• 대한의용생체공학회:의공학회지
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• 제32권1호
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• pp.25-31
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• 2011

Blood glucose information is important for self regulation in daily life, but the frequency of self test remains to be only 17%(9 tests/month) in Korea, mainly due to pain during blood sampling. The present study tried to validate the clinical efficacy of the forearm as an alternative sampling site with minimized pain. Capillary blood was sampled both on the index finger($G_F$) and the forearm($G_A$), immediately followed by glucose measurements in 531 subjects, 25 who visited the Health Enhancement Center of C University Hospital, then venous blood($G_V$) was sampled for glucose test. The blood glucose concentration measured on the forearm was closer to the venous glucose than on the finger. The mean difference between $G_V$and $G_F$ was only 10 mg/dL well within the internationally accepted error limit. Error grid analyses of $G_F-G_V$, $G_A-G_V$ and $G_A-G_F$ revealed that the number of data points in regions A and B took 100%, 99.8%, and 97.9%, respectively. These results demonstrate the forearm blood glucose test is not only accurate but also clinically valid. Therefore, the forearm blood glucose test can be a useful way of self managing the chronic diabetes with minimized sampling pain.

• 한국산학기술학회논문지
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• 제10권9호
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• pp.2451-2459
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• 2009

통증이 거의 없는 새로운 모세혈액 채혈기법인 진공자동채혈법(vacuum assisted auto-lancing)의 정확도를 분석하고자 전형적인 대체부위인 전완(팔) 부위에서 채혈하여 측정한 혈당값을 표준 채혈부위인 정맥 및 손가락에서 채혈하여 측정한 혈당값과 비교, 분석하는 연구를 수행하였다. C대학교병원을 내원한 531명의 환자들을 대상으로 왼손 집게손가락 끝과 왼쪽 전완 부위에서 말초혈액의 혈당을 측정하였고, 곧바로 정맥 채혈하여 혈당을 측정하였다. 전완 부위 혈당 평균값이 손가락보다 정맥 혈당값에 더욱 가까웠으나 이들 간의 차이는 약 10 mg/dL 범위에 불과하여 임상적으로는 동일한 값들로 볼 수 있었다. 측정값들 간에 상관분석을 수행한 결과 손가락과 정맥 채혈의 혈당값 간의 상관계수는 0.94, 전완 부위와 정맥 혈당값 간의 상관계수는 0.92, 또한 전완 부위와 손가락 채혈 간의 상관계수는 0.94로 모두 매우 유의한 상관관계를 보였다(p<0.001). 따라서 대체부위인 전완 부위 혈당검사의 정확도가 실험적으로 입증되었다. 손가락 혈당검사는 상당한 채혈 통증이 수반되어 당뇨 환자들이 자가 검사를 기피하는 주요 원인이 되지만, 전완 부위에서 진공자동채혈하면 통증이 거의 없으므로 만성 당뇨환자들의 자가 질환관리를 위해 매우 유용하리라 기대된다.

• Environmental Analysis Health and Toxicology
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• 제19권2호
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• pp.153-159
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• 2004

To ascertain the effects of hair dyeing application on oxidative stress in human, a mixture of permanent black colored hair dye with the same amount of oxidant containing 6% hydrogen peroxide was used. A hair dyeing with contacting the scalp (conventional dyeing) and a hair dyeing with 3 to 4mm away from the scalp (alternative dyeing) were applied to each 15 young healthy women. Blood was taken from the brachial vein at two sampling times, just before and 6 hours alter the hair dyeing, and antioxidant enzyme activities and antioxidant contents were measured in red blood cells. After dyeing, malondialdehyde(MDA) contents for conventional dyeing group was shown to a tendence of more increased than alternative dyeing group. After dyeing, reduced glutathione (GSH) contents for conventional dyeing group was shown to a tendence of more decreased than alternative dyeing group. After dyeing, superoxide dismutase (SOD) and catalase (CAT) activities were significantly decreased in conventional dyeing group (p < 0.01), however, SOD and CAT activities were not significantly decreased in alternative dyeing group. After dyeing, there was no significant decrease in glutathione peroxidase (GPX) activity both for conventional dyeing group and alternative dyeing group. Therefore, after dyeing, the degree of oxidative stress in red blood cells for alternative dyeing group was appeared to be lower than conventional dyeing group.

• Asian Pacific Journal of Cancer Prevention
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• 제15권11호
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• pp.4659-4662
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• 2014

The tumor marker CA 15-3 is one of the most import reliable for metastatic breast cancer monitoring. While it is generally assessed in serum of patients, blood sampling is an invasive method compared to saliva sampling which is simple and could be an alternative to blood according to many studies. The aim of this investigation was to assess the relationship between serum and salivary concentrations of the protein CA 15-3 in patients with breast cancer and healthy asymptomatic volunteers. A case-control study was conducted with 60 women: 29 breast cancer patients from the Maternity Hospital Souissi Rabat (Morocco) and 31 healthy asymptomatic women. The CA 15-3 concentrations in saliva and serum samples were assessed using an enzyme immune assay (EIA kits) and comparison between cases and controls was made by the Mann-Whitney test. The correlation between serum and saliva CA 15-3 concentration was tested using Pearson correlation. The comparison result of CA15-3 concentration in saliva and serum level in cases and controls was not statistically significant (p>0.05). However, the correlation between salivary and serum CA 15-3 concentration was positive and statistically significant (r=0.27, p=0.03). In conclusion, the positive correlation between salivary and serum expression found in our study suggests that saliva could be an alternative to blood sampling to help breast cancer monitoring.

• 한국유기농업학회지
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• 제31권4호
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• pp.469-477
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• 2023

Animal welfare has been gradually gathering more attention from consumers over time, making it increasingly important to assess the level of stress experienced by livestock. Traditionally, stress has been measured by collecting blood to assess cortisol levels, an action that can be considered distressing for the animal. Therefore, we aimed to explore the feasibility of using hair as an alternative medium to blood for stress assessment. We utilized B/F (blood collected at the farm), B/A (blood collected after transport to the auction), and H/A (hair collected at the auction after blood sampling) from calves at the age of 7-9 months transported from the farm to the auction. Hair underwent a washing and extraction process to utilize hair extracts, while blood was centrifuged to analyze using ELISA. The cortisol concentration in the blood was significantly higher in B/A compared to B/F (p<0.05), confirming that the calves experienced stress during transportation. Additionally, H/A was significantly lower than both B/A and B/F (p<0.0001). These results emphasized that cortisol in hair is not suitable for investigating short-term stress in livestock, as it is with blood. While measuring stress indices using hair may not be appropriate for replacing blood, it is considered a highly suitable practice for animal welfare, and further research in this area should be continued.

• Childhood Kidney Diseases
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• 제28권1호
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• pp.16-26
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• 2024

Patients with kidney disease require frequent blood tests to monitor their kidney function, which is particularly difficult for young children and the elderly. For these people, the standard method is to evaluate serum creatinine or cystatin C or drug levels through venous sampling, but more recently, evaluation using dried blood spots has been used. This narrative review reports information from the literature on the use of dried blood spots to quantify the main markers used to detect kidney diseases. The ScienceDirect and PubMed databases were searched using the keywords: "dried blood on filter paper," "markers of renal function," "renal function," "creatinine," "cystatin C," "urea," "iohexol," and "iotalamate." Studies using animal samples were excluded, and only relevant articles in English or Spanish were considered. Creatinine was the most assessed biomarker in studies using dried blood spots to monitor kidney function, showing good performance in samples whose hematocrit levels were within normal reference values. According to the included studies, dried blood spots are a practical monitoring alternative for kidney disease. Validation parameters, such as sample and card type, volume, storage, internal patterns, and the effects of hematocrit are crucial to improving the reliability of these results.

• Environmental Analysis Health and Toxicology
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• 제19권1호
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• pp.101-107
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• 2004

To ascertain the effects of hair dyeing application on the DNA damage in human lymphocytes, a mixture of permanent black colored hair dye with the same amount of oxidant containing 6% hydrogen peroxide was used. A hair dyeing with contacting the scalp (conventional dyeing) and a hair dyeing with 3 to 4mm away from the scalp (alternative dyeing) were applied to each If young healthy women. Blood was taken from the brachial vein at two sampling times, just before and 6 hours after the hair dyeing, and tail extent moment(TEM) and tail length (TL) were measured by using a comet assay. After dyeing, TL was significantly increased in both conventional dyeing group and alternative dyeing group compared with before dyeing as an average of 47% and 28%, respectively, and TL for conventional dyeing group was higher than alternative dyeing group as an average of 1.2 fold. After dyeing, TEM was significantly increased in both conventional dyeing group and alternative dyeing group compared with before dyeing as an average of 192% and 76%, respectively, and TEM for conventional dyeing group was significantly higher than alternative dyeing group as an average of 1.7 fold. Therefore, alternative dyeing application was induced to lower lymphocyte DNA damage than conventional dyeing application, and TEM was appeared to be a more sensitive tool for the measurement of lymphocyte DNA damage than TL in this study.

• 한국산학기술학회논문지
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• 제13권4호
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• pp.1751-1758
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• 2012

팔부위에서 혈당을 측정하는 것은 모세혈관에서 혈액을 채취하는 동안 느끼는 통증을 줄일 수 있다. 본 연구에서는 팔부위 혈당검사의 임상적 유효성을 평가하기 위해 팔부위 혈당검사결과를 손가락 및 정맥에서의 혈당검사결과와 각각 비교하였다. 당뇨환자 61명이 포함된 555명의 피검자를 대상으로 금식 상태에서 휴대형 혈당계로 손가락과 팔 안쪽 부위에서 혈당검사를 수행하였으며, 1시간 이내에 피검자 514명의 정맥혈액으로 혈당검사를 수행하였다. 측정값들에 대해 선형회귀분석, 급내 상관분석(intraclass correlation), Passing-Bablok 회귀분석 기법으로 다양하게 비교 분석해 보았다. 팔부위 혈당값은 환자군에서 손가락 및 정맥 혈당값과의 상관계수(r)가 0.97(P<0.0001)로 높은 선형관계를 나타내었으며, 정상군에서도 r값이 약간 작았지만 유사하였다. 채혈 부위에 따른 혈당값의 평균 차이는 두 집단에서 모두 ${\pm}10mg/dL$ 이내이었다. 급내 상관계수는 r값에 비교하여 약간 작았지만 두 집단이 유사한 수치를 나타내었다. Passing-Bablok 분석에서 기울기의 95% 신뢰구간과 절편은 각각 < ${\pm}20%$, < ${\pm}20mg/dL$로서 임상 허용범위 이내의 값을 나타내었다. 본 연구에서 사용한 세 가지 통계분석 결과 팔부위 혈당값이 손가락과 정맥에서 측정한 혈당값과 충분히 일치함이 입증되었다. 팔부위 혈당검사가 표준방법인 손가락 혈당검사와 높은 일치성을 나타내었으므로 금식 상태에서의 임상적용 가능성을 확인할 수 있었다.

• Pediatric Infection and Vaccine
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• 제17권2호
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• pp.101-107
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• 2010

목적 : 감염이 있는 환자들을 진단하는데 있어 CRP 검사 결과는 치료의 방향을 결정하는데 많은 도움을 준다. 하지만 영 유아에게 있어서 채혈의 어려움 때문에, 정맥혈 검사를 대채할수 있는 모세혈 채혈이 시도되고 있다. 이번 연구에서는 모세혈 채혈을 통한 CRP 검사 결과가 정맥혈 검사 결과와 차이가 있는지 비교평가 하였다. 방법 : 인하대병원 응급의료센터, 소아청소년과에 내원하거나 입원한 100명(0-14세, 남녀 47 : 53)을 대상으로 정맥혈은 Hitachi 7180$^{TM}$ (Hitachi, Tokyo, Japan), 모세혈은 LC-178CRP$^{TM}$ (Horiba Ltd., Kyoto, Japan, LC-178CRP)장비를 사용해 검사하였다. 통계적 분석방법은 교차분석을 통하여 정맥혈과 모세혈의 CRP 판독차이를 검정하였으며, 회귀분석 및 Bland Altman plot 방법을 통하여 일치도를 평가하였다. 결과 : 교차분석으로 모세혈과 정맥혈 검사의 CRP 판독차이를 검정한 결과 일치도는 90.63%로 유관한 관계성이 있었다(P<0.0001). Bland Altman Plot으로 분석한 결과 95% 신뢰구간의 일치 한계선내에서 측정되었다. 단순회귀모형으로 분석한 결과 기울기($\beta$)는 1.3434였으며, 결정계수($R^2$)는 0.9888로 매우 높은 선형관계를 확인할 수 있었다. 또한 정맥혈에서의 값은 모세혈에서 시행한 값보다 평균적으로 높음을 확인할 수 있었다. 결론 : 모세혈의 CRP는 정맥혈과 매우 높은 상관관계를 보였다. 일반적으로 정맥혈 검사를 하는것이 더 좋겠지만, 채혈이 어려운 경우 LC-178CRP$^{TM}$를 이용한 모세혈에서의 채혈은 정맥혈 검사를 대신할 수 있는 간편한 방법으로 생각된다.

• 한국발생생물학회지:발생과생식
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• 제23권2호
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• pp.139-148
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• 2019

Rising of water temperature due to global warming is a great concern to aquaculturists and fishery biologists. Hence, the present study aimed to investigate the effects of high water temperature on juvenile red spotted grouper, Epinephelus akaara based on the evaluation of stress responses in blood. E. akaara juveniles were exposed to different thermal conditions ($25^{\circ}C$, $28^{\circ}C$, $31^{\circ}C$, and $34^{\circ}C$) for 6 weeks following 2 weeks of acclimation at $25^{\circ}C$. Blood cell morphology and number were examined at three sampling points (2, 7, and 42 days) from a total of 180 fish. Major erythrocytic cellular abnormalities (ECA) observed in blood smears of thermally stressed groups ($31^{\circ}C$ and $34^{\circ}C$) after 6 weeks were echinocytes, teardrop-like cells, swollen cells and vacuolated cells. Both red and white blood cell number (RBC and WBC) were significantly (p<0.05) elevated in $31^{\circ}C$ and $34^{\circ}C$ group after 6 weeks thermal exposure. Differential leucocytes number showed significant increases in neutrophil (N) and decreases in lymphocytes (L) in the highest temperature ($34^{\circ}C$). Different N:L ratio was observed at different thermal conditions which can be used as a reliable alternative to measure stress response. Taken together, these results suggest that higher temperature ($31^{\circ}C$ and $34^{\circ}C$) can interfere the immune system of red spotted grouper by altering the blood cell morphology and number.