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A Study on the Application of Physical Activity Planning Behavior Theory Model of Rehabilitation Center Participants (재활센터 이용자의 신체활동 계획행동이론모형 적용 연구)

  • Lee, Jong-Bok;Kim, Do-Jin
    • Journal of the Korea Convergence Society
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    • v.10 no.2
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    • pp.325-330
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    • 2019
  • The purpose of this study was to verify the physical activity planning behavior theory model of rehabilitation center users. For this purpose, a questionnaire survey was conducted for sports athletes who visited the sports rehabilitation hospital and rehabilitation center in the metropolitan area. A total of 203 questionnaires were used for the actual analysis. The collected data were analyzed using SPSS 18.0 and AMOS 18.0. In this way, we confirmed that intention has a significant direct effect on the behavior in the application of the physical activity planning theoretical model based on the social cognitive theory of rehabilitation center participants.

Outpatient Percutaneous Flexor Tenotomy for Diabetic Claw Toe Deformity with Ulcer (궤양을 동반한 당뇨성 갈퀴 족지에 대하여 외래에서 시행한 경피적 굴곡건 절단술)

  • Lee, Dong-Hun;Chung, Jin-Wha
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.151-155
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    • 2018
  • Purpose: Toe ulcers have been implicated as a causative factor in diabetic foot amputation. The aim of this study was to evaluate the outcomes of percutaneous needle flexor tenotomies of diabetic claw toes with ulcers or pending ulcers. Materials and Methods: The authors undertook a retrospective chart review between January 2014 and June 2016 to identify those patients who underwent a percutaneous needle flexor tenotomy for diabetic claw toe deformities. We evaluated 54 toes in 42 patients. Twenty-four patients were female and the mean age at the time of operation was 57 years. The mean follow-up time was 11 months. Thirty-four patients (46 toes) had tip toe ulcers or pending ulcers and 8 patients (8 toes) had dorsal pending ulcers. All patients had palpable pulses and good capillary refill. Results: Forty-three of 46 tip toe ulcers (93.5%) healed without significant complications and 8 dorsal ulcers showed no specific changes within 5 weeks. There were no recurrent ulcers at final follow-up. Four patients developed transfer lesion of the adjacent toe and needed subsequent tenotomy. Conclusion: Percutaneous needle tenotomy in an outpatient clinic was an effective and safe method for treating toe ulcers in neuropathic patients to offload the tip of the toe so that ulcer healing could occur.

Comparison with in-hospital Korean Triage and Acuity Scale (KTAS) and prehospital triage system in a metropolitan city (일개 대도시의 병원전 단계와 병원 단계의 중증도 분류체계 간의 결과 분석)

  • Choi, Hyo Jeong;Kim, Ho Jung;Lee, Hyo Ju;Lee, Bo Ra
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.5
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    • pp.391-398
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    • 2018
  • Objective: This study was conducted to analyze and compare the classifications of a prehospital triage system and an in-hospital triage system. Methods: The records of patients transferred from the '119' emergency service for 5 months (from January 1 to May 31, 2016) were collected and records of first aid activities were assessed. We examined cases classified as four (urgent, semi-urgent, potentially urgent, and non-urgent) of five stages, excluding death. In the hospital, data were collected from medical records and classifications made using the five Korean Triage and Acuity Scale (KTAS) stages (1, resuscitation; 2, emergency; 3, urgent; 4, less urgent; and 5, non-urgent) were analyzed. Results: The number of patients enrolled in the study was 3,457. Of them, 2,301 were discharged after treatment and 1,156 were hospitalized. According to the prehospital triage classification, 726 of the 3,457 cases were urgent, 593 were semi-urgent, 1,944 were potentially urgent, and 194 were non-urgent. The results of the in-hospital triage were as follows: 114 KTAS 1 (3.3%), 491 KTAS 2 (14.2%), 1,345 KTAS 3 (38.9%), 1,227 KTAS 4 (35.5%), and 280 KTAS 5 (8.1%). The odds ratio trend for hospitalization showed a larger decrease according to in-hospital staging (95% CI, 0.32-0.39) than according to prehospital staging (95% CI, 0.50-0.60). The odds ratio trend for intensive care unit (ICU) admission also showed a larger decrease according to in-hospital staging (95% CI, 0.16-0.22) than according to prehospital staging (95% CI, 0.37-0.48). Conclusion: We found little correspondence in classifications made according to the KTAS and prehospital triage systems. However, the tendencies toward decreases in the hospitalization and ICU admission rates were similar.

A Study on the Usability of Echo Planar Image T2 FLAIR Sequence in the MRI of Acute Ischemic Cerebral Infarction (급성 허혈성 뇌경색 환자의 자기공명영상 검사 시 Echo Planar Image T2 FLAIR 기법의 유용성에 관한 연구)

  • Roh, Taegwan;Jo, Yongkeun
    • Journal of the Korean Society of Radiology
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    • v.14 no.7
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    • pp.957-964
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    • 2020
  • T2 FLAIR sequence of MRI in Acute Ischemic Stroke patients is meaningful to those who have the diagnosis of cerebral hemorrhage and neurological deficiency, including the detection of cerebral infarction around Cerebrospinal fluid. However, because of the long acquisition time and mutative motion artifacts caused by movement, It is difficult to take the MRI image acquisition for non-cooperative patients who need to apply a rapid image acquisition. In this study, we applied the EPI-FLAIR sequence, which is one of the fastest pulse sequences in use, which is a combination of EPI sequence and T2 FLAIR sequence, to patients with acute ischemic cerebral infarction. Based on the qualitative and quantitative evaluation results of the EPI-FLAIR and T2 FLAIR image, we will evaluate the diagnostic usefulness of the EPI-FLAIR sequence.

The Influence of University Students' Health Perception on Health Beliefs and Health Promotion Behavior (대학생의 건강지각이 건강신념 및 건강증진행위에 미치는 영향)

  • Lee, Jong-Bok;Kim, Do-Jin
    • Journal of Industrial Convergence
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    • v.19 no.1
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    • pp.129-135
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    • 2021
  • The purpose of this study was to examine the relationship between college students' health perception, health beliefs, and health promotion behaviors. For data analysis, item analysis, factor analysis, and reliability analysis were conducted. In addition, correlation analysis and path analysis were conducted to understand the relationship between variables. As a result of the analysis, the following conclusions were obtained. As a result of conducting path analysis to verify the causal effect between college students' health perception, health beliefs, and health promotion behaviors, the model was relatively high in various fitness indices, and all path coefficients included in the model were statistically significant. Specifically, there were significant positive relationships in all pathway coefficients, but health perception and perceived disability, perceived disability and health promotion behavior were negatively related. In subsequent studies, it is considered necessary to analyze various variables related to health promotion behavior.

Evaluating the Usefulness of Rice Bolus Phantom in Tomotherapy: Phantom Study (토모테라피에서 쌀 볼루스 팬텀의 유용성 평가: 팬텀연구)

  • Kim, Dae-Gun;Jung, Jae-Hong
    • Journal of radiological science and technology
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    • v.44 no.6
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    • pp.663-669
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    • 2021
  • The purpose of this study was to evaluate the usefulness of the rice bolus for upper-lower extremity radiation therapy by Tomotherapy. The computed tomography images were obtained for air, water, and rice bolus. The average and standard deviation of the Hounsfield unit (HU) were measured for image evaluation. The conformity index (CI) and homogeneity index (HI) were calculated for dose distribution of the planning target volume (PTV) which was treated by direct mode with gantry angle (90 and 270 angle). The point dose of a total of ten axial planes was measured to confirm the different regions. The mean of HU was -999.72 ± 0.72 at the air. The water and rice bolus were -0.13 ± 1.65 and -170 ± 27.2, respectively. The CI (HI) of PTV was 0.96 (1.36) at the air. 0.95 (1.04) at the water bolus, and 0.95 (1.04) at the rice bolus. The maximum dose for air was 136 cGy which is about 32% higher than 103 cGy for water and 104 cGy for rice bolus. There was a statistical difference for point dose between air and water including rice bolus (p=0.04), however, no statistical difference between water and rice bolus (p=0.579).The rice bolus phantom for extremities radiation therapy could be not only the optimized dose distribution but also the convenience and equipment safety at Tomotherapy. However, additional research will be necessary to more accurately verify the clinical usefulness of rice bolus phantom due to not enough examination.

Effect of Iterative-metal Artifact Reduction (iMAR) at Tomotherapy: a Phantom Study (토모테라피에서 반복적 금속 인공물 감소 알고리즘의 유용성 평가: 팬톰 실험)

  • Daegun, Kim;Jaehong, Jung;Sungchul, Kim
    • Journal of the Korean Society of Radiology
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    • v.16 no.6
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    • pp.709-718
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    • 2022
  • We evaluated the effect of high-density aluminum, titanium, and steel metal inserts on computed tomography (CT) numbers and radiation treatment plans for Tomotherapy. CT images were obtained using a cylindrical TomoPhantom comprising cylindrical rods of various densities and metal inserts. Three CT image sets were evaluated for image quality as the mean CT number and standard deviation. Dose evaluation also performed. The reference values did not significantly differ between the CT image sets with the corrected metal inserts. The higher-density material exhibited the largest difference in the mean CT number and standard deviation. The conformity index at Iterative-Metal Artifact Reduction (iMAR) was approximately 20% better than that of non-iMAR. No significant target or organ at risk dose difference was observed between non-iMAR and iMAR. Therefore, iMAR is helpful for target or organ at risk delineation and for reducing uncertainty for three-dimensional conformal radiation therapy in Tomotherapy.

Analysis of Online Educational Videos for Patients with Radiation Therapy (방사선치료 환자를 위한 온라인 교육 동영상 분석)

  • Kim, Dae-Gun;Jeong, Jae-Hong
    • Journal of radiological science and technology
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    • v.45 no.1
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    • pp.31-39
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    • 2022
  • This study aimed to analyze educational understanding and satisfaction by survey including for the online educational videos by used online platform (YouTube) which provide resolve patient's questions, require attention and treatment information for a patient with radiation therapy. Video viewing analysis was used by YouTube studio. The survey was analyzed general properties (age, academic ability, disease, and watched of no watched videos) and educational understanding and satisfaction for two groups as no watched and watched patients. The views number was 60% at the female higher than 40% at the male. Based on the standard viewing time (hours), the non-subscription rate was 86.7%. The device type mostly used the mobile phone (82.8%). The viewership of educational videos was lower as the age increased and the academic ability decreased in the survey. The educational understanding increased by 22% at watched group as 4.15 point from at no watched group as 3.4 point (p<0.001), and the educational satisfaction increased by 15.8% at watched group as 4.25 point from at no watched group as 3.67 point (p<0.01). The correlation of understanding (r=0.761) and satisfaction (r=0.767) was high for both no watched and watched groups (p<0.01). The online educational videos increased educational understanding and satisfaction for the patient with radiation therapy. Our study could be used references data for improving the quality of medical services.

Analysis of Relationship between Life culture festival's Satisfaction, Loyalty, and Effects : Focusing on The 'DaRak' Festival in Bucheon City (생활문화축제의 참여자 만족도, 충성도, 효과 간 영향관계 분석 : 부천시 '다락(多樂)' 축제를 중심으로)

  • Jorn, Inseog;Chae, Kyungjin
    • 지역과문화
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    • v.6 no.1
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    • pp.81-99
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    • 2019
  • Despite the recent social interest, academic discussions about life culture festival in Korea are still not actively discussed. Therefore, on this study we intends to conduct an empirical analysis on the satisfaction, loyalty, and effects of life culture festival by using structural equation model. Before the analysis, we reviewed conceptual definitions about life culture and its previous studies for set up detailed factors to be used for. This study is based on the survey which distributed in 2016 Bucheon City life culture festival "DaRak". With collected survey, we analyzed data by using structural equation model. As a results, festival loyalty shows significant impact on festival effects(0.92). Both program factor(0.59) and operation-information factor(0.29) also shows significant result about festival effects as lower factor of festival satisfaction, but its only when they mediated by festival loyalty factor.

CT and MRI Features of Localized Peritumoral Amyloidosis in a Patient with Head and Neck Mucosa-Associated Lymphoid Tissue Lymphoma: A Case Report (두경부 MALT 림프종 환자에서 나타난 국소적 종괴 주위 아밀로이증의 전산화단층촬영 및 자기공명영상 소견: 증례 보고)

  • Han Joon Kim;Hyun Sook Hong;Ji Yoon Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1334-1340
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    • 2021
  • Amyloidosis has been reported to be associated with non-Hodgkin lymphoma. Amyloidosis and lymphoma can be related in two ways: lymphoma-associated systemic amyloidosis and peritumoral amyloidosis with lymphoma. We report a rare case of peritumoral amyloidosis in a patient with head and neck mucosa-associated lymphoid tissue lymphoma. On CT, the oropharyngeal mass showed an irregularly shaped soft-tissue density with multifocal amorphous calcifications and heterogeneous enhancement. On MRI, the mass showed heterogeneous low signal intensity on both T1- and T2-weighted images. On contrast-enhanced MR images, the mass showed good enhancement with several inner non-enhancing foci. Concurrent pathologies, such as peritumoral amyloidosis, should be considered when calcifications are noted in patients with pre-treatment lymphoma.