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      • The mediterranean diet’s effect on stroke risk

        Zain Qureshi(Zain Qureshi ),Dolores Becker(Dolores Becker ),Umar Farooq(Umar Farooq ) 한국축산식품학회 2022 Food and Life Vol.2022 No.2

        The Mediterranean diet has been growing in popularity as preventive medicine has made way in the healthcare community. Doctors are telling patients to adopt this diet due to its role in lowering stroke rates and other cardiovascular diseases in both Italy and Greece. These two countries have some of the lowest stroke numbers in the world, and experts believe this is the result of the diet and lifestyle of the people of that region. The diet includes foods such as fruits, vegetables, nuts, fish, and olive oil, along with less cholesterol, saturated fats, and trans fats. These specific foods and combinations of foods include properties that can prevent high blood pressure. We will explore the capabilities of the Mediterranean diet in preventing stroke, and the importance of preventive medicine in healthcare.

      • KCI등재

        Classifying Forest Species Using Hyperspectral Data in Balah Forest Reserve, Kelantan, Peninsular Malaysia

        Zain, Ruhasmizan Mat,Ismail, Mohd Hasmadi,Zaki, Pakhriazad Hassan Institute of Forest Science 2013 Journal of Forest Science Vol.29 No.2

        This study attempts to classify forest species using hyperspectral data for supporting resources management. The primary dataset used was AISA sensor. The sensor was mounted onboard the NOMAD GAF-27 aircraft at 2,000 m altitude creating a 2 m spatial resolution on the ground. Pre-processing was carried out with CALIGEO software, which automatically corrects for both geometric and radiometric distortions of the raw image data. The radiance data set was then converted to at-sensor reflectance derived from the FODIS sensor. Spectral Angle Mapper (SAM) technique was used for image classification. The spectra libraries for tree species were established after confirming the appropriate match between field spectra and pixel spectra. Results showed that the highest spectral signature in NIR range were Kembang Semangkok (Scaphium macropodum), followed by Meranti Sarang Punai (Shorea parvifolia) and Chengal (Neobalanocarpus hemii). Meanwhile, the lowest spectral response were Kasai (Pometia pinnata), Kelat (Eugenia spp.) and Merawan (Hopea beccariana), respectively. The overall accuracy obtained was 79%. Although the accuracy of SAM techniques is below the expectation level, SAM classifier was able to classify tropical tree species. In future it is believe that the most effective way of ground data collection is to use the ground object that has the strongest response to sensor for more significant tree signatures.

      • KCI등재

        Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis using Two Gallbladder Stents (Dual Gallbladder Stenting)

        Zain A Sobani,Sergio A. Sánchez-Luna,Tarun Rustagi 대한소화기내시경학회 2021 Clinical Endoscopy Vol.54 No.6

        Background/Aims: Endoscopic transpapillary gallbladder drainage (ETPGBD) is gaining popularity for the management of acutecholecystitis (AC) in high-risk patients. However, the stents placed during the procedure are not immune to obstruction. Here wedescribe a novel technique of stenting with two transpapillary stents and evaluate its technical feasibility, safety, and efficacy in AC. Methods: A retrospective analysis of all patients undergoing ETPGBD using dual stents for AC at our institution between November1, 2017 and August 31, 2020 was conducted. We abstracted patient data to evaluate technical and clinical success, adverse events,and long-term outcomes. Two stents were placed either during the index procedure or during an interval procedure performed 4–6weeks after the index procedure. Results: A total of 21 patients underwent ETPGBD with dual stenting (57.14% male, mean age: 62.14±17.21 years). The medianinterval between the placement of the first and the second stents was 37 days (range: 0–226 days). Technical and clinical successrates were 100%, with a recurrence rate of 4.76% (n=1) and adverse event rate of 9.52% (n=2) during a mean follow-up period of471.74±345.64 days (median: 341 days, range: 55–1084 days). Conclusions: ETPGBD with dual gallbladder stenting is a safe and effective technique for long-term gallbladder drainage innon-surgical candidates. Larger controlled studies are needed to validate our findings for the widespread implementation of thistechnique.

      • KCI등재

        Endoscopic Retrograde Cholangiopancreatography in Nonagenarian Patients: Is It Really Safe?

        Zain A Sobani,Daria Yunina,Anna Abbasi,Kevin Tin,Daniel Simkin,Mary Rojas,Yuriy Tsirlin,Ira Mayer,Rabin Rahmani 대한소화기내시경학회 2018 Clinical Endoscopy Vol.51 No.4

        Background/Aims: Literature on the safety of endoscopic retrograde cholangiopancreatography (ERCP) in elderly patients is divided. Based on this we decided to examine the safety of ERCP in nonagenarian patients. Methods: A total of 1,389 patients, with a mean age of 63.94±19.62 years, underwent ERCP during the study period. There were74 patients aged 90 years or older with a mean age of 92.07±1.8. Logistic regression showed that nonagenarian patients had asignificantly increased odds of in-patient mortality (adjusted odds ratio [AOR]=9.6; 95% confidence interval [CI]=4, 23; p≤0.001). Charlson Comorbidity Index (CCI) ≥2 was also an independent predictor of in-patient mortality (AOR=2.4; 95% CI=1.2, 5.2;p=0.021). Age ≥90 was not associated with increased adverse events; however emergency procedures (AOR=2.4; 95% CI=1.5, 4;p<0.001) and CCI ≥2 (AOR=2.6; 95% CI=1.7, 4.0; p<0.001) were more likely to have adverse events. Conclusions: Age ≥90 and CCI ≥2 are independently associated with increased odds of in-patient mortality in patients undergoingERCP, whereas emergency procedures and CCI ≥2 are associated with an increased adverse event rate. Caution must be exercised whenconsidering ERCP in patients aged ≥90 years and those with a CCI ≥2.

      • Land Cover Change and Urban Greenery Prediction in Jabotabek by using Remote Sensing

        Zain, Alinda-Medrial,Takeuchi, Kazuhiko,Tsunekawa, Atsushi The Korean Institute of Landscape Architecture 2001 Journal of the Korean institute of landscape archi Vol.1 No.-

        The tremendous growth of population and physical development in the largest urban agglomeration in Indonesia -the Jakarta Metropolitan Region, also known as Jabotabek (Jakarta, Bogor, Tanggerang, Bekasi)- has created many environmental problems, such as land use conversion, increasing urban temperature, water and air pollution, intrusion of seawater, and flooding. These problems have become more serious as the urban green space (trees, shrubs, and groundcovers) has decreased rapidly with the urbanization process. Urban green space directly benefits the urban environment through ameliorating air pollution, controlling temperature, contributing to the balance of the hydrological system, and providing space for recreation and relaxation. Because there is little hard data to support the claim of decreasing greenery in Jabotabek, it is necessary to measure the amount of urban green space. The paper describes the spatial analysis of urban green space within Jabotabek through the use of a geographical information system (GIS). We used GIS and remote sensing to determine land cover change and predicted greenery percentage. Interpretation of Landsat data for 1972, 1983, 1990, and 1997 showed that Jabotabek has experiences rapid development and associated depletion of green open space. The proportion of green open space fell by 23% from 1972 to 1997. We found a low percentage of urban green space in the center of Jakarta but a high percentage in fringe area. The amount of greenery is predicted by the Ratio Vegetation Index (RVI) model: predicted greenery (%) = [146.04] RVI - 134.96. We consider that our result will be useful for landscape planning to improve the environment of Jabotabek.

      • Exophytic Verrucous Hyperplasia of the Oral Cavity - Application of Standardized Criteria for Diagnosis from a Consensus Report

        Zain, Rosnah Binti,Kallarakkal, Thomas George,Ramanathan, Anand,Kim, Jin,Tilakaratne, WM,Takata, Takashi,Warnakulasuriya, Saman,Hazarey, Vinay Kumar,Rich, Alison,Hussaini, Haizal Mohd,Jalil, Ajura Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.9

        Verruco-papillary lesions (VPLs) of the oral cavity described in the literature involve a spectrum of conditions including squamous papilloma, verruca vulgaris, focal epithelial hyperplasia, condyloma, proliferative verrucous leukoplakia and verrucous carcinoma. A majority of the VPLs are slow growing, benign in nature and have a viral aetiology. Virus associated benign mucosal outgrowths are not too difficult to diagnose either clinically or by microscopy. Apart from virus-associated lesions, VPLs harboring malignant potential or behaviour such as verrucous carcinoma, proliferative verrucous leukoplakia, oral verrucous hyperplasia (OVH), oral papillary squamous cell carcinoma (PSCC) and oral conventional squamous cell carcinoma with papillary features (CSCC) need to be further clarified for better understanding of their predictable biologic behavior and appropriate treatment. Current understanding of potentially malignant VPLs is perplexing and is primarily attributed to the use of confusing and unsatisfactory terminology. In particular, the condition referred to as oral verrucous hyperplasia (OVH) poses a major diagnostic challenge. OVH represents a histopathological entity whose clinical features are not well recognised and is usually clinically indistinguishable from a verrucous carcinoma and a PSCC or a CSCC. A consensus report published by an expert working group from South Asia as an outcome of the 'First Asian Regional Meeting on the Terminology and Criteria for Verruco-papillary Lesions of the Oral Cavity' held in Kuala Lumpur, Malaysia, recognised the clinical description of these OVH as a new entity named 'Exophytic Verrucous Hyperplasia'. Previously described clinical features of OVH such as the 'blunt' or 'sharp' variants; and the 'mass' or 'plaque' variants can now collectively fall under this newly described entity. This paper discusses in detail the application of the standardized criteria guidelines of 'Exophytic Verrucous Hyperplasia' as published by the expert group which will enable clinicians and pathologists to uniformly interpret their pool of OVH cases and facilitate a better understanding of OVH malignant potential.

      • Bone Mineral Density and Breast Cancer Risk Factors among Premenopausal and Postmenopausal Women - A Systematic Review

        Zain, Norhayati Mohd,Seriramulu, Vengkatha Priya,Chelliah, Kanaga Kumari Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.7

        Background: Bone mineral density (BMD) is a lifetime marker of estrogen in a woman's body and has been associated with increased breast cancer risk. Nonetheless the actual association is still debatable. Furthermore, estrogen is very crucial in maintaining human bone density and gradually decreases over age. A systematic search was conducted to assess any association of BMD with breast cancer risk factors among premenopausal and postmenopausal women. Materials and Methods: Review identification was performed through databases searching on MEDLINE, CINAHL and SCOPUS and 19 qualified studies were elected. The keywords used were "bone mineral density", "breast cancer", and "breast density". Results: A total of 19 articles showed variation with the majority of the studies focused on postmenopausal and a few focused on premenopausal women. Overall there was no concensus on effects. Conclusions: An enormous effort is being undertaken by researchers to prove that BMD might be one of the significant risk factors for breast cancer.

      • KCI등재후보
      • Breast Imaging Using Electrical Impedance Tomography: Correlation of Quantitative Assessment with Visual Interpretation

        Zain, Norhayati Mohd,Chelliah, Kanaga Kumari Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.3

        Background: Electrical impedance tomography (EIT) is a new non-invasive, mobile screening method which does not use ionizing radiation to the human breast; allows conducting quantitative assessment of the images besides the visual interpretation. The aim of this study was to correlate the quantitative assessment and visual interpretation of breast electrical impedance tomographs and associated factors. Materials and Methods: One hundred and fifty mammography patients above 40 years and undergoing EIT were chosen using convenient sampling. Visual interpretation of the images was carried out by a radiologist with minimum of three years experience using the breast imaging - electrical impedance (BI-EIM) classification for detection of abnormalities. A set of thirty blinded EIT images were reinterpreted to determine the intra-rater reliability using kappa. Quantitative assessment was by comparison of the breast average electric conductivity with the norm and correlations with visual interpretation of the images were determined using Chi-square. One-way ANOVA was used to compare the mean electrical conductivity between groups and t-test was used for comparisons with pre-existing Caucasians statistics. Independent t-tests were applied to compare the mean electrical conductivity of women with factors like exogenous hormone use and family history of breast cancer. Results: The mean electrical conductivity of Malaysian women was significantly lower than that of Caucasians (p<0.05). Quantitative assessment of electrical impedance tomography was significantly related with visual interpretation of images of the breast (p<0.05). Conclusions: Quantitative assessment of electrical impedance tomography images was significantly related with visual interpretation.

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