• 제목/요약/키워드: REMAINING WEIGHT

검색결과 320건 처리시간 0.028초

Demographic review of aesthetic surgery for patients with facial palsy

  • Min Young Lee;Yun Jung Kim;Young Seok Kim;Tai Suk Roh;In Sik Yun
    • 대한두개안면성형외과학회지
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    • 제25권1호
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    • pp.22-26
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    • 2024
  • Background: This study analyzed the demographic characteristics of patients with facial palsy who were treated using either dynamic or static procedures. This study aimed to compare the frequency of procedure implementation and age distribution between the two groups. Methods: This study retrospectively analyzed the medical records of patients treated for facial palsy at a single institution from 2014 to 2022. Among cases included in our study, dynamic procedures involved cross-facial nerve graft and latissimus dorsi or gracilis muscle flap transfer. Static procedures included gold weight insertion, canthopexy, browlift, and thread lift/static slings. Results: Among the 31 patients included in our study, eight (25.8%) incorporated dynamic techniques, and the average age of patients was 44.75 years (range, 24-68 years) with a male to female ratio of 1:4. The remaining 23 patients (74.2%) underwent a static procedure, of which the average age was 59.17 years (range, 23-81 years) which was statistically significantly higher than the average age of 44.75 of dynamic patients (p= 0.013). Regarding the timing of treatment after diagnosis, no patient underwent dynamic procedures more than 20 years after initial diagnosis. A greater diversity in the timing of treatment was observed in the static group. All patients who underwent dynamic procedures were treated using static procedures during the study period. Conclusion: Because aesthetics-based static techniques are typically quick outpatient procedures that can be performed under local anesthesia, our study shows that these are often preferred treatments for all age groups, especially for debilitated or older patients. Further research is required to investigate the long-term functional outcomes of these surgical techniques in a wider population of patients.

In-depth exploration of machine learning algorithms for predicting sidewall displacement in underground caverns

  • Hanan Samadi;Abed Alanazi;Sabih Hashim Muhodir;Shtwai Alsubai;Abdullah Alqahtani;Mehrez Marzougui
    • Geomechanics and Engineering
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    • 제37권4호
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    • pp.307-321
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    • 2024
  • This paper delves into the critical assessment of predicting sidewall displacement in underground caverns through the application of nine distinct machine learning techniques. The accurate prediction of sidewall displacement is essential for ensuring the structural safety and stability of underground caverns, which are prone to various geological challenges. The dataset utilized in this study comprises a total of 310 data points, each containing 13 relevant parameters extracted from 10 underground cavern projects located in Iran and other regions. To facilitate a comprehensive evaluation, the dataset is evenly divided into training and testing subset. The study employs a diverse array of machine learning models, including recurrent neural network, back-propagation neural network, K-nearest neighbors, normalized and ordinary radial basis function, support vector machine, weight estimation, feed-forward stepwise regression, and fuzzy inference system. These models are leveraged to develop predictive models that can accurately forecast sidewall displacement in underground caverns. The training phase involves utilizing 80% of the dataset (248 data points) to train the models, while the remaining 20% (62 data points) are used for testing and validation purposes. The findings of the study highlight the back-propagation neural network (BPNN) model as the most effective in providing accurate predictions. The BPNN model demonstrates a remarkably high correlation coefficient (R2 = 0.99) and a low error rate (RMSE = 4.27E-05), indicating its superior performance in predicting sidewall displacement in underground caverns. This research contributes valuable insights into the application of machine learning techniques for enhancing the safety and stability of underground structures.

점봉산 신갈나무 낙엽의 분해율과 미기상요인과의 상관관계 분석 (Correlation between litter decomposition rate of Quercus mongolica leaf and microclimatic factors at Mt. Jeombongsan)

  • 원호연;이영상;이재석;이일환
    • 환경생물
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    • 제40권4호
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    • pp.455-463
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    • 2022
  • 기후변화에 따른 산림생태계의 기능 변화를 파악하기 위해 산림생태계의 중요한 기능인 낙엽분해율과 미기상 요인과의 상관관계를 분석하였다. 2017년 1월부터 48개월간 동사면과 서사면에 설치된 낙엽주머니를 통해 낙엽의 분해율을 분석하고 연구지소의 미기상요인(대기온도, 토양온도, 토양수분)을 관측하여 상관관계를 도출하였다. 48개월 경과 후 신갈나무 낙엽의 잔존율은 동사면과 서사면에서 각각 27.1±1.3%, 37.0±3.6%로 감소하였으며, 이에 따른 낙엽의 분해상수(k)는 동사면과 서사면에서 각각 0.33, 0.25로 나타났다. 신갈나무 낙엽의 초기 C/N비율은 38.5이었으며 시간이 경과함에 따라 감소하여 48개월 경과 후 동사면과 서사면의 C/N비율은 각각 13.4, 16.7로 나타났다. 연구지소의 조사기간 동안 평균 대기온도 및 토양온도는 동사면과 서사면에서 각각 8.2±9.0, 9.1±9.3과 8.5±7.4, 9.3±7.3℃로 서사면에서 더 높게 나타났다. 토양수분의 경우, 동사면과 서사면에서 평균 19.4±11.0, 20.5±5.7%로 큰 차이를 보이지 않았으나 연간 변화 양상이 다소 다르게 나타났다. 분석된 낙엽의 분해율과 미기상 요인과의 상관관계를 분석해본 결과, 동사면에서 낙엽분 해율과 토양수분이 양의 상관관계를 갖는 것으로 나타나, 낙엽분해율은 토양수분량에 영향을 받는 것으로 나타났다. 본 연구를 통해 향후 기후변화에 따른 폭우, 폭설 등의 영향이 산림생태계의 기능에 미치는 변화에 대응할 수 있는 기초자료를 제공하고자 한다.

체외막 산소화 요법을 적용한 선천성 횡격막탈장 치료의 초기 경험 (Extracorporeal Membrane Oxygenation in Neonates with Congenital Diaphragmatic Hernia: a Preliminary Experience)

  • 김태훈;조민정;박정준;김대연;김성철;김인구
    • Advances in pediatric surgery
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    • 제17권2호
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    • pp.133-138
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    • 2011
  • Extracorporeal membrane oxygenation (ECMO) has been utilized in congenital diaphragmatic hernia (CDH) patients with severe respiratory failure unresponsive to conventional medical treatment. We retrospectively reviewed 12 CDH patients who were treated using ECMO in our center between April 2008 and February 2011. The pre ECMO and on ECMO variables analyzed included gestational age, sex, birth weight, age at the time of ECMO cannulation, arterial blood gas analysis results, CDH location, timing of CDH repair operation, complications and survival. There were 9 boys and 3 girls. All patients were prenatally diagnosed. Mean gestational age was $38.8{\pm}1.7$ weeks and mean birth weight was $3031{\pm}499$ gram. Mean age at the time of ECMO cannulation was $29.9{\pm}28.9$ hours. There were 4 patients who survived. Survivors showed higher 5 min Apgar scores ($8.25{\pm}0.96$ vs. $7.00{\pm}1.20$, p=0.109), higher pre ECMO mean pH ($7.258 {\pm}0.830$ vs. $7.159{\pm}0.986$, p=0.073) and lower pre ECMO $PaCO_2$ ($48.2{\pm}7.9$ vs. $64.8{\pm}16.1$, p=0.109) without statistical significance. The hernia was located on the left side in 10 patients and the right side in 2 patients. The time interval from ECMO placement to operative repair was about 3~4 days in 5 early cases and around 24 in the remaining cases. There were 3 cases of post operative bleeding requiring re operation and 2 cases of abdominal compartment syndrome requiring abdominal fascia reopening. ECMO catheter reposition was required in 4 cases. Three cases of arterial or venous thrombosis were detected and improved with follow up. Our data suggests that ECMO therapy could save the lives of some neonates with CDH who can not be maintained on other treatment modalities. Protocolized management and accumulation of case experience might be valuable in improving outcomes for neonates with CDH treated with ECMO.

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뇨시료에 함유된 7-keto-DHEA-acetate의 대사체에 관한 연구 (II) (A study of the metabolites for 7-keto-DHEA-acetate in human urine (II))

  • 김연제;이진희
    • 분석과학
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    • 제17권5호
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    • pp.401-409
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    • 2004
  • 7-keto-DHEA-acetate는 DHEA의 대사체인 7-keto-DHEA로 변하고 체내에서 대사되는 과정이 서로 유사하였으며 복용 후 검출된 대사체 M3, M4 및 M5에 대해 살펴보았다. 대사체 M3과 M4는 분자량이 304이며 물분자가 제거될 수 있는 히드록시기나 케톤기를 세 개 이상 가진 구조로 예상되었으며, M3의 경우 3번과 7번 탄소위치에 히드록시기가 있고 17번 탄소위치에 케톤기를 가지는 7-OH-DHEA이라는 것을 알 수 있었다. 대사체 M4는 3번과 17번 탄소위치에 히드록시기가 있고, 7번 탄소위치에 케톤기가 있는 구조인 7-oxo-diol 이었다. 대사체 M5는 분자량이 320이며 M3 및 M4와는 달리 물분자가 제거될 수 있는 히드록시기나 케톤기를 네 개 이상 가진 구조일 것이라고 예상되었으며, 3번과 7번 그리고 16번 탄소위치에 히드록시기가, 그리고 17번 탄소위치에 케톤기가 있을 것으로 예상되었다. 7-keto-DHEA-acetate 복용 후 최대 배설량을 보인 대사체는 7-OH-DHEA 이었으며, 복용 5시간 후 최대의 배설량을 보인 이후 급격히 감소하였으며 매우 빠른 속도로 체외로 배설되기도 하지만 복용 58시간 후의 뇨 시료에서도 검출되기 때문에 체내 잔류성이 높은 약물임을 알 수 있었다.

벼 건답휴립직파재배(乾畓畦立直播栽培)에서 효과적(效果的)인 제초제(除草劑) 사용법(使用法) (Effective Herbicide Application on Dry Seeded Paddy Rice)

  • 이석순;김순철
    • 한국잡초학회지
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    • 제11권1호
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    • pp.3-10
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    • 1991
  • 벼 간답직파에 효과적인 제초방법을 구명하기 위하여 이앙재배를 하여온 논에 시판중인 수도용 제초제를 초기 (파종후 1 일), 중기 (파종 18 일), 후가 (파종 40 일)의 3개 시기에 처리하여 제초제의 약해, 제초효과, 벼 생육 및 수량에 미치는 영향을 조사한 결과는 다음과 같다. 1. 건답직파재배를 하므로서 밭상태인 초기 30 일간은 피, 바랭이, 드렁새, 강아지풀, 적미(赤米), 냉이류 등과 같이 밭잡초가 발생하였으나 상시담수 이후에는 밭잡초의 생육은 억제되었고, 대신 자귀풀, 올방개, 너도방동산이, 여뀌바늘, 사마귀풀과 같은 논잡초의 발생이 증가되었다. 2. 공시한 제초제 어느것도 벼 입묘수(立苗數)에는 영향을 미치지 않았으나 잡초방제 효과는 현저한 차이를 보였다. 초기 밭상태 30 일간 제초효과가 좋고 벼의 약해가 거의 없었던 것은 thiobencarb, pyrazoate/butachlor 및 chlomethoxyfen/butachlor의 파종직후 처리와 propanil + butachlor의 파종 18일후 처리이었다. 그러나 벼 출수기의 제초효과 가 우수하였던 bentazone/quinchlorac의 파종후 40일 처리구만 손제초의 90% 이상 제초효과를 보였을 뿐 나머지는 제초효과가 매우 낮았다. 3. 출수기의 잡초발생은 간장, 수수, 천립중, 등 숙비율, 수량을 크게 감소시켰고, 생육초기부터 잡초와 경합이 심했던 무제초구에서 이들 형질의 감소정도는 각각 7, 82, 19, 55, 87%로서 수수와 수량이 가장 많이 감소하였다. 4. 파종후 30일의 잡초발생량은 벼 수량과 관계가 없었으나 벼 출수기의 잡초발생량과 벼 수량과는 부의 상관이 있었으며, 벼 수량이 50% 감소되는 잡초 건물중은 $m^2$ 당 600-700g이었다. 5. 출수기의 잡초발생량이 많을수록 벼 상위 3 빛 4위 절간의 도복지수가 직선적으로 증가하였다.

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순환여과식 사육수정화 재사용방법에 의한 Pilot 규모의 어류양식시험 (PILOT SCALE FISH PRODUCTION IN WATER RECYCLING SYSTEM)

  • 김인배
    • 한국수산과학회지
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    • 제13권4호
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    • pp.195-206
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    • 1980
  • 면적 $26\;m^2$, 여과용 자갈 약 $15\;m^3$로 된 자갈 여과 장치에 연결된 단위면적 약 $7m^2$ 되는 사육탱크 6개와 보조탱크 2개로 구성된 장치에서 어류를 사육하면서 1980년 4월 18일부터 동 10월 14일까지의 180일간의 성장결과를 정리하여 본 결과는 다음과 같다. 1개의 사육탱크를 주실험용으로 사용했으며 이스라엘계 잉어와 이 종과 국내산 잉어 사이의 $F_1$ 잡종을 같은 수량씩 넣어 기른 결과는 총생산 461kg, 순생산 395kg였으며 그 중 이스라엘계 잉어는 약 8배로 성장했는데, $F_1$ 잡종은 약 6배로 성장했다. 남은 탱크에 수용한 잡다어류의 성장결과와 상기 생산량을 참작해 보니 이 시설을 보완개선해 가면서 이용하면 산업적 생산시도도 가능할 것으로 짐작된다. 특히 어류밀도가 높아졌을 때는 보다 효율적인 폭기방법을 이용함이 필요했다. 이 실험을 위해 만들어 사용한 부순환류이용의 고형오염물침전 제거장치는 용수절약을 위해서 효율적이며, 그 기능이 잘 발휘되었다. 가장 문제된 점은 아가미흡충의 심한 번식이었으며, Dipterex, DDVP 등의 사용으로 처음은 잘 제거되지만 곧 저항개체의 출현과 번식으로 이들 약품의 효력이 나타나지 않음을 알았다. 그리고, 이스라엘계 순종은 Dipterex 사용에 의해서 거의 대부분이 기형어로 되지만 $F_1$ 잡종 및 국내산 일반 잉어에는 기형어가 거의 나타나지 않았다.

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성인여성의 식습관과 영양섭취상태와 골밀도 및 골무기질함량과의 관계 (The Relationship between Food Habit, Nutrient Intakes and Bone Mineral Density and Bone Mineral Content in Adult Women)

  • 최미자;정윤정
    • Journal of Nutrition and Health
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    • 제31권9호
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    • pp.1446-1456
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    • 1998
  • Bones are important parts in sustaining the shape of the body, but they are also metabolic organs which undergo bone remodeling by constant bone resorption and formation. Osteoporosis, the typical metabolic bone disease, is characterized by a reduction in bone mineral density (BMD). Women more than men are at risk fir osteoporosis-related fractures, especially in the lumbar spine, wrist, and hip region. Risk of fracture depends on one's BMD, which open determined by the peak bone mass value achieved at skeletal maturity and followed by subsequent age-and menopause-related bone loss. Genetic and environmental factors are known to play a key role in bone metabolism and diet is considered as one of the important environmental factors. The purpose of the present study was to assess the status of BMD and bone mineral content(BMC) to clarify the relationships between dietary intakes and the risk of osteoporosis in adult women in Taegu. Subjects were 130 healthy females in between 20 and 69 years of age. BMD and BMC of the lumbar spine(venebrae L2-4) of the subjects were measured by dual energy X-ray absorptiometry. The average age of the subjects was 47.4${\pm}$11.7 years old, the average weight was 57.2${\pm}$8.4kg, the average age of menarche was 16.6${\pm}$1.9 years old and the average age of menopause was 48.4${\pm}$5.3 years old. The nutrient intakes of the subjects measured by the convenient method were generally lower than the level of RDA. The result of nutrient intake assessed has shown that the average energy intake was 1701${\pm}$316kca1 which is 85.1% of the RDA and the average calcium intake was 485.4${\pm}$172.3mg which is 69.3% of the RDA. The intakes of protein, vitamin A, vitamin B$_1$, niacin were greater than the RDA, whereas the remaining nutrient intakes were lower than the RDA. The average BMD of the subjects was shown to be 1.06${\pm}$1.09g/$\textrm{cm}^2$. The highest BMD of 1.24${\pm}$0.14g/$\textrm{cm}^2$ was noticed in the subjects of 30s compared to 20s, 40s, 50s, 60s. The BMD values were compared by the relative body weight(R3W) of the menopause subjects, and it was found that the underweight group had significant lower BMB while the rest of the groups did not have any differences in BMD. The most strongly correlated nutrient with BMD among the menopause subjects appeared to be calcium. The women whose Ca intakes were higher than 500mg showed the significantly higher BMD than those with Ca intakes lower than 500mg. This study suggests that the most effective way to prevent osteoporosis and to reduce the incidences of fractures seems to be minimizing bone loss through the adequate intake of calcium as well as avoiding underweight, especially in menopausal women. (Korean J Nutrition 31(9) . 1446-1456, 1998)

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Clinical, Laboratory Biomarkers and Imaging Findings of Pancreatic Adenocarcinoma in Iran

  • Hadizadeh, Mohammad;Padashi, Maryam;Alizadeh, Amir Houshang Mohammad;Zali, Mohammad Reza
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권10호
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    • pp.4349-4352
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    • 2014
  • Background: Pancreatic cancer has a high mortality rate because it is usually diagnosed late. Since little is known about this cancer in Iran, with the aim of improving this knowledge deficiency, we evaluated clinical, laboratory biomarkers, imaging findings and treatment modalities in Iranian patients with pancreatic adenocarcinoma. Materials and Methods: 131 cases of pancreatic adenocarcinoma in 2010-2013 were obtained from the Taleghani Hospital Record Department. Cases confirmed by histopathology from CT-guided biopsy, EUS-FNA and surgery examination were included. We excluded those with incomplete medical records. Results: The study included 131 subjects between 24 and 97 years of age and a mean age of $63{\pm}13.4$ years. Eighty (61.1%) were male and 51 (38.9%) female. Previous history included diabetes mellitus in 36 (27.5%), alcohol drinking in 5 (3.9%), smoker in 28 (21.4%) and opium addiction in 13 (10%). The common presenting history included weight loss in 79 (60.3%), abdominal pain in 77 (58.8%), fever in 11 (8.4%), nausea in 30 (22.9%), jaundice in 72 (55%), pruritus in 52 (39.7) and anemia in 33 (25.2%). CA19-9 levels with cut offs of 50, 100 and 200 U/ml were increased in 81%, 72% and 66% of patients, respectively. Tumor staging was: stage I, 3 (2.3%); stage II, 10 (7.6%); stage III, 58 (44.3%); and stage IV, 60 (45.8%). From 45 patients, 17 received ERCP inserted metallic stents and 22 plastic stents, the remaining 6 failed that PTC was done. Whipple surgery and chemotherapy were conducted for 10 and 29 patients, respectively. Conclusions: This disease affected older people and there was a male preponderance. The commonest risk factors were diabetes mellitus, smoking and cholelithiasis. The majority of patients presented with loss of appetite, loss of weight, jaundice, abdominal pain and discomfort. Almost all presented at late stages of the disease so that curative surgery was impossible. Also chemotherapy was only performed in a few patients as a neoadjuant treatment.

Performance of Crossbred Cattle Fed Chopped Green Sugarcane Tops and Supplemented with Wheat Bran or Lentil Chuni Concentrates

  • Gendley, M.K.;Singh, P.;Garg, A.K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제15권10호
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    • pp.1422-1427
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    • 2002
  • Fifteen crossbred cattle bulls of about 22-24 months age (mean body weight ranged from 291.0 to 298.1 kg) were randomly divided into 3 groups of 5 animals following randomized block design. Animals in group 1 were fed concentrate mixture containing wheat bran 97%, mineral mixture 2% and salt 1% plus ad libitum chopped green sugarcane tops (SCT) as a roughage source. Animals in group 2 were fed concentrate mixture containing lentil chuni 97%, mineral mixture 2% and salt 1% while group 3 concentrate contained wheat bran 48.5%, lentil chuni 48.5%, mineral mixture 2% and salt 1% plus ad libitum chopped green SCT to meet their maintenance requirements. During metabolism trial period, the mean total intake and digestibility of DM in groups 1, 2 and 3 was $8.09{\pm}0.41$, $8.41{\pm}0.49$ and $7.86{\pm}0.16kg/d$ and 60.24, 63.24 and 65.05%, respectively. The intake of CP (p<0.05) and EE (p<0.01) was significantly higher in group 2 and group 1, respectively as compared to remaining 2 groups, which were comparable. Digestibility of CP and EE was significantly (p<0.01) higher in group 3 and that of CP was comparable with group 2. The intake and digestibility of total carbohydrates, NDF, ADF, Hemi-cellulose and cellulose were similar among 3 groups. The mean body weight changes in group 1, 2 and 3 were 173.4, 253.4 and 203.4 g/d, respectively, which was significantly (p<0.05) higher in group 2. The total nitrogen (N) and phosphorus (P) intakes were significantly higher in group 2 and group 1, respectively. The total volatile fatty acids, ammonia-N, trichloro-acetic acid precipitable nitrogen (TCA ppt.-N; p<0.05), total-N concentrations and pH were significantly (p<0.01) higher in group 3, however, pH and TCA ppt.-N was comparable with group 2 and 1, respectively. From the results, it may be deduced that the feeding of chopped green SCT supplemented with a concentrate mixture having both wheat bran (48.5%) and lentil chuni (48.5%) has shown a better performance with respect to intake and digestibility of nutrients and growth as well.