• Title/Summary/Keyword: $C_T$(Total Coefficient)

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Diagnostic Performance of Spin-Echo Echo-Planar Imaging Magnetic Resonance Elastography in 3T System for Noninvasive Assessment of Hepatic Fibrosis

  • Se Woo Kim;Jeong Min Lee;Sungeun Park;Ijin Joo;Jeong Hee Yoon;Won Chang;Haeryoung Kim
    • Korean Journal of Radiology
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    • v.23 no.2
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    • pp.180-188
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    • 2022
  • Objective: To validate the performance of 3T spin-echo echo-planar imaging (SE-EPI) magnetic resonance elastography (MRE) for staging hepatic fibrosis in a large population, using surgical specimens as the reference standard. Materials and Methods: This retrospective study initially included 310 adults (155 undergoing hepatic resection and 155 undergoing donor hepatectomy) with histopathologic results from surgical liver specimens. They underwent 3T SE-EPI MRE ≤ 3 months prior to surgery. Demographic findings, underlying liver disease, and hepatic fibrosis pathologic stage according to METAVIR were recorded. Liver stiffness (LS) was measured by two radiologists, and inter-reader reproducibility was evaluated using the intraclass correlation coefficient (ICC). The mean LS of each fibrosis stage (F0-F4) was calculated in total and for each etiologic subgroup. Comparisons among subgroups were performed using the Kruskal-Wallis test and Conover post-hoc test. The cutoff values for fibrosis staging were estimated using receiver operating characteristic (ROC) curve analysis. Results: Inter-reader reproducibility was excellent (ICC, 0.98; 95% confidence interval, 0.97-0.99). The mean LS values were 1.91, 2.41, 3.24, and 5.41 kPa in F0-F1 (n = 171), F2 (n = 26), F3 (n = 38), and F4 (n = 72), respectively. The discriminating cutoff values for diagnosing ≥ F2, ≥ F3, and F4 were 2.18, 2.71, and 3.15 kPa, respectively, with the ROC curve areas of 0.97-0.98 (sensitivity 91.2%-95.9%, specificity 90.7%-99.0%). The mean LS was significantly higher in patients with cirrhosis (F4) of nonviral causes, such as primary biliary cirrhosis (9.56 kPa) and alcoholic liver disease (7.17 kPa) than in those with hepatitis B or C cirrhosis (4.28 and 4.92 kPa, respectively). There were no statistically significant differences in LS among the different etiologic subgroups in the F0-F3 stages. Conclusion: The 3T SE-EPI MRE demonstrated high interobserver reproducibility, and our criteria for staging hepatic fibrosis showed high diagnostic performance. LS was significantly higher in patients with non-viral cirrhosis than in those with viral cirrhosis.

Nonlinear Finite Element Analysis of the Reinforced Concrete Panel using High-Strength Reinforcing Bar (고강도 철근을 사용한 철근콘크리트 패널의 비선형 유한요소해석)

  • Cheon, Ju-Hyun;Seong, Dae-Jung;Cho, Hong-Jae;Cho, Jae-Yeol;Shin, Hyun-Mock
    • Journal of the Korea Concrete Institute
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    • v.27 no.5
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    • pp.481-488
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    • 2015
  • The purpose of this study is to provide analytical method to reasonably predict the overall behavior up to destruction of reinforced concrete panel specimens using high-strength reinforcing bar. A total of 12 specimens of reinforced concrete panels with a wall thickness one-third the size of the actual nuclear containment structures under various loading conditions and design parameters were selected and the analysis was performed using a non-linear finite element analysis program (RCAHEST) was developed by the authors. The mean and coefficient of variation for shear strength at cracking point and maximum shear strength from the experiment and analysis results was predicted 1.03 and 12%, 0.97 and 9%, respectively. For the shear strain at the maximum shear strength from the experiment and analysis results was predicted 0.96 and 30%, respectively. Based on the results, the analysis program that was applied newly modified constitutive equation in this study is judged as having a relatively high reliability for the analysis results.

Gender Difference of the Influencing Factors on Successful Aging among Rural Community-dwelling Korean Elders (남성노인과 여성노인의 성공적 노화 영향요인)

  • Kim, Hee Kyung
    • 한국노년학
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    • v.32 no.3
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    • pp.819-834
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    • 2012
  • The purpose of this study was to examine the degree of successful aging and to investigate influencing factors of it in elderly to types of gender. Subjects were 73 male elderly and 77 female elderly, total 150 elderly living at K city in C province, from May to June, 2012. The data were analyzed using the SPSS Win 18.0 program for $X^2$ test, t-test, Pearson's correlation coefficients and multiple regression analysis. The correlated factors of successful aging among male elders included life satisfaction(r=.525, p<.001), family support(r=.355, p=.004), depression(r=-.555, p<.001) and loneliness(r=-.437, p<.001). Those of successful aging among female elders included life satisfaction(r=.607, p<.001), leisure satisfaction(r=.679, p<.001), family support(r=.784, p<.001), depression(r=-.516, p<.001), loneliness(r=-.644, p<.001) and self-transcendence(r=.576, p<.001). Life satisfaction and depression were statistically significant influencing factors of successful aging in male elders. Especially in the cases of female elders, life satisfaction, depression, family support and self-transcendence affected to successful aging. Life satisfaction, depression, family support, and self-transcendence were explained 52.9% in perception of successful aging among elders. This study suggests that life satisfaction, depression, family support, and self-transcendence will be considered in enhancing the successful aging promoting care and welfare designed for types of gender.

A study on the health promoting behavior, self-esteem and social support of college students (일부 전문대생의 건강증진행위와 자아존중감, 사회적 지지에 관한 연구 (건강관련학과와 비건강관련학과의 비교를 중심으로))

  • Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.2 no.1
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    • pp.36-46
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    • 1998
  • The study was conducted to investigate the health promoting behavior, self-esteem and social support of college students. The subjects were 170 college students(health related department and non health related department) of college in K, C, U city. The instruments used for this study were a survey of general characteristics(9 items), health promoting behavior(47 items), self-esteem(10 items), social support(25 items). Analysis of data was done by use of mean, percentage, t-test, ANOVA, Pearson correlation coefficient and stepwise regression with SAS program. The results of this study are as follows ; 1. Health promoting behavior were showed significant difference in two groups. 2. Health promoting behavior of two groups according to general characteristics were showed significnant difference in religon, personality, exercise, health food choice of A group and perceived health status, personality, exercise, health food choice of B group. 3. Significant correlation between exercise and health promoting behavior, self-esteem and social support, social support and health promting behavior in A group and between perceived health status and exercise, perceived health status and social support, perceived health status and health promoting behavior, self-steem and social support, exercise and health promoting behavior, self-esteem and health promoting behavior, social support and health promoting behavior in B group was found. 4. Significant correlations were found between most of the subscales of total health promoting behavior. 5. Predicting factor of health promoting behavior were social support and exercise in A group(51.74%) and social support, exercise and self-esteem in B group(41.18%).

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Effects of Inclusion Levels of Wheat Bran and Body Weight on Ileal and Fecal Digestibility in Growing Pigs

  • Huang, Q.;Su, Y.B.;Li, D.F.;Liu, L.;Huang, C.F.;Zhu, Z.P.;Lai, C.H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.28 no.6
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    • pp.847-854
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    • 2015
  • The objective of this study was to determine the effects of graded inclusions of wheat bran (0%, 9.65%, 48.25% wheat bran) and two growth stages (from 32.5 to 47.2 kg and 59.4 to 78.7 kg, respectively) on the apparent ileal digestibility (AID), apparent total tract digestibility (ATTD) and hindgut fermentation of nutrients and energy in growing pigs. Six light pigs (initial body weight [BW] $32.5{\pm}2.1kg$) and six heavy pigs (initial BW $59.4{\pm}3.2kg$) were surgically prepared with a T-cannula in the distal ileum. A difference method was used to calculate the nutrient and energy digestibility of wheat bran by means of comparison with a basal diet consisting of corn-soybean meal (0% wheat bran). Two additional diets were formulated by replacing 9.65% and 48.25% wheat bran by the basal diet, respectively. Each group of pigs was allotted to a $6{\times}3$ Youden square design, and pigs were fed to three experimental diets during three 11-d periods. Hindgut fermentation values were calculated as the differences between ATTD and AID values. For the wheat bran diets, the AID and ATTD of dry matter (DM), ash, organic matter (OM), carbohydrates (CHO), gross energy (GE), and digestible energy (DE) decreased with increasing inclusion levels of wheat bran (p<0.05). While only AID of CHO and ATTD of DM, ash, OM, CHO, GE, and DE content differed (p<0.05) when considering the BW effect. For the wheat bran ingredient, there was a wider variation effect (p<0.01) on the nutrient and energy digestibility of wheat bran in 9.65% inclusion level due to the coefficient of variation (CV) of the nutrient and energy digestibility being higher at 9.65% compared to 48.25% inclusion level of wheat bran. Digestible energy content of wheat bran at 48.25% inclusion level (4.8 and 6.7 MJ/kg of DM, respectively) fermented by hindgut was significantly higher (p<0.05) than that in 9.65% wheat bran inclusion level (2.56 and 2.12 MJ/kg of DM, respectively), which was also affected (p<0.05) by two growth stages. This increase in hindgut fermentation caused the difference in ileal DE (p<0.05) to disappear at total tract level. All in all, increasing wheat bran levels in diets negatively influences the digestibility of some nutrients in pigs, while it positively affects the DE fermentation in the hindgut.

Stock Assessment and Management of Turban shell, Turbo (Batillus) cornutus Lightfoot, 1786 in Jeju Coastal waters, Korea (제주도산 소라 Turbo (Batillus) cornutus Lightfoot, 1786의 자원평가 및 관리방안 연구)

  • Kwon, Dae-Hyeon;Chang, Dae-Soo;Lee, Seung-Jong;Koo, Jun-Ho;Kim, Byung-Yeob
    • The Korean Journal of Malacology
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    • v.26 no.4
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    • pp.291-296
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    • 2010
  • Samples of Turbo (Batillus) cornutus Lightfoot, 1786 in Jeju Island were collected from September 2009 to May 2010. Population ecological parameters and stock assessment of the turban shell were determined, based on the length and age composition data from 2000 to 2009 and ecological parameters. Instantaneous coefficient of total mortality (Z) of turban shell was estimated to be 2.2062/year. The estimated instantaneous coefficient of natural mortality (M) was 0.874/year. The age of turban shell at its first capture ($t_c$) was 2.636 year. Yield-per-recruit were estimated under harvest strategies that based on $F_{max}$, $F_{0.1}$, $F_{35%}$, and $F_{40%}$ was 10.44 g, 1.87 g, 6.53 g and 7.46 g.

Analytical Study on Behavior Characteristic of Shear Friction on Reinforced Concrete Shear Wall-Foundation Interface using High-Strength Reinforcing Bar (고강도 전단철근을 사용한 철근콘크리트 전단벽체-기초계면에서의 전단마찰 거동특성에 대한 해석적 연구)

  • Cheon, Ju-Hyun;Lee, Ki-Ho;Baek, Jang-Woon;Park, Hong-Gun;Shin, Hyun-Mock
    • Journal of the Korea Concrete Institute
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    • v.28 no.4
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    • pp.473-480
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    • 2016
  • The purpose of this study is to provide analytical method to reasonably evaluate the complicated failure behaviors of shear friction of reinforced concrete shear wall specimens using grade 500 MPa high-strength bars. A total of 16 test specimens with a variety of variables such as aspect ratio, friction coefficient of interface in construction joint, reinforcement details, reinforcement ratio in each direction, material properties were selected and the analysis was performed by using a non-linear finite element analysis program (RCAHEST) applying the modified shear friction constitutive equation in interface based on the concrete design code (KCI, 2012) and CEB-FIP Model code 2010. The mean and coefficient of variation for maximum load from the experiment and analysis results was predicted 1.04 and 17% respectively and properly evaluated failure mode and overall behavior characteristic until failure occur. Based on the results, the analysis program that was applied modified shear friction constitutive equation is judged as having a relatively high reliability for the analysis results.

Changes in Physicochemical and Microbiological Properties in Low-Temperature and Long-Term Fermented Kimchi during Fermentation (묵은 김치 제조과정에서의 이화학적 및 미생물학적 특성변화)

  • Yoo, Maeng-Ja;Kim, Hyung-Ryang;Chung, Hee-Jong
    • Journal of the Korean Society of Food Culture
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    • v.16 no.5
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    • pp.431-441
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    • 2001
  • To develop the low-temperature and long-term fermented kimchi, kimchi was prepared according to the recipe of a specific ratio of major and minor ingredients and adjusted its salinity to 3.7%. Prepared kimchi fermented at $15{\pm}1^{\circ}C$ for 24 hours and transferred and fermented in a refrigerator only used to make low-temperature and long-term fermented kimchi at $-1{\pm}1^{\circ}C$ for 30 weeks. During 30 weeks of fermentation the changes in physicochemical and microbiological properties of low-temperature and long-term fermented kimchi were studied. The initial pH of 6.47 decrease gradually and dropped to pH 4.0 after 14 weeks of fermentation, and then it maintained at same level. Acidity increased to 0.49% on 2 weeks of fermentation and kept at 0.47 $\sim$0.50% during 2 to 30 weeks fermentation. Salinity was slightly increased at early stage and started to decrease on 4 weeks of fermentation, and then it did not change. The change of reducing sugar content was closely related to the trend of pH change with a very high correlation coefficient(r =0.912). Lactic acid, citric acid, malic acid, succinic acid and acetic acid were major organic acids contained in low-temperature and long-term fermented kimchi. Vitamin C content decreased at initial stage of fermentation and then slightly increased up to the maximum of 22.3 mg% on 8weeks of fermentation. In color measurement, L value continued to increase during the fermentation and reached at the highest of 55.45 on 22 weeks of fermentation, and a and b values of 3.62 and 4.54 also increased to 31.26 and 37.32 on 30 weeks of fermentation, respectively. Total microbial count increased slowly from beginning and was the highest on 4 weeks of fermentation, and then began to decrease slowly. Count of Lactobacillus spp. was highest after 6weeks, but count of Lactobacillus spp. was highest on 2 weeks of fermentation, and then both showed a slow decrease. Yeast count wasn't increased until 4 weeks of fermentation and then increased rapidly to get the highest on 10 weeks of fermentation.

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Studies on the Morphological, Physical and Chemical Properties of the Korean Forest soil in Relation to the Growth of Korean White Pine and Japanese Larch (한국산림토양의 형태학적 및 이화학적성질과 낙엽송, 잣나무의 성장(成長)에 관한 연구(硏究))

  • Chung, In-Koo
    • Korean Journal of Soil Science and Fertilizer
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    • v.12 no.4
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    • pp.189-213
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    • 1980
  • 1. Aiming at supply of basic informations on tree species siting and forest fertilization by understanding of soil properties that are demanded by each tree species through studies of forest soil's morphological, physical and chemical properties in relation to tree growth in our country, the necessary data have been collected in the last 10 years, are quantified according to quantification theory and are analyzed in accordance with multi-variate analysis. 2. Test species, larch and the Korean white pine, are plantable in extensive areas from mid to north in the temperate zone and are the two most recommended reforestation tree species in Korea. However, their respective site demands are not known and they have been in confusion or considered demanding the same site during reforestation. When the Korean white pine is planted in larch sites, it has shown relatively good growth. But, when larch is planted in the Korean white pine site it can be hardly said that the larch growth is good. To understand on such a difference soil factors have been studied so as to see how the soil's morphological, physical and chemical factors affect tree growth helped with the electronic computer. 3. All the stands examined are man-made mature forests. From 294 larch plots and 259 white pine plots dominant trees are cut as samples and through stem analysis site index is determined. For each site index soil profiles are made in the related forest-land for analysis. Soil samples are taken from each profile horizon and forest-land productivity classification tables are worked out through physical and chemical analysis of the soil samples for each tree species for the study of relationships between physical, chemical and the combined physical/chemical properties of soil and tree growth. 4. In the study of relationships between physical properties of soil and tree growth it is found out that larch growth is influenced by the following factors in the order of deposit form, soil depth, soil moisture, altitude, relief, soil type, depth of A-horizon, soil consistency content of organic matter soil texture bed rock gravel content aspect and slope. For the Korean white pine the influencing factors' order is soil type, soil consistency bed rock aspect depth of A-horizon soil moisture altitude relief deposit form soil depth soil texture gravel content and slope. 5. In the study of relationships between chemical properties of soil and tree growth it is found out that larch growth is influenced by the following factors in the order of base saturation organic matter CaO C/N ratio, effective $P_2O_5$ PH.exchangeable $K_2O$ T-N MgO C E C Total Base and Na. For the Korean white pine the influencing factors' order is effective $P_2O_5$ Total Base T-N Na C/N ratio PH CaO base saturation organic matter exchangeable $K_2O$ C E C and MgO. 6. In the study of relationships between the combined physical and chemical properties of soil and tree growth it is found out that larch growth is influenced by the following factors in the order of soil depth deposit form soil moisture PH relief soil type altitude T-N soil consistency effective $P_2O_5$ soil texture depth of A-horizon Total Base exchangeable $K_2O$ and base saturation. For the Korean white pine the influencing factors' order is soil type soil consistency aspect effective $P_2O_5$ depth of A-horizon exchangeable $K_2O$ soil moisture Total Base altitude soil depth base saturation relief T-N C/N ratio and deposit from. 7. In the multiple regression of forest soil's physical properties larch's correlation coefficient is 0.9272 and for the Korean white pine it is 0.8996. With chemical properties larch has 0.7474 and the Korean white pine has 0.7365. So, the soil's physical properties are found out more closely related with tree growth than chemical properties. However, this seems due to inadequate expression of soil's chemical factors and it is proved that the chemical properties are not less important than the physical properties. In the multiple regression of the combined physical and chemical properties consisting of important morphological and physical factors as well as chemical factors of forest soils larch's multiple correlation coefficient is found out to be 0.9434 and for the Korean white pine it is 0.9103 leading to the highest correlation. 8. As shown in the partial correlation coefficients larch needs deeper soil depth than the Korean white pine and in the deposit form colluvial and creeping soils are demanded by the larch. Adequately moist to too moist should be soil moisture and PH should be from 5.5 to 6.1 for the larch. Demands of T-N soil texture and soil nutrients are higher for the larch than the Korean white pine. Thus, soil depth, deposit form, relief soil moisture PH N altitude and soil texture are good indicators for species sitings with larch and the Korean white pine while soil type and soil consistency are indicative only limitedly of species sitings due to their wide variation as plantation environments. For larch siting soil depth deposit form relief soil moisture PH soil type N and soil texture are indicators of good growth and for Korean white pine they are soil type soil consistency effective $P_2O_5$ and exchangeable $K_2O$, which is demanded more by the Korean white pine than larch generally. 9. Physical properties of soil has been known as affecting tree growth to greatest extent so far. However, as a result of this study it is proved through computer analysis that chemical properties of soil are not less important factors for tree growth than chemical properties and site demands for larch and the Korean white pine that have been uncertain So far could be clarified.

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The Influence of Stress Response, Physical Activity, and Sleep Hygiene on Sleep Quality of Shift Work Nurses (교대근무 간호사의 스트레스 반응, 신체활동, 수면위생이 수면의 질에 미치는 영향)

  • Jeong, Ji-Yeong;Gu, Mee-Ock
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.546-559
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    • 2016
  • This study was conducted to analyze the relationship between sleep quality, stress response, physical activity and sleep hygiene in shift work nurses and identify factors influencing sleep quality. The participants were 168 shift nurses from university hospitals and general hospitals located in C city, Gyeongnam. Data were collected from March 25 to 31, 2016. The study instrument use to the Pittsburgh Sleep Quality Index, Stress Response Inventory, Korean version of the International Physical Activity Questionnaire Short Form and Sleep Hygiene Scale. Date were analyzed by frequency, t-test, ANOVA, Pearson's correlation and hierarchical multiple regression using SPSS/win18.0. The sleep quality index was 7.35 (range 0-21), stress response was 2.20 (range 1-5), physical activity was 3986MET-min/week, and sleep hygiene was 2.73 (range 1-6 points). There were significant differences in sleep quality according to shift work experience, health status and circadian rhythm type. Factors influencing sleep quality included shift work experience, sleep hygiene, stress response and physical activity, which together explained 40% of the total variance of sleep quality. Therefore, it is recommended that sleep hygiene education be implemented as a strategy to reduce stress response, and that shift work nurses engage in a moderate level of physical activity to improve their sleep quality.