• 제목/요약/키워드: Suboptimal response

검색결과 26건 처리시간 0.021초

Testicular Cancer and Testicular Self-Examination; Knowledge, Attitudes and Practice in Final Year Medical Students in Nigeria

  • Ugwumba, Fred O;Ekwueme, Osa Eloka C;Okoh, Agharighom D
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권11호
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    • pp.4999-5003
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    • 2016
  • The testicular cancer (TCa) incidence is increasing in many countries, with age-standardized incidence rates up to 7.8/100,000 men in the Western world, although reductions in mortality and increasingly high cure rates are being witnessed at the same time. In Africa, where rates are lower, presentation is often late and morbidity and mortality high. Given this scenario, awareness of testicular cancer and practice of testicular self-examination among future first response doctors is very important. This study was conducted to determine knowledge and attitude to testicular cancer, and practice of testicular self-examination (TSE) among final (6th) year medical students. In addition, the effect of an intervention in the form of a single PowerPoint(R) lecture, lasting 40 minutes with image content on testicular cancer and testicular self examination was assessed. Pre and post intervention administration of a self-administered structured pre tested questionnaire was performed on 151 medical students, 101 of whom returned answers (response rate of 66.8%). In the TC domain, there was a high level of awareness of testicular cancer, but poor knowledge of the age group most affected, with significant improvement post intervention (p<0.001). Notable also was the poor awareness of the potential curability of TC, this also being improved following the intervention (p<0.001). A poor level of awareness and practice of testicular self-examination pre-intervention was found considering the nature of the study group..Respondents had surprisingly weak/poor responses to the question "How important to men's health is regular testicular self-examination?" Answers to the questions "Do you think it is worthwhile to examine your testis regularly?" and "Would you be interested in more information on testicular cancer and testicular self-examination?" were also suboptimal, but improved post intervention p<0.001, p<0.001 and p=0.037. Age, gender and marital status were without specific influence. In conclusion, this study showed poor levels of knowledge regarding epidemiology of TCa and its potential curability when detected early. There was also a poor awareness of, practice of, and poor attitudes to TSE. The significant improvement in these parameters post intervention indicates value in educational intervention. We recommend inclusion of TCa coverage and TSE teaching in the secondary school curriculum (targeting adolescents). Greater emphasis should also be given to testicular cancer in the curricula of medical schools and other training institutions for health care personnel.

면역세포의 cytokine 유리에 미치는 substance P의 영향 (Effects of Substance P on the Release of Cytokines from Immune Cell Lines)

  • 이진용;김수아;서석란;김형섭
    • Journal of Periodontal and Implant Science
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    • 제27권2호
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    • pp.425-441
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    • 1997
  • The neuropeptide substance P(SP) has been implicated in the mediation of inflammation and immune-mediated disease such as arthritis. Recently, it was reported that SP was markedly increased around the blood vessels in inflamed gingiva as well as in close association with the inflammatory cell infiltrate. These results support that SP may contribute to the pathophysiology of neuronal inflammation in human periodontal tissues. SP may regulate inflammatory/immune responses by stimulating the proliferation of human T cells, differentiation and antibody-secreting potential of B cells, macrophage respiratory burst, connective tissue proliferation, and the secretion of cytokines from monocytes and T cells. Here, I studied potential role of SP as a costimulatory chemical signal in inflammatory/immune responses, by determining the released proinflammatory cytokines such as $MIP-1{\alpha}$, $IL-1{\beta}$, and IL-6 from culture supernatants of homogeneous immune cell lines. Serum free cell supernatants were concentrated with TCA precipitation, fractionated with SDS-PAGE, and subjected into western blot analysis. Among 15 cell lines tested, macrophage/monocyte cell line RAW264.7 and WRl9m.1 showed the highest level of induction of $MIP-1{\alpha}$ when stimulated with LPS. Discrete IL-6 bands with multiple forms of molecular mass were detected from supernatants of B cell lines A20(32kDa), Daudi(32, 35kDa), and SKW6.4(29kDa), which were expressed constitutively. $IL-1{\beta}$ could not be detected by the method of western blot analysis from supernatants of all cell lines tested except RAW264.7, WRl9m.1, and erythroid cell line K562 which showed the least amount of $IL-{\beta}$ secretion. SP $10^{-9}M$ with suboptimal dose of LPS treatment showed synergistic induction of $MIP-1{\alpha}$ release from RAW264.7 or WR19m.1, and also IL-6 release from A20, but this synergism is not the case in costimulation of RAW264.7 or WRl9m.1 with SP $10^{-9}M$ and TPA. Although treatment of T cell line CTLL-R8 with SP $10^{-7}M$ or PHA+TPA induced modest level of $MIP-1{\alpha}$ secretion, synergism was not observed when they are applied together. These findings all together suggest the possibility of a regulatory role of SP in inflammatory/immune reaction through differential modulation of bioactivities of other chemical cosignals.

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Changes in Plasma Levels of Inhibin and Follicle Stimulating Hormone in Buffaloes Superovulated with eCG

  • Singh, Baljit;Dixit, V.D.;Dixit, V.P.;Singh, P.;Georgie, G.C.;Lohan, I.S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권9호
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    • pp.1205-1209
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    • 2000
  • The present study was undertaken to investigate the effect of stimulation of follicular development with eCG on the peripheral levels of inhibin and FSH in Murrah buffaloes. Estrus was synchronized in five normally cycling females by insertion of Crestar (Intervet, Boxmeer, Holland) implants for nine days. Estradiol valerate was administered i.m. on the day of implant insertion. On the 10th day of the induced estrous cycle a single dose of 3000 IU eCG (Folligon, Intervet, Boxmeer, Holland) was given, followed by treatment with 25 mg of $PGF_2$ alpha (Lutalyse, Upjohn, Belgium) 48 h later. Blood samples were obtained during the induced estrus, on cycle day 10 (luteal phase), at the superovulatory estrus (43 h after PGF) and during the periovulatory period (64 h after PGF). Ultrasonography was done daily to monitor follicular development. Plasma concentrations of inhibin and FSH were determined by specific radioimmunoassays. Differences between $mean{\pm}SEM$ values of different phases of the cycle were compared by ANOVA. The mean number of small (2-5 mm), medium (6-9 mm) and large (>10 mm) follicles observed two days after eCG treatment and on the day of superovulatory estrus was $2.8{\pm}0.31$, $5.2{\pm}0.30$ and $1.4{\pm}0.09$ and $1.9{\pm}0.21$, $2.8{\pm}0.40$ and $5.0{\pm}0.83$, respectively. The mean number of ovulations was $3.6{\pm}0.37$ and the mean number of unovulated follicles was $6.1{\pm}0.47$. Most of the follicles >10 mm in diameter had ovulated (72%). The mean ${\pm}SEM $ of plasma inhibin concentration $(2584.15{\pm}17.92pg/ml)$ during the superovulatory estrus was significantly higher $(p{\leq}0.05)$ than during the induced estrus $(749.87{\pm}17.29pg/ml)$, the luteal phase $(1099.54{\pm}24.98pg/ml)$ and periovulatory period $(1682.71{\pm}29.88pg/ml)$, respectively. $Mean{\pm}SEM$ plasma FSH concentration during the induced estrus $(10.35{\pm}0.41ng/ml)$ was not different from that during the superovulatory estrus $(8.52{\pm}0.39ng/ml)$, but was significantly higher $(p{\leq}0.05)$ than during the luteal phase $(2.81{\pm}0.42ng/ml)$ and periovulatory period $(5.7{\pm}0.28ng/ml)$. These data indicate that treatment with eCG in buffaloes for inducing superovulation results in a significant elevation in plasma inhibin levels and a decrease in plasma FSH levels during the superovulatory estrus. Thus, we suggest that the elevated plasma inhibin coming from fully developed follicles continued for a long time which results in inhibition of FSH leading to poor ovulation in the remaining follicles, which may be the cause of suboptimal superovulatory response.

Porphyromonas gingivalis biofilm에 대한 면역혈청의 침투력에 대한 Fusobacterium nucleatum의 조절효과 (Fusobacterium nucleatum modulates serum binding to Porphyromonas gingivalis biofilm)

  • 최점일;김성조;김수진
    • Journal of Periodontal and Implant Science
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    • 제31권4호
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    • pp.661-668
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    • 2001
  • P. gingivalis를 단독면역하거나 또는 Fusobacterium nucleatum 선면역 후 P. gingivalis 항혈청을 각각 얻어냈다. 두 종류의 항혈청이 P. gingivalis biofilm을 침투해 들어가는 능력을 confocal laser scanning microscope를 이용하여 비교 감증하였다. 항혈청의 P. gingivalis에 대한 avidity index도 측정하였다. 결과적으로 F. nucleatum의 선면역은 P. gingivalis 특이 항혈청에 대해 세균성 biofilm의 침투능력을 저하시키고, 동일한 세균에 대한 avidity도 감소시켰다.

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젖소에서 유성분 분석을 통한 영양상태 평가 및 건강관리에 관한 연구 III. 고능력우 위주의 대규모 목장에서 우유중 단백질과 요소태질소 수준이 수태율에 미치는 영향 (Studies on health management and nutritional evaluation by milk components analysis in dairy cows III. Relationship between conception rates, and milk urea nitrogen and milk protein concentration in a large dairy herd of high yielding cows)

  • 문진산;주이석;장금찬;윤용덕;이보균;박용호;손창호
    • 대한수의학회지
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    • 제40권2호
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    • pp.383-391
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    • 2000
  • Milk urea nitrogen (MUN) determination is being used an indicator of the protein-energy balance in dairy herds. A faulty balance can be corrected to optimize milk production and animal health. This parameter is regarded as a potential tool to evaluate suboptimal feeding practices and reproductive disorders. Therefore, the purpose of this study was to investigate the response of milk composition by regular feeding analysis and to compared the relationship between MUN and milk protein(MP) and fertility at the insemination period in Holstein dairy cows. Total of 355 artificial insemination (AI) for 150 Holstein cows in the herd were used to examine the relationship between MUN and MP content and conception rate. The AI occured for the cows 50 to 150 day in milk, and MUN and MP concentration were determined using automated infrared procedures. The mean${\pm}$standard deviation of MUN and MP concentration in the herd were $15.6{\pm}2.1mg/dl$ and $3.23{\pm}0.38%$, respectively. MUN contents of bulk milk were increase by elevated crude protein intake. The conception rate was lower in the cows in which the level of MUN was lower than > 8.0mg/dl (10.0%) or > higher than 25mg/dl (15.4%) relative to the cows in MUN content of 12.0~17.9 mg/dl (36.7%) at the time of insemination. Also, lower MP than 3.0% or higher MP than 3.25% were associated with a lower conception rates. Consequently, MUN and MP analyses may be used serve as a monitoring tool of protein and energy nutritional balance to improve reproduction efficiency in Holstein dairy cows.

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수도의 저온장해에 관한 생리 생태학적 연구 (Physiological and Ecological Studies on the Low Temperature Damages of Rice (Oryza sativia L.))

  • 오윤진
    • 한국작물학회지
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    • 제26권1호
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    • pp.1-31
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    • 1981
  • 수도품종들의 저온에 대한 생리생태적 반응특성을 구명하여 내냉성 품종육성과 냉해를 경감 수 있는 재배법개선기술을 확립하고저 1975년부터 1980년에 걸처서, 유일형과 일본형 및 인도형 품종들을 공시하여 그들의 생육시기별 시비조건별 저온반응의 특성을 검토하기 위하여 저온처리를 작물시험장 인공기상실에서 그러고 저수온처리에 관한 시험을 작물시험장 춘천출장소 냉수시험지에서 수행한 바 그 결과를 요약하면 다음과 같다. 1. 15\circ_C 저온하에서 70% 이상의 실용적 발아율 얻을 수 있는 기간은 일본형품종들은 15\circ_C에서 10 일간, 통일형품종들은 15 일간이었다. 통일형품종들의 저온발아성 검정은 저온에서 장기간 실시하는 것 보다 16\circ_C에서 6일간 치상하는 것이 적당하였다. 2. 유묘의 저온저항성은 3.0~3.5 엽기묘가 가장 낮고 묘영이 진전됨에 따라 점차 높아켰으며 3엽기와 6엽기의 저온저항성간에 는 고도의 정상관을 보였다. 3. 주ㆍ야 15~10\circ_C온도에서는 일본형 및 통일형 품종 모두 42일 처리정도에서 식물체가 고사하고 20~15\circ_C에서는 일본형 품종은 분벽이 잘 이루어지나 통일형품종은 약관 억제되며 25~15\circ_C에서는 양품종군 모두 분벽이 촉진되었다. 그러나 초장신장 속도는 저온일 수록 저하되었다. 4. 이삭의 지경 및 영화분화는 출수전 30일부터 출수기까지 주ㆍ야 25~20\circ_C처리와 30~25\circ_C 처리시에는 모든 품종에서 잘 이루어졌으나 20~15\circ_C 처리구에서는 통일형품종은 지경 및 영화 분화수화수가 전자에 비하여 감소하였고 일본형품종은 큰 차이가 없었으나 이삭의 추출은 억제되었다. 5. 저기온에 의한 출종지연은 감수분열기에 저온처리한 것이 분얼최성기에 저온처리한 것 보다도 1~3일 이 지연되였으며 같은 시기에서는 저온처리 일수가 길수록 출수지연도가 컸다. 6. 벼 생육기간별로 17\circ_C냉수를 10일간 처리한 경우에 출수지연도는 분얼기 > 감수분열기 > 수잉기의 순이였고 품종별로는 수원26004 > 수원23005 > Lengkwang의 순이있다 냉수처리에 의한 출수지연도는 간장단축률 및 불임율과 유의한 정의 상관을 보였다. 7. 감수분열기의 저기온(15\circ_C)과 고기온(25\circ_C)처리는 고기온(25\circ_C)과 저기온(17\circ_C) 처리보다 간장단축율이 켰으며 이삭 추출도도 낮았고 장간종인 Lengkwang은 단간종인 수원26004에 비하여 저기온에서의 간장단축율이 낮은 경향이었다 이삭 추출도는 출수기에 저온처리를 하였을 때 가장 낮았으며 통일형품종은 일본형품종보다 이삭 추출도가 현저히 낮았고 저온에 의하여 간장단축도 심한 품종은 이삭 추출도도 매우 낮았으며 이들 간에는 고도의 유의한 정의 상관이 있었다. 8. 분벽기의 냉수처리는 수수를 증대시키고 감수분열기의 냉수처리는 수수를 감소시켰다. 생육시기별로 냉수처리시기가 빠를수록 간장단축율이 크고 이삭 추출도도 낮아졌다. 9. 감수분열기의 17\circ_C 저온처리에 의한 불임유발은 3일간 처리로서는 크게 나타나지 않으나 9 일간처리에서는 심하게 나타났으며 수원26004와 밀양4002가 저온처리에서 불임율이 가장 낮았다. 저온처리가 임실장해를 가장 크게 유발한 것은 출수전 15일부터 출수전 5일까지 사이의 처리였으며 일본형인 진흥은 통일형인 통일, 수원26004보다 임실장해가 현저히 적었다. 그러나 감수분열기의 저온처리에 의한 임실장해정도와 출수기의 저온처리에 의한 임실장해정도간에는 유의한 정의 상관을 보였으며 또한 저온에 의하여 이삭 추출도가 낮거나 간장단축율이 큰 품종은 임실율도 떨어지는 경향이었다. 10. 냉수처리에 의한 임실장해는 감수분열기처리(엽이간장-15~10cm)에서 가장 크고 품종별로는 수원26004, 조생통일 > 농백, Towada > 저온저항성이 강한 Lengkwang순이었다. 냉수처리시의 수심과 유수의 위치는 임실비율과 매우 밀접한 관계가 있으며 수심이 20~40cm로서 유수의 위치가 물속에 있면 수원26004는 불임율이 높았고 유수의 위치가 물위에 있었던 Lengkwang은 불임율이 낮았다. 11. 수전기에 3 일간 15\circ_C의 저온처리를 한 경우 등숙에 큰 영향이 없었으나 6 일간 처리한 경우에는 수원287호와 수원 26004만이 60% 이하의 임실율을 보였으며 9 일간 처리한 경우에는 모든 품종에서 임실율이 60^ 이하로 떨어겼다. 그러나 출수 10일 후부터 17\circ_C로 20일간 처리한 경우에는 등숙장해가 크지 않았다. 12. 질소, 인산, 가리, 칼슘, 마그네지움 및 아연등의 양분흡수는 19$^{\circ}C$ $\pm$ 5보다 $25^{\circ}C$ $\pm$ 5에서 흡수가 증대되었으나 망간은 반대로 평균 25\circ_C보다 19$^{\circ}C$에서 흡수가 더욱 많았다. 13. 냉수답에서 질소, 인산, 규산 및 퇴비시용은 분벽 및 수수를 증가시키고 임실율을 향상시키며 수량을 증대시켰다.

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