• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.192-194
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• 2002

We present the results on the calibration of iso-center positions using the quality assurance system established at PMRC for determination of center position in X-ray and proton irradiation fields. Details on the system are presented in another presentation in this session. The equipment in the system is mounted on a patient treatment bed in each proton exposure room, G1 or G2. A center of a stainless ball on the equipment is set at a cross of laser markers located around the iso-center and fixed on the room and on the snout in the gantry. A proton beam or an X-ray beam is exposed onto the ball through a brass collimator of 100 mm ${\times}$ 100 mm and projected onto the imaging plate set at I cm behind the ball. On the axis perpendicular to the thrust axis of the gantry on the imaging plate, a distance between a center of the collimator image and a center of the ball image varies as a cosine function of gantry angles unless the ball is set on the iso-center. An amplitude of the cosine curve shows the distance between the ball and the iso-center, an offset the offset of the collimator, and a phase shift at a zero crossing point the ball direction viewed from the iso-center. We present the relation among the iso-center position, the laser maker position, and the center of proton and X-ray irradiation fields. Its stability and its reproducibility are discussed.

• 한국전문물리치료학회지
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• 제27권3호
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• pp.212-219
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• 2020

Background: Although the original version of the health-related quality of life (HRQOL) questionnaires are found to be acceptable, the cross-culturally adapted versions may not be comparable to their original version. Objects: To examine dimensionality and construct validity of two Korean versions of the brief version of the World Health Organization Quality of Life (WHOQOL-BREF) and EuroQOL-5 dimension (EQ-5D) questionnaires. Methods: A total of 77 cancer survivors undergoing palliative rehabilitation programs from two rehabilitation institutes was recruited from April 16, 2018 to June 26, 2019. The WHOQOL-BREF and the EQ-5D were filled out by the various cancer survivors following a particular session of rehabilitation programs. The scores were analyzed with Winsteps Rasch analysis computer program using the rating scale model. Rasch fit statistics were used to determine the dimensionality and the item difficulty calibrations of WHOQOL-BREF and EQ-5D. Results: All items except two, negative feeling, need treatment function and pain prevent activity (mean square [MnSq] = 2.42, 1.82 and 2.51, respectively), were found to be acceptable, while two items of the EQ-5D, anxiety/depression and self-care, were misfit (infit MnSq = 1.65 and 0.38, respectively). Item difficulty calibrations of WHOQOL-BREF match person ability measures (i.e., HRQOL) fairly well. However, the person ability distribution showed obvious ceiling effects for EQ-5D. All items of EQ-5D were appeared to be less challenged in comparison with those of WHOQOL-BREF. Conclusion: Item-level analysis using the Rasch model supports the quality of culturally adapted items used to measure the HRQOL one exception; that is, whether or not to include misfit items as part of the HRQOL measurements. Additionally, cancer survivors undergoing palliative rehabilitation programs appear to have more of a tendency to view the EQ-5D items as being more challenging than the WHOQOL-BREF.

• 디지털융복합연구
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• 제19권1호
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• pp.261-274
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• 2021

본 연구에서는 간호대학생의 영적간호역량 강화를 위한 영성교육의 효과를 확인하였다. 2017년 2월 27일부터 5월 19일까지 J시 소재 간호대학생 83명이 연구에 참여하여 실험군 42명과 대조군 41명으로 무작위 배정되었다. 영성교육은 자기 인식과 영성 및 간호의 영적 차원으로 구성되어 1회에 120분씩, 5주 동안 총 10회기로 진행되었다. 수집된 자료는 대상자의 일반적 특성과 종속변수에 대한 동질성 검증을 확인하였고 가설 검증은 χ2-test, Independent t-test, paired t-test로 분석하였고, 시간 경과에 따른 변수의 변화는 실험군의 반복측정 분산분석으로 확인하였다. 영성교육은 간호대학생의 영성과 자아정체감, 영적 안녕과 삶의 만족도 및 영적간호역량을 높이는 것으로 나타났다. 또한 영성교육을 시행하고 5주 후에도 효과가 지속적으로 유지되었다. 이에 영적간호역량 강화를 위한 영성교육은 전인간호를 위한 영적 간호교육 과정에 긍정적인 영향을 미치며 활성화를 위한 실증적인 기초자료가 될 것이다.

• Physical Therapy Rehabilitation Science
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• 제10권2호
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• pp.212-216
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• 2021

Objective: Mirror therapy is one of the promising methods suggested for the upper limb rehabilitation of stroke patients. While mirror therapy was presented to be effective in improving motor function of stroke patients, problems were raised as preceding studies had various methods in applying mirror therapy. Some studies even reported no effect in mirror therapy. Our supposition for the reason of such problems was a decrease of attention on the illusive image during mirror therapy of stroke patients, and we aimed to observe this. Design: A cross-sectional preliminary study. Methods: Three hemiplegic acute patients were recruited for the traditional mirror therapy. It lasted for 30 minutes, and 12 different tasks were asked to perform. All procedures were video-recorded, and Observer XT was used to analyse mirror-gazing time, gaze-distracted time, preparation time, frequency of mirror gazing, frequency of distraction, frequency of preparation for treatment. Results: Subjects spent an average of 4-5 minutes having instructions about the mirror therapy intervention (preparation duration), an average of 11 minutes watching the mirror during therapy (mirror-gazing duration), and the rest of 14-15 minutes looking around the environment (gaze-distracted duration). During the mirror therapy, the number of distracted moments (frequency of distraction) was eight times more than focusing on the mirror (frequency of mirror gazing). Conclusions: Once the patient looks at the mirror, it only lasts about 5 seconds on average. Thus, we confirmed that patients could not concentrate on the illusion during the session and therefore it may have affected the effectiveness of the therapy.

• Physical Therapy Rehabilitation Science
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• 제12권3호
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• pp.214-221
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• 2023

Objective: This study aimed to assess the impact of using the LED light electromyographyfeedback system (EMG-light) during Pilates exercises in women to maintain consistent muscle contraction in the abdominal external oblique muscles and reduce muscle contraction in the upper trapezius muscles. This study compared Pilates training using the EMG-light with Pilates training only in healthy women for 4 weeks. Design: This study was conducted as a cross-sectional study. Methods: A total of 17 healthy women were divided into an experimental group (n=9) and a control group (n=8). Both groups performed Pilates exercises as assigned, twice per week for four weeks, with each session lasting fifty minutes. The experimental group were used the EMG-light feedback system during pilates exercise while the control group did not use EMG-light. We used cervical vertebral angle (CVA), shoulder tilt angle to evaluate neck posture and standing balance with closed eye for 30s before and after exercise. Results: The control group exhibited a significant change in CVA (p<0.05). Both groups showed significant changes in shoulder tilt, center of pressure (COP) path-length, and COP velocity during eyes-closed conditions (p<0.05). However, there were significant differences between the experimental and control groups in terms of CVA, shoulder tilt, COP path-length, and COP velocity. Conclusions: This study demonstrated that Pilates exercises had positive effects on shoulder posture and balance. The use of EMG-light provided real-time visual feedback on muscle contraction during Pilates exercise. However, the experimental group did not show significant improvements compared to the control group, which performed Pilates exercises without feedback.

• 대한간호학회지
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• 제53권5호
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• pp.500-513
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• 2023

Purpose: Women are more vulnerable to post-traumatic stress (PTS) than men, causing several health problems. Nurses should understand and work with women who have experienced trauma and provide interventions to promote their physical, social, and mental health. Methods: This quasi-experimental pilot study used a one-group pre-test/post-test design. Data were collected from 14 women recruited between December 2019 and May 2020 from a self-sufficiency support center in South Korea for sexually-exploited women who had experienced trauma. The program consisted of six one-on-one intervention sessions per week for six weeks. Each session averaged 60~120 minutes. Participants were assessed at pre-test, post-test, and one-month follow-up. Changes in outcome variables over time were analyzed using the Wilcoxon signed-rank and Friedman tests. Results: The caring program for health promotion was divided into six sessions: understanding the self, sharing traumatic events and negative emotions, reframing the meaning of traumatic events, identifying thoughts and physical and emotional responses, developing health promotion activities, and maintaining a positive attitude during the process of change. As a result of the caring program, PTS (F = 36.33, p < .001), depression (F = 24.45, p < .001), health-promoting behaviors (F = 7.06, p = .004), and self-esteem (F = 19.74, p < .001) among the participants differed significantly at pre-test, post-test, and follow-up. Conclusion: This study provides foundational information for the implementation of a theory-driven program by nurses in clinical and community settings to provide comprehensive care for women who have experienced trauma.

• International Journal of Computer Science & Network Security
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• 제24권3호
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• pp.23-28
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• 2024

The multi-tenancy and high scalability of the cloud have inspired businesses and organizations across various sectors to adopt and deploy cloud computing. Cloud computing provides cost-effective, reliable, and convenient access to pooled resources, including storage, servers, and networking. Cloud service models, SaaS, PaaS, and IaaS, enable organizations, developers, and end users to access resources, develop and deploy applications, and provide access to pooled computing infrastructure. Despite the benefits, cloud service models are vulnerable to multiple security and privacy attacks and threats. The SaaS layer is on top of the PaaS, and the IaaS is the bottom layer of the model. The software is hosted by a platform offered as a service through an infrastructure provided by a cloud computing provider. The Hypertext Transfer Protocol (HTTP) delivers cloud-based apps through a web browser. The stateless nature of HTTP facilitates session hijacking and related attacks. The Open Web Applications Security Project identifies web apps' most critical security risks as SQL injections, cross-site scripting, sensitive data leakage, lack of functional access control, and broken authentication. The systematic literature review reveals that data security, application-level security, and authentication are the primary security threats in the SaaS model. The recommended solutions to enhance security in SaaS include Elliptic-curve cryptography and Identity-based encryption. Integration and security challenges in PaaS and IaaS can be effectively addressed using well-defined APIs, implementing Service Level Agreements (SLAs), and standard syntax for cloud provisioning.

• 대한지역사회영양학회지
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• 제29권1호
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• pp.1-15
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• 2024

Objectives: This study investigated the need for nutrition education aimed at improving the health of residents and users of social welfare facilities for persons with disability and aimed to provide basic information for developing a nutrition education program that meets the needs of the field. Methods: Altogether, 249 employees working in social welfare facilities for people with disabilities were included in the study. Data on the health status of residents/users, meal management, nutritional education, nutritional education needs, and awareness of nutritional education were obtained through online surveys. A descriptive analysis was conducted to analyze the demographic characteristics, needs, and perceptions of the respondents, and independent t-tests and χ² tests were performed to analyze and compare the differences between residential and daycare facilities. Results: The majority of residents/users of social welfare facilities for persons with disabilities have developmental disabilities. When educating residents with residents/users of social welfare facilities, 'personal hygiene' was the most necessary topic, followed by 'obesity management' education. Regarding the methods of providing education, face-to-face lectures demonstrated a high demand. They responded that when nutrition education experts provide nutrition education to people with disabilities, they must understand 'the physical characteristics of persons with disabilities' and have the ability to determine appropriate nutrition for such people. The most appropriate nutrition program training would be twice a year, lasting 30 min to 1 h per training session. Conclusions: It will present a direction for operating a nutrition education program for persons with disabilities that meets their needs of social welfare facilities and ultimately contribute to the establishment and activation of nutrition education tailored to welfare facilities for such individuals in Korea.

• 한국멀티미디어학회논문지
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• 제14권1호
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• pp.54-75
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• 2011

PoC(Push-to-talk Over Cellular)는 그룹 음성 및 영상 통화와 인터넷, 멀티미디어 서비스를 통합한 단말 기술이다. PoC는 부재, 긴급 상황, 배터리 방전 등과 같은 다양한 이유로 인해 PoC 세션에 참여하지 못하는 사용자에게 종래 MMS 서비스에서의 MM Box와 비슷한 기능을 가진 PoC Box를 사용하는 기능을 제공하고 있다. PoC 표준안에서는 PoC Box에서 PoC 단말로 미디어 전송 시 RTSP (Real-Time Streaming Protocol)를 사용하도록 권장하고 있다. 기존의 RTSP를 적용한 VOD 서비스의 경우는 빠른 유선 네트워크 망을 고려하여 패킷의 크기를 크게 구현하는 반면 PoC 서비스는 무선 통신 환경이기 때문에 이러한 특성을 고려한 RTSP 전송 방법이 필요하다. 무선 통신 환경에서는 패킷의 손실률이 비교적 유선 통신 환경에서보다 다소 높기 때문에 PoC 단말 측에서 미디어 재생 시 화면 끊김 현상, 영상과 음성의 비동기화 발생, 버퍼링 대기 시간 등이 발생한다. 따라서 PoC 단말 측에서의 이러한 문제점은 사용자가 미디어 콘텐츠를 재생하는데 있어 자신이 원하는 정보를 빠르게 습득하기 어렵게 만든다. 본 논문에서는 RTSP를 이용하여 사용자가 미디어 검색 시 단시간 내에 전송되는 미디어에서 효과적으로 중요한 정보를 습득하고 재생 지연 현상을 줄일 수 있는 "교차 이중 수신 버퍼링 기법", "사전 분할 다중 수신 버퍼링 기법", "On-Demand 다중 수신 버퍼링 기법"과 전송 시 미디어 데이터의 패킷화 방법인 "동일 순위 패킷화 전송 방식", "우선 순위 패킷화 전송 방식"을 제안하였고 실험을 통해 그 성능의 적정성 및 우수성을 검증하였다. 실시된 시뮬레이션 성능 평가에서 사용자의 미디어 검색 성향에 따라 제안된 다중 수신 버퍼링 및 패킷화 방식이 기존 단일 수신 버퍼링 방식과 비교하여 효율성 및 우수성 평가에서 6-9점 이상 우수한 결과를 보였다. 그 중 On-Demand 다중 수신 버퍼링 기법은 동일순위 패킷화 방법과 사용될 때 타 기법과 비교하여 3-24점 사이의 우수성을 보임으로써 사용자의 다양한 미디어 검색 성향에 대해 빠르게 대응할 수 있었다. 또한 단시간 내에 사용자가 집중적으로 미디어 검색이 이루어지는 재생 시간대에 대해 많은 미디어 데이터를 수신 받기 때문에 단말 사용자에게 빠른 정보를 제공할 수 있었다.

• Radiation Oncology Journal
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• 제12권2호
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• pp.191-199
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• 1994

Purpose : This study was undertaken to show the clinical results of combined radiotherapy and hyperthermia in primary hepatoma Materials and Methods : Between December 1989 and March 1993, 50 patients with hepatomas were treated by combined radiotherapy and hyperthermia. Among them, we analyzed retrospectively 33 patients who received the complete course of treatment. The ages of the patients ranged from 36 to 75(mean age: 55.5 years). Twenty-six patients ($78.8\%$) were men, and 7 ($21.2\%$ were women. According to Child's classification, nine patients ($27.3{\%}$) were A group, 9 ($27.3\%$) were B group, 15 ($45.4\%$) were C group. Radiation therapy was done by a 6 MV and 15 MV linear accelerator. Patients were treated with daily fractions of 150-180 cCy to doses of 2550 cGy -4950 cGy (median : 3000 cGy). Local hyperthermia was done by 8 MHZ RF capacitive heating device (Cancermia. Green Cross Co., Korea), 50-60 min/session, 1-2 sessions/wk, and 8.5 sessions (median number)/patient. We analyzed the prognostic factors including age, sex, tumor type, Child's classification, $\alpha$-fetoprotein, liver cirrhosis, ascites, portal vein invasion, esophageal varix, number of hyperthermia, chemotherapy, total bilirubin level, Karnofsky perfomance status. Results : The overall 1-year survival was $24.2\%$, with a mean survival of 10months. Of 33 patients, tumor regression (PR+MR) was seen in $30.4\%$, no response was seen in $52.2\%,\;17.4\%$ patient was progressed. In patients who had tumor regression, the overall 1-year survival was $42.1\%$ with a mean survival of 14 months. Factors influencing the survival were sex (p=0.05), tumor type (p=0.0248), Child's classification (p=0.0001), liver cirrhosis (p=0.0108), ascites (p=0.0009), and Karnofsky perfomance status (p=0.0028). Complications developed in 28 patients, including 18 hot pain,5 fat necrosis, 3 transient fever, 2 nausea and vomiting. Conclusion : In this study, the results suggests that combined radiotherauy and hyperthermia may improve the survival rate of hepatoma.