Yoon, Jeongmin;Park, Kwangwoo;Kim, Jin Sung;Kim, Yong Bae;Lee, Ho
Progress in Medical Physics
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v.29
no.1
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pp.8-15
/
2018
This work reports the acceptance testing and commissioning experience of the Robotic Intensity-Modulated Radiation Therapy (IMRT) M6 system with a newly released $InCise^{TM}2$ Multileaf Collimator (MLC) installed at the Yonsei Cancer Center. Acceptance testing included a mechanical interdigitation test, leaf positional accuracy, leakage check, and End-to-End (E2E) tests. Beam data measurements included tissue-phantom ratios (TPRs), off-center ratios (OCRs), output factors collected at 11 field sizes (the smallest field size was $7.6mm{\times}7.7mm$ and largest field size was $115.0mm{\times}100.1mm$ at 800 mm source-to-axis distance), and open beam profiles. The beam model was verified by checking patient-specific quality assurance (QA) in four fiducial-inserted phantoms, using 10 intracranial and extracranial patient plans. All measurements for acceptance testing satisfied manufacturing specifications. Mean leaf position offsets using the Garden Fence test were found to be $0.01{\pm}0.06mm$ and $0.07{\pm}0.05mm$ for X1 and X2 leaf banks, respectively. Maximum and average leaf leakages were 0.20% and 0.18%, respectively. E2E tests for five tracking modes showed 0.26 mm (6D Skull), 0.3 mm (Fiducial), 0.26 mm (Xsight Spine), 0.62 mm (Xsight Lung), and 0.6 mm (Synchrony). TPRs, OCRs, output factors, and open beams measured under various conditions agreed with composite data provided from the manufacturer to within 2%. Patient-specific QA results were evaluated in two ways. Point dose measurements with an ion chamber were all within the 5% absolute-dose agreement, and relative-dose measurements using an array ion chamber detector all satisfied the 3%/3 mm gamma criterion for more than 90% of the measurement points. The Robotic IMRT M6 system equipped with the $InCise^{TM}2$ MLC was proven to be accurate and reliable.
This study is to consider that group art therapy is necessary for the psychological adaptation that children of multicultural families need in the growth process, and discusses the effects of group art therapy. The research results are as follows. First, children from multicultural families were able to express themselves gradually through art work experiences and interactions with researchers, and experienced the objectification, acceptance and resolution of their emotions, thoughts and inner desires through artistic expression. Second, children from multicultural families were newly aware of themselves in an unstructured group art therapy environment that promoted active self-expression, spontaneity, and emotional expression, and gradually experienced an active attitude, that is, recovery of spontaneity. Third, children of multicultural families were able to develop positive self-concept in the process of group art therapy experience. In conclusion, by applying the group art therapy program, children who are experiencing difficulties in the psychological adaptation of children of multicultural families through the unique unique aspects of art therapy can provide a place where they can talk with each other in ways that language alone could not. have.
Wellbeing is a new trend to modern people and Spa facilities are an appropriate space to them seeking a wellbeing life. Spa facilities will be increased in demand as a value of a public welfare and wellbeing life and the study of them is required. Therefore this study was to analysed domestic and foreign spa programs and characteristic spaces. When synthesizing many spa programs they were divided into three parts: hydrotherapy as a healing therapy using water, touch therapy as a type of massage using a manual and subsidiary equipment and mind therapy to heal spirit. Space of spa facilities were divided into three parts: the supporting part, the relaxing and mediating parts and the room for therapy. The supporting parts included a front desk, a consulting room, lockers, bath room and acceptance rooms etc and they were arranged in entrance space generally. The rooms for therapy were composed with a room for hydrotherapy using water, rooms for touch therapy and rooms for mind therapy refreshing a spirit and they were established contiguously being used efficiently. The mediating parts provided spaces for relaxation and waiting place between therapies and they were established in independent space generally but they are paid attention at good spaces forming the community of visitors and giving a characteristic images for the spa. Spa has been divided into several types in accordance with age of visitors for example children, young people, middle aged people and aged people. It has equipped with complex functions from welfare to medical. Therefore it is thought that many studies of each facilities become accomplished to propose suitable interior design.
This study aimed to investigate the use of music and imagery (MI) as a method for promoting mindfulness. A total of 11 music therapy interns participated in an MI group over 8 weeks. Statements from participants during the program were transcribed and analyzed using the method of modified grounded theory. The results showed that the participants' statements fell into three categories: awareness, acceptance, and distancing. For each category, subcategories were identified. For the category of awareness, the subcategories were emotion, sensation, and thoughts. For the acceptance category, the subcategories were facing and broadening viewpoints. For the distancing category, the subcategories were dissociation from emotions. Each subcategory was further analyzed. The results showed that the participants' experiences were similar to one another in terms of type but differed in terms of dimension varied. These results support the use of MI for increasing mindfulness and reducing burnout in music therapy interns. Further studies are recommended to investigate the factors for the experience of mindfulness induced by MI processes.
Journal of Physiology & Pathology in Korean Medicine
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v.26
no.2
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pp.212-220
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2012
In this study, we tried a study on a direction of the field of oriental medicine on accepting complementary alternative medicine by analyzing the related thesis, journals and papers on the complementary alternative medicine published in the field of oriental medicine. As the result of analyzing the present study of the field of oriental medicine on the complementary alternative medicine, there have been 22 studies on the complementary alternative medicine. Thesis, papers were mainly experimental papers about the bee venom therapy, energy therapy, fasting therapy, and colon therapy, and the journals were actively studied in order of clinical paper, experimental paper, and reference paper about the bee venom therapy, energy therapy, and reflexolgy. The acceptance of complementary alternative medicine by the field of oriental medicine through a scientific relation should be conducted more systemically by setting the main academy taking charge of the study on common characteristics of the complementary alternative medicines on the classification of NCCAM as well as the related academies taking charge of the study on the unique characteristic of each complementary alternative medicine. First, additional studies are needed to make the most of characteristics of each complementary alternative medicine through the main academy and the related academies, and for the next, additional studies are necessary to complement the research trend on each complementary alternative medicine through the main academy and related academies.
Kanatani, Takako;Fujioka, H.;Lanzetta, M.;Kurosaka, M.;Matsumoto, T.;Bishop, G.A.
Archives of Reconstructive Microsurgery
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v.18
no.1
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pp.9-15
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2009
Whether a seven days course of anti-${\alpha}{\beta}$-T cell receptor-antibody (${\alpha}{\beta}$-TCRmAb) combined with FK506 therapy promotes survival of limb allografts in fully MHC-mismatched combination (Brown Norway $\rightarrow$ Lewis) was examined. Eight animals received 250 ${\mu}g$/kg/day of ${\alpha}{\beta}$-TCRmAb for 7 days and 2 mg/kg/day of FK506 postoperatively (Combination therapy group). Eight animals had FK506 only (Mono-therapy group) and five animals did not have treatment (Control group). Clinical signs of early rejection with edema or erythema in the skin occurred at an average of 8.6${\pm}$1.5 days postoperatively in Control group and 59.0${\pm}$8.3 days in Mono-therapy group, both of which proceeded to irreversible rejection with necrosis of the epidermis and finally mummification. In Combination therapy group, all animals showed evidence of early rejection at an average of 56.8${\pm}$12.6 days postoperatively, however, in 4 of 8 limbs, early rejection resolved without any treatment and limbs survived >1 year. At 9 months postoperatively, donor skin grafts were accepted and third-party skin grafts were rejected by all four survivors, demonstrating donor-specific tolerance. Little or no detectable chimerism was observed in any of the 4 surviving animals at one-year postoperatively. Combination therapy of ${\alpha}{\beta}$-TCRmAb and FK506 resulted in long-term survival in fully MHC-mismatched limb transplants.
Seo, Ho-Jun;Lee, Kang-Soo;Lee, Sang-Hyuk;Suh, Ho-Suk
Anxiety and mood
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v.12
no.1
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pp.47-55
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2016
30% of patients with panic disorder (PD) show treatment-resistant and chronic waxing and waning course. Therefore, adequate treatment strategies for PD by evidence based pharmacotherapy and combined cognitive behavioral therapy (CBT) are recommended. Regarding how and why CBT for PD works, three hypotheses include the cognitive theory, anxiety control theory, and behavioral theory were discussed. The recent findings that the altered activation in frontal lobe is normalized after CBT, suggest a reduction of an altered top-down fear processing in the neural correlates of CBT in PD. In order to improve accessibility to CBT, brief CBT and internet based CBT for PD were suggested. Despite limitations of sample sizes and study design, most of studies suggest that brief CBT is more effective than control conditions, and even as equally effective as standard CBT. The evidences suggest that internet based CBT may not be significantly different from face-to-face CBT in reducing anxiety. Several advances within the field of third-wave CBT for PD have led to the development of new techniques based on mindfulness, such as mindfulness-based cognitive therapy and acceptance and commitment therapy. Based on Korean algorithm project for panic disorder, especially the psychological education and cognitive reconstruction components were recommended in CBT with PD.
The purpose of this study was to determine the factors affecting on the home treatment stress in the CP (cerebral palsy) children's mothers. Direct interviews were conducted from March 17 with April 4, 2003 with 97 mothers of CP children. The average level of stress from home treatment felt by mothers with CP children was $16.97{\pm}4.04$. Stress-levels were especially high in mothers who were not satisfied with the treatment outcome (p<.05) and whose acceptance of disability was low (p<.01). Stress felt by mothers was low when their health status was high (p<.05). A physical burden was shown to have a significant correlation with the stress of the mothers during the home treatment (p<.01). Mothers with a child of Level 2 disability had lower levels of stress than those with a child of Level 4 or 5 disability (p<.01). The level of stress was higher in mothers who lagged in acquiring technical sufficiency (p<.05). Multiple regression analysis showed that one factor affecting the stress felt by mothers with CP children was the degree of acceptance of the disability (p<.01). Programs that can reduce the stress levels of mothers with CP children through home treatment and secure social systems such as professional help and economic compensation, need to be developed. Active policies should be established and executed for these mothers since stress felt by mothers significantly affects the consistency and effectiveness of treatment provided at home.
The purpose of this study was to verify the moderating effects of psychological flexibility on the relationship between perceived stress and depression in university administration staff. A total of 186 participants completed the questionnaire. This data was analyzed using the SPSS program. The results of the analysis showed that perceived stress, positive perception and psychological flexibility had significant effects on depression, but negative perception didn't have significant effect on depression. The results verified the moderating effects of psychological flexibility on the relationship between perceived stress and depression. We discussed that the stress of university administration staff was more closely related to positive perception such as a decrease in positive functioning than negative perception such as loss of control. We also discussed that psychological flexibility can reduce the effect of stress on depression and prevent it. We suggested acceptance commitment therapy to improve psychological flexibility as an intervention method for stress and depression issues in university administration staff.
Objective : Cognitive fusion, or believability, in acceptance and commitment therapy (ACT), refers to the tendency to become entangled in one's thoughts or feelings. It is an important factor in the development and maintenance of anxiety disorders. However, there is a lack of validated self-report measures for cognitive fusion and defusion, particularly for individuals with anxiety. To address this gap, this study aimed to evaluate the Korean Version of Believability of Anxious Feelings and Thoughts Questionnaire (K-BAFT). Methods : A total of 608 university students and 85 patients with obsessive-compulsive disorder (OCD) took part in this study. They were asked to complete various psychological measures, including the K-BAFT, other measures of ACT processes, and symptom scales. The researchers then analyzed the psychometric characteristics of the K-BAFT. Results : The results of the exploratory and confirmatory factor analyses indicated that the three-factor structure of the K-BAFT, which was reported in the original study, was also found in the university sample. Additionally, both the student and the OCD group demonstrated strong internal consistency (α=0.86 and 0.91, respectively). In the university sample, the K-BAFT showed a strong correlation with the Cognitive Fusion Questionnaire (rs=0.53, p<0.001). However, it had a weak correlation with symptoms scales for depression, anxiety, and stress (all rs<0.32). Furthermore, the OCD group had higher scores on the K-BAFT compared to the university sample. Conclusion : K-BAFT is considered to be a reliable and valid self-report tool for measuring cognitive fusion with anxious thoughts and feelings.
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