• Title/Summary/Keyword: 치료효율

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Patellofemoral Joint Injuries in Sports Activity - Conservative Treatment - (스포츠 활동과 연관된 슬개대퇴 관절 손상의 보존적 치료)

  • Chun, Cheol-Hong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.1
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    • pp.9-16
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    • 2006
  • Treatment of patellofemoral joint injuries consist of conservative and surgical methods. Conservative treatemnt is effective in many cases. The goal of rehabilitation of patellofemoral joint injuries is to reestabilish the functional integrity of the affected lower extremity. Each patient presents with diffenent aspects of positive findings. Therefore, individualized treatment for each patient must be applied.

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Fast Join Mechanism that considers the switching of the tree in Overlay Multicast (오버레이 멀티캐스팅에서 트리의 스위칭을 고려한 빠른 멤버 가입 방안에 관한 연구)

  • Cho, Sung-Yean;Rho, Kyung-Taeg;Park, Myong-Soon
    • The KIPS Transactions:PartC
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    • v.10C no.5
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    • pp.625-634
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    • 2003
  • More than a decade after its initial proposal, deployment of IP Multicast has been limited due to the problem of traffic control in multicast routing, multicast address allocation in global internet, reliable multicast transport techniques etc. Lately, according to increase of multicast application service such as internet broadcast, real time security information service etc., overlay multicast is developed as a new internet multicast technology. In this paper, we describe an overlay multicast protocol and propose fast join mechanism that considers switching of the tree. To find a potential parent, an existing search algorithm descends the tree from the root by one level at a time, and it causes long joining latency. Also, it is try to select the nearest node as a potential parent. However, it can't select the nearest node by the degree limit of the node. As a result, the generated tree has low efficiency. To reduce long joining latency and improve the efficiency of the tree, we propose searching two levels of the tree at a time. This method forwards joining request message to own children node. So, at ordinary times, there is no overhead to keep the tree. But the joining request came, the increasing number of searching messages will reduce a long joining latency. Also searching more nodes will be helpful to construct more efficient trees. In order to evaluate the performance of our fast join mechanism, we measure the metrics such as the search latency and the number of searched node and the number of switching by the number of members and degree limit. The simulation results show that the performance of our mechanism is superior to that of the existing mechanism.

Intrapersonal Competency in Music Therapy: Challenges for Education and Clinical Training (음악치료에서의 개인적 역량: 교육과 임상적 훈련에 대한 도전)

  • Chong, Hyun Ju
    • Journal of Music and Human Behavior
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    • v.4 no.2
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    • pp.106-114
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    • 2007
  • Many scholars, clinicians and faculties of music therapy have dealt various issues on educational and clinical curricula for training music therapists. Depending on the philosophical orientations of educational institutes, the emphasis are different. The purpose of this paper is to examine and identify the areas for competency for gaining qualification in music therapy by reviewing the definitions of music therapy from the academic and professional perspectives; discipline-based, practice-based, and intrapersonal competency. The unique characteristics of music therapy as a professional discipline should be reflected in its curriculum and training content. Educational strategies need to be formulated to strengthen intrapersonal competency. The paper also discussed the consequential gains accordant with intrapersonal competency such as personal self-help skills using musical resources and coping with burnouts.

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Head & neck 환자의 방사선치료 시 tongue displacer 사용의 유용성 평가

  • 박용철;박영환;김경태;최지민
    • The Journal of Korean Society for Radiation Therapy
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    • v.14 no.1
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    • pp.1-5
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    • 2002
  • I. 목적 : 방사선 치료 시 최적화된 체내 선량분포를 얻는 것은 정상조직의 장애를 줄이고 종양선량을 높여 치료 효율을 극대화하는데 매우 중요하다. 본원에서는 병변 부위가 한쪽으로 치우친 head&neck 환자 치료 시 정상조직(tongue)을 보호하기 위해 tongue displacer를 만들어 사용한다. 이에 본 저자는 tongue displacer사용의 치료 유용성을 평가 하고자 한다. II. 대상 및 방법 : head & neck 치료 환자 중 병변 부위가 인체의 정중선(MSP)을 기준으로 한쪽으로 치우친 환자를 대상으로 하였다. 사용된 실험재료로는 C-T (high speed advantage, GE,US), RTP System (3D RTP system, prowess, US), 치과용 인상제 주입기(caulk system, quixx, japan), tongue displacer 등이 있다. 실험 방법은 모의 치료나 planning C-T를 시행하기 전에 치료 환자에게 사용할 개인용 tongue displacer를 치과용 인상제로 자체 제작하였다. 제작 후 모의 치료를 시행하고 3D plan을 하기 위해 planning C-T를 촬영하게 되는데 이때 tongue displacer사용 유. 무에 따라 각각 촬영을 하였다. 촬영된 두 가지의 CT영상을 prowess를 이용하여 3D plan을 하게 되는데 이때의 plan parameter나 beam direction등 plan에서의 모든 조건은 모두 동일시하고 선량 분포 및 DVH(dose volume histogram)값을 비교하였다. III. 결과 : tongue displace의 사용 유. 무에 따른 3D plan상의 DVH 비교 결과 tumor volume 주위의 다른 organ들은 모두 비슷한 양상의 DVH를 보였으나 tongue에 있어서 큰 변화를 보였다. tongue displacer를 사용 시, 미 사용시 보다 tongue의 위치를 변화시켜 치료 부위 외의 tongue에 받는 방사선 피폭 면적을 줄일 수 있었고 그 결과 DVH상의 $50\%$ volume이 $16\%$ 정도 줄어드는 것이 확인되었다. IV. 결론 : tongue에 방사선을 조사하면 방사선 부작용으로 mucositis, ulcer, hemorrhage등의 pain(동통)이 수반되므로 치료환자의 음식물 섭취불량으로 체증감소 등 전신 쇠약으로 이어질 수 있다. head & neck 환자 중에서 병소 위치가 한쪽으로 치우쳐서 있을 경우 인상제를 이용하여 tongue displacer를 만들어서 사용하면 tongue 의 위치를 변화시켜 방사선 조사 야에서 제외시켜준다. 그러므로 방사선 치료 시 tongue의 부작용을 최소화 할 수 있고 환자의 방사선 치료 만족도를 높일 수 있다고 사료된다.

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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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The Application of Evaluation of Social Interaction(ESI) on Local Community Base Program for Solitary Senior Citizen (독거노인을 위한 지역사회기반 프로그램에서 사회적 상호작용 평가(ESI)의 적용- 광주지역 독거노인을 중심으로 -)

  • Kim, Jung-Mi;Park, Woong-Sik;Jang, Ji-Yeon
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.2
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    • pp.1-9
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    • 2011
  • Objective : Study purpose is to inspect not only the utility of Evaluation of Social Interaction(ESI) but also the efficiency of occupational therapy measurement in program based local community of solitary senior citizen in G region. Methods : Six solitary senior citizen in G region were participating in a community-based program were a convenience sample for this study. The Occupational Therapy Intervention Process Model (OTIPM) provided the theoretical framework. The ESI provided a pre-test performance measure and also served as a guide for an five-week occupational therapy intervention program, and as a post-test to measure intervention effectiveness. Results : This study showed that the ESI was effective in guiding therapist Intervention related to social skill performance of participants during their participation in a community-based program. As a group, the difference between pre and post ESI logit measures was also significant(t=-7.362, p=0.001). Conclusion : The study provides initial considerations for the utility of the ESI to guide intervention related to social skill performance during daily occupations in Korea. It further documents the effectiveness of the ESI in measuring occupational therapy intervention, based on OTIPM, and supports occupational therapy services provided in a community based program context for those solitary senior citizen.

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A Study of An Efficient Clustering Processing Scheme of Patient Disease Information for Cloud Computing Environment (클라우드 컴퓨팅 환경을 위한 환자 질병 정보의 효율적인 클러스터링 처리 방안에 대한 연구)

  • Jeong, Yoon-Su
    • Journal of Convergence Society for SMB
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    • v.6 no.1
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    • pp.33-38
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    • 2016
  • Disease of patient who visited the hospital can cause different symptoms of the disease, depending on the environment and lifestyle. Recent medical services offered in patients has changed in the environment that can be selected for treatment by analyzing the patient according to the disease symptoms. In this paper, we propose an efficient method to manage disease control because the treatment method may change at any patients suffering from the disease according to the patient conditions by grouping the different treatments to patients for disease information. The proposed scheme has a feature that can be ingested by the patient big disease information, as well as to improve the treatment efficiency of the medical treatment the increase patient satisfaction. The proposed sheme can handle big data by clustering of disease information for patients suffering from diseases such as patient consent small groups. In addition, the proposed scheme has the advantage that can be conveniently accessed via a particular keyword, the treatment method according to patient disease information. The experimental results, the proposed method has been improved by 23% in terms of efficiency compared to conventional techniques, disease management time is gained 11.3% improved results. Medical service user satisfaction seen from the survey is to obtain a high 31.5% results.