• Title/Summary/Keyword: 자가 치료

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A Study on Accuracy and Usefulness of In-vivo Dosimetry in Proton Therapy (양성자 치료에서 생체 내 선량측정 검출기(In-vivo dosimety)의 정확성과 유용성에 관한 연구)

  • Kim, Sunyoung;Choi, Jaehyock;Won, Huisu;Hong, Joowan;Cho, Jaehwan;Lee, Sunyeob;Park, Cheolsoo
    • Journal of the Korean Society of Radiology
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    • v.8 no.4
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    • pp.171-180
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    • 2014
  • In this study, the authors attempted to measure the skin dose by irradiating the actual dose on to the TLD(Thermo-Luminescence Dosimeter) and EBT3 Film used as the In-vivo dosimetry after planning the same treatment as the actual patient on a Phantom, because the erythema or dermatitis is frequently occurred on the patients' skin at the time of the proton therapy of medulloblastoma patient receiving the proton therapy. They intended to know whether there is the usefulness for the dosimetry of skin by the comparative analysis of the measured dose values with the treatment planned skin dose. The CT scan from the Brain to the Pelvis was done by placing a phantom on the CSI(Cranio-spinal irradiation) Set-up position of Medulloblastoma, and the treatment Isocenter point was aligned by using DIPS(Digital Image Positioning System) in the treatment room after planning a proton therapy. The treatment Isocenter point of 5 areas that the proton beam was entered into them, and Markers of 2 areas shown in the Phantom during CT scans, that is, in all 7 points, TLD and EBT3 Film pre-calibrated are alternatively attached, and the proton beam that the treatment was planned, was irradiated by 10 times, respectively. As a result of the comparative analysis of the average value calculated from the result values obtained by the repeated measurement of 10 times with the Skin Dose measured in the treatment planning system, the measured dose values of 6 points, except for one point that the accurate measurement was lacked due to the measurement position with a difficulty showed the distribution of the absolute dose value ${\pm}2%$ in both TLD and EBT Film. In conclusion, in this study, the clinical usefulness of the TLD and EBT3 Film for the Enterance skin dose measurement in the first proton therapy in Korea was confirmed.

Parents' Perceptions of the Music Therapy Children With Disabilities Received in the United Arab Emirates (아랍에미레이트 장애아동 부모의 음악치료에 대한 인식 조사)

  • Kang, Yirak;Bamakhramah, Khadejah Ahmed
    • Journal of Music and Human Behavior
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    • v.18 no.1
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    • pp.63-77
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    • 2021
  • Given that music is not part of the national/regular curriculum and how music therapy is a new endeavor in the United Arab Emirates (UAE), this study aimed to investigate parents' perceptions of the music therapy given to their children with disabilities in the UAE. A survey was administered to 33 parents of children with disabilities living in Sharjah, UAE. The survey consisted of 43 questions related to characteristics of the music therapy sessions that the participants' children received and the parents' satisfaction with their children's music therapy. The results showed that participants reported a high level of satisfaction with the music therapy provided to their children. In terms of their participation in music therapy sessions, 33.3% of parents co-participated in music therapy sessions with their children, and 45.5% of parents observed their children's sessions. Parents who had direct participation in music therapy sessions were significantly more satisfied with their children's music therapy (p < .05) and perceived greater positive changes in their children as a result of the therapy (p < .05). Parents perceived their children as being able to positively respond to music, leading to positive changes in behavior. Despite these benefits, participants also reported the need for formal opportunities for family members to learn about the applications and outcomes of music therapy. The findings of this study supports the implementation of music therapy throughout the UAE and point to the need for future studies as music therapy expands across the country.

A Case Study of Group Music Psychotherapy for Improving Adolescents' Awareness of the Motivation Behind Their Excessive Online Gaming (게임 과몰입 청소년의 게임 이용동기 인식을 위한 그룹 음악심리치료 사례)

  • Song, Jisun
    • Journal of Music and Human Behavior
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    • v.17 no.2
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    • pp.1-28
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    • 2020
  • This case study aimed to investigate changes in adolescents' awareness of the motivation behind their excessive internet gaming after group music psychotherapy. Five middle school students participated in six 60-minute group sessions over 4 weeks. The group music psychotherapy program was developed to help participants understand their implicit reasons for excessive internet gaming. Verbal responses were obtained from pre-program and post-program interviews and original lyrics created by participants during program were collected for analysis. Obtained data were analyzed in terms of emotional and cognitive aspects in relation to the participants' awareness of the motivation behind their excessive gaming. The results showed that song writing as creative musical process allowed participants to be aware of positive and negative influence of gaming on themselves and express their motivation to change their perception on gaming behavior. Also, the participants reported that the use of musical product for their daily lives could be an effective coping strategy to manage their gaming behaviors and an alternative for gaming. The findings from this study support that group music psychotherapy can be an effective approach to promote awareness of adolescents' motives for excessive internet gaming and to help adolescents better manage their gaming behaviors.

Tea Culture Therapy Program for the Improvement of Self-Esteem of the Offenders Monitored by GPS System -Targeted on the Sex Offenders Probationers in - (전자발찌 착용 대상자의 자아존중감 향상을 위한 차문화치료 프로그램의 효과성 연구 -의 보호관찰 성범죄자를 대상으로-)

  • Kim, In-Sook
    • Journal of Digital Convergence
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    • v.13 no.6
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    • pp.307-315
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    • 2015
  • The purpose of this study is to apply a probation and tea culture therapy convergence program developed for the self-esteem improvement and recidivism prevention of sex offenders supervised by GPS electronic monitoring(wearing electronic anklet). After applying the tea culture therapy program, this study examines the effect of the program on the self-esteem improvement of sex offenders with electronic anklet. This study employs an integrative approach of qualitative and quantitative methods. It was shown from the qualitative analysis that the participants have considerably more positive attitudes, active participation, seriousness in interpersonal relationship, anger management, and sympathy after the program. The results from quantitative analysis indicate that the self-esteem of participants are significantly improved.

즉발감마선을 이용한 70MeV 양성자선량 급락지점 위치 측정에 관한 연구

  • Seo, Gyu-Seok;Kim, Jong-Won;Kim, Ju-Yeong;Min, Cheol-Hui;Jo, Seong-Gu;Kim, Chan-Hyeong
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2005.04a
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    • pp.100-102
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    • 2005
  • 양성자 빔을 이용한 치료는 종양부위에 높은 선량을 균일하게 전달하고 정상세포에는 적은 선량을 전달할 수 있어 암치료 효과가 높으나 정확한 치료와 환자의 안전을 위해서는 양성자선량의 급락지점을 정확히 아는 것이 중요하다. 본 연구에서는 양성자와 물질과의 핵반응으로 직각방향으로 방출되는 즉발감마선을 측정하여 양성자선량 급락지점을 측정할 수 있는 검출시스템을 몬테칼로 전산코드로 전산모사하였으며, 70MeV 단일에너지 빔과 최대에너지가 70MeV인 SOBP 빔을 모의피폭체인 물팬텀에 조사하고 검출시스템을 통해 직각방향으로 방출되는 즉발감마선의 분포를 계산하였다. 모의피폭체 안에서의 양성자선량의 분포와 측정된 즉발감마선의 분포를 서로 비교하여 두 분포 사이의 상관관계를 찾고 이 상관관계를 이용하여 양성자선량 급락지점을 결정할 수 있음을 확인할 수 있었다.

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치료중 실시간 모니터링을 위한 투과형 빔측정장치 개발

  • Kim, Jae-Hong;Swanepoel, M.W.;Dekock, E.A.;Park, Yeon-Su;Yang, Tae-Geon
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.08a
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    • pp.315-315
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    • 2010
  • 양성자 빔을 이용하여 두경부 암 치료를 South Africa의 iTHEMBA에서 시행하고 있다. 200 MeV의 양성자 빔라인으로부터 진공에서 대기로 인출하여 노즐을 통과하여 종양세포에 조사된다. 치료계획에 적합하게 빔에너지와 모양을 변환하고, 빔을 모니터링하는 기계적 장치들이 노즐에 구성된다. 빔라인에는 이온챔버, Steering Magnet, Multi-wire 이온챔버, Range trimmer plates, lead scattering plate, Double-wedge energy degrader, Multi-layer Faraday cup, Range modulator, Range monitor, occluding ring, Shielding collimators, Quadrant and monitor ionization chamber, Treatment collimator, 그리고 Wellhofer dosimetry tank로 구성되어 있다. 총길이는 6.6m이며 노즐 끝에서 환자의 isocenter 까지는 30cm 정도 아래에 위치한다. 상기의 배치를 갖는 시스템의 양성자 scattering system의 성능을 MCNPX v2.5.0 Monte Carlo simulation을 실시하였다. 또한 정확한 선량을 실시간으로 측정하는 방법인 투과형 검출기를 개발하여 치료와 빔 특성을 동시에 수행하는 기술개발연구가 보고되고 있다. 본 연구에서는 Multileaf Faraday Cup (MLPC) 검출기 설계구조와 데이터 측정방법에 관한 연구를 수행하고자 한다. 빔의 전송 방향으로 3개층의 $4{\times}4$ 배열의 구조로 48 channel의 전류값을 측정하여 입자빔의 분포를 실시간으로 관측하고, 측정된 전류는 ADC를 거쳐 치료계획에 의해 선택된 영역의 SOBP를 유지하도록 range modulation propeller를 조절하는 feed-back system을 갖춘 방사선치료빔 실시간 측정장치 개발에 관한 결과를 보고하고자 한다.

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The Immediate Effects of Pectoralis Minor Self-stretching Exercise on Muscle Length and Acromio-humeral Distance in Normal Adults (작은가슴근 자가 신장운동이 정상 성인의 작은가슴근 길이와 봉우리-위팔 거리에 미치는 즉각적인 효과)

  • Nam, Seung-Min;Kim, Kyoung;Lee, In-Gyu;Lee, Do-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.380-386
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    • 2019
  • Shoulder joint pain is a very common musculoskeletal disorder, in which about 20 percent of adults experience it more than once in their lives. In this study, an objective assessment was made that subacromial space was increased by pectoralis minor stretching exercise, which has a positive effect on impingement syndrome and shoulder pain. Also, This study examined the effects on pectoralis minor length(PML) and acromio-humeral distance(AHD) following pectoralis minor self-stretching exercise in normal adults. In this study, a total of 30 subjects were recruited and randomly divided into a self-stretching exercise group(n=15) and manual stretching exercise group(n=15) to compare the immediate effects of treatment. Studies have shown that both groups have significantly increased both PML and AHD within the group(p<.05). There was no statistically significant difference in the comparison between the groups(p>.05). The results suggest that self-stretching exercise can be recommended as a treatment method for impingement syndrome and prevention of shoulder disease.

The Effects of Developmental Bibliotherapy in School : In the Case of the Model School (발달적 독서치료 프로그램 운영의 효과 - 시범학교의 사례연구 -)

  • Kwon, Eun-Kyung
    • Journal of the Korean Society for Library and Information Science
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    • v.41 no.1
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    • pp.139-164
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    • 2007
  • This paper analyzed the effects of group bibliotherapy in junior high school assigned by Daegu Metropolitan Office or Education as a model school. Seventy seven students haying problems were selected and divided into the two different programs which developed for internalizing problems and externalizing problems respectively. Each bibliotherapy program has been carried out 15 times. The effects of two programs were proved positive and statistically significant. The effect of each program were differ from the other, owing to the purpose and reading materials. The study skewed bibliotherapy are more effective for students having internalizing Problems and female students. Bibliotherapy also affected student's reading attitude. In order to reach self bibliotherapy, developmental bibliotherapy should be connected to the reading guidance.

Problematized obesity and standardization of treatment: Multiple translation in lapband surgery network (문제화된 비만과 치료의 표준화 과정: 랩밴드 수술 연결망에서의 다중번역)

  • Han, Gwang Hee;Kim, Byoung Soo
    • Journal of Science and Technology Studies
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    • v.13 no.2
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    • pp.137-172
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    • 2013
  • Globally, awareness about obesity is increasing rapidly. In Korea, obesity is recognized as a disease and steps are being taken to treat it. From the health governance point of view, such standardized measures amplify the risk of obesity and thus play an important part in the prevention of the disease. In this context, various obesity treatments act as a medium for the problem-solving process. In recent years, obesity surgery has been viewed as a rational solution to the problem of obesity. In the context of standardization of treatment, Callon's "Process of Translation" in STS theories highlights the importance of the central actor (Obligatory Passage Point; OPP). However, in the case of obesity, it is difficult to identify a single OPP to project different perspectives of an actor's needs. "Lapband surgery" often acts as a "boundary object" in this context. This article assesses this absence of central actors in the process of problem solving through a case study of adoption of Lapband surgery in Korea. Further, we attempt to suggest an analytical framework with a boundary object and multiple translation concepts to aid solving the problem of obesity.

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The Effect of Processing Parameters to Manufacture Self-healing Microcapsules for Composite Materials (복합재료의 자가 치료용 캡슐 제작시 공정 변수들의 영향)

  • Yoon, YoungKi;Yoon, HiSeak
    • Journal of the Korean Society for Precision Engineering
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    • v.18 no.4
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    • pp.135-141
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    • 2001
  • An experimental study to find the effect of processing parameters for self-healing microcapules is performed. These microcapsules can be applied to accomplish the healing of delamination damage in woven E-glass/epoxy composites. This paper introduces the self-healing concept and presents a method for solving the microcapsule size and shape. Additionally, processing parameters are varied during the formation of microcapsules and these capsules are observed through optical microscope. To obtain thermogravimetric(TG) curve for the manufactured microcapsules, TGA tests are executed. From these results, the best processing conditions for the formation of capsules are found as follows: (1) temperature of solution $ 50^{\circ}C$, (2) potential of hytdrogen(pH) 3.5ppm, and (3) agitation 500~600rpm.

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