• 제목/요약/키워드: Inclusion Level

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CARE(CAse REport) 지침에 의거한 척추신경추나의학회지 증례보고의 질 평가 연구: 2013년 이후 증례보고를 중심으로 (A Quality Evaluation Study of Case Reports in the Journal of Korea CHUNA Manual Medicine for Spine & Nerves According to the CARE(CAse REport) Guidelines)

  • 최승관;오경진;이정한
    • 척추신경추나의학회지
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    • 제16권1호
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    • pp.91-105
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    • 2021
  • Objectives A case report is a detailed medical description of previously unreported observations or complications of medical conditions, unique use cases of tests, or new side effects. The purpose of this study was to evaluate the quality of case reports published in the Journal of Korea CHUNA Manual Medicine for Spine & Nerves (JKCMSN). Methods Case reports published in the JKCMSN from January 2013 to December 2020 were selected using the Oriental Medicine Advanced Searching Integrated System (OASIS). The quality of the reports was assessed based on the Consensus-based Clinical Case Reporting Guideline Development (CARE) guidelines. Results Sixty case reports that met the inclusion criteria were included in the assessment. Our analysis revealed that 71.42% of the case reports included all the necessary information and their level of reporting was good. However, their scores in the qualitative subdivisions of the reporting level parameters showed that the quality level was uneven. More than 65% of the papers did not report in the following categories: "Keywords," "Patient information," "Timeline," "Diagnostic assessment," "Therapeutic interventions," "Follow-up and outcomes," "Patient perspective," and "Informed consent." Conclusions Our analysis shows that CARE guidelines need to be followed more rigorously to improve the quality of reporting in the JKCMSN. Further efforts are necessary to develop reporting guidelines and evaluation tools relevant to the Korean clinical context.

Gene expression of fatty acid binding protein genes and its relationship with fat deposition of Thai native crossbreed chickens

  • Tunim, Supanon;Phasuk, Yupin;Aggrey, Samuel E.;Duangjinda, Monchai
    • Animal Bioscience
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    • 제34권4호
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    • pp.751-758
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    • 2021
  • Objective: The objectives of this study were to investigate the relationship between the mRNA expression of adipocyte type fatty acid binding protein (A-FABP) and heart type FABP (H-FABP) in Thai native chicken crossbreeds and evaluate the level of exotic inclusion in native chicken that will improve growth while maintaining its relatively low carcass fat. Methods: The fat deposition traits and mRNA expression of A-FABP and H-FABP were evaluated at 6, 8, 10, and 12 weeks of age in 4 chicken breeds (n = 8/breed/wk) (100% Chee breed [CH] [100% Thai native chicken background], CH male and broiler female [Kaimook e-san1; KM1] [50% CH background], broiler male and KM1 female [Kaimook e-san2; KM2] [25% CH background], and broiler [BR]) using abdominal fat (ABF) and muscular tissues. Results: The BR breed was only evaluated at 6 weeks of age. At week 6, the CH breed had a significantly lower A-FABP expression in ABF and intramuscular fat (IF) compared with the other breeds. At 8 to 12 weeks, the KM2 groups showed significant upregulation (p<0.05) of A-FABP in both ABF and IF compared to the CH and KM1 groups. The expression of H-FABP did not follow any consistent pattern in both ABF and IF across the different ages. Conclusion: Some level of crossbreeding CH chickens can be done to improve growth rate while maintaining their low ABF and IF. The expression level of A-FABP correlate with most fat traits. There was no consistency of H-FABP expression across breed. A-FABPs is involved in fat deposition, genetic markers in these genes could be used in marker assisted studies to select against excessive fat accumulation.

Golf participation after rotator cuff repair: functional outcomes, rate of return and factors associated with return to play

  • Thomas R Williamson;Patrick G Robinson;Iain R Murray;Andrew D Murray;Julie M McBirnie;C Michael Robinson;Deborah J MacDonald;Nicholas D Clement
    • Clinics in Shoulder and Elbow
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    • 제26권2호
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    • pp.109-116
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    • 2023
  • Background: Golf is a popular sport involving overhead activity and engagement of the rotator cuff (RC). This study aimed to determine to what level golfers were able to return to golf following RC repair, the barriers to them returning to golf and factors associated with their failure to return to golf. Methods: Patients preoperatively identifying as golfers undergoing RC repair at the study centre from 2012 to 2020 were retrospectively followed up with to assess their golf-playing status, performance and frequency of play and functional and quality of life (QoL) outcomes. Results: Forty-seven golfers (40 men [85.1%] and 7 women [14.9%]) with a mean age of 56.8 years met the inclusion criteria, and 80.1% were followed up with at a mean of 27.1 months postoperatively. Twenty-nine patients (76.3%) had returned to golf with a mean handicap change of +1.0 (P=0.291). Golf frequency decreased from a mean of 1.8 rounds per week preinjury to 1.5 rounds per week postoperatively (P=0.052). The EuroQol 5-dimension 5-level (EQ-5D-5L) index and visual analog scale (EQ-VAS) score were significantly greater in those returning to golf (P=0.024 and P=0.002), although functional outcome measures were not significantly different. The primary barriers to return were ipsilateral shoulder dysfunction (78%) and loss of the habit of play (22%). Conclusions: Golfers were likely (76%) to return to golf following RC repair, including mostly to their premorbid performance level with little residual symptomatology. Return to golf was associated with a greater QoL. Persistent subjective shoulder dysfunction (78%) was the most common barrier to returning to golf.

Pretreatment Serum Albumin Level is an Independent Prognostic Factor in Patients with Stage IIIB Non-Small Cell Lung Cancer: A Study of the Turkish Descriptive Oncological Researches Group

  • Tanriverdi, Ozgur;Avci, Nilufer;Oktay, Esin;Kalemci, Serdar;Pilanci, Kezban Nur;Cokmert, Suna;Menekse, Serkan;Kocar, Muharrem;Sen, Cenk Ahmet;Akman, Tulay;Ordu, Cetin;Goksel, Gamze;Meydan, Nezih;Barutca, Sabri
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.5971-5976
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    • 2015
  • Background: Several prognostic factors have been studied in NSCLC, although it is unknown which is most useful. In this study, we aimed to investigate whether pre-treatment serum albumin level has prognostic value in patients with Stage IIIB NSCLC. Materials and Methods: This cross-sectional study included a total of 204 patients with Stage IIIB NSCLC who met the inclusion criteria. Pre-treatment serum albumin levels and demographic, clinical, and histological characteristics, as well as laboratory variables were recorded. A cut-off value was defined for serum albumin level and the patients were stratified into four groups on thios basis. Results: The majority of the patients was males and smokers, with a history of weight loss, and squamous histological type of lung cancer. The mean serum albumin level was $3.2{\pm}1.7g/dL$ (range, 2.11-4.36 g/dL). A cut-off value 3.11 g/dL was set and among the patients with a lower level, 68% had adenocarcinoma and 82% were smokers. The patients with low serum albumin levels had a lower response rate to e first-line chemotherapy with a shorter progression-free survival and overall survival. Multivariate analysis showed that low serum albumin level was an independent poor prognostic factor for NSCLC. Conclusions: This study results suggest that low serum albumin level is an independent poor prognostic factor in patients with Stage IIIB NSCLC, associated with reduction in the response rate to first-line therapy and survival rates.

음향결정 구조의 레벨셋 기반 위상 및 형상 최적설계 (Level Set based Topological Shape Optimization of Phononic Crystals)

  • 김민근;하시모토 히로시;아베 카주히사;조선호
    • 한국전산구조공학회논문집
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    • 제25권6호
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    • pp.549-558
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    • 2012
  • 본 논문에서는 레벨셋 방법을 이용하여, 소음을 차단하기 위한 음향 구조물의 형상 최적설계를 수행하였다. 형상 최적설계의 목적은 특정한 각도와 각속도로 입사되는 입사파에 대해서 음향 투과율(acoustic transmittance)이 최소가 되도록 음향 결정의 형상(inclusion shape)을 결정하는 것이다. 음향 결정 구조에서는 음향이 흩어져 있는 결정 구조에 의해서 굴절되기 때문에 결정 모양을 조정함으로써, 음향 거동을 제어할 수 있다. 본 연구에서는 음향 구조물로 결정이 수평방향으로는 주기적으로 무한히 분포하고 수직방향으로는 유한한 층간 구조를 가지고 있는 소음 방어벽(Noise barrier)을 고려한다. 주기적 구조물을 고려하기 때문에 결정의 좌와 우에 Bloch 이론을 적용해 주기적 경계조건을 부과하였고, 소음 방어벽 위와 아래에는 임피던스 행렬(impedance matrix)를 이용하여, 무한 균질 영역과 소음 방어벽 사이의 음파 투과를 모사하였다. 결정의 위상과 형상변화를 묘사하기 위해서 레벨셋 방법(level set method)을 사용하였다. 레벨셋 방법에서는 초기 영역을 고정시킨 상태에서, 레벨셋으로 표현되는 임시적 경계(implicit moving boundary)를 변화시킴으로써 복잡한 형상을 다룰 수 있다. 몇몇 수치적 예제를 통해, 제시된 방법의 적용성을 검증하였다.

Lactation Performance of German Fawn Goat in Relation to Feeding Level and Dietary Protein Protection

  • Chowdhury, S.A.;Rexroth, H.;Kijora, C.;Peters, K.J.
    • Asian-Australasian Journal of Animal Sciences
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    • 제15권2호
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    • pp.222-237
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    • 2002
  • Effects of high and low levels of feeding with or without protected protein on the performance of lactating goats were studied. Twenty four German Fawn goats either from 1st ($43.37{\pm}3.937$ kg and 2 year old) or 3rd $62.64{\pm}6.783$ kg and 4-5 year old) parity were used for the trial. Feeding levels were 7.2 (I) and 5.2 (II) MJ ME/litre of milk of 3.5% fat in addition to that of the maintenance allowance. At each feeding level, diet had either unprotected (U) or formaldehyde protected (P) soya-meal. Thus, four diets were IU, IP, IIU and IIP, having six animals in each. The diets were composed of hay and pellet (10:4:1 of beet pulp : barley : soya-meal). Effect of feeding level, protein protection, parity, health status and kid number on intake, milk yield, milk composition, growth rate of goats were recorded across the 21 weeks of study. High feeding level resulted increase (p<0.001) in estimated metabolizable energy (ME) and metabolizable protein (MP) availability. Dietary inclusion of protected soya-meal increased (p<0.001) the estimated MP but not the ME availability. Animals in 1st parity ate more (p<0.001) DM (111 vs. 102 g/kg $W^{0.75}$/d) than those in 3rd parity. Animals with twin kids (110 g/kg $W^{0.75}$/d) had higher (p<0.001) DM intake than those with single kid (102 g/kg $W^{0.75}$/d). Fat (4%) corrected milk (FCM) yield was not effected by high (1,924 g/d) or low (1,927 g/d) feeding level but increased (p<0.001) with protected (2,166 g/d) compared with unprotected (1,703 g/d) soya-meal. FCM yield for four dietary combinations were 1,806, 2,078, 1,600 and 2,254 g/d for diets IU, IP, IIU and IIP, respectively. For unit increase (g) in estimated MP availability relative to ME (MJ) intake, FCM yield increased ($1,418{\pm}275.6$) g daily ($r^2$=0.58; p<0.001). Milk fat (3.14 vs. 3.54%; p<0.001) and protein (2.94 vs. 3.04% p<0.05) contents were lower at high than the low feeding level. Protected protein increased (p<0.001) the fat, lactose and net energy (NE) content of milk. Milk urea concentration of 175, 183, 192 and 204 mg/l for diets IU, IP, IIU and IIP, respectively indicated lower RDP content of these diets. The RDP contents were 6.97, 6.70, 7.30 and 6.83 g/MJ of ME for diets IU, IP, IIU and IIP, respectively. Live weight change over the experimental period were 41, 6, 17 and 19 g/d. Absence of any positive response of high feeding was probably due to inefficient rumen fermentation resulting from inadequate RDP supply. Protected protein improved production performance apparently by increasing MP:ME ratio in the absorbed nutrient.

월악 중석-몰리브덴 광상의 유체포유물 연구 (Fluid Inclusion Studies on the Wolak Tungsten-Molybdenum Deposits, Korea)

  • 이인성;박희인
    • 자원환경지질
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    • 제15권1호
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    • pp.17-32
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    • 1982
  • 월악 중석-몰리브덴 광상은 옥천충군에 속하는 함력석회질 호온펠스, 호온펠스 그리고 이를 관입한 백악기의 화강암내에 발달한 주향 $NS-N20^{\circ}W$, 수직에 가까운 경사의 열극을 충전한 항중석-몰리브덴 석영맥이다. 광산의 채광장은 서쪽의 동산지구와 동쪽의 광천지구로 나누어져 있다. 두 지구에서 산출되는 광석광물은 철망간중석, 회중석, 휘수연석, 창연, 휘창연석, 황철석, 유비철석 황동석, 큐바나이트, 스태나이트, 자류철석, 섬아연석, 방연석, 백철석, 티단철석, Pb-Bi sulfosalt이다. 맥석 광물로는 석영, 방해석, 녹주석, 형석, 백운모, 능망간석 및 능철석이 산출된다. 유체포유물 연구는 석영, 녹주석, 희중석, 초기의 형석 그리고 말기의 형석을 그 대상으로 하였다. 액체 $CO_2$를 포함하는 포유물은 석영과 초기의 형석에서만 발견된다. 동산지구에서 유체포유물의 염농도는 석영에서 3.9~8.0wt.% 녹주석에서 5.3~7.7wt.%의 범위이며, 광화작용의 말기에 정출한 형석에서는 1.5~3.2wt.%의 범위이다. 광천지구에서의 염농도는 석영에서 3.9~9.6wt.%, 초기의 형석에서 2.9~7.3wt.%, 말기의 형석에서 1.3~1.5wt.%의 범위를 가진다. 유체포유물의 균일화온도는 동산지구의 석영에서 $239^{\circ}{\sim}360^{\circ}C$ 이상, 회중석에서 $360^{\circ}C$ 이상, 녹주석에서 $288^{\circ}{\sim}360^{\circ}C$이상, 말기의 형석에서는 $159^{\circ}{\sim}202^{\circ}C$의 범위를 갖는다. 광천지구에 있어서 유체포유물의 균일화 온도는 석영에서 $240^{\circ}{\sim}360^{\circ}C$ 이상, 초기의 형석에서는 $240^{\circ}{\sim}328^{\circ}C$의 범위이다. 전체적으로 보아 동산지구나 광천지구간에 뚜렷한 광물이나 염농도, 균일화 온도의 차이는 나타나지 않는다. 양지역에 있어서 노두에서 수직으로 약 300m 깊이까지에 걸쳐 상하간에 균일화 온도의 차이는 보이지 않으나 염농도는 하부로 갈수록 약간 증가하는 경향을 보인다. 광화유체는 석영, 녹주석, 초기의 형석등이 정출한 광화작용의 비교적 초기단계에 있어서는 $CO_2$ 농도, 온도와 염농도가 높았으나 말기의 형석의 정출시기에는 $CO_2$ 농도, 온도와 염농도가 현저히 낮아진 것으로 보인다.

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초등 과학 영재 학생들의 과학 영재 수업에 대한 반성의 특징 (Characteristics of Science-Gifted Elementary Students' Reflection of Their Science Classes)

  • 박지은;강훈식
    • 대한화학회지
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    • 제58권3호
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    • pp.324-337
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    • 2014
  • 이 연구에서는 초등 과학 영재 학생들의 과학 영재 수업에 대한 반성의 특징을 분석하였다. 이를 위해, 초등학교 4~6학년 과학 영재 학생 20명이 작성한 총 91개의 반성 일지를 '생산적 반성' 관점에서 분석하였다. 연구 결과, 반성 일지에 포함된 수업 측면의 수를 의미하는 '포함 점수'의 평균은 5점 만점 중에 2.99이었으며, 학생들의 학년과는 통계적으로 유의미한 상관이 없었다. 대부분의 반성 일지에는 '과학 영재 학생(93.4%)' 측면이 포함되어 있었으며, '과학 영재 교수 전략 및 지도(70.3%)', '과학 내용 지식(68.1%)', '과학 영재 교육 과정(57.1%)' 측면이 포함된 경우도 많았다. 그러나 '과학 영재 교육 평가(9.9%)' 측면이 포함된 경우는 매우 적었다. 생산적 반성 수준의 지표가 되는 것으로 반성 일지에 통합된 수업 측면의 수를 의미하는 '통합 점수'의 평균은 5점 만점 중에 2.84이었으며, 학년과 통계적으로 유의미한 상관이 없었다. 반성 일지 중에서 전혀 통합이 없는 경우는 6.6%, 2가지 측면이 통합된 경우는 34.1%, 3가지 측면이 통합된 경우는 39.6%, 4가지 측면이 통합된 경우는 25.3%였으며, 5가지 측면이 모두 통합된 경우는 없었다. 특히, 모든 반성 일지에서 '과학 영재 학생(100.0%)'과 다른 측면들이 통합되어 있었으며, '과학 영재 교수 전략 및 지도(70.3%)', '과학 내용 지식(65.9%)', '과학 영재 교육 과정(53.8%)' 측면과 다른 측면이 통합된 경우도 많았다. 그러나 '과학 영재 교육 평가(9.9%)' 측면과 다른 측면이 통합된 경우는 매우 적었다. 실험 중심 수업과 이론 중심 수업의 '포함 점수' 및 '통합 점수'의 차이는 통계적으로 유의미하지 않았다. 그러나 이론 중심 수업보다 실험 중심 수업에서 포함 유형과 통합 유형이 좀 더 다양해졌고, 더 많은 측면들이 함께 포함되거나 통합되는 경향이 있었다.

Effects of Protein and Lipid Levels in Extruded Pellets on the Growth and Body Composition of the Olive Flounder Paralichthys olivaceus during the Summer and Whiter Seasons

  • Kim, Kyoung-Duck;Kang, Yong-Jin;MoonLee, Hae-Young;Kim, Kang-Woong;Son, Maeng-Hyun
    • Fisheries and Aquatic Sciences
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    • 제12권2호
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    • pp.104-110
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    • 2009
  • Feeding trials were performed at two different water temperatures (summer and winter seasons) to identify suitable protein and lipid (energy) levels to be used in formulating extruded pellets for olive flounder. Experiments were conducted to determine the effects of protein and lipid levels in extruded pellets on the growth and body composition of the flounder in both feeding trials. Six experimental diets were prepared containing three protein levels (46%, 51%, and 56%) and two lipid levels (10% and 17%). In the first experiment, during the summer season ($22{\pm}2.2^{\circ}C$), a triplicate group of fish (initial weight, 114 g) were fed to satiation one of the six diets for 11 weeks. The highest weight gain was observed in fish fed the 56/17 (% protein/% lipid) diet, but this weight gain was not significantly different from that of fish fed the other diets, except for those fed the 46/10 diet. The feed efficiency and protein efficiency ratio of fish fed the 17% lipid diets were higher than those of fish fed the 10% lipid diets at each protein level. In the second experiment, during the winter season ($13{\pm}1.5^{\circ}C$), a triplicate group of fish (initial weight, 107 g) were fed to satiation one of the six diets for 9 weeks. Weight gain was not significantly different among all groups. The feed efficiency and protein efficiency ratio tended to increase with increasing dietary lipid level at each protein level. The whole-body crude lipid content of the of fish fed the 17% lipid diets was significantly higher than that of fish fed the 10% lipid diets at each protein level in both feeding trials. Based on the data obtained in this study, the inclusion of dietary protein at a level of 46% appears to be sufficient to support optimal growth, and increasing the dietary lipid level from 10% to 17% had no beneficial effects on the growth and feed utilization of olive flounder (110-300 g), except for fish fed a 56% protein diet in the summer season.

Towards a Structure-Function Relationship for Vascular Endothelial Growth Factor-B (VEGF-B)

  • Scrofani, Sergio D.B.;Nash, Andrew D.
    • Journal of Microbiology and Biotechnology
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    • 제11권4호
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    • pp.543-551
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    • 2001
  • The vascular endothelial growth factor (VEGF), or VEGF-A, is intimately involved in both physiological and pathological forms of angiogenesis. VEGF-A is now recognized as the founding member of a family of growth factors that has expanded to include VEGF-B, VEGF-C, VEGF-D, VEGF-E, and placental growth factor (PIGF). This family of cytokines binds differentially to at least three receptor tyrosine kinases, however, the extent to which family members other than VEGF-A contribute to physiological and pathological angiogenesis remains unclear. Issues that are of relevance include uncertainty regarding the consequences of signaling through VEGF - RI in particular, and the ability of some family members to heterodimerize, leading to the possibility ofheterodimeric receptor complexes. Structural characterization is one approach that can be used to address these issues, however, the vast majority of previous structure-function studies have only focused on VEGF-A. While these studies may provide some clues regarding the structural basis of the interaction of other family members with their receptors, studies using the ligands themselves are clearly required if highly specific interactions are to be revealed. With the recent progress toward refolding and purifying substantial' quantities of other VEGF family members, such structural studies are now possible. Here, these ~ssues are addressed with a particular emphasis on VEGF-B and its receptors.

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