• 대한방사선치료학회지
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• 제13권1호
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• pp.126-129
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• 2001

I. 목적 : Half beam을 이용하여 인접한 조사면 치료시, 경계부위에서 발생할 수 있는 Jaw Position에 의한 기하학적 오차는 정확한 선량전달에 문제를 일으킨다. 이에 본 저자는 QA용 필름을 이용하여 조사면 setting 방법과 조작자간의 오차를 분석하고 이를 최소화할 수 있는 방법을 찾고자 한다. II. 대상 및 방법 : 본 실험은 6MV선(CL2100C, Varian, USA)을 대상으로 하였으며, 폴리스틸렌팬톰($25{\times}25cm2$)을 SSD 100 cm으로 고정한 후, 측정용 필름(X-omat V2, Kodak, USA)을 5 cm 깊이에 위치 시켜 조사면의 중심에서 경계를 이루는 비대칭 조사면 ($0/7.5{\times}15,7.5/0{\times}15 cm$)을 쌍으로 조사하였다. 조사된 필름은 자동현상기를 이용하여 현상한 후 농도계(Densitometer, Multidata, USA)를 이용하여 중심축상에서의 농도분포를 측정하여 인접한 조사면에서의 오차를 분석하였다. 조작방법과 조작자간의 오차를 분석하기 위하여 5명의 방사선사를 대상으로 auto및 manual set-up을 실시하였고 각 방법의 평균 오차를 분석하기 위해 5회 반복하였다. III. 결과 : 필름 농도곡선을 이용하여 두 조사면이 만나는 경계에서의 오차를 분석한 결과, remote console set-up의 경우 주변 조사면에 비해 $-0.16{\pm}3.44\%$, pendant방식에서는 $+5.04{\pm}4.37\%$로 나타났고, 조작자간의 유의성이 관찰되었다. IV. 결론 : 비대칭 조사면을 이용한 근접 조사면의 치료시 pendant 방식보다 remote console 방식에서 오차가 적 게 나타나므로 Auto set-up 기능의 이용은 치료시에 조사면 경계에서의 선량 오차를 최소한으로 줄이는데 도움이 될 것으로 생각된다. 또한 manual 방식으로 set-up 시 오차의 편차가 크게 나타나므로 치료시에 세심한 주의가 필요할 것으로 사료된다.

• Journal of Acupuncture Research
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• 제24권4호
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• pp.25-33
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• 2007

Objective : The purpose of this study is to compare the effects of near acupuncture point needling and remote acupuncture point needling on treating ankle sprain of acute stage. Methods : From March 1st, 2007 to May 30th, 2007, the 50 patients who had visited Iksan oriental medical hospital, Wonkwang university with acute ankle sprain were divided into 2 groups ; one group took near acupunture point needling, and the other group took remote acupunture point needling. Both group had been treated with the same additional rest, ice, compression and elevation(RICE) therapy. To evaluating the efficiency of each treatment, Visual Analog Scale(VAS) and Ankle-Hindfoot Scale(AHS) were applied before 1st treatment and after 3rd treatment. Results : As a result of evaluation by using AHS, the score change comparison between the two groups had no significance after the treatment. As a result of evaluation by using VAS, treatment score of remote acupucture point needling was marked lower than score of near acupucture point needling. Conclusion : Remote acupucture point needling is more effective than near acupucture point needling in controlling the pain of acute ankle sprain.

• 한국전문물리치료학회지
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• 제3권1호
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• pp.73-79
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• 1996

Photochemotherapy(UVA with 8-methoxypsoralen) was given to 30 patients with systemic psoriasis. The results of clearing and long-term(6-month) interval maintenance were reported. Clearing requirements were in general similar to these reported by Melski and Burger. The skin of the 14 patients (46.6%) recovered good skin condition by a once weekly maintenance dose. This result was better than that reported by other authors. 1. During initial treatment period, average number of treatment was 27.3 and average duration treatment was 24.8 weeks. 2. The factors to quit treatment were motion decrease, moving to the remote area, complications, etc. 3. Number of patient who received maintenance treatment was 14. 4. The complications reported from the patients were hyperpigmentation, nausea, headache, pruritis, vomiting, gastritis.

• 대한방사선치료학회지
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• 제2권1호
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• pp.31-40
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• 1987

In the case of designing a high dose rate remote controlled afterloading treatment room with existing hospital facilities. We must construct the effective protective barriers so as to reduce the primary and scattered radiation up to the maximum permissible dose level. It is difficult to reinforce the barrier thickness of the shielding requirements because of the limited space and the problem of the existing building structure at the surrounding area. Therefore we can reduce the intensity of primary radiation to the required degree at the location of interest with installing the appropriate I shaped Pb barriers between the radiation source and the shielding wall of the concrete. As a result, it was possible to reduce the intensity of the primary radiation below the M.P.D level by using additional Pb barriers instead of increasing thickness of concrete wall.

• 한국콘텐츠학회논문지
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• 제20권12호
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• pp.646-658
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• 2020

본 연구는 코로나19 자가격리자의 심리적 건강을 돌보는 심리치료 개입의 필요성을 바탕으로 원격 디지털 미술치료 체험을 현상학적 사례연구 방법으로 파악하였다. 연구 참여자는 캐나다에서 입국한 17세 청소년(여)으로, 자가격리를 하는 동안 7회기, 회기당 90~120분의 원격 디지털 미술치료 프로그램에 참여하였다. 자료분석은 내용분석을 통한 유의미한 진술을 파악하고, 연구자의 선이해와 판단중지를 바탕으로 주제를 도출하는 과정으로 진행되었다. 연구 결과 34개의 주제가 도출되었으며, 이는 공통된 10개의 주제묶음과 최종적으로 '자가격리 심리·정서', '원격 디지털 미술치료의 제한성', '원격 디지털 미술치료의 긍정성'이라는 3개의 대주제로 파악되었다. 본 연구는 코로나19 자가격리자에게 최초로 실시된 원격 디지털 미술치료 실천 사례연구로서, 코로나19라는 위기의 중심에서 자가격리자의 심리적 건강을 위한 적극적인 자기돌봄인 '심리방역'의 중요한 시사점을 제공할 것이라고 기대한다.

• The Journal of Korean Physical Therapy
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• 제11권3호
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• pp.123-131
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• 1999

The purpose of is study deals with the physical therapy and the delivery system of public health center, as a center, in community based rehabilitation and delivery system. We hope that the system of physical therapy of public health center in community based rehabilitation spreads all over the country and contributes to the promotion of national health and social welfare. There are many public health center in the country because it can serve inhabitants with the medical benefits in the Erst line. public health center continuously provides poor inhabitants who cant pay medical expenses care of health. It has the public health center branches that take care of inhabitants who live a remote village and hiterland. Additionally, many people want to receive physical therapy. Therefore, the physical therapy of public health center becomes the central paint in community based rehabilitation so that we supply the inhabitants with superior rehabilitation service. We can approach them as a team that be constituted with physical therapist speech therapist, psychologist, nurse, social work. Also the role of physical therapist is divided into two parts, which are home visiting part that individually takes can of patients nod public health part that takes care of patient, family, home, community. We connect with both self-governing body and the government so that we may receive government subsidies. Also, we must prepare regular school education for community based rehabilitation

• 전기학회논문지
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• 제57권3호
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• pp.514-517
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• 2008

Ubiquitous healthcare (U-healthcare) system is one of potential applications of embedded system. Conventional U-healthcare systems are used in health monitoring or chronic disease care based on measuring and transmission of various vital signs. However, future U-healthcare system can be of benefit to more people such as stroke patients which have limited activity by providing them proper medical care as well as continuous monitoring. Recently, an electric brain stimulation treatments have been found to be a better way compared to conventional ones and many are interested in using the method toward the treatment of stroke. In this study, we proposed a remote medical treatment system using ZigBee-based wireless electric brain stimulator that can help them to get a treatment without visiting their doctors. The developed remote medical treatment system connects the doctors to the brain stimulator implanted in the patients via the internet and ZigBee communication built in the brain stimulator. Also, the system receive personal information of the connected patients and cumulate the total records of electric stimulation therapy in a database. Doctors can easily access the information for better treatment planning with the help of graphical visualization tools and management software. The developed remote medical treatment system can extend their coverage to outdoors being networked with hand-held devices through ZigBee.

• 대한의용생체공학회:의공학회지
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• 제28권5호
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• pp.657-664
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• 2007

Stroke patients need regular medical treatments and rehabilitation training from their doctors. However, severe aftereffects caused by stroke allow them minimum activities, which make it difficult for them to visit doctor. Recently, electric brain stimulation treatment has been found to be better way compared to conventional ones and many are interested in using this method for the treatment of stroke. In this study, we have developed a remote medical treatment system using wireless electric brain stimulator that can help the stroke patients to get a treatment without visiting their doctors. The developed remote medical treatment system connects the doctors to the brain stimulator implanted in the patients via the internet and ZigBee communication built in the brain stimulator. Also, the system receives personal information of the connected patients and cumulates the total records of electric stimulation therapy in a database. Doctors can easily access the information for better treatment planning with the help of graphical visualization tools and management software. The developed remote medical treatment system can be applied to the electric stimulation treatments for other brain diseases with a minor change.

• 대한불안의학회지
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• 제12권2호
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• pp.79-85
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• 2016

Sexually abused victims suffer not only physical damage, but they may also experience an array of additional problems ranging from acute fear, depressed mood, anxiety, shame, or insomnia to long-term psychiatric disorders. Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is known to have excellent therapeutic effects for trauma victims including victims of sexual violence. CBT treatment includes stress immunity training, relaxation training, and acceptance and commitment therapy. In foreign countries TF-CBT is carried out online in order to increase the therapeutic accessibility for the victim and improve the quality of the interview for the therapists. As a result, those victims who have difficulties in requesting external help, who live in remote areas, or who have limited time may now have access to the service and benefit from the online education programs. A website providing an online based TF-CBT program was initiated in Korea also. Through the website, victims and their guardians may obtain therapeutic information without the need for face-to-face meetings with therapists. Our goal is to create a system with this website which will provide therapeutic assistance to sexual violence victims and improve the quality of the counseling provided by the therapist.

• 대한의용생체공학회:의공학회지
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• 제29권3호
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• pp.179-186
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• 2008

This paper presents a portable tele-assessment system designed for remote evaluation of the hypertonic elbow joint of neurologically impaired patients. A patient's upper limb was securely strapped to a portable limb-stretching device which is connected through Internet to a portable haptic device by which a clinician remotely moved the patient's elbow joint and felt the resistance from the patient. Elbow flexion angle and joint torques were measured from both master and slave devices and bilaterally fed back to their counterparts. In order to overcome problems associated with the network latency, two different tele-operation schemes were proposed depending on relative speed of tasks compared to the amount of time delay. For slow movement tasks, the bilateral tele-operation was achieved in real-time by designing control architectures after causality analysis. For fast movement tasks, we used a semi-real-time tele-operation scheme which provided the clinicians with stable and transparent feeling. The tele-assessment system was verified experimentally on patients with stroke. The devices were made portable and low cost, which makes it potentially more accessible to patients in remote areas.