• Title/Summary/Keyword: 치료형태

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An Action Research of Bibliotherapy Supervision for Improvement of Bibliotherapeutical Effects (독서치료 효과 증진을 위한 수퍼비전 실행 연구)

  • Lim, Seong-Gwan
    • Journal of the Korean Society for Library and Information Science
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    • v.45 no.1
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    • pp.149-167
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    • 2011
  • The research started with the idea that the proper supervision of bibliotherapy would improve its therapeutic effect. Revealing therapeutical effect is, to therapists more than just therapy process itself. Bibliotherapists, however not only feel the pressure by the term 'therapy' and have a low conviction over self-activating therapy. Therefore, the therapeutic value of bibliotherapy has not been well approved, and the need for improving the situation has grown among bibliotherapists. The bibliotherapy supervising action research was triggered by such need. This research takes the form of interpretive action research which emphasizes a 'methodical' approach to the research process. The purpose is to observe the problems of supervisees, make each session better, and help both the researcher and participants during the research process.

A STUDY ON PROFILE CHANGE OF SKELETAL CLASS III MALOCCLUSION PATIENTS AFTER WEARING PROTRACTION HEAD GEAR (골격성 제III급 부정교합 환자에서 상악골 전방견인장치 사용후 측모 변화에 대한 연구)

  • Lim, Joong-Ki;Park, Young-Chel
    • The korean journal of orthodontics
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    • v.25 no.4
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    • pp.375-401
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    • 1995
  • Cause of skeletal Class III malocclusion in growing patients can be classified into maxillary deficiency, mandibular overgrowth, and combination of the two. Use of Protraction Head Gear(P.H.G.) has been recommended for treatment of growing Class III malocclusion patients, for it results in forward & downward movement of maxilla and backward & downward rotation of mandible. Numerous animal experiments were performed and clinical study data have been reported ; nevertheless, studies on soft tissue profile change and comparison of treatment effects among the patients who had undergone treatment are considered to be somewhat insufficient. The author selected 93 patients, who had been diagnosed as skeletal Class III malocclusion with maxillary deficiency and then treated with P.H.G. ; the sample group was divided according to sex, treatment beginning age, palatal suture opening(intraoral appliance), and facial growth pattern. For each group, changing patterns of hard and soft tissue profile observed, and comparision with 20 normal group(Angle's Class I) patients of statistical significance in amount of growth and treatment of hard and soft tissue was done. The following results were obtained. 1. Skeletal, dental, and soft tissue measurements indicated that more growth changes was induced in the sample group that used P.H.G. compared to the growth amount of normal group. 2. No statistical significance was observed in the amounts of maxillary forward movement and mandibular backward & downward rotation depending on treatment beginning age in both sex group. 3. R.P.E. showed more significant maxillary forward movement and less protrusion of upper incisor than La-Li. 4. There was no statistical significance in the amount of maxillary forward movement depending on facial growth pattern. On the other hand, measurements indicating mandibular downward & backward rotation indicated greater change in counterclockwise growth pattern group than the clockwise. 5. Changes in upper and lower lip thicknesses showed a close relationship with positional changes in underlying bone tissue and upper and lower teeth, and upper lip height and nasolabial angle increased and mentolabial angle decreased.

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The Evaluation of Usefulness of the Manufactured DTAB (Double Tilt Angle Board) System (Double Tilt Angle Board (DTAB)의 자체 제작에 관한 유용성 평가)

  • Lee, Joung-Jin;Jang, In-Gi;Kim, Wan-Sun
    • The Journal of Korean Society for Radiation Therapy
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    • v.18 no.1
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    • pp.43-51
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    • 2006
  • Purpose: To resolution of A hospital-handmade modification double tilt angle immobilization system (DTAB immobilization system) and to report the clinical results of it. Material and Methods: It was developed in conjunction with the breast board for patients unable to achieve and maintain the desired uncomfortable respiration and position of set-up needed in the treatment of RT (This custom design provides an alternative to accomplishing this desired head angle needed to relax position treatment area, realizing that the lenses totally protected eye-ball out) By using the angled breast board and SBDD(small bowel device), reproducibility of set-up and patient comfort were addressed throughout the simulation, computed tomography planning and treatment process. Results: Usually patients the error range-within 5 mm. When use of Aqua patients error range-within 3 mm. Conclusion: It was constructed in tandem with a unique custom-built double tilt angle board (DTAB). It was designed to eliminate clinical set-up problems with head immobilization and instability during treatment, thus providing for a more comfortable head rest for the patient.

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An Analysis of Domestic and International VR Technology in Phobia Treatment (가상현실 기술을 이용한 공포증 치료의 국내외 동향 분석)

  • Kim, Seul-ki;Suk, Hae-jung
    • Cartoon and Animation Studies
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    • s.41
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    • pp.307-336
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    • 2015
  • Virtual reality technology is one of the important technologies that will affect our life in many ways. This novel technology will draw new paradigm into the medical field due to its advantages in physical safety and environment that are fully controlled. Phobia treatment using VR technology has been implemented and its feasibility has been proved through a number of researches in many institutions. This study has observed the current progress of its technology environment and the trend of research. Also, This study has analyzed the results from domestic and international data. Analysis shows that other countries are ahead of korea in all aspects of the phobia treatment using virtual reality method. Although the authors limited the kinds of journals, the amount of quantity in international researches are two times more than domestics. Also, The researchers in other countries concentrate on the multi-modal studies. To use virtual reality in the phobia treatment, we need to understand the needs of the society members and the government has responsibility to support what the researchers need.

Ophthalmology PACS of Interlligent Image Diagnosis and Theraphy-Support System (안과 PACS의 지능형 영상진단 및 치료지원 시스템)

  • Bae, Seok-Hwan;Kim, Yong-Kwon;Lee, Moo-Sik;Kim, Ji-Jin;Lee, Bo-Woo;Yoo, Se-Jong
    • Proceedings of the KAIS Fall Conference
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    • 2012.05a
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    • pp.72-75
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    • 2012
  • 본 연구는 2011년 8월 12일부터 8월 17일까지 일개 광역시에 대학병원에서 근무하는 안과인턴, 레지던트, 전문의, 방사선사, 안경사, 간호사를 대상으로 안과 PACS의 지능형 영상진단 및 치료지원 시스템 구축을 위한 사용자 요구도 조사를 실시하였다. 구성 대상은 의사 7명(38.9%), 의료기술직 4명(22.2%) 간호사 3명(16.7%), 기타 4명(22.2%)로 나타났다. 안과 PACS 도입 시 가장 중요한 부분으로 8(44.4%)명이 편리성이라고 하였고, 안과 PACS Viewer 중요분야는 9(50.0%)명이 편리한 기능이라고 하였다. 안과 PACS Viewer 필요분야에서 가장 필요한 분야는 14(77.8%)명이 망막분야라고 하였다. 이는 망막 검사의 대부분이 영상을 이용한 진단이 활용되어 있어 나타나 결과로 볼 수 있었다. 안과 PACS Viewer의 환경 관련 문항에서 검사 환자 리스트에서 가장 중요한 것은 생년월일, 부위 ,장비명이었으며, Annotation 및 사진 편집기능에서는 길이측정, 선 및 화살표 삽입, 글자입력으로 진료 및 치료에 직접적인 영향을 미치는 부분을 가장 중요한 환경 구성으로 응답하였다. 안과 PACS의 지능형 영상진단 및 치료에 대한 지원 시스템 구성은 기존 PACS에서 이루어져 있는 Viewer 형태의 UI 구성보다는 더 세밀하고 정확한 진단을 요하는 길이, marking, 장비의 특성, Color Palette 변화, Multi Modality Image Display를 요구하고 있다. 앞으로 방사선 분야의 기존 Viewer 형태의 PACS UI 구성보다는 각 분야에 맞는 PACS UI를 구축함으로써 더 정확하고 지능화된 영상 진단 및 치료 지원을 할 수 있어야 하겠다.

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A study on Differences of Burnout, Job stress by General Characteristics of Nurses (간호사의 일반적 특성에 따른 소진, 직무스트레스의 차이에 관한 연구)

  • Ko, Hyun-Min
    • Proceedings of the Safety Management and Science Conference
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    • 2013.04a
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    • pp.337-353
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    • 2013
  • 의료서비스산업은 인구 고령화, 소득 증대, 건강보험의 보장성 강화 등으로 시장이 급속히 확대되는 추세이다. 의료서비스산업의 대다수를 차지하는 것은 병원으로, 병원은 의사, 의료기사, 간호사, 행정직 등 전문적이고 다양한 직종의 종사자들의 협동작업을 통해 환자들에게 의료서비스를 제공하는 조직이다. 간호사는 많은 직무를 담당하고 있는 다양한 전문 인력 중에서 병원인력의 40%를 차지하고 있으며, 환자에게 제공되는 대부분의 서비스인 치료와 간호업무를 담당하고 있다. 병원인력의 다수를 차지하고 있는 간호사의 잦은 이직과 낮은 생산성은 환자의 치료와 간호업무에 지장을 줄 수 있는데, 소진과 직무스트레스가 간호사의 이직과 생산성에 영향을 주는 것으로 나타나고 있다. 이에 본 연구는 간호사의 일반적 특성에 따른 소진과 직무스트레스의 차이를 연구하여, 간호사 개인 맞춤별 내부마케팅 자료로 활용하고자 한다. 간호사의 일반적 특성에 따른 소진과 직무스트레스의 차이는 첫째, 소진에 차이가 있는 일반적 특성으로는 연령, 결혼, 근무형태, 직위, 간호사 경력, 근무처, 병상 수로 나타났으며, 둘째, 직무스트레스에 차이가 있는 일반적 특성으로는 연령, 학력, 결혼, 근무형태, 간호사 경력, 근무처, 병상 수로 나타났다.

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Regenerative Endodontic Treatment of Infected Immature Permanent Teeth with Dens Invaginatus : A Report of Two Cases (치내치를 동반한 감염된 미성숙 영구치의 재생형 근관치료)

  • Shin, Gayoung;Lee, Kwanghee;An, Soyoun;Song, Jihyun;Heo, Narang;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.2
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    • pp.188-196
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    • 2015
  • Endodontic management of an immature permanent tooth with dens invaginatus poses a challenge to efficient treatment planning for the clinicians. Because it is difficult to shape, disinfect, and seal the canal space effectively, teeth with complex root canal structures often require particularly extensive and thorough treatment approaches. The purpose of this case report was to share clinical insight from the results of short-term follow-ups after regenerative endodontic treatment with a dens invaginatus. Two immature maxillary lateral incisors with Oehlers type I and III dens invaginatus and infected necrotic pulp were treated using regenerative endodontic procedures. For the type III dens invaginatus case, an unusual approach toward redesigning the complex internal structure was taken, in order to have sufficient infection control and sealing. Cone-beam computed tomography (CBCT) and a surgical operating microscope were used to aid visualization and treatment. As a result, regenerative endodontic treatment appears to be effective for managing immature permanent teeth with complex dens invaginatus, and can lead not only to clinical and radiographic resolution, but also increased thickness of the dentinal walls.

The stability in the adolescent Class III malocclusion treated by fixed appliances (성장기 III급 부정교합의 고정식 교정 치료 후의 안정성)

  • Lim, Yong-Kyu;Lee, Joo-Na;Kim, Joeng-Il;Lee, Dong-Yul
    • The korean journal of orthodontics
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    • v.34 no.4 s.105
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    • pp.313-324
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    • 2004
  • The Purpose of this study was to investigate the predictors of relapse in orthodontic treatment of skeletal Class III malocclusion in growing patients. A total of 55 patients were studied and all subjects were divided into two groups according to their stability in the post-treatment stage. Of the sample, 33 patients were included in the stable group and the remaining 22 were assigned to the relapse group. Cephalometric data of the pre-treatment stage was taken and compared between the stable and relapse group. The following results were obtained through t-test: 1. This study presented statistical evidence to show that the major skeletal determinant of prognosis in Class III orthodontic treatment was not anteroposterior discrepancy .but vertical discrepancy, especially within the AB-maxillo mandibular triangle. Vertical angular measurements that showed statistically significant differences were AB-MP and ODI(P<0.01) and the vortical ratio measurements were MP-P/AL and PP-P/AL(P<0.05). 2. Relapse tendency increased with the steep occlusal Plane, especially the steep lower occlusal plane. As to occlusal plane, there were statistically significant differences in OP(L)-PP, OP-PP, AB-OP(L) and Wits appraisal(P<0.05). This study claimed that anteroposterior discrepancy was not necessarily the proper criteria to predict relapse. Vertical discrepancy had a significant effect on post-treatment stability.

Analysis of Absorbed Dose on the Nucleus Size Change of Single Cells using Therapeutic Radioisotopes (치료용 방사성동위원소 사용 시 단일 세포의 핵 크기 변화에 따른 흡수선량 분석)

  • Uoo-Soo, Kim;Yong-In, Cho
    • Journal of the Korean Society of Radiology
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    • v.16 no.7
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    • pp.1007-1014
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    • 2022
  • Targeted radionuclide therapy (TRT) is a method of treating tumor cells using radiopharmaceuticals. Cells and nuclei constituting tissues of the human body are composed of spherical and oval shapes, but cancer cells are composed of various cell types. Therefore, this study analyzed the absorbed dose for each organelle according to the change in the size of the cell nucleus for beta-emitting nuclides during targeted radionuclide therapy through the Monte Carlo method. Cells were set in two sphere shapes, 5 ㎛ and 10 ㎛, and the internal structure was divided into cell nucleus, cytoplasm, and cell surface. Next, the absorbed dose according to the increase in the size of the cell nucleus was evaluated. As a result, 177Lu among the target radionuclides showed the highest dose in all cell compartments. As the ratio of the nucleus in the cell increased, the absorbed dose on the cell surface increased, but the absorbed dose in the cytoplasm and nucleus tended to decrease. Accordingly, it is judged that it is important to select a radionuclide considering the size of cancer cells and determine an appropriate amount of radioactivity during targeted radionuclide treatment.

A study of morphology of mandibular symphysis and location of lower incisor under the influence of the craniofacial skeleton in skeletal Class III malocclusion (골격성 III급 부정교합자의 두개안면형태에 대한 하악이부의 형태 및 하악절치의 위치에 대한 연구)

  • Kim, Seong-Sik;Park, Je-Uk;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.28 no.5 s.70
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    • pp.763-774
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    • 1998
  • The purpose of this study was to evaluate the morphology of mandibular symphysis and location of lower incisor under the influence of the craniofacial skeleton in skeletal Class III malocclusion. The sample consisted of 132 adults who have severe Class III malocclusion(prognathism group, 33 males and 33 females), and who have normal occlusion(normal group, 33 males and 33 females). They had not received any orthodontic treatment or orthognathic surgery. The lateral cephalograms were evaluated. The results were as follows : 1. Prognathism group were larger than normal group in comparison of facial skeleton (p<0.05) with the exception of ${\angle}FH-Pal$, ${\angle}SNA$. 2. In the morphology of symphysis, measurements of anteroposterior width(LaABBW, LiABBW, SW) of prognathism group were significantly less than that of normal group(p<0.001). 3. In the correlative analysis between the craniofacial skeleton and symphysis measurements of prognathism group, vertical measurements in relation with cranial base and mandibular plane showed reverse correlationship with anteroposterior width of symphysis(LiACBW, LaACBW, LiABBW, SW)(p<0.05). But, there was not distinct difference between horizontal skeletal measurements and symphysis measurements(p>0.05). 4. The probability by regression test between vertical measurements(${\angle}SN-Mn,\;{\angle}FMA,\;{\angle}Pal-Mn,\;{\angle}LFH$) and symphysis measurements(LiACBW, LiABBW, SW, ${\angle}LISA$) were very high(p<0.001).

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