• Title/Summary/Keyword: KPS

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Updated guidelines for prescribing opioids to treat patients with chronic non-cancer pain in Korea: developed by committee on hospice and palliative care of the Korean Pain Society

  • Minsoo Kim;Sun Kyung Park;Woong Mo Kim;Eunsoo Kim;Hyuckgoo Kim;Jun-Mo Park;Seong-Soo Choi;Eun Joo Choi
    • The Korean Journal of Pain
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    • v.37 no.2
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    • pp.119-131
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    • 2024
  • There are growing concerns regarding the safety of long-term treatment with opioids of patients with chronic non-cancer pain. In 2017, the Korean Pain Society (KPS) developed guidelines for opioid prescriptions for chronic non-cancer pain to guide physicians to prescribe opioids effectively and safely. Since then, investigations have provided updated data regarding opioid therapy for chronic non-cancer pain and have focused on initial dosing schedules, reassessment follow-ups, recommended dosage thresholds considering the risk-benefit ratio, dose-reducing schedules for tapering and discontinuation, adverse effects, and inadvertent problems resulting from inappropriate application of the previous guidelines. Herein, we have updated the previous KPS guidelines based on a comprehensive literature review and consensus development following discussions among experts affiliated with the Committee on Hospice and Palliative Care in the KPS. These guidelines may assist physicians in prescribing opioids for chronic non-cancer pain in adult outpatient settings, but should not to be regarded as an inflexible standard. Clinical judgements by the attending physician and patient-centered decisions should always be prioritized.

Prognostic Factors Influencing Clinical Outcomes of Malignant Glioblastoma Multiforme: Clinical, Immunophenotypic, and Fluorescence in Situ Hybridization Findings for 1p19q in 816 Chinese Cases

  • Qin, Jun-Jie;Liu, Zhao-Xia;Wang, Jun-Mei;Du, Jiang;Xu, Li;Zeng, Chun;Han, Wu;Li, Zhi-Dong;Xie, Jian;Li, Gui-Lin
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.3
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    • pp.971-977
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    • 2015
  • Malignant glioblastoma multiforme (GBM) is the most malignant brain tumor and despite recent advances in diagnostics and treatment prognosis remains poor. In this retrospective study, we assessed the clinical and radiological parameters, as well as fluorescence in situ hybridization (FISH) of 1p19q deletion, in a series of cases. A total of 816 patients with GBM who received surgery and radiation between January 2010 and May 2014 were included in this study. Kaplan-Meier survival analysis and Cox regression analysis were used to find the factors independently influencing patient progression free survival (PFS) and overall survival (OS). Age at diagnosis, preoperative Karnofsky Performance Scale (KPS) score, KPS score change at 2 weeks after operation, neurological deficit symptoms, tumor resection extent, maximal tumor diameter, involvement of eloquent cortex or deep structure, involvement of brain lobe, Ki-67 and MMP9 expression level and adjuvant chemotherapy were statistically significant factors (p<0.05) for both PFS and OS in the univariate analysis. Cox proportional hazards modeling revealed that age ${\leq}50$ years, preoperative KPS score ${\geq}80$, KPS score change after operation ${\geq}0$, involvement of single frontal lobe, deep structure involvement, low Ki-67 and MMP9 expression and adjuvant chemotherapy were independent favorable factors (p<0.05) for patient clinical outcomes.

Profile and Outcome of Management of Brain Tumours in Kaduna Northwestern Nigeria

  • Danjuma, Sale;Dauda, Happy Amos;Kene, Aghadi Ifeanyi;Akau, Kache Stephen;Jinjiri, Ismail Nasiru
    • Journal of Korean Neurosurgical Society
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    • v.65 no.5
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    • pp.751-757
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    • 2022
  • Objective : Tumours of the brain are a rare occurrence accounting for approximately 2% of all neoplasms in adults. Few studies have been done in Nigeria on the profile of brain tumours. The aim of this study is to determine the profile of brain tumours in general and determine the change in Kanofsky Performance Score (KPS) after treatment. Methods : This is a prospective hospital-based study in Kaduna. All consecutive patients over 18 years of age with diagnosis of brain tumours from January 2016 to December 2019 were included in the study. Demographic and clinical data was collected using a proforma during the study. Patients who received treatment were followed up for 12 months. The primary outcome data was the difference in the quality of life as measured by KPS at the point of first contact and at 1-month after treatment and at 12-month follow up. Data obtained was analysed with SPSS version 25.0 for Windows. Descriptive statistics was done to determine the profile. Paired t-test at 95% confidence interval was done to check for significant correlation between the mean KPS. Results : A total of 39 consecutive patients were included in the study. There was a slight male preponderance with a M : F of 1.17 : 1. Meningioma and metastasis were more common in females while gliomas and pituitary tumours were more common in males. The mean age of patients was 49.8 years and standard deviation of 11.8 years. Pituitary tumours were the most common tumours. The most common location of the tumour was frontal lobe followed by the pituitary gland. The mean duration of symptoms before neurosurgical consultation was 38 weeks. The most common presenting symptoms of patient with brain tumour was headache. The quality of life improve compare to the baseline in 81% of patient at discharge and at 1 year follow up. The overall mortality rate was 25.6%. Conclusion : The most common brain tumour in our study is pituitary tumour. Most patients present late. The most common presenting symptoms is headache. There is significant improvement in the KPS of patients following treatment. The overall mortality rate at 1-year post treatment is 25.6%.

Synthesis and Characterization of Thermo Sensitive Poly(styrene-co-N-isopropylacrylamide) Microgels (열 감응성 Poly(styrene-co-N-isopropylacrylamide) 마이크로겔의 합성 및 특성)

  • Cho, Suk Hyeong;Kim, Kong Soo;Jung, Tea Uk
    • Applied Chemistry for Engineering
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    • v.16 no.3
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    • pp.397-402
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    • 2005
  • Core-shell Poly(styrene-co-N-isopropylacrylamide) (poly(St-co-NIPAm) was prepared by soap-free emulsion polymerization of styrene (St) and N-isopropylacrylamide (NIPAm) in aqueous solution with potassium persulfate (KPS) as an initiator. The effects of St/NIPAm ratio, concentrations of monomer and crosslinker were studied. Also, Thermo sensitivity of microgels prepared was investigated. Particle size of microgels increased with increasing mol ratio of NIPAm to styrene. Transmittance of the microgel dispersion decreased rapidly when heated above a low critical solution temperature (near $32{\sim}34^{\circ}C$, cloud point). Swelling ratio of the microgel increased with increasing of the concentration of monomer (NIPAm) and decreased proportional to the concentration of crosslinker.

Development of End-to-end Numerical Simulator for Next Generation GNSS Signal Design

  • Shin, Heon;Han, Kahee;Won, Jong-Hoon
    • Journal of Positioning, Navigation, and Timing
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    • v.8 no.4
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    • pp.153-164
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    • 2019
  • This paper presents the development of an end-to-end numerical simulator for signal design of the next generation global navigation satellite system (GNSS). The GNSS services are an essential element of modern human life, becoming a core part of national infra-structure. Several countries are developing or modernizing their own positioning and timing system as their demand, and South Korea is also planning to develop a Korean Positioning System (KPS) based on its own technology, with the aim of operation in 2034. The developed simulator consists of three main units such as a signal generator, a channel unit, and a receiver. The signal generator is constructed based on the actual navigation satellite payload model. For channels, a simple Gaussian channel and land mobile satellite (LMS) multipath channel environments are implemented. A software receiver approach based on a commercial GNSS receiver model is employed. Through the simulator proposed in this paper, it is possible to simulate the entire transceiver chain process from signal generation to receiver processing including channel effect. Finally, numerical simulation results for a simple example scenario is analyzed. The use of the numerical signal simulator in this paper will be ideally suited to design a new navigation signal for the upcoming KPS by reducing the research and development efforts, tremendously.

Efficacy of Mannatide Combined with Sodium Cantharidate Vitamin B6 in the Treatment of Malignant Pleural Effusions

  • Wang, Li-Zhi;Zhang, Hong-Juan;Song, Ji
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.3913-3916
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    • 2015
  • Objective: To evaluate the efficacy of mannatide combined with sodium cantharidate vitamin B6 in the treatment of malignant pleural effusions. Materials and Methods: Data for 69 patients with malignant pleural effusions who did not receive systemic chemotherapy were collected. Injection into the thorax using mannatide combined with sodium cantharidate vitamin B6 was performed for 37 patients in the experimental group and mannatide combined with cisplatin for 32 patients in the control group. Objective responses, KPS (Karnofsky Scoring) and incidences of side effects between the two groups were compared. Results: 13 patients reached CR (complete response) and 11 PR (partial response) in the experimental group, while 12 patients reached CR and 9 PR in the control group, the difference in overall objective responses between the two groups not being significant (66.7% vs 63.6%, p=0.806). However, improvement of KPS in the experimental group wasgreater than in the control group; total side-effect incidences during the period of treatment were 22.2% (8/36) and 54.5% (18/33), respectively (p=0.006). Conclusions: Regimen of mannatide combined with sodium cantharidate vitamin B6 had better improvement in quality-of-life and symptom relief, with a lower side-effect incidence in treatment of malignant pleural effusions.

Effect of Co-initiator on the Size Distribution of the Stable Poly(Styrene-co-Divinylbenzene) Microspheres in Acetone/Water Mixture

  • Choi, Jin-Young;Lee, Kang-Seok;Lee, Byung-Hyung;Choe, Soon-Ja
    • Macromolecular Research
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    • v.17 no.7
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    • pp.483-490
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    • 2009
  • Stable poly(styrene-co-divinylbenzene) [P(St-co-DVB)] micro spheres with narrow size distribution were synthesized in the presence of 2,2'-azobis(2,4-dimethyl valeronitrile) (V-65) and co-initiator in an acetone/water mixture in the precipitation polymerization at $53^{\circ}C$ for 24 h. Potassium peroxodisulfate (KPS), ammonium peroxodisulfate (APS) and sodium peroxodisulfate (NaPS) were used as co-initiators. The optimum ratio of acetone to water for the formation of a narrow distribution of P(St-co-DVB) particles was 49:11 (g/g). The optimum co-initiator compositions for narrow distribution were 9:1 (g/g) for V-65 to KPS, 11:1 for V-65 to APS and 6:1 for V-65 to NaPS. The yield for these compositions was $54{\sim}57%$ and the largest particle size was obtained with the lowest zeta-potential and CV values. From the XPS measurements, the charge density was increased but the zeta potential decreased with increasing sulfur content, implying that the sulfate group provides the electrostatic stabilization on the particle surface. This suggested that the self-crosslinking between styrene and DVB, the electrostatic stabilization of initiators, and the balanced hydrophobic and hydrophilic properties of the solvents are responsible for the formation of stable P(St-co-DVB) spherical particles with narrow size distribution.

A Marketing Strategy Implementation for Korea Postal Service (마케팅 전략실행을 통한 우정서비스 경쟁력 강화방안)

  • Kim Yong-Shik
    • Management & Information Systems Review
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    • v.3
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    • pp.257-285
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    • 1999
  • Korea Postal Service(KPS) nowadays lies in competitive environment with alternative business such as door-to-door delivery service. Customers began to complain about postal service quality and ask the government to reform a public firm through management innovation. But, Korea Postal Service has not met the break-even point between it's revenue and expenditure because the service is under the government system and cannot independently make major decisions on products, pricing, services, personnel management, financial policies and etc. The objective of this study is to provide marketing planners and practitioners with some guidelines when they establish marketing strategies and to help marketers on theories and practical instructions about postal service marketing when they interact with customers. I. A field survey on both customer satisfaction and internal staff satisfaction was conducted to get some ideas for the marketing strategy planning. II. Practical guidelines and instructions were made for marketers to communicate with customers in various areas such as pricing, product, service demand, marketing channel, promotion, and etc. III. Some suggestions on marketing policies for planners and mangers in the marketing strategy were described including personnel resource as well as physical resource. IV. Special issues on small packet market and direct mail market were discussed and some alternative solutions were proposed. V. Database marketing strategy was emphasized to get new business opportunities such as direct mail, and to provide differential services to customers as much as their contribution into the profitability for KPS. VI. Cyber Post Office should be constructed on Internet to provide new services which are combined with physical material flow and information technologies.

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Development of ESS Based on VRFB-LFPB Hybrid Batteries (VRFB-LFPB 하이브리드 배터리 기반의 ESS 개발에 관한 연구)

  • Cheon, Young Sik;Park, Jin Soo;You, Jinho;Lee, Jin
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.31 no.1
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    • pp.61-67
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    • 2018
  • High-power lithium batteries are suitable for equipment with high power output needs, such as for ESS's initial start-up. However, their management cost is increased by the installation of air-conditioning to minimize the risk of explosion due to internal temperature rise and also by a restriction on the number of charge/discharge cycles. High-capacity flow batteries, on the other hand, have many advantages. They can be used for over 20 years due to their low management costs, resulting from no risk of explosion and a high number of charge/discharge cycles. In this paper, we propose an ESS based on hybrid batteries that uses a lithium iron phosphate battery (LiFePO) at the initial startup and a vanadium redox flow battery (VRFB) from the end of the transient period, with a bi-directional PCS to operate two batteries with different DC voltage levels and using an efficient energy management control algorithm.