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( Tiffany P. Hennedige ),( Gang Wang ),( Fiona P. Leung ),( Hind S. Alsaif ),( Lynette Ls Teo ),( Seng Gee Lim ),( Aileen Wee ),( Sudhakar K. Venkatesh ) 대한간학회 2017 Gut and Liver Vol.11 No.3
Background/Aims: Comparison of the accuracy of magnetic resonance elastography (MRE) and diffusion weighted imaging (DWI) for the diagnosis of liver fibrosis in patients with chronic hepatitis B (CHB). Methods: In this retrospective analysis, we investigated 63 patients with CHB and liver fibrosis. DWI was performed with both breath-hold (DWIBH) and free-breathing (DWI-FB) sequences (b=0, 500). The mean liver stiffness and apparent diffusion coefficient (ADC) were calculated by drawing regions of interest maps. Fibrosis staging according to the METAVIR system was independently performed by an experienced pathologist. A receiver operating curve (ROC) analysis was conducted to determine the accuracy of MRE, DWI-BH and DWI-FB in the detection and stratification of liver fibrosis. The performance of the detection of significant fibrosis (≥F2), advanced fibrosis (≥F3), and cirrhosis (F4) was also evaluated by comparing areas under the ROC. Results: There was a moderate and significantly negative correlation between the ADC values and liver stiffness. The accuracies for the detection of ≥F2/≥F3/F4 stage fibrosis with DWI-FB, DWI-BH and MRE were 0.84/0.76/0.72, 0.72/0.83/0.79 and 0.99/0.99/0.98, respectively. The performance of MRE was significantly better than DWI-FB and DWI-BH. There were no significant differences between the performance of DWI-FB and DWI-BH. Conclusions: MRE is more accurate than DWI for the detection and stratification of liver fibrosis in CHB. (Gut Liver 2017;11:401-408)
Tiffany Sin Hui Bong,Jun Kiat Thaddaeus Tan,Juliana Teng Swan Ho,Puay Hoon Tan,Wing Sze Lau,Tuan Meng Tan,Jill Su Lin Wong,Veronique Kiak Mien Tan,Benita Kiat Tee Tan,Preetha Madhukumar,Wei Sean Yong 한국유방암학회 2022 Journal of breast cancer Vol.25 No.1
Purpose This study identified factors predicting malignant upgrade for atypical ductal hyperplasia (ADH) diagnosed on core-needle biopsy (CNB) and developed a nomogram to facilitate evidence-based decision making. Methods This retrospective analysis included women diagnosed with ADH at the National Cancer Centre Singapore (NCCS) in 2010–2015. Cox proportional hazards regression was used to identify clinical, radiological, and histological factors associated with malignant upgrade. A nomogram was constructed using variables with the strongest associations in multivariate analysis. Multivariable logistic regression coefficients were used to estimate the predicted probability of upgrade for each factor combination. Results Between 2010 and 2015, 238,122 women underwent mammographic screening under the National Breast Cancer Screening Program. Among 29,564 women recalled, 5,971 CNBs were performed. Of these, 2,876 underwent CNBs at NCCS, with 88 patients (90 lesions) diagnosed with ADH and 26 lesions upgraded to breast malignancy on excision biopsy. In univariate analysis, factors associated with malignant upgrade were the presence of a mass on ultrasound (p = 0.018) or mammography (p = 0.026), microcalcifications (p = 0.047), diffuse microcalcification distribution (p = 0.034), mammographic parenchymal density (p = 0.008). and ≥ 3 separate ADH foci found on biopsy (p = 0.024). Mammographic parenchymal density (hazard ratio [HR], 0.04; 95% confidence interval [CI], 0.005–0.35; p = 0.014), presence of a mass on ultrasound (HR, 10.50; 95% CI, 9.21–25.2; p = 0.010), and number of ADH foci (HR, 1.877; 95% CI, 1.831–1.920; p = 0.002) remained significant in multivariate analysis and were included in the nomogram. Conclusion Our model provided good discrimination of breast cancer risk prediction (C-statistic of 0.81; 95% CI, 0.74–0.88) and selected for a subset of women at low risk (2.1%) of malignant upgrade, who may avoid surgical excision following a CNB diagnosis of ADH.
Ovarian cancer screening in menopausal females with a family history of breast or ovarian cancer
Tiffany Lai,Bruce Kessel,Hyeong Jun Ahn,Keith Y. Terada 대한부인종양학회 2016 Journal of Gynecologic Oncology Vol.27 No.4
Objective: To determine whether annual screening reduces ovarian cancer mortality in women with a family history of breast or ovarian cancer. Methods: Data was obtained from the Prostate, Lung, Colorectal, and Ovarian cancer trial, a randomized multi-center trial conducted to determine if screening could reduce mortality in these cancers. The trial enrolled 78,216 women, randomized into either a screening arm with annual serum cancer antigen 125 and pelvic ultrasounds, or usual care arm. This study identified a subgroup that reported a first degree relative with breast or ovarian cancer. Analysis was performed to compare overall mortality and disease specific mortality in the screening versus usual care arm. In patients diagnosed with ovarian cancer, stage distribution, and survival were analyzed as a secondary endpoint. Results: There was no significant difference in overall mortality or disease specific mortality between the two arms. Ovarian cancer was diagnosed in 48 patients in the screening arm and 44 patients in the usual care arm. Screened patients were more likely to be diagnosed at an earlier stage than usual care patients. Patients in the screening arm diagnosed with ovarian cancer experienced a significantly improved survival compared to patients in the usual care arm; relative risk 0.66 (95% CI, 0.47 to 0.93). Conclusion: Screening did not appear to decrease ovarian cancer mortality in participants with a family history of breast or ovarian cancer. Secondary endpoints, however, showed notable differences. Significantly fewer patients were diagnosed with advanced stage disease in the screening arm; and survival was significantly improved. Further investigation is warranted to assess screening efficacy in women at increased risk.
Tiffany S. Legendre,조용훈,한연수,김영욱,류정표,장세진,김진 한국곤충학회 2019 Entomological Research Vol.49 No.4
This study aims to investigate the impact of consumer familiarity with edible insect food products on purchase intentions and expected liking. Based on persuasion and information processing theories, this study examines the roles of media trust and purchase activism as underlying psychological mechanisms. The findings of this study indicate that consumer familiarity contributes to the formation of media trust. It adds credibility to the media information and consumers can be more motivated to exercise their purchase activism as the edible insect food movement is closely related to social causes like sustainability. Activist motivation, then, changes consumers' behavioral outcomes such as purchase intention and expected liking of edible insect food products.
Tiffany, Douglas G.,Lee, Won Fy,Morey, Vance,Kaliyan, Nalladurai Techno-Press 2013 Advances in energy research Vol.1 No.2
Torrefaction technologies convert assorted biomass feedstocks into energy-concentrated, carbon neutral fuel that is economically transported and easily ground for blending with fossil coals at numerous power plants around the world without needs to retrofit. Utilization of torrefied biomass in conventional electric generating units may be an increasingly attractive alternative for electricity generation as aging power plants in the world need to be upgraded or improved. This paper examines the economic feasibility of torrefaction in different scenarios by modeling torrefaction plants producing 136,078 t/year (150,000 ton/year) biocoal from wood and corn stover. The utilization of biocoal blends in existing coal-fired power plants is modeled to determine the demand for this fuel in the context of emerging policies regulating emissions from coal in the U.S. setting. Opportunities to co-locate torrefaction facilities adjacent to corn ethanol plants and coal-fired power plants are explored as means to improve economics for collaborating businesses. Life cycle analysis was conducted in parallel to this economic study and was used to determine environmental impacts of converting biomass to biocoal for blending in coal-fired power plants as well as the use of substantial flows of off-gasses produced in the torrefaction process. Sensitivity analysis of the financial rates of return of the different businesses has been performed to measure impacts of different factors, whether input prices, output prices, or policy measures that render costs or rewards for the businesses.
Access Right Assignment Mechanisms for Secure Home Networks
Tiffany Hyun-Jin Kim,Lujo Bauer,James Newsome,Adrian Perrig,Jesse Walker 한국통신학회 2011 Journal of communications and networks Vol.13 No.2
The proliferation of advanced technologies has been altering our lifestyle and social interactions–the next frontier is the digital home. Although the future of smart homes is promising,many technical challenges must be addressed to achieve convenience and security. In this paper, we delineate the unique combination of security challenges specifically for access control and consider the challenges of how to simply and securely assign access control policies to visitors for home devices and resources. We present a set of intuitive access control policies and suggest four access control settings based on our in-person interview results. Furthermore,we propose the automated Clairvoyant access right assignment (CARA) mechanism that utilizes home owners’ social relationship to automatically deduce to which class a visitor belongs. The combination of CARA and the suggested mapping provides a promising first step for home policy assignment such that nonexpert home owners can let visitors use their home network with confidence. We anticipate that future research can build on our proposed mechanisms to provide confidence to non-expert home owners for letting visitors use their home network.
Aggregation Formation in the Polyglutamine Diseases: Protection at a Cost?
Tiffany W. Todd,임장후 한국분자세포생물학회 2013 Molecules and cells Vol.36 No.3
Mutant protein aggregation is a hallmark of many neurodegenerative diseases, including the polyglutamine disorders. Although the correlation between aggregation formation and disease pathology originally suggested that the visible inclusions seen in patient tissue might directly contribute to pathology, additional studies failed to confirm this hypothesis. Current opinion in the field of polyglutamine disease research now favors a model in which large inclusions are cytoprotective and smaller oligomers or misfolded monomers underlie pathogenesis. Nonetheless,therapies aimed at reducing or preventing aggregation show promise. This review outlines the debate about the role of aggregation in the polyglutamine diseases as it has unfolded in the literature and concludes with a brief discussion on the manipulation of aggregation formation and clearance mechanisms as a means of therapeutic intervention.