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Availability of the Time and Change Test in Screening for Dementia in the Elderly (노인에서 치매 조기선별을 위한 시각.금전계산 검사의 유용성)

  • Chung, Eun-Kyung;Shin, Min-Ho;Rhee, Jung-Ae
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.2
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    • pp.101-107
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    • 2003
  • Objectives : Dementia has emerged as a leading public health problem in elderly persons, and its early detection is important for the treatment of curable cases, and in the educational support for other family members. Although dementia screening tests are available, they have not gained widespread use in community or primary care settings. Our goal was to validate the Tine and Change (T&C) Test, -including its validity and reliability in patients, and to assess it as a simple, standardized method for the screening of dementia in the rural elderly. Methods : The participants in this study comprised of 59 patients from an urban hospital and 405 persons from a rural community aged 65 years or older. The time test evaluated the understanding of clock hands indicating 11:10, and the change test the ability to make 1,000 Won from a group of coins, consisting of one 500, seven 100, and seven 50 Won coins. The T&C ratings were validated against a reference standard based on the physician's diagnosis of the patients. The convergent validity in relation to other cognitive measure, test-retest agreement, and inter-observer reliability were assessed. To assess the relationship between the Korean Mini-Mental State Exam (K-MMSE) and the T&C Test, the mean K-MMSE scores were compared with the results of the T&C Test in the elderly from a rural community. Results The T&C Test had a sensitivity and specificity of 73.0, and 90.9%, and positive and negative predictive values of 93.1, and 66.7%, respectively. The test-retest and inter-observer agreement rates were both 95%. The K-MMSE scores and T&C Test were significantly related in the elderly from a rural community (p<0.01), The T&C Test was not influenced by the educational status. The Time and Change Tests took a mean of 6.3 and 12.7 seconds, respectively, to complete Conclusion : The T&C Test is a simple, accurate and reliable, performance-based tool in the screening for dementia. Because it is quick, and easy-to-use, it is hoped the T&C Test will be used for the widespread cognitive screening of aging populations.

Cigarette Smoking and Gastric Cancer Risk in a Community-based Cohort Study in Korea (흡연과 위암 발생의 관련성에 관한 지역사회 기반의 코호트 연구)

  • Kim, Yeon-Ju;Shin, Ae-Sun;Gwack, Jin;Jun, Jae-Kwan;Park, Sue-Kyung;Kang, Dae-Hee;Shin, Hai-Rim;Chang, Soung-Hoon;Yoo, Keun-Young
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.6
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    • pp.467-474
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    • 2007
  • Objectives : Gastric cancer is the most common incident cancer in Korea. Although Helicobacter pylori infection is the most important risk factor for the development of gastric cancer, cigarette smoking has also been suggested to play an important role in the development of gastric cancer. The objective of this study is to evaluate the relationship between cigarette smoking and gastric cancer risk in a Korean population. Methods : The study population consisted of 13,785 subjects who had been enrolled in the Korean Multi-Center Career Cohort between 1993 and 2002. As of December 2002, 139 incident gastric cancer cases were ascertained through the Korea Central Cancer Registry and the National Death Certificate Database. Relative risks (RR) and 95% confidence intervals (CI) for gastric cancer were estimated using Cox#s proportional hazard model adjusted for age, education, alcohol drinking status and history of gastritis or ulcer. Results : Significant dose-response relationships were observed between the duration of smoking and the risk of gastric cancer among the male subjects in comparison to non-smokers: men who smoked for 20-39 years had a 2.09-fold (95% CI 1.00-4.38) increase, and those who smoked for more than 40 years had a 3.13-fold (95% CI 1.59-6.17) increase in the risk of gastric cancer ($P_{trend}<0.01$). Conclusions : This study suggests that a longer duration of cigarette smoking may increase the risk of gastric cancer development in a dose-response manner in Korean men. The association between smoking and gastric cancer risk in women should be verified in future studies with a larger number of cases.

Restoration of gold guilding on Geumdong-samjonpanbul excavated from Walji, Gyeongju using plum acid & gold(Au)-mercury(Hg) amalgam (매실산과 금아말감을 이용한 월지 출토 금동삼존판불의 금도금법 복원)

  • Yun, Yong-Hyeon;Jo, Nam-Cheol;Lee, Tae-Seop
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2018.06a
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    • pp.6-6
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    • 2018
  • 본 연구에서는 고문헌에 기록된 도금 재료와 도금법 등을 확인하고 이를 기초자료로 활용하여 매실산을 사용한 금(Au)-수은(Hg) 아말감기법으로 고대 도금(鍍金)기술을 되살리고, 이를 토대로 경주 월지에서 출토된 금동삼존판불을 복원하였다. 먼저, 전통 도금법을 되살리기 위해서, "오주서종박물고변", "확지신편", 조선시대 각종 의궤 등에 공통적으로 기록되어 있는 매실에 주목하고, 매실을 3~4개월 발효 숙성 후 착즙한 뒤 그것을 농축하여 만든 매실산을 도금 실험에 적용하였다. 금아말감 도금을 위하여 월지 출토 금동삼존판불의 바탕소지금속인 청동삼존판불을 구리와 주석 89:11(Cu:6kg, Su:750g)로 합금하여 주물사 주조법으로 복원하였으며, 동일한 합금비로 제작된 $2.3cm{\times}3.5cm$(가로${\times}$세로)의 시편에 사전 실험을 실시하였다. 현대적 산처리 방식에 사용되는 질산과 전통방식으로 사용되는 매실산으로 시편에 산처리 한 후 각각 비교해 보고, 금분과 금박, 상온과 가온에 따른 아말감상태를 비교하는 실험을 진행하였는데, 실험에 사용된 매실산 70%는 pH가 1.94로, 오늘날 산처리에 사용하고 있는 질산 20%와는 차이가 있지만, 청동 시편 실험을 통해 매실산에 20분 정도 담근 뒤 금아말감을 도포 후 24시간 지나 가열($380{\sim}400^{\circ}C$) 했을 때 금도금이 잘 되어, 현대적 방법인 질산처리로 도금을 한 시편과 큰 차이가 없는 것으로 관찰되었다. 사전 실험을 통한 결과를 적용한 월지 출토 금동삼존판불 복원은 청동삼존판불 표면처리, 금-수은 합금 및 도금하기, 도금 후 표면처리의 순서로 진행되었는데, 금과 소지금속의 밀착력을 높이기 위해 표면을 숯을 이용해 탈지한 후 물로 씻어내고 매실산을 도포하여 20분 동안 두어 부식 및 세척을 시행하였다. 금도금을 위한 금-수은아말감은 가온할 때 수은이 증발하는 양을 고려하여 금1 : 수은10 비율로 합금하여 완성하였으며, 금아말감 도포 후 약 24시간 지난 다음, $380{\sim}400^{\circ}C$에 가열하여 수은을 기화시켜 도금작업을 완성하였다. 금아말감도금은 평균적으로 6~7차례 시행하여야 완벽히 도금되지만, 본 연구에서는 단 4차례의 도금만으로 금아말감도금을 완성시켰는데, 이것은 금아말감을 바탕소지인 청동에 도포한 후 24시간 동안 금아말감과 청동과의 반응 시간을 두게한 것이 큰 역할을 한 것으로 보이며, 이는 청동시편을 이용한 실험과 과학적 분석을 통하여 입증하였다. SEM으로 표면을 관찰한 결과 아말감 도포시간이 즉시인 경우 도금이 거의 되지 않은 것을 확인할 수 있었고 36시간이 넘어갈 경우 금 도금층이 불균일하게 관찰되었으므로 도금시간은 12시간~24시간 이내가 적절함을 확인할 수 있었다. EDS로 성분을 분석한 결과 산처리 시간이 20분인 시료의 경우 5 wt% 내외로 수은의 비율이 다른 시료에 비해 낮은 것을 확인할 수 있었다. 실험 및 분석결과 산처리 시간이 20분이고 아말감 도포시간이 24시간일 때 도금이 잘 이루어지므로 이 결과를 토대로 금동삼존판불을 복원하였다. 이번 연구를 통해 도금법에 표면을 세척하고 부식시키기 위해 사용한 물질이 매실산임을 찾아내어 확인할 수 있었는데, 이러한 점 에서 이 연구의 가장 큰 의미는 전통 소재와 기술을 복원한 것으로, 앞으로 매실산을 이용한 금 도금기술은 관련 학계에도 큰 기여를 할 것으로 기대된다.

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THE EFFECT OF DIFFERENTIAL MODULATION OF N-METHYL-D-ASPARTATE RECEPTOR ON THE PROLIFERATION OF PRIMARY CULTURED NORMAL HUMAN ORAL KERATINOCYTES: DNA SYNTHESIS RATE ANALYSIS (N-methyl-D-aspartate 수용기의 다양한 조절이 일차 배양된 정상사람구강각화세포의 증식에 미치는 영향; DNA 합성율 평가)

  • Kim, In-Soo;Paik, Ki-Suk;Chang, Mi-Sook;Lee, Won;Lee, Seung-Pyo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.2
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    • pp.124-130
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    • 2007
  • In the present study, I investigated the effects of N-methyl-D-aspartate (NMDA), arachidonic acid (AA), and Nitric Oxide Synthase Inhibitor (NOSI), alone or in combination, on the proliferation of cultured primary normal human oral keratinocytes (NHOK). The purpose of this study was therefore the preliminary study for the examination of the interaction between these agents and NHOK in order to elucidate the mechanisms by which epithelial growth and regeneration are regulated. NHOK were obtained from gingival tissue of 20 individuals aged 20 to 29, and third passage (P3) cells were used for this study. The DNA synthesis was measured by the BrdU assay. Addition of low concentration of AA ($1{\mu}M$) and high concentration of AA with NMDA group (NMDA+AA $10{\mu}M$) made DNA synthesis rate increase significantly at the early stage. Adding NNA ($10{\mu}M$) affected DNA synthesis rate to increase significantly in 4 hours. At the early stage, DNA synthesis was significantly active in the NOS-I with NMDA groups than in the control and the NMDA-only group, while it didn't become statistically meaningful in 24 hours. AA $1{\mu}M$ and NNA $10{\mu}M$ may induce the proliferation of the NHOK independently and NOS-I may induce the proliferation of the NHOK with NMDA. These reactions might be related to the NMDA receptor in the cell and the change of the intracellular calcium ion concentration.

Studies on the Culture of Oyster, Crassostrea gigas (Thunberg) in Eastern Coast of Korean (동해안 참굴 양식에 관한 연구)

  • 이채성;박영제
    • Journal of Aquaculture
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    • v.10 no.2
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    • pp.105-112
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    • 1997
  • For improvement of fishermen's income by oyster cultivation in eastern coast of Korea, the spats of oyster (Crassostrea gigas) collected from Hadong in southern coast of Korea were transplanted to Chumunjin and cultured by hanging long line method from August 1994 to July 1995 for examination of their growth and ground environmental conditions. The environmental conditions show the annual range of water temperature as 8.33~$25.62^{\circ}C$, salinity as 32.84~$34.28\textperthousand$, PO4-P as 0.09~0.40$\mu$g-at/1, dissolived inorganic nitrogen (DIN) as 0.32~3.21$\mu$g-at/1. The growth of oyster in hanging culture was as follows : 88.7mm (shell hight) in upper layer (7m), 84.9mm in middle layer (10m) and 78.0mm in lower layer (13m) after one-year cultivation. Thus, the oysters in upper layer had grown relatively faster than those in lower layer. The relationships between shell hight (SH) and shell length (SL) in each culturing depth as follows : SL=0.5403 SH+8.5486 (r=0.9959) in upper layer, SL=0.5813 SH+3.7775 (r=0.9869) in middle layer, and SL=0.5159 SH+6.8736 (r=0.9961) in lower layer. The meat weight of oyster was the highest value as 13.24g in upper layer, and 12.68g in middle layer, and lowest as 10.96g in lower layer. The relationships between total wight (TW) and meat weight (MW) with culturing water layer were as follows : MW=0.1933 TW+0.1051 (r=0.0073) in upper layer, MW=0.1915 TW+0.1894 (r=0.9984) in middle layer, and MW=0.1650 TW+0.0558 (r=0.9983) in lower layer.

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Effects of Occlusal Appliance on the Mandibular Position and the Mandibular Rotational Torque Movement during Speech (교합장치가 발음시 하악위 및 하악의 비틀림 회전운동에 미치는 영향)

  • Kim, Moon-Gyu;Han, Kyung-Soo;Kim, Jong-Young;Yang, Keun-Young
    • Journal of Oral Medicine and Pain
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    • v.26 no.1
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    • pp.59-73
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    • 2001
  • This study was performed to investigate the effects of occlusal appliance on the mandibular position and the mandibular rotational torque movement during speech. For this study, 20 patients with temporomandibular disorders(TMDs) and 20 normal subjects without any signs and symptoms in the masticatory system were selected as the patient group and as the normal group, respectively. Biopak $system^{(R)}$(Bioresearch Inc., Milwaukee, USA) and a sentence of 'Sue is missing her house' were used for recording and for observing of speech pattern. There were five mandibular positions observed in this study, that is, mandibular rest position, 'ssi', 'her', 'ha', and 's' speech position. In each position, slant and A-P distance in sagittal plane, vertical distance and lateral distance in frontal plane were measured. Amount of the mandibular rotational torque movement were measured at 'her', 'ha' speech position and for all through speech movement. Centric relation splint(CRS) was placed in both groups, but anterior or posterior bite plane were placed in normal subjects only. Data collected were processed and analysed by SPSS windows program. The results of this study were as follows : 1. Mandibular positions in both groups were not different before adaptation, with CRS, and after removal, but total amount of the mandibular rotational torque movement was greater in patients. 2. Mandible was slightly placed anteriorly with CRS at 'her' and 'ha' speech position in patients, but was placed anteriorly at all the five positions in normal subjects. 3. Difference with type of occlusal appliance in normal subjects were noted only for vertical distance at 'ssi' and 'ha' speech position, and the distance with CRS were more than that with posterior bite plane. 4. Mandibular rotational torque movement at 'her' and 'ha' speech position was greater in patients, but the difference was disappeared after appliance removal. And the torque movement was greater at 'ha' speech position than that at 'her' speech position in frontal plane. It could be concluded that the adaptation of occlusal appliance showed a tendency to locate the mandible anteriorly during speech in both groups, but did not affect total mandibular rotational torque movement which was greater in patients.

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The Effect of an 8-week Shoulder Strengthening Exercise on Shoulder Muscle Strength of Caregivers (8주간의 어깨 강화 운동이 요양보호사들의 어깨 근력에 미치는 영향)

  • Shin, Jae-Wook;Lee, Seung-Min;Jung, Dae-Youn;Kim, Dong-In;Park, Jae-Sung;Lee, Byeong-Soo;Song, Se-Hee;Park, Lee-Dae;Kim, Moon-Jeong;Kim, No-Yong;Lee, Kwang-Hoon;Kim, Jae-Yong
    • PNF and Movement
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    • v.16 no.1
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    • pp.43-50
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    • 2018
  • Purpose: This study examined the effects of a shoulder-strengthening exercise on muscle strength of shoulder flexors and extensors of caregivers. Methods: The study consisted of 19 caregivers (2 males and 17 females) employed by Medical Center B. All the participants took part in an 8-week shoulder muscle strengthening exercise, based on previous studies. In the first week, the subjects took part in a stretching exercise enhance the range of motion. In the second week, they participated in an exercise aimed at improving shoulder blade stability. From the third to seventh weeks, a resistance exercise of different intensities was applied in a phased manner. Finally, in the eight week, the subjects took part in plyometric exercise. Peak torque, average power, and total work of shoulder flexors and extensors in both sides were measured before and after the exercise at an angular speed of 120deg/sec using an isokinetic device. Wilcoxon's singed-ranks test was conducted to analyze differences in muscle strength before and after the intervention. Results: After the exercise, there was a significant improvement in peak torque and average power of flexors of the right arm. After the exercise, peak torque, total work, and average power showed a significant improvement in the flexors of the left arm (p<0.05). However, there was no statistically significant difference in extensor muscle strength in either arm after the exercise. Conclusion: Shoulder flexors of caregivers are utilized frequently in the workplace. Implementation of extensor-strengthening exercises, in addition to flexor-strengthening exercises, can contribute to reducing the incidence rate of shoulder injuries among caregivers.

Types and Functions of English Hedges at a syntax-pragmatics Interface (통사화용의 접합면에서 본 영어 헤지표현의 유형과 기능)

  • Hong, Sungshim
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.1
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    • pp.381-388
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    • 2020
  • This paper discusses English Hedges or Hedging Expressions on the basis of their morphosyntactic-pragramatic properties within the perspective of sociolinguistics. The term, 'Hedges' for the past decades since Lakoff(1973), has received little attention from the English grammar circles such as morphosyntax and the generative grammar theories. This paper presents a more comprehensive approach to the identification, distributions, functions, and the morphosyntactic properties of English Hedges. The earlier research on English Hedges in the 70's show that hedges are metalinguistic or mitadiscourse expressions which constitute a means for executing Politeness strategy in pragmatics. Nonetheless, research from the interface of syntactic-pragmatics has been scarce. This article suggests a more complex body of English hedges that have not been extensively discussed in the literature. Additionally, their configurational domain is to be proposed as part of the PolP with [±hedged] above CP+ (or CP beyond). The ramifications of the current study are suggested in terms of comparative linguistics, EFL/ESL studies of English for global communication, and pragmatics-sensitive machine translation studies in the forseeable future.

Pro-Environmental Food Consumption Behavior Pattern (환경친화적 음식소비행동 유형)

  • 서정희;홍순명;황혜진
    • Journal of the Korean Home Economics Association
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    • v.38 no.12
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    • pp.131-143
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    • 2000
  • This research aims to examine the pro-environmental food consumption behavior of two groups; the housekeepers and the restaurant cooks. The rationale for choosing these groups as target of research lies in the fact that they are expected to be the most active subject for enhancing the desirable culture of food consumption, through their close involvement in the whole process of food consumption in society. This study assumes the four areas of activity to be the meaningful categories in the investigation of the pro-environmental food consumption behaviour; planning of menu and purchasing the food materials, cooking, eating, and disposal of the leftover. By using these four categories, we attempt to provide with the empirical typology of pro-environmental food consumption behaviour and the analysis of the relations of it with socio-demographical variables. Their pro-environmental behaviors are divided into four types: $\circled1$ The positive awareness of pro-environmental cooking and eating, $\circled2$ The positive awareness of pro-environmental food consumption behavior, $\circled3$ The passive awareness of pro-environmental cooking and eating, $\circled4$ The passive awareness of pro-environmental food consumption behavior. There is no significant difference among the numbers of the cases that belong to each behavioral type. Seen in overall, however, we can say that the larger number of the cases belong to the passive type of behavior. Two socio-demographical variables of tole housekeepers and the restaurant cooks show significant corelations with the behavioral types of pro-environmental food consumption with the confidence level P<0.05, but there is no significant co-relations in other variables like gender, marital status, age, income, Engel coefficient, education. We also found that there is no great gap between the housekeepers and the restaurant cooks in their positive awareness of pro-environmental food consumption, the percentage of each group belonging to the type being 51.9% and 48.1%, respectively, but that the former shows much greater number than the latter in belonging to the passive awareness type of the pro-environmental food consumption, 75.3% and 24.7%, respectively. Although the restaurant cooks can be said to be more ego-friendly than the housekeepers, if we consider the rapidly growing trend of outgoing-diner, more efforts should be exerted to develop the education and advertisement program for enhancing the restaurant cook's pro-environmental awareness and propagating the desirable food consumption cloture.

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Estimating the urinary sodium excretion in patients with chronic kidney disease is not useful in monitoring the effects of a low-salt diet

  • Kim, Se-Yun;Lee, Yu Ho;Kim, Yang-Gyun;Moon, Ju-Young;Chin, Ho Jun;Kim, Sejoong;Kim, Dong Ki;Kim, Suhnggwon;Park, Jung Hwan;Shin, Sung Joon;Choi, Bum Soon;Lim, Chun Soo;Lee, Minjung;Lee, Sang-ho
    • Kidney Research and Clinical Practice
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    • v.37 no.4
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    • pp.373-383
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    • 2018
  • Background: Several epidemiologic studies have suggested that the urine sodium excretion (USE) can be estimated in lieu of performing 24-hour urine collection. However, this method has not been verified in patients with chronic kidney disease (CKD) or in an interventional study. The purpose of this study was to evaluate the usefulness of estimating USE in a prospective low-salt diet education cohort (ESPECIAL). Methods: A new formula was developed on the basis of morning fasting urine samples from 228 CKD patients in the ESPECIAL cohort. This formula was compared to the previous four formulas in the prediction of 24-hour USE after treatment with olmesartan and low-salt diet education. Results: Most previously reported formulas had low predictability of the measured USE based on the ESPECIAL cohort. Only the Tanaka formula showed a small but significant bias (9.8 mEq/day, P < 0.05) with a low correlation (r = 0.34). In contrast, a new formula showed improved bias (-0.1 mEq/day) and correlation (r = 0.569) at baseline. This formula demonstrated no significant bias (-1.2 mEq/day) with the same correlation (r = 0.571) after 8 weeks of treatment with olmesartan. Intensive low-salt diet education elicited a significant decrease in the measured USE. However, none of the formulas predicted this change in the measured urine sodium after diet adjustment. Conclusion: We developed a more reliable formula for estimating the USE in CKD patients. Although estimating USE is applicable in an interventional study, it may be unsuitable for estimating the change of individual sodium intake in a low-salt intervention study.