• Title/Summary/Keyword: 시 치료

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Evaluation of orthodontic treatment outcomes and post-treatment changes by the PAR index (PAR 지수를 이용한 교정치료 결과의 평가에 관한 연구)

  • Cheong, Soo-Bong;Park, Young-Guk
    • The korean journal of orthodontics
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    • v.31 no.4 s.87
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    • pp.393-401
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    • 2001
  • The purposes of this study were to assess the treatment results in orthodontic department, Kyung Hee University, to evaluate the occlusion at 2 year follow-up control, in relation to the original malocclusion, and changes occurring in the follow-up period, and to determine whether treatment and posttreatment changes of the PAR index were related to the original Angle classification Dental study casts of 25 patients in permanent dentition were evaluated using Peer Assessment Rating (PAR) index. The PAR index was measured at the pretreatment stage, immediately after treatment, and at 2 yews posttreatment. The following results were obtained : 1. The treatment reduced the PAR index by 85.05% and it indicates that KHDC clinic has a high standard of treatment 2. The follow-up result of 75.40% PAR score reduction implies a gain of 9.55% of posttreatment PAR score during follow-up period. 3. There is no relationship between the treatment changes of the PAR index and the orignal Angle classification.

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Optimum Field Size for the Whole Body Stereotactic Radiosurgery (전신 정위 방사선 치료시의 적정 조사면 크기)

  • 이병용;민철기;정원규;최은경
    • Progress in Medical Physics
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    • v.13 no.1
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    • pp.15-20
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    • 2002
  • Optimum field size for the whole body stereotactic radiosurgery was studied. Dose distributions from the various sizes of targets (diameter 1cm to 7cm, icm interval) were used for this study. Planing scores, expressed as the Target Coverage Index (TCI), were calculated for various target Margin ranged 0cm to 0.5cm. Highest scores were obtained for no Margin to the target size. The target Margin -0.5cm to 0cm to the target showed best TCI the cases of the target size larger than 6cm diameter. No Margin or 0.5cm Margin generated best TCI for less than 2cm cases. Prescription to 80~90% gives best results.

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욕창의 외과적 치료

  • Lee, Dae-Hun;Jeong, Yeong-Sik;Choe, Si-Ho;Seol, Jeong-Hyeon
    • Journal of Yeungnam Medical Science
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    • v.2 no.1
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    • pp.31-37
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    • 1985
  • 욕창의 발생부위에 따른 수술방법 중 천골부 욕창의 치료에는 천골절골이 필요한 깊은 경우에는 대둔근피판술이, 갚지는 앓으나 광범위한 욕창일 경우에는 하둔대퇴피판술이 가장 성적이 좋았다. 대전자부 욕창의 치료에는 대퇴근막장근근피판술이 가장 성적이 좋았으며, 슬관절부 욕창의 치료에는 비복근판술 후 피부이식방법이 좋은 결과를 초래하였으며, 종골부 창상치료에는 발꿈치의 외후면 재건시는 lateral calcaneal flap이 좋으며, 종골절골이 필요치 않은 heel pad 재건시는 족저부 근막피판술이, 종골절골이 필요한 heel pad 재건에는 족지단골근근판술이 가장 좋은 성적을 가져 왔기에 문헌고찰과 함께 보고하는 바이다.

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Types of literary therapy's subjective perceptions utilized by Q-methodology (Q-방법론을 활용한 문학치료에 대한 주관적 인식 유형)

  • Park, Jeong Hye;Choi, Kyoungho
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.6
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    • pp.1465-1477
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    • 2015
  • In Korea, the word, 'Literary Therapy' can be replaced by 'Bibliotherapy', 'Journal Therapy', 'Writing Therapy', 'Poem Therapy', 'Integrated Literary Therapy', or 'Imaginary-Oriented Poetry Therapy', and so on. This study, intended on people related to literary therapy, uses Q-methodology as useful research method of objectifying abstract concepts which can be perceived differently according to individual experience or perception, to investigate types of literary therapy's subjective perceptions. The result of study can be analyzed by four types: The first type is 'Pursuing Generalization', the second type is 'Considering the Therapist', the third type is 'Emphasizing the Integration', and the forth type is 'Maximizing the literary therapy'. Through this result of the study, we can find the responsibility of literary therapy as a leader of cultural, artistic therapy to break down various pathological situations which contemporary society have.

Evaluation of the efficiency of the Vac-lock type belly board in Pelvic cancer Radiation Treatment (골반부 방사선치료 시 자체 제작한 Vac-lock type belly board에 대한 유용성 평가)

  • Kim, YoungYeun;Bang, Seungjae;Jung, Ilsun;Kim, Jungsu;Kim, YoungKon
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.1
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    • pp.37-42
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    • 2014
  • Purpose : At the time of the pelvis cancer radiation treatment using the belly board, set-up error is large because of a prone position. In order to improve the reproducibility, we made Vac-lock type belly board. In this study, we attempt to validate its utility. Materials and Methods : We compared belly board and Vac-lock type belly board through the OBI. OBI was performed three times with entire course of treatment and the setup errors in the direction of X axis, Y axis, Z axis were recorded and calculated the distance from the isocenter. Results : X axis, Y axis, Z axis setup errors with existing belly board were 0.32 cm, 0.41 cm, 0.29 cm. The setup errors with the vac-lock type belly board were 0.12 cm, 0.19 cm, 0.17 cm. Further, errors of 0~0.29 cm were increased from 48% to 83% when using VLT belly board. Error of 0.5 cm or more was reduced from 21% to 2%. Conclusion : Vac-lock type belly board is able to maintain the efficacy of existing and create to match the characteristics of the patient. Therefore We think that vac-lock type belly board is very useful in pelvic cancer patients.

Effect of Sensory Integration Therapy Combined with Eye Tracker on Sensory Processing and Visual Perception of Children with Developmental Disabilities (아이트래커를 병행한 감각통합치료가 발달장애아동의 감각처리 및 시지각에 미치는 영향)

  • Kwon, So-Hyun;Ahn, Si-Nae
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.3
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    • pp.39-53
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    • 2023
  • Objective : The purpose was the effect of sensory integration therapy combined with an eye tracker on the sensory processing and visual perception of children with developmental disabilities. Methods : It was a single-subject study with a multiple baseline design between subjects, and the intervention applied sensory integration therapy combined with an eye tracker. Visual-motor speed and saccadic eye movements were assessed at each session of baseline and intervention periods. As pre- and post-evaluation, sensory profile, Korean-Developmental Test of Visual Perception and Trail Making Test were conducted. The results of each session evaluation and pre- and post-evaluation researched the effectiveness of the intervention through visual analysis and trend line analysis. Results : As a result of the evaluation for each session, the slope of the trend line for all children in visual-motor speed and saccadic eye movement increased sharply during the intervention compared to the baseline. As a result of the pre- and post-evaluation, the sensory processing of movement, body position, and visual changed from more than that of peers to a level similar to that of peers. In visual perception, all children's ability of Visual Closure increased. As a result of Trail Making Test conducted to confirm the improvement of children's visual tracking and visual-motor abilities, all children showed a decrease in performance time after the test compared to before. Conclusion : It was confirmed that sensory integration therapy combined with an eye tracker for developmental disabilities has effect on sensory processing and visual perception. It is expected to play an important role clinically as it can stimulate children's interest and motivation in line with recent technological improvements and the spread of smart devices.

6-months Prospective Follow-up Study of Panic Disorder Treatment (공황장애 환자 치료 결과에 대한 6개월간의 전향적 추적조사)

  • Yu, Je-Chun;Lee, Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.58-65
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    • 2001
  • Objectives : It is well known that pharmacologic and behavioral therapies of panic disorder show remarkable acute treatment outcome, however the course of panic disorder in clinical settings is often chronic and relapsing. The purpose of this study is to investigate the treatment outcome of panic disorder and the factors related to good treatment outcome by prospective follow-up study after 6 month in clinical settings. Methods : Twenty nine patients were diagnosed to have panic disorder by SCID(Structured Clinical Interview for DSM-III-R), among the patients who had visited the psychiatric out-patients clinic of the Asan Medical Center for the first time. We determined the initial clinical and demoraphic features of each patient and reevaluated them after 6 months, investigating the treatment outcome by anxiety, phobia, impairment scales. We looked into the rate of the patients who showed good treatment outcome and determined the factors that had relation with good treatment outcome among demographic and clinical features. Results : Nineteen out of 29 patients could be followed after 6 months. Among them, 10 patients 52.6%) on the impairment scale and phobia scale each, and 8 patients(42.1 %) on the anxiety scale showed good treatment outcome. 8 patients(42.1 %) showed good treatment outcome on the all three scales. High score in initial phobia scale had significant relation with good treatment outcome. Short duration of illness did not have significant relation with good treatment outcome however there was a trend(p=0.07). Conclusion : About half(42.1 %) of the panic disorder patients showed good treatment outcome on all three scales. Severe initial phobic symptom and short duration of illness were expected to have relation with good treatment outcome.

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Reproducibility evaluation of the use of pressure conserving abdominal compressor in lung and liver volumetric modulated arc therapy (흉복부 방사선 치료 시 압력 기반 복부압박장치 적용에 따른 치료 간 재현성 평가)

  • Park, ga yeon;Kim, joo ho;Shin, hyun kyung;Kim, min soo
    • The Journal of Korean Society for Radiation Therapy
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    • v.33
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    • pp.71-78
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    • 2021
  • Purpose: To evaluate the inter-fractional position and respiratory reproducibility of lung and liver tumors using pressure conserving type(P-type) abdominal compressor in volumetric modulated arc therapy(VMAT). Materials and methods: Six lung cancer patients and three liver cancer patients who underwent VMAT using a P-type abdominal compressor were included in this study. Cone-beam computed tomography(CBCT) images were acquired before each treatment and compared with planning CT images to evaluate the inter-fractional position reproducibility. The position variation was defined as the difference of position shift values between target matching and bone matching. 4-dimensional cone-beam computed tomography(4D CBCT) images were acquired weekly before treatment and compared with planning 4DCT images to evaluate the inter-fractional respiratory reproducibility. The respiratory variation was calculated by the magnitude of excursions by breathing. Results: The mean ± standard deviation(SD) of overall position variation values, 3D vector in the three translational directions were 1.1 ± 1.4 mm and 4.5 ± 2.8 mm for the lung and liver, respectively. The mean ± SD of respiratory variation values were 0.7 ± 3.4 mm (p = 0.195) in the lung and 3.6 ± 2.6 mm (p < 0.05) in the liver. Conclusion: The use of P-type compressor in lung and liver VMAT was effective for stable control of inter-fractional position and respiratory variation by reproduction of abdominal compression. Appropriate PTV margin must be considered in treatment planning, and image guidance before each treatment are required in order to obtain more stable reproducibility

Development of Movement Analysis Program and its Feasibility Test in Streotactic Body Radiation Threrapy (복부부위의 체부정위방사선치료시 호흡에 의한 움직임분석 프로그램 개발 및 유용성 평가)

  • Shin, Eun-Hyuk;Han, Young-Yih;Kim, Jin-Sung;Park, Hee-Chul;Shin, Jung-Suk;Ju, Sang-Gyu;Lee, Ji-Hea;Ahn, Jong-Ho;Lee, Jai-Ki;Choi, Doo-Ho
    • Progress in Medical Physics
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    • v.22 no.3
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    • pp.107-116
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    • 2011
  • Respiratory gated radiation therapy and stereotactic body radiation therapy require identical tumor motions during each treatment with the motion detected in treatment planning CT. Therefore, this study developed a tumor motion monitoring and analysis system during the treatments employing RPM data, gated setup OBI images and a data analysis software. A respiratory training and guiding program which improves the regularity of breathing was used to patients. The breathing signal was obtained by RPM and the recorded data in the 4D console was read after treatment. The setup OBI images obtained gated at 0% and 50% of breathing phases were used to detect the tumor motion range in crenio-caudal direction. By matching the RPM data recorded at the OBI imaging time, a factor which converts the RPM motion to the tumor motion was computed. RPM data was entered to the institute developed data analysis software and the maximum, minimum, average of the breathing motion as well as the standard deviation of motion amplitude and period was computed. The computed result is exported in an excel file. The conversion factor was applied to the analyzed data to estimate the tumor motion. The accuracy of the developed method was tested by using a moving phantom, and the efficacy was evaluated for 10 stereotactic body radiation therapy patients. For the sine wave motion of the phantom with 4 sec of period and 2 cm of peak-to-peak amplitude, the measurement was slightly larger (4.052 sec) and the amplitude was smaller (1.952 cm). For patient treatment, one patient was evaluated not to qualified to SBRT due to the usability of the breathing, and in one patient case, the treatment was changed to respiratory gated treatment due the larger motion range of the tumor than treatment planed motion. The developed method and data analysis program was useful to estimate the tumor motion during treatment.

OSTEORADIONECROSIS ON MANDIBLE : A CASE REPORT AND LITERATURE REVIEW (하악골에 발생한 방사선골괴사증 증례보고 및 문헌고찰)

  • Park, Jin-Hyuk;Shin, Sun-Ho;Lee, Su-Woon;Kim, Woo-Hyung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.5
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    • pp.458-463
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    • 2006
  • The osteoradionecrosis of the mandible can be a serious complication of radiotherapy for malignancies of the head and neck. The cause and pathogenesis of osteoradionecrosis are unclear and anecdotal. There are various treatment-, patient- and tumor-related risk factors on development of osteoradionecrosis. The treatment of osteoradionecrosis relies on conservative measures (antibiotics, debridement, irrigation and HBO) and surgical measures (sequestrectomy, marginal resection and segmental resection with or without reconstruction). But the indications are not defined. We present the two cases of patients who were not controlled by conservative treatment but good-resulted by surgical treatment.