• Title/Summary/Keyword: GFR

Search Result 261, Processing Time 0.029 seconds

A New Scheduling Algorithm for Performance Improvement of GFR Service (GFR 서비스의 성능 향상을 위한 새로운 스케줄링 알고리즘)

  • Cho, Hae-Seong;Kim, Kwan-Woong;Bae, Sung-Hwan
    • The KIPS Transactions:PartC
    • /
    • v.10C no.1
    • /
    • pp.45-50
    • /
    • 2003
  • Guaranteed Frame Rate (GFR) service category is one of the most recent ATM service categories. The GFR specification was recently finalized by the ATM Forum and is expected to become an important service category which can efficiently support TCP/IP traffic in ATM network. In GFR switch implementation, it is important to guarantee MCR (minimum cell rate) and improve fairness. In this paper, we propose a new scheduling algorithm for the GFR service. Proposed algorithm provides priority to VC (virtual circuit)s and high Priority given to a VC which has fewer untagged cells in buffer. High priority VCs are serviced before low priority VCs. Proposed algorithm can guarantee MCR and improve fair sharing of the remaining bandwidth between GFR VCs. From computer simulation results, we demonstrate the proposed scheduling algorithm provide much better performance in TCP goodput and fairness than previous schemes.

Comparison of Glomerular Filtration Rate Using Gates Method and Serum Creatinine (Gates 방법과 혈청 크레아티닌을 이용한 사구체 여과율의 비교)

  • Yun, Jong-Jun;Lee, Hyo-Yeong;Lee, Hwa-Jin;Lee, Mu-Seok;Song, Hyeon-Seok;Park, Se-Yun;Jeong, Ji-Uk
    • The Korean Journal of Nuclear Medicine Technology
    • /
    • v.13 no.3
    • /
    • pp.61-66
    • /
    • 2009
  • Purpose: Glomerular filtration rate (GFR) is considered as the best overall index for the level of renal function, diagnosis of doubtful kidney disease, progress observation from chronic kidney disease and is measured with the various methods. In this study, We measured standard GFR by Gates method and attempted to compare the result with serum creatinin-based, Cockcroft-Gault(C-G) formula and Modification of Diet in Renal Disease (MDRD) formula. Materials and methods: 217 patients (127 men, 90 women, mean age $51.3{\pm}16.9$) with various renal function were examined. we compared the GFR using $^{99m}Tc$-DTPA (Gates), C-G formula and MDRD formula. Results: Significant correlations were noted between 2 different GFR estimates (from C-G formula: r=0.864, p<0.0001, MDRD formula: r=0.831, p<0.0001) and $^{99m}Tc$-DTPA (Gates) GFR. Average of serum creatinine (Scr) was measured with $3.0{\pm}3.1\;mg/dL$, In patients with normal renal function (Scr<1.5 mg/dL), $^{99m}Tc$-DTPA (Gates) GFR was statistically significant to C-G formula (p<0.0001) and MDRD formula (p<0.0001). In patients with mild to moderate renal insufficiency (1.5$^{99m}Tc$-DTPA (Gates) GFR was not statistically significant to C-G formula (p=0.181) and MDRD formula (p=0.127). In patients with severe renal insufficiency (Scr>4.0mg/dL), $^{99m}Tc$-DTPA (Gates) GFR was statistically significant to C-G formula and MDRD formula (p<0.0001). Conclusions: Glomerular filtration rate using Gates method was closly correlated to C-G formula and MDRD formula. In patients with normal renal function, $^{99m}Tc$-DTPA (Gates) GFR was significantly lower than C-G formula and MDRD formula. In patients with mild to moderate renal insufficiency, $^{99m}Tc$-DTPA (Gates) GFR was simmilar with C-G formula and MDRD formula. In patients with severe renal insufficiency, $^{99m}Tc$-DTPA (Gates) GFR was significantly higher than C-G formula and MDRD formula. None of the three different methods was clearly superior to the others.

  • PDF

A Study on How Height and Weight Affects Glomerular Filtration Rate (신장과 체중의 변화가 사구체 여과율에 미치는 영향)

  • Park, A Rang;Choi, Jong Sook;Lee, Young Hee;Jung, Woo Young
    • The Korean Journal of Nuclear Medicine Technology
    • /
    • v.23 no.1
    • /
    • pp.40-44
    • /
    • 2019
  • Purpose Glomerular filtration rate (GFR) is an important index for evaluation of renal function, renal disease diagnosis and progress monitoring. Therefore, accurate measurement of GFR is clinically important. Among the factors that affect the GFR result, there have been many discussions on the methods such as the correction of the kidney depth, net syringe count, and the method of setting the ROI. However there has been no consideration of counting in the most basic factors like height and weight measurement. In this study, we investigate how height and weight changes affects the result of GFR and review the importance of standardized body measurements. Materials and Methods Fifty patients who underwent GFR test were randomly sampled and examined for changes in height and body weight within one month. From the normal patients without renal disease to the patients with severely decreased GFR, we applied the GFR formula of Gate with varying height and weight. Results: The result showed variation of the height at maximum three centimeters and six kilograms of weight. The first calculation of GFR was done with fixed height value and control variable as weight. Weight was incremented by one kilogram each time up to six kilograms. The GFR showed increased result with increasing weight. The result of GFR showed ten percent increase with six kilograms of weight increase. On the other hand, when height value was incremented by one centimeter up to three centimeters showed decreased GFR result with fixed weight value. Up to three centimeters of height increase showed two percent of decreased GFR with fixed weight. Conclusion This study showed varying GFR result when height and weight changes. Therefore it is clinically crucial not only to maintain and manage body measuring instrument but also to have a standardized measurement methods to derive accurate measured values and to achieve reproducibility.

Fuzzy Logic Based Buffer Management Algorithm to Improve Performance of Internet Traffic over ATM Networks (ATM 네트워크에서 인터넷 트래픽 성능 향상을 위한 퍼지기반 버퍼 관리 알고리즘)

  • 김희수;김관웅;박준성;배성환;전병실
    • Journal of the Institute of Electronics Engineers of Korea TC
    • /
    • v.40 no.9
    • /
    • pp.358-365
    • /
    • 2003
  • To support Internet traffic efficiently over ATM networks, Guaranteed Frame Rate(GFR) has been proposed in the ATM Forum. GFR provides minimum rate guarantees to VCs and allows any excess bandwidth in the network to be shared among the contending VCs in a fair manner. In this paper, we proposed a new fuzzy logic based buffer management algorithm that provides MCR guarantee and fair sharing to GFR VCs. A key feature of proposed algorithm is its ability to accept or drop a new incoming packet dynamically based on buffer condition and load ratio of VCs. This is achieved by using fuzzy logic controller for the production of a drop factor. Simulation results show that proposed scheme significantly improves fairness and TCP throughput compared with previous schemes.

Safety and efficacy of pemetrexed for the treatment of lung adenocarcinoma in patients with various stages of chronic kidney disease

  • Yang, Jieun;park, Ji Eun;Jo, Jaemin;Kim, Young Ree;Chang, Jee Won;Han, Sang Hoon;Han, Chi Wha
    • Journal of Medicine and Life Science
    • /
    • v.19 no.1
    • /
    • pp.14-19
    • /
    • 2022
  • We investigated the safety and efficacy of pemetrexed monotherapy in patients with lung adenocarcinoma and various renal conditions, including chronic kidney disease. We also analyzed whether baseline renal function affected progression-free survival (PFS). We retrospectively analyzed 71 patients who received maintenance-and second-line pemetrexed monotherapy. Patients were divided into two groups according to estimated glomerular filtration rate (eGFR): fair eGFR (>60 mL/min/1.73 m2) and lower eGFR (59 mL/min/1.73 m2 or less). The safety and efficacy were evaluated for each group. Median ages were 73.2 years in the lower eGFR group (n=28) and 64.5 years in the fair eGFR group (n=43). Patients with a lower eGFR achieved a median PFS of 4.7 months, while the median PFS for patients with a fair eGFR was 2.7 months. The difference between the two groups was not statistically significant (P=0.075). Both groups showed treatment-related low-grade hematological and non-hematological adverse events. Pemetrexed monotherapy is safe and effective in patients with lung adenocarcinoma with a lower eGFR.

Comparative analysis of Glomerular Filtration Rate measurement and estimated glomerular filtration rate using 99mTc-DTPA in kidney transplant donors. (신장이식 공여자에서 99mTc-DTPA를 이용한 Glomerular Filtration Rate 측정과 추정사구체여과율의 비교분석)

  • Cheon, Jun Hong;Yoo, Nam Ho;Lee, Sun Ho
    • The Korean Journal of Nuclear Medicine Technology
    • /
    • v.25 no.2
    • /
    • pp.35-40
    • /
    • 2021
  • Purpose Glomerular filtration rate(GFR) is an important indicator for the diagnosis, treatment, and follow-up of kidney disease and is also used by healthy individuals for drug use and evaluating kidney function in donors. The gold standard method of the GFR test is to measure by continuously injecting the inulin which is extrinsic marker, but it takes a long time and the test method is complicated. so, the method of measuring the serum concentration of creatinine is used. Estimated glomerular filtration rate (eGFR) is used instead. However, creatinine is known to be affected by age, gender, muscle mass, etc. eGFR formulas that are currently used include the Cockroft-Gault formula, the modification of diet in renal disease (MDRD) formula, and the chronic kidney disease epidemilogy collaboration (CKD-EPI) formula for adults. For children, the Schwartz formula is used. Measurement of GFR using 51Cr-EDTA (diethylenetriamine tetraacetic acid), 99mTc-DTPA (diethylenetriamine pentaacetic acid) can replace inulin and is currently in use. Therefore, We compared the GFR measured using 99mTc-DTPA with the eGFR using CKD-EPI formula. Materials and Methods For 200 kidney transplant donors who visited Asan medical center.(96 males, 104 females, 47.3 years ± 12.7 years old) GFR was measured using plasma(Two-plasma-sample-method, TPSM) obtained by intravenous administration of 99mTc-DTPA(0.5mCi, 18.5 MBq). eGFR was derived using CKD-EPI formula based on serum creatinine concentration. Results GFR average measured using 99mTc-DTPA for 200 kidney transplant donors is 97.27±19.46(ml/min/1.73m2), and the eGFR average value using the CKD-EPI formula is 96.84±17.74(ml/min/1.73m2), The concentration of serum creatinine is 0.84±0.39(mg/dL). Regression formula of 99mTc-DTPA GFR for serum creatinine-based eGFR was Y = 0.5073X + 48.186, and the correlation coefficient was 0.698 (P<0.01). Difference (%) was 1.52±18.28. Conclusion The correlation coefficient between the 99mTc-DTPA and the eGFR derived on serum creatinine concentration was confirmed to be moderate. This is estimated that eGFR is affected by external factors such as age, gender, and muscle mass and use of formulas made for kidney disease patients. By using 99mTc-DTPA, we can provide reliable GFR results, which is used for diagnosis, treatment and observation of kidney disease, and kidney evaluation of kidney transplant patients.

The Comparison of Glomerular Filteration Rate by Kidney Depth in Dynamic kidney Scan (동적신장검사에서 신장깊이에 따른 사구체여과율 비교)

  • Hwang, Ju-Won;Lim, Young-Hyen;Yun, Jong-Jun;Lee, Hwa-Jin;Lee, Mu-Seok;Jung, Ji-Uk;Park, Se-Yun
    • The Korean Journal of Nuclear Medicine Technology
    • /
    • v.18 no.2
    • /
    • pp.73-77
    • /
    • 2014
  • Purpose Find out about the significance of the GFR values calculated by the kidney depth is measured by comparing the values obtained for kidney depth was measured GFR in the CT image kidney depth and is calculated by Tonnesen law in $^{99m}Tc$-DTPA dynamic kidney scan with each applies. Materials and Methods Among patients with normal value (75~120 mL/min) computed GFR conducted of dynamic renal scan to visit from February 2013 to February 2014 and donor GFR values in patients with normal value. The mean age was 46.9 years with 14 men 13 females. We used abdomen CT image which checked before conducting dynamic Kidney scan for measuring the depth of kidney. We only used CT image that contains renal hilum and measured outermost front of the kidney from the skin surface (a) and the final surface (b) caculated the average depth of [(a + b) / 2] respectively. Using the same ROI in order to limit the change in GFR values by the other additional element was set before and after the depth value was excluded from the GFR falls kidney disease. Results Using Tonnesen law the average value was caculated 5.94 cm from the right kidney 5.90 cm from the left kidney. It was 6.83 cm, 8.71 cm in the left kidney and the right kidney average value of the depth measured on the basis of the CT image. The respective increase in left kidney 0.93 cm and right kidney 2.77 cm calculated on the basis of CT image actually measured values. GFR was calculated as the average depth of the subject calculated by the method Tonnesen $83.3{\pm}9.79mL/min$. $98.6{\pm}14.07mL/min$ GFR was applied to calculate the average depth of the subjects using the CT image, is the difference appears 15.26 mL/min was increased after seting up depth value, P value was less than 0.01 which is significant. Conclusion The difference between GFR before-after setting up depth value cause that the different of depth value. Is a measured depth of the extension value of the calculated estimates Whereas Tonnesen kidney depth method is to use in calculating the value of GFR in a typical dynamic elongation test depth derived using the CT image depth. Is thought to be able to calculate more accurately the GFR value by the distance to the center of kidney more accurately measured in the skin thereby.

  • PDF

A GFR Service of fairness Improvement Algorithm in hybrid Network (혼합 망에서 GFR 서비스의 공평성 향상 알고리즘)

  • 송선희;석경휴;김문환;김철영;배철수;나상동
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
    • /
    • 2004.05b
    • /
    • pp.386-390
    • /
    • 2004
  • 유무선 혼합 망에서 GFR서비스의 최소대역, 효율 및 트래픽 제어를 위한 버퍼관리 기법 등을 유무선 혼합망의 셀기반 네트워크에서 가중치를 높이는 시뮬레이션을 통해 공평성을 입증하는 연구를 한다. GFR서비스는 TCP/IP 패킷의 품질보장과 베스트 에포트 트래픽에 대한 최소의 대역폭 보장을 하며, 가용 대역폭에 대한 공평성 있는 대역할당을 지원해야 하기 때문에 버퍼관리를 통한 셀 폐기와 셀 스케줄링 둥이 중요한 요소이다. 본 논문에서는 유무선 혼합 네트워크에서 MCR을 보장하기 위하여 버퍼의 사용 가능한 영역의 활성 VC에 각 VC가중치를 비례해 할당하는 per-VC 어카운트에 기초한 트래픽 제어의 버퍼관리에 대한 유동적 WBA알고리즘을 제안하고 GFR 서비스의 효율 및 공평성을 유무선 혼합 망 셀 기반의 스위치를 이용하여 시뮬레이션으로 결과를 보인다.

  • PDF

Ape1/Ref-1 Stimulates GDNF/GFR ${\alpha}$ 1-mediated Downstream Signaling and Neuroblastoma Proliferation

  • Kang, Mi-Young;Kim, Kweon-Young;Yoon, Young;Kang, Yoon-Sung;Kim, Hong-Beum;Youn, Cha-Kyung;Kim, Dong-Hui;Kim, Mi-Hwa
    • The Korean Journal of Physiology and Pharmacology
    • /
    • v.13 no.5
    • /
    • pp.349-356
    • /
    • 2009
  • We previously reported that glial cell line-derived neurotropic factor (GDNF) receptor ${\alpha}$ 1 (GFR ${\alpha}$ 1) is a direct target of apurinic/apyrimidinic endonuclease 1 (Ape1/Ref-1). In the present study, we further analyzed the physiological roles of Ape1/Ref-1-induced GFR ${\alpha}$ 1 expression in Neuro2a mouse neuroblastoma cells. Ape1/Ref-1 expression caused the clustering of GFR ${\alpha}$ 1 immunoreactivity in lipid rafts in response to GDNF. We also found that Ret, a downstream target of GFR ${\alpha}$ 1, was functionally activated by GDNF in Ape1/Ref-1-expressing cells. Moreover, GDNF promoted the proliferation of Ape1/Ref-1-expressing Neuro2a cells. Furthermore, GFR ${\alpha}$ 1-specific RNA experiments demonstrated that the downregulation of GFR ${\alpha}$ 1 by siRNA in Ape1/Ref-1-expressing cells impaired the ability of GDNF to phosphorylate Akt and PLC ${\gamma}$-1 and to stimulate cellular proliferation. These results show an association between Ape1/Ref-1 and GDNF/GFR ${\alpha}$ signaling, and suggest a potential molecular mechanism for the involvement of Ape1/Ref-1 in neuronal proliferation.

Performance Improved Buffer Management Algorithm for GFR Service (GFR 서비스를 위한 성능 향상된 버퍼관리 알고리즘)

  • Cho Hae-Seong
    • The Journal of the Korea Contents Association
    • /
    • v.5 no.5
    • /
    • pp.248-254
    • /
    • 2005
  • The existing buffer management scheme is caused by with burstness characteristic of the TCP traffic and with only the transmission which is not loss it provides the smallest transmission rate guarantee where the GFR demands and a fair characteristic. In order to provide a high fair characteristic from the dissertation which it sees with the smallest transmission rate guarantee where the GFR demands it proposed the existing buffer algorithm which applies a Fuzzy mechanism in the existing buffer management technique. The proposed algorithm decides a packet disuse used by three parameters which are composed of tagging information, the buffer usage, and the load of VC. Simulation results shows that the fairness and goodput of the proposed algorithm were excellent where the size of MCR will become larger, from the switch the Double-EPD or the DFBA was visible a similar efficiency even from size change of the buffer. The algorithm which is proposed provides a good throughput and a fair characteristic.

  • PDF