• Clinical and Experimental Reproductive Medicine
• /
• 제48권2호
• /
• pp.163-173
• /
• 2021

Objective: This study aimed to characterize a validated model for predicting oocyte retrieval in controlled ovarian stimulation (COS) and to construct model-based nomograms for assistance in clinical decision-making regarding the gonadotropin protocol and dose. Methods: This observational, retrospective, cohort study included 636 women with primary unexplained infertility and a normal menstrual cycle who were attempting assisted reproductive therapy for the first time. The enrolled women were split into an index group (n=497) for model building and a validation group (n=139). The primary outcome was absolute oocyte count. The dose-response relationship was tested using modified Poisson, negative binomial, hybrid Poisson-E_max, and linear models. The validation group was similarly analyzed, and its results were compared to that of the index group. Results: The Poisson model with the log-link function demonstrated superior predictive performance and precision (Akaike information criterion, 2,704; λ=8.27; relative standard error (λ)=2.02%). The covariate analysis included women's age (p<0.001), antral follicle count (p<0.001), basal follicle-stimulating hormone level (p<0.001), gonadotropin dose (p=0.042), and protocol type (p=0.002 and p<0.001 for short and antagonist protocols, respectively). The estimates from 500 bootstrap samples were close to those of the original model. The validation group showed model assessment metrics comparable to the index model. Based on the fitted model, a static nomogram was built to improve visualization. In addition, a dynamic electronic tool was created for convenience of use. Conclusion: Based on our validated model, nomograms were constructed to help clinicians individualize the stimulation protocol and gonadotropin doses in COS cycles.

• Clinical Nutrition Research
• /
• 제12권4호
• /
• pp.269-282
• /
• 2023

Vitamin D participates in the biological function of the innate and adaptive immune system and inflammation. We aim to specify the effectiveness of the vitamin D supplementation on the side effects BioNTech, Pfizer vaccination, and immunoglobulin G response against severe acute respiratory syndrome coronavirus 2 in subjects tested positive for coronavirus disease 2019 (COVID-19). In this multi-center randomized clinical trial, 498 people tested positive for COVID-19 were divided into 2 groups, receiving vitamin D capsules or a placebo (1 capsule daily, each containing 600 IU of vitamin D) over 14-16 weeks. Anthropometric indices and biochemical parameters were measured before and after the second dose of vaccination. Fourteen to 16 weeks after supplementation, the intervention group had an immunoglobulin G (IgG) increase of 10.89 ± 1.2 g/L, while the control group had 8.89 ± 1.3 g/L, and the difference was significant between both groups (p = 0.001). After the second dose of vaccination, the supplement group significantly increased their 25-hydroxy vitamin D from initially 28.73 ± 15.6 ng/mL and increased to 46.48 ± 27.2 ng/mL, and the difference between them was significant. Those with a higher body mass index (BMI) had the most of symptoms, and the difference of side effects according to BMI level was significantly different. In 8 weeks after supplementation obese participants had the lowest IgG levels than overweight or normal subjects. The proportion of all types of side effects on the second dose was significantly diminished compared with the first dose in the intervention group. Supplementation of 600 IU of vitamin D3 can reduce post-vaccination side effects and increase IgG levels in participants who received BioNTech, Pfizer vaccine.

• Biomolecules & Therapeutics
• /
• 제30권2호
• /
• pp.162-169
• /
• 2022

We utilized Fas21, a resveratrol analog, to modulate the function of hepatic stellate cells (HSCs) and liver sinusoidal endothelial cells (LSECs) during the angiogenic phase of murine liver metastasis by B16 melanoma and 51b colorectal carcinoma. Preangiogenic micrometastases were treated with Fas21 (1 mg/kg/day) or vehicle during the development of intra-angiogenic tracts. Mice treated with Fas21 showed reduced liver tumor foci in both liver metastasis models. Micrometastases were classified immunohistochemically, as well as according to their position coordinates and connection to local microvasculature. The volume of liver occupied by sinusoidal-type foci, containing infiltrating angiogenic capillaries, decreased by ~50% in Fas21-treated mice compared to vehicle-treated ones in both tumor metastasis models. The volume of portal foci, containing peripheral neoangiogenesis within a discontinuous layer of myofibroblasts, was similar in all experimental groups in both tumor metastasis models, but displayed enhanced necrotic central areas devoid of angiogenesis following Fas21 treatment. As a result, sinusoidal tumors from mice treated with Fas21 showed a 50% reduction in desmin(+)/asma(+) HSCs and CD31(+) vessel density, and a 45% reduction in intrametastatic VEGF mRNA compared with sinusoidal tumors from vehicle-treated mice. Necrotic portal metastases increased 2-4-fold in treated mice. In vitro, Fas21 reduced VEGF secretion by HSCs and 51b cells dose-dependently. Additionally, HSCs migration in response to tumor soluble factors was dose-dependently diminished by Fas21, as was LSEC migration in response to HSCs and tumor soluble factors. Resveratrol analog Fas21 inhibits the proangiogenic response of HSCs and LSECs during the development of murine liver metastasis.

• Archives of Pharmacal Research
• /
• 제25권6호
• /
• pp.895-902
• /
• 2002

Monocytes and macrophages playa major role in defense mechanism of the host response to tumor, in part through the secretion of several potent products and macrophage cytokines. Monocytes and tissue macro phages produce at least two groups of protein mediators of inflammation, interleukin 1 (IL-1) and tumor necrosis factor (TNF). Recent studies emphasizes that TNF and IL-1 modulate the inflammatory function of endothelial cells, leukocytes, and fibroblasts. In this study, our work is directed toward studying the in vitro effects of Korean propolis on the ability to induce cellular and secretory responses in murine macrophage cell line, RAW 264.7. It was found that Water Extract of Korean Propolis (WEP) could activate macro phages by producing cytokines. The production of the macrophage cytokines, IL-1 and TNF-$\alpha$, by RAW 264.7 treated with WEP was examined from 2.5 $\mu\textrm{g}$/ml up to 25 $\mu\textrm{g}$/ml with dose dependent manner. Nitric oxide (NO) production was also increased when cells were exposed to combination of LPS and WEP from 2.5 $\mu\textrm{g}$/ml up to 25 $\mu\textrm{g}$/ml. At high dose of WEP (50 to 100 $\mu\textrm{g}$/ml) used to prescribe for anti-inflammatory and analgesic medicine showed inhibition of NO production in LPS-stimulated macrophage. Besides cytokine production, NO release, surface molecule expression and cell morphologic antigen expression were increased in response to the stimulation by WEP. These results suggested WEP may function through macrophage activation.

• 미생물학회지
• /
• 제49권4호
• /
• pp.360-368
• /
• 2013

최근 국내의 각종 시설들에서 경관과 여름철 물놀이를 위한 바닥분수 설치가 선호되어, 그 수가 연간 50% 이상 급증하고 있다. 본 연구는, 정량적 미생물학적 위해성 평가 방법으로, 아동이 바닥분수에서 물놀이를 하는 동안 Legionella spp.에 의한 감염 위해도가 어느 정도인지 정량 하였다. 용수 중 Legionella균의 농도를 $10^{-1}-10^6$ CFU/L로 상정하고, 공기 중으로 에어로졸과 함께 비산하게 되는 Legionella균의 농도와 노출시간, 호흡률의 분포, 폐까지 도달하는 에어로졸의 비율을 곱하여 아동들의 노출량을 산정하고, Legionella pneumophila의 위해도를 도출하는 것으로 알려진 지수함수 모델에 따라, 감염 위해도로 변환하였다. 최고 위험군은 뛰어다니면서 물놀이를 하는 신체가 큰, 혹은 연령이 높은 아동이었으며, 이들이 $10^4$ CFU/L 이상의 Legionella균이 존재하는 분수 용수를 1회 이상 이용 시 0.05 이상의 위해도가 발생하였다. 이 결과에 따르면, $10^3$ CFU/L 미만의 Legionella균 농도를 공중이용시설의 모든 배관용수에 대하여 허용하는 현행 질병관리본부의 레지오넬라증 관리지침은 타당한 것으로 판정된다. 그러나, 이 기준은 건강한 성인 대상으로는 적합하나 아동의 면역력이 낮은 점을 감안하지 않았으므로, 아동에게 적합한 감염위해도 모델을 연구하여, 보다 철저한 관리 기준을 적용할 필요성이 있다.

• Journal of Chest Surgery
• /
• 제23권6호
• /
• pp.1107-1117
• /
• 1990

The regulatory role of the post \ulcorner1-and \ulcorner2-adrenoceptors on cardiac function, particularly in coronary flow rate, was investigated in the isolated rat heart treated with 10-6 M propranolol. When introduced into the left atrium of the heart, phenylephrine[10-7-10-2 M] decreased coronary flow rate and increased mean coronary resistance in a dose related fashion, but did not affect heart rate. Methoxamine also elicited the increment of coronary resistance and the decrement of coronary flow rate, though the effects of methoxamine were weaker than those by phenylephrine. The effect of phenylephrine was inhibited by 1\ulcornerM prazosin and shifting the dose-response curve to the right. The effects of clonidine, a selective \ulcorner2-adrenoceptor agonist, were studied in the heart taken from reserpinized rats. Clonidine increased coronary resistance, decreased heart rate and coronary flow rate with a dose-dependent manner. These effects were abolished by 10-6 M yohimbine, a selective \ulcorner2-antagonist, and were not affected by 10-6M prazosin. Clonidine also decreased coronary flow and increased mean coronary resistance in electric paced heart. These effects were inhibited by rawoulscine, a selective ca-antagonist. These results indicate that the stimulation of both post \ulcorner1-and \ulcorner2-adrenoceptor causes coronary vasoconstiction. And it is inferred that this model of sympathomimetics-induced coronary vasospasm may provide a useful tool for investigating spasmolytic agents which are of benefit in the treatment of variant angina.

• 센서학회지
• /
• 제22권3호
• /
• pp.223-226
• /
• 2013

We designed a single polyethylene bonner sphere with several thermo-luminescence dosimeters (TLD), for measurement of neutron energy spectrum. For the separation of the neutron dosage in the neutron-gamma mixed field, we used 21 ea TLD-600s and TLD-700s, respectively. Because, TLD-600 is sensitive to neutron and gamma rays, and, TLD-700 is sensitive only to gamma-rays, we could determine the each dose by neutron and gamma rays. The neutron response function of the bonner sphere with TLDs was calculated by MCNPX (ver. 2.5.0) Monte Carlo simulation in the energy range from $10^{-1}$ to 20 MeV. For the Cf-252 standard neutron source in KRISS, we could estimate the neutron energy spectrum by unfolding method using the response function.

• Nuclear Engineering and Technology
• /
• 제26권3호
• /
• pp.381-388
• /
• 1994

방사선시설에서 작업자들의 피폭선량평가를 위해 개인선량계를 사용하는 경우에는 그 평가결과의 신뢰도를 우선적으로 확보하여 야 한다. 최근, 미국 표준연구소에서는 기존의 개인선량계 성능검정 프로그램 (ANSI N13. 11-1983)을 일부 개정하였으며, $^{204}$Tl 베타선에 대한 성능시험항목이 추가 신설되었다. 본 연구에서는 열형광선량계가 베타방사선의 단일선장 및 혼합선장에서의 피부선량평가를 위해 사용되는 경우에 대한 성능검사를 실시하고 이에 따른 베타보정함수를 도출하였다. 실험에 사용된 열형광선량계는 Korea Atomic Energy Research Institute에서 개인피폭관리용으로 사용되고 있는 Teledyne PB-3를 사용하였고, 선량계의 조사에 사용된 선원은 PTB 2차 베타표준신원을 사용하였다. 성능시험결과, Teledyne PB-3 선량계시스템은 $^{90}$ Sr/ $^{90}$ Y 베타선장에서는 우수한 재현성을 나타내었다. 반면, $^{204}$Tl 베타선이 기여하는 방사선장에 대한 PB-3 선량계의 재현성은, 기존 사용중인 베타보정인자를 적용하는 경우에는 최대 60%까지의 상대오차를 보였다. 또한, 이러한 $^{204}$Tl 베타선량산정의 오차는 본 연구에서 도출된 베타보정함수를 적용하는 경우에는 15%까지 감소하는 것으로 나타났다.

• Journal of Radiation Protection and Research
• /
• 제24권4호
• /
• pp.205-213
• /
• 1999

지표에 오염된 방사성핵종의 단위방사능당 유효선량환산계수를 남성과 여성 인형모의피폭체와 MCNP4A 코드를 이용하여 계산하였다. 모사실험은 40 keV에서 10 MeV 영역의 19개 단일 에너지에 대한 유효선량 계산을 수행하였다. 에너지에 따른 단위 선원강도에 대한 유효선량 E를 기존 연구자들의 결과물인 유효선량당량 $H_E$와 비교한 결과, 본 연구의 E값이 USEPA의 FGR에 주어진 $H_E$ 값에 비해 30%의 편차를 보였다. 에너지와 유효선량의 관계를 polynomial fitting을 통해 구한 유효선량 감응함수는 다음과 같다. $f({\varepsilon})[fSv\;m^2]=\;0.0634\;+\;0.727{\varepsilon}-0.0520{\varepsilon}^2+0.00247{\varepsilon}^3$ 여기서, ${\varepsilon}$는 감마선의 에너지(MeV)이다. 감응함수와 ICRP 38의 방사성핵종 붕괴 자료를 이용하여 지표면과 공기 오염의 단위 방사능농도에 대한 유효선량환산계수를 계산한 후 DOSEFACTOR코드를 사용하여 계산한 베타선에 의한 피부선량을 합하여 90개의 중요 핵종들에 대한 환산계수를 평가하여 도표로 제시하였다. 기존 자료들과 비교를 통해 기존 환산계수를 사용할 경우 특히 저에너지 감마선이나 고에너지 베타선을 방출하는 핵종에 대해서 상당한 과소평가가 이루어질 수 있음을 확인할 수 있었다.

• Journal of Radiation Protection and Research
• /
• 제28권4호
• /
• pp.327-335
• /
• 2003

The commercially available neutron survey meter, the REM500, which uses a tissue equivalent proportional counter (TEPC) and the self-constructed TEPC were used to determine the microdosimetric quantities of several neutron calibration fields at Korea Atomic Energy Research Institute (KAERI). Microdosimetric spectra, absorbed dose, dose equivalent as well as quality factor were derived and compared with several neutron fields which were produced by using the shadow objects to make neutron scattered and being used as a kind of realistic neutron calibration fields at KAERI. The response of REM500 as a function of mean energy was evaluated with these neutron fields using the counts measured and the predetermined reference value. The response of the self-made TEPC and the REM500 was compared using one of the neutron calibration filelds of a $^{252}Cf$ source. The reference quantities of scattered neutron calibration fields were determined using a Bonner Sphere (BS). The value of frequency-mean lineal energy, dose-mean lineal energy and quality factor of two $^{252}Cf$ sources (unmoderated and $D_2O$ moderated) were determined to check the differences in the reference neutron fields between KAERI and Pacific Northwest National Laboratory (PNNL, USA) and the results were in good agreement within 1%. It means that there is no big difference in dosimetric quantifies of neutron calibration fields of two laboratories.