• Tuberculosis and Respiratory Diseases
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• 제63권3호
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• pp.242-250
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• 2007

배경 및 목적: 암세포는 빠른 증식 속도로 인하여 상대적인 저산소증에 노출되면서 비정상적인 종양 혈관을 형성하여 치명적인 병인을 형성한다. 저산소증에서의 암세포 내의 유전자 표현을 연구하는 것은 병인의 규명과 나아가 치료에 결정적인 단초를 제공할 수 있다. 이에 본 연구에서는 체외 배양한 비소세포폐암의 증식과 저산소증 상태에 대한 연구를 시행하였다. 재료 및 방법: 비소세포폐암주인 A549를 RPMI 배지에서 계대 배양하였다. 저산소 유사 상태는 Modular Incubator Chamber(MIC-101)을 이용하였고 5% 이산화탄소와 95% 질소 혼합 가스를 5분간 공급하여 저산소 상태를 만들었으며 세포 배양액을 채취하여 혈액가스분석기(Blood Gas Analyzer ABL 725)로 세포 배양 상태를 측정하였다. 대조군으로 5% $CO_2$와 멸균한 대기 공기 95%가 혼합된 가스를 사용하였다. 세포의 증식 상태는 MTT 방법을 실시하였다. 결과: 1. MIC-101을 이용하였을 때, 무산소혼합가스를 투여 후 30분에 50%의 산소 분압저하를 확인하였으며, 대기 가스에 의해 산소농도를 회복하는 것을 볼 수 있었다. 2. 무산소 혼합가스로 정화(purging)를 하면 산소의 분압을 더 낮출 수 있었다. 3. 저산소 상태에서 세포 배양액 내에는 pH 감소, 젖산 증가, 포도당의 감소와 같은 미세환경이 변하였다. 4. 세포배양액에 따라 저산소에 의해 유도되는 포도당 저하에 차이가 있었다. 5. 비소세포폐암주는 저산소에 의해 증식능이 억제되었다. 결론: 저산소 상태는 세포 배양액 내 포도당 농도의 감소, 젖산의 증가, pH의 감소 등 세포 배양 미세 환경을 변화시키며, 비소세포폐암세포는 증식이 억제된다. 저산소는 미세 환경 변화와 함께 직접적으로 그리고 간접적으로 비소세포의 증식능에 영향을 미친다.

• 대한후두음성언어의학회지
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• 제18권2호
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• pp.122-128
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• 2007

This study aims to analyze the voices of the patients with voice disorders including vocal fold paralysis, vocal fold cyst and vocal nodule/polyp in the aspect of acoustic phonetics. This study intends to collect subsidiary acoustic data in order to make a speech treatment and an standardization of vocal disorders. Subjects and Methods: The subjects of this study were 64 adult patients who underwent indirect laryngoscopy and laryngostroboscopy, and were diagnosed as vocal fold paralysis, vocal fold cyst or vocal nodule/polyp. Experimental group consisted of 20 patients who were diagnosed as vocal fold paralysis, 21 patients who were diagnosed as vocal fold cyst and had the average age of 42.0 $({\pm}10.03)$ ; and 23 patients who were diagnosed as vocal nodule/polyp and had the average age of 40.9 $({\pm}13.75)$. For the methodology of this study, the patients listed above were asked to sit in a comfortable position at intervals of 10cm apart from the patient's mouth and a microphone, and subsequently to phonate a vowel sound /e/ for the maximum phonation time with natural tone and vocal volume then the sound was directly inputted on a computer. During recording, sampling rate was set to 44,100Hz and the 1-second area corresponding to stable zone except the first and the last stage of waveform of the vowel sound /e/ vocalized by the individual patients was analyzed. Results: First, there was no statistically significant difference in jitter and shimmer between vocal fold paralysis and vocal fold cyst, while there was highly statistically significant difference in them between vocal fold paralysis and vocal nodule/polyp. Second, looking into the mean values obtained from NNE, HNR and SNR results associated with noise ratio, the disease showing the most abnormal characteristics was vocal fold paralysis, followed by cyst and nodule/polyp in order. For NNE, there was statistically significant difference between vocal nodule/polyp, and cyst or paralysis. In other words, it was found that the NNE of vocal nodule/polyp was weaker than that of cyst or paralysis. Similarly, HNR and SNR also showed the same characteristics; there was statistically significant difference between vocal fold paralysis and vocal fold cyst or nodule/polyp, and HNR and SNR values of vocal fold paralysis were lower than those of vocal fold cyst or nodule/polyp. Conclusion: For vocal fold paralysis, the abnormal values of acoustic parameters associated with frequency, amplitude and noise ratio were statistically significantly higher than those of vocal fold cyst and nodule/polyp. This finding suggests that the voices of the patients with vocal fold paralysis are the most severely injured due to less stability of vocal fold movement, asymmetry and incomplete glottic closure. In addition, there was no statistically significant difference in the acoustic parameters of tremor among vocal fold paralysis, vocal fold cyst and vocal nodule/polyp. Further studies need to ascertain reasonable acoustic parameters with various vocal disorders as well as to clarify the correlation between acoustics-based objective tools and subjective evaluations.

• Tuberculosis and Respiratory Diseases
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• 제47권1호
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• pp.50-56
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• 1999

연구배경: 양성 질환과 악성 질환의 감별 전단으로 혈청에서의 cyfra 21-1 에 관한 연구는 많이 되고 있으나, 흉수내 cyfra 21-1 의 진단적 의의에 관한 연구는 거의 없는 실정이다. 저자들은 흉수의 원인의 감별 진단으로 흉수의 cyfra 21-1 이 진단적 의의가 있는지를 알아보기 위하여 흉수내 cyfra 21-1 을 측정하였으며 혈청내 cyfra 21-1과도 비교하여 흉수내 cyfra 21-1의 진단적 의의를 알아보았다. 연구방법: 1994년 8월부터 1996년 6월까지 삼출성 흉막염으로 내원하였던 환자 92례를 대상으로 흉수와 혈청의 cyfra 21-1을 측정하였다. 흉수의 원인은 생화학적 검사, 세포학적 검사, 그리고 기관지 내시경 등응로 확진 되었으며, 흉수의 원인 질환에 따라 흉수와 혈청 cyfra 21-1 을 비교하였으며 각각의 민감도와 특이도는 ROC 곡선으로 분석하였다. 결과: 혈청 cyfra 21-1은 폐암군에서 가장 높았으며 양성질환군 및 전이암군과 비교할 때 양성 질환군과는 통계학적 의의가 있었으나, 전이암군과는 통계학적 의의가 없었다. 폐암군의 흉수 cyfra 21-1은 혈청보다 높았고, 각 질병군을 비교하였을 때 혈청에서와 같은 통계학적 결과를 보였다. 혈청과 흉수의 cyfra 21-1의 상관관계는 양성 질환군의 경우 통계학적 의의가 없었으나(r=-0.044, p=0.866), 악성 질환군은 유의한 상관 관계가 있었다(r=0.837, p=0.001). 전체 악성질환군인 경우 혈청 cyfra 21-1의 cut off 치를 2.7ng/mL로 하였을 때 민감도와 특이도는 각각 72.7%, 72.4%였으며, 폐암군은 cut off 치를 2.39ng/mL로 하였을 때 민감도와 특이도는 각각 73.9%, 72.4%로 두 군사이의 cut off 치, 민감도, 특이도는 차이가 없었다. 흉수 cyfra 21-1은 전체 악성 질환군의 경우 cut off 치가 10.74ng/mL 일 때 민감도 및 특이도는 각각 78.7%, 69.6% 이었으며, 폐암군은 cut off 치가 22.25 ng/mL 일 때 민감도 및 특이도는 각각 81.8%, 78.7%였다. 결론: 흉수의 cyfra 21-1 치는 양성 질환보다 악성 질환에 의한 흉막염에서 유의하게 높았으며 특히 원발성 폐암에 의한 악성 흉막염에서 민감도와 특이도가 높아 원발성 폐암에 의한 흉수의 감별진단에 cyfra 21-1을 유용하게 이용할 수 있을 것으로 생각한다.

• 한국치위생학회지
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• 제10권2호
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• pp.361-374
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• 2010

Objectives : The purpose of this study was to provide some basic data for effective prevention and oral health education for oral health. For that purpose, a self-administered questionnaire was distributed to the boys of three high schools in Gyeonggi Province. Methods : The questionnaire consisted of items about the practice of oral health control and knowledge of decay according to grade, number of snacking, preferred taste, and toothbrushing. Total 487 questionnaires were put to analysis using the SPSS WIN 13.0 program. Results : 1. The biggest number of the boys brushed their teeth twice a day. The 10th graders brushed teeth three times a day, and the 11th and 12th graders tended to brush teeth twice a day(${\chi}^2$=18.21, p<.05). 2. As for the way of toothbrushing, 39.0% of the boys said they brushed teeth the way they felt like, being followed by those who said they brushed teeth turning the toothbrush up and down and brushing both the teeth and gums(32.6%). As for the number of snacking, those who had snacks three times a day or more brushed teeth turning the toothbrush up and down and brushing both the teeth and gums. Those who hardly had snacks more tended to brush teeth the way they felt like than those who had snacks(${\chi}^2$=21.28, p<.05). And as for preferred tastes, those who preferred a sweet and salty taste more tended to brush teeth the way they felt like than others. And those who preferred a hot taste brushed teeth turning the toothbrush up and down and brushing both the teeth and gums(${\chi}^2$=26.85, p<.01). 3. The respondents' percentage of correct answers for 'Decay is caused by bacteria' was 81.5%. Those who preferred a hot taste recorded the highest percentage of correct answers(${\chi}^2$=21.95, p<.00). 4. Their percentage of correct answers for 'Decay is accompanied by pain from the beginning' was 78.2%. The 12th graders had the highest rate of correct answers, and the 11th graders had the highest rate of wrong answers(${\chi}^2$=11.56, p<.00). 5. Their percentage of correct answers for 'Fluorine is helpful to the prevention of decay' was 75.4%. Those who hardly had snacks recorded the highest rate of correct answers(${\chi}^2$=10.05, p<.02). 6. Their percentage of correct answers for 'There is a way to supply fluorine into the waterworks' was 29.2%, which means the percentage of wrong answers was much higher. The percentage of wrong answers was the highest in the 11th grade(${\chi}^2$=7.06, p<.03). 7. The respondents' mean scores of knowledge of decay were 13.15 of total 18. While the 12th graders showed the highest level of knowledge of decay, the 11th graders were lower in the level of knowledge of decay than the other graders. And there were significant differences(F=5.41, p<.01) according to grade with no such differences according to the number of snacking and preferred taste. Conclusions : Oral health education should be applied to the boys all through their life to have a great effect, and it is important that they should always put the oral health education into practice to be a successful education.

• Journal of Trauma and Injury
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• 제23권2호
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• pp.68-74
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• 2010

Purpose: The purpose of this study is, first, to analyze the risk factors that influence the severity of injury in pediatric multiple trauma patients and, second, to present solutions for the problems related to the treatment of such patients. Our living situations are so complicated that the danger of accidents is truly open to children who are not prepared. We need to draw attention to the increased numbers of various accidents involving children. Methods: We studied patients who visited the Emergency Medical Center at Chosun University Hospital from January 1, 2006, to December 31, 2008. Using medical records, we evaluated the general characteristics: the mechanism of injury, the vital signs, the revised trauma score (RTS), the injury severity score (ISS), and the hemoglibin value, which was checked at the time of visit, and the presence or the absence of emergent on regular surgery. We divided the level of injury as follows: light level (1-8 points), mid level (9-15 points), and serious level (above 16 points). We analyzed the medical data by using SPSS 17.0 for windows. Results: The average age of the patients examined was 8.6 years. The number of 6- to 11-year-old patients was 96, which was the largest, but the degree of injury severity was the highest among infant (0-2 years), according to ISS 7.95(${\pm}6.85$). The frequency of accidents was highest on sunny days, and most accidents occurred from 16:00 to 20:00. The cause of multiple trauma for children was the greatest in the traffic accident, (95 patients, 49.0%). In addition, the trauma caused by traffic accidents showed the highest ISS value ($9.02{\pm}6.42$) and the most serious degree (P=0.004). The ISS level of injury ($8.40{\pm}6.64$) for patients moved from a secondary hospital was higher than that ($6.49{\pm}5.57$) for patients who visited the medical center directly. The severity of injury was highest for patients who used a 119 ambulance ($8.84{\pm}5.80$). According to the injured parts of body, Injuries to the arms and the feet most frequent (79 patients, 40.7%), but the level of injury was the highest for internal organs and chest, $16.42{\pm}8.56$ and $11.23{\pm}6.97$, respectively. Conclusion: We used Abbreviated Injury Scale (AIS) in order to examine the characteristics by injured body part for pediatric multiple trauma patients. Because the degree of injury was the highest for internal organs or the chest, we need to more seriously examine and provide for patients who are suspected of having injuries to the internal organs or the chest. We need to quickly determine the need for surgery in patients with serious injuries to the arms and the feet, which is the greatest in frequency. In particular, we need to consider the surgical care of patients who are not very high in the severity of injury to their brains.

• Tuberculosis and Respiratory Diseases
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• 제54권5호
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• pp.542-550
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• 2003

배경 : 스테로이드는 그 뛰어난 염증억제 효과로 여러 만성 염증성질환의 치료제로 널리 쓰이고 있다. 최근 스테로이드의 염증억제의 기전이 I${\kappa}B$의 전사를 증가시키고, 활성화된 NF-${\kappa}B$를 억제시키는 것으로 밝혀졌다. 그러나 대부분의 연구가 세포주에 스테로이드 처치를 한 후 이루어진 것이어서 본 연구에서는 인체에 직접 스테로이드를 투여한 후, 스테로이드가 NF-${\kappa}B$ 에 미치는 영향을 알아보고자 하였다. 방법 : 건강한 자원자 5명을 대상으로 prednisolone을 0.5mg/kg/d의 용량으로 7일간 투여하였고 투여 전과 후에 각각 말초혈액 단핵구를 추출하여 이를 자극하지 않은 군(baseline), IL-$1{\beta}$, LPS, TNF로 자극한 군으로 나누어 $I{\kappa}B{\alpha}$에 대한 western blot을 시행하였다. 또한 투여 전후에 얻은 말초단핵구를 각각 LPS로 자극하고 EMSA를 시행하였다. 결과 : 5명중 3명에서는 $I{\kappa}B{\alpha}$의 기저발현에 차이가 없었으나, 나머지 2명에서는 스테로이드 투여 후 $I{\kappa}B{\alpha}$의 기저발현이 증가하였다. 5명 모두에서 스테로이드 투여 후에 외부자극에 의한 $I{\kappa}B{\alpha}$의 분해가 억제되었으며, EMSA로 NF-${\kappa}B$의 DNA 결합능이 감소하는 것을 확인하였다. 결론 : 스테로이드의 항염증효과는 $I{\kappa}B{\alpha}$의 기저발현의 증가, NF-${\kappa}B$ 의 DNA 결합능 감소, 그리고 자극 에 의한 $I{\kappa}B{\alpha}$ 분해의 억제에 의한다.

• 한국응급구조학회지
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• 제12권3호
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• pp.87-98
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• 2008

Purpose : This study was designed to figure out the necessity of continuing basic CPR education for the higher grade students of elementary school. The assessment contents were knowledge, practice ability, precision level of CPR skills and continuation of the educational efficiency. Methods : Twenty two students of 4th and 5th grade of elementary school in K city in Chungcheongnam-do were recruited for this study. The study method was a control group of non-synchronized design. A preliminary study was done on October 27 in 2006. The main study was performed from February 14 to May 11 in 2007. The researcher adopted the method of Kyung-hui, Kang (1998) such as awareness, attitude and knowledge in control group, emergency medical technician test protocol, Anne/SkillReporter$^{(R)}$ in case of the basic CPR knowledge. Four times of measures were done in shortly after practicing CPR, 4 weeks after the education, 8 weeks after the education, and 12 weeks after the education. By using SPSS/PC+ (version 12.0), the researcher analyzed the collected data based on frequency, percentage, repeated measurement, ANOVA (analysis of variance), and sidak (multiple comparison - sidak). Results : 1) The confidence of people in the control group in terms of practicing CPR showed a statistically meaningful difference (t = 10.230, p = .000) before/after CPR education. Therefore, hypothesis No.1-1 was accepted. 2) The educational necessity of people in the control group showed no statistically meaningful difference (t = -1.695, p = 0.105) before/after CPR education. Therefore, hypothesis No.1-2 was rejected. 3) The knowledge points of people in the control group showed a statistically meaningful difference (t = -7.731, p = .000) before/after CPR education. Therefore, hypothesis No.2 was accepted. 4) The confidence of people in the control group in terms of practicing CRP showed no meaningful difference (F = 2.789, p = 0.072) as time passed. Therefore, hypothesis No.3 was rejected. 5) The knowledge of people in the control group showed a meaningful difference (F = 9.090, p = .000) as time passed. Therefore, hypothesis No.4 was accepted. 6) The capability of people in the control group in terms of practicing CPR showed a statistically meaningful difference (F = 42.795, p = .000) as time passed. Therefore, hypothesis No.5 was accepted. 7) The precision level of CPR skill of people in the control group showed a statistically meaningful difference (F = 25.198, p = .000) as time passed. Therefore, hypothesis No.6-1 was accepted. 8) The precision level of chest compression skill of people in the control group showed a statistically meaningful difference (F = 5.188, p = .003). Therefore, hypothesis No.6-2 was accepted. Conclusion : In a nutshell, CPR education for the 4th and 5th graders of elementary schools had an influence on their confidence in practicing CPR and on their knowledge. This study showed that as time passed. the educational effect declined in terms of knowledge point, capability of practicing CPR, and the precision level of CRP skill. The results of the study could be postulated into the fact that re-education within 8 weeks after the first education was essential to retaining the educational effect. Therefore, we need to vitalize the CPR education for elementary school students repeatedly on a regular basis in order to continue the educational effect after they were grown-ups and to make them play their roles as a first aider.

• 한국간호교육학회지
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• 제5권2호
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• pp.177-190
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• 1999

This study has been conducted on the basis of the literature review of Nursing Education Research in China from 1990 through August 1998. Its purpose was to support the basic data of nursing education which is risen as major revolutionary of nursing in China and those for exchange of information between Korea-China nursing education. It is retrospective and descriptive research analyzing one hundred eighty articles published in The Journal of China Nursing. The results of the study were as follows. 1. Only 33.3% of the professors of Technical Nursing School who have played of major role of nursing education in China have carried out the study related to nursing education. Baccalaureate program professors have marked 22.2% of all studies, and diploma program professors have done 12.2% of all. Therefore, the professors of above the diploma program have done total 44.4%. It explains that the professors of baccalaureate and diploma programs have done more studies related to nursing education than those of Technical Nursing School. 2. In terms of the study design, most of the studies(38.8%) were case studies introducing the curriculum contents that were done at education institutions. And then, 28.5% were reviewing the articles, and 15.6% were descriptive studies. 3. In terms of the content of the study, 38.3% were relevant to education of Technical Nursing School, 15.0% were about baccalaureate education, and 10.4% is about diploma. 4. To analyze the specific contents of the studies ; a. In baccalaureate program, human resources (professor or teaching), course extension, lab, classes, teaching method, education philosophy, goal of education, evaluation method, and human resource development were included. b. In diploma program, teaching contents evaluation method, teaching method, and educational system were included c. In the technical school, there were qualification of professors , teaching method, evaluation method, opening the courses, teaching contents, goal of education and so on. d. Beyond these, there were practice guidance and appraisement, teaching method, and opening new courses which were not specially indicated as educational curriculum and score management as continuing education. What is above tell us that the study regarding development of university system has been progressed actively and widely. It has been for the effort of revolution which based on the China government force to reform of nursing education process during last 10 years. On the base of the result, we suggest the following questions and the alternatives. 1) Since most articles are case studies related to teaching methods and the others doesn't propose the research method. the study which is applied more exact research method is needed. 2) No study is regarding social change and health policy. Because University program, founded in 1983 is on the beginning point, the research about curriculum have to be taken as a top priority as well as to reflect social needs which are based on social changes and national health policy 3) Only one review article study tells nursing Human resource. To appear in large numbers in nursing manpower, avoid the present hospital nurses training system. Then, the study for manpower development which is able to accomplish in many fields has to be advanced. 4) Most studies did not have literature review processes, so it was impossible for researcher to know the past study tendency and there is no relation among studies as to same subject, the education about research method is needed.

• 한국전통조경학회지
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• 제37권3호
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• pp.1-12
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• 2019

교량(橋梁, bridge, 다리)은 물 위나 공중에 가설해서 통행하기 편리하게 하는 건축물이다. 다른 건축물에 비해 교량이 요구하는 건축재와 건축구조는 공간을 건널 수 있는 독특한 기능을 가져야 하는데 이는 건축할 때의 생산력, 과학기술 수준과 환경에 달려 있다. 오늘날의 고대 교량에 대한 학술 연구는 대부분 교량 건조기술 분야의 연구에 중점을 두고 있어 교량의 경관 미학과 역사에 대한 연구는 부족한 실정이다. 이러한 배경 하에 본 연구는 한국과 중국의 궁궐 내에 위치한 교량을 대상으로 분석함으로써 두 나라의 교량 형태와 역사 및 문화에 대한 이해와 기술, 미학적 자료의 축적으로서 가치가 있을 것이다. 연구방법은 현장조사와 문헌 분석을 통해 교량을 분석하고자 한다. 첫째, 교량의 재료, 형태, 경관과 장식 문화를 비교함으로써 한중 양국의 궁궐 정원의 교량 건축 스타일에서 물리적 형태미와 경관 및 장식미를 정량적으로 분류하고자 한다. 둘째, 교량의 분류를 통해 양국 교량 양식의 특징과 함께 공통점과 차이점을 추출하고, 그 원인을 물리적 환경이나 문화적 배경 속에서 살펴보고자 한다. 이는 한중 양국 교량의 축조기술과 미학에 대한 상호간 연구에 기여할 것이다. 본 연구의 조사 결과를 보면 첫째, 재료 면에서 한국과 중국 궁궐 정원의 교량은 석재를 위주로 하지만 중국 궁궐의 교량은 목재 또한 운용에 중점을 두고 있다. 둘째, 형태의 면에서 한국과 중국의 궁궐 정원의 교량은 모두 형교를 위주로 한다. 그러나 구체적인 형태, 비율, 형교의 양식, 홍교의 공수 등에 있어서는 차이가 크다. 셋째, 연결 방식의 대부분은 중교형을 위주로 한다. 주변 경관과의 융합을 중시한다. 수면의 면적과 위치의 차이 때문에 한국 궁궐 내 교량은 주변 건물과 식생을 융합하고, 중국 궁궐 내 교량은 수경의 조화에 더 치중한다. 넷째, 장식은 한국과 중국의 궁궐 교량이 모두 교량의 예술성과 미관성을 중시한다. 문화적 특성으로 인해서 같은 유형의 장식이 스타일에 차이점이 있다.

• Radiation Oncology Journal
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• 제20권1호
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• pp.81-90
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• 2002

목적 : 세기조절 방사선치료(IMRT) 환자에 적합한 Quality Assurance (QA) 항목을 찾아내고 평가 항목의 유용성 및 타당성을 검토하였다. 대상 및 방법 : 3단계, 16항목으로 구성된 IMRT 환자 QA program을 만들어 9환자 12예의 다양한 IMRT 환자에 대해 적용하고 그 방법의 타당성을 검토하였다. 3단계 OA 항목은 전산화치료계획시스템(RTP) QA, 치료 정보의 전달 QA, 치료 전달 과정 OA 등으로 구성되었다. RTP QA는 다시 organ constraint의 검토, 그리고 점선량 및 선량 분포의 타당성 평가 등으로 세분화하였다. 치료 정보의 전달 QA에서는 leaf sequence pattern 작성, 치료 전달용 MLC file 생성 프로그램에서 작성된 IMRT field 용 MLC file의 정확성의 평가와 이 file로 만든 치료 조사면의 dry run 결과를 MLC simulation image와 비교하였다. 치료 전달 과정 QA는 환자의 set-up QA와 IMRT field delivery의 확인, Record and Verify 시스템의 확인 등으로 나누어 실시하였다. 결과 : 점선량 평가 결과, 총 12예 중 10예에서 측정값과 RTP 계산값이 $3\%$ 이내의 일치를 보였고, $3\%$ 이상 및 $5\%$ 이상이 각각 1예씩 발견되었다. RTP에서 설계한 MLC leaf 위치와 Dry run에서 나타난 실제 MLC leaf 위치를 비교하였을 때 2 mm 이상의 차이를 보이는 예는 없었다. 필름에 의한 선량 분포는 치료 계획 선량 분포와 정성적으로 일치함을 알 수 있었으나, 필름의 특성상 정량적인 비교를 할 수는 없었다. Leaf sequence에서 MLC file을 생성하는 프로그램은 오차 없이 구동하였다. 결론 : 본원에서 실시한 IMRT 환자 QA program이 유용하고 필요한 항목임을 보일 수 있었다. 특히 처음 IMRT를 시작할 때는 제시된 모든 항목에 대한 QA를 실시하여야 하나 계속 이 program을 유지하기에는 절차가 복잡하고 긴 시간이 소요되는 과정이라는 문제가 있다. 지속적으로 IMRT를 실시하는 기관을 위해 실용적이며 필수적인 QA 항목을 제시할 수 있었다.