• 제목/요약/키워드: Precision medicine

검색결과 525건 처리시간 0.025초

LC-MS/MS를 이용한 Homocysteine 측정과 그 유용성 평가 (Evaluation of the Method for Total Homocysteine in Plasma Using LC-MS/MS)

  • 전선희;임미숙;정영순;송정한
    • 대한임상검사과학회지
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    • 제37권1호
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    • pp.22-26
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    • 2005
  • Total homocysteine is now considered a risk factor for cardiovascular diseases. I increased interest has led to a multitude of studies requiring the determination of total homocysteine in conjunction with other factor. There are various methods for measuring total homocysteine, including HPLC, FPIA, GC-MS and LC-MS/MS. The most recent method for measuring total homocysteine uses a deuterium-labelled internal standard and tandem mass spectrometry. This development requires no derivatization and therefore leads to an increase in sample throughput compared to other techniques. We have evaluated the method for homocysteine by the LC-MS/MS method, and the correlation between the FPIA method and the LC-MS/MS method. The standard curve (0, 5, 10, 20, 50, 100 uM) was linear over the range examined (up to 100 uM). The lower limit of quantification (CV < 10 %) was 0.5 uM/L and the lower limit of detection (S/N >3) was 0.1 uM/L. Intra-assay variation and inter-assay variation were both <6 %. The comparision study for homocysteine concentration showed good correlation (r=0.9684) between the FPIA method and LC-MS/MS methods. Our conclusion is that the method showed relatively good precision, and was rapid and accurate.

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파킨슨병 환자의 경직에 대한 약물과 DBS 의 효과의 정량화 (Quantification of the Effect of Medication and Deep Brain Stimulation on Parkinsonian Rigidity)

  • 권유리;엄광문;박상훈;김지원;김민직;이혜미;장지완;고성범
    • 한국정밀공학회지
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    • 제30권5호
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    • pp.559-563
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    • 2013
  • This study aims to quantify the effects of medication (Med) and deep brain stimulation (DBS) on resting rigidity in patients with Parkinson's disease. We tested 10 limbs of five patients under each of four treatment conditions: 1) baseline, 2) DBS, 3) Med, 4) DBS + Med. Rigidity at the wrist joint was assessed using the Unified Parkinson's Disease Rating Scale (UPDRS). The examiner randomly imposed flexion and extension movement on patient's wrist joint. Resistance to passive movement was quantified by viscoelastic properties. Not only rigidity score but also damping constant showed improvements in rigidity by DBS and Med treatments (p<0.05). This indicates that the viscosity can represent the change in rigidity due to DBS as well as Med, which was manifested by UPDRS score.

Monitoring Ovarian Function by Solid- Phase Chemiluminescence Immunoassay

  • 김종배;구병삼
    • Clinical and Experimental Reproductive Medicine
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    • 제9권1_2호
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    • pp.43-53
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    • 1982
  • 여성의 난소기능은 뇨중 Oestrone-3-glucuronide를 간편한 solid-phase 의 화학발광성 면역학적 측정법 (Chemiluminescence Imrnunoassay(CIA) 에 의하여 그 기능이 탐지될 수 있다. Oestrone-3-g1ucuronyl-6-bovine serum albumine에 대한 antiserum의 IgG fraction은 polystyrene 실험관벽에 흡착시켰으며, 항원으로서는 est r one-3- gl ucuronyI-6-aminoethyl-ethyl-isoluminol 을 항원 (antigen) 에 labeI 시킨 것이다. 시험 대상물인 뇨는 매일아침뇨(early morning urine) 을 희석 (1:1000 V/V)한 후 100mcl 를 취하여 이를 각기 이중분석액으로 택하였다. 시험관 내에서 결합반응 (1 hour at $4^{\circ}C)이 일어난 후에는 시험관내의 액체를 전부 흡입 폐기시켰으며, 항체반응이 일어난 후 ( antibody-bound fraction )에는 완충액 (400mcl)으로 한번 세척시켰다. 그후 염화수산화물(2N , 200mcl)을 가지고 $22^{\circ}C$에 60 분간 방치 혼합케 한 후 효소(microperoxidase) 와 과산화수소를 가하면서 산화작용에서 발생되는 발광양을 10초동안 측정하여 그 결과를 분석하였다. 위에 기술한 분석방법을 평가하면 다음과 같은 결론을 얻었다. Calibration curve sensitivity$3.12{\pm}0.75$ PG/tube ($mean{\pm}SD$)였고, lntra-assay precision(CV%) 9.52 (20 replicates;$38.4{\pm}3.66$nmol/1) 와 8.81 (15 replicates; $102.4{\pm}8.82$nmol/1)였다. Inter-assay precision(CV%) 은 11.9 (mean of 4 pools-7.03, 23.16, 52.11 과 117.53 nmol/1)로 2개월 동안에 걸쳐 시행되었고, 평균 비이어스(mean bias)는 -0.78 로 28에서 448 nmol 범위로서 매일아침 "뇨"의 차이분(different aliquots)은 좋은 결과를 얻었다. 건강한 여성으로부터 채취된 뇨중 Oestrone-3-glucuronide 의 농도(nmol/1)를 보면 월경주기의 여포기와 배난기 및 황체기에 있어서 각기 $40.2{\pm}9.9$ , $102.3{\pm}39.4$$84.3{\pm}13.3$nmol/1였다. 이와같은 결과는 동일한 검사뇨를 방사면역학적 방법(RIA)으로 측정 (6 menstrual cycle)한 결과와 유사한 측정치를 얻으므로서 간편하고 진보된 좋은 방법중의 하나라고 사료되는바이다.

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질병지도 작성을 위해 공간모형을 이용한 소지역 추정 (Small area estimations for disease mapping by using spatial model)

  • 안대성;한준희;윤태호;김창훈;노맹석
    • Journal of the Korean Data and Information Science Society
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    • 제26권1호
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    • pp.101-109
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    • 2015
  • 행정구역상 읍/면/동 단위의 소지역 (small area)별로 질병위험의 차이에 대한 분석을 위해, 2005년 기준 서울 행정동을 기준으로 2005년부터 2008년까지 질병, 사고, 암 사망자료에 대한 표준화 사망률 (SMR; standardized mortality rate)을 고려하였다. 소지역 단위로 질병사망률을 직접 추정하는 것은 소지역 내 표본수가 작아, 개발 소지역 단위에서의 직접 계산된 SMR은 그 추정치의 정도 (precision) 확보가 어려운 문제점이 발생한다. 따라서, 본 연구에서는 각 소지역간 효과 추정을 위해 공간적 상관성 (spatial correlation)을 가지는 다단계 일반화 선형모형 (HGLM; hierarchical generalized linear models)을 고려하였다. 이를 통해, 서울지역 동별 주요 사망원인에 따른 공변량의 효과 및 추정된 SMR을 근거로 질병지도 결과를 제시하였다.

백출(Atractylodis Rhizoma Alba)의 품질평가를 위한 지표성분 분석법 평가 (Development of HPLC Method for Quality Assessment of Marker Components in Atractylodis Rhizoma Alba)

  • 이재웅;김준희;강병만;안병관
    • 한국자원식물학회지
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    • 제34권1호
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    • pp.52-58
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    • 2021
  • 백출의 기원 감별 및 품질기준 설정을 위하여 atractylenolide III과 atracylodin을 지표성분으로 설정하였다. HPLC를 이용하여 선정된 지표물질인 atractylenolide III과 atracylodin의 특이성, 직선성, 범위, 검출한계, 정량한계, 정확성, 정밀성에 대한 평가를 실시한 결과 모두 양호한 결과가 나타나 분석법에 문제는 없었으며, 백출과 창출을 각각 분석한 결과 위품인 창출에서만 atracylodin이 검출이 되어 위품 구별이 가능한 지표물질로 손색이 없었다.

자동 치아 분할용 종단 간 시스템 개발을 위한 선결 연구: 딥러닝 기반 기준점 설정 알고리즘 (Prerequisite Research for the Development of an End-to-End System for Automatic Tooth Segmentation: A Deep Learning-Based Reference Point Setting Algorithm)

  • 서경덕;이세나;진용규;양세정
    • 대한의용생체공학회:의공학회지
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    • 제44권5호
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    • pp.346-353
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    • 2023
  • In this paper, we propose an innovative approach that leverages deep learning to find optimal reference points for achieving precise tooth segmentation in three-dimensional tooth point cloud data. A dataset consisting of 350 aligned maxillary and mandibular cloud data was used as input, and both end coordinates of individual teeth were used as correct answers. A two-dimensional image was created by projecting the rendered point cloud data along the Z-axis, where an image of individual teeth was created using an object detection algorithm. The proposed algorithm is designed by adding various modules to the Unet model that allow effective learning of a narrow range, and detects both end points of the tooth using the generated tooth image. In the evaluation using DSC, Euclid distance, and MAE as indicators, we achieved superior performance compared to other Unet-based models. In future research, we will develop an algorithm to find the reference point of the point cloud by back-projecting the reference point detected in the image in three dimensions, and based on this, we will develop an algorithm to divide the teeth individually in the point cloud through image processing techniques.

Simultaneous Determination of Seven Compounds in Samsoeum by HPLC-PDA

  • Seo, Chang-Seob;Kim, Jung-Hoon;Huang, Dae-Sun;Shin, Hyeun-Kyoo
    • 대한한의학방제학회지
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    • 제18권1호
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    • pp.95-103
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    • 2010
  • Objectives : To develop and validate HPLC-PDA methods for simultaneous determination of seven constituents in Samsoeum(SSE). Methods : Reverse-phase chromatography using a Gemini C18 column operating at $40^{\circ}C$, and photodiode array(PDA) detection at 254 and 280 nm, were used for quantification of the seven marker components of SSE. The mobile phase using a gradient flow consisted of two solvent systems. Solvent A was 1.0% (v/v) aqueous acetic acid and solvent B was acetonitrile with 1.0% (v/v) acetic acid. Results : Calibration curves were acquired with $r^2$>0.9997, and the relative standard deviation (RSD) values (%) for intra- and inter-day precision were less than 3.0%. The recovery rate of each compound was in the range of 100.07-112.65%, with an RSD less than 4.0%. The contents of seven compounds in SSE were 1.24-10.53 mg/g. Conclusions : The established method will be helpful to improve quality control of SSE.

유전지표를 활용한 사상체질 분류모델 (Predictive Models for Sasang Constitution Types Using Genetic Factors)

  • 반효정;이시우;진희정
    • 사상체질의학회지
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    • 제32권2호
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    • pp.10-21
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    • 2020
  • Objectives Genome-wide association studies(GWAS) is a useful method to identify genetic associations for various phenotypes. The purpose of this study was to develop predictive models for Sasang constitution types using genetic factors. Methods The genotypes of the 1,999 subjects was performed using Axiom Precision Medicine Research Array (PMRA) by Life Technologies. All participants were prescribed Sasang Constitution-specific herbal remedies for the treatment, and showed improvement of original symptoms as confirmed by Korean medicine doctor. The genotypes were imputed by using the IMPUTE program. Association analysis was conducted using a logistic regression model to discover Single Nucleotide Polymorphism (SNP), adjusting for age, sex, and BMI. Results & Conclusions We developed models to predict Korean medicine constitution types using identified genectic factors and sex, age, BMI using Random Forest (RF), Support Vector Machine (SVM), and Neural Network (NN). Each maximum Area Under the Curve (AUC) of Teaeum, Soeum, Soyang is 0.894, 0.868, 0.767, respectively. Each AUC of the models increased by 6~17% more than that of models except for genetic factors. By developing the predictive models, we confirmed usefulness of genetic factors related with types. It demonstrates a mechanism for more accurate prediction through genetic factors related with type.

근골격계 통증질환의 진단과 치료를 위한 주사바늘형 복합온도 프로브의 개발 (Needle Type of Hybrid Temperature Probe for Both Diagnosis and Treatment of Musculoskeletal Pain Syndrome)

  • 남성기;김형일;변창호;이선규
    • 한국정밀공학회지
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    • 제31권4호
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    • pp.359-364
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    • 2014
  • This paper describes the development of needle type probe that measures temperature and injects medicine for both diagnosis and treatment of musculoskeletal pain syndrome (MPS). The size of trigger points is from several micrometers to millimeter. Therefore, it is required to develop a medical device that is capable of not only finding the trigger points by temperature measurement, but also injecting medicine at the exact location for treatment. To challenge these difficulties, thermocouple was fabricated on the surface of a needle using metal deposition process. Special type of stainless-constantan thermocouple was achieved from the stainless body of a needle itself and deposited constantan metal film. In particular, parylene coating enables to limit the temperature sensitive area to the end of the needle tip. Fabricated needle type probe produces $3.25mV/^{\circ}C$ of thermoelectric sensitivity and compared its performance with commercial T-type thermocouple in animal muscle sample.