• 제목/요약/키워드: Impact of Stones

검색결과 22건 처리시간 0.025초

Association between dietary fiber intake and kidney stones: results from the National Health and Nutrition Examination Survey (2011-2018)

  • Weinan Chen;Yang Hong;Sailimai Man; Tao Xu
    • Nutrition Research and Practice
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    • 제18권4호
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    • pp.534-543
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    • 2024
  • BACKGROUND/OBJECTIVES: Studies on the impact of dietary fiber intake on kidney stones are few, and their results were controversial. This study aimed to explore the association between dietary fiber intake and kidney stones in the nationally representative population of the USA. SUBJECTS/METHODS: This cross-sectional research included 8,588 participants from the National Health and Nutrition Examination Survey, 2011 to 2018. Information regarding dietary fiber intake was obtained from a 24-h recall survey. Participants were categorized into different dietary fiber intake tertiles according to the average of 2 days of dietary recall data. The outcome was self-reported kidney stones. After adjusting for the traditional risk factors, a multivariate logistic regression model was used to examine the association between dietary fiber intake and kidney stones. RESULTS: Eight hundred seventy-two participants had kidney stones. The weighted prevalence (SE) of kidney stones in the lowest tertile, medium tertile, and highest tertile of dietary fiber intake was 11.8% (0.8%), 10.3% (0.8%), and 9.1% (0.8%), respectively. After adjusting for age, sex, race and ethnicity, education level, smoking status, alcohol consumption, physical activity, body mass index, hypertension, diabetes, dyslipidemia, daily water intake, chronic kidney disease stage 3-5, and total energy intake, participants with the highest tertile of fiber intake had a significantly lower risk of kidney stones (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.48-0.95) compared to those in the lowest tertile. Every 5 g/day increment in dietary fiber intake was associated with a significant decrease in risk of kidney stones (OR, 0.90; 95% CI, 0.83-0.98). CONCLUSION: An increase in dietary fiber intake was associated with a lower risk of kidney stones, suggesting adults should be encouraged to maintain an adequate dietary fiber intake to prevent the development of kidney stones. Our results provide evidence to formulate nutrition management strategies for the prevention of kidney stones.

전자기식 체외충격파쇄석술시 하부요관 결석 환자에 대해 적합한 충격강도와 C-arm 총 가동시간 (The Optimal Shock Intensity and C-arm Total Running Time in Patients with Inferior Ureter Stones during Electromagnetic of ESWL)

  • 박정규;조의현
    • 한국방사선학회논문지
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    • 제8권7호
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    • pp.461-466
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    • 2014
  • 체외 충격파 쇄석술시 쇄석기종에 따라 각각 장단점이 있으며, 전 처치로 인한 여러 가지 부작용이 보고되고 있다. 이에 전자기식 ESWL시 하부결석환자에서 적합한 충격파의 강도를 찾아보고, C-arm의 총 가동시간을 측정해 보았다. 본 연구는 2014년 1월부터 6월까지 경북지역 일개시의 C대학병원에서 전 처치를 시행하지 않고 ESWL을 받은 65명의 환자를 대상으로 하였다. 성비는 남자가 48명, 여자가 17명으로 남자가 더 많았으며, 연령은 50대가 가장 많았다. 하부요로결석의 발생은 왼쪽이 더 많았으며, 결석의 크기는 5mm 이하가 39명으로 가장 많았다. 적합한 충격강도는 1의 강도이며 통증을 호소하는 경우 C의 강도로 전환하여 충격을 가할 수 있다. 또한 C-arm의 총 가동시간은 $241.73{\pm}30.37$초로 나타났으며, 이것은 하부요로결석의 크기와 유의한 차이를 보였다(p<0.05). 따라서, ESWL시 전처치를 시행하지 않고 시술을 할 경우 요관 결석의 부위에 따라 적합한 충격강도와 충격빈도의 기준이 필요로 하며, C-arm 총 가동시간도 요관 결석의 발생부위에 따라 방사선으로 인한 피폭을 최소화하기 위한 총 가동시간에 대한 기준이 필요할 것으로 사료된다.

석조문화재를 위한 아크릴계 보존처리제의 무기친화성 개선 (Improvement in Inorganic Affinity of Acrylic Materials for Conservation Treatment of Stone Cultural Assets)

  • 김연철;김은영;김헝중
    • 폴리머
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    • 제34권1호
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    • pp.14-19
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    • 2010
  • 여러 원인에 의한 석조문화재의 풍화 손상을 저지할 목적으로 아크릴계 고분자를 이용하는 가압함침 보존 처리방법에서 함침된 고분자와 무기물질인 석재와의 친화성을 높이도록 silane계 아크릴 단량체의 사용을 연구하였다. 기본 단량체인 methyl metacrylate(MMA)에 vinyl trimethoxy silane(VTMS)의 함량을 변화시키고 라디칼 중합으로 MMA-VTMS 공중합체를 얻어 이들 공중합체의 유리전이온도, 평균분자량, 그리고 저장탄성률의 변화를 평가하여 benzoyl peroxide (BPO) 1 wt%, 중합시간 8시간, 그리고 VTMS 5 mol% 혼합의 경우(PMV5)가 최적 혼합비율과 중합조건임을 알 수 있었다. 실제 국내산 화강암과 풍화된 암석의 시편을 함침 보존처리한 후 수분 흡수율, 충격특성, 내산성 및 접착특성 등을 측정한 결과 MMA 단독 사용과 비교하여 PMV5의 경우 모든 특성에 있어서 개선되는 것을 확인하였다.

Retrospective Evaluation of Risk Factors and Immunohistochemical Findings for Pre-Neoplastic and Neoplastic lesions of Upper Urinary Tract in Patients with Chronic Nephrolithiasis

  • Desai, Fanny Sharadkumar;Nongthombam, Jitendra;Singh, Lisam Shanjukumar
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8293-8298
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    • 2016
  • Background: Urinary stones are known predisposing factors for upper urinary tract carcinoma (UUTC) which are commonly detected at advanced stage with poor outcome because of rarity and lack of specific criteria for early detection. Aims and objectives: The main aim was to evaluate the impact of age, gender andstone characteristics on risk of developing UUTC in patients with chronic nephrolithiasis. We also discuss the role of aberrant angiogenesis (AA) and immunohistochemical expression of p53, p16INK4a, CK20 and Ki-67 in diagnosis of pelvicalyceal neoplastic (NL) and pre-neoplastic lesions (PNL) in these patients. Materials and Methods: Retrospective analysis of pelvicalyceal urothelial lesions from 88 nephrectomy specimens were carried out in a tertiary care centre from June 2012 to December 2014. Immunohistochemistry (IHC) was performed on 37 selected cases. Computed image analysis was performed to analyse aberrant angiogenesis. Results: All UUTC (5.7%) and metaplastic lesions were found to be associated with stones. Some 60% were pure squamous cell carcinoma and 40% were transitional cell carcinoma. Odd ratios for developing NL and PNL lesions in presence of renal stone, impacted stones, multiple and large stag horn stones were 9.39 (95% CI 1.15-76.39, p value 0.05), 6.28 (95% CI 1.59-24.85, p value 0.000) and 7.4 (95% CI, 2.29-23.94, p value 0.001) respectively. When patient age was ${\geq}55$, the odds ratio for developing NL was 3.43 (95% CI 1.19-9.88, p value 0.019). IHC analysis showed that mean Ki-67 indices were $3.15{\pm}3.63%$ for non-neoplastic lesions, $10.0{\pm}9.45%$ for PNL and $28.0{\pm}18.4%$ for NL. Sensitivity and specificity of CK20, p53, p16INK4a, AA were 76% and 95.9%; 100% and 27.5%; 100% and 26.5%; 92.3 % and 78.8% respectively. Conclusions: Age ${\geq}55years$, large stag horn stones, multiple stones and impacted stones are found to be associated with increased risk of NL and PNL in UUT. For flat lesions, a panel of markers, Ki 67 index >10 and presence of aberrant angiogenesis were more useful than individual markers.

ALC 블록 벽체에 시공한 석재 아트월의 내충격성 평가 (Evaluation of Impact Resistance of Interior Stone Walls Constructed on the ALC Block Wall)

  • 고봉천;이덕주;김현;최수경
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2019년도 춘계 학술논문 발표대회
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    • pp.10-11
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    • 2019
  • Interior stone walls are using commonly in non-bearing lightweight walls of apartments. The stones of interior wall were two types, one is a granite stone, another is a marble stone. Granite stone is attached by the epoxy adhesive and marble stone is attached by dedicated anchor and fastener. The impact resistance test was carried out interior stone walls in accordance with KS F 2613. The test methods included the impact resistance tests by each of soft impact body and hard impact body. The results of the test have proved that interior stone walls can withstand the soft impact bodies and hard impact bodies that are likely to happen in everyday life.

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Impact of the Thruster Jet Flow of Ultra-large Container Ships on the Stability of Quay Walls

  • Hwang, Taegeon;Yeom, Gyeong-Seon;Seo, Minjang;Lee, Changmin;Lee, Woo-Dong
    • 한국해양공학회지
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    • 제35권6호
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    • pp.403-413
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    • 2021
  • As the size of ships increases, the size and output power of their thrusters also increase. When a large ship berths or unberths, the jet flow produced from its thruster has an adverse effect on the stability of quay walls. In this study, we conducted a numerical analysis to examine the impact of the thruster jet flow of a 30,000 TEU container ship, which is expected to be built in the near future, on the stability of a quay wall. In the numerical simulation, we used the fluid-structure interaction analysis technique of LS-DYNA, which is calculated by the overlapping capability using an arbitrary Lagrangian Eulerian formulation and Euler-Lagrange coupling algorithm with an explicit finite element method. As the ship approached the quay wall and the vertical position of the thruster approached the mound of the quay wall, the jet flow directly affected the foot-protection blocks and armor stones. The movement and separation of the foot-protection blocks and armor stones were confirmed in the area affected directly by the thruster jet flow of the container ship. Therefore, the thruster jet flows of ultra-large ships must be considered when planning and designing ports. In addition, the stability of existing port structures must be evaluated.

Systematic intraoperative cholangiography during elective laparoscopic cholecystectomy: Is it a justifiable practice?

  • Francesco Esposito;Iolanda Scoleri;Rafika Cattan;Marie Cecile Cook;Dorin Sacrieru;Nouredine Meziani;Marco Del Prete;Morad Kabbej
    • 한국간담췌외과학회지
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    • 제27권2호
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    • pp.166-171
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    • 2023
  • Backgrounds/Aims: Routine execution of intraoperative cholangiography (IOC) in laparoscopic cholecystectomy (LC) is considered a good practice to help early identification of biliary duct injuries (BDIs) or common bile duct (CBD) stones. This study aimed to determine the impact of IOC during LC. Methods: This is a retrospective, monocentric study, including patients with a LC performed from January 2020 to December 2021. Results: Of 303 patients, 215 (71.0%) were in the IOC group and 88 (29.0%) in the no-IOC group. IOC was incomplete or unclear in 10.7% of patients, with a failure rate of 14.7%. Operating time was 15 minutes longer in the IOC group (p = 0.01), and postoperative complications were higher (5.1% vs. 0.0%, p = 0.03). There were three BDIs (0.99%), all included in the IOC group; only one was diagnosed intraoperatively, and the other two were identified during the postoperative course. Regarding identifying CBD stones, IOC showed a sensitivity of 77%, a specificity of 98%, an accuracy of 97.2%, a positive predictive value of 63% and a negative predictive value of 99%. Conclusions: Systematic IOC has shown no specific benefits and prolonged operative duration. IOC should be performed on selected patients or in situations of uncertainty on the anatomy.

유압 브레이커 메인바디의 충격 및 소음 저감을 위한 완충 장치에 대한 연구 (Damping Device for Hydraulic Breaker: Impact and Noise Reduction)

  • 조병진;한훈희;구정서
    • 한국기계가공학회지
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    • 제17권4호
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    • pp.113-122
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    • 2018
  • A hydraulic breaker is an attachment of an excavator, and it crushes stones. Recently, research to reduce the impact and noise of breakers are ongoing. In this paper, a method to improve the upper, lower, and side dampers, which act as insulation for the attenuation of vibration during breaker operation, is studied through testing and simulation. To obtain the nonlinear material constants required for the simulation, the biaxial tensile test was performed with urethane, which is a material used for dampers. The existing parts and the improved parts were compared and evaluated using the LS-DYNA program. As a result, 50% of the equivalent stress was reduced in the bracket body of the hydraulic breaker, and the equivalent stress of the side damper was also decreased. We verified that the fatigue conditions were satisfied by performing a fatigue analysis.

Impact of Air Convection on H3PO4-Activated Biomass for Sequestration of Cu (II) and Cd (II) Ions

  • Girgis, Badie S.;Elkady, Ahmed A.;Attia, Amina A.;Fathy, Nady A.;Abdel Wahhab, M. A.
    • Carbon letters
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    • 제10권2호
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    • pp.114-122
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    • 2009
  • Crushed, depitted peach stones were impregnated activated with 50% $H_3PO_4$ followed by pyrolysis at $500^{\circ}C$. Two activated carbons were produced, one under its own evolved gases during pyrolysis, and the second conducted with air flow throughout the carbonization stage. Physicochemical properties were investigated by several procedures; carbon yield, ash content, elemental chemical analysis, TG/DTG and FTIR spectra. Porosity characteristics were determined by the conventional $N_2$ adsorption at 77 K, and data analyzed to get the major texture parameters of surface area and pore volume. Highly developed activated carbons were obtained, essentially microporous, with slight effect of air on the porous structure. Oxygen was observed to be markedly incorporated in the carbon matrix during the air treatment process. Cation exchange capacity towards Cu (II) and Cd (II) was tested in batch single ion experimental mode, which proved to be slow and a function of carbon dose, time and initial ion concentration. Copper was up taken more favorably than cadmium, under same conditions, and adsorption of both cations was remarkably enhanced as a consequence of the air treatment procedure. Sequestration of the metal ions was explained on basis of the combined effect of the oxygen functional groups and the phosphorous-containing compounds; both contributing to the total surface acidity character.

동적하중 재하시 쇄석강화노반의 거동 특성 (Characteristics of Behavior of the Crushed Stone Reinforced Roadbed under Cyclic Loading)

  • 황선근;이성혁;이일화;최찬용
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2001년도 봄 학술발표회 논문집
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    • pp.525-532
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    • 2001
  • In this study, performance of reinforced railroad roadbeds with the crushed stones was investigated through the real scale railroad roadbed tests. Several real scale reinforced railroad roadbeds were constructed in the laboratory with different subgrade conditions and were tested with the estimated actual train loads including the impact loading of train. The affecting factors such as settlement, earth pressure and stress change at the surface of reinforced roadbed, subgrade layers as well as surface of rails were measured. It was found through the actual testing that for the roadbed with the same thickness, the settlement and vibration level (velocity) of reinforced roadbed decreases with the increase of reaction modulus of subgrade. The settlement of reinforced roadbed with the same reaction modulus of subgrade also decreases with the increase of thickness of the reinforced roadbed.

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