청소년 회복탄력성에 대한 연구 동향

김민정(Min Jeong Kim) 단국대학교 상담학연구소 2023 상담교육연구 Vol.6 No.1

본 연구의 목적은 청소년의 회복탄력성과 관련된 연구의 동향을 통합적으로 파악하여 추후 연구를 위한 시사점을 제시하는 데 있다. 본 연구는 2009년부터 2022년까지 KCI에 등재된 청소년의 회복탄력성에 대한 학술 논문 63편을 대상으로 연도, 연구대상, 자료조사 및 연구 방법, 측정도구, 연구 주제별로 분석하였으며, 그 결과는 다음과 같다. 첫째, 국내 청소년의 회복탄력성과 관련된 연구는 2009년에 시작되었고 2011년까지 없었으나 2012년 이후로 꾸준히 실시되고 있다. 둘째, 연구대상의 학급은 중·고등학생이 대부분이었으며, 주로 학교 재학 청소년 전체를 대상으로 연구가 실시되었다. 셋째, 자료수집 방법으로 질문지가 49편으로 가장 많이 사용되었으며, 주로 양적 연구가 실시되었다. 넷째, 청소년의 회복탄력성 측정도구로 신우열, 김민규, 김주환(2009)의 청소년 회복탄력성 척도가 37편의 연구에서 사용되었다. 다섯째, 주로 청소년 회복탄력성의 변수와 관련된 연구가 실시되었으며, 이 중 회복탄력성은 주로 매개변수로 설정되었다. 본 연구결과를 바탕으로 청소년의 회복탄력성과 관련된 연구의 주요 시사점과 추후 제언에 대해 논의하였다. Objectives: The purpose of this study is to comprehensively understand research trends related to the resilience of adolescents and provide suggestions for future research. Methods: This study analyzed 63 academic research papers on the resilience of adolescents registered in KCI from 2009 to 2022 by year, research subjects, data survey and research methods, measuring instruments, and research subjects.. Results: First, domestic research on the resilience of adolescent began in 2009 and was not conducted until 2011, but has been steadily carried out since 2012. Second, most of the classes covered by the study were middle and high school students, and research was conducted mainly on ordinary teenagers. Third, questionnaires were most commonly used in 49 volumes as data collection methods, and quantitative research was conducted mainly. Fourth, 37 studies used the Youth Korea Resilience Quotient-27 (YKRQ-27) by Shin Woo-yeol, Kim Min-gyu, and Kim Joo-hwan (2009) as a tool for measuring the resilience of adolescents. Fifth, studies were conducted mainly on the variables of resilience, and resilience was set as a parameter. Conclusions: Based on the results of this study, we discussed the main implications and future recommendations of research related to the resilience of youth recovery.

동신대 목동한방병원 안이비인후피부과 내원환자의 성향에 관한 설문조사

김민정,김종한,박수연,최정화,박용호,김대수,정민영,Kim, Min-Jeong,Kim, Jong-Han,Park, Soo-Yeon,Choi, Jeong-Hwa,Park, Yong-Ho,Kim, Dae-Su,Jung, Min-Young 대한한방안이비인후피부과학회 2007 한방안이비인후피부과학회지 Vol.20 No.3

Objective : The purpose of this study is to understand preferences of patients who had visited the Dept. of Ophthalmology Otolaryngology & Dermatology Method : We conducted questionnaire survey on the patients who had visited the Dept. of Ophthalmology, Otolaryngology & Dermatology Hospital of Dong Shin University from March to September, 2007. Result : The result were as follows. 1. Distribution of sex: male 41 % female 59% 2. The age distribution of patients showed highest in 30-39 years(23%), followed by 20-29 years, 40-49 years in order. 3. The classification of patients according to disease: Skin disease (38%), Nose (23%), Face (10%), Eye (9%), Throat (8%), Ear (7%) 4. Other offices patients visited before coming to this clinic: Local clinic (41%). Hospital (18%), Oriental clinic or hospital (5%), None (22%) 5. The length of time the patient has had the disease: 2years (26%), more than 3years (15%), 2-4weeks (13%), 6months (11%), 1year (10%) in order 6. The expected length of treatment: 1week (21%), 2week (12%), 1month (21%) 7. 26% expected about 100,000 won as medical expenses. 8. 88% of the patients are willing to have a check-up when it needed and 40% expected about 50,000 won as check-up expenses. 9. 52% of the patients are not willing to withstand pain, and would rather heal slowly. 10. 69% of the patients said that treatment would be affected by company(44%), school(19%) and business(16%). 11. 73% of the respondants are positive about night-time treatment and 92% is positeve about making an appointment for the treatment. Conclusion : Through the research, we could understand preferences of patients who had visited Dept. of Ophthalmology, Otolaryngology & Dermatology

유기농업 생태계로부터 담수 녹조류 분리 및 형태적 동정

김민정,심창기,김용기,홍성준,박종호,한은정,지형진,윤종철,김석철,Kim, Min-Jeong,Shim, Chang-Ki,Kim, Yong-Ki,Hong, Sung-Jun,Park, Jong-Ho,Han, Eun-Jung,Jee, Hyeong-Jin,Yun, Jong-Chul,Kim, Suk-Chul 한국유기농업학회 2014 韓國有機農業學會誌 Vol.22 No.4

본 연구는 유기농업에서 생물자원으로서 담수 클로렐라의 활용 가능성을 연구하고자 유기농 생태계로부터 담수 녹조류를 분리, 동정하고, 생물학적인 특성을 조사하였다. 조사 지역의 수온은 $12.4{\sim}28.2^{\circ}C$, pH는 6.1~8.5이었다. 담수 녹조류를 분리할 때 고체배양법이 액체배양법보다 오염도가 낮고 분리 빈도가 높았다. 전국 9개 지역, 6개 담수 녹조류 서식처로 부터 총 115개의 균주를 분리하였다. 담수 녹조류의 분리 및 배양을 위해 질소원으로는 $NaNO_3$과 $KNO_3$, 탄소원으로 $Na_2CO_3$를 사용하였고, macro media의 구성 성분 중 $MgSO_4{\cdot}7H_2O$과 $CaCl_2{\cdot}2H_2O$를 분리하여 제조한 BGMM(BG11 Modified Medium)배지를 고안하였다. 담수녹조류는 배양 후 4일째부터 급격히 흡광도가 증가하였고 8일째부터 흡광도가 감소하였다. 공시한 7개의 균주 중 CHK008 균주가 배양 7일째에 가장 높은 흡광도를 보였다. 담수 녹조류 배양에 적합한 BGMM 배지의 pH는 6~7이었고 조사되는 빛이 강할수록 생육이 증가하였으며 5종류 당류 중에서 Glucose와 Galactose를 첨가하였을 때 클로랄라의 생육이 좋았다. 순수 분리한 16개 녹조류 균주의 균총색은 녹색, 진녹색, 연녹색을 나타내었고, 11개의 균주가 형광현미경하에서 강한 형광 빛을 나타내었다. 녹조류 16개 균주의 형태적인 특징을 조사한 결과 C. vulgalis, C. sorokiniana, C. pyrenoidosa, C. kessleri, C. emersonii, and Chlamydomonas sp.의 2개 속 6개종으로 동정되었다. 담수 녹조류의 세포 크기는 종마다 다양한 변이를 보였다. 대부분의 담수 녹조류의 세포형태는 구형이었다. Chlamydomonas sp.는 타원형이었고 Chlorella sorokiniana는 구형과 타원형이 섞여 있었다. 6개 녹조류 종류 중 Chlamydomonas sp.를 제외한 모든 균주는 편모가 없었다. Chlamydomonas sp. 1개 균주와 C. sorokiniana 5개 균주는 세포에서 점질물을 분비하였다. This study aimed to isolate and identify freshwater algae from the organic agricultural ecosystems and investigate its biological characteristics to study the possibility of utilizing a biomass freshwater algae in organic farming. In the survey area, average water temperature was $12.4{\sim}28.2^{\circ}C$ and the pH ranges were from 6.1 to 8.5. The solid culture method is more suitable than liquid culture method for isolation of freshwater algae with lower contamination level and higher isolation frequency. A total of 115 strains were isolated from six freshwater algae habitats in nine regions in Korea. BGMM (BG11 Modified Medium) amended with NaNO3 and $KNO_3$ as a nitrogen, and $Na_2CO_3$ as carbon source was designed to isolate and culture freshwater algae. Absorbance of freshwater algae culture has increased dramatically to four days and decreased after eight days after inoculation. CHK008 of the seven isolates showed the highest absorbance in seven days after culturing in BGMM. The optimal pH of BGMM for culturing freshwater algae was pH 6-7. As light intensity increased, growth of freshwater algae increased. Among the five kinds of carbon sources, glucose and galactose promoted good growth of freshwater algae in BGMM. The colony color of purified 16 green algae isolates showed a separation of green, dark and light green, and of them, eleven algae strains showed a strong fluorescent light under fluorescence microscopy. Cell size of the green algae showed a wide range of variation depending on the species. General morphology of the green algae strains was spherical. Chlamydomonas sp. was elliptical, and Chlorella sorokiniana was ellipsoidal and cylindrical. All strains of the green algae except for Chlamydomonas sp. did not have flagella. One isolate of Chlamydomonas sp. and five isolates of C. sorokiniana secreted mucus. Sixteen isolates of 16 green algae were identified as two family and six species, Chlorella vulgalis, C. sorokiniana, C. pyrenoidosa, C. kessleri, C. emersonii, and Chlamydomonas sp. based on their morphological characteristics.

보건계열의 학생과 일반대학생의 이성 친구 여부에 따른 외모관심도와 행복지수

김민정,최민화,김세은,정연선,김한비,장영주,정호진,김혜진,이민경,윤현서,이정화,Kim, Min-jeong,Choi, Min-hwa,Kim, Se-eun,Jeong, Yeon-seon,Kim, Han-bi,Jang, Young-joo,Jeong, Ho-jin,Kim, Hye-jin,Lee, Min-kyung,Yoon, Hyun-seo,Lee, Jung-hwa 한국임상보건과학회 2018 한국임상보건과학회지 Vol.6 No.1

Purpose. In this study, we aim to clarify the correlation between happiness, appearance, and happiness index among many happiness factors based on the influence of quality of life on the quality of life and the affect of appearance on the happiness index. Methods. We conducted a self - filling questionnaire survey for college students in Busan from March 30 to May 10, 2017, and analyzed 392 copies of the 412 questionnaires, excluding 20 inappropriate copies. In the questionnaire, categorical data were analyzed by frequency and percentage (%) using the SPSS program (ver. 23.0, Chicago, Illinois, USA) by examining 11 items of general characteristics, successive data are presented as mean standard deviation. Results. The higher the grades, the better the dating. Women(3.32) are more likely than men(2.74) at the appearance interest(p>0.001) and the higher the grades, the better. If it's dating someone else, higher than not to do at the appearance interest and all of the questions showed higher interest in appearance. Also there was a high percentage of thought'My life is ideal in all aspects'If it's dating someone else, higher than not to do (p=0.007) Conclusion. At present, There is a high interest in the appearance of dating. In addition, the happiness index according to the current resentment status was higher in both the single item happiness index and the 5 item happiness index, and was significant in the item "My life is ideal in all aspects". Therefore, it is related to the happiness index as well as the appearance interest. Finally, whether or not dating and appearance interest play a role in raising the happiness of the individual.

Surveillance of Acanthamoeba spp. and Naegleria fowleri in environmental water by using the duplex real-time PCR

김민정,이규철,김건우,이현지,김민영,서대근,이정엽,조영철,Kim, Min-jeong,Lee, Gyu-Cheol,Kim, Kunwoo,Lee, Hyunji,Kim, Min Young,Seo, Dae Keun,Lee, Jeong Yeob,Cho, Young-Cheol The Microbiological Society of Korea 2018 미생물학회지 Vol.54 No.2

가시아메바(Acanthamoeba spp.)와 파울러자유아메바(Naegleria fowleri)는 자유생활아메바로 자연계에 널리 분포하며 사람과 동물에게 치명적인 질병을 일으킨다. 본 연구에서는 가사아메바와 파울러자유아메바를 물 환경에서 조사하기 위해 기존에 보고된 네 종류의 분자생물학적 방법과 상용 real-time PCR 키트의 분석 민감도를 비교하였다. 그 결과 duplex real-time PCR 방법이 민감도가 가장 좋았으며, 동시에 두 종류의 자유생활아메바를 검출할 수 있었다. 따라서 이 방법을 사용하여 한국의 대전시에 위치한 3개 하천, 6개 지점을 대상으로 그 분포를 2회 조사하였다. 가시아메바는 12개 시료 중 10개 시료에서 검출되었으며(83.3%), 파울러자유아메바는 2개 시료에서 검출되었다(16.6%). 향후 이러한 유해 아메바로부터 먹는 물의 안전성을 확보하기 위해 지속적인 분포조사가 필요할 것이다. Naegleria fowleri and Acanthamoeba spp. are free-living amoebas that are widely distributed in natural environments. Although uncommon, infection with these protozoans can cause fatal disease in humans and animals. In this study, in order to select the appropriate method to survey Naegleria fowleri and Acanthamoeba spp. in water samples, four molecular biology techniques and one commercially available kit for real-time PCR were compared. The results indicated that the duplex real-time PCR was the most sensitive, and could be used to simultaneously detect two different free-living amoebas. Using the duplex real-time PCR approach, the two free-living amoebas were surveyed in three local streams in Daejeon, Republic of Korea. The concentrated free-living amoebas were inoculated onto non-nutrient agar plates which had been spread with heat-inactivated Escherichia coli and incubated for 5~7 days. After incubation, gDNA was extracted and used as the template for amplification by duplex real-time PCR. Acanthamoeba spp. and N. fowleri was detected from ten (83.3%) and two (16.6%) of the twelve samples, respectively. As these two free-living amoebas can be fatal, continuous surveillance is needed to track their distribution in the aquatic environment for the drinking water safety.

Surveillance of viable Acanthamoeba spp. and Naegleria fowleri in major water sources for tap water in Korea

김민정,이규철,김건우,이현지,김민영,서대근,이정엽,조영철,Kim, Min-jeong,Lee, Gyu-Cheol,Kim, Kunwoo,Lee, Hyunji,Kim, Min Young,Seo, Dae Keun,Lee, Jeong Yeob,Cho, Young-Cheol The Microbiological Society of Korea 2018 미생물학회지 Vol.54 No.3

자유생활아메바인 가시아메바(Acanthamoeba spp.)와 파울러자유아메바(Naegleria fowleri)는 아메바성 뇌염 등 치명적인 질병을 일으키며, 물을 포함한 자연 환경에 널리 분포한다. 가시아메바와 파울러자유아메바가 한국의 주요 상수원수에 존재하는지 알아보기 위해 배양법에 기초한 실시간 중합효소연쇄반응법을 이용하여 2017년 7월부터 12월 사이에 한국의 52개 주요 상수원수를 조사하였다. 가시아메바와 파울러자유아메바가 각각 42개 시료(80.8%)와 6개 시료(11.5%)에서 검출되었다. 가시아메바의 경우 계절과 상관없이 고른 검출율을 보였으나, 파울러자유아메바는 주로 여름과 가을에 검출되었으며 겨울에는 검출되지 않았다. 이상의 결과는 이러한 자유생활아메바가 한국의 상수 원수에도 고루 존재한다는 것을 의미한다. The pathogenic free-living amoebas (FLAs), Acanthamoeba spp. and Naegleria fowleri, can cause fatal infections, including amoebic encephalitis. They are ubiquitously distributed in nature, including in diverse bodies of water. In order to survey Acanthamoeba spp. and N. fowleri in source water in Korea, we used culture-based real-time PCR to detect viable FLAs in 52 source water samples collected between July 2017 and December 2017. Acanthamoeba spp. and N. fowleri were detected in 42 samples (80.8%) and 6 samples (11.5%), respectively. Acanthamoeba spp. were detected at approximately the same frequency in all seasons, but N. fowleri was mainly detected in summer and autumn, with no N. fowleri detected in winter. These results demonstrate that these pathogenic FLAs, especially N. fowleri, which has caused deaths in the United States and China, are widely distributed in the Korean aquatic environment.

컨볼루션 신경망 모델을 이용한 분류에서 입력 영상의 종류가 정확도에 미치는 영향

김민정,김정훈,박지은,정우연,이종민,Kim, Min Jeong,Kim, Jung Hun,Park, Ji Eun,Jeong, Woo Yeon,Lee, Jong Min 대한의용생체공학회 2021 의공학회지 Vol.42 No.4

The purpose of this study is to classify TIFF images, PNG images, and JPEG images using deep learning, and to compare the accuracy by verifying the classification performance. The TIFF, PNG, and JPEG images converted from chest X-ray DICOM images were applied to five deep neural network models performed in image recognition and classification to compare classification performance. The data consisted of a total of 4,000 X-ray images, which were converted from DICOM images into 16-bit TIFF images and 8-bit PNG and JPEG images. The learning models are CNN models - VGG16, ResNet50, InceptionV3, DenseNet121, and EfficientNetB0. The accuracy of the five convolutional neural network models of TIFF images is 99.86%, 99.86%, 99.99%, 100%, and 99.89%. The accuracy of PNG images is 99.88%, 100%, 99.97%, 99.87%, and 100%. The accuracy of JPEG images is 100%, 100%, 99.96%, 99.89%, and 100%. Validation of classification performance using test data showed 100% in accuracy, precision, recall and F1 score. Our classification results show that when DICOM images are converted to TIFF, PNG, and JPEG images and learned through preprocessing, the learning works well in all formats. In medical imaging research using deep learning, the classification performance is not affected by converting DICOM images into any format.

명암도 응집성 강화 및 분류를 통한 3차원 뇌 영상 구조적 분할

김민정,이정민,김명희,Kim, Min-Jeong,Lee, Joung-Min,Kim, Myoung-Hee 한국정보처리학회 2006 정보처리학회논문지 A Vol.13 No.5

최근 대용량 의료영상 데이터로부터 인체 기관 또는 질환 부위 추출을 위한 영상 분할 기법이 매우 다양하게 제안되고 있으나, 뇌와 같이 다중 구조를 가지면서 구조간 경계 구분이 어려운 영상의 구조적 분할에는 한계를 가진다. 이를 위해 주로 복셀을 유한 개의 군집으로 분류하는 군집화 (clustering) 기법이 이용되나 이는 개별 복셀 단위의 연산을 수행함으로 인해 잡음의 영향을 받는 제한점이 있다. 그러므로 잡음의 영상을 최소화하고 영상 경계를 강화시키는 향상기법을 적용함으로써 보다 견고한 구조적 분할을 수행할 수 있다. 본 연구에스는 뇌 자기공명영상에 대하여 백질(white matter), 회백질(gray matter), 뇌척수액(cerebrospinal fluid)의 내부 구조를 효율적으로 추출하기 위한 필터링 기반 군집화에 의한 구조적 분할 기법을 제안한다. 우선 구조간 경계를 강화하고 구조 내 잡음을 약화시키기 위해 응집성 향상 확산 필터링(coherence enhancing diffusiion filtering)을 적용한다. 또한 이 과정을 통해 강화된 영상에 퍼지 c-means 군집화 기법을 적용하여 각 복셀이 속하는 구조에 해당하는 군집의 인덱스를 할당함으로써 구조적 분할을 수행한다. 제안된 구조적 분할기법은 기존의 가우시안 또는 일반적인 비등방성 확산 필터링과 군집화 기법을 적용한 기법에 비해 전문가의 수동분할 결과와의 일치 비율에 의한 분할 정확도를 향상시킴을 보였다. 또한 경계 부분에 있어서의 세밀한 분할을 통해 재생산 가긍하고 사용자 수동후 처리를 최소화할 수 있는 결과를 제시함으로써 형태적 뇌 이상 진단을 위한 효율적인 보조 수단을 제공한다. Recently, many suggestions have been made in image segmentation methods for extracting human organs or disease affected area from huge amounts of medical image datasets. However, images from some areas, such as brain, which have multiple structures with ambiruous structural borders, have limitations in their structural segmentation. To address this problem, clustering technique which classifies voxels into finite number of clusters is often employed. This, however, has its drawback, the influence from noise, which is caused from voxel by voxel operations. Therefore, applying image enhancing method to minimize the influence from noise and to make clearer image borders would allow more robust structural segmentation. This research proposes an efficient structural segmentation method by filtering based clustering to extract detail structures such as white matter, gray matter and cerebrospinal fluid from brain MR. First, coherence enhancing diffusion filtering is adopted to make clearer borders between structures and to reduce the noises in them. To the enhanced images from this process, fuzzy c-means clustering method was applied, conducting structural segmentation by assigning corresponding cluster index to the structure containing each voxel. The suggested structural segmentation method, in comparison with existing ones with clustering using Gaussian or general anisotropic diffusion filtering, showed enhanced accuracy which was determined by how much it agreed with the manual segmentation results. Moreover, by suggesting fine segmentation method on the border area with reproducible results and minimized manual task, it provides efficient diagnostic support for morphological abnormalities in brain.

구안와사(말초성 안면신경마비) 입원환자 100례에 대한 임상적 고찰

김민정,김종한,박수연,최정화,정민영,송진수,이유진,이지은,양미성,Kim, Min-Jeong,Kim, Jong-Han,Park, Soo-Yeon,Choi, Jeong-Hwa,Jung, Min-Young,Song, Jin-Su,Lee, Eu-Jin,Lee, Ji-Eun,Yang, Mi-Sung 대한한방안이비인후피부과학회 2009 한방안이비인후피부과학회지 Vol.22 No.2

Objectives : The purpose of this study is to make a survey on the oriental medical care and to enlarge the domain of oriental medical treatment concerning facial paralysis. Methods : From May 2008 to April 2009, a clinical study was done on 100 inpatients who were diagnosed and treated as facial nerve paralysis at Mok-dong Oriental Medicine Hospital, Dong-shin University Results : The result were as the following 1. The distribution of sex: male 35%, female 65%. The distribution of age was disclosed that fifty was the most in 22 cases(22%). 2. The distribution of the region of facial palsy: Lt 58%(male 23%, female 35%) Rt 41%(male 11%, female 30%) 3. In distribution of contributing frequence in month, June was the most in number(12%) and in season, spring, summer, winter were the same percentage(26%). 4. In distribution of cause, stress(34%), excessive labor(25%), unknown(22%) were investigated higher than other conditions. 5. The distribution of past history: hypertension 14%, diabetes mellitus 4%, both(hypertension, diabetes mellitus) 6% 6. The distribution of period before admission: within a week 80%, 1$\sim$2 week 8%, 3$\sim$4 week 6% in order. 7. The distribution of attended symptoms: mastoid pain 43 cases, dryness of eye 26 cases, tearing 22 cases, headache 12 cases, dizziness 9 cases in order. 8. Other offices patients visited before coming to this clinic: oriental clinic or hospital 35%, local clinic or hospital 29%, none 26%, both(oriental clinic & local clinic) 10%. 9. The distribution of House-Brackmann grade on admission: Gr III 38%, Gr IV 26%, Gr II 22%, Gr V 14% in order. 10. The distribution of House-Brackmann grade on discharge: Gr II 34%, Gr I 32%, Gr III 22%, Gr V 7%, Gr IV 5% in order.

으쓱 운동과 PNF어깨뼈패턴 시 어깨뼈 안정근의 근활성도

김민정,정수민,박성권,박두진,Kim, Min-Jeong,Jeong, Su-Min,Park, Seong-Kwon,Park, Du-Jin 대한고유수용성신경근촉진법학회 2016 PNF and Movement Vol.14 No.2

Purpose: The purpose of this study was to compare the intramuscular activation of the scapular stabilizing muscles and the upper trapezius/middle serratus anterior (UT/MSA) ratios during shrug exercise and proprioceptive neuromuscular facilitation (PNF) scapular pattern exercise. Methods: The participants of this study were 13 young adult men who voluntarily consented to participate in this experiment after listening to its purpose and methods. All participants were instructed on maximal voluntary isometric contraction and scapular exercises. The intramuscular activation of the upper trapezius (UT), lower trapezius (LT), middle serratus anterior (MSA), and lower serratus anterior (LSA) muscles while performing scapular exercises in a side-lying position were measured using surface electromyography. To analyze the muscle activation and UT/MSA ratio between the two exercises, a one-way repeated ANOVA was performed. Post-hoc analyses were conducted using Tukey's multiple comparison and analysis. Hamstring flexibility for each group was measured by a passive straight leg raising test. Results: The shrug exercise showed significantly higher UT activation compared to PNF anterior elevation and posterior elevation scapular patterns. The PNF scapular anterior elevation pattern showed significantly higher serratus anterior activation than the shrug exercise. Additionally, the UT/MSA ratios were significantly lower in the PNF scapular anterior elevation pattern than in the two exercises. Conclusion: Although shrug exercise was effective for strengthening UT, the PNF scapular anterior elevation pattern may be effective for strengthening MSA and improving the UT/MSA ratio.