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71.
Mi Ryoung Seo Gunwoo Kim Ki Won Moon Yoon-Kyoung Sung Jong Jin Yoo Chong-Hyeon Yoon Eun Bong Lee Jisoo Lee Eun Ha Kang Hyungjin Kim Eun-Jung Park Wan-Sik Uhm Myeung Su Lee Seung-Won Lee Byoong Yong Choi Seung-Jae Hong Han Joo Baek 《Journal of Korean medical science》2021,36(17)
BackgroundThere is increasing interest in the quality of health care and considerable efforts are being made to improve it. Rheumatoid arthritis (RA) is a disease that can result in favorable outcomes when appropriate diagnosis and treatment are provided. However, several studies have shown that RA is often managed inappropriately. Therefore, the Korean College of Rheumatology aimed to develop quality indicators (QIs) to evaluate and improve the health care of patients with RA.MethodsPreliminary QIs were derived based on the existing guidelines and QIs for RA. The final QIs were determined through two separate consensus meetings of experts. The consensus was achieved through a panel of experts who voted using the modified Delphi method.ResultsFourteen final QIs were selected among 70 preliminary QIs. These included early referral to and regular follow-up with a rheumatologist, radiographs of the hands and feet, early initiation and maintenance of disease-modifying anti-rheumatic drug (DMARD) therapy, periodic assessment of disease activity, screening for drug safety and comorbidities, including viral hepatitis and tuberculosis before biologic DMARD therapy, periodic laboratory testing, supplementation with folic acid, assessment of the risk for cervical spine instability before general anesthesia, patient education, and specialized nurse.ConclusionThese QIs can be used to assess and improve the quality of health care for patients with RA. 相似文献
72.
Jeremy T. Hines Woo-Lam Jo Quanjun Cui Michael A. Mont Kyung-Hoi Koo Edward Y. Cheng Stuart B. Goodman Yong-Chan Ha Phillippe Hernigou Lynne C. Jones Shin-Yoon Kim Takashi Sakai Nobuhiko Sugano Takuaki Yamamoto Mel S. Lee Dewei Zhao Wolf Drescher Tae-Young Kim Young-Kyun Lee Byung-Ho Yoon Seung-Hoon Baek Wataru Ando Hong-Seok Kim Jung-Wee Park 《Journal of Korean medical science》2021,36(24)
Non-traumatic osteonecrosis of the femoral head (ONFH) usually affects adults younger than 50 years and frequently leads to femoral head collapse and subsequent arthritis of the hip. It is becoming more prevalent along with increasing use of corticosteroids for the adjuvant therapy of leukemia and other myelogenous diseases as well as management of organ transplantation. This review updated knowledge on the pathogenesis, classification criteria, staging system, and treatment of ONFH. 相似文献
73.
Jisun Yoon Eun Jin Eom Jin Tack Kim Dae Hyun Lim Woo Kyung Kim Dae Jin Song Young Yoo Dong In Suh Hey-Sung Baek Meeyong Shin Ji-Won Kwon Gwang Cheon Jang Hyeon-Jong Yang Eun Lee Hwan Soo Kim Ju-Hee Seo Sung-Il Woo Hyung Young Kim Youn Ho Shin Ju Suk Lee Sungsu Jung Minkyu Han Jinho Yu 《Allergy, asthma & immunology research》2021,13(1):42
74.
Shahrouki Puja Barclay Jonathan Khan Sarah Genshaft Scott Abtin Fereidoun McGraw Charles Baek Donny Nickel Barbara Suh Robert 《Cardiovascular and interventional radiology》2021,44(2):325-332
CardioVascular and Interventional Radiology - Purpose Bronchopleural fistula is a rare but serious complication of lung ablation, as it is difficult to treat and is associated with a high mortality... 相似文献
75.
76.
Se Won Oh Seon Ha Baek Jung Nam An Ho Suk Goo Sejoong Kim Ki Young Na Dong Wan Chae Suhnggwon Kim Ho Jun Chin 《Journal of Korean medical science》2013,28(7):1034-1040
Elevated blood pressure (BP) is the most common cause of cardiovascular disease. Salt intake has a strong influence on BP, and plasma sodium (pNa) is increased with progressive increases in salt intake. However, the associations with pNa and BP had been reported inconsistently. We evaluated the association between pNa and BP, and estimated the risks of all-cause-mortality according to pNa levels. On the basis of data collected from health checkups during 1995-2009, 97,009 adult subjects were included. Positive correlations between pNa and systolic BP, diastolic BP, and pulse pressure (PP) were noted in participants with pNa ≥138 mM/L (P<0.001). In participants aged ≥50 yr, SBP, DBP, and PP were positively associated with pNa. In participants with metabolic syndrome components, the differences in SBP and DBP according to pNa were greater (P<0.001). A cumulative incidence of mortality was increased with increasing pNa in women aged ≥50 yr during the median 4.2-yr-follow-up (P<0.001). In women, unadjusted risks for mortality were increased according to sodium levels. After adjustment, pNa ≥145 mM/L was related to mortality. The positive correlation between pNa and BP is stronger in older subjects, women, and subjects with metabolic syndrome components. The incidence and adjusted risks of mortality increase with increasing pNa in women aged ≥50 yr. 相似文献
77.
Rock Bum Kim Byoung-Gwon Kim Yu-Mi Kim Jeong Wook Seo Young Shil Lim Hee Sook Kim Hey Jean Lee Ji Young Moon Keon Yeop Kim Ji-Yeon Shin Hyeung-Keun Park Jung-Kook Song Ki-Soo Park Baek Geun Jeong Chan Gyeong Park Hee-Young Shin Jong-Won Kang Gyung-Jae Oh Young-Hoon Lee In-Whan Seong Weon-Seob Yoo Young-Seoub Hong 《Journal of Korean medical science》2013,28(1):16-24
78.
Maito Koga Kazunori Sato Sungmin Kang Koichi Sakajiri Junji Watanabe Masatoshi Tokita 《Macromolecular chemistry and physics.》2013,214(20):2295-2300
The microlamellar and smectic liquid crystal (LC) structures of a block copolymer of a main‐chain LC polyester connected at both ends with poly(ethyl methacrylate) are investigated by fiber X‐ray scattering. In the as‐spun fiber, the lamellae are parallel to the fiber axis, while the smectic layers are perpendicular to it. Annealing the as‐spun fiber at a temperature higher than the isotropization temperature (Ti) of the LC segment preserves the lamellae, but the LC structure disappears. Further annealing the fiber at T < Ti improves the lamellar stacking coherence and aligns the smectic layers parallel to the lamellae. In contrast, annealing the as‐spun fiber at T < Ti conserves the smectic layers and arranges the lamellae in parallel to the smectic layers. Thus, the liquid crystallinity affects the lamellar ordering and orientation.
79.
Jihyoun Lee Ji Sung Lee Jong Eun Lee Zisun Kim Sun Wook Han Sung Mo Hur Young Jin Choi Sungmin Park 《JOURNAL OF BREAST CANCER》2021,24(3):280
PurposeRaloxifene is a selective estrogen receptor modulator (SERM), and raloxifene treatment for osteoporosis is reimbursable under the Korean National Health Insurance. Evidence suggests that SERMs use reduces the risk of breast cancer in Asian population. Herein, we retrospectively investigated the protective effect of raloxifene on breast cancer rates in Korean population.MethodsUsing the Health Insurance Review and Assessment Service database, we selected women with osteoporosis aged 50 years and above. Patients treated for at least 2 years with raloxifene were assigned to the user group, whereas the remaining patients were assigned to the non-user group. The effect on breast cancer risk was assessed using the Cox proportional-hazards model with a time-dependent covariate to adjust for immortal time bias.ResultsA total of 322,870 women who were registered between 2010 and 2011 were included. The user group comprised 0.7% (n = 2,307) of the total population. The mean age was 65.7 ± 8.0 years and 67.2 ± 8.6 years in the user and non-user groups, respectively (p < 0.001). There was no difference in the previous use of estrogen replacement between the 2 groups (p = 0.087). The incidence of breast cancer per 1,000 person-years was 0.49 (n = 8) and 0.68 (n = 1,714) in the user and non-user groups, respectively (hazard ratio [HR], 0.63, 95% confidence interval [CI], 0.32–1.27). HR decreased with increase in the treatment duration, but this change was not statistically significant (HR, 1.00, 95% CI, 0.32–3.11 in 2–3 years; HR, 0.63, 95% CI, 0.20–1.94 in 3–4 years; and HR, 0.41, 95% CI, 0.10–1.65 in 4–5 years).ConclusionLong-term treatment with raloxifene in women with osteoporosis was not significantly associated with a reduction in breast cancer rates. However, further investigation is required for a conclusive proof. 相似文献
80.
Zhen-Yu Wu Young Joo Lee Yungil Shin Soojeong Choi Soo Yeon Baek Jung Whan Chun Loai Saleh Albinsaad Woo Jung Choi Namkug Kim BeomSeok Ko 《JOURNAL OF BREAST CANCER》2021,24(3):349
Tumor localization is challenging in the context of ductal carcinoma in situ (DCIS) treated with breast-conserving surgery. Conventional localization methods are generally performed under the guidance of ultrasonography or mammography and are rarely performed with magnetic resonance imaging (MRI), which is more sensitive than the aforementioned modalities in detecting DCIS. Here, we report the application of MRI-based individualized 3-dimensional (3D)-printed breast surgical guides (BSGs) for patients with breast cancer. We successfully resected indeterminate and suspicious lesions that were only detected using preoperative MRI, and the final histopathologic results confirmed DCIS with clear resection margins. MRI guidance combined with 3D-printed BSGs can be used for DCIS localization, especially for lesions easily detectable using MRI only. 相似文献