• 제목/요약/키워드: P-pg

검색결과 759건 처리시간 0.024초

Effects of sun exposure and dietary vitamin D intake on serum 25-hydroxyvitamin D status in hemodialysis patients

  • Lee, Yeon Joo;Oh, Il Hwan;Baek, Hee Jun;Lee, Chang Hwa;Lee, Sang Sun
    • Nutrition Research and Practice
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    • 제9권2호
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    • pp.158-164
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    • 2015
  • BACKGROUND/OBJECTIVES: Vitamin D deficiency is common in hemodialysis patients. The aim of this study was to identify whether or not sun exposure and dietary vitamin D intake have effects on serum 25-hydroxyvitamin D (25(OH)D) status in hemodialysis (HD) patients. The objective was to identify the main determinants of serum vitamin D status in the study subjects. SUBJECTS/METHODS: A cross-sectional study of 47 HD patients (19 males and 28 females) was performed. We assessed serum 25(OH)D and $1,25(OH)_2D$ levels between August and September 2012 and analyzed the prevalence of vitamin D deficiency in HD patients. To evaluate the determinants of serum 25(OH)D levels, we surveyed dietary vitamin D intake, degree of sun exposure, and outdoor activities. To compare biological variables, serum 25(OH)D was stratified as below 15 ng/ml or above 15 ng/ml. RESULTS: Mean 25(OH)D and $1,25(OH)_2D$ levels were $13.5{\pm}5.8ng/ml$ and $20.6{\pm}11.8pg/ml$, respectively. The proportions of serum 25(OH)D deficiency (< 15 ng/ml), insufficiency (15-< 30 ng/ml), and sufficiency (${\geq}30ng/ml$) in subjects were 72.4%, 23.4%, and 4.3%, respectively. Prevalence of vitamin D deficiency in female patients was 78.6%, whereas that in males was 63.2% (P = 0.046). Vitamin D intake and sun exposure time were not significantly different between the two stratified serum 25(OH)D levels. Dietary intake of vitamin D did not contribute to increased serum 25(OH)D levels in HD patients. The main effective factors affecting serum 25(OH)D status were found to be the sun exposure and active outdoor exercise. CONCLUSIONS: Hypovitaminosis D is common in HD patients and is higher in females than in males. Sun exposure is the most important determinant of serum 25(OH)D status in HD patients.

BNR 효율개선을 위한 산 발효조 최적운전 조건에 관한 연구 (A Study on the Optimum Operating Condition of Acid Fermenter for the BNR Performance Improvement)

  • 김효상;박종운;서정원;박철휘
    • 대한환경공학회지
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    • 제22권3호
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    • pp.587-595
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    • 2000
  • 국내 하수처리장에 적용되는 BNR(Biological Nutrients Removal) 공정의 효율저하 원인은 유입원수의 낮은 C/N비와 탄소 (Carbon source) 부족이 가장 큰 것으로 지적되어 왔다. 탄소원의 효율적인 공급을 위해 1차 슬러지 산 발효조(Acid fermenter)를 이용하여 SCFAs(Short-Chain Fatty Acids) 생성을 유도할 수 있다. 본 연구에서는 side-stream의 산 발효조와 조합된 $A_2/O$ 프로세스를 운전하여 영양염류 제거에 미치는 영향을 연구하였다. 그 결과 산 발효조의 최대 SCFAs생성은 중온상의 SRT 4~5일에서 약 3.000mg/L(as COD), 대략 0.10~0.16 mg SCFA(as COD)/mg 1차 슬러지(as COD)로 나타났다. 또한 생성된 SCFAs의 성상비는 Acetic, Propionic, (iso)Butyric 및 (iso)Valeric이 1, 0.7, 0.5 그리고 0.6 순으로 나타났다. BNR공정의 side-stream 산 발효조 적용에 의한 영양염류 제거효율은 크게 증가하는 것으로 나타났다. T-N은 인공하수(R1)의 경우 35% 정도의 낮은 처리효율을 나타냈으나 인공 SCFA 주입(R2) 및 발효산물 투입(R3)의 경우 제거효율 74%, 76%로 크게 향상되는 것으로 나타났다. 또한 Phosphate 는 R1의 경우 45% 의 처리효율을 나타냈으나 R2, R3의 경우 73~74% 정도로 양호한 처리효율을 나타냈다. 이는 발효산물 및 SCFA 주입에 의해 혐기조에서 인의 방출 및 호기조에서 과잉섭취가 잘 이루어졌기 때문으로 R3의 경우 인의 방출율은 $0.34g\;PO_4-P/g$ COD로 기존 연구와 비교해서 유사한 것으로 나타났다.

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동종 종양 세포 용해액을 이용한 수지상 세포 항암 백신의 흑색종 폐암 전이 모델에서의 효과 연구 (Effect of Dendritic Cell Based Cancer Vaccine Using Allogeneic Tumor Cell Lysate in Melanoma Pulmonary Metastasis Model)

  • 이영준;김명주;인소희;최옥미;백소영;권영도;이현아
    • IMMUNE NETWORK
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    • 제5권3호
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    • pp.163-171
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    • 2005
  • Background: To perform the successful dendritic cell-based cancer immunotherapy one of the main issues to be solved is the source of antigen for DC pulsing. Limitations occur by using auto-tumor lysate due to the difficulties obtaining enough tumor tissue(s) quantitatively as well as qualitatively. In this study the possibility of allogeneic tumor cell lysate as a DC pulsing antigen has been tested in mouse melanoma pulmonary me tastasis model. Methods: B16F10 melanoma cells $(1{\timeS}10^5/mouse)$ were inoculated intra venously into the C57BL/6 mouse. Therapeutic DCs were cultured from the bone marrow myeloid lineage cells with GM-CSF and IL-4 (1,000 U/ml each) for 7 days and pulsed with lysate of either autologous B16F10 (B-DC), allogeneic K1735 (C3H/He origin; K-DC) or CloneM3 (DBA2 origin; C-DC) melanoma cells for 18 hrs. Pulsed-DCs $(1{\times}10^6/mouse)_{[CGP1]}$ were injected i.p. twice with one week interval starting from the day 1 after tumor cell inoculation. Results: Without observable toxicity, allogeneic tumor cell lysate pulsed-DC induced the significantly better anti-tumor response (tumor scale: $2.7{\pm}0.3,\;0.7{\pm}0.3\;and\;0.3{\pm}0.2$ for saline, B-DC and C-DC treated group, respectively). Along with increased tumor specific lymphocyte proliferations, induction of IFN-${\gamma}$ secretion against both auto- and allo-tumor cell lysates was observed from the DC treated mice. (w/B16F10-lysate: $44.97{\pm}10.31,\;1787.94{\pm}131.18,\;1257.15{\pm}48.27$, w/CloneM3 lysate: 0, $1591.13{\pm}1.83,\;1460.47{\pm}86.05pg/ml$ for saline, B-DC and C-DC treated group, respectively) Natural killer cell activity was also increased in the mice treated with tumor cell lysate pulsed-DC ($8.9{\pm}_{[CGP2]}0.1,\;11.6{\pm}0.8\;and\;12.6{\pm}0.7%$ specific NK activity for saline, B-DC and C-DC treated group, respectively). Conclusion: Conclusively, promising data were obtained that allogeneic-tumor cell lysate can be used as a tumor antigen for DC-based cancer immunotherapy.

Urinary Estrone Sulfate for Monitoring Pregnancy of Dairy Cows

  • Yang, C.J.;Wu, L.S.;Tseng, C.M.;Chao, M.J.;Chen, P.C.;Lin, J.H.
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권9호
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    • pp.1254-1260
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    • 2003
  • The purpose of this study firstly was conducted to establish a radioimmunoassay (RIA) of estrone sulfate ($E_1S$), secondly to monitor the reproductive status of dairy cows using their urine samples. Urine and blood samples were collected in series within a day from four pregnant Holstein-friesian cows to evaluate the relationship between $E_1S$ levels in blood and urine with or without urinary creatinine basis. The urine was then collected biweekly from three cows in estrous and those artificially inseminated; collection from pregnant cows was made on a monthly basis. Results indicated that sensitivity for the $E_1S$ RIA was 5 pg/tube and the recovery rate was 100%. The daily urinary creatinine concentrations fluctuated within a day, but changes were slighter in midday, whereas the changes of concentrations of $E_1S$ in urine were relatively smaller. The concentrations of serum $E_1S$ during the estrous cycle were undetectable due to the limitation of assay, but the urinary $E_1S$ level could be measured with no obvious changes during the cycle. The urinary $E_1S$ levels increased remarkably around 7.7 to 8.3 ng/ml, 80 to 100 days after pregnancy but the serum $E_1S$ levels did not elevate until 120 to 150 days. The level of $E_1S$ increased gradually during pregnancy and eventually reached its peak before parturition at around 40 ng/ml and finally decreased to its basal level 2 days postparturition. During pregnancy, $E_1S$ concentrations of urine increased earlier than those in blood. The correlation coefficients between urinary and serum $E_1S$ concentration during pregnancy and postparturm were higher than those adjusted with creatinine (creatinine ratio). The concentrations of $E_1S$ in urine could be maintained unchanged for 8 days storing the samples in room temperature, which was extended to 8 days when the samples were pretreated by boiling for 30 minutes or treated with autoclave. In conclusion urinary $E_1S$ concentrations can be used directly for monitoring the pregnant status and fetal viability of dairy cows and can assist accurate confirmation of pregnancy in cows at least 80 to 100 days after insemination much earlier than by serum $E_1S$.

효율적인 End-to-End QoS 관리를 위한 QoS 인자 Metrics 에 관한 연구 (The Study of QoS Parameter Metrics For Efficient End-to-End QoS Management)

  • 이상영;손진호;안계순;황선하;정태명
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2003년도 추계학술발표논문집 (중)
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    • pp.907-910
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    • 2003
  • 이동통신 기술이 발전함에 따라 이동통신 네트워크를 통한 서비스들이 다양해지고, 사용자들의 수는 점점 늘어가고 있다. 또한 사용자들은 일반적으로 이동통신 서비스에 대해 유선 망과 동등한 수준의 품질을 기대한다. 그러나, 이동통신망은 유무선 통합망으로 구성되어 있으며, 이들 복잡한 구성을 갖는 네트워크에 대한 서비스 품질 보장은 유선망에 비해 훨씬 어렵다. 이의 결과로, 이동통신 서비스 네트워크의 트래픽은 과거에 비해 폭발적으로 증가하였다. 따라서, 네트워크 사업자와 서비스 제공자들은 서비스의 성능 문제에 직면하고 있으며, 네트워크 사업자나 서비스 제공자들은 효과적인 서비스 품질관리 기술을 강력하게 요구하고 있다. QoS 감시는 QoS 제공과 보장을 위한 기본적인 기술로서, 실제 네트워크에서 QoS 감시를 위해서는 네트워크 및 서비스 성능 인자들과 QoS 인자들의 관계를 식별해야 한다. 본 논문에서는 서비스와 네트워크 성능인자 그리고, QoS 인자들간의 관계를 QoS metrics로 정의하며, 각 인자들의 관계는 계층적인 그래프로 나타낸다. QoS metrics의 정의와 이에 따른 계층적 그래프의 구성을 통해 세 가지 이점을 기대 할 수 있다. 첫째, 네트워크 사업자들은 QoS 저하의 주요 원인을 신속하게 식별 할 수 있다. 둘째, 네트워크 사업자들과 서비스 제공자들은 주관적인 QoS 를 수치 적인 성능 지표를 통해 측정이 가능하다. 마지막으로, QoS metrics 는 네트워크 사업자들과 서비스 제공자들이 QoS 감시 활동의 결과에 따라 그들의 네트워크를 재구성하는 데 도움을 주며 E2E QoS 제공에 효율성을 가져다 준다.현을 정형화하기 위해 Oolong 코드의 명령어들을 문법으로 작성하였으며, PGS를 통해 생성된 어휘 정보를 가지고 스캐너를 구성하였으며, 파싱테이블을 가지고 파서를 설계하였다. 파서의 출력으로 AST가 생성되면 번역기는 AST를 탐색하면서 의미적으로 동등한 MSIL 코드를 생성하도록 시스템을 컴파일러 기법을 이용하여 모듈별로 구성하였다.적용하였다.n rate compared with conventional face recognition algorithms. 아니라 실내에서도 발생하고 있었다. 정량한 8개 화합물 각각과 총 휘발성 유기화합물의 스피어만 상관계수는 벤젠을 제외하고는 모두 유의하였다. 이중 톨루엔과 크실렌은 총 휘발성 유기화합물과 좋은 상관성 (톨루엔 0.76, 크실렌, 0.87)을 나타내었다. 이 연구는 톨루엔과 크실렌이 총 휘발성 유기화합물의 좋은 지표를 사용될 있고, 톨루엔, 에틸벤젠, 크실렌 등 많은 휘발성 유기화합물의 발생원은 실외뿐 아니라 실내에도 있음을 나타내고 있다.>10)의 $[^{18}F]F_2$를 얻었다. 결론: $^{18}O(p,n)^{18}F$ 핵반응을 이용하여 친전자성 방사성동위원소 $[^{18}F]F_2$를 생산하였다. 표적 챔버는 알루미늄으로 제작하였으며 본 연구에서 연구된 $[^{18}F]F_2$가스는 친핵성 치환반응으로 방사성동위원소를 도입하기 어려운 다양한 방사성의 약품개발에 유용하게 이용될 수 있을 것이다.었으나 움직임 보정 후 영상을 이용하여 비교한 경우, 결합능 변화가 선조체 영역에서 국한되어 나타나며 그 유

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고분자유기응집제 (Polyacrylamide)를 활용한 농경지 사면 토양유실 저감 효과 분석 (Polyacrylamide, Its Beneficial Application of Soil Erosion Control from Sloped Agricultural Fields)

  • 김민영;최용훈;이상봉;김현정;김승희;김영진
    • 한국농공학회논문집
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    • 제57권5호
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    • pp.123-128
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    • 2015
  • This study conducted a series of field experiments using soil conditioners, Polyacrylamide(PAM) and gypsum, to evaluate their effects in reducing sediment loss and surface runoff. In addition, the correction factors (K-alpha) for the erodibility factor (K) were determined to reflect the effects of PAM and PAM+gypsum in applying the USLE equation. Experimental erosion plots individually sized $10m^2$ (5 m long, 2 m wide and 1 m deep) have different slopes (10, 20 and 30%). Erosion plots were prepared for one control (C; no PAM and gypsum) and two treatments (P; PAM 20 kg/ha, PG; PAM 20 kg/ha+gypsum 3,000 kg/ha). The amounts of soil eroded and runoff were continuously monitored from July $1^{st}$ to Oct. $31^{st}$ in 2010 and compared to each other. The amount of sediment loss from a control plot was 399.2 ton/ha and the relative reduction of sediment loss were 11.4% and 33.4% for PAM-treated and PAM+gypsum treated plots, respectively. This study also determined the K-alpha factors in the USLE equation to account for the erosion control effectiveness of PAM and gypsum application. The K-alpha factors were calculated as 0.92 for PAM-treated plot and 0.69 for PAM+gypsum-treated plot. The findings of this study revealed that soil conditioners (PAM and gypsum) could play a significant role in controlling soil erosion. In addition, the modified USLE equation using the K-alpha could provide valuable information to make better decision on establishment of best management practice for soil erosion control in agriculture.

과배란유도에 의한 난소과자극증후군 발생 고위험군에 있어서 알부민 정맥투여요법의 효과에 관한 연구 (The use of Intravenous Albumin for the Prevention of Ovarian Hyperstimulation Syndrome in Patients at High Risk in in Vitro Fertilization)

  • 문신용;노재숙;이경순;서창석;김석현;최영민;신창재;김정구;이진용;장윤석
    • Clinical and Experimental Reproductive Medicine
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    • 제22권2호
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    • pp.171-181
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    • 1995
  • Ovarian hyperstimulation syndrome(OHSS) is one of the well-known complication of controlled ovarian hyperstimulation(COH). Though there have been numerous measures to prevent the occurrence of OHS, it has not been completely preventable until now. The fluid shift from the intravascular space to the third space is due to decreased oncotic pressure of the serum. The objective of this study was to evaluate if IV administration of 20% albumin in those patients with OHSS risk can make prevention of severe OHSS. We retrospectively analysed 70 patients undergoing IVF-ET who had serum peak estradiol($E_2$) level of >2,500 pg/ml and/or the number of oocytes retrieved over 20. The treatment group(n=39) received albumin while the control group(n=31) did not. After 40 grams of human albumin diluted in 1,000 ml of 0.9% sodium chloride solution, the treatment group received half of the fluid during oocyte retrieval, the remainder in the recovery suite. The results were as follows; There were significant differences in the levels of serum peak $E_2$ and number of oocytes retrieved between the two groups(p<0.05). However, there were no significant differences in the incidence of OHSS and pregnancy rate or multifetal pregnancy rate. In conclusion, administration of albumin to OHSS risk patients did not reduce the rate of OHSS in IVF-ET. However, if we consider the fact that there were differences in the level of peak serum $E_2$ and oocyte numbers, further prospective study may be needed.

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비공유 공간 데이터베이스 클러스터에서 고가용성을 위한 병렬 회복 기법 (The Parallel Recovery Method for High Availability in Shared-Nothing Spatial Database Cluster)

  • 유병섭;장용일;이순조;배해영
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2003년도 추계학술발표논문집 (하)
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    • pp.1529-1532
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    • 2003
  • 최근 인터넷과 모바일 시스템이 급속히 발달함에 따라 이를 통하여 지리정보와 같은 공간데이터를 제공하는 서비스가 증가하였다. 이는 대용량 데이터에 대한 관리 및 빠른 처리와 급증하는 사용자에 대한 높은 동시처리량 및 높은 안정성을 요구하였고, 이를 해결하기 위하여 비공유 공간 데이터베이스 클러스터가 개발되었다. 비공유 공간 데이터베이스 클러스터는 고가용성을 위한 구조로서 문제가 발생할 경우 다른 백업노드가 대신하여 서비스를 지속시킨다. 그러나 기존의 비공유 공간 데이터베이스 클러스터는 클러스터 구성에 대한 회복을 위하여 로그를 계속 유지하므로 로그를 남기기 위해 보통의 질의처리 성능이 저하되었으며 로그 유지를 위한 비용이 증가하였다. 또한 노드단위의 로그를 갖기 때문에 클러스터 구성에 대한 회복이 직렬적으로 이루어져 고가용성을 위한 빠른 회복이 불가능 하였다. 따라서 본 논문에서는 비공유 공간 데이터베이스 클러스터에서 고가용성을 위한 병렬 회복 기법을 제안한다. 이를 위해 클러스터 구성에 대한 회복을 위한 클러스터 로그를 정의한다. 정의된 클러스터 로그는 마스터 테이블이 존재하는 노드에서 그룹내 다른 노드가 정지된 것을 감지할 때 남기기 시작한다. 정지된 노드는 자체회복을 마친 후 클러스터 구성에 대한 회복을 하는 단계에서 존재하는 복제본 테이블 각각에 대한 클러스터 로그를 병렬적으로 받아 회복을 한다. 따라서 정지된 노드가 발생할 경우에만 클러스터 로그를 남기므로 보통의 질의처리의 성능 저하가 없고 클러스터 로그 유지 비용이 적으며, 클러스터 구성에 대한 회복시 테이블단위의 병렬적인 회복으로 대용량 데이터인 공간데이터에 대해 빠르게 회복할 수 있어 가용성을 향상시킨다.들을 문법으로 작성하였으며, PGS를 통해 생성된 어휘 정보를 가지고 스캐너를 구성하였으며, 파싱테이블을 가지고 파서를 설계하였다. 파서의 출력으로 AST가 생성되면 번역기는 AST를 탐색하면서 의미적으로 동등한 MSIL 코드를 생성하도록 시스템을 컴파일러 기법을 이용하여 모듈별로 구성하였다.적용하였다.n rate compared with conventional face recognition algorithms. 아니라 실내에서도 발생하고 있었다. 정량한 8개 화합물 각각과 총 휘발성 유기화합물의 스피어만 상관계수는 벤젠을 제외하고는 모두 유의하였다. 이중 톨루엔과 크실렌은 총 휘발성 유기화합물과 좋은 상관성 (톨루엔 0.76, 크실렌, 0.87)을 나타내었다. 이 연구는 톨루엔과 크실렌이 총 휘발성 유기화합물의 좋은 지표를 사용될 있고, 톨루엔, 에틸벤젠, 크실렌 등 많은 휘발성 유기화합물의 발생원은 실외뿐 아니라 실내에도 있음을 나타내고 있다.>10)의 $[^{18}F]F_2$를 얻었다. 결론: $^{18}O(p,n)^{18}F$ 핵반응을 이용하여 친전자성 방사성동위원소 $[^{18}F]F_2$를 생산하였다. 표적 챔버는 알루미늄으로 제작하였으며 본 연구에서 연구된 $[^{18}F]F_2$가스는 친핵성 치환반응으로 방사성동위원소를 도입하기 어려운 다양한 방사성의 약품개발에 유용하게 이용될 수 있을 것이다.었으나 움직임 보정 후 영상을 이용하여 비교한 경우, 결합능 변화가 선조체 영역에서 국한되어 나타나며 그 유의성이 움직임 보정 전에 비하여 낮음을 알 수 있었다. 결론: 뇌활성화 과제 수행시에 동반되는

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Alternative Immunossays

  • Barnard, G.J.R.;Kim, J.B.;Collins, W.P.
    • 한국가축번식학회지
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    • 제9권2호
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    • pp.133-139
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    • 1985
  • An immunoassay may be defined as an analytical procedure involving the competitive reaction between a limiting concentration of specific antibody and two populations of antigen, one of which is labelled or immobillized. The advent of immunoassay has revolutionised our knowledge of reproductive physiology and the practice of veterinary and clinical medicine. Radioimmunoassay (RIA) was the first of these methods to be developed, which meausred the analyte with good sensitivity, accuracy and precision (1,2). The essential components of RIA are:-(i) a limited concentration of antibodies, (ii) a reference preparation, and (iii) an antigen labelled with a radioisotope (usually tritium or iodine-125). Most procedures invelove isolating the antibody-bound fraction and measuring the amount of labelled antigen. Good facilities are available for scintilltion counting, data reduction nd statistical analysis. RIA is undergoing refinement through:-(i) the introduction of new techniques to separate the antibody-bound and free fractions which minimize the misclassification of labelled antigen into these compartments, and the amount of non-specfic binding. (3), (ii) the development of non-extration for the measurement of haptens (4), (iii) the determination of a, pp.rent free (i.e. non-protein bound) analytes (5), and (iv) the use of monoclonal antibodies(6). In 1968, Miles and Hales introduced in important new type of immunoassay which they termed immunora-diometric assay (IRMA) based on t도 use of isotopically labelled specific antibodies(7) in a move from limited to excess reagent systems. The concept of two-site IRMAs (with a capture antibody on a solid-phase, and a second labelled antibody to a different antigenic determinant of the analyte) has enabled the development of more sensitive and less-time consuming methods for the measurement of protein hormones ovar wide concentration of analyte (8). The increasing use of isotopic methos for diverse a, pp.ications has exposed several problems. For example, the radioactive half-life and radiolysis of the labelled reagent limits assay sensitivity and imposes a time limit on the usefulness of a kit. In addition, the potential health hazards associated with the use and disposal of radioactive cmpounds and the solvents and photofluors necessary for liquid scientillation counting are incompatable with the development of extra-laboratory tests. To date, the most practical alternative labels to radioisotopes, for the measurement of analytes in a concentration > 1 ng/ml, are erythrocytes, polystyrene particiles, gold sols, dyes and enzymes or cofactors with a visual or colorimetric end-point(9). Increased sensitivity to<1 pg/ml may be obtained with fluorescent and chemiluminescent labels, or enzymes with a fluorometric, chemiluminometric or bioluminometric end-point. The sensitivity of any immunoassay or immunometric assay depends on the affinity of the antibody-antigen reaction, the specific activity of the label, the precision with which the reagents are manipulated and the nonspecific background signal (10). The sensitivity of a limited reagent system for the measurement of haptens or proteins is mainly dependent upon the affinity of the antibodies and the smalleest amount of reagent that may be manipulated. Consequently, it is difficult in practice to improve on the sensitivity obtained with iodine-125 as the label. Conversely, with excess reagent systems for the measurement of proteins it is theoretically possible to increase assay sensitivity at least 1000 fold with alternative luminescent labels. To date, a 10-fold improvement has been achieved, and attempts are being made to reduce the influence of other variables on the specific signal from the immunoreaction.

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Type 3 Gastric Neuroendocrine Neoplasm Clinical Features: A Multicenter Study in Korea

  • Kyong Joo Lee;Hee Man Kim;Sang Kil Lee;Ho Sun Choi;Jie-Hyun Kim;Seun Ja Park;Sung Chul Park;Byung Ik Jang;Jin Tae Jung;Tae Joo Jeon;Jong Hun Lee ;Jae Kyu Sung;Semi Park;Yoon Jae Kim;Jae Hee Cho
    • Journal of Digestive Cancer Research
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    • 제5권2호
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    • pp.86-90
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    • 2017
  • Background: The aim of this study was to investigate clinicopathologic features of type 3 gastric neuroendocrine neoplasm (NEN) by treatment modality. Methods: The Korean Society of Gastrointestinal Cancer conducted the Korean Gastroenteropancreatic Neuroendocrine Tumor Registry, a retrospective registry database of gastroenteropancreatic neuroendocrine tumors from 16 hospitals in Korea. The normal serum gastrin level range was defined as <100 pg/mL, and gastric NEN patients with normal gastrin level were selected for analysis. Results: Among 358 patients with gastric NEN, 21 (5.9%) patients were classified with type 3 gastric NEN. The median age was 53 years (range 30-74). According to the WHO 2010 classification, 13 (61.9%) patients had grade 1, and 8 (38.1%) patients had grade 2 or 3. Endoscopic treatment was performed in 14 (66.7%) patients, and surgery was performed in 7 (33.3%) patients. The tumor size was smaller in the endoscopic treatment group than in the surgery group (0.6 cm vs 1.3 cm, p=0.006). After treatment, there was one recurrence in the surgery group. Conclusion: In small size Type 3 gastric NEN, endoscopic treatment was associated with a good prognosis, compared to surgery. Thus, endoscopic treatment can be used an alternative modality in selected cases of type 3 gastric NEN.

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