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Efficacy and Safety of Combination Treatment of Traditional Korean Medicine after Gastric Cancer Surgery: A Systematic Review and Meta-analysis Protocol (위암 수술 후 항암치료를 병행한 한의치료의 유효성 및 안전성: 체계적 문헌고찰 및 메타분석 프로토콜)

  • Jong-hee Kim;Eunbin Kwag;So-jung Park;Donghyun Kim;Soodam Kim;Jihye Park;Hwa-seung Yoo
    • Herbal Formula Science
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    • v.31 no.4
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    • pp.361-371
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    • 2023
  • Objectives : Gastric cancer is a malignant tumor of the digestive tract that not only has a high mortality rate, but also affects quality of life. In Traditional Korean Medicine, acupuncture and herbal medicines can increase the survival rate for Gastric cancer and improve the quality of life. Traditional Korean Medicine treatment played an important role when used alone or in combination with chemotherapy. However, there is still insufficient evidence to support the efficacy and safety of Traditional Korean Medicine in patients undergoing chemotherapy after surgery. Therefore, the purpose of this study is to systematically evaluate the effect of oriental medicine treatment on patients as a complementary therapy for Gastric cancer. Methods : 2 researchers will search using EMBASE, Pubmed, CNKI, Cochrane Library, CiNii, KMBASE, KISS, OASIS, RISS, ScienceON. The search period of the database is from inception until June 2022. This study will include a randomized controlled trial of GC for acupuncture and herbal treatment. Primary outcomes include anti-cancer effects. Secondary outcomes evaluate survival rates and improvements in quality of life. The data uses Review Manager Software 5.4. Results : This study will provide a systematic evaluation by synthesizing the anti-cancer effect, survival rate and quality of life of Gastric cancer when Traditional Korean Medicine is combined with chemotherapy. Conclusion : The conclusion of this study will provide a basis for determining whether Traditional Korean Medicine treatment for Gastric cancer treatment is an effective and safe treatment method in clinical practice.

Development of Architecture Products Management System (아키텍처산출물 관리 시스템 개발)

  • Choi, Nam-Yong;Song, Young-Jae
    • The KIPS Transactions:PartD
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    • v.12D no.6 s.102
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    • pp.857-862
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    • 2005
  • MND(Ministry of National Defense) has developed MND AF(Ministry of National Defense Architecture Framework) and CADM(Core Architecture Data Model to guarantee interoperability among defense information systems. But, it is very difficult to manage architecture product documented through MND AF and CADM. So, there Is necessity for development of modeling tool and repository system which can develop architecture products and manage architecture product informations in common repository In this paper, we developed architecture product management system which supports development and management of meta model and architecture product of MND AF and CADM. Through architecture product management system architect of each agency can construct architecture product in a more effective and efficient way with modeling method and a user can search and refer useful architecture product informations using query function. Also, architecture product management system provides the basis for system integration and interoperability with integration, analysis and comparison of architecture product.

An Updated Pooled Analysis of Glutathione S-transferase Genotype Polymorphisms and Risk of Adult Gliomas

  • Yao, Lei;Ji, Guixiang;Gu, Aihua;Zhao, Peng;Liu, Ning
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.1
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    • pp.157-163
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    • 2012
  • Objective: Glutathione S-transferases (GSTs) are multifunctional enzymes that play a crucial role in the detoxification of both the endogenous products of oxidative stress and exogenous carcinogens. Recent studies investigating the association between genetic polymorphisms in GSTs and the risk of adult brain tumors have reported conflicting results. The rationale of this pooled analysis was to determine whether the presence of a GST variant increases adult glioma susceptibility by combining data from multiple studies. Methods: In our meta-analysis, 12 studies were identified by a search of the MEDLINE, HIGHWIRE, SCIENCEDIRECT and EMBASE databases. Of those 12, 11 evaluated GSTM1, nine evaluated GSTT1 and seven evaluated GSTP1 Ile105Val. Between-study heterogeneity was assessed using ${\chi}^2$-based Q statistic and the $I^2$ statistic. Crude odds ratios (ORs) with corresponding 95% confidence intervals (CIs) were used to estimate the association between GSTM1, GSTT1 and GSTP1 polymorphisms and the risk of adult gliomas. Results: The quantitative synthesis showed no significant evidence to indicate an association exists between the presence of a GSTM1, GSTT1 or GSTP1 Ile105Val haplotype polymorphism and the risk of adult gliomas (OR, 1.008, 1.246, 1.061 respectively; 95% CI, 0.901-1.129, 0.963-1.611, 0.653-1.724 respectively). Conclusions: Overall, this study did not suggest any strong relationship between GST variants or related enzyme polymorphisms and an increased risk of adult gliomas. Some caveats include absence of specific raw information on ethnic groups or smoking history on glioma cases in published articles; therefore, well-designed studies with a clear stratified analysis on potential confounding factors are needed to confirm these results.

Prevalence of HER-2-Positive Invasive Breast Cancer: A Systematic Review from Iran

  • Keyhani, Elahe;Muhammadnejad, Ahad;Karimlou, Masoud
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.11
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    • pp.5477-5482
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    • 2012
  • Background: The HER-2/neu gene is altered in 15-20% of breast cancer patients. Immunohistochemistry (IHC) is considered to be the most cost-effective method for HER-2 detection in many countries. Approximately 8,000 new cases of breast cancer are observed annually in Iran. The aims of this study were to conduct a systematic review of the literature on the rate of HER-2-positive breast cancer diagnosed by IHC in Iran. Methods: A systematic search of the medical literature using the Medline/PubMed, ISI and SID databases revealed articles published in the English and Persian languages evaluating HER-2-positive breast cancer in Iran. Results: From 22 studies, 3,033 patients were evaluated, of whom 1,350 were diagnosed as HER-2-positive by IHC HER-2 testing. The mean percentage of HER-2-positive patients was 44.5%, which is higher than that recorded in international statistics. Results of this meta-analysis showed a significant heterogeneity between ratios. There was a statistically significant difference between the results of pre- and post implementation of 2007 American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guideline. IHC HER-2 testing has been performed in Iran for over 10 years. Similar to many other countries, before establishment of an infrastructure for IHC diagnostic tests, HER-2 testing was routinely performed in Iran. Our study showed that the statistics reported from Iran varied widely; for instance, the rate of HER-2-positive cases varied from 23.3% to 81.0%. Conclusions: Our results demonstrate that the lack of standardization and harmonization of this test have led to marked variations in breast cancer diagnosis in Iran.

Developing an XML Repository for Workflow Management (효율적인 워크플로우 관리를 위한 XML 저장소 개발)

  • 임종선;주경수
    • The Journal of Society for e-Business Studies
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    • v.8 no.3
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    • pp.131-141
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    • 2003
  • For workflow systems using XML documents for saving workflow process definition and especially for XML-based worflow systems, a repository needed to provide control for XML documents. The repository allows uniform access to shared data and facilitates integration among tools in workfolw systems. An XML repository gives the best solution to maintain, exchane, and modify the workflow process definition meta data, which is in the form of XML documents . The XML repository, where users can lookup the worflow definition objects, serves as the metadata foundation of the workflow system. In this paper, we developed for XML Repository(called REPOWO : REPOsitory for Workflow) that can store, delete, search and transform XML documents. REPOWO is implemented by combining EJB components based on RDBMS. By REPOWO, workfolw process definitions, data type definitions and transition informations can be easily manage.

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Establishment of ITS Policy Issues Investigation Method in the Road Section applied Textmining (텍스트마이닝을 활용한 도로분야 ITS 정책이슈 탐색기법 정립)

  • Oh, Chang-Seok;Lee, Yong-taeck;Ko, Minsu
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.15 no.6
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    • pp.10-23
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    • 2016
  • With requiring circumspections using big data, this study attempts to develop and apply the search method for audit issues relating to the ITS policy or program. For the foregoing, the auditing process of the board of audit and inspection was converged with the theoretical frame of boundary analysis proposed by William Dunn as an analysis tool for audit issues. Moreover, we apply the text mining technique in order to computerize the analysis tool, which is similar to the boundary analysis in the concept of approaching meta-problems. For the text mining analysis, specific model we applied the antisymmetry-symmetry compound lexeme-based LDA model based on the Latent Dirichlet Allocation(LDA) methodologies proposed by David Blei. The several prime issues were founded through a case analysis as follows: lack of collection of traffic information by the urban traffic information system, which is operated by the National Police Agency, the overlapping problems between the Ministry of Land, Infrastructure and Transport and the Advanced Traffic Management System and fabrication of the mileage on digital tachograph.

Effectiveness of Active Warming Intervention for Women Undergoing Cesarean Section: A Systematic Review and Meta-analysis (제왕절개 환자에서 적극적 가온 요법의 효과: 체계적 문헌고찰 및 메타분석)

  • Choi, Jung Eun;Kim, Mee Sun;Song, Jin Ran
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.3
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    • pp.167-180
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    • 2017
  • Purpose: The aim of this study was to synthesize the best available evidence for active warming interventions during cesarean section. Methods: A database search was done for randomized controlled trials utilizing active warming interventions. Maternal temperature, shivering and neonatal temperature were evaluated as outcome variables. Data were analyzed using Cochrane Review Manager software Version 5.3. Results: Thirteen studies including 1306 patients were reviewed. The degree of lowering of maternal temperature decreased in the warmed fluids (MD 0.51; p=.004) and warming mattress interventions (MD 0.22; p<.001) compared with control groups. Incidence of shivering was also lower in the active warming group (OR 0.55; p=.003). There was no statistically significant difference in maternal temperature with a forced air warming intervention (MD 0.64; p=.15) or in neonatal temperature (MD 0.12; p=.26). Conclusion: Findings show that with warmed fluids and warming mattresses applied during cesarean sections maternal temperature decline was reduced and also the incidence of shivering declined, but no significant effect was observed for forced air warming interventions. These findings provide a basis for developing a warming guideline for women having a cesarean section and will help to improve the quality of care for cesarean section patients.

A Systematic Review on the Causative Medicines for Stevens-Johnson Syndrome (스티븐스-존슨증후군을 유발하는 주요 의약품별 위험도에 대한 체계적 문헌고찰)

  • Kwon, Kyoung-Eun;Jung, Sun-Young;Jung, Hyun-Joo;Kim, Bong Gi;Park, Byung-Joo
    • Korean Journal of Clinical Pharmacy
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    • v.23 no.4
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    • pp.344-364
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    • 2013
  • Background: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are immune-complex-mediated hypersensitivity reactions that predominantly involve skin and mucous membranes. Despite the low incidence, both are considered medical emergencies as the mortality rate has been estimated at 30-50%. Although as many as half of cases are idiopathic, several drugs have been implicated as main cause of SJS/TEN. This review therefore aimed to identify drugs that were potentially associated with SJS/TEN and compare the relative risk of the medications. Method: A comprehensive search was performed using MEDLINE, EMBASE and 5 Korean databases. We defined study drugs as non-steroidal anti-inflammatory drugs (NSAIDs), antibiotics, antiepileptics, and allopurinol. Only epidemiologic studies investigating associations between the above drugs and drug-induced SJS/TEN were included. Two reviewers independently selected and evaluated candidate papers and extracted odds ratios or incidence rates. Meta-analysis was performed only for drugs that were reported from 4 or more studies. Results: We found 8 case-control studies, 3 cohort studies and 1 RCT. The ranges of adjusted ORs were 0.6-34.0 for NSAIDs, 1.6-302.0 for antiepileptics, 0.3-10.0 for antibiotics and 1.0-187.0 for allopurinol. The drug with the highest incidence of SJS/TEN was carbamazepine (40 persons/1,000 DDD). Conclusion: Finally, the risk was highest in first 8 weeks after onset of treatment in all drugs.

Metadata Mapping for Image Retrieval in Distributed Web Environments (분산 웹 환경에서 이미지 검색을 위한 메타데이타 매핑)

  • Kwon, Eun-Young;Na, Yun-Mook;Ahn, Chul-Bum
    • Journal of Korea Multimedia Society
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    • v.9 no.7
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    • pp.782-800
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    • 2006
  • Image metadata is used to describe the contents, structures, and features of a given image data. There exist lots of image metadata-related standards. Such image metadata need to be shared to efficiently search the correct images in Web Service-enabled distributed environments. In this thesis, we propose an interoperable system architecture for utilizing image metadata and query extension methods using metadata mapping for correct and efficient image searching. In the proposed methods, the provider schema using non-standard image metadata are mapped into the schema based on the VRA standard, which is used as a basic and intermediary standard in MDR(MetaData Registry). We support mapping operations between the VRA standard and other standards, to reduce the number of unnecessary mapping operations and to enable easier addition of schema based on new standards. Using the proposed query processing methods, which utilize image metadata and overcome their heterogeneity by metadata mapping, it is possible to severely improve the correctness of image retrieval. To show the usefulness of our schemes, we implemented a prototype system and performed retrieval performance evaluation on extended query processing.

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Analysis of Recent Trends in Clinical Research Publications on Acupuncture and Moxibustion Studies (침구 임상연구 논문동향 분석)

  • Park, Ji-Eun;Oh, Dal-Seok;Shin, Seon-Hwa;Choi, Jun-Yong;Koo, Chang-Mo;Kim, Ae-Ran;Jung, So-Young;Han, Kyung-Ju;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.13 no.2 s.20
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    • pp.101-112
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    • 2007
  • Objective : This study was aimed to review the trend of clinical research articles of acupuncture and moxibustion from the year of 1995 to 2006. Methods : The retrieving and analyzing period were from January 1995 to July 2006. Articles were collected by retrieving Pubmed database. Search terms were as follows; 'Acupuncture', 'Acupuncture & Meridian', 'Moxibustion'. After reviewing articles by our pre-defined criteria, Correlation was assessed qualitatively between contents of the final selected articles and those of Korea Institute of Oriental Medicine. Results : The number of acupuncture research articles have increased with higher rate since the year of 2000. In the field of medical devices, the articles were sparsely existed. The percentage of clinical acupuncture research articles was 75%. However, in the category of Korean investigators' researches, it was 46%. Publications by Korean investigators were concentrated to several specific journals of which their impact factor were below 1 point. Conclusion : There needs more qualifying studies in acupuncture studies which are represented by impact factor in Journal Citation Reports. It is necessary to research and develop the medical devices quantatively rating the outcome of acupuncture trials. The secondary research, such as, systematic reviews, meta-analysis, would be a key approach to evaluate the effectiveness and safety of acupuncture treatments. Moxibustion research would be noticeable in regard to its historical effectiveness and its variable indications.

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