• Title/Summary/Keyword: 한국의학사

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Effects of Kneipp therapy on HRV: the First Preliminary Validation in Forest Environment (크나이프 요법이 HRV에 미치는 효과: 산림 환경에서 적용한 최초의 예비적 검증)

  • Hong, Geum Na;Sin, Bang Sik;Song, Kyu Jin;Son, Jeong Heui;Kim, Hyun Suk;Choi, Min Joo
    • Journal of Naturopathy
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    • v.11 no.1
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    • pp.1-8
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    • 2022
  • Background: A validation study is needed to make domestic applications of German Kneipp therapy. Purpose: The study aims to test the effect of a Kneipp therapeutic program in a domestic forest environment on the autonomic nervous system. Methods: The program was made considering the 4 key elements ('exercise', 'regulative therapy', 'nutrition', and 'phytotherapy') of the Kneipp therapy. Total 3 sessions (once a week for 5 hours in each session) were performed to 40 domestic adults divided into four groups (10 in each group). HRV was measured on the subjects before and after the intervention, and its 6 characteristic parameters (TP, VLF, LF, HF, LF/HF, CSI: Cumulative Stress Index) were compared for statistical analysis. Results: For 33 subjects excluding 7 who were disturbed by interrupt factors during measurements, significant improvements after the intervention, were observed in TP(8.64%, p < ..001), VLF(6.96%, p < .05), LF(15.86%, p < .001), HF(8.46%, p < .01), LF/HF(5.77%, p < .05) and CSI(-16.06%, p < ..001). Conclusions: The Kneipp therapy performed in the forest environment was shown to activate the autonomic nervous system and in particular the sympathetic and parasympatheric nervous to promote heart activity, and was also shown to most significantly reduce cumulative stress. The present observations would be the first preliminary evidence that the Kneipp therapeutic interventation in a domestic forest environment results in positive responses of the autonomic nervous system including stress relief.

Implementation and Evaluation of Optimal Dose Control for Portable Detectors with SiPM (SiPM을 통한 휴대용 검출기의 최적 선량 제어에 대한 구현 및 평가)

  • Byung-Wuk Kang;Sun-Kook Yoo
    • Journal of the Korean Society of Radiology
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    • v.17 no.7
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    • pp.1139-1147
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    • 2023
  • The purpose of this paper is to present and evaluate the performance of a method for controlling the dose for optimal image acquisition while minimizing patient exposure by applying a small-sized Photomultiplier(SiPM) sensor inside a portable detector. Portable detectors have the advantage of being able to quickly access the patient's location for rapid diagnosis, but this mobility comes with the challenge of dose control. This paper presents a method to identify the dose that can have the DQE and optimal image quality of the detector through image evaluation based on IEC62220-1-1, an international standard for X-ray imaging devices, and to identify the optimal dose by matching the ADU of the image and the output of the SiPM Sensor. The Skull AP image was acquired by implementing the detector manufacturer's reference dose. The optimal dose was 342.8 µGy, and the optimal controlled dose was 148.3 µGy, which is 57 % of the manufacturer's reference dose. The Chest AP image was 81.9 µGy and the optimal controlled dose was 27.9 µGy, which is a high dose reduction effect of 66 %. In addition, the two images were analyzed by five radiologists and found to have no clinically significant difference in anatomical delineation.

Efficacy of Qigong Therapy on Various Diseases (다양한 질병에 대한 수정기공 요법의 효능 연구)

  • Kim, Munki;Lee, Hyung Hoan
    • Journal of Naturopathy
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    • v.8 no.2
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    • pp.88-92
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    • 2019
  • Purpose: The purpose of this study was to study the efficacy of qigong therapy for various illnesses. Methods: Healing of a variety of patients and people connected to a hospital at the East-West Medical Hospital in Vienna, Austria, was carried out. A total of 38 healers healed from 1,131 people in a total of 3 times in the hospital, and the evaluation of healing efficiency conducted by 134 physician evaluation teams in the hospital itself. Results: In 2002, 80% of the patients had a "good" healing efficiency for 96 patients treated at the first session in the hospital. In the second round of 2004, the satisfaction rate of healing efficiency was over 75%. In the third session in 2006, 71.6% were satisfied with the satisfaction level of "Good," and 1,131 people evaluated with an average of 75.5%. This result suggests that qigong healing is very efficient. Conclusions: The average healing efficiency of soojung qigong for various diseases was 75.5% or higher, indicating that qigong is one of the best natural healing therapies.

Defect center of $Li^{+}$ ion implanted $Al_2O_3$ ($Li^{+}$ 이온 주입된 $Al_2O_3$의 결함 특성)

  • Kim, Tae-Kyu
    • Progress in Medical Physics
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    • v.5 no.2
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    • pp.13-20
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    • 1994
  • The thermoluminescence(TL) glow curves and the optical absorption of $Al_2O_3$ irradiated with ${\gamma}$-ray, electron, and $Li^{+}$ ion followed by electron irradiation have been investigated to determine the relation of TL peak to its defect type. The TL glow curve of $Al_2O_3$ irradiated with ${\gamma}$-ray shows TL peaks at 380 K, 415 K, and 475 K. The UV photobleached TL glow curve of $Al_2O_3$ irradiated with ${\gamma}$-ray shows that the 380 K and 475 K TL peaks completely disappear while the 415 K TL peak still exists. The electron beam induced TL glow curve of $Al_2O_3$ after $Li^{+}$ ion implantation shows that the TL peak at 440 K is enhanced by a factor of 2 over the TL intensity of unimplanted $Al_2O_3$ while the TL peak at 380 K evidently disappears The implanted $Li^{+}$ ions are assumed to form singly charged interstitial cations and then recombine with electron trapped in F centers to produce F+ centers. The 380 K and 475 K TL peaks are proposed to be associated with F center, while the 415 K and 440 K TL peak are connected with F$^{+}$ center.

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Report of Present Status of Calibration for Domestic Radiation Measurements Instruments (국내 방사선 측정장비 보유 현황 및 교정 현황 조사)

  • Lim, Sangwook;Choi, Jinho;An, Sohyun;Cho, Kwang Hwan;Lee, Sang Hoon;Lee, Rena;Cho, Sam Ju
    • Progress in Medical Physics
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    • v.27 no.1
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    • pp.46-53
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    • 2016
  • Periodical calibrations of radiation detectors are important for accurate quality assurance of therapeutic linac. The measuring instruments such as ion-chamber, thermometer, barometer, and survey meter should be calibrated periodically. Period of calibration for these instruments is suggested 6 month to one year in Korea and two years in other countries nowadays. Therefore, the determination of reasonable period for calibration is needed. In this study, we plan to utilize the results of these survey; frequent in use, how to use and stability of instruments, to determine the optimized period of calibration for the instruments in the departments of radiation oncology in Korea based on the ILAC-G24. The SurveyMonkey web-based survey tool was used and the objects of survey were 18 department of radiation oncology in university hospitals, and 15 departments were answered. The 64 questionnaires which supposed to be answered in 50 minutes were classified as the information of candidates, the thermometer, the barometer, the surveymeter, and the ion-chamber. The thermometers and the barometers were not under periodical calibration for more than half of candidates. The periods of calibration of surveymeters were 6 month to 1 year. We expect that the calibration period can be determined based on these survey results.

Optimizing Imaging Conditions in Digital Tomosynthesis for Image-Guided Radiation Therapy (영상유도 방사선 치료를 위한 디지털 단층영상합성법의 촬영조건 최적화에 관한 연구)

  • Youn, Han-Bean;Kim, Jin-Sung;Cho, Min-Kook;Jang, Sun-Young;Song, William Y.;Kim, Ho-Kyung
    • Progress in Medical Physics
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    • v.21 no.3
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    • pp.281-290
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    • 2010
  • Cone-beam digital tomosynthesis (CBDT) has greatly been paid attention in the image-guided radiation therapy because of its attractive advantages such as low patient dose and less motion artifact. Image quality of tomograms is, however, dependent on the imaging conditions such as the scan angle (${\beta}_{scan}$) and the number of projection views. In this paper, we describe the principle of CBDT based on filtered-backprojection technique and investigate the optimization of imaging conditions. As a system performance, we have defined the figure-of-merit with a combination of signal difference-to-noise ratio, artifact spread function and floating-point operations which determine the computational load of image reconstruction procedures. From the measurements of disc phantom, which mimics an impulse signal and thus their analyses, it is concluded that the image quality of tomograms obtained from CBDT is improved as the scan angle is wider than 60 degrees with a larger step scan angle (${\Delta}{\beta}$). As a rule of thumb, the system performance is dependent on $\sqrt{{\Delta}{\beta}}{\times}{\beta}^{2.5}_{scan}$. If the exact weighting factors could be assigned to each image-quality metric, we would find the better quantitative imaging conditions.

Three Dimensional Target Volume Reconstruction from Multiple Projection Images (다중투사영상을 이용한 표적체적의 3차원 재구성)

  • 정광호;진호상;이형구;최보영;서태석
    • Progress in Medical Physics
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    • v.14 no.3
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    • pp.167-174
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    • 2003
  • In the radiation treatment planning (RTP) process, especially for stereotactic radiosurgery (SRS), knowing the exact volume and shape and the precise position of a lesion is very important. Sometimes X-ray projection images, such as angiograms, become the best choice for lesion identification. However, while the exact target position can be acquired by bi-projection images, 3D target reconstruction from bi-projection images is considered to be impossible. The aim of this study was to reconstruct the 3D target volume from multiple projection images. It was assumed that we knew the exact target position in advance, and all processes were performed in Target Coordinates, where the origin was the center of the target. We used six projections: two projections were used to make a Reconstruction Box and four projections were for image acquisition. The Reconstruction Box was made up of voxels of 3D matrices. Projection images were transformed into 3D in this virtual box using a geometric back-projection method. The resolution and the accuracy of the reconstructed target volume were dependent on the target size. An algorithm was applied to an ellipsoid model and a horseshoe-shaped model. Projection images were created geometrically using C program language, and reconstruction was also performed using C program language and Matlab ver. 6(The Mathwork Inc., USA). For the ellipsoid model, the reconstructed volume was slightly overestimated, but the target shape and position proved to be correct. For the horseshoe-shaped model, reconstructed volume was somewhat different from the original target model, but there was a considerable improvement in determining the target volume.

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Determination of Exposure Dose Rate and Isotropic Distributions of Substitute High Dose Rate Ir-192 Source for Co-60 Brachytherapy Source (원격강내조사용 Co-60 선원의 대체용 Ir-192 선원의 조사선량결정 및 선량 등방성조사)

  • 최태진;원철호;김옥배;김시운;김금배;조운갑;한현수;박경배
    • Progress in Medical Physics
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    • v.9 no.1
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    • pp.55-64
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    • 1998
  • In recent, the demand of development of the high dose rate brachytherapy source increased for substitute for Co-60 source by iridium source, since the supplying Co-60 source is very depressed and the high dose rate brachytherapy sources are entirely imported from the abroad. This study investigated the exposure rates and isotropic dose distributions for the Ir-192 source produced from $\^$191/Ir(n,r)$\^$192/Ir by nuclear reactor in Korea Atomic Energy Research Institute. The activity of source was obtained an 1.012 Ci (the initial activity without encapsulation was 2,87Ci) by measurement with encapsuled stainless steel. The exposure rate of provided Ir-192 source was determined on 6.36 ${\pm}$ 0.147 Rm$^2$/h-GBq (2.350 ${\pm}$ 0.054 Rcm$^2$/mCi-hr) within ${\pm}$ 2.2% discrepancy with IC-10 ion chamber (0.14 cc) which was mounted on the acrylic jig to 5, 10 and 20 cm from the center of source. The calculated doses with 22 most significant spectrum lines were corrected with intrinsic efficiency of the germanium detector were compared to measured exposure dose rates within ${\pm}$3.8 % discrepancy. The authors confirmed the high dose rate Ir-192 source could be replaced the long decayed Co-60 source via investigation of the isotropic dose distributions in lateral, source axis and diagonal direction of source center are very closed to within 3% uncertainties. Especially, this exposure rate constant and isotropic dose distribution will be fundamental to build the high dose rate source and develop the computed therapy planning system.

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Assessment for the Temperature according to the Electrode Diameter of Radio Frequency Hyperthermia Using Agar Phantom (고주파 온열치료기의 전극의 직경에 따른 한천 팬톰의 온도분포 분석)

  • Lee, Yong Hee;Oh, Young Kee;Kim, Hwa Yeong;Jeon, Kyung Soo;Choi, Eun Cheol;Park, Seung Gyu;Kim, Ok Bae;Kim, Jin Hee
    • Progress in Medical Physics
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    • v.25 no.1
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    • pp.1-7
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    • 2014
  • Hyperthermia is effective treatment modality when it combine with the radiotherapy treatment. It is important to verify the temperature distribution of (patient's) body for the safety and effective treatment during raising the temperature. In this study, we raised the temperature in agar phantom using radio frequency (RF) Hyperthermia and protocol that manufacture recommend. Temperature distribution measured 5 section of 5 cm thickness with agar phantom. When the temperature was raised according to the increase energy. Temperature distribution was elevated at similar domain regardless of energy. The temperature tend to be increased at up side then bottom side and also increase when A large electrode was used than small one.

Dose Computation Modeling for Frustum Typed Ir-192 of Ralstron Source (Ralstron 선원대체형 Ir-192 원추선원의 선량 전산화 모델링)

  • 최태진
    • Progress in Medical Physics
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    • v.12 no.1
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    • pp.19-29
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    • 2001
  • In dose modeling, the shape of actual source and sealed capsule are important parameter to determine the physical dose computation. The author investigated the effect of filter of source self-absorption and sealed capsule to designed the high dose rate Ir-192 source for Ralstron(Japan) unit. The size of source designed to 1.5 mm $\Phi$ x 1.5mm length of actual source sealed with stainless steel which is 3.0mm $\Phi$ x 12.0mm length connected to driving cable. The dose attenuation was derived 66.3 % from 2655 segmented source at reference point of 10mm lateral distance of source. The output dose rate factor in tissue for designed source showed 0.0013511 cGy/mCi-sec in reference point at 1cm lateral distance of source center. The dose distribution at inferior of source showed the 52% of that of source tip region, however, the filtering effect was small as 4% at 45degrees of source axis. The dose attenuation within 20 degrees of source axis at near source-cable connector showed large filtering effect as 40% over, but the small effect was revealed isotropic dose distribution at large angle.

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