• Title/Summary/Keyword: level 2 PSA

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The Relationship Between Levels of Serum Testosterone and Prostate-specific Antigen in Healthy Men: An Integrative Review (성인 남성의 혈청 테스토스테론 농도와 전립선 특이항원의 관계에 대한 통합적 고찰)

  • An, Gyeong-Ju
    • Journal of Korean Biological Nursing Science
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    • v.22 no.2
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    • pp.71-80
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    • 2020
  • Purpose: The purpose of this study was to review primary research exploring the correlations between the levels of serum testosterone and the prostate-specific antigen (PSA) in healthy men without prostate diseases. Methods: An integrative review was conducted using the Whittemore & Knafle (2005) framework. The keywords, 'testosterone & prostate-specific antigen', 'testosterone & PSA' and 'healthy men' were used to search peer-reviewed publications in six databases. Among 1,959 searched articles, eleven articles were selected after excluding articles that do not meet inclusion criteria. Literature quality was moderate (Level 3). Results: As a result of this study, it was confirmed through the nine articles that healthy adult men showed no significant correlation between the serum testosterone and the PSA. Conversely, two articles presented that the serum PSA correlate positively with the testosterone. In particular, it is inferred that the effect of the serum testosterone and the PSA secreted into a 24-hour circadian rhythm with different amplitudes and slopes would have had great influence. However, it does not consider the factors affecting the testosterone and the PSA, such as race, liver disease, and BMI, so there is insufficient empirical data to clearly explain the relationship between the testosterone and the PSA. Conclusion: The correlation between the serum testosterone and the PSA in healthy adult men is insignificant in relation to the circadian rhythm of the testosterone and the PSA secretion. It is that a large-scale study including various influencing factors using new biochemical indicators such as pro PSA be conducted in the future.

Optimal Method of Radon Analysis in Groundwater using Ultra Low-Level Liquid Scintillation Counter (극 저준위 액체섬광계수기를 이용한 지하수 중 라돈($^{222}Rn$) 측정법 연구)

  • Kim Yong-Je;Cho Soo-Young;Yoon Yoon-Yeol;Lee Kil-Yong
    • Journal of Soil and Groundwater Environment
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    • v.11 no.5
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    • pp.59-66
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    • 2006
  • Optimal method of radon analysis in groundwater was studied using ultra low-level liquid scintillation counter (ULLLSC) which is well known as an analytical instrument for analyzing the alpha and beta radionuclides in environmental materials. Optimization of pulse shape analyzer (PSA) in operating the LSC was performed with $^{241}Am\;and\;^{90}Sr/^{90}Y$ as well as $^{226}Ra$ Also, the chemical quenching of scintillation generation and the color quenching of the generated photon to photomultiplier tubes (PMT) were determined their effects not only to decrease the analytical efficiency but also to change the optimal PSA level and background due to high ion contents of groundwaters. The optimal PSA level was shown in the range of 90 to 110 with less than 5% error. The effects of high ion contents in groundwater for the analytical efficiency show within 10% error from the different ion contents. The chloroform as a quenching agent was used to determine the analytical efficiency with the different amount, showing that the efficiency decreases 20% using the 2% of chloroform.

Directions for Muti-institutional Cooperation in Follow-up Management of Prostatic Disease Screening for the Low-income Group in Gangwon-do (강원도 저소득층의 전립선질환 검진사업과 사후관리를 위한 유관기관 협력방안)

  • Jang, Sungok;Lee, Jongseok
    • Korean Journal of Health Education and Promotion
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    • v.30 no.4
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    • pp.99-110
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    • 2013
  • Objectives: This study aimed to investigate factors related to prostate disease and follow-up procedure on health examination program in Gangwon-do. Methods: The studied population was 16,501 male aged 40 or more, who underwent screening tests for prostatic disease in 2011 health examination program designed for the low income residents in Gangwon-do. The screening tests included prostate specific antigen (PSA), international symptom score (IPSS), and maximal flow rate (Qmax). We conducted chi-square test for trend, two independent samples t-test, and binary logistic regression to find out the relationship between prostate cancer or benign prostatic hyperplasia and risk factors such as age, PSA level, and IPSS. Results: The number of subjects who turned out positive for PSA level (> 3.8ng/ml) was 971 men accounting for 5.9%. The result of post survey on them showed that 511 subjects (52.6%) got the urology check-up: 156 (30.5%) were diagnosed as normal, 286 (56.0%) as benign prostatic hyperplasia, and 69 (13.5%) as prostate cancer. The detection rate for prostate cancer was 8.8% when PSA level was between 3.81 and 9.99g/ml, and was 30.6% when PSA level was more than 10.00ng/ml. The rates of further testing varied depending on the communities from 26.7% to 68.2%, which was mainly affected by the role of local health center. Conclusions: Our findings indicate that enhanced quality control of local health center and empowerment of screening agency would increase the effort of coupled institutions between public and private sectors.

A New Quantification Method for Multi-Unit Probabilistic Safety Assessment (다수기 PSA 수행을 위한 새로운 정량화 방법)

  • Park, Seong Kyu;Jung, Woo Sik
    • Journal of the Korean Society of Safety
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    • v.35 no.1
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    • pp.97-106
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    • 2020
  • The objective of this paper is to suggest a new quantification method for multi-unit probabilistic safety assessment (PSA) that removes the overestimation error caused by the existing delete-term approximation (DTA) based quantification method. So far, for the actual plant PSA model quantification, a fault tree with negates have been solved by the DTA method. It is well known that the DTA method induces overestimated core damage frequency (CDF) of nuclear power plant (NPP). If a PSA fault tree has negates and non-rare events, the overestimation in CDF drastically increases. Since multi-unit seismic PSA model has plant level negates and many non-rare events in the fault tree, it should be very carefully quantified in order to avoid CDF overestimation. Multi-unit PSA fault tree has normal gates and negates that represent each NPP status. The NPP status means core damage or non-core damage state of individual NPPs. The non-core damage state of a NPP is modeled in the fault tree by using a negate (a NOT gate). Authors reviewed and compared (1) quantification methods that generate exact or approximate Boolean solutions from a fault tree, (2) DTA method generating approximate Boolean solution by solving negates in a fault tree, and (3) probability calculation methods from the Boolean solutions generated by exact quantification methods or DTA method. Based on the review and comparison, a new intersection removal by probability (IRBP) method is suggested in this study for the multi-unit PSA. If the IRBP method is adopted, multi-unit PSA fault tree can be quantified without the overestimation error that is caused by the direct application of DTA method. That is, the extremely overestimated CDF can be avoided and accurate CDF can be calculated by using the IRBP method. The accuracy of the IRBP method was validated by simple multi-unit PSA models. The necessity of the IRBP method was demonstrated by the actual plant multi-unit seismic PSA models.

Development of MURCC code for the efficient multi-unit level 3 probabilistic safety assessment

  • Jung, Woo Sik;Lee, Hye Rin;Kim, Jae-Ryang;Lee, Gee Man
    • Nuclear Engineering and Technology
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    • v.52 no.10
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    • pp.2221-2229
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    • 2020
  • After the Fukushima Daiichi nuclear power plant (NPP) accident, level 3 probabilistic safety assessment (PSA) has emerged as an important task in order to assess the risk level of the multi-unit NPPs in a single nuclear site. Accurate calculation of the radionuclide concentrations and exposure doses to the public is required if a nuclear site has multi-unit NPPs and large number of people live near NPPs. So, there has been a great need to develop a new method or procedure for the fast and accurate offsite consequence calculation for the multi-unit NPP accident analysis. Since the multi-unit level 3 PSA is being currently performed assuming that all the NPPs are located at the same position such as a center of mass (COM) or base NPP position, radionuclide concentrations or exposure doses near NPPs can be drastically distorted depending on the locations, multi-unit NPP alignment, and the wind direction. In order to overcome this disadvantage of the COM method, the idea of a new multiple location (ML) method was proposed and implemented into a new tool MURCC (multi-unit radiological consequence calculator). Furthermore, the MURCC code was further improved for the multi-unit level 3 PSA that has the arbitrary number of multi-unit NPPs. The objectives of this study are to (1) qualitatively and quantitatively compare COM and ML methods, and (2) demonstrate the strength and efficiency of the ML method. The strength of the ML method was demonstrated by the applications to the multi-unit long-term station blackout (LTSBO) accidents at the four-unit Vogtle NPPs. Thus, it is strongly recommended that this ML method be employed for the offsite consequence analysis of the multi-unit NPP accidents.

Analysis of MBLOCA and LBLOCA success criteria in VVER-1000/V320 reactors: New proposals for PSA Level 1

  • Elena Redondo-Valero;Cesar Queral;Kevin Fernandez-Cosials;Victor Hugo Sanchez-Espinoza
    • Nuclear Engineering and Technology
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    • v.55 no.2
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    • pp.623-639
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    • 2023
  • The specific configuration of the safety systems in VVER-1000/V320 reactors allows a comprehensive study of the Loss of Coolant Accident (LOCA). In the present paper, a verification of the success criteria of the event trees headers for the medium and large break LOCA sequences is conducted. A detailed TRACEV5P5 thermal-hydraulic model of the reactor has been developed, including all safety systems. When analyzing the results of all sequences, some conservatism is observed in certain specific configurations as the success criterion of some headers is not consistent with the classic PSA level 1. Therefore, new proposals for the LOCA event trees are performed based on a reconfiguration of LOCA break ranges and the use of the expanded event trees approach.

Insights gained from applying negate-down during quantification for seismic probabilistic safety assessment

  • Kim, Ji Suk;Kim, Man Cheol
    • Nuclear Engineering and Technology
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    • v.54 no.8
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    • pp.2933-2940
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    • 2022
  • Approximations such as the delete-term approximation, rare event approximation, and minimal cutset upper bound (MCUB) need to be prudently applied for the quantification of a seismic probabilistic safety assessment (PSA) model. Important characteristics of seismic PSA models indicate that preserving the success branches in a primary seismic event tree is necessary. Based on the authors' experience in modeling and quantifying plant-level seismic PSA models, the effects of applying negate-down to the success branches in primary seismic event trees on the quantification results are summarized along with the following three insights gained: (1) there are two competing effects on the MCUB-based quantification results: one tending to increase and the other tending to decrease; (2) the binary decision diagram does not always provide exact quantification results; and (3) it is identified when the exact results will be obtained, and which combination provides more conservative results compared to the others. Complicated interactions occur in Boolean variable manipulation, approximation, and the quantification of a seismic PSA model. The insights presented herein can assist PSA analysts to better understand the important theoretical principles associated with the quantification of seismic PSA models.

Performing a multi-unit level-3 PSA with MACCS

  • Bixler, Nathan E.;Kim, Sung-yeop
    • Nuclear Engineering and Technology
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    • v.53 no.2
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    • pp.386-392
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    • 2021
  • MACCS (MELCOR Accident Consequence Code System), WinMACCS, and MelMACCS now facilitate a multi-unit consequence analysis. MACCS evaluates the consequences of an atmospheric release of radioactive gases and aerosols into the atmosphere and is most commonly used to perform probabilistic safety assessments (PSAs) and related consequence analyses for nuclear power plants (NPPs). WinMACCS is a user-friendly preprocessor for MACCS. MelMACCS extracts source-term information from a MELCOR plot file. The current development can combine an arbitrary number of source terms, representing simultaneous releases from a multi-unit facility, into a single consequence analysis. The development supports different release signatures, fission product inventories, and accident initiation times for each unit. The treatment is completely general except that the model is currently limited to collocated units. A major practical consideration for performing a multi-unit PSA is that a comprehensive treatment for more than two units may involve an intractable number of combinations of source terms. This paper proposes and evaluates an approach for reducing the number of calculations to be tractable, even for sites with eight or ten units. The approximation error introduced by the approach is acceptable and is considerably less than other errors and uncertainties inherent in a Level 3 PSA.

The Effect of Plantaginis Semen Herbal Acupuncture on Acute Renal Failure in Rat (차전자약침(車前子藥鍼)이 급성신부전(急性腎不全) 백서(白鼠)에 미치는 영향(影響))

  • Cho, Si-Yong;Kim, Cheol-Hong;Youn, Hyoun-Min;Jang, Kyung-Jeon;Ahn, Chang-Beohm;Song, Choon-Ho
    • Korean Journal of Acupuncture
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    • v.22 no.4
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    • pp.117-127
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    • 2005
  • Objective : This study was undertaken to determine if Plantaginis Semen herbal acupuncture(PSA) has a protective effect on glycerol-induced acute renal failure in rats. Methods : Rats were dehydrated for 24hr and then injected with 4 ml/kg of 50% glycerol in each hindlimb muscle. In experiments for PSA effect, rats were received 0.1 ml of PSA extraction in both sides of corresponding $Sh\grave{e}nsh\bar{u}(BL_{23})$ of human body for 3 days after injection of glycerol. The experimental group were divided into the normal group, the control group, the sample 1,2,3 group. Results : Glycerol injection decreased glomerular filtration rate and increased urine volume, serum creatinine, BUN level and fractional excretion of $Na^+,\;K^+\;and\;Cl^-$. These results show that glycerol injection bring about acute renal failure. PSA significantly increased glomerular filtration rate and significantly decreased serum creatinine, BUN level and fractional excretion of $Na^+,\;and\;Cl^-$ as compared with control group. Conclusion : These results suggest that PSA can be used in prevention and treatment for acute renal failure. However, the precise mechanisms of PSA protection remain to be determined.

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Prostate Biomarkers with Reference to Body Mass Index and Duration of Prostate Cancer

  • Poudel, Bibek;Mittal, Ankush;Shrestha, Rojeet;Nepal, Ashwini Kumar;Shukla, Pramod Shanker
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.2149-2152
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    • 2012
  • Objective: This study was performed to assess prostate biomarkers with reference to body mass index and duration of prostate cancer. Materials and Methods: A hospital based retrospective study was undertaken using data retrieved from the register maintained in the Department of Biochemistry of Manipal Teaching Hospital, Pokhara, Nepal between $1^{st}$ January, 2009 and $28^{th}$ February, 2012. Biomarkers studied were prostate specific antigen (PSA), acid phosphatase (ACP) and prostatic acid phosphatase (PAP), alkaline phosphatase (ALP) and gamma glutamyl transpeptidase (${\gamma}GT$). Demographic data including age, duration of disease, body weight, height and body mass index (BMI) were also collected. Duration of disease was categorized into three groups: <1 year, 1-2years and >2 years. Similarly, BMI ($kg/m^2$) was categorized into three groups: <23 $kg/m^2$, 23-25 $kg/m^2$ and >25 $kg/m^2$. Descriptive statistics and testing of hypothesis were used for the analysis using EPI INFO and SPSS 16 software. Results: Out of 57 prostate cancers, serum level of PSA, ACP and PAP were increased above the cut-off point in 50 (87.5%), 30 (52.63%) and 40 (70.18%) respectively. Serum levels of PSA, ACP and PAP significantly declined with the duration of disease after diagnosis. We observed significant and inverse relation between PSA and BMI. Similar non-signficiant tendencies were apparent for ACP and PAP. Conclusions: Decreasing levels of prostate biomarkers were found with the duration of prostate cancer and with increased BMI. Out of prostate biomarkers, PSA was found to be significantly decreased with the duration of disease and BMI.