• Title/Summary/Keyword: Area under the curve

검색결과 1,260건 처리시간 0.04초

한국중년층에서 체질량지수, 허리-엉덩이둘레비, 및 허리둘레의 심장혈관계질환 위험인자 타당도 비교 (Comparing validity of using Body Mass Index, Waist to Hip Ratio, and Waist Circumference to Cardiovascular Risk Factors of Middle Aged Koreans)

  • 문현경;김유진
    • 대한영양사협회학술지
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    • 제11권3호
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    • pp.365-374
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    • 2005
  • This study was conducted to compare the validity of obese index among body mass index(BMI), waist to hip ratio(WHR), and waist circumference(WC) and to determine which is the best in relation to cardiovascular risk factors of middle aged Korean(40-64yr).Data from the 1998 Korean Health and Nutrition Survey were used(N=3380). Anthropometric indices and cardiovascular risk factors were measured. Chi-square test, analysis of variance following duncan's multiple range test, partial correlation analysis, and Receiver Operator characteristic(ROC) curves were used in the analysis. There was a significant increasing trend in WHR, systolic blood pressure(SBP), high density lipoprotein cholesterol(HDL), and fasting blood sugar(FBS) with age categories of male and in BMI, WC, WHR, diastolic blood pressure(DBP), SBP, total cholesterol(TC), low density lipoprotein cholesterol(LDL), triglycerol(TG), and FBS with those of female. Specially female had the characteristics of upper body fat and systolic blood pressure risk(p<0.05). Proportions of subjects with lifestyle factors related to cardiovascular risk in overweight or upper body fat group were higher than that of normal group. Higher proportions of subjects were practiced exercise in upper body fat group of male than in other groups. Among 7 cardiovascular risk factors in partial correlation analysis, BMI had the highest correlation coefficient in 6 risk factors in male, whereas WC in 4 risk factors in female. Mean of each obese index according to cardiovascular risk groups except smoker was higher than that of normal(p<0.05). These trends were shown in upper body fat group and female. In ROC analysis of 12 risk factors and health conditions, the largest area under curve among obese indices for risk factors were BMI in male and WHR in female. The optimal cutoff values of each index(BMI: WHR: WC) for one or more cardiovascular risk factors were 23.13: 0.89: 85.35 in male and 23.57: 0.84: 78.35 in female. The results showed that cardiovascular risk factors were prevalent in middle aged Koreans within normal limits of obese indices like another Asians. For the identification of cardiovascular risk factors of middle aged Koreans, BMI for men and WHR for women are appropriate indices. But it is recommended that BMI, WHR, and WC, all three indices should be considered, when using these indices.

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난소암 환자에서 반코마이신의 임상약물동태 (Clinical Pharmacokinetics of Vancomycin in Ovarian Cancer Patients)

  • 김양우;최준식;이진환;박재영;최병철;범진필
    • 한국임상약학회지
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    • 제8권1호
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    • pp.13-18
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    • 1998
  • The purpose of this study was to determine pharmacokinetic parameters of vancomycin using the compartment model dependent and compartment model independent analysis in 6 Korean normal volunteers and 8 ovarian cancer patients. Vancomycin was administered 1.0 g bolus by IV infusion over 60 minutes. The elimination rate constant ($\beta$), volume of distribution (Vd), total body clearance (CLt), and area under the plasma level-time curve (AUC) of vancomycin in normal volunteers using the compartment model dependent analysis were $0.150\pm0.030\;hr^{-1},\;32.9\pm2.81\;L/kg,\;5.36\pm0.63\;L/hr,\;and\;186.5\pm20.5\;{\mu}g/ml{\cdot}hr$, respectively. The $\beta$, Vd, CLt, and AUC of vancomycin in ovarian cancer patients using the compartment model dependent analysis were $0.109\;0.008\;hr^{-1},\;41.5\pm3.01\;L/kg,\;4.58\pm0.57\;L/hr\;and\;218.3\pm22.9\;{\mu}g/ml{\cdot}hr$, respectively. There were significant differences (p<0.05,\;p<0.01) in $\beta$, Vd, CLt, and AUC between normal volunteers and ovarian cancer patients. The elimination rate constant (Kel), CLt, and AUC of vancomycin in normal volunteers using the compartment model independent analysis were $0.152\pm0.022\;hr^{-1},\;5.77\pm0.75\;L/hr,\;and\;173.2\pm22.5;{\mu}g/ml{\cdot}hr$, respectively. The Kel, CLt, and AUC of vancomycin in ovarian cancer patients using the compartment model independent analysis were $0.126\pm0.012\;hr^{-1},\;4.96\pm0.55\;L/hr,\;and\;201.7\pm25.6;{\mu}g/ml{\cdot}hr$, respectively. There were significant differences (p<0.05, p<0.01) in Kel, CLt, and AUC between normal volunteers and ovarian cancer patients. And also, there was significant difference (p<0.05) in Kel of vancomycin in ovarian cancer patients between the compartment model dependent and independen analysis. It is necessary for effective dosage regimen of vancomycin in ovarian cancer patient to use these population parameters.

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The Hypoglycemic Effect of Saururus chinensis Baill in Animal Models of Diabetes Mellitus

  • Joo, Hee-Jeong;Kang, Ming-Jung;Seo, Tae-Jin;Kim, Hyun-A;Yoo, Sung-Ja;Lee, Soo-Kyung;Lim, Hwa-Jae;Byun, Boo-Hyeong;Kim, Jung-In
    • Food Science and Biotechnology
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    • 제15권3호
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    • pp.413-417
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    • 2006
  • The purpose of this study was to investigate the hypoglycemic effect of Saururus chinensis Baill in vitro and in vivo. Methanol extract of S. chinensis Baill inhibited yeast ${\alpha}$-glucosidase activity by 49.8%, which was twice as strong as that of acarbose at a concentration of 0.5 mg/mL in vitro. The effect of S. chinensis Baill methanol extract on the postprandial increase in blood glucose levels was studied in streptozotocin-induced diabetic rats using a carbohydrate load test. Oral administration of S. chinensis Baill extract (500 mg/kg) significantly decreased incremental blood glucose levels at 60 and 90 min (p<0.05) after oral ingestion of starch (1 g/kg). The area under the glucose response curve of the S. chinensis Baill group was significantly decreased compared to that of the control group (p<0.05). The effect of prolonged feeding of S. chinensis Baill was studied in an animal model of type 2 diabetes. Three-week-old db/db mice were fed an AIN-93G diet or a diet containing 0.5% S. chinensis Baill extract for 7 weeks after 1 week of adaptation. Plasma glucose, insulin, and blood glycated hemoglobin levels of the mice fed S. chinensis Baill extract were significantly lower than those of the control group (p<0.05). Therefore, we conclude that S. chinensis Baill is effective in controlling hyperglycemia in animal models of diabetes mellitus.

안정화미강을 첨가한 고서당식이 섭취가 C57BL/6 mice의 혈당조절에 미치는 영향 (Effect of stabilized rice bran-added high sucrose diet on glucose control in C57BL/6 mice)

  • 이승민;신말식;허영란
    • Journal of Nutrition and Health
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    • 제47권3호
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    • pp.157-166
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    • 2014
  • 본 연구는 고서당식이에 첨가된 안정화미강이 혈당조절에 미치는 영향에 대하여 조사하여 향후 안정화미강 첨가 식품을 인체실험에 적용하는데 기초자료로서 이용되고자 하였다. 4주령의 수컷 C57BL/6 mice를 정상식이 대조군 (ND), 고서당식이 대조군 (HSD), 안정화미강 첨가 식이군 (HSD-SRB)으로 배정하였다. 안정화미강 첨가 식이는 선행연구에 근거하여 식이 중량의 20%로 설정하였다. 12주 동안 식이 섭취 후 혈당, 혈청 인슐린, 간 조직의 글리코겐, 혈청 아디포넥틴, 혈청 및 간 조직의 중성지방을 측정하였다. 그 결과 HSD군에 비해 HSD-SRB군에서 체중 및 부고환지방 무게를 감소하는 경향이 있었고 공복혈당과 혈당반응곡선면적을 감소하였다. 또한 안정화미강 첨가 식이를 섭취하였을 때 혈청 및 간의 중성지방 농도가 감소됨에 따라 인슐린 저항성과 췌장의 베타세포 기능을 개선한 것으로 제안한다. 이로써 고서당식이에 안정화미강을 20% 첨가하였을 때 혈당조절 개선효과 가능성을 확인할 수 있었으며, 향후 안정화미강을 첨가한 건강 지향적인 제품 개발과 이 제품을 인체에 적용하기 위한 기초자료로 활용 가능할 것으로 사료된다.

숙잠 함유 복합물의 알코올 대사 및 숙취개선 효능평가 (Evaluation of the effects of Hangover-releasing agent containing freeze-dried mature silkworm larval powder (SMSP) on alcohol metabolism and hangover improvement)

  • 우미선;차지현;김용환;강희택;김현덕;조경원;박성선;이종훈
    • 한국식품과학회지
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    • 제53권1호
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    • pp.72-77
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    • 2021
  • 숙취를 해결하기 위해서는 숙취를 직접적으로 유발하는 물질인 아세트알데하이드의 조절이 가장 중요한 인자로 작용한다. 숙잠을 함유하는 복합물인 시험식품(CKDHC)의 섭취로 혈중 아세트알데하이드 농도가 대조식품 대비 통계적으로 유의하게 감소하여 숙취개선 효능을 확인하였다. 특히, 30분부터 각 시간별(mg/L), 혈중 아세트알데하이드 농도-시간곡선하 면적(AUC), 최고 혈중 아세트알데하이드 농도(Cmax)의 감소를 통해 30분부터 빠른 숙취개선 효능을 확인하였다. 본 연구의 주원료로 사용된 숙잠은 Ji 등(2016a)에 따르면 18종의 아미노산 및 무기질을 모두 함유하며, 고단백 식용곤충으로 간에 좋은 주요 아미노산인 Alanine, Arginine 등을 많이 함유하여 간의 효소활성에 긍정적인 영향을 줄 수 있음을 알수있다. 본 연구결과를 통해 숙잠을 함유하는 시험식품이 숙취해소제로 작용할 수 있으며, 특히 음주 전 섭취시 아세트알데하이드를 빠르게 분해하여 30분부터 숙취 개선에 효과가 있음을 입증하였다.

Use of Artificial Intelligence for Reducing Unnecessary Recalls at Screening Mammography: A Simulation Study

  • Yeon Soo Kim;Myoung-jin Jang;Su Hyun Lee;Soo-Yeon Kim;Su Min Ha;Bo Ra Kwon;Woo Kyung Moon;Jung Min Chang
    • Korean Journal of Radiology
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    • 제23권12호
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    • pp.1241-1250
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    • 2022
  • Objective: To conduct a simulation study to determine whether artificial intelligence (AI)-aided mammography reading can reduce unnecessary recalls while maintaining cancer detection ability in women recalled after mammography screening. Materials and Methods: A retrospective reader study was performed by screening mammographies of 793 women (mean age ± standard deviation, 50 ± 9 years) recalled to obtain supplemental mammographic views regarding screening mammography-detected abnormalities between January 2016 and December 2019 at two screening centers. Initial screening mammography examinations were interpreted by three dedicated breast radiologists sequentially, case by case, with and without AI aid, in a single session. The area under the receiver operating characteristic curve (AUC), sensitivity, specificity, and recall rate for breast cancer diagnosis were obtained and compared between the two reading modes. Results: Fifty-four mammograms with cancer (35 invasive cancers and 19 ductal carcinomas in situ) and 739 mammograms with benign or negative findings were included. The reader-averaged AUC improved after AI aid, from 0.79 (95% confidence interval [CI], 0.74-0.85) to 0.89 (95% CI, 0.85-0.94) (p < 0.001). The reader-averaged specificities before and after AI aid were 41.9% (95% CI, 39.3%-44.5%) and 53.9% (95% CI, 50.9%-56.9%), respectively (p < 0.001). The reader-averaged sensitivity was not statistically different between AI-unaided and AI-aided readings: 89.5% (95% CI, 83.1%-95.9%) vs. 92.6% (95% CI, 86.2%-99.0%) (p = 0.053), although the sensitivities of the least experienced radiologists before and after AI aid were 79.6% (43 of 54 [95% CI, 66.5%-89.4%]) and 90.7% (49 of 54 [95% CI, 79.7%-96.9%]), respectively (p = 0.031). With AI aid, the reader-averaged recall rate decreased by from 60.4% (95% CI, 57.8%-62.9%) to 49.5% (95% CI, 46.5%-52.4%) (p < 0.001). Conclusion: AI-aided reading reduced the number of recalls and improved the diagnostic performance in our simulation using women initially recalled for supplemental mammographic views after mammography screening.

Application of Tumor Markers SCC-Ag, CEA, and TPA in Patients with Cervical Precancerous Lesions

  • Farzaneh, Farah;Shahghassempour, Shapour;Noshine, Bahram;Arab, Maliheh;Yaseri, Mehdi;Rafizadeh, Mitra;Alizadeh, Kamyab
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권9호
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    • pp.3911-3914
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    • 2014
  • Background: To determine the potential clinical utility of tumor markers CEA, TPA, and SCC-Ag for early detection of cervical precancerous lesions. Materials and Methods: A case-control study was carried out on 120 women (46 patients with histologically confirmed cervical precancerous lesions and 74 healthy controls). The significance of serum selected tumor markers in early detection of cervical intraepithelial neoplasia (CIN) were assessed. Results: Of the case group, the rates of CIN I, II, III, was 69.6%, 23.9%, and 6.5%, respectively. According to the manufacturer's cut-off values of 2ng/ml, 5ng/ml, and 70 U/ml for SCC-Ag, CEA and TPA tests, in that order, SCC-Ag test had a sensitivity of 13%, but CEA and TPA tests could not distinguish between case and control groups. The diagnostic sensitivities were highest at cut-off values of 0.55 ng/ml for SCC-Ag, 2.6ng/ml for CEA, and 25.5 U/ml for TPA which were 93%, 61%, and 50%, respectively. However, the area under the receiver operating characteristic curve was the largest for SCC-Ag (0.95 vs. 0.61 and 0.60 for CEA and TPA, respectively). Moreover, there was a highly significant direct correlation between SCC-Ag concentration and the degree of cervical precancerous lesions (r=0.847, p<0.001). Conclusions: The new cutoff of 0.5 for SCC-Ag test might be useful as a tumor marker in Iranian patients with CIN and it needs to be more evaluated by studies with larger populationa.

웨이블릿 부대역의 히스토그램 특성과 통계적 모멘트를 이용한 스테그분석 (Steganalysis Using Histogram Characteristic and Statistical Moments of Wavelet Subbands)

  • 현승화;박태희;김영인;김유신;엄일규
    • 대한전자공학회논문지SP
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    • 제47권6호
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    • pp.57-65
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    • 2010
  • 본 논문은 스테가노그래피 알고리즘에 대한 블라인드 스테그분석 기법을 제안한다. 제안하는 스테그분석기법은 두 가지 형태의 특징 벡터를 추출한다. 첫 번째로, 영상에 정보를 은닉한 후 웨이블릿 부대역의 히스토그램 특성이 변한다는 것을 관찰하고 히스토그램의 위치 변화를 특징으로 이용한다. 두 번째로, 웨이블릿 특성 함수의 통계적 모멘트를 특징으로 이용한다. 첫번째 형태의 특징은 영상을 3-레벨 웨이블릿 변환하여 9개의 고주파 부대역에서 각각 하나의 특징을 추출하여 총 9개의 특징 벡터 얻는다. 두 번째 형태의 특징은 각 부대역별로 3차 모멘트까지 추출하여 39개의 특징 벡터를 얻는다. 총 48개의 특징 벡터를 교사학습을 이용하여 학습한 후 스테고 영상과 커버 영상을 분류한다. 다층 퍼셉트론 신경망 분류기를 이용하여 두 가지 형태의 특징을 입력으로 하여 삽입 데이터의 존재유무를 판별한다. 제안 방법의 성능을 평가하기 위하여 CorelDraw 데이터베이스 영상이 사용되었고 LSB 방법과 SS방법, blind SS방법, F5방법으로 다양한 삽입률의 스테고 영상을 생성하여 실험한다. 민감도와 특이도, 에러율, ROC 커브 면적 등을 이용하여 제안 방법이 기존의 스테그분석 방법보다 삽입 정보 유무를 검출하는데 효과적임을 보여준다.

모빅 캡슐(멜록시캄 7.5 mg)에 대한 멜락스 캡슐의 생물학적동등성 (Bioequivalence of MelaxTM Capsule to MobicTM Capsule (Meloxicam 7.5 mg))

  • 이예리;염승복;고연정;고정길;김호현;이희주;이경률
    • Journal of Pharmaceutical Investigation
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    • 제34권5호
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    • pp.413-418
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    • 2004
  • A bioequivalence of $Melax^{TM}$ capsules (Chong Kun Dang Pharm., Korea) and $Mobic^{TM}$ capsules (Boehringer Ingelheim Korea) was evaluated according to the guideline of Korea Food and Drug Administration (KFDA). Single 15 mg dose of meloxicam of each medicine was administered orally to 24 healthy male volunteers. This study was performed in a $2\;{\times}\;2$ crossover design. Concentrations of meloxicam in human plasma were monitored by a high-performance liquid chromatography. $AUC_t$ (the area under the plasma concentration-time curve from time zero to 72 hr) was calculated by the linear trapezoidal rule method. $C_{max}$ (maximum plasma drug concentration) and $T_{max}$ (time to reach $C_{max}$) were compiled from the plasma concentration-time data. Analysis of variance was performed using logarithmically transformed $AUC_t$ and $C_{max}$. No significant sequence effect was found for all of the bioavailability parameters. The 90% confidence intervals of the $AUC_t$ ratio and the $C_{max}$ ratio for $Melax^{TM}/Mobic^{TM}$ were 0.95 - 1.04 and 0.98 - 1.14, respectively. This study demonstrated a bioequivalence of $Melax^{TM}$ and $Mobic^{TM}$ with respect to the rate and extent of absorption.

피세아테놀과 레스베라트롤의 혈당조절 및 TLR4-NF-κB 경로 조절 작용 (In Vitro and In Vivo Effects of Piceatannol and Resveratrol on Glucose Control and TLR4-NF-κB Pathway)

  • 이희재;이해정;양수진
    • 한국식품영양과학회지
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    • 제46권2호
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    • pp.267-272
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    • 2017
  • 본 연구에서는 팔미틴산을 처리한 지방간질환 간세포 모델과 비만/당뇨 동물 모델인 KK/HlJ 마우스를 이용하여 피세아테놀과 레스베라트롤 투여가 염증조절에 주는 영향을 알아보고자 하였다. 4주간의 피세아테놀과 레스베라트롤 섭취는 공복혈당과 경구당부하 검사 2시간 후 AUC를 감소시켜 혈당 조절 개선 효과를 보였다. 또한, 팔미틴산을 처리한 지방간질환 간세포 모델에 피세아테놀과 레스베라트롤을 처리한 결과 염증조절 경로인자인 TLR4와 $NF-{\kappa}B$의 발현을 유의적으로 감소시켰다. 이를 in vivo 비만/당뇨 동물 모델인 KK/HlJ 마우스의 간 조직에서 확인한 결과 피세아테놀 섭취는 NLRP3와 $NF-{\kappa}B$의 간 조직에서의 발현을 유의적으로 감소시켰고, IL-1 발현을 감소시키는 경향을 보였다. 하지만 동량의 레스베라트롤 섭취는 이와 같은 항염증 효과를 보이지 않았다. 결론적으로 혈당 조절 개선 효과와 항염증 효과에 있어 피세아테놀이 레스베라트롤보다 우수한 효과를 가지고, 피세아테놀의 항염증 효과는 혈당 조절 개선 효과에 부분적으로 기여할 것으로 제안한다.