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검색결과 7,015건 처리시간 0.039초

Prostate Imaging-Reporting and Data System: Comparison of the Diagnostic Performance between Version 2.0 and 2.1 for Prostatic Peripheral Zone

  • Hyun Soo Kim;Ghee Young Kwon;Min Je Kim;Sung Yoon Park
    • Korean Journal of Radiology
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    • 제22권7호
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    • pp.1100-1109
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    • 2021
  • Objective: To compare the diagnostic performance between Prostate Imaging-Reporting and Data System version 2.0 (PI-RADSv2.0) and version 2.1 (PI-RADSv2.1) for clinically significant prostate cancer (csPCa) in the peripheral zone (PZ). Materials and Methods: This retrospective study included 317 patients who underwent multiparametric magnetic resonance imaging and targeted biopsy for PZ lesions. Definition of csPCa was International Society of Urologic Pathology grade ≥ 2 cancer. Area under the curve (AUC), sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy for csPCa were analyzed by two readers. The cancer detection rate (CDR) for csPCa was investigated according to the PI-RADS categories. Results: AUC of PI-RADSv2.1 (0.856 and 0.858 for reader 1 and 2 respectively) was higher than that of PI-RADSv2.0 (0.795 and 0.747 for reader 1 and 2 respectively) (both p < 0.001). Sensitivity, specificity, PPV, NPV, and accuracy for PI-RADSv2.0 vs. PI-RADSv2.1 were 93.2% vs. 88.3% (p = 0.023), 52.8% vs. 76.6% (p < 0.001), 48.7% vs. 64.5% (p < 0.001), 94.2% vs. 93.2% (p = 0.504), and 65.9% vs. 80.4% (p < 0.001) for reader 1, and 96.1% vs. 92.2% (p = 0.046), 34.1% vs. 72.4% (p < 0.001), 41.3% vs. 61.7% (p < 0.001), 94.8% vs. 95.1% (p = 0.869), and 54.3% vs. 78.9% (p < 0.001) for reader 2, respectively. CDRs of PI-RADS categories 1-2, 3, 4, and 5 for PI-RADSv2.0 vs. PI-RADSv2.1 were 5.9% vs. 5.9%, 5.8% vs. 12.5%, 39.8% vs. 56.2%, and 88.9% vs. 88.9% for reader 1; and 4.5% vs. 4.1%, 6.1% vs. 11.1%, 32.5% vs. 53.4%, and 85.0% vs. 86.8% for reader 2, respectively. Conclusion: Our data demonstrated improved AUC, specificity, PPV, accuracy, and CDRs of category 3 or 4 of PI-RADSv2.1, but decreased sensitivity, compared with PI-RADSv2.0, for csPCa in PZ.

Feeding Traits, Nutritional Status and Milk Production of Dairy Cattle and Buffalo in Small-scale Farms in Terai, Nepal

  • Hayashi, Yoshiaki;Maharjan, Keshav Lall;Kumagai, Hajime
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권2호
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    • pp.189-197
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    • 2006
  • Twenty small-scale farms of two villages (A and B) were surveyed to identify the feeding traits, milk productivity and nutritional status of lactating cattle and buffalo in Terai, Nepal. Constituents and dry matter (DM) of feed supplied, body condition score (BCS), heart girth (HG), bodyweight (BW), milk yield (MY) and plasma metabolites were obtained in the pasture-sufficient, pasture-decreasing and fodder-shortage periods. Milk yield of 305-day lactation was estimated by the daily MY. The supplies of rice straw and native grass were lower and higher in the pasture-sufficient period than in the other periods, respectively (5.5 kg/day vs. 9.8 kg/day and 3.2 kg/day vs. 0.4 kg/day, respectively, p<0.01). The roughage-supplement rates of the animals were higher in village A than in village B (5.0 vs. 2.2 in cattle and 9.3 vs. 1.8 in buffalo, p<0.01). The variance of feed constituents among the periods and between the villages induced different supplies of CP, NDF and TDN. The concentrations of CP and TDN in the cattle feed were higher in the pasture-sufficient period than in the other periods (9.1% vs. 7.3% and 57.4% vs. 51.0%, respectively, p<0.01). The supplies of CP for cattle and buffalo, and of TDN for buffalo were lower in village A than in village B (7.5% vs. 8.7% and 6.6% vs. 9.1% [p<0.01], and 53.1% vs. 56.2% [p<0.05], respectively). The BCS, HG and BW of the animals were lower in village A than in village B (2.51 vs. 2.86, 156 cm vs. 170 cm and 300 kg vs. 318 kg, respectively in cattle, 2.83 vs. 4.00, 186 cm vs. 216 cm and 429 kg vs. 531 kg, respectively in buffalo, p<0.01). The cattle yielded more milk in the pasture-sufficient period than in the other periods (7.9 liters/day vs. 6.6 liters/day, p<0.01). The 305-day MY of cattle that calved in the fodder-shortage period was lower than that of cattle that calved in the other periods (1,900 liters vs. 2,251 liters, p<0.01). The MYs of cattle and buffalo were lower in village A than in village B (6.2 liters/day vs. 8.1 liters/day and 3.7 liters/day vs. 7.7 liters/day, respectively, p<0.01). The 305-day MY of cattle was lower in village A than in village B (1,935 liters vs. 2,409 liters, p<0.01). The concentrations of plasma albumin and urea nitrogen in cattle were lower in village A than in village B (3.2 g/dl vs. 3.4 g/dl [p<0.01] and 7.4 mg/dl vs. 10.2 mg/dl [p<0.05], respectively). The different supplies of CP, NDF and TDN among the periods and between the villages might have affected MY and nutritional status in cattle and buffalo. It was likely that the lower supplies of CP and TDN for cattle that calved in the fodder-shortage period and in village A lowered the 305-day MY of cattle.

p53 Polymorphisms and Haplotypes as a Possible Predictor of a High-risk Group for Hepatocellular Carcinoma

  • Sato Shigeaki;Shiraki Takashi;Inoue Yoshiki;Takeshita Tatsuya;Morimoto Kanehisa
    • 대한예방의학회:학술대회논문집
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    • 대한예방의학회 1999년도 제51차 추계 학술대회 연제집
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    • pp.1-15
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    • 1999
  • In a case-control study to evaluate the factors involved in the development of hepatocellular carcinoma, polymorphisms of the p53 gene were compared in 68 cases mostly infected with hepatitis C virus (HCV) and 68 controls matched for sex and age: DNA from peripheral blood leukocytes was analyzed by the polymerase chain reaction-single strand conformation polymorphism method and direct sequencing. Polymorphisms analyzed were those in exon 4 (CCC vs. CGC, Pro vs. Arg at codon 72, Al allele vs. A2 allele), intron 2 (C vs. G at nucleotide 38, Al vs. A2), intron 3 (C vs. A at nucleotide 65, Al vs. A2; absence and presence of 16 base pair repeat at nucleotides 24 to 39, Al vs. A2), intron 6 (A vs. G at nucleotide 62, Al vs. A2) and intron 7 (C and T vs. T and G at nucleotides 72 and 92, Al vs. A2). A significantly higher frequency of the allele for CCC (Pro, Al) at codon 72 of exon 4 was found in cases (39%) than in controls (26%) (p<0.05). Highly significant linkage of the polymorphisms in exon 4, intron 2, intron 3 and intron 7, and between the intron 3-16 bp duplication and polymorphism in intron 6 also was found. Matched Fair analysis showed significantly higher frequencies of certain haplotypes (1-1-1-1-2-2 or 1-1-2-1-2-1 for exon 4, intron 2, intron 3, the intron 3-16 bp duplication, intron 6 and intron 7) in cases than in controls (p=0.014, OR=2.27, 95% CI= 1.08-5.12). No preference of specific p53 polymorphisms for specific HCV genotype was detected. These findings suggest that in hepatocarcinogenesis mainly due to HCV infection, genetic factors may be involved and that genetic markers can serve as predictors of a high-risk group for hepatocarcinogenesis.

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한강납줄개의 조개유생 보육에 따른 작은말조개 내 산란 특성 (Spawning Characteristics of Hangang Bitterling, Rhodeus pseudosericeus (Pisces: Acheilognathinae) in the Host Mussel with Glochidia)

  • 김형수;박종영
    • 한국어류학회지
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    • 제32권2호
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    • pp.63-69
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    • 2020
  • 본 연구는 2017년 4~6월까지 흑천 일대에서 한강납줄개의 조개 유생보육에 따른 작은말조개 내 산란 특성에 관한 연구를 실시하였다. 조사기간 동안 확인된 조개는 327개체이었고, 글로키디아 유생을 보육한 조개 중 한강납줄개의 산란이 확인된 조개는 34개체(14.1%)로 나타났다. 아가미 위치에 따른 글로키디아 유생을 보육한 조개와 보육하지 않은 조개에서 확인된 알과 자어수는 왼쪽 외반새 5.0±3.58개(range, 1~8) vs. 2.8±2.13개 (1~9), 왼쪽 내반새 1.5±0.96개 (1~3) vs. 1.7± 0.82개(1~3), 오른쪽 내반새 1.4±0.51개(1~2) vs. 2.1±1.85개(1~6), 오른쪽 외반새 6.4±4.82개(1~20) vs. 3.0±1.86개(1~6)로 나타났다. 아가미 위치에 따른 글로키디아 유생을 보육한 조개와 보육하지 않은 조개에서 확인된 알과 자어의 출현빈도는 왼쪽 외반새 82.6% vs. 73.4%, 왼쪽 내반새 17.4% vs. 9.4%, 오른쪽 내반새 26.1% vs. 15.6%, 오른쪽 외반새 58.7% vs. 67.2%로 나타났다. 글로키디아 유생을 보육한 조개와 보육하지 않은 조개에서 확인된 알과 자어수는 8.5±6.43개(1~23) vs. 4.5±3.38개(1~14)였다. 한강납줄개 알과 자어수 그리고 출현빈도는 글로키디아 유생을 보육한 조개와 외반새에서 높은 것으로 나타났다.

씨스트선충과 (Nematoda: Heteroderidae)의 한국 2 미기록종 Globodera hypolysi와 Sarisodera hydrophila의 기재 (Two Unrecorded Species, Globodera hypolysi and Sarisodera hydrophiza (Nematoda: Heteroderidae) from Korea)

  • Park, Young-Eoun;Kim, Sae-Eon
    • 한국응용곤충학회지
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    • 제40권1호
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    • pp.5-13
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    • 2001
  • 씨스트선충과의 한국 2 미기록속 및 종, Globodera hypolysi, Sarisodera hydrophila를 팔공산에서 채집하였다. 한국산 G. hypolysi는 원 기재와 비슷하나 유충의 구침 길이가 약간 짧고 (21-24 vs.24~25$\mu$m); 씨스트 항문에서 탕까지 거리가 약간 짧았다 (23~54 vs.25~80$\mu$m).한국산 S. hydrophila는 모든 측정치가 원 기재에 비하여 약간 짧았다; 암컷 체장(367.2~597.6$\mu$m vs 359~ 688 mm); 구침장 (37~44$\mu$m vs 38~46$\mu$m); 수컷 체장 (662~1198$\mu$m vs 579-1,405$\mu$m); 구침장 (37~ 43.8$\mu$m vs 38~46$\mu$m). 제2령유충: 체장 (460~536$\mu$m vs 466~558$\mu$m); 구침장이 짧았다 (32~38$\mu$m vs 39~43$\mu$m).

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New Record of Ciliates, Blepharisma undulans and B. steini (Ciliophora: Heterotrichida: Blepharismidae) from Korea

  • Lee, Eun-Sun;Shin, Mann-Kyoon
    • Animal Systematics, Evolution and Diversity
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    • 제25권1호
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    • pp.41-47
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    • 2009
  • Two ciliate species of Blepharisma were collected from the riverine wetland and mountain peak soil in Korea, Blepharisma undulans Stein, 1867 and B. steini Kahl, 1932, which are reported for the first time from Korea. The description was based on the observations of live and protargol impregnation specimens. Diagnostics of these species (Blepharisma undulans vs. B. steini) are as follows. Body length/width ratio in vivo about 6/1 vs. 2/1, shaped in spindle vs. pyriform to ellipsoid and colored in pinkish vs. reddish. Macronuclei 2 vs. 1, with 4-9 vs. 4-7 spherical micronuclei. Adoral zone of membranelles extends from anterior end to 1/3 vs. 1/2-2/3 of body length, with 47-56 vs. 33-45 adoral membranelles. The numbers of somatic kineties are 22-27 vs. 18-22.

Clinical Features and Prognosis of Henoch-Schönlein Purpura in Children and Adults: A 13-Year Retrospective Study at a Single Centre

  • Jung, Do Young;Kwon, Ye Rim;Yu, Min Heui;Namgoong, Mee Kyung
    • Childhood Kidney Diseases
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    • 제21권2호
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    • pp.61-68
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    • 2017
  • Purpose: To investigate differences in clinical features, blood/urinary findings, and prognosis in different age groups of patients with Henoch-$Sch{\ddot{o}}nlein$ purpura (HSP). Methods: A total of 469 patients with HSP were analyzed retrospectively from June 2003 to February 2016. We classified patients into child or adult groups based on their age. Results: The adult group had more patients with anemia (child vs. adult; 7.5% vs. 16.4%), and higher immunoglobulin A (IgA) (30.0% vs. 50.0%) levels, C-reactive protein (34.2% vs. 54.0%) and uric acid (3.1% vs. 12.1%) levels than the child group. The child group was highly positive for Mycoplasma pneumoniae immunoglobulin M (IgM) (34.4%). More patients in the child group presented with high levels of antistreptolysin O (24.7% vs. 2.9%) and high C4 (11.5% vs. 4.2%). Low C3 (1.1% vs. 10.2%) levels, and renal involvement with gross hematuria (8.6% vs. 21.5 %), nonnephrotic proteinuria (1.1% vs. 11.2%), and nephrotic syndrome (1.1% vs. 6.0%) were common in the adult group. Adults also had poorer renal outcomes [persistent hematuria/proteinuria (10.5% vs. 32.8%), and chronic kidney disease (0% vs. 11.2%)] than the child group. Risk factors for renal involvement such as older age and higher level of uric acid were only found in the child group. The risk factors for poor renal outcome were nephrotic syndrome in the child group and gross hematuria in the adult group. Conclusion: In this study, child and adult groups presented with different clinical manifestations of HSP. We found that risk factors for renal involvement included age and high uric acid level in the child group. Moreover, nephrotic syndrome in the child group and gross hematuria in the adult group increased the risk of poor renal outcome.

역행성 견관절 전치환술에서 트라넥삼산의 출혈 및 수혈 감소 효과 (Tranexamic Acid Reduces Postoperative Blood Loss in Reverse Total Shoulder Arthroplasty)

  • 박기영;김인보;김은열;이광석
    • 대한정형외과학회지
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    • 제56권5호
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    • pp.391-397
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    • 2021
  • 목적: 트라넥삼산(tranexamic acid, TXA)은 하지 수술에서 출혈과 수혈 빈도를 줄이는 것으로 알려졌다. 본 연구에서는 역행성 견관절 전치환술 시에 출혈 및 수혈 요구에 대한 TXA의 효과를 평가하고자 하였다. 대상 및 방법: 2009년 9월부터 2020년 7월까지 역행성 견관절 전치환술을 시행한 환자를 평가하였다. 수술 중 정맥로와 관절강 내 도포를 시행한 군은 TXA 사용군, 시행하지 않은 군은 TXA 미사용군으로 분류하였다. 술 후 출혈량을 나타내는 배액관 배액량과 수혈 여부, 술 후 혈색소와 적혈구 용적률 수치를 분석하였다. 결과: TXA 사용군과 TXA 미사용군 간 연령(72.0±7.0 vs. 71.5±5.8, p=0.656) 및 남, 녀 성별 비율(28:65 vs. 23:61, p=0.689)은 유의한 차이가 없었다. 또한 고혈압, 당뇨병, 두 질환 모두를 가진 환자의 유병률(36:3:13 vs. 32:3:8, p=0.806)은 양 군 간 유의한 차이가 없었다. 수혈 기준에 따라 수혈을 시행한 수혈 환자 수(0 vs. 9, p=0.001)는 TXA 사용군에서 없었으며 TXA 미사용군에서 유의하게 더 많았다. 수술 1일째(98.8±61.2 ml vs. 162.7±98.8 ml, p<0.001) 및 제거 당시 배액관 배액량(73.8±48.4 ml vs. 91.5±54.5 ml, p=0.024)은 둘 다 TXA 사용군에서 유의하게 더 적었다. 수술 전 측정한 혈색소 수치(13.2±1.4 vs. 13.3±1.5, p=0.374)와 적혈구 용적률 수치(39.5±3.9 vs. 39.6±4.7, p=0.946)에서 양 군 간 유의한 차이가 없었다. 수술 1일째(11.7±1.2 g/dl vs. 11.2±1.4 g/dl, p=0.048), 3일째(10.9±1.2 g/dl vs. 10.2±1.2 g/dl, p<0.001), 6일째 혈색소(11.2±1.3 g/dl vs. 10.7±1.3 g/dl, p=0.020)는 TXA 사용군에서 유의하게 높았다. 수술 1일째(35.0%±3.6% vs. 32.5%±3.8%, p=0.001), 3일째(32.3% ±5.0% vs. 29.8%±3.6%, p<0.001), 6일째 적혈구 용적률 수치(33.5%±3.8% vs. 31.5%±3.7%, p<0.001)에서도 TXA 사용군에서 유의하게 높았다. 결론: 역행성 견관절 전치환술 시행 시 정맥로와 관절강 내 국소도포를 이용한 TXA의 사용은 수술 후 수혈의 필요성과 출혈량을 줄일 수 있다.

굴 패각이 음식쓰레기의 혐기성 퇴비화에 미치는 영향 (The Effect of waste Oyster Shell on Anaerobic Composting of Garbage)

  • 김남찬;한세현
    • 유기물자원화
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    • 제8권3호
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    • pp.89-96
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    • 2000
  • 본 연구는 $CaCO_3$가 주성분인 굴 패각을 이용하여 혐기성퇴비화 반응시 율속단계의 원인인 pH저하를 감소시킴으로써 혐기성퇴비화에의 굴 패각 적용가능성에 대하여 조사하였다. 실험은 혐기성퇴비화 반응조 5기(R-l~R-5)를 제작하여 음식쓰레기와 접종을 위한 숙성퇴비를 넣은 뒤 굴 패각을 음식쓰레기 주입량에 대해 30%, 60%를 주입하여 중온에서 60일동안 실험하였으며, 메탄가스 발생량, 가스성분비, 유기물제거율 및 pH 등을 측정하였다. 실험결과 가스발생량은 R-1 $0.62{\ell}/g-VS$, R-2 $0.63{\ell}/g-VS$, R-3 $0.16{\ell}/g-VS$, R-4 $0.75{\ell}/g-VS$, R-5 $0.21{\ell}/g-VS$로 나타났으며, 메탄가스 발생량은 R-1 $0.32{\ell}/g-VS$, R-2 $0.37{\ell}/g-VS$, R-3 $0.04{\ell}/g-VS$, R-4 $0.42{\ell}/g-VS$, R-5 $0.05{\ell}/g-VS$로 나타났다. 혐기성퇴비화의 효율을 결정짓는 가스성분비는 R-2, R-4에서의 메탄가스발생량이 전체가스발생량의 55%이상으로 경제성이 있는 것으로 나타났다. pH는 굴 패각을 30% 넣어준 R-2, R-4에서 pH 6.0~8.0을 유지하였으며, 굴 패각을 60% 넣어준 R-3, R-5에서는 pH가 8.5이상으로 상승하여 미생물에 악영향을 미침으로써 혐기성 반응이 제대로 이루어지지 못하였다.

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배양액 종류가 B6D2F1 마우스 배아발생능력에 미치는 영향 (Effect of Type of Culture Media on B6D2F1 Mice Oogenesis)

  • 유창석;박기상;서병부
    • 한국수정란이식학회지
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    • 제31권1호
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    • pp.19-25
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    • 2016
  • This study was conducted to evaluate the effects of type of culture media (BM, G2, OS, TCM, and MEM) on B6D2F1 mice oogenesis. In the present study, B6D2F1/CrljOri $F_1$ mice were utilized in order to maximize oogenesis. Also we used TCM-199, Dulbecco's medified Eagle's medium (DMEM), embryo culture medium (Fertilization medium, Cleavage medium, Blastocyst medium), G series medium and One step medium. In vitro maturation was highest in BM followed by the order of OS, MEM, TCM and G2 ($90{\pm}2.8%>88{\pm}3.2%>85{\pm}4.9%>78{\pm}10.2%>64{\pm}7.7%$, respectively). To note, the G2 group was statistically different compared to other groups (p<0.05). On the other hand the fertilization rate was highest in the G2 group followed by BM, OS, TCM, and MEM ($87{\pm}7.2%>85{\pm}6.9%>74{\pm}14.0%>71{\pm}13.8%>2{\pm}1.4%$, respectively). The MEM group was significantly lower compared to other groups (p<0.05). The developmental rate was highest in the OS group followed by the G2 group and the BM group albeit no statistical significance was noted ($73{\pm}11.6%>71{\pm}9.2%>66{\pm}10.4%$). Of note, all cells of the TCM and MEM groups were died during embryonic development. The zona hatched rate ($51{\pm}9.8%$ vs. $50{\pm}9.1%$ vs. $47{\pm}7.2%$ for BM, G2, and OS respectively) and attached rate ($45{\pm}12.3%$ vs. $38{\pm}16.1%$ vs. $37{\pm}11.5%$ for BM, G2, and OS respectively) were not different amongst groups. No difference was found in total cell numbers ($74{\pm}13.9$ vs. $64{\pm}9.2$ vs. $76{\pm}6.7$ for BM, G2, and OS respectively), ICM cell numbers ($20{\pm}1.9$ vs. $14{\pm}1.8$ vs. $15{\pm}2.1$), TE cell numbers ($55{\pm}12.5$ vs. $49{\pm}10.7$ vs. $61{\pm}5.9$), % ICM ($30{\pm}2.8%$ vs. $24{\pm}7.0%$ vs. $22.8{\pm}2.2%$) and ICM:TE ratio ($1:2{\pm}0.5$ vs. $1:3.1{\pm}0.8$ vs. $1:3.1{\pm}0.5$) amongst groups. In summary, these results can provide fundamental data to maximize culture condition for in vitro fertilization on B6D2F1 mice.