• Title/Summary/Keyword: Treatment goal

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Clinical Facilitation with Proprioceptive Neuromuscular Facilitation for Functional Activities (기능적 활동을 위한 고유 수용성 신경근 촉진법의 임상적 촉진)

  • Bae, Sung-Soo;Kim, Kyoung;Choi, Young-Won
    • Journal of the Korean Society of Physical Medicine
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    • v.1 no.1
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    • pp.117-123
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    • 2006
  • Objectives : The purpose of this study was conducted to find correct facilitation and clinical facilitation with proprioceptive neuromuscular facilitation (PNF). Methods : This is a literature study with books, articles, seminar note and books for PNF international course. Results : Treatment approach was changed from managements of reflex to facilitation. The facilitation will make passive or active motion. But it can not match with normal functional activities, lack of the active movement, and facilitation of musculoskeletal can interaction with environment. Conclusions : Facilitation of the Functional activities in the main therapy goal. Any necessary information, such as visual and acoustical information must be integrated. Spatial summation and temporal summation integrated also. Integrated information for the facilitation will be increased activity of alpha-motorneurons, activity of interneurons, and muscle fiber structural changes from slow twitch fibers to fast twitch fibers. Suggested facilitate goal-oriented of movements at a functional level and reduce stiffness at structural level.

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The Significance of the Analytical Sciences In Environmental Assessment

  • Chung, Yong;Ahn, Hye-Won
    • Analytical Science and Technology
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    • v.8 no.4
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    • pp.1079-1087
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    • 1995
  • The quality of human life is directly related to the quality of the environment. To assess environmental quality we must first determine the MCLG(Maximum Contaminant Level Goal), MCL(Maximum Contaminant Level), environmental impact and so on. The MCLG is the concentration at which no known adverse health effects occur. The MCLG is determined by risk assessment identifying which process is hazardous assessing, dose-response, human exposure, and characteristics of risk. With consideration of analytical methods, treatment technology, cost and regulatory impact, the MCL is set as close to the MCLG as possible. In this way, determination of the concentration and national distribution of contaminants is important for assessment of environmental quality The analytical sciences pose potential problems in assessing environmental quality. Continuing improvement in the performance of analytical instruments and operating technique has been lowering the limits of detectability. Contaminant concentration below the detection limit has usually been reported as ND(Not-Detected) and this has often been misunderstood as equivalent to zero. Because of this, more the contaminant concentration in the past was below the detection limit, whereas contaminants can be quantified now even though the contaminant concentration might remain the same or may even have decreased. In addition, environmental sampling has various components due to heterogeneous matrices. These samples are used to overestimate the concentration of the contaminant due to large variability, resulting in excess readings for MCL. In this paper, the significance of the analytical sciences is emphasized in both a conceptual and a technical approach to environmental assessment.

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The Passion Pay: Exploring Practices of Talent Exploitation

  • JANG, Yongseok;LEE, Woo Jin
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.10
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    • pp.1015-1024
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    • 2020
  • This inductive study seeks to establish a conceptual background for theoretical development regarding talent misuse in the context of small and medium-sized enterprises (SME). The two objectives for the goal were (1) to explore and build a list of unethical treatment practiced on young talents; (2) to establish new framework for the special context or refining the existing framework on employee mistreatment. For the first goal, an attempt was made to develop a list of mistreating behavior by collecting and analyzing cases of ethical disputes. Analyses on 64 cases of talent mistreatment, namely 'passion pay', was conducted to present a conceptual ground for further investigation. Then, for the second objective, this study has proposed an integrative approach for assessing these ethical elements. The ethical implications were discussed based on an assessment conducted using three theories of ethics. Finally, a cluster analysis further shows the emergence of three groups based on the mistreating behaviors. We observed seven different mistreatment behaviors under four categories of mistreatment practices. Additionally, the cluster analysis results imply that talent mistreatment may be rooted in work characteristics. Organizational size may provide some contextual reasoning, but the extent to which this factor interacts with work characteristics left unclear.

Resources Evaluation System for Rural Planning Purposes(III) - Rating Tabulation for Rural Resources Evaluation Items- (농촌계획지원용 지역자원펑가시스템 구축(III) - 농촌자원평가를 위한 평가등급기준 설정 -)

  • Choe, Su-Myeong;Han, Gyeong-Su;Hwang, Han-Cheol
    • Journal of Korean Society of Rural Planning
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    • v.4 no.1
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    • pp.75-85
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    • 1998
  • This study, a sub-one of comprehensive research works titled under "Rural Resources Evaluation System", tried to propose a rational methodology for development of rating tabulation on evaluation items. Firstly, the database system for handling of original/processed data of each evaluation items was constructed, being mainly focussed on the possibilities of data acquisition and statistical treatment. The rating tabulation system developed in the study has the formalized evaluation classes as 2 or 5 for convenience/simplification of analysis works. For each evaluation item in lower step of the goal system, 5 types of rating technique were arranged, which were based on statistical analysis using mean and standard deviation values(Type I), its existence or not(Type II), relative significance of its holding volume(Type III), synthesized weighting scale of its quality and quantity(Type IV), and the others(Type V). And, standardized 4-steps procedure for rating tabulation was proposed. Finally, the rating tabulation system developed in the study was applied to each evaluation item of goal system, from which the numerically-valued ranking criteria was obtained.

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The Patient Specific QA of IMRT and VMAT Through the AAPM Task Group Report 119 (AAPM TG-119 보고서를 통한 세기조절방사선치료(IMRT)와 부피적세기조절회전치료(VMAT)의 치료 전 환자별 정도관리)

  • Kang, Dong-Jin;Jung, Jae-Yong;Kim, Jong-Ha;Park, Seung;Lee, Keun-Sub;Sohn, Seung-Chang;Shin, Young-Joo;Kim, Yon-Lae
    • Journal of radiological science and technology
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    • v.35 no.3
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    • pp.255-263
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    • 2012
  • The aim of this study was to evaluate the patient specific quality assurance (QA) results of intensity modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) through the AAPM Task Group Report 119. Using the treatment planning system, both IMRT and VMAT treatment plans were established. The absolute dose and relative dose for the target and OAR were measured by using an ion chamber and the bi-planar diode array, respectively. The plan evaluation was used by the Dose volume histogram (DVH) and the dose verification was implemented by compare the measured value with the calculated value. For the evaluation of plan, in case of prostate, both IMRT and VMAT were closed the goal of target and OARs. In case of H&N and Multi-target, IMRT was not reached the goal of target, but VMAT was reached the goal of target and OARs. In case of C-shape(easy), both were reached the goal of target and OARs. In case of C-shape(hard), both were reached the goal of target but not reached the goal of OARs. For the evaluation of absolute dose, in case of IMRT, the mean of relative error (%) between measured and calculated value was $1.24{\pm}2.06%$ and $1.4{\pm}2.9%$ for target and OAR, respectively. The confidence limits were 3.65% and 4.39% for target and OAR, respectively. In case of VMAT the mean of relative error was $2.06{\pm}0.64%$ and $2.21{\pm}0.74%$ for target and OAR, respectively. The confidence limits were 4.09% and 3.04% for target and OAR, respectively. For the evaluation of relative dose, in case of IMRT, the average percentage of passing gamma criteria (3mm/3%) were $98.3{\pm}1.5%$ and the confidence limits were 3.78%. In case of VMAT, the average percentage were $98.2{\pm}1.1%$ and the confidence limits were 3.95%. We performed IMRT and VMAT patient specific QA using TG-119 based procedure, all analyzed results were satisfied with acceptance criteria based on TG-119. So, the IMRT and VMAT of our institution was confirmed the accuracy.

The Effect of Sensory Integrative Intervention Focused on Proprioceptive-Vestibular Stimuli on Adaptive Response of Children With Sensory Defensiveness: Case Study (고유-전정감각 중심의 감각통합 중재가 감각방어 아동의 적응반응에 미치는 효과: 사례보고)

  • Park, Ji-Hoon;Kim, In-Sun
    • The Journal of Korean Academy of Sensory Integration
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    • v.9 no.2
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    • pp.29-39
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    • 2011
  • Objective : The purpose of this study is to verify the effect of sensory integrative intervention focused on proprioceptive-vestibular stimuli on adaptive response of children with sensory defensiveness. Methods : Subject of this study was a 6 years and 5 month old boy. The subject underwent a sensory integration (SI) treatment which was part of the SI treatment course administered by the Korean Sensory Integration Society, in 2011. The treatment goal and treatment plan had established based on the evaluation results. Treatment was done with 4 sessions and the adaptive responses of the subject were measured as outcome of the SI treatment. Results : During the SI treatment, the subject could participate in activities involving tactile stimulation without over-arousal. He also showed improved social interaction skills and his play was qualitatively extended. Conclusion : According to the results of this study, it was verified that sensory integrative intervention focused on proprioceptive-vestibular stimuli has positive effective on adaptive response for children with sensory defensiveness. For the future study, it is suggested to use standardized assessments in evaluation and provide information in changes of daily occupation as outcome data.

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Comparative Study for Hair Protection Effect of Hair Essence Prepared Using Human Hair Keratin

  • Lee, Soonhee;Bae, Giyeon;Park, Doohyun;Kim, Sungnam
    • Journal of Fashion Business
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    • v.17 no.3
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    • pp.48-57
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    • 2013
  • This study was performed to quantitatively and qualitatively estimate the effect of keratin essence on hair protection against physicochemical damage. Damaged hairs were obtained from an early thirty woman who dyed her hair two times and did digital permanent treatment of her hair two times. The damaged hairs were divided into four experimental groups, which are the control hair (CH) group without additional beauty treatment, the damaged hair (DH) group by additional dyeing treatment, basic essence-treated hair (BEH) group, and keratin essence-treated hair (KEH) groups according to the research goal. The protection effect of keratin essence against the physicochemical damage was quantitatively compared by difference of chrominance measured using a color difference meter and qualitatively compared by difference of outer morphological structure images pictured using scanning electron microscopy (SEM). The brightness and yellowish blue color of KEH were relatively lower but the reddish blue color was relatively higher than other groups of test hairs. Cuticle structure of the previously DH was irregularly deformed and more strongly deformed or partially broken by additional dyeing treatment. On the other hand, the gaps between cuticle scales of the DH were reformed by treatment with basic essence and reformed and filled by treatment with keratin essence in comparison with the DH group. Conclusively, the keratin essence was effective to protect hair structure against the structural damage induced by the dyeing-treatment, by which the coloring efficiency is thought to be improved.

The Study of Anti-cancer Mechanism with Bee Venom and Melittin on Human Prostatic Cancer Cell (전립선 암세포에 대한 봉약침액(蜂藥浸液) 및 Melittin 약침액(藥浸液)의 항암(抗癌) 기전(機轉) 연구(硏究))

  • Kim, Kyung-Tae;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.22 no.6
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    • pp.37-50
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    • 2005
  • Objectives : The purpose of this study was to investigate the anti-caner effect of Bee Venom and Melittin on the prostatic cancer cell(PC-3). The goal of study is to ascertain whether Bee Venom and Melittin inhibits the cell growth and cell cycle of PC-3, or the expression of relative genes and whether the regression of PC-3 cell growth is due to cell death or the expression of gene related to apoptosis. Methods : After the treatment of Pc-3 cells with Bee Venom and Melittin, we performed Fluorescence microscope, MTT assay, Western blotting, Flow cytometry, PAGE electrophoresis and Surface plasmon resonance analysis to identify the cell viability, apoptosis and gene related to apoptosis. Results : 1. Compared with Control cell, the inhibition of cell growth reduced in proportion with the dose of Bee Venom or Melittin($0{\sim}10{\mu}g/ml$) in PC-3. 2. In PC-3, Cell viabilities of Bee Venom or Melittin treatment was decreased significantly. 3. The nucli of Control cells were stained round and homogenous in DAPI staining, but those of PC-3 were stained condense and splitted. 4. In PC-3, apoptosis of Bee Venom or Melittin treatment was increased significantly. 5. Bax, Caspase-3 and P ARP of Bee Venom or Melittin treatment was increased significantly and Bcl-2 of Bee Venom or Melittin treatment was decreased significantly. Caspase-9 of Bee venom treatment was increased significantly. Conclusion : These results indicate that Bee Venom and Melittin inhibits the growth of prostate cancer cells, has anti-cancer effects by inducing apoptosis. We wish that the anti-cancer effects of Bee Venom and Melittin are used to clinical caner treatment.

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Effect of Doctors' Patient-centered Communication on the Patient Satisfaction and Treatment Outcomes : Focusing on Mediating Effect of Patient Participation (의사의 환자중심 커뮤니케이션이 환자만족과 치료성과에 미치는 영향 : 환자참여의 매개효과를 중심으로)

  • Lee, Jong-Hak;Kim, Chan-Jung
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.249-260
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    • 2013
  • The main purpose of this study is to examine the effect of doctors' patient-centered communication on patient satisfaction and treatment outcomes, and the mediating effect of patient participation between doctors' patient-centered communication and patient satisfaction, between doctors' patient-centered communication and treatment outcomes. For the purpose of this study's goal, the 339 samples for this empirical study were collected from general hospital outpatient in C. The results of this study are as follows, First, except prohibition factor there are positive effect careful listening factor, consideration factor on patient satisfaction and treatment outcomes. Second, there are positive effects of careful listening factor, consideration factor on emotional factor and informational factor, but there are no significant effect of prohibition factor on three factors of patient. Third, There are partial mediating effects of patient participation between doctors' patient-centered communication and patient satisfaction, between doctors' patient-centered communication and treatment outcomes. Last, based on the results of this study, we suggested implications for heighten the alternatives of patient satisfaction and treatment outcomes.

Applicability of Air Cooling Heat-treatment for a Duplex Stainless Steel Casting (2상 스테인레스 주강의 공냉 열처리 적용 가능성)

  • Kim, Bong-Whan;Yang, Sik;Shin, Je-Sik;Lee, Sang-Mok;Moon, Byung-Moon
    • Journal of Korea Foundry Society
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    • v.26 no.1
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    • pp.17-26
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    • 2006
  • The substitution of cooling method from water quenching to air cooling after solution heat treatment was aimed for the development of a convenient and economical heat treatment process of duplex stainless steels without deterioration of mechanical and corrosion resistant properties for the industry. In order to achieve this goal, the mechanical properties and corrosion properties of a ASTM A890-4A duplex stainless steel were systematically investigated as functions of casting condition and cooling method after solution heat treatment. A 3-stepped sand mold and a permanent Y-block mold were used to check the effects of solidification structure and cooling rate after solution heat treatment. The microstructural characteristics such as the ferrite/austenite phase ratio and the precipitation behavior of ${\sigma}$ phase and carbides were investigated by combined analysis of OM and SEM-EDX with an aid of TTT diagram. Hardness and tension test were performed to evaluate the mechanical properties. Impact property at $-40^{\circ}C$ and corrosion resistance were also examined to check the possibility of the industrial application of this basic study. Throughout this investigation, air-cooling method was proved to effectively substitute for water-quenching process after the solution heat treatment, when the duplex stainless steel was sand mold cast with a thickness below 15 mm or permanent mold cast with a thickness below 20 mm.