• Title/Summary/Keyword: 후향적 평가

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Evaluation of the Output Dose of a Linear Accelerator Photon Beams by Using the Ionization Chamber TM31010 Series through TG-51 Protocol to Postal Monitoring Output of RPC for 5 Years (TM31010 계열의 공동이온전리함과 TG-51을 이용한 선형가속기광자선의 5년간 출력선량 평가)

  • Choi, Tae-Jin;Kim, Ok-Bae
    • Progress in Medical Physics
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    • v.22 no.2
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    • pp.92-98
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    • 2011
  • This study is to keep the accuracy and stability of the output dose evaluations for linear accelerator photon beams by using the air ionization chambers (TM31010, 0.125 cc, PTW) through the Task Group 51 protocol. The absorbed dose to water calibration factor $N_{dw}{^{Co-60}}$ was delivered from the air kerma calibration factor $N_k$ which was provided from manufacture through SSDL calibration for determination of output factor. The ionization chamber of TM31010 series was reviewed the calibration factor and other parameters for reduce the uncertainty within ${\pm}2%$ discrepancy and we found the supplied $N_{dw}{^{Co-60}}$ which was derived from Nk has shown a -2.8% uncertainty compare to that of PSDL. The authors provided the program to perform the output dosimetry with TG-51 protocol as it is composed same screen of TG-51 worksheets. The evaluated dose by determination of output factor delivered to postal TLD block for comparison the output dose to that of MDACC (RPC) in postal monitoring program. The results have shown the $1.001{\pm}0.013$ for 6 MV and $0.997{\pm}0.012$ discrepancy for 15 MV X rays for 5 years followed. This study shows the evaluated outputs for linear accelerate photon beams are very close to that of international output monitor with small discrepancy of ${\pm}1.3%$ with high reliability and showing the gradually stability after 2010.

Breast Cancer Screening with MRI (유방암 스크리닝 자기공명영상)

  • Cho, Nariya;Moon, Woo-Kyung
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.1
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    • pp.1-5
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    • 2012
  • Breast MRI is the most accurate adjunctive to the mammography for the screening of breast cancer. Despite lack of randomized controlled trials on the effectiveness of MRI screening, it is now recommended for the women at high risk for breast cancer by the American Cancer Society and the National Comprehensive Cancer Network based on several prospective observational studies. In Korea, a retrospective study reported that preoperative MRI screening of the contralateral breast in women with unilateral breast cancer was associated with reduced metachronous cancer incidence. To introduce breast MRI as a supplemental modality to screening mammography in Korea, standardization and education of interpretation, establishment of MR-guided biopsy and adequate indication, and evaluation of cost-effectiveness and should be preceded.

Retrospective Study for Safety of Xie-xia Fa (瀉下法) by Euphorbia kansui Radix: Analysis of Clinical Features, Liver and Kidney Functions (감수(甘遂)를 이용한 사하법(瀉下法)의 안전성에 대한 후향적 연구: 임상반응, 간기능, 신기능을 중심으로 한 평가)

  • Lee, Seung-Wook;Kwon, Oh-Jun;Na, Hyun-Young;Ahn, Young-Min;Lee, Byung-Cheol;Ahn, Se-Young
    • The Journal of Internal Korean Medicine
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    • v.35 no.4
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    • pp.472-482
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    • 2014
  • Objectives: The purpose of this study was to report the safety of diarrhea-inducing treatment (Xie-xia Fa, 瀉下法) by Euphorbia kansui Radix, especially in the respect of clinical features, liver and kidney functions. Methods: Patients who were treated with Euphorbia kansui Radix powder between September 2013 and September 2014 were assessed retrospectively. Results: Less than 6 grams dosage of Euphorbia kansui Radix can induce several mild intestinal reactions but have no harmful effects on liver and kidney functions. Conclusions: Through this study, diarrhea-inducing treatment by less than 6 grams of Euphorbia kansui Radix can considered safe enough to be used in local clinics, but a cautious approach is needed.

Retrospective Drug Utilization Review on the Same-Day Multiple Prescriptions for Pediatric Outpatients (동일날짜 처방전 2매 이상인 외래 소아환자 의약품처방의 적정성에 대한 후향적 평가)

  • NamGoong, Bo-Ra;Sohn, Hyun-Soon;Choi, Kyung-Eob;Shin, Hyun-Taek
    • Korean Journal of Clinical Pharmacy
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    • v.22 no.1
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    • pp.73-80
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    • 2012
  • This study was to determine the inappropriate drug use in pediatric outpatients who received 2 or more prescriptions on the same day. Retrospective drug utilization reviews (DURs) were implemented to samples obtained from national health insurance claims data during December 2008 to February 2009, using 5 DUR criteria (duplication, drug-drug interaction, drug-disease interaction, drug-age contraindication, incorrect dosage) established in the Drug Information Framework (DIF)-$Korea^{TM}$, DUR program. Among 38,451 claims analyzed in the study, 74.7% had more than one conflicts in the 5 DUR modules. Among 16,472 patients analyzed, 49.6% had conflicts with duplication criteria composing of ingredient duplication (23.3%) and therapeutic class duplication (39.6%). Incorrect dosages were found in 73.6% of patients and under-dosage conflicts accounted for 59.9%, which was higher than over-dosage conflicts (38.3%). In this study, inappropriate drug prescriptions such as under-dose, pediatric contraindication and therapeutic duplication were prevalent in pediatric outpatient settings, suggesting much more awareness to the society, to prevent drug related problems in a vulnerable pediatric group.

Retrospective Drug Utilization Review of Drug-Drug Interaction Criteria Based on Real World Data: Analysis in Terms of Dispensing Types (건강보험심사청구 자료에 근거한 병용금기 약물의 후향적 약물사용평가 : 처방전 조제 형태별 분석)

  • Lee, Young-Sook;Shin, Hyun-Taek
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.3
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    • pp.249-255
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    • 2011
  • Objective: To examine the drug use (prescribing) pattern of serious drug-drug interactions (DDIs, contraindicated drug interactions) using real world data. Prescription patterns were examined in terms of dispensing types. Method: Retrospective drug utilization review (DUR) study was performed. One hundred and six datasets of serious DDIs (DDI pairs) were determined among DDI datasets that Ministry of Health & Welfare announced for the DUR system from 2004 to 2005. Electronically transacted ambulatory patients' prescription database to Health Insurance Assessment and Review Services (HIRA) from July, 2005 to June, 2006 was collected with personal information deidentified and analyzed in terms of types of dispensing as a contributing factor. Results: After prescription data analysis per each patient, total number of DDI cases using 95 DDI pairs was 5,511, which accounted for 2.6 cases per patients. DDI cases between two drugs from each of community pharmacy dispensing- type prescription were considerable (63% vs. 24% in those from each of in-institutional dispensing-type prescription and vs. 13% in those from a community pharmacy dispensing-type prescription and an in-institutional dispensingtype prescription). Conclusions: DDI cases from different prescribers were found to be significant. Thus, the concurrent DUR process between prescriptions from different physicians and institutions should be implemented for the safe drug use.

Short-Term Retrospective Clinical Study of Resorbable Blasting Media Surface Tapered Implants (RBM 표면 테이퍼형태 임프란트의 단기간 후향적 임상 평가)

  • Kim, Soo-Yeon;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.2
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    • pp.149-153
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    • 2011
  • Purpose: The aim of the present study was to evaluate the clinical outcome of resorbable blasting media surface tapered implant. Methods: 169 Osstem$^{(R)}$ GS III dental implants in 73 patients who received implant treatments at Seoul National University Bundang Hospital, were included in this study. The incidence of biological and prosthetical complications has been carefully analysed for each implant. Results: The short-term implant survival rate was 97.63%, success rate 94.7%. The prevalence of biological complications was 15.38% and the prevalence of prosthetic complications was 13.04%. The mean value of crestal bone loss was $0.28{\pm}0.57$ mm. The relationship between loading periods and marginal bone loss was small and not statistically significant. In mandible, marginal bone loss was larger than in maxilla, no statistically significant. Also, length and diameter of implant had no relationship with marginal bone loss. Conclusion: We suggest that this implant system could achieve successful and stable results.

Postoperative Radiation Therapy of Astrocytoma and Glioblastoma Multiforme (성상세포종과 교아세포종의 수술후 방사선치료)

  • Park, Moon-Baik;Hong, Seong-Eon
    • Radiation Oncology Journal
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    • v.7 no.1
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    • pp.23-27
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    • 1989
  • Forty-four patients with brain astrocytoma and glioblastoma were rested with surgical resection and postoperative radiation from January 1980 through May 1987, Four patients were lost to follow up, and in 40 patients survival time was evaluable. Three year actuarial survival rate was $66.7\%$ in Grade I and II astrocytoma, $30\%$ in Grade III, and $20.4\%$ in glioblastoma multiforme patients. The prognostic factors affecting survival rate were histologic grade in all cases, age, and total radiation dose in Grade III and glioblastoma.

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Retrospective Study of Success Rate of the $XiVE^{(R)}$ Implant;Early evaluation of clinical performance (($XiVE^{(R)}$ 임프란트의 성공률에 관한 후향적 연구;임상성적에 관한 조기평가)

  • Park, Jin-Woo
    • Journal of Periodontal and Implant Science
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    • v.35 no.1
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    • pp.65-76
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    • 2005
  • This retrospective study evaluates the clinical performance of the recently introduced $XiVE^{(R)}$ implant(Dentsply-Friadent) with a new macro-design to improve primary stability. A total of 208 $XiVE^{(R)}$ implants (101 in the maxilla and 107 in the mandible) were placed in 71 patients. The average age of the patients was 49 years. Of the 208 implants, 190 (91.3%) were posterior implants and 82 (39.4%) were placed in compromised sites (grafted sites). Clinical and radiographic evaluation were made at second stage surgery for exposure and after functional loading. 192 implants in 64 patients were evaluated at exposure and 146 implants in 50 patients were loaded (average 170 days-loading) and evaluated after functional loading. Of 192 implants available for evaluation before loading, 3 implants failed (early failure) ; 1 before exposure, 1 at exposure and 1 during prosthetic procedure. 2 implants were in the maxilla and 1 was in the mandible. The success rate before loading was 98.4%. After functional loading, no implant failure was occurred in 146 implants evaluated during this period (100% interval success rate). This preliminary data with a new implant showed excellent success rate although the majority of implants evaluated in this study were placed in the posterior region of the jaw and compromised sites.

Retrospective Observational Study for Effectiveness of Inmok-tang on Dry Eye Syndrome (건성안 증후군 환자에서 인목탕의 유효성 평가를 위한 후향적 관찰연구)

  • Kim, Young-Sam;Park, Beom-Chan;Kim, Hee-Yeon;Choi, Jun-Yong;Moon, Jin-Bok;Oh, Tae-woo;Ma, Jin-Yeul;Kim, Kibong
    • Herbal Formula Science
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    • v.27 no.4
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    • pp.285-297
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    • 2019
  • Objectives : The purpose of this study is to analyze effectiveness of herbal medicine treatment on Dry Eye Syndrome. Methods : We analyze medical records of 114 patients who visited Indara oriental medical clinic for dry eye syndrome. Patients were treated with acupuncture and Inmok-tang, and the ocular surface disease index was evaluated before and after treatment. Results : Analysis of 114 medical records showed a significant decrease in the pre-treatment and post-treatment ocular surface disease index, and a statistically significant positive correlation between the duration of Inmok-tang administration and the change in the ocular surface disease index. Conclusions : Herbal medicine treatment with Inmok-tang reduces the Ocular Surface Disease Index, an indicator of subjective symptoms of dry eye syndrome.

Arthroscopic Meniscal Repair with Rapid Loc Device (Rapid Loc 기기를 이용한 관절경적 반월상 연골판 봉합술)

  • Kwon, Duck-Joo;Lee, Kee-Byung;Joeng, Woong-Kyo;Lee, Byung-Taek;Park, Sang-Wook
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.180-185
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    • 2005
  • Purpose: To purpose of this study is to evaluate the clinical and radiological results of arthroscopic meniscus repair using Rapid Loc device. Materials and Methods: A retrospective study was performed on 44 cases which had been turned out longitudinal tear without degeneration. We repaired all cases with Rapid Loc device. Patients were evaluated using clinical examination, Orthopaedische Arbeitsgemeinschaft Knie (OAK) scheme, and MRI. We regarded patients with joint line tenderness, swelling or McMurray positive test as clinical failure. Results: A mean age was 33.3 years and follow-up period was average 15 months. Clinical results were excellent 15 cases(34.1%), good 20 cases(45.5%), fair 7 cases(15.9%), poor 2 cases(4.5%). MRI showed grade 115 cases(33.3%), grade II 22 cases(50%), grade III 7 cases(16.7%). Clinical failures were 8 cases and only one complication was developed. Conclusion: Rapid Loc device showed the excellent results in meniscus repair. We regard it has a lot of advantages in safety, softness, ease, ability to control tension at repair site.

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