• Title/Summary/Keyword: digital therapy

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Automatic Multileaf Collimation Quality Assurance for IMRT using Electronic Portal Imaging

  • Jin, Ho-Sang;Jason W. Sohn;Suh, Tae-Suk
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.305-308
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    • 2002
  • More complex radiotherapy techniques using multi leaf collimation(MLC) such as intensity-modulated radiation therapy(IMRT) has been increasing the significance of verification of leaf position and motion. Due to the reliability and robustness, quality assurance(QA) of MLC is usually performed with portal films. However, the advantage of ease of use and capability of providing digital data of electronic portal imaging devices(EPIDs) have attracted many attentions as alternatives of films for routine quality assurance in spite of the concerns about their clinical feasibility, efficacy, and the cost to benefit ratio. In our work, the method of routine QA of MLC using electronic portal imaging(EPI) was developed. The verification of availability of EPI images for routine QA was performed by comparison with those of the portal films which were simultaneously obtained when radiation was delivered and known prescription input to MLC controller. Specially designed test patterns of dynamic MLC were applied to image acquisition. Quantitative off-line analysis using edge detection algorithm enhanced the verification procedure in addition to on-line qualitative visual assessment. In conclusion, the EPI is available enough for routine QA with the accuracy of portal films.

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The Effect of Hand Moxibustion Therapy on Pain during Menstruation (수지뜸이 여성의 월경통 완화에 미치는 영향)

  • Shin, Kyung-Rim;Kim, Kye-Ha;Kim, Hyun-Sook;Kim, Eun-Ha;Lee, Jeong-Ran;Kim, Jung-Hee
    • Korean Journal of Adult Nursing
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    • v.16 no.2
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    • pp.256-263
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    • 2004
  • Purpose: The purpose of this study was to identify the effect of hand moxibustion for reduction of pain during menstruation. Method: Fifteen women were selected as subjects and data collection was conducted from September to December 2003. The Visual Analogue Scale (VAS) and Digital Infrared Thermotraphic Image (DITI) were used to measure the degree of pain and body heat. Result: The results showed that there was a significant reduction of pain during menstruation when hand moxibustion was performed. Also, there were significant differences in the change of body heat. These were left hands (Z=-2.805, p=.005), right hands (Z=-2.805, p=.005) and lower abdomen (Z=-2.803, p=.005). Conclusion: It was found that hand moxibustion decreased pain during menstruation and increased body heat. Therefore, hand moxibustion may be a good method for intervention to decrease pain during menstruation.

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Effect of Ankle Position on Hallux Flexion Force and Muscles Activity of Abductor Hallucis (발목자세가 엄지발가락 굽힘 힘과 엄지벌림근의 근활성도에 미치는 효과)

  • Jung, Doyoung
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.43-50
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    • 2017
  • Purpose : There is no validated method for measuring the toe flexor strength that can isolate the intrinsic muscles of the foot from the extrinsic muscles. This study compared the hallux flexion force (HFF) and muscle activity in the foot and ankle according to ankle position [plantarflexion (PF), neutral, and dorsiflexion (DF)]. Method : The study enrolled 17 subjects. In the sitting position, the HFF and activities of the abductor hallucis (AbdH), tibialis anterior (TA), and gastrocnemius (GCM) muscles were measured using a digital dynamometer and a wireless electromyography system, respectively. Subjects were instructed to flex the great toe maximally in three different ankle positions. Three 5-second trials were performed to measure the HFF and muscle activities in each condition. Repeated-measures ANOVA was used to compare the variables and paired t-tests with the Bonferroni correction were used for post-hoc pair-wise comparisons. The significance level was set at .016. Result : The HFF in DF was significantly greater than in any other ankle position (p<.01). The TA activity was greatest in ankle DF and that of the GCM was greatest in PF (both p<.01). However, there was no significant difference in AbdH activity according to ankle position. Conclusion : These results suggest that selective strength measurement of the foot intrinsic muscles in HFF should be performed with the ankle in the neutral position.

Blood Glucose Level, Insulin Content and Biochemical Variables of Complexcity Extract from Oriental Medicinal Plants on Diabetes Rats (한약자원 복합추출물이 당뇨쥐의 혈당, 인슐린 농도 및 생화학적 성상에 미치는 영향)

  • Park, Sung-Hye;Kim, Gyu-Yeol
    • The Korean Journal of Food And Nutrition
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    • v.23 no.2
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    • pp.258-268
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    • 2010
  • This study was conducted to examine the hypoglycemic effects of complexcity extract(DB 55) from five oriental medicinal plants on the intake of food, body weight, blood glucose level, insulin content, serum GOP, GPT, BUN and hematocrit value in streptozotocin(STZ)-induced diabetic rats. General nutritional composition was also assessed. Thirty- five male Sprague-Dawley rats were assigned to five groups : normal control group(NC), STZ-diabetic control group (STZ-control), STZ-diabetic DB-1 group(DB 55-1), STZ-diabetic DB-2 group(DB 55-2) and STZ-diabetic DB-3 group(DB 55-3). The animals were fed an experimental diet for 12 weeks. Body weight gain of the STZ-diabetic group was significantly lower but diet intake was significantly higher than the NC group. Blood glucose levels of the DB-1, DB-2 and DB-3 rats were significantly lower than the STZ-control animals. Insulin level of STZ-control rats was lower than the NC serum GOT, GPT and BUN levels were significantly higher in the NC group, but hematocrit value was not significant as compare to the STZ-diabetic group. Blood glucose level was lower observed for the DB 55-1, DB 55-2 and DB 55-3 group. The results will be useful in oriental diet therapy and in the developing functional food resources.

A Case Report of the patient who has amenorrhea which oligomenorrhea has become worse (희발윌경에서 무월경으로 진행된 환자 치험 1례)

  • Kim, Jin-Woo;Jo, Jun-Young;Park, Kyoung-Sun;Jang, Jun-Bock;Lee, Jin-Moo
    • Journal of Oriental Medical Thermology
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    • v.9 no.1
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    • pp.29-36
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    • 2011
  • Purpose : The purpose of this study is to report the effect of Traditional Korean Medicine(TKM) on amenorrhea which oligomenorrhea has become worse. and to investigate the change of body temperature measured by Digital Infrared Thermographic Imaging(DITI). Methods : The patient in this case was 29-year-old female. The chief complain was amenorrhea which oligomenorrhea has become worse. We treated her by TKM. and evaluated the progress of symptoms by DITI. And then We compared DITI before treatment and after treatment. Results :After TKM treatment. the differences of temperature between Indang(印堂) and the four abdominal sites(CV4,6,12,17) were decreased on DITI. respectively. Conclusion : TKM treatment is effective on amenorrhea which oligomenorrhea has become worse. And DITI could be useful to assess the amenorrhea objectively. But more research should be needed.

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Does Plantar-Flexor Muscle Fatigue Degrade Proprioceptive Sense at the Ankle Joint? (발바닥굽힘근 근피로가 발목관절 고유수용성 감각을 감소시키는가?)

  • Han, Jin-Tae
    • PNF and Movement
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    • v.17 no.3
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    • pp.463-469
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    • 2019
  • Purpose: This study investigated the effect of plantar-flexor muscle fatigue on the force sense and joint reposition sense of ankle joints in the healthy adults. Methods: Fifteen healthy subjects (male: 9, female: 6) participated in this study. A digital dynamometer was used to measure the force sense error while a wireless motion capture device was used to measure the joint reposition sense error. To induce plantar-flexor muscle fatigue for a dominant lower extremity, the subjects were asked to perform plantar flexion until exhaustion while barefoot. The differences in force sense error and joint reposition sense error for the ankle joint were measured immediately. The Wilcoxon test was used to compare these values before and after inducing plantar-flexor muscle fatigue. Results: The force sense error and joint reposition sense error of ankle joints after inducing plantar-flexor muscle fatigue increased significantly compared to the values before inducing muscle fatigue. Conclusion: This study suggests that plantar-flexor muscle fatigue could degrade the force sense and joint reposition sense in ankle joints. In addition, it could deteriorate ankle proprioception.

Effects of Walking with Non-Electric Power Vibration Shoes on Body Temperature and Peripheral Circulation (무전력형 진동신발 보행이 체온과 말초 혈액순환에 미치는 영향)

  • Lee, Hyun Ju;Lee, Cheong Gn;Tae, Ki Sik
    • Journal of Biomedical Engineering Research
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    • v.40 no.6
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    • pp.235-241
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    • 2019
  • The purpose of this study was to investigate the effect of the body temperature peripheral circulation with vibration shoes in healthy 10 adults. The magnetic vibration device with non-electric power was mounted in the midsole of the vibration shoes. The experiment was divided into two groups: vibration shoes and no vibration shoes. Subjects were randomly selected and measured body surface temperature by digital infrared thermal imaging (DITI) and non-invasive capillaries change by nailfold microscope (NFM). After walking in a treadmill for 15 minutes at 4.0 km/h speed wearing normal shoes or vibration shoes, DITI and NFM were measured. The walking with vibration shoes showed the body surface temperature shift from the proximal to the distal. In addition, the diameter of the nailfold capillary in the vibration shoes group was thicker and clearer due to the increased blood flow than that of the no vibration shoes group. The vibration shoes are easy to apply to anyone who can walk because it can give vibration stimulation by walking without additional time, cost, and effort in daily life. Further studies are needed to explain the physiological effects of vibration frequency and intensity on the long-term perspective of target subjects resulting from vascular dysfunction.

Comparison study of effects of magnetic therapy at Hap-Kok(LI4 ) on the thermal change of Chun-Choo(ST25) in man (합곡(合谷)(L14)의 자침(刺鍼)과 자석외첩(磁石外貼)이 천추(天樞)(S25) 부분(部分) 영역(領域)의 온도변화(溫度變化)에 미치는 영향(影響) 비교(比較))

  • Baek Tae-Ho;Park Ryoung-Jun
    • Journal of Korean Medical Ki-Gong Academy
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    • v.5 no.1
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    • pp.22-39
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    • 2001
  • This study is designed to compare the effect of a needle with the magnet on body. We took the skin temperature of the belly with digital infrared thermographic imaging while we sticked needle and apply magnets on L14. We made experiments on 40 healthy male volunteers for one month. We classified control group not acupuncture or magnet adhering(CON). acupuncture group on left and right L14(LA). and the permanent magnet group adhering to left and right(LM). And LM is divided into S-polar permanent magnet group(LMS) and N-polar permanent magnet group adhering to left and right L14(LMN). When we observed that temperature changed with time, the skin temperature of th belly in CON descended significantly but LM, LMS and LMN is not changed significantly. As mentioned above. we observed that the needles on L14 affected the change of temperature on the belly, and conjectured that the appliance of magnets had the same results. If the mechanism depends on the meridian of body and energy. we suppose that the appliance of magnets and needles has same effects.

Correlation between Standing Balance and Forward Head Posture in Adolescents (청소년의 전방머리자세와 선 자세 균형간의 상관관계 연구)

  • Lee, Eun-Ju
    • PNF and Movement
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    • v.18 no.1
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    • pp.45-53
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    • 2020
  • Purpose: This study investigated the correlation between standing balance and head-forward posture in adolescents. Methods: The participants in this study were 15 female adolescents. We took photographs of the participants' craniovertebral angle with a digital camera to determine the degree of head-forward posture. Standing balance was evaluated using the 30-second Romberg test of BT4. The measurements were taken on a stable-support surface and on an unstable-support surface using a balance pad. The data measured in this study were analyzed using SPSS version 23.0, and the statistical significance level α was established as 0.05. Pearson correlation coefficient analysis was performed to identify the correlation between the degree of head-forward position of the participants and their balance ability. Results: When we measured 30 seconds of the Romberg test, we observed that, with their eyes open, the participants' head-forward posture and balance were not correlated. However, with their eyes closed, there was a strong correlation between the forward position of the head and the balance ability, which declined as the head position increased. Conclusion: Adolescents with severe head-forward posture exhibited problems with balance in posture control with closed eyes when visual information was not available. It can be inferred that an abnormality occurs in proprioceptor sensation due to their habitual head-forward posture. Education on correct posture and preventive activities should be recommended to improve the health of such adolescents and avoid possible future problems of physical deterioration.

The Systematic Review on Clinical Studies of Traditional Korean Medicine Treatment for Obesity in Menopausal Women (폐경 여성의 비만에 응용되는 한방치료에 대한 문헌 고찰)

  • Nam, Eun Young
    • Journal of Korean Medicine for Obesity Research
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    • v.19 no.1
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    • pp.56-67
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    • 2019
  • Objectives: The purpose of this study is to review clinical studies of herb medicine and acupuncture treatment on obesity in menopausal women. Methods: Key words "Obesity", "Menopause", "Herb medicine", "Acupuncture", "Moxibustion", "Catgut embedding" were searched on 9 database systems (PubMed Central, Cochrane Controlled Register of Trials, Embase, China Academic Journals, Korean Traditional Knowledge Portal, Oriental Medicine Advanced Searching Integrated System, Korean Studies Information Service System, National Digital Science Library, DBpia) on April 30th 2019. Results: 1 case report and 17 clinical trials were collected in accordance with the selection and exclusion criteria. Among the 17 trials, 6 were randomized controlled trials, 1 was controlled clinical trial, and 10 were single-arm trials. The types of intervention were herb medicine, electroacupuncture, acupuncture, auricular acupuncture, warm needle acupuncture, moxibustion, laser acupuncture, and catgut embedding. The study design, study results and method of intervention were analyzed. Conclusions: 1 case report described the effectiveness of pharmacopuncture, 4 trials described the effectiveness of herbal medicine, 2 of electroacupuncture, 1 of laser acupuncture, and 2 of catgut embedding. Among the 17 trials, 2 studies showed that herbal medicine treatment was more effective than no treatment or selective serotonin reuptake inhibitors, and 1 study showed that electroacupuncture was more effective than hormone therapy. All of 18 selected studies reported the effectiveness of weight reduction and abdominal obesity reduction after the traditional Korean medicine treatment for obesity in menopausal women.