• Title/Summary/Keyword: 치료 기법

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Comparison of Dose Distribution between the Techniques of Non-small Cell Lung Cancer (비소세포폐암의 방사선 치료기법간의 선량분포의 비교)

  • Lee, Seung-chul;Kim, Young-jae;Jang, Seongjoo
    • Journal of the Korean Society of Radiology
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    • v.10 no.4
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    • pp.233-239
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    • 2016
  • Comparison of the dose aspect that radiation therapy treatments using IMRT, tomotherapy, mArc (modulated arc therapy). The experimental subject is non-small cell lung cancer patient. The prescription dose is 58.0 Gy to the volume of PTV(planning target volume). and spinal cord, esophagus, and liver organ is the normal organ(OAR, organ at risk). Average PTV value is 57.60 Gy in mArc and 61.04 Gy in tomotherapy and 58.95 Gy in IMRT. The average dose of the Esophagus is 2.84 Gy in m-Arc, 5.14 Gy in tomotherapy, 1.84 Gy in IMRT. The average dose of the Liver is 19.44 Gy in m-Arc, 12.22 Gy in tomotherapy, 21.97 Gy in IMRT. The average dose of the Spinal cord is 5.72 Gy in m-Arc, 7.08 Gy in tomotherapy, 6.15 Gy in IMRT. Results of this study is no significant difference between mArc and tomotherapy and Linac based IMRT in dose study and also, mArc's dose coverage and dose volume histogram is better than IMRT and tomotherapy. but, This study is limited to a disease of cancer. in addition, fewer number of groups. The wide range the more research can be developed patient-specific treatment techniques and be applied to the patients

A Study on Internet Addiction of Teenagers and College Students, and Development of Therapeutic Techniques (청소년과 대학생의 인터넷 중독 실태 및 치료기법 개발에 관한 연구)

  • Lee, Hun-Jae
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.3
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    • pp.157-165
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    • 2012
  • The purpose of this study is to treat the students addicted to the internet by implementing a program using computers. In order to accomplish the purpose, the program was created by combining the game making activities using scratch programming, self-examination activities, and future occupation search activities. This treatment program will have major positive effects on the students who are addicted to the internet. First, it will be effective for reducing the time for using the internet and it will also improve the addictiveness such as being immersed in playing games. Second, there will be a change in attitude toward the internet and an improvement in intellectual capacity of the students. They will realize the fun of making and sharing the programs with friends, and their thinking skills will be improved by getting training for algorithmic and creative thinking. Third, this treatment program will have positive effects on the students' affective domain. They will have deeper and wider perspective on occupation by searching their future occupation, and discover the meta-ego through self-examination., which in turn, help them gain confidence and feel a sense of accomplishment.

Comparison of the Dose of the Normal Tissues among Various Conventional Techniques for Whole Brain Radiotherapy (여러 통상적인 전뇌방사선치료 기법에서의 정상조직의 조사선량 비교)

  • Kang, Min-Kyu
    • Radiation Oncology Journal
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    • v.28 no.2
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    • pp.99-105
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    • 2010
  • Purpose: To compare radiation dose of the brain and lens among various conventional whole brain radiotherapy (WBRT) techniques. Materials and Methods: Treatment plans for WBRT were generated with planning computed tomography scans of 11 patients. A traditional plan with an isocenter located at the field center and a parallel anterior margin at the lateral bony canthus was generated (P1). Blocks were automatically generated with a 1 cm margin on the brain (5 mm for the lens). Subsequently, the isocenter was moved to the lateral bony canthus (P2), and the blocks were replaced into the multileaf collimator (MLC) with a 5 mm leaf width in the craniocaudal direction (P3). For each patient plan, 30 Gy was prescribed at the isocenter of P1. Dose volume histogram (DVH) parameters of the brain and lens were compared by way of a paired t-test. Results: Mean values of $D_{max}$ and $V_{105}$ of the brain in P1 were 111.9% and 23.6%, respectively. In P2 and P3, $D_{max}$ and $V_{105}$ of the brain were significantly reduced to 107.2% and 4.5~4.6%, respectively (p<0.001). The mean value of $D_{mean}$ of the lens was 3.1 Gy in P1 and 2.4~2.9 Gy in P2 and P3 (p<0.001). Conclusion: WBRT treatment plans with an isocenter located at the lateral bony canthus have dosimetric advantages for both the brain and lens without any complex method changes.

Music and Imagery as a Method for Mindfulness: Exploration of Music Therapy Interns' Experiences (마음챙김의 방법으로서 음악심상: 예비음악치료사의 경험을 중심으로)

  • Kim, Young Shil
    • Journal of Music and Human Behavior
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    • v.15 no.2
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    • pp.93-114
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    • 2018
  • This study aimed to investigate the use of music and imagery (MI) as a method for promoting mindfulness. A total of 11 music therapy interns participated in an MI group over 8 weeks. Statements from participants during the program were transcribed and analyzed using the method of modified grounded theory. The results showed that the participants' statements fell into three categories: awareness, acceptance, and distancing. For each category, subcategories were identified. For the category of awareness, the subcategories were emotion, sensation, and thoughts. For the acceptance category, the subcategories were facing and broadening viewpoints. For the distancing category, the subcategories were dissociation from emotions. Each subcategory was further analyzed. The results showed that the participants' experiences were similar to one another in terms of type but differed in terms of dimension varied. These results support the use of MI for increasing mindfulness and reducing burnout in music therapy interns. Further studies are recommended to investigate the factors for the experience of mindfulness induced by MI processes.

A Preliminary Study on Family Function Components Affecting Individual Health and Disease: A Delphi Study (개인의 건강과 질병에 영향을 미치는 가족기능 구성요소에 관한 사전연구: 델파이 연구)

  • Kim, Ah-Ram;Jeong, Seong-Woo;Jeong, Jiin;Kim, Jung-Ran
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.83-96
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    • 2021
  • Objective : This study aimed to determine Korea-type family function factors that affect individual growth and social activities, and examine check the appropriate contents and domestic culture components based on the McMaster model, a family function evaluation tool, through the Delphi technique. Methods : The Delphi technique was applied to 12 expert panels in fields related to family function. The period lasted 9 weeks, from May to June 2020. The Delphi survey was conducted twice. In the first survey, the domestic culture and appropriate contents of the McMaster model were selected and localized, and expert' opinions about the components were collected using closed and open-ended questions. In the second survey, the fitness and importance of the components were investigated. Results : As a result of the first Delphi investigation, 18 items were deleted from the 53 items presented. After adding 11 items and excluding any overlapping items, a total of 40 items were selected. Subsequently, sentences that were difficult to understand were revised to familiar vocabulary. A second survey was constructed, with an example sentence. In the second Delphi investigation, 33 items were selected. The average content validity ratio for the final selected component was 0.76, and the stability was 0.28. Conclusion : Family function and the factors influencing domestic family function identified though this study can be used to conduct family function evaluations and interventions in clinical sites or relevant research studies.

A Study on Counseling Process and Counseling Techniques Applying Adler's Individual Psychology (아들러의 개인심리학을 적용한 상담과정과 상담기법에 관한 연구)

  • Kim, Bo-Ki;Park, Yu-Mi
    • Industry Promotion Research
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    • v.5 no.3
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    • pp.89-96
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    • 2020
  • This study is to study Adler's individual psychology and to study the counseling process and counseling techniques based on the counseling theory derived there. The progress of Adler's consultation process is first, and the relationship formation phase is the phase of seeking equal and mutually cooperative relations working as active partners toward agreed objectives between the counselor and the counsellor. Second, the lifestyle search phase is an important goal to understand lifestyle and how lifestyle affects life's task. Third, the insight phase is the one that has insight. Fourth, it is carried out in the financial direction (transformation of behavior). Adler's counseling techniques include general techniques and special techniques, and general techniques include promptness, advice, encouragement, paradoxical intentions, demonstration of poetry, and role play. Special techniques include pressing a doorbell, spitting on a physician's soup, Midas technique, entertaining others, avoiding low-quality children and self-restraint. In conclusion, individual psychological counseling is based on growth model, not medical model, and has more interest in re-education and re-lighting healthy individuals and societies than on the aspect of treatment. Therefore, it applies to various areas such as child guidance centers, parent-child counseling, marital counseling, family counseling, group counseling and treatment, personal counseling for children and adolescents, cultural conflicts and mental health campaigns.

Sharing Treatment Information Between Family Members on the Web-based Telemedicine System (웹기반 원격진료시스템에서의 가족간 진료자료공유 알고리즘)

  • Kim Seok-Soo
    • The Journal of the Korea Contents Association
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    • v.5 no.4
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    • pp.141-149
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    • 2005
  • The paper's suggestion is Web based Tele-Medicine System will be open to public, low-budget featuring high quality of extensive medical services. It will keep a log of personal medical history to allow doctors to share information on patients and their families. This will result in the reduction of erroneous diagnosis and ensure successful e-business. On top of this, the new system will provide a solution for membership (client) management. It will combine online and offline medical services and be available 24 hours a day to anywhere users have Internet access, setting itself apart from the existing distance medical services system. Specially, The paper's suggestion is sharing medical treatment information between family members is suggested. This approach makes possible understanding physical constitution and environment between family members, and can result in bringing a faster treatment effect if some family member suffers from a similar disease.

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The Hemodynamic Effects of Acupuncture on Taechung($LR_3$) on Mammary Tissues of Rat Monitored by Diffuse Optical Imaging (Diffuse Optical Imaging으로 측정한 태충($LR_3$) 자침이 쥐의 유방 조직에 미치는 혈역학적 변화)

  • Cho, Myeong-Rae;Kim, Jae-Gwan
    • Journal of Acupuncture Research
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    • v.27 no.6
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    • pp.59-66
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    • 2010
  • 목적 : 태충($LR_3$)에 자침을 하는 것이 쥐의 유방 조직에 미치는 혈역학적 변화를 측정하기 위하여 diffuse optical imaging 기법을 사용하였다. 방법 : 실험에 사용한 쥐는 자침을 하지 않은 대조군 7마리, 태충에 자침을 한 실험군 8마리로 총 2개의 군으로 나누었다. 몸무게 170g 정도의 건강한 암컷 쥐는 100% 산소와 1.5% isoflurane을 혼합한 것을 이용하여 마취시켰다. 자침은 양 발등의 첫째와 둘째 중족골 사이의 지점인 태충($LR_3$)에 20분간 시행하였다. Beckman Laser Institute and Medical Clinic에서 개발된 modulated imaging system을 이용하여 자침하기 전과 자침하고 있는 동안에 산화혈색소(OHb), 탈산소혈색소(RHb), 총 혈색소(THb)와 조직 산소 포화도($StO_2$)의 영상을 얻었다. 결과 : 실험 결과 태충($LR_3$)에 자침을 한 실험군에서는 대조군에 비하여 유의성이 있는 OHb THb의 감소와 유의성이 없는 RHb의 증가가 나타났다. 결론 : Diffuse optical imaging 기법으로 자침 중에 조직 산소공급과 혈류량의 변화를 확인할 수 있었고, 이는 비침습적으로 자침의 효과를 측정하는 데 활용할 수 있다고 생각한다. 또한 자침으로 인한 유방조직의 혈역학적 조절은 암 검진뿐만 아니라 암 치료에도 다른 치료와 병행하여 활용할 수 있으리라 생각한다.

The Effectiveness of Joint Mobilization and Myofascial Release on the Neck (관절가동기법과 근막이완기법이 경부에 미치는 영향)

  • Park, Youn-Ki;Hyun, Sang-Wook;Seo, Hyun-Kyu
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.2
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    • pp.69-79
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    • 2009
  • Purpose : to investigate the effectiveness of joint mobilization and myofascial release on the neck pain and to provide the effective treatment. Methods : Twenty-two subjects with neck pain participated in the experiment. All subjects were randomly assigned to a joint mobilization group(n=11) or a myofascial release group(n=11). Both groups received treatment for 15 minutes four times during 2 weeks. Cervical range of motion(CROM) instrument was used to measure range of neck motion, and Algometer was used to measure tenderness. All measurements of the subjects were measured at pre-treatment and post-treatment. Results : 1. The range of neck right side-bending motion of the myofascial release group was significantly increased(P<0.05), and the range of neck extension, right side-bending, left side-bending, right rotation motion of the joint mobilization group was significantly increased(P<0.05). 2. There was no significant improvement of tenderness in both groups(p>0.05). Conclusion : These data suggest that joint mobilization is more effective against increasing the range of motion than myofascial release, but myofascial release is more beneficial to tenderness than joint mobilization although it does not have a significant difference in the tenderness because there was a little improvement.

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A Comparative Study between the Effects of Proprioceptive Neuromuscular Facilitation Stretching and Passive Stretching on Weight Distribution and Flexibility for Trunk Flexion (고유수용성 신경근 촉진법 신장기법과 정적 신장기법이 몸통 굽힘의 유연성과 체중분포에 미치는 효과 비교연구)

  • Kim, Jwa-Jun;Park, Se-Yeon
    • PNF and Movement
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    • v.16 no.3
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    • pp.345-353
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    • 2018
  • Purpose: The purpose of the present study was to compare the effects of proprioceptive neuromuscular facilitation (PNF) and static stretching on weight distribution and flexibility for trunk flexion. Method: Sixty participants who had no musculoskeletal disorders were recruited from a local university within six months of this study. The participants were randomly assigned to a PNF stretching group (N=30) and a static stretching group (N=32). For the pre-and post-measurement design, the left-right weight distribution, anterior-posterior weight distribution, and finger-to-floor distance (FFD) were measured before and after the stretching interventions. Result: The FFD results were significantly improved after the interventions, regardless of the group differentiation (p<0.05). The PNF stretching intervention significantly increased the differences between anterior and posterior weight distribution compared to the static stretching group (p<0.05). Conclusions: Both the PNF and static stretching interventions could improve flexibility for trunk flexion mobility. Although the PNF intervention improved the weight distribution in the anterior-posterior direction, further research is required to investigate the various PNF interventions on left-and-right and anterior-posterior weight distribution.