• Title/Summary/Keyword: 치료 방법

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Dosimetric Comparison of Intensity Modulated Radiation, Proton Beam Therapy and Proton Arc Therapy for Para-aortic Lymph Node Tumor (대동맥림프절 종양에 대한 세기조절방사선치료, 양성자치료, 양성자회전치료의 선량 비교평가)

  • Kim, JungHoon
    • Journal of radiological science and technology
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    • v.37 no.4
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    • pp.331-339
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    • 2014
  • To test feasibility of proton arc therapy (PAT) in the treatment of para-aortic lymph node tumor and compare its dosimetric properties with advanced radiotherapy techniques such as intensity modulated radiation therapy (IMRT) and conventional 3D conformal proton beam therapy (PBT). The treatment plans for para-aortic lymph node tumor were planned for 9 patients treated at our institution using IMRT, PBT, and PAT. Feasibility test and dosimetric evaluation were based on comparisons of dose volume histograms (DVHs) which reveal mean dose, $D_{30%}$, $D_{60%}$, $D_{90%}$, $V_{30%}$, $V_{60%}$, $V_{90%}$, organ equivalent doses (OEDs), normal tissue complication probability (NTCP), homogeneity index (HI) and conformity index (CI). The average doses delivered by PAT to the liver, kidney, small bowel, duodenum, stomach were 7.6%, 3%, 17.3%, 26.7%, and 14.4%, of the prescription dose (PD), respectively, which is higher than the doses delivered by IMRT (0.4%, 7.2%, 14.2%, 15.9%, and 12.8%, respectively) and PBT (4.9%, 0.5%, 14.12%, 16.1% 9.9%, respectively). The average homogeneity index and conformity index of tumor using PAT were 12.1 and 1.21, respectively which were much better than IMRT (21.5 and 1.47, respectively) and comparable to PBT (13.1 and 1.23, respectively). The result shows that both NTCP and OED of PAT are generally lower than IMRT and PBT. This study demonstrates that PAT is better in target conformity and homogeneity than IMRT and PBT but worse than IMRT and PBT for most of dosimetric factor which indicate that PAT is not recommended for the treatment of para-aortic lymph node tumor.

Clinical Analysis for Thymic Carcinoma (흉선암의 임상적 고찰)

  • 안지섭;박창권;박남희;김재범;유영선;이광숙;최세영;권영무
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.162-166
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    • 2001
  • 배경: 흉선암은 드문 질환으로 치료경과 및 예후가 침윤성 흉선종에 비해 나쁜 것으로 알려져 있으며 병기의 분류나 병기에 따른 치료방법이 아직 표준화 되어있지 않아 치료에 어려운 점이 있다. 이에 본교실에서 흉선암으로 진단되었던 환자들의 피료방법 및 성적을 분석하여 그 결과를 보고하고자 한다. 대상 및 방법: 계명대학교 동산의료원 흉부외과학교실에서는 1984년 8월에서 흉선암으로 진단되었던 8례의 환자를 대상으로 의무기록을 참고하여 병기에 따른 치방법료 및 예후 등을 후향적으로 분석하였다. 결과: 연령은 23세에서 67세까지로 평균 46세였으며 전흉부통증이 주증상이었다. 조직학적으로는 임파상피양암(lymphoepithelioma-like carcinoma)이 2례, 편평상피암(squamous cell carcinoma)이 2례, 기저세포암(basaloid carcinoma)이 1례, 혼합형(mixed type)이 3례 있었다. 임상적 병기분류는 Masoka의 분류법을 사용하였으며 제I기 2례, 제II기 4례, 제III기 1례, 제IVAr기가 1례 있었다. 4례의 환자에서는 종양의 완전적출이 가능했으며 3례에서는 고식적 수술을 시행하였다. 1례의 환자는 주위조직으로의 침윤과 심낭에 퍼져있어 조직생검만을 시행하였다. 전례에서 보조적 항암치료를 받았고 술후 병기가 제III기 이상이거나 종양의 절제가 불완전했던 5례의 환자에서는 보조적 방사선치료를 병행하였다. 이들 중 5례에서 술후 보조적 항암치료 및 방사선치료를 받고 현재까지 생존해있다. 평균추적기간은 55.3$\pm$64.6 개원이었고, 3례의 환자는 사망하였으며 4례의 환자는 종양의 재발증거 없이 생존해있다. 결론: 종양의 조기진단과 완전종양적출후 적극적인 보조적 항암치료 및 방사선치료가 흉선암을 치료하는데 도움이 될 것으로 사료된다.

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Phenomenological study about treatment experiences of Children with Precocious Puberty (성조숙증 치료경험 환아에 대한 현상학적 연구)

  • Kim, Young-Wha;Choi, Hye-Kyung;Gwak, Yun-Bock
    • Journal of Digital Convergence
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    • v.16 no.7
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    • pp.325-335
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    • 2018
  • This study is a qualitative study applying phenomenological methodology to understand the experiences of childrens with precocious puberty and to describe the whole meaning. Participants were randomly selected from six childrens who had been diagnosed with precocious puberty. From October 12, 2016 to November 18, 2016, data were collected through in-depth interviews with individuals and group interviews. The method proposed by Colaizzi (1978) was used to guide the process of data analysis. Four theme clusters were derived from interview data : the treatment chosen by the mother, uncomfortable treatment, illness not understood well, and don't want to get treatment again. we identified the various emotional and psychological difficulties experienced by childrens with precocious puberty. Future research should develop a nursing intervention program to reduce the burden of the children and accept the treatment as a positive emotion.

BNCT, Boron Neutron Capture Therapy (보론 중성자 포획 암치료 기술 - 현황과 전망)

  • 조남진;박정환
    • Nuclear industry
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    • v.16 no.8 s.162
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    • pp.53-64
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    • 1996
  • 미국의 경우 질병으로 인한 사망자의 절반 정도가 암으로 인한 사망이다. 정산 세포 속에 위치한 암세포만을 선택적으로 손상시키기에는 미흡한 기존의 암치료 방법에 비해, 열중성자와 표적핵을 사용하여 방사선에 민감한 암조직 세포만을 효과적으로 죽일 수 있는 방사선 치료 방법 중의 하나인 BNCT 기술이 새롭게 주목을 끌고 있다. BNCT 기술의 현황과 전망을 알아본다.

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Debate of Veterinary Homeopathy (수의동종요법의 토론(獸醫同種療法의 討論))

  • 손봉환
    • Journal of the korean veterinary medical association
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    • v.35 no.7
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    • pp.593-599
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    • 1999
  • (주) 현 세계의 수의계에서는 동물질환의 치료에서 항생제의 내성발현과 축산식품에 유해물질의 잔류 등으로 새로운 치료방법을 찾을 수 없을까? 하는 생각들을 하고 있다. 그래서 동종요법의 검토가 활발하게 나타나고 있다. 또한 제약업계에서 판매를 시도하려는 것이 보인다. 동종요법은 치료에서 새로운 방법의 모색으로 찬반의 토론이 되고 있다. 이들 내용의 몇 가지를 소개하여 수의사들의 이해를 돕고자 하는 의미를 가져본다.

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MANAGEMENT OF THE CHILD WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDERS (ADHD) (주의력 결핍장애아동의 치료)

  • Ahn, Dong-Hyun;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.77-88
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    • 1990
  • Management of the child with Attention-Deficit Hyperativity Disorder(ADHD) reguires a comprehensive approach of cognitive-behavioral, educational, and pharmacological interventions. Establishing the valid diagnosis is the first step of management. After the diagnosis is made, the clinician must then interpret the diagnosis and its impliations to the child, parents, and teachers. The pharmacotherapy is most effeceive, and the CNS stimulants (methylphenidate) is drug of choice. Although generally not as effective as stimulants, triacyclic antidepressants, clonidine, antipsychotics offer the alternatives to stimulants therapy. Additional treatments, including psychotherapy, cogntive-behavioral approach, educational infervention, parental counseling are also essential in managing the child with ADHD. Finally, controversial approaches-diet therapy, mineral therapy, hypoglycemia, megavitamin therapy, refined sugars, neurophysiological retraining approaches are reviewed.

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A Systematic Review on the Effects of Robot-Assisted Therapy for Stroke Patient (뇌졸중 환자에서 로봇보조치료 효과에 관한 체계적 고찰)

  • Park, Jin-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.2 no.2
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    • pp.21-36
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    • 2013
  • Objective : The purpose of this study was to look at a systematic review on the effects of robot-assisted therapy on stroke rehabilitation in upper limbs. Through this comprehensive study, we have to compare the studies. Methods : We systematically examined papers published in journal from June 2012 to September 2012, using EMBASE, MEDLINE, etc. 12 studies(randomized controlled trials) were included in the analyses. Results : Selected 12 studies were Pedro score 2 or more. The primary outcome measure tools including tools for upper extremity function and activities daily of living were used. Through various intervention, Robot-assisted therapy maximizes the effectiveness of intervention. The effects of upper extremity function and functional ability(ADL) by robot-assisted therapy showed significant effect, but no difference exists between the robot-assisted therapy and conventional therapy groups in terms of upper extremity function and functional ability. Conclusions : Robot-assisted therapy has been widely used clinically for stroke patients to maximize the effect had been applied to various interventions. Robot-assisted therapy depending on the methods of intervention showed that the effect of difference. In the future study, the use of robot-assisted therapy applied to a variety of interventions is needed on occupational therapy.

Comparison of mean airflow rate before and after treatment in patients with sulcus vocalis according to aerodynamic analysis methods (성대구증 환자의 공기역학적 검사 방법에 따른 치료 전과 후의 평균호기류율 비교)

  • Seung Yeon Lee;Hong-Shik Choi;Jaeock Kim
    • Phonetics and Speech Sciences
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    • v.15 no.4
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    • pp.61-69
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    • 2023
  • Sulcus vocalis is characterized by incomplete closure of the vocal folds, with a high mean airflow rate (MFR) as a distinctive feature. The MFR is measured using two aerodynamic analysis methods [the maximum sustained phonation protocol (MXPH) and voicing efficiency protocol (VOEF)] of the phonatory aerodynamic system (PAS), and the results may vary depending on the method. This study compared the differences in MFR before and after treatment (microsurgery and voice therapy) according to the MXPH and VOEF of the PAS in 30 patients with sulcus vocalis. Additionally, we examined whether there were differences in the subjective voice evaluation (voice handicap index, VHI), perceptual voice evaluation (GRBS), and fundamental frequency (F0) before and after treatment. The results showed significant differences between the two methods, both before and after treatment, in patients with sulcus vocalis. However, there were no significant differences by methods in the changes before and after treatment. The VHI and GRBS scores significantly decreased after treatment; however, F0 showed no significant differences before and after treatment. This study indicates that when evaluating MFR changes in patients with sulcus vocalis, it is acceptable to use either aerodynamic analysis (MXPH or VOEF).

Case study: Seeking for an ultimate solution for Knee Osteoarthritis based on Evidence-based medicine research (임상사례 : 골관절염에 대한 최소한의 치료적 방법)

  • Jeon, Jea-Hyoung
    • Journal of Korean Physical Therapy Science
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    • v.11 no.1
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    • pp.36-42
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    • 2004
  • Evidence based physical therapy interventions for this patient was applied in 15 clinical sessions. Considering the patient's two main impairments, two physical therapy interventions were delivered with WOMAC index outcome measurement. From this case report, I observed that a combined physical therapy interventions consisting of manual therapy, therapeutic exercise, and TENS Unit in patients with knee osteoarthritis may result in decreased pain, stiffness and increased physical function.

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