• 제목/요약/키워드: Treatment time

검색결과 16,079건 처리시간 0.044초

TomoTherapy: 치료 소요시간 및 영향 요인 분석 (TomoTherapy: Analysis of treatment time and influencing factor)

  • 손종기;강현성;황철환;서세정;최민호
    • 대한방사선치료학회지
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    • 제29권2호
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    • pp.119-128
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    • 2017
  • 목 적: 본 연구의 목적은 TomoTherapy 치료시에 평균 실제 치료시간을 측정하고, 치료과정에서 실제 치료시간에 영향을 미치는 절차들의 소요시간을 조사하고자 한다. 환자 및 방법: TomoTherapy치료를 받은 31명의 환자를 대상으로 치료과정에서 절차에 의한 소요시간을 측정하였다. Beam-on time, Image registration time, 그리고 Set-up with scan time, Actual treatment time을 측정하고 단계적 선형 회귀분석을 수행하였다. 결 과: 치료부위 당 평균 실제 치료시간은 21.44 - 23.92분 이었다. Beam-on time, Image registration time, 그리고 Set-up with Scan time들이 실제치료 시간에 영향을 미치는 중요한 요인이었으며, 가장 큰 영향요인은 Beam-on time이었고, 그 다음으로 Set-up with Scan time이었다. 그리고 Image registration time은 영향이 적은 것으로 분석되었다. 결 론: TomoTherapy 치료환자 1명당 실제 치료시간은 평균 $22.68{\pm}3.37$분이었다. 정규시간 8시간 이내에 약 21명의 환자가 치료받을 수 있을 것으로 예상된다. 그러나 치료가 중단되거나 치료과정에서 절차의 진행시간이 달라지면, 일일 치료환자들의 스케줄에 영향을 미치며, 업무 부하량이 늘어날 것으로 생각된다.

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장애유형별 치과진료시 소요시간에 관한 비교연구 (A COMPARISON STUDY ON DENTAL TREATMENT TIME OF PATIENTS WITH DIFFERENT TYPES OF DISABILITIES)

  • 이우람;김영재
    • 대한장애인치과학회지
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    • 제10권2호
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    • pp.78-83
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    • 2014
  • The objective of this study was to confirm the validity of classification of dental disability by measuring the dental treatment time required for disabled patients and identify the disability type that requires more of chair time. As a result of measuring a total of 123 patients who were admitted to the Seoul dental hospital for the disabled on Oct. 2014, I was able to make the following conclusions: 1. For dental counseling and check-up, the chair time did not show significant differences between the different types of disability. 2. For periodontal treatment, restorative treatment, root canal treatment, and surgical treatment, the difference of the chair time for dentally disabled patients was significantly longer than that of non-dentally disabled patients. 3. The difference in the total chair time for prosthetic treatment was statistically insignificant. However, each of the prosthetic treatment steps did show statistically significant differences.

견부통 환자에 대한 물리치료방법의 적용 시간을 중심으로 한 기술적 연구 (Physical Therapy Session Duration in patients with Shoulder pain: Descriptive Research)

  • 김선엽;채정병;권재확
    • 대한물리치료과학회지
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    • 제9권4호
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    • pp.119-130
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    • 2002
  • Objective: The purpose of this research was to use data for furnish quality physical therapy service. The research subjects were admitted shoulder pain patients treated with physical therapy that was to grasp physical therapy method as distinguishing application time. Subject: Total number of distributed questionnaire was 563 persons that was to utilized physical therapy room of 56th medical institution and distributed it to each physical therapist in charge. Method: The research used questionnaire in order to research itemized treatment application time that is according to physical therapy method to applicated with shoulder pain patient. The research contents is to received shoulder pain diagnosis period, total duration of utilizing physical therapy room, the number of times per week to used physical therapy room, etc. And we had physical therapist recording the time of application physical therapy method come under the items. Result: The average treatment time was 59.2 minutes at all patients. During this time, 39.7 min was modality treatment. Active movement treatment was only 7.1 min. Total treatment time was longest in general hospital at 64.9 min, it was shortest in clinical hospital at 53.3 min. Treatment time was difference as hospital scale(p<0.001). Active movement treatment time was longest in general hospital at 11.5 min. The average treatment time was 4.5 min in clinical hospital. Therefore, it was related to hospital scale(p<0.05). The average of manual therapy time by physical therapist was 7.5 min. General hospital was linger at 8.6 min than clinical hospital at 6.7 min(p<0.05). Patient of 90.2 % were treated to hot pack, ultra-sound treatment was next as 50.1%. Active strengthening exercise was most carrying out of the active treatment as 25.4 %. Active sensorimotor exercise was practiced only 28 persons of 5.0 %. Most joint mobilization (38.4 %) was used of the passive manual therapy items, next to soft tissue mobilization (33.0 %), and next to manual distraction therapy(14.0 %).

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암환자의 진단-치료 소요기간에 따른 생존분석과 지역사회별 격차 및 시계열적 추이 (The Impact of Time-to-Treatment for Outcome in Cancer Patients, and Its Differences by Region and Time Trend)

  • 김우림;한규태
    • 보건행정학회지
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    • 제31권1호
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    • pp.91-99
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    • 2021
  • Background: The Korean government introduced National Cancer Control Program and strengthening national health insurance coverage for cancer patients. Although many positive effects have been observed, there are also many concerns about cancer management such as patient concentration or time-to-treatment. Thus, we investigated the association between the time-to-treatment and survival of cancer patients, and compared regional differences by time trend. Methods: The data used in this study were national health insurance claims data that included patients diagnosed with lung cancer and received surgical treatment between 2005 and 2015. We conducted survival analysis with Cox proportional hazard model for the association between time-to-treatment and survival in lung cancer. Additionally, we compared the regional differences for time-to-treatment by time trend. Results: A total of 842 lung cancer patients were included, and 52.3% of lung cancer patients received surgical treatment within 30 days. Patients who received surgical treatment after 31 days had higher 5-year or 1-year mortality compared to treatment within 30 days (5-year: hazard ratio [HR], 1.566; 1-year: HR, 1.555; p<0.05). There were some regional differences for time-to-treatment, but it was generally reduced after 2010. Conclusion: Delayed surgical treatment after diagnosis can negatively affect patient outcomes in cancer treatment. To improve cancer control strategies, there are needed to analyze the healthcare delivery system for cancer care considering the severity and types of cancer.

급성 심근경색증환자의 임상적 증상과 치료추구시간의 지연 (A Survey on the Delay Time Before Seeking Treatment and Clinical Symptoms in Patients with Acute Myocardial Infarction)

  • 박오장;김조자;이향련;이해옥
    • 대한간호학회지
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    • 제30권3호
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    • pp.659-669
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    • 2000
  • Many patients of acute myocardial infarction showed delay time before seeking treatment although they needed immediate thrombolytic therapy once they perceived their symptoms. The objectives of this study were to identify the relationship between clinical symptoms and the delay, and to find the time spent before seeking the treatment. This study was a retrospective research. The delay time for the treatment consisted of the length of delay from symptom onset to patients' decision (T1), from patients' decision making to finding transportation (T2), and from taking transportation to the first hospital arrival(T3). The subjects were 89 patients who were admitted in the ICU and Cardiac Ward at Chonnam University Hospital with the first attack of acute myocardial infarction. Center, USA The data was collected for three months from March 1st to May 31st of 1998 through questionnaires and reviewing patients' charts: The chart information was suppled by two nurses working at the ICU and Cardiac Ward. The data was analyzed by using frequency, mean and ANOVA through the SAS program. The results of study summarized as follows: 1. Sixty two patients (69.7%) were male and twenty seven patients (30.3%) were female, the ratio of male to female was 2.3 : 1. 2. In daily life, the 70.8% of the patients felt chest pain and discomfort fatigue in 67.4%, dyspnea in 57.3%, and pain in arm, neck, and jaw in 52.8%. During the attack, 97.8% of the patients felt chest pain and discomfort dyspnea in 82.1%, pain in arm, neck, jaw in 67.4% and perspiration in 51.7%. 3. The length of time a patient spent seeking time for treatment (T1+T2+T3) was 94.6 minutes, in which the time for patients' decision making for treatment (T1) was 70.3 minutes, time for finding transportation (T2) was 8.2 minutes, and time for the transportation of the patient to the first hospital (T3) was 16.1 minutes. Time for patients' decision making to go to a hospital(T1) was 74.2% of the total time sought for treatment. 4. The differences of time sought for treatment between perceptions about the seriousness of the symptoms were significant (F= 6.5, p< .01). The more serious the heart symptoms they felt, the shorter the seeking time for treatment. 5. The differences of the time delay before treatment between the degree of the symptoms were significant (F= 2.9, p< .05). The patients with the typical chest pain and discomfort spent shorter the seeking time for treatment than those with the atypical symptoms of acute myocardial infarction. 6. The differences of transportation time to the first hospital between the types of cars that the patients used, were significant (F= 4.3, p< .01). When the patients used 119 or 129 they spent the least time (5.3 minutes) for transportation, and followed by way of an ambulance (15.6 minutes), private car (20.6 minutes), and taxi (24.8 minutes).

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알칼리와 셀룰라아제 처리에 의한 아세테이트 직물의 표면 형태 및 성능의 변화 (Changes in Surface Shape and Physical Properties of Acetate Fabrics by Alkaline and Cellulase Treatment)

  • 이애진;이혜자;유혜자
    • 한국염색가공학회지
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    • 제13권1호
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    • pp.9-17
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    • 2001
  • The purpose of this study is to present basic data for the enzymatic modification of acetate fabrics. The weight loss and rate of weight loss of acetate fabrics increased with increasing NaOH concentration and treating time. Acetyl value decreased as the weight loss became higher. The weight loss of alkaline-treated acetate fabrics were directly proportional to the concentration and treating time of cellulase. The optimum temperature and pH in cellulase treatment were $55^\circ{C}$ and pH 3.5. The surface shape revealed that density of fiber decreased by alkaline-treatment. With the treating time of cellulase, fibrillation occurred. In case of higher weight loss in alkaline treatment, fibril is removed after 180 min. The tensile strength decreased by alkaline and cellulase treatment. Especially, in case of higher weight loss of alkaline treatment, tensile strength decreased suddenly. Alkaline treatment increased the drapability of acetates, while cellulase treatment increased it initially but decreased gradually with treatment time. The dyeability after alkaline treatment was improved for reactive dye, but deteriorated for disperse dye. The cellulase treatment of acetate lowered the dyeability for both types of dyes.

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Enzymatic hydrolysis of insoluble silk sericin by Alcalase

  • Jung, Hye-Young;Bae, Do-Gyu
    • 한국잠사곤충학회지
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    • 제42권1호
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    • pp.48-57
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    • 2000
  • This study was undertaken to figure out the effects of hydrolysis conditions on the solubility of insoluble sericin, molecular weight distribution and thermal characteristics of hydrolysates in enzymatic hydrolysis by Alcalase 2.5L. It was indicated that the optimum treatment temperature and pH for the insoluble sericin were 50$\^{C}$ and 11, respectively. When the insoluble sericin was hydrolyzed with a various treatment conditions, the solubility of all hydrolysates were represented above 85% at given conditions. As the enzyme concentration increased, the solubility increased roughly, but the solubility increasement ratio was less above 2% enzyme concentration. As the treatment time increased, the solubility was also increased. It was showed in the molecular weight distribution of hydrolysates treated various enzyme concentrations and treatment times that when enzyme concentrations were 0.5, 2, 3%, the peaks of the distribution curve were shifted to left side which meant low molecular weight and was distributed much quantity with shifted to be left side, but treatment time was 6 hr. the peak was shifted to right side. When enzyme concentration was 5% and treatment time was below 2 hr., the peaks were shifted to right side, but treatment time was above 4hr. the peak was shifted to left side. The number-average molecular weights were distributed from 300 to 800 and those were decreased when treatment time was up to 4 hr., but increased a little when treatment time was 6hr. It was showed in the DSC curves of hydrolysates treated with treatment time of 0.5, 1, 2, 4, 6 hr. fixed 1% o.w.s enzyme concentration and control that the endothermic peak was observed near at 200$\^{C}$. The denaturation peak of the hydrolysates depending on treatment times had a tendency to shift to higher temperature. But, when the treatment time was 6 hr., the peak was shifted to lower temperature comparing another hydrolysates.

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콩나물의 품질에 미치는 오존처리 효과 2. 콩의 수침중 오존처리의 최적화 (Effect of Ozone Treatment on the Quality of Soybean Sprouts 2. Optimum Conditions of Ozone Treatment during Soaking of Soybean for Quality Enhancement of Soybean Sprouts)

  • 김일두;박미자
    • 한국식품저장유통학회지
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    • 제5권2호
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    • pp.177-185
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    • 1998
  • For the purpose of enhanceing soybean-sprouts quality, the optimum conditions for ozone treatment of soybean during soaking before cultivation at 18~2$0^{\circ}C$ were evaluated with ozone concentration, treatment time and treatment frequency by response surface methodology. Germination rates of cleaned soybean by ozone water in the conditions of solubilized-ozone concentrations of 0.15 to 0.35ppm, ozone-treatment frequency of 1.5 to 2.3 times and ozone-treatment time of 30 to 36min. increased 18.8 to 24.0% for the control products. And, length of hypocotyl in conditions of 0.12 to 0.33ppm, 1.7 to 2.7 times and 45 to 90min. were also increased by 69.36 to 79.40%. On the other hand, weight of roots with ozone treatment were decreased in the conditions of solubilized ozone concentrations of 0.1 to 0.2ppm and ozone-treatment time of 30 to 57min. But, ozone-treatment frequency did not affected root growth. Putrefaction rates of the control were 5 to 15%, but those of ozone-treated samples during cultivation did not show. The overall optimum conditions for above 16% germination rates, above 9% hypocotyl yields compared to the control samples and below 98% of the control root weight were solubilized-ozone concentrations of 0.25 to 0.30ppm, ozone-treatment time of 43 to 49min. and ozone-treatment frequency of one time.

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케냐프 섬유의 표백에 대한 연구 (제2보) -강도와 신도의 변화를 중심으로- (The Study on Bleaching of Kenaf Fibers (Part II) -Effect of Strength and Elongation-)

  • 이혜자;유혜자;한영숙
    • 한국의류학회지
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    • 제29권11호
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    • pp.1454-1464
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    • 2005
  • The study was based on a three-stage, non-repetitive factorial experiment in which chemical-rotted kenaf fibers were treated separately with hydrogen peroxide concentrations of $0.5\%,\;1\%\;and\;2\%$, with pH solutions of 7, 9 and 11, and treatment times of 30, 60 and 90 minutes. Under optimal conditions, the study was conducted to determine the strength and elongation of kenaf fibers by the addition of chelators, penetrants and surfactants. The hydrogen peroxide concentration, solution pH and treatment time directly affected the strength of kenaf fibers. The hydrogen peroxide concentration, solution pH affected the elongation of kenaf fibers. It was found, however, that the interaction between pH and treatment time, concentration and treatment time, concentration and treatment time and pH affected the strength of kenaf fibers. Also, It was found that the interaction between pH and concentration, concentration and treatment time, concentration and treatment time and pH affected the elongation of kenaf fibers. Under the hydrogen peroxide conditions of $2\%$ concentration, pH 11 and a treatment time of 60 minutes, there were no effects on the strength and elongation of kenaf fibers with the addition of chelator SP, CA.

Evaluation of Dosimetric Effect and Treatment Time by Plan Parameters for Endobronchial Brachytherapy

  • Choi, Chang Heon;Park, Jong Min;Park, So-Yeon;Kang, SungHee;Cho, Jin Dong;Kim, Jung-in
    • 한국의학물리학회지:의학물리
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    • 제28권2호
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    • pp.39-44
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    • 2017
  • This study aims to analyze dose distribution and treatment time of endobronchial brachytherapy (EBBT) by changing the position step size of the dwell position. A solid water phantom and an intraluminal catheter were used in the treatment plan. The treatment plans were generated for 3, 5, 7, and 10 cm treatment lengths, respectively. For each treatment length, the source position step sizes were set as 2.5, 5, and 10 mm. Three reference points were set 1 cm away from the central axis of the catheter, along the axis, for uniform dose distribution. Volumetric dose distribution was calculated to evaluate the dosimetric effect. The total radiation delivery time and total dwell time were estimated for treatment efficiency, which were increased with position step sizes. At half-life time, the differences between the position step sizes in the total radiation delivery time were 18.1, 15.4, 18.0, and 24.0 s for 3, 5, 7, and 10 cm treatment lengths, respectively. The dose distributions were more homogenous by increasing the position step sizes. The dose difference of the reference point was less than 10%. In brachytherapy, this difference can be negligible. For EBBT, the treatment time is the key factor while considering the patient status. To reduce the total treatment time, EBBT can be performed with 2.5 mm position step size.