• 제목/요약/키워드: distinguishing index

검색결과 62건 처리시간 0.024초

Importance of Neutrophil/Lymphocyte Ratio in Prediction of PSA Recurrence after Radical Prostatectomy

  • Gazel, Eymen;Tastemur, Sedat;Acikgoz, Onur;Yigman, Metin;Olcucuoglu, Erkan;Camtosun, Ahmet;Ceylan, Cavit;Ates, Can
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권5호
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    • pp.1813-1816
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    • 2015
  • Background: The aim of this study was to research the importance of the neutrophil to lymphocyte ratio (NLR) in prediction of PSA recurrence after radical prostatectomy, which has not been reported so far. Materials and Methods: The data of 175 patients who were diagnosed with localised prostate cancer and underwent retropubic radical prostatectomy was retrospectively examined. Patient pre-operative hemogram parameters of neutrophil count, lymphocyte count and NLR were assessed. The patients whose PSAs were too low to measure after radical prostatectomy in their follow-ups, and then had PSAs of 0,2 ng/mL were considered as patients with PSA recurrence. Patients with recurrence made up Group A and patients without recurrence made up Group B. Results: In terms of the power of NLR value in distinguishing recurrence, the area under OCC was statistically significant (p<0.001) .The value of 2.494 for NLR was found to be a cut-off value which can be used in order to distinguish recurrence according to Youden index. According to this, patients with a higher NLR value than 2.494 had higher rates of PSA recurrence with 89.7% sensitivity and 92.6% specificity. Conclusions: There are certain parameters used in order to predict recurrence with today's literature data.We think that because NLR is easy to use in clinics and inexpensive, and also has high sensitivity and specificity values, it has the potential to be one of the parameters used in order to predict biochemical recurrence in future.

Carbohydrate counting 을 이용한 제2형 당뇨병 환자의 식사 관리 (The Meal Management of Korean Type 2 Diabetes Patients Using Carbohydrate Counting)

  • 박선민;최수봉
    • 대한영양사협회학술지
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    • 제5권1호
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    • pp.64-73
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    • 1999
  • Carbohydrate(CHO) counting is a meal planning approach used with diabetic patients that focuses on carbohydrate as the primary nutrient affecting post-prandial glycemic response. However, it has not been used in meal management of diabetic patients in Korea. CHO counting can be used by clients with type 1 and 2 diabetes. The purpose of the study was to determine the barriers to utilize the CHO counting when three levels of CHO counting were educated to type 2 diabetic patients who started continuous subcutaneous insulin infusion (CSⅡ) therapy by nutrition lectures and counseling. And the CHO-to-insulin ratios were determined for the individual patients who followed the carbohydrate counting as a meal management, and the factors to influence the CHO-to-insulin ratios were selected through the stepwise regression analysis. Twenty- four subjects were received three lectures, and one or two nutritional counseling for a month. The average age of the subjects was 50.7 years, and the duration of diabetes was 9.4 years. Their body mass index (BMI) was 21.5 kg/$m^2$. The difficulties of using CHO counting were 1) confusing the CHO exchange system to diabetic food exchange system, 2) lack of basic nutrition and not distinguishing nutrients such as CHO, fat and calorie, and 3) lack of motivation to make effort to count and record the amount of carbohydrates eaten. Nutritional counseling replenished the nutrition education and made patients practice CHO counting. Average CHO-to-insulin ratios at breakfast, lunch and dinner were 4.1$\pm$3.3, 2.9$\pm$2.6 and 2.9$\pm$3.0units/23g of CHO, respectively. CHO-to-insulin ratios were influenced by gender, age, BMI, post-prandial blood glucose levels and post-prandial c-peptide levels. The effective education and nutritional counseling of CHO counting can make CHO counting applicable to type 2 diabetic patients as meal management for improving glycemic control with less hypoglycemic episode.

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정상 노인과 경도인지장애의 감별을 위한 언어 기억과 시공간 기억 검사의 예측 성능 비교 (Comparison of Predictive Performance between Verbal and Visuospatial Memory for Differentiating Normal Elderly from Mild Cognitive Impairment)

  • 변해원
    • 한국융합학회논문지
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    • 제11권6호
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    • pp.203-208
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    • 2020
  • 이 연구는 첫째, 경도인지장애(MCI)가 언어 기억 및 시공간 기억 등 특정 기억의 저하와 관련이 있는지를 파악하고, 둘째, 정상 노인으로부터 MCI를 감별하는 데 예측력이 우수한 지표를 탐색하였다. 표준화 된 기억검사를 수행한 189명(정상 노인 103 명, MCI 86 명)을 분석하였다. 언어 기억은 Seoul Verbal Learning Test를 이용하였고. 시공간 기억은 Rey Complex Figure Test를 이용해서 측정하였다. 다항 로지스틱 회귀모형을 이용하여 기억 검사의 예측력을 분석한 결과, 언어 기억과 시공간 기억은 정상 노인으로부터 MCI를 감별하는 데 예측 성능이 유의미하였다. 반면, 각 기억 검사의 수행결과를 포함하여 모든 혼란변수를 보정했을 때, 언어 기억의 즉시 회상만 정상 노인으로부터 MCI를 감별하는 데 예측력이 유의미하였으며, 시공간 기억의 즉시 회상은 예측력이 유의미하지 않았다. 이 결과는 MCI를 선별할 때 언어 기억과 시공간 기억의 지연 회상, 언어 기억의 즉시 회상이 MCI의 기억능력을 감별할 수 있는 최상의 조합임을 시사한다.

Factors Associated with Persistent Sputum Positivity at the End of the Second Month of Tuberculosis Treatment in Lithuania

  • Diktanas, Saulius;Vasiliauskiene, Edita;Polubenko, Katazyna;Danila, Edvardas;Celedinaite, Indre;Boreikaite, Evelina;Misiunas, Kipras
    • Tuberculosis and Respiratory Diseases
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    • 제81권3호
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    • pp.233-240
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    • 2018
  • Background: Non-conversion of sputum smear and culture prolongs the infectivity of the patient and has been associated with unfavorable outcomes. We aimed to evaluate factors associated with persistent sputum positivity at the end of two months of treatment of new case pulmonary tuberculosis (TB). Methods: Data of 87 human immunodeficiency virus-negative patients with culture-positive drug-susceptible pulmonary TB admitted to local university hospital between September 2015 and September 2016 were reviewed. Factors associated with sputum smear and/or culture positivity at the end of the second month of treatment were analyzed. Results: Twenty-two patients (25.3%) remained smear and/or culture-positive. Male sex, lower body mass index (BMI), unemployment, alcohol abuse, higher number of lobes involved and cavities on chest X-rays, shorter time to detection (TTD) on liquid cultures, higher respiratory sample smear grading and colony count in solid cultures, higher C-reactive protein, erythrocyte sedimentation rate, leukocytosis, thrombocytosis, and anemia were all significantly associated with persistent sputum positivity. However, in the logistic regression analysis only male sex, lower BMI, alcohol abuse, higher radiological involvement, cavitation, higher smear grading, higher colony count in solid cultures and shorter TTD were determined as independent factors associated with persistent sputum positivity at the end of 2 months of treatment. Conclusion: In conclusion, higher sputum smear and culture grading at diagnosis, shorter TTD, higher number of lobes involved, cavitation, male sex, alcohol abuse, and lower BMI were independently associated with persistent sputum positivity. These factors should be sought when distinguishing which patients will remain infectious longer and possibly have worse outcomes.

Estimating the Soil Volume Conversion Factor of Weathered Ground with Consideration of Field Situations

  • Jin, Kyu-Nam;Cho, Gye-Chun;Lee, Jung-Min;Ryu, Hee-Hwan;Park, Sung-Wook
    • 토지주택연구
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    • 제2권2호
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    • pp.145-155
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    • 2011
  • It is very important for successful construction to estimate the soil volume conversion factor of domestic weathered ground accurately and reasonably. However, it is very difficult to quantify the weathering degree of weathered ground at the field, so that the soil volume conversion factor used in Korea is often dependent upon the standard of foreign countries. Besides, the soil volume conversion factor of domestic weathered ground has been rarely studied and the use and accuracy of the soil volume conversion factor have been questioned persistingly. This study suggests a simple but robust method for estimating the soil volume conversion factor and measuring the weathering degree reasonably, and attempts to establish the utilization of a soil volume conversion factor measurement system based on experimental and analytical results. We made relationship between electrical resistivity and weathering degree presented from weathering index obtained through laboratory tests using field samples, and an estimation method of in-situ weathering degree for granites and a calculation method of soil volume conversion factor using electrical resistivity. And also, we suggested the photogrametry measurement-equipment system for measuring the volume of cargo box and the application plan of stand equipment and RFID for calculating the earth volume and distinguishing buggies in order to design the measurement system for soil volume conversion factor applicable to the field. Ultimately, the Weathered Earth-work Management Program (WEMP) was developed, so field managers may easily obtain the information about earth volume and soil volume conversion factor at the weathered ground.

KVN Observation on Radio-selected AGNs hosted by Elliptical Galaxies

  • 박송연;이석영;손봉원
    • 천문학회보
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    • 제36권2호
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    • pp.61.1-61.1
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    • 2011
  • We have performed simultaneous observations at 22GHz and 43GHz on AGNs hosted by elliptical galaxies using KVN radio telescope. We have constructed the sample, based on two major surveys in radio and optical band, i.e. Faint Images of the Radio Sky at Twenty-Centimeters (FIRST) and Sloan Digital Sky Survey (SDSS) DR7, respectively. We restricted the redshift range 0.01 < z < 0.06 and the absolute magnitude Mr < -19.4 in order to satisfy volume limited sample. We also checked clear detection of four distinctive emission lines ([NII], [OIII], $H{\alpha}$, $H{\beta}$) so as to utilize on BPT diagram, distinguishing AGNs from star-forming galaxies. Elliptical galaxies have been selected by visual inspection making use of SDSS optical images. Then, we cross-matched the elliptical galaxies with FIRST detections. About 35% of the galaxies have been detected throughout KVN observations. We derive spectral index, applying the flux of different radio frequencies from FIRST (1.4GHz) and KVN (22GHz) and classify into steep, flat or inverted spectrum. We have found that most of the detected galaxies have flat spectrum while the rest of them have steep spectrum. This implies that a number of detected galaxies might have compact structure associated with the central region of the galaxies. The relation between black hole mass and radio luminosity has shown relatively tighter correlation in high frequency than in low frequency, which confirms that high frequency in radio band is appropriate to study the center of the galaxies.

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Evaluation of sperm DNA fragmentation using multiple methods: a comparison of their predictive power for male infertility

  • Javed, Aamir;Talkad, Muralidhar Srinivasaih;Ramaiah, Manjula Kannasandra
    • Clinical and Experimental Reproductive Medicine
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    • 제46권1호
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    • pp.14-21
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    • 2019
  • Objective: The usual seminal profile has been customarily used for diagnosing male infertility based on an examination of semen samples. However, sperm DNA fragmentation has also been causally linked to reproductive failure, suggesting that it should be evaluated as part of male infertility assessments. To compare the ability of the five most widely utilized methodologies of measuring DNA fragmentation to predict male infertility and reactive oxygen species by Oxisperm kit assay. Methods: In this case-control study, which received ethical committee approval, the participants were divided into fertile and infertile groups (50 patients in each group). Results: The alkaline comet test showed the best ability to predict male infertility, followed by the terminal deoxynucleotidyl transferase dUTP nick end labelling (TUNEL) assay, the sperm chromatin dispersion (SCD) test, and the sperm chromatin structure assay (SCSA), while the neutral comet test had no predictive power. For our patient population, the projected cut-off point for the DNA fragmentation index was 22.08% using the TUNEL assay, 19.90% using SCSA, 24.74% using the SCD test, 48.47% using the alkaline comet test, and 36.37% using the neutral comet test. Significant correlations were found between the results of the SCD test and those obtained using SCSA and TUNEL (r = 0.70 and r = 0.68, respectively; p< 0.001), and a statistically significant correlation was also found between the results of SCSA and the TUNEL assay (r = 0.77, p< 0.001). Likewise, the results of the alkaline comet test showed significant correlations with those of the SCD, SCSA, and TUNEL tests (r = 0.59, r = 0.57, and r = 0.72, respectively; p< 0.001). Conclusion: The TUNEL assay, SCSA, SCD, and the alkaline comet test were effective for distinguishing between fertile and infertile patients, and the alkaline comet test was the best predictor of male infertility.

Distinctive Features of Hepatic Steatosis in Children: Is It Primary or Secondary to Inborn Errors of Metabolism?

  • Karhan, Asuman Nur;Hizarcioglu-Gulsen, Hayriye;Gumus, Ersin;Akcoren, Zuhal;Demir, Hulya;Saltik-Temizel, Inci Nur;Orhan, Diclehan;Ozen, Hasan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제24권6호
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    • pp.518-527
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    • 2021
  • Purpose: The incidence of hepatic steatosis among children has been increasing; however, data distinguishing simple steatosis from a more complex disorder are lacking. Methods: This study identified the etiologies resulting in hepatic steatosis through a retrospective review of pediatric liver biopsies performed in the last 10 years. A total of 158 patients with hepatic steatosis proven by histopathological evaluation were enrolled in the study, and baseline demographic features, anthropometric measurements, physical examination findings, laboratory data, ultrasonographic findings, and liver histopathologies were noted. Results: The two most common diagnoses were inborn errors of metabolism (IEM) (52.5%) and nonalcoholic fatty liver disease/steatohepatitis (NAFLD/NASH) (29.7%). The three most common diseases in the IEM group were glycogen storage disorders, Wilson's disease, and mitochondrial disease. The rates of consanguineous marriage (75.6%; odds ratio [OR], 26.040) and positive family history (26.5%; OR, 8.115) were significantly higher (p=0.002, p<0.001, respectively) in the IEM group than those in the NAFLD/NASH group. Younger age (p=0.001), normal anthropometric measurements (p=0.03), increased aspartate aminotransferase levels (p<0.001), triglyceride levels (p=0.001), and cholestatic biochemical parameters with disrupted liver function tests, as well as severe liver destruction of hepatic architecture, cholestasis, fibrosis, and nodule formation, were also common in the IEM group. Conclusion: Parents with consanguinity and positive family history, together with clinical and biochemical findings, may provide a high index of suspicion for IEM to distinguish primary steatosis from the consequence of a more complex disorder.

객체 판독키를 적용한 방범 위험도 확률지도 생성기법 연구 (A Study on Crime Prevention Risk Probability Map Generation Methodology by using the Object Interpretation Key)

  • 김동현;박구락
    • 한국컴퓨터정보학회논문지
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    • 제14권11호
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    • pp.135-144
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    • 2009
  • 본 논문에서는 집단 주거지역이 있는 도시지역을 대상으로 방범에 관한 위험도 확률지도 제작 기법을 제안한 것이다. 과거 발생했던 방범 사례를 분석하여 해당지역의 지형, 시설물, 속성 정보 등 도시 공간정보를 구성하는 객체를 바탕으로 육안으로 판별할 수 있는 특징을 판독키 (interpretation key)로 정하였다. 이 판독키를 작성하여 다른 지역에 동일하게 적용하여 방범 및 방재 위험도 확률지도를 생성하는 기법을 제안하였다. 이때 도시공간정보 객체 판독키는 방범 유형에 따라 달라지는 크기의 셀(cell)로 나누고 그 셀에 해당하는 위험지수를 설정하게 된다. 이 때 만들어진 여러 계층의 위험도 확률 지도를 통합하여 종합 위험도 확률 지도를 생성하였다.

Morphometric and genetic diversity of Rasbora several species from farmed and wild stocks

  • Bambang Retnoaji;Boby Muslimin;Arif Wibowo;Ike Trismawanti
    • Fisheries and Aquatic Sciences
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    • 제26권9호
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    • pp.569-581
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    • 2023
  • The morphology and genetic identification of Rasbora lateristriata and Rasbora argyrotaenia between cultivated and wild populations has never been reported. This study compares morphology and cytochrome c oxidase (COI) genes between farmed and wild stock Rasbora spp. in Java and Sumatra island, Indonesia. We analyzed the truss network measurement (TNM) characters of 80 fish using discriminant function analysis statistical tests. DNA was extracted from muscle tissue of 24 fish specimens, which was then followed by polymerase chain reaction, sequencing, phylogenetic analysis, fixation index analysis, and statistical analysis of haplotype networks. Basic Local Alignment Search Tool analysis validated the following species: R. lateristriata and R. argyrotaenia from farming (Jogjakarta); Rasbora agryotaenia (Purworejo), R. lateristriata (Purworejo and Malang), Rasbora dusonensis (Palembang), and Rasbora einthovenii (Riau) from natural resources. Based on TNM characters, Rasbora spp. were divided into four groups, referring to four distinct characters in the middle of the body. The phylogenetic tree is divided into five clades. The genetic distance between R. argyrotaenia (Jogjakarta) and R. lateristriata (Malang) populations (0.66) was significantly different (p < 0.05). R. lateristriata (Purworejo) has the highest nucleotide diversity (0.43). R. argyrotaenia from Jogjakarta and Purworejo shared the same haplotype. The pattern of gene flow among them results from the two populations' close geographic proximity and environmental effects. R. argyrotaenia had low genetic diversity, therefore, increasing heterozygosity in cultivated populations is necessary to avoid inbreeding. Otherwise, R. lateristriata (Purworejo) had a greater gene variety that could be used to develop breeding. In conclusion, the middle body parts are a distinguishing morphometric character of Rasbora spp., and the COI gene is more heterozygous in the wild population than in farmed fish, therefore, enrichment of genetic variation is required for sustainable Rasbora fish farming.