• 제목/요약/키워드: pre-screening

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ESI-MS/MS를 이용한 소변 중 Globotriaosylceramide(Gb3)의 정량 및 임상 응용; 패브리병(Fabry) 진단 (Method Development for the Profiling Analysis of Urine Globotriaosylceramide (Gb3) for the Screening of Fabry Disease by Tandem Mass Spectrometry)

  • 윤혜란;조경희;강승우;권영주;정춘식;이용수
    • 약학회지
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    • 제51권2호
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    • pp.96-102
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    • 2007
  • Measurement of globotriaosylceramide (Gb3, ceramide trihexoside) in urine has clinical importance for monitoring after enzyme replacement therapy in Fabry disease patients. The disease is an X-linked lipid storage disorder that results from a deficiency of the enzyme ${\alpha}$-galactosidase A (${\alpha}$-Gal A). The lack of ${\alpha}$-Gal A causes an intracellular accumulation of glycosphingolipids, mainly Gb3. A simple, rapid, and highly sensitive analytical method for Gb3 in urine was developed without labor-extensive pre-treatment by electrospray ionization MS/MS (ESI-MS/MS). Only simple 5-fold dilution of urine is necessary for the extraction and isolation of Gb3 in urine. Gb3 in diluted urine was dissolved in dioxane containing C17:0 Gb3 as an internal standard. After centrifugation it was directly injected and analyzed through guard column by in combination with multiple reaction monitoring mode of ESI-MS/MS. Eight isoforms of Gb3 were completely resolved from urine matrix. C24:0 Gb3 occupied 50% of total Gb3 as a major component in urine. Linear relationship for Gb3 isoforms was found in the range of 0.005${\sim}$5.0 ${\mu}$g/ml. The limit of detection (S/N=5) was 0.005 ${\mu}$g/ml and limit of quantification was 0.05 ${\mu}$g/ml for C24:0 Gb3 with acceptable precision and accuracy. Correlation coefficient of calibration curves for 8 Gb3 isoforms ranged from 0.9598 to 0.9975. This method could be useful for rapid and sensitive 1st line Fabry disease screening, monitoring and/or diagnostic tool for Fabry disease.

Attention 알고리즘 기반 약물의 태아 독성 예측 연구 (Predicting fetal toxicity of drugs through attention algorithm)

  • 정명현;유선용
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2022년도 춘계학술대회
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    • pp.273-275
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    • 2022
  • 임산부에게 약물을 사용하는 것은 태아에게 잠재적인 위협이 될 수 있으므로 임산부가 복용을 피해야 할 약물을 분류하는 것은 필수적이다. 하지만 많은 화합물이 태아에게 독성을 나타낼 수 있는지에 대한 근거가 불분명하며, 그것을 밝혀내기 위해서는 많은 시간과 비용이 투자된다. In silico 기반 가상 스크리닝은 광범위한 화합물에 대해서 적은 비용과 시간으로 어떤 화합물이 태아에게 높은 위험을 보일 수 있는지 예측하는데 활용될 수 있다. 우리는 한국과 호주 정부의 임신 중 약물 처방을 위한 위험 분류 리스트를 활용해 약물의 분류 등급 정보를 가져왔다. 약물의 구조적 특징과 화학적 특징을 기반으로 다양한 머신 러닝 기법을 적용하여 약물의 태아 독성 여부를 예측하는 모델을 생성하였으며, 정량적 성능 평가를 수행하였다. 나아가, attention 알고리즘을 활용하여 제안하는 모델이 약물의 태아 독성을 예측하는 과정에서 화합물의 어떤 하위 분자 구조가 중요하게 활용되었는지 확인하였다. 해당 연구를 통해 광범위한 화합물에 대해 높은 태아 독성 위험도를 가진 약물을 머신 러닝을 통해 예측할 수 있는 것을 확인하였다. 우리의 연구는 단순한 약물의 태아 독성 예측에서 나아가, 유의미한 하위 분자구조를 제공함으로써 연구자들이 약물의 태아 독성을 증명하기 위해 수행하는 실험에서 핵심적인 역할이 가능할 것이다.

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Association between coronavirus disease 2019-related workplace interventions and prevalence of depression and anxiety

  • Hyun Woo Park;Seung Hyun Park;Young Wook Kim;JunSeok Son;Chan Woo Kim;Hyoung Ouk Park;Jun Ho Lee;Young Hoo Shin;Chang Ho Chae;Eui Yup Chung;Hun Jeong
    • Annals of Occupational and Environmental Medicine
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    • 제34권
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    • pp.11.1-11.9
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    • 2022
  • Background: Although coronavirus disease 2019 is causing a variety of psychological problems for workers, there are few longitudinal studies on changes in workers' mental health by workplace intervention. This study aimed to evaluate the change in the prevalence of depression and anxiety according to the active involvement of the workplace. Methods: This study was conducted on 1,978 workers at a workplace who underwent a health screening from January 2019 to August 2020, and classified depression and anxiety disorders using a self-report questionnaire. After the first pandemic, the company stopped health screening, took paid leave and telecommuting, and conducted interventions such as operating its own screening clinic. To see if this workplace intervention affects workers' mental health, we conducted generalized estimating equations to compare odds ratio (OR). Results: In the pre-intervention group, 384 people (16.86%) had depression, and 507 people (22.26%) had anxiety disorder. Based on the OR before intervention, the OR of depression decreased to 0.76 (0.66-0.87) and the OR of anxiety disorder decreased to 0.73 (0.65-0.82). Conclusions: As a result of this study, it was confirmed that workplace intervention was related to a decrease in depression and anxiety. This study provides basic data to improve workers' mental health according to workplace intervention, and further research is needed according to workplace intervention in the future.

Characterising Forages for Ruminant Feeding

  • Dynes, R.A.;Henry, D.A.;Masters, D.G.
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권1호
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    • pp.116-123
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    • 2003
  • Forages are the most important feed resource for ruminants worldwide, whether fed as pastures, forage crops or conserved hay, silage or haylage. There is large variability in the quality of forages so measurement and prediction of feeding value and nutritive value are essential for high levels of production. Within a commercial animal production system, methods of prediction must be inexpensive and rapid. At least 50% of the variation in feeding value of forages is due to variation in voluntary feed intake. Identification of the factors that constrain voluntary feed intake allows these differences to be managed and exploited in forage selection. Constraints to intake have been predicted using combinations of metabolic and physical factors within the animal while simple measurements such as the energy required to shear the plant material are related to constraints to intake with some plant material. Animals respond to both pre- and post-ingestive feedback signals from forages. Pre-ingestive signals may play a role in intake with signals including taste, odour and texture together with learned aversions to nutrients or toxins (post-ingestive feedback signals). The challenge to forage evaluation is identification of the factors which are most important contributors to these feedback signals. Empirical models incorporating chemical composition are also widely used. The models tend to be useful within the ranges of the datasets used in their development but none can claim to have universal application. Mechanistic models are becoming increasingly complex and sophisticated and incorporate both feed characteristics and use of biochemical pathways within the animal. Improvement in utilisation through the deliberate selection of pasture plants for high feeding value appears to have potential and has been poorly exploited. Use of Near Infrared Reflectance Spectroscopy is a simple method that offers significant potential for the preliminary screening of plants with genetic differences in feeding value. Near Infrared Reflectance Spectroscopy will only be as reliable as the calibration sets from which the equations are generated.

Pre-vaccination Prevalence and Genotype Distribution of Human Papillomavirus Infection among Women from Urban Tunis: a Cross-sectional Study

  • Guettiti, Haifa;Ennaifer, Emna;Attia, Leila;Chelly, Dalenda;Alaya, Nissaf Ben;Aissa, Rim Ben;Laassili, Thalja;Boubaker, Samir
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권21호
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    • pp.9361-9365
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    • 2014
  • Background: To estimate the pre-vaccination distribution of human papillomavirus (HPV) types among women from urban Tunis. Materials and Methods: A total of 611 women aged 18-69 years were enrolled in three local gynaecological outpatient departments. All underwent a gynaecological examination with Pap test and dry swab for HPV detection and typing performed by linear array genotyping test (Roche). Cytological examination was conducted on conventional Pap smears. Results: HPV DNA was found in 6.5% of the women; the most frequent HPV types were HPV 16 and HPV 11 at 3.27% and 1.96%, respectively. The second most frequent high risk (HR) HPV type was HPV 58 (0.82%) followed by HPV 18, HPV 31 and HPV 33 found in only 0.33% of women. Single infections with HPV types, targeted by the quadrivalent vaccine (6, 11, 16, and 18), were detected in 3.6 % of the study patients (55% of positive women). HPV infection was found in 3.83% of women with normal cytology and in 47.4% of women with cytological abnormalities. No statistically significant trend in prevalence by age group emerged for any HPV type or for high or low risk types. Conclusions: These data show a relatively low prevalence of HPV infection in women from urban Tunis with a high proportion of HPV16 and HPV58. This should be considered in the upcoming screening programs and vaccination strategy.

산후 우울 수준과 분만전후 관련 요인에 관한 연구 (Postpartum Depressive Score and Related Factors Pre- and Post-delivery)

  • 이선옥;여정희;안숙희;이현숙;양현주;한미정
    • 여성건강간호학회지
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    • 제16권1호
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    • pp.29-36
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    • 2010
  • Purpose: This study aimed to identify the scores of postpartum depression(PPD) on the first day, 1st week, and 6th week after the delivery and to explore their related factors before and after delivery in postpartum women. Methods: With a survey design, 293 postpartum women were recruited from a postpartum unit, Ilsin Christian hospital in Pusan via convenience sampling and were followed at 1st week and 6th week in the outpatient clinic. Results: Results showed that the scores of PPD(EPDS score) were low at postpartum 1st day, 1st week and 6th week but prevalence of PPD(EPDS ${\geq}13$)was 3.1%at 1st day, 8.2%at 1st week and 7.5%at 6th week, respectively. The pre-delivery factors were experience of depression, and the post-delivery factors were baby's sex(1st day), no caregiver for baby(1st week), and no help and concern for taking care of baby from husband and family(1st day and 6th week). The greater satisfaction with becoming a mother and her life, and greater maternal attachment were related to lower level of PPD at the three time points. Conclusion: Regular screening for postpartum depression and supportive and informative education is needed for postpartum women visiting the outpatient clinic for follow-up.

In vitro SPF 측정법 개선에 관한 연구 (Improvement of in vitro Sun Protection Factor Measurement)

  • 안성연;배지현;이해광;문성준;장이섭
    • 대한화장품학회지
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    • 제30권1호
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    • pp.129-133
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    • 2004
  • In vitro method는 in vivo results를 예측하기 위해 사용되어지는 것이 가장 큰 목적이므로 지급까지 in vitro SPF test는 여러 formulations를 screen 하거나 self-tanners의 activity에 미치는 cosmetic ingredients의 영향을 연구하는 데에 이용되어져 왔다. In vitro SPF test는 신속하고 객관적이며 적은 비용으로 사람에게 in vivo test를 하기에 앞서 protective formulas를 pre-screen 하며, 따라서 in vitro test가 유용하게 원하는 역할을 하기 위해서는 in vitro SPF 평가법의 정확성이 무엇보다 중요하다. 본 연구에서는 건조시간을 15분으로 고정하면서 기존에 사용해온 substrate인 Transpore$^{(R)}$ tape을 이용, 도포 방법을 개선하기 위한 시도를 하였다. 우선 기존 시험법의 분석을 통한 현 수준을 파악하고, 사용되고 있는 Transpore$^{(R)}$ tape의 외측으로부터 일정 부위만 사용하도록 개선하였다. 또한 다양한 시도를 통해 광원의 scan 부위에만 국소적으로 도포하는 방법이 도포시 발생하는 오차를 줄일 수 있음을 확인하였으며, 개선된 시험법을 이용하여 반복성과 선형성이 뛰어난 시험 결과를 얻어낼 수 있었다. 통계 패키지 분석을 통한 시험법의 신뢰성 검토에서도 우수한 결과를 보여 이와 같은 시험법을 통해 in vivo와 in vitro SPF의 보다 정확한 예측 시스템 관계를 구축할 수 있을 것으로 기대한다.

비디오투시조영검사를 통한 침습/흡인에 따른 음성의 음향적 분석 (Acoustic Voice Analysis in Patients with Penetration/Aspiration Via Videofluoroscopic Swallowing Study)

  • 강영애;지성주;구본석
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • 제60권9호
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    • pp.454-462
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    • 2017
  • Background and Objectives The present study aimed to investigate the effects of penetration/aspiration (P/A) on voice acoustic parameters. Subjects and Method Twenty-seven patients were analyzed with the videofluoroscopic swallowing study (VFSS) and then divided into two groups based on the modified Penetration and Aspiration Scale results. Ten patients (5 males and 5 females) were included in the Non-P/A group, and 17 patients (12 males and 5 females) in the P/A group. Stroke was the major cause of swallowing disorders. Three sustained /a/ vowels recorded in pre- and post-VFSS were analyzed. Mann-Whitney U-test was used to compare acoustic values before and after VFSS, and the receiver operating characteristics (ROC) curve with combination of significant parameters was also conducted. Results Among acoustic parameters, the length of analyzed sample (p=0.010), number of segments computed (p=0.018), total number detected pitch periods (p=0.017), and second formant (p=0.013) in pre- and post-VFSS were significantly different between Non-P/A and P/A groups. In the P/A group after VFSS, the means of these significant parameters decreased. According to ROC combined with four significant parameters, the probability of predicting P/A condition was 84% (p=0.005), the sensitivity was 80%, and the specificity was 80%. Conclusion Voice acoustic analysis can reflect voice changes by penetration/aspiration and the combination of significant parameters can also detect swallowing disorders. Therefore, voice analysis can be a reliable screening tool for patients with swallowing disorders.

황달 선별검사를 위한 스마트폰 기반의 총빌리루빈 측정시스템의 개발 (Development of a Smartphone-based Total Bilirubin Measuring System for Screening of Jaundice)

  • 김원정;송은지;이주원
    • 적정기술학회지
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    • 제7권2호
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    • pp.206-210
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    • 2021
  • 고빌리루빈혈증은 신생아기에 가장 흔히 볼 수 있는 질환으로 전세계적으로 생후 일주일내 신생아 중 약 80%에서 관찰된다. 고빌리루빈혈증을 치료하지 않을 경우 핵황달 및 사망에 이르게 되므로 신속하고 정확하게 진단하는 것이 매우 중요하다. 본 연구에서는 상용 스마트폰을 사용하여 휴대가 편리하고 전처리 과정없이 사용이 간편한 총빌리루빈 측정시스템을 개발하였다. 본 시스템은 추가의 장치가 필요없이 스마트폰의 LED와 카메라를 이용하여 측정하며 전처리 없이 소량의 혈액을 주입하면 되므로 현장에서 누구나 쉽게 측정이 가능하다. Cobas c111의 측정값과 비교한 결과 3 mg/dL 이하 ±0.4 mg/dL 이내 94%(17/18), 3 mg/dL 이상 ±20% 이내 98%(276/282)로 CLIA 가이드라인의 정확도 기준을 만족함을 확인하였다. 이는 의료 시설 및 훈련된 인력 부족한 현장에서 신속하게 영유아의 황달 상태를 확인하는 방법으로 사용할 수 있을 것으로 보여진다.

슬링을 이용한 중간볼기근 강화훈련이 만성 발목 불안정성을 가진 20대 성인의 발목 불안정성, 균형, 근력에 미치는 영향 (Effects of Gluteus Medius Strengthening Training Using Sling on Ankle Instability, Muscle Strength, Balance in Adults in Their 20s with Chronic Ankle Instability)

  • 정종효;김호;신원섭
    • 대한통합의학회지
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    • 제10권4호
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    • pp.57-69
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    • 2022
  • Purpose : The purpose of this study was to investigate the effect of ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on ankle instability score, and static and dynamic balance ability, muscle strength in adults in their 20s with chronic ankle instability. Methods : Twenty-eight adults in their 20s with chronic ankle instability were recruited. After screening test, they were randomized through R studio program as an experimental group (n=14) to apply an ankle strengthening exercise combined with sling-assisted gluteus medius strengthening and a control group (n=14) to apply ankle strengthening exercise. The intervention lasted two times a week for 6 weeks. To compare the intervention effects, the Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strength of lower extremities were measured. Results : The experimental group showed a significant increase in pre and post-intervention Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strengt (p<.05). The control group showed a significant increase in pre and post-intervention CAIT score, dynamic balance ability, and muscle strength (p<.05). The experimental group showed a significant increase in CAIT score, dynamic balance ability, and muscle strength compared to the control group (p<.05), and showed a high effect size. Conclusions : The results of this study confirmed that ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on people with chronic ankle instability the possibility that it could be effective in improving ankle instability and improving dynamic balance ability, and strength by movement. Although additional research is needed to increase the number of participants due to the small sample size, it is hoped that this study will be an optimistic clinical protocol for people with chronic ankle instability.