• 제목/요약/키워드: MLD

검색결과 158건 처리시간 0.045초

도수림프배출법이 유방암 환자의 근긴장도, 통증 및 우울증에 미치는 영향 (The Effect of Manual Lymphatic Drainage on the Muscle Tone, Pain, and Depression in Patient with Breast Cancer)

  • 고민균
    • 대한통합의학회지
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    • 제9권1호
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    • pp.49-57
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    • 2021
  • Purpose: The purpose of this study was to investigate the effect of manual lymphatic drainage (MLD) methods on muscle tone, pain, and depression in patients with breast cancer. Methods: The study had a two-group pretest-posttest design. A total of 24 patients with breast cancer voluntarily participated in the study. Subjects were randomly assigned to the MLD (n=12) and control (n=12) groups. Measurements of muscle tone, pain, and depression were taken prior to starting the intervention and after completing the 4 week program. The muscle tone, pain, and depression were measured using noninvasive muscle tone measuring equipment, the short-form McGill pain questionnaire, and the Beck depression inventory, respectively. The intervention was performed for 20 minutes a day, three times a week, for four weeks. A paired t-test was used to compare pretest and posttest values within each group, and an independent t-test was used to compare to pretest and posttest changes between the groups. Results: Comparison of the effects within the groups revealed significant reductions in muscle tone, pain, and depression in the MLD group after 4 weeks (p<.05), whereas the control group showed no differences. Comparison of the effects between the groups revealed significantly better reductions in muscle tone, pain, and depression in the MLD group than in the control group after 4 weeks (p<.05). Conclusion: These results suggest that MLD is an effective method for reducing muscle tone, pain, and depression in patients with breast cancer.

유방암 환자에서 보조적 방사선치료 후의 폐 손상 (Radiation-induced Pulmonary Toxicity following Adjuvant Radiotherapy for Breast Cancer)

  • 문성호;김태정;엄근용;김지현;김성원;김재성;김인아
    • Radiation Oncology Journal
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    • 제25권2호
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    • pp.109-117
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    • 2007
  • 목 적: 유방암 환자에서 보조적 방사선치료 후 호흡기 증상을 동반한 방사선 폐렴(SRP) 및 방사선학적 폐 독성(RPT)의 빈도 및 이에 영향을 미치는 예측인자를 알아보고자 하였다. 특히 3차원 방사선계획에서 얻은 선량체적히스토그람(DVH) 인자와 RTP의 상관관계를 중심으로 분석해보고자 하였다. 대상 및 방법: 2003년 9월부터 2006년 2월까지 171명의 환자가 유방암으로 수술 후 방사선치료를 받았다. 2개의 tangential photon 조사야가 통상적으로 사용되었고, 액와부 림프절 전이 정도에 따라 anterior oblique photon 조사야를 추가하였다. 유방 보존술 후 보조적 방사선치료를 받은 침윤성 유방암 환자에는 전자선을 이용한 boost가 적용되었다. 방사선 치료 후의 정기추적 흉부 단순촬영소견을 흉부방사선전문의와 함께 검토, 분석하였다. RTOG 특성기준 및 modified WHO grading system을 적용하였다. 조사받은 방사선량에 따라 $V_{15},\;V_{20},\;V_{30}$ 및 mean lung dose (MLD)를 구하되, 동측 폐를 tangential 및 SCL 영역으로 구분하여, 각각의 DVH parameters 즉 $V_{15\;TNGT},\;V_{20\;TNGT},\;V_{30\;TNGT},\;MLD_{TNGT}$$V_{15\;SCL},\;V_{20\;SCL},\;V_{30\;SCL},\;MLD_{SCL}$을 구하여 RPT와의 상관관계를 분석하였다. 결 과: 호흡기 증상을 동반한 방사선 폐렴(SRP)이 4예(2.1%)에서 발생하였다(RTOG grade 3가 3예 grade 1이 1예). 나이 흡연여부, 기존폐질환유무, 항암요법, 호르몬치료, regional RT 여부 등은 SRP와 무관하였다. 3-RTP가 시행된 137예 중 13.9%에서 tangential 영역에 RPT가 발생하였다. Regional RT를 받은 59 중 49.2%에서 SCL 영역에 RPT가 발생하였다. Regional RT 유무(p<0.001), 환자의 나이(p=0.039), V15 TNGT를 제외한 모든 DVH parameter들이 RPT와 유의한 상관관계를 나타내었다. $MLD_{TNGT}$는 TNGT 영역의 RPT를, $V_{15\;SCL}$는 SCL 영역의 RPT를 예측하기에 적합한 것으로 분석되었다. 결 론: 본 연구에서 SRP의 빈도는 매우 낮았다. Regional RT 여부와 환자의 나이, DVH parameter들이 RPT와 유의한 상관관계를 나타내었으며, $MLD_{TNGT}$는 TNGT 영역에서, $V_{15\;SCL}$는 SCL 영역에서 RPT의 유의한 예측인자였다.

Fabrication of Conducting Polymer Thin Films Using Molecular Layer Deposition

  • 한규석;성명모
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2011년도 제41회 하계 정기 학술대회 초록집
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    • pp.289-289
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    • 2011
  • The conducting polymer thin films were deposited using the gas phase method which known as molecular layer deposition (MLD). Terephthalaldehyde (TPA) and p-phenylenediamine (PD) were used as monomers to deposit conducting polymer. Self-terminating nature of TPA and PD reaction were demonstrated by growth rate saturation versus precursors dosing time. Infrared spectroscopic and X-ray photoelectron spectroscopy were employed to determine the chemical composition and state of conducting polymer thin films. Layer by layer growth and polymerization of thin films can be showed by shifting of absorption edge using UV-VIS spectroscopy. This conducting polymer fabricated by using MLD method gives the opportunity to develop new hybrid materials by combining inorganic materials in nanoscale.

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On the (n, m, k)-Cast Capacity of Wireless Ad Hoc Networks

  • Kim, Hyun-Chul;Sadjadpour, Hamid R.;Garcia-Luna-Aceves, Jose Joaquin
    • Journal of Communications and Networks
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    • 제13권5호
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    • pp.511-517
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    • 2011
  • The capacity of wireless ad-hoc networks is analyzed for all kinds of information dissemination based on single and multiple packet reception schemes under the physical model. To represent the general information dissemination scheme, we use (n, m, k)-cast model [1] where n, m, and k (k ${\leq}$ m) are the number of nodes, destinations and closest destinations that actually receive packets from the source in each (n, m, k)-cast group, respectively. We first consider point-to-point communication, which implies single packet reception between transmitter-receiver pairs and compute the (n, m, k)-cast communications. Next, the achievable throughput capacity is computed when receiver nodes are endowed with multipacket reception (MPR) capability. We adopt maximum likelihood decoding (MLD) and successive interference cancellation as optimal and suboptimal decoding schemes for MPR. We also demonstrate that physical and protocol models for MPR render the same capacity when we utilize MLD for decoding.

Effects of Manual Lymph Drainage on the Activity of Sympathetic Nervous System, Anxiety, Pain, and Pressure Pain Threshold in Subjects with Psychological Stress

  • Kim, Sung-Joong
    • The Journal of Korean Physical Therapy
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    • 제26권6호
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    • pp.391-397
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    • 2014
  • Purpose: The aim of this study was to investigate the effects of manual lymph drainage (MLD) on the activity of sympathetic nervous system, anxiety, pain and pressure pain threshold in subjects with psychological stress. Methods: Twenty-nine subjects with psychological stress were randomly assigned to experimental (MLD) and control (rest) groups. This study was performed as a controlled, randomized study using spectral analysis of electrocardiographic (ECG) activities, the State-Trait Anxiety Inventory (STAI), Visual Analogue Scale (VAS) and Pressure Pain Threshold (PPT). Results: Heart rate variability differed significantly between the experimental and control groups (p<0.05). Anxiety and pain showed positive change in both group but it were not showed statically differences. The pressure pain threshold in the upper trapezius muscle was increased in the experimental group (p<0.05). Conclusion: These findings indicate that the application of MLD was effective in reducing the activity of the sympathetic nervous system, anxiety, pain, and increasing the PPT.

Epitaxial Growth of Polyurea Film by Molecular Layer Deposition

  • 최성은;강은지;이진석
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2013년도 제45회 하계 정기학술대회 초록집
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    • pp.264.2-264.2
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    • 2013
  • Molecular layer deposition (MLD) is sequential, self-limiting surface reaction to form conformal and ultrathin polymer film. This technique generally uses bifunctional precursors for stepwise sequential surface reaction and entirely organic polymer films. Also, in comparison with solution-based technique, because MLD is vapor-phase deposition based on ALD, it allows epitaxial growth of molecular layer on substrate and is especially good for surface reaction or coating of nanostructure such as nanopore, nanochannel, nanwire array and so on. In this study, polyurea film that consisted of phenylenediisocyanate and phenylenediamine was formed by MLD technique. In situ Fourier Transform Infrared (FTIR) measurement on high surface area SiO2 substrate was used to monitor the growth of polyurethane and polyurea film. Also, to investigate orientation of chemical bonding formed polymer film, plan-polarized grazing angle FTIR spectroscopy was used and it showed epitaxial growth and uniform orientation of chemical bones of polyurea films.

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Investigation of Surface Morphology for Nylon 4,6 Thin Film by Molecular Layer Deposition

  • 권덕현;성명모
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2012년도 제42회 동계 정기 학술대회 초록집
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    • pp.419-419
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    • 2012
  • We fabricated the Polyamide 4,6 (PA46) thin film using Adipoyl chloride and 1,4-butadiamine. PA46 film was grown at $70^{\circ}C$ by Molecular Layer Deposition (MLD) method. MLD is sequential and self-terminating fabrication method for organic thin film. The growth rate of PA46 is $3.5{\acute{\AA}}$ cycle. The thickness of PA46 film was measured by Ellipsometer. Surface morphology of this film was investigated by Atomic Force Microscopy (AFM) and roughness is directly proportional to number of growing cycles.

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북서태평양의 표층엽록소 변동성 (Variability of Surface Chlorophyll Concentration in the Northwest Pacific Ocean)

  • 박지수;석문식;윤석;유신재
    • Ocean and Polar Research
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    • 제30권3호
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    • pp.277-287
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    • 2008
  • We collected information on seasonal and interannual variability of surface chlorophyll a concentration between 1997-2007 from the Northwest Pacific Ocean. Satellite data were used to acquire chlorophyll a and sea surface temperature from six regions: East Sea/Ulleung Basin, East China Sea, Philippin Sea, Warm Pool region, Warm Pool North region, and Warm Pool East region. Mixed layer depth (MLD) was calculated from temperature profiles of ARGO floats data in four of the six regions during 2002-2007. In the East Sea/Ulleung Basin, seasonal variability of chlorophyll a concentration was attributed to seasonal change of MLD, while there was no significant relationship between chlorophyll a concentration and MLD in the Warm Pool region. Interannual anomaly in sea surface temperature were similar among the East Sea, East China Sea, Philippin Sea, and Warm Pool North region. The anomaly pattern was reversed in the Warm Pool East region. However, the anomaly pattern in the Warm Pool region was intermediate of the two patterns. In relation to chlorophyll a, there was a reversed interannual anomaly pattern between Warm Pool North and Warm Pool East, while the anomaly pattern in the Warm Pool region was similar to that of Warm Pool North except for the El $Ni\tilde{n}o$ years (1997/1998, 2002/2003, 2006/2007). However, there was no distinct relationship among other seas. Interestingly, in the Warm Pool and Warm Pool East regions, sea surface temperature showed a pronounced inverse pattern with chlorophyll a. This indicates a strong interrelationship among sea surface temperature-MLD-chlorophyll a in the regions. In the Warm Pool and Warm Pool East, zonal distribution of chlorophyll a concentration within the past 10 years has shown a good relationship with sea surface temperature which reflects ENSO variability.

부인과 암 이후 이차적인 다리 림프 부종 환자에게 적용한 림프흡수 마사지의 효과 (Effects of Manual Lymph Drainage on Patients with Secondary Lymphedema of Legs After Gynecologic Cancer)

  • 정성관;이승병
    • 대한정형도수물리치료학회지
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    • 제22권2호
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    • pp.35-39
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    • 2016
  • Background: The superficial lymphatic system is divided into areas called lymphatic territories which are separated by watersheds. When the lymphatic system fails to remove its load either due to surgery, radiotherapy or some congenital malformation of it then the fluid and the proteins and wastes contained within it accumulates in that territory. Anastomotic connections exist across the watersheds and while they can work unaided manual lymph drainage (MLD) can significantly help drainage across them into unaffected lymphatic territories. The purpose of the study is to examine the effectiveness of a manual technique in moving fluids and softening hardened tissues using a tape measure and Patient-Specific Functional Scale. Methods: We examined the movement of fluids from the affected limbs of lymphedema patients who underwent a standardized 30-min treatment using the Dr. Vodder method of MLD. We chose a typical cross section of patients with secondary leg or secondary arm lymphedema. The lymphedema patient was also measured after the conclusion of treatment and underwent a follow-up control measurement, within 8 weeks. Both evaluation tools indicated a movement of fluid to different and unblocked lymphatic territories as well as a softening of tissues in some of the affected limbs. Results: MLD is an effective means of fluid clearance when it accumulates as a consequence of a failure of the lymphatic system. It seems likely that MLD has a systemic effect on the lymphatic system and that it can improve flow from otherwise normal tissues. Conclusions: It is hypothesized that a series of treatments would result in even more significant improvements.

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