by trained interviewers to query 151elderly people from 5 community elderly centers located in Suwon, Korea. The majority of them ate regularly and partook of all available side dishes. Their major dietary problems were frequent consumptions of salty foods, and eating too quickly. They consumed grains and vegetables regularly, but seldomly ate dairy products, fruits, meat and food prepared with oil. They also tended to eschew ready made processed food, high cholesterol food, and fast food. Also they did not dine out as much as younger people. Desirable eating habit score were not significantly influenced by socioeconomic variables and nutrition-related characteristics. These included nutrition knowledge, Nutritional Risk Index(NRI) and a score of health concerns. However, meal balance scores were significantly higher in the younger group(p<.05), the higher household income group(p<.05). According to stepwise multiple regression analysis, NRI was the most important determinant of a desirable eating habit score for the male elderly, whereas the score of health concerns was mo9st important for female elderly subjects. The greatest predictor of the meal f balance score was nutrition knowledge. The elderly liked sweet tasting food, grains, rice, stews and Korean style soups. They disliked sour food, dairy products, processed food, and bread. The results indicate that the Elderly Nutrition Education Program should focus on increasing consumption of dairy products, fruits and food with oil, prepared by traditional Korean cooking methods. It also suggests that the program planning should consider the socioeconomic status of the elderly, such as income and education level, as well as concern for health.

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A Study on the Dietary Intake and the Nutritional Status among the Pancreatic Cancer Surgical Patients

  • Kang, Jimin;Park, Joon Seong;Yoon, Dong Sup;Kim, Woo Jeong;Chung, Hae-yun;Lee, Song Mi;Chang, Namsoo
    • Clinical Nutrition Research
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    • v.5 no.4
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    • pp.279-289
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    • 2016
  • The adequate dietary intake is important to maintain the nutritional status of the patients after pancreatic cancer surgery. This prospective study was designed to investigate the dietary intake and the nutritional status of the patients who had pancreatic cancer surgery. Thirty-one patients (15 men, 16 women) were enrolled and measured body weight, body mass index (BMI), nutritional risk index (NRI), and Malnutrition Universal Screening Tool (MUST). Actual oral intake with nutritional impact symptoms recorded on the clinical research foam at every meal and medical information were collected from electronic medical charts. The rates of malnutrition at admission were 45.1% (14/31) and 28.9% (9/31) by NRI and MUST method, respectively, but those were increased to 87% (27/31) and 86.6% (26/31) after operation on discharge. The median values of daily intake of energy, carbohydrates, fat, and protein were 588.1 kcal, 96.0 g, 11.8 g, and 27.0 g, respectively. Most patients (n = 20, 64.5%) experienced two or more symptoms such as anorexia, abdominal bloating and early satiety. There were negative correlations between C-reactive protein (CRP) levels and the intake of total energy, protein, fat, and zinc. The rates of malnutrition were increased sharply after surgery and the dietary intake also influenced the inflammatory indicators. The results suggested that need of considering special therapeutic diets for the patients who received pancreatic surgery.

Strong Convergence Theorems by Modified Four Step Iterative Scheme with Errors for Three Nonexpansive Mappings

  • JHADE, PANKAJ KUMAR;SALUJA, AMARJEET SINGH
    • Kyungpook Mathematical Journal
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    • v.55 no.3
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    • pp.667-678
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    • 2015
  • The aim of this paper is to prove strong convergence theorem by a modified three step iterative process with errors for three nonexpansive mappings in the frame work of uniformly smooth Banach spaces. The main feature of this scheme is that its special cases can handle both strong convergence like Halpern type and weak convergence like Ishikawa type iteration schemes. Our result extend and generalize the result of S. H. Khan, Kim and Xu and many other authors.

COUPLED FIXED POINT THEOREMS FOR RATIONAL INEQUALITY IN GENERALIZED METRIC SPACES

  • Singh, Deepak;Tomar, Surjeet Singh;Rathore, M.S.;Chauhan, Varsha
    • East Asian mathematical journal
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    • v.31 no.1
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    • pp.65-75
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    • 2015
  • In modern times, coupled fixed point theorems have been rigorously studied by many researchers in the milieu of partially ordered G-metric spaces using different contractive conditions. In this note, some coupled fixed point theorems using mixed monotone property in partially ordered G-metric spaces are obtained. Furthermore some theorems by omitting the completeness on the space and continuity conditions on function, are obtained. Our results partially generalize some existing results in the present literature. To exemplify our results and to distinguish them from the existing ones, we equip the article with suitable examples.

Adolescents' Social Network and their Self-Perceived Competence (청소년의 사회적 관계망과 역량지각)

  • 최은희;공인숙
    • Journal of the Korean Home Economics Association
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    • v.39 no.11
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    • pp.63-72
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    • 2001
  • The purpose of this study was to examine the relationship of adolescents'social network and their self-perceived competence. In this study 207 seventh and ninth grade adolescents completed Social Network of Relationships Inventory(NRI) and Self-Perception Profile For Children(SPPC). The data were analyzed by Frequencies, Percentiles, t-test, Cronbach's $\alpha$, Pearson's correlation. Major findings were as follows: 1) Social network of relationships with various social agents made different contributions to the prediction of adolescents'self-perceived competence. 2) In social network of relationships, boys perceived significantly higher than girls for the social support from teacher. In Competence, boys perceived significantly higher than girls for the social acceptance and athletic competence. 3) In social network of relationships, the seventh grader perceived significantly higher than the ninth grader for the social support from mother, father and teacher. In scholastic competence, athletic competence, physical appearance and global self-worth, the seventh grader perceived significantly higher than the ninth grader.

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A Study on the Factor of Retention Intention on Nurses in Small and Medium-sized Hospitals (중소병원 간호사의 재직의도 영향요인 연구)

  • Kim, Mi-Hye;Park, Jeong-Min
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.2
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    • pp.195-203
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    • 2020
  • Purpose: This study was a descriptive study to investigate on the effect of calling, self-efficacy, workplace bullying on retention intention among nurses in small and medium-sized hospitals. Methods: The research subjects were 224 nurses selected through convenient sampling from among those who have worked six months or longer in seven small and medium-sized hospitals located in G City. The data were collected using a structured questionnaire from July 17 to 30, 2018. The data was analyzed by descriptive statics, a t-test, ANOVA, Scheffé test, Pearson's correlation coefficient, and a stepwise multiple regression using SPSS/WIN 22.0 program. As a measuring tool, Calling was the Calling & Vocational Questionnaire (CVQ) developed by Dik, Eldrige and Steger (2008). Self-efficacy was developed by Sherer et al. (1982) and modified by Jeong Ae-soon (2007). Workplace bullying was developed by Einarsen, Raknes and Matthiesen (1994) in the Norwegian Negative Behavioral Experience Questionnaire (NAQ), and by Nam Woong et al. (2010). The retention intention was to use NRI (Nurses' Retention Index) developed by Cowin (2002) as a tool for Kim Min-jung (2006). Results: Factors affecting nurses' retention were analyzed. The analysis showed that retention intention was positively affected by self-efficacy (β=.24, p<.001), sense of calling (β=.23, p<.001) and annual wage (β=.21, p=.001) and negatively affected by workplace bullying (β=-.16, p=.008) on a statistically significant level, with an explanatory power of 28.6%.