• Title/Summary/Keyword: Treatment plan

Search Result 1,558, Processing Time 0.026 seconds

TREATMENT OF CLASS II MALOCCLUSIONS WITH UPPER SECOND MOLAR EXTRACTION (상악 제 2대구치 발치를 동반한 II급 부정교합의 치료)

  • Moon, Seong-Cheol;Chang, Young-Il;Yang, Won-Sik
    • The korean journal of orthodontics
    • /
    • v.23 no.1 s.40
    • /
    • pp.123-136
    • /
    • 1993
  • The purpose of this report is to present the successful improvement of occlusal relationship and facial esthetics in class II division 1 malocclusion with severe labioversion of upper anterior teeth and severe overjet, and in class II malocclusion with infraversion of bilateral maxillary canines by MEAW mechanics, which enables us to get effective distal on mass movement of maxillary dentition, with upper second molar extraction. After treatment, there were natural contact points at canine and premolar regions, normal occlusal relation-ship and treatment results, satisfied the gnathologic concept, in this 2 cases. Compared with the routine treatment with premolar extraction, the treatment time and patients' discomfort were reduced. And the MEAW mechanics, which enables us to get effective distal on mass movement of maxillary dentition, resulted in reduction of the treatment time and getting the good treatment results. Consequently, the majot concerns in orthodontic treatment are appropriate diagnosis and treatment plan, so, the application of second molar extraction with appropriate case analysis and diagnosis is very helpful to orthodontic treatment.

  • PDF

A Study Assessing 2018 Gyenggi-do Korean medicine Support Project for Subfertility (2018년도 경기도 한의 난임 지원 사업 진료 결과 분석 연구)

  • Choi, Su-Ji;Kim, Dong-Il;Park, Jang-Kyung;Lee, Mi-Young
    • The Journal of Korean Medicine
    • /
    • v.40 no.3
    • /
    • pp.76-86
    • /
    • 2019
  • Objectives: This study aims to assess the Gyenggi-do support project of Korean medical treatment in subfertility in 2018. And we would like to propose a plan to improve the project by analyzing the results of the project. Methods: We got the medical records of 260 participants that personal information was deleted by the association of Korean Medicine in Gyenggi-do. We collected the participants' characteristics, treatment records, results of treatment, laboratory results and satisfaction survey results. We coded the data and analyzed them using SPSS 23 at 5% significance level. Results: After the treatment, 11.0% of participants became pregnant spontaneously. There was no significant change in blood test before and after the treatment and observation period, and there was no adverse event during the project. After the project, the satisfaction survey was conducted. 84.2% of participants answered that they were satisfied with the result of the treatment. Conclusions: We analyzed the results of Gyenggi-do support project of Korean medical treatment for infertile women in 2017 and 2018. This study suggests the effectiveness and safety of Korean medical treatment for infertile women.

A Study on Impact Assessment for Application of Strengthened Compliance Concentration of Effluent Limit from PSTWs in the Jinwee-stream Watershed (유역하수도에서 강화된 방류수 수질 준수농도 적용을 위한 진위천수계 수질영향 평가)

  • Jeong, Dong-Hwan;Cho, Yangseok;Ahn, Ki-Hong;Ryu, Jichul;Ahn, Kyunghee;Chung, Hyen-Mi;Kwon, Ohsang
    • Journal of Environmental Impact Assessment
    • /
    • v.24 no.5
    • /
    • pp.397-406
    • /
    • 2015
  • The different compliance concentration of effluent limit is applied to effluent discharged from public sewage treatment works(PSTWs) in each watershed on the basis of water quality thereof in accordance with the enforced Watershed Sewer System Maintenance Plan in 2013. It is necessary to set the compliance concentration of effluent limit for PSTWs in watershed sewer system, in order to achieve water quality criteria for regional watersheds or target water quality under TMDL program. Watershed Environmental Agencies establish the Watershed Sewer System Maintenance Plan and set the compliance concentration of effluent limit for PSTWs under the plan. The agencies have a plan to apply strengthened effluent BOD concentration limits for PSTWs in I to IV area grade, respectively. Effluent BOD concentration limits will be strengthened from 5~10 mg/L to 3 mg/L in II~III area grade, from 10 mg/L to 5 mg/L in IV area grade. Uniform application of effluent BOD concentration limits to PSTWs in the watershed sewer system need to be complemented considering type of sewage treatment technology employed and watershed characteristics. Therefore, this study presents assessment methodology which analyze for the compliance concentration of effluent limit to affect water quality of discharge watershed using simulation model for the Jinwee-stream watershed.

Evaluation of VMAT Dose Accuracy According to Couch Rotation in Stereotactic Radiation Surgery of Metastatic Brain Cancer (전 이성 뇌 암의 정위 방사선수술에서 Couch 회전에 따른 VMAT의 선량 정확성 평가)

  • Na, Gwui Geum;Park, Byoung Suk;Cha, Woo Jung;Park, Yong Chul
    • The Journal of Korean Society for Radiation Therapy
    • /
    • v.33
    • /
    • pp.117-125
    • /
    • 2021
  • Purpose: To purpose of this study is to find the correlation of the Set-up error according to the couch rotation and suggest additional margin setting for the GTV. Target and Method: Each scenario treatment plan was created by making the frequency of non-coplanar beams different among all beams. The set-up error value was measured by using the Exact System and the dose accuracy was evaluated by creating a re-treatment plan. Results: When the couch was rotated by 30°, 45°, 60°, and 90°, the mean of the X-axis values was measured to be 0.29 mm, 0.26 mm, 0.51 mm, and 0.08 mm, respectively. The mean of the Y-axis values was measured to be 0.75 mm, 0.5mm, 0.35 mm, and 0.29 mm, respectively. The mean of the Z-axis values was measured to be 0.5 mm, 0.28 mm, 0.22 mm, and 0.1 mm, respectively. There were dose reductions of 0.1%, 3.1%, 1.9% in D99 for 1-NC VMAT, 2-NC VMAT, and 3-NC VMAT, respectively. Conclusion: When treating with 50% or more of non-coplanar beams among total beams, image verification is required. And it is considered to make the treatment plan by adding a 1.5 mm margin to the GTV.

The Effect of Vitamin D on the Glycemic Control in Patients with Diabetes: From the Fifth (2010- 2012) Korea National Health and Nutrition Examination Survey (당뇨병 환자의 비타민 D 수준이 혈당조절에 미치는 영향: 2010-2012년 국민건강영양조사 결과를 바탕으로)

  • Lee, Ari;Kim, Hye-Jin
    • Journal of Korean Biological Nursing Science
    • /
    • v.22 no.1
    • /
    • pp.53-60
    • /
    • 2020
  • Purpose: This study used raw data from the fifth (2010-2012) Korea National Health and Nutrition Examination Survey (KNHANES) to assess the relationship between vitamin D level and glycemic control of diabetes, and to provide basic data about the use of vitamin D for preparation of a treatment plan for diabetes in South Korea. Methods: For this study, data of 1,713 diabetes from KNHANES (2010-2012) were used. The collected data were analyzed using SPSS 18.0 program, and complex sample frequency analysis, descriptive statistics, complex sample cross analysis, complex sample general linear regression, and complex sample logistic regression analysis were performed. Results: It was found that the poor glycemic control group among the diabetes subjects had significantly lower level of blood vitamin D than the good glycemic control group. Factors affecting glycemic control included drinking, vitamin D levels, hypertriglyceridemia, duration of diabetes, and treatment of diabetes. Also, diabetics with vitamin D deficiency or shortage showed 3.55- and 2.61-times higher odds ratios, respectively, to be diagnosed as the poor glycemic control group than diabetics without vitamin D deficiency or shortage. Conclusion: This study is significant because it provides rationale and basic data about the use of vitamin D for preparation of a treatment plan for diabetes in South Korea by assessing the dependence of glycemic control on the vitamin D level of diabetics. Additionally, future studies are necessary to determine the appropriate concentration of vitamin D for diabetes prevention and treatment to prevent the side effects of excessive supplementation.

Dosimetric Comparison of Setup Errors in Intensity Modulated Radiation Therapy with Deep Inspiration Breath Holding in Breast Cancer Radiation Therapy (Deep Inspiration Breath Holding을 적용한 유방암 세기변조방사선치료 시 위치잡이오차 분석을 통한 선량 평가)

  • Ham, Il-Sik;Cho, Pyong-Kon;Jung, Kang-Kyo
    • Journal of radiological science and technology
    • /
    • v.42 no.2
    • /
    • pp.137-143
    • /
    • 2019
  • The aim of this study was analyzed the setup error of breast cancer patients in intensity modulated radiation therapy(IMRT) with deep inspiration breath holding(DIBH) and was analyzed the dose distribution due to setup error. A total of 45 breast cancer cases were performed a retrospective clinical analysis of setup error. In addition, the re-treatment planning was carried by shifting the setup error from the isocenter at the treatment. Based on this, the dose distribution of PTV and OARs was compared and analyzed. The 3D error for small breast group and medium breast group and large breast group were 3.1 mm and 3.7 mm and 4.1 mm, respectively. The difference between the groups was statistically significant(P=0.003). DVH results showed HI, CI for the PTV difference between standard treatment plan and re-treatment plan of 14.4%, 4%. The difference in $D_5$ and $V_{20}$ of the ipsilateral lung was 5.6%, 13% respectively. The difference in $D_5$ and $V_5$ of the heart of right breast cancer patients was 6.8%, 8% respectively. The difference in $D_5$, $V_{20}$ of the heart of left breast cancer patients was 7.2%, 23.5% respectively. In this study, there was a significant association between breast size and significant setup error in breast cancer patients with DIBH. In addition, it was found that the dose distribution of the PTV and OARs varied according to the setup error.

Calculation and Analysis of Actual Recycling Rate and Final Disposal Rate of Industrial Waste by Material Flow Analysis (물질흐름분석을 통한 사업장폐기물의 실제적인 재활용률과 최종처분율의 산정 및 분석)

  • Oh, Gil-Jong;Cho, Yoon-A;Kim, Ji-Yeon;Kim, Ki-Heon
    • Journal of Korea Society of Waste Management
    • /
    • v.35 no.8
    • /
    • pp.785-798
    • /
    • 2018
  • Since the Framework Act on Resource Circulation was enacted in 2018, the government should establish a National Resource Circulation Master Plan every 10 years, which defines mid- to long-term policy goals and directions on the efficient use of resources, prevention of waste generation and recycling of waste. In addition, we must set mid- to long-term and stepwise targets for the final disposal rate, recycling rate (based on sorted recyclable materials and recycled products), and energy recovery rate of wastes, and relevant measures should be taken to achieve these targets. However, the current industrial waste (IW) statistics have limitations in setting these targets because the final disposal rate and recycling rate are calculated as the ratio of the recycling facility input to the IW generation. In this study, the material flow from the collection stage to the final disposal of industrial waste was analyzed based on the generation of 2016, and the actual recycling amount, actual incineration amount, final disposal amount and their rates were calculated. The effect on the recycling, incineration and final disposal rates was examined by changing the treatment method of nonhazardous wastes from the factory and construction and demolition wastes, which were put in landfills in 2016. In addition, the variation of the waste treatment charge was investigated according to the change of treatment methods. The results of this study are expected to be effectively used to establish the National Resource Circulation Master Plan and industrial waste management policy in the future in South Korea.

Usefulness Evaluation on the Treatment Plan of Tomotherapy and VMAT in Radiotherapy for Prostate Cancer (전립선암의 방사선치료에서 토모테라피와 VMAT의 치료계획에 따른 유용성 평가)

  • Heo, Kwangmyoung;Han, Jaebok;Choi, Namgil
    • Journal of the Korean Society of Radiology
    • /
    • v.9 no.7
    • /
    • pp.449-457
    • /
    • 2015
  • In this study, to evaluate the usefulness of the treatment plan of tomotherapy and volumetric modulated arc therapy (VMAT) in the radiotherapy for prostate cancer, the absorbed dose, dose volume histogram (DVH), treatment efficiency, and the results of dose verification accuracy using MapCHECK2 were compared and analyzed. Of the prostate cancer patients who underwent tomotherapy treatment in the Radiologic Oncology of H University Hospital between July 2014 and December 2014, 12 patients were randomly selected. As a result of analyzing the absorbed dose and DVH, both radiologic treatment plans showed slight differences in the treatment of the cancer tissues and the bladder, but the difference was in the error range of -5% to +3%, and did not exceed the side effect guideline or the tolerance dose limit. VMAT showed higher treatment efficiency than tomotherapy with a 2.5 times shorter treatment time and a 10.3 times less monitor unit (MU). Both showed 95% or higher dose accuracy satisfying the standard. VMAT showed 2.3% higher efficiency than tomotherapy. In both tomotherapy and VMAT, appropriate doses were absorbed for cancer tissues, and did not exceed the tolerance dose for normal tissues showing no significant difference in dose distribution. However, considering the shorter treatment time, lower total MU, and better treatment efficiency and dose verification accuracy, VMAT may be more useful than tomotherapy in cancer treatments.

Three-Dimensional Dose Distribution for the System of Linear Accelerator-based Stereotactic Radiosurgery (LINAC을 이용한 뇌정위적 방사선 수술에 대한 3 차원 선량분포)

  • Suh, Tae-Suk
    • Progress in Medical Physics
    • /
    • v.2 no.2
    • /
    • pp.121-128
    • /
    • 1991
  • Radiosurgery treatment in the brain requires detailed information on three-dimensional dose distribution. A three-dimensional treatment planning is a prerequisite for treatment plan optimization. It must cover 3-D methods for representing the patient, the dose distributions, and beam settings. Three-dimensional dose models for non-coplanar moving arcs were developed using measured single beam data and efficient 3-D dose algorithms for circular fields. The implementation of three dimensional dose algorithms with stereotactic radiosurgery and the application of the algorithms to several cases are discussed.

  • PDF