• 제목/요약/키워드: Risk Sensitivity

검색결과 844건 처리시간 0.029초

Serum Peroxiredoxin3 is a Useful Biomarker for Early Diagnosis and Assessemnt of Prognosis of Hepatocellular Carcinoma in Chinese Patients

  • Shi, Liang;Wu, Li-Li;Yang, Jian-Rong;Chen, Xiao-Fei;Zhang, Yi;Chen, Zeng-Qiang;Liu, Cun-Li;Chi, Sheng-Ying;Zheng, Jia-Ying;Huang, Hai-Xia;Yu, Fu-Jun;Lin, Xiang-Yang
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권7호
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    • pp.2979-2986
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    • 2014
  • Background: Recently, peroxiredoxin3 (PRDX3) was identified as a novel molecular marker for the progression of hepatocellular carcinoma (HCC). However, its potential clinical application as a serum marker for the early diagnosis and prognosis of HCC has not been investigated. Methods: PRDX3, alpha-fetaprotein (AFP), and other biochemical parameters were measured in serum samples from 297 Chinese patients, including 96 with HCC, 98 with liver cirrhosis (LC), and 103 healthy controls (HCs). Correlations between serum PRDX3 expression and clinicopathological variables and the relationship between serum PRDX3 expression and prognosis were analyzed. Results: Serum PRDX3 was significantly higher in HCC patients than in the LC and HC groups. The sensitivity and specificity of serum PRDX3 for the diagnosis of HCC were 85.9% and 75.3%, respectively, at a cutoff of 153.26 ng/mL, and the area under the curve was 0.865. Moreover, serum PRDX3 expression was strongly associated with AFP level, tumor diameter, TNM stage, and portal vein invasion. Kaplan-Meier curve analysis revealed that HCC patients with high serum PRDX3 expression had a shorter median survival time than those with low PRDX3 expression. Moreover, serum PRDX3 expression was an independent risk factor for overall survival. The inverse correlation between serum PRDX3 and patient survival remained significant in patients with early-stage HCC and in those with normal serum AFP levels. Conclusions: Serum PRDX3 can be used as a noninvasive biomarker for the diagnosis and/or prognosis of HCC.

Association of the A-G Polymorphism in Porcine Adiponectin Gene with Fat Deposition and Carcass Traits

  • Dai, L.H.;Xiong, Y.Z.;Deng, C.Y.;Jiang, S.W.;Zuo, B.;Zheng, R.;Li, F.E.;Lei, M.G.
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권6호
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    • pp.779-783
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    • 2006
  • The adiponectin gene is known to be involved in the regulation of energy homeostasis involving food intake, carbohydrate and lipid metabolism. Human adiponectin gene polymorphisms have been recently reported to be associated with obesity, insulin sensitivity and the risk of type 2 diabetes. The present study was carried out to investigate the porcine adiponectin gene as a candidate gene for fat deposition and carcass traits. A mutation of A178G of the porcine adiponectin gene that resulted in substitution of the amino acid Isoleucine to Valine was identified. AcyI PCR-RFLP was used to detect the polymorphism of the genotypes in five different pig populations (Large White, Landrace, Duroc, Chinese breeds Meishan and Qingping). The A allele frequency was significantly higher among subjects from Chinsese lard type breeds, while the G allele was the only one present in those from Western lean type breeds. To determine if there was an association of the polymorphism with phenotypic variation, the mutation was tested in 267 pigs of the "Large $White{\times}Meishan$" F2 resource population. The results of association analyses showed significant associations of the genotypes with fat deposition and carcass traits. Allele G was significantly associated with increase in loin eye height, loin eye area and lean meat percentage and bone percentage, and decrease in fat mean percentage, ratio of lean to fat, shoulder fat thickness, 6-7 rib fat thickness, thorax-waist fat thickness and buttock fat thickness. The substitution of A178G (Ile60Val) happened to be located at amino acid 60 in the collagenous domain of porcine adiponectin which might affect the association into higher-order structures, and accordingly affect the posttranslational modifications and optimal biological activity of the multimeric forms. The identified functional polymorphism provides new evidence of adiponectin as an important candidate gene affecting fat deposition and carcass traits in pigs.

Pap Smear Combined with HPV Testing: A Reasonable Tool for Women with High-grade Cervical Intraepithelial Neoplasia Treated by LEEP

  • Mo, Ling-Zhao;Song, Hong-Lin;Wang, Jian-Li;He, Qing;Qiu, Zhang-Can;Li, Fei
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권10호
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    • pp.4297-4302
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    • 2015
  • Background: To evaluate HPV testing by Hybrid Capture II (HCII) in conjunction with cytology in detecting the residual/recurrence disease after treatment of high-grade cervical intraepithelial neoplasia (CIN II-III) with loop electrosurgical excision procedure (LEEP). Materials and Methods: A retrospective review of 158 patients with histologically confirmed CIN II-III who underwent LEEP between January 2011 and October 2012 was conducted. Post-treatment control was scheduled at the 3rd, 6th, 12th and 18th month. All patients were followed up by Pap smear and HR-HPV genotype and viral load testing. Results: Pre-treatment, HR-HPV DNA, was detected in all specimens of the patients. At follow-up, 25 patients were diagnosed as the residual/recurrent disease during the FU visit, among whom, 16 patients with positive margin: 13 patients (52%) with HR-HPV DNA+/cytology+, 2 patients (8%) with HR-HPV DNA+/cytology-, 1 patient (4%) with cytology+/HR-HPV DNA-; 9 patients with clean margin - 5 patients (55.6%) with HR-HPV DNA+/cytology+; 2 patients (22.2%) with HRHPV DNA+/cytology-, 2 patients (22.2%) with cytology+/HR-HPV DNA-. None of them persisting HR-HPV DNA-/cytology-with positive or negative margin was identified as the residual/recurrent disease. The majority of residual/recurrent disease was detected at the 12th and 18th month FU, and there was almost no difference in the sensitivity and negative predictive value (NPV) between at the 3rd month and the 6th month FU visits. 14 residual/recurrence disease (14/46:30.4%) had pre-treatment high viral load (>5 000 RUL/PC) and 11 (11/112, 9.8%) with pre-treatment low viral load, P<0.05. Conclusions: (1) The persistence HR-HPV DNA is the root cause of the residual/recurrent disease for the women treated for high-grade CIN; the pre-treatment viral load and margin can be seen as the predictor. (2) The FU visit beginning at the 6th month post-treatment and lasting at least 24 months with the combination of cytology and HPV testing. (3) Patients with high pre-treatment HPV load, which is considered as one risk of developing the residual/recurrent disease, should be paid more attention (especially above 500RUL/PC) to by clinicians.

만성신부전증환자에서 HPLC/FLD를 이용한 혈장 Homocysteine의 측정 (Measurement of Total Plasma Homocysteine in Patients with Chronic Renal Failure Using HPLC/FLD)

  • Kyung-Ok Lee;Bo-Kyung Kang;Hyung-Jin Roh;Kwang-Suk Ryoo;Jeong-Yeon Yoo;Man-Jeong Paik;Kang-Hyeob Lee
    • 대한의생명과학회지
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    • 제3권1호
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    • pp.29-35
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    • 1997
  • 본 연구에서는 한국인 만성신부전증 환자에서 심혈관계 질환의 조기진단을 위한 생화학적 표지 자로서 homocysteine의 임상적 유용성을 검토하기 위하여, 만성신부전증 환자와 건강인에서 HPLC/FLD (high performance liquid chromatography/fluorescence detector)를 이 용하여 혈장 homocysteine 농도를 측정하고 그 결과를 비교하였다. 본 실험방법의 회수율은 98.6$\pm$5.8%를 나타내었으며, 0.2 nmol/L 보다 낮은 농도까지 측정이 가능하였고, 2~50 nmol/ml까지 직선성이 성립하였다 (correlation coefficient =0.9997). 한국인 중 건강한 정상인 (20명)과 만성신부전증 환자 (90명)에서 혈장 homocysteine은 각각 6.81$\pm$1.54 nmol/ml과 27.28$\pm$14.94 nmol/ml이었으며 , 환자군에서는 정상인군에 비하여 약 4배정도 높은 수치를 나타내었다 (p<0.05).본 실험의 결과로 볼 때 HPLC/FLD를 이용한 homocysteine 측정은 예민도와 재현성이 높아 routine 실험실 방법으로 유용성이 높을 것으로 생각되며, 또한 혈장 homocysteine의 측정은 만성신부전증 환자의 주요한 사망원인이 되는 폐쇄성 동맥질 환을 조기에 진단하거나, 혹은 homocysteine 농도를 저하시키는 치료를 실시 한 후 치료효과를 판단하기 위한 생화학적 marker로 활용될 수 있을 것으로 기대된다.

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체험형 창업강좌와 이론형 창업강좌 학습자간의 창업동기, 기업가정신 및 창업의지 비교 연구 (A Comparative Study of Entrepreneurial Motivation, Entrepreneurship and Entrepreneurial Intention between the Students of Experiential Entrepreneurship Class and Theory Centered Class)

  • 김용태
    • 벤처창업연구
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    • 제13권4호
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    • pp.49-58
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    • 2018
  • 최근 대학 내 창업 친화적 학사제도 활성화 등의 정책적 노력과 지원에 따라 다양한 형태의 창업교과 및 비교과 활동이 이뤄지고 있으며 그 유형에 따라 수강생의 참여도 및 교육효과가 다르게 나타날 수 있음을 많은 연구에서 주목하고 있다. 이에 본 연구는 창업 이론 및 정보의 전달을 위주로 하는 이론형 창업 강좌와 아이디어 발굴과 시제품 제작 등의 과정이 포함되는 창업실습 등을 중심으로 한 체험형 창업강좌 수강생을 대상으로 창업동기, 기업가정신 및 창업의지 인식 차이가 있는지, 아울러 창업동기 및 기업가정신이 창업의지에 미치는 영향에 있어서 두 집단 간의 차이가 존재하는지를 비교하기 위해 실증분석을 실시하였다. 연구 결과 첫째, 창업동기 요인중에서 사회적 인식을 제외한 창업교육, 성취욕구, 인적네트워크, 자존 욕구 등은 두 집단간 유의적인 차이를 보이는 것으로 나타났으며, 체험형 창업강좌 학습자들이 이론형 창업강좌 학습자보다 창업동기를 더 크게 인식하는 것을 확인할 수 있었다. 둘째, 기업가정신 요인은 체험형 창업강좌와 이론형 창업강좌 학습자간의 인식에서 유의한 차이가 나타나지 않는 것으로 분석되었다. 셋째, 체험형 창업강좌 학습자가 이론형 창업강좌 학습자보다 창업의지를 더 크게 인식하는 것으로 나타났다. 마지막으로 창업동기 요인 가운데 창업교육과 성취욕구, 기업가정신 요인 중에서는 위험감수성이 창업의지에 유의한 영향을 미치는 것으로 분석되었다. 이러한 연구결과는 지금까지 양적 확대 위주의 창업교육의 방향과 창업교육의 질적 효과 창출에 대한 제고가 필요함을 시사하고 있으며, 향후 체험중심의 창업교육 (Experiential Entrepreneurship education) 활성화를 위한 정책적 시사점을 제공할 뿐만 아니라, 창업교육 효과에 대한 연구 확산에도 기여할 수 있을 것이라고 판단된다.

IPCC 제5차 과학평가보고서 고찰 (In-depth Review of IPCC 5th Assessment Report)

  • 박일수;장유운;정경원;이강웅;;권원태;윤원태
    • 한국대기환경학회지
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    • 제30권2호
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    • pp.188-200
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    • 2014
  • The IPCC 5th Assessment Report (Climate Change 2013: The Physical Science Basis) was accepted at the 36th Session of the IPCC on 26 September 2013 in Stockholm, Sweden. It consists of the full scientific and technical assessment undertaken by Working Group I. This comprehensive assessment of the physical aspects of climate change puts a focus on those elements that are relevant to understand past, document current, and project future of climate change. The assessment builds on the IPCC Fourth Assessment Report and the recent Special Report on Managing the Risk of Extreme Events and Disasters to Advance Climate Change Adaptation. The assessment covers the current knowledge of various processes within, and interactions among, climate system components, which determine the sensitivity and response of the system to changes in forcing, and they quantify the link between the changes in atmospheric constituents, and hence radiative forcing, and the consequent detection and attribution of climate change. Projections of changes in all climate system components are based on model simulations forced by a new set of scenarios. The report also provides a comprehensive assessment of past and future sea level change in a dedicated chapter. The primary purpose of this Technical Summary is to provide the link between the complete assessment of the multiple lines of independent evidence presented in the main report and the highly condensed summary prepared as Policy makers Summary. The Technical Summary thus serves as a starting point for those readers who seek the full information on more specific topics covered by this assessment. Warming of the climate system is unequivocal, and since the 1950s, many of the observed changes are unprecedented over decades to millennia. The atmosphere and ocean have warmed, the amounts of snow and ice have diminished, sea level has risen, and the concentrations of greenhouse gases have increased. Total radiative forcing is positive, and has led to an uptake of energy by the climate system. The largest contribution to total radiative forcing is caused by the increase in the atmospheric concentration of $CO_2$ since 1750. Human influence on the climate system is clear. This is evident from the increasing greenhouse gas concentrations in the atmosphere, positive radiative forcing, observed warming, and understanding of the climate system. Continued emissions of greenhouse gases will cause further warming and changes in all components of the climate system. Limiting climate change will require substantial and sustained reductions of greenhouse gas emissions. The in-depth review for past, present and future of climate change is carried out on the basis of the IPCC 5th Assessment Report.

구제역 관리를 위한 혈청학적 예찰계획 평가 (Evaluation of Serological Surveillance System for Improving Foot-and-Mouth Disease Control)

  • 박선일;신연경
    • 한국임상수의학회지
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    • 제30권4호
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    • pp.258-263
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    • 2013
  • The primary goal of this study was to compute sample sizes required to achieve the each aim of a variety of foot-and-mouth disease (FMD) surveillance programs, using a statistically valid technique that takes the following factors into account: sensitivity (Se) and specificity (Sp) of diagnostic test system, desired minimum detectable prevalence, precision, population size, and desired power of the survey. In addition, sample sizes to detect FMD if the disease is present and also as proof of freedom were computed. The current FMD active surveillance programs consist of clinical, virological, and serological surveillance. For the 2012 serological surveillance, annual sample sizes (n = 265,065) are planned at four separate levels: statistical (n = 60,884) and targeted (n = 115,232) at breeding pig farms and slaughter house, in together with the detection of structural proteins (SP) antibodies against FMD (n = 88,949). Overall, the sample size was not designed taking the specific aims of each surveillance stream into account. The sample sizes for statistical surveillance, assuming stratified two-stage sampling technique, was based to detect at least one FMD-infected case in the general population. The resulting sample size can be used to obtain evidence of freedom from FMD infection, not for detecting animals that have antibodies against FMD virus non-structural proteins (NSP). Additionally, sample sizes for targeted surveillance were not aimed for the population at risk, and also without consideration of statistical point of view. To at least the author's knowledge, sampling plan for targeted, breeding pig farms and slaughter house is not necessary and need to be included in the part of statistical surveillance. Assuming design prevalence of 10% in an infinite population, a total of 29 animals are required to detect at least one positive with probability of 95%, using perfect diagnostic test system (Se = Sp = 100%). A total of 57,211 animals needed to be sampled to give 95% confidence of estimating SP prevalence of 80% at the individual animal-level with a precision of ${\pm}5%$, assuming 800 herds with an average 200 heads per farm, within-farm variance of 0.2, between-farm variance of 0.05, cost ratio of 100:1 of farm against animals. Furthermore, 779,736 animals were required to demonstrate FMD freedom, and the sample size can further be reduced depending on the parameters assumed.

관상동맥 질환 진단에서 ATP부하 T1-201 심근 관류 SPECT의 안전성과 유용성 (Safety and Feasibility of Thallium-201 Myocardial SPECT with Intravenous Infusion of Disodium Adenosine Triphosphate (ATP) in the Diagnosis of Coronary Artery disease)

  • 배문선;박찬희;윤석남;김원;김한수
    • 대한핵의학회지
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    • 제32권3호
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    • pp.250-258
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    • 1998
  • 목적 : ATP는 작용 시간이 빠르고 반감기가 짧은 효과적인 관상동맥 확장제로 알려져 있어 이를 심근관류 SPECT의 부하 약물로 사용 할 때에 부작용의 빈도와 안전성, 그 진단적 가치에 대해 알아 보고자하였다. 대상 및 방법: 관상동맥 질환이 의심되는 319명의 환자를 대상으로 ATP 부하(0.08 mg/kg/ min for 6min) T1-201 심근관류 SPECT를 실시하여 그 부작용을 조사하고 관상동맥 조영술과 비교하였다. 결과: 76.5%의 환자에서 부작용이 발생하였으나 일시적이고 경미하였으며, 모든 환자에서 ATP 주입을 끝낼 수 있었고 aminophylline이 필요했던 환자는 2명이었다. 관상동맥 조영술과 비교한 결과, 예민도 80%, 특이도 90% 였다. 결론: 6분간 0.08mg/kg/min의 ATP 주입 용량을 사용한 본 연구 결과에서 ATP 부하 심근관류 SPECT는 관상동맥 질환의 진단에서 adenosine이나 dipyridamole을 이용했을 때보다 부작용의 발생 빈도 및 부작용의 정도가 낮아 안전하게 사용될 수 있으며 진단 성능도 동등한 것으로 생각된다.

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발작성 심방세동 환자의 신호평균 P파 분석 (Signal-Averaged P Wave Analysis in Patients with Paroxysmal Atrial Fibrillation)

  • 김인영;이종연;이병채;이용희;이종민;김선일;김준수
    • 대한의용생체공학회:의공학회지
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    • 제23권1호
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    • pp.1-8
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    • 2002
  • 심방세동은 가장 많이 나타나는 부정맥으로. 뇌졸중 등 심각한 합병증을 초래하는 질환이다 심방세동이 발작성으로 발생하는 경우 단시간내 불규칙적으로 발생하기 때문에 그 진단이 어렵다 본 연구에서는 발작성 심방세동 환자의 조기진단을 위하여 심실세동 등의 진단에 이용되는 신호평균 심전도를 이용한 분석방법을 사용하였다 심방세동의 징후가 있는 환자는 초기에 심방에서 심근의 전기전도가 지연된다는 이론을 근거로 심전도 P파의 길이를 진단의 기준으로 하였다. p파 길이를 정확히 측정하기 위하여 다양한 종류의 필터와 차단주파수에 대하여 분석하였으며. p파의 시작과 끝점을 판단하는 여러 방법을 시도하였다. 분석 방법의 신뢰성을 높이기 위하여 자동으로 P파 길이를 측정하는 알고리즘을 구현하였다. 구현된 알고리즘의 검증을 위해서 발작성 심방세동 이외의 병력이 없는 환자 38명과 정상인 32명을 대상으로 임상 데이터를 수집하였다. 분석 결과 30 Hz 차주파수를 가지는 LMS 필터를 사용하고. 절대치 8.75 $\mu N$를 기준으로 P파의 시작과 끝점을 측정하여 P파 길이를 계산할 때가 가장 높은 발작성 심방세동의 예측도를 가졌다. 또한 발작성 심방세동의 진단을 위한 가장 적합한 판별 값을 구하기 위하여 수신 동작 특성 곡선을 이용한 결과. 의사결정의 판별 값을 112 ms로 하는 경우 진단의 민감도 88 %. 특이도 64.4 %의 결과를 얻을 수 있었다

배출권 가격 불확실성을 고려한 고효율 쿡스토브 보급사업 실물옵션 연구 (Real Option Study on Cookstove Offset Project under Emission Allowance Price Uncertainty)

  • 이재형
    • 자원ㆍ환경경제연구
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    • 제29권2호
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    • pp.219-246
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    • 2020
  • 배출권거래제 2차 계획기간(2018~2020년)부터 '국내기업 등이 외국에서 직접 시행한 CDM 사업'의 감축실적을 할당대상업체가 사용할 수 있게 되었다. 이에 시장의 이해관계자들은 한계비용이 낮으면서 많은 양의 배출권을 확보할 수 있는 '고효율 쿡스토브 보급사업'과 같은 해외 CDM 사업을 적극 추진하고 있다. 본 논문은 실물옵션 방법론을 활용하여 '고효율 쿡스토브 보급사업' 대한 외부사업자의 투자의사결정 모형을 개발하였다. 그리고 배출권 가격 불확실성하에서 '고효율 쿡스토브 보급사업'의 최적투자분기점(p) 도출 및 민감도 분석을 시행하였다. 그 결과 기준시나리오(PoA-S)에서의 최적투자분기점은 29,054원/톤으로 현재 배출권 현물 가격(pspot)보다 낮아 고효율 쿡스토브 보급사업은 경제성이 있는 것으로 나타났다. 그러나 할당대상업체는 CDM 사업 추진 시 경제성뿐 아니라, 본 논문에서 분석한 투자유치국의 비재생 바이오매스 비율, 쿡스토브 교체 비율, 지분율, 사업기간 및 해외 외부사업 배출권의 사용 한도와 같은 위험요소도 고려하여 의사결정을 해야 한다. 그리고 외부사업자는 외부사업자의 고유 파라미터로 사업단계별 최적투자분기점을 도출하여 경제성 점검에 활용할 수 있을 것이다.