• Title/Summary/Keyword: Actual treatment time

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TomoTherapy: Analysis of treatment time and influencing factor (TomoTherapy: 치료 소요시간 및 영향 요인 분석)

  • Son, Jong Gi;Kang, Hyun Sung;Hwang, Chul Hwan;Se, Seung Jeong;Choi, Min Ho
    • The Journal of Korean Society for Radiation Therapy
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    • v.29 no.2
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    • pp.119-128
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    • 2017
  • Purpose: The purpose of this study was to measure the average actual treatment time at the time of Tomotherapy treatment. We want to investigate the time required for the procedure in the treatment process that affects the actual treatment time. Patients and Methods: We measured the time required by the procedure in 31 patients who were treated with tomography therapy. Beam-on time, Image registration time, Set-up with scan time and Actual treatment time were measured and stepwise regression analysis was performed. Result: The average treatment time per a patient was 21.44 - 23.92 minutes. Beam-on time, Image registration time, and Set-up with Scan time were the important factors affecting the actual treatment time. The biggest influence was Beam-on time and Registration time was less affected by analysing. Conclusion: The average treatment time per a patient in tomotherapy treatment was $22.68{\pm}3.37$ minutes. The Approximately 21 patients are expected to be treated within 8 hours of regular work time. However, if the treatment is interrupted or the time of the procedure is changed during the treatment process, it affects the schedule of the daily treatment patients and the workload is expected to increase.

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Frequency and time of actual duties of some dental hygienists (일부지역 치과위생사의 실제 업무의 빈도와 소요시간)

  • Hwang, Soo-Jeong;Han, Yang-Keum
    • Journal of Korean Academy of Dental Administration
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    • v.7 no.1
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    • pp.10-20
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    • 2019
  • Korean dental hygienists perform more tasks in dental clinics than are described in the law. The purpose of this study was to investigate the actual work of Korean dental hygienists in dental clinics using an observational study design. Two dental hygienists observed and recorded the work performed in 1 day from the time of commencement to the time of leaving work by 18 dental hygienists working in the dental clinic in a single area. Data management, prevention of infection, counseling, calculus removal, radiography, assistance of fixed orthodontic treatment, assistance of fixed prosthetic treatment, and preparation for implant surgery were recorded. Among the tasks that take more than 1 min, the most time-consuming tasks were document management, infection control, consultation, calculus removal, preparation for implant surgery, assistance of orthodontic treatment, and assistance of fixed prosthetic treatment. Korean dental hygienists are performing various tasks, such as infection control, dental hospital/clinic management, oral disease prevention, and dental treatment assistants.

A Study on SCr420HB Helical Gear Deformative Simulation by Heat Treatment Quenching Method (열처리 냉각방식 변화에 따른 SCr420HB 헬리컬 기어 시뮬레이션 적용에 관한 연구)

  • Byun, J.H.;Byun, S.D.;Yi, C.H.
    • Journal of the Korean Society for Heat Treatment
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    • v.28 no.1
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    • pp.24-31
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    • 2015
  • In this study, a simulation was used to derive an optimal process of heat treatment with carburizing, and compared the derived result with SCr420HB helical gear in heat treatment with carburized quenching process about a change of the quenching method. The optimal carburizing process time is derived by the simulation with the theoretical time. The process has been performed by oil quenching and salt quenching method. Through the comparison of the results from the simulation(Hardness, effective case depth hardened by carburizing treatment and deformation) and the actual process, analyzed the error value of each quenching. And it verified the applicability of the simulation.

Respiratory signal analysis of liver cancer patients with respiratory-gated radiation therapy (간암 호흡동조 방사선치료 환자의 호흡신호분석)

  • Kang, dong im;Jung, sang hoon;Kim, chul jong;Park, hee chul;Choi, byung ki
    • The Journal of Korean Society for Radiation Therapy
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    • v.27 no.1
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    • pp.23-30
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    • 2015
  • Purpose : External markers respiratory movement measuring device (RPM; Real-time Position Management, Varian Medical System, USA) Liver Cancer Radiation Therapy Respiratory gated with respiratory signal with irradiation time and the actual research by analyzing the respiratory phase with the breathing motion measurement device respiratory tuning evaluate the accuracy of radiation therapy Materials and Methods : May-September 2014 Novalis Tx. (Varian Medical System, USA) and liver cancer radiotherapy using respiratory gated RPM (Duty Cycle 20%, Gating window 40% ~ 60%) of 16 patients who underwent total when recording the analyzed respiratory movement. After the breathing motion of the external markers recorded on the RPM was reconstructed by breathing through the acts phase analysis, for Beam-on Time and Duty Cycle recorded by using the reconstructed phase breathing breathing with RPM gated the prediction accuracy of the radiation treatment analysis and analyzed the correlation between prediction accuracy and Duty Cycle in accordance with the reproducibility of the respiratory movement. Results : Treatment of 16 patients with respiratory cycle during the actual treatment plan was analyzed with an average difference -0.03 seconds (range -0.50 seconds to 0.09 seconds) could not be confirmed statistically significant difference between the two breathing (p = 0.472). The average respiratory period when treatment is 4.02 sec (${\pm}0.71sec$), the average value of the respiratory cycle of the treatment was characterized by a standard deviation 7.43% (range 2.57 to 19.20%). Duty Cycle is that the actual average 16.05% (range 13.78 to 17.41%), average 56.05 got through the acts of the show and then analyzed% (range 39.23 to 75.10%) is planned in respiratory research phase (40% to 60%) in was confirmed. The investigation on the correlation between the ratio Duty Cycle and planned respiratory phase and the standard deviation of the respiratory cycle was analyzed in each -0.156 (p = 0.282) and -0.385 (p = 0.070). Conclusion : This study is to analyze the acts after the breathing motion of the external markers recorded during the actual treatment was confirmed in a reproducible ratios of actual treatment of breathing motion during treatment, and Duty Cycle, planned respiratory gated window. Minimizing an error of the treatment plan using 4DCT and enhance the respiratory training and respiratory signal monitoring for effective treatment it is determined to be necessary.

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Comparison of Treatment Planning System(TPS) and actual Measurement on the surface under the electron beam therapy with bolus (전자선 치료 시 Bolus를 적용한 경우 표면선량의 Treatment Planning System(TPS) 계산 값과 실제 측정값의 비교)

  • Kim, Byeong Soo;Park, Ju Young;Park, Byoung Suk;Song, Yong Min;Park, Byung Soo;Song, Ki Weon
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.2
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    • pp.163-170
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    • 2014
  • Purpose : If electron, chosen for superficial oncotherapy, was applied with bolus, it could work as an important factor to a therapy result by showing a drastic change in surface dose. Hence the calculation value and the actual measurement value of surface dose of Treatment Planning System (TPS) according to four variables influencing surface dose when using bolus on an electron therapy were compared and analyzed in this paper. Materials and Methods : Four variables which frequently occur during the actual therapies (A: bolus thickness - 3, 5, 10 mm, B: field size - $6{\time}6$, $10{\time}10$, $15{\time}15cm2$, C: energy - 6, 9, 12 MeV, D: gantry angle - $0^{\circ}$, $15^{\circ}$) were set to compare the actual measurement value with TPS(Pinnacle 9.2, philips, USA). A computed tomography (lightspeed ultra 16, General Electric, USA) was performed using 16 cm-thick solid water phantom without bolus and total 54 beams where A, B, C, and D were combined after creating 3, 5 and 10 mm bolus on TPS were planned for a therapy. At this moment SSD 100 cm, 300 MU was investigated and measured twice repeatedly by placing it on iso-center by using EBT3 film(International Specialty Products, NJ, USA) to compare and analyze the actual measurement value and TPS. Measured film was analyzed with each average value and standard deviation value using digital flat bed scanner (Expression 10000XL, EPSON, USA) and dose density analyzing system (Complete Version 6.1, RIT, USA). Results : For the values according to the thickness of bolus, the actual measured values for 3, 5 and 10 mm were 101.41%, 99.58% and 101.28% higher respectively than the calculation values of TPS and the standard deviations were 0.0219, 0.0115 and 0.0190 respectively. The actual values according to the field size were $6{\time}6$, $10{\time}10$ and $15{\time}15cm2$ which were 99.63%, 101.40% and 101.24% higher respectively than the calculation values and the standard deviations were 0.0138, 0.0176 and 0.0220. The values according to energy were 6, 9, and 12 MeV which were 99.72%, 100.60% and 101.96% higher respectively and the standard deviations were 0.0200, 0.0160 and 0.0164. The actual measurement value according to beam angle were measured 100.45% and 101.07% higher at $0^{\circ}$ and $15^{\circ}$ respectively and standard deviations were 0.0199 and 0.0190 so they were measured 0.62% higher at $15^{\circ}$ than $0^{\circ}$. Conclusion : As a result of analyzing the calculation value of TPS and measurement value according to the used variables in this paper, the values calculated with TPS on 5 mm bolus, $6{\time}6cm2$ field size and low-energy electron at $0^{\circ}$ gantry angle were closer to the measured values, however, it showed a modest difference within the error bound of maximum 2%. If it was beyond the bounds of variables selected in this paper using electron and bolus simultaneously, the actual measurement value could differ from TPS according to each variable, therefore QA for the accurate surface dose would have to be performed.

A Study on the Problem about Oriental Treatment Fee Based on Valuation of Resources (투입자원 평가에 근거한 한방 침구 부항 시술 수가의 문제점에 관한 연구)

  • Kim, Yong-Ho;Lee, Won-Hui;Chang, Hye-Jung;Lim, Sa-Bi-Na
    • The Journal of Korean Medicine
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    • v.29 no.1
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    • pp.15-24
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    • 2008
  • Objectives : The purpose of this study is to reexamine current oriental medical treatment fees based on valuation of input resources which are the treating time, the treatment's difficulty, and the material cost. Methods : This study obtained the following results by reviewing the answers given by 172 oriental medical doctors from March 1 to April 15, 2006. To investigate material cost, we took inventory of treatment materials used by 2 oriental hospitals. Results : The current system does not reflect well enough the treating time and treatment's difficulty. Considering current oriental treatment fees, material costs are too much of doctors' fees. Especially, Wang-ssuk-dduem, which is another form of moxibustion treatment, was spent as much as 74.6% on materials cost. Conclusions : The findings suggest the current oriental treatment fees should be revised to reflect the actual input resources into oriental medical doctor activities and to avoid a distortion of physicians' behavior.

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A Study of Asbestos Stabilizer Treatment Considering the Actual Environment of Ceiling Materials (실제 환경을 고려한 천장텍스의 석면안정화제 처리 연구)

  • Shin, Hyungyoo;Choi, Youngkue;Jeon, Boram;Ha, Jooyeon;Sun, Yleshik;Park, Whame
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.26 no.2
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    • pp.139-146
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    • 2016
  • Objectives: This study aimed to confirm the optimal processing conditions of the asbestos stabilizer by considering various actual environments at the time of stabilization treatment of the ceiling materials containing asbestos with asbestos stabilizer. Methods: The anti-scattering performances of the asbestos stabilizer were confirmed by considering the method and quantity of the asbestos stabilizer treated, comparing the loss weight by measuring the weight of ceiling materials prior to and after having treated 30, 50, 100, 200, and 400 of stabilizer using the brush and spray. The effects of backside dust and steel frame structure on the performances of the stabilizer was also confirmed by comparing samples with and without the dust on the rear surface removed by wiping the ceiling material specimens and the blinding treatment simulated by using tape. Results: The asbestos stabilization treatment using the brush method in comparison with the use of a spray has reduced stabilizer loss, resulting in better anti-scattering performance. In addition, the stabilizer loss is increased with increasing treatment quantity; as a result, treating a larger quantity of stabilizer does not improve the performance. For the conditions related to ceiling materials, the anti-scattering performance is enhanced by removing the backside dust and spreading the stabilizer evenly on the masking portion by steel frame structures. Conclusions: Based on these results, it is determined that the appropriate choice of the tool used for the treatment of the asbestos stabilizer and the appropriate quantity of asbestos stabilizer were needed at the time of actual stabilization processing of the ceiling materials containing asbestos. Moreover, this study confirmed that preliminary processing and verification of the structure at which the ceiling materials are installed can enhance the effectiveness of prevention of the scattering of asbestos into the air.

A Study on Compliance of Hypertensive Workers at a Department Store in Seoul (서울 시내 한 백화점 근로자의 고혈압 치료 순응도에 관한 연구)

  • Jee, Ju-Ok
    • Korean Journal of Occupational Health Nursing
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    • v.12 no.1
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    • pp.19-30
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    • 2003
  • Increasing occupational cerebrovascular & cardiovascular disease, it becomes the most serious problem in the occupational health management. Hypertension is the most important risk factor of cerebrovascular & cardiovascular disease. Although treatment for hypertension has the priority, hypertension has not been managed systematically at the worksite. The objectives of this study were to investigate the actual situation of its treatment, figure out what factors can affect compliance for hypertension treatment and analyze the relations between compliance and employment status. Subjects were 28 workers who have been diagnosed as hypertension at periodic health examination, 20 workers who have been managed for hypertension at dispensary and 22 workers who were diagnosed during the study periods. The results of the study were as follows; 1. More women have been hired as part time workers and had lower education background and income than the full time workers. 2. Among the factors that have been known to affect the treatment compliance, part time workers had less supports from the company than full time workers. 3. We got the comparison of difference between compliance and variables that the factor grade of cure promotion and average ages are high in high compliance. In conclusion there were not the difference of compliance by employment status. But it was hard to rule out the selection vias because the sample size was so small. So it seems difficult to generalized the conclusion that employment status doesn't affect the treatment compliance.

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Studies on the Treatment of Photographic Wastewater by Electrowinning and Electrorefining of Silver (은의 전해채취 및 전해정련을 통한 사진폐액의 처리에 관한 연구)

  • Chung, Won-Ju;Kim, Dong-Su;Lee, Hwa-Young
    • Journal of Korean Society on Water Environment
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    • v.22 no.4
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    • pp.658-665
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    • 2006
  • The removal characteristics of silver ion from waste photographic solution have been investigated by recovering silver electrochemically. Cyclic voltammetry for synthetic and actual wastewater which containing silver ion was investigated to understand its electrochemical behavior. For both synthetic and actual wastewater, the recovery of silver according to the electrowinning time was observed to be increased as the applied potential was raised. In addition, the applicable potential for the electrowinning of silver was found to be lower for synthetic wastewater compared with actual wastewater. As the temperature was increased, more silver was recovered for both wastewater, which indicated the electrowinning reaction was endothermic. The electrowinned silver was refined electrochemically to increase its purity and the variation of the purity of silver was examined according to the electrorefining potential.

Immediately loaded dental implants with fixed prostheses using a computer-guided surgery in a mental retardation patient: a case report (정신지체장애환자에서 Computer-Guided Surgery를 이용한 임플란트 식립 및 즉시 보철물 장착: 증례보고)

  • Han, Se-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.3
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    • pp.246-252
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    • 2014
  • $Br{\aa}nemark^{\prime}s$ original protocol required 4 to 6 months for implant osseointegration before placement of the definitive prosthesis. Although this approach gave very predictable results, it had certain drawbacks. The main disadvantages of this approach were prolonged treatment time, two surgical procedures, placement of a removable prosthesis that required modifications during the course of treatment, and a greater number of appointments. Immediate implant loading is a viable treatment method for selected cases. One of the greatest advantages of this method is the virtual surgery, which precedes the actual clinical treatment and eliminates any need for last minute decisions. The actual surgery time is decreased, since all steps are predetermined. These advantages aren't only more useful for normal patients but also for the mental retardation patients whose cooperation is difficult. This article presents a clinical approach made possible due to the guided implant surgery and CAD/CAM technique.