• 제목/요약/키워드: Cut Off

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CEA, AFP, CA125, CA153 and CA199 in Malignant Pleural Effusions Predict the Cause

  • Wang, Xin-Feng;Wu, Yan-Hua;Wang, Mao-Shui;Wang, Yun-Shan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권1호
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    • pp.363-368
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    • 2014
  • Determination of the cause of malignant pleural effusions is important for treatment and management, especially in cases of unknown primaries. There are limited biomarkers available for prediction of the cause of malignant pleural effusion in clinical practice. Hence, we evaluated pleural levels of five tumor biomarkers (CEA, AFP, CA125, CA153 and CA199) in predicting the cause of malignant pleural effusion in a retrospective study. Kruskal-Wallis or Mann-Whitney U tests were carried out to compare levels of tumor markers in pleural effusion among different forms of neoplasia - lung squamous cell carcinoma, adenocarcinoma, or small cell carcinoma, mesothelioma, breast cancer, lymphoma/leukemia and miscellaneous. Receiver operator characteristic analysis was performed to evaluate sensitivity and specificity of biomarkers. The Kruskal-Wallis test showed significant differences in levels of pleural effusion CEA (P<0.01), AFP (P<0.01), CA153 (P<0.01) and CA199 (P<0.01), but not CA125 (P>0.05), among the seven groups. Receiver operator characteristic analysis showed that, compared with other four tumor markers, CA153 was the best biomarker in diagnosing malignant pleural effusions of lung adenocarcinoma (area under curve (AUC): 0.838 (95%confidence interval: 0.787, 0.888); cut-off value: 10.2U/ml; sensitivity: 73.2% (64.4-80.8)%, specificity: 85.2% (77.8-90.8)%), lung squamous cell carcinoma (AUC: 0.716 (0.652, 0.780); cut-off value: 14.2U/ml; sensitivity: 57.6% (50.7-64.3)%, specificity: 91.2% (76.3-98.0)%), and small-cell lung cancer (AUC: 0.812 (0.740, 0.884); cut-off value: 9.7U/ml; sensitivity: 61.5% (55.0-67.8)%, specificity: 94.1% (71.2-99.0)%); CEA was the best biomarker in diagnosing MPEs of mesothelioma (AUC: 0.726 (0.593, 0.858); cut-off value: 1.43ng/ml; sensitivity: 83.7% (78.3-88.2)%, specificity: 61.1% (35.8-82.6)%) and lymphoma/leukemia (AUC: 0.923 (0.872, 0.974); cut-off value: 1.71ng/ml; sensitivity: 82.8% (77.4-87.3)%, specificity: 92.3% (63.9-98.7)%). Thus CA153 and CEA appear to be good biomarkers in diagnosing different causes of malignant pleural effusion. Our findings implied that the two tumor markers may improve the diagnosis and treatment for effusions of unknown primaries.

태백산-황강리 광화대 금속광산의 전략금속광종 재평가 (Revaluation of Strategic Metallic Commodities in the Metallic Mines within Taebaeksan-Hwanggangri Metallogenic Belt)

  • 이재호;허철호;지세정
    • 자원환경지질
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    • 제41권3호
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    • pp.287-297
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    • 2008
  • 태백산-황강리광화대내 34개 광산의 광석을 대상으로 8개 전략광물자원(Pb, Zn, Cu, Fe, Mo, W Au, U)의 함량을 분석하여 광종별 예비개발타당성을 추정한 결과는 다음과 같다. 동의 경우, 상동광산은 23%의 동(한계품위=0.7%)을 함유하는 것으로 나타났으며, 아연의 경우, 청일광산과 삼황학광산은 평균 5%의 아연(한계품위=2.0%)을 함유하는 것으로 나타났다. 특히, 상기 광산들에 대해서는 추가정밀조사가 요구된다. 또한, 몰리브덴의 경우(한계품위=0.02%), 제2연화(0.04%) 및 홍천광산(0.02%), 연의 경우(한계품위=0.58%), 원가사 광산(0.70%), 금의 경우(한계품위=10ppm), 동명(279ppm)및 삼황학광산(251ppm)에서, 각각 해당광종에 대한 국제가격추이에 맞추어 탄력적으로 재가행 여부에 대한 평가가 요구된다. 반면, 우라늄, 철, 텅스텐의 경우, 본 연구결과 경제적으로 개발할 가치가 있는 광산이 없는 것으로 사료된다.

전자토모그래피의 정량적 분석에서 대물렌즈 조리개의 영향 (Objective Aperture Effects for the Quantitative Analysis in Electron Tomography)

  • 김진규;이상희;권희석;정종만;정원구;이수정;주형태;김윤중
    • Applied Microscopy
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    • 제38권4호
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    • pp.285-291
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    • 2008
  • Electron tomography의 정량적 분석을 위해서 대물렌즈 조리개가 투과빔의 강도에 미치는 영향을 평가하였다. Electron tomography에 도입되는 Beer's law의 올바른 적용을 위해서는 투과빔은 시료의 기울기에 따른 mass thickness의 변화에 의한 효과만을 반영해야 한다. 그러므로 빔 경로상의 대물렌즈 조리개, 홀더 등에 의한 다른 효과는 제거되어야 한다. 본 연구에서는 대물렌즈 조리개의 cut-off 효과를 120 kV TEM과 Quantifoil holey 카본 시료를 이용하여 상세히 평가하였다. 대물렌즈 조리개를 사용하지 않은 경우와 비교할 때, $30{\mu}m$ 크기의 대물렌즈 조리개를 통과한 투과전자빔의 강도는 약 16.7%의 감소가 일어난다. 또한 $55^{\circ}$ 이상의 고경사각 기울기에서는 대물렌즈 조리개의 cut-off 효과에 의해 14.2%의 강도 감소가 추가적으로 발생함을 알 수 있었다. Electron tomography에서 정량 분석을 위해서는 이러한 대물렌즈 조리개의 영향을 고려해야만 한다. 또한 Beer's law의 올바른 적용을 위해서는 일련의 기울기에 따른 2차원적 영상은 가능하면 대물렌즈 조리개를 사용하지 않은 상태에서 획득하는 것이 바람직하다.

Streptococcus parauberis의 디스크 확산법 결과에 대한 Epidemiological Cut-off Value의 설정 (Epidemiological Cut-off Values Generated for Disc Diffusion Data from Streptococcus parauberis)

  • 천원경;이윤항;김윤재;노형진;김아란;김남은;서정수;권문경;이지훈;김도형
    • 한국수산과학회지
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    • 제52권4호
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    • pp.382-388
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    • 2019
  • Streptococcosis caused by Streptococcus parauberis is a very important disease in farmed olive flounder Paralichthys olivaceus. For most fish pathogens, including S. parauberis, there are no analytical criteria to distinguish antibioticsusceptible strains from antibiotic-resistant strains. In this study, epidemiological cut-off ($CO_{WT}$) values were generated to classify 75 strains of S. parauberis isolated from 1999 to 2018 as wild type (WT) and non-wild type (NWT) using disc diffusion data and normalized resistance interpretation (NRI) analysis. The susceptibility of the isolates to 16 antibiotics was evaluated using CLSI guideline M42-A. The wild-type cut-off values for amoxicillin, erythromycin, oxytetracycline, and florfenicol for S. parauberis were ${\geq}35$, 31, 28, and 27 mm, respectively. The NWT ratios of S. parauberis strains to treatment with GEN, FFC, ENR, SXT, EFT, VAN, and CHL were 17% or less, indicating that these antibiotics may be used to treat streptococcosis caused by S. parauberis. For recent S. parauberis isolates, the NWT ratios for AMX, ERY, OTC and FFC are much higher than for strains isolated from 1999-2007. The $CO_{WT}$ data from this study will assist aquatic animal disease professionals in prescribing appropriate antibiotics for the treatment of streptococcosis caused by S. parauberis, which will help reduce the misuse and abuse of antibiotics in the aquaculture sector.

Nd:YAG UV 레이저를 이용한 연성회로 다층기판 절단특성에 대한 연구 (An analysis of Cutting Characteristic of Multilayer FPCB using Nd:YAG UV Laser System)

  • 최경진;이용현
    • 한국정밀공학회지
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    • 제27권3호
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    • pp.9-17
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    • 2010
  • The FPCB is used for electronic products such as LCD display. The process of manufacturing FPCB includes a cutting process, in which each single FPCB is cut and separated from the panel where a series of FPCBs are arrayed. The most-widely used cutting method is the mechanical punching, which has the problem of creating burrs and cracks. In this paper, the cutting characteristics of the FPCB have been experimented using Nd:YAG DPSS UV laser as a way of solving this problem. To maximize the industrial application of this laser cutting process, test samples of the multilayered FPCB have been chosen as it is actually needed in industry. The cutting area of the FPCB has four different types of layer structure. First, to cut the test sample, the threshold laser cut-off fluence has been found. Various combinations of laser and process parameters have been made to supply the acquired laser cut-off fluence. The cutting characteristics in terms of the variation of the parameters are analyzed. The laser and process parameters are optimized, in order to maximize the cutting speed and to reach the best quality of the cutting area. The laser system for the process automation has been also developed.

니켈페라이트 박막 NxFe3-xO4를 이용한 선글라스 렌즈의 자외선 차단효과에 대한 연구 (A Study of cut off effect of ultraviolet in sunglasses lens coated with nickel-ferrite thin film NxFe3-xO4)

  • 하태욱;이용희;최경서;차정원
    • 한국안광학회지
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    • 제8권2호
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    • pp.25-29
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    • 2003
  • 자외선과 전자파를 동시에 차단하는 선글라스렌즈를 제작하기 위하여 유리가판 위에 자성재료인 페라이트에 Ni를 여러 가지 조성비로 첨가한 니켈페라이트 박막 $Ni_xFe_{3-x}O_4$을 페라이트 도금법으로 제작하였다. 이들은 모두 스피넬 구조의 단일상임을 확인할 수 있었으며 육안으로 관찰할 때 거울면과 같은 광택을 가졌으며, 손톱으로 긁었을 때 흠집이 생기지 않는 강도를 보였다. 니켈페라이트는 400nm 부근에서부터 급격히 투과율이 떨어져 자외선을 차단하는데 효과적인 양상을 보이고 있으며 그 중에서 x = 0.09의 Ni 조성비가 자외선 차단효과가 가장 좋은 깃으로 나타났다. 이는 타사제품과 비교하여 자외선 차단효과는 크게 떨어지지 않으므로, 전자파 차단효과가 있는 $Ni_xFe_{3-x}O_4$ 페라이트를 코팅한 선글라스를 착용함으로서 유해전자파와 자외선을 동시에 차단하는 효과를 얻을 수 있을 것이다.

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Prognostic Value of Preoperative Serum CA 242 in Esophageal Squamous Cell Carcinoma Cases

  • Feng, Ji-Feng;Huang, Ying;Chen, Qi-Xun
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권3호
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    • pp.1803-1806
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    • 2013
  • Purpose: Carbohydrate antigen (CA) 242 is inversely related to prognosis in many cancers. However, few data regarding CA 242 in esophageal cancer (EC) are available. The aim of this study was to determine the prognostic value of CA 242 and propose an optimum cut-off point in predicting survival difference in patients with esophageal squamous cell carcinoma (ESCC). Methods: A retrospective analysis was conducted of 192 cases. A receiver operating characteristic (ROC) curve for survival prediction was plotted to verify the optimum cuf-off point. Univariate and multivariate analyses were performed to evaluate prognostic parameters for survival. Results: The positive rate for CA 242 was 7.3% (14/192). The ROC curve for survival prediction gave an optimum cut-off of 2.15 (U/ml). Patients with CA 242 ${\leq}$ 2.15 U/ml had significantly better 5-year survival than patients with CA 242 >2.15 U/ml (45.4% versus 22.6%; P=0.003). Multivariate analysis showed that differentiation (P=0.033), CA 242 (P=0.017), T grade (P=0.004) and N staging (P<0.001) were independent prognostic factors. Conclusions: Preoperative CA 242 is a predictive factor for long-term survival in ESCC, especially in nodal-negative patients. We conclude that 2.15 U/ml may be the optimum cuf-off point for CA 242 in predicting survival in ESCC.