• 제목/요약/키워드: COH

검색결과 119건 처리시간 0.028초

Controlled ovarian hyperstimulation for fertility preservation in women with breast cancer: Practical issues

  • Park, So Yun;Jeong, Kyungah;Cho, Eun Hye;Chung, Hye Won
    • Clinical and Experimental Reproductive Medicine
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    • 제48권1호
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    • pp.1-10
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    • 2021
  • In Korean women, a westernized lifestyle is associated with an increased risk of breast cancer. Fertility preservation has become an increasingly important issue for women with breast cancer, in accordance with substantial improvements in survival rate after cancer treatment. The methods of controlled ovarian hyperstimulation (COH) for fertility preservation in breast cancer patients have been modified to include aromatase inhibitors to reduce the potential harm associated with increased estradiol levels. Random-start COH and dual ovarian stimulation are feasible options to reduce the total duration of fertility preservation treatment and to efficiently collect oocytes or embryos. Using a gonadotropin-releasing hormone agonist as a trigger may improve cycle outcomes in breast cancer patients undergoing COH for fertility preservation. In young breast cancer patients with BRCA mutations, especially BRCA1 mutations, the possibility of diminished ovarian reserve may be considered, although further studies are necessary. Herein, we review the current literature on the practical issues surrounding COH for fertility preservation in women with breast cancer.

Clinical application of anti-M$\ddot{u}$llerian hormone as a predictor of controlled ovarian hyperstimulation outcome

  • Lee, Jae Eun;Lee, Jung Ryeol;Jee, Byung Chul;Suh, Chang Suk;Kim, Ki Chul;Lee, Won Don;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • 제39권4호
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    • pp.176-181
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    • 2012
  • Objective: In 2009 anti-M$\ddot{u}$llerian hormone (AMH) assay was approved for clinical use in Korea. This study was performed to determine the reference values of AMH for predicting ovarian response to controlled ovarian hyperstimulation (COH) using the clinical assay data. Methods: One hundred sixty-two women who underwent COH cycles were included in this study. We collected data on age, basal AMH and FSH levels, total dose of gonadotropins, stimulation duration, and numbers of oocytes retrieved and fertilized. Blood samples were obtained on cycle day 3 before gonadotropin administration started. Serum AMH levels were measured at a centralized clinical laboratory center. The correlation between the AMH level and COH outcomes and cut-off values for poor and high response after COH was analyzed. Results: Concentration of AMH was significantly correlated with the number of oocytes retrieved (OPU; r=0.700, p<0.001). The mean${\pm}$SE serum AMH levels for poor ($OPU{\leq}3$), normal ($4{\leq}OPU{\leq}19$), and high ($OPU{\geq}20$) response were $0.94{\pm}0.15$ ng/mL, $2.79{\pm}0.21$ ng/mL, and $6.94{\pm}0.90$ ng/mL, respectively. The cut-off level, sensitivity and specificity for poor and high response were 1.08 ng/mL, 85.8%, and 78.6%; and 3.57 ng/mL, 94.4%, and 83.3%, respectively. Conclusion: Our data present clinical reference values of the serum AMH level for ovarian response in Korean women. The serum AMH level could be a clinically useful predictor of ovarian response to COH.

SPHERICAL HALL ALGEBRAS OF CURVES AND HARDER-NARASIMHAN STRATAS

  • Schiffmann, Olivier
    • 대한수학회지
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    • 제48권5호
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    • pp.953-967
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    • 2011
  • We show that the characteristic function $1S_{\underline{\alpha}}$ of any Harder-Narasimhan strata $S{\underline{\alpha}}\;{\subset}\;Coh_X^{\alpha}$ belongs to the spherical Hall algebra $H_X^{sph}$ of a smooth projective curve X (defined over a finite field $\mathbb{F}_q$). We prove a similar result in the geometric setting: the intersection cohomology complex IC(${\underline{S}_{\underline{\alpha}}$) of any Harder-Narasimhan strata ${\underline{S}}{\underline{\alpha}}\;{\subset}\;{\underline{Coh}}_X^{\underline{\alpha}}$ belongs to the category $Q_X$ of spherical Eisenstein sheaves of X. We show by a simple example how a complete description of all spherical Eisenstein sheaves would necessarily involve the Brill-Noether stratas of ${\underline{Coh}}_X^{\underline{\alpha}}$.

SEARCH FOR $H_2COH+\;AND\;H_2^{13}CO$ IN DENSE INTERSTELLAR MOLECULAR CLOUDS

  • MINH Y. C.;IRVINE W. M.;MCGONAGLE D.
    • 천문학회지
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    • 제26권2호
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    • pp.99-101
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    • 1993
  • We have searched for the 2 mm transitions of $H_2COH^+(2_{02}-1_{01})$ and $H_2\;^{13}CO(2_{02} - 1_{01},\; 2_{12}-1_{11},\;and\;2_{11}-1_{10})$ toward the dense interstellar molecular clouds Orion A, TMC-1 and L134N using the FCRAO 14 m telescope. None of the transitions have been detected except the $H_2\;^{13}CO$ transitions toward Orion-KL. We set upper limits for the abundances of the protonated formaldehyde ion $(H_2COH^+)$, which are close to the abundances expected from ion-molecule chemistry.

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Mild and Minimal COH in ART

  • Lee, Sang-Hoon
    • 대한생식의학회:학술대회논문집
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    • 대한불임학회 2002년도 제42차 춘계학술대회
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    • pp.24-28
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    • 2002
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초고진공, 고진공, 대기압에서 SUS 316의 오염 구조와 오염 과정 연구 (Contamination structure and process on SUS 316 under UHV, HV and air)

  • 서지근;이규장;신용현;홍승수;정광화
    • 한국진공학회지
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    • 제6권1호
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    • pp.1-8
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    • 1997
  • SUS 316 합금의 노출 조건에 따른 오염 과정과 구조를 x-ray photoelectron spectroscopy실험을 통해 보았다. SUS표면에 부착된 오염 물질은 주로 metal-oxide, metal-H-oxide, CO, COH, 그리고 CxHy임을 보았다. 오염 물질의 층별 형성 구조는 $C_xH_y$/CO(COH)/metal-H-oxide/metal-oxide가 SUS합금 위에 있는 형태이다. 오염 과정은 주로 금속 구성물의 산화와 $C_xH_y$의 흡착과정 두 가지에 의해서 이루어지는 것을 볼 수 있 었다. 초고진공 환경에서는, 오염은 주로 산화층 형성에 의한 것으로 노출 시간이 증가함에 따라 산화층의 두께가 계속 증가하였다. 고진공 또는 높은 압력 환경에서는 노출 초기에 대 부분의 산화층이 형성되고, 노출 시간의 증가에 대해서는 주로 $C_xH_y$에 의한 오염이 계속 증 가하였다. 스테인레스 표면 안에 깊이 분포하고 있는 metal-oxide의 농도는 지수형으로 감 소하는 형태의 분포를 가지며 그 두께는 대기 노출된 시료의 경우 광전자의 평균자유행로 규모로 형성되는 것을 보았고, 특히 Fe-oside가 Cr-oxide를 덮고 있는 표면 편석 현상이 보 였다.

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PE-CVD를 이용한 45nm이하급 저유전물질 DEMS(Diethoxymethylsiliane) 박막증착연구 (Thin Films Deposition Study Using Plasma Enhanced CVD with Low Dielectric Materials DEMS(diethoxymethlysiliane) below 45nm)

  • 강민구;김대희;김영철;서화일
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2008년도 추계학술대회 논문집 Vol.21
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    • pp.148-148
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    • 2008
  • Low-k dielectric materials are an alternative plan to improve the signal propagation delay, crosstalk, dynamic power consumption due to resistance and parasitic capacitance generated the decrease of device size. Now, various materials is studied for the next generation. Diethoxymethlysiliane (DEMS) precursor using this study has two ethoxy groups along with one methyl group attached to the silicon atoms. SiCOH thin films were deposited on p-type Si(100) substrate by Plasma Enhanced Chemical Vapor Deposition (PECVD) using DEMS. In this study, we studied the effect of oxygen($O_2$) flow rate for DEMS to characteristics of thin films. The characteristics of thin films deposited using DEMS and $O_2$ evaluated through refractive index, dielectric constant(k), surface roughness, I-V(MIM:Al / SiCOH / Ag), C-V(MIM), deposition rate.

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Development of a Novel Cell Surface Attachment System to Display Multi-Protein Complex Using the Cohesin-Dockerin Binding Pair

  • Ko, Hyeok-Jin;Song, Heesang;Choi, In-Geol
    • Journal of Microbiology and Biotechnology
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    • 제31권8호
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    • pp.1183-1189
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    • 2021
  • Autodisplay of a multimeric protein complex on a cell surface is limited by intrinsic factors such as the types and orientations of anchor modules. Moreover, improper folding of proteins to be displayed often hinders functional cell surface display. While overcoming these drawbacks, we ultimately extended the applicability of the autodisplay platform to the display of a protein complex. We designed and constructed a cell surface attachment (CSA) system that uses a non-covalent protein-protein interaction. We employed the high-affinity interaction mediated by an orthogonal cohesin-dockerin (Coh-Doc) pair from Archaeoglobus fulgidus to build the CSA system. Then, we validated the orthogonal Coh-Doc binding by attaching a monomeric red fluorescent protein to the cell surface. In addition, we evaluated the functional anchoring of proteins fused with the Doc module to the autodisplayed Coh module on the surface of Escherichia coli. The designed CSA system was applied to create a functional attachment of dimeric α-neoagarobiose hydrolase to the surface of E. coli cells.

난자공여를 통한 체외수정 시술에서 성선자극호르몬 유리호르몬 효능제 장기요법과 길항제 단기요법 사이의 임상 결과 비교 (The Comparison of Clinical Outcomes between GnRH Agonist Long Protocol and GnRH Antagonist Short Protocol in Oocyte Donation Cycles)

  • 이정호;박준철;김종인
    • Clinical and Experimental Reproductive Medicine
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    • 제30권1호
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    • pp.95-103
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    • 2003
  • Objective : To assess and compare the clinical outcomes between GnRH agonist long protocol and GnRH antagonist short protocol in oocyte donation program. Materials and Methods: Of total 18 oocyte donation cycles, controlled ovarian hyperstimulation (COH) were performed with GnRH agonist long protocol and GnRH antagonist short protocol in initial 9 cycles and later 9 cycles, respectively. Oral estradiol valerate and progesterone in oil we re administrated to all recipients for endometrial preparation. Oral estradiol administration was started from donor cycle day 1 after full shut down of gonadal axis with GnRH agonist in patients with ovarian function. Progesterone was injected from oocyte retrieval day of donor initially, then continuously till pregnancy 12 weeks if pregnancy was ongoing. We compared the parameters of clinical outcomes, such as number of the retrieved oocytes, fertilization rate, high grade embryo production rate, clinical pregnancy rate, implantation rate, ongoing pregnancy rate, COH duration, total gonadotropin dose for COH between GnRH agonist long protocol group and GnRH antagonist group. Statistical analysis was performed using Mann-Whitney test, p<0.05 was considered as statistically significant. Results: The number of retrieved oocytes, fertilization rate, high grade embryo production rate, clinical pregnancy rate, implantation rate, ongoing pregnancy rate were $14.89{\pm}7.83$, 81%, 64%, 78%, 31%, 78%, respectively in GnRHa long protocol group and $11.22{\pm}8.50$, 79%, 64%, 67%, 34%, 56%, respectively in GnRH antagonist group. There was no significant differences in parameters of clinical outcomes between 2 groups (all p value >0.05). Duration and total gonadotropin dose for COH were $10.94{\pm}1.70$ days and $43.78{\pm}6.8$ vials in 18 cycles, $12.00{\pm}1.73$ days and $48.00{\pm}6.93$ vials in agonist group, $9.88{\pm}0.78$ days and $39.55{\pm}3.13$ vials in antagonist group, respectively. In GnRH agonist long protocol group, significantly longer duration and higher gonadotropin dose for COH were needed (p=0.012). Conclusion: In oocyte donation program, clinical outcomes from controlled ovarian hyperstimulation with GnRH antagonist were comparable to those from GnRH agonist long protocol group, so controlled ovarian hyperstimulation with GnRH antagonist may be effective as GnRH agonist long protocol. At least there may not be harmful effects of GnRH antagonist on oocyte development and quality.

경계성 난소 종양의 보존적 수술 후 불임 환자에서 체외수정시술의 유용성 (COH-IVF Outcomes for Infertile Patients With Borderline Ovarian Tumor After Conservative Treatment)

  • 이현주;안가영;한호섭;박찬우;양광문;이인호;김태진;임경택;이기헌;강인수
    • Clinical and Experimental Reproductive Medicine
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    • 제34권2호
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    • pp.87-94
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    • 2007
  • 목 적: 경계성 난소 종양 환자에 있어서 보존적 수술 후 임신에 성공한 군과 비임신 군간 환자의 특성에 차이가 있는지 알아 보았으며, 경계성 난소 종양의 보존적 수술 후 체외수정시술의 유용성에 대해 알아 보았다. 연구방법: 1995년 1월부터 1999년 10월까지 경계성 난소 종양으로 보존적 술을 시행 받은 가임 여성 가운데 임신에 성공한 군 (14명)과 비임신 군 (30명)간 환자의 특성에 차이가 있는지 알아 보았으며, 비임신 군 가운데 불임을 주소로 내원하여 체외수정시술을 시행 받은 5명의 10주기를 대상으로 체외수정시술 결과 및 체외수정시술 후 난소 종양의 재발 유무를 추적 관찰하였다. 결 과: 경계성 난소 종양의 보존적 수술 후 임신에 성공한 군과 비임신 군간 환자의 평균 나이는 25.9세와 27.0세이었으며 혈청 CA-125 수치는 59.7 U/m와 72.0 IU/ml로 비임신 군에서 높은 경향을 보였으나 통계적 유의성은 없었다. 불임을 주소로 체외수정시술을 시행 받은 5명의 10주기 (attempt IVF cycle) 가운데 취소된 2주기를 제외하고 (attempt cycle cancellation rate, 20.0%) 채취된 난자 수는 평균 5.6개 (2$\sim$16개)이었으며 수정율은 14.5% (50.0$\sim$100.0%)이었다. 평균 2.4개 (1$\sim$4개)의 배아를 이식하였으며 배아이식 주기당 임신율과 착상율 및 출생율은 각각 50.0% (4/8 cycle), 31.6% 및 50.0% (4/8 cycle)이었다. 체외수정시술 후 평균 29.6개윌 (14$\sim$61개월)의 추적 관찰 기간 동안 난소 종양이 재발된 경우는 없었다. 결 론: 경계성 난소 종양의 보존적 수술 후 임신에 성공한 군과 비임신 군간 환자의 특성에 차이가 없으며, 보존적 수술 후 체외수정시술의 결과는 비교적 만족할 만한 수준으로 체외수정시술은 경계성 난소 종양의 보존적 수술후 고려될 수 있으나 향후 많은 환자를 대상으로 한 장기간의 추적 관찰을 필요로 한다.