• 제목/요약/키워드: Morphological grade

검색결과 66건 처리시간 0.026초

Early fragment removal on in vitro fertilization day 2 significantly improves the subsequent development and clinical outcomes of fragmented human embryos

  • Kim, Seok-Gi;Kim, Youn-Young;Park, Ji-Young;Kwak, Su-Jin;Yoo, Chang-Seok;Park, Il-Hae;Sun, Hong-Gil;Kim, Jae-Won;Lee, Kyeong-Ho;Park, Hum-Dai;Chi, Hee-Jun
    • Clinical and Experimental Reproductive Medicine
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    • 제45권3호
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    • pp.122-128
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    • 2018
  • Objective: To determine whether fragment removal on in vitro fertilization (IVF) day 2 improved the subsequent development and pregnancy outcomes of fragmented embryos compared to similar-grade embryos without fragment removal. Methods: This study was a retrospective analysis involving 191 IVF cycles in which all embryos had over 10% fragmentation (grade 3 or 4) on day 2 of the IVF-embryo transfer cycle from March 2015 to December 2017. IVF cycles were divided into the fragment removal group (n = 87) and the no fragment removal group (n = 104) as a control cohort. Before fragment removal, embryos with fragmentation on day 2 were incubated in $Ca^{2+}$- and $Mg^{2+}$-free biopsy medium under paraffin oil for 30 minutes. Microsurgical fragment removal was performed with later-assisted hatching and a handmade suction micropipette that had an outer diameter of $30{\mu}m$. Results: There were no significant differences in the characteristics of the patients between the control and the fragment removal groups. After fragment removal and subsequent in vitro culture for 24 hours, the number of blastomeres ($7.1{\pm}1.7$ vs. $6.9{\pm}1.6$) was comparable between the transferred embryos in the two groups, but the morphological grade of the embryos in the fragment removal group ($1.9{\pm}0.7$) was significantly higher than that of the control group ($3.1{\pm}0.5$, p< 0.01). The clinical pregnancy (43.7%) and implantation rates (25.8%) in the fragment removal group were significantly higher than those in the control group (28.8% and 14.0%, respectively; p< 0.05). Conclusion: Early fragment removal on day 2 significantly improved the subsequent development and pregnancy outcomes of fragmented embryos.

Role of Cordycepin and Adenosine on the Phenotypic Switch of Macrophages via Induced Anti-inflammatory Cytokines

  • Shin, Seul-Mee;Moon, Sun-Hee;Park, Yoon-Hee;Kwon, Jeong-Hak;Lee, Seung-Jeong;Lee, Chong-Kil;Cho, Kyung-Hae;Kim, Kyung-Jae
    • IMMUNE NETWORK
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    • 제9권6호
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    • pp.255-264
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    • 2009
  • Background: Chronic low grade inflammation is closely linked to type II diabetes, obesity, and atherosclerosis. Macrophages play a key role in the regulation of pro- or anti-inflammatory actions at the lesion sites of disease. Components of cordyceps militaris, cordycepin and adenosine, have been used for the modulation of inflammatory diseases. The effects of cordycepin in the modulation of macrophages have yet to be be elucidated. We investigated the effects of cordycepin and adenosine on the morphological changes of macrophages under the inflammatory condition of LPS and an anti-inflammatory condition involving high concentrations of adenosine. Methods: We confirmed the mRNA levels of the M1/M2 cytokine genes through RT-PCR and morphological change. Results: LPS-activated macrophages returned to their inactivated original shape, i.e., they looked like naive macrophages, through the treatment with high concentrations of cordycepin ($40{\mu}g/ml$). LPS and adenosine activated macrophages also returned to their original inactivated shapes after cordycepin treatment; however, at relatively higher levels of cordycepin than adenosine. This change did not occur with relatively low concentrations of cordycepin. Adenosine down-regulated the gene expression of M1 cytokines (IL-$1{\beta}$, TNF-${\alpha}$) and chemokines (CX3CR1, RANTES), such as cordycepin. Additionally, M2 cytokines (IL-10, IL-1ra, TGF-${\beta}$) were up-regulated by both cordycepin and adenosine. Conclusion: Based on these observations, both cordycepin and adenosine regulated the phenotypic switch on macrophages and suggested that cordycepin and adenosine may potentially be used as immunomodulatory agents in the treatment of inflammatory disease.

Influence of Clinical and Anatomic Features on Treatment Decisions for Anterior Communicating Artery Aneurysms

  • Choi, Jae-Hyung;Kang, Myung-Jin;Huh, Jae-Taeck
    • Journal of Korean Neurosurgical Society
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    • 제50권2호
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    • pp.81-88
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    • 2011
  • Objective : The purpose of this study was to analyze the clinical and anatomic features involved in determining treatment modalities for anterior communicating artery (AcoA) aneurysms. Methods : The authors retrospectively evaluated 112 AcoA aneurysms with pretreatment clinical features including age, Hunt and Hess grade, medical or neurological comorbidity, and anatomical features including aneurysm size, neck size, dome-to-neck ratio, vessel incorporation, multiple lobulation, and morphologic scoring system. Post-treatment clinical results were classified according to the Glasgow Outcome Scale, and anatomic results in coiled patients were classified according to the modified Raymond scale. Using multivariate logistic regression, the probabilities for decision making between surgical clipping and coil embolization were calculated. Results : Sixty-seven patients (60%) were treated with surgical clipping and 45 patients (40%) with endovascular coil embolization. The clinical factor significantly associated with treatment decision was age (${\geq}$65 vs. <65 years) and anatomical factors including aneurysm size (small or large vs. medium), dome-to-neck ratio (<2 vs. ${\geq}$2), presence of vessel incorporation, multiple lobulation, and morphologic score (${\geq}$2 vs. <2). In multivariate analysis, older patients (age, 65 years) had significantly higher odds of being treated with coil embolization relative to clipping (adjusted OR=3.78; 95% CI, 1.39-10.3; p=0.0093) and higher morphological score patients (${\geq}$2) had a higher tendency toward surgical clipping than endovascular coil embolization (OR=0.23; 95% CI, 0.16-0.93; p=0.0039). Conclusion : The optimal decision for treating AcoA aneurysms cannot be determined by any single clinical or anatomic characteristics. All clinical and morphological features need to be considered, and a collaborative neurovascular team approach to AcoA aneurysms is essential.

Are Blood Blister-Like Aneurysms a Specific Type of Dissection? A Comparative Study of Blood Blister-Like Aneurysms and Ruptured Mizutani Type 4 Vertebral Artery Dissections

  • Sim, Sook Young;Chung, Joonho;Shin, Yong Sam
    • Journal of Korean Neurosurgical Society
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    • 제56권5호
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    • pp.395-399
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    • 2014
  • Objective : Blood blister-like aneurysms (BBAs) resemble arterial dissections. The purpose of this study was to investigate the relationship between these two disease entities and highlight commonalities and distinct features. Methods : Among 871 consecutive patients with aneurysmal subarachnoid hemorrhage, 11 BBAs of internal carotid artery and seven vertebral artery dissections (VADs) with a short segmental eccentric dilatation (Mizutani type 4), which is morphologically similar to a BBA, were selected. The following clinical factors were studied in each group : age, gender, risk factors, Hunt and Hess grade (HHG), Fisher grade (FG), vasospasms, hydrocephalus, perioperative rebleeding rate, and treatment outcome. Results : The mean age was 47.9 years in the BBAs group and 46.4 years in the type 4 VADs group. All the BBA patients were female, whereas there was a slight male predominance in the type 4 VAD group (male : female ratio of 4 : 3). In the BBA and type 4 VAD groups that underwent less aggressive treatment to save the parent artery, 29% (n=2/7) and 66.6% (n=2/3), respectively, eventually required retreatment. Perioperative rebleeding occurred in 72.7% (n=8) and 28.6% (n=2) of patients in the BBA and type 4 VAD groups, respectively. There was no statistical difference in the other clinical factors in both groups, except for the male dominancy in the type 4 VAD group (p=0.011). Conclusion : BBAs and ruptured type 4 VADs have a similar morphological appearance but there is a distinct clinical feature in gender and perioperative rebleeding rates. Complete isolation of an aneurysm from the parent artery might be the most important discipline for the treatment of these diseases.

One-year Survival Rate of Patients with Primary Malignant Central Nervous System Tumors after Surgery in Kazakhstan

  • Akshulakov, Serik;Igissinov, Nurbek;Aldiyarova, Nurgul;Akhmetzhanova, Zauresh;Ryskeldiyev, Nurzhan;Auezova, Raushan;Zhukov, Yevgeniy
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권16호
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    • pp.6973-6976
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    • 2014
  • This study was conducted to evaluate the one-year survival rate of patients with primary malignant central nervous system (CNS) tumors after surgical treatment in Kazakhstan. Retrospective data of patients undergoing operations in the Department of Central Nervous System Pathology in the JSC National Centre for Neurosurgery in the period from 2009 to 2011 were used as the research material. Kaplan-Meier survival analysis was performed with the following information: gender, date of birth, place of residence, diagnosis according to ICD-10, the date of the operation, the morphological type of tumor, clinical stage, state at the end of the first year of observation, and the date of death. The study was approved by the ethical committee of the JSC National Centre for Neurosurgery. The overall one-year overall survival rate (n=152) was 56.5% (95% confidence interval (CI): 50.2-62.7), and 79.5% (95% CI 72.2-86.8) and 33.1% (95% CI: 21.0-42.3) for Grades I-II (n=76) and Grades III-IV (n=76), respectively. Significant prognostic factors which affected the survival rate were age and higher tumor grade (Grades III-IV), corresponding with results described elsewhere in the world.

폐에 원발성으로 발생한 림프절외 변연부 B-세포 림프종 1례 보고 (A Case Report of Primary Pulmonary Extranodal Marginal Zone B-cell Lymphoma of MALT Type)

  • 한성호;정원상;김혁;김영학;강정호;이영열;박찬금
    • Journal of Chest Surgery
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    • 제35권7호
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    • pp.564-567
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    • 2002
  • Primary malignant lymphoma of the lung is a very rare disease, which consists of 0.34% of entire malignant lymphoma. The majority are low-grade B-cell tumors, and because of their morphological peculiarities and overall excellent prognosis, many cases, like many other extranodal lymphomas, have been mislabelled as "pseudolymphomas" in the past. For these reasons their true incidence is difficult to estimate. An incidentally discovered mass in the right middle lobe of a 36-year-old woman was operated on November 9, 2001 at Hanyang University Hospital. A right upper lobectomy was done and the pathologic diagnosis of extranodal marginal zone B-cell lymphoma of MALT type was made.

양마의 인피섬유를 이용한 한지제조 (Hanji Manufacturing from Bast Fibers of Kenaf, Hibiscus cannabinus)

  • 조남석
    • 펄프종이기술
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    • 제40권4호
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    • pp.1-9
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    • 2008
  • The utilization of non-woody fibers with the fast growing annual plants has occurred in the paper industry to replace wood and preserve environment of the earth. The non-woody fibers generally used for papermaking are paper mulberry, gampi, manila hemp, rice straw, bamboo, and coton linter etc.. Recently Kenaf has been spot-lighted for the same application. Kenaf is an annual plant of Hibiscus species of Malvaceae family. Kenaf, a rapid growing and high harvesting non-woody fiber plant, was identified as one of the promising fiber sources for the production of paper pulp. This study was carried out to investigate the pulping characteristics of Kenaf bast fiber for Hanji (traditional Korean paper) manufacturing by different pulping methods, such as alkali, alkali-peroxide and sulfomethylated pulpings. It was possible to make superior grade of Hanji. Especially sulfomethylated pulping was resulted in superior pulp in terms of higher yields and qualities in comparison to those of the other pulping methods. Hanji from sulfomethylated pulp was shown the highest brightness of over 60% and higher sheet strength. In addition, the morphological features of pulp fibers (pulp compositions) affect to the sheet properties. Therefore the effect of fiber distribution index(FDI) which was calculated from the data of Confocal laser scanning microscopy(CLSM) on the sheet properties of Kenaf Hanji was also discussed.

Synergistic effect of clay and polypropylene short fibers in epoxy based ternary composite hybrids

  • Prabhu, T. Niranjana;Demappa, T.;Harish, V.;Prashantha, K.
    • Advances in materials Research
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    • 제4권2호
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    • pp.97-111
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    • 2015
  • Polypropylene short fiber (PP)-clay particulate-epoxy ternary composites were prepared by reinforcing PP short fiber and clay particles in the range of 0.1 phr to 0.7 phr into epoxy resin. Prepared hybrid composites were characterized for their mechanical, thermal and flame retardant properties. The obtained results indicated an increase in impact resistance, tensile strength, flexural strength and Young's modulus to an extent (up to 0.5 phr clay and 0.5 phr PP short fiber) and then decreases as the reinforcing phases are further increased. The thermal stability of these materials are found to increase up to 0.2 phr clay and 0.2 phr PP addition, beyond which it is decreased. Addition of clay is found to have the negative effect on epoxy-PP short fiber composites, which is evident from the comparison of mechanical and thermal properties of epoxy-0.5 phr PP short fiber composite and epoxy-0.5 phr PP short fiber-0.5 phr clay composite hybrid. UL-94 tests conducted on the composite hybrids have showed a reduction in the burning rate. Morphological observations indicated a greater fiber pull with the addition of clay. The performed tests in the present study indicated that materials under investigation have promising applications in construction, agriculture and decorative purposes.

Comparison of Storage Stability, Volatile Compounds and Sensory Properties between Coarsely-and Finely-Marbled 1+ Grade Hanwoo Beef Loins

  • Cho, Soohyun;Lee, Wangyeol;Seol, Kuk-Hwan;Kim, Yunseok;Kang, Sun Moon;Seo, Hyunwoo;Jung, Younbok;Kim, Jinhyoung;Ba, Hoa Van
    • 한국축산식품학회지
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    • 제40권4호
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    • pp.497-511
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    • 2020
  • This study aimed at comparing the storage stability, fatty acids profile, volatile flavor compounds and eating quality of Hanwoo beef longissimus thoracis (LT) muscles between two marbling morphological groups (fineness and coarseness). The 1+ grade Hanwoo LT muscles were measured for marbling fleck morphology at the 13th thoracic vertebrae location by using computerized image analysis. Results reveal that both marbling groups had similar proximate composition (protein, fat, moisture and collagen), color and technological quality traits (p>0.05). However, the coarse marbling group presented greater C18:2n6 and polyunsaturated fatty acids contents compared to the fine marbling group (p<0.05). Furthermore, the fine marbling group presented lower volatile basic nitrogen (VBN) and 2-thiobarbituric acid reactive substance (TBARS) contents compared to the coarse marbling group after 14 d storage (p<0.05). Also, higher amounts of C18:2n6 oxidation-derived volatile compounds such as hexanal and 3-ethyl-2-methyl-1,3-hexadiene, were found in the coarse marbling group. In term of sensory aspects, the finely-marbled group received higher scores of flavor and taste compared to the coarse marbling group (p<0.05). Overall, the marbling flecks morphology partially showed its effects on the storage stability, fatty acids profile and eating quality of the 1+ grade Hanwoo beef LT muscle.

무등산, 천봉산 및 조계산에서 털조장나무 개체군의 분포특성과 동태 (Distribution Characteristics and Dynamics of the Lindera sericea Population at Mt. Mudeung, Mt. Cheonbong and Mt. Chogye)

  • 임동옥;최대훈;윤홍균
    • 한국환경생태학회지
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    • 제29권4호
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    • pp.570-579
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    • 2015
  • 녹나무과 생강나무속인 털조장나무는 한국 희귀식물 가운데 약관심종(LC), 식물구계학적 특정식물 IV등급 종이며 무등산국립공원 깃대종이다. 무등산, 천봉산 및 조계산 지역에서 털조장나무는 경사도는 $12^{\circ}{\sim}51^{\circ}$, 분포사면은 북서사면에서 북동사면까지, 해발고는 220~533m사이에 분포하였다. 털조장나무를 조사한 방형구에서 확인한 관속식물은 37과 54속 66종 5변종 1품종 총 72분류군이었다. 이중 식물구계학적 특정식물 IV등급종은 털조장나무, III등급 종에는 노각나무와 단풍나무가 있었으며, 한국 고유종은 노각나무와 지리대사초였다. 털조장나무가 분포하는 무등산지역의 식생군집은 신갈나무와 졸참나무-털조장나무, 때죽나무 군집, 천봉산지역은 노각나무-털조장나무, 조릿대군집, 조계산지역의 선암사지역은 서어나무-털조장나무, 조릿대군집 그리고 송광사 지역은 노각나무-털조장나무, 조릿대군집이었다. 조사된 털조장나무는 총 662개체였는데 이중 치수를 포함한 줄기가 1개인 개체는 353개(53.32%)였고, 2~5개의 맹아지를 갖는 개체는 270개(40.79%)였다. 맹아지 수가 가장 많은 개체는 27개로 확인되었다. 전체 662개체에서 맹아지 수는 1,198줄기였다. 또한 수고는 50cm에서 150cm까지의 개체가 699개(58.34%)로 가장 많았고 가장 큰 맹아지는 565cm였다. 맹아지의 근원 직경은 1cm미만이 992개(82.81%)로 가장 많았고 다음은 직경 1.0~1.5cm는 156개(13.2%)였다. 가장 큰 줄기는 근원 직경이 3.2cm이고 키는 565cm이었는데 근원부는 50%가, 흉고부는 25%가 고사된 상태였고, 줄기 한쪽이 세로로 찢어져 있었다. 4m이상인 3개체의 줄기도 정단부의 가지가 일부 고사된 상태였다. 따라서 한국산 털조장나무는 정아우세인 수형을 유지하지만 일정 수고 이상의 줄기는 고사되고 맹아지 수를 증가시킴으로서 개체의 형태적 적응을 보이는 관목이다.