• 제목/요약/키워드: PLD2

검색결과 378건 처리시간 0.026초

Cost Effectiveness Analysis of Different Management Strategies between Best Supportive Care and Second-line Chemotherapy for Platinum-resistant or Refractory Ovarian Cancer

  • Luealon, Phanida;Khempech, Nipon;Vasuratna, Apichai;Hanvoravongchai, Piya;Havanond, Piyalamporn
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권2호
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    • pp.799-805
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    • 2016
  • Background: There is no standard treatment for patients with platinum-resistant or refractory epithelial ovarian cancer. Single agent chemotherapies have evidence of more efficacy and less toxicity than combination therapy. Most are very expensive, with appreciable toxicity and minimal survival. Since it is difficult to make comparison between outcomes, economic analysis of single-agent chemotherapy regimens and best supportive care may help to make decisions about an appropriate management for the affected patients. Objective: To evaluate the cost effectiveness of second-line chemotherapy compared with best supportive care for patients with platinum-resistant or refractory epithelial ovarian cancer. Materials and Methods: A Markov model was used to estimate the effectiveness and total costs associated with treatments. The hypothetical patient population comprised women aged 55 with platinum-resistant or refractory epithelial ovarian cancer. Four types of alternative treatment options were evaluated: 1) gemcitabine followed by BSC; 2) pegylated liposomal doxorubicin (PLD) followed by BSC; 3) gemcitabine followed by topotecan; and 4) PLD followed by topotecan. Baseline comparator of alternative treatments was BSC. Time horizon of the analysis was 2 years. Health care provider perspective and 3% discount rate were used to determine the costs of medical treatment in this study. Quality-adjusted life-years (QALY) were used to measure the treatment effectiveness. Treatment effectiveness data were derived from the literature. Costs were calculated from unit cost treatment of epithelial ovarian cancer patients at various stages of disease in King Chulalongkorn Memorial Hospital (KCMH) in the year 2011. Parameter uncertainty was tested in probabilistic sensitivity analysis by using Monte Carlo simulation. One-way sensitivity analysis was used to explore each variable's impact on the uncertainty of the results. Results: Approximated life expectancy of best supportive care was 0.182 years and its total cost was 26,862 Baht. All four alternative treatments increased life expectancy. Life expectancy of gemcitabine followed by BSC, PLD followed by BSC, gemcitabine followed by topotecan and PLD followed by topotecan was 0.510, 0.513, 0.566, and 0.570 years, respectively. The total cost of gemcitabine followed by BSC, PLD followed by BSC, gemcitabine followed by topotecan and PLD followed by topotecan was 113,000, 124,302, 139,788 and 151,135 Baht, respectively. PLD followed by topotecan had the highest expected quality-adjusted life-years but was the most expensive of all the above strategies. The incremental cost-effectiveness ratios (ICER) of gemcitabine followed by BSC, PLD followed by BSC, gemcitabine followed by topotecan and PLD followed by topotecan was 344,643, 385,322, 385,856, and 420,299 Baht, respectively. Conclusions: All of the second-line chemotherapy strategies showed certain benefits due to an increased life-year gained compared with best supportive care. Moreover, gemcitabine as second-line chemotherapy followed by best supportive care in progressive disease case was likely to be more effective strategy with less cost from health care provider perspective. Gemcitabine was the most cost-effective treatment among all four alternative treatments. ICER is only an economic factor. Treatment decisions should be based on the patient benefit.

방선균 KF923이 생산하는 Phospholipase D의 정제 및 특성 (Purification and Characterization of Phospholipase D from Actionmycetes KF923)

  • 곽보연;윤석후;김창진;손동화
    • 한국미생물·생명공학회지
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    • 제32권1호
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    • pp.78-83
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    • 2004
  • 국내 6개 지역에 걸쳐 채취한 토양 63점으로부터 1,000여 종의 방선균주를 분리하였다. 이들 균주의 배양 상징액 중 PLD의 생산이 양호한 균주를 탐색한 결과, 분해활성이 0.3U/$m\ell$이상인 131 균주를 일차로 선발하였다. 이중 전이 활성이 20% 이상인 균주는 23개였으며, 최종적으로 분해 및 전이활성이 가장 우수한 균주(방선균 KF923)를 선발하였다. 방선균 KF923 균주는 P 배지하에서 발효조 배양시 배양 48시간 후에 최고의 분해활성을 나타내었고(13U/$m\ell$) 전이활성은 95%로 나타났다. 방선균 KF923 균주가 생산한 PLD를 정제하여 비활성이 567U/mg의 PLD를 얻었다. 정제된 PLD는 분자량이 약 55kD으로 나타났고, 효소반응의 최적 pH는 6.0, 최적온도는 $60^{\circ}C$였으며, 효소의 안정성에 미지는 pH 및 온도의 영향은 pH 8.0부근 및 $40^{\circ}C$ 이하에서 가장 안정하였다. 또한, 특별한 금속이온의 요구성은 없는 것으로 나타났다. 방선균 KF923 균주가 생산한 PLD는 산업화에 충분히 활용 가능하며, 이를 위하여 효소의 대량생산 및 효소반응을 위한 공정개발 등의 연구가 필요하다고 생각한다.

방선균 KE923이 생산하는 Phospholipase D의 정제 및 특성 (Purification and Characterization of Phospholipase D from Actinomycetes KF923.)

  • 곽보연;윤석후;김창진;손동화
    • 한국미생물·생명공학회지
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    • 제31권4호
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    • pp.389-394
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    • 2003
  • 국내 6개 지역에 걸쳐 채취한 토양 63점으로부터 1,000여 종의 방선균주를 분리하였다. 이들 균주의 배양 상징액중 PLD의 생산이 양호한 균주를 탐색한 결과, 분해활성이 0.3 U/ml 이상인 131 균주를 일차로 선발하였다. 이중 전이활성이 20% 이상인 균주는 23 개였으며, 최종적으로 분해 및 전이활성이 가장 우수한 균주(방선균 KF923)를 선발하였다. 방선균 KF923 균주는 P배지하에서 발효조 배양시 배양 48시간후에 최고의 분해활성을 나타내었고(13 U/ml) 전이활성은 95%로 나타났다. 방선균 KF923 균주가 생산한 PLD를 정제하여 비활성이 567 U/mg의 PLD를 얻었다. 정제된 PLD는 분자량이 약 55 kD으로 나타났고, 효소반응의 최적 pH는 6.0, 최적온도는 $60^{\circ}C$였으며, 효소의 안정성에 미치는 pH 및 온도의 영향은 pH 8.0부근 및 $40^{\circ}C$ 이하에서 가장 안정하였다. 또한. 특별한 금속이온의 요구성은 없는 것으로 나타났다. 방선균 KF923 균주가 생산한 PLD는 산업화에 충분히 활용 가능하며, 이를 위하여 효소의 대량생산 및 효소반응을 위한 공정개발 등의 연구가 필요하다고 생각한다.

PLD 및 MOD법으로 제조된 2세대 HTS 선재의 전자기 특성 (Electromagnetic properties of HTS coated conductors fabricated by PLD and MOD)

  • 오상수;황선역;송규정;강석일;하동우;고락길;박찬
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2004년도 추계학술대회 논문집 Vol.17
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    • pp.65-68
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    • 2004
  • A lot of R&D efforts are being concentrated on the development of high performance HTS coated conductors(CC). Unlike the HTS Bi-2223 tape, a variety of processes have been tried to fabricate CC tapes. PLD and MOD are believed to be very effective methods, and high critical currents of long length CC tape have been reported. In this study, we prepared two kinds of YBCO CCs to evaluate electromagnetic property. One is YBCO tape deposited on IBAD template by PLD and the other is AMSC's MOD CC tape Critical current (Ic) in magnetic fields, its angular dependency, and n-value were measured and analyzed. Magnetic field property of Ic was appeared to be different due the fabrication process. MOD tape showed higher in-field property, n-value of both PLD and MOD tapes exponentially decreased with magnetic field. MOD tape showed higher n-value in whole magnetic fields.

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PLD법에 의한 OLED 제작 공정 개발 (Development of OLED manufacturing process using PLD method)

  • 김창교;노일호;장석원;홍진수;양성준
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2004년도 추계학술대회 논문집 Vol.17
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    • pp.598-602
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    • 2004
  • Organic light entitling diode panel was fabricated using pulsed laser deposition (PLD) method Nd-YAG laser with Q-Switched and 355 nm pulse was used for the PLD. While TPD(N,N'-Di-[naphthaleny]-N, N'-diphenyl-benzidine) was used as a HTL(Hole transport layer), $Alq_3$(8-Hydroxyquinoline, Aluminum Salt) was used as EML/ETL(Emitting Layer/Electron Transport Layer) Organic pellet was fabricated and employed for the PLD method. The absorbances of the organic films were investigated and the measured absorbance values of TPD and $Alq_3$ films was 362 nm and 399 nm, respectively. The turn-on voltage of the OLED panel was 7.5 V and its luminance was $90\;cd/m^2$

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Cloning of Phospholipase D from Grape Berry and Its Expression under Heat Acclimation

  • Wan, Si-Bao;Wang, Wei;Wen, Peng-Fei;Chen, Jian-Ye;Kong, Wei-Fu;Pan, Qiu-Hong;Zhan, Ji-Cheng;Tian, Li;Liu, Hong-Tao;Huang, Wei-Dong
    • BMB Reports
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    • 제40권4호
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    • pp.595-603
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    • 2007
  • To investigate whether phospholipase D (PLD, EC 3.1.4.4) plays a role in adaptive response of post-harvest fruit to environment, a PLD gene was firstly cloned from grape berry (Vitis Vinifera L. cv. Chardonnay) using RT-PCR and 3'- and 5'-RACE. The deduced amino acid sequence (809 residues) showed 84.7% identity with that of PLD from Ricinus communis. The secondary structures of this protein showed the characteristic C2 domain and two active sites of a phospholipid-metabolizing enzyme. The PLD activity and its expression in response to heat acclimation were then assayed. The results indicated PLD was significantly activated at enzyme activity, as well as accumulation of PLD mRNA and synthesis of new PLD protein during the early of heat acclimation, primary suggesting that the grape berry PLD may be involved in the heat response in post-harvest grape berry. This work offers an important basis for further investigating the mechanism of post-harvest fruit adaptation to environmental stresses.

PLD 법으로 성장한 undoped ZnO 박막의 성장온도에 따른 광학적 특성 (Optical properties of undoped ZnO films grown by PLD)

  • 김기휘;임재현;송용원;이상렬
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2008년도 제39회 하계학술대회
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    • pp.1264-1265
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    • 2008
  • PLD 방법으로 undoped ZnO박막을 성장 온도별로 성장하여 박막의 광학적 특성이 변화되는 것을 관찰하였다. undoped ZnO박막은 $Al_2O_3(0001)$기판을 이용하였고, pulsed laser deposition(PLD)을 이용하여 증착을 하였다. 이때 파장이 355nm인 Nd:YAG 레이저를 이용하였고 레이저의 에너지 밀도는 1.4 $J/cm^2$ 이었다. 구조적 광학적 특성을 관측하기 위하여 XRD, SEM, PL 등을 측정하였다. PL 측정 결과 성장 온도가 증가함에 따라 undoped ZnO박막의 광학적 특성이 좋아지는 것을 관찰할 수 있었다. XRD 측정 결과도 온도별 FWHM과 intensity ratio가 점차 좋아지는 것을 볼 수 있었다.

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PLD법에 의한 14/50/50 PLZT박막의 제작과 특성평가 (Fabrication and Estimation of 14/50/50 PLZT Thin Flims by PLD)

  • 박정흠;강종윤;장낙원;박용욱;최형욱;마석범
    • 한국전기전자재료학회논문지
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    • 제14권5호
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    • pp.417-422
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    • 2001
  • The needs of new materials that substitute Si Oxide capacitor layer in high density DRAM increase. So in this paper, we choose the slim region 14/50/50 PLZT composition and fabricated thin films by PLD and estimated the characteristics for DRAM application. 14/50/50 PLZT thin films have crystallized into perovskite structure in the $600^{\circ}C$ deposition temperature and 200 mTorr Oxygen pressure. In this condition, PLZT thin films had 985 dielectric constant, storage charge density 8.17 $\mu$C/$\textrm{cm}^2$ and charging time 0.20ns. Leakage Current density was less than 10$^{-10}$ A/$\textrm{cm}^2$ until 5V bias voltage.

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PLD법으로 제작된 (Ba,Sr)TiO$_3$박막의 전기적 특성 (Electrical Properties of the (Ba,Sr)TiO$_3$ Thin Films Prepared by PLD)

  • 주학림;김성구;마석범;장낙원;박정흠;박창엽
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 1999년도 추계학술대회 논문집
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    • pp.125-128
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    • 1999
  • (Ba$_{0.6}$Sr$_{0.4}$)TiO$_3$(BST) thin films were fabricated with different deposition temperature by Pulsed Laser Deposition(PLD). This BST thin films showed a maximum dielectric constant value of $\varepsilon$$_{r}$=~684 and dielectric loss was ~0.01 when substrate temperature was 75$0^{\circ}C$. Charge storage density of BST thin film was 4.733 [$\mu$C/$\textrm{cm}^2$] and estimated charging time was 0.15 nsec. Leakage current density of BST thin film was below 10$^{-7}$ [A/$\textrm{cm}^2$] at 3V. 3V.V.

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펄스 레이저 증착법을 이용한 유기 박막의 제작 (Fabrication of Organic Thin Films by Pulsed Laser Deposition)

  • 박상무;이붕주
    • 한국진공학회지
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    • 제17권5호
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    • pp.455-460
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    • 2008
  • 최근까지 유기박막의 제조에 있어서 진공 증착 혹은 스핀코팅법의 대체방법으로 펄스 레이져 증착법 (PLD: Pulsed laser deposition)에 많은 관심이 되고 있는 실정이다. 본 논문에서는 유기발광소자(OLED)의 제작을 위해 $Alq_3$(aluminato-tris-8-hydroxyquinolate)와 TPD의 유기물을 질소($N_2$)분위기 상태에서 KrF($\lambda$=278 nm) 엑시머 레이저를 이용한 PLD법으로 증착하였고, 증착공정변화에 따른 증착된 박막의 분자 및 광학적 특성의 효과를 PL과 FT-IR등을 이용하여 평가하였다.