• 제목/요약/키워드: S/P ratio

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지방간 질환 진단을 위한 초음파 감쇠 영상 평가 (US Attenuation Imaging for the Evaluation and Diagnosis of Fatty Liver Disease )

  • 이승준;김유리;이영환;윤권하
    • 대한영상의학회지
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    • 제84권3호
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    • pp.666-675
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    • 2023
  • 목적 지방간 환자에서 초음파 감쇠영상(attenuation imaging; 이하 ATI)의 감쇠계수(attenuation coefficient; 이하 AC)와 시각적 평가 사이의 상관관계 여부를 파악하고 혈액화학 및 CT 감쇠계수와 AC 사이의 상관관계 여부를 평가하고자 하였다. 대상과 방법 본 후향적 연구에서는 2018년 4월부터 12월까지 ATI를 포함한 간초음파를 시행 받은 환자들 중 만성 간질환 및 간경화증을 제외한 환자들을 대상으로 하였다. AC와 초음파 시각적 평가, 혈액화학, 간 감쇠 및 간 대 비장 비율(liver to spleen ratio; 이하 L/S ratio) 사이의 상관관계를 분석하였다. 분산 분석을 통해 초음파 시각적 등급에 따른 AC 값을 비교하였다. 결과 총 161명의 환자가 포함되었다. 초음파 시각적 평가와 AC 사이의 상관 계수는 0.814였다(p < 0.001). 정상, 경도, 중등도, 고도 지방간의 AC 평균값은 각각 0.56, 0.66, 0.74, 0.85였다(p < 0.001). 알라닌 아미노전이효소는 AC와 유의한 상관관계가 있었다(r = 0.317, p < 0.001). 간 감쇠계수 및 L/S ratio와 AC 사이의 상관계수는 각각 -0.702 와 -0.626이었다(p < 0.001). 결론 초음파 시각적 평가와 AC는 강한 양의 상관관계 및 등급들 사이의 구별되는 AC 값을 보였고, CT 감쇠계수와 AC는 강한 음의 상관관계를 보였다.

뇌졸중의 위험요인에 대한 환자-대조군연구 -과거병력, 생활습관, 혈청지질 및 비만요인을 중심으로- (The Case-Control Study on the Risk Factors of Stroke in Korean Adults -Past Medical History, Life-Style Factors, Serum Lipid Level, Anthropometric Indices-)

  • 고성규;정용수;박경훈;부송아
    • 대한한방내과학회지
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    • 제22권3호
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    • pp.423-430
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    • 2001
  • Objects: The purpose of this case-control study was done to examine the relationship between stroke prevalence and the anthropometric indices(body mass index(BMI), modified Broca's method(Broca's index), waist circumference(WC), waist-hip ratio(WHR)), dyslipidemia, past medical history(heart disease, hypertension, diabetes mellitus(DM)), life-style factors(smoking, drinking) in Korean adults. Methods : The study group consisted of neurologically confirmed 116 stroke patients as the case group and 116 non-stroke patients as control group. Obesity were defined as $BMI{\geq}25kg/m^2,\;Broca's\;index{\geq}30%$, WC >94cm in male and WC >80cm in female, $WHR{\geq}0.9$ in male and $WHR{\geq}0.8$ in female. Oyslipidemia were defined as total $cholesterol{\geq}200mg/dl,\;triglyceride{\geq}200mg/dl,\;HDL-cholesterol {\leq}35mg/dl,\;LDL-cholesterol{\geq}160mg/dl$. Information on life-style factors and past medical history was obtained from personal interview. The analysis of the data was done by means of chi-square test(Pearson's chi-square test, Fisher's exact test) and student t-test. Results: The results were as follow. In the study group: Hypertension had a 4:05 odds ratio, Broca's $index{\geq}30%$ had a 1.98 odds ratio, WC >94cm in male had a 2.17 odds ratio, WC >80cm in female had a 2.80 odds ratio, $WHR{\geq}0.9$ in male had a 4.66 odds ratio, $WHR{\geq}0.8$ in female had a 5.35 odds ratio, but heart disease, DM, life-style factors, serum lipid and 8MI had no direct relationship with odds ratio(nonsignificant). By student t-test, risk factors for stroke were found to be total cholesterol(p=0,025), LDL-cholesterol(p=0.013), WC(p=0.000) and WHR(p=0.000). Conclusions: This study suggests that people should be advised to control hyperlitension, hyperlipidemia and obesity since these carry a risk of stroke.

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Association between Obesity factors and Homocysteine Levels with the Metabolic Syndrome

  • Shin, Kyung A
    • 대한임상검사과학회지
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    • 제44권3호
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    • pp.147-154
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    • 2012
  • Metabolic syndrome and homocysteine are associated with increased independent risk factors of cardiovascular disease. We investigated the difference between the degree of obesity, metabolic syndrome risk factors, plasma homocysteine and anthropometric obesity factors. Totally 398 participated in a medical check-up program were selected for this study. Subjects were categorized into three groups according to the number of metabolic syndrome components present as defined by the NCEP-ATP III criteria; Absent (0 criteria, n=124), Pre-MetS (1-2 criteria, n=220) and MetS (${\geq}3$ criteria, n=54). Body mass index (BMI) is a measure used to distinguish between normal weight, overweight and obesity. MetS presented higher homocysteine than Absent (p<.05) and obesity higher than normal weight (p<.01). When Absent+Pre-MetS was used to classify obese or not, obesty presented higher homocysteine than non-obese (p<.05). Further homocysteine levels positively correlated with weight, BMI, waist circumference, hip circumference and waist-hip ratio (WHR). Especially WHR is not only MetS (r=0.378, p<.001) but also Absent+Pre-MetS (r=0.305, p=0.029) significantly positively correlated with homocysteine. The results of our study indicate that homocysteine is related closely to obesity. Although obesity has not been diagnosed with metabolic syndrome, obesity related with increased homocysteine.

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완화형 가유전체에서 전계인가에 따른 격자왜곡과 강유전물성의 상관관계 (Electric-Field-Induced Lattice Distortion and Related Properties in Relaxor Ferroelectrics)

  • 박재환;박재관;김윤호
    • 한국결정학회지
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    • 제12권1호
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    • pp.14-19
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    • 2001
  • Effects of electric-field-induced lattice distortion on the polarization and strain were investigated in Pb(Mg/sub 1/3/Nb/sub 2/3)O₃ relaxor ferroelectric ceramics in the temperature range of -50℃∼90℃. The ratio of residual strain and polarization (S/sub r//P/sub r/ rarely depends on the temperature. However, the ratio of the electric field included strain and polarization (S/sub induced//P/sub induced/) increased as the temperature decreases below phase transition temperature. To explain these experimental results, a simple rigid ion model concentrating on only Bo/sub 6/ octahedron was suggested.

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표고 및 구름버섯으로부터 Mn-peroxidase와 Laccase의 생산(生産) (Production of Mn-peroxidase and Laccase from Lentinus edodes and Coriolus versicolor)

  • 배현종;한옥수;고홍범;김윤수
    • Journal of the Korean Wood Science and Technology
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    • 제21권3호
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    • pp.87-93
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    • 1993
  • This study was undertaken to investigate the characteristics and the productivities of lignin olytic enzymes: laccase (Lac) and Mn-dependent peroxidase (MnP) from Coriolus versicolor and Lentinus edodes respectively. Enzymes were isolated from cultural filterates and purified according to the standard methods. These enzymes showed one band in SDS-PAGE and their molecular weights were found 62,000 and 45,000 dalton respectively. Polyclonal antibodies against Lac and MnP were raised against mouse. In the ELISA (enzyme-linked immunosorbent assay), Lac and MnP-antiserum produced a strong positive reaction with Lac and MnP antigen($A_{405}$=2.50 and 3.53 respectively). The sera to negative (S/N) ratio was determined by the dividing the mean absorbance of antibodies by the corresponding diluted samples from normal mouse serum. The sera produced showed 2 times more positive reaction in S/N ratio than negative sera.

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산지초지개발을 위한 다량요소의 적정 시비비율 및 시비량 결정에 관한 연구 I. 혼파초지에서 음이온 N:S:P 및 양이온 K:Ca:Mg 적정시비비율 (The Optimal Combination and Amount of Major Nutrients Computed by the Homes Systematic Variation Technique for the Hilly Pasture Development I. Determination of the optimal combinations of anions N:S:P and cations K:Ca:Mg in fertilation on a grass-clover mixed sward)

  • 정연규;김성채
    • 한국초지조사료학회지
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    • 제9권1호
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    • pp.26-33
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    • 1989
  • 산지초지개발과 聯關된 草地士壞개랑 및 施肥法改攻善을 馬하여 Homes의 Systematic variations 方法으로 多量要素 anions N : S : P 및 Cations K : Ca Ca:Mg 적정비료비율J인比率 (當量基準) 을 決定코자 山地 土爆을 공시한 Pot試驗으로 Orchardgrass-Ladino clover混播條件에서 수행한 결과는 1. 混播條件에서 各構成훌種別 最高收量을 얻기 위한 적정비료比率을 求하였다(Table 4), 大略的으로 未本科목초는 N: S : P=3: 1 : I, K: Ca: Mg= 1 1 : 1, 두과목초는 N : S : P= 1 : 6 : 43, K: Ca : :Mg=I:3: 1을 보였고, 그리고 混슴收草에서는 未本科목초의 境遇와 비슷한 경향을 보였다. 2... 混播條件에서 건물收量은 未本科 및 혼합목초에서는 N> P> S-group 및 $K\geq$Ca$\geq$Mg-group 순으로; 두과목초는 P> S> N-group과 Ca > $Mg\geq$K-group 순으로 높았다. 特히 未本科救草는 N-group에서 荳科목초는 P~및 Ca-group에서 수량이 매우 높았다. 3. 士壞의 pH는 S-group 에서 낮아졌고 (5.9->5.3). Ca, Mg-group에서는 높아졌다(5.9->6.7). 그리고 Ca-group에서 유효$P_2O_5$,含量, CEC 및 염기포화도가 상대적으로 제일 높았다. 4. 未本科 및 혼합목초는 N-group에서 높은 N 含量과 낮은 P함량을 보였고, 낮은 P함량으로 Ca/P 比가 anion-group 中 第一 높은 2.15를 보였다. 두과목초에서는 Ca - group 에 서 第一 높은 9.20을 보였다. 두과목초에서는 未本科목초보다 相對的으로 Ca Mg함량이 높아 Ca/P 比가 높고, K/(Ca+Mg) 當量 比가 낮은 特性을 보였다. 5.. 無機養分收量과 건물收量間에는 各處理別 증수효과의 差異를 보였다. 목초중 各無機養分의 收量提高를 위한 多量要素의 적정시비比率을 求하였고. 이는 건물收量의 境遇와는 差異가 있었다 .. K-와 Mg-group間에는 길항적인 Mg 및 K收量 減少을 보였다.

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귤응애의 생물적 방제를 위한 Amblyseius fallacis의 방사수준 (Release Level of Amblyseius fallacis Garman (Acarina: Phytoseiidae) for Biological Control of Panonychus citri McGregor (Acari: Tetranychidae) on Citrus)

  • 김동환;김광식;현재욱;임한철
    • 한국응용곤충학회지
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    • 제42권3호
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    • pp.233-240
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    • 2003
  • 항온$.$항습 조건에서 Amblyseius fallacis의 접종밀도별 귤응애에 대한 밀도억제효과를 조사한 결과, 16 : 1(Panonychus citri :A.fallacis) 이상의 비율로 접종한 경우에 귤응애의 밀도가 매우 효과적으로 억제되었다. 그리고 귤응애의 초기 밀도가 잎 당 0.5마리와 1마리일 때 20:1로 1-2회씩 방사한 결과, 모든 처리에서 A.fallacis의 밀도는 다소 높게 형성되었으나 귤응애에 대한 뚜렷한 억제효과를 보이지는 않았다. 정상적으로 관리되고 있는 비닐하우스의 감귤나무에서 귤응애가 잎 당 0.1-0.2마리 정도일 때 10:1로 2회 방사한 경우에는 A.fallacis의 밀도도 높게 형성되었으며, 유기합성농약을 살포한 처리구와 동일할 정도의 높은 방제효과를 보였다. 그리고 이리응애가 서식하는 곳은 수관 내부이므로 수관 내부와 외부의 환경차이를 조사한 결과,주간에는 수관내부가 외부에 비해 기온은 낮고, 상대습도는 높기 때문에 A.fallacis의 서식에 다소 유리한 것으로 나타났으며, 기온은 7.2$^{\circ}C$ 이상, 상대습도는 18.5% 이상까지도 차이가 있었다.

The Neutrophil-to-Lymphocyte Ratio as a Predictor of Postoperative Outcomes in Patients Undergoing Coronary Artery Bypass Grafting

  • Hyun Ah Lim;Joon Kyu Kang;Hwan Wook Kim;Hyun Son;Ju Yong Lim
    • Journal of Chest Surgery
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    • 제56권2호
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    • pp.99-107
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    • 2023
  • Background: The neutrophil-to-lymphocyte ratio (NLR) has been suggested as a novel predictive marker of cardiovascular disease. However, its prognostic role in patients under-going coronary artery bypass grafting (CABG) is unclear. This study aimed to determine the association between the preoperative NLR and early mortality in patients undergoing CABG. Methods: Cardiac surgery was performed in 2,504 patients at Seoul St. Mary's Hospital from January 2010 to December 2021. This study retrospectively reviewed 920 patients who underwent isolated CABG, excluding those for whom the preoperative NLR was unavailable. The primary endpoints were the 30- and 90-day mortality after isolated CABG. Risk factor analysis was performed using logistic regression analysis. Based on the optimal cut-off value of preoperative NLR on the receiver operating characteristic curve, high and low NLR groups were compared. Results: The 30- and 90-day mortality rates were 3.8% (n=35) and 7.0% (n=64), respectively. In the multivariable analysis, preoperative NLR was significantly associated with 30-day mortality (odds ratio [OR], 1.28; 95% confidence interval [CI], 1.17-1.39; p<0.001) and 90-day mortality (OR, 1.17; 95% CI, 1.07-1.28; p<0.001). The optimal cut-off value of the preoperative NLR was 3.4. Compared to the low NLR group (<3.4), the high NLR group (≥3.4) showed higher 30- and 90-day mortality rates (1.4% vs. 12.1%, p<0.001; 2.8% vs. 21.3%, p<0.001, respectively). Conclusion: Preoperative NLR was strongly associated with early mortality after isolated CABG, especially in patients with a high preoperative NLR (≥3.4). Further studies with larger cohorts are necessary to validate these results.

기반의 조화운동을 받는 감쇠선형진동계의 최적 복합동흡진기에 관한 연구 (A Study on Optimal Multi-dynamic Absorber of Damped Linear Vibration System under the Harmonic Motion of the Base)

  • 안찬우;김동영;홍도관
    • 소음진동
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    • 제10권2호
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    • pp.325-330
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    • 2000
  • A dynamic absorber is used to protect the primary vibration system under the steady-state harmonic disturbance. In a number of cases it appears expedient to install several absorbers of smaller masses instead of one. This may be due to the need of distribute the absorber's response along the construction, restrictions on the absorber's installation. So, we studied characteristics of the primary vibration system for the optimal natural frequency ratio and the optimal damping ratio of serial multi-dynamic absorber. Also we obtained the optimum values of the serial multi-dynamic absorber parameters using computer simulation for the damped primary vibration system. In designing multi-dynamic absorber, we presented for the optimal natural frequency and the optimal damping ratio of multi-dynamic absorbers.

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탄성초음파에서 유방종괴의 감별진단을 위한 탄성도 점수와 변형비의 유용성 평가 (Evaluation of the Usefulness of Differential Diagnosis of Breast Mass using Elasticity Score and Elasticity Ratio in Elastography)

  • 안현;임인철;이효영
    • 한국방사선학회논문지
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    • 제12권5호
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    • pp.677-682
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    • 2018
  • 본 연구는 유방 전단파 탄성 초음파에서 탄성도 점수와 변형비를 이용한 방법이 양성과 악성병변의 감별진단에 유용한지를 평가하였다. 탄성 초음파를 시행한 224명을 대상으로 하였으며, 유방조직검사 결과를 바탕으로 후향적인 분석을 하였다. 유방 종괴의 양성과 악성에 따른 5단계의 탄성도 점수와의 동질성 비교는 Fisher's Exact test, 변형비와의 차이검증은 Mann-Whitney U test를 실시하였다. ROC 곡선분석을 통해 악성병변의 예측을 위한 탄성도 점수와 변형비의 최적 cut off 값을 결정하였다. 양성과 악성 결절 군의 분류에 따른 탄성도 점수의 동질성 비교와 변형비의 차이검증 결과에서 각각 통계적으로 유의한 차이를 보였으며(p=.000), ROC 곡선분석에서 양성과 악성 결절의 예측을 위한 탄성도 점수와 변형비의 AUC 0.824, 0.806, cut off 값 3, 4.4로 결정되었다(p=.001). 따라서 탄성도 점수와 변형비는 유방 종괴의 감별진단에 도움을 줄 수 있을 것이다.