• 제목/요약/키워드: Precision medicine

검색결과 552건 처리시간 0.024초

CAD-CAM Konus type 부착장치를 이용한 하악 임플란트 피개의치 보철수복 증례 (Mandibular implant-supported overdenture using CAD-CAM Konus type attachment: A case report)

  • 박종희;김인주;김경아;송광엽;서재민
    • 대한치과보철학회지
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    • 제54권3호
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    • pp.259-266
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    • 2016
  • 하악 완전 무치악 환자의 보철수복에 있어 임플란트 식립 후 피개의치 제작은 첫 번째 치료 옵션으로 고려된다. 코너스 타입 부착장치를 이용한 피개의치는 견고한 지지를 제공하고 cross arch stabilization을 이루도록 하여 교합압을 균일하게 분산시키며, 의치에 의한 이차 고정으로 장기간의 안정성을 제공한다. 최근 소개된 팔라듐-은(Pd-Ag) 합금(Innovium)은 팔라듐, 은, 금 등의 귀금속 함량이 72% 이상인 CAD-CAM 시스템 전용 귀금속 합금으로 코너스 타입 부착장치를 제작하는데 적합한 물성을 가지고 있다. 본 증례에서는 완전 무치악 환자에서 상악에는 통상적인 총의치, 하악에는 임플란트를 4개 식립한 후에 코너스 타입 부착장치 피개의치 수복을 하였다. CAD-CAM 시스템을 이용하여 팔라듐-은 합금(Innovium)으로 제작된 코너스 타입 부착장치를 장착하였으며 이를 통해 의치의 유지와 안정을 향상시켰으며 만족할 만한 결과를 얻었기에 보고하고자 한다.

A prediction model of low back pain risk: a population based cohort study in Korea

  • Mukasa, David;Sung, Joohon
    • The Korean Journal of Pain
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    • 제33권2호
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    • pp.153-165
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    • 2020
  • Background: Well-validated risk prediction models help to identify individuals at high risk of diseases and suggest preventive measures. A recent systematic review reported lack of validated prediction models for low back pain (LBP). We aimed to develop prediction models to estimate the 8-year risk of developing LBP and its recurrence. Methods: A population based prospective cohort study using data from 435,968 participants in the National Health Insurance Service-National Sample Cohort enrolled from 2002 to 2010. We used Cox proportional hazards models. Results: During median follow-up period of 8.4 years, there were 143,396 (32.9%) first onset LBP cases. The prediction model of first onset consisted of age, sex, income grade, alcohol consumption, physical exercise, body mass index (BMI), total cholesterol, blood pressure, and medical history of diseases. The model of 5-year recurrence risk was comprised of age, sex, income grade, BMI, length of prescription, and medical history of diseases. The Harrell's C-statistic was 0.812 (95% confidence interval [CI], 0.804-0.820) and 0.916 (95% CI, 0.907-0.924) in validation cohorts of LBP onset and recurrence models, respectively. Age, disc degeneration, and sex conferred the highest risk points for onset, whereas age, spondylolisthesis, and disc degeneration conferred the highest risk for recurrence. Conclusions: LBP risk prediction models and simplified risk scores have been developed and validated using data from general medical practice. This study also offers an opportunity for external validation and updating of the models by incorporating other risk predictors in other settings, especially in this era of precision medicine.

Computer-aided design/computer-aided manufacturing of hydroxyapatite scaffolds for bone reconstruction in jawbone atrophy: a systematic review and case report

  • Garagiola, Umberto;Grigolato, Roberto;Soldo, Rossano;Bacchini, Marco;Bassi, Gianluca;Roncucci, Rachele;De Nardi, Sandro
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제38권
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    • pp.2.1-2.9
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    • 2016
  • Background: We reviewed the biological and mechanical properties of porous hydroxyapatite (HA) compared to other synthetic materials. Computer-aided design/computer-aided manufacturing (CAD/CAM) was also evaluated to estimate its efficacy with clinical and radiological assessments. Method: A systematic search of the electronic literature database of the National Library of Medicine (PubMed-MEDLINE) was performed for articles published in English between January 1985 and September 2013. The inclusion criteria were (1) histological evaluation of the biocompatibility and osteoconductivity of porous HA in vivo and in vitro, (2) evaluation of the mechanical properties of HA in relation to its porosity, (3) comparison of the biological and mechanical properties between several biomaterials, and (4) clinical and radiological evaluation of the precision of CAD/CAM techniques. Results: HA had excellent osteoconductivity and biocompatibility in vitro and in vivo compared to other biomaterials. HA grafts are suitable for milling and finishing, depending on the design. In computed tomography, porous HA is a more resorbable and more osteoconductive material than dense HA; however, its strength decreases exponentially with an increase in porosity. Conclusions: Mechanical tests showed that HA scaffolds with pore diameters ranging from 400 to $1200{\mu}m$ had compressive moduli and strength within the range of the human craniofacial trabecular bone. In conclusion, using CAD/CAM techniques for preparing HA scaffolds may increase graft stability and reduce surgical operating time.

시퀀스 유사도에 기반한 유전체 데이터베이스 압축 및 영향 분석 (The Analysis of Genome Database Compaction based on Sequence Similarity)

  • 권선영;이병한;박승현;조정희;윤성로
    • 정보과학회 컴퓨팅의 실제 논문지
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    • 제23권4호
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    • pp.250-255
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    • 2017
  • 유전체 데이터의 급증 및 정밀의료 등 응용 분야 확대에 따라 유전체 데이터베이스의 효율적 관리에 대한 중요성이 커지고 있다. 전통적인 압축 기법을 통해 유전체 데이터를 압축할 경우, 압축효과는 크지만, 압축된 상태에서 데이터베이스를 비교하거나 검색하는 등의 작업이 용이하지 않게 된다. 유전체 데이터 분석에 소요되는 시간은 데이터베이스에 존재하는 시퀀스 수에 비례하며, 중복되거나 유사한 시퀀스가 다수 존재한다는 점에 착안하여, 본 논문에서는 유전체 데이터베이스 상에 존재하는 유사 시퀀스를 제거함으로써 전체 데이터베이스 크기를 줄이는 기법을 제안한다. 실험을 통해 시퀀스 유사도 1% 기준으로도 전체의 약 84% 시퀀스가 제거되며, 약 10배 빠른 분류분석이 가능함을 보인다. 또한 큰 폭의 압축효과에도 불구하고, 범주 다양성 및 분류 분석 등에 미치는 변화가 미미함을 확인함으로써, 시퀀스 유사도 기반의 제안 압축 기법이 유전체 데이터베이스 압축에 효과적인 방법임을 제시한다.

Comparative Analyses of Bioactive Constituents from Forsythia suspensa and Forsythia viridissima by HPLC-DAD

  • Won, Tae-Hyung;Liao, Lijuan;Lee, Seung-Ho;Son, Jong-Keun;Shin, Jong-Heon
    • Natural Product Sciences
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    • 제17권4호
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    • pp.328-336
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    • 2011
  • A high-performance liquid chromatography (HPLC) with diode array detector (DAD) method was established for the discrimination of a folk medicine Forsythia suspensa and Forsythia viridissima. Five and three representative metabolites of the lignan and phenolic glycoside classes were selected for the analysis from F. suspensa and F. viridissima, respectively. The optimal chromatographic conditions were obtained on an ODS column (5 ${\mu}m$, $4.6{\times}250$ mm) with the column temperature at $40^{\circ}C$. The mobile phase was composed of methanol and 0.3% acetic acid using an isocratic elution with the flow rate 1 mL/min. Detection wavelength was set at 280 nm. All calibration curves showed good linear regression ($r^2$ > 0.996) within test ranges. Limits of detection (LOD) and limits of quantitation (LOQ) values were lower than 0.096 and 0.291 ${\mu}g/mL$, respectively. The developed method provided satisfactory precision and accuracy with overall intra-day and inter-day variations of 0.07-0.63% and 0.14-0.62%, respectively, and the overall recoveries of 97.79-102.46% for all of the compounds analyzed. In addition, effectiveness of diverse extraction methods was compared to each other for the development of standard analytical method. The verified method was successfully applied to the quantitative determination of representative metabolites in fifty-three commercial F. suspensa samples and fifteen commercial F. viridissima samples from diverse sources. The overall analytical results showed the unequivocal differences in bioactive constituents between F. suspensa and F. viridissima.

Pharmacokinetic Analysis of Montelukast in Healthy Korean Volunteers by High Performance Liquid Chromatography-Tandem Mass Spectrometry

  • Jo, Min-Ho;Park, Mi-Sun;Seo, Ji-Hyung;Shim, Wang-Seob;Yim, Sung-Vin;Lee, Kyung-Tae
    • Journal of Pharmaceutical Investigation
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    • 제41권5호
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    • pp.289-294
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    • 2011
  • A rapid and specific high performance liquid chromatography-tandem mass (LC/MS/MS) method for the analysis of montelukast in human plasma has been developed and validated. After cold acetonitrile-induced precipitation of the plasma samples, montelukast and glipizide (internal standard, IS) were eluted on a reverse-phase $C_{18}$ column by isocratic mobile phase consisted of 10 mM ammonium formate buffer (adjusted to pH 3.5 with formic acid) and acetonitrile (3:97, v/v). Acquisition was performed with multiple reaction monitoring (MRM) mode by monitoring the transitions: m/z 587.2${\rightarrow}$ 423.2 for montelukast and m/z 446.0${\rightarrow}$321.2 for IS. Ranges of concentration for calibration curves (10-1000 ng/mL) showed correlation coefficients ($r^2$) were better than 0.9948. Precision of intra- and inter-day ranged from 3.70 to 11.68% and from 3.04 to 12.95%, accuracy of intra-day and inter-day ranged from 93.34 to 102.75% and from 100.79 to 107.63%, respectively. The described method provides a fast and sensitive analytical tool for determining montelukast levels in plasma, and was successfully applied to a pharmacokinetic study in 16 healthy human subjects after oral administration of 10mg tablet formulation of montelukast sodium under fasting conditions.

고속액체크로마토그래피를 이용한 가축용 호르몬제(고나도렐린, 프로게스테론, 옥시토신, 에스트라디올) 분석방법 개발 (Development of new analytical methods using high performance liquid chromatography for animal hormones; gonadorelin, progesterone, oxytocin and estradiol)

  • 정경훈;정미영;박해철;아킬후세인;김대균;이광직;강정우
    • 한국동물위생학회지
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    • 제40권4호
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    • pp.253-258
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    • 2017
  • The aim of this study is to develop an optimal analytical method for gonadorelin, progesterone, oxytocin and estradiol, the major components of hormones. A relatively simple and reproducible method using high performance liquid chromatography was developed and as a result of the measurement of specificity, linearity, repeatability, accuracy and intermediated precision, the validity of the developed method was verified with the result of meeting the verification criteria of analytical method validation. Using this newly developed method, 12 post-market veterinary products were tested and the ingredient content were 91.9~116.4%, which satisfied the 90~120% condition of the administrative measure standard. Therefore, if the newly developed method is used for the collection examination of hormone in veterinary medicine, it can be useful as an approved test method.

Quantitative Evaluation of Radix Astragali through the Simultaneous Determination of Bioactive Isoflavonoids and Saponins by HPLC/UV and LC-ESI-MS/MS

  • Kim, Jin-Hee;Park, So-Young;Lim, Hyun-Kyun;Park, Ah-Yeon;Kim, Ju-Sun;Kang, Sam-Sik;Youm, Jeong-Rok;Han, Sang-Beom
    • Bulletin of the Korean Chemical Society
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    • 제28권7호
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    • pp.1187-1194
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    • 2007
  • The three major active isoflavonoids (calycosin-7-O-β -glucoside, isomucronulatol 7-O-β-glucoside, formononetin) and two main saponins (astragaloside I, astragaloside IV) in an extract of Radix Astragali were determined using rapid, sensitive, reliable HPLC/UV and LC-ESI-MS/MS methods. The separation conditions employed for HPLC/UV were optimized using a phenyl-hexyl column (4.6 × 150 mm, 5 μm) with the gradient elution of acetonitrile and water as the mobile phase at a flow rate of 1.0 mL/min and a detection wavelength of 230 nm. The specificity of the peaks was determined using a triple quadrupole tandem mass spectrometer equipped with an electrospray ionization (ESI) source that was operated in multiple reaction monitoring (MRM) in the positive mode. These methods were fully validated with respect to the linearity, accuracy, precision, recovery and robustness. The HPLC/UV method was applied successfully to the quantification of three major isoflavonoids in the extract of Radix Astragali. The results indicate that the established HPLC/UV and LC-ESI-MS/MS methods are suitable for the quantitative analysis and quality control of multi-components in Radix Astragali.

Quality Evaluation of Modified Bo-Yang-Hwan-O-Tang by Capillary Electrophoresis and High-performance Liquid Chromatography

  • Chen, Jianbo;Wu, Enqi;Zhu, Hongmei;Lee, Kwan-Jun;Chu, Van Men;Cho, Cheong-Weon;Kim, Young-Ho;Park, Yong-Ki;Lee, Won-Jae;Kang, Jong-Seong
    • Bulletin of the Korean Chemical Society
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    • 제32권8호
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    • pp.2666-2670
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    • 2011
  • High-performance liquid chromatography (HPLC) and capillary electrophoresis (CE) were used to identify five active components in the modified herbal decoction Bo-Yang-Hwan-O-Tang (mBHT), i.e., amygdalin, decursin, paeoniflorin, salvianolic acid B, and calycosin-7-O-${\beta}$-D-glycoside. These components were identified by comparing their retention times and mass spectra with those of reference compounds. The conditions of both analytical methods were optimized and validated. Sufficient separation of target analytes was achieved using a buffer consisting of 40 mM sodium borate and 60 mM sodium dodecylsulfate (SDS) containing 10% methanol (pH 9.5) at 250 nm for CE analysis and gradient elution with a water-methanol mobile phase and ultraviolet (UV) photodiode array detector (DAD) at 250 nm for HPLC analysis. The mBHT components were determined within 65 min by HPLC and 16 min by CE. All calibration curves showed high linearity (R > 0.999) within the ranges tested. Intra-day and inter-day precision were less than 1.6% and 1.8% for HPLC and 2.5% and 4.8% for CE, respectively. The accuracy of the methods ranged from 98.8% to 102.3% for HPLC and from 95.9% to 108.2% for CE.

AHP를 이용한 뇌융합 전략분야 발굴 연구 (A Research on Derivation of Strategic Brain Research Areas by the AHP Approach)

  • 김준혁;서덕록;최지현;김한국
    • 한국콘텐츠학회논문지
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    • 제16권4호
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    • pp.36-44
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    • 2016
  • 우리나라의 한정된 예산과 연구자원을 활용하여 뇌과학 분야 연구성과를 극대화하기 위해서는 뇌연구 분야 중 강점을 가질 수 있는 융합연구 분야를 선정하여 우선적으로 육성할 필요가 있다. 본 연구에서는 선도가능성, 혁신성, 기대성과 등을 바탕으로 중점 연구분야의 우선순위를 결정함으로써 뇌과학 정책 결정에 가이드라인을 제공하고자 한다. 이를 위해 우선 뇌과학 분야 국내 리더급 연구자들에게 뇌과학 중점 연구분야 후보로 5개 영역, 즉 신경교세포, 뇌정밀의학, 신경후성유전학, 뇌신경모사컴퓨터, 뇌파이용 대상 구동기술을 추천받았다. 그 다음 AHP를 통해 중점후보 분야와 평가항목 간의 상대적 가중치를 결정하고 그 우선순위를 결정하였다. 평가 항목 중 선도가능성 등의 세부항목이 포함된 유망도가 중점분야 선정에 있어 가장 중요한 평가 요소인 것으로 나타났으며, 이러한 평가 요소로 비교 분석해본 결과 중점 연구분야 후보 중에 신경교세포의 가중치가 가장 높은 것으로 나타나 관련 정책 추진시 가장 우선적으로 고려해야 할 것으로 판단된다.