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A retrospective analysis of the follicle-stimulating hormone starting dose in expected normal responders undergoing their first in vitro fertilization cycle: proposed dose versus empiric dose

  • Lee, Dayong;Han, Soo Jin;Kim, Seul Ki;Jee, Byung Chul
    • Clinical and Experimental Reproductive Medicine
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    • v.45 no.4
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    • pp.183-188
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    • 2018
  • Objective: The purpose of this retrospective study was to evaluate the appropriateness of various follicle-stimulating hormone (FSH) starting doses in expected normal responders based on the nomogram developed by La Marca et al. Methods: A total of 117 first in vitro fertilization cycles performed from 2011 to 2017 were selected. All women were expected normal responders and used a recombinant FSH and flexible gonadotropin-releasing hormone antagonist protocol. The FSH starting dose was empirically determined (150, 225, or 300 IU). The FSH starting dose indicated by La Marca's nomogram was determined using female age and serum $anti-M{\ddot{u}}llerian$ hormone or basal FSH levels. If the administered dose was exactly the same as the proposed dose, the cycle was assigned to the concordant group (34 cycles). If not, it was assigned to the discordant group (83 cycles). Optimal ovarian response was defined as a total of 8-14 oocytes, hypo-response as < 8 oocytes, and hyper-response as > 14 oocytes. Results: Between the concordant and discordant group, ovarian response (optimal, 32.4% vs. 27.7%; hypo-response, 55.9% vs. 54.2%; and hyper-response, 11.8% vs. 18.1%) and the number of total or mature oocytes were similar. Ovarian hyperstimulation syndrome was rare in both groups (0% vs. 1.2%). The implantation rate, clinical pregnancy rate, miscarriage rate, and live birth rate were all similar. Conclusion: The use of the proposed FSH starting dose determined using La Marca's nomogram did not enhance the optimal ovarian response rate or pregnancy rate in expected normal responders. Individualization of the FSH starting dose by La Marca's nomogram appears to have no distinct advantages over empiric choice of the dose in expected normal responders.

A Study on the Estimation of Effective Precipitation using Detailed Soil Map (정밀토양도를 이용한 유효강우량 산정에 관한 연구)

  • Kim, Kyung-Tak;Choi, Yun-Seok
    • Journal of the Korean Association of Geographic Information Studies
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    • v.7 no.2
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    • pp.1-15
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    • 2004
  • For the simulation of flow phenomenon that calculate basin outflow, it is required to estimate effective precipitation which contributes to direct runoff. This paper is focused on using detailed soil map which is one of the data required to estimate effective precipitation by SCS CN method. Korean detailed soil map must be reclassified as SCS hydrologic soil group when it is applied to SCS CN method. In this study, Korean detailed soil maps which are reclassified as SCS hydrologic soil group by the methods of Her and Jung (1987) and Jung et al. (1995) are applied to flow simulation and the results are analyzed. The study sites are Wichon watershed and Pyungchang river basin which are studied by International Hydrological Program(IHP). HEC-1 and WMS v6.1 are used to simulate flow phenomenon and calculate geographic parameters. The difference of flow analysis results from each soil reclassification method is different from each sites. But the results of flow analysis approximate observed data by using Jung et al. (1995) method more than Her and Jung (1987) method.

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A 13-Week Repeated Oral Dose Toxicity Test and a 4-Week Recovery Test of Standardized Cornus officinalis and Psoralea corylifolia L . in Sprague-Dawley Rats (산수유(山茱萸)와 보골지(補骨脂) 복합추출물의 Sprague-Dawley 랫드를 이용한 13 주 반복경구투여 독성시험 및 4 주 회복시험)

  • Sim, Seo-Ah;Kang, Sung-Chul;Jin, Bo-Ram;Kim, Min-jeong;Yeo, Sujung;Park, In-hwa;Jerng, Ui Min;Cha, Yun-yeop;Ahn, Ji-Hye;An, Hyo-Jin
    • The Korea Journal of Herbology
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    • v.36 no.6
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    • pp.27-37
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    • 2021
  • Objectives : In the current study, we performed the 13-week repeated oral dose toxicity test and a 4-week recovery test of standardized Cornus officinalis Sieb. et Zucc. and Psoralea corylifolia L. 30 % ethanol extract (SCP) in Sprague-Dawley (SD) rats owing to aims for verifying no observed adverse effect level (NOAEL). Methods : The animal study was performed according to OECD guidelines for the testing of chemicals section 4 health effects test No.408 repeated dose 90-day oral toxicity study in rodents (03 October 2008). In the repeated dose toxicity study, SCP was orally administered to female and male rats at dose levels of 1,000, 2,000, and 4,000 mg/kg/day for 13-week. The control group and high dose (4,000 mg/kg/day) group were then monitored for 4 extra weeks to determine recovery time after the study period. 1) Results : Compared with the control group, there were no treatment-related adverse effects in clinical signs, body weight, hematology, serum biochemistry (Aspartate aminotransferase, Alanine aminotransferase, Alkaline phosphatase, 𝛾-Glutamyl transpeptidase, Blood urea nitrogen, Creatinine, Glucose, Total cholesterol, Total protein, Creatine phosphokinase, Albumin, Total bilirubin, Triglyceride, Inorganic phosphorus, Albumin/Globulin ratio, Calcium ion, Sodium ion, Potassium ion, Chloride ion), necropsy findings and organ weight (Ovary, Adrenal gland, Pituitary, Thymus, Prostate, Testis, Epididymis, Spleen, Kidney, Heart, Lung, Brain, Liver) at any dose tested. Conclusions : Taken together, these results suggest that the NOAEL of SCP in both genders was considered as over 4,000 mg/kg. Results from this study provide scientific evidence for the safety of SCP.

Efficacy of Coculture System in the Patients with Poor Prognoses on Human IVF-ET Program (사람의 체외수정 시술시 저적응 예후를 보이는 환자에서 공동배양술의 효용성에 관한 연구)

  • Byun, Hye-Kyung;Youm, Hye-Won;Koong, Mi-Kyung;Son, Il-Pyo;Kang, Inn-Soo;Lee, Ho-Joon
    • Clinical and Experimental Reproductive Medicine
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    • v.24 no.2
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    • pp.211-216
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    • 1997
  • The present study was carried out to evaluate whether the coculture system of human embryos with Vero cells can improve the quality of embryo or overcome the repetitive implantation failures in order to obtain pregnancy. From January to December 1996, a total 202 cases which patients with the problems of repetitive implantation failures (group I) or those with the poor embryonic quality in their previous cycles (group II) was analysed. The quality of cocultured embryo, pregnancy, on-going and implantation rates between coculture and control groups were compared. Of 93 cases in group I, coculture was performed in 34 cases and conventional IVF for the rest. Of 109 cases in group II, 36 for coculture and 73 for conventional IVF. In group I, pregnancy, on-going and implantation rates in coculture group (14/34 (41.2%), 9/34 (26.5%), 16/81 (19.8%), respectively) were higher than those of control (11/59 (18.6%), 8/59 (13.6%), 12/152 (7.9%), respectively). There is significance in the pregnancy and implantation rates (p=0.028 and p=0.015). In group II, pregnancy, on-going and implantation rates in coculture group (8/36 (22.2%), 5/36 (13.9%), 8/87 (9.2%), respectively) were higher than those of control (5/73 (6.8%), 3/73 (4.1%), 3/158 (1.9%), respectively). Like the result of group I, there is significance in the pregnancy and implantation rates (p=0.028 and p=0.022). Coculture system with Vero cells works well in the groups of the two indications. Although the case of 3 day-coculture was small as 15 cases in group II, 3 day-coculture improved pregnancy rate (4/15 (26.7%)). Therefore, 3 day-coculture with assisted hatching is recommended to the patients with poor embryonic quality. In conclusion, coculture system with Vero cells can be suggested as an effective method which improves pregnancy rate in those who have repetitive implantation failures or whose embryonic quality was poor in their previous cycles.

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Effects of a Memory Training Program Using Efficacy Sources on Memory Improvement in Elderly People. (노인의 효능자원을 이용한 기억훈련프로그램의 효과)

  • Kim, Jeong-Hwa
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1170-1180
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    • 2000
  • This study was a quasi-experimental study to confirm the effects of a memory training program using efficacy sources. The purpose was to develop an effective memory training program for elderly people and to identify the effects of the memory training program. This study was carried out between February 24 and July 18, 1999 and the subjects of the study were 102 elderly people who were participants at a welfare institute in Seoul. The experimental group (51) and the control group (51) were assigned by means of participation order. The control group was matched to the experimental group and was selected considering age, sex, and religion. The experimental group participated in the memory training program. The memory training program was based on the literature of Fogler & Stern (1994), Wang & Lee (1990), Lee (1991) and Lee (1993). The memory training program was given twice a week for two weeks with each program lasting two hours. Task centered memory self-efficacy was measured using the Memory Self-Efficacy Scale developed by Berry & Dennehey (1989) and Meta Memory was measured by the MIA developed by Dixon et al. (1988) Memory performance was measured by the word list developed by Cho Sung Won (1995) and the face recognition task (Face Recognition Task developed for this study). Data were analyzed by SPSS PC and the results are described below. 1. The experimental group which participated in the Memory Training Program showed higher task centered memory self-efficacy scores as compared to the control group (t=4.354, P=.0001). 2. The experimental group which participated in the Memory Training Program showed higher metamemory scores as compared to the control group (t=4.733, P=.0001). 3. The experimental group which participated in the Memory Training Program showed higher memory performance scores as compared to the control group (t=7.500, P=.0001). The memory performance involved an immediate word recall task, a delayed word recall task, a word recognition task, and the face recognition task. 4. In the experimental group, there was significant correlation between the task centered memory self-efficacy scores and the metamemory scores (r=.382, P=.006), but the correlation between the task centered memory self-efficacy scores and the memory performance scores and between the metamemory scores and the memory performance scores were not significant. The results showed that task centered memory self-efficacy, meta memory and memory performance improved following the Memory Training Program including the memory process, changes in memory with aging, and appropriate use of memory strategies. Memory Training Program is an effective nursing intervention for improving memory in elderly people and, also, in people with complaints of memory loss.

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A Cancer Risk Assessment of Di (2- ethylhexyl ) -phthalate - Application of MOE (Margin of Exposure) Approach (Di(2-ethylhexyl)phthalate의 발암위해성평가 - MOE(Margin of Exposure) 방법론의 활용 -)

  • 최시내;이효민;윤은경;서경원;김효정;박종세
    • Toxicological Research
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    • v.18 no.1
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    • pp.99-106
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    • 2002
  • The United States Environmental Protection Agency (EPA) characterized the cancer hazard of di(2-ethylhexyl)-phthalate (DEHP) as a B2 group (probable human carcinogen) and proposed "Guide-lines for Carcinogen Risk Assessment". This guidelines proposed alternative methods for analyzing carcinogen dose-response data and for extrapolating the effects of observed at high dose to predict that might occur at lower doses relevant to human exposure. This proposed guidelines state that "If in a particular case, the evidence indicated a threshold, as in the case of carcinogenicity being secondary to another toxicity that has a threshold, the margin of exposure analysis for toxicity is the same as is done for a non-cancer endpoint". DEHP is excellent candidate for reconideration under the new guidelines for carcinogen risk assessment (John Doull et al., 1998). This study is conducted about risk assessment for infant exposure on DEHP in powdered milk wing methodology in EPA's new guideline on carcinogenic risk assessment. Estimated cancer risk of DEHP in powdered milk and cow milk is 2.83$\times$$10^5$ (using cancer potency: 1.4$\times$$10^2$/ (mg/kg/day)) as mean and MOE is 12075 (using selected NOEL 20 mg/kg/day) as mean. mg/kg/day) as mean.

The Effect of Indole Acetic and Abscisic Acid on Ribonucleic Acid and Ribonuclease (Indole acetic acid 와 Abscisic acid 가 핵산(核酸)과 RNase 에 미치는 영향에 관(關)하여)

  • Jo, D.H.;Lee, C.Y.
    • Applied Biological Chemistry
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    • v.15 no.3
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    • pp.181-186
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    • 1972
  • Wheat coleoptile sections were treated with either $1.5{\times}10^{-5}M$ ABA or $5×10^{-5}M$ IAA in vitro, the results may be summarized as follows, 1. The treatmert of IAA decreased the level of high molecular weight RNA F2 and F3 but that with ABA increased the F4 level. 2. IAA caused an increased activity of G2 isozyme, while ABA suppressed the activity of G3 isozyme. 3. The results may suggest that there may exist common effects of IAA and ABA on RNA and RNase. 4. The latent RNase activity caused by SH blocking reagent (p-hydroxymercury benzoate, Pb et al) was not observed.

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Ion-Pair Chromatography of Benzoic Acid and Its Derivatives on XAD-2 (XAD-2 지지체를 이용한 벤조산과 그 유도체들의 이온쌍 크로마토그래피에 관한 연구)

  • Kang, Sam-Woo;Ryu, Sam-Gon;Park, Young-Kyu
    • Journal of the Korean Chemical Society
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    • v.28 no.3
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    • pp.176-184
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    • 1984
  • Retention behavior of benzoic acid and its derivatives on XAD-2 in the alcoholic aqueous solution was investigated and separation was attempted. Retention was affected by the concentration and kinds of added organic solvents, the pH of the aqueous solution, the added $R_4N^+$ and the position and kinds of functional group in the sample molecules. Retention of sample acids in acidic conditions was due to mainly molecular adsorption on nonpolar XAD-2 surface and that in basic conditions was due to mainly ion-pair model. In these bases a mixed sample was separated in EtOH 20% aqueous solution at pH 8.50.

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Synthesis and Mesomorphic Properties of New Achiral Liquid Crystals with 3-Alkoxy-2-(alkoxymethyl)-1-propoxy Swallow-Tails

  • Kang, Kyung-Tae;Kim, Jeong-Tak;Hwang, Ryeo-Yun;Park, Song-Ju;Lee, Seng-Kue;Lee, Jong-Gun;Kim, Yong-Bae
    • Bulletin of the Korean Chemical Society
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    • v.28 no.11
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    • pp.1939-1944
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    • 2007
  • New liquid crystalline (biphenylcarbonyloxy)benzoates with an achiral swallow-tail derived from 3-alkoxy-2- (alkoxymethyl)-1-propanol [(ROCH2)2CHCH2OH, R = Me, Et, Pr, Bu] were prepared. These liquid crystals exhibited the phase sequence (I-SmA-SmCalt-(SmCX)-Cr) and showed antiferroelectric-like Smectic C phase (SmCalt) at temperature lower, and temperature range broader than do the compounds containing a branched alkyl group as a swallow-tail. The temperature ranges of antiferroelectric phase were found to be 30-90 oC and crystallization temperatures were 4-60 oC. The binary mixture of an achiral swallow-tailed liquid crystal and a chiral antiferroelectric liquid crystal, (S)-MHPOBC showed antiferroelectric smectic C phase at temperature much lower than the single chiral antiferroelectric liquid crystal does.

The Kinetics of Delignification in Oxygen·Alkali pulping (효소(酵素)·알칼리 증해(蒸解)의 탈(脱)리그닌에 관(関)한 동역학적(動力學的) 분석(分析))

  • Jo, Byoung Muk;Shin, Dong So
    • Journal of Korean Society of Forest Science
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    • v.56 no.1
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    • pp.26-50
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    • 1982
  • In order to obtain more detailed information concerning the degradation of lignin in the oxygen alkali pulping single stage isothermal delignification of pine wood meal (Pinus koraiensis S. et Z.) was studied in the oxygen alkali system at five temperature level ($110^{\circ}C$, $120^{\circ}C$, $130^{\circ}C$, $140^{\circ}C$, $150^{\circ}C$) for 60 min.. The rate constant, activation energy, oxygen and alkali consumption during the oxygen alkali delignification were determined by the kinetic method. The 2/5 of total lignin was eliminated at the start of the reaction. The delignification rate constant was about 3 times that of caustic soda pulping. The activation energy was about 1/3 lower than in caustic soda pulping. Like oxygen consumption, alkali consumption was also rapid early at the reaction and almost ceased after about 10 min.. The degradation reaction of lignin was strongly dependent upon the pH decrease of the cooking liquor by organic acid generated in pulping. The lignin in the oxygen alkali pulping degraded into lover molecular weight and had more hydrophillic properties. The methoxyl group decreased considerably at the first of oxygen alkali delignification, while the carbonyl, carboxyl and phenolic hydroxyl group increased rapidly.

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