• 제목/요약/키워드: Therapeutic results

검색결과 5,848건 처리시간 0.032초

전자선에서 Virtual Source Distance의 위치 결정 (Determination of the Virtual Focus Position for Electron Beam with Air Scanning)

  • 권경태;윤화룡;박광호;김정만
    • 대한방사선치료학회지
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    • 제6권1호
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    • pp.89-93
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    • 1994
  • Authors have measured virtual source distance of electron beam from CL/1800 medical linear accelerator, with newly designed method. Beam scanning was performed with the direction of beam axis in the air. Compared results between this study and well established in phantom measurement shows good agreement with in experimental error. And we have found that build-up cap plays very important role in air measurement because of charge build up. The method of in-air measurement of virtual source distance is very easy to set-up and generate accurate results.

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Modeling Adherence to Therapeutic Regimens in Patients with Hypertension

  • Roh Young Sook
    • 대한간호학회지
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    • 제35권4호
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    • pp.737-744
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    • 2005
  • Purpose. This study was done to identify and test a model of the psychosocial variables that influence adherence to therapeutic regimens in patients with hypertension. Method. A convenience sample of 219 patients with hypertension who were enrolled in an outpatient clinic of a cardiovascular center in Korea participated in the study. They completed self-administered questionnaires anonymously. The questionnaire was based on the Social Action Theory model and a literature review. The explanatory model was constructed and tested using structural equation modeling in order to examine the effects within the model. Results. The results of this study showed that perceived self-efficacy was the strongest factor influencing patient adherence in this sample. Adherence to therapeutic regimens in patients with hypertension was influenced by self-efficacy, patient-provider relationship, social support, and depression. Conclusions. Adherence to therapeutic regimens in patients with hypertension was most strongly influenced by self-efficacy. These findings suggest that nursing interventions to promote patient adherence should focus on the promotion of self-efficacy including improvement in patient-provider relationship and social support, and reduction in depression.

뇌졸중 재활에 있어서 운동심상의 치료적 접근 (Therapeutic Approach of Motor Imagery in Stroke Rehabilitation)

  • 김식현
    • PNF and Movement
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    • 제13권2호
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    • pp.55-72
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    • 2015
  • Purpose: The purpose of this study was to propose a new therapy algorithm that combines motor imagery and physiotherapy as a physiotherapeutic clinical intervention technique that can stimulate the recovery of damaged physical function for patients with stroke. Methods: A variety of scientific research results related to motor imagery were reviewed and analyzed to investigate their applicability to physiotherapy in clinics. Results: As a new therapy algorithm for the therapeutic approach of motor imagery in stroke rehabilitation, a therapy algorithm that combines motor imagery with physiotherapy is proposed, which consists of three stages or steps: STEP 1 motor imagery familiarization, STEP 2 explicit learning stage, and STEP 3 implicit learning. Conclusion: The new therapy algorithm proposed in this study is expected to be a very useful clinical therapeutic approach for stimulating the recovery of damaged physical function in patients with stroke. It is believed that it will be necessary to confirm and standardize the effects of the therapeutic algorithm proposed in this study in the future by conducting diverse clinical studies.

보존적 유방 절제술과 근치적 방사선치료가 초기 유방암의 치료 성적에 미치는 효과 (Conservative Surgery and Definitive Radiotherapy in Early Breast Cancer)

  • 신세원;홍정숙;김명세;이영도;김성규;이수정
    • Journal of Yeungnam Medical Science
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    • 제10권2호
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    • pp.380-387
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    • 1993
  • 초기 유방암의 일차적인 치료법으로 시행한 보존적 유방절제술과 근치적인 방사선 치료의 효과를 확인하기 위하여 1988년 3월 1일부터 1992년 8월 31일까지 영남대학교 의과대학 부속병원에서 침윤성 유방암으로 확진되어 치료를 시행한 환자중 진료기록이 충실하고 최근까지 추적이 가능하였던 28명을 대상으로 임상적특징, 치료방법, 치료방법에 따른 치료성적, 치료와 연관된 부작용, 치료 후 미용상 만족도를 분석하여 아래의 결과를 얻었다. 평균 연령은 43.5세(중앙값)이었으며, 폐경기 이전이 17명, 폐경기 이후가 11명이었고, 임상적 병기는 I기가 12명, II기가 16명이었다. 수술은 단순 절제가 17명, 광범위 절제가 4명, 유선 1/4절제가 7명이었으며 대상환자 모두에서 액와 임파선 절제를 시행한 결과 7명에서 임파선 전이를 보였다. 치료법은 15명에서 방사선 치료, 항암제 투여 및 내분비 요법을 시행하였으며, 치료 방법에 따른 치료 성적의 차이는 없었다. 일반적으로 수술후 2-3주에 시행된 방사선 치료는 원발 병소의 상태에 따라 다양하게 시행되었으며 원발 병소는 55-65Gy, 지역 임파선부위는 45-50Gy를 조사하였다. 방사선 치료와 연관된 부작용의 발생은 병합요법시 현저히 증가하여 18명중 5명이었으나 방사선 치료만 시행된 경우는 10명중 1명이었다. 치료 완료후 27개월간 추적 조사한 결과 유방이나 지역 임파선 부위의 재발 및 원격 전이는 없었으며 미용상 28명중 26명에서 우수한 성적을 보였다. 그러나 전체 대상 환자가 적고 추적 기간이 한정된 관계로 추후 더 많은 환자를 대상으로 장기간의 추적 조사가 필요하리라 사료된다.

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빛에 의한 치료적 효과 기반의 한국형 치매요양시설의 자연채광 계획지표 개발 - 주광 가용성 최대화, 치료적 조망 최적화 및 현휘 최소화 지표 중심으로 (A Daylighting Design Indicator for Korean Dementia Nursing Homes Based on the Therapeutic Effects of Light - Focusing on maximizing daylight availability, optimizing therapeutic views, and minimizing glare)

  • 지수인
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제29권1호
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    • pp.29-42
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    • 2023
  • Purpose: This study aimed to develop a daylighting design indicator for Korean dementia nursing homes based on the therapeutic effects of light, focusing on the serious aging index facing Korea and the importance of natural light that occupies the most important position in the therapeutic environments for the elderly with dementia. Methods: A wide range of literature-oriented research methods were mobilized to develop the daylighting design indicator of Korean dementia nursing homes. Results: The daylighting design indicator of Korean dementia nursing homes was derived from three perspectives: maximizing daylight availability, optimizing therapeutic view, and minimizing glare. In addition, eighteen basic indicators were derived within seven indicator items in the range of building layout, windows, glazing, shading devices, spaces, interior finishings, and daylight factor. Implications: The daylighting design indicator of Korean dementia nursing homes revealed in this study will contribute to realizing Korean dementia nursing homes as a therapeutic environment for the elderly with dementia.

동결견 환자에 대한 키네시오 테이프 적용이 관절가동범위 및 통증에 미치는 영향 (Effects of Kinesiotape on Range of Motion and Pain in Frozen Shoulder Patients)

  • 유병규;오경환;이재갑
    • 대한물리치료과학회지
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    • 제8권1호
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    • pp.869-877
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    • 2001
  • This study was performed to assess the efficacy of Kinesiotape for the frozen shoulder patients. The subjects of this study were 17 patients with frozen shoulder who visited the out-patient department of the physical therapy, Pyongchon Sacret Heart Hospital, Hallim University, from July. 3, 2000 through August 12, 2000. To find out the effect of kinesiotape therapy, we sampled 8 patients treated with electrotherapy and therapeutic exercise (control group), and 9 patients treated with electrotherapy and therapeutic exercise with kinesiotape(experimental group). All patients were treated 3 days a week for 5 weeks. The results after 5-week treatment, compared with before treatment, were as follows: 1. The increase in range of motion in the electrotherapy and therapeutic exercise with kinesiotape after 5-week treatment was very significant(p<0.01). 2 The increase in range of motion in the electrotherapy and therapeutic exercise after 5-week treatment was significant (p<0.05). 3. The pain of decrease in the electrotherapy and therapeutic exercise with kinesiotape after 5-week treatment was very significant (p<0.01). 4. The pain of decrease in the electrotherapy and therapeutic exercise with kinesiotape 5-week treatment was significant(p<0.05). 5. The electrotherapy and therapeutic exercise with kinesiotape was more effective in increasing the range of motion on shoulder than the electrotherapy and therapeutic exercise after 5-week treatment(p<0.01). 6. The pain of decrease in between electrotherapy. therapeutic exercise with kinesiotape electrotherapy and therapeutic exercise after 5-week treatment was no significant.

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호흡기계 작용 약물의 치료군 중복처방 평가기준 개발 (Therapeutic Duplication Criteria Development of Respiratory System Drugs)

  • 최경업;손현순;김남효;신현택;이영숙
    • 약학회지
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    • 제56권2호
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    • pp.126-135
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    • 2012
  • Purpose: To develop therapeutic duplication criteria for the drugs used for respiratory diseases. Method: Therapeutic duplication was defined as "more than 2 drug ingredient-usage in which each has the same therapeutic effect and combination therapy does not confer additional therapeutic benefit". Respiratory system drugs approved in Korea were examined for the study. The WHO's Anatomical Therapeutic Chemical Classification System was used for grouping of the corresponding drug ingredients. The principles and recommendations on combination usage or multiple drug regimens were reviewed by using the clinical practice guidelines, textbooks, product labelings, and clinical articles. Clinical expert group consultation was performed and expert opinions were incorporated into the final criteria. Results: Nine hundred sixty two drug products with Korean Food and Drug Administration classification codes of 141, 149, 222, and 229 were evaluated, of which 87 active ingredients were composed. The drug ingredients were classified into 12 groups (antihistamines, oral nasal decongestants, leukotriene receptor antagonists, inhaled anticholinergics, inhaled corticosteroids, oral ${\beta}2$-agonists, long-acting ${\beta}2$-agonists, short-acting ${\beta}2$-agonists, xanthines, antiallergics, mucolytics and cough suppressants). The use of more than 2 drug ingredients including the same group was therapeutic duplication, and thus combination should be recommended not to be used. Conclusion: Twelve drug groups were identified as therapeutic duplication criteria. Combination therapy within each group should not be used otherwise therapeutic benefits outweigh potential risks.

전기-음향 방사컨덕턴스를 이용한 치료용 초음파 자극기의 음향출력 예측 (The Acoustic Output Estimation for Therapeutic Ultrasound Equipment using Electro-Acoustic Radiation Conductance)

  • 윤용현;조문재;김용태;이명호
    • 대한의용생체공학회:의공학회지
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    • 제32권3호
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    • pp.264-269
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    • 2011
  • To increase therapeutic efficiency and biological safety, it is important to precision control of acoustic output for therapeutic ultrasound equipment. In this paper, the electro-acoustic radiation conductance, one of electroacoustic characteristics of therapeutic ultrasound equipment, was measured by the radiation force balance method according to IEC 61161 standards and the acoustic output was estimated using the electro-acoustic radiation conductance. The estimation of acoustic output was conducted to continuous wave mode and pulse wave mode of duty cycle between 20% and 80%. The differences between prediction values and measurement results are within 5% of measurement uncertainty, which is a reasonably good agreement. The results show that acoustic output controlled by electro-acoustic radiation conductance was found to be an effective method.

경직성 양하지 마비아의 5가지 치료적 운동시 핵심 안정성과 관련된 근활동 비교 분석 (Comparative Analysis of Muscles Activation relate to Core Stability during 5 Therapeutic Exercise in Children with Spastic Diplegia)

  • 서혜정;김중휘;신현희;유성환
    • 대한물리의학회지
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    • 제8권4호
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    • pp.583-592
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    • 2013
  • PURPOSE: This study aimed to investigate muscles activation relate to core stability during 5 therapeutic exercise in children with spastic diplegia. METHODS: The subjects of this study were 8 children with typical development and 12 children with spastic diplegia who have been treated in Bobath children's hospital, all of whom agreed to participate in the study. All subjects were measured to see their muscles activation of rectus abdominalis, external oblique abdominalis, elector spinae, gluteus maximus, rectus femoris, and semitendinosus with surface EMG. RESULTS: The results of this study were as follows : 1) There were statistically significant difference in the root mean square(RMS) of all muscles according to 5 therapeutic exercise in children with spastic diplegia. 2) There were statistically significant difference in the RMS of all muscles according to 5 therapeutic exercise in children with typical development. 3) Significant differences of the RMS between diplegic children and normal children were found in elector spinae and rectus femoris only curl-up exercise. CONCLUSION: As the above results, we suggest that 5 therapeutic exercises could be used for a core stability or core strengthening program. Depending on the individual needs of children with cerebral palsy, some of exercises may be more beneficial than others for achieving strength.