• 제목/요약/키워드: premature

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과배란유도에서 GnRH Antagonist (Cetrorelix) Single 및 Multiple Dose Protocol의 임상적 효용성에 관한 연구 (A Study of Clinical Efficacy of GnRH Antagonist (Cetrorelix) Single and Multiple Dose Protocol for Controlled Ovarian Hyperstimulation)

  • 고상현;김동호;배도환;이상훈
    • Clinical and Experimental Reproductive Medicine
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    • 제29권4호
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    • pp.259-267
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    • 2002
  • Objective: This study was performed to compare the clinical outcomes of GnRH antagonist (Cetrorelix) single dose and multiple dose protocols for controlled ovarian hyperstimulation with GnRH agonist long protocol. Materials and Method: From September 2001 to March 2002, 48 patients (55 cycles) were performed controlled ovarian hyperstimulation for ART using by either GnRH antagonist and GnRH agonist. Single dose of 3 mg GnRH antagonist was administered in 15 patients (17 cycles, single dose group) at MCD #8 and multiple dose of 0.25 mg of GnRH antagonist was administered in 15 patients (18 cycles, multiple dose group) from MCD #7 to hCG injection day. GnRH agonist was administered in 18 patients (20 cycles, control group) by conventional GnRH agonist long protocol. We compared the implantation rate, number of embryos, and clinical pregnancy rate among three groups. Student-t test and Chi-square were used to determine statistical significance. Statistical significance was defined as p<0.05. Results: There were no significant differences in ampules of used gonadotropins, number of mature oocytes, obtained embryos between single and multiple dose group, but compared with control group, ampules of used gonadotropins, number of mature oocytes, obtained embryos were decreased significantly in both groups. Clinical pregnancy rate and implantation rate were not different in three groups. There were no premature LH surge and ovarian hyperstimulation syndrome in three groups. Multiple pregnancy were occurred 1 case in multiple dose group and 2 case in control group. Conclusions: GnRH antagonist is a safe, effective, and alternative method in the controlled ovarian hyperstimulation compared with GnRH agonist. Clinical outcomes and efficacy of both single and multiple dose protocol are similar between two groups.

체외수정시술을 위한 성선자극호르몬 과배란유도에 Poor Response를 나타낸 환자에서 GnRH Analogue의 사용 (GnRH Analogue in Controlled Ovarian Hyperstimulation for Gonadotropin Poor Responder)

  • 김선행;이희경;구병삼
    • Clinical and Experimental Reproductive Medicine
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    • 제20권1호
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    • pp.37-43
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    • 1993
  • In 27 patients with the past history of poor response to the gonadotropin superovulation induction due to poor follicular growth or permature surge of endogenous luteinizing hormone, the effectiveness of pituitary supperssion with the gonadotropin releasing hormone agonist(GnRH-a) in in vitro fertilization(IVF) program was evaluated in 43 cycles using a combination regimen of D-Trp-6 LHRH(Decapeptyl, Ferring)and FSH/hMG from June, 1989 to August, 1990 at Korea University Hospital IVF Clinic. At midluteal phase of menstrual cycle, Decapeptyl-CR was administered by long-term protocol to minimize initial agonistic effect of endogenous gonadotropins. After the confirmation of pituitary suppression, about 2-3 weeks after GNRH-a administration, ovarian follicle growth was stimulated with FSH/hMG and followed by transvaginal ultrasonic measurement of follicle size and by monitoring of serm E2 and LH if necessary. When compared with the control group stimulated with gonadotropin regimen only, the cancellation rate and occurrence rate of premature LH surge during gonadotropin treatment were significantly lower in study group(11.6% and 2.4%, respectively). There is no significant differences in the mean number of aspirated oocytes, fertilization/cleavage rate, embryo transfer(ET) rate, and mean number of embryos transferred between the two groups. The pregnancy rate per treatment cycle, 16.3%, and per ET cycle, 23.3%, were significantly higher in the study group compared with those of control group. These data suggest that GnRH-a therapy is effective for previous poor responder In gonadotropin superovulation induction for IVF.

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Cessation of gonadotropin-releasing hormone antagonist on triggering day in flexible multiple-dose protocol: A randomized controlled study

  • Chang, Hye Jin;Lee, Jung Ryeol;Jee, Byung Chul;Suh, Chang Suk;Lee, Won Don;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • 제40권2호
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    • pp.83-89
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    • 2013
  • Objective: To investigate outcomes of stimulated IVF cycles in which GnRH antagonist was omitted on the ovulation triggering day. Methods: A total of 86 women who underwent controlled ovarian hyperstimulation with recombinant FSH and GnRH antagonist flexible multiple-dose protocols were recruited and prospectively randomized into the conventional group (group A) or cessation group (group B). The GnRH antagonist, 0.25 mg/day of cetrorelix, was started when the leading follicle reached 14 mm in diameter and was continuously administered until the hCG triggering day (group A, 43 cycles) or until the day before hCG administration (group B, 43 cycles). The maturity of oocytes, fertilization rate, embryo quality, and implantation and clinical pregnancy rates were evaluated. Results: The duration of ovarian stimulation, total dose of gonadotropins, serum estradiol levels on hCG administration day, and number of oocytes retrieved were not significantly different between the two groups. The total dose of GnRH antagonist was significantly lower in group B than group A ($2.5{\pm}0.9$ vs. $3.2{\pm}0.8$ ampoules, p<0.05). There was no premature luteinization in any of the subjects. The proportion of mature oocytes and fertilization rate were not significantly different in group B than group A (70.7% vs. 66.7%; 71.1% vs. 66.4%, respectively). There were no significant differences in the implantation or clinical pregnancy rates. Conclusion: Our prospective randomized study suggested that cessation of GnRH antagonist on the hCG administration day during a flexible multiple-dose protocol could reduce the total dose of GnRH antagonist without compromising its effects on pregnancy rates.

Biological Characterization of Marssonina coronaria Associated with Apple Blotch Disease

  • Lee, Dong-Hyuk;Back, Chang-Gi;Win, Nang Kyu Kyu;Choi, Kyung-Hee;Kim, Kyung-Min;Kang, In-Kyu;Choi, Cheol;Yoon, Tae-Myung;Uhm, Jae-Youl;Jung, Hee-Young
    • Mycobiology
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    • 제39권3호
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    • pp.200-205
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    • 2011
  • Marssonina coronaria associated with apple blotch disease causes severe premature defoliation, and is widely distributed in Korea. Thirteen isolates were collected from orchards located in Gyeongbuk Province from 2005~2007. All isolates displayed over 99.6% and 99.2% sequence similarity to each other in internal transcribed spacer regions and partial sequences of 28S rDNA, respectively. The isolates were phylogenetically closely related to Chinese isolates. Selected isolates did not differ in their pathogenicity. The optimum conditions for fungal growth were $20^{\circ}C$ and pH 6 on peptone potato dextrose agar (PPDA). Peptone and mannose were the best nitrogen and carbon source, respectively. Fungal growth was better on PPDA than on common potato dextrose agar. This study provides valuable information for integrated disease management program and facilitates the routine culturing of M. coronaria.

무, 배추 및 고추종자의 분쟁사례연구 (The Study on the Disputes Originated from the Seeds of Radish, Chinese Cabage, and Pepper)

  • 박태영;윤화모;민병훈
    • 자연과학논문집
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    • 제8권2호
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    • pp.153-158
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    • 1996
  • '농산종묘법'하에서 1968년부터 1970년 사이에 발생한 채소 종자분쟁은 177건 이었다. 이중 발아불량에 대한 종자분쟁은 46건(26%)으로 가장 많았으며 불량종자는 43건(24.3%), 수입종자에 대한 분쟁은 42건(23.7%) 이형주에 대한 분쟁은 27건(15.6%) 순이었다.'종묘관리법'하에서 모든 채소로부터 발생한 종자분쟁은 1976년부터 1995년 사이에 175건 이었는데 무가 53건(30%)으로 비교적 많았으며 배추 19건(11%), 고추 17건(10%) 순이었다. 무에서 발생한 종자분쟁의 유형은 추대(36%), 파종기불이행(21%), 순도불량(19%) 등이었으며 배추는 미량원소 결핍(27%), 발아불량(21%), 결구불량(16%), 병해(16%) 등이었고 고추는 착과불량(6%), 기형과발생(5%), 병해(3%) 등이었다.

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유리섬유시트로 보강된 RC 보의 휨 거동에 관한 연구 (Flexural Behaviors of Reinforced Concrete Beams Strengthened with Glass Fiber Sheets)

  • 김성도;조백순;성진욱
    • 한국철도학회논문집
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    • 제12권3호
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    • pp.388-395
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    • 2009
  • 유리섬유시트로 보강된 철근콘크리트 보의 휨 거동을 조사하기 위해, 하나의 기준보와 8개의 보강보(4개의 NU-보강보, 4개의 U-보강보)에 대한 보강보 휨 실험을 수행하였다. NU 보강보는 단부에 U 밴드를 적용하지 않은 보를, U-보강보는 U 밴드를 가진 보를 의미한다. 보강보 실험에서의 실험변수들은 유리섬유시트의 보강 양, U 밴드의 유무 등이 있다. 기준보와 비교하여 NU 보강보와 U 보강보의 최대하중은 각각 48%와 34% 증가하였으며, 휨 강성은 각각 920%와 880% 증가하였다. NU 보강보와 U 보강보에 대한 연성지수는 1.43에서 2.60 사이에 놓여있다. U 밴드를 가진 보강 시스템은 섬유시트의 계면박리 파괴를 지연시키고, U 밴드가 없는 보강시스템보다 나은 연성거동을 나타내 보였다. NU 보강보와 U 보강보 모두에서 섬유시트 겹수의 증가에 따라 최대하중과 휨 강성은 증가하였다. 실험결과들을 이론적인 비선형 휨 해석결과와 비교하였으며, 잘 일치함을 확인하였다.

은행나무와 곰솔에 처리된 인공산성비에 의한 잎의 형태변화 (Effect of simulated Acid rain on Foliar Structural of Changes of Ginkgo biloba and Pinus thunbergii)

  • 소웅영
    • Journal of Plant Biology
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    • 제38권1호
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    • pp.79-86
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    • 1995
  • 은행나무와 곰솔의 잎은 pH 3.2 이하의 인공산성비 처리구에서 괴사반점과 황화현상 및 조기노화 현상이 나타났다. 잎표면 구조의 관찰에서 은행나무 잎은 pH 2.4의 처리구에서 잎표면 왁스층의 침식이 심하게 일어난 반면 곰솔의 경우 pH 4.0 이하의 처리구에서 왁스층의 침식이 심하게 일어났다. 은행나무 잎은 pH 3.2 이하에서 표피세포와 해면조직에서 구조의 변화가 나타났으나 유관속조직은 정상적인 구조를 나타냈다. 엽육세포의 크기는 산도가 높아질수록 작아지고 세포간극이 커졌다. 곰솔의 잎은 표피세포보다 엽육조직과 유관속조직의 피해가 현저하였다. 은행나무의 기공의 크기와 모양은 인공산성비의 영향을 받지 않았으나 기공지수와 기공의 공극 크기는 높은 산도에서 증가하였다. 또한 인공산성비가 처리된 은행나무와 곰솔 잎의 기공들은 열려 있었다.

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Genetic defects in the nef gene are associated with Korean Red Ginseng intake: monitoring of nef sequence polymorphisms over 20 years

  • Cho, Young-Keol;Kim, Jung-Eun;Woo, Jun-Hee
    • Journal of Ginseng Research
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    • 제41권2호
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    • pp.144-150
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    • 2017
  • Background: The presence of gross deletions in the human immunodeficiency virus nef gene ($g{\Delta}nef$) is associated with long-term nonprogression of infected patients. Here, we investigated how quickly genetic defects in the nef gene are associated with Korean Red Ginseng (KRG) intakein 10 long-term slow progressors. Methods: This study was divided into three phases over a 20-yr period; baseline, KRG intake alone, and KRG plus highly active antiretroviral therapy (ART). nef gene amplicons were obtained using reverse transcription polymerase chain reaction (PCR) and nested PCR from 10 long-term slow progressors (n = 1,396), and nested PCR from 36 control patients (n = 198), and 28 ART patients (n = 157), and these were then sequenced. The proportion of $g{\Delta}nef$, premature stop codons, and not in-frame insertion or deletion of a nucleotide was compared between three phases, control, and ART patients. Results: The proportion of defective nef genes was significantly higher in on-KRG patients (15.6%) than in baseline (5.7%), control (5.6%), on-KRG plus ART phase (7.8%), and on-ART patients (6.6%; p < 0.01). Small in-frame deletions or insertions were significantly more frequent among patients treated with KRG alone compared with controls (p < 0.01). Significantly fewer instances of genetic defects were detected in samples taken during the KRG plus ART phase (7.8%; p < 0.01). The earliest defects detected were $g{\Delta}nef$ and small in-frame deletions after 7 mo and 67 mo of KRG intake, respectively. Conclusion: KRG treatment might induce genetic defects in the nef gene. This report provides new insight into the importance of genetic defects in the pathogenesis of AIDS.

외부 정수압을 받는 복수 원통의 연쇄 내파에 관한 실험연구 (Tests on the Serial Implosion of Multiple Cylinders Subjected to External Hydrostatic Pressure)

  • 태구무타퀴;박상현;손정민;조상래;노인식;이필승;조윤식
    • 대한조선학회논문집
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    • 제57권4호
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    • pp.213-220
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    • 2020
  • In the present paper, implosion responses of two adjacent cylindrical tubes under external hydrostatic pressure were experimentally investigated. The cylinder models were fabricated of aluminium alloy 6061-T6 commercial tubes. In the experiment, a pair of two-cylinders were placed inside of a support frame in a medium-size pressure chamber, whose design pressure was 6.0MPa. The distance between the two-cylinders was 30 millimeter measured from outer shell at the mid-length. The implosion tests were performed with water and compressed nitrogen gas as the pressurizing media. The ambient static pressure of the chamber and local dynamic pressure near the two-imploded models were measured simultaneously. It was found that the energy released during an implosion from the first, weaker cylinder triggered the instability of the second, stronger cylinders. In other words, the resulting shock wave of the first implosive impact from the weaker cylinder could cause the premature failure of the neighboring stronger cylinders. The non-contact implosion phenomena from the two-cylindrical tube were clearly observed.

조제분유와 이유식의 미생물학적 안전성 (Microbiological Safety of Infant Formula and Baby Food)

  • 이승배;최재원;최석호
    • Journal of Dairy Science and Biotechnology
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    • 제23권1호
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    • pp.65-71
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    • 2005
  • Powered infant formula and baby food contaminated with Enterobacter sakazakii were reported to cause infection among infants and to be associated with sporadic cases and outbreaks of sepsis, menigitis, cerebritis, and necrotizing enterocolitis. Salmonella contamination of infant formula has also been responsible for multiple outbreaks. Other species of Enterobacteriaceae in powdered infant formula may be causative agents, about which there has been no report. Other pathogenic bacteria have been isolated from powdered infant formula but they were not associated with outbreaks among infant. While Enterobacter sakazakii caused disease in all age groups, premature infants under 28 days old and with birth weight are most sensitive to its infection. Even if low contamination level of the bacteria in powdered infant formula and baby food may not cause infection, the possibility to multiplicate during preparation and storage of reconstituted formula may increase. The etiological factors and pathogenecity of S. sakazakii have not been elucidated. There were wide variability in phenotype and genotype between its strains. S. sakazakii has been isolated from factory facility and surroundings more frequently than Salmonella and thus factory environment should be the source for post-processing contamination of the formula with S. sakazakii. Considering current technology to manufacture power infant formula and baby food it is impossible to sterilize powdered formula but the frequency of outbreak hazard by S. sakazakii can be reduced by pasteurizing the formula base before drying and shortening storage time of the reconstituted formula.

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