• 제목/요약/키워드: hormone value

검색결과 208건 처리시간 0.026초

The Prognostic Impact of Synchronous Ipsilateral Multiple Breast Cancer: Survival Outcomes according to the Eighth American Joint Committee on Cancer Staging and Molecular Subtype

  • Chu, Jinah;Bae, Hyunsik;Seo, Youjeong;Cho, Soo Youn;Kim, Seok-Hyung;Cho, Eun Yoon
    • 대한병리학회지
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    • 제52권6호
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    • pp.396-403
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    • 2018
  • Background: In the current American Joint Committee on Cancer staging system of breast cancer, only tumor size determines T-category regardless of whether the tumor is single or multiple. This study evaluated if tumor multiplicity has prognostic value and can be used to subclassify breast cancer. Methods: We included 5,758 patients with invasive breast cancer who underwent surgery at Samsung Medical Center, Seoul, Korea, from 1995 to 2012. Results: Patients were divided into two groups according to multiplicity (single, n=4,744; multiple, n=1,014). Statistically significant differences in lymph node involvement and lymphatic invasion were found between the two groups (p<.001). Patients with multiple masses tended to have luminal A molecular subtype (p<.001). On Kaplan-Meier survival analysis, patients with multiple masses had significantly poorer disease-free survival (DFS) (p=.016). The prognostic significance of multiplicity was seen in patients with anatomic staging group I and prognostic staging group IA (p=.019 and p=.032, respectively). When targeting patients with T1-2 N0 M0, hormone receptor-positive, and human epidermal growth factor receptor 2 (HER2)-negative cancer, Kaplan-Meier survival analysis also revealed significantly reduced DFS with multiple cancer (p=.031). The multivariate analysis indicated that multiplicity was independently correlated with worse DFS (hazard ratio, 1.23; 95% confidence interval, 1.03 to 1.47; p=.025). The results of this study indicate that tumor multiplicity is frequently found in luminal A subtype, is associated with frequent lymph node metastasis, and is correlated with worse DFS. Conclusions: Tumor multiplicity has prognostic value and could be used to subclassify invasive breast cancer at early stages. Adjuvant chemotherapy would be necessary for multiple masses of T1-2 N0 M0, hormone-receptor-positive, and HER2-negative cancer.

규칙적 운동 및 식이요법이 비만여성의 안정시대사량과 호르몬 변화에 미치는 영향 (Effects of Regular Exercise and Diet on RMR and Hormonal Changes in Obese Women.)

  • 박형란;백일영;진화은;김영일;곽이섭;우진희
    • 생명과학회지
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    • 제18권6호
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    • pp.865-870
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    • 2008
  • 운동과 식이요법을 병행한 체중감량 프로그램에 참여한 여성 비만인의 체지방량, 안정시대사량, 그리고 갑상선 호르몬 차이를 비교할 목적으로 실험한 결과, 체지방량, 체지방율, 체표면적이 유의하게 감소되었고, 안정시대사량 예측치와 실측치 모두 유의하게 감소되었지만, 갑상선 호르몬의 변화는 나타나지 않았다. 안정시대사량과 신체요인들과의 상관분석 결과, 제지방 체충이 가장 밀접한 관계를 보였으며, 안정시대사량과 갑상선 호르몬들과의 관계에서는 TSH와 가장 밀접한 관계를 나타내었다. 결론적으로 8주간 체중감량 프로그램 참여로 체지방은 효과적으로 감소되었으나, 갑상선 호르몬 차이는 없었고 체중감소에 비해 제지방이 유지됨으로써 안정시대사량의 감소는 최소화되어, 에너지 대사작용에 긍정적인 영향을 준 것으로 사료된다.

Clomiphene Citrate 부하검사와 난소 반응 예측 인자와의 연관성에 관한 연구 (Clomiphene Citrate Challenge Test and Its Clinical Correlation with Prognostic Factors of Ovarian Response)

  • 문신용;채희동;김광례;서창석;김석현;최영민;신창재;김정구;이진용
    • Clinical and Experimental Reproductive Medicine
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    • 제23권3호
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    • pp.283-292
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    • 1996
  • Objective: To determine the cutoff value of clomiphene citrate challenge test(CCCT) that can predict the normal and abnormal(diminished) ovarian response group and to assess the usefulness of CCCT as a predictor of ovarian reserve. Materials and Methods: From March 1994 to Februry 1996, CCCT was performed to 129 infertile patients and among them, 20 patients whose basal FSH on the third day of menstrual cycle was more than 20 mIU/ml were excluded. At the same time, the same CCCT was performed to the fifteen healthy volunteers with proven fertility to determine the cutoff value of CCCT. Results; 1) A FSH value higher than 23.4 mIU/ml, measured on the 10th day of menstrual cycle, was defined as a abnormal ovarian response. The cutoff value of 23.4 mIU/ml is more than 2 standard deviations(SD) above the mean value of 15 healthy women after CCCT. 2) The abnormal CCCT group, the subpopulation with a FSH value of 23.4 mIU/ml or more, was 7.3%(8/109) and their mean age was higher than the normal CCCT group($36.5{\pm}4.5$ vs. $32.9{\pm}4.8$, P = 0.059). And the percentage of the patients older than 35 years of the abnormal CCCT group was significantly higher than that of the normal CCCT group(62.5% vs. 38.6%, p <0.05). 3) There was no correlation between the hormone values of the third day and the 10th day of menstrual cycle before and after CCCT except between FSH of the third day and the 10th day. Conclusion: The CCCT is a good method to predict the individual ovarian response to COH for ART, especially in the patients who has no other abnormal findings that predict poor prognosis. And it is neccessary to determine the cutoff value of CCCT by the large numbers of randomized study, and combining the previously proven prognostic factors, it can be applicated in many individual centers for evaluate the ovarian response before ART program.

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Change in Trend in Various Clinico-Pathological Factors and Treatment Profile of Breast Cancer Patients: a Tertiary Cancer Centre Experience

  • Shankar, Abhishek;Roy, Shubham;Rath, GK;Kamal, Vineet Kumar;Bhandari, Menal;Kulshrestha, Rashi;Prasad, Neelam;Sachdev, Jaineet;Jeyaraj, Pamela
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.3897-3901
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    • 2016
  • Background: Breast cancer is by far the most frequent cancer of women (23% of all cancers), ranking second overall when both sexes are considered together. Since there has been change in clinico-pathological factors and treatment profiles for breast cancer patients over the years, the present study to evaluate the change trends in India. Materials and Methods: A detailed analysis was carried out with respect to age, menopausal status, family history, disease stage, surgery performed, histopathology, hormone receptor status, and use of chemotherapy or hormonal therapy. Change in various clinico-pathological factors and treatments of breast cancer cases was recorded and analysed. Results: Mean age at presentation was found to be earlier in 2005-2006 compared with 1997-98 (p value: 0.046). More premenopausal women were diagnosed with breast cancer in 2005-2006 when this was compared with initial years of assessment (p value ${\leq}0.001$). When change in the receptor status was evaluated, we observed that there was a decrease in cases of ER and PR receptor positivity which was significant (p value: 0.007). Over the period of time, more f patients were not offered surgery initially in view of advanced disease when the two time periods were compared (p value: ${\leq}0.001$). There was a significant increase in patients who were initially offered neo-adjuvant chemotherapy in view of advanced disease at presentation (p value: ${\leq}0.001$). There was increasing number of patients who received palliative treatment for symptoms in 2005-2006 when compared to patients treated in 1997-98((p value: ${\leq}0.001$). Conclusions: Changes in mean age at presentation, premenopausal status, and stage at presentation have occurred over the years. More aggressive patterns of disease have become more common with early age at presentation and aggressive biological behaviour with receptor negative tumours.

Testosterone RIA 검사 kit 별 유효성 비교평가 (The Validation of a Commercial Testosterone RIA Test Kits)

  • 류화진;신선영;조성욱
    • 핵의학기술
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    • 제26권1호
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    • pp.38-41
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    • 2022
  • Testosterone에 대한 방사면역측정법(radioimmunoassay, RIA) 검사는 남성의 사춘기 지연 및 androgen 결핍 시, 여성과 어린이의 경우 androgen 과잉(다모증) 및 내분비 치료 모니터링 시 시행된다. 현재 본원 핵의학 검체검사실에서는 testosterone RIA 검사를 A사 kit로 사용하고 있지만, 최근 RIA kit의 생산이 중단되거나 공급에 어려움이 발생하여, 다른 회사에서 판매되고 있는 testosterone RIA kit에 대한 유효성 평가 실험을 실시하여 비교하였다. 2021년 10월 서울대학교병원 본원에 의뢰된 검체를 대상으로 실시하였으며, 정밀도, 민감도, 회수율, 직선성, 상관성을 분석하여 비교 평가하였다. 실험 방법은 각 회사에서 제공하는 testosterone RIA kit의 매뉴얼을 준수하였으며, 검체의 양, incubation, 세척(washing) 방법에서 차이가 있었다. 실험 결과 민감도, 직선성, 상관성 실험의 경우 모두 우수한 결과를 나타내었지만, 정밀도와 회수율의 경우 허용범위를 벗어났는데, 이는 낮은 농도의 검체로 실험을 진행하여 벗어난 것으로 사료된다. 이 실험을 바탕으로 각 병원에서 사용 중인 kit가 생산이 중단되거나 공급에 문제가 생길 경우 상호 호환이 가능할 것으로 생각되나, 본 실험에서 고농도의 검체로 실험을 진행하지 못했다는 아쉬움이 있다. 따라서 추후 검사실별로 다양한 농도와 고농도의 검체를 획득하여 추가적으로 실험을 진행해야 할 것으로 사료된다.

생물교육에서의 가치 탐구 모형 개발 (Development of a Value Inquiry Model in Biology Education)

  • 정은영;김영수
    • 한국과학교육학회지
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    • 제20권4호
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    • pp.582-598
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    • 2000
  • 과학과 기술의 급속한 발전에 따라 그에 관련된 사회적 쟁점들이 야기되는 상황에서, 그러한 쟁점에 대해 합리적인 의사결정을 할 수 있는 능력이 과학교육에서 강조되고 있다. 본 연구에서는 '생물학과 관련된 가치문제에 대한 합리적인 가치판단 및 현명한 의사결정에 이르는 과정'을 '생물 교육에서 가치 탐구'로 정의하고, 그 모형을 개발하였다. 이를 위해서 가치명료화 모형과 가치분석 모형을 중심으로 가치 탐구 모형을 고찰하였다. 가치명료화 모형은 가치갈등의 해결에는 도움이 되지 않지만 개인적인 가치문제에 주로 관심을 둠으로써 가치의 내면화 과정을 강조한다. 가치분석 모형은 정의적 요소가 부족하다는 비판을 받지만 가치문제에 대한 분석적인 사고과정의 절차를 제시함으로써 합리적인 해결을 강조한다. 본 연구에서는 가치 탐구의 심리적 측면과 논리적 측면을 고려하여 상호보완적 입장에서, 가치문제의 인식과 명료화, 갈등상황에 관련된 생물학적 지식 파악, 갈등상황에 관련된 사람들의 입장 고려, 대안 탐색, 각 대안의 결과 예측, 대안의 선택, 대안에 대한평가, 최종적 가치판단 및 선택의 공언 단계가 포함된 가치 탐구 모형을 개발하였다. 개발된 모형에 근거하여 가치 탐구 교육목표를 설정하였으며, 생물교육에서 가치 탐구에 적합한 교육내용으로 동물 복제, 시험관 아기, 유전공학, 생장 호르몬 투여 문제, 뇌사, 장기 이식, 실험 동물을 선정하였고, 이를 제 6차 및 제7차 과학과 교육과정의 교육내용과 관련지어 조직하였다. 또한, 가치 탐구 교육에 적합한 수업모형으로 생물윤리적 가치명료화 의사결정 모델, 가치분석 모형에 따른 조별 발표, 역할극 및 토론, web forum을 이용한 토론을 선정하였고, 학생들의 가치 탐구 능력의 변화를 평가하기 위한 방법으로 면담법을 선정하였다.

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이소플라본을 함유한 마이크로에멀젼의 물성 연구 (A Study on the Characteristics of Microemulsion Containing Isoflavone)

  • 정노희;문영진;이향우;김홍수
    • 한국응용과학기술학회지
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    • 제19권1호
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    • pp.56-62
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    • 2002
  • Microemulsion is stable to aggregation, sedimentation, fusion and has $3nm{\sim}200nm$ of particle size which is transparent and semitransparent. The isoflavone as a derivatives of Flavone is colorless crystalline compounds. It has similar basic structure to steroid materials which is hormone that acts to skin physiological phenomenon. On this study, we tried to search and demonstrate system content rate of dermal translocation system for cosmetics using O/W type microemulsion containing isoflavone. We manufactured O/W microemulsions by phase inversion emulsification method. It's was found that POE(20) monostearate with HLB value 14 caused microemulsion to be formed, which had $4nm{\sim}18nm$ of average diameter and $3nm{\sim}33nm$ of particle size distribution. Apparent viscosities of the microemulsions have increased in proportion to add surfactant dose.

Daily Profiles of Blood Insulin, Insulin-Like Growth Factor-I, Thyroxine and Triiodothyronine in Ewes Under Three Levels of Feed Intake

  • Caldeira, R.M.;Vasques, M.I.;Vaz Portugal, A.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권8호
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    • pp.1121-1126
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    • 2000
  • Daily variation in the serum concentrations of insulin and insulin-like growth factor-I and in the plasma concentrations of thyroxine and triiodothyronine were evaluated in ewes fed 30%, 100% and 200% of theoretical maintenance energy requirements. The single daily meal has had significant effects (p<0.05) on almost all profiles. In general, serum or plasma hormone concentrations have increased after the meal, in particular at the two higher levels of energy intake. In the group submitted to the lowest level of energy intake, the consequences of the meal on circulating levels were almost imperceptible. The effects of feeding levels on serum or plasma concentrations have widely varied among hormones, not showing any objective pattern or relationship. Because these variations may affect the interpretation of these blood indicators, knowledge of daily profiles and of the effect of feed level must be considered. In order to maximize the diagnostic value of those indicators, the most suitable times for blood collection seem to be 16 h after the meal and (or) just before the meal. The collection 16 h after the meal apparently allows the characterization of a relatively steady metabolic state, intermediate between the close effects of food intake and the final phase of the intensification of body reserves mobilization. The collection just before the meal will give a good indication of the level of activity of those mobilization mechanisms.

Adventitious root culture for secondary metabolite production in medicinal plants: A Review

  • Rahmat, Endang;Kang, Youngmin
    • Journal of Plant Biotechnology
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    • 제46권3호
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    • pp.143-157
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    • 2019
  • Medicinal plants are high-value natural resources that have been used as precautionary drugs by many people globally. The increasing global demand for bioactive compounds from medicinal plants has led to the overexploitation of many valuable species. One widely used approach to overcome this problem is the use of adventitious root cultures as a propagation strategy. This review examines the scientific research published globally on the application of adventitious root cultures for many medicinal plants. Adventitious roots generated under aseptic environments in suitable phytohormone-augmented medium exhibit high growth rates and production of important secondary metabolites. Parameters such as medium properties and composition, growth hormone type, and elicitation strategies for in vitro grown adventitious roots of medicinal plants, are the main topics discussed in this review. We also examine current developments in bioreactor system cultivation for plant bioactive compounds using adventitious root cultures, a technology with possible commercial applications, via several studies on adventitious root culture of medicinal plants in which bioreactor systems play a role. In conclusion, the development of adventitious root cultures for medicinal plants is highly useful because of their capability for vegetative propagation and germplasm preservation.

An overview bioactive compounds on the skin of frogs (Anura)

  • Tran Thi Huyen;Phan Thi Hoang Anh;Nguyen Thi Anh Hong;Nguyen Ngoc Duyen;Le Pham Tan Quoc;Tran Dinh Thang
    • Fisheries and Aquatic Sciences
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    • 제26권4호
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    • pp.241-255
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    • 2023
  • The robust development of frog farming offered high economic benefits but created a large waste residue of frog bones and skin that received little attention. Over the years, inedible by-products have often been processed into biomolecules of potential value and environmental benefits, such as collagen, gelatin, and bioactive peptides. An overview of bioactive compounds on frog skins from various countries indicated that brevinin was the most abundant biological peptide found in frog skin. Other remaining compounds also possessed their highlighted activities, including antibacterial, stimulating insulin release and gastric hormone release, anti-cancer, and neuroregulatory. Notably, various components have been analyzed in the structure and sequence to give meaningful insight into clustering components related to their biological activity. This review may create a source of raw materials for the developmental research of by-products from frog skin and concomitantly reduce environmental pollution.