• Title/Summary/Keyword: 전신

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Association between systemic disease activity restriction and oral health

  • Jung, Yu Yeon
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.12
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    • pp.187-193
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    • 2021
  • The purpose of this study was to analyze the responses of 5,824 adults(2,574 males and 3,250 females over the age of 19 years) using raw data from the 7th period of the National Health and Nutrition Examination Survey to investigate the relationship between systemic disease activity restriction and oral health. There were many systemic disease activity restrictions in adults with oral chewing and speaking problems, and it was statistically significant(p<.001). Factors influencing activity restriction due to systemic disease include age(odds ratio 1.03), Male(odds ratio 0.84), education level(odds ratio 0.57, 0.45, 0.31), drinking(odds ratio 1.38), chewing(odds ratio 1.86) and speaking(odds ratio 1.84) problems. There was a higher probability of activity restriction due to systemic disease when they received treatment for periodontal disease(odds ratio 1.27) and broken teeth(odds ratio 2.1). Also, it was statistically significant that the quality of life decreased when there was chewing and speaking problems.

Early Response of Cardiopulmonary Exercise Test in Patients with Locally Advanced Non-Small Cell Lung Cancer Treated with Systemic Chemotherapy (국소진행성 폐암환자에 대한 전신항암화학요법이 운동부하 심.폐기능에 미치는 영향 : 초기변화를 중심으로)

  • Shin, Kyeong-Cheol;Chung, Jin-Hong;Lee, Kwan-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.53 no.4
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    • pp.369-378
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    • 2002
  • Background : The effects of chemotherapy on pulmonary function are mainly a reduced diffusion capacity and a restrictive ventilatory impairment. Exercise can expose cardiovascular and pulmonary abnormalities not evident at rest. Exercise related cardiopulmonary function is important in patients with malignant disease as a determinant of quality of life. We performed this study to evaluate the changes of body composition and cadiopulmonary exercise perfoemance of patients with locally advanced, non-small cell, lung cancer (NSCLC) before and after chemotherapy. Methods : We evaluated resting pulmonary function, body composition, physiologic performance status, and cardiopulmonary exercise function in 11 patients with locally advanced NSCLC, at diagnosis and prior to the fourth cycle of chemotherapy. Results : After chemotherapy, 4 patients (36.4%) showed partial response and 7 (63.4%) had stable disease. After chemotherapy, diffusion capacity of the lung for carbon monoxide was reduced ($89.7{\pm}34.1%$, vs. $71.9{\pm}20.5%$) but not significantly. There were no significant changes in body composition or the state of physiologic performance after chemotherapy. There was a significant impairment of cardiopulmonary exercise tolerance in patients with NSCLC, evidenced by a reduction of maximal oxygen uptake ($VO_2$max, ml/kg/min, $17.9{\pm}2.6$ : $12.6{\pm}6.1$, <0.05) and $O_2$pulse ($O_2$ pulse, ml/beat, $7.0{\pm}1.7$, $5.2{\pm}2.1$, <0.05). Conclusion : Systemic chemotherapy resulted in a loss of cardiopulmonary exercise function in patients with locally advanced NSCLC within the short-term period, but not a physiologic change of body composition within the same period.

Assessment of Counting Efficiency of a Whole Body Counter by Human Body Size and Standing Position Using Monte Carlo Method (몬테카를로 방법론을 이용한 측정 대상의 인체 크기와 측정 위치에 따른 전신계수기 계수효율 평가)

  • Pak, Min Jung;Yoo, Jae Ryong;Ha, Wi-Ho;Lee, Seung-Sook;Kim, Kwang Pyo
    • Journal of Radiation Protection and Research
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    • v.39 no.1
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    • pp.46-53
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    • 2014
  • For the case of radiation emergency, it is required to assess internal contamination of the public, including children as well as adults. The objective of the present study was to assess counting efficiency of a whole body counter by human body size and standing position of the measurement person. In this study, the FASTSCAN whole body counter used at National Radiation Emergency Medical Center of Korean Institute of Radiological and Medical Science was simulated by a radiation transport computer code. The simulation results of the counting efficiencies agreed well with measurements within the 2% of discrepancy for 4-year child and 5% for adults. The standing positions of the people were adjusted by body size to find the consistent trend of the counting efficiencies by human body size. Body size scaling factors of the whole body counter were derived to consider human body size and improve the measurement accuracy. The counting efficiency assessment methodology in this study can be successively used to improve the measurement accuracy when using a whole body counter for the case of radiation emergency.

Development of Total Body Irradiation Program (전신방사선조사 프로그램 개발)

  • Choi Byung Ock;Jang Ji Sun;Kang Young Nam;Choi Ihl Bohng;Shin Sung Kyun
    • Progress in Medical Physics
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    • v.16 no.3
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    • pp.130-137
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    • 2005
  • In total body irradiation (T81) for leukemia, we have a two methode. One is a AP (anterior-posterior) method and the other is a Lateral methode. Our hospital used lateral methode. T81 must consider about body contour, because of homogeneous dose distribution. For compensation about irregular body contour, we use compensator. For T81 treatment, we must be considered, accurate manufacture of compensator and accurate calculation of dose. We developed the automatic program for T81. This program accomplished for compensator design and dose calculation for irregular body. This program was developed for uses to use in a windows environment using the IDL language. In this program, it use energy data for each energy: TMR, output factor, inverse square law, spoiler, field size factor. This program reduces the error to happen due to the manual. As a development of program, we could decrease the time of treatment plan and care the patient accurately.

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Total Body Irradiation for MyastHenia Gravis with Thvmoma - Case Report - (흉선종을 동반한 중증근무력증 환자에서 전신 방사선치료)

  • Kang, Ki-Mun;Choi, Ihl-Bohng;Kim, In-Ah
    • Radiation Oncology Journal
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    • v.17 no.2
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    • pp.146-150
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    • 1999
  • Myasthenia gravis (MG) is relatively rare ouuring as one of important autoimmune disease to affect neuromuscular junction. This study was clinically to evaluate total body irradiation (TBI) against two patients including 33-year and 39-year females for chronic MG with thymoma who hospitalized in the St. Mary's Hospital, Catholic University since 1994 as well as who showed no response by thymectomy, immunotherapy and hormonal therapy. TBI designed by the dose of 150$\~$180 cGy consisting of 10 cGy per fraction, three times a week, for 5~e weeks using linear accelerator of 6 MV. During the treatment of TBI, they did complain acute side effect such as vomiting and also appear improved physical condition from 4$\~$6 weeks after TBI. Through the follow-up period of 18 or 42 months after TBI, they did not have any symptomatic recurrence. Consequently, the results suggest that TBI can be used as an alternative tool for the patients concurrently for MG with thymoma who had been refractory to various conventional therapies like thymectomy, immunotherapy and hormonal therapy.

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The Distribution and Treatment of Outpatients with General Anesthesia in Chonbuk National University Dental Hospital for 9 Years (최근 9년간 전북대학교 치과 병원 외래 전신마취 환자 분포 및 치료)

  • Moon, Yujin;Lee, Daewoo;Kim, Jaegon;Baik, Byeongju;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.2
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    • pp.158-163
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    • 2015
  • General anesthesia (GA) for dental care in handicapped patients is necessary to facilitate the provision of safe, efficient, and effective quality treatment. The aims of this study were to determine the anesthetic characteristics of handicapped patients in need of dental treatment in these day care units, and to establish for plan to provide better services. 325 patients who had outpatient general anesthesia from January 2005 to March 2014 were assessed for this study. Patients' distribution and treatment patterns were examined. The proportion of male patients (202, 62.2%) was higher than female patients (123, 37.8%) and the largest group of patients were 5 to 10 years old (85, 26.2%). The reasons for general anesthesia included mental and physical disabilities (207, 63.7%), behavior management (84, 25.8%), parent needs (14, 4.3%), and so on. Restorative treatment was the most common procedure with the average of 4.2 teeth treated per one patient and 43 (13.2%) patients underwent general anesthesia for dental treatment more than once. To expand and improve access to the dental care of the disabled, improvement of the health care system, enhancement of their training for dental care by professionals, and enlarging caregivers'understanding of the importance of oral care in the early stages are required.

Effects of Subjective Oral Health on the Relationship between Oral Health Beliefs and Total Body Health (구강건강신념이 주관적 구강건강을 매개하여 전신건강에 미치는 영향)

  • Choi, Yu-Jin;Eom, Suk
    • Journal of Convergence for Information Technology
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    • v.10 no.1
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    • pp.211-218
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    • 2020
  • This study conducted a survey of 249 adults to determine the effect of oral health beliefs on total body health by mediating subjective oral health. The results showed that the subject's oral health belief averaged 3.75 points, the component of oral health belief was 3.41, the severity 3.73, the importance 4.22 and the benefit 4.19, and the subjective oral health was 3.77 points and the overall health was 3.06. Oral health belief and subjective oral health were found to have a correlation of wealth (r=-0.54, p<0.001), oral health belief and total body health also had a correlation of wealth(r=-0.30, p<0.001), subjective oral health and total body health had a relationship of justice(r=0.47, p<0.001). It was also found that oral health beliefs affect total body health by fully mediating subjective oral health. Based on these findings, it is thought that oral health education programs for adult oral health beliefs can be developed and utilized as basic data for comprehensive general health care, including oral health care, based on correct knowledge and attitudes.

Dose Characteristics of Total-Skin Electron-Beam Irradiation with Six-Dual Electron Fields (Six-Dual 전자선 조사면에 의한 전신 피부 조사의 선량 특성)

  • Choi, Tae-Jin;Kim, Jin-Hee;Kim, Ok-Bae
    • Radiation Oncology Journal
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    • v.16 no.3
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    • pp.337-345
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    • 1998
  • Purpose : To obtain the uniform dose at limited depth to entire surface of the body, the dose characteristics of degraded electron beam of the large target-skin distance and the dose distribution of the six-dual electron fields were investigated Materials and Method : The experimental dose distributions included the depth dose curve, spatial dose and attenuated electron beam were determined with 300 cm of target-skin distance (TSD) and full collimator size (35*35 $cm^2$ on TSD 100 cm) in 4 MeV electron beam energy. Actual collimated field size of 105 cm * 105 cm at the distance of 300 cm could include entire hemibody. A patient was standing on step board with hands up and holding the pole to stabilize his/her positions for the six-dual fields technique. As a scatter-degrader, 0.5 cm of acrylic plate was inserted at 20 cm from the body surface on the electron beam path to induce ray scattering and to increase the skin dose. Results : The full width at half maximum(FWHM) of dose profile was 130 cm in large field of 105*105 $cm^2$ The width of $100\pm10\%$ of the resultant dose from two adjacent fields which were separated at 25 cm from field edge for obtaining the dose unifomity was extended to 186 cm. The depth of maximum dose lies at 5 mm and the 80$\%$ depth dose lies between 7 and 8 mm for the degraded electron beam by using the 0.5 cm thickness of acrylic absorber. Total skin electron beam irradiation (TSEBI) was carried out using the six dual fields has been developed at Stanford University. The dose distribution in TSEBI showed relatively uniform around the flat region of skin except the protruding and deeply curvatured portion of the body, which showed excess of dose at the former and less dose at the latter. Conclusion : The percent depth dose, profile curves and superimposed dose distribution were investigated using the degraded electron beam through the beam absorber. The dose distribution obtained by experiments of TSEBI showed within$\pm10\%$ difference except the protruding area of skin which needs a shield and deeply curvatured region of skin which needs boosting dose.

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