• 제목/요약/키워드: PSA level

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전립선암 선별을 위한 PSA 측정의 보험의학적 의미 (Review of measurement of prostate specific antigen: in the aspect of insurance medicine)

  • 박광일
    • 보험의학회지
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    • 제29권1호
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    • pp.16-21
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    • 2010
  • The measurement of prostate specific antigen (PSA) in screening for prostate cancer is recently performed as a routine check-up in clinical medicine and insurance medicine. Several factors may affect serum PSA levels. As prostate size increases with increasing age, the PSA concentration also rises. Increasing body mass index (BMI) is associated with a lower mean PSA concentration. Inhibitors of 5-alpha-reductase such as finasteride and dutasteride produce a 50 percent or greater decrease in serum PSA during the first three months of therapy, which persists as long as the drug is continued. Men who are regularly taking non-steroidal antiinflammatory drugs (NSAIDs) or acetaminophen have lower PSA levels. Emerging concepts regarding PSA testing that may help refine the interpretation of an elevated concentration include: PSA density, PSA velocity, and Free versus complexed or bound PSA. With many insurance companies, PSA level has become part of a standard battery of blood tests, along with HIV, cholesterol, liver enzymes, and other predictors of premature death. But, there is no clear proof of benefit, so we have to monitor the value of PSA test as a prostate cancer screening test in insurance medicine.

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Multi-unit Level 3 probabilistic safety assessment: Approaches and their application to a six-unit nuclear power plant site

  • Kim, Sung-yeop;Jung, Yong Hun;Han, Sang Hoon;Han, Seok-Jung;Lim, Ho-Gon
    • Nuclear Engineering and Technology
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    • 제50권8호
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    • pp.1246-1254
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    • 2018
  • The importance of performing Level 3 probabilistic safety assessments (PSA) along with a general interest in assessing multi-unit risk has been sharply increasing after the Fukushima Daiichi nuclear power plant (NPP) accident. However, relatively few studies on multi-unit Level 3 PSA have been performed to date, reflecting limited scenarios of multi-unit accidents with higher priority. The major difficulty to carry out a multi-unit Level 3 PSA lies in the exponentially increasing number of multi-unit accident combinations, as different source terms can be released from each NPP unit; indeed, building consequence models for the astronomical number of accident scenarios is simply impractical. In this study, a new approach has been developed that employs the look-up table method to cover every multi-unit accident scenario. Consequence results for each scenario can be found on the table, established with a practical amount of effort, and can be matched to the frequency of the scenario. Preliminary application to a six-unit NPP site was carried out, where it was found that the difference between full-coverage and cut-off cases could be considerably high and therefore influence the total risk. Additional studies should be performed to fine tune the details and overcome the limitations of the approach.

Association of Prostate Specific Antigen Concentration with Lifestyle Characteristics in Korean Men

  • Woo, Hee-Yeon;Park, Hyosoon;Kwon, Min-Jung;Chang, Yoosoo;Ryu, Seungho
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5695-5699
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    • 2012
  • We investigated the relationships between demographics, lifestyle characteristics, and serum total prostate specific antigen (PSA) concentration and examined the population-based distribution of total PSA by age among 2,246 Korean men with a median age of 45 years. We obtained data about demographic and lifestyle characteristics based on self-reporting using a quetionnaire. We also performed physical examinations, anthropometric measurements, and biochemical measurements. The PSA concentration increased with age and there was a significant difference in total PSA concentration between the age groups of 21-60 years and >60 years. Age >60 years, height ${\geq}1.8$ m, a low frequency of alcohol consumption, and taking nutritional supplements showed a significantly increased odds ratio for increased PSA when 3.0 ng/mL was chosen as the PSA cut-off level. Smoking status, BMI, percent body fat, diabetes mellitus, fatty liver, herbal medicine use, vitamin use, and diet were not significantly associated with total PSA regardless of the cut-off level. When interpreting a single PSA test, height, alcohol consumption, and nutritional supplement use should be considered, in addition to age.

인삼 사포닌의 체내 대사에 관한 연구(I) 동위원소 표지 사포닌의 흡수, 체내 분포 및 배설에 관하여 (Metabolisrrt of Dammarane Triterpene Glycosides of Korean Ginseng(I))

  • 한병훈;장일무
    • Journal of Ginseng Research
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    • 제2권1호
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    • pp.17-33
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    • 1977
  • 1. 인삼증에 함유된 danlmarane계 glycoside 성분들 중의 한 성분인 panax saponin A(ginsenoside Rgl)(약자 : PSA)에 $^{14}C$ 또는 $^{3}H$를 도입한 방사능 표지 사포닌을 합성하였다. 2. $^{3}H$-PSA의 방사능을 생체내 에서 추적한 결과 PSA는 위장관내에서 쉽게 흡수되어 생체 내 전장기에 골고루 분포된다. 3. 각 장기에 분포된 PSA는 세포 내에 섭취되며 세포 내에 섭취 되는 양은 일정한 포화점이 있다. 4. 포화점을 초과하여 섭취된 PSA는 즉시 뇨를 통하여 배설되며 섭취된 PSA는 세포 내에 장기간 잔유한다.

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PSA를 이용한 연구용 원자로 안전성 향상 방안 도출 (Design Improvement to a Research Reactor for Safety Enhancement using PSA)

  • 이윤환
    • 한국안전학회지
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    • 제33권5호
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    • pp.157-163
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    • 2018
  • This paper describes design improvement to a research rector for safety enhancement using Probabilistic Safety Assessment (PSA). This PSA under reactor design was undertaken to assess the level of safety for the design of a research reactor and to evaluate whether it is probabilistically safe to operate and reliable to use. The scope of the PSA reported here is a Level 1 PSA, which addresses the risks associated with the core damage. The technical objectives of this study were to identify accident sequences leading to core damage and to derive design improvement from the dominant accident sequences through the sensitivity analysis. The AIMS-PSA and FTREX were used for the this PSA of the research reactor. The criterion for inclusion was all sequences with a point estimate frequency greater than a truncation value of 1.0E-14/yr. The final result indicates a point estimate of 6.79E-05/yr for the overall Core Damage Frequency (CDF) attributable to internal initiating events for the research reactor under design. Based on the dominant accident sequences from the PSA, the seven kinds of sensitivity analysis were performed and some design improvement items were derived. When the five methods to improve the safety were all applied to the reactor design and emergency operating procedure, its risk was reduced to about 1.21E-06/yr from 6.79E-05/yr. The contribution of LOCA and LOEP with high CDF were significantly reduced by the sensitivity analysis. The safety of the research reactor was well improved and the risk was reduced than before adapting the design improvement gotten from the sensitivity analysis. The present study indicated that the research reactor has the well-balanced safety in regard to each initiating event contribution to CDF. The PSA methodology is very effective to improve reactor safety in a conceptual design phase and especially, Risk-informed design(RID) is very nice way to find the deficiencies of research reactor under design and to improve the reactor safety by solving them.

JRTR 연구용원자로에 대한 최종 확률론적 안전성평가 (A Study on the Final Probabilistic Safety Assessment for the Jordan Research and Training Reactor)

  • 이윤환
    • 한국안전학회지
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    • 제35권3호
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    • pp.86-95
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    • 2020
  • This paper describes the work and the results of the final Probabilistic Safety Assessment (PSA) for the Jordan Research and Training Reactor (JRTR). This final PSA was undertaken to assess the level of safety for the design of a research reactor and to evaluate whether it is probabilistically safe to operate and reliable to use. The scope of the PSA described here is a Level 1 PSA, which addresses the risks associated with core damage. After reviewing the documents and its conceptual design, nine typical initiating events were selected regarding internal events during the normal operation of the reactor. AIMS-PSA (Version 1.2c) was used for the accident quantification, and FTREX was used as the quantification engine. 1.0E-15/yr of the cutoff value was used to deliminate the non-effective Minimal Cut Sets (MCSs) when quantifying the JRTR PSA model. As a result, the final result indicates a point estimate of 2.02E-07/yr for the overall Core Damage Frequency (CDF) attributable to internal initiating events in the core damage state for the JRTR. A Loss of Primary Cooling System Flow (LOPCS) is the dominant contributor to the total CDF by a single initiating event (9.96E-08/yr), and provides 49.4% of the CDF. General Transients (GTRNs) are the second largest contributor, and provide 32.9% (6.65E-08/yr) of the CDF.

PSA기법을 이용한 원자력시설의 핵심구역 파악 (Vital Area Identification of Nuclear Facilities by using PSA)

  • 이윤환;정우식;황미정;양준언
    • 한국안전학회지
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    • 제24권5호
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    • pp.63-68
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    • 2009
  • The urgent VAI method development is required since "The Act of Physical Protection and Radiological Emergency that is established in 2003" requires an evaluation of physical threats in nuclear facilities and an establishment of physical protection in Korea. The VAI methodology is developed to (1) make a sabotage model by reusing existing fire/flooding/pipe break PSA models, (2) calculate MCSs and TEPSs, (3) select the most cost-effective TEPS among many TEPSs, (4) determine the compartments in a selected TEPS as vital areas, and (5) provide protection measures to the vital areas. The developed VAI methodology contains four steps, (1) collecting the internal level 1 PSA model and information, (2) developing the fire/flood/pipe rupture model based on level 1 PSA model, (3) integrating the fire/flood/pipe rupture model into the sabotage model by JSTAR, and (4) calculating MCSs and TEPS. The VAT process is performed through the VIPEX that was developed in KAERI. This methodology serves as a guide to develop a sabotage model by using existing internal and external PSA models. When this methodology is used to identify the vital areas, it provides the most cost-effective method to save the VAI and physical protection costs.

차전자약침(車前子藥鍼)이 Glycerol로 유발(誘發)된 급성신불전(急性腎不全) 백서(白鼠)에 미치는 영향(影響) (The Effect of Plantaginis Semen Herbal Acupuncture on Rat by Glycerol-Induced Acute Renal Failure)

  • 조시용;송춘호
    • 대한약침학회지
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    • 제3권2호
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    • pp.41-54
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    • 2000
  • This study was undertaken to determine if Plantaginis Semen Herbal Acupuncture(PSA) has a protective effect against glycerol-induced acute renal failure in rats. Rats were dehydrated for 24hr and then injected with 8 ml/kg of $50\%$ glycerol, one-half of dose in each hindlimb muscle. In experiments for PSA effect, rats received 0.1 ml of PSA extraction in both sides of corresponding Shenso($BL_{23}$) of human body for 3 days after injection of glycerol. The experimental group were di vided into the Normal group, the Control group, the PSA group. Glycerol injection decreased glomerular filtration rate and increased urine volume, serum creatinine, BUN level and fractional excretion of glucose, $Na^+$, $K^+$ and $CI^-$. These result show that glycerol injection result in acute renal failure. PSA significantly increased glomerular filtration rate and significantly decreased serum creatinine, BUN level and fractional excretion of glucose, $Na^+$ and $CI^-$ as compared Control group. This suggests that PSA could be used in prevention and treatment of acute renalfailure. However, the precise mechanisms of PSA protection remain to be determined.

연구용원자로 기본설계에 대한 예비 확률론적 안전성 평가 (Aspects of Preliminary Probabilistic Safety Assessment for a Research Reactor in the Conceptual Design Phase)

  • 이윤환
    • 한국안전학회지
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    • 제34권3호
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    • pp.102-110
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    • 2019
  • This paper describes the work and results of the preliminary Probabilistic Safety Assessment (PSA) for a research reactor in the design phase. This preliminary PSA was undertaken to assess the level of safety for the design of a research reactor and to evaluate whether it is probabilistically safe to operate and reliable to use. The scope of the PSA described here is a Level 1 PSA which addresses the risks associated with core damage. After reviewing the documents and its conceptual design, eight typical initiating events are selected regarding internal events during the normal operation of the reactor. Simple fault tree models for the PSA are developed instead of the detailed model at this conceptual design stage. A total of 32 core damage accident sequences for an internal event analysis were identified and quantified using the AIMS-PSA. LOCA-I has a dominant contribution to the total CDF by a single initiating event. The CDF from the internal events of a research reactor is estimated to be 7.38E-07/year. The CDF for the representative initiating events is less than 1.0E-6/year even though conservative assumptions are used in reliability data. The conceptual design of the research reactor is designed to be sufficiently safe from the viewpoint of safety.